• Journal of Korean Neurosurgical Society
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• 제60권5호
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• pp.540-549
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• 2017

Objective : To evaluate the diagnostic value of computed tomography-myelography (CTM) compared to that of magnetic resonance imaging (MRI) in patients with lumbar radiculopathy. Methods : The study included 91 patients presenting with radicular leg pain caused by herniated nucleus pulposus or lateral recess stenosis in the lumbar spine. The degree of nerve root compression on MRI and CTM was classified into four grades. The results of each imaging modality as assessed by two different observers were compared. Visual analog scale score for pain and electromyography result were the clinical parameters used to evaluate the relationships between clinical features and nerve root compression grades on both MRI and CTM. These relationships were quantified by calculating the receiver-operating characteristic curves, and the degree of relationship was compared between MRI and CTM. Results : McNemar's test revealed that the two diagnostic modalities did not show diagnostic concurrence (p<0.0001). Electromyography results did not correlate with grades on either MRI or CTM. The visual analog pain scale score results were correlated better with changes of the grades on CTM than those on MRI (p=0.0007). Conclusion : The present study demonstrates that CTM could better define the pathology of degenerative lumbar spine diseases with radiculopathy than MRI. CTM can be considered as a useful confirmative diagnostic tool when the exact cause of radicular pain in a patient with lumbar radiculopathy cannot be identified by using MRI. However, the invasiveness and potential complications of CTM are still considered to be pending questions to settle.

• 대한족부족관절학회지
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• 제11권1호
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• pp.51-56
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• 2007

Purpose: The objective of this study was to report the outcomes of patients treated with extracorporeal shock wave therapy (ESWT) for refractory plantar fasciitis of the foot. Materials and Methods: From November 2005 to October 2006, a total of sixty-two patients with refractory plantar fasciitis were treated with extracorporeal shock wave therapy. The main outcome measurements were visual analogue scale (VAS) and Roles and Maudsley score evaluated before treatment and at one and six months after treatment. Results: Roles and Maudsley score was excellent (0%), good (6.4%), fair (35.4%) and poor (58.2%) before treatment which improved to excellent (56.5%), good (38.7%), fair (4.8%) and poor (0%) at final follow-up. VAS scores also significantly improved after ESWT (p<0.05). There was no statistically significant correlation between clinical results and body mass index (BMI) (p=0.102). Conclusion: Extracorporeal shock wave therapy appears to be an effective and safe treatment modality for refractory plantar fasciitis and may help the patient to avoid surgery for refractory heel pain.

• Clinics in Shoulder and Elbow
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• 제7권1호
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• pp.35-40
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• 2004

Purpose: The aim of this study was to investigate effects of calcific lesion on shockwave therapy of the tennis elbow. Materials and Methods: twenty-four patients with refractory tennis elbow were treated with shock waves. The patients were evaluated by assessment of pain using visual analog scale (VAS) and simple elbow test (SET). Comparision of clinical outcomes for the patients with and without calcification in the extensor tendon and/or cortical irregularity of lateral condyle was tried to determine if this could be a possible prognostic factor in clinical settings. Overall clinical outcomes were evaluated by Roles and Maudsley score at 12 months after ESWT. Results: Significant improvement of symptoms were observed in 20 (83 %) patients at 12 months follow up according to Roles and Maudesley scores. The patients with calcification and/or cortical irregularity improved significantly better, when compared to the patients without calcification and/or cortical irregularity at follow up. Conclusion: This study suggests that shock waves therapy could be considered as effective and noninvasive treatment modality for refractory tennis elbow. Also calcific deposit in extensor tendon and/or cortical irregularity of the lateral epicondyle was seem to be good prognostic factor for shock wave therapy for tennis elbow

• 한국컴퓨터그래픽스학회논문지
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• 제7권1호
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• pp.37-49
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• 2001

