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근에너지기법(Muscle Energy Technique)과 Schroth Method를 이용한 특발성 척추 측만증 호전 1례
이성준 ( Sung Joon Lee ),박재현 ( Jae Hyun Park ),남수현 ( Su Hyeon Nam ),강준혁 ( Jun Hyuk Kang ) 한방재활의학과학회 2014 한방재활의학과학회지 Vol.24 No.3
The purpose of this study is to report the effect of muscle energy technique (MET) and Schroth method on idiopathic scoliosis. A patient with idiopathic scoliosis was treated by MET and Schroth method. To investigate the outcome of the patient``s improvement, we observed the X-ray of cervical, thoracic, lumbar spine. And Cobb``s angle, correctability, visual analog scale (VAS) were used to measure changes during treatment. After treatment, Cobb``s angle and correctability, VAS were improved significantly. MET and Schroth method are proved to be helpful to improve idiopathic scoliosis. And, further studies will be needed. (J Korean Med Rehab 2014;24(3):173-179)
요추 추간판 탈출증 환자의 의·한의 협진 의료이용 현황 분석: 건강보험심사평가원 환자표본 데이터를 이용하여
고준혁 ( Jun-Hyuk Ko ),유지웅 ( Ji-Woong Yu ),서상우 ( Sang-Woo Seo ),서준원 ( Joon-Won Seo ),강준혁 ( Jun-Hyuk Kang ),김태오 ( Tae-Oh Kim ),조휘성 ( Whi-Sung Cho ),서연호 ( Yeon-Ho Seo ),안종현 ( Jong-Hyun Ahn ),이우주 ( Woo-Joo 한방재활의학과학회 2021 한방재활의학과학회지 Vol.31 No.4
Objectives Lumbar herniated intervertebral disc (L-HIVD) is common disease in which Western-Korean collaborative treatment is performed in Korea. This study aimed to analyze Western-Korean collaborative treatment utilization of Korean patients with L-HIVD using Health Insurance Review & Assessment Service’s Patients Sample Data. Methods This study used the Health Insurance Review & Assessment Service-National Patient Sample (HIRA-NPS) in 2018. Claim data of L-HIVD patients were extracted. The claim data were rebuilt with the operational concept of ‘episode of care’ and divided into Korean medicine episode group (KM), Western medicine episode group (WM) and collaborative treatment episode group (CT). General characteristics, medical expenses and healthcare utilization were analyzed. In addition, the difference of average visit day and average medical expenses between non-collaborative group (KM plus WM) and CT were analyzed by the propensity score matching method. Results A Total of 64,333 patients and 365,745 claims were extracted. The number of episodes of WM, KM and CT was 69,383 (92.97%), 3,903 (5.23%), and 1,341 (1.80%) respectively. The frequency of collaborative treatment episode was higher in women and the age of 50s. The most frequently described treatment in CT was acupuncture therapy. As a result of the propensity score matching, the number of visit days and medical expenses in the collaborative treatment group was higher than in the non-collaborative group. Conclusions The analysis of healthcare utilization of Korean-Western collaborative treatment may be used as basic data for establishing medical policies and systematic collaborative treatment model in the future. (J Korean Med Rehabil 2021;31(4):105-116)
외상성 경막외출혈 후 발생한 동안신경마비로 인한 안검하수에 대한 피내침요법 병행 치험 1례
이성준 ( Sung Joon Lee ),김병정 ( Byoung Jung Kim ),박국지 ( Kuk Ji Park ),강준혁 ( Jun Hyuk Kang ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.3
The purpose of this study is to evaluate the effect of press needle treatment for eyelid ptosis caused by traumatic epidural hemorrhage(EDH). A traumatic epidural hemorrhage(EDH) ptosis patient was treated with press needles. Marginal reflex distance(MRD), palpebral fissure width(PFW) and levator function was used to measure changes in ptosis during the treatment. After treatment, marginal reflex distance 1(MRD1), marginal reflex distance(MRD2) improved from 0 mm to 3 mm, from 0 mm to 6 mm. Therefore palpebral fissure width(PFW) showed remarkable improvement. Press needle treatment showed significant improvement to the oculomotor nerve palsy patient who was showing no signs of improvement for three months. This clinical trial showed that press needle treatment has meaningful effect on ptosis and more researches should be followed.
