• Title/Summary/Keyword: 2근관

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Carpal Tunnel Syndrome by Ganglion: A Case Report (수근관에 발생한 결절종으로 인한 수근관 증후군의 치험1례)

  • Jang, Seo-Yoon;Ahn, Duck-Sun
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.117-120
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    • 2011
  • Purpose: Carpal tunnel syndrome is the most common peripheral compressive neuropathy. Most cases are idiopathic, but rarely carpal tunnel syndrome can be associated with a ganglionic mass. We report our recently encountered experience of surgical treatment of carpal tunnel syndrome caused by a simple ganglionic mass. Methods: A 53-year-old man presented with chief complaints of numbness and hypoesthesia of his left palm, thumb, index finger, long finger, and ring finger of one and half month duration. Physical examination revealed positive Tinnel's sign without previous trauma, infection or any other events. Electromyography showed entrapment neuropathy of the median nerve. Magnetic resonance imaging (MRI) showed an approximately 2.0 cm-sized mass below the transverse carpal ligament. Upon surgical excision, a $1{\times}1.5cm^2$ mass attached to the perineurium of the median nerve and synovial sheath of the flexor digitorum superficialis and redness and hypertrophy of the median nerve were discovered. With surgical intervention, we completely removed the ganglionic mass and performed surgical release of the transverse carpal ligament. Results: The pathology report confirmed the mass to be a ganglion. The patient exhibited post-operative improvement of his symptoms and did not show any complications. Conclusion: We present a review of our experience with this rare case of carpal tunnel syndrome caused by a ganglionic mass and give a detailed follow-up on the patient treated by surgical exploration with carpal tunnel release.

Fall-related Knowledge and Caring Behaviors for Fall Prevention among Care Workers in Nursing Home (노인요양원 요양보호사의 낙상관련지식과 낙상예방돌봄행위)

  • Kim, Mee Sun;Eun, Young
    • Journal of muscle and joint health
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    • v.21 no.1
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    • pp.11-18
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    • 2014
  • Purpose: The purpose of this study was to understand care workers' fall-related knowledge and caring behaviors for fall prevention in nursing home. Methods: This study was a descriptive survey study. Data have been collected from 125 care workers in 5 nursing homes. Data were analyzed using frequency, t-test, one-way analysis of variance (ANOVA), and Pearson correlation coefficients. Results: 1) The average percentage of correct answers for care workers' fall-related knowledge was 72.2%. There were significant differences in fall-related knowledge by age, experiences of re-education about care for fall injuries, and experiences to transfer fall patients to another hospital. 2) The average level of care workers' caring behaviors for fall prevention was 3.81 points out of 4. There were significant differences by experiences of education about care for fall injuries in nursing home and concern of fall injury prevention. 3) There was a significant correlation between fall-related knowledge and caring behaviors for fall prevention (r=.320, p<.001). Conclusion: The level of fall-related knowledge is positively correlated to the level of caring behaviors for fall prevention. Therefore, nurses should prepare education programs to increase care workers' fall-related knowledge and caring behaviors for fall prevention.

A STUDY ON THE MECHANISM BY WHICH THE FREQUENCY-DEPENDENT APEX LOCATOR DETECTS THE APEX OF THE ROOT IN MOIST CANALS (주파수의존 근관장 측정기가 습윤한 근관내에서 근첨을 인지하게 되는 원리에 관한 연구)

  • Park, Han-Soo;Yoo, Hyeon-Mee;Oh, Tae-Seok
    • Restorative Dentistry and Endodontics
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    • v.23 no.2
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    • pp.676-681
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    • 1998
  • The purpose of this study is to explain theoretically the mechanism of the frequency-dependent apex locator which can detect the apex of the root in moist canals with blood or other conductible canal irrigants. The frequency-dependent apex locator is based on measuring the ratio of the two impedances of the two alternating currents with different frequencies. We analyzed the changes of the ratio between the two impedances by using differential calculus. Our analysis shows that : 1. When the file is in the moist canal, the ratio between the two impedances is almost constant. 2. As the file approaches the apex of the root, the ratio decreases sharply. By this mechanism, the frequency-dependent apex locator can detect the apex of the-root quite accurately in moist canals.

