• Title/Summary/Keyword: The wrist pain

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Work-related Musculoskeletal Pain and Health-related Quality of Life among Physical Therapists in Korea

  • Kim, Giwon;Lee, Kyunghee
    • The Journal of Korean Physical Therapy
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    • 제28권1호
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    • pp.39-45
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    • 2016
  • Purpose: Physical therapists are likely to be exposed to work-related musculoskeletal pain due to excessive repetitive tasks. This study was conducted to identify the relationship between work-related musculoskeletal pain and quality of life of physical therapists. Methods: A self-reported questionnaires was sent to 200 physical therapists at in Seoul and Kyoungido. The questionnaires was returned by 170 physical therapists. The questionnaire had included 4 items that coveringed demographic information, areas of musculoskeletal problems, pain rating scale, and WHOQOL-BREF. The analysis was completed using descriptive statistics, and differences between pain and demographic variables were identified using the chi-square test. The relationship between work-related musculoskeletal pain and quality of life was analyzed by t-test and Pearson's correlation. Results: The overall prevalence of work-related musculoskeletal pain was 76.8%. The most affected pain sites included the low back (48.8%), shoulder (45.,2%), hand and wrist (43.5%), and neck (33.3%). Pain ratings of subjects with pain was were moderate. There was a A significant difference for the subdomains of quality of life was observed between the subjects with musculoskeletal pain and those without pain. Weak negative correlations (r=-0.28) were observed between pain rating scale and QOL. Conclusion: These findings show that physical therapists appear to be at a higher risk for work-related musculoskeletal pain and physical domain of QOL. Therefore, Ffurther research is needed to investigate examine the effect of risk factors and ergonomics as physical load, general health status on prevalence of musculoskeletal pain.

PRECEDE 모형을 적용한 치과위생사의 근골격계 통증 심각도 관련 요인 (The related factors of severity of musculo-skeletal pain in the dental hygienists based on PRECEDE model)

  • 문애은;박종
    • 한국치위생학회지
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    • 제15권4호
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    • pp.649-659
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    • 2015
  • Objectives: The purpose of the study is to investigate the musculo-skeletal pain prevalence and severity in the dental hygienists based on PRECEDE model. Methods: A self-reported questionnaire was completed by 483 dental hygienists in Gwangju from September 13 to October 12, 2013. Data were analyzed by frequency analysis, chi-square test, t-test, and multiple logistic regression analysis using SPSS 18.0 program. Musculo-skeletal pain severity was classified from 1 to 5 by PRECEDE model. The questionnaire consisted of six questions of the general characteristics of the subjects, one question of musculo-skeletal pain prevalence, one question of body part musculo-skeletal pain prevalence, one question of subjective health status, three questions of activities of daily living, six questions of working environment, one question of musculoskeletal system diseases knowledge, two questions of social support, two questions of education experience and data use method, and five questions of necessity of health education. Results: The prevalence rate of musculo-skeletal pain within a year was 83.9% and 22.8% of the dental hygienists complained of severe pain. The odds ratio of moderate pain severity was 1.99(95% CI, 1.10-3.60) and the odds ratio of unhealthiness was 3.27 (95% CI, 1.35-7.94). The odds ratio of pain severity in those working for 4-6 years was 0.21(95% CI, 0.08-0.57). The odds ratio of pain severity in those practicing 6-10 scaling cases per day was 0.33(95% CI, 0.17-0.65). The odds ratio of pain severity in wrist turning and bending was 3.56(95% CI, 1.19-10.62). Conclusions: The muscolu-skeletal pain severity in the dental hygienists was closely associated with subjective health condition, work duration, the number of scaling practice activity, and a treatment posture. Regular physical checkup for the dental hygienists will improve the musculo-skeletal pain due to scaling practice.

치과위생사 작업과 관련된 근골격계 통증의 영향요인 (Dental Hygienists Work on the Impact of Factors Associated with Musculoskeletal Pain)

