• 제목/요약/키워드: Upper limbs

검색결과 295건 처리시간 0.026초

오공 약침을 병행한 경추증성 척수증 환자 1례에 대한 임상적 고찰 (Clinical Study on a Case of Cervical Myelopathy with Additional Scolopendrae Corpus Pharmacopuncture)

  • 권호영;김정환
    • Korean Journal of Acupuncture
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    • 제26권4호
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    • pp.225-235
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    • 2009
  • Objective : The purpose of this study was to report a case of a treatment with Scolopendrae Corpus Herbal-Acupuncture for one patient suffering from the Cervical Myelopathy. Scolopendrae Corpus Herbal-Acupuncture has been used as a analgesics and antispasmodics in the oriental medicine and reported to have antiinflammatory effect, sedative action and immunity enhancing activity, on one patient suffering from the Cervical Myelopathy. Methods : TThe patient was treated with Scolopendrae Corpus Herbal-Acupuncture, acupuncture, herbal medication. Scolopendrae Corpus Pharmacopuncture was administered two or three times per week and we injected 0.2~1.0 ml of Scolopendrae Corpus Pharmacopuncture to the patient's neck and both arms. The improvement of the symptoms was evaluated by JOA score(Japanese Orthopedic Association score), Nurick grading, VAS(Visual Analog Scale), reflex testing, Finger escape sign, Grip and Release test. Result : After 5 weeks of treatment, the patient's JOA score, Nurick grading and VAS were improved from 12 to 16, from grade III to grade II and from 10 to 3 respectively. The movement and power of upper and lower limbs were restored to nearly normal range.

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측두근의 외상성 골화성 근염 (Myositis Ossificans Traumatica in the Temporalis Muscle)

  • 오승일;이윤호
    • 대한두개안면성형외과학회지
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    • 제14권1호
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    • pp.53-57
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    • 2013
  • Myositis ossificans is a condition characterized by ossification within a muscle. It is a rare and unusual pathologic entity that has defied medical efforts to establish a definite etiology, pathogenesis, and satisfactory treatment of the disease. The condition predominantly affects the flexor muscles of the upper limbs and thighs, but rarely the head and neck area. A 53-year-old male patient visited our medical institution complaining of trismus, defined as limited mouth opening. The patient had a history of trauma to the facial bones and the computed tomography scans revealed calcification in the left temporalis muscle. The patient underwent surgical removal of the calcified mass with bilateral coronoidectomy under general anesthesia. Mouth opening at the end of post-operative 2 months was 28 mm. His oral intake of food was satisfactory. Myositis ossificans of the temporalis muscle is a very rare case. Satisfactory outcome was obtained by combining surgical excision of the affected muscle, coronoidectomy, and detachment of the insertion site of the ossified muscle.

3D Blood Pressure Pulse Analyzer로 측정한 맥파 에너지와 산후 부종과의 상관성 연구 (Correlations between Postpartum Edema and Pulse Energy Measured by 3D Blood Pressure Pulse Analyzer)

  • 이지연;윤영진
    • 대한한방부인과학회지
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    • 제27권1호
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    • pp.167-175
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    • 2014
  • Purpose: This study was performed to find correlations between Edema Index and Pulse Energy in early postpartum period. Methods: Fiftynine postpartum women were participated in this study which was conducted with Inbody 720 (Biospace Co. Ltd) and 3D Blood Pressure Pulse Analyzer (3D-MAC). Edema Index (Extra Cellular Water/Total Body Water) calculated after body composition analysis and 3D-MAC result (Pulse Energy) were analysed within a week after delivery. Results: The results were as follows 1. Edema Indexes of the upper, lower limbs, trunk and whole body were associated with each other respectively. 2. Edema Indexes and Right Kwan pulse energy had significant positive correlation. 3. Right Kwan pulse energy showed positive correlations with Left Kwan, Right Chon, Right Cheok. Conclusions: Viscera associated with Postpartum Edema are Spleen, Lung, Liver and Vital Gate. The most important thing is thought to be Spleen.

상지의 림프종에 적용한 PNF 기법의 효과 (The Effects of PNF Techniques on Lymphoma in the Upper Limbs)

  • 김대경;하경진
    • PNF and Movement
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    • 제10권2호
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    • pp.1-8
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    • 2012
  • Purpose : The purpose of study was aimed to identify whether the painless dynamic PNF techniques makes any differences in reducing lymphedema by applying this technique to lymphedema patients, and to provide the basic reference data for the purpose of applying to lymphedema patients. Methods : A total of 40 women participated in this study, and they did PNF techniques before applying lymph compression bandages. Group 1 of 20 subjects performed PNF techniques three times a week with 30 minutes each time. Group 2 of 20 subjects only practiced edema reducing massaging for 30 minutes. Results : In addition, the interaction between treatment method and treatment time was significant (p<.0001), which indicates that the changes in edema rates by measurement times appear differently according to treatment methods. In this study, it means that the 'PNF techniques' group has a steeper slope of decline than the 'message' group. Conclusion : In conclusion, both massaging and PNF techniques helped to lower edema rates. Four weeks after the beginning of treatment, PNF techniques was exhibited as generating a large degree of decline in edema rates than massaging.

