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고연석 ( Youn Seok Ko ),박상훈 ( Hun Sang Park ),이정한 ( Jung Han Lee ),차윤엽 ( Yun Yeop Cha ),정원석 ( Won Suk Chung ),신병철 ( Byung Cheul Shin ),전찬용 ( Chan Yong Jeon ),고호연 ( Ho Yeon Go ),선승호 ( Seong Ho Sun ),장보형 ( 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.2
Objectives :The purpose of this study is to analyze internal research trends of work-related musculoskeletal disorders(WMSDs) and provide problems of researches forward.Methods :6 Korean databases were searched for articles of WMSDs published from 2000 to 2012, and 264 research were systematic reviewed. An analytical method was used descriptive statistics, an actual number and percentage.Results :The results of distribution by year were reported more than 20 articles after 2004, and 45 articles in 2009. Industrial classification distribution of research subjects the manufacturing industry was many most at the 84. Research contents in most description were 147 whether it was risk factor and relation. Research design type of articles was most description survey research 226. In the research field 89 articles were reported to the journal related to technologies.Conclusions : It is considered to be necessary that ergonomic approach would cooperate with other approaches such as integrated health management system as well as industrial medicine considering psychosocial factors.
차윤엽 ( Yun Yeop Cha ),고연석 ( Youn Seok Ko ),이정한 ( Jung Han Lee ),정원석 ( Won Suk Chung ),신병철 ( Byung Cheul Shin ),전찬용 ( Chan Yong Jeon ),고호연 ( Ho Yeon Go ),선승호 ( Seong Ho Sun ),장보형 ( Bo Hyoung Jang ),송윤경 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.2
Objectives : The purpose of this study is to explore the trends of Korean medical study on stress in the industrial worker. Methods : We received numbers of the studies about stress in the industrial worker from 6 Korean web databases, using key words such as ‘Industry AND Stress’, ‘Oriental medicine AND Stress’, ‘Worker AND Stress’, ‘Workplace AND Stress’. We received 12 research papers and they were analyzed and the journals, the authors, the contents of 3 classification of those research papers. Results : Among them, we had 6 reviews of Dept. of preventive medicine and Dept. of third medicine, college of Korean Medicine, Won-kwang University, and the rest of them were 6 reviews. We had 4 reviews of Korean Journal of Oriental Preventive Medical Society, 2 reviews of the Journal of Traditional Korean Medicine, 2 reviews of Journal of Oriental Neuropsychiatry and so on. According to the contents of reviews, we had 7 reviews of correlation of industrial worker and stress, 4 reviews of cause on the industrial worker’s stress and 1 case report. Conclusions : We reviewed the trends of Korean medical study on stress in the industrial worker. The stress in the industrial workers were related with the type of occupation, social psychology, drinking, smoking, the satisfaction of job, the harmony of organization.And we knew that the musculoskeletal pain was related to the industrial worker’s stress. In the future, abundant case studies, follow-up trials and RCTs should be done about the industrial worker’s stress.
김민우 ( Min Woo Kim ),고연석 ( Youn Seok Ko ),이정한 ( Jung Han Lee ),정원석 ( Won Suk Chung ),신병철 ( Byung Cheul Shin ),차윤엽 ( Yun Yeop Cha ),고호연 ( Ho Yeon Go ),선승호 ( Seong Ho Sun ),전찬용 ( Chan Yong Jeon ),장보형 ( B 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.2
Objectives :This study aims to contribute to developing new pattern identification based on searches regarding pattern identification of low back pain, which is used in thesis both in Korea and China.Methods :First of all, we searched thesis concerning pattern identification of low back pain from RISS, OASIS, Korean traditional knowledge portal, CNKI.Results : 1. There were overall 34 thesis, consist of 18 Korean thesis(13 clinical papers and 5 analytical papers) and 9 Chinese thesis(7 clinical papers and 9 analytical papers).2. 10 of 11 Korean thesis used more than 9 patterns for pattern identification, 9 of 14 Chinese thesis used less than 4 patterns for pattern identification of low back pain.3. Patterns, which were repeatedly used in Korea, were 腎虛腰痛(Kidney deficiency low back pain), 濕熱腰痛(Dampness-heat low back pain), 寒濕腰痛(Cold-dampness low back pain), 痰飮腰痛(Phlegm-fluid retention low back pain), 風腰痛(Wind low back pain), 食積腰痛(Food accumulation low back pain), 濕腰痛(Dampness low back pain), 挫閃腰痛(Sprain low back pain), 瘀血腰痛(Static blood low back pain), 氣腰痛(Qi low back pain).4. Patterns, which were repeatedly used in China, were 腎虛腰痛(Kidney deficiency low back pain), 濕熱腰痛(Dampness-heat low back pain), 寒濕腰痛(Cold-dampness low back pain), 氣滯血瘀腰痛(Blood stasis due to qi stagnation low back pain).Conclusions :Based on these results, it is considered that an advanced type of pattern identification of low back pain should be made or existing type needs to be practically and objectively improved.
