腰脚痛에 대한 單鍼治療群, 蜂藥鍼 竝行治療群, 中性瘀血藥鍼 竝行治療群의 비교연구

이성환,강민완,이현,이소열 대한침구의학회 2007 대한침구의학회지 Vol.24 No.5

Objectives : Herniation of Nucleus Pulposus(HNP) of Lumbar is the most important that causes low back pain. The aim of this study is to compare several therapies about Lumbar spine Hearniated Nucleus Pulposus in oriental Medecine which are Bee-venom Acpuncture and Ouhyul Herbal Acpuncture. Methods : Subjects of this research were 60 inpatients complaining Herniation of Nucleus Pulposus, and who were diagnosed as bulging disc, disc protrusion or extrusion with CT & MRI. 20 patients in each, 3 groups; Acpuncture therapy only, Bee-venom Acpuncture, and Ouhyul Herbal Acpuncture, were divided and the conclusions for treatment are as follows. Results : 1. Regarding alleviation of pain by VAS, Ouhyul Herbal Acpuncture Group Ⅲ showed significant decrease of VAS in the early period of admission(5days), while Bee-venom Acpuncture Group Ⅱ showed higher score of VAS compared to Acpuncture therapy only Group Ⅰ. 2. On contrary, in the latter period of admission(5~9days), Bee-venom Acpuncture Group Ⅱ showed significantly higher rate of improvement than the other groups. 3. On the 9th admission day, Bee-venom Acpuncture Group Ⅱ and Ouhyul Herbal Acpuncture Group Ⅲ showed higher improvement than Acpuncture therapy only Group Ⅰ. Between group Ⅱ and Ⅲ, Group Ⅱ showed higher improvement rate. Conclusions : In this study, there were different effects among three groups according to period of treatment. Further study on various traatment for Herniation of Nucleus Pulposus required. Objectives : Herniation of Nucleus Pulposus(HNP) of Lumbar is the most important that causes low back pain. The aim of this study is to compare several therapies about Lumbar spine Hearniated Nucleus Pulposus in oriental Medecine which are Bee-venom Acpuncture and Ouhyul Herbal Acpuncture. Methods : Subjects of this research were 60 inpatients complaining Herniation of Nucleus Pulposus, and who were diagnosed as bulging disc, disc protrusion or extrusion with CT & MRI. 20 patients in each, 3 groups; Acpuncture therapy only, Bee-venom Acpuncture, and Ouhyul Herbal Acpuncture, were divided and the conclusions for treatment are as follows. Results : 1. Regarding alleviation of pain by VAS, Ouhyul Herbal Acpuncture Group Ⅲ showed significant decrease of VAS in the early period of admission(5days), while Bee-venom Acpuncture Group Ⅱ showed higher score of VAS compared to Acpuncture therapy only Group Ⅰ. 2. On contrary, in the latter period of admission(5~9days), Bee-venom Acpuncture Group Ⅱ showed significantly higher rate of improvement than the other groups. 3. On the 9th admission day, Bee-venom Acpuncture Group Ⅱ and Ouhyul Herbal Acpuncture Group Ⅲ showed higher improvement than Acpuncture therapy only Group Ⅰ. Between group Ⅱ and Ⅲ, Group Ⅱ showed higher improvement rate. Conclusions : In this study, there were different effects among three groups according to period of treatment. Further study on various traatment for Herniation of Nucleus Pulposus required.

