• 대한정형도수물리치료학회지
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• 제23권1호
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• pp.31-41
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• 2017

Background: The purpose of this study was investigate the effects of scapular posture correction taping in painful shoulders with breast cancer women. Method: This study was carried out with a total 35 breast cancer survivors. The subjects were randomized into women a breast cancer taping group (BT, n=15), a breast cancer posture group (BP, n=16). Outcomes such as the Quadruple Visual Analogue Scale, the Shoulder Pain and Disability Index, the muscle strength, and the Quality of Life Questionnaire-cancer were measured before the training and at 4 weeks and 12 weeks after intervention. Result: There were significant variations shoulder pain, dysfunction and Range of Motion among the groups and between points in time (p<.05). However, there was no significant difference upper extremity posture between BT and BP. There were significant variations all ROM muscle strength between the groups and between points in time (p<.05). Conclusion: Applying taping treatment to breast cancer patients proved to decrease in pain and significant in dysfunction. There were significant increase in range of motion.

• 대한물리의학회지
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• 제10권4호
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• pp.113-121
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• 2015

PURPOSE: The purpose of this study was to determine the effect of shoulder external rotation on muscle activities of the scapular upward rotators during arm elevation. METHODS: Nineteen healthy subjects with no medical history of shoulder pain or upper extremity disorders were recruited for this study. Electromyography (EMG) was used to measure the muscle activities of the serratus anterior (SA), upper trapezius (UP), lower trapezius (LT) and infraspinatus (IS) muscles during arm elevation. The EMG activities were recorded while the subjects performed $90^{\circ}$ arm elevation with three different arm positions; palm down (PD), neutral position (NP), and palm up (PU). While seated in a chair, the subject was asked to raise the upper extremity in the sagittal plane in random order. Subjects performed $90^{\circ}$ arm elevations in three trials at each arm position. The mean EMG activity normalized by the maximal voluntary isometric contraction was analyzed across three arm positions. Repeated measures one-way ANOVA and the post hoc Bonferroni tests were used to determine the differences in muscle activities among the three arm positions. RESULTS: The EMG activities of the SA and IS were significantly greater in the PU condition than in the other conditions during arm elevation. No significant difference was noted between the NP and PD conditions during arm elevation. CONCLUSION: These results suggest that shoulder external rotation (palm up position) can be used to activate the SA. Therefore, we recommend a scapular protraction exercise in the palm up position for strengthening the SA.

• The Korean Journal of Pain
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• 제12권1호
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• pp.16-20
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• 1999

Background: Tourniquet pain has important impacts on anesthesia. Tourniquet pain and accompanying cardiovascular changes are important factors that make patients in distress during anesthesia. As tourniquet pain may be modified by anesthesia, a study on the changes in the neural functions by tourniquet inflation in normal volunteers is important. Methods: Time-dependent changes in tourniquet pain, heart rate, phantom limb sensation, motor function, pain to pressure on upper extremity of 10 healthy and unpremedied volunteers were measured. Each parameter were measured every 5 minutes starting from 10 minutes before inflation to 15 minutes after deflation of tourniquet. Tourniquet was deflated when the subject felt unbearable pain (score 100 with visual analog scale). Results: Subjects manifested time-dependent pain responses to tourniquet inflation, characterized by increase in VAS, systolic and diastolic blood pressure. Mean duration of tourniquet inflation was 36.4 minutes, volunteers experienced motor paralysis at 27.6 minutes and sensory loss at 33.1 minutes. Pain to pressure decreased over time in both arms. The degree of decrease was greater in the arm on which tourniquet was applied than that in the non-applied arm. Phantom limb sensation occurred in 3 subjects. Conclusions: This study demonstrated dynamic changes in the neural functions during tourniquet inflation period. Tourniquet-induced pain and resultant hypertension occurred in all subjects. Appropriate anesthetic management is needed for the surgery using tourniquet.

