측만이 동반된 요추 추간판 탈출증 수술 실패 증후군 환자에 대한 추나요법 병행치료 증례보고

류호선,이지원 척추신경추나의학회 2018 척추신경추나의학회지 Vol.13 No.2

Objectives : To verify Korean Medicinal Combination Treatments for patients who have Failed Back Surgery Syndrome along with scoliosis Methods : We used Acupuncture, Chuna manual therapy, Pharmacoacupuncture, Herbal medication. We measured Numeral Rating Sacle(NRS), Pain-Free walking distance(PFWD) and Oswestry Disability Index(ODI) score to evaluate the treatment effects. Results : Patients’LBP & Rt.leg pain NRS, PFWD and ODI score were improved. Conclusions : Traditional Korean medicine can be effective for FBSS patients along with scoliosis

두개천골추나요법이 두통에 미치는 영향 : 체계적 문헌 고찰과 메타분석

이상진(Sang-Jin Lee),이상현(Sang-Hyun Lee),허인(In Heo),황의형(Eui-Hyoung Hwang),임형호(Hyoung-Ho Lim),송윤경(Yun-Kyung Song) 척추신경추나의학회 2020 척추신경추나의학회지 Vol.15 No.1

Objectives : This study was conducted to evaluate the therapeutic effects of Chuna Craniosacral therapy on headaches. Methods : 1. A combination of keywords, such as headache and Chuna Craniosacral therapy, were searched based on studies published in 11 databases (Pubmed, CAJ, EMBASE, Cochrane Library, Web of Science, KMBASE, KISS, KISTI, NDSL, RISS and DBPIA) up to October 31st, 2019. 2. The subjects were randomized controlled clinical studies using Chuna Craniosacral therapy. 3. We used the Cochrane perverse assessment tools for quality assessment. Results : 1. Six randomized controlled clinical studies were selected, and all 404 patients were evaluated. 2. As a result of the meta-analysis, Chuna Craniosacral therapy and scalp acupuncture showed no difference in treatment effect. 3. Chuna Craniosacral therapy showed a significant difference in treatment effect compared to Maitlands mobilization. 4. Chuna Craniosacral therapy showed a partial difference in treatment effect compared to low intensity magnetotherapy. 5. Chuna Craniosacral therapy group showed a significant effect on pain reduction compared to the untreated group. 6. All six papers showed a high degree of bias risk, with no mention of side effects or adverse events. Conclusion : This study provided only a limited assessment of the curative effects of Chuna Craniosacral therapy s headache treatment. However, there was no mention of side effects, and given the therapeutic effects analyzed in individual papers, it is believed that Craniosacral therapy can be used safely to treat headaches.

추나요법을 적용한 한방복합치료로 호전된 요추 추간판 탈출증으로 인한 비구조적 척추측만증 5례: 증례보고

남궁진(Jin Namgoong),황보경(Bo-Kyung Hwang),신원빈(Won-Bin Shin),최효정(Hyo-Jung Choi),백혜경(Hye-Kyung Baek),이윤하(Yun-Ha Lee),최동주(Dong-Joo Choi) 척추신경추나의학회 2020 척추신경추나의학회지 Vol.15 No.1

Objectives : This case report describes the management of five patients suffering from nonstructural scoliosis with lumbar herniated intervertebral disc all treated with complex Korean medicine treatment. Methods : Five patients were hospitalized and treated with herbal medicine, acupuncture, pharmacopuncture, cupping, and Chuna manual therapy. Patients were assessed for Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-FiveDimensions(EQ-5D), and Cobb’s angle. Results : In all patients, NRS, ODI, and Cobb’s angle decreased, while the EQ-5D score increased. Conclusions : As seen in these five cases, complex Korean medicine treatment with Chuna manual therapy has effects on the management of nonstructural scoliosis.

슬관절 추나치료를 비롯한 한의치료의 슬관절염 치료 효과에 대한 환자군 연구

서지연,송광찬,문주영,이지연,전현아 척추신경추나의학회 2018 척추신경추나의학회지 Vol.13 No.2

Objectives : The purpose of this research is to find out the effect of Korean Medicine Treatment Including Chuna Manual Therapy with on patients who were diagnosed as Knee Osteoarthritis. Methods : Chuna Manual Therapy was proceeded on 4 patients who received treatment at OO Korean Medicine Hospital from Februrary, 2018 to September, 2018. In addition, We also kept a record of NRS, EQ-5D and WOMAC on the day of admission and discharge to find out the differences between initial and final figures. Results : As a result, Chuna Manual Therapy showed a significant effect on alleviating pain on patients with Knee Osteoarthritis. There was a significant decrease in NRS, WOMAC scores. Not only did the scores of NRS and WOMAC decrease significantly, but also the figures of EQ-5D increased significantly as well. Conclusions : This research suggests Korean Medicine Treatment Including Chuna Manual Therapy could be a remedy for Knee Osteoarthritis.

