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요추부 추간판 탈출 정도와 SLR, valsalva test의 관계
엄태웅 ( Tae Woong Eom ),추원정 ( Won Jung Choo ),이차로 ( Cha Ro Lee ),김호준 ( Ho Jun Kim ),이명종 ( Myeong Jong Lee ) 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.2
Objectives : This study investigated the relationship between straight leg raising(SLR), valsalva test and size, position of lumbar disc herniation. Methods : We took SLR and valsalva test on 105 patients with lumbar disc herniation. According to the result of MRI findings, this study classified three groups of 105 patients with lumbar disc herniation, bulging, protrusion and extrusion. According to the position of lumbar disc herniation, 72 patients that were diagnosed protrusion and extrsuion were sorted 4 groups, lateral, lateral postero-lateral, central postero-lateral, central. The association size, position of lumbar disc herniation and SLR, valsalva test were analysed. Results : The bigger size of disc herniation, the more positive result of SLR and valsalva test, the lower angle of SLR test. There was not significant association between the position of lumbar disc herniation and the angle of SLR test. Conclusions :The SLR and valsalva test is an useful physical examination to speculate about the degree of lumbar disc herniation.
근에너지기법(Muscle Energy Techniques)과 침치료를 이용한 특발성 요추부 척추측만증 치험 3례
엄태웅 ( Tae Woong Eom ),문태웅 ( Tae Woong Moon ),강명진 ( Myung Jin Kang ),공덕현 ( Duck Hyun Kong ),조태영 ( Tae Young Cho ),이기하 ( Ki Ha Lee ),유다영 ( Da Young Yoo ) 한방재활의학과학회 2008 한방재활의학과학회지 Vol.18 No.3
Methods : We have investigated 3 patients with idiopathic lumbar scoliosis, used muscle energy techniques and acupuncture therapy, measured Cobb`s angle before and after treatment. Results : After treatment, One case, the L-spine Cobb`s angle correctability was 62.74%, another case was 34.66%, the other case was 45.50%. Conclusions : These results suggest that muscle energy techniques and acupuncture therapy was effective treatment on patients with idiopathic lumbar scoliosis.
어혈, 담음으로 변증된 요추부 추간판 탈출증 환자들의 특성에 관한 연구
엄태웅 ( Tae Woong Eom ),이차로 ( Cha Ro Lee ),김호준 ( Ho Jun Kim ),이명종 ( Myeong Jong Lee ) 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.4
ObjectivesIn 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 classi-fied as blood stasis and phlegm-retained fluid.MethodsWe surveyed 42 patients suffering from lumbar disc herniation using the diag-nosis blood stasis syndrome, water retention syndrome of the comprehensive diagnosis of QI blood water. Blood stasis and phlegm-retained fluid are identical with blood stasis syn-drome, water retention syndrome. Then we analyzed the characteristics - gender, SLR test, valsalva test, duration, ESR, CRP and night pain - of the patients suffering from lum-bar disc herniation who were diagnosed as blood stasis and phlegm-retained fluid.ResultsPatients were sorted into two groups: 18 blood stasis patients and 30 phlegm-retained fluid patients. Gender (Woman), acute phase and night pain are related to blood stasis. Acute phase, positive of SLR test is related to phlegm-retained fluid. There was 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, CRP and night pain.ConclusionsBy Considering the characteristics - gender, SLR test, valsalva test, dura-tion, ESR, CRP and night pain - of lumbar disc herniation patients, it can help to analyze the pattern of its symptoms. (J Korean Med Rehab 2013;23(4):159-167)
추나치료의 절대적 금기증에 대한 보고 1례 - Os Odontoideum을 진단받은 환자를 대상으로 -
문태웅,엄태웅,강명진,공덕현,정영훈,조태영,김기주,이광환,Moon, Tae-Woong,Eom, Tae-Woong,Kang, Myung-Jin,Kong, Duck-Hyun,Chung, Young-Hoon,Cho, Tae-Young,Kim, Ki-Joo,Lee, Kwang-Hwan 척추신경추나의학회 2008 척추신경추나의학회지 Vol.3 No.1
Objectives : The os odontoideum is an uncommon abnormality which is due to non fusion of axis and odontoid process that exists as a separate ossicle apart from a hypoplastic dens. Its clinical significance lies in its potential to produce serious neurologic symptoms after cervical Chuna Manipulation Treatment. We experienced a patient diagnosed as os odontoideum which corresponds to absolute contra-indications of chuna manipulation treatment and report it. Methods : The patient was diagnosed as os odontoideum through cervical spine CT and MRI. Results and Conclusion : During cervical physical examination, we encountered L'hermitte's phenomenon from the patient and suspected one of contra-indications of chuna manipulation treatment. We could diagnose the patient as os odontoideum through cervical spine CT, MRI and prevent him from severe sequelae caused by chuna manipulation treatment.
