• 대한임상검사과학회지
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• 제51권2호
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• pp.185-190
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• 2019

하지정맥류 발생을 억제하기 위한 방법으로 압박스타킹 착용이 폭넓게 이용되고 있지만, 압박스타킹 착용으로 인한 인체의 생리지표에 어떤 영향을 줄 수 있는지는 잘 알려져 있지 않다. 압박스타킹을 장시간 착용할 경우 어떤 생리적 지표가 변화될 수 있는지 실험을 통해 확인하였다. 압박스타킹 착용으로 인해 변화될 수 있을 것으로 예측되는 생리지표인 혈압, 심전도, 발목 상완지수, 근전도를 측정하였다. 압박스타킹은 시중에서 구입할 수 있는 20~30 mmHg 정도의 압력을 가진 것으로 종아리를 덮는 형태의 것을 사용하였다. 6명의 20 초반 성인이 한쪽 다리에만 7일간 착용을 하였고, 실험 기간 중 몸을 씻기 위해 벗는 것을 제외하고는 늘 착용한 상태에서 일상생활을 하였다. 실험을 시작하기 직전, 3일째 되는 날, 7일째 되는 날에 혈압, 심전도, 근전도, 발목상완지수의 변화를 압박스타킹을 착용한 다리와 착용하지 않은 다리에서 각각 측정하였다. 측정한 결과 착용한 다리의 앞정강이근과 장딴지근에서 근전도의 증가가 나타났으며 다른 생리지표는 변화가 없었다. 근전도의 증가는 시간이 길어질수록 이에 비례하여 증가하였다. 압박스타킹을 착용하지 않은 다리에서는 시간이 지남에 따라 오히려 근전도가 감소하는 결과가 나타났다. 근전도 감소 역시 시간이 길어질수록 감소폭이 커졌다. 즉 이번 실험은 압박스타킹의 착용이 해당 근육의 근전도를 증가시킬 수 있음을 나타내고, 착용하지 않은 부위에서 의도치 않은 근전도의 감소를 일으킬 수 있음을 나타낸다. 이번 연구에서는 압박스타킹의 장시간 착용에 따른 생리적 변화에 대한 결과를 알아봄으로써 올바른 사용에 대한 정보를 제공하고 착용에 따른 위험요소를 알아 볼 수 있는 결과를 제공한다.

• 한국전문물리치료학회지
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• 제25권1호
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• pp.22-30
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• 2018

Background: Improvement of lumbo-pelvic stability can reduce the compensatory action of the quadratus lumborum (QL) and selectively strengthen the gluteus medius (GM) during side-lying hip abduction (SHA). There are abdominal draw-in maneuver (ADIM) and abdominal bracing (AB) as active ways, and pelvic compression belt (PCB) as a passive way to increase of lumbo-pelvic stability. It is necessary to compare how these stabilization methods affect the selective strengthening of the GM. Objects: To investigate the effects of ADIM, AB, and PCB during SHA on the electromyography (EMG) activity of the GM, QL, external oblique (EO) and internal oblique (IO), and the GM/QL EMG activity ratio. Methods: A total of 20 healthy male adults participated in the study. The subjects performed three conditions in side-lying in random order: SHA with ADIM (SHA-ADIM), SHA with AB (SHA-AB), and SHA with PCB (SHA-PCB). To compare the differences among the three conditions, the EMG activities of the GM, QL, EO and IO, and GM/QL EMG activity ratio were analyzed using one-way repeated ANOVA. Results: The EMG activity of the QL was significantly higher in SHA-AB than in SHA-ADIM and SHA-PCB. The GM/QL activity ratio was significantly higher in SHA-PCB than in SHA-ADIM and SHA-AB. In addition, the figure for SHA-ADIM was significantly higher than that for SHA-AB. In the case of the EO, the figure for SHA-AB was significantly higher than corresponding values for the other two conditions. The figure for SHA-ADIM was significantly higher than that for SHA-PCB. The EMG activity of the IO was significantly higher in SHA-AH than in SHA-PCB. Conclusion: It can be suggested that wearing the PCB can more selectively strengthen the GM than to perform ADIM and AB during SHA. In addition, the ADIM can be recommended when there is a need to strengthen abdominal muscles during SHA.

