• 대한인간공학회지
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• 제19권3호
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• pp.93-107
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• 2000

The excessive exposure to powered hand tools can cause damage to nerves, impair blood circulation, and musculoskeletal damage. The symptoms associated with hand-arm vibration syndrome (HAVS) include numbness, tingling, pain and subsequent reduced dexterity of the hands. This study was performed to report the prevalence of the HAVS and evaluate its related factors among the workers using powered hand tools. Total 282 workers in 11 plants of Kyungki and Inchon areas were examined. A standard symptom questionnaire was developed and administered to collect information on personal characteristics, work history, operating conditions, tool characteristics, and subjective symptoms of HAVS. Mean values (standard deviations) of the age, the duration of powered hand tools used, and the daily hours using powered hand tools were 38.3(8.9) years, 79.3(62.2) months and 6.0(2.6) hours, respectively. 132 workers(46.8%) showed vibration-induced white finger symptoms according to the Taylor-Pelmear classification, and 30 workers(10.6%) were interfered with the work. The results of a multiple logistic regression analysis controlling for age and daily working hours showed that smoking, work duration, weight of tools, and continuous work over 2 hours were significantly associated with the symptom of HAVS.

• 동의신경정신과학회지
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• 제18권3호
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• pp.309-319
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• 2007

Chest pain is classified into two major categories of cardiac chest pain and non-cardiac chest pain. Cardiac chest pain is caused by cardiovascular disease, for example, myocardial infarction, angina pectoris, valvular heart disease, cardiac enlargement or hypertrophy, dissecting aortic aneurysm, pericarditis, myocarditis, etc. When the chest pain is not attributed to heart disease, it is termed non-cardiac chest pain. Non-cardiac chest pain is caused by pulmonary, gastrointestinal, musculoskeletal disease, psychiatric factor, etc. In tills case, we treated a 54-year old female patient who was diagnosed with dilated cardiomyopathy and suspicious sick sinus syndrome. She complained of chest pain, exertional dyspnea, dizziness and headache. For treatment, we made use of Yugultangami(六鬱湯加味) and Daejobwan(大造丸). Before and after treatment, we measured Heart rate variability(HRV). In result, the clinical symptoms were improved and there was a significant increase in assessmeut by Heart rate variability(HRV). Tills result suggests that Yugultaugami aud Daejowhan have a good effect on cardiac chest pain.

• 한국안광학회지
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• 제14권4호
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• pp.65-69
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• 2009

목적: 최근 컴퓨터가 대량 보급되면서 VDT 증후군이 점차적으로 증가하고 있다. VDT 증후군은 VDT 작업자들에게 나타나는 근골격계 질환, 신경정신계 장애, 눈의 긴장, 피로, 자극과 충혈 등 안과적 증상을 포함한다. VDT 증후군의 환경요인으로는 전자파, 컴퓨터 화면의 크기, 밝기, 조명, 모니터 및 작업대의 높낮이, 작업시간, 작업의 종류, 작업자와 스크린과의 거리, 실내습도 및 온도, 사무실내의 공기오염, 환기 등이 있다. 본 연구에서는 근거리 시각 작업으로 인한 VDT 증후군에서 나타나는 주요 신체증상 및 신체 및 심리적으로 영향을 줄 수 있는 환경적 요인을 조사하였다. 방법: 연구대상자는 19세부터 28세사이의 남자 54명, 여자 66명으로 총 120명이었다. 책이나 문서 읽기, 컴퓨터 작업 등에 대한 근거리 작업을 할 때에 나타나는 신체적 증상과 육체적 불편함을 설문지를 이용하여 조사하였다. 조사항목에는 근업작업에 따른 주요 신체 증상과 눈의 자각 증상, 작업환경에 대한 만족도, 키보드, 마우스 사용시의 손목 통증 경험 등을 포함하였다. 결과: 장시간 컴퓨터, 문서, 전자기기를 사용할 때에 대부분(70%)이 신체적인 통증을 느끼는 것으로 나타났다. 통증부위는 주로 목과 허리(57.1%), 눈(45.2%), 두통(31%) 등이었다. 환경적 요인에서는 적절치 못한 조명으로 눈의 통증을 호소하는 사람들이 78.3%였다. 대부분의 증상은 '눈의 피로'(38.3%), '눈의 건조성'(31.9%), '눈의 흐릿함'(23.7%)이었다. 대상자들은 의자에 대한 불편함을 호소하였고 키보드, 마우스 사용 때 손목의 통증은 대부분 경험하였다. 결론: 전자기기, 문서 등을 이용할 때 빛, 공간, 자세, 작업대 등의 다양한 환경적 요인들이 조화롭지 못해 눈의 피로, 신체적인 피로감을 느낄 수 있다. 따라서 문서작업을 할 때에는 휴식시간에 대한 자기관리와 같은 예방법을 개발하여 눈의 피로를 줄여야 할 것이다. 또한 지속적인 연구를 통해 근골격계 질환 예방을 위해 최적의 시각적인 환경을 위한 인간공학적 디자인으로 작업환경을 바꾸어야 할 것이다.

