• 제목/요약/키워드: Compression treatment

검색결과 719건 처리시간 0.027초

Contemporary treatment with radiosurgery for spine metastasis and spinal cord compression in 2015

  • Ryu, Samuel;Yoon, Hannah;Stessin, Alexander;Gutman, Fred;Rosiello, Arthur;Davis, Raphael
    • Radiation Oncology Journal
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    • 제33권1호
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    • pp.1-11
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    • 2015
  • With the progress of image-guided localization, body immobilization system, and computerized delivery of intensity-modulated radiation delivery, it became possible to perform spine radiosurgery. The next question is how to translate the high technology treatment to the clinical application. Clinical trials have been performed to demonstrate the feasibility of spine radiosurgery and efficacy of the treatment in the setting of spine metastasis, leading to the randomized trials by a cooperative group. Radiosurgery has also demonstrated its efficacy to decompress the spinal cord compression in selected group of patients. The experience indicates that spine radiosurgery has a potential to change the clinical practice in the management of spine metastasis and spinal cord compression.

교통 사고 이후 발생한 요추부 압박골절에 한방복합입원치료로 호전된 환자 4례: 후향적 증례 연구 (4 Cases of Patients That Improved from Traffic Accident Which Caused Lumbar Spine Compression Fracture by Complex Korean Medical Admission Treatment: Retrospective Case Study)

  • 홍제락;김유종;김지수;이정열;김태규;유도현;최인석;이상원
    • 한방재활의학과학회지
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    • 제27권4호
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    • pp.163-170
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    • 2017
  • Objectives The objective of this study is to report 4 patients who had vertebral compression fracture after traffic accident, that had a complex korean medical admission treatment. Methods In this study we collected the data of traffic accident patients that came to receive intense Korean medical treatment, and had compression fracture of the lumbar spine. A total of 4 patients were studied and we compared the Visual Analogue Scale (VAS) score and the Pain-Free Walking Distance (PFWD) at addmission date and 19th day of hospitalization. Results After receiving an average of 22.25 days of admission treatment, all patients showed a significant decrease in VAS scores and increase in PFWD. The median VAS score at date of admission was 6.5 (VAS 6~9) and decreased to 3.5 (VAS 3~5), median PFWD was 37.5 (30~45) m and increased to 435 (420~450) m. Conclusions After complex korean medicine admission treatment, 4 patients with vertebral compression fracture caused by traffic accident showed decrease of pain and increase of walking distance. But there is a need for further studys to be done on treatment methods and evaluation methods.

대상포진후신경통 치료 중 발견된 척추압박골절 - 증례보고 - (Compression Fractures Diagnosed during the Treatment of Postherpetic Neuralgia - A case report -)

  • 최용민;신화용;이강준;구미숙;남상건;서정훈;조지연;김용철;이상철
    • The Korean Journal of Pain
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    • 제20권2호
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    • pp.224-229
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    • 2007
  • Vertebral compression fractures can occur due to trauma, a malignancy, or most commonly, osteoporosis. These fractures are frequently seen in elderly women; 30% of postmenopausal women are affected by vertebral compression fractures. These fragile fractures frequently result in both acute and chronic pain, but more importantly, are a source of increased morbidity and possibly, mortality. These injuries can be treated both conservatively and with surgery. The use of percutaneous vertebral augmentation offers a minimally invasive approach for the treatment of vertebral compression fractures. We experienced two cases of compression fractures diagnosed during the treatment of thoracic postherpetic neuralgia. Two patients suffering from postherpetic neuralgia with a sharp and stabbing pain in the thoracic dermatomes that was unresponsive to conservative treatment were transferred to our clinic. During the management of postherpetic neuralgia, we incidentally found thoracic compression fractures after obtaining fluoroscopic guided images. After a balloon kyphoplasty, the preoperative pain related to the postherpetic neuralgia was successfully relieved soon after the procedure, and there were no complications.

흉요추 압박골절로 입원한 환자에 대한 한의학적 치료 효과 (Effect of Oriental Medicine Treatment on Inpatient with Thoracolumbar Compression Fracture)

  • 정기훈;차정호;황희상;전재천;이태호;이은용;노정두
    • Journal of Acupuncture Research
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    • 제26권1호
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    • pp.81-90
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    • 2009
  • Objectives : This Study was to investigate the tendency of inpatient with Thoracolumbar Compression Fracture. Also we investigated effectiveness of Pharmacopuncture and Warming Acupuncture on Thoracolumbar Compression Fracture. Methods : We investigated 48 cases of patients with thoracolumbar compression fracture. We distributed inpatint with age, sex, number of injured vertebra, level of injured vertebra, admission duration, grade of clinical symptom, result of treatment and applied treatments. And we calculated statistically signification with this data. Results : 1. Female is prominent in distribution of sex, the average age bracket is 70's, and the largest group was accidental fall in the distribution of causes. 2. In regard to level of injury, T12 was found to be most prominent, followed in turn by L2, L1, T12. In regard to grade of clinical symptoms, Grade III was most Prominent, followed in turn by Grade IV, Grade II. In regard to grade of result of treatment, Good was most prominent. 3. There was not statistically significantly correlation about admission duration and result of treatment with number of injured vertebra, grade of clinical symptom, applied treatments. Conclusions : Most inpatients with thoracolumbar compression fracture was cured by oriental medicine treatment.