수핵 탈출증 발생과 관련된 작업요인 평가

이중정,정종학 大韓産業醫學會 2001 대한직업환경의학회지 Vol.13 No.1

목 적 : 요통의 원인중 가장 대표적 질환인 수핵탈출증 발생에 영향을 미치는 요인을 규명하기 위해일반적 특성, 직종, 작업의 강도, 생활속에서 상급자와 동료들간의 지지도, 심리적 요인을 고려한 환자-대조군 연구를 시행하였다.방 법 ' 설문조사를 통한 근무년수, 교육수준, 흡연여부, 체격지수, 입대전 직업 등의 일반적인 특성파악 및 면접과 관찰을 통한 직종 및 작업특성을 파악하였다. 정신적관련요인 평가는 KMPI를 사용하였으며, 사회 정신적인 지지도와 관련된 요인 측정은Modified Work APGAR를 사용하여 측정하였다.결 과 : 일반적 특성에서는 교육수준과 계급이 환자군과 대조군간에 차이가 있었으며, 다중 로지스틱회귀분석 결과 교육수준만이 수핵 탈출증 발생에 영향을 미치는 변수로 조사되 었다.직종별로는 포병보직자와 야전건설에 종사하는 대상자가 일반 소총수 보직자에 비해 환자군에서 높은비율을 보였다. 다른 요인을 보정한 다중로지스틱회귀분석에서는 포병, 야전 건설작업자와 운전에 종사하는 대상자가 일반 소총수에 비해 수핵 탈출증 발생의 위험이 높았으며, 전화 교환업무에 종사자는일반 소총수 보직자에 비해 수핵 탈출증이 발생할 확률이 낮았다.작업 특성에 따른 분류에서 치대 45 kg, 23 ◎ 이하의 물건을 자주 들어올리거나 운반하는 힘든 일을수행하는 군, 23 kg 이상의 물건을 자주 들어올리거나 운반하는 경우 혹은 45 k9 이상의 물건을 가끔씩들어 올리거나 운반하는 경우가 있는 매우 힘든 일을 수행하는 작업군 및 차량운전에 종사하는 대상자가최대 9 kg, 5 k9 이하의 물건을 자주 들어을리거나 운반하는 경작업군에 비해 수핵 탈출증 발생의 위험이 높은 것으로 나타났다.정신적으로 관련된 요인을 측정하기 위한 KMPI검사에서 단변량 분석에서는 건강염려증척도, 히스테리척도, 편집증척도, 경조증척도가 환자군과 대조 군사이에 차이가 있는 것으로 나타났으며, 수핵 탈출증 유무를 종속변수로한 다중로지스틱 회귀모형에서는 건강염려증척도, 히스테리척도, 경조증척도,내향성척도가 비정상적으로 높을 때 수핵 탈출증발생의 위험이 높은 것으로 조사되었다.사회 정신적인 지지도왁 관련된 요인을 측정하기위한 Modified Work APGAa항목의 단변량 분석에서 '어려운 작업이 있을 때 도움을 청할 수 있는 동료가 있어 만족한다'는 항목, '문제점을 공감하고 같이 터놓고 이야기 할 수 있는 동료가 있어 만족한다'는 항목 '같이 시간을 보낼 수 있는 동료가 있어 만족한다'는 항목 '나의 일과 관련된 임무를 즐긴다'는 항목에서 분포의 차이를 보였으며, ModifiedU'ort APGAR의 전체 합산점수도 환자군에서 유의하게 높았다. 다중 로지스틱회귀분석에서는 직무에 대해 만족할수록 작업장내 동료들간의 친밀한 관계를 가질수록 수핵 탈출증 발생의 빈도가 낮은 것으로 나타났다. 결 론 : 요통을 일으키는 대표적 질환인 수핵 탈출증 발생에 영향을 미치는 요인으로 역학적 요인 외에도 개인의 일반적 특성, 사회적, 정신적 요인도 밀접한 관련이 있는 것으로 생각되며, 향후 수핵 탈출증이나 요통에 영향을 미칠 수 있는 위험요인으로역학적 요인 외에도 사회적, 정신적인 다양한 요인과 측정도구로 위험인자를 규정하고 이에 대한 개입연구가 계속 되어야 할 것으로 생각된다. Objectives : A case-control study was conducted on 2,323 male soldiers(771 herniated nucleus pulposus patients and 1542 controls) to identify risk factors for cumulative trauma disorders especially lower back. Methods : The collecting data included individual physical, psychological, and work environmental factors. Korea Military Personality Inventory (KMPI) was used to examine the assess trait that have been associated with clinically with herniated nucleus pulposus. A measurement of the workplace support system was obtained by using of the modified work APGAR, a brief, seven-item workplace function questionnaire. Results : The herniated nucleus pulposus patients were more common among Artillerymen and Engineer than among infantrymen. In logistic regression analysis of military occupational specialties, Artillerymen, Engineer, radio operator, driver were higher risk of herniated nucleus pulposus than infantrymen. Multivariate analysis of KMPI scales found hypochondriasis scale, hysteria scale, hypomania scale, social introversion scale to have strong relationship to incidence of herniated nucleus pulposus. And 'can communicate with peers' and 'enjoy job task' item of modified work APGAR to have strong relationship to incidence of herniate nucleus pulposus. Conclusions : Study of the relative contributions of many physical and non physical variable shows that evaluations of back problems in workplace that exclude these highly significant work perception and psychosocial variables are of limited value. Simple, unidimensional approaches that ignore the effect of work perceptions and psychological factors on back problems reporting oversimplify a multifaceted problem. These findings emphasize the importance of adopting a broader approach to the multifaceted problem of back complaint in workplace.