• 국제물리치료학회지
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• 제10권2호
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• pp.1803-1809
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• 2019

Background: Cervical mobilization has been applied mainly for the improvement of arm and neck movements and pain reduction, and little research has been done to improve the executive function. Since this kind of so-called mechanical neck pain is one of most common symptoms, there are controversial issues about this with spine alignment. Posteroanterior (PA) mobilization from the Maitland concept is a process of examination, assessment, and treatment of neuromusculoskeletal disorder by manipulative physical therapy. Objective: To examine the short-term benefits of mobilization for patients with non-specific neck pain. Design: Dual-group Pretest-Posttest Design from the Quasi-Experimental research Methods: Fourteen participants (male 8, female 6; 20's of their age) with non-specific neck pains which are distributed all the unilateral or bilateral body side were recruited. Participants were categorized to Neck Pain with Movement Coordination Impairments (NPMCI) and Neck Pain with Mobility Deficits (NPMD) groups according to the results of physical examination. Professional physical therapist who has over 15-years-of clinical experience applicated manipulative therapy for the neck pain, an occupational therapist only conducted evaluations; K-NDI (Korean version of the Neck Disability Index), VAS (Visual Analog Scale), BDS-K (Korean version of Behavioral Dyscontrol Scale) for decreasing possible adverse effects; there were no person who reported other symptoms followed 4 weeks from the trial. Results: In the NPMCI group, data analysis indicated statistical differences between the PA mobilization interventions in NDI and BDS-K; even though, pain was reduced in VAS, this is not a significantly differ. In the NPMD group, data analysis represented statistical differences between the PA mobilization interventions in NDI, VAS and BDS-K; the scores were represented to be increased or the pain got relief. Conclusions: PA mobilization techniques according to Maitland concept have beneficial effects in patients with neck pain and other clinical positive effects which included neck disability, pain itself and motor function of upper extremity.

• Journal of Yeungnam Medical Science
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• 제26권1호
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• pp.74-77
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• 2009

말초에서부터 야기된 행동장애가 존재하는지 아니면 말초 신경 손상 후의 행동장애가 심리적인 것으로 인한 것인지에 대한 논의가 계속되고 있다. 말초 신경 손상에 의해 야기된 상지의 진전에 대한 증례를 보고하고자 한다. 25세 남자환자는 자동차 사고 이틀 후 상지의 통증과 진전이 발생하였다. 뇌 및 경추의 자기공명영상 촬영상 특이소견이 없었다. 과거력상 특이 소견 없었으며 행동장애에 대한 가족력 또한 없었다. 그는 하루에 약 네 차례에서 여섯 차례 십분 이상 지속되며 악화되는 진전으로 고통 받았다. 약물 치료, 경막외주사 주입, 경추의 신경차단술, 통증유발부위 주사요법 등으로 통증 조절을 하였다. 그 결과 통증이 반 정도 줄었으며 진전의 강도, 시간, 빈도가 줄어들었다.

• Archives of Plastic Surgery
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• 제35권2호
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• pp.205-207
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• 2008

Purpose: Although muscle hernia has been well described in the lower-extremity, muscle hernias in the upper extremity are extremely rare. As with lower extremity muscle hernias, the forearm muscle hernia may result from forced exertion of strenuous activity or following blunt trauma. The objective of this paper is to report an extraordinary case of forearm muscle hernia after radial forearm sensory tendocutaneous free flap with references. Methods: A 58-year-old male patient received wide excision and radical neck dissection and lower lip reconstruction with radial forearm sensory tendocutaneous free flap for squamous cell cancer on the lower lip. 16 weeks after the operation, he complained of protruding mass on the forearm and the size was increasing. In postoperative 18 weeks, MRI showed herniation of flexor digitorum superficialis. For unaesthetic cause and preventing progress, the authors performed direct fascial closure and Mesh graft. Results: In 12 months after the surgery there was no recurrence and the patient remained symptom-free. Conclusion: Pain on extremity exertion and unaesthetic buldge of forearm due to forearm muscle hernia were the primary indications for surgery which consist of direct closure, fasciotomy, fascia lata onlay graft, fascia lata inlay graft, etc. The authors experienced uncommon forearm muscle hernia after radial forearm free flap and satisfying result of treatment.