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흉(胸).요추압박골절(腰椎壓迫骨折)에 대한 봉약침(蜂藥鍼) 복합치료(複合治療) 효과(效果) (Effect of Bee Venom Acupuncture Complex Therapy of Thoracolumbar Compression Fracture)

  • 양가람;송호섭
    • Journal of Acupuncture Research
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    • 제25권3호
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    • pp.29-39
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    • 2008
  • Methods : We investigated 28 cases of patients with thoracolumbar compression fracture. We divided patients into two groups : We treated one group with complex oriental medical treatment focusing on Bee Venom Acupuncture therapy, and did the other group with complex oriental medical treatment focusing on acupuncture therapy. To investigate the effectiveness of treatment applied for two groups, we used Visual Analog Scale(VAS) and Oswestry Low-back Pain Disability Index(ODI). We compared the VAS score and ODI score of two groups statistically. Results : 1. Female is prominent in distribution of sex, the average age bracket is 70's, and the largest group was Faccidental fall in the distribution of cause. 2. In regard to level of injury, T12 was found to be most prominent, followed in turn by L1, L2. In regard to grade of clinical symptoms, Grade III was most prominent, followed by Grade IV, Grade II. 3. As a result of evaluation by using VAS score and ODI score, treatment score at final was significantly different from that at the baseline in each group. 4. After treatment, Bee Venom acupuncture therapy group showed significant difference on VAS score and ODI score compared with acupuncture therapy group. Conclusions : Bee Venom acupuncture therapy can be available for relieving symptoms related with thoracolumbar compression fracture.

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한국산 옻나무의 휨 및 종압축 강도적 성질(I) (The Bending and Compression Strength Properties in Rhus verniciflua(I))

  • 변희섭;시마다 마사히로;후시타니 마사미
    • Journal of the Korean Wood Science and Technology
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    • 제24권1호
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    • pp.95-99
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    • 1996
  • The bending and compression strength properties of two types Rhus verniciflua specimens, which made of no heat-treated wood and heat-treated wood for urushiol extraction, were measured. The heat-treated specimens were finger-jointed with either resorcinol-phenol or polyurethane resin adhesives, and the vertical type bending strength property was also measured in these specimens. The results obtained are as follows ; 1. The correlation coefficient between the compression strength and specific gravity in the specimens of no heat-treated and heat-treated wood was high. However there was no difference in compression strength property as affected by heat treatment. 2 The correlation coefficient between the bending strength and specific gravity in the specimens of no heat-treated and heat-treated wood was also high. However, there was no difference in bending strength property as affected by heat treatment. 3 The bending test showed high correlation between modulus of elasticity and modulus of rupture for the specimens made of no heat-treated and heat-treated wood. However, there was no difference in bending strength property between the specimens made of heat-treated and no heat-treated wood. 4. The efficiencies of bending strength test on the finger-jointed specimens of heat-treated wood with resorcinol-phenol and polyurethane resin adhesives were 0.85, 0.81. respectively.

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Heating Compression of Italian Poplar (Populus euramericana) Wood - Dimensional Stability Against Moisture -

  • Jung, In-Suk;Lee, Weon-Hee
    • Journal of the Korean Wood Science and Technology
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    • 제30권3호
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    • pp.91-96
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    • 2002
  • This study was carried out to estimate the property of dimensional stability of heat compression of italian poplar wood with low density. Firstly, two levels of pressure conditions were applied using the closed and open-press system. The thermal treatment temperatures were 180℃ and 200℃, respectively. Water absorption tests were conducted in water bath at 25℃ and 100℃ for 35 hours and 1 hour, respectively. The compression rates of wood were 47 percent, 60 percent, and 73 percent, respectively. From these tests, it was found that the dimensional stability of the closed-press system was superior to that of the open-press system. Furthermore, the dimensional stability of compressed wood in the closed-press system was better at 200℃ than 180℃. In compression rate, dimensional stability of 73 percent compression rate was the best result. Considering these results, the best conditions for the dimensional stability of compressed wood were those of the closed-compressing system at high temperatures above 200℃ and larger compression rate. Therefore, it was concluded that the dimensional stability of wood is improved at higher temperature and larger deformation.

