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      • KCI등재

        척추세움근 매선침치료가 만성요통환자에 미치는 효과

        유덕주 ( Duk Joo Yoo ),정재영 ( Jae Young Jung ),정석희 ( Seok Hee Chung ) 한방재활의학과학회 2015 한방재활의학과학회지 Vol.25 No.4

        Objectives To investigate clinical effects of needle embedding acupuncture treatments for chronic low back pain patients. Methods 30 patients with chronic low back pain were recruited and randomized into two groups-the embedding acupuncture group or the placebo. At baseline, the age, height, weight, visual analogue scale (VAS), Oswestry disability index (ODI) scores were measured. And surface electromyography (SEMG) data of both erector spinae at L2, L4 level were also measured on both groups and asymmetry index (AI) were calculated. The embedding or placebo acupuncture treatment was performed on the erector spinae according to SEMG values; immediately after the first evaluation and 48 hours after the first visit. After 96 hours of intervention, the VAS, ODI score and SEMG of both erector spinae were measured again. Statistical significance was determined using the Wilcoxon signed ranks test or the Wilcoxon rank sum test. Results The mean VAS, ODI score after treatment was decreased significantly compared with baseline on both groups. And the VAS, ODI score and AI of the embedding acupuncture group was more decreased significantly than the placebo (p<0.05). Conclusions The results suggest that embedding acupuncture for chronic low back pain patients was effective on the VAS pain score, ODI score and AI of the erector spinae. (J Korean Med Rehab 2015;25(4):105-112)

      • KCI등재

        요통환자군과 정상대조군 사이의 표면근전도값 비교에 관한 연구문헌 고찰

        유덕주 ( Duk Joo Yoo ),조재흥 ( Jae Heung Cho ),정석희 ( Seok Hee Chung ) 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.4

        ObjectivesTo present reviews of studies comparing surface-electromyography (SEMG) values between low back pain group and control group.MethodsWe searched 8 databases including KoreaMed, Google, KISS (Korean studies Information Service System), RISS (Research Information Sharing Service), OASIS (Oriental medicine Advanced Searching Integrated System), Pubmed, Ovid-MEDLINE and EMBASE. After searching, we conducted study selection by using inclusion and exclusion criteria and quality-assessment. We reviewed the selected studies concerning about the subject’s measuring position, findings, sensitivities and specificities.Results27 Studies were searched and reviewed. In static surface electromyography, more muscle activities observed in low back pain subjects than in controls. In dynamic surface electromyography, the low back pain subjects showed more muscle activites dur-ing flexion, while the control group showed more muscle activities during extension. Faster muscle fatigue observed in isometric muscle analysis.ConclusionsSurface electromyography values will be able to be objective marker for eval-uating low back pain. Further research is needed to determine additional unified protocol such as the type of SEMG and its directions. (J Korean Med Rehab 2013;23(4):83-93)

      • KCI등재

        교통사고로 인한 편타 손상의 침 치료에 대한 임상연구의 국내외 동향

        전준영 ( Jun Young Jeon ),유덕주 ( Duk Joo Yoo ),맹태호 ( Tae Ho Maeng ),심재우 ( Jae Woo Shim ),조우영 ( Woo Young Cho ),김형석 ( Hyung Suk Kim ),임웅진 ( Woong Jin Lim ),이종수 ( Jong Soo Lee ) 한방재활의학과학회 2015 한방재활의학과학회지 Vol.25 No.4

        Objectives This study aimed to research current trends of acupuncture treatment of whiplash associated disorder (WAD). Methods Clinical studies about acupuncture therapy on WAD were searched in 7 databases. The included studies were classified according to their publication dates, methods, interventions, outcome measures. Interventions were analyzed by accompanied intervention, acupoint, acupuncture retaining time and treatment period. Results 14 articles were included. The number of studies on acupuncture for WAD shows increasing tendency since 1990. The included studies consist of 6 randomized controlled trials (RCTs), 2 non-randomized controlled trials (nRCTs), 2 cohort studies, 1 before and after study, 1 case study and 2 case reports. Most studies used visual analogue scale (VAS) as primary outcome. Conclusions This review demonstrates that further clinical studies need to be carried out under the formal clinical practice guidelines of acupuncture therapy for WAD in order to support clinical treatment objectively. (J Korean Med Rehab 2015;25(4):47-54)

