• 제목/요약/키워드: Joint disorder

검색결과 431건 처리시간 0.023초

A study on the correlation of VDT, posture and shoulder function in women with neck pain

  • Hee-won, Oh;Hyelim, Chun;Byounghee, Lee
    • 대한물리치료과학회지
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    • 제29권4호
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    • pp.1-16
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    • 2022
  • Background: This study was conducted to examine the correlation of VDT, posture and shoulder function among each group divided by according to the neck pain disorder index (NDI) scores for female patients with neck pain. Design: Cross-sectional study. Methods: Fifty adult women with neck pain voluntarily participated in this study and the neck pain disorder index questionnaire, VDT syndrome assessment tool questionnaire, craniovertebral angle, thoracic kyphosis angle, round shoulder posture, pectoralis minor length, shoulder joint hypermobility, and serratus anterior strength tests were conducted respectively. Subjects were divided into two groups where 21 subjects were allocated to the mild pain group whom have rated below 14 points on the NDI scores, and 29 subjects were in the severe pain group, whom have rated above 15 on the NDI score. Results: The study found that in the mean difference between variables in each group, VDT syndrome showed a higher mean score in the severe pain group than the mild pain group (p<0.05). In the group correlation and regression analysis, the mild pain group showed a significant negative correlation between the craniovertebral angle and round shoulder posture (r=-0.467, p<0.05), and the round shoulder posture for craniovertebral angle was shown to have significant positive influence (B=10.162, p<0.05). The severe pain group showed that the NDI and the VDT syndrome had a significant amount of correlation (r=0.520, p<0.01), the VDT syndrome showed significant positive influence (B=0.330, p<0.05), and the craniovertebral angle showed significant negative influence (B=-0.809, p<0.05). It was also shown that shoulder joint hypermobility had a significant negative correlation with the serratus anterior strength (r=-0.437, p<0.01), and that serratus anterior strength had a significant negative influence on shoulder joint hypermobility (B=-4.175, p<0.05). Conclusion: This study is of clinical significance in that it presented variables that should be considered depending on the degree of neck pain in treating patients with neck pain and that it presented patients with not only posture but also the function of the shoulder joint as factors to consider.

음악적 단서 및 후속 자극에 따른 자폐스펙트럼장애 아동의 공동주의 반응 행동 비교 (Analysis of Joint Attention Behaviors in Children With Autism Spectrum Disorder Depending on the Type of Attentional Cue and Reinforcing Stimulus)

  • 김온유
    • 인간행동과 음악연구
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    • 제21권1호
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    • pp.69-87
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    • 2024
  • 본 연구는 자폐스펙트럼장애(Autism Spectrum Disorder, 이하 ASD) 아동을 대상으로 음악적 단서 및 후속 자극에 따른 공동주의 반응 행동이 달라지는지 알아보고, 비장애(neurotypically developing, 이하 NT) 아동 그룹과 비교하는 실험연구이다. 본 연구의 대상자는 만 3세에서 5세 사이의 ASD 아동 13명과 NT 아동 14명이다. 본 연구에서는 공동주의 반응을 유도하는 단서(음악적 단서 대 언어적 단서)와 아동의 공동주의 반응 행동에 대한 후속 자극(언어 자극 대소리 자극 대 음악 자극)을 구성하고 총 6가지 과제 조건을 2회씩 총 12회 제시하였다. 먼저, 주의 유도 단서를 제공하고 3초 이내 대상자의 주의 전환을 평가하였고 대상자의 공동주의 반응 행동이 나타난 경우, 후속 자극을 제공하였으며 후속 자극을 제공하는 동안 대상자의 사회적 참조 행동의 발생 빈도를 측정하여 비교 분석하였다. 연구 결과, 주의 유도 단계에서는 음악적 단서를 제공했을 때 ASD 아동의 공동주의 반응 행동 수준을 높게 유도하는 것으로 나타나 선행연구와 일치한 결과를 보였다. 이어 후속 자극 제공 단계에서는 음악 후속 자극이 ASD 아동의 사회적 참조 행동의 빈도를 증가시킨 것으로 확인되었다. 이는 음악 후속 자극이 단서로서의 감각자극에서 나아가 대상자로 하여금 타인의 사회적, 정서적 정보를 이해하고 반응하도록 유도하는데 그 적용 범위가 확장된 것에 의의가 있다. 또한, ASD 아동의 공동주의 행동 이후 제공하는 후속 음악 자극이 효과적인 사회적 강화 요인이 될 수 있음을 시사한다.

