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2013, Vol.23, No.4

  • 1.

    A Retrospective Study on the Effects of ShinBaro Pharmacopuncture and Jungsongouhyul Pharmacopuncture on Whiplash Injury by Traffic Accident

    김태헌 | 박원형 | Cha Yun Yeop | 2013, 23(4) | pp.1~7 | number of Cited : 12
    Objectives The purpose of this study is to compare the effects of ShinBaro pharmacopunctureand Jungsongouhyul pharmacopuncture on whiplash injury by traffic accident. Methods This study was carried out on 30 patients who received treatment in JasengHospital of Korean Medicine. 30 patients were divided ShinBaro pharmacopuncture groupand Jungsongouhyul pharmacopuncture group. Visual analog scale (VAS) and neck disabilityindex (NDI) were compared after treatment. Results 1) Both the ShinBaro group and Jungsongouhyul group showed significant improvementin the visual analog scale (VAS) and neck disability index (NDI) after 3 weeks oftreatment. 2) The VAS and NDI of the ShinBaro group decreased gradually with treatment. The VAS scores showed significant improvement up to week 2, but although week 3showed further improvement compared to week 2, the difference did not reach statisticalsignificance. The NDI scores showed significant improvement consistantly throughout thetreatment period. 3) The VAS and NDI of the Jungsongouhyul group decreased with treatmentalso. The VAS scores significantly improved up to week 2, but though week 3showed further improvement in comparison to week 2, the difference did not reach statisticalsignificance. The NDI scores showed significant improvement consistantly throughoutthe treatment period. 4) Although the ShinBaro group showed a swifter decline thanthe Jungsongouhyul group in both VAS and NDI scores, the difference was not statisticallysignificant. Conclusions We found out that ShinBaro pharmacopuncture group and Jungsongouhyulpharmacopuncture group is effective and useful in whiplash injury by traffic accident. And, further studies will be needed.
  • 2.

    Effects of Jengjengamiyijin-tang (zhèngzhuànjiāwèièrchéntāng) on Lowering Lipid, Antioxidation and Production of Inflammatory Mediators Being Used Rats Fed on High Oxidized Fat

    허성규 | 박원형 | Cha Yun Yeop | 2013, 23(4) | pp.9~21 | number of Cited : 2
    Objectives The purpose of this study was investigating effects of Jengjengamiyijin-tang(zhèngzhuànjiāwèièrchéntāng) (JGYT) on lowering lipid, antioxidation and production of inflammatorymediators being used rats fed on high oxidized fat. Methods We divided fat Sprague-Dawley rats fed on high oxidized into 4 groups. Eachof 8 rats was divided into a control group and experimental groups. We fed a control groupof rats a basal diet and administered normal saline (100 mg/kg, 1 time/1 day) for 4 weeks. And We fed each experimental group of rats basal diet and administered an extract ofJGYT extracts (100 mg/kg, 200 mg/kg, 300 mg/kg, 1 time/1 day) for 4 weeks. At the endof the experiment, the rats were sacrificed to determine their chemical composition. Wemeasured lipid of plasma and liver, concentration of proinflammatory cytokines, antioxidativeactivity and plasma tumor necrosis factor-α (TNF-α), plasma interleukin-6 (IL-6),Apo-B, Apo-E and Leptin gene expression. Results 1. Concentration of plasma FFA, LDL-cholesterol, plasma and liver total cholesterolshowed a significant decrement in JGYT groups. However, concentration of plasmaHDL-cholesterol showed a significant increment in JGYT groups. 2. Concentration of plasmaand liver TG, TBARS showed a significant decrement in JGYT groups. However, concentrationof liver GSH-Px, SOD and CAT showed a significant increment in JGYT groups. 3. Plasma GPT activity and concentration of plasma IL-6, TNF-α, NO, Ceruloplasmin, α1-acid glycoprotein showed a significant decrement in JGYT groups. 4. In the analysis ofRT-PCR, gene expression of Apo-B and Apo-E in the JGYT groups showed a low expressionthan that of control group. However, the gene expression of leptin showed no differencein all the treatment groups. 5. The ratio of leptin expression per β-actin expressionshowed no significant difference among all treatment groups. However, The ratio of Apo-Band Apo-E expression per β-actin expression showed a significant decrement in JGYTgroups. Conclusions According to this study, extract of JGYT showed a positive effect in loweringlipid, antioxidation and control of inflammatory mediators production.
  • 3.

