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2015, Vol.25, No.3

  • 1.

    Study on Single-dose Intramuscular Toxicity of Shinbaro Pharmacopuncture in Sprague-Dawley (SD) Rats and Beagle Dogs

    이진호 | 정화진 | Lee In Hee and 3other persons | 2015, 25(3) | pp.1~9 | number of Cited : 3
    ObjectivesTo evaluate Shinbaro Pharmacopuncture safety through analysis of potential single-dose intramuscular toxicity of Sinbaro Pharmacopucture in SD rats and Beagle dogs.MethodsSingle-dose intramuscular toxicity of Shinbaro Pharmacopuncture was as-sessed in accordance with Korea Food and Drug Administration Guidelines for toxicity test-ing of Medicinal Products. The SD rats were treated intramuscularly with Shinbaro Pharmacopuncture at doses of 0, 4.6, 9.2, and 18.5 mg/kg, respectively. The Beagle dogs were treated intramuscularly with Shinbaro Pharmacopuncture at doses of 2.3, and 4.6 mg/kg, respectively, and after 3 days, the procedure was repeated a second time at doses of 0.6, and 1.2 mg/kg, respectively, for toxicity testing. Mortality, change in body weight, and necropsy findings were examined for the study period.ResultsThere were no mortalities, general symptoms, or body weight changes in the SD rats. While pyelectasis of the left kidney was observed in a male rat in the 4.6 mg/kg admin-istration group, natural occurrence is common, and does not appear to be related with the test substance. No mortalities were observed in the Beagle dogs. In assessment of general symptoms, a female dog in the 9.2 mg/kg group displayed body weight decrease due to leftover food, but the change in body weight was within the normal range seen at 6~7 months, and the necropsy findings were not significant. The toxicity of the test substance appears to be minimal.ConclusionsThe results suggest that the lethal dose 50 (LD50) and approximate lethal-dose (ALD) value in single intramuscular administration of Shinbaro Pharmacopuncture in SD rats and Beagle dogs are higher than 18.5 mg/kg. (J Korean Med Rehab 2015;25(3):1-9)
  • 2.

    A Study on the Korean Medical Quality Assessment of Spinal Disease -Focusing on Admission Patients-

    박정식 | Lim Hyung Ho | 2015, 25(3) | pp.11~26 | number of Cited : 1
    ObjectivesThe purpose of this study is to assess the quality of spinal disease focusing on Korean medical hospital admission patients.MethodsThe disease code related to spinal disease was selected based on the con-tents of development of clinical quality indicators for spinal disease. The assessment analy-sis of feasibility was conducted through medical history analysis that targets spinal disease patients, current development of clinical quality indicators for spinal disease, and relevant literature.ResultsThe indicator items of structure, process, and results were classified and se-lected, and so were the detailed indicator entries. After that, the appropriate reference value was chosen. The final selected quality indicators were 3 items from structure, 9 items from process, 4 items from results, including 3 monitoring items, total 16 items was chosen.ConclusionsClinical research for the adequacy assessment should be conducted and the index entry and indicators should be reassessed through an expert group discussion. Training for the evaluation indicators and association with relevant society will motivate hos-pitals to voluntarily improve their quality. (J Korean Med Rehab 2015;25(3):11-26)
  • 3.

    Reviewing Research on the Treatment and Study of Fracture in Korean Journals Objective - Focus on Domestic Thesis

    배길준 | Ji-Won Jeong | 정민영 and 1other persons | 2015, 25(3) | pp.27~36 | number of Cited : 14
    ObjectivesThe aim of this review is to analyze research trends on the Korean medical treatment and study of fracture.MethodsWe searched 38 studies related treatment of fracture via Korean medicine web databases. We classified these studies by three types (experimental reports, case reports and retrospective reports) and researched how to treat the patient of fracture.Results38 studies were published since 1993 and published every year since 2004 to 2013. There were 8 experimental reports, 20 case reports and 10 retrospective reports. Most of these studies were effective to treat of fracture. Bee venom treatment and Hua-Tuo-Jia-Ji-Xue acupuncture treatment were more effective than general treatment.ConclusionsThese results suggest that Korean medicine is effective treatment to frac-ture and we need continuously agonize and research more effective therapy method. (J Korean Med Rehab 2015;25(3):27-36)
  • 4.

