요통 환자의 기립위 및 좌,우 외측굴곡시 방사선 사진을 통한 요추 회전변위 분석

허동석 ( Dong Seok Heo ),박석우 ( Seok Woo-park ),박영회 ( Young Hoi Park ),금동호 ( Dong Ho Keum ) 한방재활의학과학회 2003 한방재활의학과학회지 Vol.13 No.2

Objectives : Rotation on vertebra body is common reason causing low back pain and leg radiating pain patients. The present study investigated analysis of the radiological findings on lumbar vertebra rotation between erect position and erect both lateral bending position lumbar AP views in low back pain patients. Method : The study population consisted of 70 patients(outpatients and inpatients clinic of the Dept. of Oriental Rehabilitation Medicine, Dong-Guk Oriental Medical Hospital in Bundang) who were evaluated with X-ray findings of erect position and erect both lateral bending position lumbar AP views. First, patients were measured erect position lumbar AP views by Nash-Moe`s degree. Second, patients were measured erect both lateral bending position lumbar AP views by intervertebral disc space at convexity region and rotation on lumbar vertebral body. They divided into four groups by type of Grice and Cassidy`s classification. Results : 1. The distribution of sex in the low back pain with leg radiating pain was male 30(42.86%) cases, female 40(57.14%) cases. According to age, 30-40s 23(32.9%) cases, 40-50s 15(21.4%) cases, 20-30s 13(18.6%) cases, 50-60s 9(12.9%) cases, 60-70s 5(7.1%) cases, 70-80s 3(4.3%) cases, each 10-20s and 80-90s one case (1.4%). 2. According to Nash-Moe`s degree by erect position lumbar AP view, the grade 0 was male 8(11.4%) cases, female 10(14.3%) cases, the grade Ⅰ was male 17(24.3%) cases, female 22(31.4%) cases, the grade Ⅱ was male 5(7.1%) cases, female 8(11.4%) cases. 3. According to symptoms, first, patients with low back pain were male 22(31.4%) cases, female 20(28.6%) cases. second, patients with leg radiating pain were male 8(11.4%) cases, female 20(28.6%) cases. 4. According to type of Grice and Cassidy`s classification by erect both lateral bending position lumbar AP views, the type Ⅰ was normal group 7(10.0%) cases, the type Ⅲ and Ⅳ were abnormal group each 15(21.4%) cases, 48(68.6%) cases. 5. According to abnormal group in Nash-Moe`s degree by erect position lumbar AP view, the grade Ⅰ was 39(55.7%) cases and then abnormal type Ⅲ, Ⅳ of Grice and Cassidy`s classification were 5(7.1%) cases, 33(47.1%) cases, the grade Ⅱ was 13(18.6%) cases and then abnormal type Ⅲ, Ⅳ of Grice and Cassidy`s classification were 1(1.4%) case, 12(7.1%) cases. So the relationship between rotation of vertebra by erect position lumbar AP view and type of Grice and Cassidy`s classification by erect both lateral bending position lumbar AP views had significant correction(p<0.05). 3 6. According to analysis of symptoms and X-ray findings by erect both lateral bending position at convexity region, patients with leg radiating pain were 28 cases. In the total of 28 cases, 25 cases had shown rotation of vertebra and intervertebra disc space narrowed at convexity region, while 3 cases didn`t have shown. 7. According to abnormal rotation of vertebral body on erect position, the number of group L4 was 48(32.7%) cases the most, group L3 was 43(29.3%) cases, the next group L2 was 30(20.4%) cases. Group L4, L3, L2 had significantly connection with fixation group on erect both lateral bending position(p<0.05). Conclusions : We concluded that the abnormal rotation of lumbar vertebral body had connection with the low back pain and leg radiating pain patients. So we must regard functional X-ray such as erect both lateral bending position lumbar AP views to early find cause.

급성 외상성 주관절염에 대한 관절강내 봉약침 치험 2례

허동석 ( Dong Seok Heo ),금동호 ( Dong Ho Keum ) 한방재활의학과학회 2005 한방재활의학과학회지 Vol.15 No.1

Objectives : We got a good effect in two patients not by subcutaneous but by intra-articular bee venom injection treatments at acute traumatic arthritis of elbow joint, so report it. Methods : We used only intra-articular bee venom injection treatments at acute traumatic arthritis of elbow joint. After measured the VAS(visual analogue scale) and ROM(range of motion) of elbow joint, we analyzed bee venom injection effect. Results and Conclusions : The symptoms(swelling, pain) and the functions of elbow joint were quickly improved through intra-articular bee venom injection treatments. One case was improved that Rt. elbow joint flexion was increased from 60° to 150°, extension was increased from 20° to 0°. The other case was improved that Lt. elbow joint flexion was increased from 90° to 150°, extension was increased from 30° to 0°, and both were decreased in VAS. The results suggest that bee venom intra-articular injection has acute pain reduction, anti-inflammation effect.

