• Title/Summary/Keyword: combined therapy

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Comparison of Postoperative Adjuvant Radiation Therapy Alone vs. Chemoradiotherapy in Adenocarcinoma of the Rectum (직장암의 근치적 절제술후 보조요법의 효과 분석 - 방사선치료 단독군과 항암제 방사선 병용치료군의 비교 -)

  • Lim John Jihoon;Park Won;Seong Jinsil;Suh Chang Ok;Kim Gwi Eon;Min Jin Sik;Kim Byung Soo;Roh Jae Kyung;Chung Hyun Cheol;Kim Jooyoung
    • Radiation Oncology Journal
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    • v.16 no.1
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    • pp.35-41
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    • 1998
  • Purpose : To investigate the role of adjuvant chemoradiotherapy in adenocarcinoma of the rectum, we retrospectively compared the treatment results between postoperative adjuvant radiotherapy alone and combined chemoradiotherapy. Material and Methods : From October 1989 to May 1994, 141 patients with rectal carcinoma were treated by postoperative adjuvant therapy in Yonsei Cancer Center. Sixty eight patients were treated by radiation therapy alone. Seventy three patients were treated by combined chemoradiotherapy. Radiation therapy was delivered with 10 MV linear accelerator, 180cGy fraction/5 days per week. Total radiation doses were 5400cGy in the postoperative radiotherapy alone group. Three to twelve cycles of Fluorouracil(mean dose $393.9mg/m^2$) with Leucovorin($20mg/m^2$) and 5040cGy of radiation were delivered in the combined chemoradiotherapy group. Third and 4th cycle of chemotherapy were administrated during the radiation treatment in the combined group. The median follow up was 38 months with a range of 3 to 81 months. Results : The 5 year overall survival rate of radiation alone group and combined group were $60.1\%$ and $66.3\%$, respectively. The 5 year disease free survival rate of radiation aione group and combined group were $54.2\%$ and $65.5\%$, respectively There was no significant difference of overall survival and disease free survival between RT alone group and combined group(p<0.05). But the 5 year Local failure free survival rate of combined group was significantly better than radiotherapy alone group($05.8\%\;vs.\;50.3\%.\;p=0.04$). Conclusion : There was no significant difference in overall survival, disease free survival, and distant metastasis free survival between postoperative adjuvant radiotheray alone group and combinded chemoradiotherapy group. Only the Local failure free survival rate was superior in the combined treatment group. These results confirm the radiosensitizing effect of the chemotherapeutic agent in the combined chemoradiotherapy treatment.

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Effects of Chuna Manual Therapy after Hip Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (고관절 치환술 후 추나치료 효과: 체계적 문헌고찰 및 메타분석)

  • Lee, Eun-Byeol;Kim, Hyeon-Ji;Kim, Chae-Young;Ahn, Hee-Duk
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.2
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    • pp.95-103
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    • 2022
  • Objectives This study was conducted to assess the effect of chuna manual therapy after hip arthroplasty. Methods We searched across 9 electronic databases (PubMed, Cochrane Library, Wangfang data, China National Knowledge Infrastructure [CNKI], Oriental Medicine Advanced Searching Integrated System [OASIS], National Digital Science Library [NDSL], Korean Medical Database [KMBASE], Koreanstudies Information Service System [KISS], Research Information Sharing Service [RISS]) to find randomized controlled clinical trials for chuna manual therapy after hip arthroplasty. Results On inclusion criteria, 11 appropriate studies were included and analyzed. The deep vein thrombosis incidence of the chuna manual therapy group was statistically lower than the conventional treatment group (p=0.0002). Chuna manual therapy significantly improved the Harris hip score compared with conventional treatment (p<0.00001). Also, chuna manual therapy combined with herbal fumigation therapy significantly elevated the hip joint function score of Harris hip score compared with the conventional therapy group (p<0.00001). Conclusions The systematic review showed that chuna manual therapy had significant effects on hip arthroplasty. Nonetheless, considering the high risk of bias and geographic bias, further research with well-designed studies is required to support the effectiveness of chuna manual therapy.

