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NTIS 바로가기디지털융복합연구 = Journal of digital convergence, v.17 no.1, 2019년, pp.423 - 432
김현택 (선문대학교 통합의학과) , 문상호 (선문대학교 통합의학과) , 김경철 (선문대학교 통합의학과) , 권병안 (선문대학교 카이로프랙틱학과)
The purpose of this study was to investigate the effect of cushion insole on lumbar flexibility and motor fitness in patients with lumbar spinal stenosis. 26 patients with lumbar spinal stenosis were randomly assigned to the experimental group 13 and the control group 13. Volunteers were allowed to ...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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요추 척추관협착증의 치료법은 어떤 것이 있는가? | 요추 척추관협착증의 치료법은 침습과 비침습적 방법이 있으며, 침습적 방법 중 일부는 부작용이 보고되고 있다. 시중에서 시술되고 있는 경막 외 신경차단술이 마미 증후군을 유발한 사례를 보고하였으며[4], 신경차단술 후 잔존하는 주입물 등이 경막외 유동체와 척추강 내에 정체되어 있는 다양한 염증성 매개체 및 거대세포를 동반한 다양한 만성 염증 세포가 복합적으로 반응하여 마미 증후군을 유발했을 가능성을 시사했다[5]. | |
마미 증후군을 방지하기 위해서 선행적으로 시도되어야 하는 치료는? | 따라서 가능하면 모든 환자에 있어 보존적 치료가 먼저 시도 되어야 한다. 짧은 기간의 침상휴식이 신경조직의 기계적 자극을 감소시키기도 하며, 비스테로이드성 소염제와 진통제는 증상의 완화를 가져다준다고 한다[6]. | |
척추관협착증이란 무엇인가? | 요추 척추관협착증(spinal stenosis)은 50대나 60대에 주로 시작되는 퇴행성 질환으로 중앙의 척추관(spinal canal), 신경근(nerve root)이 주행하는 돌기 관절 전내측의 신경근관(nerve root canal) 또는 추간공(intervertebral foramen)이 좁아져서 발생하는 질환이다[1]. 요추 척추관 협착증의 증상은 요통, 하지방사통과 함께 특징적인 신 경성 간헐적 파행(neurogenic intermittent claudication,NIC)을 유발하고 감각 및 운동 능력을 저하시켜 보행 및 일상생활활동장애 등이 동반 될 수 있으며[2], 이러한 협착의 원인은 골조직이나 연부조직에 의하여 생긴다[3]. |
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