• 제목/요약/키워드: 관절통

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The study was to investigate the Spontaneous therapy, TENS and Ice therapy of Biceps brachii after induction of DOMS (자연치유와 경피신경전기자극치료, 그리고 냉치료가 지연성근육통이 유발된 위팔두갈래근의 통증과 근력 및 근활성도에 미치는 영향)

  • Kim, Keun-Jo;Lee, Cu-Rie;Jung, Byeong-Ok;Bang, Hyun-Soo
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.491-494
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    • 2009
  • 본 논문에서는 비우세 팔굽관절 굽힘근육에 원심성운동을 실시하여, 지연성근육통을 유발시킨 후, 자연치유과 경피신경전기자극치료, 그리고 냉치료의 효과를 조사하는데 그 목적이 있다. 자연치유군과 경피신경 전기자극치료군, 그리고 냉치료군의 평가를 위해 팔꿉관절의 운동시에 시상통증척도(VAS), 최대 염력, 실 효치 값을 측정하여 평가하였다. 대상자는 신체적 결함이 없는 30명의 성인을 대상으로 하였고, 대상자들은 지연성근육통 유발 후, 3개의 군인 자연치유군, 경피신경전기자극치료군, 냉치료군으로 나누었고, $60^{\circ}$/초의 등속성 각속도에서 최대 근력으로 운동시에 최대 연력과 실효치 값, 그리고 시상통증척도를 측정하여 평가하였다. 1. 시상통증척도는 경피신경전기자극치료군의 치료3일차에서 다른 군과 다른 기간에 비해 가장 낮은 수치를 나타내었고, 통계적으로 유의하였다(p<.05). 2. 최대 염력은 경피신경전기자극치료군의 치료3일차에서 다른 군과 다른 기간에 비해 가장 높은 수치를 나타내었고, 통계적으로 유의하였다(p<.05).3. 실효치 값은 경피신경전기자극치료군의 치료3일차에서 다른 군과 다른 기간에 비해 가장 높은 수치를 나타내었고, 통계적으로 유의하였다(p<.05). 이상의 연구 결과로 보아 경피신경전기자극치료는 지연성근육통에 대하여 자연 치유나 냉치료에 비해 더욱 효과적인 치료 방법임을 알 수 있다. 그러므로, 지연성근육통을 가진 환자의 치료 시에 경피신경전기자극치료의 적용은 권장되어야 한다.

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Lead Uses in the Automotive Industry and Alternatives (자동차산업에서 사용하는 납과 그 대체수단)

  • Lee, Hyun-Chang;Park, Woo-Cheol;Choi, Sin-Hyeong
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.817-819
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    • 2010
  • 납은 인체에 치명적인 물질이다. 어린이는 물론 성인도 납에 노출되면 고혈압, 소화불량, 신장손상, 신경부조화, 수면장애, 근육통, 관절통 등을 유발하며 조울증의 원인이 되기도 한다. 따라서 가솔린, 페인트, 음식캔 등에 널리 사용되던 납은 80년대 이후 그 사용이 거의 금지되었으나 자동차산업에서는 경제적인 이유로 인하여 아직도 배터리 제조 등에 그 사용이 줄어들지 않고 있다. 현재 국내에는 약 20만 톤의 납이 자동차의 일부로 거리에서 움직이고 있다. 이에 본 연구에서는 자동차산업의 납 사용실태를 파악하고 이의 대체수단에 대하여 검토해 보고자 한다.

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A Case of Fibromyalgia Treatment Using Yin-yang Balancing Therapy of Temporomadibular Joint (TMJ) (턱관절음양균형요법을 이용한 섬유근육통증후군 치험1례)

  • Lee, Sang Bae;Lee, Young Jun
    • Journal of TMJ Balancing Medicine
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    • v.10 no.1
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    • pp.32-36
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    • 2020
  • This case is witten for presenting the effect of the yin-yang balancing therapy using the TMJ balancing appliance which normalizes the yin and yang balance of the brain-nervous system including the Meridian system. The balancing appliance was used in patient with fibromyalgia syndrome, and clinical outcome measurements were performed through clinical observations in specific movement and actions. The patient displayed positive changes after the treatment and the effect was well-maintained during the treatment period. For the more precise evaluation, clinical and biological studies of temporomadibular balancing therapy (TBT) are needed.