  • 김민아;서화정
    • 치위생과학회지
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    • 제12권6호
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    • pp.558-565
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    • 2012
  • 작업관련 근골격계 질환은 중요한 직업병 중 하나이며, 이는 치과의료 직종도 예외일수는 없다. 치과위생사는 주로 장시간 서서 진료를 하거나 머리와 목을 구부리고 어깨와 손을 많이 틀면서 움직이거나 부적절한 자세로 진료하는 경우가 많기 때문에 더욱 더 근골격계 질환에 대한 위험에 대한 노출도 크다. 따라서 본 연구는 작업과 관련하여 근골격계의 부위별 통증의 유무와 업무분야별 통증의 차이가 있는지를 알아보기 위하여 수도권 지역의 치과위생사 300명을 대상으로 설문조사를 하였고 이 중 268명이 설문에 응하였다. 본 연구의 결과는 다음과 같이 요약될 수 있다. 1. 연구대상자들의 신체부위별 근골격계 통증 정도를 분석해 본 결과, 어깨 90.3%, 목 89.2%, 다리 83.6%, 허리 81.7%, 손/손목/손가락 75.7%, 팔/팔꿈치 52.8%로 나타났다. 2. 연구대상자들의 업무영역에 따라서 근골격계 질환이 다르게 나타났으며 연구결과, 외과업무의 경우 목, 허리, 다리, 어깨, 손, 팔로 나타났으며 보철업무의 경우 어깨, 다리, 손, 목, 허리, 팔로 나타났다. 교정업무의 경우 목, 어깨, 손, 허리, 다리, 팔로 나타났고 접수의 경우 목, 어깨, 허리, 다리, 손, 팔로 나타났다. 모든 치료의 경우 어깨, 허리, 목, 다리, 손, 팔로 나타났다. 여기서 나타난 것처럼 연구대상자들이 주로 하는 진료에 대한 근골격계 통증이 신체부위별로 다르다는 연구결과가 나왔다. 3. 근골격계 질환의 주요변인에 대한 연구결과, 일반적 특성은 통계적으로 유의하지는 않았지만 신장이 큰 연구대상자들에게 허리와 어깨의 통증이 많았고 체중이 적게 나가는 연구대상자들은 목과 팔의 통증이 높았다. 연령은 29~33세는 어깨, 34세 이상에서는 팔/팔꿈치가 높았으며 이는 통계적으로 유의하였다(p<0.05). 근무환경은 경력이 높아질수록 손/손목/손가락은 통증이 증가하였고(p<0.05) 목과 어깨(p<0.05), 팔(p<0.01), 허리는 3~4년의 경력에서 가장 높았다. 그리고 다리/발은 1~2년의 경력에서 통증경험이 높았다. 근무시간은 시간이 증가함에 따라 목에 대한 통증이 높아진다고 하였으나 유의한 차이는 없었다. 그러나 손/손목/손가락에서는 근무시간이 적을 때 높은 통증경험을 나타냈으며 통계적으로 더욱 유의한 차이를 보였다(p<0.01). 근무처에 따라서 분과병원에서는 손/손목/손가락에서 높은 통증경험율을 나타냈고(p<0.05) 중소치과에서는 다리/발에서 높은 통증경험률을 나타냈다(p<0.05). 이와 같은 결과는 치과위생사의 근골격계 질환은 평균이상으로 많으며 이 질환에 대한 위험성을 인식하고 경각심을 느껴야 한다고 보여진다. 근골격계 질환은 초기에 발생되면 간단하게 치료받을 수 있지만 누적되어서 오랫동안 방치되었을 때는 이미 정상으로 되돌릴 수 없기 때문에 올바른 자세를 유지하고 통증이 나타나거나 피로가 쌓일 경우 즉시 치료를 하고 적극적인 자세로 응대하고 지속적인 노력이 필요하다고 보여진다.

물리치료사의 업무관련성 근골격계 통증, 삶의 질과 프리젠티즘의 관계 (Associations between Work-Related Musculoskeletal Pain, Quality of Life and Presenteeism in Physical Therapists)

  • 배영현;이종훈;유현주;김동언;이보라;김연희;하현근
    • 한국산업보건학회지
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    • 제22권1호
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    • pp.61-72
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    • 2012
  • Background: The purpose of this study was to analyze the associations between physical therapists' work-related musculoskeletal pain, quality of life (QoL), and presenteeism. Methods: Self-reported questionnaires were given to 402 physical therapists in Korea. Variables examined included the prevalence of pain sites related to work, pain intensity, pain pattern, pain frequency, pain duration, pain rating score (PRS), general characteristics, QoL, and presenteeism. Results: Of the 314 physical therapists who responded, 251 (79.9%) reported work -related musculoskeletal pain in at least one body part. The most affected regions included the wrist and hand (21.0%), shoulder (19.6%), and lower back (19.1%). On average patients, QoL and presenteeism differed significantly between physical therapists who reported pain and those who did not (P < 0.05). QoL showed a negative correlation with the work-related musculoskeletal pain (P < 0.01) and presenteeism (P < 0.01), while the presenteeism and work-related musculoskeletal pain showed positive one(P < 0.01). Factors influencing a physical therapist's QoL included presenteeism, Working venues (Convalescent hospital), Work status (Contra ct worker) and professional experience, while the presenteeism included QoL, work status (Intern), PRS, working venues (Convalescent hospital), Area of specialty (Pediatrics), age, sex and working hour. Conclusions: Results show that physical therapists appear to be at a higher risk for work-related musculoskeletal pain. Therefore, administrators need to use the intervention strategies to manage the presenteeism and QoL of physical therapists.