• 대한정형도수물리치료학회지
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• 제27권3호
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• pp.99-105
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• 2021

Purpose: This study aims to report on the effect of providing customized visiting exercise, a musculoskeletal intervention method, to the elderly in the community. Methods: In this study, subjective pain was measured to evaluate pain and physical ability of the elderly, and timed up & go (TUG) test and psychological level test were performed for myofascial pain perception symptoms and gait function. Measurements were performed twice before and 4 weeks after treatment. Participants in the exercise group (n=108) performed the spine exercise, whereas those in the spine exercise group (n=108) performed the spine exercise using complex exercise program (3 times/week for 4 weeks). Results: The significant test of visual analogu scale (VAS), pain pressure threshold (PPT), TUG, psychosocial factor according to applying the exercise within groups used T-test. In the result following analysis, there was significance on VAS (p=.000), PPT (p=.000), TUG (p=.000), Psychosocial factor (Depresion; p=.000, Anxiety; p=.000) within group. Conclusion: Then, exercise has benefit on the VAS, PPT, TUG, psychosocial factor in patients with myofacial pain syndrome. So, it may suggest that exercise will be helpful of the pain, gait and psychosocial factor improvement the patients with spine pain.

• 대한약침학회지
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• 제18권4호
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• pp.26-31
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• 2015

Objectives: This study used semiology based on traditional Chinese medicine (TCM) to investigate vital energy (Qi) behavior in women with abdominal myofascial pain syndrome (AMPS). Methods: Fifty women diagnosed with chronic pelvic pain (CPP) secondary to AMPS were evaluated by using a questionnaire based on the theories of "yin-yang," "zang-fu", and "five elements". We assessed the following aspects of the illness: symptomatology; specific location of myofascial trigger points (MTrPs); onset, cause, duration and frequency of symptoms; and patient and family history. The patients tongues, lips, skin colors, and tones of speech were examined. Patients were questioned on various aspects related to breathing, sweating, sleep quality, emotions, and preferences related to color, food, flavors, and weather or seasons. Thirst, gastrointestinal dysfunction, excreta (feces and urine), menstrual cycle, the five senses, and characteristic pain symptoms related to headache, musculoskeletal pain, abdomen, and chest were also investigated. Results: Patients were between 22 and 56 years old, and most were married (78%), possessed a elementary school (66%), and had one or two children (76%). The mean body mass index and body fat were 26.86 kg/cm2 (range: 17.7 - 39.0) and 32.4% (range: 10.7 - 45.7), respectively. A large majority of women (96%) exhibited alterations in the kidney meridian, and 98% had an altered gallbladder meridian. We observed major changes in the kidney and the gallbladder Qi meridians in 76% and 62% of patients, respectively. Five of the twelve meridians analyzed exhibited Qi patterns similar to pelvic innervation Qi and meridians, indicating that the paths of some of these meridians were directly related to innervation of the pelvic floor and abdominal region. Conclusion: The women in this study showed changes in the behavior of the energy meridians, and the paths of some of the meridians were directly related to innervation of the pelvic floor and abdominal region.

• 한국간호교육학회지
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• 제29권1호
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• pp.60-71
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• 2023

Purpose: The purpose of this study was to identify changes in the experience rate and level of symptoms of visual display terminal syndrome in college students attending online classes during the COVID-19 pandemic. Methods: Data were collected from February 22 to June 8, 2021 at three measurement points. A total of 117 college students were administered a visual display terminal syndrome survey just before online classes (T1), one month after the start of online classes (T2), and three months after the start of online classes (T3). The collected data were analyzed by frequency and percentage, paired t-test, McNemar test, and repeated measures analysis of variance using the IBM SPSS 25.0 program. Results: The intensity of college students' visual display terminal syndrome during online classes increased at T2 and T3 compared to T1. The rate of experiencing back discomfort or pain increased abruptly at T2 compared to T1. The intensity of college students' eye related symptoms and skin related symptoms increased at T2 and T3 compared to T1, while the intensity of college students' psychological symptoms, general body discomfort, and musculoskeletal symptoms increased at T3 compared to T1. Conclusion: The results of this study suggest that self-care programs are needed to prevent visual display terminal syndrome in college students who are in long-term online classes.

