• 제목/요약/키워드: Shoulder pain index

검색결과 148건 처리시간 0.028초

천골후두골 테크닉을 이용한 카이로프랙틱이 만성 요통환자의 통증과 신체기능에 미치는 영향 (Effects of Chiropractic Using Sacro Occipital Technique on Pain and Physical Function in Patients with Low Back Pain)

  • 정지문;김재희
    • 한국산학기술학회논문지
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    • 제14권9호
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    • pp.4402-4411
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    • 2013
  • 본 연구의 목적은 천골후두골 테크닉을 이용한 카이로프랙틱이 만성 요통환자의 통증과 신체기능에 미치는 영향을 규명하는 것이다. 만성요통이 있는 여성 45명을 세 실험군에 15명씩 무선할당하여 디버시파이드 테크닉, 천골 후두골 테크닉 또는 두 테크닉을 혼합하여 주 2회, 8주간 시술하였다. 무처치 대조군은 요통이 없는 건강한 여성 12명으로 구성되었다. 시술 전, 4주후, 8주후에 요통은 시각적상사척도, Oswestry와 Roland-Morris 요통장애지수로 측정하였고, 신체기능은 요부 근력과 유연성 및 체형으로 평가하였다. 처치 4주와 8주 후 대조군에서는 유의한 변화가 나타나지 않은 반면, 세 실험군 모두에서 요통강도와 요통장애지수가 유의하게 감소하였으며(모두 p<.001), 요부근력과 유연성 및 어깨와 골반 균형도 향상되었다(모두 p<.05). 결론적으로 천골후두골 테크닉과 디버시파이드 테크닉을 이용한 카이로프랙틱 시술 모두 요통환자의 통증의 경감과 기능 향상에 효과적인 것으로 사료된다.

중풍환자의 초발군과 재발군에 관한 임상적 고찰 (A Comparative Study between First Attack and Reattack Groups in C.V.A)

  • 박숙자;권정남;김영균
    • 대한한의학회지
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    • 제23권3호
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    • pp.119-133
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    • 2002
  • Objectives : This study was designed to investigate significant differences between the first attack and reattack groups to form fundamental data for decreasing recurrence and secondary prevention of stroke. Methods : I studied 204 patients admitted within 7 days of onset, after the diagnosis of stroke, in the Oriental Medical Hospital of Dongeui University from February to July in 2001.compared the reattack group with the first attack group for risk factors, clinical symptoms and progress, average mark and degree of improvement in Activity Index. Results : 1. Meaningful risk factors associated with the reattack group were male sex, a past history of hypertension and transient ischemic attack, and a family history of stroke. 2. The reattack group had conscious or cognitive disorder in early stage of onset, dysphagia, constipation, urinary incontinence, visual field defect in acute stage, high blood pressure and tachycardia in abnormalvital sign in acute stage, neuropsychosis, shoulder pain and rigidity, and pneumonia in complications more than the first attack group. 3. In Activity Index, the average mark of reattack group was lower than that of the first stroke group and improvement of the reattack group was delayed compared with the first attack group. Conclusions : The reattack group had more severe symptoms and clinical progress than the first attack group.

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추간판 외상성 파열 환자에 대한 소염약침 병행 치험 2례 (A Clinical Study on Patients with Traumatic Rupture of Intervertebral Disc Treated by Oriental Medicine Treatment in Combination with Soyeom Pharmacopuncture Therapy)

