• 제목/요약/키워드: case-controlled study

검색결과 1,008건 처리시간 0.031초

주관절 외측상과염의 침치료에 대한 국내 연구 동향 분석 (The Domestic Trends of Acupuncture Treatment on Lateral Epicondylitis : A literature review)

  • 김현석;이치호;오민석
    • 혜화의학회지
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    • 제25권1호
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    • pp.1-13
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    • 2016
  • Objectives : Lateral epicondylitis on elbow is one of the most common causes of elbow pain. Lateral epicondylitis can be managed with acupuncture, but the evidence for its effectiveness is uncertain. The purpose of this review is to investigate the trends of acupuncture treatments on lateral epicondylitis. Methods : We investigated the studies about acupuncture treatments for lateral epicondylitis via searching 5 Korean web databases(KTKP, RISS, OASIS, KCI, Kisti) The key search terms were 'Lateral epicondylitis', 'Tennis elbow', 'External epicondylitis'. 12 research papers(10 case reports, 1 RCT, 1NRCT) were found to be analyzed according to their published year, the titles of journals, published institution, the types of study, the number of cases, the types of treatments, the instruments for assessment and ethical approvals. The effectiveness of acupuncture treatment was classified. Results : 12 papers were published since 2003. The studies on acupuncture treatments about lateral epicondylitis were mainly published in The journal of pharmacopuncture. 10 case reports, 1 non-randomized controlled trials, 1 randomized controlled trials had been under research. In most of the research, the number of the cases were not enough. In 9 cases of the studies, various korean medicine treatments including acupuncture were used to treat the symptoms. In 3 cases of the studies single method was used to treat the symptoms. Visual analogue scale(VAS) and range of motion(ROM), grip strength were used as primary assessments. Among 12 clinical studies, 1 of them were accepted by institutional review board(IRB). Conclusions : In this study, we analyzed the trends of acupuncture treatments on lateral epicondylitis. Reviewing the domestic trends of studies on acupuncture treatments for lateral epicondylitis and examining the strong and weak points of those treatments are essential for the future studies.

ICD-10 분류로 살펴본 저단계 레이저 치료 임상 논문 고찰 (The Clinical Indication of Low-Level Laser Therapy Using ICD-10)

  • 한현진;강기완;강세영;김락형;장인수
    • 대한한방내과학회지
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    • 제36권4호
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    • pp.561-569
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    • 2015
  • Objectives The purpose of this study was to improve the knowledge of the low-level laser therapy (LLLT) field and to review research reports on LLLT to understand the current situation with respect to the clinical indication and current research trends.Methods A survey was carried out on the subject of low-level laser therapy to September 2012, using the PubMed search engine. Selected literature was checked by two reviewers and was classified according to the International Classification of Diseases 10th (ICD-10) over 10 years.Results We selected 469 studies in total, of which 142 were case reports, 118 were case-controlled trials, and 209 were randomized controlled trials of LLLT. According to the ICD-10 classification of diseases, the K code and M code being the most common, 399 studies have been published in the last 10 years. This shows that the study and clinical indications of low-level laser therapy have rapidly increased over the past 10 years.Conclusions Low-level laser therapy has been used most frequently with respect to dentistry and pain and musculoskeletal disorders. Recently, interest in and research into LLLT has increased for various diseases. With the establishment of standard conditions for low-level laser therapy, supported by aggressive clinical utilization and systematic clinical research, LLLT will be a very useful treatment and a useful alternative method in many medical fields.

동결견의 한의학적 치료에 대한 국내 연구 동향 (The Domestic Trends of Traditional Korean Medicine Treatments on Frozen Shoulder)

  • 손슬기;김종수;김신웅;문병헌;유수빈;이차로
    • 척추신경추나의학회지
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    • 제9권1호
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    • pp.55-65
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    • 2014
  • Objectives : The purpose of this review is to investigate the trends of traditional korean medicine treatments on frozen shoulder. Methods : We investigated the studies on traditional korean medicine treatments for frozen shoulder via searching 6 Korean web databases. As a result, 32 research papers were found to be analyzed according to their published year, the titles of journals, published institution, the types of study, the number of cases, the types of treatments, the instruments for assessment and ethical approvals. Results : 32 papers were published since 1989. The studies on traditional korean medicine treatments about frozen shoulder were mainly published in The journal of korean acupuncture & moxibustion medicine. 10 case series, 7 reviews, 6 non-randomized controlled trials, 5 randomized controlled trials and 4 case reports had been under research. In most of the research, the number of the cases were not enough. In 15 cases of the studies, various traditional korean medicine treatments were used to treat the symptoms. In 8 cases of the studies, one method was used to treat the symptoms. Range of motion(ROM) and visual analogue scale(VAS) were used as primary assessments. Among the 25 clinical studies, 5 of them were accepted by institutional review board(IRB). Conclusion : In this study, we analyzed the trends of traditional korean medicine treatments on frozen shoulder. Reviewing the domestic trends of studies on traditional korean medicine treatments for frozen shoulder and examining the strong and weak points of those treatments are essential for the future studies.

