• 제목/요약/키워드: 관절강

검색결과 337건 처리시간 0.026초

유근피 약침액이 생쥐의 두개골 파골세포에서 골재흡수의 저해에 미치는 영향 (Effect of Ulmus Davidiana Planch Herbal Acupuncture Solution on Inhibition of Experimental Bone Resorption in Mouse Calvarial Bone Cells)

  • 강미숙;백성욱;김갑성
    • Journal of Acupuncture Research
    • /
    • 제25권2호
    • /
    • pp.119-127
    • /
    • 2008
  • 목적 : 골관절염치료에 빈용되는 유근피 약침액의 처치가 생쥐의 파골세포에 있어서 골재흡수의 저해에 미치는 영향을 알아보고자 하였다 방법 : 생쥐에게 유근피 약침액을 두개골 세포에 전, 후 처치하여 골재흡수에 대한 유근피 약침액의 억제 활성능을 검토하였다. 결론 : 염증성 cytokine 중 $IL-1{\beta}$ 유도인자인 PGE와 LPS처리로 $IL-1{\beta}$생성이 증가되었으나, 유근피 약침액 처치군은 이를 억제하였다. 유근피 약침액 전처리군에서도 $IL-1{\beta}$ 생성이 억제되었다. 유근피 약침액 처치군은 PGE2유발 $IL-1{\beta}$ 전사를 억제하였으며, PGE2 유발 $IL-1{\beta}$ 유도는 cAMP antagonist인 Rp-cAMP와 protein kinase A(PKA)저해제에 의해서도 억제되어 $IL-1{\beta}$ 발현에 cAMP, PKA 신호전달경로가 관여함을 시사하였다. 본 연구에서 유근피 약침액은 강한 항 관절염효과와 골재흡수 저해 활성이 있으며, 관절염 치료, 예방에 유의함을 밝힌 것으로 사료된다.

  • PDF

혈우병관절염 수술환자를 위한 타이치자조관리 프로그램 효과 (The Effect of Tai Chi Self Help Group Program for Hemophilic Arthritis Patients)

  • 박원숙;유명철;강현숙
    • 근관절건강학회지
    • /
    • 제19권1호
    • /
    • pp.71-83
    • /
    • 2012
  • Purpose: The purpose of this study was to develop and evaluate the effects of Tai Chi Self-help program for Hemophilic Arthritis Patients. Method: A quasi-experimental design was used. The subjects were 48 patients who underwent orthopedic surgery (24 experimental group, 24 control group). The subjects of experimental group were participated in the Tai Chi self-help group program in which 16 times for 8 weeks. The program consisted of health education on hemophilia, Tai Chi exercise, and workshop and its outcomes have been evaluated on WOMAC(Western Ontario and McMaster scale), mobility, pain, fatigue, muscle strength, depression, and quality of life(SF-36). The obtained data were analyzed by using the t-test or Fisher's exact test of PASW 18.0. Results: 1) The score of WOMAC, pain, fatigue, and depression decreased significantly in the experimental group as compared to the control group. 2) The score of mobility, muscle strength, and quality of life increased significantly in the experimental group as compared to the control group. Conclusion: Considering these research results, the program could be useful to improve joint movement, strength and psychological condition for patient with hemophilic arthritis, particularly in those who underwent orthopedic surgery.

반월상 연골 손상에 대한 관절강내 봉약침 치료 증례보고 4례 (The Effect of Intra-articular Bee Venom Injection on Meniscal Injury : Four Cases Report)

  • 김동은;유덕선;염승룡;권영달;송용선
    • 한방재활의학과학회지
    • /
    • 제20권1호
    • /
    • pp.219-230
    • /
    • 2010
  • According to previous reports, intra-articular bee venom injection is very effective for synovitis, intra-articular lesions. In this article, we report 4 cases of well-treated meniscal tear with intra-articular bee venom injection. We used intra-articular bee venom injection on meniscal tear diagnosed by MR imaging and prescribed herbal medication, physiotherapy if necessary. Outcomes were measured by Visual Analogue Scale(VAS) and Lysholm Knee Scoring Scale. Patients who are treated by intra-articular bee venom injection had a significant effect on the pain reduction, improved range of motion and knee function. Further well-designed, controlled studies and more cases are needed to define the effect of intra-articular bee venom injection on knee.

