• Korean Journal of Acupuncture
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• 제39권4호
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• pp.199-204
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• 2022

The objective of this study was to evaluate the effects of Korean medicine treatment (including acupuncture, herbal medication, and pharmacopuncture) for postoperative pain after cervical surgery in a patient with a cervical (C2) extension teardrop fracture. We measured the patient's cervical range of motion, neck disability index score and numerical rating scale score to evaluate the effects of Korean medicine treatment on postoperative pain after cervical surgery. After 43 days of inpatient treatment, the patient's neck disability index score decreased from 75.5 to 46.67 and the numerical rating scale decreased from 6 to 2. Furthermore, recovery was observed for cervical range of motion. In conclusion, this case suggests that Korean traditional medicine treatment may effectively reduce postoperative pain after cervical surgery for cerviecal extension teardrop fracture.

• The Journal of Korean Physical Therapy
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• 제16권1호
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• pp.157-182
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• 2004

The purpose of this study was to evaluate effects of lumbar stabilizing exercise on the functional recovery and the range of motion of low back pain patients. The subjects were consisted of sixty patients who had non specific chronic low back pain(32 females. 28 males; mean aged 37.3) from 19 to 65 years of age(mean age : 37.3). All subjects randomly assigned to the lumbar stabilizing exercise group, the modalities treatment group, the manual treatment group. Lumbar stabilizing exercise group received manual treatment with lumbar stabilizing exercise for 30minutes, modalities treatment group received hot pack used thermal therapy for 20minutes and ICT used electrical therapy for 20minutes and US or MWD used deep thermal therapy for 15minutes, manual treatment group received modalities treatment with therapeutic massage for 10minutes and joint mobilization or manipulation for 10minutes per day and three times a week during 4 weeks period. The Multilevel Roland-Morris Disability Questionnaire(MR-MDQ) was used to measure functional disability level. Visual Analogue Scale(VAS) was used to measure subjective pain level. Remodified Schober test(RST) was used to measure forward flexion range of motion of lumbar segment. Finger-to-Floor test(F-T-FT) was used to measure forward flexion range of motion of full spine of low back pain patients. All measurements of each patients were measured at pre-treatment and 4 week post-treatment. The results of this study were summarized as follows : 1. The MR-MDQ of lumbar stabilizing exercise group, modalities treatment group, and manual treatment group was significantly reduced between pre-treatment and post-treatment(p<.05). 2. The VAS of lumbar stabilizing exercise group, modalities treatment group, and manual treatment group was significantly reduced between pre-treatment and post-treatment(p<.05). 3. The RST of lumbar stabilizing exercise group, modalities treatment group, and manual treatment group was significantly reduced between pre-treatment and post-treatment(p<.05). 4. The F-T-FT of lumbar stabilizing exercise group, modalities treatment group, and manual treatment group was significantly reduced between pre-treatment and post-treatment(p<.05). 5. The results of analyzed effects of MR-MDQ, RST, F-T-FT were significantly reduced (p<.05), but VAS wasn't significantly reduced(p>.05) between treatment type of lumbar stabilizing exercise group and modalities treatment group and manual treatment group according to pre-treatment and post-treatment. 6. The results of LSD post-hoc to find difference between treatment type of lumbar stabilizing exercise group and modalities treatment group and manual treatment group according to pre-treatment and post-treatment that MR-MDQ was significantly reduced stabilizing exercise group than modalities treatment group(p<.05), and VAS wasn't significantly reduced all treatment group(p>.05), and RST was significantly reduced stabilizing exercise group than modalities treatment group(p<.05), and F-T-FT was significantly reduced stabilizing exercise group than modalities treatment group and manual treatment group (p<.05).