    Effects of Saengkanggamchotang (SKT) on MIA-Induced Osteoarthritis in Rats

    최보미 | Minseok Oh | 2013, 23(4) | pp.23~37 | number of Cited : 2
    Objectives This study was performed to investigate the effects of Saengkanggamchotang(SKT) on the monosodium iodoacetate (MIA) induced osteoarthritis in rats. Methods Osteoarthritis was induced by injection of MIA (50 ul, 60 mg/ml) into kneejoints of rats. Rats are divided into a total of 4 groups (normal, control, positive comparisongroup, SKT treated group, each n=6). Normal group are not treated at all without inducingosteoarthritis whereas control group were induced for osteoarthritis by MIA and oral medicatedwith 20 ml of distilled water per day. Positive comparison group was injected withMIA and after 7 days, that was taken indomethacin (30 mg/kg/mouse). SKT treated groupwas injected with MIA and after 7 days that was taken SKT (30 mg/kg/mouse). Positivecomparison group and SKT treated group were oral medicated for each substance a totalof 4 weeks with one time per day. After experiments (from 1 week after injection of papainto 4 weeks elapsed), the functions of liver and kidney, Prostaglandin E2, inflammatory cytokine(IL-1β, IL-6, TNF-α), osteocalcin, TIMP-1, MMP-9 within serum. Knee joint structureswere observed by H&E, safranin-O staining method, and amount of cartilage weremeasured by μCT-arthrography. Results 1) Hind paw weight bearing ability was significantly improved. 2) Functions of liverand kidney were not affected. 3) Prostaglandin E2, osteocalcin, TIMP-1, MMP-9 in serumwere significantly decreased. 4) Inflammatory cytokine IL-1β was significantly decreased,and IL-6, TNF-α were decreased but had not significant. 5) In terms of histopathology,significantly reduced subsidence of cartilage and bone in H&E staining. And inSafranin O staining, proteoglycan content in synovial membrane was significantly increasedcompared with control group. 6) Destruction of cartilage on μCT-arthrographywas significantly reduced. Conclusions Based on all results mentioned above, Saengkanggamchotang (SKT) isbelieved to be meaningful for suppressing the progress of osteoarthritis and its treatments.
  • 4.

    Effect of Kyejakjimo-tangkami (Guìsháozhīmǔ-tāngjiāwèi) on Osteoarthritis

    홍성민 | Minseok Oh | 2013, 23(4) | pp.39~57 | number of Cited : 2
    Objectives The purpose of this study is to prove the effect of Kyejakjimotangkami(KMK)on osteoarthritis. Methods We checked antioxidant activity and measured production of IL-1β, IL-6,TNF-α in RAW 264.7 cell after treat by KMK. Then we measured hind paw weight ofWister Rat with arthritis induced by MIA after KMK oral administration, checkedProstaglandin E2, IL-1β, IL-6, TNF-α, Osteocalcin, TIMP-1, MMP-9, LTB-4 in serum,ran histopathological test and μCT-arthrography. Results 1. DPPH radical Scavenging was increased depend on concentration of KMKethanol extract in RAW 264.7 cell. 2. Production of NO was significantly decreased byKMK ethanol extract on concentration of 200μg/ml in RAW 264.7 cell. 3. Production ofIL-1β was significantly decreased by KMK ethanol extract on concentration of 200μg/ml. And Production of IL-6 ,TNF-α were significantly decreased KMK ethanol extract ofevery concentration in RAW 264.7 cell. 4. Result of checking hind paw weight when administeredKMK ethanol extract to Wister Rat with arthritis induced by MIA was significantlyhigher than control group and similar to normal group. 5. Production ofProstaglandin E2, IL-1β, Osteocalcin, TIMP-1, MMP-9 and LTB-4 in serum was significantlydecreased by KMK ethanol extract after administerd to Wister Rat with arthritisinduced by MIA. 6. In Hematoxylin & Eosin staining and Safranin-O staining, we could findinflammation of synovial cell, infiltration of macrophage and granulocyte and degenerationof cartilage and bone were decreased in comparison with control group. 7. When checkedcartilage volume to examine degree of cartilage degeneration using μCT-arthrography,volume of cartilage was increased in comparison with control group. Conclusions Comparison of the results for this study showed that KMK ethanol extracthave anti-inflammatory effectiveness and can protect cartilage and bone. So we expectthat KMK can be used as a effective drugs for osteoarthritis.
  • 5.

