• Title/Summary/Keyword: musculoskeletal subjective symptoms

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Comparison analysis of before and after scaling training on grip and pinch strength (스케일링 실습수업 전후 수부의 악력 및 파지력 비교분석)

  • Yoo, Ja-Hea;Lee, Min-Young;Lee, Sang Young
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.1
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    • pp.114-121
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    • 2013
  • Objectives : The purpose of the research is to measure Dental Hygiene students' level of musculoskeletal pain before and after receiving scaling training which involves repetitive operations and examine effects the operations have on the students' grip and pinch strength. Methods : 15 subjects in Dental Hygiene at Y university located in Chungbuk were tested on November 2, 2011. Results : 12 students had a musculoskeletal pain before receiving scaling training. However, all the 15 students had a musculoskeletal pain after the training. Body part the largest number of the students complained of the pain on was shoulders(37.9%) followed by neck(20.8%), waist(13.9%), wrists(10.3%), then back(6.9%) before receiving the training. Then the result showed that shoulders are where the largest number of students(24.1%) felt the pain, followed by neck(17.2%), wrists and fingers(13.8%), waist(12.1%), back and lower arms(6.9%), then palms(5.2%) after the training. Visual Analogue Scale(VAS) increased to $6.35{\pm}2.09$ after receiving the training from $3.31{\pm}3.38$ and this shows statistically significant difference(p<.001). Upon inspection, average grip strength decreased to $23.23{\pm}5.79kg$ from $25.00{\pm}4.51kg$ after receiving the training and this shows statistically significant difference(p<.05). Key pinch was the strongest among the three pinch strengths followed by tripod pinch then tip pinch. Average of all the three pinch strengths showed to have statistically significant difference before and after the training(p<.05); Tip pinch from $6.53{\pm}1.36$ to $5.87{\pm}1.3$, key pinch from $13.47{\pm}2.5$ to $12.53{\pm}2.30$, and tripod pinch from $9.27{\pm}3.04$ to $8.03{\pm}2.72$. Conclusions : The result showed that scaling training has effects on Dental Hygiene students' musculoskeletal subjective symptoms and their grip and pinch strength changes after receiving the training.

Effect of Emotional Labor, Stress, and Fatigue of Beauty Industry Workers on the Subjective Symptoms of Musculoskeletal Diseases (미용업 종사자의 감정노동, 스트레스, 피로도가 근골격계질환 관련 자각증상에 미치는 영향)

  • Lee, Hye-Young;Choi, Soon-Young
    • Proceedings of the Safety Management and Science Conference
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    • 2012.11a
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    • pp.393-401
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    • 2012
  • 본 연구에서의 미용업 종사자의 감정노동, 직무 및 사회심리적 스트레스, 피로도가 근골격계질환에 미치는 직 간접적인 영향을 평가하기 위하여 시도되었다. 그 결과 미용업 종사자의 근골격계질환 자각증사자는 신체부위 중 어깨의 근골격계질환 관련 자각증상자가 가장 많았으며, 목, 허리, 손목, 팔, 발, 무릎 순으로 나타났다. 미용업 종사자의 감정노동 각 문항별 평가 결과는 '나는 기분이 나쁠 때 고객들에게 표현하지 않도록 최선을 다한다'의 문항이 3.92점으로 가장 높게 나타났으며, 이와 반대로 '표현되는 행동과 실제 감정의 차이 때문에 혼란스러울 때가 있다' 2.61점으로 나타났다. 미용업 종사자의 작업 관련 심리적인 요인이 근골격계질환에 미치는 영향에 대하여 근골격계질환자가 무증상자에 비하여 감정노동과 피로도에 영향을 더 많이 받는다는 것으로 나타났으며, 직무 스트레스가 증가할수록 사회심리적 스트레스는 낮아지지만 피로도가 증가하는 것으로 나타났다. 감정노동이 피로도에 미치는 영향에서 직 간접적인 영향이 모두 높은 것으로 나타났으며 직무 스트레스가 피로도를 통해 근골격계질환에 미치는 간접적인 영향이 큰 것으로 나타났다. 본 연구를 통하여 미용 종사자의 작업 관련 물리적 심리적 개선 방안 마련이 요구되면 산업안전보건 분야의 정책적 관리 방안 마련을 제안한다.

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A Study on the Menopause Experience : A Q Methodological Approach (폐경기 경험에 관한 연구 : Q 방법론적 접근)

