• Title/Summary/Keyword: supplementary therapy

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Study on Clinical Operating Measures of Authentic Therapy and Supplementary Therapy in Oriental Medicine (한의학 정통요법과 보조요법의 임상적 운용방안)

  • Lee Jae-Soo;Kwon Young-Kyu;Yang Chae-Ha;Kim Kwang-Joong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.1
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    • pp.215-223
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    • 2006
  • This research surveyed oriental medicine therapies currently used in oriental medicine circles by referring to oriental medicine books-based existing traditional authentic therapies, as well as market-sold supplementary therapy-related ordinary health books and Internet information, and supplementary therapy-related dissertations, reviewed the fundamental operating significance of these therapies, and pursued their clinical operating measures based on their clinical information as follows Various therapies currently used in oriental medicine circles are categorized into authentic therapies and supplementary therapies in oriental medicine. Authentic therapies in Oriental medicine are based on bodily self-vitality abilities, pursue positive methods of treating diseases, and include medication therapies, acupuncture therapies, and external therapies. Supplementary therapies in oriental medicine are based on bodily self-vitality abilities, pursue indirect methods of treating diseases, and consist of lifestyle therapy and body management therapy. Authentic and supplementary therapies in Oriental medicine are used either separately or together according to clinical treatment methods. In treating diseases, clinical operating methods exclusively based on traditional authentic therapies and supplementary therapies include Donguibogam (anthology of ancient oriental medicine), Uihakipmun (introduction to medicine), Somun school, and bodily acupuncture according to diagnoses of symptoms, as well as sasangbang (prescription based on four types of bodily constitution), myeongribang prescription, hyeongsangbang prescription, and bodily constitution-based acupuncture according to diagnoses of bodily constitutions. In clinical operation of Oriental medicine, supplementary therapies are parity duplicated dy alternative medicine. However, given patients' needs and clinical practicality, Oriental medicine circles should establish a system based on the fundamental viewpoint of Oriental medicine theories, and corresponding policies should also be researched.

The Effects of Simultaneous Treatment with Supplementary Therapy and Treatment Interval for Improving Symptoms and Satisfaction Rate by Treating Child Rhinitis or Paranasal Sinusitis Patients (비.부비동염으로 내원한 소아환자들의 치료 유형별 만족도와 치료 평가)

  • Lim, Young-Kwon;Kim, Hyun-Kyung;Hur, Kwang-Wook;Jung, Ji-A;Lee, Hun;Yun, Cheol-Sang;Kim, Ho-Cheol
    • The Journal of Pediatrics of Korean Medicine
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    • v.21 no.3
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    • pp.177-188
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    • 2007
  • Objectives The purpose of this study is to investigate the effects of simultaneous treatment with supplementary therapy and treatment interval for improving symptoms and satisfaction rate by treating child rhinitis or paranasal sinusitis patients. Methods 41 rhinitis or paranasal sinusitis patients who visited the clinic between April 2004 and April 2006 were involved for this study. The patients were classified into Group A(2 sessions per week, simultaneous supplementary therapy), Group B(1 session in 2 weeks, simultaneous supplementary therapy) and Group C(1 session in 2 weeks, no supplementary therapy). After the experiment, the improvement rates of symptoms and satisfaction rate were surveyed by the questionnaires. Supplementary therapies used in Group A and B were aroma spray, Saengbit-patch, cutaneous acupuncture, nebulizer and Chuna manipulation. Results From 41 of the rhinitis or paranasal sinusitis patients, the Group A(simultaneous treatment group, 2 sessions of intensive care per week with supplementary therapy) showed the remaining symptoms score of $12.1{\pm}10.0$ in average. This score was the lowest comparing with the average of $25.7{\pm}12.9$ in Group B(1 session in 2 weeks, simultaneous treatment group with supplementary therapy) and the average of $21.0{\pm}20.1$ in Group C(1 session in 2 weeks, no supplementary therapy). Nose symptoms and sleep scores were significantly lower in Group A(p<0.01). The satisfaction score was the highest in Group B that had the most remaining symptoms and it had no significant relationship with the symptom improvement. Additional analysis showed that among many factors such as treatment interval, treatment method, cost, accessibility of the clinic, family history and satisfaction with the doctor; the satisfaction with their doctor was the most closely related to the satisfaction rate of the patients. Conclusions In this study with 41 of rhinitis or paranasal sinusitis patients, the 2 sessions of intensive care group showed the best results in improving symptoms. Supplementary treatments were also used simultaneously; aroma spray, cutaneous acupuncture, Saengbit-patch, Chuna manipulation and nebulizer. The questionnaires showed that the satisfaction rate of the patients(care taker) was not related to the symptom improvement. Additional analysis of the factors that influence the satisfaction rate showed that it was more closely related to the satisfaction with their doctors.