    Systematic Review of High Frequency of Acupuncture Point and Self Exercise Therapy for Lower Back Pain

    남대진 | 허건 | 이형은 and 4other persons | 2013, 23(4) | pp.59~71 | number of Cited : 5
    Objectives The aim of this review is to figure out which acupoints are frequently used totreat low back pain and which exercises are effective to low back pain. Methods We searched the three electronic database (RISS, KISS, KTKP) and manuallychecked related Korean journals and reference lists up to June 2013. We investigated thefrequency of acupoints for using treatment of low back pain. We Introduce exercise therapieswe can do easily at home without professional skills for treatment low back pain. Results We included 72 articles in this study. The most frequently adopted acupointswere BL25, BL23, BL24, GB30, BL40, BL26, BL60, GB34, BL52, BL57, GB39. The mostfrequently adopted meridian pathways were BL, GB, GV, ST. The most frequently adopteddisease causing low back pain were HIVD (Herniated intervertebral disc), Lumbarsprain, Spinal stenosis, Compression fracture, Cauda equina syndrome, Spondylolisthesis,Ankylosing spondylitis. There are many exercise therapies (Lumbar stabilizing exercise,Resistance exercise, Bareunmom physical exercise, Mckenzie exercise, Williamsexercise, Emblass exercise, Swiss ball exercise, Thera band exercise, Yoga) for treatmentlow back pain. Conclusions These results suggest that most frequently adopted acupoints were foottaeyang urinary bladder channel acupoints. Beacuse foot taeyang urinary bladder channelis passes through the waist, it will be effective for treatment of low back pain. Also exercisetherapy is effective for enhance Muscular strength. In order to treatment of low back pain,Acupuncture treatment is also important, as well as exercise therapy.
  • 6.

    Narrative Review of Clinical Trial on Scolopendrid Pharmacopuncture in Korean Literature

    조동찬 | 이진현 | 김창곤 and 4other persons | 2013, 23(4) | pp.73~82 | number of Cited : 7
    Objectives The purpose of this review is to investigate studies of Scolopendrid pharmacopunctureand the evidence of it’s effects in order to suggest a better research method inthe future. Methods We retrieved numbers of clinical studies about Scolopendrid pharmacopuncturefrom 7 Korean web databases, using key words such as ‘Scolopendrid’, ‘ScolopendridAND Pharmacopuncture’. This study had been conducted from 1st May 2013 to31th July 2013. Controlled studies and case studies were only used for this study. Clinicalstudies that we picked from the databases were classified according to the diseases thatthose studies are about, and from these clinical studies, we are to research what has to beimproved generally in clinical researches. Results 18 case studies, 4 controlled studies had been under research. Scolopendridpharmacopuncture has a therapeutic effect mainly in musculoskeletal and neurological diseasessuch as herniated intervertebral disc, carpal tunnel syndrome, swollen leg, feeling ofcold on legs, wrist ganglion, lateral epicondylitis, radial nerve palsy, cervical myelopathy,cauda equina syndrome, postauricular pain; as an early symptom of Bell’s palsy, pain ofpopliteal part, gout, plantar fasciitis, cellulitis, frozen shoulder, pain of hip adductors. However objectivity and reliability of the Scolopendrid pharmacopuncture studies still remainscontroversial. Conclusions It has been suggested that there are positive effects of Scolopendrid pharmacopuncturetherapy in treating specific diseases (especially neuromusculoskeletal diseases). However, this narrative review can’t conclude and prove that the Scolopendridpharmacopuncture has positive effectiveness on these diseases unlike systematic review. So, in order to put Scolopendrid pharmacopuncture therapy to use for many kinds of diseasesin more reasonable ways, it is essential to build well-designed clinical research tools. In the future, abundant case studies, more follow-up trials and randomized controlled trialsbased on the korean medicine should be done to use Scolopendrid pharmacopuncture fora clinical purpose.
  • 7.

    A Review of Studies Comparing of Surface Electromyography Values between the Low-back Pain Group and Healthy Controls

    유덕주 | 조재홍 | Chung, Seok Hee | 2013, 23(4) | pp.83~93 | number of Cited : 2
    Objectives To present reviews of studies comparing surface-electromyography (SEMG)values between low back pain group and control group. Methods We searched 8 databases including KoreaMed, Google, KISS (Korean studiesInformation Service System), RISS (Research Information Sharing Service), OASIS(Oriental medicine Advanced Searching Integrated System), Pubmed, Ovid-MEDLINE andEMBASE. After searching, we conducted study selection by using inclusion and exclusioncriteria and quality-assessment. We reviewed the selected studies concerning about thesubject’s measuring position, findings, sensitivities and specificities. Results 27 Studies were searched and reviewed. In static surface electromyography,more muscle activities observed in low back pain subjects than in controls. In dynamicsurface electromyography, the low back pain subjects showed more muscle activites duringflexion, while the control group showed more muscle activities during extension. Fastermuscle fatigue observed in isometric muscle analysis. Conclusions Surface electromyography values will be able to be objective marker for evaluatinglow back pain. Further research is needed to determine additional unified protocolsuch as the type of SEMG and its directions.
  • 8.

