동결견(凍結肩) 환자의 동서협진 치료의 임상효과 비교연구 - 견관절 가동운동범위(ROM) 변화를 중심으로 -

남동우,김행범,양동훈,임사비나,김건식,이두익,이재동,최도영,이윤호,Nam, Dong-Woo,Kim, Haeng-Beom,Yang, Dong-Hoon,Lim, Sa-Bi-Na,Kim, Keon-Sik,Lee, Doo-Ik,Lee, Jae-Dong,Choi, Do-Young,Lee, Yun-Ho 대한침구의학회 2006 대한침구의학회지 Vol.23 No.5

Objectives : To establish an effective collaborate medicine treatment of acupuncture and western medicine for treating frozen shoulder patients. Methods : 59 voluntary patients were randomly assigned to Eastern treatment group(E group, n=22), Western treatment group(W group, n=17) and East-West treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received acupuncture and injection treatment including nerve block All groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment based on the change in shoulder Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The patient's satisfaction scores were E group 5.67, W group 7.73 and EW group 7.67. The E group and the EW group showed significant improvement in abbduction, adduction and flexion(p<0.05). The W group showed significant improvement in adduction(p<0.05). Abduction significantly improved(p<0.05) in the EW group compared to E group and W group. Flexion also showed improvement in the EW group, but the difference among the 3 groups was statistically insignificant. The three group's difference of change in extension and adduction was insignificant(p>0.05). Conclusion : Acupuncture and nerve block alone significantly improved ROM in frozen shoulder patients. Also collaborate treatment of acupuncture and nerve block significantly improved ROM in frozen shoulder patients. But the difference of the three treatments were significant only for improving abduction(p<0.05).

견관절의 임상적 평가도구에 관한 고찰

양동훈,김건형,김행범,최양식,박영배,Yang, Dong-Hoon,Kim, Kun-Hyung,Kim, Haeng-Beom,Choi, Yang-Sik,Park, Young-Bae 대한침구의학회 2007 대한침구의학회지 Vol.24 No.6

Objectives : A number of instruments have been developed to measure the quality of life in patients with various shoulder disorders. Much progress has been made in this area, and currently an appropriate instrument exists for each shoulder state. The purpose of this study is to review the instruments that are currently in use for assessing the shoulder joint. Methods : A literature research was performed to choose appropriate scales for assessment of function and the disability of the shoulder. Theoretically based scales were selected for review. Therefore, 11 scales were reviewed. The status of scales involved in shoulder treatment of acupuncture throughout several countries was evaluated. Results : 11 scales: The American shoulder and elbow surgeons evaluation form(ASES), Constant Shoulder Score, The disabilities of the arm, shoulder and hand(DASH), Shoulder Disability Questionnaire (SDQ), The Shoulder Pain And Disability index(SPADI), The simple shoulder test(SST), Oxford Shoulder Questionnaire(OSQ), The Rotator Cuff quality-of-life Measure(RC-QoL), Western Ontario Shoulder Instability Index(WOSI), Western Ontario Osteoarthritis of the Shoulder Index(WOOS), Western Ontario Rotator Cuff Index(WORC), wereevaluated. Each measurement has its own composition and characteristics. Their validity, reliability, responsiveness and practical characteristics were already evaluated. We found 3 domestic and 10 overseas papers about shoulder treatments using acupuncture assessed with shoulder scales. Conclusions : In clinical research, the selection of the measurement scale should take account of the condition of disease, the patient's traits and the characteristics of the research. Moreover, appropriate scales, which havevalidity, reliability, responsiveness and practical characteristics, are needed to enhance the quality of research.

전남지역「가고 싶은 섬」의 건강치유물질 특성

강광성 ( Gwang-seong Gang ),김행범 ( Haeng-beom Kim ),박현수 ( Hyun-soo Park ),김계홍 ( Kye-hong Kim ),김환범 ( Hwan-beom Kim ),하훈 ( Hoon Ha ),양수인 ( Soo-in Yang ) 한국환경기술학회 2017 한국환경기술학회지 Vol.18 No.3

