• 제목/요약/키워드: 천추

검색결과 99건 처리시간 0.026초

요천추부 신경근병증의 치료를 위한 경추간공 경막외 스테로이드 주입과 요추 및 미추 경막외 스테로이드 주입의 비교 (Comparison of Transforaminal Epidural Steroid Injection and Lumbar/Caudal Epidural Steroid Injection for the Treatment of Lumbosacral Radiculopathy)

  • 정선섭;이원형
    • The Korean Journal of Pain
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    • 제18권1호
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    • pp.23-28
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    • 2005
  • Background: An epidural steroid injection (ESI) is usually used for the treatment of low back pain with radiculopathy. An ESI can be performed by two procedures: I) a lumbar or caudal epidural steroid injection and II) a transforaminal epidural steroid injection. Methods: Ninety-three patients, who had undergone transforaminal epidural steroid injection (Group II), and either a lumbar or caudal epidural steroid injection (Group I), were retrospectively studied. The authors assessed the pain, walking, standing improvement and side effects after each procedure, which were evaluated as being very good, good, fair or poor. Data were collected from the patients medical records and analyzed using the chi-squared test. P < 0.05 was considered significant. Results: There were no statistically significant differences in the pain, walking, standing improvement and side effects between the two groups. However, there was a statistically significant difference in the pain improvement following transforaminal epidural steroid injection in those not effectively responding to an initial lumbar or caudal epidural block in Group II. Conclusions: A transforaminal epidural steroid injection is a useful alternative to a lumbar or caudal epidural steroid injection for low back pain with radiculopathy.

합곡(合谷)(L14)의 자침(刺鍼)과 자석외첩(磁石外貼)이 천추(天樞)(S25) 부분(部分) 영역(領域)의 온도변화(溫度變化)에 미치는 영향(影響) 비교(比較) (Comparison study of effects of magnetic therapy at Hap-Kok(LI4 ) on the thermal change of Chun-Choo(ST25) in man)

  • 백태호;박령준
    • 대한의료기공학회지
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    • 제5권1호
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    • pp.22-39
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    • 2001
  • This study is designed to compare the effect of a needle with the magnet on body. We took the skin temperature of the belly with digital infrared thermographic imaging while we sticked needle and apply magnets on L14. We made experiments on 40 healthy male volunteers for one month. We classified control group not acupuncture or magnet adhering(CON). acupuncture group on left and right L14(LA). and the permanent magnet group adhering to left and right(LM). And LM is divided into S-polar permanent magnet group(LMS) and N-polar permanent magnet group adhering to left and right L14(LMN). When we observed that temperature changed with time, the skin temperature of th belly in CON descended significantly but LM, LMS and LMN is not changed significantly. As mentioned above. we observed that the needles on L14 affected the change of temperature on the belly, and conjectured that the appliance of magnets had the same results. If the mechanism depends on the meridian of body and energy. we suppose that the appliance of magnets and needles has same effects.

만성요통환자의 요천추 각도가 요부신전 근력에 미치는 영향 (Effect of lumbar extensor strength according to lumbosacral angle change on chronic lumbar back pain patients)

  • 김경태;박래준
    • The Journal of Korean Physical Therapy
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    • 제16권1호
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    • pp.14-31
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    • 2004
  • The Purpose of this study was to investigate the change of lumbar extensor strength according to lumbosacral angle on chronic lumbar back pain patients. For this investigation lumbar extensor strength was administered to 60 patients who were diagnosed chronic lumbar back pain The subjects was to investigate lumbosacral angle in standing position and it were calculated lumbar extensor strength by using Medex. The result of this study summarized are as follows ; 1. Total experimental group exhibited significantly higher difference than control group in lumbar extensor strength among all degree lumbosacral angle. 2. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, all degree difference was revealed II, I, III order. 3. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, I group difference was did not. 4. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, all degree among II group was noted significantly difference except 24, 72 angle. 5. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, control group was revealed higher muscle strength 48, 60, 72 angle, however no significantly difference was noted 0, 12, 24 angle. The study was objected difference of other group in both of experimental and control group. Because lumbar extensor weakness with bad position was gradually increased back pain, to Maintain normal lumbosacral angle befor exercising lumbar extensor strength was most important.

