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Kim M.-Y.,Jaseng Spine and Joint Research Institute | Chi E.H.,Jaseng Spine and Joint Research Institute | Lee J.-H.,Jaseng Spine and Joint Research Institute | Ha I.-H.,Jaseng Spine and Joint Research Institute
International Journal of Osteopathic Medicine | Year: 2015

This case report presents two successful treatment outcomes of cervical disc herniation (CDH) with thoracic outlet syndrome (TOS) treated using manual therapy technique of the muscle energy technique (MET), ligamentous articular strain (LAS) and additional herbal medicine intake, acupuncture and pharmacopuncture sessions. Significant improvements were reported in the outcome measures at admission and at discharge for Visual Analogue Scale (VAS) and Neck Disability Index (NDI) scores and physical examinations followed by approximately three weeks of hospital admission. The successful outcomes suggest that integrative conservative management focused on muscle energy techniques (MET) and ligamentous articular strain (LAS) are effective in contributing to the conservative management of cervical disc herniation (CDH) with thoracic outlet syndrome (TOS). © 2014 Elsevier Ltd. Source


Bae Y.-H.,Jaseng Spine and Joint Research Institute | Shin J.-S.,Jaseng Spine and Joint Research Institute | Lee J.,Jaseng Spine and Joint Research Institute | Kim M.-R.,Jaseng Spine and Joint Research Institute | And 3 more authors.
PLoS ONE | Year: 2015

Background. Hypertension and musculoskeletal disorders are highly prevalent in adult populations. The objective of this study was to investigate the association between hypertension and prevalence of low back pain (LBP) and osteoarthritis in Koreans. Methods. A total 17,128 participants (age ≥20 years) who answered low back pain and osteoarthritis items in the 4th Korean National Health and Nutrition Examination Survey (2007-2009) were analyzed. Odds ratios were calculated using logistic regression and were adjusted for age, sex, income level, education, occupation, BMI, smoking status, alcohol consumption, and physical activity. Results. Lifetime prevalence of LBP in hypertensive subjects was 34.4%, and that of osteoarthritis 26.2%. LBP prevalence was significantly lower in hypertensives (fully adjusted OR 0.79; 95% CI 0.70-0.90), and both LBP and osteoarthritis prevalence was significantly lower in participants with systolic blood pressure ≥140mmHg than those with <120mmHg (fully adjusted OR 0.81; 95% CI 0.70-0.94, and 0.81; 95% CI 0.68-0.96, respectively). Prevalence of LBP in subjects with diastolic blood pressure ≥90mmHg was also significantly lower than those with <80mmHg (fully adjusted OR 0.73; 95% CI 0.63-0.85). LBP and osteoarthritis prevalence did not differ by systolic or diastolic blood pressure interval in respondents taking antihypertensive medication. LBP and osteoarthritis prevalence increased with longer hypertension duration (fully adjusted p for trend 0.028, and 0.0008, respectively). Conclusions. Hypertension showed an inverse relationship with LBP and osteoarthritis prevalence, which may be ascribed to hypertension-associated hypalgesia, and antihypertensive medication intake and longer hypertension duration attenuated this association. © 2015 Bae et al. Source


Kim T.-Y.,Jaseng Spine and Joint Research Institute | Shin J.-S.,Jaseng Spine and Joint Research Institute | Lee J.,Jaseng Spine and Joint Research Institute | Lee Y.-J.,Jaseng Spine and Joint Research Institute | And 5 more authors.
PLoS ONE | Year: 2015

Background: Chronic temporomandibular disorder (TMD) is known to have strong correlations with psychological factors and to display gender disparity. However, while chronic TMD is known to affect quality of life, large-scale studies investigating the influence on quality of life by gender are scarce. Methods: This cross-sectional study assessed the data of 17,198 participants aged ≥19 years who completed chronic TMD and EuroQol-5 Dimension sections in the 4th Korean National Health and Nutrition Examination Survey (2007-2009). We adjusted for covariates (health behavior, sociodemographic factors) in regression analysis for complex sampling design to calculate regression coefficients and 95% CIs for gender difference in the association between chronic TMD and quality of life. We also evaluated which covariates of somatic health, mental health, health behavior, and sociodemographic factors weakened the relationship between TMD and EQ-5D. Results: Prevalence of chronic TMD was 1.6% (men 1.3%, women 1.8%), and chronic TMD persisted to negatively impact quality of life even after adjusting for confounding variables. Low sociodemographic factors and health behavior had a negative effect on quality of life. Somatic health and mental health were most affected by chronic TMD. As for quality of life, women were affected to a greater extent than men by TMD. Women were more affected by osteoarthritis and general mental health (stress, depressive symptoms, and thoughts of suicide), and men by employment. Conclusions: These results imply that chronic diseases and psychological factors are important in chronic TMD, and that there may be physiological and pathological gender differences in TMD. © 2015 Kim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Source