봉약침(蜂藥鍼) 치료(治療)를 병행(竝行)한 흉(胸)·요추압박골절(腰椎壓迫骨折) 환자(患者)의 임상적(臨床的) 고찰(考察) (The Clinical Study on Bee Venom Acupuncture Treatment of Patient with Thoracolumbar Compression Fracture)

  • 이성노;홍서영;변임정;안광현;권순정;송원섭;강미숙;송호섭;김기현
    • Journal of Acupuncture Research
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    • 제19권6호
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    • pp.35-48
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    • 2002
  • Objective : The study was performed to evaluate the effect of treatment for thoracolumbar compression fracture by using Bee Venom Acupuncture that is well known for anti-inflammatory and analgesic effect. Methods : We investigated 39 cases of patient with thoracolumbar compression fracture. The patients with thoracolumbar compression fracture were treated at the department of acupuncture & moxibustion of Kyung-Won University Oriental Hospital from 1st January 2001 to 30th August 2002. We selected for two groups. One group was treated by Bee Venom Acupuncture therapy(Bee Venom Acupuncture Group : BAG), the other group was treated by Filiform Acupuncture therapy(None Bee Venom Acupuncture Group : NBAG). Results : 1. The distribution showed female predominance in sex and 70's predominance in age. The largest group was "accidental fall" and the next was "lifting heavy objects" in causes, and within 2 weeks in the duration of disease 2. In the duration of admission, the largest group was within 4 weeks. In regard to level of injury, T12 was found to be most predominant, followed in turn by L1, L2, L5. In regard to grade of clinical symptoms, Grade III was most predominant, followed by Grade II, Grade IV. 3. In the results of treatment, 87.5% were above "Good" in BAG and 47.8% in NBAG. 4. In the result of treatment due to the grade of clinical symptoms, BAG was more excellent than NBAG on the whols grade. 5. In the result of treatment due to duration of admission, the duration of admission was not in proportion to the results of treatment. 6. In the change of lumber flexion, the improvement above $80^{\circ}$ was 50% in BAG and 21.7% in NBAG 7. In the stability of treatment, the BAG and NBAG did't show any detrimental change in GOT, GPT, r-GTP, BUN, creatinine. Conclusions : In the treatment of thoracolumbar compression fracture, the Bee Venom Acupuncture can be regarded as more effective treatment than Filiform Acupuncture in the clinical practice. This is expected to be available for clinical use.

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대퇴골 전자부 역사상 골절의 압박고 나사를 이용한 치료 (Treatment of Reverse Oblique Trochanteric Fracture with Compression Hip Screw)

  • 김동휘;이상홍;하상호;유재원
    • Journal of Trauma and Injury
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    • 제23권1호
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    • pp.1-5
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    • 2010
  • Purpose: To investigate the results of treatment of reverse oblique trochanteric fractures with compression hip screw. Methods: We reviewed the results of 12 cases of reverse oblique trochanteric fracture treated with compression hip screw from January 2000 to December 2006 which could be followed up for more than 1 year. The mean follow up period was 26 months (15~40). The mean age was 48 years old. Injury mechanism was composed of 6 cases of traffic accident and 6 cases of fall down. 8 persons were man. We investigated the union time, degree of neck-shaft angle change, amount of sliding of compression hip screw, complications, functional and clinical results. Results: 10 cases were united and the mean union time were 5 months (3~8). The mean neck-shaft angle change was 3.5 degrees (0~12). The amount of sliding of compression hip screw was 8.9 mm (2~24). There were six coxa vara, six leg due to coxa vara shortening, two nonunion, and one superficial infection. Unsatisfactory results of Jensen's social function score and Parker and Palmer's mobility score were studied. Conclusion: The results of treatment of reverse oblique trochanteric fractures with compression hip screw were relatively unsatisfied.

시판 맞춤형 화상환자 압박복의 의복압 분석 -20대 남성 상의를 대상으로- (Analysis of clothing pressure for commercially customized burn patient's medical compression garments for men in their 20s)

  • 조신현
    • 한국의상디자인학회지
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    • 제21권4호
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    • pp.55-67
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    • 2019
  • This study analyzed the fabric and product size of the burn patient's custom compression garment and measured the pressure applied by the garment to assess whether proper pressure is being delivered for treatment. The test clothes were presented to the market by body size and commissioned with the same design. The subjects selected four people close to the average body size of men in their 20s determined by 7th Size Korea. The experiment was conducted by wearing a compression suit, performing activities and measuring changes in the pressure of the garment according to changes in posture. The fabric used for the compressive clothing was not ruptured even at 216 kPa, the elasticity recovery rate was measured between 80.5 and 94.5%. The product dimensions of the experimental clothing varied by up to 8cm from brand to brand, requiring the standardization of compression clothing. The experiment showed that four types of compression suit varied in pressure, and the pressure range, excluding the gastric arm (17.9mmHg), was between 2.5-14.1mmHg, which failed to meet the level of pressurization for treatment purposes. The clothing pressure in the chest area dropped when performing movements rather than standing still. This was interpreted to be a result of reduced the adhesion of the compression suit during operation. The peak pressure (31.68mmHg) and the lowest pressure (2.2mmHg) was noted in the scapula, indicating that no pressure was being transmitted on the vertebrae. The pressure of the garment on the right shoulder blade was elevated in a supine position. Because much time is spent laying down, it is necessary for the pattern design to accommodate for the increased clothing pressure on the shoulder blades. Standardization of the level of pressurization for burn patient's custom-made pressure suits for each stage of treatment is urgently required.