• 제목/요약/키워드: Conservative treatment

검색결과 806건 처리시간 0.09초

척추 측만증의 보존적 치료에 관한 최신 지견 - PubMed 검색을 위주로 2008년 이후 - (Current Trends in Research on Conservative Treatment of Scoliosis)

  • 조성우;이승연
    • 대한한방소아과학회지
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    • 제27권1호
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    • pp.15-25
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    • 2013
  • Objectives Scoliosis is that spine's arrangement was changed to be curved. Mostly scoliosis was found at childhood and recently rate of scoliosis is increasing. Causes of scoliosis were very various, but the patients are due to idiopathic reasons. Scoliosis was treated by conservative treatment or surgery treatment. If scoliosis is diagnosed early enough, it can be treated with conservative treatment. Methods We are searching PubMed by keywords and found 47 theses complied with requirements. Results Studies of conservative treatment of Scoliosis were active. Conservative treatments are considered before surgery treatment and there was a set guideline of conservative treatment. Also, there were several studies about effectiveness of conservative treatment and quality of life, mental stress. Studies about various kinds of conservative treatment were found as well. There were brief studies about introduction of new brace, effectiveness of several braces, and case studies. Conclusions Conservative treatment is very effective choice before surgery treatment at Scoliosis patient.

족저 근막염 환자의 보존적 치료시 예후 인자 연구 (A Study of Prognostic Factors of Conservative Treatment in Plantar Fasciitis)

  • 박현우;주인탁;황성수
    • 대한족부족관절학회지
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    • 제11권1호
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    • pp.57-61
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    • 2007
  • Purpose: We analyzed to find out prognostic factors in the conservative treatment for the plantar fasciitis. Materials and Methods: The data were collected from 145 patients, 159 feet (M:F = 51:108) with conservative treatment and analyzed for possible prognostic factors : sex, age of onset, the duration of symptom before treatment, pain score before treatment, the duration for symptom remission, medication period, calcaneal pitch angle, and presence of calcaneal spur. Results: The duration of symptom before conservative treatment is affected to the prognosis, and the borderline of the effective period was about 6 months. Conclusion: With the conservative treatment of the plantar fasciitis, we found that (1) the duration of symptom before the conservative treatment was a prognostic factor, and (2) if the period before the conservative treatment was more than 6 months, the other treatment option such as surgery should be considered for this chronic group.

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Efficacy of conservative treatment of perianal abscesses in children and predictors for therapeutic failure

  • Boenicke, Lars;Doerner, Johannes;Wirth, Stefan;Zirngibl, Hubert;Langenbach, Mike Ralf
    • Clinical and Experimental Pediatrics
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    • 제63권7호
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    • pp.272-277
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    • 2020
  • Background: The optimal management of perianal abscess in children is controversial. Purpose: To evaluate the efficiency of conservative treatment of perianal abscess in children and identify parameters that predict therapy failure. Methods: All cases of children younger than 14 years of age with perianal abscesses between 2001-2016 were evaluated. Results: Of the 113 enrolled patients, 64 underwent subsequent surgery for advanced disease (primary surgery group). Conservative treatment was initiated in 49 patients (primary conservative group) but was stopped because of inefficiency in 25 patients, who were referred for surgery after a median 7.03 days (range, 2 to 16 days). The other 24 patients (48%) initially achieved complete remission after conservative treatment, but 10 were readmitted after a median 34 months (range, 3 to 145 months) with recurrent disease. There were no significant differences in permanent success after conservative treatment between infants (10 of 29, 34%) and older children (4 of 20 [20%], P=0.122). Overall, conservative treatment alone was effective in only 14 of 113 patients. Recurrence after surgery occurred in 16 patients (25%) in the primary surgery group and 11 patients (22%) in the primary conservative group (P=0.75). Univariate analysis of predictors for conservative treatment failure revealed inflammatory values (C-reactive protein and white blood count, P=0.017) and abscess size (P=0.001) as significant parameters, whereas multivariate analysis demonstrated that only abscess size (odds ratio, 3.37; P=0.023) was significant. Conclusion: Conservative treatment of perianal abscess is permanently efficient in only a minority of children but is not associated with a higher recurrence rate after subsequent surgery. Abscess size is a predictor for therapy failure.

