• 제목/요약/키워드: Medical therapy

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일측성 성대마비 환자의 음성치료 효과 (The Effect of Voice Therapy in Unilateral Vocal Fold Paralysis)

  • 이창윤;안수연;장현;손희영
    • 대한후두음성언어의학회지
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    • 제27권1호
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    • pp.45-50
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    • 2016
  • Background and Objectives : This study aims to conduct post-voice therapy to patients with unilateral vocal fold paralysis for vocal improvement, motility recovery and analyze the results. Materials and Methods : Voice therapy was conducted to 13 patients who had shown response to voice therapy amongst 98 patients diagnosed with unilateral vocal fold paralysis. In order to be able compare before and after perceptual, acoustic and aerodynamic evaluations were conducted after voice therapy. Also, by using dysphagia checklist, we have verified whether if the patient had dysphagia prior to voice therapy. The therapy was conducted by improving the larynx movement and glottal contact, whilst removing hypertension of the supraglottic. Results : All 13 patients who underwent voice therapy had shown improvements that are statistically significant from 4 scales excluding the S scale from auditory perception evaluation (p<0.05), with enhanced glottal contact. In acoustic evaluation, Jitter, Shimmer and NHR had shown significant improvement after voice therapy. MPT was also notably improved among aerodynamical evaluation (p<0.001). All 11 patients had with dysphagia prior to voice therapy reported to have improved swallowing functions. Conclusion : Application of adequate voice therapy to patients with unilateral vocal fold paralysis, is an effective method that might be employed in the initial phase. Especially, the voice therapy proposed in this study is expected to be useful for patients in hypertension status due to secondary compensation after initial paralysis, since it focuses on improving vocal symptoms in a calm state with the supraglottis sufficiently relaxed. Also, the therapy is expected to be effective for improving swallowing functions.

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Particle-based simulation of proton therapy for QA

  • Yasuoka, Kiyoshi
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 1999년도 Japanese Journal of Medical Physics
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    • pp.69-72
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    • 1999
  • We present a method of quality assurance (QA) for dose and dose distribution anticipated in treatment planning at proton therapy using a particle-based simulation method.

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견비통에 대한 약침요법의 임상적 연구 (Clinical Study on Effect of Herbal acupuncture therapy on shoulder pain)

  • 김현중;장소영;이은용
    • 대한약침학회지
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    • 제8권2호
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    • pp.47-52
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    • 2005
  • Objectives : This study was performed to examine effects of herbal acupuncture therapy on shoulder pain. Methods : Control group were treated by common acupuncture therapy and sample group were treated by common acupuncture therapy and herbal acupuncture therapy. We compared control group with sample group by VAS and ROM. Results : VAS of sample group were more decreased than control group. ROM of sample group were more improved than control group. Conclusion : The herbal acupuncture therapy may be good effects on the shoulder pain.

『승정원일기』를 통해 살펴본 조선 왕실의 아시혈(阿是穴) 활용 (The utilization of the Joseon royal family's Asi-acupoint therapy in the 『Seungjeongwon Ilgi』)

  • 정지훈
    • 한국의사학회지
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    • 제34권1호
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    • pp.75-82
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    • 2021
  • Through articles published in the 『Seungjeongwon Ilgi』, the following conclusions were obtained by analyzing how the Joseon royal family used Asi-acupoint therapy. Various Asi-acupoints were used in the Joseon royal family to treat diseases; King Sukjong was the king who was treated the most with Asi-acupoint therapy, followed by King Yeongjo, King Hyeonjong, King Hyojong and King Injo. The body parts with the most Asi-acupoint therapy are lower extremities, followed by interbody, upper extremities, other parts, and head. Asi-acupoint therapy was treated evenly throughout the body. The most common disease using Asi-acupoint therapy is pain, followed by abscesses, other symptom, internal damage, and external infections. When Asi-accupoint was executed, the ratio of acupunture and moxiubustion was 65:35, indicating that acupuncture was somewhat frequently used.

