• 제목/요약/키워드: Upper limbs

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자음항화탕의 형상의학적 고찰 (Review on the Jaeumkangwha-tang in Hyungsang Medicine)

  • 정흥식;강경화;이용태
    • 동의생리병리학회지
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    • 제18권4호
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    • pp.982-989
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    • 2004
  • The following is the conclusion drawn from a review on the clinical cases cured by Jaeumkangwha-tang in perspective of Hyungsang medicine. Jaeumkangwha-tang originated from the modified Jibaiksamul-tang in 'Manbyunghuichun(萬病回春)' and applied to the diseases induced by flaming fire due to deficiency of Yin. In 'Donguibogam', there are two kinds of Jaeumkangwha-tang. One in the chapter of kidney is mainly prescribed to replenish the Jung of kidney and applicable to the cases with configuration and symptom of kidney along with fire. The other one in the chapter of fire is applied to the symptoms of flaming fire due to deficiency of Yin. The characteristics of the patients treated by Jaeumkangwha-tang from the viewpoint of Hyungsang medicine can be classified as follows : ① configuration: Dam type, Shin type, inverted triangular type(:天垂象), bird type, round eyes, thin lips, slender waist, thin leg, pretty face, sparkling eyes, prominent upper lip and upward eyes and nose. ② color : dark red complexion, red cheek bone, red lips and red glabella. ③ pulse : fine and fast pulse and pulsation on the Chuk(尺) in man and so forth. ④ symptoms: agility, talkativeness, pimpled face, crooked back, weakness to the heat of summer, light eating, timidity, blood-shot eyes, night sweat, cough, abundant phlegm, hemoptysis, bloody spittle, enervation, emaciation, back pain, flaccidity of lower limbs, involuntary emission, nocturnal emission, heat sensation in the chest palms and soles, anger, flush on cheek bone, red lips and dry mouth, reddish tongue, stiff excrement, scanty yellow urine, etc.

탄력밴드 저항운동이 당뇨 노인의 신체 기능과 당화혈색소에 미치는 영향 (Effects of Elastic Band Resistance Exercise Program on Body Functions and HbA1c of the Elderly with Type 2 Diabetes)

  • 박상영;김중선;남석현
    • The Journal of Korean Physical Therapy
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    • 제24권5호
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    • pp.362-369
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    • 2012
  • Purpose: This study examined the effects of an elastic band resistance exercise program on the body functions and Glycosylated hemoglobin (HbA1c) of elderly people with type 2 diabetes. Methods: Twenty-seven elderly patients with type 2 diabetes were enrolled in this study (exercise group 14, control group 13). The subjects in the exercise group participated in the program for 60 minutes a day, three times a week, for 12 weeks. All the subject's body functions, HbA1c were measured to compare the following: before the intervention, at the completion of the 12 weeks intervention, and eight weeks after the intervention. Results: Compared to the control group, the exercise group showed significant improvements in the 12 week and follow-up measurement after the intervention in body function, such as the strength of the upper and lower limbs, agility and limit of stability. The body functions of the exercise group improved as the period of intervention progressed. On the other hand, the HbA1c level at each follow-up measurement was similar in the two groups. Conclusion: The 12 week elastic band exercise program is recommended as an effective intervention for improving the body functions of elderly people with type 2 diabetes. Nevertheless, a combined intervention of steady exercise, diet therapy and drug therapy will be needed for further active prevention and management of type 2 diabetes.

제주마(濟州馬)의 위장관(胃腸管)에 기생(寄生)하는 Gasterophilus spp의 분류(分類) 및 분포조사(分布調査) (On the classification and distribution of Gasterophilus spp in the gastrointestinal tract in Cheju horse)

