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측두하악장애 임상연구에 사용된 진단 및 평가기준에 대한 문헌적 고찰
문병헌 ( Byung-heon Moon ),최영준 ( Young-jun Choi ),유수빈 ( Su-bin Yoo ),주영국 ( Yeung-guk Ju ),송승배 ( Seong-bae Song ),송광찬 ( Gwang-chan Song ),서지연 ( Ji-yeon Seo ),최희승 ( Hee-seung Choi ) 대한한의학회 한방재활의학과학회 2016 한방재활의학과학회지 Vol.26 No.4
Objectives The aim of this review is to provide fundamental data for temporomandibular disorders diagnosis and evaluation criteria which can be used in clinical trial. Methods We investigated the clinical studies on temporomandibular disorders via PubMed. Also, we searched domestic articles through “OASIS”, “NDSL”, “KISS”, “Korean Traditional Knowledge Portal (KTKP)”. The articles we focused on were the recent decade from 2007 to 2016. A total of 139 studies were analyzed: 42 domestic articles and 97 overseas articles. This study focuses on the diagnosis and evaluation criteria on temporomandibular disorders. Results 1) In diagnosis criteria, Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) was used 14 times in domestic articles and 63 times in overseas articles. Clinical symptoms were used 13 times in domestic articles, 17 times in overseas articles. 2) In evaluation criteria, Visual Analog Scale (VAS) was used as a pain scale 12 times in domestic articles, 63 times in overseas articles. Pressure Pain Threshold (PPT) was used 16 times in overseas articles. Whereas, no clinical trials used PPT in domestic articles. In psychological scale, Symptom Checklist-90-Revised (SCL-90-R) was used 6 times. However, SCL-90-R was used 2 times in domestic articles. ROM(Maximum Mouth Opening (MMO), Maximum Comfortable Opening (MCO) were used 24 times in overseas. In domestic articles, MMO was counted 12 times, while MCO was counted 5 times. Conclusions This research reviewed the tendency of using diagnosis methods and evaluating outcomes of the clinical on TMD. It is expected that this investigation would develop further treatment for TMD in the Korean Medicine. (J Korean Med Rehabil 2016;26(4): 45-55)
한방 병원에 경추 통증으로 내원한 환자들의 흉추부 만곡 및 경추부 추간판탈출증의 상관 관계에 관한 보고
최영준,유수빈,문병헌,정재현,윤영웅,김길환,남항우,이차로,Choi, Young-Jun,Yoo, Su-Bin,Moon, Byung-Heon,Chung, Jai-Hyeon,Yun, Yeong-Ung,Kim, Kil-Hwan,Nam, Hang-Woo,Lee, Cha-Ro 척추신경추나의학회 2015 척추신경추나의학회지 Vol.10 No.1
Objectives : This study is planned to classify correlation between thoracic kyphosis angle and prevalence of cervical intervertebral disc. Methods : We Measured the thoracic kyphosis angel of the 110 men and 179 women patients with neck pain in 00 Korean Medicine Hospital. We use Cobb's angle method and Thoracic cage dimension method for measuring the thoracic kyphosis. And We use Magentic Resonance Imaging(MRI) for classifying the patient who has cervical intervertebral disc or not. Results : 1. There was statistical difference on the thoracic cage dimension with gender(P<0.001), while there was no statistical difference on Cobb's angle with gender(P=0.882). 2. Age and thoracic cage dimension(r=0.383) is statistically more correlative than age and cobb's angle(r=-0.59). Conclusions : 1. Thoracic cage dimension and gender, Thoracic cage dimension and age were statistically concerned on patient who has neck pain, while Cobb's angle had no statistical correlation with age and gender. 2. There was no statistical difference on the Cobb's angle and Thoracic cage Dimension between patient who has one or more cervical disc herniation(Protrusion disc, Extrusion disc) segment and patient who didn't have cervical disc herniation(Protrusion disc, Extrusion disc) segment.
