• Title/Summary/Keyword: 요부

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Lumbar Sympathetic Block for Spinal Cord Infarction Patient -A case report- (요부교감신경차단으로 척수경색 환자의 하지통증 치료 -증례보고-)

  • Kim, Dong Hee;Park, Sang Wook;Kim, Hyung Jee
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.237-240
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    • 2006
  • This report describes a case of spinal cord infarction after acupuncture. The patient was treated with lumbar sympathetic block with using C-arm fluoroscopy. A 66-year-old patient with chronic low back pain and radiating pain in the lower limb was treated with acupuncture and he suddenly had a loss of motor and sensory of both lower extremities. His clinical presentaion and neuroimaging studies were consistent with spinal cord infarction. He was treated with steroid megatherapy and he showed improved in motor function, but there was no pain relief despite the phamacological treatments that were combined with caudal blockade. He visited to our hospital and had lumbar sympathetic blockade performed. The pain was relieved without any related complication after 1 month (VAS $9/10{\rightarrow}2/10$), and he has been content with the results of treatment.

The Celiac Plexus Block and the Lumbar Sympathetic Ganglion block for the Upper and Lower Abdominal Cancer Pain -7 cases- (상하복부 암성통증에 대한 복강신경총 및 요부교감신경절 차단 -7예 보고-)

  • Gill, Hyun-Jue;Yoon, Duck-Mi;Oh, Hung-Kun;Ree, Ye-Chul
    • The Korean Journal of Pain
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    • v.1 no.2
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    • pp.171-176
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    • 1988
  • It is well known that the celiac plexus block is specially useful for relieve intractable upper abdominal pain caused by upper abdominal visceral malignancy or upper abdominal metastasis from distant organs. But in cases of lower abdominal or pelvic metastasis from upper abdominal malignancy, the lower abdominal intractable pain is remained after the successful celiac plexus block. We have reported 7 cases of celiac plexus block combined with lumbar sympathetic ganglion block, among the 305 cases of the celiac plexus block from 1968 to Nov. 1987, performed in patients with lower abdominal or back pain due to carcinomatosis of lower abdominal metastatic malignancy, that their results were excellent for pain relief.

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Lumbar Sympathectomy in the Management of Rectal Tenesmoid Pain (항문 이급후중의 치료에 있어 요부 교감 신경절 차단)

  • Yoon, Keon-Jung;Kim, Jong-Lul;Park, Kyu-Ho
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.354-356
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    • 1995
  • Rectal tenesmus is a persistent, painful and ineffectual sensation of straining at stool or opening of the bowels. Lumbar sympathectomy was performed in patient whose main complaint was rectal tenesmoid pain resulting from hemorrhoid operation, and in whom analgesic or psychotropic drugs had failed in controlling the symptom. After chemical lumbar sympathectomy, patient was free from the rectal tenesmoid pain. It is concluded that lumbar sympathectomy is a safe and effective treatment for rectal tenesmus.

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A Case of Erection Failure due to Unilateral Lumbar Sympathetic Block (편측 요부 교감신경절 차단에 의해 발생한 성기능 -증례 보고-)

  • Shin, Dong-Yeop;Moon, Soon-Hong;Hong, Ki-Hynk
    • The Korean Journal of Pain
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    • v.6 no.2
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    • pp.258-260
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    • 1993
  • We experienced a rare case of erection failure which developed after unilateral lumbar sympathetic block. A 43 year old male patient suffering from reflex sympathetic dystrophy, which had developed after multiple communitted fracture of the right ankle, underwent right lumbar sympathetic block with 99.9% alcohol. The effectiveness of the lumbar sympathetic block was evaluated by monitoring the clinical symptoms, signs and temperature changes by digital infrared thermographic imaging. Postoperatively, the temperature of the affected side limb rose about $2^{\circ}C$, but the patient's conditions gradually returned to normal. Ten days after the operation the patient complainted of difficulty in achieving an erection. The patient was examined by a urologst without much results. The patient gradually recovered his ability to achieve an erection approximately 5 weeks after the lumbar sympathetic block.

