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척수공동증과 경추 추간판 탈출증을 진단받은 환자에 대한 한방치료의 치험 1례 보고
정범환,조주현,최승범,나현욱,김경운,Jung, Bum-Hwan,Jo, Joo-Hyun,Choi, Seung-Peom,Na, Hyun-Wook,Kim, Kyung-Woon 척추신경추나의학회 2013 척추신경추나의학회지 Vol.8 No.2
Objectives : The purpose of this clinical case is to evaluate the efficacy of Korean Medicine treatment on Syringomyelia with Herniated Intervertebral Disc(HIVD) of C-SPINE. Methods : We used Acupunture, herbal acupuncture, herbal medicine for this patient. This patient received hospital treatment for 15 days. Results : Patient's chief complain were neck pain and trapezius pain. NRS of chief complaint decreased from 6 to 2 and Patient's NDI decreased from 46 to 14. Conclusions : We experienced improvement of symptoms in this case by acupuncture stimulation, herbal medicine. and we hope this study is helpful for the treatment of Syringomyelia with HIVD of C-SPINE.
요추 추간판 탈출증 환자 78명의 한방치료 후 디스크 재흡수 증례 보고
정범환 ( Bum Hwan Jung ),조주현 ( Joo Hyun Jo ),윤용일 ( Yong Il Yoon ),박상원 ( Sang Won Park ),김성문 ( Sung Moon Kim ),고웅 ( Ung Go ),정진수 ( Jin Soo Jung ),김정훈 ( Jung Hoon Kim ),허석원 ( Suk Won Huh ),김지원 ( Ji Won Kim 한방재활의학과학회 2016 한방재활의학과학회지 Vol.26 No.1
Objectives To analyze the resorption of herniated lumbar intervertebral disc on MRI in patients who were treated with Korean Medicine. Methods 78 patients with lumbar disc herniation were included, 47 males and 32 females. Patients` diagnosis was based on magnetic resonance imaging (MRI). All of the patients were only treated with Korean Medicine for 6 months treatment, and underwent MRI examination twice, pre-treatment and post-treatment. MR images were assessed by reduction in diameter of T2-weighted image between pre-treatment and post-treatment, and analyzed by differences in sex, age and disc type. Results 91.2% (71 people) of total patients had extrusion type. Korean medicine treatment reduced lumbar disc herniation diameter of all the patients from 7.11 mm to 3.67 mm on average (p<0.001). The reduction of diameter in the male group was 3.52 mm on average. The reduction of diameter in the female group was 3.32 mm on average. The reduction of diameter was 3.28 mm in the group below age 29, 3.88 mm in the 30∼39 age group, 3.39 mm in the 40∼49 age group, and 2.71 mm in the above 50 age group on average. Conclusions The MRI results suggest that lumbar herniated disc can resorb with Korean Medicine treatment. The likelihood of lumbar disc resorption was higher at extrusion type. but there was not a significant difference between the sexes and between ages. (J Korean Med Rehab 2016;26(1):87-93)
고웅(Ung Go),정범환(Bum-Hwan Jung),조주현(Joo-Hyun Jo),김성문(Sung-Moon Kim),최승범(Seung-Peom Choi),정해찬(Hae-Chan Jeong),전용태(Yong-Tae Jeon) 대한스포츠한의학회 2014 대한스포츠한의학회지 Vol.14 No.2
Objectives This study aimed to analyze the clinical data of intervertebral disc disorder in Korea. Methods We use the statistics data of Health Insurance Review and Assessment Service from 2011 to 2013. All codes that corresponds to M51 below is limited to intervertebral disc disorder of this study. Kinds of disorder, number of patients and medical costs were analyzed. Only to the statistics of 2013, we analyzed different gender and age, the distribution of sub-classified disease (fourth‑character subdivisions). Result 4.1% of the total population had medical treatment with intervertebral disc disorder. Korean medicine is 0.4% and western medi-cine is 3.7%. The medical costs for both Korean medicine and western medicine treatment are increasing 1.26 and 1.12 times over 3 years, respectively. The number of patients for Korean medicine is decreasing 0.9 times and the number of patients for western medicine is increasing slowly. Total medical spent and total number of patients for Korean medicine are less than 10% compared to the western medicine. Analysis results in 2013, female patients showed a lot of distribution than male patients. By age, Korean medicine and western medicine showed different distribution. Korean medicine and western medicine all showed the highest distribution is M511, in the rest of the order was a difference. Conclusions This study, as a result of basic health insurance information analysis, has its meaning. It might be helpful to draw Korean medical treatment strategy for intervertebral disc disorder.
