Objectives : This study was purposed to investigate the possibility of traction therapy as treatment method of scoliosis, of which occurrence rate was increasing with teenagers in Korea. Methods : 63 literatures, history, classification, and effectiveness of traction therapy were reviewed and the oc...
Objectives : This study was purposed to investigate the possibility of traction therapy as treatment method of scoliosis, of which occurrence rate was increasing with teenagers in Korea. Methods : 63 literatures, history, classification, and effectiveness of traction therapy were reviewed and the occurrences rate of scoliosis with teenagers in Korea was investigated. Results : Traction therapy as a treatment method on scoliosis, was originally developed by Hippocrates(460~385 BC), based on the historical record. Traction therapy is classified according to the tools engaged, the postures, the traction methods, and the areas for traction. The opinions on the effect of traction as treatment method were different depending on whether it is in Korea or outside of the country. Within the country, 75% of reports were positive on the effects of traction therapy, while outside of the country, about 74% of reports were negative. On the other hand, the occurrence rates of scoliosis with teenagers in Korea were increasing from 1.46%(1977) to 11.08%(2008). Conclusions : Unfortunately the effects of traction therapy on scoliosis were unclear but it seems to be different in the effects of manipulative therapy and mechanical or apparatus traction therapy. Systematic studies on traction therapy are needed, because of the increasing rate of scoliosis in Korea with teenagers.
Objectives : This study was purposed to investigate the possibility of traction therapy as treatment method of scoliosis, of which occurrence rate was increasing with teenagers in Korea. Methods : 63 literatures, history, classification, and effectiveness of traction therapy were reviewed and the occurrences rate of scoliosis with teenagers in Korea was investigated. Results : Traction therapy as a treatment method on scoliosis, was originally developed by Hippocrates(460~385 BC), based on the historical record. Traction therapy is classified according to the tools engaged, the postures, the traction methods, and the areas for traction. The opinions on the effect of traction as treatment method were different depending on whether it is in Korea or outside of the country. Within the country, 75% of reports were positive on the effects of traction therapy, while outside of the country, about 74% of reports were negative. On the other hand, the occurrence rates of scoliosis with teenagers in Korea were increasing from 1.46%(1977) to 11.08%(2008). Conclusions : Unfortunately the effects of traction therapy on scoliosis were unclear but it seems to be different in the effects of manipulative therapy and mechanical or apparatus traction therapy. Systematic studies on traction therapy are needed, because of the increasing rate of scoliosis in Korea with teenagers.
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문제 정의
이에 비수술적 방법으로 척주질환의 예방 및 치료에 유효하다고 알려져 있으며, 또한 수술 후 재활요법으로도 활용되어지고 있는 견인요법에 대하여 치료의 안전성과 효율성을 높이고자 견인요법의 역사, 분류, 치료효과의 유효성 및 무효성 등을 조사하였다. 또한 견인요법의 적응증으로 알려진 척추측만증에 대하여 한국사회 청소년의 발병현황을 조사하였고 현재 한국사회가 가지고 있는 사회적 욕구에 부합 하는 치료형태 및 방법론적 개발에 도움이 되고자 한다.
이상으로 견인요법의 역사, 분류, 치료효과의 유의성 여부를 관찰하였고, 사회적 인자의 변화로 발생이 증가하는 질환으로 척추측만증을 선정하여 현재 한국사회의 청소년 중 척추측만증 발생 현황을 살펴보아 한의학적 관점으로 고찰하여 증가하는 내인 또는 불내외인에 의한 발병에 대한 치료 방법을 도출하고자 하였다.