추나와 온침치료로 호전된 견관절 충돌 증후군 환자 3례에 대한 임상보고
문태웅,엄태웅,정영훈,Moon, Tae-Woong,Eom, Tae-Woong,Chung, Young-Hoon 척추신경추나의학회 2009 척추신경추나의학회지 Vol.4 No.1
Objectives: The objective of this study is to report the effectiveness of Chuna treatment and burning acupuncture therapy on shoulder impingement syndrome. Methods: Among the patients with shoulder pain, We selected 3 patients diagnosed as shoulder impingement syndrome by physical examination and magnetic resonance imaging(MRI). After Chuna treatment and burning acupuncture therapy, we evaluated the effectiveness by measuring range of movement(ROM) and checking The Shoulder Pain And Disability Index(SPADI) every three times the patients called at the clinic for three weeks. Results: The symptoms of the patients got improved relatively in short period considering shoulder impingement syndrome belongs to chronic diseases and steps chronical procedure in recovering. Conclusions: These cases showed Chuna treatment and burning acupuncture therapy could be applied on shoulder impingement syndrome and were effective for improving the symptoms. We suggest that further studies and clinical trials will be needed afterwards.
서울 경기 일부지역 고등학생의 목통증호소와 관련요인에 관한 연구
정영훈 ( Young Hoon Chung ),엄태웅 ( Tae Woong Eom ),문태웅 ( Tae Woong Moon ),조태영 ( Tae Young Cho ),이시하 ( Ki Ha Lee ),고영타 ( Young Tak Ko ) 한방재활의학과학회 2007 한방재활의학과학회지 Vol.17 No.4
Objectives :The purpose of this study is to evaluate the status of neck pain and related factors among high school students, and to establish neck pain prevention program based on conclusion made from this study. Methods : The study population consisted of high school students in the vicinity of Seoul and Kyung Ki province. Total number of self-reporting questionnaire provided was 500 but only 493 questionnaires submitted for evaluation. Among those submitted there were 2 questionnaires which were incompleted and not counted in for evaluation. The above data have been collected from June 2007 through August 2007. Total 491 subjects were consisted of male and female students from 4 different high schools. A participant was classified into the pain group or into the no pain group according to the frequency of neck pain. The data were analyzed in frequency, percentile scores, X2-test in SPSS 10.0 for windows. Results : Among 491 subjects, the prevalence rate of the neck pain have showed 61.1%. In relation to general characteristic, sex was insignificant. In relation to school activity and habit, the level of sitting time in a day(p<0.05), PC time in a day(p<0.001) were significant. In relation to health habit, sleep time in a day(p<0.001) was significant. In relation to disturbance of daily life, reading disturbance(p<0.001), leisure activity disturbance(p<0.001) were significant. Conclusions : Based on the above evaluation, it shows that high school students have a relatively high prevalence of neck pain. Therefore, proper neck pain prevention program and early management of the neck pain are well indicated since neck pain could influence student`s school life
척추전방전위증 환자에 대한 신바로약침과 봉약침의 치료효과 비교 연구
노해린,박소현,이재영,추원정,한상욱,김신웅,손슬기,엄태웅,Ro, Hae-Rin,Park, So-Hyun,Lee, Jae-Young,Choo, Won-Jung,Han, Sang-Wook,Kim, Shin-Woong,Son, Seol-Ki,Eom, Tae-Woong 척추신경추나의학회 2012 척추신경추나의학회지 Vol.7 No.2
Objectives : The Purpose of this study is to compare the effect of ShinBaro Pharmacopuncture Treatment and Bee Venom Pharmacopuncture Treatment of low back pain and radicular pain caused by spondylolisthesis. Methods : From January 1st,2012 to September 30th, 2012, 30 Low back pain and radicular pain patients with spondylolisthesis who were admitted to Bu-Cheon Jaseng Hospital of Oriental Medicine were divided into two groups. ShinBaro group was treated by ShinBaro Pharmacopuncture Treatment and Bee Venom group was treated by Bee Venom Pharmacopuncture Treatment. We evaluated the treatment effect of each group with numerical rating scale(NRS) and Oswestry disability index(ODI). The evaluations performed at admission day and 14th day after admission. Results : In both ShinBaro group and Bee Venom group, NRS and ODI decreased significantly in ststistics as treatment was perfomed. Though ShinBaro group showed a decreasing ODI score compared to BV group and BV group showed a decreasing NRS score compared to Shinbaro group, There is no statistical significance on NRS and ODI score after the treatment in both groups. Conclusions : The result sugguest that both ShinBaro pharmacopuncture treatment and Bee Venom pharmacopuncture treatment is considered to be effective and useful on low back pain and radicular pain caused by spondylolisthesis, although further study is needed.
