• 제목/요약/키워드: Upper limb symptoms

검색결과 64건 처리시간 0.026초

만성적 경과관찰을 보이는 Guillain-Barré Syndrome 환자 1례 (A Clinical Case Study of Guillain-Barré Syndrome with Chronic Progression)

  • 노지애;장재원;이기언;홍정수;김동진
    • 대한한방내과학회지
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    • 제39권1호
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    • pp.76-83
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    • 2018
  • Objectives: This case study reports on one patient presenting atypical and chronic disorders after being diagnosed with $Guillain-Barr{\acute{e}}$ Syndrome (GBS). Methods: One patient was treated by Yeongseonjetong-eum-gami, Taklisodok-eum-gami, electroacupuncture, and physical therapy. Any improvement in symptoms was assessed by measuring changes in the motor grade of upper limb weakness, the numerical rating scale (NRS) of lower limb numbness, and GBS scores. Results: After 24 days of treatment, the patient's symptoms of GBS showed little improvement. Conclusions: Traditional Korean medical treatment appeared to be effective in reducing GBS symptoms, but more research is required to confirm these results. When treating GBS patients, the clinician should put effort into distinguishing GBS from other nervous disorders, such as acute onset Chronic Inflammatory Demyelinating Polyneuropathy (CIDP).

임신 중 교통사고로 한방 치료를 받은 입원 환자에 대한 후향적 분석 (A Retrospective Analysis of Inpatients who Received Traditional Korean Medicine Treatment after a Traffic Accident during Pregnancy)

  • 윤희재;유정은
    • 대한한방부인과학회지
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    • 제34권2호
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    • pp.31-47
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    • 2021
  • Objectives: This study aimed to report the effectiveness and outcome on the prognosis of pregnancy of traditional Korean medicine treatment for inpatients who had a traffic accident during pregnancy. Methods: The study is conducted by analyzing the medical records of hospitalized patients in a Korean medicine hospital. Seventy-six pregnant patients who got into car accidents from March 2015 to February 2020 were included. We performed statistical analysis by using Statistical Package for the Social Sciences(SPSS) ver. 25.0. To verify the effect of traditional Korean medicine treatment for traffic accidents during pregnancy, we analyzed improvement of symptoms. Also, we analyzed the prognosis of pregnancy and signs of premature birth or miscarriage during treatment to verify the applicability of traditional Korean medicine treatment for traffic accidents during pregnancy. Results: Among the symptoms of pain, there was a statistically significant decrease in lower back pain, post neck pain, headache, pelvic pain, knee pain, lower limb pain, wrist pain, and upper limb pain. Other systemic symptoms showed statistically significant improvement in nausea, abdominal pain, dizziness, and lower limb numbness. All confirmed cases reported normal pregnancy maintenance and delivery, and no miscarriage was reported. Two cases that showed signs of premature birth or miscarriage during treatment were unrelated or unclear with traditional Korean medicine treatment. Conclusions: Traditional Korean medicine treatment is effective and applicable for pregnant women injured by traffic accidents. Further studies are needed to identify the effectiveness and safety of traditional Korean medicine treatment for the sequelae of traffic accidents during pregnancy.

항암화학요법 유발 말초신경병증에 대한 한방치험 1례 (Case Report of Chemotherapy-Induced Peripheral Neuropathy Treated with Korean Medicine)

  • 신혜령;서욱철;안성후;원진희;송봉근
    • 대한한방내과학회지
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    • 제42권2호
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    • pp.104-113
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    • 2021
  • Introduction: The aim of this study is to report on the effectiveness of Korean medicine to improve symptoms of chemotherapy-induced peripheral neuropathy (CIPN). Some patients are treated with medication, but medications may have no effect in some patients. Korean medicine treatments have been used in such patients, but few reports exist. Case Presentation: A 58-year-old female patient with CIPN reported symptoms of bilateral limb pain and tingling sensations as well as cold sensations in bilateral lower legs and hands, fatigue, and bilateral limb weakness. To reduce the patient's symptoms, we provided Korean medical treatment, including herbal medicine (Uchashinki-hwan), acupuncture, and moxibation. To evaluate the results of this treatment, we used a numeric rating scale (NRS), the manual muscle test (MMT), the National Cancer Institute Common Toxicity Criteria for Adverse Events (CTCAE), and the European Organization for Research and Treatment of Cancer quality-of-life questionnaire about CIPN (EORTC-QLQ-CIPN20). After 49 days of treatment, the NRS scores decreased for bilateral limb pain and tingling, for bilateral lower leg and hand cold sensation, and for fatigue. The MMT results for the upper and lower extremities were improved. CTCAE Grade and EORTC QLQ-CIPN20 score were also decreased. Conclusion: According to these results, Korean medicine treatment may be considered an effective treatment for CIPN. Prospective studies are needed in the future to confirm and expand these findings.