A Study on the Rehabilitation Exercise by Bike Pain and Injury and Fitting

  • Gyoung-Hoan Shon
    • 한국컴퓨터정보학회논문지
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    • 제28권5호
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    • pp.83-93
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    • 2023
  • 본 연구는 자전거에 의한 통증 및 부상의 원인과 종류 자전거피팅을 통한 통증 및 부상을 개선하고 재활방법을 제안하는 것을 목적으로 한다. 자전거에 의한 통증 및 부상은 크게 무릎, 발목부위 통증, 손목, 어깨, 목, 허리부위 통증, 엉덩이 통증으로 나눌 수 있다. 이러한 통증 및 부상의 원인은 잘못된 자전거피팅과 자세에서 비롯된다. 이러한 통증 및 부상을 개선하고 재발을 방지하기 위해서는 적절한 자전거피팅과 재활운동이 필요하다. 통증 및 부상은 운동성 통증과 고정된 자세에 의한 통증으로 나뉘며 운동성 통증의 경우 염증치료와 함께 재활운동이 필요하고 고정된 자세에 의한 통증은 정확한 신체의 특징을 이해하고 신체의 특징에 맞는 자전거 자세를 학습하고 연습해야 한다. 이런 방법을 통해 자전거 통증 및 부상의 재발을 예방하고 나아가 안전한 자전거 문화를 정립할 수 있는 환경을 조성하는데 이바지할 수 있다.

TENS와 He-Ne Laser를 이용한 외이자극이 지연성근육통에 미치는 영향 (Effects of TENS and He-Ne Laser at Auricular Point on Delayed Onset Muscle Soreness)

  • 박장성;김문수
    • 대한임상전기생리학회지
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    • 제4권1호
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    • pp.85-93
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    • 2006
  • The purpose of this study was to determine the effect of transcutaneous electrical nerve stimulation(TENS) and He-Ne laser at auricular point on delayed onset muscle soreness(DOMS). Twenty healthy adult males and females performed eccentric exercise of the elbow flexor. DOMS was induced in a standardised fashion in the nondominant elbow flexor of all subject by repeated eccentric exercise. Subject were assigned randomly to one of trees groups. Group 1 received TENS to the appropriate auricular point for biceps pain, Group 2 received laser to the appropriate auricular point for wrist pain, Group 3 received no treatment and served as controls. After exercise, treatments were applied at 24 hours and at 48 hours and at 72 hours after. Group 1 showed stastically significant increase(p<0.05) in pain threshold after treatment whereas the Group 2 and 3 did not. Group 1 showed a significant increase in pain threshold than Group 2. These results suggest that TENS has the capability to higher pain threshold but laser does not.

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Experiential treatment of ankylosing spondylitis using Ortho-Cellular Nutrition Therapy (OCNT)

  • Baek, Kyungsin
    • 셀메드
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    • 제12권3호
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    • pp.14.1-14.2
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    • 2022
  • Currently, a 70-year-old woman started suffering from S.I joint pain from 1973 and had severe pain in the S.I joint, wrist, and elbow from 1975 to 1977, and was diagnosed with spinal tuberculosis at a general hospital. From 1978 to 1987, she suffered from chronic fatigue and insomnia, and since January 1, 1988, she was unable to get up while lying down, suffering from whole body joint, muscle pain, and fibromyalgia. In May 1989, she was also diagnosed with ankylosing spondylitis through genetic testing at the Catholic St. Mary's Hospital Rheumatology Department in Korea, and was treated with sulfasalazine, analgesic, and immunosuppressant, methotrexate, for 12 years until 1999, but none of the drugs eliminated the pain. She was hospitalized and discharged repeatedly, and continued to receive salt water poultice and exercise therapy at home, but was unable to move at all. In 2000, after biologic treatment with Remicade injection (Remsima®), she was able to walk and move, and after that, she was continuously prescribed biologics. From 2015 to 2019, Enbrel® (Etanercept) injection was prescribed once a week, but the symptoms such as severe pain (joint and muscle, fibromyalgia), scleroderma, Sjogren's syndrome (dryness of eyes, nose and mouth), difficulty swallowing, chronic fatigue, and stiff body appeared. Around January 2018, hepatic indicators were high and lymphocytes became enlarged. However, most serious injuries were highly improved after the OCNT combination therapy using active phytonutrients, anthocyanin-fucoidan nanocomplex. Therefore, for patients with such experiences, OCNT treatment is proposed as an alternative.