      • KCI등재

        절식요법 중 글리세린 관장 직후 혈성 설사로 발현한 허혈성 대장염 1예

        최효정 ( Hyo Jeong Choi ),박현건 ( Hyun Gun Park ),맹태호 ( Tae Ho Maeng ),유덕주 ( Duk Joo Yoo ),김성수 ( Sung Soo Kim ),정원석 ( Won Suk Chung ) 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.2

        Case of ischemic colitis after enema for bowel cleansing have been rarely reported, but there has been no case report of a patient on modiefied fasting therapy. A 26-year old male patient with obesity admitted Korean medical hospital of Kyung Hee university for losing weight. He is on a special diet called modiefied fasting therapy, only took the fermented herbal drink. At 2nd day, he received an enema for bowel cleansing. A few hours after enema, he had a bloody diarrhea with lower abdominal pain. His colonoscopic and histologic findings presented ischemic colitis. He was advised to fast for two days and couldn`t complete his diet program. We suggest 4 possible reasons : Increased intraluminal pressure by enema, vascular spasm caused by room-temperature glycerin solution colder than intraluminal temperature, predisposition to bleeding disturbances by taking selective serotonin reuptake inhibitor(SSRI) for depression history and mucosal injury by osmotic effect of glycerin solution itself.For reducing the risk of bowel cleansing, glycerin enema should be carefully prescribed and practiced concerning the condition of each patient.

      • KCI등재

        심박변이도를 통한 폐경 전 한국인 비만 여성의 비만 관련 대사체 농도 예측을 위한 회귀분석

        김종연 ( Jong Yeon Kim ),양요찬 ( Yo Chan Yang ),이운섭 ( Woon Sup Yi ),김제인 ( Je In Kim ),맹태호 ( Tae Ho Maeng ),유덕주 ( Duk Joo Yoo ),심재우 ( Jae Woo Shim ),조우영 ( Woo Young Cho ),송미연 ( Mi Yeon Song ),이종수 ( Jong Soo 한방재활의학과학회 2014 한방재활의학과학회지 Vol.24 No.4

        ObjectivesAdvanced researches on the relationship between obesity and heart rate var-iability (HRV), heretofore, focused on characteristics of HRV depending on the state of obesity. However, the previous researches have not quantified predictive power of HRV to-ward the obesity-related variables, which is rather more meaningful for clinicians who regu-larly treat obese patients. Hence, we designed a research to investigate whether HRV could predict serum levels of obesity-related metabolites.MethodsNinety obese premenopausal women meeting the inclusion criteria were recruited. The HRV test, blood sampling, and measurement of physical traits were conducted. Multiple regression analysis of the measurement data was carried out, putting obesity-related metabolites (insulin, glucose, triglyceride, hs-CRP, HDL, LDL, total choles-terol) as outcome variables and the others as predictors. To select appropriate predictive variables, the Akaike``s Information Criterion (AIC) was applied. Normality and homo-skedasticity of residuals for each model were tested to identify if there were any violations of the regression analysis`s basic assumption. Logarithm transformation was used for the val-ues of the concentration of metabolites and the HRV. ResultsThe regression model including Total Power (TP) value and BMI had significant predictive power for serum insulin concentration (F(2, 88)=835.7, p<0.001, R2=0.95). The regression coefficient of ln (TP) was -0.1002. However, it was not sure if the HRV could pre-dict concentrations of other metabolites.ConclusionsThe results suggest that the Total Power (TP) value of the HRV can predict the level of serum insulin. If the BMI could be assumed as being constant, when the TP val-ue is multiplied by n, the predicted change of insulin could be drawn by multiplying n?0.1002. The uncertainty of this model can be assumed as approximately 5%. (J Korean Med Rehab 2014;24(4):155-162)

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