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한방재활의학과학회> 한방재활의학과학회지> 교통사고로 유발된 급성 요통 환자의 후관절 소염약침 치료에 대한 초음파 유도하군과 비유도군의 효과 비교: 후향적 연구

KCI등재

교통사고로 유발된 급성 요통 환자의 후관절 소염약침 치료에 대한 초음파 유도하군과 비유도군의 효과 비교: 후향적 연구

Comparison the Soyeom Pharmacopuncture Therapy Effects of Ultrasound Guided Group and Unguided Group on the Patients’ Facet Joint with Acute Low Back Pain Caused by Traffic Accidents: A Retrospective Study

박정욱 ( Jeong-wook Park ) , 김상우 ( Sang Woo Kim ) , 전동휘 ( Dong-hwi Jeon ) , 김병준 ( Byung-jun Kim ) , 오민석 ( Min-seok Oh )
  • : 한방재활의학과학회
  • : 한방재활의학과학회지 31권3호
  • : 연속간행물
  • : 2021년 07월
  • : 85-93(9pages)
한방재활의학과학회지

DOI


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서론
대상 및 방법
결과
고찰
결론
References

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Objectives This study aims to compare the effect of an ultrasound on a guided group and an unguided group on Soyeom pharmacopuncture therapy on the facet joint in patients with acute low back pain caused by traffic accidents.
Methods 21 patients with acute low back pain caused by traffic accidents from March 1, 2021 to May 31, 2021 were included in this study. The study was conducted as a retrospective study which analyzes the patient’s medical records. 11 patients (Group A) received ultrasound guided Soyeom pharmacopuncture therapy and 10 patients (Group B) received unguided Soyeom pharmacopuncture therapy on the facet joint. Visual analogue scale (VAS) and Oswestry disability index (ODI) was used to evaluate improvements in functions and pain, and five point Likert scale to evaluate patient’s satisfaction.
Results Both groups showed a statistically significant decrease in the VAS and ODI on the 5th day of hospitalization. However, there was no statistically significant difference between the groups. Difference in the Likert scale between the groups was not statistically significant either.
Conclusions We found that ultrasound guided Soyeom pharmacopuncture therapy on the facet joint showed similar efficacy compared with unguided Soyeom pharmacopuncture therapy at facet joint on acute low back pain patients caused by traffic accidents. (J Korean Med Rehabil 2021;31(3):85-93)

UCI(KEPA)

간행물정보

  • : 의약학분야  > 재활의학
  • : KCI등재
  • :
  • : 계간
  • : 1229-1854
  • : 2288-4114
  • : 학술지
  • : 연속간행물
  • : 1991-2021
  • : 1504


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31권4호(2021년 10월) 수록논문
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KCI등재

1지질다당류로 유발한 염증성 뇌손상 동물모델에 대한 황금작약탕의 억제효과 연구

저자 : 김종규 ( Jong-gyu Kim ) , 임지성 ( Ji-sung Im ) , 안성후 ( Sung-hu An ) , 송용선 ( Yung-sun Song )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 4호 발행 연도 : 2021 페이지 : pp. 1-11 (11 pages)

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Objectives Hwanggeumjakyak-tang (HJT) has traditionally been used to treat gastrointestinal inflammatory diseases; however, its protective effects against neuronal inflammation are still undiscovered.
Methods We investigated the anti-neuroinflammatory effects of HJT water extract on lipopolysaccharide (LPS)-stimulated BV2 mouse microglia cells. BV2 cells were treated with LPS (1 μg/mL) 1 hour prior to the addition of HJT. We measured cell viability using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide (MTT) assay and nitrite production using the Griess assay. We performed a reverse transcriptionpolymerase chain reaction assay to measure messenger RNA expression of inflammatory cytokines including interleukin (IL)-1β, IL-6, and tumor necrosis factor (TNF)-α. Western blot analysis was performed to determine protein expression of mitogen-activated protein kinases (MAPKs) and inhibitor of nuclear factor kappa B (NF-κB)α.
Results HJT inhibited excessive nitrite release in LPS-stimulated BV2 cells and also significantly inhibited inflammatory cytokines such as IL-1β, IL-6, and TNF-α in LPS-stimulated BV2 cells. Moreover, HJT significantly suppressed LPS-induced MAPK and NF-κB activation and inhibited the elevation of IL-1β, IL-6, and TNF-α in the brain of LPS-injected mice.
Conclusions Our study highlights the anti-neuroinflammatory effects of HJT via MAPK and NF-κB deactivation. (J Korean Med Rehabil 2021;31(4):1-11)