요추 Disc ExtrusionType과 Protrusion Type의 환자를 대상으로 한방적인 보존적 치료와 굴곡신연법(屈曲伸延法)을 병용해 호전된 치험 3례 (Clinical Study on 3 Cases of HIVD Patients Treated by The Oriental Medical Conservative Treatment)

  • 서용석;홍권의
    • 척추신경추나의학회지
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    • 제2권1호
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    • pp.11-21
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    • 2007
  • The object of this study is to report a clinical effect regarding the conservative treatment of the patients who were diagnosed as the herniated intervertebral lumbar disc(HIVD). The patients were treated by the oriental medical conservative treatment including acupunture, Bee venom therapy and Chu-na therapy. We estimated by visual analogue scale and pain rating score subjectively. And we examined the patients with SLR test and valsalva test. Oriental medical conservative treatment improved HIVD subjuctively and objectively.

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특발성 척추 측만증(Idiopathic Scoliosis)의 보존적 치료에 대한 최근 임상 연구 (A Recent Study of Conservative Treatment of Idiopathic Scoliosis)

  • 이광호;송윤경;전찬용;정승민
    • 대한추나의학회지
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    • 제6권1호
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    • pp.67-84
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    • 2005
  • Idiopathic scoliosis is a complex three-dimensional deformity of the spine. There is two ways in treatment of scoliosis, normally. In order to prevent a progressive course of the disorder, conservative treatment is started in selected patients. And sometimes, operation is performed to severe patients. But, application standard is vague. So We reviewed the latest medical theses. English language articles in Medline database between 2003 and 2005. 8. 31. were reviewed. The searching words was Idiopathic scoliosis, conservative treatment, brace. exercise. We classified 27 articles. The results of this research demonstrate that conservative treatment is more effective than observation until operation.

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단방성 법랑아세포종의 보존적 수술에 관한 증례보고 및 문헌고찰 (LITERATURE REVIEW & CASE REPORT : THE CONSERVATIVE TREATMENT OF UNICYSTIC AMELOBLASTOMA)

  • 신민영;이혁기;최제원;신성수;박양호;박준우
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권1호
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    • pp.70-73
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    • 2005
  • An Ameloblastoma is one of the most common odontogenic tumors. The treatment of ameloblastoma has been controversial because of this disease entity as a slow-growing, locally invasive tumor with high rate of recurrence. Recurrence rate of ameloblastoma are reported 15% to 25% after radical treatment and 75% to 90% after conservative treatment. On the other hand, Robinson and Gardner reported that the recurrence rate after conservative treatment of unicystic ameloblastoma was lower than those of multicystic or solid lesion. In this report, what we want to show is to review the articles to find out pros and cons of conservative treatment of ameloblastoma. In addition we would like to discuss which requies conservative treatment or radical treatment are more acceptable through our case report.

요추 추간판탈출증 환자에 대한 보존적 치료의 효과적인 기간에 관한 연구 (The study on effective duration of conservative treatment on herniated intervertebral lumbar disc patients)

  • 강군용;김영배
    • 대한물리치료과학회지
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    • 제12권3호
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    • pp.13-26
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    • 2005
  • Low back pain is one of the most frequent problems treated in clinical feild. Eight out of ten people will experience significant low back pain sometime during their life. Most cases low back pain are not serious and respond to conservative treatment. It's pain is severe and not responding to conservative treatment or if it has significant leg pain. In these cases are may recommend surgery. The purpose of this study is to analyze the effective duration of treatment and degree of variable pain approached conservative treatment. The persons who diagnosed to herniated intervertebral lumbar disc were attended in this study. number of cases were 60cases. We evaluated their chart, X-ray and MRI. The result of the study were as follows; 1. The patients who treated for 33days were improved 100%, which was 3cases(5%). 2. The patients who treated for 45days were improved 90%, which was 13cases(22%). 3. The patients who treated for 43days were improved 80%, which was 28cases(47%). 4. The patients who treated for 39days were improved 70%, which was 6cases(10%). 5. The patients who treated for 28days were improved 60%, which was 5cases(28%). 6. The patients who treated for 22days were improved 50%, which was 4cases(7%). Conclusion ; In herniated intervertebral lumbar disc patients who had conservative treatment. The highest improve patients were 28 cases(47%), who treated for 43 days. The lowest improve patient was 1case(2%), who treated for 28 day. The Effective duration of conservative treatment was more than 43days. If they wants to be improving their symptoms, they should be treat for more than 43days.