    A Review of Questionnaire for the Clinical Trials on Chronic Low Back Pain

    김두희 | 신우석 | 이진원 and 12other persons | 2013, 23(4) | pp.95~115 | number of Cited : 7
    Objectives The aim of this review is to provide fundamental data for low back painscales which can be used in clinical trial. Methods We investigated the latest studies on chronic low back pain via PubMed. Andwe also investigated domestic studies through “http://oasis.kiom.re.kr”. 95 research paperswere analyzed. Scales were classified into pain scale, function scale, generic healthstatus scale and psychological scale. Results 1) According to foreign clinical studies, Visual Analog Scale (VAS) and NumericalRating Scale (NRS) were used 18 times as pain scale. Oswestry Disability Index (ODI) wasused 20 times as function scale, Roland-Morris Disability Questionnaire (RMDQ) was 17,and Hannover Functional Ability Questionnaire (HFAQ) was used 3 times. 36-item ShortForm Health Survey (SF-36) was used 13 times as generic health status scale, Euroqol-5Dimentions Questionnaire (EQ-5D) was 11, and 12-item Short Form Health Survey (SF-12)was used 3 times. Fear-Avoidance Beliefs Questionnaire (FABQ) was used 9 times as psychologicalscale, Pain Catastrophizing Scale (PCS) and Tampa Scale for Kinesiophobia(TSK-R) both were used 3 times. 2) According to domestic clinical studies, VAS was used37 times as pain scale, NRS was 11, and Short Form McGill Pain Questionnaire (SF-MPQ)was used 6 times. ODI was used 30 times as function scale, RMDQ was 2 times only. SF-36 was used once as generic health status scale and Beck’s Depression Inventory(BDI) was used 3 times as psychological scale. Conclusions We recommend VAS or NRS as a measure to evaluate pain, and ODI as ameasure to evaluate functional disability. And we also recommend SF-36 or SF-12 andEQ-5D as a measure to evaluate generic health status. Finally, we recommend FABQ foruse in measuring psychological scale.
  • 9.

    Research Trends of Abnormal Postures in Korean Literature -Based on Abnormal Spinal Alignment in the Sagittal Plane-

    박정식 | Lim Hyung Ho | SONG YUN KYUNG and 9other persons | 2013, 23(4) | pp.117~128 | number of Cited : 5
    Objectives The purpose of this study is analyzing internal research trends of abnormalpostures and providing problems of researches forward. Methods 6 Korean databases were searched for articles of abnormal postures, irrespectiveof publication year and 30 research were systematically reviewed. An analyticalmethod such as descriptive statistics and an acutal number and percentage was used. Results We collected 30 studies. 16 studies were published within the last four years. 2012 saw 7 studies, the highest number of studies. Clinical research is the major researchmethod. 26 studies were clinical research. The studies can be categorized according tothe characteristic of the research content such as research of related factors or physicalcharacteristics, research of treatment or programs, etc. 16 studies were about research oftreatment or programs, the most number of studies. 11 studies were about research of relatedfactors or physical characteristics, and 3 studies were about other issues. Conclusions Since the connection among postural abnormality, pain, and musculoskeletalsystem disorder has been raising, it is important to conduct a continued, methodicalstudy.
  • 10.

    A Review of Recent Clinical Studies for Manual Therapy on Temporomandibular Joint Disorder

    노해린 | 김민영 | 박소현 and 3other persons | 2013, 23(4) | pp.129~141 | number of Cited : 3
    Objectives The aim of this review is to investigate clinical studies for manual therapy onTemporomandibular Joint Disorder and to propose for the better method of studies in thefuture. Methods We investigated recent clinical studies for manual therapy on TemporomandibularJoint Disorder via searching Pubmed, KISS, KISTI, KERIS, KMBASE and NationalAssembly Library. 21 domestic and overseas articles were analyzed and the journals, theauthors, the published years, countries, methods, periods, techniques of chiropractic, outcomemeasures, and purpose of those articles were examined. Results Studies on manual therapy were mainly published via Cranio. The diagnosticcriteria that most frequently adopted in the overseas articles were research diagnostic criteriafor temporomandibular disorders, The technique of chiropractic that most frequentlyadopted in the articles was passive traction and translation of TMJ. Many of the studieswere researched for effectiveness of the manual therapy as the secondary treatment. Conclusions Reviewing the recent clinical studies for manual therapy on temporomandibularjoint disorder and figuring out the strong points and weak points of thosestudies are necessary to future studies. It is anticipated that this review would benefit thein-depth treatments for temporomandibular joint disorder in terms of Korean medicine.
  • 11.