  • 김승호
    • 대한수의학회지
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    • 제33권1호
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    • pp.109-117
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    • 1993
  • This paper dealt with the situation and the hatch rate of bot's eggs on the equine hairs in Cheju horse with the species grouping of the bot flies of equine(genus Gasterophilus). The prevalence and infection dynamics of Gasterophilus spp. larvae was also evaluated in the equine alimentary canal submitted in this laboratory for the necropsy or from the abattoir. Samples including Gasterophilus spp. larvae, bot's flies and its eggs, which were collected from the alimentary canal and equine hairs, respectively, were studied and classified by morphology. The morphologic feature of the spines of Gasterophilus larvae were studied by scanning electron microscope. 1. Gasterophilus intestinalis larvae concentrated in the nonglandular portions of the stomach. The infection of second-, and third stage larvae were common in November, and from January to October, respectively. Gasterophilus nasalis larvae were commonly identified on the gastric pylorus and upper portion of duodenum. Second stage larvae were found from October to December, and 3rd stage larvae, from January to September. 2. The hatch rate of laid eggs of Gasterophilus intestinalis was 28.4%, and that of Gasterophilus nasalis was 79.5%. The hatch rate of Gasterophilus intestinalis eggs was highest(62.5%) in December. The hatch rate of laid eggs were higher in the region of scapula(64.0%) and limbs(62.5%) than on the maned hairs. The eggs of Gasterophilus nasalis were completely hatched by October. 3. Eight hundred five Cheju horses examined in this study were infected with the eggs of Gasterophilus spp. Gasterophilus intestinalis eggs on the body regions from sixty horses were recognized in phalangeal (14.4%), in abdominal(13.8%), metacarpal, brachial and cervical regions. Gasterophilus nasalis eggs were uncommon and recognized in submandibular regions(1.4%). 4. In conclusion, the infection of imago, larvae and eggs of both Gasterophilus intestinalis and Gasterophilus nasalis were indentified in cheju horse.

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소프트 골프 클럽을 이용한 골프 스윙 동작과 인체 작용 하중 분석 (Analysis of Golf Swing Motion and Applied Loads on the Human Body Using Soft-$Golf^{TM}$ Club)

  • 곽기영;소하주;김성현;김남균;김동욱
    • 비파괴검사학회지
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    • 제31권5호
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    • pp.472-478
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    • 2011
  • 본 연구의 목적은 소프트 골프 용구가 인체에 미치는 역학적 효과를 분석하는 것이다. 이를 위해 골프 스윙 동작을 캡처하여 스윙 모델을 생성하였고 시뮬레이션을 통해 손목, 팔꿈치, 어깨, 허리 관절의 토크를 도출하였다. 총 5명이 실험에 참여하였고 아연 합금 헤드의 소프트 골프 클럽과 기존 아이언 7번 클럽을 사용하였으며, 클럽당 5번씩 스윙을 수행하였다. 3대의 포지션 센서, 적외선 발광마커와 힘판을 사용하여 골프 스윙 동작을 캡처하였다. 인체 모델 생성 및 동역학 해석 프로그램을 통해 스윙 모델을 생성하여 시뮬레이션 하였고 관절의 토크를 도출하였다. 결과로 소프트 골프 클럽을 이용한 스윙에서 손목 관절 토크는 기존 골프 클럽을 이용한 스윙의 48.83 % 수준이며, 팔꿈치는 61.10 %, 어깨는 74.74 %, 허리는 102.46 %이다. 따라서 소프트 골프 클럽을 이용하여 스윙할 때, 기존 골프 클럽을 이용할 때보다 작은 힘으로 스윙 동작을 수행할 수 있기 때문에 관절에 부하가 적을 것이며, 관절 부상의 감소에 기여할 것이다.

진전을 동반한 Fahr Disease 환자 치험례 (A Case Report of Fahr Disease with Tremor)

  • 김태연;신우재;박유진;문주호;신선미;김기태;고흥
    • 대한한방내과학회지
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    • 제32권3호
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    • pp.435-443
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    • 2011
  • Fahr disease (FD) is a rare neurological disorder characterized by presence of abnormal and associated cell loss in certain areas of the brain, mostly in basal ganglia, thalamus, cerebellum and subcortical areas. Approximately two-thirds of the patients are symptomatic. The most common neurological manifestations include movement disorders, cognitive impairment, cerebellar signs and speech disorders. We report one case of estimated FD through brain computed tomography (bilateral calcifications of basal ganglia, thalamus, centrum semiovale, subcortical white matter of occipital lobes, cerebellum). At the first time of treatment, he complained of tremors in his upper limbs. We diagnosed the patient as deficiency of qi (氣) and movement of phlegm-heat-wind (痰熱風動) type according to symptoms and treated by herbs and acupuncture of oriental medicine. During treatments, we evaluated how well the oriental medical treatments were working using visual analogue scale (VAS) and amplitude of hands. After the oriental medical treatments about tremor, VAS dropped from 10 to 2 and amplitude of hands from 20 mm to 2 mm, but the ratio of brain calcifications was not changed. This study suggests that oriental medical treatments can be applicable to improve FD.