KCI등재

2조위승청탕(調胃升淸湯)의 비만 및 대사성 질환에 대한 연구동향 분석: 국내 학술지를 중심으로

저자 : 이수환 ( Soohwan Lee ) , 이원준 ( Wonjun Lee ) , 정지홍 ( Jihong Jeong ) , 차윤엽 ( Yunyeop Cha )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 4호 발행 연도 : 2021 페이지 : pp. 13-23 (11 pages)

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Objectives The purpose of this research is to comprehensively analyze about Jowiseungcheong-tang (Diaoweishēngqīng-tāng). This herbal medicine is widely used to treat obesity and metabolic disease.
Methods We used 3 search terms, 'Jowiseungcheong-tang', 'Jowiseungcheong-tang plus obesity' and 'Jowiseungcheong-tang plus metabolic disease' in Korean word via 5 domestic databases. Therefore, 8 laboratory experiments and 4 clinical researches were chosen.
Results Jowiseungcheong-tang (Diaoweishēngqīng-tāng) was identified as a herbal medicine for obesity and related metabolic disease. In plasma level of lipid, leptin, inflammatory material were decreased in laboratory experiments. Weight loss and symptom relief were reported in clinical research.
Conclusions Definite information about laboratory experiment was showed, specifically suitable index and numerical value. In clinical research, although Jowiseungcheong-tang (Diaoweishēngqīng-tāng) is widely used for obesity and metabolic disease, the number of reported thesis and patient were pretty a few. Also, diagnosis methods were also scanty. Multi-institutional clinical trial should be progressed. (J Korean Med Rehabil 2021;31(4):13-23)

KCI등재

3회전근개 수술 후 침 치료의 효과: 체계적 문헌고찰

저자 : 이상진 ( Sang-jin Lee ) , 고유미 ( You-me Ko ) , 박정식 ( Jung-sik Park ) , 박태용 ( Tae-yong Park ) , 이정한 ( Jung-han Lee ) , 조재흥 ( Jae-heung Cho ) , 황의형 ( Eui-hyoung Hwang ) , 김경자 ( Kyoung-ja Kim ) , 최미영 ( Mi-young Choi ) , 송윤경 ( Yun-kyung Song )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 4호 발행 연도 : 2021 페이지 : pp. 25-34 (10 pages)

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Objectives This study was conducted to evaluate the therapeutic effect of acupuncture after rotator cuff surgery.
Methods Key words such as rotator cuff surgery and acupuncture were searched in 10 databases (Ovid-Medline, Ovid-EMBASE, Ovid-AMED, Cochrane Library, China National Knowledge Infrastructure [CNKI], National Digital Science Library [NDSL], Koreanstudies Information Service System [KISS], Oriental medicine Advanced Searching Integrated System [OASIS], KoreaMed, KMBASE), and only suitable randomized controlled trials (RCTs) were selected.
Results 6 RCTs were finally selected, and acupuncture showed positive results for pain relief and functional recovery after rotator cuff surgery. However, the analyzed 6 RCTs showed a high overall risk of bias.
Conclusions In the future, RCTs with a higher level of evidence on the effect of acupuncture after rotator cuff surgery need to be continuously conducted. (J Korean Med Rehabil 2021;31(4):25-34)

KCI등재

4슬관절 전치환술 후 한약 치료의 효과: 체계적 문헌고찰과 메타분석

저자 : 이상진 ( Sang-jin Lee ) , 고유미 ( You-me Ko ) , 박정식 ( Jung-sik Park ) , 박태용 ( Tae-yong Park ) , 이정한 ( Jung-han Lee ) , 조재흥 ( Jae-heung Cho ) , 황의형 ( Eui-hyoung Hwang ) , 김경자 ( Kyoung-ja Kim ) , 최미영 ( Mi-young Choi ) , 송윤경 ( Yun-kyung Song )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 4호 발행 연도 : 2021 페이지 : pp. 35-47 (13 pages)

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Objectives This study was conducted to evaluate the therapeutic effect of herbal medicine after total knee arthroplasty.
Methods Key words such as total knee arthroplasty and herbal medicine were searched in 10 databases (Ovid-Medline, Ovid-EMBASE, Ovid-AMED, Cochrane Library, China National Knowledge Infrastructure [CNKI], National Digital Science Library [NDSL], Koreanstudies Information Service System [KISS], Oriental medicine Advanced Searching Integrated System [OASIS], KoreaMed, KMBASE), and only suitable randomized controlled trials (RCTs) were selected.
Results 8 RCTs were finally selected, and herbal medicine showed positive results for pain relief and functional recovery after total knee arthroplasty. However, the analyzed 8 RCTs showed a high overall risk of bias.
Conclusions In the future, RCTs with a higher level of evidence on the effect of herbal medicine after total knee arthroplasty need to be continuously conducted. (J Korean Med Rehabil 2021;31(4):35-47)

