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극상근건염과 견봉하점액낭염 및 심각근하점액낭염으로 진단받은 견비통 환자를 대상으로 대용량 신바로 약침치료를 통한 통증경감과 가동범위 호전에 대한 증례보고
송광찬,서지연,송승배,조명의,최봉석,류원형,김두리,전용현,Song, Kwang Chan,Seo, Ji Yeon,Song, Seung Bae,Cho, Myoung Ui,Choi, Bong seok,Ryu, Won Hyung,Kim, Doo Ri,Jeon, Yong Hyun 대전대학교 한의학연구소 2017 혜화의학회지 Vol.26 No.1
Objectives : The purpose of this research is to show the effectiveness of the Korean medical treatment on patients diagnosed with supraspinatus tendinosis, subacromial bursitis and subdeltoid bursitis treated by Korean medical treatment Including megadose shinbaro pharmacopuncture. Methods : We used megadose shinbaro pharmacopuncture on patients who received treatment at Bucheon Jaseng Korean medicine hospital from December, 2016 to January, 2017. Also we checked NRS, SPADI, range of motion(ROM) and shoulder physical examination to follow the scale showing the improvement of the symptoms of the patients. Results : All 4 patientes showed the improvement of NRS, SPADI range of motion(ROM) and shoulder physical examination. Conclusion : This research showed that megadose shinbaro pharmacopuncture was effective on the treatment of shoulder pain patients diagnosed with supraspinatus tendinosis, subacromial bursitis and subdeltoid bursitis.
극상근건염과 견봉하점액낭염 및 심각근하점액낭염으로 진단받은 견비통 환자를 대상으로 대용량 신바로 약침치료를 통한 통증경감과 가동범위 호전에 대한 증례보고
송광찬,서지연,송승배,조명의,최봉석,류원형,김두리,전용현 大田大學校 附屬 韓方病院 2017 惠和醫學 Vol.26 No.1
The purpose of this research is to show the effectiveness of the Korean medical treatment on patients diagnosed with supraspinatus tendinosis, subacromial bursitis and subdeltoid bursitis treated by Korean medical treatment Including megadose shinbaro pharmacopuncture. Methods : We used megadose shinbaro pharmacopuncture on patients who received treatment at Bucheon Jaseng Korean medicine hospital from December, 2016 to January, 2017. Also we checked NRS, SPADI, range of motion(ROM) and shoulder physical examination to follow the scale showing the improvement of the symptoms of the patients. Results : All 4 patientes showed the improvement of NRS, SPADI range of motion(ROM) and shoulder physical examination. Conclusion : This research showed that megadose shinbaro pharmacopuncture was effective on the treatment of shoulder pain patients diagnosed with supraspinatus tendinosis, subacromial bursitis and subdeltoid bursitis. 어깨 부위의 통증은 다양한 원인에 의해 발생되지만 대부분은 회전 근개 및 견봉하점액낭과 삼각근하점액낭의 염증에 의해서 발생된다1). 견관절 통증의 치료는 서양의학에서는 크게 보존적 치료와 수술적 치 료로 대별된다. 보존적 치료 방법으로는 휴식, 약물요법, 물리치료, 주 사요법 등이 있으며, 이러한 보존적 치료로도 증상 경감이 없을 경우 수술적 치료 방법을 고려할 수 있다2). 견관절 및 어깨 부위의 한의학적 치료는 침치료, 약침치료 및 한약치료를 같이 활용할 수 있다. 그 중에서도 약침치료는 효과적 인 치료법으로 많이 활용되고 있다3). 여러 가지 약침치료 방법 중에서 대용량 약침치료는 한의사가 변증결과를 바탕으로 여러 경혈 또는 유관 부위에 0.1∼수cc의 약침제제를 주입 하는 기존의 약침 치료형식과 다르게 MRI를 통한 해부학적 지식을 바탕으로 목표를 정하고 주입한다는 차별성이 있다. 용량은 요추 추간판탈 출증 환자에 대하여 4cc를 기준으로 사용한다4). 본 연구는 MRI상 극상근건염과 견봉하점액낭염 및 삼각근하 점액낭염으로 진단받은 환자를 대상으로 대용량 약침치료를 병 행한 한방치료를 시행한 결과 호전을 보인 사례가 있어 보고하 는 바이다.
한방병원에 요통으로 내원한 환자에서 X-ray상 요추측만과 MRI상 HIVD와의 연관성 분석
김길환,최영준,권옥준,주영국,송승배,송광찬,서지연,추원정,Kim, Kil-Hwan,Choi, Young-Jun,Kwon, Ok-Jun,Joo, Young-Kuk,Song, Seung-Bae,Song, Gwang-Chan,Seo, Ji-Yeon,Choo, Won-Jung 척추신경추나의학회 2016 척추신경추나의학회지 Vol.11 No.1
Objectives : This study is planned to classify Correlation between Cobbs Angle of Lumbar scoliosis and prevalence of Lumbar Intervertebral Disc. Methods : We Measured the lumbar scoliosis angle of the 114men and 91 women patients with lumbar pain in Bucheon Jaseng Korean Medicine Hospital. We use Cobb's angle method for measuring the lumbar scoliosis. And We use Magentic Resonance Imaging(MRI) for classifying the patient who has lumbar intervertebral disc or not. Results : 1.There was no statistical relation between the Cobbs angle and gender(P>0.05) 2.There was no statistical relation between the Cobbs angle and age(P>0.05) 3.There was significant relation between the direction of lumbar scoliosis and the direction of disc herniation(P<0.05) 4.There was no statistical relation between on the Cobbs angle and disc herniation. The more severe of lumbar scoliosis has not tendency of disc herniation. 5.There was no statistical relation between lumbar scoliosis Cobbs Angle on HIVD of L-spine patient and direction of disc herniation on horizontal plane. Conclusions : The direction of disc herniation has tendency of the opposite direction of lumbar scoliosis. When disc herniation, opposite side bending broad intervertebral foramen and reduce pressure.