  • 신혜숙
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.807-824
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    • 1995
  • This study was intended to provide women who are experiencing menopause with effective nursing care by exploring the menopause experience. The purpose of the research was to understand the subjective feelings of women about the question of what the menopause experience is. Q-Methodological method was used for that purpose. As the research method, Q-statements were collected preliminary to the study of through in -depth interviews and a literature review. For the study 34 Q-statements were selected. There were 21 women as subjects for the research. The 21 women sorted the 34 statements using the principle of Forced Normal Distribution. The principle of Forced Normal Distribution, which has nine scales to measure the individual opinions, was called Q-Factor Analysis by using PC Quanl Program to supply the material. As a result, there were four categories(self-com-passion type, self-regulation type, self-perception type, self-abandonment type) of special opinion about the menopause experience in these women. The first type was called Self-compassion This type' was associated with varying degrees of emotonal instability(psychological withdrawal). And type in menopause signifies loss of a socially valued status and may result in depressive symptoms. This type expresses the menopause experience as associated with negative reaction. The second type is called Self-regulation. This type overcomes the menopause experience more actively than the other types and do not express the menopause experience as one of suffering. This type make efforts by themselves to regulate the mono-pause experience. The third type is called Self-perception. This type perceives the experience of menopause which as typical menopausal syndrome (hot flashes and decreased vaginal lubrication, decreased estrogen producing atrophic changes of the labia and vaginal mucosa, making intercourse uncomfortable). The fourth type is called Self- abandonment. This type denies the experience of menopause. The meaning of menopausal experience is significantly related with a life accident or life load. Also, This type experiences pain in the musculoskeletal system. As a result, The meaning of the menopausal experience is affected by perceived subjective experience of the nurses, the need to understand each persons meaning of the menopause experience and to develop appropriate nursing interventions based on the typology of menopause experience. Finally. The result of the study will provide basic data for nursing intervention the menopausal women.

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Three Cases Report of Anxiety and Depression Disorder in the Traffic Accident Patients Treated with Prescription of Kami-shoyo-san (우울, 불안 증상을 동반한 교통사고 환자의 가미소요산(加味逍遙散) 치험 3례)

  • You, Ju-Yeon;Jang, Chul-Yong;Jeong, Hye-Ryon;Shin, Yong-Jeen;Kim, Seong-Joung;Lee, Un-Jung
    • The Journal of Internal Korean Medicine
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    • v.35 no.4
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    • pp.556-572
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    • 2014
  • Objectives: The purpose of this study was 1. To investigate correlation of subjective stress with patient's prognosis 2. To observe the effect of Kami-shoyo-san on anxiety and depressive disorder. Methods: We investigated 3 cases of in-patients from traffic accidents. Patients were treated with Kami-shoyo-san. The Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI) were used to assess anxiety and depression, respectively. We also used Qi stagnation test and Qi counterflow test according to Terasawa's criteria for diagnosis of anxiety and depression. Pain was evaluated by Numeric Rating Scale (NRS). Results: After treatment, the patient's symptoms improved considerably. Conclusions: 1. There were significant correlations between subjective stress and prognosis. 2. Kami-shoyo-san has good effect on anxiety and depressive disorder.

Health Condition of Residents of Mental Health Sanatoriums and Policy Options (정신요양시설 거주인의 건강 실태 및 정책 대안)

  • Jo, Han-Jin;Lee, Seung-Hong
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.2
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    • pp.49-59
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    • 2022
  • Purpose : The purpose of this study is to directly understand the health condition of residents of mental health sanatoriums nationwide, which has been difficult to ascertain in surveys conducted to date. The study presents specific measures for improving the health of these residents. Methods : A "physical examination questionnaire for residents of mental health sanatoriums" was developed to check the basic physical condition of residents, and 20 out of 59 mental health sanatoriums nationwide were randomly selected. Medical personnel visited the sanatoriums, interviewing and examining the residents in person. A total of 396 health surveys were completed. Results : Many of the residents were underweight but had abdominal obesity. It was confirmed that chronic diseases among the residents were not diagnosed early or were not properly managed. Among the subjective symptoms complained of by the residents, musculoskeletal symptoms were the most common. Oral examinations revealed a serious level of oral health problems among the residents, including dental caries and missing teeth. Basic physical examinations found health problems that required additional examination or medical treatment. Blood pressure abnormalities made up the highest percentage of the health problems. Conclusion : Regular health surveys are needed to determine the health condition of residents of mental health sanatoriums. Access to and quality of primary medical services within the sanatoriums need to be dramatically improved. A delivery system for severe diseases and emergency medical care in the sanatoriums should also be specifically presented. The residents should be notified upon admission and during their stay that they have the right to the enjoyment of the highest attainable standard of mental and physical health. The issue of health rights should be addressed within a larger framework of reorganizing management plans for people in the community - not only residents - with chronic mental illness.

A Study on Attitude Toward Oriental Medical Care Treatment Provided by Health Centers in a Designated Rural Areas (군보건소 한방진료실 이용자의 한방진료에 대한 태도분석)