경골 고평부 골절 후유증에 능동이완기법을 병행한 한방치료 호전 2예
이성준 ( Sung Joon Lee ),박재현 ( Jae Hyun Park ),김병정 ( Byoung Jung Kim ),강준혁 ( Jun Hyuk Kang ),김효섭 ( Hyo Sub Kim ),송병재 ( Byoung Jae Song ) 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.3
The purpose of this study is to evaluate the effect of active release technique on sequelae of tibial plateau fracture. Two patients with sequelae of tibial plateau fracture were treated with active release technique. Visual analog scale (VAS), Lysholm knee scoring scale, range of motion were used to measure changes during treatment. After treatment, visual analog scale, Lysholm knee scoring scale, range of motion were improved significantly. Active release technique showed significant improvement to the sequlae of tibial plateau fracture that were showing no signs of improvement for twelve and eighteen weeks. This clinical trial showed that active release technique has meaningful effect on sequlae of tibial plateau fracture and more research should be followed. (J Korean Med Rehab 2013;23(3): 201-210)
능동이완기법(active release technique)을 병행한 한방치료로 호전된 극상근건 부분 파열 호전 2례
이성준,박재현,남수현,강준혁,Lee, Sung-Joon,Park, Jae-Hyun,Nam, Su-Hyeon,Kang, Jun-Hyuk 척추신경추나의학회 2014 척추신경추나의학회지 Vol.9 No.1
상기 증례에서 저자는 극상근건 부분 파열 환자에게 한방치료 및 ART 치료를 적용하여 견관절 ROM, VAS 평가를 통해 다음과 같은 결론을 얻었다. 1. 극상근건 부분 파열로 견통 및 견관절 ROM 제한 발생한 환자에게 한방치료 및 ART 치료를 적용하여 견관절 ROM, VAS에서 현저한 개선 보인 것을 확인할 수 있었다. 2. 비교적 증례가 많지 않고 한방적 치료 과정이 정립되어 있지 않은 극상근건 부분 파열에 한방 치료와 ART 치료를 병행하는 것이 효과가 있음 을 알 수 있었다. Objectives : The purpose of this study is to report the effect of Korean medicine treatment combined with active release technique on supraspinatus tendon partial tear. Methods : Two patients with supraspinatus tendon partial tear were treated by Korean medicine treatment in combination with active release technique. Visual analog scale(VAS), range of motion(ROM) were used to measure changes during treatment. Results : After treatment, shoulder pain and limited range of motion were improved significantly. Conclusions : Korean medicine treatment in combination with active release technique is proved to be helpful to improve the symptoms of the supraspinatus tendon partial tear patients. And, further studies will be needed.
고속도로 톨게이트 요금수납원의 작업환경 유해인자 노출평가
박해동 ( Hae Dong Park ),강준혁 ( Joon Hyuk Kang ),김준범 ( Joonbeom Kim ) 한국산업보건학회 (구 한국산업위생학회) 2021 한국산업보건학회지 Vol.31 No.1
Objectives: The purpose of this study was to evaluate the exposures of cashiers who work at expressway tollbooths. Methods: We measured temperature(temp.), relative humidity(RH), and contaminants with direct reading instruments at ten expressway toll gate in September 2015. Elemental carbon was collected on the quartz filters and analyzed with an OCEC analyzer. Results: The average levels for temp., RH, carbon monoxide, carbon dioxide, dust(PM10), and black carbon were respectively 24.6~27.8℃, 32.3~65.3%, 0.5~1.2 ppm, 456~559 ppm, 12~111 ㎍/㎥, and 3.1~10.1 ㎍/㎥ at each tollbooth. The concentrations of elemental carbon within the tollbooth(1.8~7.2 ㎍/㎥) were lower than outdoors(2.5~10.0 ㎍/㎥), but exhibited a high correlation(r2=0.855). The exposure levels for carbon monoxide, black carbon, and elemental carbon in the tollbooths were significantly higher than the offices. The concentrations of black carbon and elemental carbon showed a high correlation(r2=0.756). Conclusions: The levels of contaminants were below the occupational exposure limits in the expressway tollbooth. There were ventilation and air conditioning systems in the booths, but it is necessary to maintain and use the systems properly.