한방병원에 입원한 견통 환자들의 MRI소견에 따른 임상적 특징, 한방치료 효과에 대한 비교고찰 (Clinical Characteristics and Treatment Effects of Shoulder Pain Patients Admitted to a Korean Medicine Hospital Based on MRI Findings)

서지정보

· 발행기관 : 대한침구의학회
· 수록지 정보 : Journal of Acupuncture Research / 31권 / 4호 / 109 ~ 119페이지
· 저자명 : 임수진, 전재윤, 이종환, 김해솔, 김호선, 배영현, 안지훈

초록

Objectives : The aim of this study is to observe clinical characteristics and treatment outcomes of inpatients admitted to a Korean medicine hospital for shoulder pain based on magnetic resonance imaging(MRI) findings.
Methods : 28 patients with MRI data were included. Data on MRI findings, duration of pain, and treatment effects were collected. To measure treatment outcomes, verbal numerical rating scale(VNRS), range of motion(ROM), and a clinical condition grading system were used.
Results : 1. The patient population was 75.0 % female and 39.3 %(n=11) belonged to the 51~ 60-year-old age group. In the under 40 population, 1 or less MRI findings were found.
2. As for the type of disorder, 82.1 % of the patients were diagnosed with ‘Supraspinatus lesion’, 39.3 % with ‘subacromial-subdeltoid(SA-SA) bursitis’, and 28.6 % with ‘Adhesive capsulitis’ 3. Numerous correlations could be made between duration of pain and MRI findings. ‘rotator cuff full thickness tear’ was more prevalent in acute shoulder pain patients, and ‘Adhesive capsulitis’ in chronic patients.
4. VNRS and ROM at the time of discharge had significantly improved as compared to VNRS and ROM at the time of admission.
5. As for correlation between MRI findings and clinical condition grade, patients diagnosed with ‘rotator cuff partial tear’ reported to be in ‘good’ condition or better whereas those with ‘rotator cuff full thickness tear’ reported to be in ‘fair' condition or worse.
Conclusions : Patients admitted to a Korean Medicine hospital for shoulder pain had varying degrees of severity as shown on MRI. Almost all lesions responded well to Korean medicine treatment.

영어초록

Objectives : The aim of this study is to observe clinical characteristics and treatment outcomes of inpatients admitted to a Korean medicine hospital for shoulder pain based on magnetic resonance imaging(MRI) findings.
Methods : 28 patients with MRI data were included. Data on MRI findings, duration of pain, and treatment effects were collected. To measure treatment outcomes, verbal numerical rating scale(VNRS), range of motion(ROM), and a clinical condition grading system were used.
Results : 1. The patient population was 75.0 % female and 39.3 %(n=11) belonged to the 51~ 60-year-old age group. In the under 40 population, 1 or less MRI findings were found.
2. As for the type of disorder, 82.1 % of the patients were diagnosed with ‘Supraspinatus lesion’, 39.3 % with ‘subacromial-subdeltoid(SA-SA) bursitis’, and 28.6 % with ‘Adhesive capsulitis’ 3. Numerous correlations could be made between duration of pain and MRI findings. ‘rotator cuff full thickness tear’ was more prevalent in acute shoulder pain patients, and ‘Adhesive capsulitis’ in chronic patients.
4. VNRS and ROM at the time of discharge had significantly improved as compared to VNRS and ROM at the time of admission.
5. As for correlation between MRI findings and clinical condition grade, patients diagnosed with ‘rotator cuff partial tear’ reported to be in ‘good’ condition or better whereas those with ‘rotator cuff full thickness tear’ reported to be in ‘fair' condition or worse.
Conclusions : Patients admitted to a Korean Medicine hospital for shoulder pain had varying degrees of severity as shown on MRI. Almost all lesions responded well to Korean medicine treatment.

참고자료

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