• 제목/요약/키워드: PFWD

검색결과 8건 처리시간 0.024초

골다공증을 동반한 하지부골절 수술 후 보행불리 환자 재활에 단순추나요법을 적용한 치험 1례 (Clinical Case Report on the Gait disturbance Patient with Osteoporosis and Lower Limb Fracture Surgery Treated by Chuna Therapy)

  • 이윤진;박나리;양두화;안희덕
    • 척추신경추나의학회지
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    • 제14권2호
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    • pp.77-88
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    • 2019
  • Objectives : The purpose of this study was to show the effectiveness of Chuna Manual Therapy applied to a osteoporosis patient with gait disturbance due to lower limb fracture surgery. Method : We focused on Chuna therapy accompanied with acupuncture, herbal medicine, moxibustion, cupping treatment and rehabilitation exercise. This case was assessed using the Visual Analogue Scale (VAS), Pain Free Walking Distance (PFWD), Berg Balance Scale (BBS), and Modified Barthel Index (MBI). Result : This patient showed improvement on the VAS from 6 to 3, PFWD from 0 m to 2000 m using a walker and 50 m by self-walking, BBS from 2 to 28, and MBI from 56 to 89. Moreover the walking state improved from gait disturbance to self-walking. Conclusion : This study suggests that Chuna therapy could be used to improve gait disturbance in patients with osteoporosis and lower limb fracture surgery.

측만이 동반된 요추 추간판 탈출증 수술 실패 증후군 환자에 대한 추나요법 병행치료 증례보고 (A Case Report on Conservative Treatments with Chuna manual therapy on patient who has Failed Back Surgery Syndrome owing to herniated intervertebral lumbar disc with scoliosis)

  • 류호선;김미혜
    • 척추신경추나의학회지
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    • 제13권2호
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    • pp.65-73
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    • 2018
  • Objectives : To verify Korean Medicinal Combination Treatments for patients who have Failed Back Surgery Syndrome along with scoliosis Methods : We used Acupuncture, Chuna manual therapy, Pharmacoacupuncture, Herbal medication. We measured Numeral Rating Sacle(NRS), Pain-Free walking distance(PFWD) and Oswestry Disability Index(ODI) score to evaluate the treatment effects. Results : Patients' LBP & Rt.leg pain NRS, PFWD and ODI score were improved. Conclusions : Traditional Korean medicine can be effective for FBSS patients along with scoliosis.

교통 사고 이후 발생한 요추부 압박골절에 한방복합입원치료로 호전된 환자 4례: 후향적 증례 연구 (4 Cases of Patients That Improved from Traffic Accident Which Caused Lumbar Spine Compression Fracture by Complex Korean Medical Admission Treatment: Retrospective Case Study)

  • 홍제락;김유종;김지수;이정열;김태규;유도현;최인석;이상원
    • 한방재활의학과학회지
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    • 제27권4호
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    • pp.163-170
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    • 2017
  • Objectives The objective of this study is to report 4 patients who had vertebral compression fracture after traffic accident, that had a complex korean medical admission treatment. Methods In this study we collected the data of traffic accident patients that came to receive intense Korean medical treatment, and had compression fracture of the lumbar spine. A total of 4 patients were studied and we compared the Visual Analogue Scale (VAS) score and the Pain-Free Walking Distance (PFWD) at addmission date and 19th day of hospitalization. Results After receiving an average of 22.25 days of admission treatment, all patients showed a significant decrease in VAS scores and increase in PFWD. The median VAS score at date of admission was 6.5 (VAS 6~9) and decreased to 3.5 (VAS 3~5), median PFWD was 37.5 (30~45) m and increased to 435 (420~450) m. Conclusions After complex korean medicine admission treatment, 4 patients with vertebral compression fracture caused by traffic accident showed decrease of pain and increase of walking distance. But there is a need for further studys to be done on treatment methods and evaluation methods.