Technical Note of Meniscal Allograft Transplantation using Minimal Incision (최소 절개술에 의한 반월상 연골 동종이식 수술기법)

  • Min, Byoung-Hyun;Kim, Ho Sung;Jang, Dong Wok;Kang, Shin Young
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.1
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    • pp.54-61
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    • 1999
  • The current treatment of extensive meniscal injuries has resulted in numerous investigations and clinical trials to restore normal meniscal functions. A cryopreserved meniscal allograft transplantation is one of the successful methods available to restore the meniscus. All the procedures of 26 cases were performed in an minimal open fashion, though initial four cases were done with the aid of arthroscope. In all of the grafts, we used a bone bridge which was attached to meniscus for better stability and healing. Anterior cruciate ligament reconstructions were also performed simultaneously with the meniscal procedures. We attempted to minimize articular cartilage by employing so called the "Key-hole technique" for the medial meniscus transplantation. First, the meniscal cartilage bone bridge was shaped into a cylinder and a bone tunnel was made just beside the medial border of the anterior criciate ligament insertion of the recipient knee joint, and the bone bridge of the meniscal cartilage was push to press-fit. The inserted meniscal cartilage was sutured by the usually employed technique under arthroscopic control. The lateral meniscus was shaped different to the medial meniscus in that the bone bridge was semicylindrical and the bone trough was made beside the lateral border of the anterior criciate ligament insertion of the recipient knee joint. The meniscus was put into the bone trough and the leading suture was extracted anterior to the tibia and tied the knot. The inserted meniscus was sutured in the same manner as the medial meniscus transplantation. By the above described method, the authors were able to minimize the articular cartilage invasion and transplant the meniscus with relative accuracy.

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Effect of Stretching Exercise on Cervical ROM in Elderly (노인환자의 스트레칭 운동이 목 가동범위에 미치는 영향)

  • Jeon, Ho-Young;Lee, Sang-Yeol;Bae, Sung-Soo;Jang, Chel;Lee, Geon-Cheol
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.1
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    • pp.57-62
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    • 2009
  • 목적 : 이 연구의 목적은 스트레칭이 노인의 경부 통증과 관절가동범위에 미치는 영향을 알아보는데 있다. 방법 : 치료에 따른 전, 후 경추 굴곡 신전 패턴을 이용한 스트레칭이 목의 관절가동범위 변화와 통증변화에 미치는 영향을 알아보기 위해 20명(남자 10명, 여자 10명)을 대상으로 치료 전, 치료 4주 후에 얻은 측정치를 대응 t-검정을 사용하여 분석하였다. 결과 : 치료 4주후 통증수치, 경추 관절 굴곡, 신전, 좌회전, 우회전 변화는 유의한 감소를 보였다. 결론 : 스트레칭이 노인 경부근막동통증후군 환자의 관절가동범위 증가와 통증 감소에 효과적이라는 것을 확인하였다.

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Biceps Pulley Impingement - Case Report - (이두박건 활차의 충돌 징후 - 증례보고 -)

  • Choi Chang-Hyuk;Kim Shin-Kun;Kang Byung-Kyu;Jang Woo-Chang
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.1
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    • pp.71-76
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    • 2003
  • We evaluated biceps pulley as a stabilizing sling for the long head of biceps tendon in the rotator interval. We present 3 cases of detached biceps pulley which impinges on posterosuperior glenoid labrum in the position of late cocking. Pulley impingement related to anterior shoulder instability was relieved after Bankart repair. In another two cases, impingement symptoms were disappeared after resection of the detached biceps pulley.

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Evaluation of image quality for metal artifact using protocol parameters in the MRI (자기공명영상에서 프로토콜 변화를 이용한 금속인공물의 영상평가)

  • Lee, Su-Hyun;Kim, Do-Gyoung;Kim, Yo-Han;Yeum, Hyei-Jeong;Lee, Heon-Jun;Lim, Ju-Yeon;Choi, Woo-Jeon;Kim, Dong-hyun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2015.10a
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    • pp.582-585
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    • 2015
  • In the aging society, TKRA is steadily increased because of joint diseases. Artificial joint used in TKRA generates metal artifacts in the MRI. Metal artifact may affect diagnosis. In study, We are going to minimize the effect of metal artifact to improve the value of diagnosis by changing the sequence and the type of artificial joint(Co-Cr, Ni-Ti). 1.5T AVANTO, plastic containers and each of the artificial joint (Normal, Co-Cr, NiTi) were used. After the artificial joints fixed in a paper cup was inserted in a plastic container of cylindrical, Signal intensity was measured. To obtain strong and uniform signal intensity, the plastic container was filled with water. We changed Sequences(T1 TSE, T2 TSE, PD TSE) and obtained an Axial image. After excepting the maximum and minimum values, We calculated the average of SNR, CNR and PSNR. Consequently, The SNR, CNR value of PD TSE are measured higher than these of T1 TSE, T2 TSE and The PSNR of Co-Cr is higher than this of Ni-Ti. The SNR of Co-Cr is similar to the SNR of normal comparing this of Ni-Ti. As a result, Using sequence of PD Tse and Co-Cr alloy is considered to be useful.

