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

KCI등재

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

Analysis of Lumbar Herniated Intervertebral Disc Patients’ Healthcare Utilization of Western-Korean Collaborative Treatment: Using Health Insurance Review & Assessment Service’s Patients Sample Data

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 ( Man-khu Cho ) , 김승범 ( Sung-bum Kim ) , 김형석 ( Hyung-suk Kim ) , 김고운 ( Koh-woon Kim ) , 조재흥 ( Jae-heung Cho ) , 송미연 ( Mi-yeon Song ) , 정원석 ( Won-seok Chung )
  • : 한방재활의학과학회
  • : 한방재활의학과학회지 31권4호
  • : 연속간행물
  • : 2021년 10월
  • : 105-116(12pages)
한방재활의학과학회지

DOI


목차

서론
대상 및 방법
결과
고찰
결론
References

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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)

UCI(KEPA)

I410-ECN-0102-2022-500-000908744

간행물정보

  • : 의약학분야  > 재활의학
  • : KCI등재
  • :
  • : 계간
  • : 1229-1854
  • : 2288-4114
  • : 학술지
  • : 연속간행물
  • : 1991-2022
  • : 1544


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32권3호(2022년 07월) 수록논문
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KCI등재

1콜라겐 유도 관절염 동물 모델에 대한 동충하초 복합추출물의 치료 효과

저자 : 오승준 ( Seung-joon Oh ) , 이은정 ( Eun-jung Lee )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 32권 3호 발행 연도 : 2022 페이지 : pp. 1-11 (11 pages)

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Objectives This study was designed to evaluate the healing effect of Cordyceps Militaris (CM) on collagen II-induced arthritis rats.
Methods Sprague-Dawley rats were randomly divided into 6 groups (normal, control, positive control, CM with low/medium/high dosage each). Type II collagen mixed with complete Freund's adjuvant (with 1:1 v/v) was injected subcutaneously, and the mixture was injected in a same manner one week after the first injection to boost arthritis. Arthritis index, paw thickness and von Frey test were conducted to observe physical changes. hematoxylin and eosin (H&E) staining was performed to observe knee cartilage. The levels of messenger RNA (mRNA) expressions of interleukin (IL)-1β, IL-6, tumor necrosis factor-alpha (TNF-α) in spleen were assessed by real-time polymerase chain reaction.
Results Rheumatoid arthritis is an autoimmune disease that occurs on multiple joints and can lead to temporary shape change of bones or organ failure in severe cases. Here, we aimed to determine the effect of CM extract on rheumatoid arthritis by measuring paw thickness, arthritis index, conducting von Frey test and H&E staining, and evaluating the level of IL-1β, IL-6, TNF-α. As a result, paw thickness, arthritis index significantly decreased in low concentration group, hind leg became less sensitive in all expermental groups. Also, histological analysis showed that the damage of knee cartilage was prevented in all experimental groups. The level of mRNA of IL-1β, IL-6, and TNF-α in spleen was analyzed to decide the effectiveness of CM extract. IL-1β did not show significant change, but IL-6 and TNF-α showed significant decrease in at least one of the experimental groups.
Conclusions CM showed protective effect on knee tissue destruction and improved the physical conditions of the leg involving arthritis. Also, it showed that CM has anti-inflammatory effect on specific cytokines inducing rheumatoid arthritis. In conclusion, this study demonstrated that the therapeutic potential of CM for the treatment rheumatoid arthritis, and set the foundation for the further studies. (J Korean Med Rehabil 2022;32(3):1-11)

KCI등재

2두개천골요법의 국내외 임상 연구 동향: 스코핑 리뷰

저자 : 곽민제 ( Min-jae Kwak ) , 한윤희 ( Yun-hee Han ) , 금지혜 ( Ji-hye Geum ) , 박신혁 ( Shin-hyeok Park ) , 우현준 ( Hyeon-jun Woo ) , 하원배 ( Won-bae Ha ) , 이정한 ( Jung-han Lee )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 32권 3호 발행 연도 : 2022 페이지 : pp. 13-27 (15 pages)