Fluoroscopy를 이용한 관절강내 약침의 임상적 고찰 (The clinical review of intra-articular herbal-acupuncture by using Fluoroscopy)

  • 김성웅;배은정;이정훈;서정철;임성철;한상원
    • Journal of Acupuncture Research
    • /
    • 제20권6호
    • /
    • pp.182-189
    • /
    • 2003
  • Objective : The aim of this study is to confirm if the intra-articular herbal-acupuncture exactly inserted into the joints by using fluoroscopy. Methods : An Oriental Medicine doctor inserted needle for herbal-acupuncture into intra-articular joint of elbow, wrist, knee and ankle with fluoroscopy or without fluoroscopy. Results : Needle was exactly inserted into elbow, wrist, knee and ankle by using fluorosopy, but it was not exactly inserted into the same point of joints without fluorosopy. Conclusions : Without fluoroscopy, the needle for intra-articular herbal-acupuncture was not exactly inserted into the joints. Further study is needed about intra-articular herbal-acupuncture.

  • PDF

바이오휘드백을 이용한 운동훈련이 재가 편 마비 환자의 상지둘레, 악력, 근육강도, 관절운동범위, 일상생활활동에 미치는 효과 (Effects of Biofeedback Exercise Training in Hemiplegic Patients after Stroke)

  • 김금순;이소우;최명애;이명선;김은정
    • 대한간호학회지
    • /
    • 제31권3호
    • /
    • pp.432-442
    • /
    • 2001
  • Purpose: The purpose of this study was to investigate the effects of biofeedback exercise training on muscle activity and activities of daily livings (ADL) in hemiplegic patients. An experimental group consisting of 17 people, was given biofeedback exercise training for 30- 60 minutes per week for 5 weeks, while a control group consisting of 18 people, was given normal exercise with quasi-experimental design. Result: The results of the study show that biofeedback exercise is effective for improving muscle activity in hemiplegic patients, especially in the hemiplegic limbs. However, this study found no significant differences in ADL and IADL between the experimental and the control groups. It implies that ADL and IADL may not be improved for a short period of time, such as 5 weeks, for people with more than five years of hemiplegia. The study suggests that the effect of biofeedback exercise on ADL and IADL should be determined in hemiplegic patients in acute stage.

  • PDF

이두근 장두 건 고정술시 강한 고정이 필요한가? (Is the Strong Fixation Necessary in Performing Biceps Tenodesis?)

  • 송현석;최우혁
    • Clinics in Shoulder and Elbow
    • /
    • 제15권2호
    • /
    • pp.148-153
    • /
    • 2012
  • 다양한 이두근 건고정술이 시행되고 있어서, 문헌들의 결과를 단순 비교하기 어렵게 만든다. 이두근 장두의 건고정술은 첫째로, 시술을 관혈적 절개를 통하여 시행하는가 또는 관절경을 이용한 방법으로 시행하는가로 구분해 볼 수 있다. 두 번째로는, 이두건 자체를 고정하는 주변 조직에 따라서 연부 조직 건고정술과 골 고정술로 나눌 수 있다. 세 번째로는, 고정하는 위치에 따라 근위부와 원위부로 구분할 수 있다. 네 번째로는, 건 고정술에 기구(간섭 나사, 봉합 나사, 비매듭 봉합 나사 등)를 사용하는 가에 따라서 구분해 볼 수 있다. 적절한 고정력이 어느 정도인지 밝혀지기까지는 단정적인 결론은 보류되어야 한다.