A Comparison of Lumbar Lordotic Curves between Herniated Nucleus Pulposus Patients and Normal Subject Using a Flexible Curve Ruler

정영미,최종덕 대한물리치료학회 2012 대한물리치료학회지 Vol.24 No.3

Purpose: We attempt to assess the differences in the degree of lumbar lordosis in patients with lower back pain caused by the herniation of the nucleus pulposus and in normal people (divided into male and female groups). Methods: This study was conducted with 14 patients (7 males, 7 females) diagnosed with, and being treated for, lumbar herniated nucleus pulposus and 14 normal people (7 males, 7 females). In order to examine the degree of lumbar lordosis in these subjects, hip flexor lengthening tests were conducted and the lumbar curves were measured in three postures (supine, sitting, and prone) and the results were compared. Results: The measured values of the curves for the standing and prone postures showed statistically significant differences between the normal group and the patient group, between the normal male group and the male patient group, and between the normal female group and the female patient group (p<0.05). Conclusion: The measurement method that uses flexible curve rulers in the standing or prone postures can be usefully utilized in assessing the lumbar lordosis of patients with lumbar herniation of the nucleus pulposus. Purpose: We attempt to assess the differences in the degree of lumbar lordosis in patients with lower back pain caused by the herniation of the nucleus pulposus and in normal people (divided into male and female groups). Methods: This study was conducted with 14 patients (7 males, 7 females) diagnosed with, and being treated for, lumbar herniated nucleus pulposus and 14 normal people (7 males, 7 females). In order to examine the degree of lumbar lordosis in these subjects, hip flexor lengthening tests were conducted and the lumbar curves were measured in three postures (supine, sitting, and prone) and the results were compared. Results: The measured values of the curves for the standing and prone postures showed statistically significant differences between the normal group and the patient group, between the normal male group and the male patient group, and between the normal female group and the female patient group (p<0.05). Conclusion: The measurement method that uses flexible curve rulers in the standing or prone postures can be usefully utilized in assessing the lumbar lordosis of patients with lumbar herniation of the nucleus pulposus.

Cervical and Lumbar Herniated Nucleus Pulposus Resorption after Acupotomy with Integrative Korean Medicine Treatment: A Case Series of Two Patients

이예지,김재익,김효빈,전주현,김은석,김영일 대한침구의학회 2019 대한침구의학회지 Vol.36 No.2

The aim of this study was to report on the resorption of herniated nucleus pulposus following acupotomy treatment. Two patients were treated with acupotomy which included integrative Korean Medicine treatment, for either cervical, or lumbar herniated nucleus pulposus. Magnetic Resonance Imaging was used to produce images before and after (several months) treatment. The Numerical Rating Scale scores and Range of Motion were used to assess the patients at admission and discharge. In both cases, substantial resorption of the respective herniated disc was observed in the magnetic resonance images, with a decrease in the Numerical Rating Scale score. Range of Motion improved in 1 case. This study shows that acupotomy treatment may be a clinically effective treatment for herniated nucleus pulposus resorption and pain relief.