    Reviewing Research on the Study of Rheumatoid Arthritis Model Treated by Pharmacopuncture in Korean Journals Objective

    Ji-Won Jeong | 배길준 | 원정윤 and 2other persons | 2015, 25(3) | pp.37~49 | number of Cited : 3
    ObjectivesThis study was designed to collect studies about the Pharmacopuncture used for Rheumatoid arthritis model through analysis on Korean medicine prescriptions of Korean journals objective.MethodsWe searched 29 studies related Pharmacopuncture treatment of Rheumatoid arthritis model via Korean medicine web database.Results29 studies were published 2007 to 2015. There were 4 studies have positive control group and negative control group, and 25 studies were design only negative control group. 15 studies were published 2007, 5 studies were published 2008, 1 study was pub-lished 2010, 2 studies were published 2011, 5 studies were published 2012, 1 study was published 2013. There were 20 Pharmacopuncture treated for Rheumatoid arthritis mouse or rat model. Most of these studies were effective to treat of Rheumatoid arthritis model.ConclusionsThese results suggested that Pharmacopuncture is effective treatment to Rheumatoid arthritis model and we need continuously agonize and research more effective therapy method. (J Korean Med Rehab 2015;25(3):37-49)
  • 5.

    Chuna Manual Therapy for Nocturnal Crying; A Systematic Review

    Hwang Mansuk | Shin, Byung Cheul | Kwang-ho Heo and 6other persons | 2015, 25(3) | pp.51~57 | number of Cited : 5
    ObjectivesTo evaluate the evidence supporting the effectiveness of Chuna manual ther-apy for nocturnal crying.MethodsWe conducted search across the 3 electronic databases (Pubmed, CAJ and Oasis) to find all of randomized controlled clinical trials(RCTs) that used Chuna manual ther-apy as a treatment for nocturnal crying. The methodological quality of each RCTs was as-sessed using the Cochrane Risk of Bias tool and nRCTs was assessed using the Cochrane Risk of Bias Assessment tool for Non-randomized Study tool.ResultsTwo RCTs and three nRCTs met our inclusion criteria. The meta-analysis showed positive results for the use of Chuna manual therapy in terms of the efficacy rate when compared to medication treatments alone. Positive results were also obtained, in terms of the efficacy rate, when comparing Chuna manual therapy combined with acupoint application therapy to Chuna manual therapy alone, but was not statistically significant.ConclusionsOur systematic review found encouraging but limited evidence of Chuna manual therapy for nocturnal crying. We recommend clinical trials which compare the ef-fectiveness of Chuna manual therapy with usual care to obtain stronger evidence without the demerits of trial design. (J Korean Med Rehab 2015;25(3):51-57)
  • 6.

    The Review on the Studies Using Delphi Method in the Journals of Korean Medicine from 2006 to 2015

    박창현 | Lim Hyung Ho | 2015, 25(3) | pp.59~64 | number of Cited : 0
    ObjectivesThe aim of this review is to analyse the study tendency in papers related with delphi method which are published in Korea from 2006 to 2015.MethodsWe searched the electronic database (NDSL, RISS, Korean traditional knowl-edge portal, OASIS) and checked relevant Korean journals from 2006 to 2015. 23 research papers were found and they were analyzed according to the year of publishment, the titles of journals which have the papers, the time of repeated survey and purpose of technique application.Results1. As we analyzed by years, 2.3 papers were published per year on average. 2. As we analyzed by jounals in which papers were published, 39% of total papers were pub-lished in The Journal of the Society of Korean Medicine Diagnostics, 30% were in Korean Journal of Oriental Physiology & Pathology, taking up 69% of total papers. 3. As we ana-lyzed by the number of survey taken in each research, 11 papers surveyed 2 times, 7 pa-pers surveyed 3 times, 1 paper suerveyed one time. 4. As we analyzed by the purpose of technique application, 91% of papers were aimed at the development of questions, 9% of papers were aimed at policy recommendation.ConclusionsThese results suggest that although many researches were trying to quan-tify the symptom of patient, to demonstrate on exact data and to accomplish the scientifi-cation of diagnosis, the number of paper is insufficient. Therefore, it seems that more re-searches must be taken afterward. (J Korean Med Rehab 2015;25(3):59-64)
  • 7.