요추추간판탈출증환자 49례의 탈출양상에 따른 한방치료에 대한 임상적 고찰
이기하,김기역,김우영,김창연,이현종,엄태웅,Lee, Ki-Ha,Kim, Ki-Yuk,Kim, Wo-Young,Kim, Chang-Youn,Lee, Hyun-Jong,Eom, Tae-Woong 척추신경추나의학회 2008 척추신경추나의학회지 Vol.3 No.1
Objective : In treatment of lumbar spine herniation of nucleus pulpous, the different result in accordance with difference of sex, age, medical history, part, or type. Methods : After 49 patients who were diagnosed as HNP of L-spine were grouped by sex, age, medical history, part, or type, they were compared and analyzed on the basis of difference between measuring VAS and ODI as they were hospitalized and as they were discharged. Results : 1. In terms of differences by gender, males' average degree of VAS improvement was 63.92 and females' average degree of VAS improvement was 59.8. Also, Males' average ODI improvement index was 12.36 and females' average ODI improvement index was 12.5. 2. In terms of differences by age, Teens recorded highest degree of VAS improvement and ODI improvement index. 3. In terms of differences by medical history, Most acute or acute patients showed higher degree of VAS improvement and ODI improvement index than subacute or chronic patients. 4. There were no significant distinguishing markscomparing between one diseased part and other. 5. As the research that focused on different type, Extrusion type had better improvement by medical treatment than Protrusion type. Conclusion : This research drew the result as above, but recognizable statistical relation could not be found in the result. Therefore there needs much sustainable research to deduce meaningful result.
교통사고에 의한 요통, 사건 스트레스, 공포-회피 반응 간의 관련성 분석
최희승 ( Hee Seung Choi ),김민영 ( Min Yeong Kim ),김진수 ( Jin Soo Kim ),노해린 ( Hae Rin Ro ),정윤규 ( Yoon Gyu Jung ),최영일 ( Young Il Choi ),신동재 ( Dong Jae Shin ),엄태웅 ( Tae Woong Eom ) 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.4
ObjectivesThis study was to investigate the correlation of low back pain, stress by event, and fear-avoidance beliefs caused by traffic accident.MethodsWe investigated 103 cases of out-patient with traffic accident. The patients answered that Visual Analogue Scale (VAS), Impact of Event Scale Revised Korean Version (IES-R-K), and Fear-Avoidance Beliefs Questionnaire (FABQ) on the first medical examination. We calculated statistical significance with this data.ResultsVAS, IES-R-K, and FABQ scores of the female patients with the traffic accident were higher than the male patients. VAS, IES-R-K, and FABQ scores showed low sig-nificant positive correlation and showed partial correlation between IES-R-K and FABQ, controlled by VAS, had no statistical significance in this research. ConclusionsMore considerations on pain, stress by event, and fear avoidance belief should be needed in treatment of the traffic accident patients. (J Korean Med Rehab 2013;23(4):203-212)