• 제목/요약/키워드: Lateral-superior

검색결과 357건 처리시간 0.026초

청소년기의 구조적 척추측만증에 대한 추나치료 결과 고찰 (A Clinical Study on the Outcome of Chuna Treatment of Adolescent Structural Scoliosis)

  • 허수영
    • 대한추나의학회지
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    • 제2권1호
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    • pp.121-132
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    • 2001
  • Objectives The present study retrospectively investigated clinical outcome of patients with structual scoliosis during Chuna treatment. Methods : The study population consisted of 34 patients(14 patients of adolescent and 20 patients of adult) who were diagnosised as scoliosis with radiological finding. All patients were treated with Chuna treatment, and after treatment, evaluated with radiological measurement by calculating the scoliosis correction angle from the Initial and follow-up spine AP and lateral views. Also the evaluation of clinical outcome was done twice pre and post treatment during this study. Results : The results were summarized as follows ; 1) The 85.3 percent of patients complained physical pain. and adult group had various painful lesion compared with adolescent group. 2) Adult group had treated $18.0{\pm}7.2$ times and adolescent group treated $13.5{\pm}5.7$ times with Chuna treatment. 3) Scoliotic angle is reduced in 92.9 percent of adolescent group and had all of adult group after Chuna treatment, especially, statistically significance appeared in adult group. 4) Adult group was superior to adolescent group in correctability and scoliotic angle change. 5) Correction effect was better in the group which initial scoliotic angle was lessor, or had more time of treatment. 6) According to grade of vertebral body rotation, scoliotic angle is larger and correctability was lower. Conclusions : Chuna treatment was efficacious against scoliosis. And it is necessary for adolescent scoliosis patient to be more carefully treated and observed.

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경추간공 경막외 조영술의 양상에 관한 분석 (An Analysis of Pattern of Transforaminal Epidurography)

  • 홍지희
    • The Korean Journal of Pain
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    • 제19권2호
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    • pp.175-180
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    • 2006
  • Background: A transforaminal epidural steroid injection has been used for the treatment of radicular arm or leg pain, which has the advantage of ventral epidural spreading compared to either an interlaminar or caudal approach. However, several factors are known to affect the epidural spread pattern of contrast dye; therefore, the injected medication can not be delivered to the target site. The objective of our study was to observe any differences in the contrast flow patterns according to several factors. Methods: A total of 34 epidurographies in 29 patients, who underwent fluoroscopically guided transforaminal epidural steroid injections, were evaluated. After confirming the location of the needle tip within the anterior superior aspect of the neural foramen in the lateral view, and at the 6 o'clock position to the pedicle in the anteroposterior view, 2 ml of contrast dye was injected. The contrast flow patterns of ventral, ventral and dorsal, and dorsal epidural filling were analyzed, according to age, gender, magnetic resonance imaging finding and history of previous back surgery. Results: Ventral contrast flow occurred in 30 out of the 34 epidurographies (88%). Both ventral and dorsal contrast flow patterns were observed 13 out of 16 (81%) patients in the older age group. Also, both ventral and dorsal contrast flow patterns were observed in 16 out of 18 (88%) patients with spinal stenosis. Conclusions: Transforaminal epidural steroid injections, performed uner fluoroscopy, provide excellent nerve root filling and ventral epidural spreading. Patients with spinal stenosis or an old age have both ventral and dorsal epidural spreading patterns.

유경 나사를 이용한 견갑골 관절와 횡골절의 관절경적 정복 밑 내고정 (Arthroscopic Reduction and Internal Fixation with Cannulated Screw of a Transverse Glenoid Fracture)

  • 노규철;유정한;강기만
    • 대한정형외과스포츠의학회지
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    • 제2권2호
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    • pp.176-180
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    • 2003
  • 저 자들은 관절와의 전위 된 횡골절에 대해 관절경 을 이 용하여 골절된 관절면을 확인하면서 골절의 정복을 유지 하고, 견관절경술식에 일 반적으로 사용되는 견봉 바로 외측에 위 치 한 외 측 삽입 구나 또는 견갑상와의 상부 삽입구 (Nevlaser porial)에서 피부를 통해 직경4 mm 타이타늄 유관 해면골 나사를 이 용하여 고정하였다. 관절경을 이 용한 골절 내고정술은 좋은 시 야를 확보할 수 있었고, 최소 침습 수술이므로 작은 연부조직 절개 , 적은 출혈량, 수술후 재활 기간의 단축 및 조기 관절 운동 힌용 등의 여러 장점 을 가지므로 이에 수술 방법과 증례를 보고하는 바이다

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내부 구속 중공 CFT 기둥의 내진 성능 평가 (Evaluation of Seismic Performance for an Internally Confined Hollow CFT Column)