Cervical and Lumbar Herniated Nucleus Pulposus Resorption after Acupotomy with Integrative Korean Medicine Treatment: A Case Series of Two Patients

Lee, Ye Ji,Kim, Jae Ik,Kim, Hyo Bin,Jeon, Ju Hyun,Kim, Eunseok,Kim, Young Il Korean AcupunctureMoxibustion Medicine Society 2019 Korean Journal of Acupuncture Vol.36 No.2

The aim of this study was to report on the resorption of herniated nucleus pulposus following acupotomy treatment. Two patients were treated with acupotomy which included integrative Korean Medicine treatment, for either cervical, or lumbar herniated nucleus pulposus. Magnetic Resonance Imaging was used to produce images before and after (several months) treatment. The Numerical Rating Scale scores and Range of Motion were used to assess the patients at admission and discharge. In both cases, substantial resorption of the respective herniated disc was observed in the magnetic resonance images, with a decrease in the Numerical Rating Scale score. Range of Motion improved in 1 case. This study shows that acupotomy treatment may be a clinically effective treatment for herniated nucleus pulposus resorption and pain relief.

A Comparison of Lumbar Lordotic Curves between Herniated Nucleus Pulposus Patients and Normal Subject Using a Flexible Curve Ruler

( Yong-mi Jung ),( Jong-duk Choi ) 대한물리치료학회 2012 대한물리치료학회지 Vol.24 No.3

Purpose: We attempt to assess the differences in the degree of lumbar lordosis in patients with lower back pain caused by the herniation of the nucleus pulposus and in normal people (divided into male and female groups). Methods: This study was conducted with 14 patients (7 males, 7 females) diagnosed with, and being treated for, lumbar herniated nucleus pulposus and 14 normal people (7 males, 7 females). In order to examine the degree of lumbar lordosis in these subjects, hip flexor lengthening tests were conducted and the lumbar curves were measured in three postures (supine, sitting, and prone) and the results were compared. Results: The measured values of the curves for the standing and prone postures showed statistically significant differences between the normal group and the patient group, between the normal male group and the male patient group, and between the normal female group and the female patient group (p<0.05). Conclusion: The measurement method that uses flexible curve rulers in the standing or prone postures can be usefully utilized in assessing the lumbar lordosis of patients with lumbar herniation of the nucleus pulposus.

A Comparison of Lumbar Lordotic Curves between Herniated Nucleus Pulposus Patients and Normal Subject Using a Flexible Curve Ruler

Jung, Yong-Mi,Choi, Jong-Duk The Korean Society of Physical Therapy 2012 대한물리치료학회지 Vol.24 No.3

Purpose: We attempt to assess the differences in the degree of lumbar lordosis in patients with lower back pain caused by the herniation of the nucleus pulposus and in normal people (divided into male and female groups). Methods: This study was conducted with 14 patients (7 males, 7 females) diagnosed with, and being treated for, lumbar herniated nucleus pulposus and 14 normal people (7 males, 7 females). In order to examine the degree of lumbar lordosis in these subjects, hip flexor lengthening tests were conducted and the lumbar curves were measured in three postures (supine, sitting, and prone) and the results were compared. Results: The measured values of the curves for the standing and prone postures showed statistically significant differences between the normal group and the patient group, between the normal male group and the male patient group, and between the normal female group and the female patient group (p<0.05). Conclusion: The measurement method that uses flexible curve rulers in the standing or prone postures can be usefully utilized in assessing the lumbar lordosis of patients with lumbar herniation of the nucleus pulposus.

