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Effects of Complex Korean Medicine Treatment on a Patient with Knee Pain and Ankylosis Following a Distal Femur Osteotomy: A Case Report 一例股骨远端截骨术后膝关节疼痛和强直患者的韩国综合疗法疗效观察
Pub Date : 2022-05-31 DOI: 10.13045/jar.2021.00276
Han-bin Park, Eun Sil Heo, Dong-Hwi Yoo, Won-suk Jang, O. Kwon, Ki-won Choi, M. Kwon, Tae Ju Kim, S. Jang, Oh-hoon Kwon
Distal femur osteotomy (DFO) is a controlled surgical break of the femur performed to allow realignment of the limb. Redistribution of the load aims to correct the abnormal mechanical weight-bearing axes in patients with abnormal alignment of the lower extremities, and degenerative changes in the knee joint. This report describes a complex Korean medicine treatment for a patient complaining of knee pain and stiffness following a DFO. Post-operative care for the patient lasted 78 days with treatment including pharmacopuncture, acupuncture, herbal medicine, cupping therapy, and physiotherapy. The effectiveness of the treatments was evaluated using the numerical rating scale, range of motion of the knee, and by physical examination. After treatment, these evaluation indicators improved, suggesting that the complex Korean medicine treatment received by the patient was an appropriate treatment for knee pain and stiffness following a DFO.
股骨远端截骨(DFO)是一种可控的股骨骨折手术,用于重新调整肢体。负荷的重新分布旨在纠正下肢异常对齐和膝关节退行性变化患者的异常机械承重轴。本报告描述了一种复杂的韩国药物治疗方法,治疗一名DFO后抱怨膝盖疼痛和僵硬的患者。患者的术后护理持续了78天,治疗包括药物针灸、草药、拔罐疗法和物理疗法。使用数字评定量表、膝关节活动范围和体检来评估治疗的有效性。治疗后,这些评估指标有所改善,表明患者接受的复杂韩国药物治疗是治疗DFO后膝关节疼痛和僵硬的合适方法。
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引用次数: 0
Electroacupuncture for Carpal Tunnel Syndrome: A Review of Randomized Controlled Trials 电针治疗腕管综合征:随机对照试验综述
Pub Date : 2022-05-31 DOI: 10.13045/jar.2021.00297
C. Park, Min Ji Lim, Se won Lee, Yeon-Hoo Yi, Dale Song, Sang-gu Yu, Min Ju Kim, D. Oh, Hyo-jung Choi, Ah-ra Ju
This study aimed to examine the clinical efficacy of electroacupuncture treatment for carpal tunnel syndrome by reviewing published randomized controlled trials. Among the 186 studies retrieved from 7 online databases (PubMed, Cochrane library, CNKI, NDSL, RISS, OASIS, KMbase) on October 29, 2021, 4 studies were selected according to the inclusion, exclusion criteria, and were evaluated using risk of bias. Control groups for electroacupuncture were wearing a splint at night, traditional acupuncture, and medication. Methods such as total effective, functional status scale, symptom severity scale, electromyography, tip pinch strength, visual analogue scale, numeric rating scale, and ultrasound were used to evaluate the therapeutic effect. Electroacupuncture was reported to have significant treatment results compared with the control group in methods such as total effectiveness, electromyography, and tip pinch strength. However, the quality of the studies (using risk of bias) does not allow reliable conclusions to be made. Many high quality (low risk of bias) randomized controlled trials are needed to examine the efficacy of electroacupuncture treatment for carpal tunnel syndrome.
