회전근개 질환에 대한 추나 치료의 효과 : 체계적 문헌 고찰

홍수민(Su-Min Hong),도기원(Ki-Won Do),윤광식 척추신경추나의학회 2021 척추신경추나의학회지 Vol.16 No.1

Objectives This study aimed to evaluate the efficacy of Chuna manual therapy(CMT) in the treatment of rotator cuff disorder. Methods We searched th following nine online databases without language restriction (MEDLINE/PubMed, Cochrane library, Ebscohost, CNKI, RISS, NDSL, KMBASE, and KISS) to identify randomized controlled trials (RCTs) that used CMT in the treatment of rotator cuff disorder. The methodological quality of each RCT was assessed using the Cochrane risk-of-bias tool. Results Four RCTs were included. in the meta-analysis. CMT resulted in a significant reduction in symptoms in these trials. However, there was a high risk of bias in the RCTs. Conclusions We reviewed RCTs that studied the effects of CMT for rotator cuff disorder. While the studies indicate that CMT has favorable effects on rotator cuff disorder. But the risk of bias for most of the studies was high. Therefore, high-quality studies are required to make further conclusions.

척추측만증의 추나치료에 대한 문헌 고찰 연구 보고

허 인(In Heo) 척추신경추나의학회 2019 척추신경추나의학회지 Vol.14 No.1

Objectives : The purpose of this study was to evaluate the scientific literature demonstrating the effectiveness of Chuna manual therapy (CMT) in the treatment of spinal scoliosis. Methods : A literature search was conducted using eight electronic databases to identify all randomized controlled clinical trials (RCTs) that investigated CMT as a treatment for spinal scoliosis. 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 demonstrated positive results of CMT with respect to the reduction of Cobb’s angle, vertebral rotation angle score, bending test score, and efficacy rate compared with brace treatment. Positive results were also assured, in terms of the reduction of Cobb s angle, pulmonary function, and efficacy rate when comparing CMT combined with other therapy with brace treatment, gymnastic training, or traction therapy. Conclusions : This review has identified encouraging and limited evidence of CMT for the treatment of spinal scoliosis. However, to obtain stronger evidence, without the disadvantages of study design and quality, we recommend that treatment effectiveness of CMT for spinal scoliosis is investigated further using a well-designed RCT

경추 추나 치료가 교통사고 환자의 초기 HRV, VAS 변화에 미치는 영향

박지현,이정민,홍서영,Park, Ji-Hyun,Lee, Jung-Min,Hong, Seo-Young 척추신경추나의학회 2009 척추신경추나의학회지 Vol.4 No.2

Objectives : The purpose of this study is to investigate the effect of chuna treatment on cervical sprain caused by traffic accident in early stage. Methods : This study carried out on 20 patients who have received hospital treatment in Daejeon Univ. cheonan Oriental Hospital. Non-chuna group got acupunture-therapy, herbal medication, physical therapy and Chuna group got chuna treatment besides. We measured Heart Rate Variability(HRV) and Visual Analog Scale(VAS) on 2nd, 4th day. Results : After being treated by our methods, Chuna Group showed the inclination to balance the sympathetic and parasympathetic nerve. In chuna group, an autonomic nerve activity showed the inclination to increase. But there were no significant difference between both groups. Chuna group's VAS were significantly decreased(p=0.043). Conclusions : The results suggest that Chuna treatment help traffic accident patients in early stage to reduce pain. Refer to autonomic nerve system, chuna treatment seem to do positive effect but Further long tenn study in a large scale is needed.

