• Title/Summary/Keyword: 근골격계 질환

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A Systematic Review of the Effectiveness of Eastern-Western Integrative Medicine for Musculoskeletal Disorders (근골격계 질환의 한·양방협진치료 효과 연구에 대한 체계적 문헌 고찰)

  • Lee, Seung-Jin;Shin, Byung-Cheul;Song, Geun-Sung;Hwang, Eui-Hyoung;Yun, Young-Ju;Cho, Hyun-Woo
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.4
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    • pp.87-96
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    • 2011
  • Objectives: This study aims to systematically evaluate the effectiveness of Eastern-Western integrative medicine for musculoskeletal disorders compared with Eastern or Western Medicine. Methods: Systematic sea-mes of 9 major Korean databases were conducted for articles published up to July 2011. Searching keyword was "Integrative Medicine". Prospective studies dealt with musculoskeletal disorders by Eastern-Western integrative medicine were included. Quality assessment of included studies was evaluated by Cochrane risk of bias tool. Results: 470 studies in total were seamed, Amalg them 7 studies met our inclusion criteria(3 randomized controlled clinical trials, 2 non-randomized controlled trials and 2 uncontrolled clinical trials). Included studies dealt with lumbar pan(3), shoulder pain(2), pain after traffic injury(1), spinal compression fracture(1). Eastern-Western integrative medicine showed better or equal effect for the treatment of various muscloskeletal disorders compared with Eastern or Western medicine alone. Conclusions: There is very weak evidence for the effectiveness of Eastern-Western integrative medicine for musculoskeletal disorders compared with Eastern or Western medicine alone. Well designed randomized controlled trials with rigorous methodology are needed to evaluate the effectiveness of Eastern-Western integrative medicine objectively in the future.

Development of an Ergonomic Checklist for the Investigation of Work-related Lower Limb Disorders in Farming - ALLA: Agricultural Lower-Limb Assessment (농작업에서 발생하는 하지자세의 근골격계 질환 위험도 평가를 위한 인간공학적 평가도구 개발)

  • Kong, Yong-Ku;Han, Jun-Goo;Kim, Dae-Min
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.6
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    • pp.933-942
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    • 2010
  • Objective: To develop an ergonomic evaluation tool which can be apply to assess the lower-limb postures associated with farming tasks. Background: In general, most of existing ergonomic assessment tools was developed to investigate the work-related musculoskeletal disorders of the upper-limb postures in manufacturing industry. Methods: As the first step of development of the evaluation tool, 13 lower-limb postures that were commonly observed in farming task were investigated by the subjective discomfort ratings, heart rates, and muscle activities. And then, an ergonomic evaluation tool for the lower-limb postures was developed based on results of the first experiment. Lastly, the ergonomic checklist which was developed in the current study was compared with other existing ergonomic assessment tools. Results: Based on the results of comparisons between a newly developed assessment tool and other existing assessment tools, it was found that a newly developed tool can perceive more sensitively for the various lower-limb postures than other assessment tools. Conclusions: Lower-limb posture assessment tool which can evaluate and assess risks of lower-limb WMSDs which were prevalent in farming tasks more easily and accurately was developed in this study. The lower-limb assessment tool can also be utilized to prevent WMSDs related with lower-limbs as well as improve working environments.

Survey of Musculoskeletal Disorders in Korean Dentists (국내 치과의사의 근골격계질환 실태 조사)

  • Cha, Joo-Hyoung;Ryu, Tae-Beum;Choi, Hwa-Soon;Lee, Jai-Bong;Kim, Myeng-Ki;Chung, Min-K.;Jeong, Cheol-Hyun
    • Journal of the Ergonomics Society of Korea
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    • v.26 no.2
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    • pp.137-147
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    • 2007
  • Dentists are known to be highly exposed to the musculoskeletal disorders (MSD). The present study investigated the prevalence of MSD among Korean dentists and association between their MSD and physical workload. In addition, work-related causes of high physical workload were identified and needs of dentists were collected for improvement of dental instrument and environment. Four types of questionnaires including the Nordic questionnaire were used to investigate body troubles, physical workload, causes of physical workload, and improvement priority of dental components. A total of 104 dentists in Seoul were participated in the survey. Neck trouble (82%) was the most prevalent in the participated dentists and shoulder (68%) and low back trouble (56%) followed, while low back trouble was reported to be most common in previous western studies. The body troubles were related to the physical workload of the corresponding body parts, although they were not associated with personal characteristics. Most dentists selected 'to keep direct view inside patient's mouth' and 'no support of the hand with dental instruments' as causes of awkward and strenuous work postures. They wanted design improvement for some components in their operating room such as operating light and arrangement of workplace.