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EVALUATION OF ROOT CANAL TRANSPORTATION AND REMAINING DENTIN/CEMENTUM THICKNESS FOLLOWING HAND AND ULTRASONIC INSTRUMENTATION (근관형성 방법에 따른 근관변위와 잔존치질의 두께에 관한 연구)

  • Seo, Byoung-Kon;Cho, Young-Gon
    • Restorative Dentistry and Endodontics
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    • v.17 no.2
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    • pp.399-412
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    • 1992
  • The purpose of this study was to evaluate the root canal transportation and remaining dentin / cementum thickness after using hand and ultrasonic instrumentation in the curved mesial root canals of extracted human mandibular molars. Fourty - six clear polyether blocks were made and randomly divided into two groups: hand instrumentation group with K - Flex files and ultrasonic instrumentation group with Suprasson SP unit. All root canals were instrumented to a size corresponding to a # 30 K - Flex file 1mm short from the radiographic apex. The roots were then sectioned perpendicular to the long axis so the apical and middle third could be evaluated with the Zoom stereomicroscope. The results were as follows : 1. In the total amount of removed dentin at middle third level, there was not significant difference between the hand instrumentation and ultrasonic instrumentation (P>0.05). 2. In the total amount of removed dentin at apical third level, there was more removed by the ultrasonic instrumentation than hand instrumentation(P<0.005). 3. In the transportation width, there was not significant difference between the two groups at both sectioned levels(P>0.05). 4. It was suggested that the canal was transported distally at middle third level and mesially at apical third level by booth techniques.

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Analysis Study of Quality of Life in Home stayed Arthritis Patients (재가 관절염환자의 삶의 질 관련요인 분석)

  • Suh, Moon-Ja;Kim, Keum-Soon;Roh, Kook-Hee
    • Journal of muscle and joint health
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    • v.9 no.2
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    • pp.166-176
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    • 2002
  • The purpose of this study was done to identify analysis study quality of life in home stayed arthritis patients. The subject for this study were 56 arthritis patients in K city and boundary area resident, and period of data collection was from July, 2000 to November, 2000. The results are as follows. 1. Mean score of Quality of life was $171.13{\pm}44.08$(range from 66 to 244), Mean score of depression was $36.71{\pm}12.11$(range from 18 to 64), score of social support was $3.96{\pm}5.30$(range from 0 to 19), and score of stress was $322.80{\pm}34.18$(26 to 2316). 2. Main demographic factor influenced upon quality of life was age, sex, educational level and marital status, and main Physical factor influenced upon qualify of life was height, systolic and diastolic blood pressure. 3. Quality of life was correlated negatively with depression, and positively social support. 4. quality of life in home arthritic patient was explained 68% by depression, age and social support. In conclusion, nursing intervention of arthritic patient in home considers age, social support and depression in order to promote quality of life.

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The effect of Patellar Taping on the EMG Activity of the Vastus Medialis Oblique and Vastus Lateralis during Stair Stepping (무릎뼈 테이핑이 계단보행 시 안쪽빗넓은근과 가쪽넓은근의 근활성에 미치는 효과)

  • Kim, Hyun-Hee
    • Journal of muscle and joint health
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    • v.18 no.2
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    • pp.249-256
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    • 2011
  • Purpose: The purpose of this study was to investigate electromyographic(EMG) activity of vastus medialis oblique(VMO) and vastus lateralis(VL) following the application of patellar taping during stair stepping. Methods: Both VMO-VL onset timing and VMO/VL ratio of 15 participants with patellofemoral pain syndrome (PFPS) were measured using an surface EMG uint(Myosystem 1400A, Noraxon Inc., USA). The measurements were taken under three conditions in random order of patellar taping, placebo taping, and no-taping. Data were analysed using $1{\times}3$ repeated measures ANOVA. Results: There was a significant difference with patellar taping on VMO/VL amplitude compared with the placebo taping and no-taping conditions during stair stepping, but no significant difference on VMO-VL onset timing. Conclusion: These result indicate that patellar taping on the vastus medialis oblique has effect on the VMO/VL ratio. Increased values of VMO/VL ratio may contribute to patellar realignment and explain the mechanism of pain reduction following patellar taping in participants with PFPS.

Activities of Daily Living, Health Related Quality of Life According to the Experience of Falls among the Aged in Community (지역사회 노인의 낙상경험에 따른 일상생활수행능력과 건강관련 삶의 질)

  • Kim, Seon-Kyung;Kim, Jong-Im
    • Journal of muscle and joint health
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    • v.18 no.2
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    • pp.227-237
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    • 2011
  • Purpose: This study was to identify the experience of falls and activities of daily living, health-related quality of life among the aged in community. Method: Subjects of this study were used by the raw data is based on the Community Health Survey in 2008. The subjects consisted of 73 persons who have experienced falls and of randomized 73 persons who inexperienced falls among 3755 the aged over the age of 65, living in Chungnam Province. The data were collected by using a structured questionnaire. Data were analyzed using SPSS 14.0 for windows. Result: Most of accidents and poisonings were caused by slide/falls, and took place at home. Especially women experienced falls at home. Lower extremities were the most injured area. There was a statistical difference in activities of daily living, health-related quality of life in two groups: inexperienced group and experienced group. Conclusion: The results of this study indicate that the falls were related to activities of daily living and health-related quality of life. So it is necessary to give information about falls in the aged and further study.

