• Title/Summary/Keyword: 근골격 질환

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Study on the Differences in the Results of Body Shape Test According to the Position of the Two Feet and the Usefulness of the Neck and Body Motion Image Test (두 발의 위치에 따른 체형검사 결과 차이와 체간신전 동작 이미지 검사의 유용성 연구)

  • Chang, Wan Song;Kim, Song Ja;Ryu, Seo Won;Lim, Duk Joon;Jung, Moon Young
    • Journal of Naturopathy
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    • v.9 no.1
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    • pp.22-26
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    • 2020
  • Purposes: The purposes of this study were to investigate the relationship between the standing position of the subject and the normal standing position(NSP) and the straight standing position(SSP) and to investigate the possibility of different body shape test results depending on the status of the image inspection apparatus. Methods: The images of the NSP and SSP were compared with each other by body line BLS system. Results: At the time of examination, the position of the camera was captured at a position 2.3 m vertically from the posterior position 45 cm behind the subject. This is a privacy protection method for covering the breast of the subject. Results: The physiological characteristics of the anatomical position of the body align image test are the living body. NSP and SSP tests showed different shapes of the pelvis AS(antero-supero) and pelvis rotation in the transverse plane. Shoulder and arm displacement was observed in the trunk extension image capture. Conclusions: In the body alignment test, the pelvis position test images of NSP and SSP are evaluated differently for pelvis rotation, AS, and PS. At the extension position of the trunk, a test of the maximal extension range showed that the left and right shortening of the shoulder anterior muscles could be observed. Inducing and testing the trunk extension is also useful.

Diagnosis of Primary Malignant Lesion Using $^{18}F$ FDG PET/CT in Metastatic Bone Tumor (전이성 골종양에서 $^{18}F$ FDG PET/CT를 이용한 원발성 악성 질환의 진단)

  • Yoon, Hoi-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.1
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    • pp.44-50
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    • 2008
  • Purpose: To evaluate usefulness in diagnosing primary malignant lesion of metastatic bone tumor using $^{18}F$ FDG PET/CT. Material & Methods: Retrospective analysis was executed on 5,452 patients who were taken with $^{18}F$ FDG PET/CT between December 2003 and December 2007. 180 patients who had not any history of malignancy and complained musculoskeletal pain and had ill-defined osteolytic lesion in plain X-ray, were included. 96 male and 84 female were enrolled and mean age was 59.1 year old (22~90). We analyzed diagnostic accuracy, age and sex distribution of primary malignant lesion, location of metastatic lesion. Results: We could confirmed primary malignant lesion in 152 cases (84.4%). Most common malignant primary lesion was lung (28.3%), breast (18.9%) and gastrointestinal system (16.7%) and spine was the most common metastatic location of primary malignant lesion. Conclusion: $^{18}F$ FDG PET/CT is a effective molecular imaging detecting primary malignant lesion in patients having metastatic bone lesion without history of malignancy.

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Effect of Extracellular Potassium on Delayed Rectifier Potassium Channel Proteins of KCNQ3 and KCNQ5 in Familial Hypokalemic Periodic Paralysis (가족성 저칼륨성 주기성 마비에서 세포외 칼륨농도가 지연성 정류형 채널을 형성하는 KCNQ3와 KCNQ5 단백질에 미치는 효과)

  • Kim, Sung-Jo;Kim, Dong-Hyun;Kim, June-Bum
    • Journal of Life Science
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    • v.19 no.10
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    • pp.1484-1488
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    • 2009
  • Familial hypokalemic periodic paralysis (HOKPP) is an autosomal dominant muscle disorder characterized by episodic attacks of muscle weakness with concomitant hypokalemia. Mutations in either a calcium channel gene (CACNA1S) or a sodium channel gene (SCN4A) have been shown to be responsible for this disease. The combination of sarcolemmal depolarization and hypokalemia has been attributed to abnormalities of the potassium conductance governing the resting membrane potential. To understand the pathophysiology of this disorder, we examined both mRNA and protein levels of delayed rectifier potassium channel genes, KCNQ3 and KCNQ5, in skeletal muscle fibers biopsied from patients with HOKOur results showed an increase in the cytoplasmic level of KCNQ3 protein in patients' cells exposed to 50 mM external concentration of potassium. However, mRNA levels of both channel genes did not show significant change in the same condition. Our results suggest that long term exposure of skeletal muscle cells in HOKPP patients to high extracellular potassium alters the KCNQ3 localization, which could possibly hinder the normal function of this channel protein. These findings may provide an important clue to understanding the molecular mechanism of familial hypokalemic periodic paralysis.

