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A Web-based Survey on Clinical Practice Patterns of Korean Medicine Treatment for Traffic Injuries (교통사고 상해증후군의 한의 임상진료 현황조사를 위한 웹기반 설문조사)

  • Park, In-Hwa;Hwang, Eui-Hyoung;Hwang, Man-suk;Heo, In;Kim, Byung-Jun;Lim, Kyeong-Tae;Shin, Byung-Cheul
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.4
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    • pp.131-145
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    • 2017
  • Objectives The purpose of this study is to understand current status of Korean Medicine treatment practice patterns for traffic injuries by web-based survey. Methods The structured questionnaire was distributed by a web based survey to 1,630 potential respondents by email from December 19th in 2016 to February 13th in 2017. All data were statistically analysed. Results The response rate was 79.4%. According to the analysis of the outcome of the survey, 88.0% of the participants felt necessity of the development of Korean medicine clinical practice guidelines (CPGs) for traffic injuries. Survey results showed cognitive degree about Korean Medicine CPGs' necessity, individual Korean medicine treatments and requirement for extending insurance coverage for patients with traffic injuries. Conclusions This survey study helps to determine current clinical practice patterns of Korea medicine treatments for traffic injuries. These results further anticipate to provide basic data for CPGs for traffic injuries.

A Case Report on a Patient with Acute Herniated Lumbar Disc due to Coughing Treated with Megadose Pharmacopuncture and Combined Korean Medicine (기침으로 급성 악화된 요추 추간판 파열 환자의 대용량 약침 및 복합 한방치료 호전사례 1례)

  • Ryu, Gwang-hyun;Moon, Heeyoung;Ju, Ah-ra;Choo, Won-jung;Choi, Yo-sup;Moon, Youngjoo;Chai, Jiwon;Shin, Wonbin
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1248-1258
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    • 2019
  • Objective: The purpose of this study was to report the radiological and symptomatic changes in a patient with acute herniated lumbar disc due to coughing, treated with megadose pharmacopuncture and combined Korean medicine. Methods: MRI examination diagnosed an acute lumbar disc herniation by coughing. We performed a combination treatment of megadose pharmacopuncture and integrated Korean medicine. NRS, ODI, EQ-5D, SLR test, and big toe extension test were checked on admission, after two weeks, on discharge, and after four months to confirm symptom improvements. Results: In the acute stage of lumbar intervertebral disc rupture, megadose pharmacopuncture combined with Korean medicine treatment showed improvement in NRS, ODI, EQ-5D, SLRT, and big toe extension tests. In addition, absorption of the herniated intervertebral discs was observed through an MRI scan on discharge. Conclusions: For patients with herniated lumbar disc acutely deteriorated by coughing, a combination of megadose pharmacopuncture with Korean medicine treatment may be a solution.

A Case Report of a Patient with Shoulder Subluxation induced Shoulder Pain after Intracerebral Hemorrhage Treated with Korean Medicine (뇌출혈 이후 발생한 견관절 아탈구로 견관절 통증을 호소하는 환자의 한의 복합치료 증례보고 1례)

  • Choi, In-woo;Yang, Ji-hye;Chae, In-cheol;Kim, Chan-young;Ryu, Ju-young;Jung, Eun-sun;Kim, Yoon-sik;Seol, In-chan;Yoo, Ho-ryong
    • Journal of Haehwa Medicine
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    • v.29 no.2
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    • pp.38-44
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    • 2020
  • Objective : The aim of this study was to report the effectiveness of Korean medicine on a Intracerebral hemorrhage patient with shoulder subluxation induced shoulder pain. Method : The patient was treated with acupuncture, electroacupunture, soyeom pharmacopuncture, electrical stimulation therapy, and rehabilitation exercise. The treatment effect was evaluated through the Numeral Rating Scale(NRS), Passive Range Of Motion(PROM) and Fingerbreadth Palpation Method(FPM). Results : After 31days of Korean Medicine including acupuncture, electroacupunture, soyeom pharmacopuncture, electrical stimulation therapy, and rehabilitation exercise treatment, the pain parameters and range of motions improved. Conclusion : This study suggested that Korean medicine might be effective for shoulder pain and range of motions in patients with intracerebral hemorrhage.