침치료의 결과로 오인될 수 있는 자발성 기흉 환자 1례

허동석(Dong-Seok Heo),이승민(Seung-Min Lee),한정석(Jeong-Seok Han),금동호(Dong-Ho Keum),김정석(Jeong-Seok Kim),김지용(Ji-Yong Kim) 대한한의학회 2002 대한한의학회지 Vol.23 No.1

포스터 전시 : 담도,췌장 ; 폐쇄성 황달을 일으킨 췌 내분비종양

허우영 ( Woo Young Heo ),동석호 ( Seok Ho Dong ),한요셉 ( Yo Sep Han ),장린 ( Rin Chang ),이동근 ( Dong Keun Lee ),김효종 ( Hyo Jong Kim ),김병호 ( Byung Ho Kim ),장영운 ( Young Woon Chang ),이정일 ( Joung Il Lee ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-

<서론> 췌장의 내분비 종양은 드문 질환이지만 높은 치료율을 갖는데, 기능적 종양과 비기능성 종양으로 구분된다. 기능적 종양은 증상의 발현이 늦어 90% 이상이 악성의 경과를 갖는다. 기능성 종양은 분비하는 물질에 따라 임상적인 증상이 나타나지만 비기능성 종양은 종양 자체의 크기에 따라 또는 전이에 의한 증상이 나타나게 된다. 췌장암에 의한 폐쇄성 황달은 임상에서 흔히 접하지만 내분비 종양에 의한 폐쇄성 황달은 극히 드물게 발생하기 때문에, 본 저자들은

거머리 요법에 대한 연구동향

장효길,허동석,Jang, Hyo-Kil,Heo, Dong-Seok 대한약침학회 2010 Journal of pharmacopuncture Vol.13 No.1

Objective : To review the trend of the study related to Leech therapy and to establish the hereafter direction for the study on Leech therapy. Methods : I reviewed and analyzed all the theses published in Domestic and Foreign research institution from 1990 to 2009. Results : The following results were obtained in this study. 1. Analyzed number of theses published, there was no significance per year. 2. Classified by theme of journal, journals related to surgery were most(41 journals, 75.92%) among 54 kinds. 3. Classified by theses by research method and thesis types, case report accounted for nearly twothirds (52 pieces, 68.42%) of all theses and consideration of document was next(9 pieces, 11.84%). 4. With the most case of venous congestion after plastic and reconstructive surgery(33 pieces, 63.46%), leech therapy was effective on illnesses such as haematoma, macroglossia, purpura, varicous vein, avulsion injury, neurovascular compression, diabetic neuropathy, penoscrotal oedema, buerger's disease, rheumatoid arthritis. 5. Two most appeared adverse effects were anemia and infection. Immediate blood transfusion was done for recovering anemia and prophylactic 3rd generation antibiotics to infection were emphasized in more than half of case reports. 6. All of consideration of documents was retrospective study of cases related leech therapy and 3 pieces of them emphasized prophyratic antibiotic treatment for preventing infection. 7. The study of clinical trail type started first in 2002 and osteoarthritis of knee and carpometacarpal joint were main target. As see above result, Leech therapy was effective cure and could be used in disease induced by venous congestion. And I think that it is necessary to perform additional study related to solution of problems about leech therapy and protocol for using in clinical practice.

추나(推拿) 관련 논문에 대한 연구

김민균,허동석,오민석,윤일지,Kim, Min-Kyun,Heo, Dong-Seok,Oh, Min-Seok,Yoon, Il-Ji 척추신경추나의학회 2007 척추신경추나의학회지 Vol.2 No.1

Objectives : To research the trend of the study related to Chuna(推拿) and to establish the direction of further studies into the Chuna(推拿). Methods : We reviewed and analyzed all theses published by Korean research institution. And these theses were classified by research institutions, published year, field of study, subject, research methods, thesis types, illness and symptoms. Results : The following results were obtained in this study. 1. Classified by the major field of study, oriental medicine accounted for 59 papers, followed by 18 in physical education and 2 in the science of nursing and medicine. 2. Upon classifying theses according to research method and thesis types, research related to clinical trial accounted for nearly half of all theses. It was followed by consideration of documents. 3. After 1998 deals with the effects of the Chuna on variable illnesses such as: ossified posterior longitudinal ligament, chronic coccyalgia, entrapment neuropathy, low birth weight infant, Bell's palsy, stress incontinence, paramenia, Parkinson disease, Bertolloti syndrom, TMJ (because of scoliosis) etc. 4. Two most widely cured illnesses using the Chuna therapy are scoliosis and HNP of L-spine. However, when considering the fact that several clinical tests and casuistics did not include research into Lumbago (including HNP of L-spine), it can be concluded that most of the Chuna therapies have been concentrated on Lumbago. Conclusion : As it can be seen in the above results, the possibility of curing illness through Chuna and the usefulness of Chuna have been shown factually and clinically through various consideration of documents, clinical trial & casuistics. Based upon such facts, it is regarded that further scientific research along with additional clinical approaches involving the Chuna should be performed.