• 대한한방소아과학회지
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• 제29권4호
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• pp.67-76
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• 2015

Objectives The purpose of this review is to investigate the domestic and foreign studies of pediatric Chuna treatment and propose the directions of future studies and clinical applications. Methods We searched for the study at RISS, KISS, DBPIA, Pubmed, CNKI by keywords, '추나', 'Osteopathic', 'Chiropractic', 'Manipulation', '推拿', '導引', '按摩', After 2010. Results 1. Selected 3 domestic studies were categorized as 1 survey study and 2 case reports. Selected 41 foreign studies from Pubmed were categorized as 15 systemic reviews, 8 survey studies, 12 case reports and 6 control studies. Selected 82 foreign studies from CNKI were categorized as 10 systemic reviews, 22 case reports and 50 control studies. 2. 2 clinical domestic studies researched on idiopathic Scoliosis. The foreign clinical studies from Pubmed are 18 cases, and those studies were categorized into Premature baby care (3), Infant colic (2), ADHD (2), Congenital talipes equinovarus (1), Somatic dysfuntion (1), Nonsynostotic occipital plagiocephaly (1), Conversion disorder (1), Lower back pain (1), Chronic bilateral dorsal foot pain and stiffness (1), plantar fasciitis (1), Migraine headaches (1), Cyclic vomiting syndrome (1), Acute otitis media (1) and Cerebral palsy (1). The other 72 foreign clinical studies were from CNKI, and they studied 39 different diseases. Systematically, they studied about digestive diseases (25), respiratory diseases (20), fever (6), musculoskeletal diseases (5), nervous system diseases (5), dermatology diseases (2) and other disease states. The Chuna treatment was used in variety of studies. 3. 2 clinical domestic studies adopted techniques of Osteopathy Chuna. The foreign clinical studies from Pubmed adopted techniques of Osteopathic manipulation (10) and Chiropractic manipulation (8). The other foreign clinical studies from CNKI adopted techniques of Acupressure (69), Abdominal manipulation (23), Spinal manipulation (21), Thoracic manipulation (11), Traction manipulation (2), Muscular manipulation (2), Squeezing Sha manipulation (1), Spine correction (1), Joint manipulation (1) and Fascia manipulation (1). Conclusions In addition to musculoskeletal disorders, variety of pediatric diseases could be treated with Chuna treatment instead of acupuncture.

• 대한추나의학회지
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• 제2권1호
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• pp.111-120
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• 2001

We reviewed literatures of western and oriental medicine about postoperative management of spine. Traditionally, with orthoses and bed rest, many physicians restricted activity of daily life and back exercises of patients who had taken spine surgery. More aggressive early mobilization, however, such as strengthening exercise and stretching after 4 weeks of surgery gets grounds nowadays. Physical therapies including manipulation, TENS, MENS, ultrasound and cryotherapy are being used as helpful treatment modalities of postoperative pain and swelling. Failed back surgery syndrome occurs due to wrong patient, diagnosis and surgery and is managed with conservative treatment or reoperation. In oriental medicine, treatments of musculoskeletal injuries including surgical wound are based on the balance of chi(氣) and blood(血).

• 대한정형외과스포츠의학회지
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• 제3권2호
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• pp.118-127
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• 2004

The foot and ankle are one of the most common sites for acute musculoskeletal injuries related to sports activity. Foot and ankle injury includes ligament injury, tendon injury, bone and osteochondral injury, nerve injuy, heel pain syndrome, phalangeal injury. This is a article about nonoperative management of foot and ankle injury. Therefore, this article includes various exercise technique, range of motion, stretching for muscle relaxation, proprioception training for rehabilitation. We recommend that orthopedic surgeon should discuss with patient and specialist for treatment plan after foot and ankle injury

• 대한통합의학회지
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• 제8권4호
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• pp.117-123
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• 2020

Purpose : VDT (visual display terminal syndrome) can affect individuals who monitor or who work or play using video screens, including those of smartphones. In general, headache symptoms from overuse of these screens can appear due to eye fatigue, muscle pain in the joints of wrists or fingers, and muscle pain in the neck or shoulders. Many studies in the literature have supported standards that seek to prevent these symptoms. The incidence of musculoskeletal diseases caused by the use of smartphones is expected to increase rapidly, particularly among children and young adults, and these diseases are expected to develop into a societal problem. Therefore, in this study we investigate whether tension headaches that develop from smartphone usage can affect forward neck posture, neck pain, and quality of life. Methods : A total of 93 students from University participated in this study. We divided participants into two groups, those with tension headaches (n = 25) and those without (n = 68) and took forward neck measurements. Headaches were classified according to criteria from the International Headache Society and involved bilateral headache position, quality of pressing or tightening pain, mild or moderate pain intensity, and none due to daily physical activity. We surveyed participants using the smartphone addiction diagnosis questionnaire, the Neck Disability Index (NDI), the Headache Impact Test (HIT-6), and the Quality of Life Questionnaire. Results : Although we found no significant differences in tension headaches due to smartphone addiction diagnosis (p = 0.25), SF-36 life quality assessment (p = 0.06), and cranio-vertebral angle (p = 0.07), we found significant differences from the HIT-6 and the NDI (p <.05). Conclusion : Tension headaches are not correlated with smartphone addiction, quality of life, and forward neck angle but do have a correlation with the degree of cervical dysfunction and the effects of the headaches.