Scoliosis is a spinal disease in which the Cobb angle is >10°. Scoliosis treatment can be surgical or conservative, and clinical practice guidelines (CPGs) for conservative treatments have been updated since 2006. There have been several articles regarding the efficacy and safety of Korean medicine (KM) in treating scoliosis, but there are no CPGs. Our study investigated the current clinical practice using a survey for the future establishment of KM-CPGs. The survey mainly comprised clinical practice status, diagnosis, treatment, progress and prognosis, and perception of KM on scoliosis, with reference to existing surveys of other musculoskeletal disorders and scoliosis-related articles. A web-based survey was conducted from February 16, 2021 to February 28, 2021. We found that 60% of KM doctors (KMDs) respondents treated patients with scoliosis, and they valued radiographical measurements and scoliosis-related factors in the diagnosis. KMDs used multiple KM treatments, including acupuncture, Chuna, cupping, pharmacopuncture, and herbal medicine, and they emphasized the importance of KM more in nonstructural scoliosis than in structural scoliosis. Although the perception of the prognosis of scoliosis was in agreement with that suggested by previous guidelines, KMDs showed outstanding focus on reduction of symptoms of scoliosis and improvement of quality of life. Despite some limitations, including low participation and the need for consulting other medical practitioners, our study may be helpful for the development of KM-CPGs because it is the first to analyze the perceptions of KMDs on scoliosis and to collect preliminary data that are of significance for preparing clinical guidelines.
Sticking warm and hot herbs to acupoint in Dog-Days where the strongest Yangqi takes place, Acupoint sticking in Dog-Days is one of Oriental medical treatment to cure winter diseases in the summer. This treatment is widespread in China and Taiwan, and is becoming popular in South Korea nowadays. Objectives The research has been conducted to evaluate the influencial factors and efficacy in Acupoint sticking in Dog-Days. Methods We visited one kindergarten in Dog-Days of 2010, and attached pills which are made of Sinapis Semen(白芥子), Corydalis Tuber(玄胡索), Asari Herba Cum Radix(細辛), Juice of Zingiber Officinale(薑汁) to BL-13(肺兪), BL-15(心 兪), BL-17(膈兪) of 56 children for 4-6 hours(34 boys, 22 girls, 52.64±16.85 months, 19-78 months). Exacerbating effect or non-significant changes in respiratory symptoms before and after the treatment were nullified.. The influentialfactors of efficacy were analyzed by Pearson's χ 2-test and Fisher's exact test. In addition, the efficacy and satisfaction among once, twice, and three times treatment groups were verified by ANOVA. Results 27 children (48.2%) were effective, but efficacy felt by parents is 45 cases (80.4%). Sex, perspiration, stool, urine, sleep, cold of hands and feet, cold sensitivity, and frequency of Acupoint sticking in Dog-Days has no relation to efficacy(p>0.05). However, the efficacy is poor in 1 and 2 age(p=0.030). Difference among efficacy of once, twice, and three times treatment groups is not significant(p=0.069), whereas there are linear association in frequency of Acupoint sticking in Dog-Days and efficacy(p=0.030). 36 parents (64.3%) are satisfied with Acupoint sticking in Dog-Days, and we observed significant difference among once, twice, three times treatment groups(p=0.041). 19 parents (33.9%) had been known about Acupoint sticking in Dog-Days, but 53 parents (94.6%) wanted repetition, and 41 parents (73.2%) intended to recommend it to acquaintance. Side effects are minor itching in two cases. Twenty seven participants showed positive effect, and forty five people (80.4%) felt beneficial. Sex, perspiration, stool, urine, sleep, cold hands and feet, sensitivity in cold, and frequency of Acupoint sticking in Dog-Days has no relation to the efficacy(p>0.05). Though the efficacy was poor in one and two year old infants, it was linearly correlated with the frequency count and responses from the treatment (p=0.030). Thirty six participants (64.3%) satisfied with the treatment, and so did the first, second, and third participant groups (p=0.041). Even though, only nineteen participants (33.9%) were familiar with Acupoint sticking in Dog-Days, fifty three participants (94.6%) preferred to repeat the treatment, and 41 parents were preferable to recommend the treatment to others. Side effects of minor itching has been reported in a couple cases. Conclusions Acupoint sticking in Dog-Days is effective in children older than three year old. The effect would be greater when going through the treatment three times. Based on significant satisfaction, intention of repetit...