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Objectives This study investigated the trends in domestic and international clinical research in craniosacral therapy, classified as a type of Chuna manual therapy, and suggested further directions in Korean medicine.
Methods This scoping review was performed using the Arksey and O'Malley methodological framework and preferred reporting items as per the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews checklist. Eight electronic databases (PubMed, EMBASE, Cochrane Library, Koreanstudies Information Service System [KISS], KMBASE, Oriental Medicine Advanced Searching Integrated System [OASIS], Research Information Sharing Service [RISS], ScienceON) were searched to identify articles with the search terms “craniosacral therapy” and “cranial osteopathy” until December 2021.
Results Forty-five studies were eligible as per our inclusion criteria. Most research studies (n=44) were conducted in the field of medicine and pharmacy, especially in rehabilitation medicine (n=16). As a result of the study design, randomized controlled trials (n=20) were the most common, and chronic pain (n=9) was the most frequently targeted disease, followed by headache (n=7). Thirty-two studies suggested interventions and 20 studies used Upledger's 10-step protocol. The average duration of craniosacral therapy was 41 min per session, administered 1.4 times per week. Outcome measurements were analyzed and categorized with the examination procedure for the patient.
Conclusions This is the first scoping review of craniosacral therapy in Korea, and we believe that our findings could support its utility as Chuna. In the future, more studies should be conducted to establish the evidence of clinical efficacy of craniosacral therapy and develop standard techniques in Korean medicine. (J Korean Med Rehabil 2022; 32(3):13-27)

KCI등재

3슬개대퇴통증증후군의 침 치료에 대한 체계적 문헌고찰의 프로토콜

저자 : 지민준 ( Min Jun Ji ) , 서경준 ( Kyung Jun Ser ) , 김호걸 ( Ho Geol Kim ) , 구지향 ( Ji Hyang Gu ) , 하현주 ( Hyun Ju Ha ) , 오민석 ( Min Seok Oh )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 32권 3호 발행 연도 : 2022 페이지 : pp. 29-35 (7 pages)

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Objectives The purpose of this systematic review is to analyse randomized controlled trials about acupuncture for patellofemoral pain syndrome (PFPS) and evaluate it's pain improvement effect.
Methods Studies will be searched from ten databases (Medline/PubMed, Cochrane Library, EMBASE, China National Knowledge Infrastructure [CNKI], WanFang Data, Citation Information by NII [CiNII], ScienceON, Koreanstudies Information Service System [KISS], KMBASE, and KoreaMed). Participants will be patients diagnosed with PFPS, regardless of cause, gender, age or race, and interventions will be acupuncture, electroacupuncture, dry needling, fire needle, and acupotomy. Other treatments than interventions will be the control group and the main outcome will be reviewed by visual analogue scale (VAS).
Results Data will be extracted and assessed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis flow chart and Cochrane risk of bias tools. Meta-analysis will be conducted using random effect model within 95% confidence interval.
Conclusions We expect this systematic review to provide useful data about the pain improvements of patellofemoral pain using acupuncture and expect to stimulate and systematize acupuncture treatment on PFPS in the future. (J Korean Med Rehabil 2022;32(3):29-35)

KCI등재

4대퇴골두 무혈성 괴사의 탕약 치료에 대한 무작위대조군 연구의 최신 경향 분석: 中國知網 검색을 중심으로

저자 : 김현진 ( Hyeon-jin Kim ) , 안재영 ( Jae-young Ahn ) , 신나영 ( Na-young Shin ) , 고아라 ( Ah-ra Koh ) , 이영진 ( Young-jin Lee ) , 박재은 ( Jae-eun Park ) , 이민철 ( Min-cheol Lee ) , 전명규 ( Myung-kyu Jeon ) , 김현우 ( Hyun-woo Kim ) , 조혜정 ( Hye-jeong Jo ) , 채고은 ( Go-eun Chae ) ,