Burn Wound Successfully Treated with 830-nm Light Emitting Diode Phototherapy Combined with Epidermal Growth Factor Solution

  • Lee, Hae-Jin;Kim, Young Koo
    • Medical Lasers
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    • v.8 no.2
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    • pp.94-96
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    • 2019
  • Burns are one of the most extensive injuries of soft tissues as well as skin, occasionally resulting in extensive, deep wounds and death. Burn wounds can lead to severe physical and psychological distress because of excessive scarring and skin contractures. Treatment of burn wounds has always been a challenging problem and many different methods have been used to treat such injuries. We report here on treating a patient with a burn wound using 830-nm light emitting diode (LED) phototherapy combined with epidermal growth factor (EGF) solution. After five daily sessions of LED with EGF solution treatment, the patient demonstrated nearly complete improvement with no remarkable side effects. We suggest that LED phototherapy combined with EGF solution could be an effective and safe treatment option for treating burn wounds.

The Effect of Push-up Plus Excercise with Kinesio-Taping on the Pain and Function in Myofascial Pain Syndrome of Shoulder (푸쉬업 플러스 운동과 키네시오 테이핑 적용이 견관절 근막동통증후군의 통증과 기능에 미치는 효과)

  • Song, Hyun-Seung;Kim, Eun-Bee;Kim, Tae-Won;Kim, Jin-Young;You, Sung-Hun;Kim, Yoon-Hwan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.1
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    • pp.31-37
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    • 2012
  • Background: The purpose of this study was conducted to investigate the effects of Push-up plus exercise with kinesio taping on the pain and shoulder motor function in patient with shoulder myofacial pain syndrome. Methods: The patients with myofacial pain syndrome were randomly divided 2 groups. kinesio taping group (n=20) was taken physical therapy program and kinesio taping. Push-up plus exercise with taping group (n=22) was taken physical therapy and kinesio taping with Push-up plus exercise. The kinesio taping applied on upper trapezius and levator scapulae. The Push-up plus exercise performed in standing position and qudripad position during 10 seconds on 15 time, 3 set per each positions. We mearsured the pain degree using PPT, VAS, MPSSI and shoulder motor function using CSA before and after experiment. The significant test of PPT, VAS, MPSSI, CSA according to applying the kinesio taping and Push-up plus exercise between groups used ANCOVA. Results: In the result following analysis, there was significance on PPT (F=7.378, p=.016), VAS (F=13.071, p=.031), CSA (F=5.302, p=.026) between kinesio taping group and Push-up plus exercise with tapping group. Then, Push-up plus exercise with kinesio taping group has significance on the PPT, VAS, CSA in patients with myofacial pain syndrome. Conclusions: It may suggest that kinesio taping combined with Push-up plus exercise will be helpful of the pain and shoulder function improvement in the patients with myofacial pain syndrome.

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Chuna Manual Therapy for Nocturnal Crying; A Systematic Review (소아 야제에 대한 추나요법 효과; 체계적 문헌고찰)

  • Hwang, Man-Suk;Shin, Byung-Cheul;Heo, Kwang-Ho;Heo, In;Kim, Byung-Jun;Kim, Ki-Bong;Cheon, Jin-Hong;Park, Jae-Hong;Hwang, Eui-Hyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.3
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    • pp.51-57
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    • 2015
  • Objectives To evaluate the evidence supporting the effectiveness of Chuna manual therapy for nocturnal crying. Methods We conducted search across the 3 electronic databases (Pubmed, CAJ and Oasis) to find all of randomized controlled clinical trials(RCTs) that used Chuna manual therapy as a treatment for nocturnal crying. The methodological quality of each RCTs was assessed using the Cochrane Risk of Bias tool and nRCTs was assessed using the Cochrane Risk of Bias Assessment tool for Non-randomized Study tool. Results Two RCTs and three nRCTs met our inclusion criteria. The meta-analysis showed positive results for the use of Chuna manual therapy in terms of the efficacy rate when compared to medication treatments alone. Positive results were also obtained, in terms of the efficacy rate, when comparing Chuna manual therapy combined with acupoint application therapy to Chuna manual therapy alone, but was not statistically significant. Conclusions Our systematic review found encouraging but limited evidence of Chuna manual therapy for nocturnal crying. We recommend clinical trials which compare the effectiveness of Chuna manual therapy with usual care to obtain stronger evidence without the demerits of trial design.