    Survey on Satisfaction of Korean Medicine Treatment in 103 Cases by Traffic Accident

    배길준 | Ji-Won Jeong | 송민영 and 6other persons | 2015, 25(3) | pp.65~79 | number of Cited : 12
    ObjectivesThe aim of this study is to identify the satisfaction of Korean medicine treat-ment by traffic accident.MethodsThis study was carried out 103 cases of traffic accident patients which had been treatment in Dongshin university Korean medicine hospital and Chung-Yeon Korean medicine hospital from June, 2014 to September, 2014. The survey used by preceding ar-ticles was accepted for assessment of the satisfaction degree of patients in this study. All data were coded by SPSS v18.0 and analyzed by descriptive maneuver, x2-test, T-test and correlation.ResultsAccording to the survey, 93.2% of patients included this study were hospitalized in the Korean medical hospital within 2 weeks from TA and 90.3% were satisfied with the current medical service. The answer that Korean medicine is superior to western medicine for TA treatment was the main reason for selecting Korean medical hospital. 46.6% of pa-tients satisfied Acupuncture treatment and 29.1% of patients satisfied Korean physical treatment. There were no differences in the satisfaction degree with sex, age, education and occupation. The satisfaction degree of the current Korean medical service was sig-nificantly correlated with doctor’s service, use the procedure and reuse intention.ConclusionsWe could see that the satisfaction of Korean medicine treatment is rela-tively high. The continuous and repetitive research is needed in order to improve the quality of Korean medicine hospital service and the satisfaction of patients by traffic accident. (J Korean Med Rehab 2015;25(3):65-79)
  • 8.

    Clinical Study of the Effects of Gwibi-tang and Danggwisusan on Traffic Accident Patients with Acute Cervicolumbar Disorder

    박정오 | 정훈 | 허동석 | 2015, 25(3) | pp.81~90 | number of Cited : 8
    ObjectivesThis study was designed to compare the effects Gwibi-tang herbal-medi-cation with Danggwisusan herbal-medication for patients with acute cervical and lumbar sprains due to a traffic accident.MethodsThis study was carried out on 119 acute cervical & lumbar sprain patients by traffic accident. We divided these patients into 2 groups. Group A was treated with Gwibi-tang and Group B was treated with Danggwisusan three times a day for three days. Each patient was treated with acupuncture, physical therapy and two types of herb-al-medication. We measured the numerical rating scale (NRS) at two time points : pre-treat-ment (Tx). and post-Tx.Results1. The NRS scores significantly decreased after treatment in all patients. 2. The changed NRS scores of nuchal pain showed a borderline significant difference between Group A and Group B (p=0.067). 3. In sub-group analysis, Gwibi-tang showed a greater ef-fect on NRS scores of lumbago pain in female patients (p=0.068) and patients under 30s (p = 0.054) compared to Danggwisusan.ConclusionsIn this study, both types of herbal-medication; Gwibi-tang and Danggwi-susan were highly effective on acute cervical and lumbar sprain patients. Especially Gwibi-tang (Group A) was more effective than Danggwisusan (Group B) in reducing the ini-tial nuchal pain. Also Gwibi-tang was more effective for lumbago pain in female and patients under 30s. (J Korean Med Rehab 2015;25(3):81-90)
  • 9.

    A Case Report of Upper Extremities Rehablitation of 2 Cervical Spinal Cord Injured Patients by Functional Electrical Stimulation with Korean Medical Interventions

    이종훈 | Sung-Woo Cho | 2015, 25(3) | pp.91~102 | number of Cited : 3
    Two patients, diagnosed as cervical spinal cord injury, were hospitalized and treated by Korean medical interventions with Functional Electrical Stimulation (FES). The range of mo-tion of the shoulder joint, manual muscle test were adopted to measure the resulting motor recovery after treatment. And the Korean version of Barthel index (K-MBI) was adopted as a method of measuring the improvement of quality of life after treatment. The range of mo-tions and muscle strengths of the shoulder joints were improved. The activities of daily living were slightly improved in case 2, but showed no improvement in case 1. FES was effective for upper extremities rehabilitation of spinal cord injured patients. Further studies are need-ed to set up an Korean medical protocol for spinal cord injury rehabilitation. (J Korean Med Rehab 2015;25(3):91-102)
  • 10.

