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하지방사통을 동반한 요추 추간판 탈출증 환자에 대한 이상근 MSAT 치료군과 비치료군의 후향적 호전도 비교 연구
허석원 ( Suk Won Huh ),최철우 ( Chul Woo Choi ),이동현 ( Dong Hyun Lee ),유형진 ( Hyung Jin Yoo ),윤용일 ( Yong Il Yun ),임한빛 ( Han Bit Lim ),정연재 ( Yun Jae Jeong ),김동환 ( Dong Hwan Kim ) 한방재활의학과학회 2014 한방재활의학과학회지 Vol.24 No.3
Objectives The purpose of this study was to compare the effects of MSAT (Mostion style acuputure treatment) on piriformis muscle regarding leg radiating pain with HIVD of L-SPINE. Methods Forty patients who received inpatient treatment from Febuarary 1 to March 31, 2014 in the Daejon-Jaseng oriental medicine hospital were divided into 2 groups by blocked randomization : Group A (n=20)=routine treatment on HIVD of L-SPINE with MSAT on piriformis muscle and Group B (n=20)=routine treatment on HIVD of L-SPINE (acupuncture, Shinbaro pharmacopuncture, herb medication, chuna treatment and physiotherapy). The MSAT (Mostion style acuputure treatment) on piriformis muscle 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 18.0 for windows. Results Compared to before treatment, 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 dischanre (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), 7day (ODI) (p=0.000) but there was no significant difference between the two groups at 7 days (NRS) and before discharge (p>0.05). Conclusions Compared to just routine treatment, the MSAT (Mostion style acuputure treatment) on piriformis muscle 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 Leg radiating pain with HIVD of L-SPINE, the MSAT (Mostion style acuputure treatment) on piriformisat the early stage will be clinically helpful to patients. (J Korean Med Rehab 2014;24(3):131-137)
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)
신바로약침과 침치료를 이용한 족저근막염 환자 4례에 대한 임상증례보고
최철우,허석원,윤용일,민부기,김민균,윤제필,최진령,오민석,Choi, Chul-Woo,Huh, Suk-Won,Yun, Yong-Il,Min, Boo-Ki,Kim, Min-Kyun,Yoon, Je-Pil,Choi, Jin-Ryung,Oh, Min-Seok 척추신경추나의학회 2013 척추신경추나의학회지 Vol.8 No.2
Objects : This study is a report on treatment effect of the case that treated by using of Shinbaro pharmacopunture and acupuncture to plantar fasciitis patients. Methods : The four patients diagnosed with Plantar fasciitis were treated by using of Shinbaro pharmacopunture and acupuncture, Algometer Pressure and Numeric rating scale(NRS) were used as the evaluation tool of treatment effect. Results : Shinbaro pharmacopunture and acupuncture showed improvement of symptoms for all patient groups and brought about significant change on numerical value of Algometer Pressure and Numeric rating scale(NRS). Conclusions : The result shows that Shinbaro pharmacopunture and acupuncture can be effective treatment to Plantar fasciitis. Merely later, further study is needed.
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.
KL-Grade의 정도와 슬관절 통증의 한의학적 치료 효과의 상관성 연구
이기언 ( Gi-eon Lee ),허석원 ( Suk-won Huh ),이현호 ( Hyun-ho Lee ),정성현 ( Seong-hyun Jeong ),조경상 ( Kyeong-sang Jo ),한시훈 ( Si-hoon Han ),최지훈 ( Ji-hoon Choi ),노지애 ( Ji-ae Roh ) 대한한의학회 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.3
Objectives The purpose of this study is to compare the effects between the KL-Grade and improvement of knee pain treated by Korean Medicine therapy. Methods 114 patients who received inpatient treatment from July 2014 to May 2017 in the Daejeon Jaseng of Korean Medicine Hospital were divided into 5 groups by the KL-Grade. All patients received a combination of treatment including acupunture, pharmacopunture, herbal medication. They were compared and analyzed on the basis of improvement between measuring Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index) as they were hospitalized and as they were discharged. The statistically significance was evaluated by SPSS 23.0 for windows. Results After treatment, KL-Grade 0 group`s Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index) improvement was 2.02±1.69, 7.50±9.67 and 0.11±0.15 respectively. KL-Grade 1 group`s improvement was 2.09±1.23, 11.75±13.99 and 0.12±0.13 respectively. KL-Grade 2 group`s improvement was 1.60±1.07 and 14.70±14.19 respectively. But In this group, EQ-5D Index has decreased by 0.01±0.10. KL-Grade 3 group`s improvement was 1.88±1.31, 7.81±13.35 and 0.13±0.20 respectively (p<0.034). In the case of KL-Grade 4, the population was not statistically significant (N=2) and therefore excluded from statistical significance. And there was no statistically significance between 4 group`s improvement after treatment (p>0.05). Conclusions The above study showed that Korean medicine treatments showed significant therapeutic effects on knee pain and degenerative knee joints, but there was no significant difference in the effectiveness of degenerative arthritis (KL-Grade). (J Korean Med Rehabil 2017;27(3):137-146)
