• 제목/요약/키워드: Musculoskeletal disorder surgery

검색결과 29건 처리시간 0.022초

근골격계 질환 수술 후 한방치료 동향(국내 학술지를 중심으로) (Trends of Korean Medicine Treatment after Musculoskeletal Disorder Surgery: A Literatural Review)

  • 이강준;박창현;이윤재;이정한;조재흥;박태용;양나래;황의형;송윤경
    • 한방재활의학과학회지
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    • 제27권3호
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    • pp.61-70
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    • 2017
  • Objectives The purpose of this review is to analyse the trend in papers related with Korean Medicine Treatment after musculoskeletal disorder surgery. Methods We reviewed Korean Medicine papers by searching Korean web databases 'Korea Traditional Knowledge Portal', 'Scientific and Technological Information Integration Service (NDSL)', 'Academic Research Information Service (RISS)', 'Korea Medical Informati on Portal (OASIS)'. We classified the papers by the year of publishment, the title of journals, the type of study, surgery region, chief complain after surgery, main treatment, periods after surgery, assessment for outcomes. Results 1. Korean Medicine treatment after musculoskeletal disorder surgery has received more attention than in the past and there are attempts to do various studies besides the case reports. 2. 41 research papers were divided in to 3 original articles, 3 review articles, 35 case reports. But almost presented a low level of evidence. 3. Pain was the most common symptom after the musculoskeletal disorder surgery. Pain should be the primary goal of Korean rehabilitation treatment after musculoskeletal disorder surgery. 4. Assessment tools for outcome were concentrated in questionnaries, VAS and NRS. In order to evaluate better, it is necessary to evaluate the overall condition of the patient such as the quality of life evaluation and patient satisfaction. Conclusions In this study, we expect that the development and clinical application of Korean rehabilitation treatment program after musculoskeletal disorder surgery will be actively pursued.

근골격계질환 수술후 추나 기법 임상적용 현황분석 (Clinical Application Status Analysis of Chuna Manual Therapy after Musculoskeletal Disorder Surgery)

  • 이상진;이강준;박정식;송윤경
    • 척추신경추나의학회지
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    • 제14권2호
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    • pp.123-134
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    • 2019
  • Objectives : The purpose of this study was to analyze the clinical application status in papers related to Chuna Manual Therapy after musculoskeletal disorder surgery. Methods : We searched 6 electronic databases(RISS, DBpia, KISS, NDSL, OASIS, Pubmed) and 2 associated journals (Korea CHUNA Manual Medicine for Spine & Nerves, Korean Medicine Rehabilitation). We classified the papers by related musculoskeletal region and analyzed them in detail. Results : 1. Of the 24 papers included in the final analysis list, 13 were carried out for fascia and 18 for joints. 2. There were positive effects on the improvement of symptoms, including the relief of pain in patients, and there were no cases of severe side effects and adverse events. 3. Thus, CMT can be used as a safe and effective treatment if a skilled practitioner makes proper use of the follow-up procedure based on accurate judgment of the patient's postoperative condition. Conclusions : Through this paper, we expect that there will be active research on the clinical applications of Chuna Manual Therapy in Korean rehabilitation treatment after musculoskeletal disorder surgery.

치과위생사의 근골격계질환 자각증상 및 위험도 평가 (Subjective symptoms and risk assessment of musculoskeletal disorders of the dental hygienists)

  • 김정희;유왕근
    • 한국치위생학회지
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    • 제12권1호
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    • pp.67-79
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    • 2012
  • Objectives : The study was carried out to find out the experience of musculoskeletal disorder symptoms of dental hygienists and evaluate the risk with ergonomic evaluation method(RULA). Methods : The subjects in this study were 344 dental hygienists working at dental clinics and general hospitals in Seoul, Gyeonggi, Daejeon and Chungnam/Chungbuk. The data were collected through the self-questionnaire survey from July 26th 2010 to September 30th 2010. Results : The results showed that those who working at dental hospital, network dental clinics, with 1-5 years of clinical experience, long working hour and sitting hour, no rest hour, more physical and mental burden had higher rate of the experience of musculoskeletal disorder symptoms compared with other groups. The final score of RULA evaluation results was 6 on average requiring continuous observation and urgent demand for work improvements. According to the result of RULA evaluation by work, the orthodontic clinics were 4.5, prosthodontic clinics were 5.0, and dental surgery clinics were 6.8 being the most risky. Conclusions : The study showed high complaints rate on musculoskeletal disorders in dental hygienists. Thus, various measures including provision of proper working and rest hours, use of ergonomic working equipments, strengthening the health education for desirable working posture and the development of musculoskeletal disorder prevention program should be needed.