Orthodontic treatment in a patient with Moebius syndrome: A case report

  • Lee, Sanghee;Moon, Cheol-Hyun
    • 대한치과교정학회지
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    • 제52권6호
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    • pp.451-460
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    • 2022
  • Moebius syndrome (MBS) is a congenital neurologic disorder that causes cranio-facial abnormalities. It involves paralysis of the VI and VII cranial nerves and causes bilateral or unilateral facial paralysis, eye movement disorder, and deformation of the upper and lower limbs. The orofacial dysfunctions include microstomia, micrognathia, hypotonic mimetic and lip muscles, dental enamel hypoplasia, tongue deformity, open bite or deep overbite, maxillary hypoplasia, high arched palate, mandibular hyperplasia or features indicating mandibular hypoplasia. This case report presents a 7-year-old male patient who was diagnosed with MBS at the age 2 years. The patient displayed typical clinical symptoms and was diagnosed with Class II malocclusion with a large overjet/overbite, tongue deformity and motion limitation, and lip closure incompetency. Treatment was initiated using a removable appliance for left scissor bite correction. After permanent tooth eruption, fixed appliance treatment was performed for correction of the arch width discrepancy and deep overbite. A self-ligation system and wide-width arch form wire were used during the treatment to expand the arch width. After 30 months of phase II treatment, the alignment of the dental arch and stable molar occlusion was achieved. Function and occlusion remained stable with a Class I canine and molar relationship, and a normal overjet/overbite was maintained after 9.4 years of retainer use. In MBS patients, it is important to achieve an accurate early diagnosis, and implement a multidisciplinary treatment approach and long-term retention and follow-up.

Construction Ergonomic Intervention to Reduce Musculoskeletal Disorders in Aluminum Formworkers

  • Kim, Dae Young;Yi, Hak;Lee, Sang Ryong;Kim, Bubryur;Lee, Dong-Eun
    • 국제학술발표논문집
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    • The 9th International Conference on Construction Engineering and Project Management
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    • pp.465-472
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    • 2022
  • Manual material handling is the one of the leading causes for musculoskeletal disorders (MSDs) and lower back discomfort. According to a study, construction formworkers suffer greater rates of muscular injuries and related illness due to manual activities. However, there is still a paucity of information on MSD, preventive posture issues, and corresponding solutions for construction aluminum formworkers. As a result, MSD and disregard of worker health and safety continue to exist at construction sites. Although preventive measures and strategies have been studied in previous research, we believe it is imperative to shed light on this problem through this study. This study aims to 1) implement a simple and cost-effective elevated bench to reduce MSDs, and 2) determine the rapid upper limbs assessment (RULA) and Ovako working posture analyzing system (OWAS) action catagory of workers in different postures to assess their MSD conditions and obtain an optimal position and posture using the Jack human modeling software and simulation tool. The study findings reveal a considerable reduction in MSD discomfort and which posture is acceptable in post-intervention instances.Thus results provide inexpensive and simple ergonomic interventions with favorable RULA and OWAS ratings that can be applied at construction sites. This study demonstrates workstation ergonomic intervention cases that can aid in understanding the urgency of applying existing research strategies into practice.

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근 위축성 측삭 경화증 환자 1례 보고 (A Case of Amyotrophic Lateral Sclerosis)

  • 김태정;문아지;이성근;이기상
    • 대한중풍순환신경학회지
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    • 제13권1호
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    • pp.77-85
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    • 2012
  • Amyotrophic lateral sclerosis(ALS) is a progressive disorder that causes degeneration of motor neurons of the brain and spinal cord. It is characterized by loss of motor neurons leading to muscle weakness, and sensation and mental function stay intact during the course of the disease. Diagnostic tests include magnetic response imaging(MRI), electromyogram(EMG), muscle biopsy, and blood tests. In order to a definitive diagnosis of ALS, damage must be evident in both upper and lower motor neurons. When three limbs are sufficiently affected, the diagnosis is ALS. There is no cure for ALS. We experienced one case of ALS, the patients was diagnosed as ALS by EMG and symptoms. We diagnosed her as ShinEumHur(SEH) and treated by Choakwiyeum(左歸飮). We report the change of her symptoms through oriental medical treatment.

