교통사고 후유증으로 한방병원에 입원한 환자 509례에 대한 분석 고찰

국길호 ( Kil Ho Kook ),오민석 ( Min Seok Oh ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.4

Objectives : The purpose of this study is to find out the characteristic of patients who had admitted in Korean medical hospital due to traffic accident. Methods : We analyzed statistical study in 509 patients, who had admitted to Dept. of oriental rehabilitation medicine, Dunsan oriental medical hospital, Dae-Jeon university from January, 2010 to December, 2010 according to medical charts. Results : 1. In distribution according to age and sex, the rate of male was 35.0%, and that of female was 65.0%. Twenties numbered the most in male(9.8%) and female(16.1%). 2. In distribution according to pathway of admission, out-patient department was the most(88.8%), followed by emergency room(11.1%). 3. In distribution according to duration between time of injury and arrival at oriental hospital of Dae-Jeon university, less than 2 days was the most(58.0%), followed by 3 to 5 days(22.0%). 4. In distribution according to kinds of vehicles, car was the most(85.3%), followed by pedestrian(5.5%). 5. In distribution according to type of injury, sprain was the most(98.4%), followed by contusion & abrasion(21.67%). 6. In distribution according to traditional Korean medical physiotherapy, negative therapy was the most(96.5%), followed by hot pack(95.3%). Conclusions : This study showed that the following items take up the highest percentage from each category of patients who had been admitted to Korean medical hospital due to traffic accident - people in their 20s, females, entering hospital via out-patient department, and within 2 days since the accident.

이중탕(理中湯)이 골관절염 유발 생쥐에 미치는 영향

국길호 ( Kil Ho Kook ),오민석 ( Min Seok Oh ) 한방재활의학과학회 2014 한방재활의학과학회지 Vol.24 No.1

ObjectivesThis study intends to clarify how Leejung-tang (here in after reffered to LJT) affect Wistar Rat whose osteoarthritis was induced by MIA.MethodsOsteoarthritis was induced into rat by injecting MIA in its knee joint. Rats are divided into a total of 4 groups (n=6). Normal group are not treated at all without inducing osteoarthritis whereas control group were induced for osteoarthritis by MIA and oral medi-cated with 2 ml of physiological saline per day. Positive comparison group (Indomethacin) was injected with MIA and after 7 days, 2 mg/kg of Indomethacin was medicated. Experimental group (LJT) was injected with MIA and after 7 days that was medicated with 23 mg/kg of LJT. Indomethacin and LJT were oral medicated for each substance a total of 4 weeks with one time per day. After experiments (from 1 week after injection of MIA to 4 weeks elapsed), Hind paw weight bearing ability, Functions of liver and kidney, Serum prostaglandin E2, TNF-α, IL-1β, IL-6, Osteocalcin, TIMP-1, MMP-9, LTB4 and amount of cartilage were measured and histopathological variations for knee joint structures were observed.Results1) Hind paw weight bearing ability of LJT administration group was increased but there was no statistical significance. 2) Functions of liver and kidney were not affected. 3) Serum prostaglandin E2, IL-1β, Osteocalcin, MMP-9 were significantly decreased and TNF-α, IL-6, TIMP-1, LTB4 were also decreased but there were no statistical significance. 4) In H&E staining and Safranin-O staining, there were small histopathological changes in LJT administration group than control group. 5) In micro CT (computed tomography)-ar-thrography, cartilage destruction was more suppressed in LJT administration group than control group.ConclusionsBased on all results mentioned above, Leejung-tang (LJT) is believed to be meaningful for suppressing the progress of osteoarthritis and its treatments because of its anti-inflammatory effects and alleviation of pain with histopathological effective efficacy. (J Korean Med Rehab 2014;24(1):31-45)

농업인을 대상으로 한 운동프로그램 관련 국내 임상연구에 대한 체계적 문헌고찰

국길호 ( Kil Ho Kook ),이은정 ( Eun Jung Lee ),오민석 ( Min Seok Oh ) 한방재활의학과학회 2011 한방재활의학과학회지 Vol.21 No.4

Objectives: This study aims to evaluate domestic clinical studies related to the exercise program targeting farmers. Methods: Five Korean databases were searched for prospective clinical trials of exercise program targeting farmers from 2001 to August, 2011. Only studies conducted in Korean language were searched. Results: Thirteen clinical studies were included among 3374 studies searched. Six were observational studies, four were non-randomized controlled trials, and three were randomized controlled trials. All of included studies reported favorable effects of exercise group compared to baseline of controlled group. Conclusions: We found various mistake in the applications of statistical methodologies in the studies of exercise program targeting farmers. It is necessary for more randomized controlled trials to evaluate effect of exercise program target farmers.