The elbow is the load-bearing joint during arm swing

  • Bokku Kang;Gu-Hee Jung;Erica Kholinne;In-Ho Jeon;Jae-Man Kwak
    • Clinics in Shoulder and Elbow
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    • 제26권2호
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    • pp.126-130
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    • 2023
  • Background: Arm swing plays a role in gait by accommodating forward movement through trunk balance. This study evaluates the biomechanical characteristics of arm swing during gait. Methods: The study performed computational musculoskeletal modeling based on motion tracking in 15 participants without musculoskeletal or gait disorder. A three-dimensional (3D) motion tracking system using three Azure Kinect (Microsoft) modules was used to obtain information in the 3D location of shoulder and elbow joints. Computational modeling using AnyBody Modeling System was performed to calculate the joint moment and range of motion (ROM) during arm swing. Results: Mean ROM of the dominant elbow was 29.7°±10.2° and 14.2°±3.2° in flexion-extension and pronation-supination, respectively. Mean joint moment of the dominant elbow was 56.4±12.7 Nm, 25.6±5.2 Nm, and 19.8±4.6 Nm in flexion-extension, rotation, and abduction-adduction, respectively. Conclusions: The elbow bears the load created by gravity and muscle contracture in dynamic arm swing movement.

슬개골전 점액낭에 발생한 Tumoral Calcinosis - 증례보고 - (Tumoral calcinosis of the prepatellar bursa -a case report-)

  • 김희천;송광진;조덕연
    • 대한골관절종양학회지
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    • 제3권2호
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    • pp.127-130
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    • 1997
  • 1. 10세 남아 환자에서 슬개골전 점액낭에 발생한 드문 형태의 Tumoral Calcinosis를 치험하였다. 2. 이 환자에서도 고인산혈증을 보여 일부 외국 저자들이 주장한 인산대사 장애설을 시사하였다. 3. 본 증례는 수술적 치료만으로도 만족스럽게 치유되었다.

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Evaluation of Pain and Its Effect on Quality of Life and Functioning in Men with Spinal Cord Injury

  • Hassanijirdehi, Marzieh;Khak, Mohammad;Afshari-Mirak, Sohrab;Holakouie-Naieni, Kourosh;Saadat, Soheil;Taheri, Taher;Rahimi-Movaghar, Vafa
    • The Korean Journal of Pain
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    • 제28권2호
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    • pp.129-136
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    • 2015
  • Background: Pain is one of the most important consequences of spinal cord injury (SCI). It may affect several aspects of life, especially the quality of life (QoL). Hence, this study was conducted to establish an understanding of pain and its correlates and effects on patients with SCI in our community. Methods: In a cross-sectional study, 58 male veterans suffering from SCI were admitted to our center for a regular follow-up. Demographic and SCI-related descriptive information were gathered using a self-reported questionnaire. To evaluate the patients' pain quality and the effect of pain on daily life, a questionnaire in 3 parts of lumbar, cervical and shoulder pain was administered. EuroQoL questionnaire and General Health Questionnaire (GHQ) 12 were also used to assess the patients' QoL. Results: The mean age of the participants was $45.91{\pm}6.69$ with mean injury time of $25.54{\pm}5.91$. forty-four patients (75.9%) reported pain, including lumbar pain (63%), cervical pain (39%) and shoulder pain (51%). The presence of pain was associated with lower QoL. Patients with lumbar pain reported a significant amount of pain affecting their daily life and this effect was higher in patients with lower GHQ score or anxiety/depressive disorder. Conclusions: Musculoskeletal pain, is a common complaint in veterans with SCI and is inversely associated with functioning and general health status. Lumbar and shoulder pain affects patient's daily living more than cervical pain.