本研究旨在通过回顾已发表的随机对照试验,探讨电针治疗腕管综合征的临床疗效。在2021年10月29日从PubMed、Cochrane library、CNKI、NDSL、RISS、OASIS、KMbase等7个在线数据库检索到的186篇研究中,根据纳入、排除标准筛选出4篇研究,并进行偏倚风险评价。电针对照组采用夜间佩戴夹板、传统针灸和药物治疗。采用总有效率、功能状态量表、症状严重程度量表、肌电图、指尖捏力量表、视觉模拟量表、数值评定量表、超声等方法评价治疗效果。据报道,与对照组相比,电针在总疗效、肌电图和针尖按压强度等方面有显著的治疗效果。然而,研究的质量(使用偏倚风险)不允许得出可靠的结论。需要许多高质量(低偏倚风险)的随机对照试验来检验电针治疗腕管综合征的疗效。
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引用次数: 0
Trends in Acupuncture Training Research: Focus on Practical Phantom Models 针灸训练研究的趋势:聚焦于实用幻像模型
Pub Date : 2022-05-31 DOI: 10.13045/jar.2022.00024
J. Jang, Y. Lee, Woowon Jang, Won-Suk Sung, Eun-Jung Kim, Seung Deok Lee, Kyung-Ho Kim, C. Jung
The purpose of this review was to identify research trends in acupuncture training systems and models and to analyze acupuncture training using phantom models. Articles on acupuncture training were retrieved from domestic and foreign electronic databases (PubMed, CNKI, CiNii, NDSL, KISS, RISS and KMBase). The search included studies conducted from January 1, 2010 to October 1, 2021. Acupuncture training was analyzed by categorization into acupoint location training and needling training. Acupuncture training was most frequently studied in China, acupoint location training was the most studied in 2012, and needling training was the most studied in 2013 and 2020. Among them, a silicone model with a sensor was used for training in acupoint location, and silicone and agarose gel were frequently used for needling training. Classifications of the phantom models for needling training by topic included phantom development, phantom-based education and evaluation system, phantom-based quantitative measurement, comparison of kinematic characteristics of hand motion between experts and beginners, and phantom models for acupoint location and needling training. Further research on the development of acupuncture practice training systems to improve practical skills is needed.
本综述的目的是确定针灸训练系统和模型的研究趋势,并分析针灸训练使用幻像模型。检索国内外电子数据库(PubMed、CNKI、CiNii、NDSL、KISS、RISS、KMBase)中有关针灸培训的文章。检索包括2010年1月1日至2021年10月1日进行的研究。针刺训练分为穴位定位训练和针刺训练。针刺训练在中国研究最多,穴位定位训练在2012年研究最多,针刺训练在2013年和2020年研究最多。其中,使用带传感器的硅胶模型进行穴位定位训练,经常使用硅胶和琼脂糖凝胶进行针刺训练。针刺训练用幻像模型按主题分类包括:幻像开发、基于幻像的教育与评价体系、基于幻像的定量测量、专家与初学者手部运动特征的比较、穴位定位与针刺训练用幻像模型。需要进一步研究针灸实践培训系统的发展,以提高实践技能。
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引用次数: 2
A Pilot Clinical Study of the Efficacy and Safety of Phellinus Linteus (Sanghuang) Extract Treatment for Knee Osteoarthritis 桑黄提取物治疗膝骨性关节炎疗效及安全性的初步临床研究
Pub Date : 2022-05-31 DOI: 10.13045/jar.2022.00010
Hwa yeon Ryu, Hyun Lee, J. Kang
Background: To evaluate the efficacy and safety of Phellinus linteus (PL) extract for the treatment of knee osteoarthritis (KOA) a pilot clinical study was performed.Methods: There were 24 patients with KOA who enrolled in this double-blind, randomized, controlled, clinical trial. There were 3 groups: PL 1,000 mg/day (PL 1,000), PL 1,500 mg/day (PL 1,500), and dextrin 3,000 mg/day (placebo). Patients took capsules twice a day, 3 capsules at a time, over 8 weeks. Patients were monitored prior to treatment (Visit 1: Week 0), and followed up every 4 weeks (Visit 2: Week 4 and Visit 3: Week 8) where outcome measurements were taken. The primary outcome measure was the score from the Korean version of the Western Ontario and McMasters Universities from baseline to Week 8. The secondary outcomes were measurements from the visual analog scale, quality of life scale, erythrocyte sedimentation, and c-reactive protein. Adverse events were recorded at every visit.Results: The Korean version of the Western Ontario and McMasters Universities score showed the greatest improvement in symptoms of KOA in the PL 1,500 group compared with the placebo group. The erythrocyte sedimentation tended to decrease in the PL 1,500 group compared with the placebo group (which was within the normal range). The visual analog scale score decreased in all groups, with no significant differences between groups. No adverse events related to PL were reported. There were no abnormal hematological or physical findings.Conclusion: This pilot clinical trial was the first step to assess the efficacy and safety of PL used in the treatment of patients with KOA.