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파열형(破裂型) 요추간판탈출증(腰椎間板脫出症)에 대한임상적(臨床的) 연구(硏究) (Clinical Studies on Ruptured Intervertebral Lumbar Discs)

  • 신민섭;노정두;최석우;이동호;송범룡;육태한
    • Journal of Acupuncture Research
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    • 제18권6호
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    • pp.84-92
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    • 2001
  • Objectives : We defined that the ruptured disc is extruded trans ligamentous through the posterior longitudinal ligament or sequestrated. The authors have experienced 12 cases of ruptured disc that underwent the conservative treatment. We studied the effect and possibility of the conservative treatment for the ruptured disc. Methods : The patients with ruptured disc have underwent the conservative treatment. After the treatment, we compare pre-treatment with post treatment in the view of state of patients' ambulation and physical conditions. Results : In this study, 12 cases of ruptured disc have underwent the conservative oriental treatment. After the treatment, 75% of the cases were improved above good state Conclusion : The ruptured disc has been operated universally. Except the emergency state, the conservative treatment is helpful to improve the symptoms of the patients with ruptured disc.

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조기발견을 통한 보존적 치료가 척추 측만증에 미치는 영향 (Effects of Conservative Treatment on Scoliosis According to Early Detection)

  • 유재호;정상미
    • The Journal of Korean Physical Therapy
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    • 제22권4호
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    • pp.65-71
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    • 2010
  • Purpose: The aim of this study was to describe the effects of conservative treatment intervention for individual with scoliosis. Methods: Studies were selected through a search of computerized databases of the literature (KERIS, 2000-2010) using "early detection", "conservative treatment", "exercise", "physical therapy", "manipulation", "chiropractic", "therapy", "taping" and "orthosis" as keywords. Selected articles were classified by research design and statistical methods. Results: Application of the search strategy to the KERIS databases resulted in 132 articles. Based on titles and abstracts, 17 studies were selected, excluding articles of overlapping study, surgery, pharmacologic therapy and no correcting aim under conservative treatment. Among the 17 selected studies, the majorityof study design consisted of one group pretest-posttest design and additionally most of these studies were paired (or independent) t-test. The most frequently used intervention was exercise therapy. Conclusion: All articles showed that interventions were effective. Thus, early detection of scoliosis may be connected participation of early conservative treatment. It is important to reduce prevalence of scoliosis in adolescents using regular evaluation as an effective measure.

대퇴골두 무혈성 괴사에 속발한 대퇴경부 피로골절 환자에서의 보존적 치료 치험 1례 (A Case Report of Conservative Treatment of Femoral Neck Stress Fracture Developed in Avascular Necrosis of the Femoral Head)

  • 노해린;박소현;김정원;조태영
    • 척추신경추나의학회지
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    • 제6권2호
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    • pp.79-85
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    • 2011
  • Objectives : The Purpose of this study is to investigate the clinical application of conservative treatment for femoral neck stress fracture developed in avascular necrosis of the femoral head. Methods : Patient is hospitalized at Dept. of Oriental Rehabilitation Medicine, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as femoral neck stress fracture developed in avascular necrosis of the femoral head and treated by herbal medicine, acupuncture and moxibustion. This study was measured by Visual Analogue Scale(VAS) score, range of motion and walking time. Results : After conservative treatment, the patient's pain was controlled and VAS score was decreased. Range of motion and walking time were improved. Conclusions : As seen in this one case, Oriental conservative treatment has a positive effect to control pain with femoral neck stress fracture developed in avascular necrosis of the femoral head.

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