고호연 ( Ho Yeon Go ),고연석 ( Youn Seok Ko ),이정한 ( Jung Han Lee ),정원석 ( Won Suk Chung ),신병철 ( Byung Cheul Shin ),차윤엽 ( Yun Yeop Cha ),안민윤 ( Min Youn Ahn ),선승호 ( Seong Ho Sun ),전찬용 ( Chan Yong Jeon ),장보형 ( 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.4
ObjectivesLumbago is very common symptoms and many lumbago patients visited Korean Medicine clinic to cure lumbago. But It is not studied therapy type and pattern iden-tification in lumbago patients. This study aim to survey therapy type and pattern identi-fication in lumbago patients.MethodsWe collected data of 755 patients treated to cure lumbago in Korean Medicine Hospital from 1, Jan. to 31, Dec., 2012. The therapy variable are acupuncture, herbal acu-puncture, physical therapy, Chuna Tx, herbal medicine, cupping and moxibustion. Demographic variable are age, gender, district, medical insurance code, and etc.Results1) We collected data of 755 lumbago patients in 5 Korean medical Hospitals. 2) Age, district, insurance code, diseases were statistically significant by pattern identification. 3) Therapy types of lumbago patients were different by pattern identification.ConclusionsIn lumbago patients, therapy type and herbal medicine were different by Pattern identification. In the future, it is needed prospective and large scale database for pattern identification in lumbago patients. (J Korean Med Rehab 2013;23(4):177-184)
비급성 요통에 대한 무작위대조군 임상연구 수행을 위한 추나표준화 설문조사 보고
김병준,황의형,허광호,황만석,허인,송윤경,이정한,고연석,박태용,조재흥,이은정,문수정,하인혁,이민호,신병철,Kim, Byung-Jun,Hwang, Eui-Hyoung,Heo, Kwang-Ho,Hwang, Man-Suk,Heo, In,Song, Yun-Kyung,Lee, Jung-Han,Ko, Youn-Seok,Park, Tae-Young,Cho, Jae-He 척추신경추나의학회 2015 척추신경추나의학회지 Vol.10 No.2
Objectives : To find out the standardized chuna manual technique for non-acute low back pain. Methods : The survey questions were developed by the consensus from the professor who major in Rehabillitation Medicine of Korean Medicine(RMKM). August 15th to september 1st 2015, the questionnaire was given to 23 RMKM doctors by e-mail. 20(90.9%) the questionnaire were retrieved out. Standardized technique of chuna were selected through experts consesus based on questionaire results. Results : Two essential techniques and two selective techniques were selected as standardized Chuna manual technique for lumbar region. Six essential technique and one selective technique were selected as standardized Chuna manual technique for iliac region. Conclusions : This is the first consensus of experts opinion for Chuna manual technique for operating randomized controlled trials(RCT). These reports are helpful for Korean Medicine doctor who operate Chuna manual technique and expected to make clinical evidence of Chuna manual medicine
단순 방사선 영상 검사를 통한 추나의학적 진단 방법 - 척추.골반변위 명명체계를 중심으로 -
이진현,김창곤,조동찬,문수정,박태용,고연석,남항우,이정한,Lee, Jin-Hyun,Kim, Chang-Gon,Jo, Dong-Chan,Moon, Su-Jeong,Park, Tae-Young,Ko, Youn-Suk,Nam, Hang-Woo,Lee, Jung-Han 척추신경추나의학회 2014 척추신경추나의학회지 Vol.9 No.1
Objective : The purpose of this study is to offer a new approach to diagnostic X-ray in perspective of Chuna manual medicine for clinical application. Methods : Characteristics of each malposition in X-ray were analyzed comprehensively, based on the listing system. By verifying these results, find out the methods of X-ray diagnosis according to the each malposition. Results : 1. Vertebral malposition can be explained by alignment and relative position of vertebral body in the X-ray. To obtain more accurate estimation of subluxation, features of other structures should be considered, such as spinous process, intervertebral foramen and disc space. 2. Pelvic malposition can be determined by relative location of anterior superior iliac spine (ASIS) and posterior superior iliac spine (PSIS) in the X-ray. Also other pelvic parameters should be utilized to make a diagnosis of sacral malposition. Conclusions : Diagnostic X-ray should be applied to many clinicians for reasonable Chuna manual medicine application. And further studies are needed to use the diagnostic X-ray in the perspective of Chuna manual medicine.
