• Journal of the Korean Home Economics Association
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• v.40 no.8
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• pp.13-21
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• 2002

본 연구의 목적은 유방절제수술을 받은 여성들을 위해 개발한 다섯 종류의 브래지어와 두 종류의 보정물 유형에 따른 착용감과 쾌적성을 검토하기 위한 것이다. 피험자로는 유방절제시술기간이 3년 이상이며 브래지어 사이즈 85에 컵사이즈 A컵인 여성 세 명을 선정하였다. 실험방법은 보정물을 삽입한 브래지어를 하루에 최소 15시간 이상 연속착용하도록 하고 실험복을 착용한 상태에서 피험자들의 일상과 그에 소요된 시간을 기록하도록 하였으며 이 때 착용한 브래지어와 보정물에 대한 느낌을 5점 척도로 표시하게 하였다. 실험기간은 다섯 종류의 브래지어를 하루에 한 가지씩 정해진 순서대로, 처음 5일은 옥보정물과 함께 착용하도록 하고 그 후 5일은 스펀지 보정물과 함께 착용하도록 하였으며 이러한 순서를 두 번 반복하게 하여 총 20일이 소요되었다. 각각의 피험자들에 대해서는 실험이 진행되는 동안 반복적인 면접을 통하여 진행상황을 기록하였으며 아울러 실험복에 대한 제언을 수렴하여 보다 나은 제품개발을 위한 기본 자료화하였다. 실험결과는 다음과 같다. 1. 브래지어에 있어서는 세 명의 피험자가 일치된 결과를 나타내어 일반적인 브래지어 형태와 가장 유사하면서 어깨 끈과 하변밴드 폭만 약간 넓혀준 실험복이 착용감에서 가장 높은 점수를 받았다. 착용자의 편의를 고려하여 앞트임으로 제작한 실험복의 경우에는 앞으로 구부렸을 때 밴드부분이 꺾이는 현상이 생겼으며 피험자들이 모두 뒤트임에 익숙하여 앞트임 브래지어 착용에 불편함을 나타내었다. 브래지어 착장평가에 있어서는 피험자들의 일상적인 행동이나 보정물의 종류가 영향을 미치지 않는 것으로 나타났다 2. 보정물 평가에 있어서는 모든 피험자가 옥가루 재질의 보정물만으로는 수술부위를 자극하는 느낌이 든다고 하였으나 3mm 두께의 스펀지와 함께 삽입했을 때는 아무런 문제가 없는 것으로 나타났다. 또한 보정물의 무게 조절이 가능하므로 실리콘재질의 보정물에서 쉽게 찾아볼 수 있는 무게에 대한 문제를 제기한 피험자는 없었다. 그러나 스펀지로 제작된 보정물에 대해서는 무게가 너무 가벼워 모든 피험자들이 양 쪽 가슴의 균형이 잘 맞지 않는다고 답하였으며 특히, 운동을 즐기고 활동이 많은 피험자의 경우 스펀지로 제작된 보정물에 대해 큰불만을 표시하였다.

• The Korean Journal of Pain
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• v.22 no.3
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• pp.224-228
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• 2009

Background: Shoulder arthroscopic surgery is frequently associated with severe postoperative pain, which can be difficult to manage without the use of high-dose opioids. Although an interscalene brachial plexus block (ISBPB) can be used to provide anesthesia for shoulder arthroscopic surgery, its effect using low-dose mepivacaine on postoperative pain management has not been reported. We hypothesized that ISBPB using a low-dose mepivacaine can provide effective postoperative analgesia for shoulder arthroscopic surgery without the need for high-dose opioids and act as a significant motor or sensory block. Methods: This study examined a total of 40 patients, who underwent shoulder arthroscopic surgery, and received ISBPB with 10 ml of normal saline (group NS; n = 20) or 10 ml of 1% mepivacaine with epinephrine 1:200,000 (group MC; n = 20). The block was performed preoperatively. The postoperative pain score, opioid consumption, and side effect were recorded. Results: The visual analog scale scores were significantly lower in group MC than in group NS at 120 minutes after shoulder arthroscopic surgery ($1.9{\pm}1.0$ versus $4.0{\pm}1.4$). Group MC showed significantly lower fentanyl consumption after shoulder arthroscoic surgery than group NS ($27{\pm}32.6$ versus $79{\pm}18.9{\mu}g$). The degree of motor and sensory block after surgery was minimal. Conclusions: ISBPB using low-dose mepivacaine reduced the level of postoperative pain and fentanyl consumption without significant side effects. ISBPB using low-dose mepivacaine is a useful analgesic technique for shoulder arthroscopic surgery.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.7 no.2
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• pp.84-88
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• 2014

