• Clinics in Shoulder and Elbow
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• 제8권1호
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• pp.5-8
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• 2005

회전근 간의 질환은 과거 강직과 불안정성에 대한 연구가 주종을 이루었다. 동결견에 대한 치료로 회전근 간을 절제하는 것도 치료의 한 방법으로 사용되어 왔다. 불안정성에 대한 치료 중 회전근 간의 봉합술은 아직은 다른 치료 방법을 시행하고 추가적인 관절 운동 범위의 감소가 필요할 때 사용할 수 있는 보조적인 방법으로 사용하는 것이 좋을 것으로 보인다. 그 외의 회전근 간 자체 파열 등의 병변이 발생할 수 있으므로 수술시 반드시 확인해야 하는 구조물로 사료된다.

• Clinics in Shoulder and Elbow
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• 제3권1호
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• pp.33-38
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• 2000

Objectives: The purpose of this study was to grading the severity of intra-articular lesions and evaluate the effects of arthroscopic surgery after manipulation of the resistant frozen shoulder. Materials and Methods : Forty-eight cases from 44 subjects, median age of 53, who underwent arthroscopic surgery after manipulation with minimum follow-up of 12 months were chosen. The UCLA shoulder rating scale was applied, and average scale was 18.2 points. Results: Twelve cases out of our series showed as rotator cuff tear which could produce secondary frozen shoulder. In postoperative follow up, 34 subjects complained of no pain or noctalgia, 5 showed mild degree of pain, 8 with mild degree of remained limited range of motion, and only 1 with no improvement. When viewed with UCLA shoulder rating scale, the most improved aspect was pain, and satisfaction of patient was following. And final average scale was 31.9 points. Conclusion: Our study revealed that arthroscopic surgery after manipulation showed favorably high final scale and patient's satisfaction. Therefore, we recommend this modality for treatment of resistant frozen shoulder in a point of view that the diagnosis and treatment can be done simultaneously.

• 한국수정란이식학회지
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• 제18권1호
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• pp.51-59
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• 2003

본 실험은 개의 인공수정에 사용할 정자의 보존에 있어서, 개 정액 동결시 동결속도와 응해온도에 따른 정자의 생존율, 운동성 그리고 intact acrosome의 비율을 조사하였던 바 결과는 다음과 같다. 1. 본 실험에서 실험견의 사출된 평균 신선정액의 농도는 3.44$\times$$10^{8}$ /ml로 정상범위에 들었으며, 정자의 형태학적 판정에서 정상적인 정자의 농도는 평균 59.45$\pm$3.45%로 상대적인 기형율은 약 30~40% 정도 나타났으며, 이는 정상적인 상태의 개 정액이라 할 수 있다. 2 개 정액의 동결속도는 동결하는 높이가 6, 10 및 17 cm 일 때 각각 최저온도는 -11$0^{\circ}C$, 7$0^{\circ}C$, -35$^{\circ}C$로 감소하는 경향을 보였으며 이때 최저온도로 감소하는데 소요되는 시간은 각각 6분, 8분 20초 그리고 12분 50초로 결과적으로 분당 동결속도는 각각 19$^{\circ}C$/min, 8.9$^{\circ}C$/min 그리고 3$^{\circ}C$/min로 나타났다. 3. 정액을 동결속도와 융해온도에 따른 정자의 생존율, 운동성 그리고 intact acrosome의 비율은 동결속도가 3$^{\circ}C$/min일 때 가장 높았으며, 융해 온도는 37$^{\circ}C$일 때 효율성이 가장 높은 것으로 나타났다.4. 동결의 방법에 있어서는 액체질소의 표면으로부터 17 cm 높이에서 동결하는 분당 -3$^{\circ}C$의 동결속도에서 동결하여 37$^{\circ}C$에서 2분간 융해하는 방법이 가장 좋은 결과를 보였으며, 생존성과 운동성은 문제없이 사용할 수 있을 것으로 판단되나, 첨체의 intact한 비율은 저조한 결과를 나타내었다.

• 대한관절경학회지
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• 제6권2호
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• pp.136-141
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• 2002

목적 : 이두박건 구 입구에서 이두박건의 내측 전위를 방지해주며, 관절내 활주를 유도해 주는 이두박건 활차는 상부 관절순 및 회전근개의 작용에 영향을 받아 발달하며, 형태학적인 혹은 기능적인 변형이 생길 수 있다. 본 연구를 통해 관절경으로 관찰한 이두박건 활차를 형태학적으로 분류하고, 견관절의 병변과의 관계를 확인하고자 하였다. 대상 및 방법 : 2002년 1월부터 7월까지 견관절경 검사 및 수술적 치료를 시행한 환자 49명에 대해서 이구박건 활차의 양상을 stretched type, sling type, detached sung type, concealed type으로 분류하여 관찰하였으며, 대상자는 전방 견관절 불안정성 22례, 회전근 개 파열 12례, 충돌증후군 5례, 동결견 6례, 상부 관절순 병변 2례, 견갑흉곽 점액낭염 1례, 그리고 이두박건 장두 탈구 1례 이었다. 결과 : 전체 49례중 전형적인 양상인 stretched type은 24례$(49\%)$에서 관찰되었으며, sling type은 5례$(10\%)$, detached sling type은 2례, 그리고 concealed type이 1례 관찰되었으며, 회전근 개 파열이 이두박건 장두 부위까지 연장된 8례를 포함한 17례 $(35\%)$의 경우 그 양상을 확인 할 수 없었다. 결론 : 관절내 이두박건 장두의 내측전위를 방지하고 활주를 유도하는 이두박건 활차의 형성, 발달 및 증상의 유발에는 견관절의 병변 및 체상운동의 정도등이 영향을 미칠 수 있을 것으로 생각되었다.

