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A Case Report on a Patient with lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement, Treated by Bee Venom Pharmacopuncture and Conservative Oriental Medical Treatment (요추 추간판 탈출증과 대퇴 비구 충돌 증후군 진단 받은 환자를 대상으로 시행한 고관절 부위 봉약침 치료 및 한방 보존적 치료 치험 1례)

  • Kim, Hae-Sol;Lee, Chong-Hwan;Jeon, Jae-Yoon;Lim, Su-Jin;Bae, Young-Hyeon;Kim, Ho-Sun;Song, Ju-Hyun;Kim, Moon-Hwi;Cho, Changyoung;Jung, You-Hwa
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.2
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    • pp.81-92
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    • 2014
  • Objectives : The Purpose of this study is to investigate the clinical application of Bee venom pharmacopuncture and conservative treatment for lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement. Methods : Patient is hospitalized at Dept. of Oriental Internal Medicine, Jaseng Oriental Medicine Hospital, diagnosed as lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement and treated by Bee venom pharmacopuncture, herbal medicine, acupuncture and moxibustion. This study was measured by NRS(Numerical Rating Scale), ODI and EQ-5D. Results : After Bee venom pharmacopuncture and conservative oriental medical treatment, the patient's pain was controlled and NRS score was decreased. ODI and EQ-5D also were improved. Conclusions : As seen in this one case, Oriental conservative treatment and Bee venom pharmacopuncture have a positive effect to control pain with lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement.

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The Effect of Thromboprophylaxis in Lower Extremity Arthroscopic Surgery on Coagulation Test : Enoxaparin versus Rivaroxaban (하지 관절경 수술에 대하여 시행된 항응고 요법에 의한 혈액 응고 검사의 변화 : Enoxaparin versus Rivaroxaban)

  • Park, Sang Eun;Back, Young Woong;Kim, Jong Dai
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.2
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    • pp.121-127
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    • 2012
  • Purpose: To compare coagulation test results of the arthroscopic surgery patients who received thromboprophylaxis with typical two kinds of anticoagulation drugs, we performed coagulation tests before and after surgery with two groups and then compared the results. Materials and Methods: Forty-seven patients who underwent arthroscopic surgery were randomly divided into two groups to rivaroxaban and enoxaparin group, and we performed coagulation tests before and 5 days after arthroscopic surgery to two drugs groups in order to investigate about the difference in clotting capacity. Results: Preoperative coagulation tests did not differ significantly between the two groups. However, coagulation tests after 5 days of the surgery, the level of prothrombin time-international normalized ratio (PT-INR), activated partial thromboplastin time (aPTT) increased, particularly in patients with rivaroxaban compared with enoxaparin (P<0.05). Conclusion: Anticoagulation for arthroscopic surgery with a drug is effective and has safe range in terms of bleeding tendency, but in the rivaroxaban group, there was one patient who showed high bleeding tendency with abnormal range. Therefore it should be careful of using rivaroxaban for thromboprophylaxis.

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Kinematic Analysis of Horse-Riding Posture According to Skill Levels during Rising Trot with JeJu-horse (제주마를 이용한 승마 경속보시 숙련도에 따른 기승자세의 운동학적 비교분석)

  • Oh, Woon-Yong;Ryew, Che-Cheong;Kim, Jin-Hyun;Hyun, Sung-Hyun
    • Korean Journal of Applied Biomechanics
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    • v.19 no.3
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    • pp.467-479
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    • 2009
  • The purpose of this study was to present the quantitative data which riders can utilize teaching field by comparison analysis of kinematics according to skill level of rider during 2 strides rising trot with the JeJu's-Horse. Participated subjects was consisted of total 10 riders(unskilled: n=5, skilled: n=5). The method of experiment & analysis was based on 3D cinematography. Variables were consisted of temporal, linear & angular kinematics by each event & phase. The skilled assigned more ratio of elapsed time in air than support phase, had the less range of motion in up-down direction and more consistent velocity in lateral & forward direction and performed periodic up-down movement with alignment in vertical direction according to elapsing of phases. The skilled more flexed at elbow and extended backwardly according to elapsing of phases, while more flexed forwardly at hip & knee and plantarflexion at ankle. The skilled postured backward extension but the unskilled do forward flexion. That is, It was considered that the unskilled continued more unstable posture than the skilled during 2 strides in rising trot.

