• Journal of Acupuncture Research
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• 제30권2호
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• pp.65-71
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• 2013

Objectives : This study was to evaluate the effectiveness of manipulation complex therapy on ankle sprain with ankle pain. Methods : We divided ankle sprain with ankle pain patient into 2 groups; one group combined manipulation therapy and acupuncture therapy, another group was only acupuncture therapy. To estimate the efficacy of treatment that applied for two groups, we used visual analog scale(VAS) and ankle-hindfoot scale(AHS). We compared the VAS score and AHS score of two groups statistically. Results : 1. As a result of evaluation by using visual analog scale(VAS) and ankle-hindfoot scale(AHS), treatment score at final was marked more higher than score before treatment on each groups. 2. treatment at final, acupuncture and manipulation therapy group had significant result on visual analog scale(VAS) and ankle-hindfoot scale(AHS) compared with acupuncture therapy group. Conclusions : Manipulation therapy can be used with acupuncture therapy for highly effective treatment for ankle sprain with ankle pain.

• 대한족부족관절학회지
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• 제19권4호
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• pp.176-180
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• 2015

Purpose: The aim of the current study is to report on the clinical and radiographic results after calcaneo-stop procedure in Korean children with symptomatic flexible flatfoot. Materials and Methods: Twenty-two children suffering pain along the medial aspect of midfoot with flexible flatfoot whose symptoms did not improve with conservative measures and therefore underwent calcaneo-stop procedure were identified retrospectively. Clinically, American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale and visual analogue scale (VAS) were evaluated. Radiographically, standing anteroposterior and lateral radiographs of the foot and Saltzman's alignment views were taken and talonavicular coverage angle, lateral talo-first metatarsal angle, and hindfoot alignment angles were measured and analyzed. Results: Clinically, AOFAS ankle-hindfoot scale improved from $70.3{\pm}5.6$ to $97.3{\pm}2.5$ and VAS improved from $6.4{\pm}1.6$ to $0.2{\pm}0.4$. Radiographically, talonavicular coverage angle improved from $28.3^{\circ}{\pm}12.3^{\circ}$ to $10.9^{\circ}{\pm}8.1^{\circ}$, lateral talo-first metatarsal angle improved from $-19.3^{\circ}{\pm}9.0^{\circ}$ to $-2.4^{\circ}{\pm}8.1^{\circ}$, and hindfoot alignment angle improved from valgus $11.9^{\circ}{\pm}10.0^{\circ}$ to $3.5^{\circ}{\pm}4.3^{\circ}$ at minimum 2-year follow-up. No complications occurred postoperatively. Conclusion: Calcaneo-stop procedure is a simple and very effective procedure for management of pediatric symptomatic flexible flatfoot that does not respond to conservative treatment.

• Journal of Acupuncture Research
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• 제25권5호
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• pp.89-95
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• 2008

Objectives : This study was aimed at comparing clinical effectiveness among dry needle, Bee Venom Acupuncture, Hwangryunhaedoktang Herbal Acupuncture for treating acute ankle sprain. Methods : The subjects in this study were sixty patients with lateral ankle pain who came to Jaseng Hospital of Oriental medicine from Oct. 28. 2007 to Jul. 14. 2008. Among them, the number of patients after 3 session of each treatment was 17 with dry needle, 18 with Bee Venom Acupuncture, 17 with Hwangryunhaedoktang Herbal Acupuncture, and they were evaluated with Numerical Rating Scale(NRS), and Ankle-Hindfoot Scale(AHS) before and after every session of treatment. Results : 1. Each group had significant decrease in NRS(P<0.05) and increase in AHS score(P>0.05) after 3 session of each treatment. 2. There was no significant difference among 3 groups after 3 session of each treatment. Conclusions : When treating patients with acute ankle pain, Acupuncture, Bee Venom Acupuncture, Hwangryunhaedoktang Herbal Acupuncture each has clinical effect.

• 대한족부족관절학회지
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• 제24권2호
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• pp.75-80
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• 2020

