• 제목/요약/키워드: Musculoskeletal system

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근골격계 초음파검사가 도움이 되는 진료 상황 (Clinical Situations in which Musculoskeletal Ultrasound is Helpful)

  • 조길호
    • Journal of Yeungnam Medical Science
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    • 제18권2호
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    • pp.170-186
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    • 2001
  • Musculoskeletal ultrasound (MSUS) has newly evolved by the mechanical improvement of the machine over past several years, becoming a part of imaging techniques for the evaluation of variable diseases in the musculoskeletal system. MSUS has proven diagnostic superiority in pathologies including rotator cuff disease of the shoulder, lateral epicondylitis of the elbow, diseases of the peripheral nerve, detection of intra-articular loose bodies and soft tissue foreign bodies, and in evaluating small superficial soft tissue tumors such as ganglion, epidermoid cyst, and glomus tumor. Besides, MSUS is very useful for obtaining tissue or fluid via percutaneous fine needle aspiration and/or biopsy for the histopathologic diagnosis. Combining MSUS with MR would play a great role in the field of the diagnostic imaging of the musculoskeletal system. The MSUS examiner should have the knowledge of cross-sectional anatomy, and of the mechanical and physical properties of ultrasound in order to interpret the ultrasound findings accurately and properly, and to avoid diagnostic errors due to variable artifacts subsequently. The goal of this article is to introduce the capabilities of MSUS in certain kinds of clinical situation and to familiarize the reader with MSUS. For the purpose, author intends to describe this article according not to the disease-, or organ-based, but to the clinical problem-based format.

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근골격계질환 관련 유해요인조사자의 직무교육에 관한 연구 (A Study on Job Training for Risk Factors Analysts of Work-related Musculoskeletal Disorders)

  • 최인석;정병용
    • 대한인간공학회지
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    • 제27권4호
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    • pp.65-71
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    • 2008
  • This study conducted two surveys to establish an educational system to prevent work-related musculoskeletal disorders. The first survey investigates the factors influencing the recognition of job specifications for risk factor analysts of work-related musculoskeletal disorders. The respondents of the first survey were selected from 173 different small-sized manufacturing enterprises having less than 300 workers and had experienced the inspection of risk factors. The results of the first survey shows that better recognition of job specifications are followed by the increase of education time, but regardless of the positions and periods of job experience. Among the respondents with a high level recognition, the second survey was conducted. According to the results, it is presented that 2, 8, 16 hours are the most suitable for educating workers, superintendents, and risk factors analysts. Based on the results of the second survey, educational contents have also been suggested. This research will provide the basic information when forming education systems to prevent musculoskeletal disorders.

남성 택시 운전원의 근골격계 자각증상에 영향을 미치는 요인 (The Factors Related to Musculoskeletal Symptoms of Male Taxi Drivers)

  • 엄미정;정혜선
    • 한국직업건강간호학회지
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    • 제23권4호
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    • pp.227-234
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    • 2014
  • Purpose: This study was conducted to understand the subjective symptom rate of musculoskeletal disease of male taxi drivers and comprehend general features, health behavior features, and factors related to the subjective symptoms of musculoskeletal system depending on the level of job stress. Methods: The participants were 206 male taxi drivers from 4 transportation companies in the Seoul and Gyeonggi areas. The investigation was conducted from July 20th 2012 to August 20th 2012 through a self-administered questionnaire survey. Results: The participants who exercised less than three times per week complained about the subjective symptoms of the musculoskeletal system (p=.016) 13.770 times as more as than those of the participants who exercised more than three times per week the participants who had a higher level of job stress complained about the subjective symptoms of the muscular skeletal (p=.011) 1.051times as more as than those who had a relatively lower level of job stress. Conclusion: This study recommends that it is necessary to provide exercise programs and arrange various plans reducing job stress to prevent muscular skeletal disease and minimize the disease susceptibility of taxi drivers.

양봉 작업의 인간공학적 위험성평가 및 개선 사례 (Risk Assessment and Intervention of Ergonomic Risk Factor in Beekeeping)

  • 이찬휘;강태선
    • 농촌의학ㆍ지역보건
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    • 제44권3호
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    • pp.138-143
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    • 2019
  • 양봉 작업은 들기 작업이 많아 근골격계 부담이 컸으며 양봉 농업인의 대부분이 지난 1년 동안 직업과 관련된 근골격계 질환 증상을 호소했다. 보조도구인 벌통리프트를 사용하면 양봉 작업으로 인한 근골격계 부담을 줄일 수 있다.

