뇌졸중 편마비 환자에서 추나요법을 통한 하지길이차이 교정의 효과

권오곤 ( O Gon Kwon ),장우석 ( Woo Seok Jang ),우창훈 ( Chang Hoon Woo ),안희덕 ( Hee Duk An ) 한방재활의학과학회 2009 한방재활의학과학회지 Vol.19 No.2

Objectives: The purpose of this study is to investigate the efficacy of adjusting leg length inequality(LLI) by chuna manual treatment for post-stroke hemiplegia. Methods: 39 patients with stroke-originated hemiplegia who had leg length inequality were included in this study. Chuna manual treatment at pelvic girdle was applied to 20 patients and they had been treated by general oriental rehabilitation therapy(test group). The other 19 patients had been treated by general oriental rehabilitation therapy only(control group). Outcomes were assessed by Modified Barthel Index(MBI), Berg Balance Scale(BBS), lower extremity Fugl-Meyer Assessment(FMA) at the point of beginning and end of the study. Results: 1. In terms of activity of daily living(ADL), test group showed statistically meaningful differences compared to control group(p<0.05). In subacute group(onset had been past under 6 months), test group didn`t showed statistically meaningful differences compared to control group. In chronic group(onset had been past over 6 months), test group didn`t showed statistically meaningful differences compared to control group. 2. In terms of lower extremity function and balance, test group showed statistically meaningful differences compared to control group(p<0.05). In subacute group, test group didn`t showed statistically meaningful differences compared to control group. In chronic group, test group showed statistically meaningful differences compared to control group(p<0.01). 3. In terms of lower extremity function of hemiplegic side, test group showed statistically meaningful differences compared to control group(p<0.05). In subacute group, test group didn`t showed statistically meaningful differences compared to control group. In chronic group, test group showed statistically meaningful differences compared to control group(p<0.05). Coclusions: Adjusting LLI by chuna manual treatment is efficacious for rehabilitation of stroke-originated hemiplegia, in terms of ADL, balance and lower extremity function, and is especially efficacious for chronic patients.

특집: 대한민국 헌정 50년 : 제3주제 토론 ; 박정훈 교수의 주제발표(헌법과 행정법)에 대한 지정토론문

권오곤 ( Kwon O Gon ) 서울대학교 법학연구소 1999 서울대학교 法學 Vol.39 No.4

개혁의 현장 : 대구광역시 ; 민관 협력의 시민운동 -담장허물기 운동, 토요알뜰장터 운영 등 시민운동 사업 추진-

권오곤 ( Kwon O Gon ) 대한지방행정공제회 2003 地方行政 Vol.52 No.595

Sacro-Occipital Technique이 중풍 환자의 일상생활동작, 하지기능·균형에 미치는 효과

권오곤(Oh Gon Kwon),김민수(Min Su Kim),안희덕(Hee Duk Ahn),우창훈(Chang Hoon Woo) 척추신경추나의학회 2007 척추신경추나의학회지 Vol.2 No.2

Objectives : The purpose of this study is to investigate the efficacy of Sacro-Occipital Technique with stroke on activity of daily living(ADL), leg function ㆍbalance. Methods : Sacro-Occipital Technique at pelvic girdle was applied to six stroke-originated hemiplegic patients who had been treated by general oriental medicine rehabilitation therapy(sample group). The other five stroke-originated hemiplegic patients had only general oriental medicine rehabilitation therapy(control group). Outcomes were assessed by Modified Barthel Index(MBI), Berg Balance Scale(BBS) before and after treatment in each group. Results : Both sample and control group exhibited substantial improvements on the MBI and BBS. And BBS showed significantly meaningful differences between sample and control group. Conclusions : Sacro-Occipital Technique may be efficacious method of improving ADL, leg functionㆍbalance of patients after stroke.

