• 한방재활의학과학회지
• /
• 제32권3호
• /
• pp.13-27
• /
• 2022

Objectives This study investigated the trends in domestic and international clinical research in craniosacral therapy, classified as a type of Chuna manual therapy, and suggested further directions in Korean medicine. Methods This scoping review was performed using the Arksey and O'Malley methodological framework and preferred reporting items as per the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews checklist. Eight electronic databases (PubMed, EMBASE, Cochrane Library, Koreanstudies Information Service System [KISS], KMBASE, Oriental Medicine Advanced Searching Integrated System [OASIS], Research Information Sharing Service [RISS], ScienceON) were searched to identify articles with the search terms "craniosacral therapy" and "cranial osteopathy" until December 2021. Results Forty-five studies were eligible as per our inclusion criteria. Most research studies (n=44) were conducted in the field of medicine and pharmacy, especially in rehabilitation medicine (n=16). As a result of the study design, randomized controlled trials (n=20) were the most common, and chronic pain (n=9) was the most frequently targeted disease, followed by headache (n=7). Thirty-two studies suggested interventions and 20 studies used Upledger's 10-step protocol. The average duration of craniosacral therapy was 41 min per session, administered 1.4 times per week. Outcome measurements were analyzed and categorized with the examination procedure for the patient. Conclusions This is the first scoping review of craniosacral therapy in Korea, and we believe that our findings could support its utility as Chuna. In the future, more studies should be conducted to establish the evidence of clinical efficacy of craniosacral therapy and develop standard techniques in Korean medicine.

• Journal of Korean Neurosurgical Society
• /
• 제65권4호
• /
• pp.539-548
• /
• 2022

Objective : Although full-endoscopic lumbar interbody fusion (Endo-LIF) has been tried as the latest alternative technique to minimally invasive transforaminal lumbar interobody fusion (MIS-TLIF) since mid-2010, the evidence is still lacking. We compared the clinical outcome and safety of Endo-LIF to MIS-TLIF for lumbar degenerative disease. Methods : We systematically searched electronic databases, including PubMed, EMBASE, and Cochrane Library to find literature comparing Endo-LIF to MIS-TLIF. The results retrieved were last updated on December 11, 2020. The perioperative outcome included the operation time, blood loss, complication, and hospital stay. The clinical outcomes included Visual analog scale (VAS) of low back pain and leg pain and Oswestry disability index (ODI), and the radiological outcome included pseudoarthosis rate with 12-month minimum follow-up. Results : Four retrospective observational studies and one prospective observational study comprising 423 patients (183 Endo-LIF and 241 MIS-TLIF) were included, and the pooled data analysis revealed low heterogeneity between studies in our review. Baseline characteristics including age and sex were not different between the two groups. Operation time was significantly longer in Endo-LIF (mean difference [MD], 23.220 minutes; 95% confidence interval [CI], 10.669-35.771; p=0.001). However, Endo-LIF resulted in less perioperative blood loss (MD, -144.710 mL; 95% CI, 247.941-41.478; p=0.023). Although VAS back pain at final (MD, -0.120; p=0.586), leg pain within 2 weeks (MD, 0.005; p=0.293), VAS leg pain at final (MD, 0.099; p=0.099), ODI at final (MD, 0.141; p=0.093) were not different, VAS back pain within 2 weeks was more favorable in the Endo-LIF (MD, -1.538; 95% CI, -2.044 to -1.032; p<0.001). On the other hand, no statistically significant group difference in complication rate (relative risk [RR], 0.709; p=0.774), hospital stay (MD, -2.399; p=0.151), and pseudoarthrosis rate (RR, 1.284; p=0.736) were found. Conclusion : Relative to MIS-TLIF, immediate outcomes were favorable in Endo-LIF in terms of blood loss and immediate VAS back pain, although complication rate, mid-term clinical outcomes, and fusion rate were not different. However, the challenges for Endo-LIF include longer operation time which means a difficult learning curve and limited surgical indication which means patient selection bias. Larger-scale, well-designed study with long-term follow-up and randomized controlled trials are needed to confirm and update the results of this systematic review.

• 한국자연치유학회지
• /
• 제11권1호
• /
• pp.68-78
• /
• 2022

배경: 통합의학의 관점에서 새로운 요가치료의 발전 방향에 대한 연구가 필요하다. 목적: 체계적 문헌고찰을 통해, 요가치료 임상연구의 현황을 과학적 범주로 분석하고, 요가치료의 내용과 발전방향을 모색한다. 방법: 자료수집은 RISS, NDSL, DBpia, e-article, KISS 등 전자데이터베이스를 통해 2010년부터 2018년까지 출판된 KCI 등재후보 이상 국내 학술 논문 530편을 선정하였고, PRISMA 가이드라인을 참조하여 최종 28편을 추출하였다. 결과: 질적인 측면에서는 CEBM 근거수준의 3b에 머물렀고, 양적인 측면에서도 전체 임상연구의 실험군이 288명이라는 점에서 요가치료의 국내 임상연구는 부족한 실정이다. 요가치료의 내용은 80%가 아사나 동작에 중점으로 두는 운동치료인 것으로 나타났다. 결론: 요가치료에 있어서 통합의학적 관점의 8지요가 및 판차코샤 이론에 대한 이해와 실천이 필요하다는 것을 알려준다. 즉, 요가치료는 개인의 정신적, 신체적 체질을 바탕으로 한 전인치유 요가와 아유르베다를 기반으로 하는 명상치료와 운동치료가 통합된 심신통합치료 프로그램으로의 발전이 요구된다.