소아 근골격계 감염성 질환 및 염증성 질환의 영상 소견 (Imaging Findings in Pediatric Musculoskeletal Infection and Inflammation)

  • 김지영
    • 대한영상의학회지
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    • 제85권3호
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    • pp.520-530
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    • 2024
  • 소아 환자의 아직 미성숙한 근골격계 감염 및 염증성 질환은 뼈 뿐만 아니라 인접한 근육을 포함한 연조직 및 관절에 영향을 미친다. 빠른 진단을 통한 적절한 치료가 후유증 발생 여부나 질환에 의한 이환율 및 사망률에 큰 영향을 끼칠 수 있다. 소아 환자의 근골격계 감염 및 염증성 질환의 영상 소견에 익숙해진다면, 보다 빠른 진단을 가능하게 할 뿐 아니라 및 치료의 적절성 평가에도 도움을 줄 수 있을 것이다. 이 논문에서는 소아의 미성숙한 근골격계의 해부학적 특징을 포함한 병리 생리학적 특징을 설명하고, 이를 바탕으로 하여 골수염, 연조직 감염 및 비감염성 염증성 관절 질환의 영상 소견을 소개하고자 한다.

건설노무자의 근골격계 부담작업 측정 방안 개발 (Development of a method to measure musculoskeletal load for construction workers)

  • 김균태;김창한
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2011년도 춘계 학술논문 발표대회 2부
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    • pp.73-75
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    • 2011
  • Unlike other craft workers, construction craft workers perform their work under diverse working conditions, which means that their working pattern and postures continuously change. While construction craft workers are vulnerable to musculoskeletal disorders, due to the unique factors of their working conditions, their actual condition has not yet been accurately investigated. For this reason, this research aims to develop a method of measuring the musculoskeletal load of construction workers by reviewing various motion measuring methods to which state-of-the-art sensors are applied. This research is expected to serve as the basis for developing a system to measure the musculoskeletal load of construction workers.

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근골격계질환의 제도적 관리에 관한 연구 (A Study on Managerial System of Work-related Musculoskeletal Disorders)

  • 장성록;김용수;이관석;김유창;배동철
    • 한국안전학회지
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    • 제18권3호
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    • pp.149-153
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    • 2003
  • Recently, work-related musculoskeletal disorders(WMSDs) are one of major issues in occupational safety and health in Korea. Main risk factors of WMSDs include manual handling of heavy weight loads, awkward posture, repetitive tasks, Prolonged static muscle contraction, and so on. The number of injured workers has rapidly increased and the related regulation was amended to improve the work conditions and environments. And demands for workers' compensation and improvement of work conditions and environment to prevent WMSDs have increasingly been raised. This study focused on managerial system to prevent WMSDs. Literal survey and questionnaire survey were accomplished to propose a management system in Korea for preventing WMSDs.

Moire' 영상무늬를 통한 근골격계질환의 진단과 현가장치를 이용한 치료방안 (Diagnosis of Work-related Musculoskeletal Disease through Moire Image Pattern and Treatment Measure using a Sling System)

  • 이상용;이은경;권소희;정혜경;김삼태;정명수;이기남
    • 대한예방한의학회지
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    • 제7권2호
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    • pp.121-130
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    • 2003
  • The Musculoskeletal Disease has been ignored or turned away due to the difficulty of diagnosis and the vagueness of judgement up to now. Contrary to other diseases, there were many cases where the character of the Musculoskeletal Disease wasn't revealed through the objective inspection. And that's because the Musculoskeletal Disease appears for the most part due to muscular defect so it is impossible to diagnose the muscle by X-ray diagnosing the bone and it is also impossible to diagnose the fine damage of the muscle or tendon even by advanced device like MRI. As the nervous blood vessels or acupunctures pass through or are next to the muscle, the tension of the muscle put pressure on these so can become the direct or indirect causes of various kinds of pains or intern diseases. But in spite of that, for lack of proper equipment diagnosing the state of the muscle(Shortened.. Relaxed... or Hardened...) the muscle has been disregarded or neglected intentionally or unintentionally. While many people think themselves to be a muscular expert, if they don't see the shape of the muscle, that is just like blind treatment. But as now the equipment diagnosing the state of the muscle is developed, it seems that this problem can be settled. It was attempted in this study that the muscle or skeleton of the Musculoskeletal disease patients was diagno the treatment order and method were decided by a questionnaire survey and simple inspection, and the Musculoskeletal correction exercise using the muscle management and sling system made them escape from the Musculoskeletal disease, turning their muscle into more flexible and stronger muscle. As a result notwithstanding the limited treatment period '12 times', the improvement rate was as high as 74%, which showed that the muscle management and Musculoskeletal correction exercise had a great effect on the symptom improvement of the patients. If the treatment times had increased, the improvement rate also would have increased more.