• 한국엔터테인먼트산업학회논문지
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• 제14권3호
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• pp.431-442
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• 2020

본 연구는 테라테인먼트 스위스 볼 운동이 겨드랑 신경 손상 환자의 상지기능, 통증, 일상생활활동에 미치는 효과를 알아보고자 하였다. 연구기간 및 대상은 2019년 11월 5일부터 2020년 2월 25일까지 G광역시에 거주하는 23세 여성 1명으로, 개별사례실험 연구 중 A-B-A' 설계를 사용하였다. 본 연구는 겨드랑신경 손상 환자에게 다양한 방향과 점진적 무게의 운동 형태로 반복 훈련을 제공하였다. 이는 어깨의 구조의 안정성, 가동성을 높이고, 사용가능한 어깨 기능을 강화시켜 통증을 완화에 효과적이었고 다양한 환경 안에서 활동에 따른 자세 변화의 적응력과 대응능력을 발휘하게 하여, 최대한의 독립적 생활의 수행이 가능하도록 하였다. 따라서 본 연구의 테라테인먼트 스위스 볼 운동은 겨드랑신경 손상 환자의 상지기능, 통증 및 장애, 일상생활활동에 긍정적 영향을 미쳤기에 중재방법으로의 가능성을 확인할 수 있었다. 이는 다양한 환자치료에 전문성을 요구하는 작업치료사의 치료적 접근법으로 발휘할 수 있도록 지속적인 조사와 반복연구를 통해 효과를 검증하고 발전 방안을 모색할 필요가 있다.

• Journal of Acupuncture Research
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• 제32권1호
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• pp.133-140
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• 2015

Objectives : The purpose of this study is to report a case of Brown-Sequard syndrome caused by traumatic cervical fracture, presenting pain in the right upper extremity and back of the left hand, motor weakness in the right side and diminished pain and temperature in the left side. Methods : A patient received Korean medical treatment(acupuncture, electroacupuncture, herbal medicine, cupping, moxibustion, Silver Spike point electrotherapy(SSP)) and rehabilitation treatment. We evaluated pain with the Numeric Rating Scale(NRS), motor grade with a Medical Research Council(MRC) scale, sensory function and Modified Barthel Index(MBI). Results : After treatment, the patient showed considerable improvement in NRS, motor & sensory function, and MBI. Conclusions : Korean medical and rehabilitation treatments could be effective for Brown-Sequard syndrome patients. More extensive studies should be carried out.

• 대한한방부인과학회지
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• 제32권3호
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• pp.174-191
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• 2019

Objectives: This study was aimed to analyze clinical characteristics and menstrual pattern of female patients who have cold hypersensitivity on hands and feet. Methods: This study was performed from May, 2018 to April, 2019. We checked the patients' hand and feet's temperature and those who diagnosed with cold hypersensitivity filled in survey. Data were collected from 27 participants and we divided data into 2 group; Dysmenorrhea group and Non-dysmenorrhea group. Results: Throughout the study, we found out differences between 2 groups in age, height, weight, VAS score of cold hypersensitivity on hands and feet, menstrual pattern, upper and lower extremity temperature difference, pattern identification, VAS of menstrual pain, and pattern of leukorrhea. Conclusions: By analyzing of study, Dysmenorrhea group's VAS score of cold hypersensitivity on hands and feet was $6.67{\pm}1.73$, Non-dysmenorrhea group's VAS score of cold hypersensitivity on hands and feet was $7.78{\pm}1.72$ (p-value 0.015). This shows that the degree of hypersensitivity on hands and feet is not necessarily proportional to the degree of menstrual pain.

• Journal of Chest Surgery
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• 제39권11호
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• pp.861-863
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• 2006

우리는 만성 신부전 환자에서 혈액투석을 위한 상완동맥-두정맥단락술(brachiocephalic arteriovenous shunt)을 시행한 후 최근 빠르게 성장하는 아주 거대한 정맥의 동맥류 1예를 경험하였기에 보고하는 바이다. 환자는 48세 남자로 7년 전 본원에서 동정맥단락술을 시행한 후 혈액투석을 해왔으나 좌측 상완의 정맥을 따라 점점 성장하는 정맥의 동맥류와 박동성 통증으로 혈액투석을 지속할 수 없었다. 내원 1개월 전 혈액투석을 지속하기 위해 타 의료기관에서 우측 손목관절부에 새로운 동정맥루를 조성하여 혈액 투석을 하고 있었다. 동정맥류가 너무 거대하여 동정맥단락 재건술은 시도하지 않았으며 수술은 전신마취하에서 동정맥루를 결찰하고 확장된 정맥의 동맥류를 모두 제거하였다. 환자의 술 후 경과는 양호하였다.