• 제목/요약/키워드: Hand injury

검색결과 438건 처리시간 0.021초

파절기에 의한 수지손상 (Finger Injury by Green Onion Cutting Machine)

  • 임영민;오득영;정성노;이종원;안상태;권호
    • Archives of Plastic Surgery
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    • 제36권1호
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    • pp.46-50
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    • 2009
  • Purpose: Finger injury by green onion cutting machine is one of the common hand injuries in the kitchen. It has a unique feature: there are multiple parellel laceration 3 - 5 mm wide. There are two directions of injuries(vertical, oblique). It may involve bone, tendon, nerve, and vessel injuries. We discuss its management and the long - term progress. Methods: We have treated six patients from 2003 to 2007. We carried out low tension approximation with thin suture materials to avoid ischemia and performed the additional operation as nail bed repair, tenorrhaphy, open reduction, vessel anastomosis, and composite graft. We reviewed the record of initial injury and collected the follow - up record. Results: They were all middle aged - women who had worked in the kitchen. Right hand was dominent over left hand. The ratio of the directions was 3 : 3 (vertical : oblique). They were all competely healed although there were three atrophy, four hyperesthesia, and one nail deformity. Conclusion: Finger injury by green onion cutting machine is a unique pattern of laceration with various accompanied injuries. It may look like a severe form of injury, but in most cases have relatively favorable progress. We have to perform careful examination of accompanied injuries and carry out the proper management. First and foremost, the user especially in the middle aged women should be warned to be careful in handling this risky machine.

소뇌 손상에 의한 사지 마비 환자의 보행 및 운동 기능 회복 양상 연구 (Characteristics of Gait and Motor Function Recovery in Quadriplegia Patients with Cerebellar Injury)

  • 여상석
    • PNF and Movement
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    • 제21권3호
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    • pp.327-335
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    • 2023
  • Purpose: Cerebellar injury can be caused by a variety of factors, including trauma, stroke, and tumor. Cerebellar injury can manifest in different clinical symptoms and signs depending on the size and location of the injury. The purpose of this study was to examine and compare the recovery patterns of each motor function by tracking the motor levels of patients with cerebellar injury. Methods: This study recruited 11 patients with quadriplegia resulting from cerebellar injury. The motricity index (MI), modified Brunnstrom classification (MBC), and functional ambulation category (FAC) methods were used to evaluate motor levels. The motor function evaluation was performed immediately after the onset of the condition and at intervals of one month, two months, and six months after onset. Results: The MI values of the upper and lower extremities and hand function (MBC) indicated severe paralysis in the early stages of onset. Compared to the onset time, significant motor function recovery was observed after 1, 2, and 6 months (p < 0.05). In contrast, there was no significant pattern of recovery between 1, 2, and 6 months after onset (p > 0.05). FAC indicated showed significant recovery at one month compared to onset (p<0.05), and there was also a significant difference between 1 and 2 months (p < 0.05). On the other hand, there was no significant difference in FAC between 2 and 6 months (p > 0.05). Conclusion: Patients with cerebellar injury showed significant recovery in functions related to muscle strength and voluntary muscle control one month after onset and gradually recovered further over the next six months. On the other hand, gait function, which is closely related to balance, showed a relatively slow recovery pattern from the beginning of the disease to the six month follow-up.

급성 수부 손상 후 발생한 보우선 (The Beau's Line Secondary to Acute Hand Injury)

  • 김탁호;정성모;이내호;양경무
    • Archives of Plastic Surgery
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    • 제33권5호
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    • pp.652-654
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    • 2006
  • Beau first described transverse depressions of the fingernails after an acute febrile illness in 1846. It was the result of the temporary arrest of nail matrix formation. The transient interference of nail growth rate is usually induced by disability caused by severe systemic disease. Such as Raynaud disease, myocardial infarction, pulmonary embolism, acute renal failure, psoriasis and dysmenorrhea were reported to be the cause of Beau's line. The trauma caused either in a hand or in a forearm was also reported to be the cause of Beau's line. We experienced patients with Beau's line, two cases secondary to fingertip injury and one case due to fracture in radius. They had Beau's lines in all fingers of traumatized hand and nails of opposite hand were normal. During the follow-up, the growth rate of traumatized fingernails were normal and there was no complication.