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치과위생사의 근골격계 통증 해결 방법과 자기효능감이 근골격계 질환에 미치는 영향 (Effects of Dental Hygienist's Musculoskeletal Pain Resolution and Self-Efficacy on Musculoskeletal Disorders)

  • 문애은
    • 한국산학기술학회논문지
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    • 제19권2호
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    • pp.329-338
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    • 2018
  • 치과위생사의 근골격계 질환을 조사하고, 통증 조절과 자기효능감이 근골격계 질환에 미치는 영향을 분석하고자, 광주지역 치과위생사 483명을 편의 추출하여 자기기입식 설문조사를 시행하고 빈도분석, 교차분석, t-검정, 다중로지스틱 회귀분석을 실시하여 분석하였다. 연구결과 연구 대상자의 지난 1년간 근골격계 통증 유병율은 83.9%이었으며, 이중 근골격계 질환이 있는 경우는 29.8%이었다. 근골격계 질환에 영향을 주는 요인을 파악한 결과, 근골격계 통증 해결 방법이었다. 통증 해결 방법에서 병가, 작업전환이라고 응답한 군에 비해 병원, 한의원, 약국치료 라고 응답한 군의 근골격계 질환 교차비(odds ratio)는 0.22(95% 신뢰구간 0.14-0.34)로 음의 관련성을 보였다. 이것은 근골격계 장애가 있는 경우 병원, 한의원, 약국치료를 더 하지 않은 것으로 사료된다. 따라서 치과위생사의 근골격계 통증 관리를 위해서는 의학적 관리(한의학적 치료, 정맥주사나 약물 치료, 열과 냉동 치료, 스테로이드 치료, 상담 치료, 척수자극을 이용한 중재적 치료, 물리 치료, 스트레칭, 재활운동치료, 도수 치료)와 작업환경 요인을 개선할 필요가 있고 근골격계질환 예방법에 대한 적절한 접근이 필요할 것으로 생각된다.

Analysis of Work-Related Musculoskeletal Disorders Research Trends Using Keyword Frequency Analysis and CONCOR Technique

  • Geon-Hui Lee;Seo-Yeon Choi
    • 한국컴퓨터정보학회논문지
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    • 제28권8호
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    • pp.137-144
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    • 2023
  • 사회문제를 해결하는 방법들 중 하나로 활용성이 제시되고 있는 빅데이터 분석기법을 이용하여 작업관련성 근골격계질환에 관한 연구동향을 분석하고자 키워드 네트워크 분석 기법과 CONCOR 분석기법을 적용하여 본 연구를 진행하였다. 본 연구에서 도출한 연구결과는 첫째, 작업관련성 근골격계질환 논문 수는 근골격계 유해요인조사가 실시된 2003년 이후 20년간 연평균 33편 이상 게재되었으며 2007~2009년 게재 비율이 증가하였다. 둘째, 텍스트 마이닝을 이용하여 출현된 상위 키워드의 빈도는 작업(4,940), 근골격계질환(2,197), 증상(1,836), 관련(1,769), 근골격계(1,421) 등의 순으로 나타났다. 셋째, CONCOR 분석결과 '근골격계질환 치료', '안전보건관리', '근로환경조사', '작업환경측정' 4개의 군집으로 나뉘었다. 본 연구가 근골격계질환 연구의 발전방안을 위한 세부적인 연구로서 다양한 방향으로 모색하는데 활용되기를 기대한다.