• Title/Summary/Keyword: Conservative therapy

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Clinical Study of Conservative Therapy of Deep Neck Infection (심경부 감염의 보존적 치료에 대한 임상적 고찰)

  • 김보형;임대준;강성호;류재면;조영찬;오대현;김요한
    • Korean Journal of Bronchoesophagology
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    • v.9 no.2
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    • pp.49-55
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    • 2003
  • Background and Objectives : Traditionally incision and drainage is considered to be standard treatment of deep neck infection. But antibiotics and diagnostic technique are developed recently, there are reports that conservative therapy could be as successful as open surgical drainage. The purposes of this study has been to assess clinical feature between surgical therapy group and conservative therapy group through statistical analysis. Materials and Methods : A retrospective study was performed on 46 cases of deep neck space abscess, which were confirmed CT, in patients admitted from January 1999 to June 2002. Result : About 80% of all are treated with conservative therapy. Erythrocyte sediment rate, volume of abscess and duration of hospitalization of conservative therapy group are decreased than those of surgical therapy group. Conclusions : Conservative therapy is expected to be effective on treatment of early stage, small sized deep neck infection. But its complication can lead to serious condition of patient it should be done under meticulous observation.

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Study on the Conservative Treatment of Herniated Lumbar Intervertebral Disc (요추 추간판탈출증의 보존적 치료에 관한 연구)

  • Song, Bong-Keun
    • The Journal of Korean Medicine
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    • v.16 no.2 s.30
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    • pp.62-78
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    • 1995
  • In industrialized countries, low back pam is very common, with up to 60 to 80% of the population being affected at some time in their lives. Herniated lumbar intervertebral disc is one of principal cause of low back pain and radiculopathy. The therapy of the disease is classified into conservative treatment or surgical intervention. The majority of these cases successfully heal with conservative managemant, even though it was claimed that the henirated disc material would not resolved spontaneously without surgical removal. It was reported that there was no significant difference in outcome and cost effectiveness between conservative and surgical therapy group. Also after conservative therapy the resorption of herniated disc with satisfactory improvement of symptom was reported. Conservative treatment includes bed rest, heat, drug therapy, therapeutic exercises, physical therapy such as traction and manipulation, and acupuncture. These managements show favorable outcome in the patients with herniated lumbar intervertebral disc. So conservative management should be applied in the therapy of herniated intervertebral disc, unless there exist aggravation during the first 3 weeks of treatment or apparent surgical care indication. And further investigation to improve effectiveness of conservative therapy should be ensued.

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

  • Yu, Jae-Ho;Jung, Sang-Mi
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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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.

Effect of Self Resistance Exercise in Women with Frozen Shoulder (동결견을 가진 여성에 대한 탄력밴드 저항운동의 영향)

  • Nam, Kun-Woo;Ha, Mi-Sook
    • Journal of Korean Physical Therapy Science
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    • v.19 no.2
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    • pp.35-42
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    • 2012
  • Background : This study was conducted to know the effect of resistance exercise using thera-band in parallel with conservative therapy in patients with frozen shoulder. Methods : We analyze subjective pain scale, ROM and shoulder functional scale 24 patients diagnosed with adhesive capsulitis were included for study. Among them, 12 patients(experiment group) were managed by resistance exercise as well as conservative physical therapy, another 12 patients(control group) were only treated by conservative therapy alone. All the patients were treated three times a week for 4 weeks, and after, and after each treatment subjective pain scale, ROM, shoulder functional score(SFI) were measured. Results : The VAS were significant reduced between experimental group and control group according to pre-treatment and post-treatment. In experimental group, the ROM and SFI has increased than control group according to pre-treatment and post-treatment. Conclusion : According to the results, we concluded that both conservative therapy and self resistance exercise using thera-band technique are more effective for increasing ROM especially flexion, abduction, internal rotation and SFI than conservative therapy alone.

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

  • Seo, Yong-Seok;Hong, Kwon-Eui
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.2 no.1
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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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The Effect of Active Neck Muscle Training in the Treatment of Chronic Neck Pain (만성 경통 환자의 치료에 있어서 능동적 경부 근육 훈련의 효과)

  • Oh Duck-Won;Shim Jae-Hun;Lee Gyu-Wan;An Chang-Sik;Hur Jin-Gang;Yang Young-Ae
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.168-178
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    • 2004
  • The purposes of this paper were to investigate the effect of active treatment compared with a conservative treatment and to provide the information for physical therapy in patients suffering from chronic neck pain. Forty female subjects who were diagnosed with cervical radiculopathy participated in this study and were divided into the conservative and active treatment groups. The active treatment group consisted of 20 patients who were treated with therapeutic modalities and active neck exercise program during the admission (15 days) and one month after discharge. The conservative treatment group consisted of 20 patients who were not received with active neck exercise program. The assessment tools were made using visual analogue scale(VAS), neck disability index(NDI) and modified Zung depression scale(MZDS). All subjects were measured three times: before the admission, at discharge, and at one month after discharge. Data were compared by groups using independent t-test. VAS, NDI and MZDS scores measured at admission and discharge were not significantly different between the groups. On the assessment performed one month after discharge, VAS and NDI scores were significantly lower for the active treatment group compared with those of the conservative treatment group(p<0.05), but MZDS score was not significantly different between the groups. In the comparison of two treatment methods for chronic neck pain, active treatment was more effective than conservative treatment. The findings of the study indicate that active treatment in chronic neck pain has a positive effect in relieving pain and restoring neck function.