병원종사자의 VDT증후군 자각증상과 건강영향에 관한 연구 (A Study on Health Effects of VDT Syndrome in Hospital Workers)

  • 이승환;정병곤;이규찬;이광철;배성복
    • 핵의학기술
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    • 제16권2호
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    • pp.87-98
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    • 2012
  • Purpose : This study aims to examine hospital employees' subjective symptoms of VDT syndrome (Video display terminal syndrome) and figure out their effects on health conditions and correlations. Materials and Methods : This study used a structured self-administering questionnaire and gained data from 125 subjects. The questionnaire consists of total 62 questions, and they went through real number, percentage, ${\chi}^2$-terst, t-test, one-way ANOVA, and logistic regression analysis. Results : Regarding the difference in the types of subjective symptoms of VDT syndrome by jobs, there was statistically significant difference in ophthalmic symptoms, systemic symptoms, and musculoskeletal symptoms. About the correlation between the subjective symptom points of VDT syndrome by the types of symptoms, there was statistically significant correlation all in skin trouble, backache, upper limb muscle pain, lower limb muscle pain, fatigue in the head and eyes, and depression or anxiety disorders. There was significant correlation between the subjective symptom points of VDT syndrome and subjective health conditions. Conclusion : Hospital employees' subjective health conditions had significant correlation with subjective symptom points of VDT syndrome. This result shows that as radiologists' and also other hospital employees' working conditions change into VDT environment, VDT syndrome gradually appears more and more. This implies that it is needed to designate not only radiologists but also all the other hospital employees as jobs exposed to the working environment of VDT syndrome and provide preventive measures, education, and publicity for it afterwards.

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유방암 환자의 림프부종에 대한 한의학적 치료 : 체계적 문헌 고찰 (The Effect of Traditional Medicine for Lymphedema in Breast Cancer Patients: A Systematic Review)

  • 박찬란;이가영;손창규;조정효;이남헌
    • 대한한방내과학회지
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    • 제40권3호
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    • pp.343-355
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    • 2019
  • Objectives: Traditional oriental medicine is used in treating breast cancer-related lymphedema to alleviate symptoms. Upper limb lymphedema is a symptom that is frequently observed in patients with breast cancer, and it impairs their quality of life. This systematic review aimed to summarize the current available evidence to evaluate the effect of traditional oriental medicine on upper limb lymphedema in breast cancer patients. Methods: The review evaluated randomized controlled trials (RCTs) measuring the effect of herbal medicine, acupuncture, and moxibustion on upper limb lymphedema in breast cancer patients within four electronic databases. The Cochrane risk of bias (ROB) tool was used to assess the quality of the RCTs. Results: In total, 23 RCTs met the inclusion criteria. Among them, 22 studies reported that the rate of severity of lymphedema improved after treatment in the traditional treatment group using herbal medicine, acupuncture, or moxibustion better than in the conventional medicine group. The methodological quality of the RCTs was insufficient with an unclear and high ROB. Conclusions: Traditional oriental medicine may have a potential to improve lymphedema in patients with breast cancer. To confirm the clinical recommendation, further research with a rigorous study design is required to support the effects of traditional oriental medicine.

해저작업장(海底作業場)의 감압병(減壓病) 발생(發生)에 대(對)한 역학적(疫學的) 고찰(考察) (An Epidemiological Study on the Decompression Sickness in an Underwater Work)

  • 문재동;진일섭;김양옥
    • Journal of Preventive Medicine and Public Health
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    • 제17권1호
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    • pp.211-215
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    • 1984
  • Forty one male workers employed in an underwater construction field were surveyed in the viewpoints of epidemiological analysis of decompression sickness (caisson's disease). Nineteen out of the entire forty one workers have been, or had been suffering from decompression sickness (as 46.3% of incidence rate) after decompression. The results obtained were as follows: 1. There was a significant relation between duration of work and incidence of disease. 2. Type II (severe type) comprised majority of cases (16 cases, 84.2%) despite any significant correlations were not present between severity types and recompression times. 3. Most frequently cited symptoms were lower limb pain (89.5%), upper limb pain (79.0%), pruritus (68.4%) and so on, however, 10% of patients complained of neurological symptoms. 4. There were not any significant correlations between disease incidence and worker's age or relative body weight.