    A Case Report of Asthma Patient with Pneumonia Improved by Buteyko Breathing Technique and Korean Medical Treatment

    박정하 | Deuk Ju Oh | 박수정 | 2015, 25(3) | pp.103~109 | number of Cited : 1
    ObjectivesThe objective of this study si to report clinical effect of korean medical treat-ments and Buteyko breathing technique for asthma patient with pneumonia.MethodsThe patient was treated by korean medical treatment including acupunture, moxibustion, herbal medication and Buteyko breathing technique. The improvement of clinical symptoms was observed by visual checking and X-ray, Pulmonary Function Test that index include TV, FVC, FEV1.ResultsAfter treatments, the patient was improved in visual checking and X-ray on chest, TV, FVC, FEV1.ConclusionsWe suggest that korean medical treatment and Buteyko breathing techni-que could be an effective method to improve the asthma patient with pneumonia. (J Korean Med Rehab 2015;25(3):103-109)
  • 11.

    The One Case Report of Strabismus of Traffic Accident Induced Abducence Nerve Paralysis Treated with Electro-acupuncture

    한정석 | 원정윤 | 김문준 and 1other persons | 2015, 25(3) | pp.111~117 | number of Cited : 5
    ObjectivesThe purpose of this case is to report the effect of Korean Medicine, especially Electro-acupuncture on strabismus of traffic accident induced abducens nerve paralysis.MethodsPatient received Korean Medicine treatment such as acupuncture, elec-tro-acupuncture & Herb-medicine. Patienst was treated with the electro-acupuncture at Right eye paralytic lateral rectus muscle lesions. The case was enforced 10 minutes using the PG-306 electro-acupuncture and applyed the low consequence wave of 1-8Hz. The improvement of the strabismus was observed.ResultsDuring ten weeks of treatment, patient's strabismus and diplopia were improved.ConclusionsIn this case, Electro-acupuncture on strabismus and diplopia of traffic acci-dent induced abducens nerve paralysis was effective. The effectivity is depended on the time stimulation is performed. (J Korean Med Rehab 2015;25(3):111-117)
  • 12.

    Late Detection of Chronic Subdural Hematoma in Traffic Accident Patients Who Treated Tibial Fractures; Report of 2 Cases

    김병준 | Shin, Byung Cheul | Hwang Eui-hyoung and 3other persons | 2015, 25(3) | pp.119~125 | number of Cited : 0
    A chronic subdural hematoma (CSDH) is an old collection of blood and blood breakdown products between the surface of the brain and its outermost covering. We present two cas-es with tibia fracture caused by traffic accident progressed to chronic subdural hematoma. A 72-year-old male patient had shown signs of headache, urinary incontinence and mental storm when he has been in the hospital after 3weeks without CSDH diagnosis. And a 78-year-old male patient with mild head injury suffered from right side headache after traffic accident. We took korean medical treatments associate with tibial fracture. And we knew subdural hematoma through Brain CT. It is good report which shows CSDH can can occur from traffic accident. It requires correct diagnosis and closed observation for traffic acci-dent patients. (J Korean Med Rehab 2015;25(3):119-125)
  • 13.

    Case Report of Korean Medical Treatment on Acute Peroneal Nerve Palsy Patient Caused by Prolonged Immobilization

    김민수 | 김진희 | 이지영 and 2other persons | 2015, 25(3) | pp.127~136 | number of Cited : 5
    ObjectivesThis study was carried out to investigate the clinical effects of Korean medical treatment on acute peroneal nerve palsy caused by prolonged immobilization.MethodsOne patient with acute peroneal nerve palsy was treated with various korean medical techniques such as acupuncture, moxibustion, cupping and herbal medicine, bee- venom acupuncture for 12 weeks. Manual Muscle Test, Range of motion, Numerical Rating Scale, Ankle-hindfoot scale, Digital infrared thermographing imaging system were used to evaluate treatment effect.ResultsAfter treatment, all the scales mentioned above were improved significantly.ConclusionsThis result showed that Korean medical treatment is effective on acute per-oneal nerve palsy caused by prolonged immoblization. (J Korean Med Rehab 2015;25(3): 127-136)