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전위된 하부 천골 횡골절에 대한 이중 금속판을 이용한 내고정술 (Dual Plate Fixation for Displaced Transverse Fracture of the Lower Sacrum)

  • 최동혁;박지훈;심승우;최용수
    • 대한정형외과학회지
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    • 제55권2호
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    • pp.178-182
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    • 2020
  • 하부 천골의 단독 골절은 일반적으로 저에너지 손상으로 안정된 골절이 많아 대부분의 경우에서 보존적 치료가 이루이지고 있고 그 결과도 좋은 것으로 보고되고 있다. 하지만 전위된 불안정 골절에서는 수술적 치료의 필요성이 요구되나 치료 방법이 정립되어 있지 않으며 증례보고마저 매우 드물다. 이에 저자들은 하부 천골의 전위된 횡골절에 대해 관혈적 정복 및 이중 금속판을 이용한 내고정술을 치험한 증례를 보고하고자 한다.

한국쌀의 품질에 관한 연구 (Studies on the Quality of Korean Rice)

  • 김재욱;이계호;김동연
    • Applied Biological Chemistry
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    • 제15권1호
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    • pp.65-75
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    • 1972
  • 한국에서 장려품종으로 재배되는 쌀의품질을 알기 위하여 1971년도 수원에서 생산된 23품종(Japonica형 20종, Indica형 3종)의 벼를 시료로 하여 취반적성을 주로하여 쌀의 품질을 조사연구한결과는 다음과 같다. 1. Amylose의 함량은 21.2%에서 25.0%사이에 있으며 평균 23.0%이고 그중 indica형인 IR계통은 $24.0{\sim}25.0%$로 일반적으로 높은 값을 보였고 japonica형중에는 만경 팔금이 가장 높으며 등판 5호, 김마제가 가장 낮은 값을 나타내고 기타 품종은 대체로 평균치에 가까운 값을 나타내고 있다. 2. Blue value는 $0.38{\sim}0.48$의 범위내에 있으며 평균 0.42이고 그중 IR계통은 0.46-0.48로서 가장 높은 값을 나타내며 japonica형중에는 재건이 가장 높고 수성, 시로가네가 그 다음으로 높으며 신 2호, 농백, 팔굉, 수원 82호, 만경, 농림 25호, 농광이 비교적 낮은 값을 나타낸다. 3. Alkali number는 $6.0{\sim}7.4$의 범위에 있고 평균 6.9인데 그중 IR 667계통은 $7.0{\sim}7.1$로 별다른 값을 나타내지 않고 japonica형에서는 수성 및 밀성이 가장 높은 값을 나타내고 재건, 천추락이 가장 낮고, 농림 29호, 김마제가 그 다음으로 낮은 값을 나타낸다. 4. 호화온도를 호화개시온도와 호화종료온도의 중간온도를 기준으로 할 때 대체로 $59.5{\sim}64^{\circ}C$의 범위내에 있는데 그중 IR 667계통이 가장 높은 편이고 japonica형에서는 진흥, 등판 5호, 천추락, 농광, 수원 82호가 비교적 높고 김마제, 팔굉, 재건등이 가장 낮은 편이다. 5. 가열흡수율은 2.60-2.92의 범위에 있고 평균 2.79인데 그중 IR 667계통이 $2.9{\sim}2.92$로서 가장 높은 값을 나타내며 japonica형에서는 김마제 수원 82호, 농림 29호, 등판 5호, 재건, 진흥이 비교적 높고 팔굉, 팔금 및 팔달등이 비교적 낮다. 6. 팽창용적은 29.8-33.7의 범위내에 있고 평균 31.8인데 그중 IR계통이 $33.0{\sim}33.7$로서 가장 높은 값에 속하고 japonica형에서는 등판 5호, 시로가네, 농림 25호가 비교적 높고 농광, 수성, 팔굉, 천추락등이 비교적 낮은 값을 나타내고 있다. 7. 취반잔존액의 요오드정색도는 $0.35{\sim}0.58$의 범위내에 있으며 평균 0.46이고 그중 IR 667계통은 비교적 높은 값을 보이며 japonica형중에서도 팔금, 밀성, 팔굉, 진흥둥이 비교적 높고 만경, 농백둥이 낮은 값을 나타낸다. 8. 취반액의 용출고형물량은 $0.605{\sim}0.810$의 범위에 있으며 평균 0.700이고 그중 IR667계통은 별다른 값을 나타내지 않으며 japonica형 중에서는 팔금, 팔굉, 진흥이 비교적 높고 재건, 농림 29호 농림 25호 농백이 비교적 낮다. 9. 취반액의 pH는 6.3-7.4의 범위내에 있고 평균 6.95이었다. 또한 IR 667계통이 6.3-6.6으로서 다른 japonica type보다 낮은 치를 보였다. japonica type 중에는 풍광과 시로가네가 가장 높고 신 2호가 가장 낮았다.