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 32권 3호 발행 연도 : 2022 페이지 : pp. 37-53 (17 pages)

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Objectives This study was conducted to investigate a randomized controlled trial study on the clinical treatment of herbal medicines for avascular necrosis of the femoral head.
Methods By March 2022, the China National Knowledge Infrastructure (CNKI) was reviewed about randomized controlled trial studies on the herbal treatment of avascular necrosis of the femoral head through. The publication year, evaluation criteria, treatment period, treatment method and effectiveness were analyzed for articles published from 2017 to 2022.
Results 16 articles were selected and 14 kinds of herbal medicines were used. In most studies, Western medical treatments such as injection therapy, oral drug administration, traction therapy and mid-frequency electric therapy were treated alone in the control group, and a combination of Western medical treatment and herbal treatment was administered to the experimental group.
Conclusions In China, there have been many studies on herbal treatment for avascular necrosis of the femoral head. In Korea, more clinical studies on the herbal treatment of avascular necrosis of the femoral head are needed. This study will be helpful for future research in Korean medicine on avascular necrosis of the femoral head. (J Korean Med Rehabil 2022;32(3):37-53)

KCI등재

5수근관증후군에 대한 도침치료의 효과: 체계적 문헌 고찰과 메타분석

저자 : 정재민 ( Jae-min Jeong ) , 설재욱 ( Jae-uk Sul ) , 김선종 ( Seon-jong Kim ) , 선윤권 ( Yun-gwon Seon ) , 최지민 ( Ji-min Choi ) , 노희정 ( Hui-jeong Noh ) , 최진봉 ( Jin-bong Choi )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 32권 3호 발행 연도 : 2022 페이지 : pp. 55-64 (10 pages)

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Objectives The objective of this study was to assess the effectiveness of acupotomy for carpal tunnel syndrome.
Methods Based on seven domestic and foreign databases. We analyzed the randomized controlled trials using acupotomy for carpal tunnel syndrome. The treatment group was treated with acupotomy and the control group was no restrictions on treatment methods.
Results In this study, the effect of acupuncture treatment for carpal tunnel syndrome was investigated. Each study reported that acupotomy could be an effective treatment for carpal tunnel syndrome. However, as a result of meta-analysis of Levine carpal tunnel syndrome questionnaire scores, visual analog scale, and sensory nerve conduction velocity, the results were more clinically significant than those of the control group. Due to the small number of randomized controlled trial studies and the nature of acupotomy treatment, blinding of interventions was impossible, resulting in a high risk of bias.
Conclusions In this regard, it is thought that well-planned randomized controlled studies on patients with carpal tunnel syndrome are needed in the future to secure the clinical evidence for acupotomy treatment. (J Korean Med Rehabil 2022;32(3):55-64)

KCI등재

6외측상과염의 추나 치료에 대한 체계적 문헌 고찰

저자 : 한다영 ( Dayoung Han ) , 이지윤 ( Jiyoon Lee ) , 남수현 ( Suhyun Nam ) , 손정민 ( Jungmin Son ) , 정다해 ( Dahae Jung ) , 조혜미 ( Hyemi Jo )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 32권 3호 발행 연도 : 2022 페이지 : pp. 65-75 (11 pages)

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Objectives This study was conducted to analyze the therapeutic effect of Chuna therapy for lateral epicondylitis.
Methods Key words such as lateral epicondylitis and Chuna were searched in 10 databases (National Digital Science Library [NDSL], Oriental Medicine Advanced Searching Integrated System [OASIS], Research Information Sharing Service [RISS], Koreanstudies Information Service [KISS], KMBASE, Cochrane Library, PubMed, EMBASE, J-STAGE, China Academic Jurnals [CAJ]), and only suitable randomized controlled trials (RCTs) were selected.
Results 8 RCTs were finally selected, and Chuna therapy showed positive results for lateral epicondylitis compared to western medicine, acupuncture, warm-acupuncture and Chinese medicine iontophoresis.
Conclusions In this study, we finally reviewed 8 studies about Chuna therpay used for lateral epicondylitis. The studies showed that Chuna therapy is effective in treating lateral epicondylitis. However, because all of selected studies were found in Chinese database, more high-quality clinical trials about Chuna therapy for lateral epicondylitis are needed in Korea. (J Korean Med Rehabil 2022; 32(3):65-75)