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Assessment of postoperative pain after single-visit root canal treatment using rotary and reciprocating file systems: an in vivo study

  • Shaik, Reshma Parveen;Chukka, Ram Sunil;Bandlapally, Anila;Vemuri, Sayesh;Bolla, Nagesh;Basam, Ram Chowdary;Tammineedi, Sravanthi
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.4
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    • pp.267-275
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    • 2022
  • Background: Various instrument kinematics used in single-visit endodontics influence the occurrence of pain after endodontic therapy. This study aimed to evaluate the occurrence of pain after mechanical instrumentation with Hyflex EDM (HEDM) and WaveOne Gold (WOG) during single-visit endodontic therapy. Methods: Sixty patients diagnosed with asymptomatic irreversible pulpitis and normal apical tissues in mandibular premolar teeth were included in the study for single-visit root canal therapy. The patients were divided into two groups (n = 30) according to the rotary instrument used during root canal preparation (group A [HEDM] and group B [WOG]). Pain was evaluated after endodontic therapy at 8, 24, and 48 h intervals using the visual analog scale (VAS). Data obtained were analyzed using the chi-square test, independent t-test, MannWhitney U test, and Wilcoxon matched-pairs test. Results: Statistically significant differences were observed between the two groups (P < 0.001) at 8, 24, and 48 h, with WOG exhibiting less pain than HEDM files. Conclusion: Postoperative pain was lower in the WOG file system than in the HEDM file system after single-visit root canal therapy at 8, 24, and 48 h.

The Clinical Studies about improvement rate in managering patients who had lumbago and pain in loin & feet with herbal-acupunture therapy (요통(腰痛) 및 요각통(腰脚痛) 환자에 있어 약침치료(藥鍼治療)의 호전도에 대한 임상적 고찰)

  • Lee, Dong-Hyun;Kim, Hyo-Soo;Wei, Tung-Shuen
    • Journal of Pharmacopuncture
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    • v.7 no.2
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    • pp.97-105
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    • 2004
  • Objectives : The purpose of this study is to compare the improvement rate in managering patients who had lumbago and pain in loin & feet by herbal-acupunture therapy with conservative treatment. Methods : 40patients who invited from March. 2003 to May. 2004 with lumbago and pain in loin & feet inve, were divided into two classes. A class was managed with conservative treatment(acupuncture, herb med, negative therapy, bed rest and physical therapy) and herbal-acupuncture therapy, the other class was managed with conservative treatment only. Two classes were distributed by sex and age, therapeutic periods, radiolographic results and therapeutic results that checked with VAS(visual analog scale) and ODI(Oswestry disability index). Results : According to VAS and OBI results, A class was managed with conservative treatment and herbal-acupuncture therapy shows the improvement in controling the pain of lumbago etc. comparing with the other class.

Conservative Treatment of Lymphedema (임파부종 환자의 보존적 치료법)

  • Kim, Sung-Jung;Hwang, Ji-Hye
    • Physical Therapy Korea
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    • v.6 no.1
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    • pp.62-73
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    • 1999
  • The purpose of this article was to provide basic knowledge and treatment principles of patient with lymphedema, which was usually not treated at all, or the treatment given didn't work efficiently. Lmphedema is defined as an abnormal accumulation of protein-rich fluid, edema, and chronic inflammation within an extremity. Lmphedema may be classified as either primary results from defects with aplasia, hypoplasia, and hyperplasia in the lymphatic system at birth or secondary is caused by known precipitating factors such as cancer, infection, inflammation, radiation, surgery, or trauma etc. There are essentially several conservative treatment methods which has been utilized successfully to treat lymphedema in Samsung Medical Center. We used following procedures: CPT (Complex Physical therapy) or CDP (Complex Decongesitive Physical therapy) such as skin care, MLD (Manual Lymph Drainage), compression with short-stretch bandage, exercise, elevation, elastic stocking, and pneumatic compression. Our experiences shows that conservative treatments can significantly reduce lymphedema and prevent different complications.

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The Spontaneous Regression of Lumbar Disc Herniation: 3 Cases Report (요추간판 탈출의 자연적 축소(3례 증례보고))

  • Kwon, Won-An;Kim, Han-Soo
    • The Journal of Korean Physical Therapy
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    • v.20 no.3
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    • pp.69-74
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    • 2008
  • Purpose: The majority of patients with radiculopathy caused by a herniated nucleus pulposus (HNP) heal spontaneously without surgery. The aim of this report is to describe the spontaneous regression of lumbar disc herniation and the results of clinical follow-up. Methods: Three patients with radiating low back pain presented with an extruded intervertebral disc on magnetic resonance imaging (MRI). We performed follow-up with conservative treatment (epidural injection, medication, physical therapy, exercise) and clinical assessments on the 6th, 10th and 22nd months. Results: The extruded intervertebral disc almost complete regressed, and correlated with clinical improvement and follow-up MRI. Conclusion: Conservative treatment can be an effective approach for a herniated lumbar discs if no neurological deficits are present.

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