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교통 사고 이후 발생한 요추부 압박골절에 한방복합입원치료로 호전된 환자 4례: 후향적 증례 연구
홍제락,김유종,김지수,이정열,김태규,유도현,최인석,이상원,Hong, Je-Rak,Kim, Yu-Jong,Kim, Ji-Su,Lee, Jeong-Ryol,Kim, Tae-Gyu,Yoo, Do-Hyun,Choi, In-Seok,Lee, Sang-Won 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.4
Objectives The objective of this study is to report 4 patients who had vertebral compression fracture after traffic accident, that had a complex korean medical admission treatment. Methods In this study we collected the data of traffic accident patients that came to receive intense Korean medical treatment, and had compression fracture of the lumbar spine. A total of 4 patients were studied and we compared the Visual Analogue Scale (VAS) score and the Pain-Free Walking Distance (PFWD) at addmission date and 19th day of hospitalization. Results After receiving an average of 22.25 days of admission treatment, all patients showed a significant decrease in VAS scores and increase in PFWD. The median VAS score at date of admission was 6.5 (VAS 6~9) and decreased to 3.5 (VAS 3~5), median PFWD was 37.5 (30~45) m and increased to 435 (420~450) m. Conclusions After complex korean medicine admission treatment, 4 patients with vertebral compression fracture caused by traffic accident showed decrease of pain and increase of walking distance. But there is a need for further studys to be done on treatment methods and evaluation methods.
경막외 스테로이드 주사치료에 실패 후 한방복합치료에 의해 호전된 요추 추간판 탈출증 환자 10례 : 후향적 증례 연구
김지수,김유종,홍제락,김민철,박한솔,김세영,서영우,이상민,서영훈,김기옥,김태훈 대한침구의학회 2015 대한침구의학회지 Vol.32 No.4
Objectives : The purpose of this study was to assess the effectiveness of integrative Korean Medical treatments for patients with L-spine disk herniation that showed no response to Epidural Steroid Injections (ESI). Methods : In this study, we reviewed the medical records of ten patients who showed no im- provement or relapsed after ESI. The patients each received more than three weeks of inte- grative treatments at Mokhuri Neck&Back Hospital. The Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) was measured before and after treatment. A statistical analysis to compare before and after treatments was assessed using paired t-test the SPSS 12.0 Win- dows program. Results: After three weeks of treatment, patients showed a significant decrease in VAS and ODI scores compared to before receiving treatment. VAS scores decreased from 5.3±1.25 to 1.9±0.99 (p<0.001), and ODI scores decreased from 59.8±22.2 to 32.7±14.11 (p<0.001). Conclusions : Complex Korean Medical treatment showed effectiveness in the treatment of L- spine HIVD patients that showed no response to ESI, and more objective research is needed.
한의학적 복합치료에 의해 호전된 척추수술실패증후군(Failed Back Surgery Syndrome)환자 10례: 후향적 증례연구
서영우,박한솔,김민철,김세영,서영훈,이상민,김유종,홍제락,김지수,김기옥,김태훈 대한침구의학회 2015 대한침구의학회지 Vol.32 No.2
Objectives : This study is an evaluation of the effectiveness of treatments combined with Korean medical methods, such as relaxative Chuna and Gangchuk herbal medicines, for patients with failed back surgery syndrome. Methods : In this study, medical records of ten patients who experienced failed back surgery syndrome and participated in intensive Korean medical treatment were reviewed. All patients received relaxative Chuna and acupuncture along with Gangchuk herbal medicines during hospitalization. Numeric rating scale(NRS) in the degree of 0 to 10, pain-free walking distance(PFWD) and oswestry disability index(ODI) were measured before and after treatments. Results : The patients were hospitalized for an average of 22 days. The average NRS of lumbar pain in all patients decreased from 7.7±1.6 to 3.2±2.2 and the average NRS decline of leg pain was from 7.7±1.7 to 3.2±2.2, both of which indicate statistical significance(p < 0.05). PFWD in all patients increased from 113.3 m to 798.1 m on average. The average ODI in all patients significantly improved from 63.9±7.0 to 43.9±6.9(p < 0.05). Conclusions : The treatments combined with Korean medical methods for failed back surgery syndrome patients are clinically effective and viable.
척추관 협착증 환자의 보행능력과 요추 주변 근육 단면적의 상관관계 연구
김민철 ( Min Chul Kim ),서영훈 ( Young Hoon Seo ),이상민 ( Sang Min Lee ),김유종 ( Yu Jong Kim ),홍제락 ( Je Rak Hong ),유도현 ( Do Hyun Yoo ),김지수 ( Ji Su Kim ),김태규 ( Tae Gyu Kim ),최재영 ( Jae Young Choi ),김태훈 ( Tae-hun 대한한의학회 한방재활의학과학회 2016 한방재활의학과학회지 Vol.26 No.3
Objectives The purpose of this study was to investigate the correlation between walking ability of lumbar spinal stenosis patients and the cross-sectional area (CSA) of lumbar paraspinal muscles. Methods This study was carried out on 62 lumbar spinal stenosis patients who had limited walking abilities because of neurogenic claudication (NC). All patients received more than 2 weeks of complex treatment at Mokhuri Neck&Back Hospital. CSA of lumbar paraspinal muscles was measured from axial T2-weighted MRI and divided by CSA of adjacent vertebral body to avoid influence of body statues (RCSA-Relative CSA). Pain Free Walking Distance and Numerical Rating Scale (NRS) was measured before and after treatment. Results The Pain Free Walking Distance had significantly increased in patients who had bigger RCSA of psoas muscle (r=0.313, p<0.05). Conclusions The psoas muscle can be a predictive factor for restoring walking ability of lumbar spinal stenosis patients who have limitations walking. (J Korean Med Rehabil 2016;26(3):109-117)