• Journal of Trauma and Injury
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• 제20권2호
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• pp.130-137
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• 2007

Purpose: Ultrasound is of proven accuracy in abdominal and thoracic trauma and may be useful for diagnosing extremity injury in situations where radiography is not available, such as disasters and military and space applications. However, the diagnosis of fractures is suggested by history and physical examination and is typically confirmed with radiography. As a alternative to radiography, we prospectively evaluated the utility of extremity ultrasound performed by trained residents of emergency medicine (EM) one patient with wrist and ankle extremity injuries. Methods: Initially, residents of EM performed physical examinations for fractures. The emergency ultrasound (EM US) was performed by trained residents, who used a portable ultrasound device with a 10- to 5-MHz linear transducer, on suspected patients before radiography examination. The results of emergency ultrasound and radiography and the final diagnosis were recorded, and correlation among them were determined by using Kappa s test Results: Thirty-nine patients were enrolled in our study. The average age was $36.6\;{\pm}\;19.3$ years. There were radius Fx. (n=21), radius-ulna Fx. (n=1), ulna Fx. (n=1), and contusion (n=2) injuries among the wrist injury and lat.-med. malleolar Fx. (n=13), lat. malleolar Fx. (n=6), and med. malleolar Fx. (n=3) injuries among the ankle injury. Comparing EM US with radiography, we found the sensitivity, specificity, positive predictive value, and negative predictive value of EM US for Fx. diagnosis to be 100%, 66.7%, 97.3%, 100% and those of radiography to be 97.2%, 100%, 100%, and 75%, respectively. Kappa s test for a correlation between the Fx. diagnosis of EM US and the final diagnosis of Fx was performed, and Kappa's value was 0.787 (P = 0.004).Conclusion: EM US for Fx. can be performed quickly and accurately by EM residents with excellent accuracy in remote locations such as disaster areas and in military and aerospace applications. EM US was as useful as radiography in our study and had a high correlation to the final diagnosis of Fx. Therefore, ultrasound should performed on patients with extremity injury to determine whether extremity evaluation should be added to the FAST (focused abdominal sonography trauma) examination.

• 디지털융복합연구
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• 제17권10호
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• pp.479-487
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• 2019

이 연구는 외상을 경험한 청소년 운동선수들을 대상으로 포커싱적 태도와 인지적 정서조절이 외상 후 성장에 미치는 영향력을 밝히고자 하였다. 이를 위해 S시와 K도 지역에 위치한 중, 고등학교 운동선수 215명을 대상으로 예비조사를 통해 타당성과 신뢰성이 검증된 설문지를 사용하여 포커싱적 태도와 인지적 정서조절이 외상 후 성장에 영향을 미치는지 파악한 결과, 청소년 운동선수들의 포커싱적 태도와 인지적 정서조절은 외상 후 성장에 영향을 미치며, 외상 후 성장에 영향을 미치는 요인은 긍정적재평가요인과 알아차리기, 수용, 받아들이기, 되새겨보기 및 긍정적 초점변경요인으로 영향력이 있는 것으로 나타났다. 이 연구에서 나타난 결과를 통해 외상 후 성장을 경험하기 위해서는 포커싱적 태도와 인지적 정서조절에 대한 총체적인 이해와 기전에 대해 파악하는 것이 중요하며, 이에 청소년 운동선수들의 포커싱적 태도와 인지적 정서조절에 대해 포괄적으로 개념을 파악하고 이를 통해 포커싱적 태도 수준을 제고하고 인지적 정서를 긍정적으로 조절할 수 있는 효율적인 심리적 훈련 방법의 개발이 필요할 것으로 사료된다.

• 여성건강간호학회지
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• 제20권2호
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• pp.163-172
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• 2014

Purpose: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant women who underwent infertility treatment, and to identify factors associated with fetal attachment. Methods: As a correlation survey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzed using ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: Stress, depression, and fetal attachment averaged $3.01{\pm}0.60$ (range of scale 1~5), $10.02{\pm}6.51$ (out of a possible 63), and $3.64{\pm}0.55$ (range of scale 1~5), respectively. Level of fetal attachment was higher when mother's age was less than 35, having other children, and having prenatal education experience. Lower score of depression and client's age less than 35 were significant factors affecting fetal attachment. Conclusion: Infertility is a life-affecting trauma for the individual, and personal and social changes due to infertility cause physical and psychological difficulties even after a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developed giving consideration to the emotional and physical changes in order to promote physical and psychological stability in the women pregnant following infertility treatment.

• 한국전문물리치료학회지
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• 제11권4호
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• pp.1-6
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• 2004

The kinematics involved in different landing strategies may be related to the occurrence of trauma. Several sources suggest that the angle of knee extension on touchdown and impact with the ground determines the magnitude of the impact force and, indirectly, knee loading. This study compared the initial knee angle and maximum knee flexion angle at the instant of impact on drop-landings between healthy men and women. In this study, 60 participants (30 males, 30 females) dropped from a height of 43 cm. A digital camera and video motion analysis software were used to analyze the kinematic data. When landing, there was significant difference between the two groups ($15.67{\pm}6.05^{\circ}$ in male, $24.10{\pm}6.34^{\circ}$ in female) in the mean knee flexion angle. The range of knee flexion on landing ($44.06{\pm}10.97^{\circ}$ in male, $36.96{\pm}9.99^{\circ}$ in female) also differed significantly (p<.05). The greater knee flexion that was observed in the male subjects would be expected to decrease their risk of injury. Women land with smaller range of knee flexion than men and this might increase the likelihood of a knee injury.