  • 이형은;허동석
    • 한방재활의학과학회지
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    • 제21권4호
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    • pp.241-256
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    • 2011
  • Objectives: This study is to observe the effect of oriental medicine treatment combined with Soyeom pharmacopuncture therapy on traumatic rupture of intervertebral disc patients caused by traffic accidents. Methods: The patients who have traumatic rupture in lumbar(L)-spine(case 1) and cervical(C)-spine(case 2) were treated by oriental medicine treatment in combination with Soyeom pharmacopunture therapy. VAS(visual analog scale), ROM(range of motion), and physical exam were checked on a daily basis while NDI(neck disability index) and ODI(Oswestry disability index) were examined for 3 times at 7 day interval. Results: 1. Fer 8-9 days from the admission day, the sole use of oriental medicine treatment did not make many improvements in the case of two patients' symptoms. After combining with Soyeom pharmacopuncture therapy, chief complaints were improved significantly. 2. In case 1, lumbago decreased from VAS 10 to VAS 5 and lumbar ROM got better than before. ODl score cropped from 42 to 27. 3. In case 2, left shoulder pain and nuchal pain lowered from VAS 10 to VAS 4, left upper limb numbness and weakness were improved, The patient showed nearly fun ROM. NDI score decreased from 26 to 19. Conclusions: Oriental medicine treatment in combination with Soyeom pharmacopuncture therapy is proved to be helpful to improve the symptoms of the traumatic rupture of intervertebral else patients caused by traffic accident.

밸런스트레이닝이 대사증후군 지표 및 기능적 체력에 미치는 영향 (Effect of Balance Training on Metabolic Syndrome Indicators and Functional Fitness)

  • 백순기
    • 산업융합연구
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    • 제20권11호
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    • pp.213-219
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    • 2022
  • 본 연구는 밸런스트레이닝이 대사증후군 지표 및 기능적 체력에 미치는 영향을 살펴보고자 하였다. 이를 위해 평상시 허리 및 어깨 통증을 호소하는 고령여성 16명을 대상으로 12주간의 밸런스트레이닝을 실시하였다. 또한 16명의 대상자 중 8명은 운동군(68.48세), 8명은 통제군(67.90세)으로 구분하여 트레이닝 프로그램의 효과를 검증하였다. 12주간의 밸런스트레이닝 전, 후의 대사증후군 지표와 기능적 체력을 살펴본 결과 다음과 같은 결과를 얻었다. 첫째, 12주간의 밸런스트레이닝 전, 후 대사증후군 지표에서는 유의한 상호작용을 나타냈다. 둘째, 기능적 체력에서 12주간의 밸런스트레이닝 전, 후에 유의한 상호작용을 나타냈다. 이는 밸런스트레이닝이 고령여성의 대사증후군 지표의 긍정적 변화와 함께 기능적 체력에 긍정적 영향을 미친다는 것을 확인할 수 있었다. 향후 트레이닝 기간과 측정변인의 확대를 통해 밸런스트레이닝의 효과를 보다 명확하게 할 필요가 있다.

The Effect of Breast Hypertrophy on Patient Posture

  • Lapid, Oren;de Groof, E. Joline;Corion, Leonard U.M.C.;Smeulders, Mark J.C.;van der Horst, Chantal M.A.M.
    • Archives of Plastic Surgery
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    • 제40권5호
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    • pp.559-563
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    • 2013
  • Background One of the reasons women with macromastia chose to undergo a breast reduction is to relieve their complaints of back, neck, and shoulder pain. We hypothesized that changes in posture after surgery may be the reason for the pain relief and that patient posture may correlate with symptomatic macromastia and may serve as an objective measure for complaints. The purpose of our study was to evaluate the effect of reduction mammaplasty on the posture of women with macromastia. Methods A prospective controlled study at a university medical center. Forty-two patients that underwent breast reduction were studied before surgery and an average of 4.3 years following surgery. Thirty-seven healthy women served as controls. Standardized lateral photos were taken. The inclination angle of the back was measured. Regression analysis was performed for the inclination angle. Results Preoperatively, the mean inclination angle was 1.61 degrees ventrally; this diminished postoperatively to 0.72 degrees ventrally. This change was not significant (P-value=0.104). In the control group that angle was 0.28 degrees dorsally. Univariate regression analysis revealed that the inclination was dependent on body mass index (BMI) and having symptomatic macromastia; on multiple regression it was only dependent on BMI. Conclusions The inclination angle of the back in breast reduction candidates is significantly different from that of controls; however, this difference is small and probably does not account for the symptoms associated with macromastia. Back inclination should not be used as a surrogate "objective" measure for symptomatic macromastia.