KCI등재

7한약이 류마티스 관절염 환자의 골다공증에 미치는 영향: 체계적 문헌 고찰 및 메타분석을 위한 프로토콜

저자 : 권도영 ( Do Young Kwon ) , 구지향 ( Ji Hyang Gu ) , 이은정 ( Eun Jung Lee )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 32권 3호 발행 연도 : 2022 페이지 : pp. 77-84 (8 pages)

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Objectives This study is designed to identify the effectiveness of herbal medicine for osteoporosis in rheumatoid arthritis.
Methods We will investigate 10 databases, 4 Korean databases (KoreaMed, KMBASE, Koreanstudies Information Service System [KISS], ScienceOn) and 6 of abroad (PubMed, EMBASE, Cochrane Library, China National Knowledge Infrastructure [CNKI], WanFang, Citation Information by NII [CiNii]) without publication date, language limitation for clinical study of herbal medicine for osteoporosis in rheumatoid arthritis. Type, dose, duration, frequency of herb medicine will be analyzed.
Results Randomized controlled trials about herbal medicine or herb extract for osteoporosis in rheumatoid arthritis should be included in the study. Cochrane's risk of bias tools will be used to assess quality of the study. Mean differences or standardized mean differences of 95% confidence intervals will calculated and data synthesis will be conducted using Review Manager (RevMan, ver.5.3; The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen, Denmark).
Conclusions It is expected to provide basic data for the active use of herb medicine by systematically synthesizing and analyzing the actual situation, effectiveness, and safety of herb medicine for osteoporosis in rheumatoid arthritis. (J Korean Med Rehabil 2022;32(3):77-84)

KCI등재

8PRISMA 2020 지침에 근거한 한방재활의학과학회지 체계적 문헌고찰 보고의 질 평가 연구

저자 : 나현욱 ( Hyeon-uk Na ) , 박신혁 ( Shin-hyeok Park ) , 우현준 ( Hyeon-jun Woo ) , 한윤희 ( Yun-hee Han ) , 금지혜 ( Ji-hye Geum ) , 이정한 ( Jung-han Lee ) , 하원배 ( Won-bae Ha )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 32권 3호 발행 연도 : 2022 페이지 : pp. 85-107 (23 pages)

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Objectives The purpose of this study was to assess the reporting quality of systematic reviews and meta-analyses in the Journal of Korean Medicine Rehabilitation (JKMR) using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines.
Methods Systematic reviews and meta-analyses in JKMR, published from January 1991 to January 2022, were selected by searching the Korean studies Information Service System and JKMR homepage. Two independent researchers searched and selected systematic reviews and meta-analyses and evaluated the reporting quality of abstracts and main texts using the PRISMA 2020 guidelines.
Results Of 1,515 articles, 39 systematic reviews were finally included for assessment. Evaluation of abstracts resulted in 2 studies rated as high, 11 studies rated as moderate, and 26 studies rated as low. A maximum of 83.3% and a minimum of 25.0% of the items were reported in the abstracts. Evaluation of the manuscripts resulted in no studies rated as high, 14 studies rated as moderate, and 25 studies rated as low. A maximum of 67.9% and a minimum of 34.1% of the items were reported in the manuscripts.
Conclusions To improve the quality of systematic reviews published in JKMR, it is necessary to conduct systematic reviews based on the PRISMA 2020 guidelines. (J Korean Med Rehabil 2022;32(3):85-107)