• 동의생리병리학회지
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• 제28권1호
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• pp.122-127
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• 2014

Fire needling is an acupuncture procedure involving the swift pricking of diseased part with a red hot needle. The purpose of the present study is to report the therapeutic effect of acupuncture and fire needling combined therapy on the frozen shoulder patients. Each of patient received combined therapy of acupuncture and fire needling. Fire needling was carried out 2 or 3 times a week. Shoulder pain was evaluated by measuring visual analoge scale (VAS), range of movement (ROM), and global assessment and grade. All of the patinets treated with combined therapy exhibited decreasing of VAS and grade, increasing of ROM and global assessment.

• PNF and Movement
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• 제9권2호
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• pp.39-44
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• 2011

Purpose : This study was aimed to examine the Influence of PNF indirect treatment for frozen shoulder patient Methods : Frozen shoulder patient was measured range of motion test of shoulder joint, visual analog scale(VAS) for pain and clean up the mirror activity at pre intervention and post-intervention in 2 weeks. Results : The ROM, activities of shoulder were increased and decreased VAS point for pain after treatments. Conclusion : We found that PNF indirect treatment could improve ROM and functions of shoulder and pain for frozen shoulder patient.

• 대한한의학회지
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• 제44권1호
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• pp.117-127
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• 2023

Objectives: The purpose of this study is to report the effect of hominis placenta pharmacopuncture and chuna manual therapy in patients with frozen shoulder. Methods: Frozen shoulder was treated with hominis placenta pharmacopuncture and chuna manual therapy, and the overall shoulder pain was measured by visual analog scale (VAS), and the range of motion (ROM) of shoulder movement was evaluated by measuring passive abduction and external rotation and active hand to shoulder blade test. Results: After the treatment, overall shoulder pain was reduced, and ROM of passive abduction and external rotation was increased. Conclusions: The above results show that hominis placenta pharmacopuncture and chuna manual therapy can be used as an effective treatment for frozen shoulder.

• 대한정형도수물리치료학회지
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• 제13권2호
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• pp.69-78
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• 2007

Purpose: The purpose of this study was to assess the effectiveness of Extracorporea Shock - Wave Therapy (ESWT) on the pain and improvement of shoulder joint function which is one of the available medical treatment in patients with frozen shoulder. Object and Methods: 26 patients with frozen shoulder, with 26 patients assigned to two groups; a control treatment group (n=12) and a ESWT application group (n=14). In the ESWT application group, the patients received general physical therapy, and then they received ESWT. In the control treatment group, the patients received only general physical therapy. These medical treatments was conducted total 6 time for 3 weeks. To investigate the effectiveness of the treatment after the each group's treatment. Pain was measured by Visual Analogue Scale (VAS) which is divided into 10 ranks and shoulder joint function was measured by CSA(Constant Shoulder Assessment scale). Results: 1. There was a statistical significance of measured by shoulder pain degree in both group but, the result of a ESWT application group shows more significance than that of a control treatment group. 2. There was a statistical significance of measured by CSA in both group but, the result of a ESWT application group shows more significance than that of a control treatment group. Conclusion: We think that treatment with General physical therapy and ESWT together for the patients with frozen shoulder is more effective and more safe method to shoulder joint function improvement and decrease of pain.

• Clinics in Shoulder and Elbow
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• 제1권2호
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• pp.193-197
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• 1998

Frozen shoulder is known as a self-limited disease. But, its long duration and pain nature can make the patients debilitative. And most patients cannot tolerate a chronically painful extremity and are concerned about the possibility of developing permanent dysfunction. In painful phase of frozen shoulder, some aggressive mordalties as like trigger point injection or suprascapular nerve block can beneficial to: reduce discomfort and pain. In order to document clinical results, we evaluated the results of 134 frozen shoulders treated with trigger point injection and/or suprascapular nerve block at Kyungpook National University Hospital, from January 1995 to April 1997. The treatment group was divided into 3 modalities: 17 cases in trigger point injection(TPI), 39 cases in suprascapular nerve block(SSB), and 78 cases in both methods. The supportive treatment including oral medication, heat and stretching exercise was also applied. The average age at the time of diagnosis was 57 years old and average follow-up time was 18 months. The results were as follows: Average time of significant improvement in pain was 9 days. Eighty-eight percent (119 cases) was improved in pain and range of motion after injecllion treatments; 82%(14/17) with TPI, 85%(33/39) with SSB, and 92%(72/78) with both. Early improvement of paih within 1 week was 72% in the treatment-responsive group, in which TPI group has 100% response(14/14) and sse has 94% response(31/33)

• 한국수정란이식학회지
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• 제17권2호
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• pp.117-121
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• 2002

본 연구는 소형견의 불임 해결을 위해 미숙난자를 보존 후 이용할 수 있는지의 여부를 판명하기 위하여 미성숙 난포란을 시간별로 배양한 뒤 vitrification 동결 융해후 체외수정율과 생존율을 조사하였다. 1 미숙난포란을 회수 후 1, 6, 12, 24시간 성숙 배양 후vitrification동결 융해 후 체외수정 시켰을때 수정율은 각각 31.4％. 22.5％, 11.9％ 및 5.3％로서 대조군의 수정율 60.0％에 비해 낮은 성적이었고, 회수 후 시간이 경과되지 않은 난포란이 높은 체외수정율을 나타냈다. 2. 미숙난포란을 회수 후 1, 6, 12 및 24시간 배양시킨 난포란을 vitrification 동결 융해 후 체외 수정시킨 배의 생존율은 각각 55.0％, 40.0％, 28.6％ 및 17.1％로써 대조군의 76.7％에 비해 낮은 생존율을 나타냈다.