. 이에 비수술적 방법으로 척주질환의 예방 및 치료에 유효하다고 알려져 있으며, 또한 수술 후 재활요법으로도 활용되어지고 있는 견인요법에 대하여 치료의 안전성과 효율성을 높이고자 견인요법의 역사, 분류, 치료효과의 유효성 및 무효성 등을 조사하였다. 또한 견인요법의 적응증으로 알려진 척추측만증에 대하여 한국사회 청소년의 발병현황을 조사하였고 현재 한국사회가 가지고 있는 사회적 욕구에 부합 하는 치료형태 및 방법론적 개발에 도움이 되고자 한다.
대상 데이터
1977년부터 2008년까지 한국 사회에서 보고된 척추측만증의 발병 현황을 조사하였다.
단행본은 국내와 국외를 모두 합하여 총 4종의 단행본을 참조하였고, 국외논문으로는 2012년 4월 11일 pubmed에서 검색어 traction(15803), species; human, English, title, free full text(189), pain(17) 의 문헌을 참조하였고, 그 외 필요한 논문 23종을고찰하였으며, 그 중 reviews는 5종이었다.
전통의학포털 사이트에서 '견인요법' 및 '견인치료' 논문 2종과 한국사회의 청소년 체형에 관계된 논문 10종, 백그라운드를 위한 척추와 골격근 자세및 분석에 관계된 자료 4종의 논문을 참조하였고, 현재 한국사회의 청소년 체형을 조사한 비공개 자료 1종을 참조하였다.
성능/효과
46%에 달 하였다.10) 1978년 한국 서울 중고등학생 1620명 중에 척추측만증에 노출된 학생수는 12명으로 0.74%에 해당하였다.11) 1984년 한국 부산에서 중고등학생 40,000명을 대상으로는 623명이 척추측만증에 노출되어 약 1.
세 번째는 환자의 동질성을 예로 들었다. 환자의 교육상태, 병증에 대한 이해, 그리고 견인요법의 적응증이 너무 넓어서 병인의 동질여부에 대한 구별이 모호하다는 점을 들었다. 이러한 관점에서 본다면 국내의 인식은 견인요법에 대하여 굉장한 우호도를 보이고 있다고 할 수 있다.
후속연구
아쉽게도 척추측만증에 대한 견인요법의 치료효과는 불분명하지만 도수치료결과와 기구, 기계적 치료결과에 차이가 있는 것으로 보이며 증가추세에 있는 한국 청소년의 척추 건강을 고려해 볼 때, 견인요법에 대한 체계적 연구가 필요할 것으로 사료된다.
질의응답
핵심어
질문
논문에서 추출한 답변
견인에 의한 척추 구조물의 주된 변화는 무엇인가?
견인요법은 척추 구조물을 늘어나게 하여 신경근의 자극이나 압박을 제거시킴으로 통증을 완화시키는데 그 목적이 있다. 견인에 의한 척추 구조물의 주된 변화는 대체로 척추 주위 인대 및 근육의 신장, 추간공의 확대, 추체 간격의 증가, 척추간 관절(face joint)의 벌어짐으로 요약할 수 있다6).
견인요법의 목적은 무엇인가?
견인요법은 척추 구조물을 늘어나게 하여 신경근의 자극이나 압박을 제거시킴으로 통증을 완화시키는데 그 목적이 있다. 견인에 의한 척추 구조물의 주된 변화는 대체로 척추 주위 인대 및 근육의 신장, 추간공의 확대, 추체 간격의 증가, 척추간 관절(face joint)의 벌어짐으로 요약할 수 있다6).
견인요법이 외인이 아닌 내인이나 혹은 불내외인으로 발생된 질병을 치료할 수 있는 치료방법으로 생각되는 이유는 무엇인가?
한의학의 관점에서 병인은 외인, 내인, 불내외인으로 구별되는데 결핵성 인자를 한의학적 인식으로 전환한다면 자체적 병의 발생이나, 감정, 음식 상과 노권상이 아니기에 외인으로 구별할 수 있다. 따라서 견인요법은 외인이 아닌 내인이나 혹은 불내외인으로 발생된 질병을 치료할 수 있는 치료방법으로 생각된다.
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