본 연구는 전라남도가 2016년도에 선정된 전남지역「가고 싶은 섬」에 대한 섬 공기질의 건강치유물질인 테르펜 분포량과 음이온을 파악하기 위해서 실시하였다. 조사대상은 가고 싶은 섬의 침엽수림과 상록활엽수림에서 이루어졌으며 2016년 5월 ~ 9월 중 수행하였다. 테르펜 분포량 조사결과 침엽수림인 진도 관매도가 1,200 pptv로 가장 높게 나타났다. 수종별 테르펜류의 분포량은 침엽수림에서는 고흥 연홍도(1,181 pptv), 여수 낭도(1,150 pptv), 신안 반월도(1,029 pptv)순으로 타났으며, 상록활엽수림에서는 완도 소안도(851 pptv), 강진 가우도(748 pptv), 신안 박지도(627 pptv)순으로 나타났다. 테르펜류 성분별로는 침엽수림에서는 주로 α-pinene과 β-pinene이 검출되었으며, 상록활엽수림에서는 α-pinene과 δ-limonene, sabinene이 많이 검출되었다. 음 이온은 강진 가우도에서 최대값인 1,350 ea/cc으로 나타났으며, 전체 조사지점의 농도는 346 ea/cc∼ 828 ea/cc 범위로 측정되어 2015년에 조사된 도시공원(순천 장대공원)의 음이온 평균값 88 ea/cc에 비해 매우 높은 농도로 조사되었다. 건강에 유해한 물질인 총부유세균과 PM-10은 자연수준 상태로 조사되었다. 조사결과 전라남도「가고 싶은 섬」의 대기환경은 매우 안전하고 건강치유물질이 풍부한 환경으로 평가되었다. This study was conducted to provide basic data not only on the health healing material but also on the amount of terpene distribution to 「Islands that people hope to visit」 in Jeollanam-do. The investigations were conducted at coniferous forest and evergreen broadleaved forest which is stand of 「Islands that people hope to visit」 in Jeollanam-do visited frequently from May to September 2016. As a result, the amount of terpene distribution was 1,200 pptv(mean value) in the coniferous forests of Gwanmaedo, the forests of Yeonhongdo (1,181 pptv), Nangdo(1,150 pptv), Banwoldo(1,029 pptv), Soando(851 pptv), Gaudo(748 pptv), Bakjido(627 pptv). A large amount of α-pinene and β-pinene was mainly detected in the coniferous forests, while the amount of α-pinene and δ-limonene and sabinene took up a large share in the evergreen broad-leaved forest on 「Islands that people hope to visit」. The maximum value of anions was measured as 1,350 ea/cc in Gaudo. The mean value at all research sites was ranged from 346 ea/cc to 828 ea/cc. These were much higher than the average anion value of 88 ea/cc in the city park(Jang-Dae Park). Total airborne bacteria counts and PM-10 content being classed as a hamful influence material on the health were natural state level. As the result of investigation, the ambient air characteristics of「Islands that people hope to visit」in Jeollanam-do was estimated to very safe and pleasant environment.

동결견(凍結肩) 환자의 동서협진 치료의 임상효과 비교연구 : 견관절 가동운동범위(ROM) 변화를 중심으로

남동우,김행범,양동훈,임사비나,김건식,이두익,이재동,최도영,이윤호 경희대학교 동서의학연구소 2006 東西醫學硏究所 論文集 Vol.2006 No.-

Objectives : To establish an effective collaborate medicine treatment of acupuncture and western medicine for treating frozen shoulder patients. Methods : 59 voluntary patients were randomly assigned to Eastern treatment group(E group, n=22), Western treatment group(W group, n=17) and East-West treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received acupuncture and injection treatment including nerve block. All groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment based on the change in shoulder Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The patient's satisfaction scores were E group 5.67, W group 7.73 and EW group 7.67. The E group and the EW group showed significant improvement in abbduction, adduction and flexion(p<0.05). The W group showed significant improvement in adduction(p<0.05). Abduction significantly improved(p<0.05) in the EW group compared to E group and W group. Flexion also showed improvement in the EW group, but the difference among the 3 groups was statistically insignificant. The three group's difference of change in extension and adduction was insignificant(p>0.05). Conclusion : Acupuncture and nerve block alone significantly improved ROM in frozen shoulder patients. Also collaborate treatment of acupuncture and nerve block significantly improved ROM in frozen shoulder patients. But the difference of the three treatments were significant only for improving abduction(p<0.05).