• 대한정형도수물리치료학회지
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• 제21권2호
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• pp.15-24
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• 2015

Background: Many people are suffering from neck and shoulder pain due to muscle weakness, muscle fatigue, lack of exercise and accidents during exercise. In this study we compared the effects of McKenzie method and Mulligan technique method. Method: we randomly selected men(10) and women(10) and they are the 20s students of Busan material K college. We divided for McKenzie exercise group and Mulligan exercise group. McKenzie exercise and mulligan exercise applied cervical area three times a week for three weeks. We compared with pre-experiment and after 1~3 week through measuring the electromyography (EMG) change and neck range of motion (ROM). Results: The changes in the EMG at each exercise group, there was a statistically significant difference in each week. Although there was a significant difference after 1 week between the exercise group, the changes in the neck ROM at each exercise group there was no statistically significant difference. Conclusion: After experiment, EMG and neck ROM were increased in McKenzie exercise group and Mulligan exercise group. But Mulligan exercise group showed the change better than McKenzie exercise group in early stage. We suggest the Mulligan exercise method for recovering in early stage of neck ROM.

• 전기학회논문지
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• 제59권1호
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• pp.220-224
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• 2010

In this study, we designed a device for consecutively observing position, utilizing 3-axises acceleration sensor. This method offer to check his or her wrong position and developed could to help derived a position appliance. And, we developed a Cobb's angle value in three dimensional using 3-axises acceleration sensor. A proposed device with integrated accelerometers, which can detect postural changes in terms of curvature variation of the spine in the sagittal and coronal planes, has been developed with intention to facilitate posture training. The proposed device was evaluated with 3 normal subjects daily activities. We evaluated the performance of our designed device as calculating the correlation coefficients and mean errors between the angle measured by an electro-goniometer and that estimated by a gravity accelerometer and verified the accuracy and sensitivity. The results showed that the angle obtained from the proposed device revealed a linear characteristic at the range of $\pm60^{\circ}$(correlation coefficient 0.99, error range $\pm2^{\circ}$). We demonstrated that our device could detect the changes of the motion in upper trunk accurately. Also, our device showed good potential for treatment of the patients with scoliosis and prevention of the unbalance position during a daily life.

• Clinical and Experimental Pediatrics
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• 제49권5호
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• pp.570-573
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• 2006

대요근은 12번 흉추의 외연면에서 5번 요추까지의 외연면에 걸쳐 기시하여 대퇴골의 소전자에 부착되는 근육으로 고관절의 굴곡에 관여한다. 이는 후복막 기관으로 여러 혈관에서 풍부한 혈류 공급을 받으며, S자 결장, 공장, 충수 돌기, 요관, 대동맥, 신장, 췌장, 척추, 림프선 등 여러 장기와 인접하고 있어 감염의 호발 부위가 된다. 그러나, 요근 농양 발생시, 그 증상이 비특이적이고 건강한 소아에서 드물게 발병하는 이유로 고관절 질환으로 혼돈되기도 하여, 진단과 치료가 지연되는 예가 많다. 저자들은 평소 건강하던 14세 남아가 침대에서 떨어져 경한 우측 둔부 좌상을 입은 이후, 우측 둔부 통증과 발열 및 보행 불능을 호소하여 고관절 이상을 의심해 시행한 자기 공명 영상에서 우연히 우측 요근내 농양을 발견해 항생제 치료를 시행하였던 증례를 경험하였기에 보고하는 바이다.

• Journal of Korean Neurosurgical Society
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• 제52권1호
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• pp.58-61
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• 2012

Various surgical procedures for the treatment of post-traumatic syringomyelia have been introduced recently, but most surgical strategies have been unreliable. We introduce the concept and technique of a new shunting procedure, syringo-subarachnoid-peritoneal shunt. A 54-year-old patient presented to our hospital with a progressive impairment of motion and position sense on the right side. Sixteen years before this admission, he had been treated by decompressive laminectomy for a burst fracture of L1. On his recent admission, magnetic resonance (MR) imaging studies of the whole spine revealed the presence of a huge syrinx extending from the medulla to the L1 vertebral level. We performed a syringo-subarachnoid-peritoneal shunt, including insertion of a T-tube into the syrinx, subarachnoid space and peritoneal cavity. Clinical manifestations and radiological findings improved after the operation. The syringo-subarachnoid-peritoneal shunt has several advantages. First, fluid can communicate freely between the syrinx, the subarachnoid space, and the peritoneal cavity. Secondly, we can prevent shunt catheter from migrating because dural anchoring of the T-tube is easy. Finally, we can perform shunt revision easily, because only one arm of the T-tube is inserted into the intraspinal syringx cavity. We think that this procedure is the most beneficial method among the various shunting procedures.