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Cause of Pes Anserinus Tenderness (거위발 건 압통의 원인)

  • Kim, Jung-Man;Lee, Dong-Yeob;Koh, In-Jun;Kim, Sang-Il
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.1
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    • pp.13-17
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    • 2009
  • Purpose: The purpose of this study was to know the cause of the tenderness at pes anserinus. Materials and Methods: Out of 24 patients with tenderness at pes anserinus, 23 patients were female and 1 patient was male, and their average age was 65.9 years old. We checked the tenderness at pes anserinus by history taking & physical examniation and then, checked the pes anserinus for the presence of bursitis by US in outpatient clinic. With no evidence of bursitis by US, we injected steroid-lidocaine mixture intraarticularly and checked whether the tenderness disappeared after 2~3 minutes. Results: There was no case with bursitis at pes anserinus by US. The tenderness at pes anserinus diminished in 2-3 minutes after the intraarticular injection of the steroid-lidocaine mixture. After 6 weeks follow up, 16 patients(66.7%) had little or no tenderness at pes anserinus. 8 cases had the recurrence of tenderness recurred, 4 cases underwent arthroscopic operation on the meniscal tear, and 1 case underwent total knee arthroplasty. All cases underwent any operations had the tenderness at pes anserinus disappeared. The others 3 cases did not undergo total knee arthroplasty despite of radiologic obliteration of knee joint adequate for Kellgren-Lawrence grade IV. Conclusion: Without the bursitis at Pes Anserinus, patients the osteoarthritis may have the tenderness due to the referred pain.

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A Phenomenological Perspective and Meaning of joint-pain's Experience of Women's in an island (관절통을 경험한 도서지역 여성의 체험연구)

  • Kim, Gan-Woo
    • Journal of muscle and joint health
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    • v.5 no.2
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    • pp.265-285
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    • 1998
  • This Qualitative nursing research was made with a hermeneutic phenomenological approach to find out the meaning and nature of human's experience. The purpose of the inquiry is to find out the meaning and to understand the nature of Joint pain's experience of women in the island and to apply the result to nursing practice. The study was guided by Shin Kyung Rim's four step that revised van Manen's method for doing research. The method of inquiry included : turning to interesting phenomenon. inquiring and investigating experience as it was lived rather than as conceptualized ; reflecting and analyzing essential themes which characterize phenomenon ; and describing phenomenon through art and literature. Multiple strategies for data collecting were needed : deep face to face interview ; analysis of joint pain of women's writings ; describing and analysis of examples of the phenomenon in art, literature. Through this process essensial them of the experience was emerged : Misery that I would like to cut off my body, Sea wind soaking deeply into the bones, Dull pain from the postpartum cold wind, The another suffer I should endure by myself, Recrudesce despite all the try I have made, Often forgetting the pain of every Joint for hardship of life. Findings from artistic and creative inquiry further was validated and meaning was discovered. The study illuminated meaning and simultaneously validated the phenomenological research process. Essential themes for understanding women joint pain's experience, implications, for education, research and practice, direction and need for continuing inquiry were identified.

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Clinical Effect of Arthrocentesis for Patients with Disc Displacement without Reduction of Temporomandibular Joint : Report of Cases (측두하악관절의 비정복성 관절원판변위 환자에 대한 관절강 세정술의 임상효과 : 증례보고)

  • Kim, Cheul;Kim, Young-Jun
    • Journal of Oral Medicine and Pain
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    • v.31 no.2
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    • pp.177-183
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    • 2006
  • The management of refractory pain and limitation of mouth opening in the temporomandibular joint (TMJ) is both challenging and controversial. Arthrocentesis is a simple technique and it can be used instead of more invasive surgical procedures for patients who failed to conventional conservative treatments. The patients in this case report had complained persistent severe pain and restricted mandibular movement of TMJ, although they had been treated with conservative therapy, e.g., stabilization splint therapy, behavioral therapy, physical therapy, pharmacological therapy. Therefore we employed arthrocentesis for these patients, and they showed significant reduction of pain and improvement of mandibular movement after repetitive arthrocentesis. We recommend arthrocentesis as an effective, minimally invasive technique for patients with continuing severe pain and restricted mobility in the TMJ that is unresponsive to conservative management.