상지 및 하지절단 환자의 의지보행훈련 증례연구 (A Case Study of Prosthetic Ambulation Training for Upper and Both Lower Extremity Amputated Patient)

  • 홍도선;박창주
    • 대한물리치료과학회지
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    • 제7권1호
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    • pp.367-375
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    • 2000
  • The purpose of this study is to announce the present condition, walking training, and adaptable training of a limb amputated patient. The study is a successful report of the limb amputated patient through the medical treatment of the physical therapy. A cause of the limb amputated patient, a truck driver, was that the patient was hit by a train when the driver alight from the truck. Then, the driver was surgical operated on left AK (Above Knee) amputation and left AE (Above Elbow) amputation by orthopedics at the Young Dong Severance Hospital on Dec.7, 1996. Two weeks after the operation (Dec., 22, 1996), the patient was trained at the Yonsei Medical Center Physical Therapy Hospital for the walking and temper adjust training. It was possible to do a flat surface walking and a slope surface walking without helping due to the patients optimistic personal character and motivation. However, the patient struggled to a dull surface walking and his weak endurance. the patient has several problems when the patient wears artificial legs and hands, fears on fall down, and mentally worries on noise when he walks. It is necessary to approach for this problems by many fields of the helpers, such as Rehabilitation medical doctor, physical therapist, occupational therpist, artificial limbs makers, psychologists, and etc. Therefore, in order for recovering from the amputated parts function after the surgical operation, more approved reports have to be for the amputated patients due to increasing traffic accidents, industrial disaster, cancer, diabetes, obstacles of the peripheral nervous system, and etc.

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가상환경 변화에 따른 덤벨 컬 운동효과에 관한 운동역학적 검증 (Biomechanical Validation about Dumbbell Curl Exercise Effects of Virtual Environment)

  • Hong, Ah Reum;Kim, Jai Jung;So, Jae Moo
    • 한국운동역학회지
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    • 제30권1호
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    • pp.111-119
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    • 2020
  • Objective: The purpose of this study is to apply exercise learning effect to various subjects through training effect and information accumulation based on verification of the effect on dumbbell curl exercises applied with virtual reality. Method: To analyze the effect on the dumbbell curl exercise in the virtual environment, a total of 20 persons with 10 males and 10 females who does not have orthopedics diseases were selected. The dumbbell weight of the subjects was set to a weight of 70% strength of 1RM. At this time, the virtual environment situation was set to four types; presence/absence of virtual environment, preferred colors, and unfavorable colors to perform dumbbell curl exercise. The anaysis of muscle activity was conducted by adhering four surface electrodes (Biceps Brachii, Triceps Brachii, Brachioradialis Muscle, Extensor Carpi Radialis Longus Muscle) on the right upper limbs. Independent sample t-test using SPSS (24.0) program was carried out to analyze average values and standard deviations for each variable depending on the presence/absence of virtual environments and changes in color (preferred colors, unfavorable colors) and the level of significance was set to a=.05. Results: In the eccentric contraction, males showed high muscle activity in the Biceps Brachii under virtual reality. On the other hand, females had high muscle activity in the Biceps Brachii in the absence of virtual reality. Also, in case of a change of colors in the virtual environment, females had the high muscle activity in the unfavorable color in the eccentric contraction. Conclusion: During the dumbbell curl exercise, results of different exercises present depending on gender. When males put VR on and performs a basic dumbbell curl exercise, the effect of Biceps presents Brachii for them while exercising in unfavorable colors. However, since it is the basic research data of muscle exercise using virtual reality, it is necessary to verify whether or not it is effective for myopachynsis through long-term training rather than unity.