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두개강내압 상승 환자에서 저체온법의 유용성 - 임 상 연 구 - (Usefulness of Hypothermia Treatment in Patients with Increased Intracranial Pressure)

  • 이종무;안재성;김정훈;김창진;권양;이정교;권병덕;전상룡
    • Journal of Korean Neurosurgical Society
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    • 제30권sup2호
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    • pp.316-321
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    • 2001
  • Objectives : The goal of this study is to evaluate the usefulness of mild hypothermia treatment in patients with increased intracranial pressure(ICP). Material and Method : From November 1999 to May 2001, 11 patients were treated with mild hypothermia ($32-34^{\circ}C$) in whom ICP maintained at higher than 20mmHg in spite of decompressive surgery and high dose barbiturate therapy. The patient's rectal temperature were lowered by external cooling. Hypothermia was maintained for not more than 7 days and then the patients were rewarmed slowly for 24 hours. If increased ICP persisted for 2 days of hypothermia, this treatment was continued for several days. The functional outcome of each patient was assessed according to Glasgow Outcome Scale(GOS). Results : All cases except two cases showed decrease of ICP after hypothermia therapy. In 1 case which was right middle cerebral artery(MCA) infarct, ICP re-increased after 24 hours and in another 1 case, ICP was not controlled initially. Among 11 cases, 3 cases showed favorable outcome. Conclusion : Mild hypothermia treatment in patients with increased ICP was effective in controlling ICP and mortality was so decreased. More clinical experience and controlled study was need to determine the effectiveness.

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추나요법과 근막이완요법의 척추측만증 환자 4례에 대한 증례 보고 (Chuna Therapy and Myofascial Release Technique for the Pain Relief and Cobb's Angle Improvement in Patients with Scoliosis: Case Report)

  • 이상영;김기덕;박수곤;김민성;황춘호;조형준;설재욱
    • 척추신경추나의학회지
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    • 제7권1호
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    • pp.59-65
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    • 2012
  • Objectives: This study is designed to report the valid result of complex of Chuna Therapy and Myofascial Release Technique(MRT) on scoliosis patients. Methods: The correction program for scoliosis takes 3 month per case. Chuna Therapy and MRT were given once a week and other oriental medicine care was given twice a week to care the complications of scoliosis. The Cobb's angle(by X-ray, Full spine view) and Visual analogue scale(VAS) were evaluated before and after the treatments. Results: After the program, both of Cobb's angle and VAS decreased. Conclusions: Though it is a case report, we found Chuna Therapy and MRT might have valid effect on scoliosis patients. Further rigorous case series and controlled trials are warranted.

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재발성 족외과 점액낭염에 대한 도침요법: 증례 보고 (Effects of Acupotomy Treatment on Relapsed Lateral Malleolar Bursitis: A Case Report)

  • 김재훈;이정희;이윤규;이현종;김재수
    • Korean Journal of Acupuncture
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    • 제36권4호
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    • pp.300-307
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    • 2019
  • Objectives : This study details on a case of acupotomy for relapsed lateral malleolar bursitis. Methods : A 71-year-old woman with lateral malleolar bursitis was treated with acupotomy twice in an outpatient setting. A sterilized, disposable, blade width 0.5 mm × needle length 50 mm sized acupotomy was administered on GB40 and BL62 on each visit. Pain intensity assessment using Numeric Rating Scale (NRS) and the response evaluation criteria was conducted right after each treatment. Results : Pain on NRS declined from 5 to less than 1 after twice of acupotomy treatment. This result was regarded as 'Complete Response' using the response evaluation criteria. There were no side effects during whole treatment procedure at all. Conclusions : It is turned out that acupotomy can have a positive clinical effect on lateral malleolar bursitis in this case without any adverse effect. Further controlled studies on acupotomy for lateral malleolar bursitis are required for clinical application.

기계식 프레스 압입 방식의 냉간단조용 금형 예압 부과 공정의 유한요소해석 (Finite Element Analysis of Mechanical Pre-stressing Processes of Cold Forging Dies)

  • 변종복;전유종;강성묵;이광희;전만수
    • 소성∙가공
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    • 제29권6호
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    • pp.362-369
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    • 2020
  • In this study, elastoplastic finite element analysis with multi-body treatment was used to elucidate the mechanical phenomena occurring from pre-stressing of die-system. A finite element analysis model with detailed conditions is proposed. The effects of die pre-stressing slope on the circumferential components of the pre-stressed die inserts were evaluated. The role of tight fitting between the supporter and die case was also emphasized because it has a significant effect on the undesirable change in the target slope of machined inner surface of the die case around the die insert. The two mechanical problems include the one between die-insert and die case and the other between supporter and die case, and their correlation is minimized to establish the optimum design in the die structural design stage because it cannot be quantitatively controlled owing to various factors affecting the die structural behavior during die pre-stressing.