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노래 심리 치료를 활용한 지언고론요법(至言高論療法)을 적용하여 호전된 심신증(心身證)환자 1예(例) 보고 (A Clinical Report of a Psychosomatic patient who has treated by Giungoroen-therapy based on Song Psychotherapy)

  • 김수현;김보은;정대규;최정규
    • 동의신경정신과학회지
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    • 제22권2호
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    • pp.49-59
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    • 2011
  • Objectives : This study was performed to report the effect of Giungoroen-therapy based on song psychotherapy in the treatment resistant patient with psychosomatic disease. Methods : A 43 year-old female patient suffered from headache, facial numbness, right upper and lower limb's numbness, ptosis, chest discomfort, dysarthria without identifiable physical cause. We diagnosed her as psychosomatic disease, and tried to apply Giungoroen-therapy with Korean traditional medical treatment. But she was resistant to Giungoroen-therapy. So we applied Giungoroen-therapy based on song psychotherapy. Results : After the Giungoroen-therapy based on song psychotherapy, the patient revealed her unrecognized hidden issues and got some insights about herself. Then the symptoms, such as headache, facial numbness, right upper and lower limb's numbness, ptosis, chest discomfort and dysarthria were reduced considerably. Conclusions : These results suggest that Giungoroen-therapy based on song psychotherapy can be effective on improvement of resistant psychosomatic disease.

경막외 뇌척수액 누출과 연관된 양측 상지 근위축증: 증례보고 (Bibrachial Amyotrophy Associated with Epidural Cerebrospinal Fluid Leakage: A Case Report)

  • 노현우;정지선;성덕현
    • 대한근전도전기진단의학회지
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    • 제20권2호
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    • pp.112-118
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    • 2018
  • We describe a case of a 71-year-old male patient who experienced progressive bilateral proximal upper limb weakness and atrophy without sensory symptoms and signs over 5 years. Electromyography demonstrated denervation potentials and neuropathic motor unit action potentials on C5-C7 myotome muscles bilaterally. Cervical spine magnetic resonance imaging revealed engorged anterior epidural venous plexus, T2 hyperintensity localized to grey matter ("snake-eye" appearance) at C2-C6 vertebral level, and ventral epidural fluid collection from C6 to T8 vertebral level. This case indicates that bibrachial amyotrophy associated with epidural fluid leak should be suspected in patients presenting with progressive bilateral upper limb weakness and atrophy without sensory involvement.

당뇨병(糖尿病)의 원인(原因)과 증상(症狀)에 대한 동서양(東西洋)의 병기론적(病機論的) 접근(接近) 및 동(東),서양(西洋),대체의학적(代替醫學的) 치료연구(治療硏究) (A study of a pathological approach about symptoms of Diabetic)

  • 황우준;전현정
    • 대한한의정보학회지
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    • 제11권1호
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    • pp.1-23
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    • 2005
  • A symptoms of Diabetic is finded in many recordes, that is said to Diabetic or dryness or migratory arthralgia or flaccid paralysis of limb or abscess or arthralgia, but Diabetic is most closely symptom. So, study the 3-symptoms of Diabetes mellituscause, thses are polyuria and polyphasia and thirst, and this is similar symptoms of So-gal. So, bibliographic study or pathological approach of symptoms of So-gal, and So-gal in oriental medicine has come to the following conclution. The symptoms of So-gal is polyuria and polyphasia and thirst, is due to Simsinbulgyo, that is mean to breakdown of the normal physiological coordination between the heart and the kidney. A thirst is due to heat-transformation have an effect to the upper energizer and the heart and the lung and the stomach in Simsinbulgyo. A polyuria is due to failure of the kidneys Yang, that is due to failure of Yang of the heart in Simsinbulgyo.

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태극권 운동이 류마티스관절염 환자의 주관적 증상, 체력, 우울 및 자기효능감에 미치는 효과: 3개년 자료를 바탕으로 (Comparison of Subjective Symptoms, Physical Fitness, Depression and Self-efficacy before and after Tai Chi in Patients with Rheumatoid Arthritis: Based on 3 Years' Data)

  • 손정태;황혜영
    • 근관절건강학회지
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    • 제25권3호
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    • pp.230-239
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    • 2018
  • Purpose: The purpose of this study was to evaluate whether subjective symptoms, physical fitness, and emotional variables were improved after participating in a 6-week Tai Chi program in patients with rheumatoid arthritis. Methods: 23 rheumatoid arthritis patients participated in the Yang style Tai Chi for arthritis patients 90 minutes session conducted twice a week at the Arthritis Center of D University Hospital. The main outcome of current studies included self-reported scores of subjective symptoms(pain, sleep satisfaction, and fatigue), physical fitness tests, and depression (PHQ-9) and self-efficacy investigated with questionnaire before and after participating in Tai Chi. Results: After participating in Tai Chi, participants perceived lesser pain (t=2.61, p=.016) and fatigue (Z=-2.32, p=.020), and reported improved sleep satisfaction (t=-3.56, p=.002). In the physical fitness test, there were significant improvement in muscle strength (upper limb: t=-7.19, p<.001, lower limb: t=-4.86, p<.001), and balance (right t=-3.70, p=.001; left t=-2.30, p=.031). Depression (t=3.87, p=.001) and self-efficacy (Z=-3.44, p=.001) improved significantly after participating in Tai Chi. Conclusion: Tai Chi had beneficial effects on subjective symptoms and emotional variables as well as physical fitness. Therefore, the program could be recommended in the patients with rheumatoid arthritis.