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연령대별 요추 추간판탈출증 환자의 요근과 척추주위근 단면적에 대한 분석
공덕현 ( Deok Hyun Kong ),배광호 ( Kwang Ho Bae ),고호연 ( Ho Yeon Go ),강명진 ( Myung Jin Kang ),김준수 ( Jun Su Kim ),양기영 ( Kee Young Yang ),이재훈 ( Jae Hoon Lee ),은영준 ( Young Jun Eun ) 한방재활의학과학회 2010 한방재활의학과학회지 Vol.20 No.4
Objectives :This study was designed to evaluate the correlation of the cross-sectional areas(CSA) of paraspinalis(iliocostalis lumborum, multifidus, longissimus thoracis parts lumborum) and psoas muscle and sex, age, change of the VAS(visual analogue scale) and past history of chronic low back pain in patients suffering from HIVD(herniation of intervertebral disc). Methods :Medical records of 140 subjects with HIVD were retrospectively reviewed. The MRI(magnetic resonance imaging) findings on the patients were scanned and analyzed by PiView program to find the paraspinal and psoas muscle CSA and were evaluated by the correlation of sex, age, change of the VAS, and past history of chronic low back pain. Results :There was significant difference between groups in male and female, young-adults age and middle age, middle age and old age, young-adults age and old age. But the correlation of the paraspinal and psoas muscle CSA and past history of chronic low back pain were partially significant. On the other hand, the correlation of the paraspinal and psoas muscle CSA and change of the VAS were not significant. Conclusions :These results suggest that the cross-sectional areas(CSA) of paraspinalis and psoas muscle have relevance to sex and age.
요추부 한 분절 유합술 이후 발생한 추간판 탈출증환자에 대한 보존적 치료 치험 1례
강명진,공덕현,김우영,조태영,남항우,Kang, Myung-Jin,Kong, Duck-Hyun,Kim, Wu-Young,Cho, Tae-Young,Nam, Hang-Woo 척추신경추나의학회 2010 척추신경추나의학회지 Vol.5 No.2
요추부 한 분절 유합술 이후 발생한 추간판 탈출증으로 내원한 외래 환자 1례에 한방치료를 적용하여 요통 및 하지방사통 통증 감소와 요추부 관절가동범위(ROM) 증가에 유의한 효과를 보였기에 보고하는 바이다. Objectives: The purpose of this study is the evaluation of conservative medical treatment on the herniation of intervertebral disc(HIVD) patient after the fusion surgery of a lumbar segment. Methods: We used acupuncture, herbal medication, and manipulation for this patient. And we measured of VNRS score and SLR test result to evaluate effect of conservative medical treatment. Results & Conclusions: Patient's low back and left leg pain VNRS is decreased, and the SLR test result is improved.
한의학적 치료법으로 호전된 요추 추간판 탈출증 환자의 영상의학적 변화
김우영,한상엽,김기역,공덕현,이현종,김창연,남항우,Kim, Wu-Young,Han, Sang-Yup,Kim, Ki-Yuk,Kong, Duck-Hyun,Lee, Hyun-Jong,Kim, Chang-Youn,Nam, Hang-Woo 척추신경추나의학회 2009 척추신경추나의학회지 Vol.4 No.1
Objectives: The aim of this study was to evaluate the evolution of lumbar disc herniation in patients treated with oriental medicine. Methods: 14patients(15 cases) with lumbar disc herniation proved at MRI(Magnetic resonance imaging) underwent a follow-up MRI study. Follow-up MRI was performed $4{\sim}14$months(mean 7 months) after initial MRI. Results & Conclusions: 1. 13 cases(87%) had reduction of disc herniation. 1 showed no change in amount of disc herniation. 1 had an increase in disc herniation. 2. Comparison initial MRI with follow-up MRI showed that 2 of the herniations decreased between 0% and 25%, 3 decreased between 25% and 50%, 5 decreased between 50% and 75%, 3 decreased between 75% and 100%. The size of the herniation decreased on average by 49% in 14patients(15 cases). 3. On axial images, the proportion of the cross-sectional area of the spinal canal occupied by the herniated disc was 54.41% on the average on the initial scan, 29.65% on the follow-up scan.