Correlation 분석 기법을 적용한 요통 환자에 관한 레지스트리 데이터의 탐색적 분석
박창현,박무순,김형석,차윤엽,김순중,고연석,오민석,황의형,신병철,김창업,송윤경,Park, Chang-Hyun,Park, Mu-Sun,Kim, Hyung-Suk,Cha, Yun-Yeop,Kim, Soon-Joong,Ko, Youn-Suk,Oh, Min-Seok,Hwang, Eui-Hyoung,Shin, Byung-Cheul,Kim, Chang-Eop,Song 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.4
Objectives The aim of this study is to analyze the patients who have low back pain through registry. Methods We registered patients with low back pain who visited department of korean rehabilitation medicine in university hospitals on study. We collected data from 116 subjects consisted of 51 inpatients and 65 outpatients and ruled out 8 who didn't have pattern identification data at the point of inpatient or outpatient visit so we analyzed 108 in total. We used Pearson's product moment correlation to find correlationship among variables, and analyzed statistical data using Phyton scipy library stats package. Results We set general features, region of the pain, physical examination, ROM, questionnaire results, pattern identification as variables and draw a conclusion by analyzing these variables. Conclusions Registry aimed at low back pain patients was established in department of korean rehabilitation medicine of university hospitals and exploratory analysis based on data were made. Through the registry, we expect that more advanced studies will be performed; for example, executing research which verifies effectiveness and stability of korean medical treatment or developing tools to fill the gap between pattern identification and disease identification.
김두희 ( Doo Hee Kim ),신우석 ( Woo Suk Shin ),이진원 ( Jin Won Lee ),박원형 ( Won Hyung Park ),차윤엽 ( Yun Yeop Cha ),고연석 ( Youn Seok Ko ),이정한 ( Jung Han Lee ),정원석 ( Won Suk Chung ),신병철 ( Byung Cheul Shin ),송윤경 ( 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.4
ObjectivesThe aim of this review is to provide fundamental data for low back pain scales which can be used in clinical trial.MethodsWe investigated the latest studies on chronic low back pain via PubMed. And we also investigated domestic studies through “http://oasis.kiom.re.kr”. 95 research pa-pers were analyzed. Scales were classified into pain scale, function scale, generic health status scale and psychological scale.Results1) According to foreign clinical studies, Visual Analog Scale (VAS) and Numerical Rating Scale (NRS) were used 18 times as pain scale. Oswestry Disability Index (ODI) was used 20 times as function scale, Roland-Morris Disability Questionnaire (RMDQ) was 17, and Hannover Functional Ability Questionnaire (HFAQ) was used 3 times. 36-item Short Form Health Survey (SF-36) was used 13 times as generic health status scale, Euroqol-5 Dimentions Questionnaire (EQ-5D) was 11, and 12-item Short Form Health Survey (SF-12) was used 3 times. Fear-Avoidance Beliefs Questionnaire (FABQ) was used 9 times as psy-chological scale, Pain Catastrophizing Scale (PCS) and Tampa Scale for Kinesiophobia (TSK-R) both were used 3 times. 2) According to domestic clinical studies, VAS was used 37 times as pain scale, NRS was 11, and Short Form McGill Pain Questionnaire (SF-MPQ) was used 6 times. ODI was used 30 times as function scale, RMDQ was 2 times only. SF-36 was used once as generic health status scale and Beck’s Depression Inventory (BDI) was used 3 times as psychological scale.ConclusionsWe recommend VAS or NRS as a measure to evaluate pain, and ODI as a measure to evaluate functional disability. And we also recommend SF-36 or SF-12 and EQ-5D as a measure to evaluate generic health status. Finally, we recommend FABQ for use in measuring psychological scale. (J Korean Med Rehab 2013;23(4):95-115)