Effects of Muscle Strengthening Exercise Program on Pain, Fatigue, Physical Function in Elderly Women with Total Knee Arthroplasty (근력강화 운동프로그램이 슬관절 전치환술 여성 노인환자의 통증, 피로, 신체적 기능에 미치는 영향)

  • Min, Hye-Sook;Jung, Yun-Hwa;Kim, Eun-Sook;Kim, Seon-Hwa;Choi, Young-Ji
    • Journal of muscle and joint health
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    • v.18 no.2
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    • pp.203-214
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    • 2011
  • Purpose: The purpose of the study was to identify the effects for 4-weeks muscle strengthening exercise program on pain, fatigue, and physical function(muscle strength of leg, walking competence, balance, flexibility of patella) in elderly women with total knee arthroplasty(TKA). Method: Utilizing a quasi-experimental design, 30 TKA patients consisted of the experimental group (n=15) and control group (n=15). The experimental group participated in the muscle strengthening exercise program, twice a day for 4 weeks. Data were analyzed with SPSS WIN 18.0 program, using repeated measure ANOVA. Result: As time goes by, There were significant differences in muscle strength of leg (F=6.60, p<.001), walking competence(F=7.15, p<.001), and balance(F=17.55, p<.001) between the experimental and the control groups. Conclusion: The findings of this study revealed the positive effects of muscle strengthening exercise program in elderly women with TKA.

The Effects of Board Training and Complex Training on Ankle Stability in Taekwondo Students with a History of Ankle Sprain (기구운동과 복합운동이 발목염좌 경험이 있는 태권도학과 학생의 발목 안정성에 미치는 효과)

  • Kim, Woo-Won;Cho, Kyung-Sook
    • Journal of muscle and joint health
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    • v.18 no.2
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    • pp.182-191
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    • 2011
  • Purpose: The purpose of this study is to compare the effects of board training and complex training on ankle stability in taekwondo college students with a history of ankle sprain. Methods: Twenty-seven taekwondo college students were randomly assigned into a board training (BTG, n=9), complex training (CTG, n=9), or control groups (CG, n=9). BTG carried out disk and trampoline training 3 times a week for 8 weeks. CTG carried out resistive and plyometric training 3 times a week for 8 weeks. All subjects completed ankle stability test for static and dynamic balance in anterior/posterior and medial/lateral stability with New Balance System (BIODEX Medical System, USA). Results: There were no significant differences between three groups in ankle stability. Those who participated in BTG significantly improved static balance of left foot in anterior/posterior stability, and dynamic balance of both feet in mediolateral stability, but there were no change in CTG. Conclusion: Board training is more improved ankle stability in taekwondo college students with a history of ankle sprain than complex training.

Musculoskeletal Pains, Menopausal Symptoms and Depression by Women's Menopausal Stage (폐경단계별 근골격계 통증, 폐경증상 및 우울)

  • Jang, Hyun-Jung;Ahn, Suk-Hee
    • Journal of muscle and joint health
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    • v.18 no.2
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    • pp.158-168
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    • 2011
  • Purpose: The purpose of this study was to compare musculoskeletal pain, menopausal symptoms and depression by women's menopausal stage. Method: With a survey design, a convenience sample of 203 women between age of 40 to 64 was recruited through a community. Data were collected via a structured study questionnaire from May to July, 2008. Measures included with symptom severity list for menopausal symptoms, Aches and Pains scale, and Beck's Depression Inventory. Results: Thirty-seven percent of women belong to early peri-menopausal stage, 31% to late peri-menopausal stage, and 32% to postmenopausal stage. By group comparison, late peri-menopausal and post menopausal women reported higher scores of depression than early peri-menopausal women. Postmenopausal women had greater scores in two pain subscales (bodily pain and pain that interferes with normal work) and two menopausal symptoms subscales (sleep pattern and sexual behaviors) than early peri-menopausal women. There were moderate levels of positive relationships among study variables at each menopausal stage. Conclusion: Postmenopausal women seem to have greater musculoskeletal pain and menopausal symptoms, and have depression more than did early peri-menopausal women. Tailored nursing strategies are required to reduce these kinds of common symptoms for women with menopausal transition to improve their physical and psychological wellbeing.