김우영,이재영,한상엽,공덕현,박재영,이현종,Kim, Wu-Young,Lee, Jae-Young,Han, Sang-Yup,Kong, Deok-Hyun,Park, Jai-Young,Lee, Hyun-Jong 척추신경추나의학회 2010 척추신경추나의학회지 Vol.5 No.2
단순 방사선검사와 이학적 검사에서 특이 소견을 발견할 수 없는 발음성 고관절 환자에서 대전자의 움직임을 통해 고관절의 움직임 이상을 발견하고 경근추나를 시행하였다. 1. 환자분이 복와위에서 능동적 신전운동, 앙와위에서 능동적 굴곡운동을 하는 동안 환자의 대전자를 통해 고관절이 전내측 방향으로 움직임을 관찰하였다. 2. 고관절의 전내측 방향으로 움직임의 과도를 유발할 수 있는 대퇴근막장근과 슬괵근의 단축을 평가하고 경근이완기법을 적용하였다. 3. 슬곽근에 대항작용을 하고 고관절이 관골구내에서 안정성을 유지하기 위해 필요한 대둔근, 대퇴근막장근에 대항작용을 할 수 있는 후중둔근과 장요근의 약화를 관찰하고 경근강화기법을 시행하였다. 4. 13회의 치료 후 발음성고관절의 주증상인 통증과 탄발음이 거의 소실되는 양호한 결과를 얻었다. 5. 고관절의 움직임 이상이 발견된 발음성 고관절 환자에서 해당 경근의 단축과 약화가 발견될 경우 경근추나수기법을 이용해 볼 수 있을 것으로 판단된다. Objectives : This study is designed to evaluate the effect of conservative oriental medical treatment using Chuna manual therapy for meridian sinew system for snapping hip patient who have hip joint movement system impairment. Methods : 28-year old snapping hip patient who have hip joint movement system impairment was treated with conservative oriental medical treatment using Chuna manual therapy for meridian sinew system. The improvement of the patient was evaluated by Numerical rating scale(NRS), Snapping Sound Degree(SSD), Range of Motion(ROM). Results: After 13 times treatment, the patient had significant improvement in Numerical rating scale(NRS), Snapping Sound Degree(SSD), Range of Motion(ROM). Conclusions: If hip joint movement system impairment cause a snapping hip, we can treat with Chuna manual therapy for meridian sinew system.
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.
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.
경추 추간판 탈출증을 진단함에 있어 경추부 자기공명 영상 소견과 비교한 Spurling test의 진단적 타당성에 대한 연구
문태웅 ( Tae Woong Moon ),강명진 ( Myung Jin Kang ),공덕현 ( Duck Hyun Kong ),김준수 ( Jun Su Kim ),양기영 ( Kee Young Yang ),이재훈 ( Jae Hoon Lee ),은영준 ( Young Jun Eun ),김기주 ( Ki Joo Kim ) 한방재활의학과학회 2009 한방재활의학과학회지 Vol.19 No.2
Objectives: Spurling test is one of the most widely used physical tests to diagnose herniated cervical intervertebral disc. The purpose of this study is to analyse diagnostic validity of Spurling test. Methods: This study was carried out on 382 subjects who visited Bu-Chun Ja-Seng oriental hospital with the neck pain or radiating pain from neck to upper extremities from November, 2007 to October, 2008. All subjects underwent both Spurling test and cervical magnetic resonance imaging(MRI). The associations between Spurling test and herniated cervical intervertebral disc were analysed. Results: 1. The sensitivity of Spurling test for herniated cervical intervertebral disc was 64%. 2. The specificity of Spurling test for herniated cervical intervertebral disc was 86%. 3. The positive predictive value of Spurling test for herniated cervical intervertebral disc was 93%. 4. The negative predictive value of Spurling test for herniated cervical intervertebral disc was 44%. Conclusions: This study suggests that Spurling test is not useful in screening for herniated cervical intervertebral disc due to the test`s relatively low sensitivity. Thus it is necessary to consult advanced tests such as diagnostic imaging to diagnose herniated cervical intervertebral disc.