KCI등재

5골절에 침 치료를 적용한 2013년 이후 증례보고 문헌고찰

저자 : 백승원 ( Seung-won Paik ) , 남경호 ( Kyeong-ho Nam ) , 최승관 ( Seung-kwan Choi ) , 이정한 ( Jung-han Lee ) , 한윤희 ( Yun-hee Han )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 4호 발행 연도 : 2021 페이지 : pp. 49-63 (15 pages)

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Objectives This study aimed to investigate the trend in treating fracture with acupuncture and to evaluate the quality of case reports.
Methods All case reports of fractures treated with acupuncture were extracted from four Korean web databases. We classified these studies by five fracture sites and investigated frequently used meridian and acupoint, outcome measurements, treatment period. And we assessed the quality of the case reports by the STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) guidelines.
Results A total of 33 case reports were included. The outcome measurements were divided into six categories, and the outcome measurements used in more than three studies showed improvement in patient symptoms. The mainly used meridians for each fracture site were as follows: chest and abdomen (GB, LR, CV), back (BL, GB), upper limb (LI, TE), lower Limb (GB, ST, BL, SP). The most commonly used acupoints for each fracture site were as follows: chest and abdomen (Ashi points, GB24, GB25, GB26, LR13, LR14, CV16, CV17, CV18, CV19), back (BL23, BL24, BL25, BL26, BL40, BL51, BL52, BL60, GB34), upper limb (LI4, LI10, LI11, TE3), lower limb (GB34, GB40). According to the STRICTA guidelines, more than 54.54% of the reports were found to be 'not reported' or 'not sufficient' in the following categories: 'response sought', 'description of participating acupuncturist', and 'number of needle insertions per subject per session'.
Conclusions The meridians and acupuncture points frequently used for acupuncture treatment of fractures were near the fracture site. Future clinical studies involving acupuncture must be reported in accordance with the STRICTA guidelines to improve transparency and uniformity. (J Korean Med Rehabil 2021;31(4):49-63)

KCI등재

6방아쇠 수지에 대한 한의학적 치료 연구 동향 분석

저자 : 최재용 ( Jae-yong Choi ) , 이상건 ( Sang-gun Lee ) , 김호 ( Ho Kim ) , 유상준 ( Sang-joon Yoo ) , 강동협 ( Dong-hyeob Kang ) , 이도훈 ( Do-hoon Lee ) , 최기원 ( Ki-won Choi ) , 이유진 ( Yu-jin Lee )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 4호 발행 연도 : 2021 페이지 : pp. 65-74 (10 pages)

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Objectives The purpose of this review is to analyze the trends of Korean medicine treatment for trigger finger.
Methods Clinical papers using Korean medicine to treat trigger finger were searched in five online databases―Koreanstudies Information Service System, Oriental Medicine Advanced Searching Integrated System, ScienceON, Research Information Sharing Service, and PubMed. Nine studies were selected, and we analyzed their characteristics according to the author, year, number/gender/age of patients, duration of disease, duration of treatment, intervention method, measurement methods, and results.
Results Seven case report studies, one prospective observational study, and one randomized controlled trials (RCTs) were selected in online databases, and there were no review studies. The most frequently used therapies were pharmacopuncture and acupuncture treatment. visual analogue scale, Quinnell's classification of triggering, was frequently used for measurement methods. All nine studies had therapeutic effects.
Conclusions We reviewed studies of Korean medicine treatments for trigger finger, in this study. However, there are limitations that seven of the nine selected papers were case papers, and the number of papers was small. This paper suggests that a higher level of research and more studies on Korean medicine treatments of trigger finger need to be conducted. (J Korean Med Rehabil 2021;31(4):65-74)

KCI등재

7한방 암 치료에 대한 최근 10년간 임상연구 고찰: 국내 데이터베이스를 중심으로

저자 : 최지원 ( Ji-won Choi ) , 남연경 ( Yeon-kyeong Nam ) , 이정한 ( Jung-han Lee ) , 우현준 ( Hyeon-jun Woo )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 4호 발행 연도 : 2021 페이지 : pp. 75-86 (12 pages)