야간통을 주증으로 한 요추 추간판 탈출증 환자에 대한 사물탕가감방과 추나요법병행치료 증례보고
송광찬(Kwang-Chan Song),서지연(Ji-Yeon Seo),조명의(Myoung-Ui Cho),송승배(Seung-Bae Song),문희영(Hee-Young Moon),권옥준(Ok-Jun Kwon),주영국(Yeung-Guk Ju),김길환(Kil-Hwan Kim) 척추신경추나의학회 2017 척추신경추나의학회지 Vol.12 No.2
Objectives : To report cases of HIVD of L-Spine successfully treated with Korean medical treatment including Samul-tang(Siwu-tang) Gagam. and Chuna manual treatment. Methods : Three patients diagnosed with HIVD of L-Spine were treated with Korean medical treatment including Samul-tang(Siwutang) Gagam and Chuna manual treatment. Numeric Rating Scale(NRS), Oswestry low back pain Disablility Index(ODI) scores and EQ-5D were collected before and after treatment for comparison. Results : There was a significant decrease in NRS, ODI scores.And, there was a significant increase EQ-5D. The mean NRS score decresed from 10 to 1.33, ODI from 66.66 to 8.88. Tne mean EQ-5D score incresed from 0.225 to 0.856. Conclusion : The result suggests Korean medical treatment including Samul-tang(Siwu-tang) Gagam and Chuna manual treatment can be an effective treatment on patients with HIVD of L-Spine.
대용량 약침치료 및 한의학적 치료를 적용한 흉요추 연접부 증후군 증례 보고
송광찬 ( Kwang Chan Song ),서지연 ( Ji Yeon Seo ),송승배 ( Seung Bae Song ),류원형 ( Won Hyung Ryu ),김두리 ( Doo Ri Kim ),전용현 ( Yong Hyun Jeon ),문희영 ( Hee Young Moon ),류광현 ( Gwang Hyun Ryu ) 대한한의학회 한방재활의학과학회 2018 한방재활의학과학회지 Vol.28 No.2
The purpose of this research is to find out the effect of Megadose pharmacopuncture with Korean Medicine Treatment on patients who were diagnosed as ThoracoLumbar Junction Syndrome. Megadose pharmacopuncture was proceeded on 4 patients who received treatment at OO Korean Medicine Hospital from November, 2016 to Februrary, 2017. In addition, We also kept a record of NRS, ODI, and EQ-5D on the day of admission and discharge to find out the differences between initial and final figures. As a result, Megadose parmacopuncture showed a significant effect on alleviating pain on patients with ThoracoLumbar Junction Syndrome. There was a significant decrease in NRS, ODI scores. Not only did the scores of NRS and ODI decrease significantly,but also the figures of EQ-5D increased significantly as well. To be specific, the mean of NRS and ODI dcreased from 10 to 1.75 and 61.87 to 12.78 while the mean of EQ-5D increased from 0.258 to 0.850. This research suggests Megadose pharmacopuncture with Korean Medicine Treatment could be a remedy for ThoracoLumbar Junction Syndrome. (J Korean Med Rehabil 2018;28(2): 127-134)
한방병원에 요통, 하지방사통으로 내원한 환자 236명에서 MRI상 추간판 탈출증과 적외선 체열 검사(DITI)와의 연관성 분석
김길환 ( Gil-hwan Kim ),권옥준 ( Ok-jun Kwon ),주영국 ( Young-kuk Joo ),송승배 ( Seung-bae Song ),김두리 ( Doo-ri Kim ),최영준 ( Young-jun Choi ),신수지 ( Soo-ji Shin ) 대한한의학회 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.3
Objectives This study is planned to classify correlation between HIVD of L-spine MRI and Digital Infrared Thermal Image (DITI). Methods We measured the temperature of both leg whose 120 men and 116 women patients with lumbar pain in Bucheon Jaseng Korean Medicine Hospital. And We use Magnetic Resonance Imaging (MRI) for classifying the patients who has lumbar intervertebral disc or not. Results 1) There was no statistical relation between difference of both leg`s temperature and gender (p>0.05). 2) There was meaningful statistical relation between difference of both leg`s temperature and age (p<0.05). 3) There was meaningful statistical relation between direction of HIVD of L-spine and direction of temperature reduction. 4) There was meaningful statistical relation between the severity of HIVD of L5/S1 and degree of temperature reduction. But there was no statistical relation between the severity of HIVD of L3/4, L4/5 and degree of temperature reduction. Conclusions We can use Digital Infrared thermal image (DITI) on low back pain patients for diagnosis. But we should not use DITI alone. DITI has limit in diagnosis. (J Korean Med Rehabil 2017;27(3):107-115)
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)
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)