유선애 연구실은 한방소아과를 중심으로 소아청소년의 한의학적 진단과 치료를 연구하며, 특히 뇌성마비 아동의 침치료·한약치료와 재활치료를 결합한 한의융합 임상연구, 자폐스펙트럼장애 등 소아 신경발달질환에 대한 한약 치료 근거 검토, 그리고 다양한 소아 질환의 임상 적용 가능성 평가를 통해 근거중심 소아 한의학 발전에 기여하고 있다.
Objectives: This study aimed to analyse: 1) the clinical effectiveness and safety of traditional Korean Medicine (TKM) and frequency of TKM therapies used and their relationship with conventional treatments.Methods: This prospective observational study enrolled children with cerebral palsy (CP) aged 6-78 months (n=126). The children who used herbal medication for >30 days or acupuncture treatment >12 sessions within 6 months were defined as the integrated rehabilitation (IR) group; the remaining participants were included in the conventional rehabilitation (CR) group.Results: Changes in the Gross Motor Function Measure-66 (GMFM-66) were greater in the IR group (6.4±6.1) than in the CR group (4.6±5.8). The reduction in the number of other health problems was greater in the IR group than in the CR group. The GMFM-66 improvement was greatest in gross motor function classification system level 1. There was no between-group difference in the frequency of rehabilitation therapy (10.9±6.6 and 12.0±9.9 in the IR and CR groups, respectively).Conclusion: TKM may offer additional benefits in terms of the GMFM-66 score and other health problems. However, there is a need for further randomized controlled trials involving a restricted CP type and a controlled treatment type and intensity to confirm these findings.
Integrative medicine rehabilitation for children with cerebral palsy: a study protocol for a multicenter pragmatic randomized controlled trial
Mi-Joo Lee, Young-ju Yun, Sun-Ae Yu, Yong Beom Shin, Soo-Yeon Kim, Junhee Han
IF 2
Trials
Ministry of Food and Drug Safety 31361 ( http://www.mfds.go.kr ). Registered on 29 June 2017. Clinical Research Information Service KCT0002620 ( https://cris.nih.go.kr/cris/search/search_result_st01.jsp?seq=9819 ). Registered on 29 December 2017.
A cross-sectional survey of clinical factors that influence the use of traditional Korean medicine among children with cerebral palsy
Hye-Yoon Lee, Young-ju Yun, Sun-Ae Yu, Yo‐Han Park, Byung-Wook Park, Bu-Young Kim, Man‐Suk Hwang
IF 3
Integrative Medicine Research
Children with non-typical symptoms or those with poor overall health status are likely to use TKM. Additionally, TKM use leads to increased treatment costs. Studies investigating the motivation for starting or ceasing TKM therapy, socioeconomic factors and the attitude of parents towards complementary and alternative medicine should be performed.
https://doi.org/10.1016/j.imr.2018.07.001
Medicine
Disadvantaged
Acupuncture
Affect (linguistics)
International Classification of Functioning, Disability and Health
본 과제는 뇌성마비 아동에 한의학적 침치료(두부 피내침 9곳 경혈 자극)와 의학적 중추신경계발달 재활치료를 함께 적용하는 한의융합치료기술의 효과를 의과학적으로 확인하고 임상에 적용하기 위한 연구임.
연구 목표는 무작위배정 대조군 임상시험 및 대규모 다기관 분석으로 운동·정신기능 발달 효과를 평가하고 Single-photon emission computed tomography(SPECT)로 기전을 규명하는 데 있음. 연구 내용은 IRB/CRIS 등록, 임상시험 SOP·모니터링, 의료기기 안전성 및 AE(Adverse event) 조사, 메타분석 논문 투고, 진료지침서·Critical pathway(CP) 개발임. 기대 효과는 두 치료 동시 적용의 근거 확보, 건강보험 급여제안 및 신의료기술신청서 진입 가능성 확대, 뇌활성화 기전 SCI급 학술 성과 및 장기적 의료비 부담 완화 기여임.