    Development of Questionnaire for Pattern Identification of Chronic Low Back Pain by Delphi Method

    Min-Youn Ahn | SONG YUN KYUNG | KO SEONG-GYU and 1other persons | 2013, 23(4) | pp.143~158 | number of Cited : 7
    Objectives The aim of this study is to contribute to developing questionnaire for patternidentification of chronic low back pain using delphi method. Methods The questionnaire which includes symptoms and signs of chronic low backpain is studied by delphi method. Seven experts of Korean medicine, especially of rehabilitationmedicine participated in delphi examination. Delphi examination was carriedout through evaluating and correcting the questionnaire by e-mail. Results By the Delphi method and score evaluation, 20 items of the initial copy of questionnaireare chosen for pattern identification of chronic low back pain. Conclusions By the delphic method among experts, a reference questionnaire for patternidentification of chronic low back pain was suggested. Further research is necessaryfor modification of questionnaire by statistics and certification by clinical trial research.
  • 12.

    A Study on the Characteristics of Lumbar Disc Herniation Being Classified Blood Stasis and Phlegm-Retained Fluid

    엄태웅 | 이차로 | Hojun Kim and 1other persons | 2013, 23(4) | pp.159~167 | number of Cited : 1
    Objectives In this study, we wanted to find out the characteristics - gender, SLR test,valsalva test, duration, ESR, CRP and night pain - of lumbar disc herniation being classifiedas blood stasis and phlegm-retained fluid. Methods We surveyed 42 patients suffering from lumbar disc herniation using the diagnosisblood stasis syndrome, water retention syndrome of the comprehensive diagnosis ofQI blood water. Blood stasis and phlegm-retained fluid are identical with blood stasis syndrome,water retention syndrome. Then we analyzed the characteristics - gender, SLRtest, valsalva test, duration, ESR, CRP and night pain - of the patients suffering from lumbardisc herniation who were diagnosed as blood stasis and phlegm-retained fluid. Results Patients were sorted into two groups: 18 blood stasis patients and 30phlegm-retained fluid patients. Gender (Woman), acute phase and night pain are related toblood stasis. Acute phase, positive of SLR test is related to phlegm-retained fluid. Therewas no correlation between blood stasis and SLR test, valsalva test, duration, ESR, CRP. Also no correlation between phlegm-fluid and gender, valsalva test, duration, ESR, CRPand night pain. Conclusions By Considering the characteristics - gender, SLR test, valsalva test, duration,ESR, CRP and night pain - of lumbar disc herniation patients, it can help to analyzethe pattern of its symptoms.
  • 13.

    A Study on Relationship between Lumbosacral Curvature and Neck-Waist Circumference on College Students in Seoul

    양요찬 | 송은모 | Koh-Woon Kim and 2other persons | 2013, 23(4) | pp.169~176 | number of Cited : 3
    Objectives To investigate correlation between anthropometric data (neck circumference(NC), waist circumference (WC), body mass index (BMI), and body shape indexes) and radiologicalparameters of lumbosacrum. Methods The data of college students living in Seoul (n=24) were analyzed retrospectively. Anthropometric data of NC, WC, and BMI were measured. Lumbar spine X-ray filmwas taken to measure lumbar lordotic angle, Ferguson’s angle. To evaluate body shape ofparticipants, three indexes of neck-to-waist ratio (NWR), neck-to-height ratio (NHR), andwaist-to-height ratio (WHR) were used. Anthropometric data’s correlations with radiologicalparameters of lumbosacrum were investigated. Results Anthropometric data of NC, WC, and BMI had no significant correlation with radiologicalparameters of lumbosacrum. NWR had significant positive correlation with lumbarlordotic angle and Ferguson’s angle. NHR and WHR had no significant correlation withradiological parameters of lumbosacrum. Conclusions The results suggest that NWR-related fat distribution in neck has significantcorrelation with radiological parameters of lumbosacrum regardless of obesity.
  • 14.

    Cross-sectional Study of Therapy Type and Pattern Identification in Lumbago Patients

    Go, Ho Yeon | Youn-Seok Ko | Lee Jung-han and 9other persons | 2013, 23(4) | pp.177~184 | number of Cited : 8
    Objectives Lumbago is very common symptoms and many lumbago patients visitedKorean Medicine clinic to cure lumbago. But It is not studied therapy type and pattern identificationin lumbago patients. This study aim to survey therapy type and pattern identificationin lumbago patients. Methods We collected data of 755 patients treated to cure lumbago in Korean MedicineHospital from 1, Jan. to 31, Dec., 2012. The therapy variable are acupuncture, herbal acupuncture,physical therapy, Chuna Tx, herbal medicine, cupping and moxibustion. Demographic variable are age, gender, district, medical insurance code, and etc. Results 1) We collected data of 755 lumbago patients in 5 Korean medical Hospitals. 2)Age, district, insurance code, diseases were statistically significant by pattern identification. 3) Therapy types of lumbago patients were different by pattern identification. Conclusions In lumbago patients, therapy type and herbal medicine were different byPattern identification. In the future, it is needed prospective and large scale database forpattern identification in lumbago patients.
  • 15.

