• 제목/요약/키워드: Old patient

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천장관절에 적용한 움직임을 동반한 관절가동술이 뇌졸중 환자의 보행에 미치는 효과 (The Effect of Mobilization With Movements Applied Sacro-Iliac Joint on Gait of Stroke Patient)

  • 임현철;공선웅;정연우
    • 대한정형도수물리치료학회지
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    • 제17권1호
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    • pp.45-50
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    • 2011
  • Background: To determine effects of mobilization with movements (MWM) application on stroke patient with hypomobility on sacroiliac joint. Methods: The subject was 47years old male who have left hemiplegia because of right intra-cerebral hemorrhage. The subject was have hypomobility on sacroiliac joint. MWM using during 4weeks and using Berg balance scale (BBS), Timed up and go (TUG), 10meter walking (10MW) test for evaluation. Results: The results of this study were summarized below; BBS score for evaluating balance ability was increased, and TUG time, 10MW test time was decrease. Conclusion: We consider that MWM application on stroke patient with hypomobility on sacroiliac joint is not only regain mobility on sacroiliac joint but also increase in balance ability and walking speed.

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마사지 시술 후 발생한 흉골골절 환자 증례보고 (Sternal Fracture occurred after Thai Massage : A Case Report)

  • 송영일;김동은
    • 척추신경추나의학회지
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    • 제10권2호
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    • pp.51-60
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    • 2015
  • Objectives: The purpose of this study is to investigate the safety, injury mechanism, complication and adverse reactions associated with Chuna manual theraphy(CMT), to report one case of adverse reaction with Thai Massage(TM). Methods: A 76-year-old woman presented with chest pain and dorsalgia. The patient undertook a TM. The patient's chest pain didn't improve by Korean medecine. In MRI study, sternal fracture was diagnosed. Results and Conclusions : It is supposed that this patient suffered chest pain and dorsalgia due to a TM. From this case, we can understand the etiology of sternal fracture to some extent and consider the complication of Chuna manual theraphy through TM. In addition, This study raises the awareness of the possibility of a sternal fracture caused by a low-energy CMT technique.

Dynamic Palatogram을 이용한 기능적 구음장애의 언어치료가 음성 지표에 미치는 영향 (Speech Therapy for Functional Articulation Disorders Using the Dynamic Palatogram - improvement of lateralized /ㅅ/-)

  • 박혜숙;최홍식;김광문;신미성
    • 대한후두음성언어의학회지
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    • 제5권1호
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    • pp.29-37
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    • 1994
  • We report the clinical treatment experience of a case with severe lateralization articulation disorder especially in /ㅅ/, who was treated with using a dynamic palatogram. The patient was 16-year-old male patient and he was taken several attempts of traditional speech therapy without improvement The authors tried to treat him with newly designed dynamic palatogram for two period with good results. We are going to review brief clinical experience with the patient and discuss the effectiveness and indications of the dynamic palatogram. In this study, we can summarize the effect of treatment as follows; Lateralization of the /ㅅ/ was improved markedly with using the dynamic palatogram, and we thought the improvement was achieved mainly by visual feedback control.

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만성폐쇄성폐질환환자 1례에 대한 임상적 고찰 (The clinical study of chronic obstructive pulmonary disease)

  • 김주성;임성우;손정숙
    • 대한한방내과학회지
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    • 제21권3호
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    • pp.525-528
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    • 2000
  • We report the treatment case of patient for chronic obstructive pulmonary disease. The patient was 65 year-old woman with the history of smoking and asthma. She had complained of dyspnea, hyperpnea, cough and wheezing sound. We treated her with general management, bronchodilator and five kinds of herbal medicine(Samjahwadamjeon etc). Among them, the major herbal medicine is Samjahwadamjeon. Having been treated for 35 days, the patient improved in clinical symptoms and pulmonary function in PFT(Pulmonary function test).

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Surgical Treatment of Extensive Tumoral Calcinosis Associated with Systemic Sclerosis

  • Jung, Hanna;Lee, Deok Heon;Cho, Joon Yong;Lee, Sang Cjeol
    • Journal of Chest Surgery
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    • 제48권2호
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    • pp.151-154
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    • 2015
  • Extensive tumoral calcinosis affecting a large joint is uncommon in patients with systemic sclerosis. We report the case of a 52-year-old female patient referred for a growing calcified mass in the shoulder. She was diagnosed with interstitial lung disease and progressive systemic sclerosis. Although the pain and disability associated with the affected joint was not severe, the patient underwent surgical excision because the mass continued to grow and was likely to produce shoulder dysfunction and skin ulceration. The patient appeared well 10 months after surgery with no signs of recurrence. This report highlights the timing and indication of surgical excision in similar cases.