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Change of activation of the supplementary motor area in motor learning: an fMRI case study (운동학습에 따른 대뇌 보조운동영역의 활성화 변화: fMRI 사례연구)

  • Park, Min-Chull;Bae, Sung-Soo;Lee, Mi-Young
    • The Journal of Korean Physical Therapy
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    • v.23 no.2
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    • pp.85-90
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    • 2011
  • Purpose: The contribution of the supplementary motor area (SMA) to the control of voluntary movement has been revealed. We investigated the changesin the SMA for motor learning of the reaching movement in stroke patient using functional MRI. Methods: The subject was a right-handed 55 year-old woman with left hemiparesis due to an intracerebral hemorrhage. She performed reaching movement during fMRI scanning before and after reaching training in four weeks. The motor assessment scale and surface EMG were used to evaluate the paretic upper limb function and muscle activation. Results: In the fMRI result, contralateral primary sensorimotor cortex (SM1) was activated before and after training. SMA was only activated after training. In addition, muscle activation of the paretic upper limb was similar to that of the unaffected upper limb after training. Conclusion: These findings suggest SMA is related to the execution of a novel movement pattern resulting in motor learning in stroke patients.

Comparison of Cortical Activation between Tactile Stimulation and Two-point Discrimination: An fMRI Case Study (촉각 자극과 두점식별 자극에 따른 뇌활성도 분석: fMRI 사례 연구)

  • Park, Ji-Won;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.97-101
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    • 2010
  • Purpose: Sensory input is very important for proper performance of human. Two-point discrimination is the most widely used tactile sensory test. The purpose of this study was to find the changes in cortical activation patterns between tactile stimulation and two-point discrimination. Methods: Two healthy subjects participated in our study. fMRI scanning was done during 4 repeated blocks of tactile stimulation and two point discrimination of the right index finger tip. In one block, stimuli were repeated 10 times every three seconds. To determine the changes of cortical neurons during sensory input, intensity index was analyzed. Results: When tactile stimulation of the right index finger tip was completed, only contralateral primary somatosensory area was activated. In contrast, during two-point discrimination, both the primary somatosensory area and ipsilateral supplementary sensory area were activated. Conclusion: During two point discrimination, both primary somatosensory area and ipsilateral supplementary sensory area were activated. Therefore, two-point discrimination is required more complex and conscious activity than tactile stimulation.

Analysis of Brain Activation due to Mouth Shape during Grip Movement (잡기동작 수행 시 입모양에 따른 뇌활성화 분석)

  • Shim, Je-Myung;Kim, Hwan-Hee;Kim, Chung-Sun
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.3
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    • pp.467-476
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    • 2010
  • Purpose : This study was performed to understand the relationship between hand and mouth shapes using functional magnetic resonance imaging(fMRI). Methods : Two healthy volunteers without any previous history of physical or neurological illness were recruited. fMRI was done that volunteers was 6 repeated of natural mouth, close mouth and open mouth while power grip and pinch grip movement. Results : Cerebral cortex activation was not well observed for the natural mouth during the power grip exercise. For the closed mouth, the temporal lobe, Broca's area, the prefrontal area related to thinking and judgment, the supplementary motor area, the auditory area and Wernicke's area were activated. For the open mouth, cortical activation was also observed in the temporal lobe, Wernicke's area, the prefrontal area related to thinking and the orbital frontal area related to visual sense. During the pinch grip exercise, cortical activation was observed for the natural mouth in the primary sensory area, Wernicke's area, the primary and supplementary motor area, and the prefrontal area. For the closed mouth, cortical activation was observed in the temporal lobe, Wernicke's area, the prefrontal area related to thinking, the secondary visual area, the primary sensory area and the supplementary motor area. In the case of the open mouth, cortical activation was observed in a few parts in the temporal lobe as well as Wernicke's area, the prefrontal area related to thinking, and other areas related to visual sense such as the primary visual area, the secondary visual area and the visual association area. Conclusion : Brain was more activation for close mouth and open mouth more than natural mouth movement.

The Effect of Supplementary Shouting Technique on Muscle Activity to Rectus Abdominis and External Oblique During Crunch Exercise in Healthy Subjects

  • Kim, Chang-Yong;Kim, Hyeong-Dong
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.1-6
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    • 2015
  • Purpose: The purpose of this study was to examine the effects of a supplementary shouting technique on abdominal muscle activation to the rectus abdominis (RA) and external oblique (EO) muscles during performance of crunch exercise in healthy subjects. Methods: Sixty-four subjects were randomly allocated to two groups, crunch exercise with shouting group (SG) and crunch exercise with non-shouting group (NSG), with 32 subjects in each group, respectively. The interventions were conducted over three trials in each group, and measurements were performed on each subject by one examiner in three trials. Muscle activation of RA and EO was evaluated using electromyography (EMG) during performance of crunch exercise with or without shouting. Results: Our results showed a significantly greater increase in the EMG patterns of the RA and EO muscles during performance of crunch exercise in the SG compared to the NSG (p<0.01). Conclusion: These findings suggest that addition of the shouting technique during performance of crunch exercise, at the same time, would suggest positive evidence for improving activation of abdominal muscles.

