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고연석 ( Youn Seok Ko ),박태용 ( Tae Yong Park ),공재철 ( Jae Cheol Kong ),오원교 ( Won Kyo Oh ),송용선 ( Yung Sun Song ),신병철 ( Byung Cheul Shin ) 한방재활의학과학회 2006 한방재활의학과학회지 Vol.16 No.4
Objectives : The aim of the present study was to report the safety of cervical Chuna manipulation treatment (CCMT). We investigated the mechanism and complications of adverse reactions associated with CCMT, and newly demonstrated three cases in litigation. Methods : We searched relevant case reports, surveys, and review articles using a comprehensive databases of online and bibliography, combed adverse cases in clinical field. Results : A relative-to-absolute contraindication to cervical Chuna manipulation was circulatory and haematological disorders, neurological disorders, bone-weakening and destructive disorders, articular derangement or psychological factors. The majority of adverse reactions were mild or moderate in 85~90%, began within 4 h and generally disappeared within the next 24 h, at least one of them was reported by 30.0~60.9% of the patients after cervical manipulation. The most common were local discomfort (15.2~53.0%), headache (10.0~19.8%), stiffness (19.5~25.0%), tiredness (10.0~12.1%), or radiating discomfort (10.0~23.0%). The two of reported clinical cases were the occurrence of retropharngeal hematoma and cervical herniated disc disease after CCMT. The one was not a fault of practitioner, but complain for compensation. Conclusions : Manipulation of the cervical spine may also be associated with higher complication rates than previously reported. Although It is difficult to estimate the incidence of cervical manipulation complications, it is important to differentiate those patients who are susceptible to adverse reactions in order to inform them correctly.
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.