• 한방재활의학과학회지
• /
• 제32권4호
• /
• pp.19-32
• /
• 2022

Objectives This scoping review aimed to investigate the domestic clinical research trends of motion-style acupuncture treatment (MSAT), identify diseases and symptoms for which MSAT is used, summarize specific methods of MSAT, and suggest the direction of future studies. Methods The study was conducted in accordance with a previously specified methodology, using the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) checklist. We searched nine electronic databases for studies on MSAT reported till March 21, 2022. The search terms were 'kinematic acupuncture,' 'MSAT,' 'motion style acupuncture,' and 'motion style treatment.' Results A total of 29 studies were included in our analyses; of them, 23 (79.3%) were before-after studies. Lumbosacral disease was the most common for which MSAT was applied (n=16). The frequency and duration of treatments differed depending on the researchers, and local acupoints (including ashi points) were used in 22 (75.9%) studies. In most cases, the method of mobilizing the joint or stretching the muscle in the disease area was used after inserting the acupuncture; however, in 7 studies, gait exercise was used. Most studies used MSAT in combination with other treatments. Conclusions This study supports the direction of future research by presenting the methodological applications of MSAT. To increase its clinical applicability, studies with a high level of evidence investigating the application to various body part, standardization and safety of MSAT are necessary.

• 한방재활의학과학회지
• /
• 제33권2호
• /
• pp.33-48
• /
• 2023

Objectives The purpose of this study is to investigate the latest research trends regarding the traditional Chinese medicine treatment of plantar fasciitis and suggest the direction for future research. Methods We investigated recent clinical studies about traditional Chines medicine treatment for Plantar fasciitis through searching the electronic database of China National Knowledge Infrastructure. We analyzed the characteristics of selected studies according to study design, criteria for diagnosis and evaluation, periods, treatment methods. Results Twenty-six clinical studies published from 2018 to 2022 were analyzed. Acupuncture, herbal medication, herbal fumigation and washing, herbal integration, herbal external application, and manual therapy were performed for the treatment of plantar fasciitis in China. In particular, studies on acupuncture, herbal fumigation and washing, and manual therapy were actively conducted and all of these treatment methods were effective. Conclusions Various Chinese medical interventions are being studied in China for the treatment of plantar fasciitis. However, in order to reinforce evidence for effectiveness of treatment, additional high-level clinical studies are required. It is considered that additional research related to the Korean medicine treatment for plantar fasciitis is needed in the future in Korea.

• 한국체육학회지인문사회과학편
• /
• 제55권5호
• /
• pp.249-262
• /
• 2016

2007년부터 도입·시행되고 있는 학교스포츠클럽 정책은 학생들의 신체활동 부족에 따른 체력 저하 및 초·중·고등학교 학생들의 사회 문제를 완화시키기 위한 목적으로 학생들의 자율적인 신체활동을 통해 인성함양과 관련된 신체적·정서적·사회적 건강을 향상시킴으로써 학생뿐만 아니라 교사와 학부모의 높은 만족도를 얻고 있다고 보고되고 있다. 본 연구는 국내 초·중·고등학교 학생들의 학교스포츠클럽 활동 참여와 인성함양과의 관계를 알아보기 위하여 국내의 연구논문을 바탕으로 종합·분류하여 체계적으로 고찰하고, 향후 학교스포츠클럽 정책 추진에 있어 명확한 이론적 근거를 제공하는데 그 목적이 있다. 국내 학술논문 데이터베이스를 통해 "학교스포츠클럽"으로 검색된 13편의 논문들을 선정하였다. 문헌고찰의 결과, 국내 초·중·고등학교 학생들의 학교스포츠클럽 활동 참여는 인성함양과 관련된 그들의 인성교육, 학교생활만족도, 생활 및 학습태도와 밀접한 관련이 있는 것으로 나타났다. 본 논문의 결과는 교육부(2015)의 추진정책, 학교스포츠클럽 활동 참여의 만족도 조사와 일관성 있는 결과로 학교스포츠클럽 활동 참여는 학생들의 인성함양과 긍정적인 관련이 있으며, 향후 초·중·고등학교 학생들의 신체활동 증진을 위한 학교스포츠클럽 운영이 실제로 중요하고, 다양한 기회의 창출이 필요함을 보여준다.