경추간판 장애 및 척수병증을 동반한 후종인대골화증 환자에 대한 한의 복합 치료 1례 증례보고 : 추나 요법을 중심으로

홍민우(Min-Woo Hong),김재균(Jae-Kyoun Kim),박민정(Min-Jung Park),윤영흠(Young-Heum Yoon),김수용(Su-Yong Kim),김남권(Nam-Kwen Kim) 척추신경추나의학회 2020 척추신경추나의학회지 Vol.15 No.1

Objectives : This study reports the clinical case of a patient diagnosed with ossification of the posterior longitudinal ligament treated with Korean Medicine focusing on Chuna therapy. Methods : The patient was treated by a doctor from July 18th, 2019 to November 28th, 2019. The patient was diagnosed with ossification of the posterior longitudinal ligament based on magnetic resonance imaging results and was recommended to undergo surgery at another hospital. The primary complaint of the patient was left neck pain, left arm sensation, right leg sensation, and right leg loss of strength. The doctor treated the patient with Chuna therapy, acupuncture, cupping, herbal medicine, and pharmacopuncture. The effect of treatment was evaluated using visual analogue scale, neck disability index, pain rating score and Japanese Orthopedic Association score. Spurling, compression, and distraction tests were utilized. Results : Visual analogue scale decreased from 10 at the arm and 10 at the leg to 1 and 2, respectively. Neck disability index decreased from 25 to 11, pain rating score decreased from 66 to 1, and Japanese Orthopedic Association score recovered from 12 to 17 points. In addition, positive spurling test, compression test, and distraction test all improved to negative. Conclusions : Korean medicine treatment can be effective for ossification of the posterior longitudinal ligament patients, even when surgery is recommended. Further clinical studies, such as case series and case-control studies, are required to verify these findings.

전립선비대증에 대한 추나요법의 효과 : 체계적 문헌 고찰

전천후(Cheon-Hoo Jeon),박나리(Na-Ri Park),이예지(Ye-Ji Lee),조충식(Chung-Sik Cho) 척추신경추나의학회 2020 척추신경추나의학회지 Vol.15 No.1

Objectives : This study aimed to evaluate the randomized controlled clinical trials (RCTs) analyzing the effectiveness of Chuna manual therapy (CMT) for benign prostatic hyperplasia (BPH). Methods : Among the literature published until May 2020, a literature search was carried out using 10 electronic databases using related keywords to identify all RCTs that applied CMT for the treatment of BPH. The Cochrane risk of bias tool was used to assess the methodological quality of each RCT. Results : Five RCTs met our inclusion criteria and were included in the analysis. These studies showed that CMT had no positive results compared to herbal medication. However, positive results were shown in terms of an increased efficacy rate, reduced international prostate symptom scores, and increased maximum flow rate when CMT was combined with acupuncture or herbal medication. Conclusions : Based on the analysis, this review has limited evidence of CMT being beneficial in the treatment of BPH. Therefore, further investigation is required using well-designed RCTs to support the effectiveness of CMT and to obtain higher evidence.

다리움직임을 동반한 척추 가동술(SMWLM)과 통합한방치료를 활용하여 호전된 급성 하지 근력저하 4례 : 증례보고

문영주(Young-Joo Moon),신원빈(Won-Bin Shin),류광현(Gwang-Hyun Ryu),이지연(Ji-Yun Lee),전현아(Hyun-A Jeon),임수연(Su-Yeon Lim),김성현(Seong-Hyun Kim),구승혁(Seng-Hyuk, Koo),문현우(Hyun-Woo Moon) 척추신경추나의학회 2020 척추신경추나의학회지 Vol.15 No.2

Objectives The purpose of this study was to investigate the possibility of spinal mobilization with leg movement (SMWLM) using Korean Medicine treatment on acute lower limb muscle weakness through four case studies. Methods SMWLM , with other Korean Medicine treatments, was performed on four patients who underwent treatment at OOOO Korean Medicine Hospital from August 2017 to July 2018. Additionally, results of the Numerical Rate Scale(NRS), EuroQol-FiveDimensions(EQ-5D),Oswestry lowback pain disability questionnaire(ODI), Straight Leg Raise(SLR) test, and Manual Muscle Test(MMT) were evaluated. Results There was a significant increase in NRS, ODI, and EQ-5D scales with im-rovements of SLR angle and MMT figures to a normal range. Conclusions This study suggested that Korean Medicine treatment combined with SMWLM may affect treating acute lower limb muscle weakness. Further clinical studies are needed to establish a definite conclusion.