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Objectives This study aimed to analyze the research trends in clinical studies on the traditional Korean medicine used for cancer treatment between 2011 and 2020.
Methods We searched 7 Korean web databases (Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS], Koreanstudies Information Service System [KISS], Korean Medical database [KMBASE], DBpia, Korea Institute of Science and Technology Information [KISTI], and KoreaMed) and classified collected papers dated between 2011 and 2020 by the year of publication, publication journal, study design, type of cancer affecting the patients, interventions used, evaluation system used, and combination with conventional medicine.
Results A total of 167 papers were collected. More than 10 papers were published annually. The papers were mainly published in the Journal of Korean Traditional Oncology (28.7%). The predominant type of the study was case study (67.7%). The main type of cancer was breast cancer, affecting 262 patients. Most of the studies reported using multiple traditional Korean medicine treatments (55.1%). Eighty-nine studies reported using clinical laboratory tests for evaluation. Most of the patients took conventional medicine simultaneously (608 patients).
Conclusions Research related to Korean medicine for cancer patients is at a rudimentary level. Therefore, for further clarity, high evidence-based researches, including randomized controlled trials and cohort studies, should be conducted. (J Korean Med Rehabil 2021;31(4):75-86)

KCI등재

8몽골과 한국 전통의학의 비교 연구

저자 : 오양가빌렉 ( Oyanga-bileg Purevjav ) , 하원배 ( Won-bae Ha ) , 금지혜 ( Ji-hye Geum ) , 이정한 ( Jung-han Lee )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 4호 발행 연도 : 2021 페이지 : pp. 87-103 (17 pages)

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Objectives The purpose of this study was to investigate the development process and describe the diagnosis methods, theories and treatments of Mongolian traditional medicine and Korean traditional medicine through literature records and prior studies.
Methods Literature records and previous studies on traditional medicine of both countries were collected through various sites in Mongolia (Esan, Mongoliajol, Kok, Yumpu, Scribd, Science and Technology Foundation [STF]) and Korea (Koreanstudies Information Service System [KISS], Korea Institute of Science and Technology Information [KISTI], National Digital Science Library [NDSL], Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS]). Also the English database was searched through PubMed. In the case of Mongolian traditional medicine, medical books published in Mongolia were mainly referenced and used for research.
Results Studying the development process, basic concepts and the system of diagnosis and treatment of the two traditional medicine, several commonalities and differences were revealed.
Conclusions This study showed that the scope of diagnosis methods between Mongolian and Korean traditional medicine were slightly different, and that the medical terminology for the diagnosis method had slightly different contents from each other. Although there were many similarities in treatments of Mongolian and Korean traditional medicine, the Chuna therapy is found in Korean traditional medicine only. The basic theories constituting traditional medicine were the same, but the five-element theory used by the two countries differs in the following two factors. Mongolia uses elements of air and space as the theory of five elements, while Korea uses elements of wood and iron. (J Korean Med Rehabil 2021;31(4):87-103)

KCI등재

9요추 추간판 탈출증 환자의 의·한의 협진 의료이용 현황 분석: 건강보험심사평가원 환자표본 데이터를 이용하여

저자 : 고준혁 ( Jun-hyuk Ko ) , 유지웅 ( Ji-woong Yu ) , 서상우 ( Sang-woo Seo ) , 서준원 ( Joon-won Seo ) , 강준혁 ( Jun-hyuk Kang ) , 김태오 ( Tae-oh Kim ) , 조휘성 ( Whi-sung Cho ) , 서연호 ( Yeon-ho Seo ) , 안종현 ( Jong-hyun Ahn ) , 이우주 ( Woo-joo Lee ) , 김보형 ( Bo-hyung Kim ) , 최만규 ( M

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 4호 발행 연도 : 2021 페이지 : pp. 105-116 (12 pages)

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Objectives Lumbar herniated intervertebral disc (L-HIVD) is common disease in which Western-Korean collaborative treatment is performed in Korea. This study aimed to analyze Western-Korean collaborative treatment utilization of Korean patients with L-HIVD using Health Insurance Review & Assessment Service's Patients Sample Data.
Methods This study used the Health Insurance Review & Assessment Service-National Patient Sample (HIRA-NPS) in 2018. Claim data of L-HIVD patients were extracted. The claim data were rebuilt with the operational concept of 'episode of care' and divided into Korean medicine episode group (KM), Western medicine episode group (WM) and collaborative treatment episode group (CT). General characteristics, medical expenses and healthcare utilization were analyzed. In addition, the difference of average visit day and average medical expenses between non-collaborative group (KM plus WM) and CT were analyzed by the propensity score matching method.
Results A Total of 64,333 patients and 365,745 claims were extracted. The number of episodes of WM, KM and CT was 69,383 (92.97%), 3,903 (5.23%), and 1,341 (1.80%) respectively. The frequency of collaborative treatment episode was higher in women and the age of 50s. The most frequently described treatment in CT was acupuncture therapy. As a result of the propensity score matching, the number of visit days and medical expenses in the collaborative treatment group was higher than in the non-collaborative group.
Conclusions The analysis of healthcare utilization of Korean-Western collaborative treatment may be used as basic data for establishing medical policies and systematic collaborative treatment model in the future. (J Korean Med Rehabil 2021;31(4):105-116)