  • 한택희;김성남;강영종
    • 한국강구조학회 논문집
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    • 제19권1호
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    • pp.53-65
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    • 2007
  • 새로운 형식의 기둥인 내부 구속 중공 콘크리트 충전 튜브 기둥(내부 구속 중공 CFT 기둥, ICH CFT column ; Internally Confined Hollow CFT Column)의 내진 성능 평가 실험을 수행하였다. 준정적 실험을 통하여 2가지 종류의 ICH CFT 기둥과 일반 중실 RC 기둥의 내진 성능을 비교 평가 하였다. 각각의 기둥 시험체에 대해 최대 하중과 변위의 관계를 측정하였으며, 이를 바탕으로 연성도, 소산에너지, 등가 감쇠비, 손상 지수가 계산되었다. 실험 결과 ICH CFT 기둥은 중실 RC 기둥에 비해 약 2배의 모멘트에 저항을 하였으며, 에너지의 흡수와 소산에서도 1.5배 정도의 성능을 보여주어, ICH CFT 기둥이 일반 중실 RC 기둥보다 더 뛰어난 성능을 가짐을 보여주었다.

안정된 지지면과 불안정한 지지면에서 팔굽혀 펴기 시 상지 근활성도와 운동학적 변수간의 상관분석 (Relationship between Muscle Activity and Kinematic Variables of the Upper Extremity during a Push-up Task on Stable and Unstable Surfaces)

  • 윤정규
    • The Journal of Korean Physical Therapy
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    • 제23권2호
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    • pp.7-15
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    • 2011
  • Purpose: We investigated the relationship between the muscle activity and kinematic variables of the upper extremity during a push-up task on stable and unstable surfaces. Methods: We recruited 15 healthy subjects. Subjects completed the push-up task on stable and unstable surfaces. Surface electromyograms were recorded from the serratus anterior, upper trapezius, latissimus dorsi, infraspinatus to monitor changes in muscle activity. Markers for kinematic changes of elbow flexion, shoulder extension, shoulder retraction and scapular adduction were attached at C7, the T7 spinous process, both acromions, the scapula superior and inferior angle, the humerus lateral epicondyle, and the ulnar styloid process. Correlation coefficients between muscle activity and kinematic variables were analyzed by SPSS for Windows, version 15.0. Results: On the unstable surface, elbow flexion and shoulder extension increased with increasing muscle activity of serratus anterior, upper trapezius and infraspinatus. On the stable surface, shoulder retraction decreased with increasing muscle activity of serratus anterior and infraspinatus. Scapular adduction decreased with all types of increasing muscle activity, regardless of the support surface. Conclusion: Correlations between muscle activity and kinematic variables were observed on stable and unstable surfaces during a push-up task, while correlations between right and left variables were not clear. These finding suggest that it may be used to develop a rehabilitation program which could be effective in improving shoulder function in patients with shoulder problems.

SPM을 이용한 Si 표면위에 플라즈마 처리된 소수성 박막의 나노 트라이볼로지적 특성 연구 (Nanotribological characteristics of plasma treated hydrophobic thin films on silicon surfaces using SPM)

  • 윤의성;박지현;양승호;한흥구;공호성;고석근
    • 한국윤활학회:학술대회논문집
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    • 한국윤활학회 2001년도 제34회 추계학술대회 개최
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    • pp.35-42
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    • 2001
  • Nanotribological characteristics between a Si$_3$N$_4$ AFM tip and hydrophobic thin films were experimentally studied. Tests were performed to measure the nano adhesion and friction in both AFM(atomic force microscope) and LFM(lateral force microscope) modes in various ranges of normal load. Plasma-modified thin polymeric films were deposited on Si-wafer (100). Results showed that wetting angle of plasma-modified thin polymeric film increased with the treating time, which resulted in the hydrophobic surface and the decrease of adhesion and friction. Nanotribological characteristics of these surfaces were compared with those of other hydrophobic surfaces, such as DLC, OTS and IBAD-Ag coated surfaces. Those of OTS coated surface was superior to those of others, though wetting angle of plasma-modified thin polymeric film is higher.

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감각 자극과 치료적 환경이 외상성 뇌손상 흰쥐의 BDNF 발현에 미치는 영향 (The Effect of Sensory Stimulation and Therapeutic Environment on Expression of BDNF after Traumatic Brain Injury in the Rat)

  • 송주민
    • PNF and Movement
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    • 제5권1호
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    • pp.9-17
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    • 2007
  • Purpose : The purpose of this study was to test the effect of balance training for proprioceptive and vestibular sensory stimulation and therapeutic environment on expression of BDNF after traumatic brain injury in the rat. Subject : Twelve Sprague-Dawley rats were randomly assigned into group I and group II. After traumatic brain injury, group I was housed in standard cage for 7 days. Group II was housed in therapeutic cage after balance training for 7 days. Method : Traumatic brain injury was induced by weight drop model and after operation they were housed in individual standard cages for 24 hours. After 7th day, the rats were sacrificed and cryostat coronal sections were processed individually in goat polyclonal anti-BDNF antibody. The morphologic characteristics and the BDNF expression were investigated in injured hemisphere section from immunohistochemistry using light microscope. Result : Immunohistochemical response of BDNF in lateral nucleus, purkinje cell layer, superior vestibular nucleus and pontine nucleus appeared very higher in group II than in group I Conclusion : The present result revealed that simultaneously application of balance training for proprioceptive and vestibular sensory stimulation input and therapeutic environment in traumatic brain injured rats is enhance expression of BDNF and it is facilitates neural plasticity.