背景:为了评价林黄提取物治疗膝骨关节炎(KOA)的疗效和安全性,进行了一项初步临床研究。方法:24例KOA患者参加了这项双盲、随机、对照的临床试验。分为3组:PL 1000 mg/天(PL 1000)、PL 1500 mg/日(PL 1500)和糊精3000mg/天(安慰剂)。患者每天服用两次胶囊,每次3粒,持续8周。在治疗前(访视1:第0周)对患者进行监测,并每4周随访一次(访视2:第4周和访视3:第8周),测量结果。主要的结果测量是从基线到第8周来自韩国版西安大略大学和麦克马斯特斯大学的分数。次要结果是视觉模拟量表、生活质量量表、红细胞沉降和c反应蛋白的测量。每次就诊均记录不良事件。结果:与安慰剂组相比,韩国版的西安大略大学和麦克马斯特斯大学的评分显示,PL 1500组的KOA症状改善最大。与安慰剂组(在正常范围内)相比,PL 1500组的红细胞沉降倾向于减少。视觉模拟量表评分在所有组中都有所下降,各组之间没有显著差异。未报告与PL相关的不良事件。没有异常的血液学或生理学检查结果。结论:该试点临床试验是评估PL治疗KOA患者的疗效和安全性的第一步。
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引用次数: 0
Effect of Korean Medicine Treatment Combined with Conventional Medicine in Patients Diagnosed with Plantar Fasciitis 韩药结合常规药物治疗足底筋膜炎的疗效观察
Pub Date : 2022-05-31 DOI: 10.13045/jar.2022.00045
Jeong Seong Heon, Kwon-Jun Jang, Hyangra Moon, Onadipe Jo, Lee Ji Yoon, Yang Jung Min, Saerom Choi, Yoon Min Ji, Gwangsoon Shin, Hyo-Rim Kim
This study examined the effectiveness of Korean-Western cooperative treatment for patients with plantar fasciitis. Fifty patients received Korean medicine treatments (acupuncture, pharmacopuncture, herbal medicine) and Western medicine treatments (polydeoxyribonucleotide, and extracorporeal shock wave therapy). Evaluation methods used were comparison before and after ultrasound (P9), and numeric rating scale scores. Results revealed a significant improvement in the level of pain and evaluation of improvement using ultrasound. Moreover, it was suggested that Korean-Western cooperative medicine treatment may be effective for the treatment of plantar fasciitis.