KCI등재

10미숙과 복분자 추출물의 상체비만 개선 효과: 무작위배정, 이중눈가림, 위약-대조 임상연구

저자 : 하기찬 ( Ki Chan Ha ) , 김혜미 ( Hye Mi Kim ) , 백향임 ( Hyang Im Baek ) , 정다영 ( Da Young Jeong ) , 김은 , 이기훈 ( Ki Hoon Lee ) , 김하림 ( Ha Rim Kim ) , 권강범 ( Kang Beom Kwon ) , 김선오 ( Sunoh Kim ) , 이정한 ( Jung Han Lee )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 4호 발행 연도 : 2021 페이지 : pp. 117-127 (11 pages)

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Objectives Previously, we demonstrated that a 5% ethanol extract of unripe Rubus coreanus (5-uRCK) and ellagic acid has hypocholesterolemic and antiobesity activity in high-fat diet-fed animals. Therefore, we conducted a clinical study on the anti- obesity effect of 5-uRCK in 140 Korean adults (aged 19-70 years, body mass index (BMI) ≥25 kg/m2).
Methods The participants were randomly assigned to two groups and were administered the placebo (n=70) or 5-uRCK extract (800 mg, n=70) daily for 12 weeks. The subjects were instructed to maintain their usual dietary intake and normal physical activity. Anthropometrics, body composition (dual-energy X-ray absorptiometry), and blood parameters were compared between the two groups.
Results Average body weight and BMI did not show any significant changes; however, changes in upper body fat mass between the two groups was significantly different, as determined using analysis of covariance adjusted for baseline of percent body fat and drinking units. Moreover, Although not significant, the trunk fat mass and percent trunk fat tended to decrease after 5-uRCK supplementation. There was no significant difference in other laboratory biomarkers between the two groups. All safety parameters were within normal ranges in the both group.
Conclusions In the present study, 5-uRCK significantly reduced upper body fat in obese subjects after 12 weeks, which indicates that it may help improve android-type obesity. Furthermore, the supplement is safe and well tolerated. (J Korean Med Rehabil 2021;31(4):117-127)

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KCI등재

1요추 척추관 협착증의 비수술적 치료에 대한 최근 국내·외 연구 동향

저자 : 김미현 ( Mi-Hyun Kim ) , 박은상 ( Eun-sang Park ) , 황현호 ( Hyeon-ho Hwang ) , 이여경 ( Yeo-Gyeong Lee ) , 송금주 ( Geum-ju Song ) , 권미리 ( Mi-Ri Kwon ) , 강준혁 ( Jun-hyuk Kang )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 3호 발행 연도 : 2021 페이지 : pp. 1-17 (17 pages)

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Objectives The present study examined the recent domestic and international trends of non-surgical treatment of lumbar spinal stenosis (LSS).
Methods The studies on non-surgical treatment of LSS were investigated via searching Korean web databases and PubMed. As a result, 39 studies were analyzed according to the authors, the types of study, the relationship to surgical treatment and the method of treatment.
Results The first authors' occupations were identified as 17 doctors, 12 Korean medicine doctors, six physiotherapists, three chiropractic doctors and one doctor of science. The most common type of study in Korea was the case report and most of the studies were retrospective. Overseas, there were many prospective or experimental studies including randomized controlled trials (RCT). In Korea, non-surgical treatment was performed independently of surgical treatment in most cases. Among non-surgical treatments, the most researched treatment was traditional Korean medicine (TKM), followed by injection therapy, exercise therapy, and physical therapy.
Conclusions Through this review, we can determine the effectiveness of TKM and its research direction. TKM should be studied experimentally including RCT and it should be conducted not only on acupuncture, but also on other treatment methods such as acupotomy, chuna, and herbal medicine. It is also necessary to conduct studies on TKM before and after surgery to compare the effects of surgery and TKM together, as well the effects on non-surgical treatments. (J Korean Med Rehabil 2021;31(3):1-17)