• 대한한방내과학회지
• /
• 제44권3호
• /
• pp.439-454
• /
• 2023

Objectives: As Korea transitions into an aging society, the incidence of cerebrovascular disease is expected to increase. Herbal medicine is commonly used in Oriental medicine to treat cerebrovascular disease. However, there is insufficient clinical evidence to actively support the safety of herbal medicine in clinical practice. Therefore, the aim of this study was to determine the toxicity and safety of four herbal medicines (Cheongsimyeonja-tang, Dodam-tang, Hyeolbuchukso-tang, and Boshiniknai-tang) in patients with cerebrovascular disease. Methods: This study used electronic medical records to analyze patients admitted to an oriental medicine hospital from April 1, 2017, to December 31, 2020. Liver and renal function values at the time of admission and discharge were compared. Results: A total of 25 patients were included in this study. We found no significant differences in various variables, such as complete blood count, liver-renal function test, and urine, before and after the administration of the four herbal medicines. Additionally, no significant adverse events related to herbal medicine were observed. Conclusions: This study confirmed the safety of the four herbal medicines in patients with cerebrovascular disease who were hospitalized in a single Oriental medicine hospital.

• 한방재활의학과학회지
• /
• 제33권3호
• /
• pp.135-148
• /
• 2023

Objectives To investigate the effectiveness of acupuncture in the treatment of post-disaster musculoskeletal pain by reviewing relevant clinical studies. Methods A systematic search was conducted across 10 electronic databases to identify relevant clinical studies on acupuncture treatment for post-disaster musculoskeletal pain until May 2023. The methodological quality was evaluated using the Cochrane Risk of Bias 2 and Risk of Bias Assessment tool for non-randomized studies tools. Results Six articles were analyzed, including two randomized controlled trials (RCTs), two before-after studies, one qualitative research, and one case series. Overall, acupuncture therapy showed some improvement in pain scale among musculoskeletal pain survivors. However, no significant improvement was observed in the Short-Form McGill Pain Questionnaire (SF-MPQ-2). Subgroup analysis of participants who completed at least four acupuncture sessions revealed a significant effect on the SFMPQ-2. Additionally, a significant improvement in 36-Item Short Form Survey (SF36P) was observed after 6 months of treatment, but the 2-month treatment period did not show statistically significant effects on SF-36P improvement. The evaluation of the methodological quality of the RCTs identified some concerns of bias. Conclusions The results suggest that acupuncture is effective in alleviating post-disaster musculoskeletal pain. However, considering the limited number of selected studies and the inclusion of subjective evaluation measures, caution should be exercised in interpreting the results. Further large-scale follow-up studies are needed to determine the optimal frequency and duration of acupuncture treatment. Well-designed controlled trials should be conducted to provide more robust evidence regarding the effectiveness of acupuncture for post-disaster musculoskeletal pain.

• Korean Journal of Radiology
• /
• 제24권6호
• /
• pp.482-497
• /
• 2023

Sonazoid, a second-generation ultrasound contrast agent, was introduced for the diagnosis of hepatic nodules. To clarify the issues with Sonazoid contrast-enhanced ultrasonography for the diagnosis of hepatocellular carcinoma (HCC), the Korean Society of Radiology and Korean Society of Abdominal Radiology collaborated on the guidelines. The guidelines are de novo, evidence-based, and selected using an electronic voting system for consensus. These include imaging protocols, diagnostic criteria for HCC, diagnostic value for lesions that are inconclusive on other imaging results, differentiation from non-HCC malignancies, surveillance of HCC, and treatment response after locoregional and systemic treatment for HCC.

• 한국자기학회지
• /
• 제26권4호
• /
• pp.124-128
• /
• 2016

이 연구에서는 연 X선 광흡수 분광법(soft X-ray absorption spectroscopy: XAS)과 연 X선 자기 원편광 이색성(soft X-ray magnetic circular dichroism: XMCD)을 이용하여 수직자기이방성을 보이는 [$Co(2{\AA})/Pd(x{\AA})$] 형의 다층박막의 전자구조를 연구하였다(x = $1{\AA}$, $3{\AA}$, $5{\AA}$, $7{\AA}$, $9{\AA}$). Co 2p XAS와 XMCD 스펙트럼은 Pd 층의 두께 변화에 상관없이 서로 매우 유사하였으며, 또한 Co 금속의 Co 2p XAS와 XMCD 스펙트럼과도 매우 유사함이 관찰되었는데, 이러한 결과는 [$Co(2{\AA})/Pd(x{\AA})$] 다층박막에서 Co 이온들이 금속 결합을 하고 있다는 사실을 보여 준다. Co 2p XMCD 스펙트럼을 분석하여 두께에 따른 궤도 자기모멘트(orbital magnetic moment)와 스핀 자기모멘트(spin magnetic moment) 의 크기를 결정하였다. 이 결과에 의하면 Pd 층의 두께(x)가 $1{\AA}$에서 $3{\AA}$으로 증가할 때, 궤도 자기모멘트가 가장 크게 증가하였으며, $x{\geq}3{\AA}$ 이상의 영역에서는 별 다른 변화가 없었다. 이러한 결과는 [$Co(2{\AA})/Pd(x{\AA})$] 다층박막의 계면에서의 스핀-궤도 상호작용이 수직자기 이방성에 매우 중요한 역할을 한다는 사실을 나타낸다.