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Effect of High heel on Lumbar and sacral curve (하이힐이 요부 및 천골경사각에 미치는 영향)

  • Lee, Tae-Sik;Song, Min-Young;Kim, Mi-So
    • Journal of Korean Physical Therapy Science
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    • v.18 no.4
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    • pp.73-79
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    • 2011
  • Purpose : This study is to know how position change in high-heels affects sacral tilt angle. 15 healthy women aged 21.87(standard deviation=3.54) were tested. Method : Lumbar and sacral tilt angle was measured by radiography barefooted, and after 15 mins of application time, they were measured in the same way in high-heels. Result : There was not notable difference in lumbar lordosis, lumbosacral angle, and sacral tilt angle. However, there was differences in change degree, which was measured by estimation data of [post-pre)/pre]${\times}$100. Conclusion : There was no notable difference in lumbar lordosis, lumbosacral angle, and sacral tilt angle, but as there were differences in change degree, research about how women's lumbar change when heel height increases is needed.

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Treatment of Canine Cervical and Lumbar Disc Disease by Injection-Acupuncture (개 경부 및 요부 디스크의 수침치료)

  • Kim Duck-Hwan;Liu Jian-Zhu;Lee Young-Won;Song Kun-Ho;Kang Sang-Kyu;Choi Ho-Jung;Seo Kang-Moon;Choi Seok-Hwa;Nam Tchi-Chou;Rogers Phil A.M.
    • Journal of Veterinary Clinics
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    • v.23 no.1
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    • pp.65-68
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    • 2006
  • Two cases of canine intervertebral disc disease (IVDD) were treated twice a week with injection-acupuncture (injection-AP) using 0.1 ml/acupoint. In case 1, a paralysed dog with cervical intervertebral disc disease (C3-C4), was submitted to injection-AP with dexamethasone (1 mg/ml) at session 1-2 and thiamine (25 mg/ml) at session 3-5. Injected acupoints included GV-16, GB-20, BL-10, LU-7, LI-4 and SI-6. The acupoints GV-6, GV-20 and SP-6 were added at session 2-5. Trigger point (TP) therapy with 0.2 ml of 2% lidocaine was used in session 3-5 at TP in the infraspinatus and triceps muscles. Treatment was stopped when paralysis disappeared after 5 injection-AP treatments; there were no recurrent symptoms in the follow-up period of 5 months. In case 2, an ataxic dog with lumbar IVDD (L1-L2), was submitted to injection-AP with dexamethasone at session 1 and 2 and thiamine at session 3-4. Injected acupoints included GV-6 as the main point, ST-36, GB-30, ST-40, GB-34, ST-41 and BL-40. TP therapy with 0.2 ml of 2% lidocaine was used at TP in the ileocostorum lumborum and quadriceps muscles. Treatment was stopped when ataxia disappeared after 4 treatments; there were no recurrent symptoms In the fallow-up period of 5 months. Injection-AP using dexamethasone and thiamine, combined with TP therapy using lidocaine, effectively alleviate the symptoms of canine cervical and lumbar IVDD.

Effect of pelvic adjustment on chronic low back pain and spino-pelvic parameters in middle-aged women (골반교정이 중년 여성의 만성요통과 척추골반지표에 미치는 영향)

  • Seo, Yun-Gyo;Kim, Jaehee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.9
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    • pp.347-355
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    • 2017
  • The purpose of this study was to investigate the effects of pelvic adjustment on low back pain and spino-pelvic parameters in middle-aged women. Thirty-eight middle-aged women with chronic low back pain were randomly assigned to the pelvic adjustment (n = 20) oruntreated control (n = 18) group. Pelvic adjustment interventionswereperformed four times a week for 8 weeksin the former group. At baseline and after 8 weeks, the back pain and back function were evaluated using the visual analogue scale (VAS), Oswestry disability index (ODI), and back flexibility. Additionally, the spino-pelvic radiographic parameters and serum C-reactive protein (CRP) levels were assessed. After 8 weeks, the VAS, ODI, and back flexibility significantly improved in the pelvic adjustment group compared with the control group. It was found that the changes from baseline in the lumbar lordotic angle, sacral slope, pelvic crest unleveling, and femoral head height inequality were significantly greater in the pelvic adjustment group than in the control group. There were no significant changes in the pelvic incidence or serum CRP levels in either group. In conclusion, pelvic adjustment has beneficial effects on chronic low back pain and back function, suggesting that the effects of pelvic adjustment on back pain may at least in part result from changes in the spino-pelvic alignment.