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2류마티스 관절염의 임상 연구 동향: 2008년 이후 국내 학술 문헌을 중심으로

저자 : 한윤희 ( Yun-hee Han ) , 우현준 ( Hyeon-jun Woo ) , 박수연 ( Soo-yeon Park ) , 이창훈 ( Chang-hoon Lee ) , 정종혁 ( Chong-Hyuk Chung ) , 이명수 ( Myeung-Su Lee ) , 이정한 ( Jung-han Lee )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 3호 발행 연도 : 2021 페이지 : pp. 19-29 (11 pages)

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Objectives To investigate the trends in clinical study on rheumatoid arthritis in all academic fields in Korea.
Methods We searched seven Korean web databases for clinical studies published from 2008 to 2021. All identified studies were reviewed and classified by the year of publication, academic field, and study design.
Results A total of 347 clinical studies were selected. An average of 26.7 studies were published each year. Regarding the distribution of studies by academic fields, 309 studies were published in the medical field and 17 studies were published during the same period in Korean medicine, and 21 studies were published in other fields. The distribution of studies by study design was as follows: 8 studies, meta-analyses; 5 studies, systematic reviews; 16 studies, experimental studies; and 318 studies, observational studies.
Conclusions Multidisciplinary access and management are required for the early diagnosis of rheumatoid arthritis, effective management of disease progression, and prevention of rheumatoid joint deformities. Additionally, study design with high-level of evidence on the intervention of rheumatoid arthritis are warranted. (J Korean Med Rehabil 2021;31(3):19-29)

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3골다공증의 한약 치료 효과: 국내 및 국외 동물 실험 및 임상 연구 논문에 대한 문헌 고찰

저자 : 원지영 ( Jee-yeong Won ) , 한다영 ( Dayoung Han ) , 남수현 ( Suhyun Nam ) , 길봉훈 ( Bong-hun Kil ) , 김동원 ( Dong-won Kim )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 3호 발행 연도 : 2021 페이지 : pp. 31-55 (25 pages)

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Objectives This study was designed to review the effect of herbal medicine on animal model and patients with osteoporosis.
Methods The databases in Korea and overseas were searched with term as osteoporosis, Chinese medicine, Korean medicine, herbal medicine. Among the results, we reviewed studies published in 2011 to 2020. 420 articles were primarily selected and after processing through flowchart, finally 72 studies were selected.
Results Above 72 studies, 71 studies showed that the herbal medicine was effective on treating osteoporosis, using macroscopical, osteological, histological, hematological analysis and urinalysis.
Conclusions Using herbal medicine for treating osteoporosis is effective in various pathways. But further study should be conducted to clarify its treatment mechanisms and effectiveness. (J Korean Med Rehabil 2021;31(3):31-55)

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4대퇴골두의 연소성 골연골증의 중·서양 협진치료에 대한 임상 연구 동향: 2000년 이후 발표된 연구를 중심으로

저자 : 최윤영 ( Yun-young Choi ) , 양수현 ( Su-hyun Yang ) , 박재은 ( Jae-eun Park ) , 오승주 ( Seung-ju Oh )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 3호 발행 연도 : 2021 페이지 : pp. 57-72 (16 pages)

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Objectives This study was conducted to investigate clinical studies about Integrated Traditional Chinese and Western Medicine therapy for Legg-Calve-Perthes disease.
Methods We searched clinical studies about Integrated Traditional Chinese and Western Medicine therapy for Legg-Calve-Perthes disease through China National Knowledge Infrastructure. 17 articles published from 2000-2021 were finally chosen and analyzed by published year, study design, number of samples, diagnosis criteria, evaluation criteria, treatment period, follow up period, treatment method.
Results Herbal medicine, external treatment, Chuna massage therapy were performed for traditional Chinese medical treatment. For Western medicine treatment, conservative treatment and surgical treatment were performed. Above them, herbal medicine and conservative treatment were mostly used for treating Legg-Calve-Perthes disease.
Conclusions By analyzing clinical studies, We found that Integrated Traditional Chinese and Western Medicine therapy can be helpful for treating Legg-Calve-Perthes disease. In Korea, more clinical research about Legg-Calve-Perthes disease is still needed. This study will be helpful for future research on Korean medicine for Legg-Calve-Perthes disease. (J Korean Med Rehabil 2021;31(3):57-72)