Upper extremity musculoskeletal pain during rehabilitation in persons with spinal cord injuries using manual wheelchairs

  • Kang, Bo Ra;Cho, Dong Hee;Kim, Han Seung;Ahn, Si-Nae
    • Physical Therapy Rehabilitation Science
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    • 제8권2호
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    • pp.79-85
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    • 2019
  • Objective: The purpose of this study was to investigate the relationship between physical features, strength, function, and upper extremity musculoskeletal pain during rehabilitation of manual wheelchair users with spinal cord injuries. Design: Cross-sectional study. Methods: The degree and frequency of upper extremity musculoskeletal pain were measured in persons with spinal cord injuries using manual wheelchairs with the use of questionnaires. The pain scores of the hand, wrist, and shoulder joints were calculated by multiplying the seriousness and frequency of pain. We collected data on the manual muscle test, Spinal Cord Independent Measure-III, and the Body Mass Index. Statistical analysis was performed by descriptive analysis and Pearson's correlation analysis. Results: A total of 47 patients participated in this study and the neurological level of the injuries ranged from C2 to S5. Pain in the shoulder joints was the most common in persons with tetraplegia and paraplegia. Pain was experienced as mild to moderate, and occurred one or more times a week. Of the 32 persons with paraplegia, the most common area of complaint was the shoulder. Of the 15 persons with paraplegia, the shoulder joints were the most common site of pain. The independence levels of the persons with spinal cord injuries were highly correlated to muscle strength levels (p<0.05). Conclusions: This study investigated upper extremity musculoskeletal pain during rehabilitation of manual wheelchair users with spinal cord injuries and the relationship between physical features, strength, and function. In most persons with spinal cord injuries, pain and frequency of shoulder joints were high and pain levels were also related to functional levels.

대상포진후 상완신경총병증으로 진단된 편측 상지의 통증과 위약 (Pain and Weakness on Unilateral Upper Extremity Diagnosed as Brachial Plexopathy after Herpes Zoster Infection)

  • 조준모;강시현;서경묵;김돈규;김두환;신현이
    • Clinical Pain
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    • 제19권2호
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    • pp.124-128
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    • 2020
  • Motor paralysis is a less common neurologic complication of herpes zoster. Until now, a few cases have been reported, and most of these cases showed brachial plexopathy involving one or two segments. We report a patient with pain and weakness on upper extremity diagnosed as brachial plexopathy after herpes zoster infection. An 88-year-old female patient complained not only tingling sense, pain, and swelling on right whole arm, but also weakness on this right upper extremity. On physical examination, weakness is seen in right shoulder abduction·shoulder flexion·elbow flexion·elbow extension· wrist extension (grade 4), finger flexion·finger abduction·finger extension·finger DIP flexion (grade 3). In electrodiagnostic study and magnetic resonance imaging study, she was diagnosed as the brachial plexopathy, whole branch involved. This is the only case of post-herpetic brachial plexopathy involving whole branch in domestic.

한국 엘리트 양궁선수들의 성별과 부상, 통증 경험에 따른 상지의 관절위치 감각과 힘감각, 경기력 수준의 차이 (Differences In Joint Position Sense, Force Sense, and Performance Level of the Upper Extremities According to the Sex, Injury and Pain Experiences of Korean Elite Archers)

  • 김문교;김선엽
    • 대한정형도수물리치료학회지
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    • 제27권3호
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    • pp.1-15
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    • 2021
  • Objective: The purpose of this study was to examine the differences in joint position sense (JPS), force sense (FS), and performance level of the upper extremities according to the injury and pain experiences of Korean elite archers. Methods: A total of 15 subjects were briefed about the purpose of this study and agreed to participate voluntarily. JPS was evaluated using the laser-point attached to the wrist while aiming at the target. The difference when relocating while aiming was used as JPS factor. FS was evaluated using load cell through reproduces same muscle strength. Fear-Avoidance Beliefs Questionnaire (FABQ) was used to evaluate psychosocial factors, Kerlan-Jobe Orthopedic Clinic overhead athlete scores (KJOC) and numerical rating scale (NRS) was used to evaluate pain. and performance was evaluated by tournament match score. Results: There is a strong correlation between the current pain and KJOC. Moreover, moderate correlation between KJOC and FABQ also current pain and both upper trapezius and lower trapezius in elite archers. The mean (SD) between groups based on current pain display relatively large margin in force sense than without pain group. The result presents that there is a significant difference in performance and pain. There is a significant difference in the force sense of the upper and lower trapezius and pain. Conclusions: Result present there is a significant difference in functional level in the average comparison between groups according to the presence of absence of current pain. There is a significant difference in the force sense of the upper trapezius as well as lower trapezius and without pain group present a relatively low joint position sense error compared to the groups.