굴곡신연기법만을 사용하여 치료한 Bertolloti 증후군 치험 1례

최유석 ( You Seok Choi ),김대필 ( Dae Phil Kim ),허동석 ( Dong Seok Heo ),금동호 ( Dong Ho Keum ) 한방재활의학과학회 2003 한방재활의학과학회지 Vol.13 No.2

Objective : We got good effect on one patient who was diagnosed HNP of L4-5 with L5 Sacralization. Method : We used only a flexion-distraction Cox Technique. Result : Patient`s chief complain is LBP, the lower left extremity pain. This symptom decreased. VAS score changed from 8 to 1. Conclusion :Transitional Vetebra can stress upper level vetebra. This can induce HNP. We used only a flexion-distraction Cox Technique one patient who was diagnosed HNP of L4-5 with L5 Sacralization. We didn`t use other treatment (Acupuncture, Herb-med, Physical treatment, etc.). Patient`s LBP and the lower left extremity pain decreased. The flexion-distraction Cox Technique is good medical method of Bertolloti syndrome.

교통사고로 유발된 경항통 환자의 근에너지기법(MET)의 효과에 대한 임상적 연구

진태동 ( Tae Dong Jeon ),이한길 ( Han Gil Lee ),홍서영 ( Seo Yuong Hong ),허동석 ( Dong Seok Heo ),윤일지 ( Il Ji Yoon ) 한방재활의학과학회 2009 한방재활의학과학회지 Vol.19 No.1

Objectives: The purpose of this study is to find out the effects of muscle energy techniques on nuchal pain caused by traffic accidents. Methods: The 20 patients were divided into 2 groups: group A was treated except muscle energy techniques and group B was treated with muscle energy techniques. Both groups were treated with acupunture treatment, physical theraphy and herbal medication. Patients were evaluated by McGill Pain Questionnaire-Short Form(SF-MPQ), Pain Disability Index(PDI) and Neck Disability Index(NDI) in traffic accident patients. Results: 1. Both Group were significantly decreased in sensory of SF-MPQ, VAS, PDI and NDI after 7 days of treatment. 2. Group B compared with the Group A was significantly decresed in VAS, PDI after 7 days of treatment. Conclusions: We found out that muscle energy techniques is considered to be effective and useful on nuchal pain caused by traffic accidents.

교통사고 환자에 대한 어혈처방과 복진처방의 비교연구

전태동 ( Tae Dong Jeon ),이한실 ( Han Gil Lee ),홍서영 ( Seo Young Hong ),허동석 ( Dong Seok Heo ),윤일지 ( Il Ji Yoon ),오민석 ( Min Seok Oh ) 한방재활의학과학회 2007 한방재활의학과학회지 Vol.17 No.4

Objectives : The aim of this study is to make proof of availability for the abdominal diagnosis. This study was designed to compare with the effect of the herb- medication based on abdominal diagnosis and Dangkisoo-san(Dangguixu-san) herb-medication by McGill Pain Questionnaire-Short Form(SF-MPQ) and Pain Disability Index(PDI) in traffic accident patients. Methods : The group for Herb-medication based on abdominal diagnosis consists of 20 patients and the group for Dangkisoo-san(Dangguixu-san) herb-medication consists of 20 patients. The degree of improvement was evaluated By SF-MPQ and PDI after one week treatment. Results : After 1 week treatment there was no significant difference between the two groups in SF-MPQ, PDI scores. Conclusions : The group treated with herb-medication based on abdominal diagnosis is not statistically different from that of Dangkisoo-san(Dangguixu-san) herb-medication group on traffic accident patients. Further study is needed about the effectiveness of the abdominal diagnosis.

안정성 흉,요추 골절의 예후에 영향을 미치는 인자들

한정석 ( Jeong Seok Han ),허동석 ( Dong Seok Heo ),금동호 ( Dong Ho Keum ) 대한한의학회 한방재활의학과학회 2001 한방재활의학과학회지 Vol.11 No.4