Purpose: The purpose of this study is to evaluate the results of Kidner procedure combined with medial displacement calcaneal osteotomy (MDCO) in patients with the symptomatic accessory navicular with hindfoot valgus. Materials and Methods: From January 2014 to January 2019, fifteen patients (15 cases) who had undergone a Kidner procedure combined with MDCO for symptomatic accessory navicular with hindfoot valgus were included. Their mean age was 36.3 years old (19~61 years old) and there were 6 males and 9 females. The clinical results were evaluated using visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score, and postoperative subjective satisfaction. The radiographic results were evaluated using the talonavicular coverage angle and the anteroposterior talo-first metatarsal angle, the lateral talo-first metatarsal angle, the calcaneal pitch angle, and the hindfoot alignment angle. The postoperative complications were also evaluated. Results: The VAS and AOFAS midfoot scores continuously improved until 12 months after surgery. Subjective satisfaction after surgery was excellent in 10 cases and good in 5 cases. The hindfoot alignment angle significantly changed after surgery. Pain due to lateral impingement disappeared in five patients, and persisted in one patient. Five patients complained of irritation caused by their fixation devices, and all the symptoms improved after removal of the fixation devices. Conclusion: Kidner procedure combined with MDCO in patients with the symptomatic accessory navicular with hindfoot valgus showed good clinical results with satisfactory correction of hindfoot valgus. In particular, the clinical results showed continuous improvement until 12 months after surgery.

• Journal of Acupuncture Research
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• 제34권4호
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• pp.197-200
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• 2017

The effects of acupuncture treatment and taping therapy on a 22-year-old man who suffered from left foot pain due to Lisfranc joint injury were examined. Fractures of the first, second, and third metatarsal bones and a cuneiform bone were treated with acupuncture and taping therapy from March 24, 2017 to May 4, 2017. The patient was evaluated using the American Orthopaedic Foot & Ankle Society's Ankle-Hindfoot Scale. His Ankle-Hindfoot Score increased from 27 points pre-treatment to 65 points post-treatment. There were no side effects. While the improvement observed in this patient is encouraging, no definitive conclusion on the effects of acupuncture treatment and taping therapy on Lisfranc joint injuries can be reached without further large-scale study.

• 한방재활의학과학회지
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• 제20권1호
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• pp.141-152
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• 2010

Objectives : The purpose of this study is to compare with the effect of acupuncture treatment with or without indirect moxibustion treatment for acute ankle sprain. Methods : This study was carried out on the 48 patients who had been treated for acute ankle sprain from June 1st to November 30th 2009 in the Dept. of Oriental Rehabilitation, Pohang Oriental Medical Hospital, Daegu Hanny University. The patients were divided into 3 groups ; Group A took near acupuncture point_needling, Group B took remote acupuncture point needling, Group C took remote acupuncture point needling with indirect moxibustion. 3 Groups had been co-treated with rest, ice, compression and elevation(RICE) therapy, physical treatment and administered Ojeok-san(Wuji-san) extract granule. To evaluating the efficiency of each treatment, Ankle-Hindfoot Scale(AHS) and Visual Analogue Scale(VAS) were applied before treatment and after 3rd treatment. Results : In results, the AHS scores were increased and the VAS scores were decreased after 3rd treatment in all group. Also, AHS scores and the VAS scores of intergroup were showed no significant change. Conclusions : In this study, there is no significant effect between only acupuncture treatment and moxibustion co-treatment for acute ankle sprain.

• Journal of Acupuncture Research
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• 제32권3호
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• pp.203-210
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• 2015

Objectives : The purpose of this study is to report the clinical effect of Korean medical treatment, specifically Homnis Placenta pharmacopuncture, bee venom injection and Danggwisu-powder, on a patient suffering from a lateral malleolus avulsion fracture. Methods : A 63-year-old female patient suffering from right ankle pain due to lateral malleolus avulsion fracture was treated with Homnis Placenta pharmacopuncture, bee venom injection, and herbal medicine(Danggwisu-powder). from May 20th to June $16^{th}$ of 2015. The change in patientcondition was measured with the American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale, the verbal numerical rating scale, and via the ankle's range of motion. Results : After treatment, all obtained results showed improvement. The American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale increased from 18 to 71, the verbal numerical rating scale changed from 8 to 3, and the ankle's range of motion improved. Conclusions : This study suggests that Korean medical care focused on Homnis Placenta pharmacopuncture, bee venom injection and Danggwisu-powder can be effective to treat lateral malleolus avulsion fracture.

• 한방재활의학과학회지
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• 제21권2호
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• pp.289-297
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• 2011

Objectives : This study was planned to show the influences of acupuncture treatment on peroneus muscles of acute inversion ankle sprain patients. Methods : This study was carried out on the 24 patients who had been treated for their acute inversion ankle sprain from July 1 to December 31, 2010 in the department of oriental rehibilitaion medicine, Dongsuwon oriental medicine hospital. And we divided those 24 patients into 2 groups; group A took near acupuncture point needling treatment on the peroneus muscles along with common treatment, group B took common treatment only. To evaluate the efficiency of each treatment, all patients were examined with visual analogue scale(VAS) and ankle-hindfoot scale(AHS) score before treatment and after the 3rd treatment. Results : On the AHS scores, there's no significant difference between the two groups after the treatment. And on the VAS scores, group A who took near acupuncture point needling treatment on the peroneus muscles along with common treatment showed higher change of VAS than group B who took common treatment only, but it did not show statistical significance in VAS score. Conclusions : In this study, there is no significant effect between common treatment only and near acupuncture point needling treatment on the peroneus muscles along with common treatment for acute ankle sprain.