Platelet Rich Plasma Injection: Evidence Based Analysis (혈소판 풍부 혈장 주사 요법: 근거 중심의 분석)

  • Oh, Joo Han;Chung, Seok Won
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.2
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    • pp.111-122
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    • 2011
  • Platelet rich plasma (PRP) has been widely used nowadays for several common orthopaedic-related sports medicine conditions with the theoretical basis that PRP supplies numerous autologous growth factors from concentrated platelets needed to promote the healing process of injured tissue. Even though there are many basic sciences, animal studies and some clinical studies regarding PRP injections for musculoskeletal injuries which suggested good results, it is difficult to compare these various studies due to marked methodological differences such as PRP preparation method, the timing, volume and number of injection, and the outcome measurement tool. In addition, many studies have no control groups or a limited sample size, and there are few prospective randomized controlled trials assessing the efficacy of PRP injections. Therefore, well designed high-quality randomized studies are required to confirm the preliminary results until now and provide scientific evidence to support its use, and the paucity of scientific clinical evidence suggest that the administration of PRP on humans for musculoskeletal injuries should be performed with caution.

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Opioids and Antidepressants for Pain Control in Musculoskeletal Disease (근골격계 질환에서 통증 조절을 위한 마약성 진통제 및 항우울제)

  • Park, Se-Jin;Kim, Woo Sub;Jang, Taedong
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.1-8
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    • 2020
  • The progression of aging and the increase in musculoskeletal diseases have led to an increase in invasive treatment methods, including various surgical methods, but conservative treatment should be attempted before surgical treatment in musculoskeletal diseases. Medication for pain control, such as acetaminophen, non-steroidal anti-inflammatory drugs, steroid, opioids, antidepressants, etc., is one of the most popular methods for pain control. If the pain receptors on peripheral organ are stimulated, pain is transmitted to the brain by the ascending pathway, and the brain then secretes endogenous opioids, such as endorphin, by the descending pathway for pain control. Opioids are substances that act on the opioid receptors, and there are three receptors for opioids. The affinity for each receptor varies according to the tissue and the patient's systemic status. Antidepressants work on the synapses in the central nervous system and its main mechanism is regulation of the ascending pathway. This is mainly effective in chronic pain and neuropathic pain, which is similar in effectiveness to opioids. This review focuses on the effectiveness, method of use, and side effects of opioids and antidepressants.

Related Factors to Musculoskeletal Discomfort Symptoms on Some Middle·High school Teachers (일부 중·고등학교 교사의 근골격계 불편증상 관련요인)

  • Lee, Jae-Yoon;Moon, Byeong-Yeon;Jeong, Youn-Hong;Woo, Hyun-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.264-273
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    • 2012
  • This cross-sectional study was investigated musculoskeletal discomfort symptoms and related factors on some middle high school teachers. Self-questionnaire of KOSHA CODE H-30-2003 was done with 250 teachers from 1st to 15th October, 2010, the data from 231 teachers (68 male, 163 female) was statistically analyzed to search the factors related to musculoskeletal discomfort symptoms. According to NIOSH rate of musculoskeletal discomfort symptoms by body parts was 36.8%. Musculoskeletal discomfort symptoms related to age, school types, subjective health status, housekeeping time, VDT work time and regular rest. After adjusting for related variables, odds ratio (OR) of musculoskeletal discomfort symptoms was correlation significantly to subjective health status unhealthy (OR 11.75, 95% Confidence Interval, CI, 3.56-378.78). In addition, ORs (95% CI) of age (40-49) and housekeeping time (${\geq}3$) were 4.63 (1.82-26.18) and 4.33 (1.97-19.34). Analysis of the factors influencing the musculoskeletal discomfort symptoms vary in different parts of the body. The most discomfort symptoms by parts was neck (26.0%) and shoulder (30.0%). In the neck region was related to subjective health status and regular rest. In the shoulder and waist region was subjective health status and sex. Age was wrist/finger, leg/foot was related to subjective health status, sex and VDT work time. Age, school types, subjective health status, housekeeping time, VDT work time and regular rest related to musculoskeletal discomfort symptoms and the most discomfort symptoms by parts was neck and shoulder.