과체 토법을 병용한 삼차신경통 환자 한방치험 1례 (A Case Report of Trigeminal Neuralgia Treated with Melonis Calyx Vomiting Therapy)

  • 강주영;이승희;이수경;홍현진;이창원;조혜원
    • 한방안이비인후피부과학회지
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    • 제30권3호
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    • pp.231-238
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    • 2017
  • Objectives : The purpose of this study is to report the efficacy of using oriental medical treatment(herbal medicine, acupuncture) with melonis Calyx Vomiting Therapy(MCVT) for trigeminal neuralgia. Methods : We experienced one cases of trigeminal neuralgia treated with oriental medical treatment and melonis Calyx Vomiting Therapy. MCVT is a traditional treatment, which induces vomiting by eating melonis Calyx powder with water. To evaluate the results of this treatment, we used the Visual Analogue Scale(VAS) and sleeping time. Results : After using MCVT with oriental medical treatment, VAS, sleeping time and clinical symptoms of the patient were improved remarkably. Conclusions : This study suggests that using MCVT with oriental medical treatment is effective on trigeminal neuralgia.

과체 토법을 병용한 한방치료의 비정형안면통 치험 2례 (Two Cases of Atypical Facial Pain Using Orental Medical Treatment with Melonis Calyx Vomiting Therapy)

  • 김태연;이창원;강주영;김창환
    • 한방안이비인후피부과학회지
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    • 제27권4호
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    • pp.189-199
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    • 2014
  • Objective : The purpose of this study is to report the efficacy of using oriental medical treatment(herb-medicine, acupuncture) with Melonix Calyx Vomiting Therapy for atypical facial pain. Methods : We experienced two cases of atypical facial pain treated with oriental medical treatment(herb-medicine, acupuncture) and Melonix Calyx Vomiting Therapy(MCVT). MCVT is a traditional treatment, which induces vomiting by eating Melonix Calyx powder with water. To evaluate the results of this treatment, we used the Visual Analogue Scale(VAS) and Pain Rating Scale(PRS). Result : After using MCVT with oriental medical treatment, VAS, PRS and clinical symptoms of 2 patients were improved remarkably. Conclusion : This study suggests that using MCVT with oriental medical treatment is effective on atypical facial pain.

소아 성대결절 : 음성치료 후 음성장애지수를 이용한 장기 추적관찰 결과 (Pediatric Vocal Fold Nodules : Long-term Follow up with Voice Handicap Index after Voice Therapy)

  • 이성원;노종렬;최승호;김상윤;남순열
    • 대한후두음성언어의학회지
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    • 제17권2호
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    • pp.133-137
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    • 2006
  • Objectives : The purpose of this paper is to know the efficacy of voice therapy for vocal fold nodules in children. Materials and Methods : Sixty two patients with vocal nodules(46 boys and 16 girls) were retrospectively reviewed. Age ranged from 4 to 15 years with mean age of 8 years. Questionnaire survey was carried out with voice handicap index, at pretherapy and post-therapy(3 months and 5 years after voice therapy). Results : Sixty two percent of the patients showed improvement by voice therapy. Twenty five patients continued education at home after voice therapy, but only eight childrens were included this group in pre-school aged children. Voice handicap index was improved in 3 months and 5 years after voice therapy. In contrast, pre-school children group showed slight aggravation in 5 years, especially in emotional subdomain. Conclusion : Voice therapy is effective primary treatment in children with vocal fold nodules. Different result between preschool aged children and school aged group shows needs for age specific approach of voice therapy.