Occupational risk factors influencing subjective oral symptoms in hospital facility Temp·Contract Workers (병원 시설 파견·용역 근로자들의 주관적 구강 증상에 영향을 미치는 직무 위험 요인에 관한 연구)

  • Hong, Min-Hee;Lee, Jung-Min;Jang, Ki-Won
    • Journal of Convergence for Information Technology
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    • v.11 no.7
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    • pp.298-306
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    • 2021
  • The purpose of this study was to examine the occupational risk factors that affect oral symptoms in hospital facility workers. This study surveyed 627 hospital facility temp·contract workers in the metropolitan area from November 17, 2020 to May 20, 2021. The results of the study indicate that oral symptoms were higher among workers with high risk of musculoskeletal disorders and injuries. Also, symptoms of oral mucosa, temporomandibular joint disorder, and dry mouth were high in the areas of job insecurity and organizational injustice. As the occupational risk factors and occupational stress of workers increased, the risk of oral symptoms increased. In the future, this study can be used as basic data for improving oral health policies to better the oral health of hospital facility workers.

Use of Aconitum Herbal Medicine for Pain Control in Musculoskeletal Disease (근골격계 질환에서 통증 조절을 위한 부자류 약물의 활용)

  • Park, Hye-Jin;Kim, Hyun-Tae;Lee, Sang-Hyun;Heo, In;Hwang, Man-Suk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.16 no.2
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    • pp.47-54
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    • 2021
  • Objectives This review was conducted to study use of Aconitum herbal medicine for pain control in musculoskeletal disease. Methods Musculoskeletal disease is a major factor of social cost increase and physical disability. Various drugs, surgery and imaging are being overused regardlessly. Aconitum herbal plants are one of the most toxic Korean traditional herbs. However, they could be utilized effectively on patients with appropriate processing and decocting time. We searched Korean medicine literature to see various features of aconitum herbal plants and tried to find the utilization of the plants in effective way for pain control in musculoskeletal disease. Results Aconitum herbal plants needs to be used carefully because of intoxication which could lead to severe damage to human body. Processing of these toxic plants could minimize the harm and raise the benefits, such as relieving various types of pain and positive inotropic action. Further studies with clearer evidence and discovering aftereffects of processing in more details are needed. Conclusions Aconitum herbal plants could dedicate to controlling pain in musculoskeletal disease with various forms and appropriate processing.

A Systematic Review and Quality Assessment of Scalp Acupuncture for Musculoskeletal Diseases: Focused on Randomized Controlled Trials (근골격계 질환의 두침치료에 대한 체계적 문헌 고찰과 질 평가: 무작위 배정 대조 임상연구를 중심으로)

  • Do-Hun Kong;Byung-Cheul Shin
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.4
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    • pp.61-78
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    • 2023
  • Objectives This systematic review aimed to analyze the effectiveness, safety and the reporting quality of scalp acupuncture (SA) treatment for musculoskeletal disease (MSD). Methods Eleven databases were systematically searched up to July 12th 2023. Randomized controlled trials (RCTs) of SA treatment for MSD were selected manually by the inclusion criteria. The risk of bias of RCTs was assessed using the Cochrane's Risk of Bias (RoB) 1.0 and the reporting quality of studies was evaluated using Consolidated Standards of Reporting Trials (CONSORT) 2010 statement and Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) 2010 checklist. Results Ten clinical studies were met the inclusion criteria. Most of studies reported SA treatment significantly alleviated pain and functional disability of MSD patients and no serious adverse effects were reported. In RoB assessment, blinding of participants and personnel was found to have the highest RoB and allocation concealment was found to have the most unclear RoB. In CONSORT 2010 statement evaluation, all studies reported 15.3 items (41.4%) on average. In STRICTA 2010 checklist evaluation, all studies reported 11.2 items (65.9%) on average. Conclusions The systematic review found that SA treatment may alleviate pain and functional disability of MSD patients and have little severe adverse effect. The reporting quality of included studies was mainly low, therefore, further studies with strict adherence to the CONSORT and STRICTA checklist should be encouraged.

An Integrated and Complementary Evaluation System for Judging the Severity of Knee Osteoarthritis Using CNN (CNN 기반 슬관절 골관절염 중증도 판단을 위한 통합 보완된 등급 판정 시스템)

  • YeChan Yoon
    • Journal of Korea Society of Industrial Information Systems
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    • v.29 no.4
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    • pp.77-89
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    • 2024
  • Knee osteoarthritis (OA) is a very common musculoskeletal disorder worldwide. The assessment of knee osteoarthritis, which requires a rapid and accurate initial diagnosis, is determined to be different depending on the currently dispersed classification system, and each classification system has different criteria. Also, because the medical staff directly sees and reads the X-ray pictures, it depends on the subjective opinion of the medical staff, and it takes time to establish an accurate diagnosis and a clear treatment plan. Therefore, in this study, we designed the stenosis length measurement algorithm and Osteophyte detection and length measurement algorithm, which are the criteria for determining the knee osteoarthritis grade, separately using CNN, which is a deep learning technique. In addition, we would like to create a grading system that integrates and complements the existing classification system and show results that match the judgments of actual medical staff. Based on publicly available OAI (Osteoarthritis Initiative) data, a total of 9,786 knee osteoarthritis data were used in this study, eventually achieving an Accuracy of 69.8% and an F1 score of 76.65%.