Purpose: The purpose of this study was to analyze the effectiveness of suprascapular nerve block using platelet-rich-plasma (PRP) under ultrasonographic guidance in patients treated with arthroscopic rotator cuff repair. Material and Methods: 50 cases of patients, from March 2013 to March 2014, treated with arthroscopic rotator cuff repair were retrospectively analyzed. We performed ultrasonography-guided suprascapular nerve block using platelet-rich-plasma (PRP) to these patients in the outpatient clinics at the 6 weeks follow-up after operation. We evalulated results for visual analogue score (VAS) for pain, range of motion (ROM), Constant Shoulder Score (CSS) for these patients before arthroscopic operation, following 6 weeks and 3 months after operation. Results: There was clinically significant improvement in VAS, ROM, CSS after ultrasonography-guided suprascapular nerve block using platelet-rich-plasma (PRP). Conclusion: Ultrasonography-guided suprascapular nerve block using platelet-rich-plasma (PRP) is an effective treatment method not only for around shoulder pain but also postoperative residual shoulder pain and limitation of shoulder motion.

• Journal of The Korean Society of Integrative Medicine
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• v.1 no.1
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• pp.97-107
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• 2013

Purpose : The purpose of this study was conducted to patients undergoing shoulder surgery rotator cuff tear group physical therapy to improve the patient's level of depression and any impact on the shoulder's ability to heal should learn. Method : This research participated in 20 patients four weeks from June 11, 2012 June 8 il experiment was carried out. Experimental group conducted physical therapy(n=10) and control group(n=10) was not conducted Results : A comparative analysis of experimental group and the control group in the levels of depression (BDI) was not significantly different. A comparative analysis of experimental group and the control group in the VAS was not significantly different. ROM(flexion, extension, abduction, and internal rotation) was significantly increased in the experimental group, whereas external rotation significantly did not increased. Conclusion : ROM of external rotation between the experimental and control groups, except for the change showed a statistically significant, the above findings, the level of pain and depression, there were no statistically significant differences.

• Journal of Chest Surgery
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• v.43 no.5
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• pp.553-556
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• 2010

A 55-year-old female presented to Pusan National University Yangsan Hospital with left neck and shoulder pain. An anterior mediastinal mass was detected on chest CT and there were no other specific lesions in the lung or pleural cavity. An infected pericardial cysts was suspected and excision was performed through a left-sided VATS approach. The patient was discharged on the second post-operative day with left diaphragm palsy and praziquantel was prescribed after paragonimaisis was confirmed on pathology. The patient has not shown any particular problems at my outpatient clinic.

• Journal of Korean Medicine Rehabilitation
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• v.28 no.1
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• pp.109-120
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• 2018

Objectives This is one of the manuals of East-west integrative medicine which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. The purpose of this manual is to support clinical decision making and communication during the rehabilitation of patients after shoulder surgery. Methods The drafting was done by two rehabilitation specialists in Korean medicine. After a rehabilitation specialist in western medicine reviewed the draft and exchanged their ideas, a revised version that reflects the goal of consultation was made. Then the Committee agreed to adopt the manuals through the process of review and feedback in addition to face-to-face discussions. Results This manual describes clinical decision making for rehabilitation after arthroscopic rotator cuff repair, SLAP repair, and arthrolysis. Therefore it contains the schedule of rehabilitation treatment through the surgical technique, general goal of the rehabilitation by phase, guide for patients and postoperative infection management. Conclusions The proposal of this manual has a significance for it provides information about decision making process and contents of treatment in one medical institution for East-west integrative rehabilitation treatment after shoulder surgery.