수부손상환자의 물리치료 실태조사 (A Survey on the Band Injury Patients of Physical Therapy)

  • 곽정인;배성수;황보각;김호봉;한동욱;이한숙
    • The Journal of Korean Physical Therapy
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    • 제13권1호
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    • pp.83-96
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    • 2001
  • The purpose of this study is to provide the fundamental information fer the rehabilitation of hand injury and to emphasize the point of early treatment of hand injury after operation. The subjects are composed with the physical therapists who care hand injury and are engaged in 76 university hospitals,59 general hospitals and 88 semi and local clinics respectively. Investigator take the research form chart with 41 questionnaire and use the cross tabulation frequencies and one-way ANOVA of SPSS WIN(ver 10.0) for the statistic analysis. The results of this research are as follows :1. The number of physical therapists who care hand injury are 110 men and 113 women. 2. The beginning period of active assistive exorcise on the various type of injuries are as follows: At the case of flexor tendon injury, the most part of physical therapists make response to the period that is above 4 weeks in the rate of 29.1%. At the case of fracture, the most part of physical therapists make response to the period those are from 3 weeks to less than 4 weeks and from 4 weeks to less than 5 weeks in the rate of 28.7% respectively. At the case of crushing injury, the most part of physical therapists response to the period that is above 4 weeks in the rate of 32.2%. At the case of amputation injury, the most part of physical therapists response to the period that is above 4 weeks in the rate of 40.4%. 3. In the physical therapy request, treatment period are mentioned in 22.0%. 4. The most difficult factors in the hand treatment is to contracture soft tissue and joint to physical therapist in the rate of 59.6%. 5. Among the reasons of the intervention between physical therapy request and actual treatment, the case of wrong physical therapy request is examined in 69.4%.

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기능적 전기 자극을 병행한 과제 지향적 훈련이 경수 손상 환자의 손 기능에 미치는 영향: 개별사례 연구 (Effects of Task-Oriented Training With Functional Electrical Stimulation on Cervical Spinal Cord Injury Patients' Hand Function: A Single-Subject Experimental Design)

  • 고석범;박혜연;김종배;김정란
    • 재활치료과학
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    • 제7권1호
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    • pp.63-77
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    • 2018
  • 목적 : 본 연구는 기능적 전기 자극을 병행한 과제 지향적 훈련이 불완전 경수 손상 환자의 손 기능에 미치는 영향을 알아보고자 하였다. 연구방법 : 대상자는 불완전 경수 손상 진단을 받은 성인 3명으로, ABA 설계를 사용하였으며, 연구기간 동안 기초선(A1) 5회기, 중재기(B) 20회기, 재기초선(A2) 5회기로 총 30회기 실시하였다. 중재기(B) 동안 기능적 전기 자극을 병행한 과제 지향적 훈련이 제공되었고, 모든 회기에는 손 기능을 평가하기 위해 상자와 나무토막 검사(Box and Block Test), 떨어지는 막대 잡기(Grip the falling bar)와 먹기 흉내 내기(Simulated feeding)를 측정하였으며, 기초선(A1) 전, 재기초선(A2) 후로 Canadian Occupational Performance Measure(COPM), Jebsen-Taylor Hand Function Test(JTHFT)와 Wolf Motor Function Test(WMFT)를 실시하여 중재 효과를 살펴보았다. 결과 : 모든 대상자는 상자와 나무토막 검사(Box and Block Test), 떨어지는 막대 잡기(Grip the falling bar)와 먹기 흉내 내기(Simulated feeding)를 통해 기초선(A1)보다 중재기(B)에서 우세 손 기능이 향상되었고, 재기초선(A2)에서 그 효과가 유지되었다. 재기초선(A2) 후 COPM, JTHFT와 WMFT의 결과, 우세 손 기능의 향상과 과제 수행도와 만족도의 향상을 보였다. 결론 : 기능적 전기 자극을 병행한 과제 지향적 훈련은 경수 손상 환자의 손 기능뿐만 아니라, 대상자가 선택한 훈련 과제의 과제 수행도와 만족도 향상에 효과적이다.