• 대한방사선치료학회지
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• 제33권
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• pp.71-78
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• 2021

목 적: 폐암과 간암 환자에 대해 압력 기반 복부압박장치를 적용하여 입체적 세기변조 회전 방사선치료(VMAT)를 시행하였을 때의 치료 간(interfraction) 위치 재현성과 호흡 재현성을 평가함으로써 그 유용성을 평가하고자 한다. 대상 및 방법: 압력 기반 복부압박장치를 사용해 입체적 세기변조 회전 방사선치료를 받은 6명의 폐암 환자와 3명의 간암 환자를 대상으로 하였다. 치료 간 위치 재현성 평가를 위해 모의치료 CT 영상과 매일 획득한 CBCT 영상 174건을 비교하여 이미지 정합의 이동 값을 비교, 분석하였다. 치료 간 호흡 재현성 평가를 위해 모의치료 4DCT 영상과 매주 획득한 4D CBCT 영상 54건을 비교하여 호흡량 오차를 구하였다. 결 과: 수평수직 세 방향의 3D 벡터값인 전체 위치변화(Overall position variation, Overall VP)값은 폐와 간에서 각각 평균 1.1 ± 1.4 mm, 4.5 ± 2.8 mm로 나타났다. 호흡 변화(respiratory variation, Vr)값은 폐에서 평균 0.7 mm ± 3.4 mm (p=0.195), 간에서 평균 3.6 mm ± 2.6 mm (p<0.05)로 나타났다. 결 론: 흉복부 방사선 치료 시 압력 기반 복부압박장치의 적용은 복부 압박 재현을 통해 치료 간 종양의 호흡 변이뿐만 아니라 위치 변이를 안정적으로 조절하는 데에 유용한 것으로 사료된다. 보다 안정적인 재현성을 위해 치료 계획 시 적절한 PTV 여유가 고려되어야 하고, 매 치료 전 영상 유도에 따른 표적의 위치와 호흡 검증이 필요하다.

• 대한정형도수물리치료학회지
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• 제1권1호
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• pp.49-63
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• 1995

Examination at the spine is dependent on assessment of function. At all spine levels a number of general anatomical considerations hold sway which together dictate the format of the evaluation. Because disc lesions are common and generally responsive to treatment, the examination sets out to differentiate between disc lesions and the other sources of pain as well as establishing the particular treatment that will benefit any given displacement. As elsewhere in the body, displacements give rise to certain characteristic symtoms and signs. First, the history is indicative. Second, any loose fragment in the joint restricts spinal movement in some but not all directions, producing the non-capsular pattern characteristic of internal derangement. Third, a displacement protruding posteriorly interferes with the dura mater ; apart from pain, this adversely affects the dura's normal painless mobility. Fourth, a displacement protruding laterally connects with the appropriate nerve root emerging from the dura mater. Finally, compression of the spinal cord strongly contraindicates manipulation, the primary treatment for cartilaginous displacements.

• The Korean Journal of Pain
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• 제4권2호
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• pp.162-167
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• 1991

Epidural steroid therapy has been well-established for the treatment of sciatica and low back pain. Disappointing results following surgical decompression or discectomy pain owing for to nerve root compression have led to trials of corticosteroids injected either systemically or into the intrathecal or epidural space to treat intervertebral disc. Epidural steroid is less effective in the patients with low back pain who have a history of surgical operation, so that the use of epidural morphine and methylprednisolone has been advocated for the amelioration of chronic low back pain in the post-laminectomy pain("failed back") syndrome over the past several years. We treated 47 patients with low back pain who had a history of one or two surgical procedures. We concluded that epidural steroid therapy is less effective in the patients with "failed back" syndrome than in the virgin back furthermore, there is a greater risk of complication such as inadvertent dural puncture and corresponding motor paralysis and headache.

• 대한족부족관절학회지
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• 제25권1호
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• pp.10-16
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• 2021

Evidence-based papers on the treatment of some chronic tendinopathy or ligament lesions using an injection in foot and ankle disorders have been reported, but there are few reports on the treatment of acute ankle ligament injury. On the other hand, some papers have reported a faster return to play for injection therapy that combines RICE (Rest, Icing, Compression, and Elevation) treatment and rehabilitation. Injection therapy can be used as an additional treatment for ankle ligament injury. Rather than having narrow-minded thinking about these treatments, it is important to make efforts to verify the safety and precautions of treatment and recognize them as a category of normal treatment. Continuous analysis and monitoring of these treatments can satisfy patients whose needs are changing rapidly.