요천추신경병증에 대한 심부협척 도침술과 한의통상치료의 효과 비교안전성, 유효성, 경제성평가 : 연구 프로토콜
허인(In Heo),이진현(Jin-Hyun Lee),고연석(Youn-Suk Ko),조동찬(Dong Chan Jo),김영일(Young Il Kim),이상현(Sang-Hyun Lee),황의형(Eui-Hyoung Hwang),박태용(Tae-Yong Park),황만석(Man-Suk Hwang) 척추신경추나의학회 2021 척추신경추나의학회지 Vol.16 No.2
연구 배경 최근 한국 및 중국에서 근골격계 질환에 대한 도침술의 활용이 늘고 있다. 하지만 현재까지의 임상연구는 대부분 증례보고 형태에 그치거나, 충분한 근거가 확보되지는 않은 실정이다. 우리는 요천추신경병증환자의 치료에 있어 도침치료와 통상한의치료와의 비교를 통해 도침치료의 유효성, 안전성, 경제성 평가를 시행하기 위해 본 연구를 기획하게 되었다. 연구 방법 본 연구는 예비임상 연구로, 다기관에서 진행되며, 무작위대조군, 활성 대조군을 통한2개군 병행집단 연구로 평가자 맹검을 시행하게 된다. 이 연구에서는 총 50명의 요천추신경병증환자를 대상으로 2개군으로 균등하게 분배하여 도침술 또는 통상한의치료를 시행하게 된다(각군당 25명). 도침술 그룹의 경우 협척혈에 도침치료를 시행 받게 되며, 통상 한의치료군은 연구자 판단하에 도침술을 제외한 적절한 한의치료를 시행 받게 된다. 두 개의 그룹은 주당 2회씩 총 3주간치료를 받게 된다. 일차 유효성 평가는 요통으로 인한 기능장애를 평가하기 위한 Oswestry disability index를 통해 시행한다. 이차 유효성 평가지표로는 numeric rating scale, European Quality of Life 5-Dimension 5-Level, short-form McGill Pain Questionnaire, Roland- Morris Disability Questionnaire scores를 시행하게 된다. 고찰 본 예비임상연구의 결과는 추후 있을 요천추신경병증에 대한 도침치료 및 한의통상치료 비교효과 연구의 유효성, 경제성평가 본 임상연구를 위한 기초 정보 및 가능성을 확인하고 적절한 대상자수 산정에 도움이 될 것이다. 임상연구 등록정보 Clinical Research Information Service(https://cris.nih.go.kr/)에2021년 5월 30일에등록됨. 연구등록번호 KCT0006043. Abbreviations LSS: lumbar spinal stenosis RCT: randomized controlled trial UKC: usual Korean medicine care PNUKH: Pusan National University Korean Medicine Hospital DKMHDU: Daejeon Korean Medicine Hospital of Daejeon University WUKMMC: Woosuk University Korean Medicine Medical Center IRB: institutional review board NRS: numeric rating scale SOP: standard operating procedure KMD: Korean medicine doctor ODI: Oswestry disability index EQ-5D-5L: European Quality of Life 5-Dimension 5-level SF-MPQ: short-form McGill Pain Questionnaire RMDQ: Roland-Morris Disability Questionnaire PRO: patient-reported outcome ITT: intention-to-treat PP: per-protocol
전방머리자세(Forward Head Posture)의 정도와 척추 만곡 변형의 상관관계
정현우 ( Hyun Woo Jung ),신우석 ( Woo Suk Shin ),김두희 ( Doo Hee Kim ),박원형 ( Won Hyung Park ),차윤엽 ( Yun Yeop Cha ),고연석 ( Youn Seok Ko ),이정한 ( Jung Han Lee ),정원석 ( Won Suk Chung ),신병철 ( Byungcheul Shin ),송윤경 ( 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.4
ObjectivesThis study was designed to investigate the correlation between the forward head posture and the spinal alignment.MethodsWe examined the whole spine x-rays of the 144 student sample. We meas-ured the Craniovertebral angle (CVA), Cervical angle (CA), Thoracic kyphotic angle (TKA), lumbar lordosis angle (LLA) and Ferguson`s angle (FA) of the students. We then analyzed the relationship between these angles.ResultsCVA had correlation with CA, but it was weak. There was significant correlation between CVA and TKA. There were no significant correlation among CVA, LLA and FA.ConclusionsAccording to above results, there is a negative relationship between the CVA and the TKA - in that higher CVAs yielded lower TKAs. But CVA had no significant correlation with LLA or FA. (J Korean Med Rehab 2013;23(4):195-202)