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소아 골절의 영상의학적 소견 (Radiological Manifestations of Childhood Fractures)

  • 황재연
    • 대한영상의학회지
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    • 제81권4호
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    • pp.806-831
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    • 2020
  • 근골격계의 외상은 소아가 응급실로 내원하는 가장 흔한 원인 중에 하나이다. 소아에서 뼈는 아직 완전히 골화가 되지 않았기 때문에 불완전 골절(소성변형, 생나무 골절, 죔쇠 골절)과 같이 성인과는 다른 영상의학적 특성을 보이기도 하며, 성장판의 손상으로 인해 성장 장애를 유발하기도 한다. 소아는 연령에 따라서 활동 범위나 활동 양상이 다르기 때문에 분만 손상에서부터 낙상, 교통사고에 이르기까지 다양한 기전에 의해서 골절이 발생하며, 각각의 손상기전에 따라 특징적인 골절의 발생 부위 및 골절의 형태를 보이기도 한다. 본 종설에서는 소아의 다양한 근골격계 외상 중 소아에서 흔하게 볼 수 있는 사지 골절의 영상의학적 특성에 대해서 고찰해보고자 한다.

Optimal examination for traumatic nerve/muscle injuries in earthquake survivors: a retrospective observational study

  • Berkay Yalcinkaya;Busranur Tuten Sag;Mahmud Fazil Aksakal;Pelin Analay;Hasan Ocak;Murat Kara;Bayram Kaymak;Levent Ozcakar
    • Journal of Yeungnam Medical Science
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    • 제41권2호
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    • pp.120-127
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    • 2024
  • Background: Physiatrists are facing with survivors from disasters in both the acute and chronic phases of muscle and nerve injuries. Similar to many other clinical conditions, neuromusculoskeletal ultrasound can play a key role in the management of such cases (with various muscle/nerve injuries) as well. Accordingly, in this article, a recent single-center experience after the Turkey-Syria earthquake will be rendered. Methods: Ultrasound examinations were performed for various nerve/muscle lesions in 52 earthquake victims referred from different cities. Demographic features, type of injuries, and applied treatment procedures as well as detailed ultrasonographic findings are illustrated. Results: Of the 52 patients, 19 had incomplete peripheral nerve lesions of the brachial plexus (n=4), lumbosacral plexus (n=1), and upper and lower limbs (n=14). Conclusion: The ultrasonographic approach during disaster relief is paramount as regards subacute and chronic phases of rehabilitation. Considering technological advances (e.g., portable machines), the use of on-site ultrasound examination in the (very) early phases of disaster response also needs to be on the agenda of medical personnel.

뇌졸중 환자에서 로봇보조치료 효과에 관한 체계적 고찰 (A Systematic Review on the Effects of Robot-Assisted Therapy for Stroke Patient)

  • 박진혁
    • 재활치료과학
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    • 제2권2호
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    • pp.21-36
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    • 2013
  • 목적 : 본 연구의 목적은 뇌졸중 환자에서 로봇보조치료의 효과를 알아보기 위해 체계적 고찰을 통해 연구결과를 종합하고, 로봇보조치료에 관한 연구들을 비교하고 분석하고자 하는 것이다. 연구방법 : 2012년 6월부터 2012년 9월까지 외국학회지에 게재된 논문을 EMBASE, MEDLINE등을 통하여 검색하였다. 최종적으로 12개의 Randomized Controlled Trials(RCT) 논문을 대상으로 분석하였다. 결과 : 선정된 12편의 연구는 Pedro score 2~7점까지 다양했으며, 다양한 중재방법을 통하여 로봇보조치료의 효과를 극대화시키기 위한 연구들이 많았다. 주된 결과 측정도구로는 상지기능, 일상생활활동 수행능력을 평가하는 도구가 사용되었다. 로봇보조치료의 결과로는 상지기능과 일상생활활동 수행능력에서 향상을 보이나 로봇보조치료군과 고식적인 재활치료군 사이에 유의한 차이는 보이지 않았다. 결론 : 로봇보조치료는 뇌졸중 환자에게 그 효과를 극대화시키기 위해 다양한 중재방법으로 적용되고 있으며, 중재방법에 따라 효과의 차이가 나는 것으로 나타났다. 본 연구는 로봇보조치료의 임상적 적용에 대한 근거를 제시하며, 향후 연구에서는 다양한 중재방법을 적용하여 로봇보조치료의 효과를 극대화할 수 있는 방법에 대한 연구가 필요하다.