Manual Therapy for Horizontal Adduction and Abduction (어깨의 수평 모음과 수평 벌림에 대한 치료)

  • Shin, Seong-Yoon;Lee, Hyun-Chang;Ahn, Woo-Young
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2016.07a
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    • pp.99-100
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    • 2016
  • 본 논문에서는 근골격계 질환 중에서 가장 흔히 나타나는 어깨의 질환에 대하여 살펴보도록 한다. 특히 어깨를 옆으로 반드시 폈다가 안으로 오므리는 수평 벌림과 수평 모음에 대한 측정 방법을 살펴본다. 여기서 일정한 임계값보다 크게 나타나는 값인 통증 유발에는 반드시 도수 치료가 필요하다고 본다.

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Subungual Malignant Melanoma of Greater Toe - Case Report - (무지의 조갑하 흑색종 - 증례 보고 -)

  • Kim, Byung-Cheol;Jung, Chul-Yong;Choi, Sung-Jong
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.2
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    • pp.199-203
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    • 2005
  • Malignant melanoma commonly occurs in skin and the incidences are uncommon. Especially, the incidences of subungual melanoma is less than 2% of total numbers of melanoma, and most of the cases tended to be misdiagnosed at first time. Thus, the prognoses are not good. We are going to report our experiences of subungual melanoma and diagnostic criteria in great toe initially misdiagnosed as ingrowing nail with a review of the literature.

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Fibrodysplasia Ossificans Progressiva - A Case Report - (진행성 골화성 섬유이형성증 - 성인 1례보고 -)

  • Yun, Yeong- Sik
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.1
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    • pp.50-55
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    • 2004
  • Fibrodysplasia ossificans progressiva is a very rare genetic disorder, but is possible to diagnose with mass on neck or scalp in early neonate or child and accompanying characteristic congenital malformation of great toe. But because inappropriate treatment and complications from misdiagnosis may aggravate the progress of the disease, so the disorder require careful inspection for accurate diagnosis. We describe a case that was misdiagnosed properly and treated inappropriately and the natural history of the disease in adult.

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Occupational Injuries in Korea : A Comparison of Blue-Collar and White-Collar Worker's Rates and Underreporting (특집 - 제2회 산업보건학술제 수상 논문 - 한국의 산업재해 : 사무직과 생산직 근로자의 손상률 비교와 낮은 산재 보고율 -)

  • Won, Jong-Uk
    • 월간산업보건
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    • s.260
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    • pp.69-81
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    • 2009
  • $\bullet$ 목적 본 연구는 한국의 생산직 근로자와 사무직 근로자의 직업성 손상 및 질환의 차이를 비교하고 산재보고 축소(underreporting)의 규모를 추정하고자 수행되었다. $\bullet$ 방법 한국의 경인지역에서 구축된 근로자 건강진단 수진자 코호트와 1999-2001년 사이에 재직 중이었던 근로자의 건강보험 청구자료를 이용하였다. 근로자의 직무내용과 건강진단의 종류(특수건강진단 및 일반건강진단)로 사무직과 생산직 근로자로 구분하였으며, 이들 사이의 근골격계질환과 손상 및 중독에 해당하는 건강보험 이용률의 차이를 신고되지 않은 산재로 추정하였다. 이를 바탕으로 도수율, 산재발생률 및 재해율을 계산하였다. $\bullet$ 결과 생산직 근로자는 사무직 근로자보다 100 인년 당 3.47건 더 높은 건강보험이용률을 보였다. 이를 토대로 추정한 한국의 도수율은 12.57-18.1, 재해율은 2.74-3.29, 산재발생률은 3.62-5.44이었다. $\bullet$ 결론 한국 제조업의 산재발생률은 공식적인 통계보다 2-3배 더 높을 것으로 추정되지만, 연구의 제한점을 고려하여 이해할 필요가 있다.

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