    Efficacy and Safety of Micro Current Tape on Chronic Low Back Pain:One Group Pre-Post Test Design, Multi Center Pilot Study

    박현건 | 김종연 | 이운섭 and 4other persons | 2013, 23(4) | pp.185~194 | number of Cited : 1
    Objectives The aim of this study was to evaluate the efficacy and safety of micro currenttaping therapy (MTT) on patients with chronic low back pain (CLBP). Methods We included 50 participants who met the inclusion criteria and 5 participantsdropped out during the sessions due to the following reasons: 3 participants were personalreasons, 1 participant was taking medication, 1 participant was fore arm fracture. We attached“I” shaped 40 cm, 2 tapes along the erector muscles of the spine starting from bothiliac crest and another “I” shaped 30 cm, 1 tape on the painful site horizontally. This procedurewas done 8 times and participants visited a total of 9 times including a final visit forevaluation. We measured visual analog scale (VAS), range of motion (ROM) and schober’stest on every visit. Participants completed a questionnaire of oswestry disability index (ODI)and Beck’s depression inventory (BDI) on the first and last visits. Results In VAS for pain intensity and bothersomeness, there were significant decreasesafter 1st, 6th treatments. In range of extension, there was significant increase after 3rdtreatment at first. In range of flexion, there was significant increase after 2nd treatment atfirst. In range of left flexion, there was significant increase after 4th treatment at first. Inrange of right flexion, there was significant increase after 3rd treatment at first. in schober’stest, there was significant increase after 2nd treatment at first. In VAS, ROM, schober’stest, BDI, ODI, there were significant improvement after all treatments had done. Conclusions There was a significant effect of MTT on CLBP. And there was no adverseeffect.
  • 16.

    The Study on Correlation between the Forward Head Posture and Spinal Alignment

    정현우 | 신우석 | 김두희 and 12other persons | 2013, 23(4) | pp.195~202 | number of Cited : 15
    Objectives This study was designed to investigate the correlation between the forwardhead posture and the spinal alignment. Methods We examined the whole spine x-rays of the 144 student sample. We measuredthe Craniovertebral angle (CVA), Cervical angle (CA), Thoracic kyphotic angle (TKA),lumbar lordosis angle (LLA) and Ferguson’s angle (FA) of the students. We then analyzedthe relationship between these angles. Results CVA had correlation with CA, but it was weak. There was significant correlationbetween CVA and TKA. There were no significant correlation among CVA, LLA and FA. Conclusions According to above results, there is a negative relationship between theCVA and the TKA - in that higher CVAs yielded lower TKAs. But CVA had no significantcorrelation with LLA or FA.
  • 17.

    The Correlation Analysis of Low Back Pain, Stress by Event, and Fear-Avoidance Beliefs Caused by Traffic Accidents

    최희승 | 김민영 | 김진수 and 5other persons | 2013, 23(4) | pp.203~212 | number of Cited : 2
    Objectives This study was to investigate the correlation of low back pain, stress byevent, and fear-avoidance beliefs caused by traffic accident. Methods We investigated 103 cases of out-patient with traffic accident. The patientsanswered that Visual Analogue Scale (VAS), Impact of Event Scale Revised KoreanVersion (IES-R-K), and Fear-Avoidance Beliefs Questionnaire (FABQ) on the first medicalexamination. We calculated statistical significance with this data. Results VAS, IES-R-K, and FABQ scores of the female patients with the traffic accidentwere higher than the male patients. VAS, IES-R-K, and FABQ scores showed low significantpositive correlation and showed partial correlation between IES-R-K and FABQ,controlled by VAS, had no statistical significance in this research. Conclusions More considerations on pain, stress by event, and fear avoidance beliefshould be needed in treatment of the traffic accident patients.
  • 18.