• 제어로봇시스템학회논문지
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• 제11권1호
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• pp.41-49
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• 2005

Electromyogram (EMG) signal generated by voluntary contraction of muscles is often used in rehabilitation devices because of its distinct output characteristics compared to other bio-signals. This paper proposes a novel EMG-based human-computer interface for electric-powered wheelchair users with motor disabilities by C4 or C5 spine cord injury. User's commands to control the electric-powered wheelchair are represented by shoulder elevation motions, which are recognized by comparing EMG signals acquired from the levator scapulae muscles with a preset double threshold value. The interface commands for controlling the electric-powered wheelchair consist of combinations of left-, right- and both-shoulders elevation motions. To achieve a real-time interface, we implement an EMG processing hardware composed of analog amplifiers, filters, a mean absolute value circuit and a high-speed microprocessor. The experimental results using an implemented real-time hardware and an electric-powered wheelchair showed that the EMG-based human-computer interface is feasible for the users with severe motor disabilities.

• 한국전문물리치료학회지
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• 제14권4호
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• pp.58-65
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• 2007

The purpose of this study was to investigate the effects of serratus anterior strengthening exercises on scapular position and Visual Analog Scale (VAS) pain measurements taken at the resting position in young adults with adducted scapular. The exercise program included stretching of the scapular retractor and strengthening of the serratus anterior muscle. We measured the distance from the midline of the thorax to the vertebral border of the scapular with a tape line (Superior Kibler), and the distance from the 7th cervical spinous process to the acromial angle with 3-dimension motion analysis system, to compare the resting scapular position before and after exercise. Fifteen subjects with adducted scapular were recruited to compare the resting scapular position and VAS. The distance from 7th cervical spine process to acromial angle of the scapular and VAS decreased significantly (p<.01) after exercise, while the distance from the midline of the thorax to vertebral border of the scapular increased (p<.05). The conclusion is that the serratus anterior exercise program altered the resting scapular position and decreased VAS.

• 대한추나의학회지
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• 제1권1호
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• pp.103-117
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• 2000

The manipulations are the main therapheutic procedure of Chuna. Manipulation is the essential procedure of Chuna theraphy. On the basis of touch parts and motion changes, each elementary manipulation is divided into Stimulating Manipulations (reflexional manipulations) and Mobilizing Manipulations. Objectives: This study were advanced so as to know Chinese Chuna Manipulations especially on Herniated Nucleus Pulposus. Methods We Investigated Chinese medicine paper about Chinese Chuna Manipulations on Herniated Nucleus Pulposus between 1996 and 1999. Results. Chinese Chuna theraphy, Pressing Manipulations and Thrusting-Wrenching Manipulations are mostly used on Herniated Nucleus Pulposus, and Chinese Chuna theraphy carrys out Traction, Injection. Chinese medicine. Acupuncture side by side. Conclusions: Chinese Chuna theraphy uses not only Mobilizing Manipulations, but also Stimulating Manipulations whereas Korean Chuna theraphy chiefly uses Mobilizing Manipulations.

• 대한정형도수물리치료학회지
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• 제19권1호
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• pp.69-77
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• 2013

The pelvic girdle function as an integrated unit with all three bones moving at all three joints, are influenced by the lower extremities below and vertebral column and trunk above sacroiliac movements are caused by spinal motion, whereas iliosacral movements are caused by movements of the lower limbs. Concept of normal functional integration among the lumbar spine, pelvic and hip joint is basic to the understanding of dysfunction in this region and also functional movement of the lumbo-pelvic-hip region are part of the clinical examination, consequently the integrated biomechanics of these region need to be understood. The purpose of this review is to ascertain the integrated biomechanics among the lumbo-pelvic-hip complex by consideration of literature and to give sufficient information to be able to render accurate assessment and treatment for the syndromes described.