The Kinetic Analysis of Arabesque Turn Motion in Modern Dance by Upper Extremity Usage (상지이용유무에 따른 현대무용 아라베스크 턴 동작의 운동역학적 분석)

  • Park, Yang-Sun;Kim, Ji-Hye
    • Korean Journal of Applied Biomechanics
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    • v.19 no.3
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    • pp.457-466
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    • 2009
  • This study puts the purpose in providing the scientific basis of dance motion as an artistic expression by analyzing the kinematic variable and the distribution factor of power affecting the motion, which is connected to the turn, right after the arabesque motion according to the existence and non existence of using the arm in the arabesque motion of modern dance. As a result of this study, arabesque turn motion, not using the upper limbs, used more turning force of head and body than the arabesque turn motion, using the upper limbs, and arabesque turn using the upper limbs obtained the turning force, using the right shoulder. The range of the hip joint on the left and the position change of left tiptoe in the Arabesque turn motion using the upper limbs is largely ascended to the vertical axis, while, the position of tiptoe in the Arabesque turn motion, not using the upper limbs is dropped to the lower part of each event. In the replacement of body center, Arabesque turn motion using the upper limbs is moved more to the turning axis than arabesque turn motion not using the upper limbs. As a result of maximum vertical ground reaction force, Arabesque turn motion using the upper limbs appeared to be a lower value than the Arabesque turn motion not using the upper limbs.

A Study about the Training Program for the Kolman Technique on the Horizontal Bars (체조 철봉 콜만 기술동작의 훈련프로그램 적용 및 향상도평가)

  • Back, Jin-Ho;Park, Jong-Chul;Yoon, Chang-Sun
    • Korean Journal of Applied Biomechanics
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    • v.19 no.1
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    • pp.37-47
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    • 2009
  • This study develops a technique training program to enhance the completion of Kolman, the high air flight technique, and applies it to two national athletes of the horizontal bar, one of the gymnastic events, for eight weeks. After that, their improvement was measured through 3D motion analysis to help them elevate their performance. The training program includes swing, hand release, twist, and bar hold, and its implementation produced the results stated below. They were made to practice the motion in the following way. After the hand-standing of giant swing which initiates the motion, they lift their body upward a little bit more. Next, they take their body down almost like a vertical descent and make a deep tap swing. Instead of doing the tap swing which widens the flection of hip and shoulder joints, while body revolution is more emphasized in particular, they release the bar as raising the centroid of their body sufficiently. During the flight, they try to narrow every joint in their body. As a result, the bar's elasticity becomes greatly increased, and since the backing rate of their body gets higher, the centripetal force of the swing is improved that they can release the bar in the higher position. In addition, because they can erect their body faster during the flight, they can perform comfortable twist and revolution in the air. They can also adjust the direction of the flight easily without too much concern for the proper timing of hand release as they rise. Thereby, they can not only maintain adequate distance from the bar for the bar hold but also ensure enough distance for body revolution and twist.

Effects of Applying the Pelvic Compression Belt on the Trunk and Hip Extensor Electromyography Pattern in Female Patients With Sacroiliac Joint Pain During the One-Leg Standing (골반압박벨트 착용이 한발서기 시 여성 천장관절통증 환자의 체간과 고관절 신전근 활성 양상에 미치는 영향)

  • Jung, Hee-Seok;Jeon, Hye-Seon;Yi, Chung-Hwi;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.19 no.2
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    • pp.1-11
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    • 2012
  • The pelvic compression belt (PCB) contributes to improving sacroiliac joint stability, and it has been used as an additional therapeutic option for patients with sacroiliac joint pain (SIJP). This study aimed to investigate whether the muscle activation patterns of the supporting leg was different between asymptomatic subjects and subjects with SIJP during one-leg standing, and how it changes with the PCB. 15 subjects with SIJP and 10 asymptomatic subjects volunteered to participate in this study. Surface electromyography (EMG) data (reaction time [RT] and muscle activation) were collected from the internal oblique, lumbar multifidius, gluteus maximus and biceps femoris muscles during one-leg standing with and without the PCB. Without the PCB condition, in the SIJP group, the biceps femoris muscle showed the fastest RT among all muscles (p<.05), whereas in the asymptomatic group, the RT of the internal oblique muscle was the most rapid (p<.05). In condition without the PCB, the biceps femoris EMG amplitudes in the SIJP group were significantly greater than that in the asymptomatic group (p<.05). After the application of the PCB, the RT of the biceps femoris muscle was significantly increased only in the SIJP group (p<.05). Moreover, the biceps femoris EMG amplitudes significantly decreased and the gluteus maximus EMG amplitudes significant increased only in the SIJP group by applying the PCB (p<.05). However, this had no such effect on the gluteus maximus and biceps femoris EMG patterns in the asymptomatic group (p>.05). Thus, this study supports the applying the PCB to patients with SIJP can be used as a helpful option to modify the activation patterns of the gluteus maximus and biceps femoris muscle.

