• 제목/요약/키워드: Subluxation

검색결과 185건 처리시간 0.03초

요통환자의 도수교정 전.후의 천장관절 변위 비교(천골 위주로) (A comparison of sacroiliac joint subluxation before and after manipulation of patients with low back pain(by sacrum))

  • 마상렬
    • 대한물리치료과학회지
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    • 제13권1호
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    • pp.53-59
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    • 2006
  • This study was performed to assess the efficacy of manipulation for the sacroiliac joint subluxation patients. The subjects of this study ware 8 patients with sacroiliac joint subluxation who visited the out patient department of the physical therapy wooridul clinic, from January 1, 2005 through July 3, 2005. To find out the effect of manipulation, we sampled 8 patient treated with manipulation(Thompson technique), using by radiographic. All patients were treated 2days a week for 12 weeks. The results after 12 week treatment, compared with before treatment, were as follows : 1. The improved in sacrum lateral subluxation in the manipulation after 12 week treatment was very significant(p<.01) 2. The improved in sacrum rotation subluxation in the manipulation after 12 week treatment was significant(p<.05) 3. The improved in lumbo-sacral anger subluxation in the manipulation after 12 week treatment was very significant(p<.01).

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A Morphologically Atypical Case of Atlantoaxial Rotatory Subluxation

  • Umebayashi, Daisuke;Hara, Masahito;Nishimura, Yusuke;Wakabayashi, Toshihiko
    • Journal of Korean Neurosurgical Society
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    • 제55권5호
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    • pp.284-288
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    • 2014
  • A rare case of atlantoaxial rotatory subluxation occurred after pediatric cervical spine surgery performed to remove a dumbbell-shaped meningioma at the level of the C1/C2 vertebrae. This case is classified as a post-surgical atlantoaxial rotatory subluxation, but has a very rare morphology that has not previously been reported. Although there are several reports about post-surgical atlantoaxial rotatory subluxation, an important point of this case is that it might be directly related to the spinal cord surgery in C1/C2 level. On day 6 after surgery, the patient presented with the Cock Robin position, and a computed tomography scan revealed a normal type of atlantoaxial rotatory subluxation. Manual reduction was performed followed by external fixation with a neck collar. About 7 months after the first surgery, the subluxation became severe, irreducible, and assumed an atypical form where the anterior tubercle of C1 migrated to a cranial position, and the posterior tubercle of C1 and the occipital bone leaned in a caudal direction. The pathogenic process suggested deformity of the occipital condyle and bilateral C2 superior facets with atlantooccipital subluxation. A second operation for reduction and fixation was performed, and the subluxation was stabilized by posterior fixation. We encountered an unusual case of a refractory subluxation that was associated with an atypical deformity of the upper spine. The case was successfully managed by posterior fixation.

운동 선수에게 발생한 급성 비골건 아탈구의 수술적 치료: 증례 보고-2예 (Operative Treatment of Acute Peroneal Tendon Subluxation in Athletes: A Case Report - 2 Cases)

  • 이준영;이자용
    • 대한족부족관절학회지
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    • 제9권1호
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    • pp.117-120
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    • 2005
  • Acute subluxation of the peroneal tendon is an uncommon injury which is predominantly associated with a trauma. Traumatic peroneal tendon subluxation in athletes is an uncommon cause of ankle pain. As a result, the diagnosis is often delayed. Numerous surgical techniques have been described for chronic peroneal subluxation or dislocation, however reports in acute cases are rare. Authors experienced two cases of acute subluxation of peroneal tendon in athletes which were treated by simple primary repair of superior peroneal retinaculum with good results.

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종골 부정 유합에 동반된 거주상 관절 아탈구의 치료 (1예 보고) (Treatment of Talonavicular Subluxation Accompanied by Calcaneal Malunion (A Case Report))

  • 차성무;장보훈;서진수
    • 대한족부족관절학회지
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    • 제16권4호
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    • pp.270-275
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    • 2012
  • There may be complications after comminuted or intraarticular calcaneal fracture regardless of the initial treatment. Transcalcaneal talonavicular dislocation is rarely reported severe form of calcaneal fracture. We experienced a neglected transcalcaneal talonavicular subluxation case, who had been treated for intraarticular calcaneal fracture conservatively. Subtalar distraction bone block fusion was done for calcaneal malunion with talonavicular subluxation. Inspite of successful subtalar fusion, pain was persisted because of talonavicular re-subluxation with arthritis and calcaneocuboid arthritis. So, second operation, the talonavicular and calcaneocuboid fusion, was done. After union achieved, the patient's foot pain was improved. Calcaneal malunion combined with talonavicular subluxation and unstable transverse tarsal joint, such as this case, initial triple arthrodesis could be considered.

새로운 팔걸이(MTBSDS)가 편마비환자의 견관절 아탈구에 미치는 효과 (The Study of a Newly Designed Sling(MTBSDS) for Hemiplegic Shoulder Subluxation)

  • 임호용;송태호;양대중;박승규
    • 대한임상전기생리학회지
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    • 제2권1호
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    • pp.71-82
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    • 2004
  • To compare the effectiveness of the hemisling, bobath sling, extension-type sling, and the newly designed Modified Triangular Bobath Sling with Distal Support on a hemiplegic shoulder subluxation. Fourteen hemiplegic patients with shoulder subluxation were evaluated by a simple X-ray with and without the slings and the vertical and horizontal distances on the plain AP views were measurement. The newly designed arm sling was compared in terms of the effects of correction with distal support attached with shoulder saddle sling. The arm sling designed for this study was developed for the purpose of maintaining patients hands in a functional position and performing ROM exercise of the shoulder easily, and prevention or correction to shoulder subluxation. The mean values of the vertical and horizontal distance were compared to determine if there was significant difference of function between the new sling and the conventional slings. The new sling provided the patients with good vertical correction of the subluxation(p<0.05) but did not increase the horizontal distance significantly. These results support the effectiveness of a new sling to decrease subluxation in hemiplegia. Further study on the long term effects or complication of the new sling is recommended.