An Epidemiologic Study of Low Back Pain of Women Working at a General Hospital (종합병원 근무 여성의 요통에 대한 요인 분석)

  • Park, Dong-Gu;Ahn, Myun-Whan;Ahn, Jong-Chul;Kim, Sae-Dong;Seo, Jae-Sung
    • Journal of Yeungnam Medical Science
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    • v.24 no.2
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    • pp.186-196
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    • 2007
  • Background : The aim of this study was to confirm the risk factors for low back pain and injury to improve the prevention and treatment of lower back pain. Materials and Methods : An epidemiologic study of low back pain and injury was performed with questionnaires distributed to 471 women working at Yeungnam university hospital. The differences in low back pain and injuries among various hospital departments were analyzed by a one-way analysis of variance (ANOVA), and the relevant factors included in the questionnaire were determined by a factor analysis. Results : The frequency of low back pain in women in the department of diet and in the maintenance department was higher than among the other departments. The frequency of low back pain was mainly related to the frequency of psychosomatic symptoms. In addition, the low back pain was partially related to the frequency of psychosomatic symptoms and partially related to the frequency of pushing during the workday. The degree of disability from low back pain was increased by lifting and hard physical work and was related to the frequency of psychosomatic symptoms and the degree of work dissatisfaction. The frequency of low back injury was increased by increased standing time during work and hard physical work. The frequency of low back injury was related to advancing age and in part to psychosomatic symptoms. Conclusion : Lower back pain and its associated complications are related to psychosomatic factors and type of work. Lower back injury is related to physiological factors such as age. For the prevention and treatment of lower back pain, a multidisciplinary approach is required.

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The Case Study on Thoraco-lumbar junction and Lumbo-sacral junction Transitional Zone Syndrome. (복합적으로 병발한 등-허리, 허리-엉치 이행부위 증후군에 대한 증례를 통한 고찰)

  • Hwang, Eun-Mi;Jung, Min-Gyu;Park, Young-Hoi;Keum, Dong-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.113-125
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    • 2010
  • Objectives: We have evaluated the effects of conservative treatment on one patient who was diagnosed to thoraco-lumbar junction and lumbo-sacral junction transitional zone syndrome. so, we investigate thoraco-lumbar junction and Jumbo-sacral junction tranzitional zone syndrome that was suggested by Maigne R. Methods : One patient was diagnosed as T12-L1 herinated intervetebral disc through MRI. We diagnosed the patient to transitional zone syndrome by symptoms and physical examination and used Acupuncture therapy, Cox technique to the patient. We measured Visual Analog Scale(VAS) before and after treatment. Results: After treating Acupuncture therapy, Cox technique in the case, We find out that the patient was improved. VAS score changed from 7 to 2 and physical examinations are improved. Conclusions: We improved the patient who had thoraco-lumbar junction and lumbo-sacral junction transitional zone syndrome by Cox technique and Acupuncture therapy, and we found that thoraco-lumbar junction related lumbo-sacral junction.

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Effects of Intentional Abdominal Muscle Contraction on Lumbar Muscle Activities andLumbar Extension During Lifting Above the Shoulders (어깨위로 들어올리기 작업시 의도적인 복근수축이 요부근 활성도와요추신전각도에 미치는 영향)

  • Kim, Hui-Won;Gwon, O-Yun;Lee, Chung-Hwi;Jeon, Hye-Seon
    • Journal of the Ergonomics Society of Korea
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    • v.25 no.2
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    • pp.147-154
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    • 2006
  • This study was conducted to evaluate the effect intentional contraction of abdominal muscles during lifting above shoulder on the muscles activities of the lower trunk and on the degree of lumbar extension. Fifteen healthy adult males were selected as test subjects. A 5kg weight was raised to the shoulder level, 20cm, and 40cm above the shoulder level. EMG activities of all muscles except the rectus abdominis were significantly greater when subjects were asked to contract their abdominal muscles intentionally during lifting(p<0.05). Degree of lumbar extension also significantly decreased with intentional abdominal contraction during the lifting. Also, degree of lumbar extension significantly increased with increase in lifting height(p<0.05). The results of this study show that intentional contraction of abdominal muscles during lifting above shoulder increases the EMG activities of external abdominis oblique, internal abdominis oblique, and erector spinae.