만성 족부 질환이 환측 하지의 골밀도에 미치는 영향 (Effect of Chronic Foot Disease to Bone Mineral Density of the Affected Lower Limb)

  • 주인탁;유종민;강민구;정진화
    • 대한족부족관절학회지
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    • 제14권2호
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    • pp.165-168
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    • 2010
  • Purpose: Pain or discomfort caused by foot diseases may lead to abnormal gait, resulting in decreased bone mineral density (BMD) of the affected lower limb. We analyzed the effect of foot affection to BMD and its clinical significance. Materials and Methods: Bilateral hip BMD was evaluated in 93 patients with unilateral chronic foot disease. To minimize statistical errors, we excluded patients with medical histories that had influence on BMD. Analysis was based on the results of BMD tests at the first visit. All patients denied past medical intervention for osteoporosis. The difference in density between bilateral limbs was determined by comparing BMDs of the neck, upper neck, trochanter and total area of hip. Results: Test results revealed the decrease of BMD in the lower limb with the affected foot, compared to the unaffected side. This decrease was significant in the area of the trochanter (p <0.05). There was no marked difference of BMD in relation with duration of affection, underlying disease or age. Pertaining the location of foot affection, the hindfoot group showed significant decrease in BMD compared to the forefoot group. The group with affection in bone and joint also showed a marked decrease in BMD compared to the soft tissue group (p <0.05). Conclusion: Pain and discomfort caused by chronic foot diseases can lead to a decrease in the BMD of the affected lower limb. This may increase the risk of complications such as osteoporotic fracture and muscular atrophy.

Cornelia de Lange Syndrome 환아의 치과 치료 (DENTAL MANAGEMENT OF CHILDREN WITH CORNELIA DE LANGE SYNDROME)

  • 백병주;김재곤;양연미;박종하;김성희
    • 대한소아치과학회지
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    • 제31권1호
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    • pp.120-125
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    • 2004
  • Cornelia de Lange Syndrome은 이형성적 특징들에 의해 특징 지워지는 증후군으로서 정확히 알려지지 않은 원인을 가진 이상증이다. 이 증후군은 이형성적 임상증상에 의거하여 진단되기 때문에 염색체 검사, 유전자 검사 등의 진단 목적의 다른 검사들은 유효하지 않다고 할 수 있다. 임상증상으로는 전반적 발육 장애 정신지체, 외소증 다모증(hypertrichosis), 갈매기 모양의 눈썹(confluent eye brows), 낮은 헤어라인, 낮고 평평한 코, 위로 들린 코끝, 사지 기형, 발가락의 합지증(webbing), 심장기형, 위식도 역류 질환, 청력 이상, 그리고 안 질환 등이 나타나며 구강관련 증상으로는 왜소악 치아 맹출 지연, 구순 구개열, 높은 구개궁, 얇은 상순, 그리고 처진 구각 등이 나타난다. 본 증례에서는 전북대학교병원 소아치과에 치아 우식증을 주소로 내원한 Cornelia do Lange Syndrome을 가진 3세 및 4세 여환의 치료 예를 보고하는 바이다.

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Charcot-Marie-Tooth Disease 환자에 대한 한방치료 1례 (Clinical Study on the Case of Charcot-Marie-Tooth Disease Treated with Korean Medicine: A Case Report)

  • 김유리;김대훈;김건형;양기영;김재규;이병렬
    • Journal of Acupuncture Research
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    • 제31권4호
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    • pp.173-183
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    • 2014
  • Objectives : The purpose of this study is to report the effect of Korean Medicine treatment on a patient with Charcot-Marie-Tooth disease. Methods : A 60-year-old woman who was diagnosed as Charcot-Marie-Tooth disease was admitted with both lower and upper limbs weakness, difficulty in walking, palm pain and neck pain. The patient was treated with acupuncture, electroacupuncture, herbal medicine, cupping therapy and physical treatment from 2th September 2013 to 14th November 2013. Improvement of the patient's symptoms was evaluated by numeric rating scale(NRS), visual analog scale(VAS), SF-36 bodily pain and patient global assessment(PGA). Results : After treatment, pain Intensity evaluated by VAS was significantly decreased(from 7.2 to 2). Increased SF-36 bodily pain score(from 10 to 67.5) showed that patient's quality of life has been improved. Conclusions : These results suggest that Korean medicine treatment may be effective in reducing the symptoms of Charcot-Marie-Tooth disease.