골반 변위가 있는 환자에서 추나 치료군과 자가 MET 병행군의 교정 정도 비교 연구 : 무작위 대조 연구
윤용일,허석원,배영춘,정범환,조주현,Yun, Yong-Il,Huh, Suk-Won,Bae, Young-Chun,Jung, Bum-Hwan,Jo, Joo-Hyun 척추신경추나의학회 2015 척추신경추나의학회지 Vol.10 No.1
Objectives : The purpose of this study is to compare the effect of Chuna manual treatment and Chuna manual treatment with self muscle energy techniques on patients with pelvic malposition Methods : Random allocation was done. We used Chuna manual treatment to control group and Chuna manual treatment with self muscle energy techniques to experimental group. These patient's pelvic malposition were checked by Leg length analysis, measuring Innominate measurement length, obturator foramen size and height of femur head. Results : 1)After the 3 weeks treatment, patients' inequality of leg length and Innominate measurement length were significantly reduced. 2)There was no significant difference between control group and experimental group. Conclusions : Chuna manual treatment and Chuna manual treatment with self muscle energy techniques are considered to be effective and useful in patients with pelvic malposition. But there was no significant difference between control group and experimental group.
요통을 동반한 요추 추간판 탈출증 환자에 대한 Sandbag Motion Style Acupuncture Treatment 호전도 비교 연구: 무작위배정 대조군연구
허석원 ( Suk Won Huh ),윤용일 ( Yong Il Yun ),이동현 ( Dong Hyun Lee ),유형진 ( Hyung Jin Yoo ),정성현 ( Seong Hyun Jeong ),박주언 ( Joon Park ),이현호 ( Hyun Ho Lee ),이승희 ( Seung Hee Lee ),정범환 ( Bum Hwan Jung ) 한방재활의학과학회 2016 한방재활의학과학회지 Vol.26 No.1
Objectives The purpose of this study was to compare the effects of MSAT (Motion style acupuncture treatment) using Sandbag regarding low back pain with HIVD of L-SPINE. Methods Forty patients received inpatient treatment from March 16 to May 16, 2015 in the Daejon-Jaseng oriental medicine hospital were divided into 2 groups by blocked randomization: Group A (n=20) is routine treatment on HIVD of L-SPINE with MSAT using Sandbag and Group B (n=20) is routine treatment on HIVD of L-SPINE (acupuncture, Shinbaro pharmacopuncture, herb medication, chuna treatment and physiotherapy). The MSAT (Motion style acupuncture treatment) using Sandbag was administered each day and both groups were received routine treatment each day. Evaluations were made before treatment, after 3 days and 7 days, and before discharge using the NRS (numeric rating scale) and ODI (oswestry disability index). The statistically significance was evaluated by SPSS 22.0 for windows. Results The NRS (numeric rating scale) and ODI (oswestry disability index) of both A and B groups after 3, 7 days and before discharge of treatment significantly decreased (p <0.05). Regarding group comparison, the NRS (numeric rating scale) and ODI (oswestry disability index) of A group was significantly lower than the B group at 3, 7 days, before discharge (p<0.05). Regarding improvement of the NRS (numeric rating scale) and ODI (oswestry disability index), A group was significantly lower than the B group at 3 day (NRS), 7 day (ODI) (p<0.05). There was significant difference between two groups at 7 days (NRS) and before discharge (p<0.05). Conclusions Compared to routine treatment, the MSAT (Mostion style acuputure treatment) using Sandbag significantly improved the NRS (numeric rating scale) and ODI (oswestry disability index) after 3, 7 days, and before discharge. Because early intervention determines the grade of Low back pain with HIVD of L-SPINE, the MSAT (Motion style acupuncture treatment) using Sandbag will be clinically helpful to patients at the early stage. (J Korean Med Rehab 2016;26(1):79-86)