A Case Report of Combined Korean Medicine Treatment for a Intracerebral Hemorrhage Patient with Hemiplegia and Gait Disturbance (좌측 편마비 및 보행장애를 주소로 한 뇌내출혈 환자에 대한 한방 복합 치료 증례보고 1례)

  • Yang, Ji-Hye;Chae, In-cheol;Choi, In-woo;Kim, Chan-young;Ryu, Ju-young;Yoo, Ho-ryong;Kim, Yoon-sik;Seol, In-chan
    • Journal of Haehwa Medicine
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    • v.29 no.2
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    • pp.1-11
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    • 2020
  • Objectives : The aim of this study was to report the effectiveness of Combined Korean Medicine treatment on a intracerebral hemorrhage patient with hemiplegia and gait disturbance. Methods : A 56-year-old, female patient with hemiplegia and gait disturbance was treated by Korean Medicine including acupuncture, moxibustion and herbal medicine. The effect of the treatment was evaluated by Manual Muscle Test(MMT), Modified Rankin Scale(MRS), Korean version of Modified Barthel Index(K-MBI). The gait of the patient was evaluated by 10m walk test, Timed Up&Go Test(TUG), Functional Ambulatory Category(FAC), GAITRite and Symmetry Criterion(SC). Results : After treatment, MMT, MRS, K-MBI, gait parameters and gait symmetry were improved. Conclusions : This study suggests that Combined Korean Medicine treatment might be effective for a intracerebral hemorrhage patient with hemiplegia and gait disturbance.

A Case Report of Korean Rehabilitation Treatment and Analysis of Conservative Treatment of Pelvic Fracture in Korea (골반 골절에 한방재활치료를 적용한 증례 보고 및 보존적 치료에 대한 국내 문헌 분석)

  • Ha, Hyun Ju;Gu, Ji Hyang;Choi, Bong Seok;Oh, Tae Young;Oh, Eun Mi;Li, Yu-Chen;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.2
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    • pp.135-148
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    • 2018
  • The objective of this study is to investigate conservative treatment of pelvic fracture, and report that Korean rehabilitation treatment is effective for pelvic fracture. We reported a case about pelvic fracture treated with Korean rehabilitation treatment. We searched 10 domestic electronic databases to find reports on conservative treatment of pelvic fracture. We selected and analyzed 12 studies. In this case, pain, range of motion, and Oswestry Disability Index of patient were improved by Korean rehabilitation treatment. In analysis, traction, pelvic sling, hip spica cast, pelvic belt, medication are used in western medical treatment. Acupuncture, herbal medicine, cupping, moxibustion, physical therapy, manual therapy are used in Korean medical treatment. Most of conservative treatments are effective for pain, bone union, osteoporosis, dysfunction. In this study, we expect further study of Korean rehabilitation treatment program for pelvic fracture to compensate existing conservative treatment.

Forty-one Cases of Rotator Cuff Injuries Treated by Complex Korean Medicine Treatment: A Retrospective Review (한방 복합치료를 진행한 회전근개 파열 환자 치험 41예: 후향적 관찰 연구)

  • Lee, Gi-Eon;Kim, Young-Ik;Jo, Kyeong-Sang;Han, Si-Hoon;Kim, Min-Kyun;Min, Boo-Ki;Huh, Suk-Won;Lim, Han-Bit;Jeong, Yun-Jae
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.4
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    • pp.81-87
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    • 2018
  • Objectives The purpose of this study is to report the improvement of complex Korean Medicine treatment for patients with rotator cuff injuries and determine the clinical improvement by number of damaged lesion. Methods Forty-one patients who diagnosed with rotator cuff injury were included in the retrospective study. Patients were treated with acupuncture, electroacupuncture and pharmacopuncture. Clinical outcomes were assessed using Numeric Rating Scale (NRS), Shoulder Pain and Disablity Index (SPADI) and EuroQol-5 Dimension Index (EQ-5D Index). Results Both NRS and SPADI scores were significantly reduced after treatment (p<0.01), but EQ-5D for assessing quality of life and clinical improvement by number of damaged lesion were no significant improvement (p>0.05). Conclusions These results show that patients with rotator cuff injuries could gain improvement from complex Korean Medicine. Further research is required to confirm the effectiveness of Korean Medicine treatment.

A Case Report of Korean Medicine Treatment of Lateral Medullary Infarction with Central Dizziness and Hypoesthesia (중추성 현훈 및 감각저하를 호소하는 외측연수경색 환자에 대한 한의 치료 증례보고 1례)

  • Yang, Ji-hae;Kang, Jie-yoon;Chae, In-cheol;Choi, In-woo;Ryu, Ju-young;Yoo, Ho-ryong;Kim, Yoon-sik;Seol, In-chan
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.982-990
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    • 2021
  • Objectives: The aim of this study was to report the effectiveness of Korean medicine treatment for a patient with lateral medullary infarction who presented with central dizziness and hypoesthesia. Methods: The patient was treated with Korean medicine treatment, including acupuncture, moxibustion, and herbal medicine. We measured the progress of the case using the Numerical Rating Scale (NRS). Results: After the treatment, the NRS scores for dizziness and hypoesthesia decreased. Conclusions: This study suggests that Korean medicine treatment might be effective for lateral medullary infarction in patients who present with central dizziness and hypoesthesia.