Extravasation Injury and Pressure Sore in Brain Damage Patient with Stiffness of the Limbs

  • Jung, Kyu Hwa;Choi, Hwan Jun;Kim, Jun Hyuk
    • Archives of Reconstructive Microsurgery
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    • 제23권1호
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    • pp.36-39
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    • 2014
  • Extravasation injury refers to leakage of corrosive liquids from veins, resulting in tissue damage. The authors report on a case of extravasation injury to the left hand after administration of fluid to the antecubital area in a patient with brain damage. In order to minimize the effects of extravasation injury, rapid diagnosis and management are needed. In patients with stiffness, pressure sores can develop requiring more careful management by the medical staff.

실차시험을 통한 저속 추돌시 목상해 연구 (A Study on the Neck Injury in Low Speed Rear Impact through the Real Car Test)

  • 조휘창;박인송
    • 한국기계기술학회지
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    • 제13권1호
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    • pp.49-56
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    • 2011
  • The neck injury occupies the most of injury that happened by the rear impact car accident. This study was analyzed about influence of the neck injury in low speed rear impact and car crash accident investigation. There is no neck injury in low speed side rear impact. On the other hand, there is initial neck injury symptom of 10 % but no long-term neck injury symptom in low speed offset rear impact. It appeared that the possibility of neck injury in low speed rear impact is low. For the more study about the neck injury, it should be evaluate the effects of the car body structure, frame structure and rear crash pattern.

아마추어 씨름 선수들의 부상 발생 양상과 물리치료 이해도에 관한 연구 (The Pattern of Trauma and Level of Understanding to the Physical Therapy of Amateur Ssirum Player)

  • 김종렬;박래준;김철용
    • The Journal of Korean Physical Therapy
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    • 제12권2호
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    • pp.107-119
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    • 2000
  • This study is fulfilled from September 1st to December 31st in 1999 and the object of investigation are all 289 students belong to 5 universities managing amateur Ssirum team in Kyungnam, Kyungpook. Pusan and Seoul(158 people) and 6 high schools(131 people). And these results were derived from percentage and cross analysis of Person Chi-square test ann interview and 47 questioned paper based on this purpose of study. 1. There were no significant differences between high school students and university students in the comprehension of physical therapy and injury occurrence by technique. 2. According to the relation between satisfaction of life as a player and injured part, the injury of soft tissue ranked high among satisfied and unsatisfied people. and the satisfaction or unsatisfaction of practicing place also derived same result. 3. $46.8\%$ of Ssirum players got the injury of soft tissue during practice. the articular injury and bone injury in regular sequence. But there were no relations between the time of injury and the sort of injury. 4. There were no statistical differences ortho sort of injury by technique.(p=0.399). 5. According to the part of injury by using techniques, the injury of soft tissue ranked high$(50.0\%)$, articular injury ranked high$(42.6\%)$ in the leg technique, bone injury ranked high in the leg technique, and nerve injury ranked high in hand technique. 6. The injury of soft tissue ranked high during the practice$(46.8\%)$, practice on the purpose of a match$(50.0\%)$ and match$(41.7\%)$ but there were no relations between the time of injury and son of injury. 7. The part of injury by technique ranked high in the soft tissue$(50.0\%)$, articular injury by leg technique$(42.6\%)$, bone injury in leg and waist technique and nerve injury in hand technique high. 8. The time of injury ranked high during the practice$(65.7\%)$, and $66.1\%$ of injury occurred in the afternoon. 9. During the practice, the cold weather ie related on the rate of injury because $67\%$ of injury occurred in winter, but there are no statistical significance. 10. There were no relations between the satisfaction of place far practice and time of injury. 11. The particular part of injury occurred very much during the match between defense and offense. 12. In the relation between the degree of understanding of physical therapy and the experience of physical therapy, the people who know physical therapy had much experiences of physical therapy(p=.000) And independent of the physical therapy experiences, the effectiveness of physical therapy therapy to players was $48.8\%$, no idea was 42.65 and no effectiveness was $8.7\%$(p=.000). 13. $59.6\%$ of the people admitting the physical therapy effectiveness answered they would follow the order of the doctor and $56.6\%$ of the people not admitting the physical therapy effectiveness answered no.