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테이핑이 편마비 환자의 결관절 아탈구에 미치는 효과 (The effect of taping therapy on shoulder in hemiplegic patients)

  • 이정훈;이건철;김용권
    • 대한물리치료과학회지
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    • 제9권3호
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    • pp.89-96
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    • 2002
  • The purpose of this case study was to evaluate the taping therapy program designed to improve shoulder joint subluxation in hemiplegic patients. This study was 9 males who had hemiparesis with limitation of range of motion (ROM) and subluxation on affected side. Patients received proprioreptive facilitation using shoulder weight shifting and additional A type and B type taping. As a result of this study, Patients showed reduction of the subluxation on hemiplegic shoulder joint. but it was difficult to generalize. We concluded that proprioceptive facilitation using shoulder weight shifting and taping therapy was effective in reducing severe shoulder subluxation. Following studies must be evaluated its statistical significance.

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A Diagnostic Imaging Case of Cervical Spinal Subluxation for Chuna Mannual Therapy: Cervical Malposition with OPLL

  • Na, Hyun-Jong;Chang, Seok-Gon
    • 대한한의학회지
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    • 제37권4호
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    • pp.45-48
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    • 2016
  • Objectives: A diagnostic imaging in a fifty five year-old woman diagnosed orthopedically as ossification of posterior longitudinal ligament (OPLL) at C5 and C6 levels was reinterpreted for Chuna mannual therapy. The cervical spinal lesion in simple X-ray and CT scan images was discussed by spinal listing systems and disc block subluxation theory. The primary adjustive target was C4 disc block subluxation, which had been affected by kyphosis. Chuna manual therapy based on diagnostic images could be helpful for adjusting spinal subluxation, correcting its adaptation curvature, and preventing its latent pathology efficiently.

만성 미골통을 호소하는 미골 후방 아탈구 환자의 추나 치료 치험 1례 (A Case Report of Decreased Chronic Coccygodynia from Coccygeal Subluxation after Chuna Manipulation)

  • 차윤엽;남동현
    • 한방재활의학과학회지
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    • 제20권2호
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    • pp.191-197
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    • 2010
  • Coccygodynia is a common problem that is characterized by pain in the tailbone that radiates to the lower sacral and perineal areas. The purpose of this study is to report the pain decrease after Chuna manipulation on a chronic coccygodynia patient. We diagnosed a patient suffering from chronic coccygodynia as subluxation of Co2 below Co1. And we treated for correcting the subluxation with Chuna manipulation. The effectiveness of the Chuna manipulation was evaluated with visual analogue scale(VAS) score and the angle between Co1 and Co2. It was decreased that both VAS score and angle between Co1 and Co2. The effect was maintained for a period of at least 6 months. We concluded that Chuna manipulation has effectiveness on chronic coccygodynia from coccygeal subluxation.

비골건구를 깊게 하는 술식을 이용한 비골건 아탈구의 수술적 치료 (Treatment of Peroneal Tendon Subluxation by Fibular Groove Deepening)

  • 유주형;이윤태;하중원;박융;신영석
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.184-187
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    • 2005
  • Purpose: To evaluate the efficiency of fibular groove deepening and superior retinacular reconstruction for peroneal tendon subluxation. Materials and Methods: Six patients who were treated by fibular groove deepening and superior retinacular reconstruction for peroneal tendon subluxation from March 2000 to August 2004 were reviewed retrospectively. Results: No recurrent subluxation of peroneal tendons had occurred. All patients were return to sports by 4 months after surgery and also gained nearly normal range of motion. Five patients were completely pain free, but one patient had mild occasional pain that limit his sports activities. Conclusion: Fibular groove deepening and superior retinacular reconstruction was believed to be a reliable procedure for peroneal tendon subluxation in spite of some minor complications.

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기능적 전기자극이 편마비환자의 견관절아탈구에 미치는 효과 - 단일 사례연구 - (The Effect of Functional Electrical Stimulation on Shoulder Subluxation in Hemiplegic Patient)

  • 김용권;차정진;김상수
    • 대한물리치료과학회지
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    • 제8권1호
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    • pp.859-867
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    • 2001
  • The purpose of this single subject care study was to evaluate the effectiveness of a functional electrical stimulation(FES) treatment program designed to prevent glenohumeral pint stretching and subsequent subluxation and shoulder pain in hemiplegic patients. The subject was a 43-year-old male who had left side hemiparesis with shoulder pain and subluxation on affected side. He received conventional physical therapy and additional FES therapy where two flaccid shoulder muscles, supraspinatus and posterior deltoid. were induced to contract repetitively up to 20 minutes for 2 weeks. As a result. the patient showed improvements in hemiplegic arm function, reduction in subluxation(as indicated by Jig test) and range of motion(SLROM). But it was difficult to generalize. We concluded that the FES program was effective in reducing the severity of shoulder subluxation and pain. Further study must be evaluated its statistical significance.

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