본 논문에서는 다중 모달리티 영상으로부터 상호보완적인 정보를 추출하여 통합된 형태로 표현하기 위하여 다해상도 영상정합을 위한 상호정보 최적화 방법을 제안한다. 본 방법은 두 영상이 기하학적으로 정렬되면 명암도 유사성 측정을 위한 평가함수인 상호정보가 최대화된다는 가정 하에 두 영상에서 대응되는 화소 명암도간 통계적 의존관계나 정보중복성을 계산하여 영상간 변환관계를 추정하여 정합한다. 실험결과로는 뇌 자기공명영상과 뇌 전산화단층 촬영영상을 사용하여 육안평가를 통한 정확성 측면과 초기조건 변화와 잡음 첨가를 통한 견고성 측면으로 검증한다. 본 방법은 표면이나 특징 부위 추출에 의한 정합이 아닌 영상 자체 정보를 사용함으로써 사용자와의 빈번한 상호작용을 줄이며 비모수화 밀도추정으로 기존 평가함수보다 견고하게 밀도추정이 가능하다. 또한 다해상도 기법을 적용한 확률적 최적화로 견고한 수렴을 유도한다.

• 한국음향학회지
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• 제9권4호
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• pp.77-85
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• 1990

본 연구는 청각조건과 입술운동 조건에서 나타나는 최근 및 접미효과가 동일한 기제에 의해 처리된 결과라는 Greene 와 Crowder(1984)의 수정된 PAS모형을 검증하기 위해 시행되었다. 최근 및 접미효과와 상호작용하는 것으로 보이는 음성적 특성을 실험조작하여 청각과 입술운동 조건에서 자음과 모음간에 차별적 회상효과를 보이는지 알아보았다. 이것은 Turner 등(1987)의 주장과 일치하는 결과이다. 한편, 잡음-입술운동 조건과 입술운동 조건의 마지막 계열위치에서 유의미한 회상 차이를 보이지 않았으므로, 잡음은 입술운동 정보에 대한 최근 효과에 영향을 주지 않고, 따라서 청각정보와 입술운동 정보는 다른 기제를 통해 부호화되는 것으로 보인다.

• 대한물리의학회지
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• 제7권2호
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• pp.183-190
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• 2012

Purpose : The purpose of this study was to evaluate whether extracorporeal shock wave therapy (ESWT) is an effective treatment for myofascial pain syndrome (MPS) of upper trapezius. Methods : Study subject were 20 patients (7 male and 13 female). The patients were evaluated by assessing of pain and function using visual analog scale (VAS) and pressure pain threshold (PPT) and Constant-Murley scale (CMS). Statistical analysis was used paired T-test to know significance probability between pre-test and post-test. Results : There was no statistical significance in the change in PPT. But, VAS scores were significantly improved after ESWT (p<.05). Using the Constant-Murley score, this study showed a significant decrease in pain and a significant increase in range of motion of shoulder (p<.05). Conclusion : These results indicate that extracorporeal shock waves therapy could be considered as an effective and efficient treatment modality for myofascial pain syndrome of upper trapezius.

• The Korean Journal of Pain
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• 제23권4호
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• pp.254-257
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• 2010

Background: Epidural steroid injection is an established treatment modality for intervertebral disc prolapse to radiculopathy. In cases where two levels of radiculopathy are present, two separate injections are warranted. Herein, we present our experience of management of such cases with a single epidural injection of local anaesthetic, tramadol and methylprednisolone, and table tilt for management of both radiculopathies. Methods: 50 patients of either sex aged between 35-65 years presenting with features of cervical and lumbar radiculopathic pain were included and were subjected to single lumbar epidural injection of local anaesthetic, tramadol and methylprednisolone, in the lateral position. The table was then tilted in the trendelberg position with a tilt of 25 degrees, and patients were maintained for 10 minuted before being turned supine. All patients were administered 3 such injections with an interval of 2 weeks between subsequent injections, and pain relief was assessed with a visual analogue scale. Immediate complications after the block were assessed. Results: Immediate and post procedural complications observed were nausea and vomiting (20%), painful injection site (4%), hypotension (10%) and high block (4%). Pain relief was assessed after the three injections by three grades: 37 (74%) had complete resolution of symptoms; 18% had partial relief and 8% did not benefit from the procedure. Conclusions: This technique may be used as an alternative technique for pain relief in patients with unilateral cervical and lumbar radiculopathies.

