• 제목/요약/키워드: low-back pain

검색결과 1,510건 처리시간 0.035초

표치와 본치의 측면에서 경혈 선혈의 원리 (The Principle of Acupoint Selection Based on Branch and Root Treatment)

  • 이인선;류연희;채윤병
    • Korean Journal of Acupuncture
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    • 제37권3호
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    • pp.203-208
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    • 2020
  • Objectives : Since there are complex associations between diseases/symptoms and acupoints, one-to-one correspondence may not be the proper approach. Pattern identification has been being used as a clinical framework to make treatment decisions by extracting and synthesizing clinical data including patients' signs and symptoms. In this article, we propose two different models explaining the relationships between diseases and acupoints based on the branch treatment [Zhibiaofa] and the root treatment [Zhibenfa]. Methods : We explained the relationships between diseases/symptoms and acupoints from the example data from our previous study on traditional acupuncture point selection patterns for pain control. Diseases include low back pain, migraine, irritable bowel syndrome, osteoarthritis, ankle sprain, carpal tunnel syndrome, and dysmenorrhea, and acupoints included LI4, BL23, BL25, SP6, BL60, TE5, and CV4. Results : The relationships between diseases/symptoms and acupoints can be explained directly based on the branch treatment, and also can be explained indirectly through pattern identification based on the root treatment. Pattern identifications included both meridian-based pattern identification based on the spatial information of diseases and visceral organ-based pattern identification based on the characteristics of diseases. Conclusions : In the East Asian traditional medicine, Korean medicine doctors choose the most appropriate acupoints based either on the diseases/symptoms (i.e., branch treatment) or on the results of pattern identifications (i.e., root treatment). It is necessary to understand the two different approaches to choose specific acupoints for the targeted diseases.

임신 중 교통사고의 한의학적 치료에 대한 연구동향 분석 (Research Trends of Korean Medicine Treatment for Traffic Accidents during Pregnancy)

  • 김남훈;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제32권3호
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    • pp.73-85
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    • 2019
  • Objectives: The purpose of this study was to analyze efficacy and safety of Korean Medicine treatment for traffic accidents during pregnancy. Methods: We investigated the studies on Korean Medicine treatment for traffic accidents during pregnancy via searching through PUBMED, the Cochrane Library, CNKI, and domestic search engines and a total of 6 studies were selected. Results: The major complaints of traffic accidents during pregnancy were low back pain, neck pain and gastrointestinal symptoms. And there were vaginal bleeding and pruritus vulvae in the complaints. All of the studies were given acupuncture treatment for symptom relief, and chuna, herbal acupuncture and cupping were administered. Herbal medicine was also performed, and the most prescribed herbal medicine was Antaeeum-gamibang. All cases reported as traffic accidents during pregnancy showed a reduction in symptoms, normal pregnancy maintenance and delivery, and no miscarriage were reported. Conclusions: Korean Medicine treatment is an effective and safe treatment option for traffic accidents during pregnancy. Further systematic studies are needed to establish the basis for Korean Medicine treatment for traffic accidents during pregnancy.

한방여성의학에서 추나요법을 활용한 국내 연구 동향 분석 (A Review of the Domestic Study Trends on Obstetrics & Gynecological Diseases with Chuna Manual Therapy)

  • 이진욱;황영식;김규태;박승혁;이진무;이창훈;장준복;황덕상
    • 대한한방부인과학회지
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    • 제32권2호
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    • pp.87-99
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    • 2019
  • Objectives: The aim of this study was to analyse the domestic trends of Chuna manual therapy on Obstetrics and Gynecological Diseases in Korean literature. Methods: We searched for papers which had Chuna manual therapy through 2 related journals and 5 Korean web databases. All relevant papers were selected and extracted to be analyzed according to their study designs, academic journals, and target disease. Results: Nine papers belonged to four types of study designs, systematic review, randomized or non-randomized controlled trial and case report. And they were published in four kinds of academic journals. There were four papers about postpartum pain, two low back pain during pregnancy, and a stress urinary incontinence. The exact Chuna techniques were explained in only seven papers. All of papers have been shown that Chuna manual therapy is useful for obstetrics and gynecological diseases. Conclusions: It has been identified that Chuna manual therapy could be a good treatment for obstetrics and gynecological diseases. However, more clinical and well-designed studies with Chuna manual therapy will be needed.