요추 추나 치료가 교통사고 환자의 초기 HRV, VAS 변화에 미치는 영향

이정민,박지현,이은정,전태동,홍서영,Lee, Jung-Min,Park, Ji-Hyun,Lee, Eun-Jung,Jean, Tae-Dong,Hong, Sea-Young 척추신경추나의학회 2009 척추신경추나의학회지 Vol.4 No.2

Objectives : The purpose of this study was to investigate the effect of chuna treatment(manipulation) on lumbar sprain caused by traffic accident in early stage, by analysis of the Heart Rate Variability(HRV) and Visual Analogue Scale(VAS). Methods : This study carried out on 20 patients who have received hospital treatment in Daejeon Univ. cheonan Oriental Hospital. Non-chuna group got acupuncture-therapy, herbal medication, physical therapy and Chuna group got all the therapies and chuna treatment. We measured HRV and VAS on 2nd, 4th day. Results : After being treated by our methods, Chuna group showed the inclination to balance between the sympathetic and parasympathetic nerve. In chuna group as compared with non-chuna group, an autonomic nerve activity and stress resistance showed the inclination to increase(p<0.05). And chuna treatment reduced the rate of stress increase. Conclusions : The results suggest that chuna treatment help traffic accident patients in early stage to reduce pain. Refer to autonomic nerve system, chuna treatment seem to do positive effect but Further long term study in a large scale is needed.

경추 추나 및 기능적 뇌척주요법(FCST) 등의 한의학적 치료로 개선된 안면비대칭 환자 3례 증례보고

이주미,김은우,조윤형,신정민,정혜인,김경한 척추신경추나의학회 2022 척추신경추나의학회지 Vol.17 No.2

Objectives : This report aimed to investigate the possibility of correcting facial asymmetry using cervical Chuna manipulation treatment and functional cerebrospinal technique and introduce meaningful additional improvement of systemic symptoms of non-surgical Korean medicine treatments through three case studies. Methods : Three patients with facial asymmetry were treated using Korean medicine treatments. The effects of the treatments were all measured using photographs, lateral cephalograms, and whole-body radiogram and Likert scale. Results : After Korean medicine treatment, there were significant correction effects of asymmetry in photography, cephalography, and whole-body radiogram and meaningful score of Likert scale. Conclusions : This study suggested that Korean medicine treatments may be effective in facial asymmetry. Improving muscular asymmetry, including soft tissue asymmetry and functional asymmetry, has meaningful effects on maintaining an overall balance of the body. Facial asymmetry should be treated by making an alignment of the whole body and there should be further well-designed, randomized, and placebo- controlled trials to verify these results.

퇴행성 및 협부형 척추전방전위증 환자의 시상면상 형태의 임상례 보고

이진혁(Jin Hyuk Lee),강만호(Man Ho Kang),설무창(Moo Chang sul),조계창(Kye Chang Cho),진은석(Eun Seok Jin),이 한(Han Lee) 척추신경추나의학회 2008 척추신경추나의학회지 Vol.3 No.1

Objective : Spondylothesis is a disease which sagittal facet of vertebral body s invariable alignment is being broken and vertebral body being pushed forward. Main pattern of spondylothesis is isthmic spondylothesis by isthmus defect or fracture, degenerative spondylothesis occurred by desiccated change of intervertebral disc or vertebral condyle joint s ligament. The purpose of this study is to assess the difference of the Pelvic angles, Lumbosacral angles, Pelvic tilt, and Lumbar lordotic angles of the spondylothesis patients. Methods : We analyzed the lateral view of lumbar spine of 49 isthmic spondylothesis patients, 45 degenerative spondylothesis patients and 26 patients who haven t been diagnosed as vertebra disease. We investigated each patient’s pelvic angle, lumbosacral angle, pelvic tilt and lumbar lordotic angle. Results and Conclusion : 1. Pelvic incidence, in cases of degenerate spondylothesis patients, is higher than spondylothesis patients but shows less significance. On the contrary significance is higher than the group haven t been diagnosed as vertebra disease. 2. Lumbosacral incidence, in cases of isthmic spondylothesis patients, shows higher significance than degenerative spondylothesis patients and the group haven t been diagnosed as vertebra disease. 3 Pelvic tilt, in cases of degenerative spondylothesis patients, shows higher significance than isthmic spondylothesis patients and the group haven t been diagnosed as vertebra disease. 4. Lumbar lordotic angle, in cases of isthmic spondylothesis patients, shows higher significance than degenerative spondylothesis patients and the group haven t been diagnosed as vertebra disease. 5. Degenerative spondylothesis patient shows specific impression, a forwardly moved high femoral axial and as a result of large lumbrosacral angle and lumbar lordotic angle shows specific impression, an increased weight pressure on sacrum.