추나요법에서 복와위 요천관절 신연기법에 대한 제언

차윤엽(Yun-Yeop Cha) 척추신경추나의학회 2020 척추신경추나의학회지 Vol.15 No.1

Objectives : This study aimed to introduce a new sacral lumbar joint distraction technique in the prone position in Chuna manual therapy for effective lumbar distraction. Methods : The patient was placed in the prone position. Next, clinicians contacted the sacrum and L1, L2, L3, L4 and L5 spinal processes. Then they were pulled in the direction of the head and leg respectively while pressing down with 30% force to maintain the lumbar lordosis. This is a more effective and safer lumbar distraction technique according to the latest knowledge. Conclusions : This technique can be used for lumbar disc herniation in addition to relaxing the existing lumbar muscles, and is suggested to be used as a safe and effective Chuna manual therapy.

요천추신경병증에 대한 심부협척 도침술과 한의통상치료의 효과 비교안전성, 유효성, 경제성평가 : 연구 프로토콜

허인(In Heo),이진현(Jin-Hyun Lee),고연석(Youn-Suk Ko),조동찬(Dong Chan Jo),김영일(Young Il Kim),이상현(Sang-Hyun Lee),황의형(Eui-Hyoung Hwang),박태용(Tae-Yong Park),황만석(Man-Suk Hwang) 척추신경추나의학회 2021 척추신경추나의학회지 Vol.16 No.2

연구 배경 최근 한국 및 중국에서 근골격계 질환에 대한 도침술의 활용이 늘고 있다. 하지만 현재까지의 임상연구는 대부분 증례보고 형태에 그치거나, 충분한 근거가 확보되지는 않은 실정이다. 우리는 요천추신경병증환자의 치료에 있어 도침치료와 통상한의치료와의 비교를 통해 도침치료의 유효성, 안전성, 경제성 평가를 시행하기 위해 본 연구를 기획하게 되었다. 연구 방법 본 연구는 예비임상 연구로, 다기관에서 진행되며, 무작위대조군, 활성 대조군을 통한2개군 병행집단 연구로 평가자 맹검을 시행하게 된다. 이 연구에서는 총 50명의 요천추신경병증환자를 대상으로 2개군으로 균등하게 분배하여 도침술 또는 통상한의치료를 시행하게 된다(각군당 25명). 도침술 그룹의 경우 협척혈에 도침치료를 시행 받게 되며, 통상 한의치료군은 연구자 판단하에 도침술을 제외한 적절한 한의치료를 시행 받게 된다. 두 개의 그룹은 주당 2회씩 총 3주간치료를 받게 된다. 일차 유효성 평가는 요통으로 인한 기능장애를 평가하기 위한 Oswestry disability index를 통해 시행한다. 이차 유효성 평가지표로는 numeric rating scale, European Quality of Life 5-Dimension 5-Level, short-form McGill Pain Questionnaire, Roland- Morris Disability Questionnaire scores를 시행하게 된다. 고찰 본 예비임상연구의 결과는 추후 있을 요천추신경병증에 대한 도침치료 및 한의통상치료 비교효과 연구의 유효성, 경제성평가 본 임상연구를 위한 기초 정보 및 가능성을 확인하고 적절한 대상자수 산정에 도움이 될 것이다. 임상연구 등록정보 Clinical Research Information Service(https://cris.nih.go.kr/)에2021년 5월 30일에등록됨. 연구등록번호 KCT0006043. Abbreviations LSS: lumbar spinal stenosis RCT: randomized controlled trial UKC: usual Korean medicine care PNUKH: Pusan National University Korean Medicine Hospital DKMHDU: Daejeon Korean Medicine Hospital of Daejeon University WUKMMC: Woosuk University Korean Medicine Medical Center IRB: institutional review board NRS: numeric rating scale SOP: standard operating procedure KMD: Korean medicine doctor ODI: Oswestry disability index EQ-5D-5L: European Quality of Life 5-Dimension 5-level SF-MPQ: short-form McGill Pain Questionnaire RMDQ: Roland-Morris Disability Questionnaire PRO: patient-reported outcome ITT: intention-to-treat PP: per-protocol

소아변비에 대한 추나요법의 효과 : 체계적 문헌 고찰

박인화,박선영,황의형 척추신경추나의학회 2018 척추신경추나의학회지 Vol.13 No.2

Objectives : This review aims to evaluate the effects and the safety of Chuna manual therapy(CMT) for pediatric functional constipation. Methods : We searched 10 electronic databases(Pubmed, EMBASE, Cochrane Library, CAJ, Oasis, RISS, KISS, NDSL, KMBASE, KISTI) and related 2 journals until October 2018. We included randomized controlled trials(RCTs) of testing CMT for pediatric functional constipation. The methodological quality of RCTs related assessed by the Cochrane risk of bias tool. Results : 16 RCTs were eligible in our inclusion criteria. The meta-analysis of 11 studies showed positive for use CMT for pediatric functional constipation. CMT significantly improved total efficancy rate compared with medications (P < 0.00001). Conclusions : There is evidence of CMT for pediatric functional constipation with meta-analysis. However, our systematic review has limited evidence to support CMT for pediatric functional constipation. because the quality of relevant trials is relatively poor.Further well-designed RCTs should be encouraged. the quality of relevant trials is relatively poor.