강활도체탕(羌活導滯湯) 물 추출물의 Adjuvant 유발 류마티스 관절염 랫트에 대한 관절연골 보호효과

권오곤 ( O Gon Kwon ),안희덕 ( Hee Duk An ) 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.2

Objectives : This study was conducted to determine whether or not Kangwhaldoche-tang(Qianghuodaozhl-tang)(KDT)aqueous extracts can protect articular cartilage losses on the Freund’s complete adjuvant(FCA)-induced rat rheumatoid arthritis. Methods : 520, 260 or 130 mg/kg of KDT were orally administered once a day for 14 days from 14 days after FCA treatments, and 15 mg/kg of dexamethasonewas intraperitoneally administered as reference drug in this experiment. Changes on the body weight, knee circumferences, gross arthritis score,inflammatory tissue prostaglandin(PG) E2 levels were monitored with cartilage collagen components and glucosaminoglycans(GAGs) compositions .chondroitin sulphate, heparin sulphate and hyaluronic acid in the present study. Results : As results of FCA treatment, classic rheumatoid arthritis featuring dramatic decreases of the body weights, cartilage collagen and GAGs contents with increases of the knee circumferences, gross arthritis scores and inflammatory tissue PGE2 levels, were demonstrated in the present study. However, these changes from FCA - induced rheumatoid arthritis were clearly inhibited by treatment of dexamethasone and all three different dosages of KDT. Although overall anti-inflammatory effects of KDT 520 mg/kg were lowered than those of dexamethasone 15 mg/kg treated rats, KDT 520 mg/kg showed more favorable preserve effects on the cartilage GAGs and KDT 260 mg/kg treated rats showed similar preserve effects as compared with dexamethasone 15 mg/kg in this experiment. Conclusions : The present results supported that over 75 mg/kg of KDT showed favorable anti-arthritic effects on the FCA-induced arthritis mediated by suppression of PGE2, representative inflammatory mediator, and may help improve rheumatoid arthritis.

요통환자에서 중성어혈 약침 사용 용량에 따른 효과

정만진,권오곤,우창훈,안희덕,Jeong, Man-Jin,Kwon, O-Gon,Woo, Chang-Hoon,An, Hee-Duk 대한약침학회 2011 Journal of pharmacopuncture Vol.14 No.2

Objectives : The object of this study is to analyse about Low Back Pain's intensity according to dosage of Jungsongouhyul pharmacopuncture. Method : Three groups were made with 15 patients in Po-Hang Oriental Hospital, which is affiliates to Daegu Haany University. They were observed August 1st, 2010 to September 30th. 2010. Each group was treated by based on acupuncture, herb and other therapy and differential dosage of Jungsongouhyul pharmacopuncture 0,4, 0.8, and 1.2cc. We had measured pain threshold and Visual Analog Scale during first week of their admission. The statistical analysis was performed by using the oneway ANOVA and Tukey's test. Result : Change of VAS was not statistically significant. Change of pain threshold was statistically significant. Multiple comparisons of pain threshold between the group1,2 was not statistically significant. Multiple comparisons of pain threshold between the group1,3 and group2,3 was statistically significant. Conclusions : Jungsongouhyul Pharmacopuncture 1.2cc was more effective than 0.4 and 0.8cc.

Therapeutic Effects of Binsosan(檳蘇散) on Adjuvant-induced Rheumatoid Rats

안건상,우창훈,권오곤,안희덕,An, Keun-Sang,Woo, Chang-Hoon,Kwon, O-Gon,An, Hee-Duk The Korean Medicine Society for the Herbal Formula 2008 大韓韓醫學方劑學會誌 Vol.16 No.2