General Radiography Examination Statistical analysis of Patients in Geriatric hospitals (노인요양병원 내원환자의 일반촬영 통계분석)

  • Kim, Kyuhyung;Lee, Junhang;Kim, Youngwan
    • Journal of the Korean Society of Radiology
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    • v.7 no.1
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    • pp.71-79
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    • 2013
  • The purpose of this study is to establish the basic data for the management of the elderly patients aged more than 60 suffering from musculoskeletal disorders in geriatric hospitals. From January, 1 2012 to December 31, 2012, 2,500 patients who were taken the x-ray inspection and were analyzed x-ray order 5,042 cases above spines, upper lower extremities and joints. The elderly age was divided into 3 groups according to Brody elderly statistics. The majority of elderly patients who visited the hospital are exposed to spinal disorders and joint diseases. Shoulder, knee, L-spine examination cases had accounted for more than half the number of total. By age group, the number of the first quarter was most dominant commonly. Second and third quarter was maintaining slightly decrease. The fourth quarter had reduced compared to the first quarter. If the visiting purposes and the disease causes analysis and preventive measures are taken in a study, it is expected to utilize as basic data to make a plan of the education for preventing diseases and elderly behavior planning for geriatric hospitals and to redistribute health care resources of the rural areas efficiently.

The Effects of Microcurrent Stimulation on Erector Spinae Fatigue Index (미세전류 자극이 척주세움근의 피로지수에 미치는 영향)

  • Kang, Da-Haeng
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.545-551
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    • 2013
  • This study aimed to compare the effects of microcurrent stimulation and rest on the fatigue index by applying both to subjects who had accumulated fatigue after performing short-duration physical activity. The experiment was performed at S University from December 2012 to February 2013, on 22 healthy men in their 20s, who were right-handed, and without peripheral or musculoskeletal diseases. All subjects lifted a 10-kg box lift and lower 100 times in 15 minutes. Immediately after that, muscle fatigue index (Median Frequency: MF) and blood fatigue index (Creatine Kinase Lactate: CK, Lactate Dehydrogenase: LDH) were measured by using surface electromyography. The subjects were divided into two groups, and microcurrent stimulation and rest were mediated to the experimental and control groups, respectively, for 20 minutes. After intervention, muscle fatigue index and blood fatigue index were measured and the changes in the accumulated fatigue index were compared. Both groups manifested significantly decreased cumulative fatigue after applying the mediation compared to the pre-intervention level (p < .05), the only exception being the fatigue index of the left erector spinae in the rest group. Compared to the rest group, the microcurrent stimulation group showed a significant decrease in muscle fatigue index (p < .05) but no significant differences were found in the blood fatigue index. Given the results of this study, microcurrent stimulation is considered to be helpful in muscle fatigue recovery for workers who have to perform repetitive movements lifting weights, and additional studies on the correlations of the fatigue recovery with respect to the long-term follow-up of fatigue index and mediation time are necessary.

The Effects of Speed Variations in Treadmill Training on Thickness of Lower Extremity Muscles (속도가 다른 트레드밀 훈련이 다리 근두께에 미치는 영향)

  • Park, Chi-Bok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.363-370
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    • 2016
  • The purpose of this study was to determine the effects of speed variations in treadmill training on the thickness of lower extremity muscles. A total of 36 university students were divided into three groups: MVTG (n=12), HVTG (n=12), and ATG (n=12). Subjects in MVTG underwent treadmill training with their own average speed; those in HVTG underwent treadmill training with 130% speed of their own average speed; and those in ATG underwent treadmill training with alteration of speed, between 100% and 130% of their own average speed. Treadmill training was performed for 60 minutes a day, three times per week, for a total of 6 weeks. Ultrasonography was used to compare the muscle thickness between rectus femoris, vastus lateralis, gastrocnemius, and tibialis anterior. The result was as follows: The rectus femoris, vastus lateralis, and gastrocnemius were significantly increased after the training period, and they also were statistically significant in interaction. Moreover, tibialis anterior was also significantly increased. Therefore, compared to the average-speed treadmill training, speed variations had a greater effect on thickening the lower extremity muscles. In the near future, we will conduct a study applying the findings from this study in a rehabilitation program for patients with gait disturbance due to nervous or musculoskeletal system disease.