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수근관 증후군의 한의학적 치료에 대한 논문 고찰 -국내 학술지를 중심으로-

Korean Medicine for Carpal Tunnel Syndrome: a Systematic Review of Literature Published in Korea

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초록

The aim of this review is to investigate studies of Korean medical treatment of carpal tunnel syndrome published in Korea and the evidence of it's effects in order to suggest a better research method in the future. Four Korean web databases were searched by using key words such as 'carpal', and checked relevant Korean journals. The papers were classified into the field of study, publish date, diagnostic methods, evaluation methods and analysed the study tendency. There are 9 case studies, 4 controlled studies. The paper was published almost every year more than once. Acupucture, pharmacopuncture, acupotomy, warm needle acupuncture, taping, etc. were used as treatment tools. The two most commonly used diagnostic method for carpal tunnel syndrome are Phalen's test and Tinel's sign. The two most commonly used evaluation method are VAS(Visual Analog Scale) and subjective symptoms. Korean medical treatment of carpal tunnel syndrome was effective in all studies. Korean medical treatment of carpal tunnel syndrome was effective in all studies. So it is possible that Korean medical treatment of carpal tunnel syndrome is useful as therapeutic medicine, but there are not sufficient evidence based papers, so there should be further studies.

Abstract

The aim of this review is to investigate studies of Korean medical treatment of carpal tunnel syndrome published in Korea and the evidence of it's effects in order to suggest a better research method in the future. Four Korean web databases were searched by using key words such as 'carpal', and checked relevant Korean journals. The papers were classified into the field of study, publish date, diagnostic methods, evaluation methods and analysed the study tendency. There are 9 case studies, 4 controlled studies. The paper was published almost every year more than once. Acupucture, pharmacopuncture, acupotomy, warm needle acupuncture, taping, etc. were used as treatment tools. The two most commonly used diagnostic method for carpal tunnel syndrome are Phalen's test and Tinel's sign. The two most commonly used evaluation method are VAS(Visual Analog Scale) and subjective symptoms. Korean medical treatment of carpal tunnel syndrome was effective in all studies. Korean medical treatment of carpal tunnel syndrome was effective in all studies. So it is possible that Korean medical treatment of carpal tunnel syndrome is useful as therapeutic medicine, but there are not sufficient evidence based papers, so there should be further studies.

참고문헌 (18)

  1. Phalen, G. S, "The carpal tunnel syndrome : Seven years experience in diagnosis and treatment of six hundred fifty-four hands", Journal of Bone and Joint Surgery, 19, pp.521~ (1994)
  2. Department of Rehabilitation Medicine of Korean Medicine, "Korean rehabilitation Medicine", pp.83~119 (2003), Koonja
  3. Stanley, H., "Physical Examination of the Spine and Extremities", pp.512~ (1989), Korea medical publishing company
  4. Bodofsky, E, "Treating carpal tunnel syndrome with laser and TENS", Arch Phys Med Rehabil, 83(12), pp.1806~1807 (2002)
  5. 배형섭, "수근관증후군 환자에 대한 한방과 양방치료효과의 비교", 대한한의학회지, 28(1), pp.87~93 (2007), 대한한의학회
  6. Heo, S. Y, "Six Cases of Carpal Tunnel Syndrome with Taping Therapy for Carpal Tunnel Expansion", the Journal of Korean Society of Chuna Manual Medicine for Spine and Nerves, 7(1), pp.67~74 (2012)
  7. Lee, S. M., "Case Study on the effect of Hua-Tuo-Jia-Ji-Xue(華陀夾脊穴) Acupuncture Treatment of Patient with Carpal Tunnel Syndrome", The journal of east-west medicines, 35(3), pp.57~65 (2010)
  8. 정주열, "온침을 이용한 수근관 증후군 환자5예에 대한 임상 증례 보고", 한의학연구소 논문집, 19(1), pp.9~15 (2010), 한의학연구소
  9. 최철훈, "合谷刺와 蜂藥鍼으로 치료한 수근관 증후군 환자 4례", 대한침구의학회지, 27(3), pp.159~166 (2010), 대한침구의학회
  10. 최석우, "봉약침과 홍화약침으로 치료한 레이노 현상을 동반한 수근관증후군 환자 1례", Journal of Pharmacopuncture, 12(1), pp.103~108 (2009), 대한약침학회
  11. 임나라, "수근관 증후군에 관한 침도 침술의 유효성에 관한 임상증례보고", 대한침구의학회지, 25(4), pp.165~172 (2008), 대한침구의학회
  12. Shin, D. S., "The clinical study on 2 cases of patients of carpal tunnel syndrome", Journal of Korean medicine institute, 15(1), pp.79~85 (2006), Daejeon university
  13. 김일두, "수근관 증후군에 대한 임상적 고찰", 대한침구의학회지, 19(6), pp.61~66 (2002), 대한침구의학회
  14. 김일환, "Clinical Study on Five Cases of Carpal tunnel syndrome", Journal of Pharmacopuncture, 4(3), pp.39~45 (2001), 대한약침학회[DOI]
  15. 구지영, "수근관증후군에 대한 Sweet봉약침과 오공약침의 효과 비교", Journal of Pharmacopuncture, 13(4), pp.75~90 (2010), 대한약침학회
  16. 최석우, "홍화약침을 이용한 수근관증후군치료", Journal of Pharmacopuncture, 8(2), pp.39~45 (2005), 대한약침학회
  17. 임정아, "蜈蚣藥鍼을 이용한 수근관 증후군(carpal tunnel syndrome) 치료의 임상적 연구", Journal of Pharmacopuncture, 8(1), pp.13~20 (2005), 대한약침학회
  18. S. Brent Brotzman, "Clinical Orthopaedie Rehabilitation", pp.34~39 (2005), Han-mi medical

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