기능성 족지장단분석과 X-ray의 골반변위 진단의 비교 연구 - X-ray 촬영 자세 및 평가 기준에 따라 -

이정민,국길호,최보미,정현아,홍서영,Lee, Jung-Min,Koog, Gil-Ho,Choi, Bo-Mi,Jeong, Hyun-A,Hong, Seo-Young 척추신경추나의학회 2010 척추신경추나의학회지 Vol.5 No.2

Objectives: This study was carried out to investigate the relationship of leg length analysis and X-ray finding according to positions and valuation bases on diagnosis of pelvic malpositions. Methods: Twenty-two people who get $33.09{\pm}10.73$ as average were evaluated by leg length analysis and X-ray findings. After measuring innominate measurement(IM), femur head line. distance between S2 and posterior superior iliac spine(PSIS). ilium shadow measurement(ISM), major axis of obturator foramen(MaF), minor axis of obturator foramen(MiF) and distance between off centering measurement and symphysis pubis, those were analyzed. Results: 1. In assessment of posterior rotation malposition ilium(PI), it was showed the best coincidence between leg length analysis and X-ray analyzed by 1M in supine position(11 cases, 50.5%). 2. In assessment of inflare, coincidence index between leg length analysis and X-ray were not good($4.00{\pm}3.03$ cases, $18.15{\pm}13.82%$). And leg length analysis were not sensitive. 3. On the whole, coincidence index between leg length analysis and X-ray were not good(best: 1 case, 45.5%; worst: 11 cases, 50.0%). Conclusions: Results form this investigation showed the relationship of leg length analysis and X-ray according 10 positions and valuation bases on diagnosis of pelvic malpositions. This results are expected to contribute to establish method of assessment in diagnosis of pelvic malpositions.

발목 인대 손상에 대한 전열침(傳熱鍼)과 매선요법 및 한방요법 병행 치험 2례

이현재 ( Hyun Jae Lee ),국길호 ( Kil Ho Kook ),이은정 ( Eun Jung Lee ),안순선 ( Soon Sun An ),허동석 ( Dong Seok Heo ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.4

Objectives : This study is to evaluate the effect of heating-conduction acupuncture therapy and needle-embedding therapy on acute and chronic ankle ligament injury. Methods : The patients diagnosed with acute anterior talofibular ligament injury grade Ⅲ(case 1) and chronic medial deltoid ligament with acute anterior talofibular ligament injury grade Ⅱ(case 2) were treated by heating-conduction acupuncture therapy combined with needle-embedding therapy. Painthreshold, VAS(visual analogue scale), and ROM(range of motion) were checked on a daily basis while AHS(Ankle hindfoot scale) were examined for at least every 3 days interval. Results : After treatment, the combined therapy of heating-conduction acupuncture and needle-embedding led to more significant improvement than oriental medicine treatment solely used in 7 days from admission day. In case 1, acute ankle pain was reduced from VAS 9 to VAS 1 and inversion ROM increased to the full range with better gait without cane. AHS also increased from 47 to 82. In case 2, chronic ankle pain decreased from VAS 8 to VAS 1 and ankle dysesthesia was improved. The patient showed full ROM of ankle. AHS increased from 52 to 90. Conclusions : Heating-conduction acupuncture therapy combined with needle-embedding therapy is proved to be helpful to improve the unstability and reduce the pain of ligament sprain with over grade Ⅱ.

설진에 대한 국내의 연구동향

김빛나라 ( Binnara Kim ),국길호 ( Gil Ho Koog ),양동민 ( Dong Min Yang ),이규원 ( Kyu Won Lee ),오민석 ( Min Suk Oh ) 대전대학교 한의학연구소 2012 한의학연구소 논문집 Vol.21 No.1

Objectives : This study was aimed to review the trend of tongue diagnosis studies in Korean Medicine on various aspect and to suggest better studies. Method : We collected papers on tongue diagnosis studies in the internet site ``nanet, riss, dbpia, society`` using the keyword ``tongue diagnosis`` between 2002 and 2012. Then we analyzed them. Results : There were 33 study papers that related in tongue diagnosis between 2002 and 2012. Conclusions : To make a reproducibility and a objectivity of tongue diagnosis, it needs to have a unification of the system. So it is is necessary that having a discussion about the standard of tongue diagnosis.