• The Korean Journal of Pain
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• 제24권2호
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• pp.100-104
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• 2011

Background: Myofascial pain syndrome (MPS) is a regional musculoskeletal pain disorder that is caused by myofascial trigger points. The objective of this study was to determine the prevalence of MPS among chronic back pain patients, as well as to identify risk factors and the outcome of this disorder. Methods: This was a prospective observational study involving 126 patients who attended the Pain Management Unit for chronic back pain between 1st January 2009 and 31st December 2009. Data examined included demographic features of patients, duration of back pain, muscle(s) involved, primary diagnosis, treatment modality and response to treatment. Results: The prevalence of MPS among chronic back pain patients was 63.5% (n = 80). Secondary MPS was more common than primary MPS, making up 81.3% of the total MPS. There was an association between female gender and risk of developing MPS ($x^2$ = 5.38, P = 0.02, O.R. = 2.4). Occupation, body mass index and duration of back pain were not significantly associated with MPS occurrence. Repeated measures analysis showed significant changes (P < 0.001) in Visual Analogue Score (VAS) and Modified Oswestry Disability Score (MODS) with standard management during three consecutive visits at six-month intervals. Conclusions: MPS prevalence among chronic back pain patients was significantly high, with female gender being a significant risk factor. With proper diagnosis and expert management, MPS has a favourable outcome.

• The Korean Journal of Pain
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• 제4권1호
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• pp.51-55
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• 1991

There is a variety of therapeutic modality for herniated nucleus pulposus. Recently the low level laser has come into use for treatment for it. We treated two patients suffered from herniated nucleus pulposus of the central type of $L_{3,4}$ level, with He-Ne, $CO_2$ and Ga Al As laser simultaneously daily under hospitalization. In order to determine the efficacy of treatment, we used the "visual analogue scale" and its improvement rate. The results were as follows; Case I complained of gait disturbance, and hypoesthesia on the lateral side of the left lower leg, as and as low back pain. At the 15th day after treatment, VAS improvement rate was 40%, and the gait disturbance and hypoesthesia were markedly improved. 35th days after tratement, VAS improvement rate was 80%. Case II complained only of low back pain. At the 15th day after treatment, the VAS improvement rate was 68%, and at 20 days after treatment it was 84%. We sugsest that, using the low level laser for treatment of herniated nucleus pulposus increased the cartilage entrophism, and inhibitory effects of the inflammatory materials such as acid glycosaminoglycan by its anti-inflammatory and analgesic effects.

• 산업기술연구
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• 제14권
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• pp.127-140
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• 1994

This study is concerned with the accuracy and the patterns when different methods was used in interpolation task. Although 3 methods employed the same modality for input (visual) and for output (manual responding), they differed in central processing, which method 1 is relatively more tendency of verbal processing, method 2 is realtively more tendency of spatial processing and method 3 needed a number of switching code (verbal/spatial) performing task. Split-plot design was adopted, which whole plot consisted of methods (3), orientations (horizon, vertical), base-line sizes (300, 500, 700 pixels) and split plot consisted of target locations (1-99). The results showed the anchor effect and the range effect. Method 2, method 3 and method 1 that order was better accuracy. ANOVA showed that the accuracy was significantly influenced by the method, the location of target, and its interactions ($method{\times}location$, $size{\times}location$). Analysis of error data, response time and frequency of under, just, over estimate indicated that a systematic error pattern was made in task and methods changed not only the performance but also the pattern. The results provided support for the importance of the multiple resources theory in accounting for S-C-R compatibility and task performance. They are discussed in terms of multiple resources theory and guidelines for system design is suggested by the S-C-R compatibility.