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한약투여 및 식이, 운동지도를 통한 소아성장치료의 임상적 관찰
공재철 ( Jae Cheol Kong ),이정한 ( Jeong Han Lee ),고연석 ( Youn Seok Ko ),이유진 ( Eu Gene Lee ),나철 ( Cheol Na ),박단서 ( Darn Seo Park ),송용선 ( Yung Sun Song ),신병철 ( Byung Cheul Shin ) 한방재활의학과학회 2008 한방재활의학과학회지 Vol.18 No.3
Objectives : The aim of this study was to observe and analysis the effectiveness of clinical treatments on the growth of children treated with Korean herbal medicine (KHM). Methods : Forty-two children of growth retardation were evaluated from January 2007 to May 2008. All children were administered KHM with diet and exercise guidance. Height percentile and predictive height were calculated following the General Growth Statistics Result (2007), and compared those of pre-treatment with post-treatment. Results : Thirty-one of them were improved (73.8%) and eleven were not (26.2%). The mean growth rate was 7.2cm/yr for male and 6.8cm/yr for female. The mean growth percentile of male showed 7.6% improvement (p=0.003), female 4.4% respectively (p=0.036). The mean predictive height of male showed 2.2cm improvement (p=0.005), female 1.0cm respectively (p=0.007). Change of growth percentile and predictive height were significantly higher on period of prepuberty, and in small children below 50% of height percentile. About inter-relations between growth improvement and compliance of diet, exercise or medication, meaningful statistics were shown in diet control than the others (p=0.077). Diet compliance was in close connection with exercise, but others were not shown close correlations. Conclusions : These results showed that KHM showed promising results on children growth and healthy diet would be an important factor for growth of children. And it was recommended that KHM should be applied on period of prepuberty and smaller than average height.
요추 수기치료의 안전성에 대한 임상보고; 부작용, 기전, 증례보고
박태용 ( Tae Yong Park ),공재철 ( Jae Cheol Kong ),이유진 ( Eugene Lee ),송용선 ( Yung Sun Song ),신병철 ( Byung Cheul Shin ) 한방재활의학과학회 2007 한방재활의학과학회지 Vol.17 No.3
Objectives:The aim of this study was to investigate the safety, injury mechanism, complications and adverse reactions associated with lumbar manipulation treatment (LMT), to report newly reported three cases of adverse reactions with LMT.Methods:We searched relevant documents associated with safety of LMT using internet based search (through medline in international field, relavant institute in domestic field) and bibliography, combed adverse cases in clinical field.Results:The relative-to-absolute contraindications were classified into vascular disorders, articular derangement, trauma, bone-weakening and destructive disorders, neurological disorder or psychological factors.The majority of adverse reactions were mild to moderate in about 90%, began within 4 h and generally disappeared within the next 24 h.The most common were local discomfort (15.2-53.0%), stiffness (19.5%), fatigue or tiredness (11.0-12.1%), or radiating discomfort (10.0-12.1%).All three newly reported cases were generation or aggravation of herniated lumbar disc.Conclusions:We have to go ahead of inspecting patient`s past history, going through with physical, neurological, and diagnostic radiological examination.We should be fully aware of the relative and absolute contraindications to Chuna manipulation for preventing adverse reactions before treating patients with LMT.In the future, we need sufficient education and systematic discipline through curriculum or related institute to decrease complications and adverse reactions of Chuna manipulation.
고연석 ( Youn Seok Ko ),박태용 ( Tae Yong Park ),공재철 ( Jae Cheol Kong ),오원교 ( Won Kyo Oh ),송용선 ( Yung Sun Song ),신병철 ( Byung Cheul Shin ) 한방재활의학과학회 2006 한방재활의학과학회지 Vol.16 No.4
Objectives : The aim of the present study was to report the safety of cervical Chuna manipulation treatment (CCMT). We investigated the mechanism and complications of adverse reactions associated with CCMT, and newly demonstrated three cases in litigation. Methods : We searched relevant case reports, surveys, and review articles using a comprehensive databases of online and bibliography, combed adverse cases in clinical field. Results : A relative-to-absolute contraindication to cervical Chuna manipulation was circulatory and haematological disorders, neurological disorders, bone-weakening and destructive disorders, articular derangement or psychological factors. The majority of adverse reactions were mild or moderate in 85~90%, began within 4 h and generally disappeared within the next 24 h, at least one of them was reported by 30.0~60.9% of the patients after cervical manipulation. The most common were local discomfort (15.2~53.0%), headache (10.0~19.8%), stiffness (19.5~25.0%), tiredness (10.0~12.1%), or radiating discomfort (10.0~23.0%). The two of reported clinical cases were the occurrence of retropharngeal hematoma and cervical herniated disc disease after CCMT. The one was not a fault of practitioner, but complain for compensation. Conclusions : Manipulation of the cervical spine may also be associated with higher complication rates than previously reported. Although It is difficult to estimate the incidence of cervical manipulation complications, it is important to differentiate those patients who are susceptible to adverse reactions in order to inform them correctly.
추나요법을 포함한 수기치료의 효과 및 안전성에 관한 문헌고찰
김기병 ( Ki Byoung Kim ),박태용 ( Tae Yong Park ),이정한 ( Jeong Han Lee ),공재철 ( Jae Cheol Kong ),이수경 ( Su Kyung Lee ),신병철 ( Byung Cheul Shin ),권영달 ( Young Dal Kwon ),송용선 ( Yung Sun Song ) 한방재활의학과학회 2008 한방재활의학과학회지 Vol.18 No.4
Objectives : This study aims to educate clinical doctors of the valuable practice of Manipulative Therapy(MT) as an opportunity for evidence-based medicine. Consequently it also serves to review the effectiveness and safety of MT. Methods : The literature studies of overseas were done by Cochrane Library and Medline website; those of domestic researches were completed by utilizing the sources which are gained from KERIS, KISS, DBpia, Kisti, and domestic institutes related with MT. Results : Eight papers related to the effectiveness of MT were published in South Korea, which concluded with the positive effects of MT. None of them are, however, well-designed randomized controlled trials(RCT). On the other hand, fifteen cases of nine articles indicate the adverse reaction of MT, and numbers of the researches in overseas revealed the side effects of MT in order of cervical, lumbar, and thoracic vertebrae. A vascular adverse reaction such as vertebral and carotid artery dissection was a highly reported cervical adverse reaction; in the thoracic and lumbar regions, neurological adverse reaction in terms of disc herniation was frequently discovered. Conclusions : Henceforth, highly qualitative studies are required developing the effective outcomes and preventing any possible complications of MT. Therefore, systemic curriculums in institutions and sufficient clinical training in the filed are strongly recommended.