• Journal of Korean Orthopaedic Sports Medicine
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• v.3 no.2
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• pp.93-97
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• 2004

Continued research needs to be devoted to understanding the natural history of rotator cuff tears. Recent studies have shown progression of tear, symptomatic flare-ups and irreversible change in rotator cuffs managed nonsurgically. These data allow the grouping of patients with rotator cuff tears into three categories based on risk-benefit ratios. Nonsurgical care should be maximized for patients with impingement symptoms only, with partial-thickness tears, with chronic tears, and for the elderly patients. The proper selection of candidates for nonsurgical management should lead to the high success rate quoted by multiple authors. Even though conservative treatment is necessary, early surgery should be considered for tears that are acute, small or medium, associated with shoulder loss of function, or occur in a younger patient. Prolonged nonsurgical care in these patients risks tear propagation and irreversible changes to the cuff, which may complicate rotator cuff repair.

• Journal of Chest Surgery
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• v.30 no.1
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• pp.55-60
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• 1997

We reviewed 40 cases of primary mediastinal tumors which were operated on at Seoul Paik Hospital from September, 1987 to December, 1995. Of these, 18 were male and 22 were female. The patient ranged in age from 4 years to 68 years with a mean age of 34.1 years. The most common symptoms included chest pain(12.5%), cough(12.5%), dyspnea(7.5%). and palpable neck mass(7.5%), and symptoms were absent at the time of diagnosis in 37.5% of cases. Chest roentgenography and computed tomography(CT) were performed in all patients, and magnetic resonance imaging(MRI) in 5 patients, and transthoracic needle aspiration (TTNA) performed In 22 patients. The sensitivity of TTNA was 72.7%(16 of 22 patients). The lesion was located 60% in the anterosuperior mediastinum, 35% in the posterior mediastinum, and 5% in the middle mediastinum. The primary tumors included thymic neoplasms(11 cases), germ cell tumors(7 cases), neurogenic tumors(10 cases) and a miscellaneous group. The malignant tumors(12.5%) were invasive thymoma(3 cases), spindle cell sarcoma(1 case), and non-Hodgkin's Iymphoma(1 case). A complete excision was done in all 35 benign tumors and 3 malignant tumors. There was no operative mortality, and postoperative complications occurred in 3 cases.

• Journal of Chest Surgery
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• v.42 no.2
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• pp.272-274
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• 2009

Xiphodynia is a term used to describe a painful xiphoid process, and this is a rare musculoskeletal disorder that can radiate to the anterior chest, epigastrium, neck, shoulders and back. Clinical awareness of xiphodynia is important for making its correct diagnosis. We report here on two cases of xiphodynia. The diagnosis was suggested by the reproduction of the anterior chest pain or/and the epigastrium pain with light pressure on the xiphoid process. The patient of case 1 had suffered from xiphodynia throughout the years, and this patient underwent surgical excision of the xiphoid process. The patient of case 2 received an injection of local anesthetic agent to the xiphoid process.

• Journal of the Korean Arthroscopy Society
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• v.10 no.2
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• pp.135-140
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• 2006

Diagnosis and treatment of the unstable shoulder is one of the more difficult problems in orthopaedic surgery. There is confusion between the normal laxity with translation and subluxation of the humeral head relative to the glenoid and an abnormal amount of laxity, leading to pain and dysfunction. Unfortunately, there is no single treatment that applied to all lesions that cause the instability. It is imperative, therefore, that an accurate diagnosis be made, including the directions and degree of shoulder instability as well as any coexisting problems. Anatomical defects must be defined. Common factors that could most readily compromised instability repair are examined. These include techniques for making an accurate diagnosis with identification of the precise anatomical pathology, and the rationale for appropriate surgical treatment with the avoidance of technical complication such as unnecessary hardware or exposures that might lead to residual instability, arthritis, and nerve or vascular injuries. Additional injuries may be prevented by careful rehabilitation postoperatively to restore shoulder stability, flexibility, and endurance prior to an individual's return to stressful sports or work.