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외상 후 슬관절 강직에 대한 복합 한의치료의 경과: 증례보고
이건영 ( Geon-yeong Lee ),설재욱 ( Jae-uk Seol ),조희근 ( Hee-geun Jo ),권민구 ( Min-gu Kwon ),정신영 ( Sin-yeong Jeong ),김종환 ( Jong-hwan Kim ),박어진 ( Eo-jin Park ) 대한한의학회 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.2
The purpose of this study is to illustrate the potential for clinical improvement in treating a patient with a case of Posttraumatic Knee Stiffness with a combination of Korean medicine therapy. We treated the patient with acupuncture, electroacupuncture, CHUNA manual therapy and Interferential Current Therapy from 5<sup>th</sup> December 2016 to 13<sup>th</sup> January 2017 (total 29 times) by evaluating knee function with VAS score. After six weeks of treatment, this patient achieved effective outcome following the technique, showing that clinical symptom as able to walked and pain was relieved, VAS changed from 10 to 2 and the knee flexion ROM (active/passive) changed from 30/60 degrees to 120/140 degrees. This result shows that Korean Medicine therapy may be an effective option for Posttraumatic Knee Stiffness. Further clinical studies are needed to clarify the effect of Korean Medicine therapy on Posttraumatic Knee Stiffness. (J Korean Med Rehabil 2017;27(2):109-115)
대만 건강보험청구데이터(NHIRD)를 이용한 전통 동아시아 의학(TEAM) 임상연구의 현황
정창운 ( Chang-woon Jeung ),조희근 ( Hee-geun Jo ),설재욱 ( Jae-uk Seol ) 대한한의학회 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.2
Objectives The study of the clinical effects of traditional east asian medicine (TEAM) using Taiwan national health insurance claim dataset (NHIRD) is useful in Korean Medicine research. We reviewed the clinical studies of TEAM using NHIRD as a whole through this study. Methods We comprehensively searched PUBMED and NHIRD DB for clinical effects of TEAM study using NHIRD from inception to 17, January 2017. As a result, 40 studies investigating the contribution of TEAM intervention to health benefit have been confirmed. We analyzed publication time, target disease, sample size, outcome measurement and main result of 40 searched studies. Results The number of TEAM studies using NHIRD grdually increasing. The topics of the team study using NHIRD covered a wide range of subjects including cardiovascular disease, tumor, gynecological disease, diabetes and kidney disease. The studies have shown large samples and reported significant effects on severe diseases. Conclusions The results of this study suggest that the study of Korean Medicine using Big data will be useful for decision making related to health care in Korea. However, considering the limited domestic Korean health insurance data, it will be necessary to activate the big data research of Korean Medicine through the establishment of a separate cohort in Korea. (J Korean Med Rehabil 2017;27(2):67-75)
김종환 ( Jong Hwan Kim ),조희근 ( Hee Guen Jo ),설재욱 ( Jae Uk Seol ) 대한한방신경정신과학회 2017 동의신경정신과학회지 Vol.28 No.4
Objectives: To establish a base for further research by reviewing studies on traditional Chinese medicine treatment for Tourette Syndrome. This is the purpose of this study. Methods: Clinical studies involving the effects of traditional Chinese medicine treatment for Tourette Syndrome, published January 2010∼June 2017, were obtained from CNKI, Pubmed. Selected Studies were evaluated by the Jadad Scale. Results: Among a total of 252 articles, 39 articles that meet the criteria were selected. ‘Diagnostic and Statistical Manual for Mental Disorders, 4th edition (DSM-Ⅳ)’ was most frequently used as diagnosis criteria. ‘Yale Global Tic Severity Scale (YGTSS)’ was primarily used for outcome measurements. Most of the studies showed effective results of traditional Chinese medicine therapy. However, the quality of a selected clinical studies was low. Conclusions: Despite several limitations, various studies to prove limited yet effective traditional Chinese medicine treatment on Tourette Syndrome provides much significance. Subsequent studies conducted by the complementary systematic review and well-designed clinical trials using the methodological quality will be needed to more firmly validate the effect of traditional Chinese medicine therapy.
EMR데이터를 이용한 일개 한방병원의 한양방협진체계 분석: 예비연구
권민구 ( Min-goo Kwon ),조희근 ( Hee-geun Jo ),김종환 ( Jong-hwan Kim ),정창운 ( Chang-woon Jeung ),고용준 ( Yong-jun Go ),설재욱 ( Jae-uk Seol ),이상영 ( Sang-young Lee ) 대한한의학회 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.2
Objectives The purpose of this study is to understand the condition of the Ease-West Integrative Care system in one of Korean Medical hospital, to develop more effective system, and to collect advance information for future research. Methods We analyzed patient`s status, patient`s composition and the ranking of the major disease code. In addition, we investigated the operating system of how Ease-West Integrative Care in hospitals is operating in order to grasp the actual situation is being done. Results As a result of analyzing the status, there was a balanced cooperation between the Korean Medicine and Western Medicine with a ratio of 0.86:1. The disease status from Korean Medicine to Western Medicine were mostly occupied by stroke patients and from Western Medicine to Korean Medicine fragment were mostly by musculoskeletal pain patients. Conclusions The results of this study showed that the Ease-West Integrative Care system of surveyed Korean Medical hospital has more integrated medical characteristics than previous studies in terms of quality and quantitative. Future research based on detailed data collection and review for a longer period is expected in the further. (J Korean Med Rehabil 2017;27(2):93-99)