Biomechanical Alterations in Gait of Stair Decent with Different Treads during Pregnancy (임신기간 중 계단의 단너비에 따른 임산부 양발 보행의 생체역학적 변화)

  • Hah, Chong-Ku
    • Korean Journal of Applied Biomechanics
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    • v.19 no.2
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    • pp.205-215
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    • 2009
  • The purpose of this study is to investigate alterations of pregnant gait by means of 3 different treads of stairs. 9 subjects(body masses; $59.41{\pm}7.49$, $64.03{\pm}6.65$, $67.26{\pm}7.58$, heights; $160.50{\pm}6.35$ ages; $31.22{\pm}2.99$; parity; $1.67{\pm}0.71$) participated in three experiments that were divided by physiological symptoms(the early(0-15 weeks), middle(16-27 weeks) and last(18-39 weeks), and walked at self-selected pace on 4 staircases 3 trials. As extending the pregnancy period, cadence was shorter but cycle time was longer more and more and the difference of maximum and minmum moments between right and left knee joint moment was smaller. With the treads of stair decent lengthening, speed and stride lengths were increased. As extending the treads of stair decent, joint moments of both feet were particular traits, hip joint was asymmetric but joint moments of knee and ankle were symmetric. These findings may account for relation between the treads of stair and moments and suggest that women may adapt their gait to maximize stability and to control gait motion for themselves in pregnant women.

Exploring the Use of Melody During RAS Gait Training for Adolescents with Traumatic Brain Injury: A Case Study (외상성 뇌손상 청소년 대상 리듬청각자극(RAS) 보행 훈련 시 선율 적용 사례)

  • Park, Hye Ji
    • Journal of Music and Human Behavior
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    • v.12 no.2
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    • pp.19-36
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    • 2015
  • The purpose of this study was to examine the effects of rhythmic auditory stimulation (RAS) on gait parameters, with and without the presence of a melody, for adolescents with traumatic brain injury (TBI). Three adolescents with TBI received a total of ten individual RAS training sessions. At pre and posttest, spatiotemporal parameters including cadence, velocity and kinematic parameters were measured using the VICON 370 Motion Analysis System. The results showed no significant difference in gait velocity between the two conditions, thus the presence of the melody condition did not impact the outcome of RAS gait training. On the other hand, all participants showed improvement in gait function after RAS training. The cadence, velocity, stride length, and symmetry were increased and the stride time was reduced after training. The motion analysis demonstrated that the movement patterns of hip and knee joints improved, as they were more similar to normal gait, which indicates that the walkings tance became more stable. The research findings indicate that rhythm is the primary factor in mediating gait functions via RAS training. This study also supports that RAS training can effectively improve the gait function for adolescents with TBI.

Implementation of Gait Analysis System Based on Inertial Sensors (관성센서 기반 보행 분석 시스템 구현)

  • Cho, J.S.;Kang, S.I.;Lee, K.H.;Jang, S.H.;Kim, I.Y.;Lee, J.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.137-144
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    • 2015
  • In this paper, we present an inertial sensor-based gait analysis system to measure and analyze lower-limb movements. We developed an integral AHRS(Attitude Heading Reference System) using a combination of rate gyroscope, accelerometer and magnetometer sensor signals. Several AHRS modules mounted on segments of the patient's body provide the quaternions representing the patient segments's orientation in space. And a method is also proposed for calculating three-dimensional inter-segment joint angle which is an important bio-mechanical measure for a variety of applications related to rehabilitation. To evaluate the performance of our AHRS module, the Vicon motion capture system, which offers millimeter resolution of 3D spatial displacements and orientations, is used as a reference. The evaluation resulted in a RMSE(Root Mean Square Error) of 1.08 and 1.72 degree in yaw and pitch angle. In order to evaluate the performance of our the gait analysis system, we compared the joint angle for the hip, knee and ankle with those provided by Vicon system. The result shows that our system will provide an in-depth insight into the effectiveness, appropriate level of care, and feedback of the rehabilitation process by performing real-time limb or gait analysis during the post-stroke recovery.

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A Case Report of Meralgia Paresthetica (Meralgia Paresthetica 치료(治療) 1례에(例) 대한 증례보고)

  • Na, Gun-ho;Park, Eun-ju;Shin, Jeong-cheol;Lee, Dong-hyun;Lee, Sam-ro;Ryu, Chung-ryul;Yoon, Yeo-choong;Cho, Myung-rae
    • Journal of Acupuncture Research
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    • v.22 no.1
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    • pp.109-115
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    • 2005
  • Objective : The purpose of this case is to report the improvement after treatment about a patient with meralgia paresthetica. Methods : We treated the patient with acupuncture therapy and Herbal medication from 11th October 2004 to 15th October 2004 by evaluating femoral function with VAS score and R.O.M of femur joint. Results : After 5 times of treatment, this patient achieved excellent outcome following the technique, showing that clinical symptom as like heating sense, edema and pain was disappeared, VAS changed from 10 to 1 and there was no limitation of ROM of femur. Conclusions : Meralgia paresthetica is a symptom complex that includes numbness, paresthesias, and pain in the anterolateral thigh, which may result from either an entrapment neuropathy or a neuroma of the lateral femoral cutaneous nerve(LFCN). Oriental medical treatment for meralgia paresthetica resulted in satisfactory results by diminishing the symptoms progressively during the five days of treatment. Differential diagnosis was based on careful physical examination. More research of meralgia paresthetica is needed.

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