• Journal of Acupuncture Research
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• 제34권3호
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• pp.139-152
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• 2017

Objectives : This study reports the clinical effects of miniscalpel needle therapy in patients with carpal tunnel or tarsal tunnel syndrome. Methods : Three patients with carpal tunnel syndrome (CTS) or tarsal tunnel syndrome (TTS) (first case, patient with CTS and TTS; second case, patient with CTS; and third case, patient with TTS) were treated with miniscalpel needle (MSN) therapy and integrative Korean medical treatment. The Numeric Rating Scale (NRS), Neuropathic Pain Scale (NPS), Boston scale score, and AOFAS (American Orthopaedic Foot and Ankle Society) ankle-hindfoot score were measured. Results : In general, outcome measures after treatment showed improvement in all cases. In the first case (CTS and TTS), scores on the NRS, NPS, and Boston scale decreased, and AOFAS ankle-hind foot scores increased. In addition, Tinel's sign showed improvement. In the second case (CTS), scores on the NRS, NPS, and Boston scale, and Tinel's sign, were decreased. In the third case (TTS), scores on the NRS and NPS, and Tinel's sign, showed improvement, and AOFAS ankle-hind foot scores were increased. Conclusion : These results suggest that MSN therapy has a meaningful clinical effect in CTS and TTS.

• 대한정형외과학회지
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• 제54권2호
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• pp.133-140
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• 2019

목적: 심한 후족부 변형 및 족관절 및 거골하 관절염에서 역행성 골수강내 금속정을 이용한 경거종골 관절 유합술을 시행하여 방사선적 결과와 임상적 결과를 분석해보고자 하였다. 대상 및 방법: 심한 후족부 변형이나 진행된 관절염으로 역행성 골수강내 금속정을 이용한 경거종골 관절 유합술을 시행 받은 22명(22예)을 대상으로 하였다. 연구 대상의 평균 연령은 57.4세(22-82세), 평균 추시 기간은 29.6개월(12-74개월)이었다. 방사선적 평가로 수술 전후 관상면상 족관절 정렬각, 후족부 정렬각, 시상면상 정렬각을 측정하였으며, 술 후 골유합 시기를 평가하였다. 임상적 평가로 visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) 점수 및 합병증을 분석하였다. 또한 변형각 10°를 기준으로 두 군으로 나누어 결과를 통계적으로 분석하였다. 결과: 전체 환자에서 평균 관상면상 족관절 정렬각은 술 전 내반 변형을 보인 환자 14명에서 17.8°±14.5°였으며, 외반 변형을 보인 환자 6명에서 8.1°±6.6°였다. 술 후 모든 예에서 관상면상 족관절 정렬각은 5° 미만으로 만족스럽게 교정되었다. 평균 후 족부 정렬각은 술 전 내반 변형을 보인 환자 12명에서 15.2°±10.5°였으며, 외반 변형을 보인 환자 6명에서 8.1°±4.2°였다. 술 후 94.4% (17명)에서 후족부 정렬각은 5° 미만으로 만족스럽게 교정되었다. 방사선적 골유합은 90.9%에서 평균 19.2주(12-32주)에 이루어졌으며, 2예의 불유합이 있었다. 임상적 결과에서 술 후 평균 VAS 및 AOFAS 점수는 유의하게 향상되었다(p<0.001, p<0.001). 술 전 변형각 10° 이상의 심한 변형을 보인 경우에도 술 후 관상면상 족관절 정렬각과 후족부 정렬각은 의미있게 교정되었다(p<0.001, p<0.001). 또한 관상면상 족관절 정렬각이 10° 이상인 군과 10° 미만인 군 사이에 술 후 평균 관상면상 족관절 정렬각은 통계적으로 유의한 차이를 보이지 않았다(p=0.162). 결론: 역행성 골수강내 금속정을 이용한 경거종골 관절 유합술은 만족스러운 변형 교정력, 높은 골유합률과 낮은 합병증을 보였으며, 임상적 결과의 향상을 보였기에 유용한 수술 방법 중의 하나라고 생각된다. 특히 심각한 족관절 및 후족부 변형을 동반한 환자에서도 효과적인 치료 방법으로 고려될 수 있다.