실험목적 : 빈소산은 11가지 생약으로 구성된 복합 한약 처방으로 관절염을 포함한 다양한 염증성 질환의 치료제로 사용되어 왔으나, 관절염에 대한 직접적인 효력평가는 찾아 보기 힘들다. 따라서 본 실험에서는 빈소산 추출물이 Freund's complete adjuvant (FCA)로 유발된 rat 류마티스성 관절염에 미치는 치료 효과를 dexamethasone (15mg/kg, 복강 투여) 의 효과와 비교 평가하였다. 실험방법 : 류마티스성 관절염은 FCA (10mg in 1ml paraffin oil 0.1ml/rats)를 좌측 후지에 피내 투여하여 유발하였다. 실험동물은 Wistar 랫트를 사용하였고, FCA 투여 14일 후 유사한 무릎관절 둘레를 나타내는 류마티스성 관절염 유발 rat와 정상 rat 및 실험군을 그룹당 9마리씩 나누었다. 실험동물은 100 또는 200mg/kg의 빈소산 추출물을 FCA 투여 14일 후부터 14일간 경구 투여하였으며, dexamethasone은 15mg/kg 농도로 복강 투여한 다음, 희생하여, 체중, 연골내 collagen 함량 및 chondroitin sulphate, heparin sulphate 및 hyaluronic acid와 같은 뼈내 glycosaminoglycan 함량의 변화를 각각 관찰하였다. 실험결과는 항염 효과가 이미 입증되어 있는 dexamethasone 15mg/kg 복강 투여군과 비교하였다. 결과 : FCA 투여는 현저한 체중, 연골내 collagen 함량 및 chondroitin sulphate, heparin sulphate 및 hyaluronic acid와 같은 뼈내 glycosaminoglycan 함량의 감소와 함께 유발 관절 둘레 및 조직내 prostaglandin $E_2$의 증가와 같은 전형적인 류마티스성 염증을 초래하였으나, 이러한 류마티스성 관절염 소견은 dexamethasone 및 모든 용량의 빈소산 추출물 투여에 의해 현저히 억제되었으며, 특히 빈소산 투여군에서는 투여 용량 의존적인 감소가 인정되었다. 결론 : 이상에서 빈소산 추출물은 투여 용량 의존적인 prostaglandin $E_2$ 억제를 매개하여 FCA 유발 류마티스성 관절염에 대한 치료 효과를 나타내는 것으로 관찰되었다. 따라서 새로운 관절염에 대한 치료제로서 개발 가능성이 있을 것으로 판단된다. 한편 빈소산 추출물은 주로 prostaglandin $E_2$ 억제작용에 의해 항염 효과를 나타내는 것으로 관찰되었으나, 금후 다른 작용기전에 대한 연구와 빈소산의 구성성분 중 유효 성분 규명을 위한 실험이 수행되어야 할 것으로 판단된다.

급성 족관절 염좌에 대한 침구병행 치료와 침 단독 치료 효과의 비교 연구

우창훈 ( Chang Hoon Woo ),권오곤 ( O Gon Kwon ),안희덕 ( Hee Duk An ) 한방재활의학과학회 2010 한방재활의학과학회지 Vol.20 No.1

Objectives :The purpose of this study is to compare with the effect of acupuncture treatment with or without indirect moxibustion treatment for acute ankle sprain. Methods :This study was carried out on the 48 patients who had been treated for acute ankle sprain from June 1st to November 30th 2009 in the Dept. of Oriental Rehabilitation, Pohang Oriental Medical Hospital, Daegu Hanny University. The patients were divided into 3 groups ; Group A took near acupuncture point needling, Group B took remote acupuncture point needling, Group C took remote acupuncture point needling with indirect moxibustion. 3 Groups had been co-treated with rest, ice, compression and elevation(RICE) therapy, physical treatment and administered Ojeok-san(Wuji-san) extract granule. To evaluating the efficiency of each treatment, Ankle-Hindfoot Scale(AHS) and Visual Analogue Scale(VAS) were applied before treatment and after 3rd treatment. Results :In results, the AHS scores were increased and the VAS scores were decreased after 3rd treatment in all group. Also, AHS scores and the VAS scores of intergroup were showed no significant change. Conclusions :In this study, there is no significant effect between only acupuncture treatment and moxibustion co-treatment for acute ankle sprain.

뇌졸중 편마비 환자에서 추나요법을 통한 하지길이차이 교정이 뇌혈류에 미치는 영향

배병찬 ( Byung Chan Bae ),권오곤 ( O Gon Kwon ) 대구한의대학교 제한동의학술원 2010 東西醫學 Vol.35 No.3

한방임상진료지침 개발에 대한 연구

정만진 ( Man Jin Jeong ),권오곤 ( O Gon Kwon ),우창훈 ( Chang Hoon Woo ),안희덕 ( Hee Duk An ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.2

Objectives :This study is intended to understand the developmental needs and directions of oriental medicine clinical practice guideline. Methods :Looking through previous studies, reported guideline and bibliography, we could find out the current state of oriental medicine clinical practice guideline. Results & Conclusions :1. Standardized oriental medicine clinical practice guideline is needed based on evidence-based medicine(EBM). 2. At the current state of oriental medicine clinical practice guideline, development through formal consensus is needed, which is one of methodology of clinical practice guideline. 3. More studies are needed to develop oriental medicine clinical practice guideline.