    A Descriptive Statistical Analysis of the Hospitalized Patients with Low Back Pain in Departments of Korean Rehabilitation Medicine of Korean Medicine Hospitals

    맹태호 | 김종연 | 이운섭 and 11other persons | 2013, 23(4) | pp.213~223 | number of Cited : 4
    Objectives Low back pain (LBP) is one of the most common reason for people in Koreato visit Korean medical institutions. To assess actual amounts of use in the treatment ofLBP in Korean medicine and to provide objective base line data for policy decision making,research regarding the current state of LBP patients' treatment in Korean medical institutionsare in need. Methods The current study was designed as a retrospective chart review to investigatedescriptive characteristics of LBP patients. The clinical records of 304 patients who werehospitalized for the treatment of LBP in Korean rehabilitation medicine inpatient clinics offive different Korean medicine hospitals were analyzed. The percentage of patient characteristicssuch as sex, age, average duration of admission, insurance type, diagnosed LBPrelated disease code, and rates of interventions applied were assessed. Results 1. The female sex was significantly predominant among patients with LBP : 105patients (34.5%) were male and 199 patients (65.5%) were female. Percentage of the patients'age appeared as followed : 76 people (25.0%) were in their 50s, 64 people (21.1%)were in their 40s, 51 people (16.8%) were in their 30s, 37 people (12.2%) were in their 60s,and 33 people (10.9%) were in their 70s. Approximately half of the total LBP patients investigatedwere older than 50. 2. The average duration of admission was 16.2 days. Approximately one third (30.3%) of the patients were hospitalized for 8 to 14 days. 3. Female patients tended to stay admitted in hospitals slightly longer than male patients. Elderly (age 60~79) patients stayed in hospitals longer (17.8 days) compared to younger(age 20~39) patients (13.5 days). 4. More than half of the patients (171 cases, 56.3%) hadtheir hospital bills covered with automobile insurance. 40.1% (122 cases) of the patientshad medical insurance to cover their hospital bills. The average duration of admission ofpatients who had automobile insurance was 14.2 days, while that of the patients who hadmedical insurance was 18.4 days. 5. "Sprain and strain of the lumbar spine and pelvis"was the most commonly used (195 cases, 64.1%) disease code in patients with LBP. Patients diagnosed as "lumbar and other intervertebral disc disorders with radiculopathy"required the longest admission duration (22.1 days). 6. Herbal medication was applied toall of the patients during admission. Acupuncture was applied to all of the patients exceptone case diagnosed as spinal stenosis. Physical therapy, cupping therapy, moxibustiontherapy, chuna therapy, and pharmacopuncture therapy were applied to 94.7, 92.8, 85.2,83.9, and 49.7% of the patients, respectively. 7. There were certain differences amongKorean medicine hospitals in terms of the LBP patients' duration of admission, type of insurance,frequency of the disease code use, type of intervention applied. Conclusions It is thought that the current study can be used as reference data in assessingthe current state of LBP treatment in Korean rehabilitation medicine and a basisfor future research. Provided improvements of certain limitations of the current study in futureresearches, such data would act as better base line data in policy decision making.
  • 19.

    A Retrospective Study of Acute Lumbar Sprain Patients on the Effect of Korean Medicine Treatment with Dokhwal-tang (Duhuo-tang)

    정해창 | 박동수 | 정수현 | 2013, 23(4) | pp.225~231 | number of Cited : 0
    Objectives This study investigated the effect of korean medicine treatment withDokhwal-tang (Duhuo-tang) on Lumbal sprain patients by comparing with other herbalmedicines. Methods 17 lumbar sprain patients of group treated with Dokhwal-tang (Duhuo-tang)were treated with Dokhwal-tang (Duhuo-tang) , acupunture, cupping, oriental physicaltherapy. 13 lumbar sprain patients of group treated with other herbal medicines weretreated with 9 prescriptions of herbal medicine, acupunture, cupping, oriental physicaltherapy. ODI (Oswestry diability index), VAS (Visual Analogue Scale) were checked to evaluatethe effectiveness of the treatment. Results 1) ODI, VAS of patients treated with Dokhwal-tang (Duhuo-tang) were all improvedand there were statistical significance (p<0.05). 2) VAS of group treated withDokhwal-tang (Duhuo-tang) and that of group treated with other herbal medicines were allimproved significantly. And treatment period of group treated with Dokhwal-tang(Duhuo-tang) was shorter than that of group treated with other herbal medicines. But therewas no statistical significance between VAS of group treated with Dokhwal-tang(Duhuo-tang) and that of group treated with other herbal medicines. 3) In comparing medicalhistory period on group treated with Dokhwal-tang (Duhuo-tang) , ODI, VAS of hyper-acute phase group and acute phase group were improved but them of sub-acutephase group were less improved. Conclusions According to the study, korean complex therapy with Dokhwal-tang(Duhuo-tang) might improve acute lumbar sprain.
  • 20.

