• 제목/요약/키워드: Spine, diseases

검색결과 180건 처리시간 0.026초

추나의 순환계에 미치는 영향에 대한 고찰 - 실험추나학을 중심으로- (Effect of Chuna on circulatory system - Based on Experimental Chuna Science -)

  • 안민윤;송윤경;임형호
    • 척추신경추나의학회지
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    • 제9권2호
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    • pp.1-9
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    • 2014
  • Objectives : Many studies are being done in the method of experimental chuna science in China. The aim of this review is to understand and study the methods of experimental chuna science, focusing on the effects of chuna on circulatory system. Methods : We reviewed "實驗推拿學" and Chinese journals were searched using China National Knowledge Infrastructure(CNKI). Korean journals were searched using 3 Korean web databases(OASIS, NDSL, RISS). Results : By experimental chuna science, effect of chuna on blood pressure, cardiovascular system, hemorheologic system, blood flow velocity, circulation and lymphatic system were proved. Conclusions : Experimental chuna science is necessary for improvement of chuna to a higher level. In Korea, not many experimental studies are being done, especially in chuna and it has very narrow target diseases. For this reason we need to learn and adapt the methods of experimental chuna science of China.

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척추 자기 공명 영상에서 특징 벡터에 기반 한 디스크 질환의 자동 인식 (Automatic Disk Disease Recognition based on Feature Vector in T-L Spine Magnetic Resonance Image)

  • 홍재성;이성기
    • 대한의용생체공학회:의공학회지
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    • 제19권3호
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    • pp.233-242
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    • 1998
  • 본 논문에서는 척추 자기공명영상에 대하여 자동적으로 질환에 관련된 특징 벡터들을 추출하고 디스크 질환을 인식하는 방법을 제안하였다. 척추 자기공명영상은 절단면에 따라 시상 단면 영상과 축 단면 영상으로 나누어 진다. 두가지 영상에서 질환에 관련된 특징 벡터를 추출하여 질환의 유무와 종류를 인식하는데 사용하였다. 시상 단면 영상에서는 각 부위에 해당하는 영역의 동질성을 이용하여 디스크 부분을 추출한 후 영역레이블링 과정을 통해 전체적인 크기와 돌출 정도를 구해서 질환을 나타내는 특징으로 이용하였다. 축 단면 영상에서는 템플릿 정합을 이용하여 디스크 영역을 찾고 경계선을 추출하기 위해 세기와 방향성을 고려한 연산자를 사용했다. 경계선의 모양을 분석해서 디스크 돌출 정도에 관한 수치를 얻었다. 이렇게 얻은 특징벡터들은 유사한 질환을 가진 환자의 영상을 찾기 위한 의료 영상 데이터 베이스에 사용될 수 있으며, 많은 양의 영상에서 질환이 나타나 있는 것을 일차적으로 선별하여 전문의에게 제공하는데 이용될 수 있을 것으로 예상한다.

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추나와 온침치료로 호전된 견관절 충돌 증후군 환자 3례에 대한 임상보고 (The Clinical Report on 3 Cases of Patients with Shoulder Impingement Syndrome Improved by Chuna Treatment and Burning Acupuncture Therapy)

  • 문태웅;엄태웅;정영훈
    • 척추신경추나의학회지
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    • 제4권1호
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    • pp.7-17
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    • 2009
  • Objectives: The objective of this study is to report the effectiveness of Chuna treatment and burning acupuncture therapy on shoulder impingement syndrome. Methods: Among the patients with shoulder pain, We selected 3 patients diagnosed as shoulder impingement syndrome by physical examination and magnetic resonance imaging(MRI). After Chuna treatment and burning acupuncture therapy, we evaluated the effectiveness by measuring range of movement(ROM) and checking The Shoulder Pain And Disability Index(SPADI) every three times the patients called at the clinic for three weeks. Results: The symptoms of the patients got improved relatively in short period considering shoulder impingement syndrome belongs to chronic diseases and steps chronical procedure in recovering. Conclusions: These cases showed Chuna treatment and burning acupuncture therapy could be applied on shoulder impingement syndrome and were effective for improving the symptoms. We suggest that further studies and clinical trials will be needed afterwards.

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척추성형술에서 PMMA 주입에 의한 망상골의 압축강도 변화 연구 (The Study of Changes in Compressive Strength of Trabecular Bone with PMMA Injection in Vertebroplasty)

  • 문희옥;이문규;김정규;이태수;최귀원
    • 대한의용생체공학회:의공학회지
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    • 제24권4호
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    • pp.369-373
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    • 2003
  • 골다공증에 의한 척추체의 압박골절은 뼈의 파단성 질병중에서 가장 흔하게 나타나는 증상이다 최근에 척추압박골절에 대한 의학적 치료방법으로 각광받고 있는 척추성형술은 골강화제를 주입함으로써 척추체를 강화하고 변형을 보정하며. 환자의 고통을 줄여준다. 그러나 종전 연구에서는 골강화제가 주입된 후 척추체의 기계적 특성 강화에 대한 연구가 전무했으므로, 본 연구에서는 PMMA의 물성을 바탕으로 돼지와 사체로부터 시편을 얻어 겉보기 밀도에 대한 순수 망상골과 PMMA가 주입된 망상골의 영률을 측정하였다. 겉보기밀도에 따른 영률은 순수망상골의 경우 멱급수의 형태를 가지며. PMMA가 주입된 망상골의 경우 선형적인 형태를 가졌다.