해양준설토를 이용한 유동성 뒤채움재의 역학적 특성 (Mechanical Properties of Controlled Low Strength Materials with Marine Dredged Soil)

  • 김주득;이병식;이관호
    • 한국방재학회 논문집
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    • 제7권2호통권25호
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    • pp.35-44
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    • 2007
  • 일반적으로 유동성 뒤채움재는 모래, 플라이애쉬, 물과 소량의 시멘트를 혼합하여 이용한다. 플라이애쉬는 재활용재료로서 최근에 재활용 활용도가 매우 높아, 이를 대체할 대체제로서 해양준설토를 이용하였다. 해양준설토를 이용한 유동성 뒤채움재의 특성을 비교하기 일반바다모래를 이용한 혼합물을 이용하였다. 해양준설토를 이용한 유동성 뒤채움재의 흐름특성, 경화특성 및 일축압축강도 특성을 평가하였다. 유동성 뒤채움재의 초기 공용성평가를 위해 최적의 배합비에서 3일 양생한 시료의 강도 특성을 이용하였다. 시간에 따른 유동성 뒤채움재의 점착력과 내부마찰각을 평가하였다. 또한 차량하중에 의한 침하량을 평가하기 위하여 크리프시험을 수행하였다. 이동용 FWD를 이용하여 혼합재료의 탄성계수를 역산하였다. 이러한 실험결과로부터 해양준설토를 이용한 유동성 뒤채움재의 공학적 특성은 도로하부 지하매설물용 뒤채움재로서 충분한 것으로 판단되었다.

도상 및 노반상태 평가를 통한 궤도유지보수작업의 적정성 연구 (Study on the Appropriateness of Track Maintenance Works through the Evaluation of Trackbed Conditions)

  • 김대상;권순섭;이수형;황선근;박태순
    • 한국철도학회논문집
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    • 제11권3호
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    • pp.334-341
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    • 2008
  • 자갈궤도는 압축성 재료인 자갈과 흙을 기초로 하여 건설되므로 공용 기간 중 승차감을 확보하고 수명연장을 위해서는 유지보수작업이 필수적이다. 현재 수행되고 있는 자갈궤도에 대한 유지보수 작업은 EM120 검측차를 이용한 궤도틀림 측정 결과로부터 결정된다. 궤도틀림은 궤도에 변형이 발생된 결과를 측정하는 것으로, 궤도틀림을 유발시키는 근본적인 원인을 평가해 볼 필요가 있다. 본 연구에서는 궤도틀림의 원인이 궤도를 지지하는 도상과 노반에 있다고 판단하고, 도상 및 노반의 싱태를 평가할 수 있는 비파괴탐사법 (GPR4과 PFWD)을 개발하고 이를 경부선 500m구간에 적용하였다. 개발 작용된 방법은 층 두께 평가법과 궤도수직강성 평가법 및 도상 노반 시추법이다. 도상 및 노반 상태평가 결과를 기 수행된 궤도틀림 검측결과 및 유지보수작업과 비교함으로서 불필요한 유지보수작업 구간을 평가하였다.

Non-operative Korean Medicine Treatment for Four Patients with Failed Back Surgery Syndrome after Spinal Fusion Surgery : A Retrospective Case Series