관골구 골절에서의 전산화단층촬영술의 진단적 가치 (Diagnostic Value of Computed Tomography in Acetabular Fracture)

  • 김선용;박복환;인주철
    • Journal of Yeungnam Medical Science
    • /
    • 제5권1호
    • /
    • pp.43-48
    • /
    • 1988
  • 골절의 모양, 범위 및 골편의 해리의 정도를 C.T.로서 잘 결정할 수 있었다. 고관절을 비롯한 기타 골반골의 골절과 연부 조직손상 정도를 잘 알 수 있었다. 고식적인 단순 Z-선 촬영으로 발견이 안 되었던 고관절내 골편의 유 무를 잘 관찰할 수 있었다. 골반골 골절이 있는 움직이기 어려운 환자에서 검사가 쉽고, 용이하게 이루어질 수 있었다. 수술후 관절강내 골편이나 개방성복술에 대한 평가를 잘 할 수 있었다.

  • PDF

원판형 외측 반월상 연골과 동반된 전방 십자 인대의 결절종 - 증례보고 - (A Ganglion Cyst in the Anterior Cruciate Ligament Accompanying with Discoid Lateral Meniscus - A Case Report -)

  • 강충남;김동욱;김종오;최창호
    • 대한관절경학회지
    • /
    • 제2권1호
    • /
    • pp.64-67
    • /
    • 1998
  • A ganglion cyst is a soft tissue mass that is surrounded by a dense connective-tissue capsule. The capsule is filled with a viscous fluid that is rich in hyaluronic acid and other mucopolysaccharides. But, Ganglion cysts in the knee joint are rare. There are very few case reports of ganglion cysts related to the surface of the anterior cruciate ligament, Posterior cruciate ligament and medial meniscus. We are reporting a case of a ganglion cyst in the anterior aspect of the anterior cruciate ligament accompanying with discoid lateral meniscus in the right knee of a 46-year-old woman without any history of trauma. The cyst and discoid lateral meniscus were treated successfully with arthroscopic excision and partial meniscectomy.

  • PDF

운동선수에서 횡방향 나사 고정 후 발생한 슬개골의 골절 - 증례 보고 - (Patellar fracture after transverse screw fixation in sports athletes - A case report -)

  • 라호종;김성태;하정구;김진구
    • 대한정형외과스포츠의학회지
    • /
    • 제10권2호
    • /
    • pp.109-112
    • /
    • 2011
  • 전위성 슬개골 골절에 있어서 해부학적 정복 및 견고한 고정은 슬관절 기능과 강도, 그리고 조기 관절 운동 범위의 회복을 위해서 필요하다. 골절의 형태와 다양한 수술 기법에 따라서, 수술 후 많은 합병증들이 보고 되어져 왔다. 본 저자들은 운동 선수들에게서 발생한 종골절 1예와 이분성 슬개골의 골편 전위 골절 1예에서 유관 나사못 횡 고정술을 시행한 뒤 새로운 횡골절이 발생한 증례를 경험하여 보고하고자 한다.

  • PDF

만성 관절염 환자의 자기효능과 수중 운동지속과의 관계 (The Relationship between Self-efficacy and Aquatic Exercise Adherence in Patients with Chronic Arthritis)

  • 강현숙;김종임;이은옥
    • 근관절건강학회지
    • /
    • 제6권2호
    • /
    • pp.317-324
    • /
    • 1999
  • The purpose of this study was to identify the relationship between self-efficacy and adherence of aquatic exercise in patients with chronic arthritis. Subjects were 54 patients with rheumatoid arthritis and osteoarthritis who had participated in the 6-week aquatic exercise program. The results indicated that the relationship between self-efficacy and aquatic exercise adherence in patients with chronic arthritis was statistically significant. A significant difference of self-efficacy was found between adherers and non-adherers and self-efficacy of adherer was higher than that of non-adherer(t=5.21, p=.000). Self-efficacy was significantly associated with the total duration of an aquatic exercise adherence(r=.44, p=.001). Based on these results, self-efficacy was the important factor which affect adherence of aquatic exercise in patients with chronic arthritis. Further study was suggested to identify the relationships among self-efficacy, exercise barrier and other possible factors.

  • PDF