    The Retrospective Analysis of 1,162 Traffic Accident Inpatients in Korean Medicine Hospital

    신재화 | Minseok Oh | 2013, 23(4) | pp.233~250 | number of Cited : 23
    Objectives The purpose of this study was to investigate the characteristics of inpatientswho were admitted to Korean medicine hospital due to traffic accident. Methods 1,162 traffic accident patients who were admitted to department of KoreanRehabilitation Medicine of Cheonan Korean Medicine Hospital, Dae-Jeon University from 1st,January, 2011 to 31th, December, 2012 were analyzed according to the medical charts. Results 1. The average treatment result was 3.22 and in most (71.52%) of the patients,symptoms were more than improved. 2. In distribution according to age and sex, peoplein their 30s numbered the most both in male (12.65%) and female (14.72%). The 1,162 inpatientscomprised of 457 (39.33%) male and 705 (60.67%) female. 3. 541 (46.56%) patientsadmitted in 2011 and 621 (53.44%) patients admitted in 2012. 4. 695 (59.81%) patientsvisited Cheonan Korean Medicine Hospital within 0~2 days after their traffic accident,followed by 242 (20.83%) patients who visited within 3~5 days after their trafficaccident. Patients who admitted earlier showed more improvement in symptoms. 5. Theaverage admission days were 9.32 days. Most (57.66%) patients discharged within 1week. 6. 825 (71.00%) patients were driving sedan at the time of accident, followed by105 (9.04%) SUV owners and 71 (6.11%) pedestrians. 7. Rear-end collision accidentnumbered the most (45.61%), followed by lateral collision (24.35%) and frontal collision(14.72%). 8. Most frequently prescribed examination was X-ray (95.52%), followed by CT(8.69%) and MRI (3.01%). 9. Most frequently given diagnosis was sprain (1,126 (96.90%)patients), followed by concussion & abrasion (178 (15.32%) patients) and fracture (109(9.38%) patients). 10. Most frequently given Korean medicine treatment was acupuncture(1,162 (100%) patients), followed by anti-inflammatory pharmacopuncture (652 (56.11%)patients) and moxibustion (462 (39.76%) patients). 11. Most frequently given Korean medicinephysiotherapy was infra-red (1,161 (99.91%) patients), followed by cupping therapy(1,152 (99.14%) patients) and hotpack (1,137 (97.85%) patients). 12. Most frequently prescribedherb medicine was huishou-san (13.51%), followed by dangguixu-san (12.65%)and yaojiao-tang G (7.06%)Conclusions In this study, people in their 30s, females, within 0~2 days since the accidenttook the highest percentage from each category of patients who admitted to KoreanMedicine Hospital due to traffic accident. Patients who admitted earlier showed more improvementin symptoms and also discharged earlier.
  • 21.

    A Case Report of Patient with Recurrent Patellar Dislocation Treated by Korean Medicine Treatment in Combination with Intra-articular Bee Venom Injection and Needle-embedding Therapy

    유경곤 | 김진희 | 민선정 and 3other persons | 2013, 23(4) | pp.251~259 | number of Cited : 4
    The purpose of this study is to observe the effect of Korean medicine treatment in combinationwith intra-articular bee venom injection and needle-embedding therapy on recurrentpatellar dislocation in patient. The Patient, diagnosed as recurrent patellar dislocation,was treated by Korean medicine treatment in combination with intra-articularbee venom injection and needle-embedding therapy. Visual analogue scale (VAS), kneeflexion range of motion (ROM), Korean Western Ontario and Mcmaster Universities arthritisindex (K-WOMAC) were used to measure changes during treatment. After treatment,VAS, knee flexion ROM, K-WOMAC were improved significantly. The Korean medicinetreatment in combination with intra-articular bee venom injection and needle-embeddingtherapy was proved to be helpful to improve the symptoms of the recurrent patellardislocation.
  • 22.

    A Case Report of the Korean Medical Treatment for Patulous Eustachian Tube Patient with Headache

    김진희 | 민선정 | 유경곤 and 2other persons | 2013, 23(4) | pp.261~268 | number of Cited : 1
    This study was performed to report the case of Korean medical treatment for the PatulousEustachian tube patient with headache. The patient was treated by acupuncture, herbalmedicine, bee venom injection, needle-embedding therapy, chuna therapy, release of cranialbase and sacro-occipital therapy. Korean medical treatment was administered during3 weeks. The improvement of clinical symptoms was evaluated by VAS (visual analoguescale) and SF-36 (36-Item Short Form Healthy Survey Instrument). After treatment, mostsymptoms decreased, headache VAS score changed 10 to 6 and tinnitus VAS scorechanged 10 to 5. Also, most SF-36 scores increased. Our study suggested that Koreanmedical treatments are effective in the patient with Patulous Eustachian tube. And furtherstudies are required to identify underlying mechanism of treatment.