Recovery from Acute Malocclusion in Temporomandibular Disorders with Stabilization Splint: Case Report

  • Kim, Ji-Rak
    • Journal of Oral Medicine and Pain
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    • 제46권1호
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    • pp.14-19
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    • 2021
  • Various conditions such as pain or effusion of temporomandibular joint, degenerative condylar resorption, and articular disc displacement can be a cause of malocclusion. However, the reasons of occlusal changes are ambiguous in some patients. Unexpected occlusal change in patients with or without temporomandibular disorder (TMD) symptom was mostly caused by masticatory muscular disorders. This article reports two cases of recovery of occlusal relationship in TMDs patients after stabilization splint therapy. Stabilization splint therapy could be useful in certain conditions of occlusal changes in TMD.

Toothache associated with ankylosing spondylitis

  • Kang, Jin-Kyu;Ryu, Ji Won
    • 구강생물연구
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    • 제42권4호
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    • pp.269-271
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    • 2018
  • Ankylosing spondylitis (AS) is a chronic inflammatory joint disorder characterized by sacroiliitis, spondylitis and enthesitis. Patients suffering from AS may also have extra-articular symptoms, such as uveitis, bowl disease, heart, lung, skin, bone and kidney involvement, but vary widely in severity and prevalence. Facial manifestation of AS include eye involvement and temporomandibular joint involvement. In this study, a case of an AS that mimicked dental pain was presented.

여성 류마티스 관절염 환자의 피로 관련 요인 (Factors Related to Fatigue in Women with Rheumatoid Arthritis)

  • 서길희;권영은
    • 근관절건강학회지
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    • 제14권1호
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    • pp.61-69
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    • 2007
  • Purpose: The purpose of the study is to investigate the degree of fatigue and its related factors in women with rheumatoid arthritis. Method: The subjects were 143 patients with rheumatoid arthritis. Data were collected by questionnaires including Multi-Dimensional Assessment of Fatigue(Tack, 1991), Korean Health Assessment Questionnaire(Bae et al., 1991), numeric scale of pain(Lee & Song, 1987), Center for Epidemiologic StudiesDepression, and Korean Sleep Scale(Oh, et al., 1998). The data were analyzed by SPSS WIN 12.0 program using descriptive statistics, Pearson Correlation, and Stepwise Multiple Regression. Result: The result were as follows. 1. The scores of fatigue of subjects averaged $4.95{\pm}1.83$, degree of fatigue was $5.85{\pm}1.98$, and influence of fatigue was $4.04{\pm}2.09$. 2. The mean score of the degree of physical dysfunction, pain, sleep disorder, and depression were $1.42{\pm}0.38,\;8.15{\pm}3.58,\;1.86{\pm}0.67,\;and\;1.85{\pm}0.46$ points respectively. 3. The subject's total fatigue score, physical dysfunction, pain, sleep disorder, and depression was correlated positively(r=.44, r=.28, r=.29, r=.27, p< .01). 4. The main influencing factors on the fatigue were physical dysfunction and sleep disorder. These two main variables made it possible to explain 23.0% of the variance in fatigue. Conclusion: Therefore, nursing interventions for fatigue experienced women with rheumatoid arthritis would be focused to decrease physical dysfunction and sleep disorder.

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호흡곤란 있는 불안장애 환자 치험 1례 (A Case Report of Anxiety Disorder Patient with Dyspnea)

  • 이은주;김태경;신창민;김철홍
    • 턱관절균형의학회지
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    • 제12권1호
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    • pp.22-27
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    • 2022
  • 본 증례에서는 발병일 이후 항우울제 복용 및 도수치료, 한방치료에도 증상의 개선이 보이지 않던 호흡곤란이 주증인 불안장애 환자를 대상으로 TBT를 병행한 약침, 침, 한약 등 한방치료를 적용하여 증상의 완화를 관찰하였다. 이에, 호흡곤란을 수반한 정신과질환의 치료에 있어서 한의학 치료 및 TBT가 효과가 있을 것으로 판단된다.