本研究探讨韩中西合作治疗足底筋膜炎的疗效。50名患者接受了韩国医学治疗(针灸、药物穿刺、草药)和西医学治疗(聚脱氧核糖核酸、体外冲击波治疗)。评价方法为超声前后比较(P9)和数值评定量表评分。结果显示,在疼痛水平和评估改善使用超声显著改善。此外,还提出了韩西药合作治疗足底筋膜炎可能是有效的。
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引用次数: 0
Characteristics and Treatment Methods of Bell’s Palsy in Patients Visiting Korean Medicine Hospitals From August 2018 to July 2021 2018年8月至2021年7月韩国医院就诊贝尔氏麻痹患者的特点及治疗方法
Pub Date : 2022-05-31 DOI: 10.13045/jar.2022.00073
Hyeon Kyu Choi, Min Ju Kim, Young Rok Lee, H. J. Cha, H. Jang, So jeong Kim, J. Jeon, Young Il Kim
Background: This study was designed to statistically analyze the data of patients who had Bell’s palsy (BP) who visited a Korean Medicine hospital in the last 3 years to determine the tendency or characteristics of their visit.Methods: This study retrospectively analyzed the medical records of 816 patients. Based on the data collected through medical records demographics, condition/disease, and therapeutic characteristics of the patients were analyzed using IBM SPSS Version 23.0.Results: Patients in their teens or younger, and 50s or older had a higher frequency of inpatient treatment, and 20s to 40s had a higher rate of outpatient treatment. The proportion of men who received steroid combination treatment was higher than women. The number of patients with BP, and the total treatment period of the patients has decreased every year. The total treatment period was shorter in the steroid group than the Korean medicine alone group. Inpatients were more likely to receive steroid combination therapy than outpatients. The proportion of patients who received steroid combination therapy was higher than patients with recurrence of BP. Patients with hypertension or diabetes had a higher rate of hospitalization and received more treatments than patients without the condition/disease.Conclusion: Visit characteristics and treatment methods preferred by patients with BP were identified. This research may help to establish a treatment model for BP in Korean Medicine institutions in the future.
背景:本研究旨在统计分析近3年来到韩国医院就诊的贝尔氏麻痹(BP)患者的资料,以确定其就诊的趋势或特征。方法:回顾性分析816例患者的病历资料。根据通过医疗记录收集的数据,使用IBM SPSS Version 23.0对患者的人口统计学、病情/疾病和治疗特征进行分析。结果:十几岁及以下、50岁及以上患者住院次数较多,20 ~ 40岁患者门诊次数较多。接受类固醇联合治疗的男性比例高于女性。BP患者的数量和患者的总治疗时间逐年减少。类固醇治疗组总治疗时间短于单纯韩药治疗组。住院患者比门诊患者更有可能接受类固醇联合治疗。接受类固醇联合治疗的患者比例高于BP复发患者。高血压或糖尿病患者的住院率和接受的治疗比没有这种疾病的患者多。结论:明确了BP患者的就诊特点和首选治疗方法。本研究可为今后韩医机构BP治疗模式的建立提供参考。
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引用次数: 0
Improved Symptoms of Peripheral Facial Nerve Palsy in ChAdOx1 nCoV-19 Vaccine Recipients Following Complex Korean Medicine Treatment 综合韩药治疗后ChAdOx1型nCoV-19疫苗接种者周围面神经麻痹症状改善
Pub Date : 2022-05-31 DOI: 10.13045/jar.2021.00283
Woowon Jang, J. Jang, C. Jung, K. Kim
Peripheral facial nerve palsy is a neurological condition/disease characterized by unilateral paralysis of the facial muscles. We report the effects of complex Korean medicine treatment in 2 patients diagnosed with Bell’s palsy who developed symptoms 3-4 days following vaccination with ChAdOx1 nCoV-19 and who received oral steroids and antiviral medications. Complex Korean medicine treatments including acupuncture, electroacupuncture, bee venom acupuncture, cupping therapy, herbal medicine, and physical therapy were performed. Symptom improvement was evaluated daily using the Numerical Rating Scale, House- Brackmann Grade, and Yanagihara’s Score. Patient 1 was hospitalized for 22 days and Patient 2 visited the outpatient clinic 20 times. In both cases, postauricular pain caused by Bell’s palsy disappeared, and symptoms of facial paralysis improved following completion of treatment. These findings could suggest that combined Korean medicine treatment may improve symptoms of peripheral facial nerve palsy.