• 한국전문물리치료학회지
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• 제2권1호
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• pp.80-87
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• 1995

The purpose of this case study was to introduce a myoelectric hand prosthesis for upper extremity amputee and prosthetic training program. Limb loss can result from disease, injury, or congenital causes. Trauma has been increasingly important role as the cause of amputaion in young, vigorous, and otherwise healthy individuals. The higher the level of amputation the greater the functional loss of the part, and the more the amputee must depend on the prostheis for fuction and cosmesis. Myoelectrical control of prostheses is a recent development and has been steadily gaining in clinical use over the past 20 years. Such a prosthesis uses signals from muscle contraction within the stump to activate a battery driven moter that operates specific component fuctions of the prosthesis. This twenty years old male case was operated a right above-elbow amputation due to tracffic accident and admitted to Yonsei Rehabilitaion hospital for the preprosthetic and prosthetic training. The case was able to successfully complete his myoelectric hand prosthesis training in the February of 1995.

• 대한물리치료과학회지
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• 제4권3호
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• pp.475-489
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• 1997

Connective tissue massage(CTM, Bindegewebs massage) are developed and named by Mrs. Elizabeth Dicke, a German physical therapist. The CTM is used primarily for internal disorder such as myocarditis, coronary insufficiency, high blood pressure, functional stomach and intestinal disorders, inflamma-tion of the gallbladder, and hepatitis, arterial circulatory problems, venous disorders, headache, particularly trauma to the head, and some gynecologic disorder, etc. Which is performed with special stroking technique of the subcutaneous tissue of the trunk, extremities, and face. The mechanism of effectiveness of CTM is based on a viscerocutaneous reflex. The stroking stimulates the nerve end-ings of the autonomic nervous system. The impulses activated by stroking travel to the sympathetic trunk and the spinal cord and brain, which causes a change in reaction susceptibility. The most important for apply CTM is necessary to know the reflex zone (Head's zone, Mackenzie's zone and Dicke's connective tissue zone). Dicke's connective tissue zones are only found by the special dia-gnostic stroking. Because the connective tissue zones no discomfort when unmanipulated, and thus the patient is unaware of them. It is characterized by diagnostic stroking that causes a sharp pain in the tissue. As a general rule, all treatment are preceded by the basic stroke from the level of the coccyx to the first lumbar vertebra and each stroke is done three times. The right side is done first, then the left side.

• 한국융합학회논문지
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• 제7권5호
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• pp.35-42
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• 2016

이 연구는 체육 중 고등학생의 구강보건에 관한 특성을 알아보고자 하였다. 2013년 4월부터 6월까지 경산의 체육 중 고등학생 가운데 당일 출석한 250명의 구강건강상태와 구강보건 지식 태도 행동 및 구강악안면 외상을 구강검사와 구조화된 설문지를 사용하여 조사하였다. 구강보건 지식 태도 행동의 일반적 특성은 t-test를 실시하였고, 각 항목별 응답은 빈도분석을 실시하였다. 우식경험영구치율에서 여학생 평균 22.30%, 남학생 평균 15.41%로 여학생이 통계적으로 유의하게 높았으며 치주건강상태 점수는 중학생 평균 1.19점, 고등학생 평균 0.68점으로 중학생의 점수가 통계적으로 유의하게 높았다. 구강보건 지식 점수는 여학생 평균 3.69점, 남학생 평균 2.81점, 구강보건 행동 점수는 여학생 평균 38.26점, 남학생 평균 36.92점으로 여학생이 통계적으로 유의하게 높았다. 그러므로 체육 중 고등학생의 특성을 고려한 구강보건교육 및 맞춤형 구강보건사업의 실시가 필요하다고 하겠다.

• 치위생과학회지
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• 제4권1호
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• pp.21-25
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• 2004