KCI등재

9교통사고로 유발된 급성 경추통 환자의 경추 후관절에 시행한 초음파 유도하 치료군과 비유도 치료군의 소염 약침 치료 효과 비교: 후향적 관찰 연구

저자 : 양재은 ( Jaeeun Yang ) , 오민석 ( Min Seok Oh )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 32권 3호 발행 연도 : 2022 페이지 : pp. 109-117 (9 pages)

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Objectives To compare the therapeutic effect of ultrasound guided soyeom pharmacopuncture therapy and unguided soyeom pharmacopuncture therapy on cervical facet joint of patient who have cervical pain caused by traffic accidents.
Methods The study was planned as a retrospective study that analyzes the patient's medical records. We analyzed medical records of 20 patients with acute cervical pain caused by traffic accidents from April 1, 2022 to May 31, 2022. 10 patients (Group A) were treated ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint, 10 patients (Group B) were treated unguided soyeom pharmacopuncture therapy on cervical facet joint. We used visual analogue scale (VAS) and neck disability index (NDI) to evaluate improvements in cervical functions and pain, five point Likert scale to estimate patient's satisfaction. We used the IBM SPSS Statistics version 25 program (IBM Co., Armonk, NY, USA) for statistical analysis.
Results Group A showed a significant decrease in the VAS on the 5th day of the soyeom pharmacopuncture therapy (p=0.001). However, there was no statistically significant difference of VAS between two groups (p=0.142). Group A showed significant decrease in the NDI on the 5th day of the therapy (p=0.002). Also, there was statistically significant difference on NDI between two groups (p=0.018). Difference of five point Likert scale between two groups was not statistically significant (p=0.407).
Conclusions In patients of acute cervical pain caused by traffic accidents, ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint showed significant efficacy on reduction of neck disability compared with unguided therapy. (J Korean Med Rehabil 2022;32(3):109-117)

KCI등재

10고관절 골절 수술 후 한의 입원치료 효과 및 다빈도 처방 약재 네트워크 분석

저자 : 오지홍 ( Jihong Oh ) , 이명종 ( Myeong-jong Lee ) , 김호준 ( Hojun Kim )

발행기관 : 한방재활의학과학회 간행물 : 한방재활의학과학회지 32권 3호 발행 연도 : 2022 페이지 : pp. 119-129 (11 pages)

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Objectives This study aimed to evaluate the effects of Integrative treatment of traditional Korean medicine (TKM) on 7 hospitalized patients after hip fracture surgery, and to identify significant herbs and co-prescribed herbs by using network analysis and association rule mining.
Methods A retrospective chart review of the 7 hospitalized patients treated for postoperative hip fractures between January and December 2021 was performed. All TKM treatments for the patients were identified and Wilcoxon signed-rank test was performed to compare hip pain and mobility on admission and discharge. We visualized the network of herbal medicines and complications. By using network analysis, we also identified the significant herbs (high centrality of degree, eigenvector, and subgraph). Co-prescription patterns for the hip fracture patients were further analyzed by association rule mining.
Results We found that TKM treatment significantly relieved hip pain and improved mobility. Accompanying symptoms reported by the patients were general weakness, anorexia, dizziness, delirium, edema, sputum, sore throat, cough, rhinorrhea, and chills. Herbs composed of Sagunja-tang and Samul-tang showed high centralities and high associations with other herbs. In addition, Gupan, Nokyong, Yukjongyong, Useul, and Hyunhosaek were identified as important herbs for postoperative hip fracture patients.
Conclusions This study provides evidence for clinical TKM use as an effective postoperative treatment for pain relief and improvement of mobility in patients with hip fractures. In addition, herbs that can be considered in the treatment of patients after hip fracture surgery were identified through network analysis and association rule mining. (J Korean Med Rehabil 2022;32(3):119-129)

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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)

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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)

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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)

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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)

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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)

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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)

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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)

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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)

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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)

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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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