外周面神经麻痹是一种以单侧面肌麻痹为特征的神经系统疾病。我们报告了2例诊断为贝尔麻痹的患者,他们在接种ChAdOx1 nCoV-19疫苗后3-4天出现症状,并接受口服类固醇和抗病毒药物治疗的效果。针灸、电针、蜂毒针灸、拔罐、草药、物理疗法等综合韩国医学治疗。每日使用数值评定量表、House- Brackmann分级和Yanagihara评分评估症状改善情况。患者1住院22天,患者2门诊20次。在这两例中,贝尔麻痹引起的耳后疼痛消失,面瘫症状在治疗完成后得到改善。这些发现可能提示韩药联合治疗可以改善周围面神经麻痹的症状。
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引用次数: 0
Comprehensive Korean Medicine Treatment for Benign Essential Blepharospasm in a Patient Responding Poorly to Botulinum Toxin Treatment 对肉毒杆菌毒素治疗反应不良的良性原发性眼睑痉挛患者的综合韩药治疗
Pub Date : 2022-02-28 DOI: 10.13045/jar.2021.00262
Seojung Ha, Sung A Kim, Suji Lee, Sungchul Choi, Sanghoon Lee
Benign essential blepharospasm (BEB) is a condition/disease which involves involuntary muscle contractions causing the eye to repetitively close, making it impossible for the patient to perform daily activities. This study reports Korean medicine treatment of a rare case BEB in a 34-year-old male patient whose symptoms showed minimal improvement following botulinum toxin injection (the standard treatment). Acupuncture, pharmacopuncture, and herbal medicine treatment for 11 days resulted in clinical improvement for all symptoms as assessed by using the Jankovic Rating Scale, Blepharospasm Disability Index, numerical rating scale, duration of spasms lasting more than 1 hour per day, and number of spasms lasting less than 1 minute per day. This case report suggests that comprehensive Korean medicine treatment could be a treatment option for BEB in patients who do not respond well to botulinum toxin injection.
良性原发性眼睑痉挛(BEB)是一种不随意肌肉收缩导致眼睛反复闭合的病症/疾病,使患者无法进行日常活动。本研究报告韩国药物治疗一例罕见的BEB病例,34岁男性患者,其症状在注射肉毒杆菌毒素(标准治疗)后改善甚微。通过使用Jankovic评分量表、眼睑痉挛残疾指数、数值评分量表、痉挛持续时间每天超过1小时、痉挛持续时间每天少于1分钟的次数,针刺、药物穿刺和草药治疗11天,所有症状均有临床改善。本病例报告表明,对于注射肉毒杆菌毒素反应不佳的BEB患者,综合韩国药物治疗可能是一种治疗选择。
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引用次数: 0
Adverse Events of Electronic Moxibustion Treatment for Knee Osteoarthritis: Case Reports and a Literature Review 电子灸治疗膝骨关节炎的不良事件:病例报告及文献复习
Pub Date : 2022-02-28 DOI: 10.13045/jar.2021.00290
Yoona Oh, Jisun Lee, Ye-Hwng Kim, Eun Seok Kim, Kun-Hyung Kim, Byung-Ryul Lee, G. Yang
Background: Electronic moxibustion has the advantage of temperature control and maintenance, and overcomes the limitations of the existing moxibustion process without the use of the combustion process. However, as the application of electronic moxibustion in clinical practice has increased, safety issues are emerging.Methods: Clinical cases of electronic moxibustion treatment for knee osteoarthritis where burns occurred were collected. In addition, adverse events reported in clinical studies using electronic moxibustion for patients with knee osteoarthritis were collected from studies retrieved from Korean and international databases.Results: There were 3 cases of superficial 2nd degree burns retrospectively collected through chart reviews. Among the selected 5 studies for literature review, 2 studies reported adverse events which were burns milder than those reported in these 3 cases in this retrospective case review.Conclusion: Since the risk of superficial 2nd degree burn was discovered in the cases reviewed, further research on safe electronic moxibustion treatment is required without compromising the effectiveness of moxibustion.