Effects of 6 Week Kinesiotaping and Extracorporeal Shock Wave Therapy on the Joint Range of Motion in Patients with Frozen Shoulder

  • Choi, Jung Hyun;Kim, Soon Hee;An, Ho Jung;Koo, Ja Pung;Kim, Nyeon Jun
    • 국제물리치료학회지
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    • 제8권1호
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    • pp.1095-1099
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    • 2017
  • This study used both kinesiotaping and extracorporeal shock wave therapy on patients diagnosed with frozen shoulder - a common musculoskeletal disorder in adults - in order to observe the effects on the joint range of motion. 21 adult(male 12, female 9) were selected and distributed into randomized groups. One group received kinesiotaping (n=10) and the other group received kinesiotaping together with extracorporeal shockwave therapy (n=11). After a 6 week duration of receiving kinesiotaping and extracorporeal shockwave therapy, changes in the joint range of motion in the patients were observed. Post-treatment of frozen shoulder, the changes in abduction within the shoulder joint were as follows: in both groups there was a noticeable increase in the joint range of motion (p<.05). Post-treatment of frozen shoulder, the changes in external rotation within the shoulder joint were as follows: both groups showed a significant increase in the joint range of motion (p<.05). The result of suggest that, it can be inferred that both the extracorporeal shockwave therapy and kinesiotaping are effective in increasing the joint range of motion in patients with frozen shoulder.

The Correlations between Temporomandibular Joint Symptoms and Magnetic Resonance Imaging Findings in German Patients

  • Kye, Min-Kyoung;Choi, Young-Yuhn;Lee, Kee-Joon
    • Journal of Korean Dental Science
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    • 제8권1호
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    • pp.16-27
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    • 2015
  • Purpose: The purpose of this study was to evaluate the correlation between the clinical symptoms of temporomandibular disorder and findings in the magnetic resonance imaging (MRI). Materials and Methods: Clinical data and MRI images were collected from a total of 240 German patients. Clinical symptoms were briefed as joint clicking, crepitus and pain. MRI findings were further defined according to the condyle position, condyle degeneration, disc positon, disc degeneration and the presence of osteophyte/sclerosis/synovitis. Hypermobility was separately recorded. Correlation analysis between parameters was performed. Result: Joint clicking had a positive correlation with unilateral disc degeneration, osteophyte, sclerosis and synovitis. Crepitus had a significant correlation with bilateral osteophyte. Pain was not correlated with any MRI findings except hypermobility. Conclusion: Selective correlations between the MRI findings and clinical symptoms were elucidated. The results of this study imply that condyle-disc deformities could be advanced without pain, and that joint clicking and crepitus could be clinical symptoms of condyle-disc degeneration.

복합국소통증증후군 환자의 견관절 운동제한에 미치는 자하거 가수분해물 약침요법의 효과 (Effect of Placental Extract on Immobilization of Shoulder Joint in a Complex Regional Pain Syndrome Patient)

  • 조태환;박경미
    • Journal of Acupuncture Research
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    • 제29권4호
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    • pp.93-97
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    • 2012
  • Complex regional pain syndrome type 1(CRPS 1) is a neuropathic pain disorder that accompanies severe pain and motor deficit as well as changes in the skin in the extremities. The pathophysiology of CRPS 1 is still not exactly elucidated. However, the general consensus of involvement of inflammatory mediators in the development of CRPS 1 is amply made. On the basis that placental extract successfully inhibited the production of inflammatory cytokines and mediators in several experimental models, we have tried a long-term weekly injection of placental extract into acupuncture points to a CRPS 1 patient suffering pain and immobilization of shoulder joint. The results say that placental extract effectively resolved pain, restored skin color and improved immobilization of shoulder joint in the CRPS 1 patient.

항생제 혼합 시멘트 충전물을 이용한 감염된 족무지 지관절의 2단계 치료(1예 보고) (Two Stage Procedure with a Temporary Antibiotic-impregnated Cement Spacer of Infected Hallux Interphalangeal Joint (A Case Report))

  • 채수욱;김영진;송하헌;김종윤
    • 대한족부족관절학회지
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    • 제16권2호
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    • pp.135-139
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    • 2012
  • The interphalangeal joint (IPJ) of the hallux has received little attention compared with the first metatarsophalangeal joint. But, the hallucal IPJ has several disorders such intra-articular fractures, dorsal dislocation, alignment disorder, and inflammatory or degenerative arthritis. Among these disorders septic arthritis of the IPJ of the hallux is rare. We report a case of sepsis of the hallucal IPJ and adjacent underlying osteomyelitis without neuropathic problem and was performed through infected soft tissue and osseous debridement, temporary antibiotic-impregnated cement spacer, and delayed intercalary allogenic fibular bone graft with K-wire fixation.