편마비 환자에서 八邪穴 刺鍼이 가속도맥파에 미치는 영향

여경찬,윤인애,김지나,방성필,문성일 대한침구의학회 2010 대한침구의학회지 Vol.27 No.2

Objectives : The second derivative of photoplethysmogram waveform(SDPTG) is a simple, convenient and non-invasive technique for pulse wave analysis. This study was designed to investigate the differences in the SDPTG between the affected side and the unaffected side in hemiparetic patients after stroke, and the effects of acupuncture at Palsa(BaXie) in hemiparetic patients after stroke. Methods : To evaluate the differences between the affected side and the unaffected side in hemiparetic patients after stroke, their SDPTG were recorded by using a Cardio Peri SA6000. To evaluate the effects of acupuncture at Palsa(BaXie) in 20 hemiparetic patients after stroke and 20 healthy subjects, their SDPTG were recorded 2 times(pre-acupuncture and post-acupuncture). The SDPTG consists of an a, b, c and d wave in systole and an e wave in diastole. Sano aging index was defined as (b-c-d)/a. Results :1. The affected side in hemiparetic patients after stroke had higher average b/a ratio(p<0.05)and Sano aging index(p<0.05) than the unaffected side 2. In a comparison of pre-acupuncture and post-acupuncture at the Palsa(BaXie), b/a ratio(p<0.05) and Sano aging index(p<0.05) was decreased significantly in both hemiparetic patients and healthy subjects. Conclusions : These findings suggest that acupuncture at Palsa(BaXie) may be effective method of reverting some of the deleterious effects on vascular function produced by stroke.

경항통 환자의 치료시 자세이완치료 효과에 대한 임상적 연구

여경찬,윤인애,김지나,문성일,Yeo, Kyeong-Chan,Yoon, In-Ae,Kim, Ji-Na,Moon, Sung-Il 척추신경추나의학회 2010 척추신경추나의학회지 Vol.5 No.1

Objectives: The purpose of this study is to evaluate the therapeutic effect of Positional Release Therapy on patients of neck pain, Methods: 12 patients was treated by Positional Release Therapy(PRT) combined with acupuncture, We measured the Visual Analog Scale(VAS) and Neck Disability Index(NDI) before and after treatment The statistical analysis was performed by using the Wilcoxon signed rank test. Results: 1. Patients showed significant improvement in VAS after treatrnent(p<0.05). 2. Patients showed significant improvement in NDI after treatment(p<0.05). Conclusion: These results imply that Positional Release Therapy combined with acupuncture would be effective on relieving pain and increasing functional ability in daily-life of patients of neck pain.

자세이완치료를 병용한 침구치료가 급성기 족관절 염좌의 치료에 미치는 영향에 대한 임상적 연구

정다운,여경찬,윤인애,문성일,Jeong, Da-Un,Yeo, Kyeong-Chan,Yoon, In-Ae,Moon, Sung-Il 척추신경추나의학회 2009 척추신경추나의학회지 Vol.4 No.1

Objectives: The purpose of this study is to evaluate the therapeutic effect of acupuncture treatment of acute ankle sprain combined with positional release therapy. Methods: A prospective randomized single blind study between positional release group and knee flexed supine position group was conducted. Patients with ankle sprain within 48 hours were evaluated by Ankle injury grade chart(AIGC). In group A, positional release therapy was combined with acupuncture, whereas in group B, acupuncture was conducted in knee flexed supine position. The treatment was planned for a duration of 1 week, 3times a week. In AIGC scores, VAS, weight bearing time and weight bearing time in blind were followed up and compared. Results and Conclusion: The VAS score decreased in both group. Weight bearing time increased in group B, weight bearing time in blind increased in group A. Comparing the therapeutic effect of each group, group A had significant effectiveness in weight bearing time in blind. So we may conclude that Acupuncture treatment combined with positional release therapy is effective and recommandable at early stage of ankle sprain.

