• Title/Summary/Keyword: Medical Palpation

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Genial tubercle position and genioglossus advancement in obstructive sleep apnea (OSA) treatment: a systematic review

  • Chang, Edward T.;Kwon, Yong-Dae;Jung, Junho;Capasso, Robson;Riley, Robert;Liu, Stanley C.;Camacho, Macario
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.34.1-34.5
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    • 2019
  • Background: To systematically review the literature for methods to localize the genial tubercle as a means for performing an advancement of the genioglossus muscle. Methods: PubMed, Google Scholar, CRISP, EMBASE, CINAHL, and Scopus were searched from inception through June 16, 2015. Results: One hundred fifty-two articles were screened, and the full text versions of 12 articles were reviewed in their entirety and 7 publications reporting their methodology for localizing the genial tubercle. Based upon these measurements and the results published from radiographic imaging and cadaveric dissections of all the papers included in this study, we identified the genial tubercle as being positioned within the mandible at a point 10 mm from the incisor apex and 10 mm from the lower mandibular border. Conclusion: Based upon the results of this review, the genial tubercles were positioned within the mandible at a point 10 mm from the incisor apex and 10 mm from the lower mandible border. It may serve as an additional reference for localizing the genial tubercle and the attachment of the genioglossus muscle to the mandible, although the preoperative radiological evaluation and the palpation of the GT are recommended to accurately isolate.

Early rehabilitation treatment helpful in a case of pectus excavatum of a dog (개에서 발생한 누두흉의 초기 재활치료의 효과)

  • Chang, Dongwoo;Ahn, Miyoung;Seong, Jekyung
    • Korean Journal of Veterinary Research
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    • v.41 no.3
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    • pp.447-451
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    • 2001
  • A 6-week-old female cocker spaniel, with a history of abasia astasia, was referred to the Department of Laboratory Animal Medicine, Medical Research Center, Yonsei University College of Medicine on February 23, 2000. The ribs inclined downwards with a sharp slope on both lateral sides of the thorax. The animal was diagnosed as pectus excavatum. She showed no signs of dyspnea, dyschezia, or dysuria. There was no heart murmur or sign of neural disease. For rehabilitation treatment, she was given physical exercise therapy 2 to 3 times a day by bending and stretching each articulation of the hind limbs and pressing the costochondral junction in and upward with both hands placed on each lateral side. After a month of therapy, she was able to stand up and walk. The therapy continued and resulted in the slight reformation of a round thoracic wall. The flattened rib cartilages grew more round by palpation and the thoracic cavity distended. Rehabilitation therapy yielded good results, enabling the subject to walk and run normally, as the thoracic cavity was distended by the rounded rib junction.

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Suggestion on an Innovative Pulse Diagnosis System based on Technical Trend Analysis (맥진기술동향 조사를 통한 맥진기 개발방안 제안)

  • Lee, Yu-Jung;Lee, Jean;Kim, Jang-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.1
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    • pp.174-179
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    • 2009
  • Arterial pulse palpation is an important diagnostic method in Oriental Medicine, particularly for obtaining information about a patient's health conditions or illness, or for confirming a diagnostic conclusion based on the patient's pulsation. The pulse analyzer is both a leading Oriental Medical equipment and a promising tool with such a strong industrial ripple effect that it was selected as one of the four strategic tools for world Oriental Medical instrument market domination at a recent survey. Although various pulse analyzers had been developed, however, most of these were not widely used for clinical diagnosis, due perhaps to lack of the appliance's reliability caused by its inability to reflect the requirements of the clinicians. Thus, in this thesis, the clinical requirements for the pulse analyzer were identified and analyzed by conducting a questionnaire survey among Oriental Medicine clinicians. By looking into the basic functions of a pulse analyzer, the required measurement time, and the medical insurance fee required were determined and among others, the appliance's specific requirements were determined. Moreover, by investigating on the latest patent trend, the technical elements that are needed for the development of a next-generation pulse analyzer were identified. Through these processes, the flow of the technology that must be developed for the pulse analyzer was determined, and the direction for the development of the specific pulse analyzer hardware, sensor, and diagnostic algorithm was identified and proposed.