  • Seo, Young Hoon;Lee, Jeong Ryo;Lee, Sang Min;Kim, Min Chul;Kim, Yu Jong;Hong, Je Rak;Kim, She Young;Seo, Young Woo;Kim, Ji Su;Park, Han Sol;Lee, Min ho;Kim, Tae Hun;Kim, Kiok
    • 대한한의학회지
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    • 제37권2호
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    • pp.93-103
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    • 2016
  • Objectives: The purpose of this study was to report Four cases of Failed Back Surgery Syndrome (FBSS) patients after spinal fusion surgery who showed significant improvement in pain and function with Complex Korean medical treatment. Methods: This study was a retrospective observational study. We reviewed medical records of Four patients with lumbar pain or radiating leg pain, who have received spinal fusion surgery in the past. All Four patients took complex treatments of Mokhuri Neck and Back hospital which involes Acupuncture, Pharmaco-acupuncture, Gangchuk herbal medicine, Chuna and Physical therapy during about four-week of admission treatment. Visual Analogue Scale (VAS), Oswestry disability index (ODI), Pain Free Walking Distance (PFWD) scores were assessed before and after treatments. Results: The average of hospitalization period was 28.5 days. Mean VAS scores decreased from 6.5 to 2.3, Oswestry Disability Index (ODI) scores decreased from 56.25 to 38.25 and Pain Free Walking Distance (PFWD) also improved from 10m to 166.6m. Conclusion: This study implies that a combination of Korean medical treatments might be effective in relieving pain, and improving the functional status of FBSS patients. Further studies are needed to fully understand the mechanisms underlying the effects.

후방 요추체간 유합술을 시행한 척추 전위증 환자의 한방 재활치료 프로토콜을 적용한 임상 치료 효과: 증례 보고 (Clinical Case Report: Postoperative Rehabilitation Protocol for Spondylolisthesis in Korean Medicine Treatment)

  • 이은별;박나리;이윤진;강석범;우창훈;안희덕;양두화
    • 한방재활의학과학회지
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    • 제31권1호
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    • pp.165-173
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    • 2021
  • Objectives The objective of this study is to propose postoperative rehabilitation for spondylolisthesis after posterior lumbar interbody fusion (PLIF) in Korean medicine and to report its effectiveness. Methods There were two patients who were received Korean medicine with acupuncture, herbal medicine, cupping and exercise treatment after PLIF. Patients were evaluated numeric rating scale (NRS), Oswestry disability index (ODI), pain free walking distance (PFWD), Korean modified index (K-MBI), EuroQol-5 dimension (EQ-5D) index. Results Case 1 was improved NRS from 7 to 3, Case 2 was improved NRS from 7 to 2. Also, ODI, PFWD, K-MBI, EQ-5D score were improved in both cases. Conclusions This study suggests that Korean medicine rehabilitation could be effective for spondylolisthesis after PLIF.

한의학적 복합치료에 의해 호전된 척추수술실패증후군(Failed Back Surgery Syndrome)환자 10례: 후향적 증례연구 (Korean Medicinal Combination Treatments for Failed Back Surgery Syndrome: A Retrospective Case Series)

  • 서영우;박한솔;김민철;김세영;서영훈;이상민;김유종;홍제락;김지수;김기옥;김태훈
    • Journal of Acupuncture Research
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    • 제32권2호
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    • pp.217-227
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    • 2015
  • Objectives : This study is an evaluation of the effectiveness of treatments combined with Korean medical methods, such as relaxative Chuna and Gangchuk herbal medicines, for patients with failed back surgery syndrome. Methods : In this study, medical records of ten patients who experienced failed back surgery syndrome and participated in intensive Korean medical treatment were reviewed. All patients received relaxative Chuna and acupuncture along with Gangchuk herbal medicines during hospitalization. Numeric rating scale(NRS) in the degree of 0 to 10, pain-free walking distance(PFWD) and oswestry disability index(ODI) were measured before and after treatments. Results : The patients were hospitalized for an average of 22 days. The average NRS of lumbar pain in all patients decreased from $7.7{\pm}1.6$ to $3.2{\pm}2.2$ and the average NRS decline of leg pain was from $7.7{\pm}1.7$ to $3.2{\pm}2.2$, both of which indicate statistical significance(p < 0.05). PFWD in all patients increased from 113.3 m to 798.1 m on average. The average ODI in all patients significantly improved from $63.9{\pm}7.0$ to $43.9{\pm}6.9$(p < 0.05). Conclusions : The treatments combined with Korean medical methods for failed back surgery syndrome patients are clinically effective and viable.