• Journal of Trauma and Injury
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• 제34권1호
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• pp.75-78
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• 2021

A Morel-Lavallée lesion is a post-traumatic closed degloving soft tissue injury after blunt trauma. Infection and skin necrosis frequently occur if it is not treated properly in the early stages. However, there is no clearly established treatment algorithm. In the acute stage, it is mainly treated with aspiration, simple compression, and incisional drainage. In the chronic stage, sclerotherapy is usually performed. If skin necrosis develops, the necrotic tissue is resected and a skin graft is needed. We describe a case of acute Morel-Lavallée lesion in the buttock region that was treated with limited incisional drainage and negative-pressure wound therapy, and also present a review of the literature.

• 척추신경추나의학회지
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• 제12권1호
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• pp.71-81
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• 2017

Objectives : It is important to develop a new Chuna manual therapy as a representative of Chuna manual therapy technique at the time of KSCMM's (Korean Society of Chuna manual medicine) joining a $F{\acute{e}}d{\acute{e}}ration$ Internationale de $M{\acute{e}}decine$ Manuelle (FIMM). Therefore, Sunu manual therapy (SMT) will be introduced as a purely new Chuna manual therapy. Main subject : Sunu manual therapy (SMT) was discovered about two decade ago by a Korean Medicine doctor who wanted to develop a new manual therapy to treat a internal disease. It is very important to make the best use of four powers such as a compression force, a torsion force, a bending force, a tension force using a resonance principle and to experience a feeling of spine axis. SMT is different from Chiropractic technique and Osteopathy technique, in that SMT could treat so many disease using only one technique, but other manual therapy could utilize so many technique to treat only one disease. Discussion : Because SMT utilize a power of a moving in silience, it will take several years to totally master a SMT which will make a patient and a doctor experience a feeling of spine axis. As a feeling of spine axis is deeper, a nerve could be excited and treated by a SMT. Also as a feeling of spine axis is shallower, a muscle could be excied and treated by a SMT. Conclusions : SMT could be classed as a craniosacral chuna therapy or visceral chuna therapy to treat a internal disease considering SMT's action and purpose.

• 한국임상보건과학회지
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• 제2권2호
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• pp.133-147
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• 2014

Purpose. Radiation therapy for oncologic emergencies is an important modality in the management of cancer patients. The aim of the present study was to review the roles of RT in oncologic emergencies based on literature review. Methods. The oncologic emergencies requiring rapid treatment include superior vena cava syndrome, spinal cord compression, brain metastasis, and bone metastasis. We reviewed the literatures on the pathophysiology, diagnosis, and treatment of oncologic emergencies. Results. In this literature review, radiation therapy among treatment modalities for oncologic emergencies has been shown to be fast and very effective treatment modality for oncologic emergencies. Conclusions. Based on this review, we conclude that the literature provides support for the role of radiation therapy in the situation of oncologic emergencies. As the number of cancer patients increase, the prevalence of oncologic emergencies will increase. In the future, the development of RT techniques will provide the improvement of not only patient's quality of life but also the survival.

• 동의신경정신과학회지
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• 제15권1호
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• pp.149-153
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• 2004

This report present on a case of common peroneal nerve palsy effectively treated with oriental medical therapy. Common peroneal nerve palsy caused by compression of nerve, general illness(diabetes mellitus) etc. It occur foot drop, disorder of ankle dorsi-flexor and eversion, disorder of foot sensory. If nerve palsy is progressed, muscle atropy is occurred. This patient fall foot drop before two month ago without reason. He is diagnosed as peroneal nerve palsy by brain MRI, EMG and doctor's physical examination. This patient effectively treated by oriental medical therapy. Oriental medical therapy is herb medicine(kamisamul-tang), acupuncture(S36, S38, S40, S41, G34, G39, G40, G41, LIV3, LIV4, K3, B60), Electro-acupuncture, bee venom acupuncture, moxibustion, electro physical therapy(EST, SSP). Time of therapy is two months and sequela is nothing.