Background: Scoliosis is a spinal deformity and is diagnosed as Cobb angle being greater than 10°. Because it is accompanied with structural dysfunction, it can cause pain, worsen the patient's general health and quality of life. The prevalence of scoliosis has been increasing and many treatments, including surgical treatment and conservative treatment, such as observation, bracing, physiotherapy, and Chuna manual therapy (CMT), have been suggested. CMT is a manual therapy in Korean medicine that provides effective stimulation to the patient's body structure to treat structural dysfunction. After Korean national health insurance's coverage of CMT in 2019, the application of CMT for scoliosis has increased, and many studies have been reported. There have been attempts to elucidate the effectiveness of CMT on scoliosis; however, its effectiveness still remains unconfirmed. Therefore, the aim of this study is to evaluate the effectiveness and safety of CMT on scoliosis. Methods: The published randomized controlled trials that evaluated the effectiveness and safety of CMT for scoliosis will be searched for in multiple electronic databases without the limitation of country and language. Data on characteristics of studies, interventions, comparators, outcome measures, results, and information for assessment of study quality will be extracted. The primary outcome will be the Cobb angle and the secondary outcomes will be the scales of pain, function, quality of life and disability, and adverse events. Data synthesis and analysis will be conducted using the Review Manager software for Windows (RevMan ver. 5.3.; Copenhagen; The Nordic Cochrane Center, The Cochrane Collaboration, 2014). Subgroup analysis to identify the differences between different CMT maneuvers will also be performed. For risk of bias assessment, the “risk of bias” tool from Cochrane Collaboration will be used. Results: This study will present the clinical evidence on the effectiveness and safety of CMT on scoliosis. Conclusion: This study will propose useful evidence for treatment, further research, and health policies in the future.
This paper attempted to suggest the standards of light transmittance based on the analysis of the changes in contrast sensitivity of photopic condition according to the light transmittance of tinted lenses. The subjects of the experiment were 24 male and 13 female adults with normal ocular functions. They were asked to wear four tinted lenses (gray, brown, red, and green) in turn. The light transmittance of the lenses were 80~90%, 60~80%, 43~60%, and 30~43%, respectively. Contrast sensitivities were measured by using F.A.C.T. chart. The results showed that contrast sensitivities were decreased in proportion to the decrease of the light transmittance, and visual sensitivity of brown lenses were the highest and that of red lenses were the lowest. The results of the experiments suggested that the light transmittance should be over 38% for brown, gray and green lenses, and over 52% for red lenses. Accordingly the appropriate light transmittance should be considered when tinted lenses are selected for the purpose of eye protection in everyday life.
ObjectivesAcupoint sticking in Dog-Days is one of Oriental medical prophylaxis to prevent winter diseases over the summer. The research has been conducted to evaluate the efficacy of Acupoint sticking in Dog-Days. MethodsWe visited one kindergarten in Dog-Days of 2011, and the subjects were 72 children (38 boys, 34 girls, 58.24±12.28 months, 37-105 months). 72 children were attached Socheongo to BL-13, BL-15, BL-17 for 4-6 hours. Exacerbating effect or non-improvement in respiratory symptoms before and after the treatment were nullified. Results31 children (43.1%) have shown positive effect in Socheongo, with no significant differences among the groups. There were significant improvements in Socheongo group in frequency of having cold, duration and visits; duration under tonsillitis, frequency of having otitis media, duration and visits (P<0.05). Lung weak score also had significant decrease in the three times Socheongo group, from 11.27±5.61 to 9.90±4.66 (P=0.030). Side effects has been reported in Socheongo group; 7 erythema (9.7%), 2 heating (2.8%), 9 pruritis (12.5%), 2 vesicle (2.8%), 13 scar (18.1%). ConclusionsAcupoint sticking in Dog-Days improves lung weak symptoms such as common cold, tonsilitis, and otitis media in children older than three years old, throughout the three times of the treatment. However, the ways to reduce the side effects are needed.
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