딸기재배농가(栽培農家)의 기술수용(技術受容)에 관한 연구(硏究) -충남(忠南) 논산지방(論山地方)을 중심(中心)으로- (A Study on the Adoption of Farming Technology in Controlled Strawberry Cultivation -with Reference to Nonsan County in Chungnam Province-)

  • 권용대;오세철
    • 농업과학연구
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    • 제20권2호
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    • pp.221-236
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    • 1993
  • Economic conditions of Korean agriculture have been aggravated since farmers experienced the shortage of labor, instability of farm product price, lack of capital and pressure of opening domestic market. Nevertheless, agriculture must be maintained because structure of national economy can not be progressed without balanced growth of food industry. So the problem that we must solve is to keep agriculture competitive. In that case technology is important in terms of improving productivity, overcoming labor shortage and stabilizing price. This paper is to study the technology adoption on the farm level, focusing on the theories of technology adoption, their empirical test and effect of technology adoption on the farm household income. In this study five theories-independent model, linear model, middle class conservation model, modified middle class conservation model, basic needs and wealfare model- were introduced concerning differentiated technology adoption rate by farmers' class. Based on the survey of controlled strawberry farming in Nonsan County, Chungnam Province, who adopted six kinds of technology, modified middle class conservation model was found to explain five kinds of technology adoption pattern and linear model was useful to explain one kind of technology, that is, irrigation method, These results may mean that controlled strawbary cultivators of middle class were reluctant to accept new technology. There are many variables to effect on the technology accepting rate, that is, farmer's age, labor capacity, education level, cultivation career, size of total cultivated land, and size of strawberry farming land. LOGIT model was used to find which variable influence the technology adoption rate. Results of estimation showed that variables of cultivation career and total land size, of which coefficients were statistically significant at the 5 percent level, might be main influential factors in accepting more than three farming techniques. There was a significant income difference between farm households accepting new methods and those rejecting them. Especially in case of low class of farming group, income of farmers who was adopting new technology was examined to be much higher than that of farmers who did not adopt. This result suggests that new technology play an important role in increasing farm household income. Finally this study emphasized that there is a need to develop proper measure of technology transfer considering various socioeconomic conditions of farm households.

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말레이시아 전통주택의 특성에 관한 연구 - 루마 펭훌루 사례를 중심으로 - (A Study on the Characteristics of the Traditional Malay Houses - case study of Rumah Penghulu -)

  • 주서령;고영은
    • 한국실내디자인학회논문집
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    • 제19권6호
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    • pp.129-140
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    • 2010
  • Malaysian traditional houses are basically post-and-beam structures raised on pillars, with gabled roofs. They were designed and built by the people themselves to meet specific needs, accommodating the values, economies and ways of life of cultures that produce them. The main purpose of this study is to understand the form and culture of Traditional houses in Malaysia through two parts. The first part is to summarize the general characteristic of traditional houses of Malaysia in the aspect of two different perspectives. One is the climate perspective, for which the analysis was made on the primary characteristics such as the climate, material, structure of the vernacular houses. The other one is the social-cultural perspective which try to find the religion, belief, life style and social and family relationship which controlled the forms of the housing under the surface. As a result, this study summarise and find the outstanding and unique meaning and definition of the traditional houses in Malaysia. The second part is to survey the specific case of the traditional house. Rumah Penghulu which were located in Kuala Lumpur were analyzed. As a result, this study summarise and find the formal and symbolic features of the traditional Malay houses. We hope that this study addresses the blank area in Korean housing studies about Southeast Asia countries which have not been clearly introduced yet.

노인장기요양보험제도를 통한 방문재활 서비스 도입방안 -서비스 공급주체로서 OECD국가 가정방문물리치료의 고찰- (Inclusion of Home-based Rehabilitation Services in the Long-Term Care Insurance - Review on the Home-based Physical Therapy in the OECD -)

  • 윤태형
    • 보건의료산업학회지
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    • 제5권4호
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    • pp.161-175
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    • 2011
  • The purpose of this study was to expand the home-based rehabilitation services in the long term care insurance. This study was reviewed on the home-based physical therapy in the OECD. The way of this study was literature search and review. This was to reviewed Proquest, Sciencedirect, SpingerLink, Pubmed. Kew word is "home-based therapy". This was collected 71 articles and final analyzed article was 49. The results were as follows; The article number is seven in Canada, fifteen in USA, five in UK, six in Australia, three in Sweden, five in New Zealand, two in Netherlands, one in Turkey, South Korea, Japan, France, Spain, Italy respectively. Randomized controlled trial is fifty, case-control study is eleven, interview is three, literature review is two, and case report, cost-analysis, cost-effectiveness, pilot study, single blinded parallel design, demonstrative study, survey is one respectively. Physical therapist played an important role in home-based rehabilitation among OECD than nurse. Therefore, we must introduce home-based physical therapy in long term care insurance in South Korea.