The Study on Difference in Length Cognition Ability in Dominant Eye (우성안에 따른 길이식별 인지능력 차이에 관한 연구)

  • Nam, Kun-Woo;Park, Dae-Sung
    • Journal of Korean Physical Therapy Science
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    • v.15 no.4
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    • pp.11-17
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    • 2008
  • Background: Human body is formed of symmetric bilateral structures that are comprised of eye, upper arm, lower arm and etc. but, we are used only dominant components. The purpose of this study was to analysis length cognition ability in dominant eye. Methods: Total 88 persons (male 18, female 70) were participated in this study. They were tested with ‘hole in the card’ test for identification of dominant eye's side, then the length cognition ability was measured in right & left axillary level by describing 10cm line. Results: The results by independent t-test were as follows. In difference of length cognition ability in right axillary level between right dominant eyed group & left dominant eyed group, right dominant eyed group was superior to left dominant eyed group, but significant difference was not existed statistically(p>.05). In left axillary level, right dominant eyed group was superior to left dominant eyed group, but significant difference was not existed statistically(p>.05). Conclusion: These result can be applied to the learning of palpation & observation skill in physical therapy, although this study was not identify a relation between dominant eye & dominant hand.

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Iron supplement tablet embedded in the oral cavity mimicking neoplasm: a case report

  • Corliano, Fabrizio;Falco, Paola;Cambi, Jacopo;Brindisi, Leopoldo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.2
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    • pp.111-114
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    • 2016
  • The detection of foreign bodies in the upper-aerodigestive tract is a fairly frequent event and can occur in various areas and for various reasons. In rare cases, foreign bodies can simulate a neoplasia. We evaluated similar cases during emergency regimen with an oral cavity mucosal lesion, causing lockjaw, sore throat, dysphagia, and swelling of the submandibular and laterocervical region. Physical examination revealed an extensive mucosal ulceration in the floor of the mouth and the lateral surface of the tongue, comparable to oral cancer. During a second, more accurate assessment, a partially deteriorated iron supplement tablet was found embedded in a mucosal pocket. After removing the tablet, gradual normalization of the tissue was observed without any sequelae. This is one of the many reasons why it is advisable and useful in cases of oral lesions to collect a detailed medical history and to perform an accurate clinical evaluation, including inspection and palpation of the lesion, before proceeding to further diagnostic assessments, especially in elderly patients taking many medications. However unlikely, it is possible that difficulty in swallowing pills or tablets could generate tumorlike lesions.

A Study of Comparison of Pelvic Alignment, Hip Joint Range of Motion About 20's Female University Students' With Dysmenorrhea (여대생의 월경곤란증 정도에 따른 골반정렬과 고관절 가동범위의 비교연구)

  • Choi, Im-soon;Jang, Hyun-jeong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.2
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    • pp.47-52
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    • 2015
  • Background: The objective of this study was to compare dysmenorrhea with pelvic alignment, hip joint range of motion about 20's female university students. Sixty two female students participated in this study. To investigate the measure of dysmenorrhea, we used modified menstrual distress questionnaire (MMDQ) and numerric rating scale (NRS). The pelvic alignment was assessed by using the palpation meter. The active range of motion (ROM) were assessed by measuring the flexion, extension, abduction, adduction, internal rotation and external rotation. Each measurement was assessed by goniometer. The data were analyzed by calculating independent T-test. Consequently, As the increase of dysmenorrhea, we observed significantly the increase of pelvic anterior tilt in right and left pelvic (p<.05). Otherwise, as the increase of dysmenorrhea, range of motion of hip joint was significantly limited in right and left external rotation (p<.05). Thus, this study provides young female with valuable information about dysmenorrhea.

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A Case Report: Diagnostic Imaging of a Chondrosarcoma of the Rib in a Dog (개에서 늑골 연골육종에 대한 영상학적 진단증례)

  • Jeong Yu-cheol;Lim Chang-yun;Oh Sun-kyung;Jung Joo-hyun;Lee Chang-woo;Yoon Jung-hee;Choi Min-cheol
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.444-449
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    • 2005
  • An 11-year-old female, Golden retriever dog with a history of solid mass on the chest wall was referred to Veterinary Medical Teaching Hospital, Seoul National University. The mass was firm on palpation. A soft tissue opacity mass with calcified foci around the right 7th rib and extrapleural patterns around the right 5th rib and 7th rib was shown on thoracic radiographs. The mass of the 7th rib has a mixed-echo pattern with a strong acoustic shadowing and internal vascular signals on ultrasonography. On CT scan, the mass showed contrast enhancement effect, expansive pattern of intrathoracic and extrathoracic legion around costochondral junction. The 7th rib appeared mildly lytic. The mass of the 5th rib had a soft tissue swelling without bone lysis. The mass was diagnosed as a sarcoma by fine needle biopsy. Therefore, the mass was surgically removed. Subsequent histopathological study found the mass was chondrosarcoma.