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Tetanus-induced LTD of Developing MNTB-LSO Synapses in Rat is Dependent on Postsynaptic $Ca^{2+}$

  • Ahn, Seung-Cheol
    • The Korean Journal of Physiology and Pharmacology
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    • 제11권3호
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    • pp.79-84
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    • 2007
  • Because synaptic refinement of medial nucleus of trapezoid body (MNTB) - lateral superior olive (LSO) synapses is most active during the first postnatal week and the long term depression (LTD) has been suggested as one of its mechanisms, LTD of MNTB-LSO synapses was investigated in neonatal rat brain stem slices with the whole cell voltage clamp technique. In $Mg^{2+}$ free condition, tetanus (10 stimuli at 10 Hz for 2 min) in the current clamp mode induced a robust LTD of isolated D, L-APV-sensitive postsynaptic currents (PSCs) for more than 30 min ($n=6,\;2.4{\pm}0.4%$ of the control), while isolated CNQX-sensitive PSCs were not suppressed ($n=6,\;95.3{\pm}1.6%$). Tetanus also elicited similar LTD in the isolated GABAergic/glycinergic PSCs ($n=6,\;3.6{\pm}0.5%$) and mixed PSCs (GABAergic/glycinergic/glutamatergic) ($n=4,\;2.2{\pm}0.7%$). However, such a strong LTD was not observed in the mixed PSCs when 10 mM EGTA was added in the internal solution (n=10), indicating that postsynaptic $Ca^{2+}$ rise is needed for the strong LTD. This robust LTD might contribute to the active synaptic refinement occurring during the first postnatal week.

Assessment of the role of cone beam computed sialography in diagnosing salivary gland lesions

  • Abdel-Wahed, Nagla'a;Amer, Maha E.;Abo-Taleb, Noha Saleh Mahmoud
    • Imaging Science in Dentistry
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    • 제43권1호
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    • pp.17-23
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    • 2013
  • Purpose: The purpose of this study was to assess cone-beam computed (CBCT) sialography imaging in the detection of different changes associated with lesions of salivary glands. Materials and Methods: This study consisted of 8 cases with signs and symptoms from salivary gland lesions. Conventional sialography using digital panoramic and lateral oblique radiographs and CBCT sialography were performed for each subject. The radiographs were evaluated by 3 radiologists independently of each other. The results were compared between conventional sialography and CBCT sialography in the evaluation of various lesions associated with the salivary glands. Results: There was an agreement between the radiologists in interpreting the lesions that affected salivary glands with both techniques. The detection of the presence of stones or filling defects, stenosis, ductal evagination, dilatation, and space occupying lesions was 83% for conventional sialography compared with CBCT sialography. CBCT sialography was superior to conventional sialography in revealing stones, stenosis, and strictures, especially in the second and third order branches. Conclusion: It would be advisable to perform CBCT sialography in cases of obstructive salivary gland diseases for better demonstration of the ductal system of the gland.

A Smart Setup for Craniospinal Irradiation

  • Peterson, Jennifer L.;Vallow, Laura A.;Kim, Siyong;Casale, Henry E.;Tzou, Katherine S.
    • 한국의학물리학회지:의학물리
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    • 제24권4호
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    • pp.230-236
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    • 2013
  • Our purpose is to present a novel technique for delivering craniospinal irradiation in the supine position using a perfect match, field-in-field (FIF) intrafractional feathering, and simple forward-optimization technique. To achieve this purpose, computed tomography simulation was performed with patients in the supine position. Half-beam, blocked, opposed, lateral, cranial fields with a collimator rotation were matched to the divergence of the superior border of an upper-spinal field. Fixed field parameters were used, and the isocenter of the upper-spinal field was placed at the same source-to-axis distance (SAD), 20 cm inferior to the cranial isocenter. For a lower-spinal field, the isocenter was placed 40 cm inferior to the cranial isocenter at a constant SAD. Both gantry and couch rotations for the lower-spinal field were used to achieve perfect divergence match with the inferior border of the upper-spinal field. A FIF technique was used to feather the craniospinal and spinal-spinal junction daily by varying the match line over 2 cm. The dose throughout the target volume was modulated using the FIF simple forward optimization technique to obtain homogenous coverage. Daily, image-guided therapy was used to assure and verify the setup. This supine-position, perfect match craniospinal irradiation technique with FIF intrafractional feathering and dose modulation provides a simple and safe way to deliver treatment while minimizing dose inhomogeneity.