전열침 시술에 호전되지 않는 요통환자에 대한 봉독약침 치료 증례보고 2례

연창호,박현건,이운섭,김종연,정석희,Yeon, Chang-Ho,Park, Hyun-Gun,Yi, Woon-Sup,Kim, Jong-Yeon,Chung, Seok-Hee 척추신경추나의학회 2012 척추신경추나의학회지 Vol.7 No.2

Objectives : According to previous reports, heating-conduction acupuncture treatment is very effective for sprain and strain of ligament. But there was no report about pain aggravation by heating-conduction acupuncture and relief from bee venom injection. In this article, we report two cases of pain aggravation by heating-conduction acupuncture treatment and relief from bee venom injection. Methods : We used heating-conduction acupuncture treatment on possible sprain of sacroiliac ligament diagnosed by physical examination. Outcomes were measured by Visual Analogue Scale(VAS), Range of Motion(ROM) and Belt test, Goldthwait test. Results : The patient has shown an aggravation on pain and ROM. And after we use subcutaneous bee venom injection, pain has relieved and ROM improved. Belt test, Goldthwait test also changed from positive to negative. Conclusions : In this report, we assured the effect of Bee venom injection. Further well-designed, controlled studies and more cases are needed to differentiate the indication of heating-conduction acupuncture and bee venom injection. 장요인대 염좌 환자 2명에게 전열침 치료를 시행하여 통증 강도가 증가하였지만 봉독약침 치료를 시행한 후 통증 강도와 요추 가동범위 및 이학적 검진상에서 호전되었음을 보고한다. 이와 같이 봉독약침에 의해 호전 될 수 있는, 염증성 병변을 내재하였거나 진행 될 가능성이 있는 환자에 대한 사전의 감별 진단에 대한 연구 및 전열침 치료의 효과 및 부작용에 대한 체계적인 연구가 추후에 필요할 것으로 사료된다.

요통을 호소하는 ALS환자에 대한 한의학적 치료 효과 증례 보고

연창호,박현건,조융기,정재영,이상민,김성수,Yeon, Chang-Ho,Pak, Hyun-Gun,Jo, Yoong-Ki,Jung, Jae-Young,Lee, Sang-Min,Kim, Sung-Soo 척추신경추나의학회 2010 척추신경추나의학회지 Vol.5 No.2

ALS를 진단받았으며 2010.5.11부터 2010.6.10까지 ${\bigcirc}{\bigcirc}$한방병원에 입원한 요통을 호소하는 남환에 대하여 화침치료, 전침치료, 침치료, 구치료, 약물치료, 이학요법 등을 시행한 결과 K-ODI, VAS, K-ALSFRS-R 등의 평가 항목에 대하여 호전 경향을 보였다. ALS는 기본적으로 진행성 경과를 밟는 질환이기 때문에, 병의 진행을 늦추는 것과 대증치료를 통해 삶의 질을 높이는 것이 중심이 된다고 볼 수 있다. 본 환자의 경우 상기 한의학적 처치에 의해 일정한 효과가 나타났다. ALS에서 수반되는 요통의 호전에 의해 기능수행능력이 향상된 결과라고 볼 수 있다. 이는 한의학적 치료 방법이 ALS 환자의 치료에 있어서 통증을 감소시키고 일상생활에서의 기능수행능력을 향상시킴으로써 삶의 질을 높이는 대중치료의 역할을 수행할 수 있다는 단서라고 할 수 있다. 치료효과의 검증을 위해서는 추후 지속적인 증례 연구가 필요할 것으로 사료된다. Objectives : This study was performed to report the effect of oriental medical treatment in the lower back pain(LBP) with amyotrophic lateral sclerosis(ALS). Methods : A 32-years-old man who diagnosed as ALS was admitted with LBP. We treated him by burning acupuncture, herbal medicine, acupuncture, electroacupuncture, moxibustion, cupping therapy and physical therapy from 11th May 2010 to 10th June 2010. Results : After treatment, there was improvement in LBP. Pain Intensity estimated by visual analog scale(VAS) as percentile Pain Intensity Difference(PID), Korean Owestry Disbility Index(KODI) was also improved. Korean version of Amyotrophic lateral sclerosis Functional rating scale-revised(K-ALSFRS-R) shows that the patient's physical ability has been improved. Conclusions : Our study suggests that oriental medical treatment are significantly effective in the LBP due to ALS. And further studies will be aid to identify underlying mechanism of treatment.

지연성 근육통의 근복부와 근건이행부 자침효능 비교

연창호 ( Chang Ho Yeon ),정석희 ( Seok Hee Chung ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.2

Objectives :To estimate the difference on effects of superficial acupuncture at biceps brachii muscle belly and musculotendinal junction on symptoms in exercise-induced delayed onset muscle soreness(DOMS). Methods :A prospective, randomized, controlled, observer and subject-blinded trial was taken. 33 healthy subjects were randomly assigned to three treatment groups : muscle belly(needling at the center of biceps brachii belly; n=11), musculotendinal junction(needling at the margin of biceps brachii belly; n=11), and control(sham needling; n=11). DOMS of the non-dominant elbow-flexors was experimentally induced through eccentric contractions until exhaustion. The outcome measures were pain perception(visual analogue scale, VAS; range: 0-10 cm), mechanical pain threshold(MPT) by pressure algometer, electrical contraction and fatigue by superficial electromyography. Treatment was applied immediately, 24 and 48 hours after DOMS induction. Measurements of MPT were made prior to DOMS induction as well as before and after every treatment session. VAS data were acquired after DOMS induction as well as pre-and post-treatment. Final pain, MPT were performed 72 hours after DOMS induction. Results :Following nonparametric testing, there were no significant differences between groups in outcome measures at baseline without MPT. After 72 hours, pain perception(VAS) was significantly lower in the musculotendinal junction group compared to the muscle belly and control subjects. However, the mean MPT, electrical contraction and fatigue scores were not significantly different between groups. Conclusions :Although acupuncture seemed to have no effects on mechanical pain threshold, electrical contraction and fatigue, it proved to reduce perceived pain arising from exercise-induced muscle soreness.