현대사회에서는 생활환경의 변화와 교통사고의 증가에 의해 해마다 소아의 외상의 증가하고 있는데 구강조직에 대한 외상성 손상을 완전히 치단하는 데에는 한계가 있어 외상성 치아손상에 관한 실태를 조사 분석함으로써 외상처치와 예방에 필요한 기초자료를 제시하고자 강릉대학교 치과병원 소아치과에 2000년 10월 4일부터 2004년 2월 27일까지 외상을 주소로 내원한 113명의 환자를 대상으로 조사 분석한 결과 다음과 같은 결론을 얻었다. 1. 연구대상자의 성별에서는 2.05:1의 비율로 남자의 경우가 외상빈도가 더 높게 나타났다. 평균 연령은 남자 5.27세, 여자 5.27세로 차이가 없었고, 전체 연령중 2세에서 외상환자가 제일 많았다(21.2%) 2. 외상부위별 내원기간을 조사한 결과 유치는 당일(34.4%)에 내원한 경우가 가장 많았고, 영구치는 1일 후(38.8%)에 내원한 경우가 가장 많았다. 3. 외상부위별 치아손상의 원인을 분석한 결과 넘어진 경우가 유치 59.4%, 영구치 55.1%, 물체에 부딪친 경우 유치 26.6%, 영구치 26.5%로 나타나 대부분 넘어지거나 부딪쳐서 외상이 발생한 것으로 나타났다. 4. 성별에 따른 치아손상이 발생한 장소는 가정인 경우가 남자 42.1%, 여자 35.1%로 남녀모두 가정에서 외상이 가장 많이 발생하였다. 외상부위에 따른 치아손상 발생한 장소로는 유치는 가정(59.4%)에서 가장 많이 발생하였고, 영구치는 유치원 및 학교(28.6%)에서 가장 많이 발생하였다. 5. 외상부위에 따라 치아손상을 받은 치아의 수를 분석한 결과 유치는 2개(56.3%), 1개(31.3%), 3개와 4개 이상 각각(6.3%), 순으로 나타났으며, 영구치는 2개(46.9%), 1개(28.6%) 4개 이상(16.3%), 3개(8.2%) 순으로 영구치인 경우 4개 이상인 경우도 비교적 높게 나타났다. 6. 성별에 따른 치아손상이 발생한 부위로는 남자 유치 56.6%, 영구치 43.4%, 여자 유치 56.8%, 영구치 43.2%로 남녀 모두 유치에서 외상이 가장 많이 발생하였다. 7. 유치와 영구치의 치아손상부위는 상악 전치부가 거의 대부분을 차지하고, 유치(75%)와 영구치(63.8%) 모두 상악 중절치에서 외상율이 높게 나타났다. 8. 전체적인 외상성 치아손상에 따른 외상종류의 조사결과는 동요 30.2%, 치관파절 28.0%, 함입 14.7%, 진탕 8.9%, 완전 탈구 7.1%, 정출 2.2%, 변위 1.8% 순으로 나타났다. 유치와 영구치별로 외상성 치아손상의 종류를 분류하였을 때 유치는 동요(35.8%)가 가장 많이 나타났고, 파절에서 치관파절은 영구치(44.8%)에서 많이 발생하였다. 9. 외상부위에 따른 외상성 치아손상처치는 처치없이 경과관찰을 한 경우가 유치는 43.2%, 영구치 38.9%로 나타났으며, 치료한 경우 유치는 치수절제술(22.0%), 영구치는 임시적산부식레진수복(19.5%)을 가장 많이 사용하였다.

• 한국전문물리치료학회지
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• 제17권2호
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• pp.60-66
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• 2010

In chronic ambulatory hemiplegic patients, structural changes might be developed at both ankles possibly due to unequal and repetitive weight bearing on tendons and ligaments. We examined ankles by sonography to find out structural changes of tendons and ligaments of both ankles in ambulatory hemiplegic patients. Nineteen ambulatory hemiplegic patients over 1 year were included as study subjects. All subjects had no previous trauma or disease history in their ankle joints and they were able to walk independently or with supervision but had spastic ankles with equinovarus tendency. We examined both ankle joints by sonography to see joint effusion and measure width, thickness, and area of tendons of the tibialis anterior, tibialis posterior, and Achilles, and also ligaments of the anterior talofibular and calcaneofibular. We compared sonographic features of the hemi-side ankle with the sound-side ankle. There were no significant differences between hemi-side and sound-side ankles in almost all measured parameters of tendons and ligaments. However, the width of the hemi-side tibialis posterior tendon ($7.24{\pm}1.52$ mm) was narrower than the sound-side tendon ($8.61{\pm}1.37$ mm). With the amount of active joint motion and weight bearing possibly preventing ligament and tendon atrophy even though marked weakness, spasticity occurred during the chronic hemiplegic phase.

• 대한정형도수물리치료학회지
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• 제23권2호
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• pp.51-57
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• 2017

Background: The purpose of this study is to examine the effects of manual therapy and therapeutic exercise on pain and body function in elder women with chronic low back pain. Methods: The patients with chronic low back pain were randomly divided 2 group. The experiment group (n=11) was taken manual therapy and therapeutic exercise program. The control group (n=10) was taken physical therapy program(hot pack with 30 minutes and ICT with 15 minutes and ultra sound with 15 minutes). Both groups intervention performed 3 session during 6 weeks. We measured the quadruple visual analogue scale, flexibility, static balance, leg strength subject of symptom before and after experiment. The significant test pared t-test according to applying the manual therapy and therapeutic exercise group and control group between group used independent t-test. Results: Pain assessment in the experimental group was significantly different between time and group. Flexibility test groups were not significantly different between time and group. The static balance was not significantly different for the time. Strength tests were also not significantly different for the time. Conclusions: According to the results, manual therapy and therapeutic exercise group it was found to be helpful in pain, flexibility, static balance, not strength in elderly patients with chronic low back pain.