요추 추간판 탈출증 환자에 적용된 한의학적 치료가 공포-회피 반응에 미치는 효과
최영준 ( Young-jun Choi ),문병헌 ( Byung-heon Moon ),주영국 ( Yeung-guk Ju ),김길환 ( Kil-hwan Kim ),송승배 ( Seong-bae Song ),신동재 ( Dong-jae Shin ),정재현 ( Jai-hyeon Chung ),이치호 ( Chi-ho Lee ) 대한한의학회 한방재활의학과학회 2016 한방재활의학과학회지 Vol.26 No.3
Objectives This study is planned to classify effectiveness of Korean medicine treatment on lumbar intervertebral Disc herniation patients`` fear-avoidance belief. Methods We measured 84 patients with lumbar intervertebral disc herniation in Jaseng Korean Medicine Hospital. We used numeric rating scale, oswestry disability index, fear-avoidance belief questionaire for evaluating effectiveness of oriental medicine treatment on lumbar intervertebral disc herniation. And We used Magentic Resonance Imaging (MRI) for classifying the patient who has lumbar intervertebral disc or not. Results 1. There was statistical effectiveness of korean medicine treatment on lumbar intervertebral disc herniation patients`` fear-avoidance belief (p<0.01). ΔNRS and ΔODI (r=0.587) was Most statistically correlative. ΔODI and ΔFABQ had a little of statistically correlation (r=0.313). ΔNRS and ΔFABQ has no statistically correlation (r=0.145). Conclusions This study suggests that screening for the korean medicine treatment reduces fears and negative belief of patients with the lumbar disc herniation and prevents chronic physical symptoms that come from them so that it can be a great help to contro-lling patients`` pain clinically. (J Korean Med Rehabil 2016;26(3):97-108)
손슬기,김종수,김신웅,문병헌,유수빈,이차로,Son, Seol-Ki,Kim, Jong-Su,Kim, Shin-Woong,Yoo, Su-Bin,Moon, Byung-Heon,Lee, Cha-Ro 척추신경추나의학회 2014 척추신경추나의학회지 Vol.9 No.1
Objectives : The purpose of this review is to investigate the trends of traditional korean medicine treatments on frozen shoulder. Methods : We investigated the studies on traditional korean medicine treatments for frozen shoulder via searching 6 Korean web databases. As a result, 32 research papers were found to be analyzed according to their published year, the titles of journals, published institution, the types of study, the number of cases, the types of treatments, the instruments for assessment and ethical approvals. Results : 32 papers were published since 1989. The studies on traditional korean medicine treatments about frozen shoulder were mainly published in The journal of korean acupuncture & moxibustion medicine. 10 case series, 7 reviews, 6 non-randomized controlled trials, 5 randomized controlled trials and 4 case reports had been under research. In most of the research, the number of the cases were not enough. In 15 cases of the studies, various traditional korean medicine treatments were used to treat the symptoms. In 8 cases of the studies, one method was used to treat the symptoms. Range of motion(ROM) and visual analogue scale(VAS) were used as primary assessments. Among the 25 clinical studies, 5 of them were accepted by institutional review board(IRB). Conclusion : In this study, we analyzed the trends of traditional korean medicine treatments on frozen shoulder. Reviewing the domestic trends of studies on traditional korean medicine treatments for frozen shoulder and examining the strong and weak points of those treatments are essential for the future studies.