일개한의의료기관에서 시행한 침도치료 시술 후 이상반응에 대한 설문조사 (A Survey on the Complications Associated with Acupotomy in a Single Korean Medicine Clinic)

  • 정세훈;우종원;채효청;오기창;최소연;이주현;강경호;추홍민;유명석
    • Korean Journal of Acupuncture
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    • 제37권4호
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    • pp.253-261
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    • 2020
  • Objectives : This study aimed to evaluate adverse outcome associated with acupotomy and compare it with that of acupuncture. Methods : We retrospectively analyzed the chart records of 71 patients who received acupotomy at Daemyung Korean medical clinic from January 7, 2020 to March 6, 2020. We divided the acupotomy treatment area into 10, including the head, hand, chest, knees, shoulders, low back, neck, upper extremities, thighs, and feet. Furthermore, we investigated the adverse effect of acupotomy on those areas after treatment. Data were analyzed using descriptive statistics, and frequency analysis. Results : 'Bruise of specific region' accounted for the largest portion with 29 cases, followed by 24 cases of 'feeling tired and sleepy' and 17 cases of 'itch'. There were 16 cases of 'sustained pain' at the area of treatment, 11 cases of 'fatigue', 5 cases of 'swelling', 5 cases of 'dizziness', 4 cases of 'hematoma'. There were 3 cases of 'vertigo' and 2 cases of 'parathesia' and 'wide bruises', 'headache', 'gastric discomfort', 'bleeding', and 'skin rash' each. There was one case each that experienced 'unclear pronunciation', 'nausea', 'abnormal sweating', 'vomiting' and 'emotional/psychological reactions'. Conclusions : Adverse outcomes associated with acupotomy were mostly 'bruise of specific region', 'feeling tired and sleepy', 'itch', 'sustatained pain', and 'fatigue'. However, no adverse outcome or irreversible damage that have a serious effect on the body were observed.

신경근 압박을 동반한 요추부 척수 경막외 동정맥루의 혈관 내 치료: 증례 보고 (Endovascular Treatment of a Lumbar Spinal Epidural Arteriovenous Fistula with Radiculopathy: A Case Report)

  • 황현;신재호;홍재택;인연권
    • 대한영상의학회지
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    • 제82권6호
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    • pp.1628-1633
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    • 2021
  • 척수 경막외 동정맥루는 매우 드문 질환으로 진단과 치료가 어렵다. 무증상 환자도 있으나 동정맥단락으로 척수주위정맥으로 역류되고 늘어난 정맥이 인접한 신경근을 압박하면서 증상이 생길 수 있다. 본 증례는 31세 남자 환자로 2년 동안 지속되는 요통, 방사성 허벅지통증, 하지 감각변화로 내원하였다. 컴퓨터단층촬영, 자가공명장치 및 척수혈관조영술에서 요추의 경막외 공간에서 동정맥단락에 의해 늘어난 정맥이 신경근을 압박하고 있는 척수 경막외 동정맥루로 진단하였다. 코일색전술을 시행하여 동정맥단락을 차단하였고 수일 내에 신경근 압박증상이 호전되었다. 이번 증례에서는 척수 경막외 동정맥루에서 외과적 수술의 대안으로 코일 색전술이 효과적인 치료가 될 수 있다는 것을 보여주었다.

병원 환자 운반 업무의 작업 부하 분석에 NIOSH 들기 작업 공식의 적용 가능성 (Applicability of NIOSH Lifting Equation to analysis of Workload for Patients Transferring)

  • 기도형
    • 대한인간공학회지
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    • 제25권2호
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    • pp.43-50
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    • 2006
  • The purpose of this study was to investigate applicability of NIOSH lifting equation(NLE) to analysis of workload for patient transferring. In principle, the NLE is not applied to analyzing workload of patient transferring, because 1) the task is generally performed by two or more persons; 2) unlike ordinary objects, human body of patients is basically unstable load with their location of the center of mass significantly varying during lifting activity; and 3) the task is done in a restricted work space. This study was conducted through comparison of NIOSH lifting indexes(LIs) and L5/S1 compressive forces by 3DSSPP for patient transferring tasks performed by 2~6 persons. The results showed that LIs are linearly correlated with L5/S1 compressive forces with correlation coefficient of 0.92, which resulted in a significant simple linear regression equation for LIs and L5/S1 compressive forces. Consequently, it was concluded that the NLE is applicable to transferring patient only with slight modification. Based on the results, instead of 1.0 originally used by NIOSH, the LI of 1.5 was proposed as a gauge to estimate whether or not the task needs corrective action to reduce risk for developing lifting-related low back pain.