“현가 수기법”을 이용한 척추 측만증의 치험 1례

이용섭(Yong Seob Lee) 척추신경추나의학회 2008 척추신경추나의학회지 Vol.3 No.1

This study is designed to evaluate the effect of HyunGa manual technique for the patient with scoliosis. After HyunGa manual technique the results of cobb s angle were improved significantly. It is suggested that HyunGa manual technique might be effective for the patiant with Scoliosis.

추간판 탈출증으로 인한 족하수 환자의 추나치료를 병행한 치험1례

박현호(Hyun Ho Park),정지은(Ji Eun Jung),정원희(Won Hee Jung),김민철(Min Cheul Kim) 척추신경추나의학회 2008 척추신경추나의학회지 Vol.3 No.1

Objectives : The object of this study is to report a clinical effect of oriental medical treatments with chuna for foot drop caused by herniated intervertbral lumbar disc Methods : The patient was diagnosed as lumbar bulging disc, and was treated by lumbar traction technique with other conservative treatments including acupunture herbal mixture. And we measured Visual Analog Score(VAS), Modified Bathel Index(MBI), Nurick s Classification, Range of movement of ankle joint. Results : After treatments, Visual Analog Score, Modified Bathel Index, Nurick s Classification, Range of movement of ankle joint were improved in case. Conclusion : Oriental medical treatments with Chuna manual therapy were associated with improvement of foot drop by herniated intervertbral lumbar disc.

소아 말초성 안면마비에 대한 추나요법의 효과: 체계적 문헌고찰

김의별(Eui-Byeol Kim),강기완(Ki-Wan Kang),김민우(Min-Woo Kim),고연석(Youn-Seok Ko) 척추신경추나의학회 2019 척추신경추나의학회지 Vol.14 No.1

Objectives : The purpose of this study is to review clinical studies about the effect of chuna manual therapy (CMT) for peripheral facial paralysis in children. Methods : In this review, we searched 11 electronic databases (Pubmed, Cochrane Library, EMBASE, CINAHL, CAJ, Oasis, NDSL, KISS, RISS, KISTI, Dbpia); We concluded our literature search in April 23, 2019. We included only randomized controlled trials (RCTs) of testing CMT for peripheral facial paralysis in children. The methodological quality of each RCT was assessed using the Cochrane risk of bias tool. The meta-analysis was performed by synthesizing outcome data of total efficacy rate (TER). Results : After screening papers, a total of 6 RCTs were selected and analyzed. In the 6 RCTs, patients(n=15─60 per study) were randomized into groups for treatment and control. Specifically, the treatment group received CMT, while the control group was concurrently given usual care, such as acupuncture and medicine. The meta-analysis showed that the treatment group receiving CMT alone showed significant improvement in TER, compared to the control group receiving acupuncture therapy alone(P<0.05). And the treatment group receiving CMT combined with usual care showed positive results, in terms of TER, compared to the control group receiving usual care, but was not statistically significant(P>0.05). Conclusions : Our analysis suggests that CMT has therapeutic effects for peripheral facial paralysis in children. However, to confirm this result, further investigation accompanied by high quality studies is required.

추나 시술 부작용에 대한 국내 현황 보고

이병이(Byeong Yee Lee),장건(Gun Jang),이길재(Gil Jae Lee),송윤경(Yun Kyung Song),임형호(Hyung Ho Lim) 척추신경추나의학회 2007 척추신경추나의학회지 Vol.2 No.2

Objectives : This report was performed to report the present situation of the adverse reactions of chuna manipulation in Korea. Methods : Searches were conducted on Internet based field. We investigated the cases reported from Korea Consumer Agency and the “Minwon Baekseo”published by Korean Oriental Medicine Society. Results & Conclusions : The relevant cases and papers were of small number. The most adverse reaction of chuna manipulation was disc herniation. The serious adverse reactions were Cauda equina syndrome(CES) and Cerebral infarction. Most of serious adverse reaction cases were performed by non proffesional therapist. We should give chuna treatment to patients after sufficient education. We expect more case reports and systemic studies about adverse reaction and effect of chuna manipulation.