대용량 약침 및 한방치료로 호전된 요추 추간판탈출증 환자의 영상의학적 변화 41사례 보고
유수빈 ( Su-bin Yoo ),김문휘 ( Moon-hwui Kim ),문병헌 ( Byung-heon Moon ),윤태경 ( Tae-kyung Yoon ),주영국 ( Yeong-guk Ju ),권옥준 ( Ok-jun Kwon ),추원정 ( Won-jung Choo ),김주원 ( Joo-won Kim ) 대한한의학회 한방재활의학과학회 2016 한방재활의학과학회지 Vol.26 No.4
Objectives The purpose of this study is to report the effect of Megadose Pharmacoacupuncture combined with conservative Korean medicine treatment on Herniated InterVertebral Disc (HIVD) of lumbar spine patient diagnosed by Magnetic Resonance Imaging (MRI). Methods This study includes 41 patients whose Lumbar Disc Herniations were by MRIbetween 1st Aprill 2011 and 31th March 2016. All of the patients were treated with Megadose Pharmacoacupuncture combined with Korean medicine treatment. The MRI examination was performed on two or more occasions (minimally, pre-treatment and post-treatment). The volume of each herniated disc was measured. For each patient, age, sex, disc migration, morphology, initial LDH size, herniated disc resorption rate were analysed. Results The mean volumes of herniated discs at pre-treatment and post-treatment were 1321.62±467.53 mm3 and 648.72±313.38 mm3. The volumes of all patients were decreased. The resorption means of each class of the extent of LDH were significantly different (p=0.041). On the other hand, no difference was found in sex, age, level, herniated disc grade. Conclusions The MRI results suggest that Megadose Pharmacoacupuncture combined with Korean medicine treatment can help treat lumbar herniated disc. (J Korean Med Rehabil 2016;26(4):117-126)
신바로3 약침시술을 병행한 한방치료로 호전된 극상근건염 및 삼각근하 점액낭염 환자 치험 1례
윤영웅 ( Yeong Ung Yun ),정재현 ( Jai Hyeon Chung ),정승현 ( Seong Hyun Cheong ),문병헌 ( Byung Heon Moon ),최영준 ( Young Jun Choi ),유수빈 ( Su Bin Yoo ),이정훈 ( Jung Hun Lee ),신동재 ( Dong Jae Shin ) 한방재활의학과학회 2015 한방재활의학과학회지 Vol.25 No.4
Objectives The objective of this study is to report the improved case of Korean medicine treatment with Shinbaro3 pharmacopuncture for supraspinatus tendinitis and subdeltoid bursitis. Methods We used Shinbaro3 pharmacopuncture with other Korean medicine treatment (acupuncture, herbal medicine, cupping and chuna) for this patient. This case is measured and assessed by Numerical Rating Scale (NRS), shoulder range of motion (ROM) and shoulder physical examination. Results The NRS decreased from 10 to 2 and the patient showed nearly full shoulder range of motion. Also physical examination of shoulder was improved. Conclusions Korean medicine treatment with Shinbaro3 pharmacopuncture is proved to be helpful to relieve pain and recover function on shoulder joint. (J Korean Med Rehab 2015;25(4):161-167)
로지스틱 회귀 분석을 이용한 고관절 내회전 각도와 단분절 요추 추간판 탈출증 발생 부위의 상관성 분석
김신웅 ( Shin Woong Kim ),남항우 ( Hang Woo Nam ),김세준 ( Se Jun Kim ),손슬기 ( Seol Ki Son ),김종수 ( Jong Su Kim ),정재현 ( Jai Hyeon Chung ),윤영웅 ( Young Ung Yun ),최영준 ( Young Jun Choi ),문병헌 ( Byung Heon Moon ),유수빈 한방재활의학과학회 2014 한방재활의학과학회지 Vol.24 No.4
ObjectivesThe purpose of this study is to find out the relationship between the hip in-ternal rotation angle and the site of herniation of single level lumbar intervertebral disc.MethodsThis study was carried out to 418 patients with lumbar disc herniation diag-nosed by M.R.I, who visited Bu-Chun Jaseng Hospital of Korean Medicine with low back pain. Researchers measured their hip internal rotation angle and analyzed the relationship between the hip internal rotation angle and the site of herniation of single level lumbar inter-vertebral disc.Results1. Excessive right internal rotation of hip joint increases risk of L5/S1 HIVD. 2. Limited left internal rotation of hip joint decreases risk of L4/L5 HIVD. 3. In cases of L4/L5 HIVD level, there was evidence that the prevalence of HNP in men was 1.85 times as higher than that in women. 4. In cases of L5/S1 HIVD level, there was the evidence that the preva-lence of HNP in men was 0.64 times as lower than that in women.ConclusionsIn single-segment lumbar HIVD patients, limited left internal rotation of hip joint decreases risk of HIVD of L4/5 and excessive right internal rotation of hip joint mainly leads to L5/S1 HIVD. (J Korean Med Rehab 2014;24(4):117-127)