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PNF를 이용한 닫힌사슬운동이 불완전 경수 손상 환자의 손 기능과 일상생활동작에 미치는 영향 : 단일사례연구 (The Effect of Closed Kinetic Chain Exercise Using PNF on Hand Function and Activities of Daily Living of Patient with Incomplete Spinal Cord Injure : Single Subject Design)

  • 정두교;이재한
    • PNF and Movement
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    • 제12권1호
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    • pp.45-50
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    • 2014
  • Purpose: Deficits in upper-extremity function in individuals with tetraplegia are primarily due to the loss of motor pathways. The purpose of this case report is to describe the effect of closed kinetic chain exercise using PNF on hand function and ADL of patient with incomplete spinal cord injure. Methods: Patient was a 53-year-old man with C4 tetraplegia and hand and upper extremity impairment who participated in this training intervention for 10 weeks. Results: Patient demonstrated improvements in upper extremity strength, hand function and performance of ADL. Outcome measures(ASIA motor scale, Hand power, Jebsen-Taylor Hand Function test, SCIM) were measured before and after the training program. Conclusion: The results of this case suggests that an closed kinetic chain exercise program in incomplete spinal cord injury patient may induce Hand function and ADL.

Saturn-S 약해발생요인구명에 관한 연구 : 제 2 보 함씨메트린 제초제에 대한 품종간 저항성차이 (Studies on Factors Affecting the Injury Caused by Saturn-S to Rice Plant II. Differential tolerance of rice varieties against herbicides combined with Simetryne)

  • 양환승
    • 한국작물학회지
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    • 제13권
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    • pp.93-105
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    • 1973
  • 수도품종 통일과 만경 또는 밀성을 공시하여 전주(전북대학교), 광주(전남농촌진흥원) 이리(전북농촌진흥원) 밀양(영남작물시험장)의 4개지역에서 SaturnS의 (Saturn 7%, G+Simetryne 1.5%G), 약량수준 10a당 2, 3, 4, 5kg에 따르는 저항성 및 그들 품종간 차이를 추구한 바 그 결과는 다음과 같다. 1. 전주에서 초기약해의 품종간 저항성차이는 고온하($30^{\circ}C$이상)에서 약량(3kg-5kg)이 높아지면서 현저히 나타났다. 즉 통일은 2kg까지는 안전하나 3kg 이상에서 약해가 나타나기 시작 그 후는 약량에 거의 정비례하여 약해는 증가되었고 만경의 약해는 5kg 수준까지도 인정할 수 없었다. 수량은 비닐하우스의 고온조건에 있어서는 SaturnS, Mamate 모두 3kg 수준까지 통일에 있어서 관행구에 비하여 통계적으로 유의차가 없었다. 대기온도 조건에 있어서 통일은 3kg 수준까지 유의차가 없었다. 만경은 5kg 시용수준까지 두 온도조건에서 모두 유의적인 수량감소가 없었다. 2. 광주에서 초기약해는 전주지구와 그 경향이 거의 비슷하나 약제처리 당시 최고온도가 전주지구보다 약 $4^{\circ}C$ 낮은 상태에서 처리되었던 바 약해정도가 다소경미하며 통일의 경우도 3kg 수준까지는 거의 안전하고 4kg-5kg으로 농도가 증대되면서 나타났다. 3. 만경에 있어서는 4kg수준까지 관행구에 대비하여 통계적으로 유의차가 없었다. 만경에 있어서는 5kg수준까지도 유의차가 없었다. 4. 이리에서는 2kg에서 4kg수준까지 초기부터 두 푸종 공히 전혀 약해를 인정할 수 없었다. 따라서 수량에 있어서도 약해에 의한 영향에서 온 감수는 없었다. 밀양에서는 전북농촌진흥원 포장을 제외한 전주, 광주지역보다 약해는 경미하며 밀성에 있어서는 5kg수준까지도 거의 약해가 없었으며 통일에 대한 약해도 5kg수준까지 매우 경미하다. 수량은 2kg에서 5kg 수준까지 만경 통일 다 같이 관행구에 비하여 수량감소가 없었다.

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