Comparative Analysis of the Ethical Values of Physical Therapy: Focused on Physical Therapists and Physical Therapy Students (물리치료 윤리적 가치관에 대한 비교 분석: 물리치료학과 학생과 물리치료사를 대상으로)

  • Ahn, Chungjoa;Kim, Myungchul;Lee, Minsoo;Kim, Seungkyun
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.2
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    • pp.37-51
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    • 2016
  • Purpose: This research was to discover the value of ethics of physical therapy students and physical therapists. This study was launched to provide the bedrock for this field of study by means of getting the data about the current address of value of ethics. Methods: This investigation was conducted with 900 students from seven different universities in Republic of Korea (3, 4-year colleges) and with 350 clinical physical therapists who are currently working in the national capital region. The tool for the research was to revamp and supplement ethics codes in Korean Physical Therapy Association and a set of questions of Jeom Hui Youk (1992), Young Ran Choi (2001), etcetera and each question was provided with different points by the set of measurement we created. The collected data were analyzed by using SPSS 21.0 statistical program. Results: Comparing the average ethics score both on the general information of both groups and the value of ethics of both groups, we were sure to say that the average ethics score of ethics value was significantly more meaningful than that of general information. Conclusion: Physical therapy students establish a correct ethics values and physical therapists should have training in ethic values education are combined accordingly to correct the wrong ethically values and clearly established.

Effectiveness of Thread-embedding Therapy Combined with Korean Medicine Treatment on Acute phase of Bell's Palsy (벨 마비 급성기에 대한 매선요법 병행치료의 임상적 효과)

  • Lee, You-Jung;Choi, Yeon-Ah;Kim, Tae-Jun;Roh, Jeong-Du
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.1
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    • pp.1-12
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    • 2021
  • Objectives : This study was to investigate the effectiveness of thread-embedding therapy for the treatment of acute phase of Bell's palsy. Methods : Thread-embedding therapy was performed once a week on 29 patients within 1 weeks after the onset. We investigated the general characters, Yanagihara's score, House-Brackmann scale and FDI were used to evaluate the effectiveness of thread-embedding therapy. Results : Facial muscle recovery began at 13.37th day, that was about 0.36 day earlier than the previous patients who were treated without thread-embedding therapy in 2017 at the same hospital, but there was no statistical significance. In the change of each scale before and after treatment, Yanagihara's score, House-Brackmann scale, physical function and social function of FDI were changed significantly. Compared with the patients treated without thread-embedding therapy in 2017, Yanagihara's score was a little higher and House-Brackmann scale was a little lower. Conclusions : These findings suggested that thread-embedding therapy on acute phase of Bell's palsy was a little more effective than the conventional therapy without thread-embedding therapy.

Analytical Approach to the Literature of Cupping Therapy

  • Koran, Serhat;Irban, Arzu
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.3
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    • pp.1-14
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    • 2021
  • PURPOSE: This study aims to reveal the prevalence, therapeutic efficacy and undesirable side effects of cupping therapy all over the world from past to present. METHODS: This meta-analysis is based on the data obtained by scanning the keyword "cupping therapy" from the Pub-Med system, which is an international database. The date range has been set as 1950-2019. Local databases were not included. Cupping therapy studies combined with other complementary therapies such as acupuncture, moxa and hirudotherapy are also included in the meta-analysis. RESULTS: A total of 381 scientific studies were found on cupping therapy. Of these studies 127 wererandomized controlled trials (RCSs). Cupping treatment has been found effective in studies of painful conditions such as herpes zoster pain, fibromyalgia, back pain, neck pain, headache and acute injury pain. In addition, the effectiveness of cupping therapy was found to be high in studies related to bone / muscular system diseases such as osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, gout, carpal tunnel syndrome, cervical spondylosis. In addition, cupping treatment is also promising in studies on skin diseases, neurological diseases, respiratory system diseases and cardiovascular system diseases. CONCLUSION: Recently, there has been an increase in the number of RCSs related to cupping therapy. The vast majority of this increase has been made in European and American countries rather than in Far Eastern countries. Studies on cupping therapy, which have been and will be carried out in the future, will provide evidence-based indication of whether cupping therapy is effective. and it will allow more patients to benefit from this treatment, which has a very low rate of side effects and complications.