요추간판탈출증(腰推間板脫出症)에 상용(常用)되는 중국추나(中國推拿) 기법(技法)에 관(關)한 연구(硏究)

한무규,허수영,최진만,Han, Moo-Gyu,Heo, Su-Young,Choi, Jin-Man 척추신경추나의학회 2000 대한추나의학회지 Vol.1 No.1

The manipulations are the main therapheutic procedure of Chuna. Manipulation is the essential procedure of Chuna theraphy. On the basis of touch parts and motion changes, each elementary manipulation is divided into Stimulating Manipulations (reflexional manipulations) and Mobilizing Manipulations. Objectives: This study were advanced so as to know Chinese Chuna Manipulations especially on Herniated Nucleus Pulposus. Methods We Investigated Chinese medicine paper about Chinese Chuna Manipulations on Herniated Nucleus Pulposus between 1996 and 1999. Results. Chinese Chuna theraphy, Pressing Manipulations and Thrusting-Wrenching Manipulations are mostly used on Herniated Nucleus Pulposus, and Chinese Chuna theraphy carrys out Traction, Injection. Chinese medicine. Acupuncture side by side. Conclusions: Chinese Chuna theraphy uses not only Mobilizing Manipulations, but also Stimulating Manipulations whereas Korean Chuna theraphy chiefly uses Mobilizing Manipulations.

요추간판 수핵적출술 환자와 비수술 환자의 운동효과 비교

최지환(JiHwanChoi),허유섭(YuSubHuh) 한국체육학회 2013 한국체육학회지 Vol.52 No.4

본 연구는 요추간판 수핵탈출증(Herniated nucleus pulposus; HNP) 환자 중 수핵적출술(Automated Percutaneous Lumbar Discectomy; APLD) 환자(n=10)와 비수술 환자(n=10)간의 운동효과를 알아보기 위해 요부 등척성 신전근력 및 유연성, 슬관절 굴곡 및 신전근력, VAS, 오스웨스트리 요통장애척도에 대한 변화를 분석한 결과 다음과 같은 결론을 얻었다. 첫째, 신체 기능적 측면의 경우 요부 등척성 신전근력 및 유연성, 슬관절 굴곡 및 신전근력의 변화에서 수술 집단과 비수술 집단 모두 시기별로 유의한 차를 보였다(p<.05). 둘째, 통증 및 장애요인인 VAS, 오스웨스트리 요통장애척도 또한 수술 집단과 비수술 집단 모두 시기별로 유의한 차를 보였다(p<.05). 이상의 결과로 볼 때, 수술을 받지 않은 HNP 환자들에게 실시되는 재활운동은 신체적 기능 향상뿐만 아니라 통증완화, 일상생활기능 개선에도 긍정적인 영향을 미치는 것으로 사료된다. The purpose of this study was to investigate the effects of exercise between HNP percutaneous automated Percutaneous Lumbar Discectomy(APLD) and non-surgical patients on the degree of lumbar intervertebral disc herniation. The subjects consisted of groups of APLD(n=10) and non-surgical(n=10). The changes of a lumbar isometric extensor strength, lumbar lean backward, knee flexion, knee extension strength, VAS, and Oswestry low back pain disability scale are analyzed for this study. Statistical technique for data analysis were 2-way RM ANOVA and paired t-test. As a result, the following conclusions were obtained. 1. The case of the body functional aspects, surgical and non-surgical both groups showed significantly differences in the changes of a lumbar isometric extensor strength and flexibility, knee flexion and extension by period(p<.05). 2. Also, the cases of pain and disability factor, surgical and non-surgical both groups showed significantly differences in the VAS and Oswestry low back pain disability scale by period(p<.05). The result so far showed that rehabilitation exercise for non-surgical HNP patients has a positive effect on not only physical functional improvement but also pain relief, and enhancement of the daily living activity.

요추부 추간판탈출증 환자에서 Prolotherapy의 효과

조대현 ( Dae Hyun Jo ),양선주 ( Seon Joo Yang ),이상우 ( Sang Woo Lee ),김명희 ( Myoung Hee Kim ) 대한통증학회 2003 The Korean Journal of Pain Vol.16 No.1