김상민(Sang Min Kim),이순호(Sun Ho Lee),신유빈(You Bin Shin),최지훈(Ji Hoon Choi),허석원(Suk Won Huh),윤용일(Yong Il Yun) 대한스포츠한의학회 2016 대한스포츠한의학회지 Vol.15 No.2
Objectives This study was designed to assess the general distribution and clinical effectiveness of Korean medical treatment on shoulder pain. Methods This is an observational study. Twenty six patients admitted to Daejeon Jaseng Hospital of Korean Medicine with musculoskeletal disorders were observed from July, 2014 to July, 2015. They were analyzed according to sex, age, pain lesion, the period of disease, causal factors, symptoms on admission, admission day and treatment efficacy. All patients received a combination of treatments during hospitalization, including acupuncture, pharmacopuncture, herbal medicines and physical therapy. A zero to ten numerating rating scale (NRS) assessing pain, Shoulder pain and disability index(SPADI), and Range of Motion(ROM) was used before and after treatments. Results Average admission duration was 24.04±10.95 days in shoulder pain patients. For shoulder pain patients, NRS decreased from 6.46±2.02 to 3.96±1.80(p<0.001). SPADI decreased from 64.23±21.30 to 45.79±21.60(p<0.001). ROM(Flexion and Abduction) sig-nificantly increased(p<0.05) after treatment in shoulder pain patients. Conclusions Korean medical combination treatment might be effective in reducing pain and improving functional disorders for patients with shoulder pain. Further study will be needed to confirm the efficacy of Korean medical treatment on shoulder pain.
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)
이동현(Dong-hyun Lee),․,윤제필(Je-Pil Yun),유형진(Hyung-jin Yoo),박주언(Joon Park),이현호(Hyun-Ho Lee),정성현(Seong-hyun Jeong),허석원(Suk Won Huh),윤용일(Yong Il Yun),오민석(Min-Seok Oh) 대한스포츠한의학회 2016 대한스포츠한의학회지 Vol.15 No.2
The purpose of this clinical case is to evaluate the efficacy of the oriental medical treatment on partial rupture of gastrocnemius muscle. Methods This is an case report. One patient, admitted to Daejeon Jaseng Hospital of Korean Medicine with partial rupture of gastro-cnemius muscle diagnosed by lower extremity magnetic resonance imaging, was observed during hospitalization. We treated pa-tient using the oriental medical treatments, including acupunture, pharmacopunture, Chuna, herbal medication, cupping, moxa treatment and physical therapy. We measured numerical rating scale(NRS) and the changes of symptoms. Results After 30 days, NRS decreased from 8 to 3 respectively. And the symptoms of the patient were improved. Conclusions The oriental medical treatment might be effective in the patient with partial rupture of gastrocnemius muscle. This study further confirmed the efficacy of the oriental medical treatment on partial rupture of gastrocnemius muscle.
한방 복합치료를 진행한 회전근개 파열 환자 치험 41예: 후향적 관찰 연구
이기언 ( Gi-eon Lee ),김영익 ( Young-ik Kim ),조경상 ( Kyeong-sang Jo ),한시훈 ( Si-hoon Han ),김민균 ( Min-kyun Kim ),민부기 ( Boo-ki Min ),허석원 ( Suk-won Huh ),임한빛 ( Han-bit Lim ),정연재 ( Yun-jae Jeong ) 한방재활의학과학회 2018 한방재활의학과학회지 Vol.28 No.4
Objectives The purpose of this study is to report the improvement of complex Korean Medicine treatment for patients with rotator cuff injuries and determine the clinical improvement by number of damaged lesion. Methods Forty-one patients who diagnosed with rotator cuff injury were included in the retrospective study. Patients were treated with acupuncture, electroacupuncture and pharmacopuncture. Clinical outcomes were assessed using Numeric Rating Scale (NRS), Shoulder Pain and Disablity Index (SPADI) and EuroQol-5 Dimension Index (EQ-5D Index). Results Both NRS and SPADI scores were significantly reduced after treatment (p<0.01), but EQ-5D for assessing quality of life and clinical improvement by number of damaged lesion were no significant improvement (p>0.05). Conclusions These results show that patients with rotator cuff injuries could gain improvement from complex Korean Medicine. Further research is required to confirm the effectiveness of Korean Medicine treatment. (J Korean Med Rehabil 2018;28(4):81-87)