근에너지 기법의 임상적 활용에 대한 국내외 연구조사 -2000년 이후 발표된 임상 실험 논문을 중심으로-

최효정 ( Hyo Jeong Choi ),연창호 ( Chang Ho Yeon ),이상민 ( Sang Min Lee ),정석희 ( Seok Hee Chung ),김성수 ( Sung Soo Kim ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.3

Objectives :Muscle energy techniques(MET) are used commonly for lengthening shortened musculature, improving joint function and range of motion. This article reviews articles on MET published for recent 11 years to consider effectiveness of MET. Methods :We searched Pubmed, KSI, KERIS, KMBASE, and national assembly library using “Muscle Energy Techniques” and classified the articles into subsets of posture, pain relief, increasing the range of movement, lengthening shortened muscles and inactivation of myofascial trigger points(MTrPs). Also we evaluated their values according to the Jadad Scale. Results :A total of 20 articles reconfirmed that MET reduce pain, increases range of motion(ROM), lengthens shortened muscles(especially hamstring) and inactivates MTrPs. But domestic articles scores 0 to 1 points in Jadad Scale. Researchers should make an effort to write clinically more reliable randomized controlled trials(RCTs). Conclusions :MET may be applied on various musculoskeletal problems, and further studies analysing its effect are needed.

Sprague-Dawley계 흰 쥐에 대한 발효녹용 추출물의 항피로 효과

정원석 ( Won Suk Chung ),김성수 ( Sung Soo Kim ),오재근 ( Jae Keon Oh ),이준환 ( Jun Hwan Lee ),김고운 ( Koh Woon Kim ),조융기 ( Yoong Ki Jo ),연창호 ( Chang Ho Yeon ),이종수 ( Jong Soo Lee ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.1

목적 : 이 연구는 Sprague-Dawley계 흰 쥐에 대한 발효녹용 추출물의 항근피로 효과를 관찰하는 것을 목적으로 하였다. 방법 : 한 군 당 10마리의 쥐를 각각 4개의 군으로 무작위 배정했다. 대조군에게는 생리식염수를 투여하였고, 양성대조군에게는 100 mg/kg 용량의 녹용 물추출물을, 실험군 1에게는 50 mg/kg 용량의 발효녹용 추출물을, 실험군 2에게는 100 mg/kg 용량의 발효녹용 추출물을 각각 투여하였다. 7일 간의 투여 이후, 4개의 군은 각각 high intensity exercise model과 prolonged exercise model를 개량한 강제 유영 실험을 거쳤다. 그 이후에, 유영 시간 및 혈액화학적 지표를 관찰하였다. 결과 : High intensity exercise model을 개량한 강제 유영 실험에서, 녹용은 용량의존적으로 유영 시간을 연장시켰다. 실험군 2는 대조군과 비교해서 약 600% 긴 유영 시간을 나타냈다(p<0.001). Prolonged exercise model을 개량한 강제 유영 실험에서는, 혈당(p<0.001)과 유리지방산(p<0.05, p<0.01)이 대조군에 비해 양성대조군과 실험군 1, 2에서 모두 유의한 회복효과를 나타냈다. 결론 : 발효녹용 추출물은 녹용의 물추출물과 유사한 항근피로효과를 나타냈으며, 수율을 감안하면 녹용 물추출물의 1/5에 해당하는 용량으로 같은 정도의 효과를 낼 수 있을 것으로 사료된다. Objectives :The aim of this study was to investigate the Anti-muscle fatigue effect of fermented deer velvet antler extract in Sprague-Dawley rats. Methods : Rats were randomly divided into four groups of 10 mice each according to a randomized block design. Saline solution was orally administered to the control group, 100 mg/kg of water-extract of deer velvet antler to the positive control group, 50 mg/kg of fermented deer velvet antler extract to experimental group 1 and 100 mg/kg of fermented deer velvet antler extract to experimental group 2. Each of the four groups were treated for seven days and then participated in a forced swimming test which applied both a high intensity exercise model and a prolonged exercise model. We observed swimming times and examined blood biochemical parameters. Results : In the high intensity exercise model, the effect of the deer velvet antler was seen in the increased swimming times. Experimental group 2 swam for approximately 600% longer as compared to the control group(p<0.001), indicating that the recovery effect is dose-dependent. In the forced swimming tests using the prolonged exercise model, blood sugar levels(p<0.001) and free fatty acid levels(p<0.05, p<0.01 each) in the positive control group and experimental groups 1 and 2 demonstrated a significant recovery effect in comparison with the control group. Conclusions : Fermented deer velvet antler extract may have an Anti-muscle fatigue effect similar to that of deer velvet antler extract and could be used when it has an effect equal to one-fifth of the amount considering the yield rate.