Clinical Case Studies on Hepatoma Patients with Dietary Therapy (식이요법에 의한 간암환자의 일부증상의 호전)

  • Koh, Kyung;Lee, Hee-Sook;Park, Won-Bong
    • Journal of Nutrition and Health
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    • v.26 no.2
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    • pp.174-181
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    • 1993
  • This study was performed to evaluate the effects of high supplementary diet of vitamins, minerals, and polysaccharides on enhancing immunity and preventing from cancer in patients with hepatocellular carcinoma(hepatoma). Dietary therapy for patients was performed with dried yeast, wheat germ. Gonoderma extract, and vegetable juice. The vegetable juice was made of fresh green edible vegetables. Ten patients of total 30 patients were considered as improved state in tumor sizes, AFP, or symptoms. Most of patients complained of weight loss, fatigue, indigestion, anorexia before dietary therapy, but most of symptoms disappeared after dietary therapy. There was no significant side effects because of dietary therapy except for occasional slight diarrhea.

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Frequency of Food Allergy and Perception of Dietary Therapy in Patients with Allergic Diseases (알레르기 환자에서 식품 알레르기의 빈도 및 식이요법에 대한 의식 조사)

  • Lee, Gil-young;Kim, Yoon-bum;Kim, Hae-jeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.3
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    • pp.210-219
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    • 2003
  • Objectives : This study is to suggest a kind of guide line of dietary therapy in allergic diseases. Methods : We investigated frequency, symptoms and implicating foods of food allergy, and experience, methods, periods, results and necessity of dietary therapy of 49 patients with allergic diseases by using self-report questionnaires. The data were analyzed by SPSS/PC+ program using frequency, Chi-square test(p〈0.05) and Pearson correlation coefficient(p〈0.01). Results : 1. The frequency of food allergy was 49% and skin symptoms were the most common. 2. The most implicating foods were chicken, flour, milk, pork and egg in order. 3. 36.7% of patients had experienced dietary therapy and 47.4% of them had stated mild improvement. 4. Over 80% of patients perceived necessity of dietary therapy and there is significant correlation between necessity of dietary therapy and sum of food allergens(r=368). Conclusions : Dietary therapy is recommended as supplementary therapy in allergic diseases and it needs to be established based on the real conditions and Korean Oriental medical theory.

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A Case Report : Remission of Spasmodic Torticollis Confirmed with Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) And Tsui Score for Outcome Measure (사경증 평가도구를 통해 관해를 확인한 경련성 사경증 환자 1례)

  • Nam, Tong-Hyun
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.1
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    • pp.101-110
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    • 2010
  • Objective : A case of idiopathic spasmodic torticollis rapidly improved after Oriental Medical treatments and supplementary trigger point injection is reported. Methods & Results : The oriental medical treatment for spasmodic torticollis including acupuncture, bee-venum therapy, herb medication, taping therapy, chuna therapy and physical therapy was performed for pain alleviation, and trigger point steroid injections were also performed. The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) and the Tsui Score were used for outcome measure of the spasmodic torticollis. After treatment for 15 days, the TWSTRS showed a decrease from 56 to 22.3 and the Tsui score also decreased from 13 to 5. Conclusions : We concluded that the oriental medical treatment including acupuncture, bee-venum therapy and taping therapy rapidly induced spasmodic torticollis to remission.

Investigation of frequency and fidelity of the participants affecting the study of exercise therapy (운동 치료 연구에 영향을 주는 연구대상자의 참여도와 충실도 조사)

  • Choi, Bo ram
    • Journal of Korean Physical Therapy Science
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    • v.28 no.1
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    • pp.54-61
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    • 2021
  • Background: The present study was performed to examine the factors required for active engagement of participants in exercise therapy by surveying the frequency of participation, fidelity of performance, and supporting materials and rewards provided to encourage participation in the study. Design: Cross-sectional study. Methods: The survey was conducted in a population of 103 participants in at least one exercise treatment study. A 12-item questionnaire was designed to determine the frequency of exercise participation and fidelity of participant performance. Results: The results were subjected to frequency analysis and Pearson's correlation analysis. The subjects were less likely to exercise with the therapist and less likely to exercise at home. In addition, the provision of supplementary materials, to be considered when exercising at home, was insufficient. A strong positive correlation was found between the frequency of exercise in the presence of a therapist and the fidelity of participant performance (r=0.812, p=0.001), whereas a weak negative correlation was found between the frequency of unperformed exercises and the fidelity of participant performance (r=-0.523, p=0.023). Conclusion: The results of the present study suggested that it is necessary to increase the number of times that exercises are performed with the therapist to motivate increased frequency of exercise participation and fidelity of participant performance. In addition, appropriate rewards and periodic management are required.