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5십자인대 손상에 대한 국내·외 한의치료 고찰

저자 : 김호걸 ( Ho Geol Kim ) , 임주하 ( Ju Ha Im ) , 홍수민 ( Su Min Hong ) , 구지향 ( Ji-hyang Gu ) , 하현주 ( Hyun Ju Ha ) , 오민석 ( Min-seok Oh )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 3호 발행 연도 : 2021 페이지 : pp. 73-84 (12 pages)

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Objectives The objective of the study is to review the Korean traditional medicine treatment used in cruciate ligament injury.
Methods According to patients, treatment methods, research design, evaluation tools, outcome, we searched for studies which performed Korean traditional medical treatment on patient with cruciate ligament injury.
Results In 11 studies, total number of patents were 78. Patients were conducted with 11 kinds of treatment, which is acupuncture, herbal medicine, pharmacopuncture, electro-acupuncture, burning acupuncture, moxibustion, physiotherapy, exercise, Chuna and cupping. The most commonly used measurement was visual analog scale.
Conclusions Throughout the study, we could organize Korean traditional medicine treatment for patient with cruciate ligament injury. However it is difficult to figure out among the 11 intervention which interventions were effective in improving symptom. Therefore, further researches like randomized clinical trial and systematic review is needed in order to enhance the evidence of the Korean traditional medicine. (J Korean Med Rehabil 2021;31(3):73-84)

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6교통사고로 유발된 급성 요통 환자의 후관절 소염약침 치료에 대한 초음파 유도하군과 비유도군의 효과 비교: 후향적 연구

저자 : 박정욱 ( Jeong-wook Park ) , 김상우 ( Sang Woo Kim ) , 전동휘 ( Dong-hwi Jeon ) , 김병준 ( Byung-jun Kim ) , 오민석 ( Min-seok Oh )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 3호 발행 연도 : 2021 페이지 : pp. 85-93 (9 pages)

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Objectives This study aims to compare the effect of an ultrasound on a guided group and an unguided group on Soyeom pharmacopuncture therapy on the facet joint in patients with acute low back pain caused by traffic accidents.
Methods 21 patients with acute low back pain caused by traffic accidents from March 1, 2021 to May 31, 2021 were included in this study. The study was conducted as a retrospective study which analyzes the patient's medical records. 11 patients (Group A) received ultrasound guided Soyeom pharmacopuncture therapy and 10 patients (Group B) received unguided Soyeom pharmacopuncture therapy on the facet joint. Visual analogue scale (VAS) and Oswestry disability index (ODI) was used to evaluate improvements in functions and pain, and five point Likert scale to evaluate patient's satisfaction.
Results Both groups showed a statistically significant decrease in the VAS and ODI on the 5th day of hospitalization. However, there was no statistically significant difference between the groups. Difference in the Likert scale between the groups was not statistically significant either.
Conclusions We found that ultrasound guided Soyeom pharmacopuncture therapy on the facet joint showed similar efficacy compared with unguided Soyeom pharmacopuncture therapy at facet joint on acute low back pain patients caused by traffic accidents. (J Korean Med Rehabil 2021;31(3):85-93)

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7견관절 전방 통증 환자에서 초음파 유도하 견쇄관절 소염약침요법 병행 치료의 효과: 후향적 연구

저자 : 김상우 ( Sang Woo Kim ) , 전동휘 ( Dong-hwi Jeon ) , 김병준 ( Byung-jun Kim ) , 박정욱 ( Jeong-wook Park ) , 오민석 ( Min-seok Oh )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 3호 발행 연도 : 2021 페이지 : pp. 95-104 (10 pages)

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Objectives The purpose of this study was to observe effectiveness of ultrasound-guided Soyeom pharmacopuncture therapy at acromioclavicular joint of shoulder in patients with anterior shoulder pain.
Methods We analyzed medical records of 9 patients hospitalized with anterior shoulder pain who had admitted to Department of Korean Rehabilitation Medicine, College of Korean Medicine, Daejeon University from March 1, 2021 to June 13, 2021. 9 patients were treated the treatment of Soyeom pharmacopuncture therapy on acromioclavicular joint under ultrasonic guidance with Korean medicine treatment (such as herbal medicine, acupuncture, moxabustion, etc). The study was conducted as a retrospective observation study which analyze the patient's medical records. We used numeric rating scale (NRS) to evaluate pain reduction and the shoulder range of motion (ROM) to evaluate function improvement twice (before pharmacopuncture treatment and 5 days later treatment). Statistical analysis was performed using the IBM SPSS Statistics version 25 program (IBM Co., Armonk, NY, USA).
Results The average of numeric rating scale reduced statistically significantly from 5.56±1.13 to 3.11±1.36 (p=0.004). The average of shoulder flexion ROM increased statistically significantly from 166.67±8.17° to 175.00±8.37° (p<0.05). And the average of shoulder abduction ROM increased statistically significantly from 158.57±20.35° to 172.86±12.53° (p<0.05). Both NRS and shouler ROM showed statistically significantly improve after treatment.
Conclusions This study shows ultrasound-guided Soyeom pharmacopuncture therapy at acromioclavicular joint of shoulder has a meaningful clinical effect on the improving shoulder pain and ROM especially on flexion and abduction. (J Korean Med Rehabil 2021;31(3):95-104)