추나 치료가 성인 소화기계 질환에 미치는 영향에 대한 문헌 고찰 (Review of Chuna Manual Therapy for Adult Digestive System Disease)

  • 김규진;추수철;이재원;황의형
    • 척추신경추나의학회지
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    • 제13권2호
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    • pp.35-46
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    • 2018
  • Objectives : To determine the effectiveness of Chuna manual therapy(CMT) for Adult Visceral Diseases. Methods : To find evidence of CMT for adult digestive system disease, we used 9 electronic databases(Pubmed, CAJ, EMBASE, Cochrane Library, Web of Science, KISS, KISTI, NDSL, RISS) up to April 2018. We reviewed randomized control trials(RCTs) using Chuna for Digestive system disease. To assess the methodological quality of each RCT, we used the Cochrane risk of bias tool. Results : We identified 11 RCTs about irritable bowel syndrome, chronic ulcerative colitis, gastritis, gastroptosis, spleen entropathy, gastrointestinal dysfunction after stroke in 356 studies. All studies used total efficiency rate for main outcome. In all studies, CMT was effective for digestive system disease. Conclusions : CMT was effective for Digestive system disease. Risk of bias was high and the difference between the experimental group and the control group was not great. Considering that there were no reports of side effects, it seems possible to apply CMT to the treatment of adult digestive system disease.

Diplopia developed by cervical traction after cervical spine surgery

  • Kim, Ji-Yoon;Kim, Hyuna;Kang, So Jeong;Kim, Hyunjee;Lee, Young-Seok
    • Journal of Yeungnam Medical Science
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    • 제38권2호
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    • pp.152-156
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    • 2021
  • Diplopia is a rare complication of spine surgery. The abducens nerve is one of the cranial nerves most commonly related to diplopia caused by traction injury. We report a case of a 71-year-old woman who presented with diplopia developing from abducens nerve palsy after C1-C2 fixation and fusion due to atlantoaxial subluxation with cord compression. As soon as we discovered the symptoms, we suspected excessive traction by the instrument and subsequently performed reoperation. Subsequently, the patient's symptoms improved. In other reported cases we reviewed, most were transient. However, we thought that our rapid response also helped the patient's fast recovery in this case. The mechanisms by which postoperative diplopia develops vary and, thus, remain unclear. We should pay attention to the fact that the condition is sometimes an indicator of an underlying, life-threatening condition. Therefore, all patients with postoperative diplopia should undergo thorough ophthalmological and neurological evaluations as well as careful observation by a multidisciplinary team.

내장기추나요법 임상연구 문헌고찰을 통한 적응증 분석 연구 (Indication Analysis Study through Literature Review of Clinical Trials on Visceral Chuna Manipulation)

  • 설재욱;이진현;조동찬;황만석
    • 척추신경추나의학회지
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    • 제16권2호
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    • pp.107-116
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    • 2021
  • Objectives The purpose of this study is to analyze the trend and indication of clinical research about Visceral Chuna Manipulation and to suggest the direction of further study. Methods We searched 9 electronic databases (MEDLINE Pubmed, EMBASE, CENTRAL, CiNii, CNKI, KMbase, OASIS, NDSL, KISS) using the search terms "visceral manipulation", "visceral manual therapy" and identified relevant literature that investigated visceral manipulation as a intervention for various subjects. Results Among 142 studies were searched and screened, 16 met designated criteria. Visceral Chuna Manipulation showed the effectiveness in musculoskeletal disease, digestive disease, psychiatry, obstetrics, circulatory and oncology. Conclusions This study shows possibility of Visceral Chuna Manipulation as a treatment for many diseases. Better designed further study is necessary to establish the evidence of clinical efficacy of visceral manipulation and to suggest standard of techniques and treatment protocols for diverse patients.