진행성 골화성 섬유이형성증 - 성인 1례보고 - (Fibrodysplasia Ossificans Progressiva - A Case Report -)

  • 윤영식
    • 대한골관절종양학회지
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    • 제10권1호
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    • pp.50-55
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    • 2004
  • 진행성 골화성 섬유이형성증은 매우 드문 유전적 질환이기는 하나 영유아 초기에 경부나 두부의 종괴에 동반하여 나타나는 특징적인 양측성의 족부 모지의 선천성 기형으로 진단이 가능하다. 그러나 오진으로 인한 잘못된 치료와 그로 인한 합병증이 병의 진행을 더 악화시킬 수 있으며 불필요한 처치를 행할 수 있어 처음 진단에 주의를 요하는 질환이다. 이에 저자는 이질환의 자연적 경과와 더불어 잘못된 치료로 인해 발생한 성인에서의 양상을 보고하는 바이다.

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진행성 골화성 근염 - 2예 보고 - (Myositis Ossificans Progressiva - Two Cases Report -)

  • 박병문;김동수;고영관;송경섭;전광표;윤형구;문찬삼
    • 대한골관절종양학회지
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    • 제8권2호
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    • pp.63-67
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    • 2002
  • 진행성 골화성 근염은 매우 드물게 보는 유전성 질환으로서 선천성 족무지 기형과 근막, 건막, 건, 인대 및 골격근육의 간질조직내 결체조직의 부종, 석회화를 거쳐 진행성으로 골화를 일으킴을 특징으로 하는 질환이다. 본 질환은 근본적으로 골격근 자체는 정상이나 근본 병리결함이 결체조직에 발생함으로 종래 사용하던 병명인 '진행성 골화성 근염' 대신 '진행성 골화성 섬유이형성증'이라 칭하는 것이 합당하다고 주장되고 있다. 저자는 최근 일가족 남매에 발생한 진행성 골화성 근염 2예를 경험하였기에 보고하는 바이다.

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워너 증후군에 발생하는 근골격계 종양 (The Musculoskeletal Tumors of Werner's Syndrome)

  • 이상훈;서성욱;유광현;김한수
    • 대한골관절종양학회지
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    • 제8권3호
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    • pp.69-75
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    • 2002
  • 워너 증후군은 상염색체 열성 유전을 하는 희귀한 성인 조로 질환이다. 이 질환은 조기 노화를 보일 뿐만 아니라, 악성 종양의 발생 빈도도 증가하게 되는데, 골연부 조직의 종양이 많이 발생하게 된다. 그러나 악성 종양의 발생 원인은 단순한 조기 노화 현상으로만 보기보다는 하나의 종양 증후군으로 보는 경향이 있으며, 그 이유는 워너 증후군 환자에서 발생하는 종양의 위치, 병리적 소견, 나이 등에서 정상인과는 많은 차이를 보였기 때문이다. 최근의 분자 유전학적 연구들에 의해서 워너 증후군은 DNA의 복제, 복구, 재생에 관여하는 Werner helicase의 유전자 변이와 관련이 있음이 밝혀졌다. 워너 증후군의 유전자 이상은 이러한 DNA 복구과정에 문제를 일으키고, 유전자의 불안정성을 증가시켜 종양의 발생 가능성을 높이게 된다. 육종의 발생과 워너 증후군의 연관성에 관한 향후의 연구들은 정상적인 노화의 과정과 육종의 발생 기전에 관한 많은 정보를 제공할 수 있을 것으로 사료된다.

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골반문증 - 증례 보고 - (Osteopoikilosis - Case Report -)

  • 선두훈;이승구;이경진;조성길;권순용
    • 대한골관절종양학회지
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    • 제15권2호
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    • pp.160-164
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    • 2009
  • 골반문증은 장관골의 골단 및 골간단에 다발성의 경화성 병변이 발생하는 매우 드문 골 이형성 질환으로 아직 원인이 명확히 알려지지 않았다. 일반적으로 상염색체 우성으로 유전되며 대부분 무증상으로 단순방사선학적 검사에 의해 우연히 발견되는 경우가 대부분이다. 저자들이 경험한 증례는 전형적인 골반문증의 방사선학적 소견 및 임상적 특징을 보이고 있었고, 감별진단을 위하여, 조직검사를 시행하였다.

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