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이상근증후군의 도침치료에 대한 체계적 문헌고찰 및 메타 분석
박송미 ( Song-mi Park ),정수은 ( Sue-un Jung ),박정현 ( Jung-hyeon Park ),도현정 ( Hyun-jeong Do ),조성우 ( Sung-woo Cho ) 한방재활의학과학회 2021 한방재활의학과학회지 Vol.31 No.2
Objectives This study was conducted to analyze the effect of using acupotomy for piriformis muscle syndrome. Methods The databases used for the search were PubMed, Embase, Cochrane library, China National Knowledge Infrastructure (CNKI), Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), Oriental Medicine Advanced Searching Integrated System (OASIS), KMbase, and National Digital Science Library (NDSL). The literature was searched using a total of 9 domestic and foreign databases. randomized controlled trial using only acupotomy as an intervention was selected. The selected studies are analyzed the risk of bias through Cochrane risk of bias, and meta-analysis was performed using Revman. Results As a result of meta-analysis of 11 selected studies, acupotomy was more effective than nerve block and acupuncture. In terms of visual analog scale and immediate analgesic effect, acupotomy did not have statistically significant results compared to other treatment methods. meta-analysis of electro-acupuncture and acupotomy showed no significant results. Conclusions When acupotomy is applied as a treatment for piriformis muscle syndrome, it is more effective than nerve block and acupuncture. but most of the studies have been judged as 'unclear' in the risk of bias assessment. Due to characteristics of treatment group and control group's intervention, It is judged that the blinding of the participant was not properly implemented. Therefore, it is considered that high-quality studies are necessary to supplement the problems in the future. (J Korean Med Rehabil 2021;31(2):25-40)
턱관절음양균형요법과 도침치료를 병행한 한방치료를 이용한 경부 근긴장이상증 치험 1례
박정현(Jung Hyeon Park),도현정(Hyun Jeong Do),정수은(Su Eun Jung),박송미(Song Mi Park),이영준(Young Jun Lee),김철홍(Cheol Hong Kim) 턱관절균형의학회 2020 턱관절균형의학회지 Vol.10 No.1
Objectives: The purpose of this study is to report the effect of Korean medical treatment with FCST and Miniscalpel- Acupuncture on patient with cervical dystonia. Methods: In this study, A patient with cervical dystonia was admitted to ○○ Korean medicine Hospital from Oct 20th, 2020 to Nov 28th, 2020. During the admission period, the patient was treated by Korean medical treatment (acupuncture, pharmacopuncture, herb medicine, etc.), especially using FCST and Miniscalpel-Acupuncture. The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), the Tsui score and CDIP (Cervical Dystonia Impact Profile)-58 were used for measuring the Cervical Dystonia. Results: After treatment for 40 days, the TWSTRS showed a decrease from 52.75 to 13.75, the Tsui score also decreased from 17 to 3 and the CDIP-58 score decreased from 64.1 to 25.5. Conclusions: These results showed that Korean medical treatment especially using FCST and Miniscalpel-Acupuncture may have an effect on reducing symptoms of cervical dystonia. But the further researches are needed.
요추 추간판 탈출증 및 척추관 협착으로 인한 하지 근력 저하 및 보행 장애 환자에 대한 추나요법을 포함한 한방복합치료 치험 1예
정수은 ( Su-eun Jung ),박송미 ( Song-mi Park ),조성우 ( Sung-woo Cho ) 한방재활의학과학회 2021 한방재활의학과학회지 Vol.31 No.2
The study reports the clinical case of a patient with lower extremity weakness and gait disturbance treated with Korean medicine treatments including Chuna therapy. The patient suffered lower extremity weakness and gait disturbance with diagnosis of lumbar disk herniation and spinal stenosis. As a treatment, the doctor applied Chuna therapy, herbal medicine, acupuncture, pharmacopuncture, cupping and moxa. The effect of treatment was evaluated by numeral rating scale (NRS), self-walkable distance, functional independence measure (FIM), Oswestry disability index (ODI) and manual muscle test (MMT). NRS decreased from 6 to 4 at the leg. Self-walkable distance increased from 0 m to 10 m, FIM increased 85 to 96 points while ODI decreased 64% to 54%. MMT of hip flex and knee extension improved from grade 3+, grade 3 to grade 4, respectively. Korean medicine treatment can be effective for patients who suffer lower extremity weakness and gait disturbance due to lumbar disk herniation and spinal stenosis. Further clinical studies are required to verify these findings. (J Korean Med Rehabil 2021;31(2):99-108)