Overflow Urinary Incontinence with Herniated Lumbar Disc Managed by Korean Medicine Therapy: A Case Report (요추 추간판 탈출증 환자의 일류성 요실금에 대한 한의 진료의 경과: 증례 보고)

  • Koo, Ji-Eun;Lee, Hee-Won;Kwon, Yong-Su;Yu, Jae-Eun;Bae, Jun-Hyo;Park, Ji-Won;Yoon, Joo-Young;Choi, Sung-Won;Kim, Ka-Hyun
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.3
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    • pp.125-131
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    • 2021
  • This study reports the effectiveness of Korean medicine therapy by improving symptoms in patients with herniated lumbar disc (HLD) diagnosed with chronic overflow urinary incontinence (OUI). The patient was treated with two types of herbal medicine and electroacupuncture for 10 days. We used diary of voiding and incontinence, Overactive Bladder Symptom Score (OABSS), Bristol Female Lower Urinary Tract Symptoms questionnaire (BFLUTS) and numeral rating scale (NRS) to assess the symptoms. After treatment, the number of nocturia decreased from 5 to 2.5. OABSS decreased from 9 to 2 and BFLUTS decreased from 95 to 87. The NRS of back pain decreased from 7 to 3. This study may suggest that Korean medicine therapy can be effective therapy for OUI with HLD.

4 Case Reports On Patients with Acute Lower Limb Muscle Weakness Treated by Spinal Mobilization With Leg Movement(SMWLM) Combined with Korean Medicine Treatment (다리움직임을 동반한 척추 가동술(SMWLM)과 통합한방치료를 활용하여 호전된 급성 하지 근력저하 4례: 증례보고)

  • Moon, Young-Joo;Shin, Won-Bin;Ryu, Gwang-Hyun;Lee, Ji-Yun;Jeon, Hyun-A;Lim, Su-Yeon;Kim, Seong-Hyun;Koo, Seng-Hyuk;Moon, Hyun-Woo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.15 no.2
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    • pp.63-73
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    • 2020
  • Objectives The purpose of this study was to investigate the possibility of spinal mobilization with leg movement (SMWLM) using Korean Medicine treatment on acute lower limb muscle weakness through four case studies. Methods SMWLM, with other Korean Medicine treatments, was performed on four patients who underwent treatment at OOOO Korean Medicine Hospital from August 2017 to July 2018. Additionally, results of the Numerical Rate Scale(NRS), EuroQol-FiveDimensions(EQ-5D),Oswestry lowback pain disability questionnaire(ODI), Straight Leg Raise(SLR) test, and Manual Muscle Test(MMT) were evaluated. Results There was a significant increase in NRS, ODI, and EQ-5D scales with im-rovements of SLR angle and MMT figures to a normal range. Conclusions This study suggested that Korean Medicine treatment combined with SMWLM may affect treating acute lower limb muscle weakness. Further clinical studies are needed to establish a definite conclusion.

A Case Report of Tension Headache Treated with Yanghyeolgeopung-tang (양혈거풍탕(養血祛風湯)을 포함한 한의치료로 호전된 긴장형 두통 환자의 치험 1례)

  • Jin, So-ri;Park, Mu-jin;Oh, Eun-je;Oh, Joo-hee;Kim, Kyoung-hoon;Song, Woo-sub;Ahn, Sang-min;Kim, Eun-song;Jang, Dong-jin
    • The Journal of Internal Korean Medicine
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    • v.43 no.2
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    • pp.303-310
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    • 2022
  • Objectives: This study reports the effects of Korean medical treatment, including the administration of Yanghyeolgeopung-tang, on tension headache. Case presentation: A 48-year-old man with headache and neck pain caused by tension-type headache was managed with Yanghyeolgeopung-tang, acupuncture, and pharmacopuncture for 15 days. To evaluate the improvements, a numeric rating scale (NRS), the Korean Headache Impact Test-6 (KHIT-6), and Neck Disability Index (NDI) were used. After treatment, the symptoms were relieved, and there were no particular side effects. The NRS scores reduced from 6 to 3, KHIT-6 from 64 to 48, and NDI from 46 to 22. Conclusion: These results suggest that Korean medicine may be effective for treating tension-type headache.