Jung Y.H.,Jaseng Spine and Joint Research Institute | Shin J.-S.,Jaseng Spine and Joint Research Institute | Lee J.,Jaseng Spine and Joint Research Institute | Kim M.-R.,Jaseng Spine and Joint Research Institute | And 4 more authors.
Maturitas | Year: 2015

Objectives Knee osteoarthritis (OA) is pervasive in aged populations, and induces considerable socioeconomic expense. The objective of this study was to investigate the association between OA prevalence and pregnancy and parity in KORns, considering for the potential effect of abortion. Study design A total 5449 women aged ≥50 years with radiological knee examination results of 24,173 participants of the 5th KORn National Health and Nutrition Examination Survey (2010-2012) were analyzed in a cross-sectional study. Main outcome measures Association between OA prevalence (Kellgren/Lawrence grade) and pregnancy and parity as odds ratios (ORs) by logistic regression. Results Knee OA results were normal in 1996 participants (36.1%), suspected in 1012 (18.6%), mild in 781 (14.3%), moderate in 1073 (19.7%), and severe in 617 (11.3%). Increase in number of pregnancies adjusted for abortion was significantly associated with increased OA prevalence (OR 1.081; 95% CI 1.015, 1.152). OA prevalence increased with parity (continuous variable) in ever-abortion (OR 1.092; 95% CI 1.009, 1.181) and with parity (categorical variable) with reference value set at 1-2 (P for trend; p = 0.0195). In analyses adjusted for abortion, ever-abortion negatively influenced OA prevalence. Parity was not associated with OA in number of pregnancies unadjusted for abortion or in never-abortion women. Conclusions This study shows that maternity-related factors such as pregnancy and parity were related with knee OA prevalence in this population-based sample of older women, and that relationships with abortion were stronger. © 2015 Elsevier Ireland Ltd. All rights reserved. Source


Lee M.-S.,Jaseng Spine and Joint Research Institute | Shin J.-S.,Jaseng Spine and Joint Research Institute | Lee J.,Jaseng Spine and Joint Research Institute | Lee Y.J.,Jaseng Spine and Joint Research Institute | And 5 more authors.
BMC Public Health | Year: 2015

Background: Sleep duration holds considerable importance as an indicator of mental/physical health. The objective of this study was to investigate the association between sleep duration, mental health, and chronic disease prevalence in Koreans. Methods: Of 31,596 subjects eligible for the Korean National Health and Nutrition Examination Survey V (2010-2012), 17,638 participants who answered items on sleep duration (aged ≥19 yrs) were analyzed in a cross-sectional study. Association between sleep duration, mental health, and chronic disease prevalence was assessed using logistic regression, and adjusted for various socioeconomic and lifestyle characteristics. Results: Short or long sleep duration showed correlations with mental health, and items of significance showed gender-specific patterns. Women displayed significant associations with stress and depressive symptoms, and men with stress, thoughts of suicide, and psychiatric counseling. While stress was related with short sleep duration in both genders, depressive symptoms showed a relationship with long duration in men, and short duration in women. Prevalence of any chronic disease was associated with ≤6 h sleep when adjusted for factors including mental health, and among chronic diseases, cancer and osteoarthritis showed associations with short sleep duration, while diabetes and dyslipidemia were associated with normal sleep duration. Conclusions: Mental health problems were associated with sleep duration with gender-specific patterns. Associations with osteoarthritis, cancer, diabetes, dyslipidemia and abnormal sleep duration persisted after adjustment for mental health. © 2015 Lee et al. Source

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