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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)
제 4∼5번 요추 추간판 탈출 정도와 요통의 한의학적 치료 효과의 상관성 연구
유형진 ( Hyung Jin Yoo ),이현호 ( Hyun Ho Lee ),정성현 ( Seong Hyun Jeong ),조경상 ( Kyeong Sang Jo ),이기언 ( Gie On Lee ),이동현 ( Dong Hyun Lee ),김상민 ( Sang Min Kim ) 한방재활의학과학회 2016 한방재활의학과학회지 Vol.26 No.2
Objectives The purpose of this study was to compare the effects between the degree of herniated intervertebral lumbar disc (HIVD) at L4-5 level and improvement of low back pain treated by Korean Medicine therapy. Methods 567 patients who received inpatient treatment from May 2014 to December 2015 in the Daejeon-Jaseng of Korean Medicine Hospital were divided into 6 groups by the degree of HIVD at L4-5 level confirmed with a Lumbar spine magnetic resonance imaging. All patients received a combination of treatment including acupunture, chuna manual therapy, pharmacopunture, herbal medication. They were compared and analyzed on the basis of improvement between measuring Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index) as they were hospitalized and as they were discharged. The statistically significance was evaluated by SPSS 23.0 for windows. Results After treatment, Normal stage on Intervertebral Lumbar Disc at L4-5 level group`s Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index) improvement was 1.30±1.62, 4.52±11.82 and 0.04±0.11 respectively. Bulging group`s improvement was 3.25±2.81, 8.28±13.02 and 0.09±0.17 respectively. Spinal canal occupying ratio (SOR) less than 20 group`s improvement was 2.15±1.92, 11.79±17.81 and 0.13±0.23 respectively. SOR 20 to less than 40 stage group`s improvement was 2.13±1.92. 10.79±15.93 and 0.10±0.26 respectively. SOR 40 to less than 60 group`s improvement was 2.16±2.24, 9.80±16.62 and 0.15±0.25 respectively. Surgery group`s improvement was 2.47±2.21, 11.64±18.53 and 0.15±0.27 respectively (p< 0.03). But there was no statistically significance between 6 group`s improvement after treatment (p>0.05). Conclusions After inpatient treatment by Korean Medicine therapy, Most patient`s pain, disability and Health Related Quality of Life was improved significantly. But there was no statistically correlation between the degree of HIVD at L4-5 level and improvement of low back pain. So We think that future research of higher quality and correct statistics shall be necessary. (J Korean Med Rehab 2016;26(2):105-121)
교통사고로 발생한 경추 골절 환자에 대한 한방복합치료 효과: 증례보고
한시훈 ( Si-hoon Han ),이기언 ( Gi-eon Lee ),조경상 ( Kyeong-sang Jo ),변다영 ( Da-young Byun ),오민석 ( Min-seok Oh ) 대한한의학회 한방재활의학과학회 2018 한방재활의학과학회지 Vol.28 No.2
The objective of this study is to report the effects of complex Korean Medicine treatment for 2 patients who had cervical spine fracture casued by traffic accident. We used acupuncture, pharmacopuncture, moxibustion and herbal medicine to treat patients with cervical spine fracture. We observed the changes of pain by Numeric Rating Scale(NRS), Neck Disability Index(NDI) and EuroQol-5 Dimension Index(EQ-5D Index). After complex Korean Medicine treatment, we found that neck pain was reduced and quality of life were improved by NRS, NDI and EQ-5D Index. Complex Korean Medicine could be effective for patients with cervical spine fracture caused by traffic accident. (J Korean Med Rehabil 2018;28(2):113-120)
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)