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검색결과 715건 처리시간 0.02초

이하선 Warthin 종양의 세침흡인검사 후 발생한 육아종성 괴사 1예 (A Case of Parotid Warthin Tumor with Granulomatous Necrosis After Fine-Needle Aspiration)

  • 오현식;이은섭;조용태;권민수
    • 대한두경부종양학회지
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    • 제34권2호
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    • pp.57-60
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    • 2018
  • Fine needle aspiration is usually performed as a preoperative cytologic evaluation in salivary gland tumors, and complications of the lesion after fine needle aspiration are scarcely developed. The secondary change of tissue by fine needle aspiration can make the diagnostic and subsequent therapeutic difficulties for clinicians and require a careful approach. Fine needle aspiration can cause variety of changes in Warthin tumor, and it is presumed that those changes are mainly caused by the infarction of the mass due to vascular injury and following inflammatory reactions. We would introduce our experience of granulomatous and necrotic change after fine needle aspiration on parotid Warthin tumor with consequent difficulties in diagnostic and surgical approach to the patient.

침술치료 후 발생한 지연성 척추 경막하 혈종 (Late-Onset Spinal Subdural Hematoma after Acupuncture)

  • 박효식;김종근;배진석;정용성;임종엽
    • Clinical Pain
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    • 제18권2호
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    • pp.130-132
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    • 2019
  • Acupuncture is generally regarded as a safe procedure and as a popular treatment for patients with musculoskeletal disorders. We report a case of a 47-year-old male patient with late-onset tetraplegia, developed after acupuncture. He had no trauma, medical, and social history relevant to tetraplegia. Right after the acupuncture, he felt discomfort in his right arm. After 6 days, all 4 extremity weakness developed. Whole-spine magnetic resonance imaging revealed the presence of spinal subdural hematoma extending from the C5 vertebra to the coccyx level. Hand coordination dysfunction, neurogenic bladder, and neuropathic pain were other symptoms. After the management, he recovered muscle strength, but incomplete bladder control and neuralgia were sustained. It is important to be aware of the possibilities of severe complications after acupuncture.

수동신장운동과 탄력테이핑 동시적용이 위등세모근의 근긴장도에 미치는 영향 (The Effect of Combination of Passive Stretching Exercises and Elastic Taping on Upper Trapezius Muscle Tone)

  • 최민기;정재훈;김지현;강승재;김영민;나승중;안현지;오민식;오창민;이승아;이아라;장혜지;최윤지;허수안;민수빈;이한숙
    • 대한물리의학회지
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    • 제18권4호
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    • pp.97-107
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    • 2023
  • PURPOSE: This study aimed to explore the effect of applying elastic taping and passive stretching exercises simultaneously on the muscle tone of the upper trapezius. METHODS: Thirty healthy adults were randomly divided into two groups: the 'passive stretching exercise' group (n = 15) and the 'passive stretching exercise with elastic taping' group (n = 15). Muscle tone was measured using the MyotonPRO®. The muscle tension was measured immediately after the stretching exercises and taping intervention, and again 5 minutes after the intervention. RESULTS: Within each group, there was a significant reduction in muscle tone in the upper trapezius after treatment (p < .05). However, there was no significant difference in the muscle tone reduction between the groups (p > .05). Both experimental and control groups showed a significant decrease in muscle tone in both the upper trapezius muscles over time, i.e., immediately after treatment and five minutes later (p < .05). The main effect of time was identified in the repeated measures analysis, while there was no main effect attributed to the treatment method (group) (p < .05). CONCLUSION: The simultaneous application of stretching exercises and taping as an intervention to reduce muscle tension in the upper trapezius is still considered challenging and not yet widely regarded as an essential intervention method.

넙다리뒤근 단축이 있는 성인에게 이완 기법의 적용이 하지의 유연성과 균형에 미치는 영향 (Effects of Relaxation Techniques on Flexibility and Balance of the Lower Limb in Adults with Hamstring Shortening)

  • 이정우;전성민;김하영;배종연;손송찬;송은진;심상은;이형욱;이혜경;조백광;조성빈;주진희;진하연;황정현;김민희
    • PNF and Movement
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    • 제22권1호
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    • pp.55-70
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    • 2024
  • Purpose: The purpose of this study was to investigate the effects of three relaxation techniques, namely, Static Stretching Exercise (SSE), Eccentric Contraction Exercise (ECE), and Suboccipital Muscle Release (SMR) on the flexibility and balance of the lower limb in adults with hamstring shortening. Methods: The participants were 45 adults in their 20s with hamstring shortening. They performed three exercises (i.e., SSE, ECE, and SMR) for two weeks. We measured flexibility, muscle tone and stiffness, proprioception, and balance before and after the intervention, applying each relaxation technique. Data were analyzed using two-way repeated measures analysis of variance (ANOVA). The significance level was set at α=0.05. Results: Flexibility increased in the SSE, ECE, and SMR groups, with the SSE group showing the greatest improvement. Muscle tone and stiffness decreased in all groups, with the ECE group exhibiting the highest reduction. Proprioception increased in the SSE, ECE, and SMR groups, with SSE demonstrating the greatest enhancement. Balance also increased in all groups, with the ECE group showing the most pronounced improvement. Conclusion: Overall, all three relaxation techniques for hamstring shortening resulted in improved flexibility, muscle tone and stiffness, proprioception, and balance of the lower limb in adults with hamstring shortening. The findings of this study underscore the importance of selecting an appropriate technique according to the purpose of treatment and the condition of the patient.