기능적 뇌척주요법을 병행한 한방치료가 턱관절 장애가 있는 교통사고 환자에 미치는 영향 (The Effect of Korean Medical Treatments with Functional Cerebrospinal Therapy on Patients from Traffic Accidents with Temporomandibular Joint Disorder)

  • 서연주;서종철;김신영;윤현민;장선희;송춘호;이영준;조성우;강석환;김철홍
    • Journal of Acupuncture Research
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    • 제33권4호
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    • pp.149-163
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    • 2016
  • Objectives : The purpose of this study is to determine the effect of Functional Cerebrospinal Therapy(FCST) on patients from traffic accidents with Temporomandibular Joint Disorder. Methods : We reviewed the medical records of 33 patients who were treated for injuries stemming from traffic accidents at the Dong-Eui University Korean Medicine Hospital from December 29th, 2015 to August 29th, 2016. The patients were divided into 2 groups: Group A(n = 15) and Group B(n = 18). In Group A, patients received Korean medical treatments with FCST using an Accurate Balancing Appliance(ABA) - a standard intra-oral appliance. In Group B, patients received Korean medical treatments without FCST. To estimate the efficacy of the treatments in decreasing pain, we analyzed the Visual Analogue Scale(VAS), Neck Disability Index(NDI) and Oswestry Disability Index(ODI). Results : In Group A, VAS of headache(VAS H), VAS of neck & nuchal pain(VAS N), VAS of shoulder pain(VAS S), and VAS of low back pain(VAS L) were significantly improved during each period. In Group B, VAS H was significantly improved during each period, except the period from the first visit to two weeks later. VAS N, S, L were significantly improved during each period, except the period from the first visit to one week later. The total VAS improvement during each period in Group A was significantly higher than Group B. In both groups, NDI and ODI were improved significantly during each period. The improvement of NDI and ODI during each period in Group A was significantly higher than Group B. Conclusion : According to the results, FCST using ABA may be an effective treatment for patients from traffic accidents.

갱년기(更年期) 증후군(症候群)에 미치는 대조환(大造丸)의 효과에 대한 임상 연구 (A Clinical Study on the Effect of Daejo-hwan(DJH) on Climacteric Syndrome)

  • 김수민;신선미;김의일;이정은;유동열
    • 대한한방부인과학회지
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    • 제19권4호
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    • pp.225-244
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    • 2006
  • Purpose : This study was performed to assess the clinical effect of Daejo-hwan(DJH) on climacteric syndrome, not only common symptoms such as hot flushes, anxiety, palpitation and so on, but also urogenital tract disturbances like vaginal dryness and sexual problems. Methods : We randomly divided 120 women with the climacteric syndrome into two groups. One group received only DJH 2 pills(4g) a time, three times a day for 8 weeks and the other group didn't get any treatment for the same period. We evaluated sonography, DXA, blood test, female hormone test and questionnaires in the beginning as well as after 8 weeks of the treatment. Symptoms were measured by Kupperman's index, Menopausal Rating Scale and the Greene Climacteric Scale. Results : In this study, DJH was innoxious on liver and kidney. And DJH in the treated group reduced climacteric symptoms significantly as compared to the control group without enlargement of uterus myoma and the change of estradiol. In Kupperman's index and MRS, DJH in the treated group especially had effects on fatigue, shoulder pain. anxiety, headache, hot flushes as well as sexual problems. Conclusion : These results suggest that DJH can be useful in treating various climacteric symptoms including sexual problems without influences on the size of uterus myoma and estradiol.