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만성 요통 환자의 하지 길이 부전과 요천추부 및 골반의 방사선학적 지표와의 관계 (Relationship between Leg Length Discrepancy and Radiological Parameters of Lumbosacrum and Pelvis in Patients with Chronic Low Back Pain)

  • 조유정;정석희;송미연
    • 한방재활의학과학회지
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    • 제20권4호
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    • pp.171-183
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    • 2010
  • Objectives : The biomechanical relationship of leg length discrepancy(LLD), Lumbar lordosis, pelvic variance and degenerative scoliosis is one of the most important parameters when treat musculoskeletal disorders, however the reports are still controversial. The purpose of this study was to compare the relationships between the parameters and bothersomeness in subject with chronic ow back pain. Methods : Sixty female and eight male adults with non specific low back pain over 3 months were recruited. LLD was measured by tape measure method. Lumbar lordosis, lumbosacral angle and related pelvic parameters were measured using simple radiologic films of lumbosacral view. Results : Lumbar lordosis was significantly correlated to the lumbosacral angle, pelvic incidence and difference of the both iliac widths. Pelvic incidence had significant correlation with difference of the both iliac widths. And difference of both iliac widths was related with LLD by radiologic film. There was also significant correlation between the LLD by radiologic film and tape measurement. Visual analogue scale(chronic low back pain) of normal lordosis group was greater than hyperlordosis group. Conclusions : There were close biomechanical relationships between lumbar, pelvis, and lower extremity. But in order to determine the effect of structure on the chronic low back pain, global balance of musculoskeletal structure seems to be worth further researching.

폐결핵과 T5,6압박골절을 동반한 상부흉추(T2-8)결핵환자 1예 (A Case of Upper Thoracic Spinal Tuberculosis(T2-8) with T5,6 Compression Fracture in Pulmonary Tuberculosis Patient)

  • 김종경;송하도;조동일;유남수
    • Tuberculosis and Respiratory Diseases
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    • 제63권4호
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    • pp.372-377
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    • 2007
  • 척추결핵은 경과가 느리고 서서히 진행하며 특이한 증상이 없으므로 임상적으로 의심하지 않으면 병이 상당히 진행된 후에야 진단되기 쉽다. 또한 침범된 부위가 척추결핵이 흔하지 않은 상부흉추, 경추, 천추부라면 진단은 더욱 늦어질 수 있다. 저자들은 국립의료원 결핵과에서 발열과 약 5개월간 지속된 상부 배부 통증으로 입원한 폐결핵환자에서 MRI 촬영으로 T5-6의 압박골절까지 초래한 상부흉추결핵을 진단하고 신경학적 이상이 생기기 전에 수술을 시행하고 항결핵약제의 치료로 좋은 결과를 얻었기에 이에 보고하는 바이다.