요통과 경추, 요추전만의 관계에 대한 임상적 연구

정다운,여경찬,윤인애,강현선,문성일 대한침구의학회 2009 대한침구의학회지 Vol.26 No.2

Objectives : This study was designed to investigate the correlation between cervical, lumbar lordosis and low back pain(LBP), sex, age and duration of LBP. Methods : Cervical, lumbar lordosis(by Cobb’s Method) and Ferguson’s angle were measured and evaluated in LBP group and control. Radiograph was taken in lateral direction, erect position. Cobb’s angle between C1-C7, C2-C7, L1-L5, L1-S1 and Ferguson’s angle were measured and investigated with statistical program. Results : 1. Cervical lordosis have no relation to LBP, sex and age. 2. Lumbar lordosis and Ferguson’s angle have no relation to LBP and sex. 3. Cobb’s angle L1-L5 have no relation to age. Lumbar lordosis from L1 to S1(Cobb’s angle L1-S1) increased in old group(Age>40) compared to young group(Age≤40). 4. In LBP group, Cobb’s angle L1-S1 have no relation to duration of LBP. Lumbar lordosis from L1 to L5(Cobb’s angle L1-L5) decreased in acute LBP group compared to Chronic group. Conclusions : Cervical, lumbar lordosis and Ferguson’s angle have no relation to LBP and sex. As far as age is concerned, old group have larger lumbosacral lordosis than young group. Acute LBP group have smaller lumbar lordosis(Cobb’s angle L1-L5) than chronic group.

環跳(GB30) 草烏藥鍼이 L5 척수신경 결찰에 의한 흰쥐의 동통모델에 미치는 영향

방성필,류미선,김재홍,위통순,윤대환,윤여충,여경찬,정호석 대한침구의학회 2009 대한침구의학회지 Vol.26 No.6

Objectives : The purpose of this study is to examine if Radix Aconiti herbal acupuncture may be effective to the neuropathic pain(mechanical allodynia, cold allodynia) in a rat model of neuropathic pain. Methods : To produce the model of neuropathic pain, under isoflurane 2.5% anesthesia, L5 spinal nerve was ligated by 6-0 silk thread. After neurophathic surgery, the author examined if the animals exhibited the behavioral sign of allodynia. The allodynia was assessed by stimulating the medial malleolus with von frey filament and acetone. Three days after the neuropathic surgery, Radix Aconiti herbal acupuncture was injected at Hwando(GB30) one time per two days for 2 weeks. After that, the author examined the withdrawal response of neuropathic rats' legs by von frey filament and acetone stimulation. And also the author examined c-Fos in the midbrain central gray of neuropathic rats and the change of WBC, RBC, HGB, HCT count in the blood of neuropathic rats. Results : The Radix Aconiti herbal acupuncture injected Hwando(GB30) decreased the withdrawal response of mechanical allodynia that assessed with von frey filament in RA1-GB30, RA2-GB30 group as compared with control group. The Radix Aconiti herbal acupuncture injected Hwando(GB30) decreased the withdrawal response of chemical allodynia(cold allodynia) that assessed with acetone in RA1-GB30, RA2-GB30 group as compared with control group. The Radix Aconiti herbal acupuncture injected Hwando(GB30) showed the significant between control group and RA2-GB30 group in the c-Fos expression. The Radix Aconiti herbal acupuncture injected Hwando(GB30) did not show the significant between control group and RA1-GB30 group, RA2-GB30 group and RA3-GB30 group in the WBC, RBC, HGB, HCT count. Conclusions : We have noticed that Radix Aconiti herbal acupuncture at Hwando(GB30) decreased mechanical allodynia and cold allodynia in the model of neuropathic pain compared with the control group. C-fos expression in the central gray of that group was also decreased compared with the control group. This study can be used as a basic resource on a study and a treatment of pain.

좌골신경통을 동반한 측만증 환자에 대한 한방치료와 신발 높이기 병행에 대한 증례연구

방성필,김성필,김진우,류혜선,천혜선,류미선,김재홍,위통순,윤여충,여경찬,정호석 대한침구의학회 2010 대한침구의학회지 Vol.27 No.5

Objectives : The purpose of this study was to investigate the effect of Korean medicine and Shoe Lift for scoliosis with sciatic pain patient. Methods : The patient who has scoliosis and sciatic pain was treated by Korean medicine and Shoe Lift. The patient's symptoms were assessed by Cobb’s angle, correctability, verbal numberical rating scale(VNRS) and revised oswestry disability questionnaire(RODQ) every week. Results : After 18weeks treatment, Cobb’s angle correctability was 34.357%. Patient’s VNRS score and RODQ score were decreased each from 10 to 1 and from 41 to 6. Conclusions : This result suggest that Korean medicine and Shoe Lift were effective treatment on patient for scoliosis with sciatic pain.

MRI상 극상근건 부분파열로 진단받은 견비통 환자의 치험 2례 보고

정다운(Da-Un Jeong),송수철(Soo-Cheol Song),여경찬(Kyeong-Chan Yeo),김기역(Ki-Yuk Kim),이현주(Hyun-Ju Lee),문성일(Sung-Il Moon) 대한한의학회 2009 대한한의학회지 Vol.30 No.1