背景:电子艾灸具有温度控制和维护的优点,克服了现有艾灸工艺不使用燃烧过程的局限性。然而,随着电子艾灸在临床实践中的应用越来越多,安全性问题也随之出现。方法:收集电子灸治疗膝骨关节炎烧伤的临床病例。此外,从韩国和国际数据库中检索的研究中收集了使用电子灸治疗膝关节骨性关节炎患者的临床研究中报告的不良事件。结果:回顾性收集3例浅表二度烧伤病例。在入选文献综述的5项研究中,有2项研究报告的不良事件比本回顾性病例综述中这3例报告的烧伤更轻。结论:由于所回顾的病例中发现了浅表二度烧伤的风险,因此需要进一步研究在不影响艾灸效果的情况下安全的电子艾灸治疗。
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引用次数: 0
Effects of Korean Traditional Medicine Treatment on Spontaneous Osteonecrosis of the Knee: A Case Report 韩医治疗膝关节自发性骨坏死1例
Pub Date : 2022-02-28 DOI: 10.13045/jar.2021.00227
Soo-Kyung Lee, E. Park, June-Haeng Lee, Sun-Woo Kang, Yoon-Jae Won, Myeong-yeol Yang, Jae-Joon Ha
Spontaneous osteonecrosis of the knee (SONK) is a common form of osteonecrosis of the knee and mainly affects the medial condyle due to localized vascular insufficiency. We report a case of SONK in a 65-year-old woman who had severe knee pain in her left knee whichimpeded her capacityto walk beyond 10 minutes. Bilateral knee X-rays revealed degenerative osteoarthritis of both knees and magnetic resonance imaging revealed R/O SONK in the lateral aspect of the medial femoral condyle, as well as a medial meniscal posterior horn root tear, and a Grade 1 medial collateral ligament injury. She was hospitalized at Jaseng Hospital of Korean Medicine for 21 days and receivedcombination therapy includingacupuncture, pharmacopuncture, and herbal medicine. Patient-reported scales indicated that her pain and physical functional limitations were alleviated. Combination therapy consisting of Korean traditional medicine may bean alternative non-operative treatment approach for patients with SONK.
膝关节自发性骨坏死(SONK)是膝关节骨坏死的一种常见形式,由于局部血管功能不全,主要影响内侧髁。我们报告一例SONK在一个65岁的妇女谁有严重的膝盖疼痛在她的左膝,这使她的能力超过10分钟行走。双侧膝关节x线显示双膝退行性骨关节炎,磁共振成像显示股骨内侧髁外侧R/O SONK,内侧半月板后角根撕裂,1级内侧副韧带损伤。患者在Jaseng韩国医院住院21天,接受了针灸、药物穿刺、草药等综合治疗。患者报告的量表显示她的疼痛和身体功能限制得到缓解。韩国传统药物联合治疗可能成为SONK患者非手术治疗的替代方法。
{"title":"Effects of Korean Traditional Medicine Treatment on Spontaneous Osteonecrosis of the Knee: A Case Report","authors":"Soo-Kyung Lee, E. Park, June-Haeng Lee, Sun-Woo Kang, Yoon-Jae Won, Myeong-yeol Yang, Jae-Joon Ha","doi":"10.13045/jar.2021.00227","DOIUrl":"https://doi.org/10.13045/jar.2021.00227","url":null,"abstract":"Spontaneous osteonecrosis of the knee (SONK) is a common form of osteonecrosis of the knee and mainly affects the medial condyle due to localized vascular insufficiency. We report a case of SONK in a 65-year-old woman who had severe knee pain in her left knee whichimpeded her capacityto walk beyond 10 minutes. Bilateral knee X-rays revealed degenerative osteoarthritis of both knees and magnetic resonance imaging revealed R/O SONK in the lateral aspect of the medial femoral condyle, as well as a medial meniscal posterior horn root tear, and a Grade 1 medial collateral ligament injury. She was hospitalized at Jaseng Hospital of Korean Medicine for 21 days and receivedcombination therapy includingacupuncture, pharmacopuncture, and herbal medicine. Patient-reported scales indicated that her pain and physical functional limitations were alleviated. Combination therapy consisting of Korean traditional medicine may bean alternative non-operative treatment approach for patients with SONK.","PeriodicalId":33306,"journal":{"name":"Journal of Acupuncture Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66115397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Acupuncture Research
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