고지방 식이 유도 비만에 대한 족삼리.내정, 천추.족삼리 전침 자극의 효과 (Effect of ST36.ST44 and ST25.ST36 Electroacupuncture Stimulation on High Fat Diet Induced Obese Mouse)

  • 최용준;조남근;김재효;안성훈;송제호;류도곤;권강범
    • 동의생리병리학회지
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    • 제22권6호
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    • pp.1544-1548
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    • 2008
  • The aim of this study is to learn the effects of ST36 ST44 and ST25 ST36 electroacupuncture stimulation on high fat diet-induced obese mouse. The control group was provided with high fat diet without electroacupuncture stimulation, while the experimental group received a electroacupuncture stimulation on ST36 ST44 and ST25 ST36 with three frequencies (10Hz, 100Hz, 200Hz) for 5 times a week during five week periods with the high fat diet. We investigated the body weight, weight gain, and food intake. After the electroacupuncture stimulation, a significant inhibition of increase in weight was found in the experimental group compared with the high fat diet group. But there were no significant differences made by the change of acupoint combinations and frequencies. After the electroacupuncture stimulation, no significant change was found in the food intakes, but the weight gain a week was decreased compared with the high fat diet group. Electroacupuncture stimulation may be effective in treatments of obesity to high fat diet, But no significant difference was found between three frequencies.

요천추신경총병증으로 진단된 환자 1례에 대한 증례보고 (Clinical Study on the Case of Patient with Lumbosacral Plexitis)

  • 김정은;윤현민;안창범;장경전;김철홍;장선희;박재흥;구지영;이창환;최한나
    • Journal of Acupuncture Research
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    • 제26권5호
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    • pp.161-169
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    • 2009
  • Objectives : The purpose of this study was to evaluate Oriental Medicine Therapy on the Lumbosacral plexitis patient. Methods : The patient was treated with dry needle acupuncture, bee venom pharmacupuncture, herb medicine, indirect moxibustion and physical therapy. We estimated S kinds of Symptoms by Visual Analog Scale, lower limb motor grade test, gait condition test and sensory examination to evaluate the effect of Oriental conservative treatment. Results : After treatment, patient's visual analogue scale score were generally decreased 10 to 4 and lower limb muscle power and gait condition were improved. Conclusions : Oriental Medicine Therapy might be an effective method to treat the Lumbosacral plexitis patient who was diagnosed as Wei Symptom. It is necessary to have more observation and many cases of patients with Lumbosacral plexitis.

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구두 굽 높이가 20대 여성의 요천추부 각도에 미치는 영향 (The Effect of Heel-height on the Lumbosacral Region Angle of Young Ladies)

  • 김병곤;공원태;김한수
    • 대한물리의학회지
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    • 제2권1호
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    • pp.49-59
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    • 2007
  • Objective : To purpose of this study was the most of the ladies wear high-heeled shoes at lease 4 to 5 day a week but the effect of it's height on the lumbo-sacral legion angle has not been clearly defined. Method : Subject were 20 young ladies, who had majored in physical therapy of the Dae-gu Health College. Method 1. PACS system X-ray was used to measure the lumbo-sacral legion angle under the condition of bare foot, 3cm, 7cm high-heeled at standing position. 2. Spinal Mouse was used to measure the spinal segment motion angle and length under the condition of bare foot, 3cm, 7cm high-heeled at being Flexion-Extension position Result : The result of this study were as follow I. Significant statistical increase in lumbar lordosis was observed as the heel height was increased from bare foot to 7cm high-heeled(p<.05), but there was no significant difference in the lumbo-sacral angle & sacral angle(p>.05). 2. The Height and the weight of the subjects, their preference on the shoes didn't affect the lumbo-sacral lesion angle(p>.05) 3. The variation of the heel height didn't affect the spinal segment motion angle and length(p>.05). Conclusion : There is strong relationship between the high of heel with increasing the lumbar lordosis(p<.05).

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