식도에 발생한 소세포암의 수술 치험 (Surgical Treatment of Esophageal Small Cell Carcinoma -1 Case Report-)

  • 김승우;류지윤;조광현
    • Journal of Chest Surgery
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    • 제29권8호
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    • pp.923-926
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    • 1996
  • 식도 소세포암은 매우 드문 악성 종양으로 알려져 있다. 본 인제 대학교 부산백병원 흉부외과학교실에서는 식도에서 발생한 소세포암 1례를 수술 치험하였다. 68세된 남자로서, 술전 위내시경 조직검사에서 신경내분비종양이 의심되어 식도절제술 및 위-식도 문합술을 시행하였고, 술후 경과는 양호하여 합병 증없이 퇴원하였다.

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심장 및 대동맥내 이물 치험 1례 (Intracardiac a Aortic Foreign Body)

  • 방정희;편승환
    • Journal of Chest Surgery
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    • 제30권9호
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    • pp.932-935
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    • 1997
  • 우측 흉쇄관절탈골로 진단되어 Kirsckler wire로 고정 3개월후 wire의 이동으로 우심실과 대동맥내 이물 및 가성대동맥류를 가진 50세 남자환자에서 이들의 제거를 위해 수술을 시행하였다. 심폐기 가동후 우심실에서 우측폐동맥판막을 관통하여 폐동맥쪽으로 돌출되어 있는 K-wire를 제거하고 상행대동맥 부분점자후 또 다른 K-WiTG를 제거하고 폐동맥판막천공은 일차봉합하고 대동맥 벽은 전층으로 봉합하였다. 환자는 술후 14일째 특별한 합병증 없이 퇴원하였다.

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척추 암전이 환자에서 미추마취후 발생한 마미증후군 -증례 보고- (Cauda Equina Syndrome following Caudal Anesthesia in a Patient with Metastatic Spine Tumor -A case report-)

  • 이준학;박성희;이기남;문준일
    • The Korean Journal of Pain
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    • 제10권1호
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    • pp.134-137
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    • 1997
  • We report a case of cauda equine syndrome following caudal anesthesia possibly caused by metastatic spine tumor. Male, 80-year-old, who had prostatic carcinoma with $L_3$ and $L_4$ spine metastasis was scheduled for bilateral orchiectomy. Twenty two-gauge needle was introduced at sacral hiatus and 15 ml of 2% lidocaine administered. The next morning, patient complained of perineal numbness and urination difficulty. During the next several day patient had episodes of fecal incontinence and motor weakness on both lower extremities. This case reminded us that neuroaxial blocks such as spinal, epidural and caudal anesthesia, should be used with extreme care in patients having neoplasm with high incidence of spine metastasis.

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대상포진후 신경통 치료를 위한 지속적 경막외 차단후 발생한 경막외 혈종 -증례 보고- (Epidural Hematoma following Continuous Epidural Catheterization for Postherpetic Neuralgia -A case report-)

  • 조동규;이강창;김태요
    • The Korean Journal of Pain
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    • 제10권1호
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    • pp.127-130
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    • 1997
  • A 67-year old man with a history of cardiac disease underwent epidural catheterization for pain control of postherpetic neuralgia. Patient had severe back pain and pus discharge at catheter insertion site after dischange from medical part. Patient received anticoagulant therapy with $Aspirin^{(R)}$ and $Coumadin^{(R)}$ prescribed for 15 days in medical part. Magnetic resonance imaging(MRI) showed a diffuse $T_{4-7}$ anterior epidural mass compressing the spinal cord. Emergency surgical exploration revealed a thoracic epidural hematoma without abcess formation. Operation was successful and patient recovered satisfactory without any sequelae.

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간질 발작이 병발한 파킨슨 환자 1례 (The clinical study on 1 case of Parkinson's disease patient with seizure)

  • 임현주;최강욱;정인철;이상룡
    • 동의신경정신과학회지
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    • 제18권3호
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    • pp.165-180
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    • 2007
  • Parkinson's disease is a common neurodegenerative disorder charaterized by distal resting tremor, rigidity, and bradykinesia, and asymmetric onset. The patient was 38-year-old man who had Parkinson's disease diagnosed and complained resting and postural tremor, rigidity, bradykinesia and so on. He was treated by oriental medicine with acupuncture, herb medication, physical therapy, kinesitherapy and Korean psychotherapy; Eejeong-byunki, Jiun-goron. After treatment the symptoms of Parkinson' disease was reduced, but the patient was deconditioned through several seizures. This result suggested that the oriental medical therapy is recommanded for Parkinson's disease. But, the relation of Parkinson's disease and seizure should be studied.

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