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A Study on the Effectiveness of Face-to-face Physical Therapy and Non-face-to-face Physical Therapy in Individuals With Rounded Shoulder

  • Young-ji Cho;Min-je Kim;Cho-won Park;Ye-bin Cho;In-A Heo;Su-jin Kim
    • 한국전문물리치료학회지
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    • 제30권1호
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    • pp.50-58
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    • 2023
  • Background: This study was carried out to determine whether non-face-to-face physical therapy would have similar exercise effects to face-to-face physical therapy. Hence, we developed an approach for patients, unable to visit hospitals due to circumstances such as the COVID-19 pandemic, to conduct physical therapy comfortably at home. Objects: This study aimed to compare the effects of a face-to-face and a non-face-to-face physical therapy treatment on improving a rounded shoulder posture. Methods: The participants with rounded shoulders were randomly divided into a face-toface group (n = 15) and a non-face-to-face group (n = 15), and each group performed exercises for four weeks. The exercise program consisted of the bare hands exercise, Thera-Band exercise, and foam roller exercise. The participants in the face-to-face group came to a designated place to perform their exercises, and those in the non-face-to-face group performed the exercises at their own home using Google Meet (Google). Acromial height, total scapular distance (TSD), shoulder pain and dysfunction index (SPADI), and pectoralis minor thickness were measured. Data analysis was performed using the R Statistical Software (R Core Team), and a normality test was performed using the Shapiro-Wilk test. Results: There were no significant differences between the face-to-face and the non-face-toface groups (p > 0.05). When comparing the differences before and after the exercises, both the face-to-face and the non-face-to-face groups showed significant differences in acromial height, SPADI, and pectoralis minor thickness (p < 0.05), and both groups showed no significant difference in TSD before and after the exercises (p > 0.05). Conclusion: The results of this study support the results of previous studies reporting that shoulder stabilization exercise and pectoralis minor stretching training improves round shoulders. In addition, this study revealed that both the face-to-face and the non-face-to-face physical therapy treatments had therapeutic effects.

상완 신경총 손상시 건측 제 7번 경추신경 전이술 후 건측 상지의 신경 변화 (Neurologic Changes in the Donor Limb after Contralateral-C7 Transfer in Brachial Plexus Injury)

  • 한정수;차재룡;신동준;임양진
    • Archives of Reconstructive Microsurgery
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    • 제10권1호
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    • pp.7-11
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    • 2001
  • Purpose : To evaluate the neurologic abnormalities in the donor limb after contralateral C7 transfer in brachial plexus injury. Materials and Methods : From August 1996 to December 1999, five patients with brachial plexus injury were treated with contralateral C7 nerve root transfer. The average follow up was 16 months(range, 5 to 36 months). The clinical findings were assessed using the British Medical Research Council Grading System, and also measured grip power, pinch power of hand and two point discrimination of the fingers. Results : We had no difference in shoulder abduction and elbow flexion after contralateral C7 transfer. The grip and pinch strength were recovered within 4weeks. Sensory loss occurred in all patients and was noted to be more severe on index and middle finger. Four patients recovered within 2 weeks, one continued till one year. Subjective numbness and pain on percussion minimally persisted until last follow-up. Conclusion : The division of the C7 nerve root resulted in minimal and temporary functional deficit in the donor upper limb.

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극상근건 부분파열 환자에 매선과 한의치료를 시행한 증례 보고 (Effect of Needle-embedding Therapy on Supraspinatus Tendon Partial Tear Combined with Oriental Medical Treatment : Case Report)

  • 차은혜;정다운;양무학;김병한;신희라;권영달
    • 동의생리병리학회지
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    • 제32권4호
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    • pp.277-282
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    • 2018
  • The purpose of this study was to investigate the clinical effects of Korean medical treatments combined with Embedding acupuncture on patients with supraspinatus tendon partial tear. We reviewed the medical records of 1 patients with supraspinatus tendon partial tear at Pureunsan oriental medical clinic from Oct, 2017 to November, 2017. The patient received embedding acupuncture therapy and oriental medical therapy. To evaluate the efficacy of the treatments, the patient was asked to complete a Visual analogue scale(VAS) and the Shoulder pain and disability index during treatment period. The VAS of the patient decreased more than the screening period. The SPADI change of the embedding acupuncture group were greater than non treatment period. Embedding therapy combined with Korean medical treatment might be effective in reducing pain and improving the life quality of patients with supraspinatus tendon partial tear. We hope that further studies will be done to produce more clinical data and ensure effective application of these results.