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8척수경막동정맥루로 인한 척수병증 환자의 색전술 이후 한의복합치료: 증례 보고

저자 : 우현준 ( Hyeon-jun Woo ) , 한윤희 ( Yun-hee Han ) , 이정한 ( Jung-han Lee )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 3호 발행 연도 : 2021 페이지 : pp. 105-114 (10 pages)

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A 38-year-old Korean man without any other history was diagnosed with myelopathy due to a spinal dural arteriovenous fistula. Following embolization and high-dose steroid therapy, the patient was treated with complex Korean medical therapies including acupuncture, pharmacopuncture, electro-acupuncture, Chuna manual therapy, herbal medicine, and cupping therapy in addition to conventional treatment. To assess the patient's improvement, international standard for neurological classification of spinal cord injury, Korean version of modified Barthel index, functional independence measure, spinal cord independence measure III, walking index for spinal cord injury II, modified Ashworth scale were used. After treatment, the muscle strength and sensory function of the lower extremities were improved, and the spasticity was reduced, resulting in a rapid improvement in performance of daily activities. These results suggest that complex Korean medical therapies may be effective for myelopathy, and further clinical studies are needed to clarify their effects. (J Korean Med Rehabil 2021;31(3):105-114)

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9추나치료 및 상지 운동치료를 통해 호전된 경추 협착증 환자 치험례

저자 : 김도형 ( Do-hyeong Kim ) , 설재욱 ( Jae-uk Sul ) , 정재민 ( Jae-min Jeong ) , 윤진솔 ( Jin-Sol Yoon ) , 이세원 ( Se-won Lee ) , 이연후 ( Yeon-Hoo Yi ) , 최진봉 ( Jin-bong Choi )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 3호 발행 연도 : 2021 페이지 : pp. 115-123 (9 pages)

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This study reports the effects of Korean medicine treatments including Chuna manual therapy (CMT) and exercise treatment for a patient suffering with cervical spinal stenosis. We treated patient diagnosed with cervical spinal stenosis. The patient was treated with CMT once a day for 26 days. Manual muscle testing (MMT), ratio and degree of numbness, numerical rating scale (NRS) were used as tools for evaluating the patient's progress. MMT was increased from 3+ to 5, ratio and degree of numbness were decreased from grade (Gr.) 9 to Gr. 4, NRS was decreased from 5 to 3. This study suggests that CMT and self-exercise can be considered as effective treatment for cervical spinal stenosis. (J Korean Med Rehabil 2021;31(3):115-123)

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10요추 추간판 탈출증 환자의 일류성 요실금에 대한 한의 진료의 경과: 증례 보고

저자 : 구지은 ( Ji-eun Koo ) , 이희원 ( Hee-won Lee ) , 권용수 ( Yong-su Kwon ) , 유재은 ( Jae-Eun Yu ) , 배준효 ( Jun-Hyo Bae ) , 박지원 ( Ji-won Park ) , 윤주영 ( Joo-young Yoon ) , 최성원 ( Sung-won Choi )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 31권 3호 발행 연도 : 2021 페이지 : pp. 125-131 (7 pages)

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This study reports the effectiveness of Korean medicine therapy by improving symptoms in patients with herniated lumbar disc (HLD) diagnosed with chronic overflow urinary incontinence (OUI). The patient was treated with two types of herbal medicine and electroacupuncture for 10 days. We used diary of voiding and incontinence, Overactive Bladder Symptom Score (OABSS), Bristol Female Lower Urinary Tract Symptoms questionnaire (BFLUTS) and numeral rating scale (NRS) to assess the symptoms. After treatment, the number of nocturia decreased from 5 to 2.5. OABSS decreased from 9 to 2 and BFLUTS decreased from 95 to 87. The NRS of back pain decreased from 7 to 3. This study may suggest that Korean medicine therapy can be effective therapy for OUI with HLD. (J Korean Med Rehabil 2021;31(3):125-131)

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