성인여성(成人女性)의 사상체질(四象體質)과 골밀도(骨密度)의 상관성(相關性)에 대한 연구(硏究) (A Clinical Study on the Relation between Sasang Constitution and Bone Mineral Density(BMD) in Women)

  • 김혜원;송정모
    • 사상체질의학회지
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    • 제13권3호
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    • pp.52-58
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    • 2001
  • Purposes : As the population of old people has increased by the improvement of medical techniques, the concern on degenerative diseases has increased gradually. Especially the researches of osteoporosis have been carried out in view of prevention and treatment. But there wasn't any research related with Sasang Constitution. So we investigated the relation between Sasang Constitution and BMD(bone mineral density). Methods : Authors measured BMD and BMI(body mass index) of healthy women. We devided our subjects into Young age group and Old age group, and analyzed the data of Sasang Constitution subgroup. Results : 1. BMD of Taeumin was higher than those of Soyangin and Soeumin in Lumbar spine and Femoral neck in both Young and Old age group. In Old age group, there were significant differences in Taeumin vs Soeumin, and Soyangin vs Soeumin in BMD of Lumbar spine 2. BMI of Taeumin was higher than those of Soyangin and Soeumin in both Young and Old age group. In Young age group, there were significant differences in Taeumin vs Soyangin and Taeumin vs Soeumin. In Old age group, there were significant differences in Taeumin vs Soyangin, Taeumin vs Soeumin and Soyangin vs Soeumin. Conclusion : BMD and BMI of Taeumin was higher than those of Soyangin and Soeumin.

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우리나라 일부 폐경전.후 여성의 골밀도와 그에 영향을 미치는 체형 및 식이인자에 관한 연구 (A Study of Body Anthropometry and Dietary Factors Affecting Bone Mineral Density in Korean Pre- and Postmenopausal Women)

  • 승정자;백수경;이행신;김미현;최선혜;이소연;이다홍
    • 한국식품영양과학회지
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    • 제30권1호
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    • pp.159-167
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    • 2001
  • The objective of this study is to examine the factors affecting bone mineral density in pre- and postmenopausal women. The subject were 30 Korean premenopausal women with mean ages of 33.6 years, and 30 Korean post menopausal women with mean ages of 63.3 years without diagnosed diseases. Data for food and nutrient intake were obtained by the24-hour recall method. BMD of lumbar spine and femoral neck were measured by the dual-energy X-ray absorptiometry (DEXA). Anthropometric measurement were made, and a blood sample was taken for assay osteocalcin. The results are summarized as follows: 16.67% of the subjects in the premenopausal women and 87.33% of the subjects in the postmenopausal women was less than the korean RDA level exceping phosphorus and vitamin C. In the premenopausal women, BMD of lumbar spine is correlated significantly with anthropometric measurement such as weight, waist circumference, BMI, and body fat mass BMD of femoral neck for the premenopausal women is correlated significantly with weight, BMI, waist circumference, body fat mass, hip circumference, and BMDs of both site are negatively correlated with lean body mass, total body water, but they are not related with intake of nutrients in this study. In the postmenopausal women group, BMDs of both site are not significantly correlated with anthropometric measurement, but BMD of lumbar spine showed positive relation with intake of energy, protein, and carbohydrate. In conclusion, adequate nutrient intake, especially energy, protein have been suggested to prevent the loss of bone mineral density in the postmenopausal women. Also, adequate body weight and BMI have been suggested in the premenopausal women.

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Coronavirus Disease (COVID-19) Outbreak and Its Impact on Spinal Daily Practice : Preliminary Report from a Single (Regional) University Hospital in Republic of Korea

  • Ham, Chang Hwa;Moon, Hong Joo;Kim, Joo Han;Park, Youn-Kwan;Lee, Tae Hoon;Kwon, Woo-Keun
    • Journal of Korean Neurosurgical Society
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    • 제63권4호
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    • pp.407-414
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    • 2020
  • Objective : Since the first discovery of the 2019 novel coronavirus (COVID-19), rapid and wide spread of the disease has been reported and the World Health Organization announced that a 'pandemic' has started. Up to date there is little known regarding the impact of this outbreak on spinal specialists' daily clinical practice. We intended to evaluate how COVID-19 has affected the number of spinal disease patients we meet and operate in daily practice. Methods : The de-identified data regarding number of patients visiting the spine clinic at a tertiary referral hospital and a secondary level hospital from January, February and March of 2017 to 2020 were retrospectively reviewed. The number of out-patient department (OPD) visits, number of emergency room (ER) visits as well as number of surgeries performed during the reviewed period were collected and analyzed, comparing 2020 to the previous 3 years. Results : The number of daily OPD visits showed a steady decrease starting from January, and presented a statistically significant decrease by early March 2020, compared to the previous 3 years. During the same period, decrease in number of daily ER visits was statistically significant as well. The number of elective surgeries or number of surgeries for patients admitted via ER during COVID-19 outbreak remained similar to that of 2017-2019 suggesting, despite the decrease of patients visiting the hospital for spinal diseases, those whom required surgery still visited the hospital. The results were consistant among other hospital level. Conclusion : The outbreak of COVID-19 affected our daily practice as OPD and ER visits reduced but did not affect the number of surgeries. We believe that this report will be informative to spinal specialists worldwide fighting the COVID-19 pandemic.