만성 요천추부 신경근병증 환자의 보행분석 (Gait Analysis of the Chronic Lumbosacral Radiculopathic Patients)

  • 최병옥;유재응;정석
    • 한국전문물리치료학회지
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    • 제11권3호
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    • pp.19-24
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    • 2004
  • The purposes of this study were to analyze gait patterns of patients with chronic lumboscaral radiculopathy and to investigate gait parameters which can reflect a functional deficit in relation to the level of lumbosacral radiculopathy. The study population consisted of 25 patients of chronic lumbosacral radiculopathy and 25 healthy control subjects. Conventional physical examinations and three-dimensional gait analyses were performed on all participants. The data were analyzed using an independent sample t-test. The results were as follows: (1) In the patients' group, cadence, walking velocity, stride length and double support time were less than in the control group (p<.05). (2) In the patients' group, maximum flexion of hip, maximum flexion of loading response, maximum flexion of swing phase on the knee and maximum plantar flexion of pre-swing were less than the control group (p<.05). Using three-dimensional gait analysis, we could identify specific gait parameters to reflect a functional deficit related to the level of lumbosacral radiculopathy.

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형틀 목공이 사용하는 작업공구와 근골격계 질환의 상관관계 분석 (Mold Woodworking Tools and musculoskeletal disorders of the correlation analysis)

  • 곽동진;박정로;김재준
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2012년도 추계 학술논문 발표대회
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    • pp.5-7
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    • 2012
  • Repeated using carpentry workers work at working tools because of occupational low back pain, such as musculoskeletal disorders, occupational diseases are on the rise. For this purpose, through the analysis of musculoskeletal disorders and work tools and studies are underway to improve the working conditions of the workers. However, existing previous studies may not reflect the working tools used for carpentry worker dies when working at a construction site that Therefore, in this study, the work in the form of construction, one of the jobs of worker dies classified according to the working tools of musculoskeletal disorders correlated to analyze. The results of this study are as follows. working tools of a total of seven different dies used in the installation process. Musculoskeletal disorders, waist / drill such correlation was very strong. Also showed that a total of three of the tools used in the formwork dismantling cutter musculoskeletal disorders of the arm / elbow and a very strong correlation.

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척추측만증 환자에 관한 임상적 고찰 (A Clinical Study on Patients of Scoliosis)

  • 박민정;서진우;박쾌환;이경윤
    • 대한추나의학회지
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    • 제5권1호
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    • pp.205-211
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    • 2004
  • Objective : This study is designed to provide clinical data about patients of scoliosis for clinicians. Methods : We investigated 112 patients who have signs and symptoms of scoliosis. visited Vertebral -Joint Center of Conmaul Oriental Medical Hospital from January 2003 to July 2004. We measured Cobb's angle in the 112 patients' X-ray of full spine AP and lateral view and also analyzed age, sex, chief complaints. Results : 1. We investigated 72 female and 40 male patients. The most common distribution of age was 20's in both sex. 2. In the scoliosis angle : The average scoliosis angle was $9.27^{\circ}{\pm}6.06^{\circ}$ in 112 patients. The average scoliosis angle of 40 male patients was$8.9^{\circ}{\pm}6.77^{\circ}$. The average scoliosis angle of 72 female patients was $9.48^{\circ}{\pm}5.67^{\circ}$. 3. The most common region of scoliosis was thoracic spine with 37 patients. 4. The most common chief complaint was low back pain with 69 patients. In the 48 patients. self awareness of scoliosis was included in the chief complaint.

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교각 운동 시 복부 넣기가 큰볼기근과 척추세움근의 활성도에 미치는 영향 (Effect of Abdominal Hollowing on Muscle Activity of Gluteus Maximus and Erector Spinae during Bridging Exercise)

  • 고은경;장진호;정도영
    • The Journal of Korean Physical Therapy
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    • 제24권5호
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    • pp.319-324
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    • 2012
  • Purpose: This study examined the muscle activities of the erector spinae (ES) and gluteus maximus (GM) during bridging exercises with and without abdominal-hollowing. Methods: Nineteen healthy subjects with no medical history of low back pain or hip flexion contracture were enrolled in this study. The subjects performed bridging exercises with and without abdominal hollowing or with and without a one-leg lift. The muscle activities of the ES and GM were measured by surface electromyography during bridging exercises under each condition. A 2 (abdominal hollowing)X2 (one-leg lift) repeated ANOVA was used to compare the normalized muscle activities of the ES and GM. Results: The muscle activity of the ES during bridging exercise with abdominal-hollowing was significantly smaller than that without abdominal-hollowing (p=0.00). The muscle activities of the GM during bridging exercise with abdominal-hollowing were significantly greater than those without abdominal-hollowing (p=0.00). In addition, the muscle activities of the GM during bridging exercise with one-leg lifting was significantly greater than that without one-leg lifting (p=0.00). Conclusion: Bridging exercise with abdominal-hollowing appears to be more effective on activating the GM muscle than that without abdominal-hollowing minimizing the activation of the ES muscle.