Surgical Corrections of Perineal Hernia by Muscle Transposition in Dogs (근육전위을 이용한 회음허니아의 교정)

  • Lee Hae-beom;Choi Sung-jin;Lee Cheol-ho;Chon Seung-ki;Choi In-hyuk;Kim Nam-soo
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.435-438
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    • 2005
  • Two dogs (case 1:2-year-old intact male German Shepherd-mixed dog and case 2: 4-year-old intact female Jindo miked) with perineal hernia were referred to the Chonbuk Animal Medical Center, Chonbuk National University. In the both cases, there were unilateral perineal swelling involving the right side of the anus. In addition, in case 2, swelling was also present ventral to the anus. Rectal palpation of pelvic diaphragm revealed weakness of the muscles. Both cases were surgically treated using muscle transposition technique for hemiorrhaphy. In case 1, transposition of the superficial gluteal and internal obturator muscles and in case 2, transposition oi semitendinosus muscle was performed for hemiorrhaphy and reconstruction of the pelvic diaphragm. Both dogs became recovered after the surgical correction and no complications were observed during 10-month (casel) and 9-month(case2). Muscle transposition can be a useful technique for the treatment of perineal hernia in the dog.

A Clinical Study on the MPDS Patients (MPDS 환자의 임상적 양상)

  • 최재갑;정운하
    • Journal of Oral Medicine and Pain
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    • v.7 no.1
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    • pp.47-58
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    • 1982
  • The author has studied on the clinical features and symptomatology of 97 MPDS patients, who visited the Dept. of Dentistry, Kyungpook National University, from January to September in 1982. The results were as follow : In age and sex distribution of patients in this population, the third decades appeared to have the highest prevalence and the male to female ratio was almost 1 to 2.23. As to occupation, students and housewives were revealed to have the highest incidence of MPDS. The chief complaints of patients were pains, TMJ noises, and limitation of mouth opening in order of frequency, and the most prevalent site of symptom was that of preauricular area. In symptom sequence, the majority of initial symptoms were TMJ noise and pain but limitation of mandibular movement was progressively developed, regardless of nature of early symptoms. Chronic unfavorable oral habits were found to be the most possible predisposing factors in this study. The average maximum interincisal distance was $38.13\pm10.00mm$ in males and $30.73\pm8.75mm$ in females, and a deviation of mandible during mouth opening was observed in 60.8% of patients. In TMJ signs, tenderness of the TMJ to palpation was found in 60.8% of patients and TMJ noise was audible in 50.5% of patients with a stethoscope. The muscles of masticatory system were palpated according to usual methods, and a significant indidence of muscular tenderness was present, with the lateral pteygoid muscles being most frequently involved, followed by masseter, medical pterygoid and temporalis muscles.

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A Case of Occipital Neuralgia in the Greater and Lesser Occipital Nerves Treated with Neurectomy by Using Transcranial Doppler Sonography: Technical Aspects

  • Jung, Sang-Jin;Moon, Seong-Keun;Kim, Tae-Young;Eom, Ki-Seong
    • The Korean Journal of Pain
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    • v.24 no.1
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    • pp.48-52
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    • 2011
  • Occipital neuralgia is usually defined as paroxysmal stabbing pain in the greater or lesser occipital nerve (GON or LON) distribution. In occipital neuralgia patients, surgical considerations are carefully taken into account if medical management is ineffective. However, identification of the occipital artery by palpation in patients with thick necks or small occipital arteries can be technically difficult. Therefore, we established a new technique using transcranial Doppler (TCD) sonography for more accurate and rapid identification. The patient was a 64-year-old man who had undergone C1-C3 screw fixation and presented with intractable stabbing pain in the bilateral GON and LON distributions. In cases in which pain management was performed using medication, physical therapy, nerve block, or radiofrequency thermocoagulation, substantial pain relief was not consistently achieved, and recurrence of pain was reported. Therefore, we performed occipital neurectomy of the bilateral GON and LON by using TCD sonography, which helped detect the greater occipital artery easily. After the operation, the patient’s headache disappeared gradually, although he had discontinued all medication except antidepressants. We believe that this new technique of occipital neurectomy via a small skin incision performed using TCD sonography is easy and reliable, has a short operative time, and provides rapid pain relief.