비대면 중재 방법에 따른 노인성 근감소증의 개선에 대한 연구 (A Study on the Improvement of Geriatric Sarcopenia by Non-face-to-face Intervention Method)

  • 김명철;박주형;권민지;김범석;박민경;박서윤;박성진;박세진;박시연;박정후;송준우;유종현;이정현;이지형;김해인
    • 대한통합의학회지
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    • 제12권1호
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    • pp.49-62
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    • 2024
  • Purpose : This study was conducted to compare two non-face-to-face exercise interventions depending on whether mobile applications and wearable exercise aids are used to find out which interventions are more effective in improving senile sarcopenia. Ultimately, it was conducted to provide basic data for developing non-face-to-face intervention methods to improve sarcopenia. Method : In this study, 18 elderly sarcopenia and possible sarcopenia aged 65 or older were randomly assigned to the digital and self-exercise intervention groups. The digital exercise intervention group performed eight exercise programs with mobile applications and wearable exercise aids to record and manage the elderly performing the programs in real time. And the self-exercise intervention group performed the same program on its own as implemented in the digital exercise group. The intervention was applied for 8 weeks, and before and after the intervention, sarcopenia evaluation and physical function evaluation were performed. Results : In the digital exercise intervention group, arm muscle mass, skeletal muscle index, SPPB, 5TSTS, and BBS were improved, and in the self-exercise intervention group, grip strength, SPPB, 5TSTS, and BBS were improved. Conclusion : It was confirmed that both groups are effective in improving physical performance and physical function, the digital exercise intervention is effective in improving muscle mass and self-exercise intervention is effective in improving muscle strength. Therefore, this study proposes to apply intervention methods separately according to the indicators to improve and prevent sarcopenia, and also simplify the instructions of applications used to improve sarcopenia and to create an environment where users can be trained regularly on how to use it. And, In the future, studies for the development of devices to be designed to help non-face-to-face exercise interventions or studies on the differences between face-to-face and non-face-to-face exercise interventions should be conducted in terms of the effect of improving sarcopenia.

지역사회 노인을 위한 대면과 비대면 운동프로그램이 운동 만족도에 미치는 영향 (Effects of Face-to-face and Non-face-to-face Exercise Programs on Exercise Satisfaction for the Elderly in the Community)

  • 이다솔;이한숙;김래현;김예슬;김채윤;박범식;박병현;신미지;오은주;우수민;유지민;이주연;정성흠;정효규
    • 대한물리의학회지
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    • 제18권1호
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    • pp.67-76
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    • 2023
  • PURPOSE: The study compared the satisfaction of the exercise program in a face-to-face and non-face-to-face manner with the same exercise program. METHODS: This study was conducted through convenience sampling for 57 seniors over 65 years of age. After conducting 30 minutes of the same exercise program face-to-face on the first visit and non-face-to-face on the second visit, a satisfaction survey was conducted. The survey data were processed statistically using SPSS 26.0 (SPSS Inc, IBM, USA). An independent t-test was used to compare the type of exercise program. The Spearman's Rank Correlation was conducted to correlate the satisfaction between cognitive function and education level. RESULTS: The overall satisfaction with the face-to-face program was higher than the non-face-to-face exercise programs. All three satisfaction items in face-to-face exercise programs were higher than in non-face-to-face exercise programs (p < .05). The main source of dissatisfaction in the case of face-to-face exercise programs was having a good relationship with people for face-to-face and a 'lack of communication' in the case of non-face-to-face. CONCLUSION: The elderly showed higher satisfaction in face-to-face exercise than in non-face-to-face exercise. This study is significant in that accurate satisfaction comparison was possible by conducting the same exercise program on the same subject for a relatively short time, and through this, the development of an exercise program was suggested.

인지기능 감퇴가 있는 노인의 이중 과제 보행과 인지기능과의 상관성에 대한 체계적 문헌 고찰 (The Correlation between Gait and Cognitive Function in Dual-task Walking of the Elderly with Cognitive Impairment: A Systematic Literature Review)

  • 신재연;김예진;김지수;민수빈;박재니;배재한;서희은;신희선;유영은;임주영;장지수;조영우;이한숙
    • 대한물리의학회지
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    • 제17권1호
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    • pp.93-108
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    • 2022
  • PURPOSE: This review sought to confirm the correlation between dual-task gait and cognitive function in cognitively impaired and healthy older adults. METHOD: We used four databases (DBs), Pubmed, Cochrane library, Kmbase, and Koreamed. Searches were carried out according to the PICOS method, P (participants) were the elderly (above 65 years) with cognitive decline, I (intervention) was walking with dual tasks, C (control group) comprised the elderly without cognitive decline, O (outcome) was the correlation between gait and cognitive function and S (study) was the cross-sectional study. For the methodological quality assessment of each study, we used the Quality Assessment Tool for Observation Cohort and Cross-Sectional Studies provided by the National Institutes of Health (NIH). RESULTS: A total of 10 articles were included in this systematic review. For the components of gait, we used pace, rhythm, and variability and we observed that mild cognitive impairment mostly causes low gait performance while performing dual tasks. Among the 10 articles, 9 articles studied pace, of which 7 showed significant results. However, 2 were not significant. Also, 1 article that studied rhythm and 3 articles that studied variability showed significant results. The methodological quality of the 10 studies was fair. CONCLUSION: Gait pace was found to have a high correlation between memory, which is a cognitive ability, and overall cognitive function. It was observed that older adults with mild cognitive impairment have reduced gait pace in single-task walking, and further decrease in dual-task gait pace shows the correlation between memory and gait pace during walking.