상부요추와 하부요추 단분절 추간판 탈출증 환자의 임상적 특성과 한방치료 효과 비교연구
이주영 ( Ju-young Lee ),김용현 ( Yong-hyeon Kim ),김광휘 ( Kwang-hwi Kim ),김태연 ( Tae-yeon Kim ),이태걸 ( Tae-geol Lee ),이상운 ( Sang-woon Lee ),추희영 ( Hui-yeong Chu ),정희경 ( Hui-kyeong Jung ),정범환 ( Bum-hwan Jung ) 한방재활의학과학회 2018 한방재활의학과학회지 Vol.28 No.4
Objectives Upper lumbar disc herniation (LDH) (L1/2, L2/3) has specific anatomical characteristics and different outcome after conventional treatment compared to lower LDH (L3/4, L4/5, L5/S1). The purpose of this study was to compare the clinical features and effects of korean medical treatment of upper LDH between lower LDH. Methods We retrospectively reviewed the clinical data collected from 121 patients who was had admitted at the Haeundae Jaseng Hospital of Korean Medicine from June 1st, 2014 to August 31th, 2018. The patients who had treated at L1/2, L2/3 level LDH were grouped and compared with those treated at the L3/4, L4/5, L5/S1 level. We reviewed the patient characteristics such as age, the positive rate of Straight Leg Raise Test (SLR test), the presence or absence of previous lumbar surgery. Numeric Rating Scale (NRS) and Oswestry Disability Index (ODI) were evaluated at adimission and discharge. Results Mean age was significantly higher at upper LDH group and positive rate of SLR test was higher at lower LDH group. There was no significant difference of gender and previous lumbar surgery between two groups. Each group had a significant improvement of NRS, ODI scores. But between two groups, there was no significant difference of NRS, ODI scores. Conclusions Upper LDH group was older than lower LDH group. SLR test was useful tool to exclude upper LDH. Korean medical treatment was significantly effective to both upper and lower LDH groups. Further well designed prospective comparative studies are needed. (J Korean Med Rehabil 2018;28(4):43-50)
박상원 ( Sang Won Park ),이재웅 ( Jae Woong Lee ),이진호 ( Jin Ho Lee ),하인혁 ( In Hyuk Ha ),변장훈 ( Jang Hoon Byun ),정범환 ( Bum Hwan Jung ),정화진 ( Hwa Jin Jung ),이인희 ( In Hee Lee ),김민정 ( Min Jeong Kim ),김은지 ( Eun J 한방재활의학과학회 2016 한방재활의학과학회지 Vol.26 No.1
Objectives Despite the increasing use of Ja-ha-guh (Hominis-placenta ) pharmacopuncture in rehabilitative medicine field, its standard compound has yet to be investigated. The purpose of this study is to provide standardization for future studies and increase satisfaction of patients by utilizing standard pharmacopuncture. Methods Alanine and leucine were selected as potential standard compounds. LC/MS was used to devise an analytic method. This analytic method was subject to validation. According to validation guideline of Korea Food and Drug Administration, the specificity, linearity, precision, range, quantitative limits, detection limits and accuracy were measured. With this analysis, 3 lots of Ja-ha-guh pharmacopuncture were analyzed. Results Because the specificity, linearity, precision, range, quantitative limits, detection limits and accuracy meet criteria of the guideline, the analytic method was validated. It was found that Ja-ha-guh pharmacopuncture contained 211.02±7.28 ug/ml of alanine and 372.03±7.58 ug/ml of leucine. Conclusions Both alanine and leucine appear to be suitable standard compounds. These results are likely to contribute to further standardization of Ja-ha-guh for medical use. (J Korean Med Rehab 2016;26(1):33-40)