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트레드밀 훈련이 뇌졸중 환자의 보행, 균형 및 체간조절에 미치는 영향 (The effect of independent treadmill training on gait, balance and trunk control in a patient with chronic stroke)

  • 윤성익;천승철;이주상;정신호;이덕성;오덕원;심재훈;이규완
    • 대한물리치료과학회지
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    • 제13권2호
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    • pp.37-45
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    • 2006
  • The purpose of this study was to determine the effect of treadmill training on gait, balance, and trunk control in a patient with hemiparesis. A female subject who had suffered a left hemiparesis 12 months previously was selected for this study. A single subject ABA design was used. Eight data-collection sessions were conducted during each of three phases (baseline-intervention-withdrawal). During baseline and withdrawal phases, the treatment based on Bobath approach was performed for the subject, and during the intervention phase, treadmill walking training was added. Assessment tools were made using the 10 m walk test, Rivermead Visual Gait Assessment(RVGA), Berg Balance Scale(BBS), and a seated Lateral Reach Test(LRT). During the intervention phase, the time measured in 10 m walk test and the scores of RVGA and BBS were significantly improved, and the number of steps in 10 m walk test and LRT showed a small improvement. During withdrawal phase, the time measured in 10 m walk test and the scores of RVGA and BBS were shown the carry-over effect. This findings indicate that treadmill training has significant effect to gait function and balance in a patient with chronic hemiparesis.

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휘담식 진동기 골반수기로 개선된 급성 요통 증후군으로 인한 보행장애 증례 (A Case Report of Gait Disturbance due to Acute Low Back Pain Syndrome improved with Whidam's Vibrator Pelvic Sugi Therapy)

  • 정재훈;필감매;나삼식
    • 대한의료기공학회지
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    • 제21권1호
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    • pp.1-12
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    • 2022
  • Objective : The purpose of this study is to report the results of treating patients with acute low back pain syndrome who are difficult to walk with Whidam's Vibrator Pelvic Sugi Therapy. Methods : We used combinations of korean medicine such as herbal medicine, acupuncture, cupping therapy, and thermal therapy. At the same time, the patient was treated with Whidam's Vibrator Pelvic Sugi Therapy. The first period of hospitalization was 14 days and the second period was 54 days. At the second hospitalization, back pain recurred and was unable to walk. At the first hospitalization, L5-S1 HIVD and L4-5 Mild HIVD were diagnosed on lumbar MRI, and there was no abnormality in blood tests. Results : By relieving muscle tension and restoring the weakened muscle elasticity with herbal treatment and Whidam's Vibrator Pelvic Sugi Therapy, back pain decreased and the inability to walk gradually improved, making it possible to walk on its own. Conclusions : The results of standing and walking on one's own were obtained by relieving muscle tension and restoring weakened muscle elasticity in acute back pain syndrome with gait disturbance diagnosed with lumbar herniated intervertebral disc through korean medicine treatment and Whidam's Vibrator Pelvic Sugi Therapy. Whidam's Vibrator Pelvic Sugi Therapy is thought to help acute back pain by restoring muscle elasticity and strengthening muscle strength. In the future, it is expected that additional clinical studies will be conducted on various pain diseases with Whidam's Vibrator Pelvic Sugi Therapy.

서울, 경기지역 종합병원의 흉부물리치료 실태조사 (An Investigation on chest physical therapy of hospital in seoul and Kyungido)

  • 이윤섭;임승건
    • The Journal of Korean Physical Therapy
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    • 제14권2호
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    • pp.153-161
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    • 2002
  • The purpose of this study was to investigate the chest physical therapy in the hospital of seoul, kyungido and to activate the chest physical therapy. Dept. of physical therapy in 15 hospitals, 65 physical therapists disabled and analysis of interview. The results are as follows: 1) $86.7\%$ of respondents were not chest physical therapist in the hospital. $79.4\%$ of respondents were a lack of 5 patients per month. 2) The chief diagnosis of chest physical therapy was respiretory muscles weakness by reason of spinal cord injury and muscle diseases. Many physical therapists was obtain the chest physical therapy information from university or collage. 3) Management of chest Physical therapy Patient was to be alike physical therapist and doctor A problem of chest physical therapy was a lack of chest physical therapy information, cognition of a physician. The results of this study suggested that chest physical therapy need to organization of the treatment and magnification of the treatment area.

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