  • Kim, Jin-Soon;Kim, Eun-Joo
    • Journal of agricultural medicine and community health
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    • v.17 no.1
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    • pp.25-33
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    • 1992
  • Most of oriental medical care resources such as doctors and facilities are distributed in urban areas and approximately ten percent of them is in rural areas. However the aged population of over 60 years old in rural areas is higher than that in urban and these aged population prefer more oriental medical care than the other age group. Therefore, the government planned to carry out the oriental medical care demonstration project in a designated rural areas in 1990. The study was carried out to find out the utilization pattern of medical care and consumers attitude toward oriental medical care treatment provided by health centers. The interview survey was applied to collect the data and 187 patients, who visited to health centers to receive care in 1991, were selected by random sampling. The study results obtained were as follows : 1) Among the 187 respondents, male was 31.6% and female, 68.4%. 2) 73.8% of the respondents were the age of over 45 years old. 3) For the motivation of visiting the health center to receive oriental medical care, 37.4% of the respondents visited purposely according to announcement of oriental medical care and 26.2% of them made a decision by themself 20.3% of them was recommended by the neighbors. 4) The most frequent symptoms surveyed were the disease of the musculoskeletal system and connective tissue. 5) By the subjective judgement of the respondents from the result of the oriental medical treatment, recovered or improved cases represent 69.5%. It is considered that the oriental medical care was acceptable, and also the respondents were satisfied with the oriental medical care in terms of kindness of oriental medical doctors, treatment time and expenses of care.

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Effect of Customized Visiting Exercise through Integrated Care Leading Project for the Elderly in the Community: Case Report (지역 사회 노인의 노화 예방에 따른 통합돌봄 선도사업 기반 맞춤형 방문운동의 효과: 증례 보고)

  • Kim, Jin-young;Park, Sung-doo;Bae, Jeong-hyun;You, Dal-young;Yang, Young-sik
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.3
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    • pp.99-105
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    • 2021
  • Purpose: This study aims to report on the effect of providing customized visiting exercise, a musculoskeletal intervention method, to the elderly in the community. Methods: In this study, subjective pain was measured to evaluate pain and physical ability of the elderly, and timed up & go (TUG) test and psychological level test were performed for myofascial pain perception symptoms and gait function. Measurements were performed twice before and 4 weeks after treatment. Participants in the exercise group (n=108) performed the spine exercise, whereas those in the spine exercise group (n=108) performed the spine exercise using complex exercise program (3 times/week for 4 weeks). Results: The significant test of visual analogu scale (VAS), pain pressure threshold (PPT), TUG, psychosocial factor according to applying the exercise within groups used T-test. In the result following analysis, there was significance on VAS (p=.000), PPT (p=.000), TUG (p=.000), Psychosocial factor (Depresion; p=.000, Anxiety; p=.000) within group. Conclusion: Then, exercise has benefit on the VAS, PPT, TUG, psychosocial factor in patients with myofacial pain syndrome. So, it may suggest that exercise will be helpful of the pain, gait and psychosocial factor improvement the patients with spine pain.

Association between Myofascial Pain Syndrome and the Assessment of Pain and the related Function tests in female telephone directory assistance operators using VDT (VDT 사용 여성 전화교환원들의 근막동통증후군과 동통 및 기능평가 검사와의 관련성)

  • Roh, Sang-Chul;Lee, Soo-Jin;Song, Jae-Cheol;Park, Hung-Bae
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.4 s.59
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    • pp.779-790
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    • 1997
  • The Association between myofascial pain syndrome and some tests was assessed in a cross-sectional study of 904 female telephone operators using video display terminals(VDTs). 105 cases were diagnosed as Myofascial pain syndrome with symptom questionnaire, laboratory examination and physician's physical examination and 550 controls were defined to show only musculoskeletal symptoms using NIOSH symptom criteria. Data on demographics, musculoskeletal symptom and visual analogue scale(VAS) were obtained by questionnaire. Anthropometric measurements, pressure pain threshold, Grip & Pinch strength and laboratory test were conducted. No significant difference between case and control at comparing of demographics, occupational history and body measurements were observed. But, Grip strength, pressure pain threshold and VAS showed the statistical difference between case and controt. Age, pressure pain threshold of Rt. Upper trapezius and VAS were associated with myofascial pain syndrome in multivariate logistic regression analysis. This results suggest that, to diagnose of myofascial pain syndrome, the consideration of the objective aspects among patients' subjective symptom complaints through the VAS and pressure pain threshold is required.

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Musculoskeletal Symptoms and Its Related Factors among Male Workers in a Nonferrous Manufacturing Industry (비철금속제조업 생산직 남성 근로자들의 근골격계 자각증상과 관련요인)

  • Jeong, Yeon-Ok;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.8
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    • pp.3552-3560
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    • 2012
  • This study was conducted to find out the complaint rate of musculo-skeletal disorder and its related factors from male manufacturing workers at a nonferrous manufacturing industry. As for the research subjects, 302 workers selected from a nonferrous manufacturer located in Daejeon City, and as for the collection of data, a standardized anonymous questionnaire survey were conducted from May 1, 2011 to June 30, 2011. As a results, the complaint rate of musculo-skeletal disorders by each body part, the symptom of shoulders was 42.7%, the highest rate, followed by the waist, 36.8%, the neck and the hand/wrist/finger, 30.5% respectively, the leg and foot, 30.1% and arm/elbow, 20.9%. The complaint rate of musculo-skeletal disorder for the sociodemographic characteristics was significantly high as survey participants' age and BMI were low and in the group having low subjective health condition. The complaint rate of musculo-skeletal disorder for the health-related behavior characteristics was significantly high in the group having been absent from work due for diseases, in the group having received outpatient services, in the group having been hospitalized for treatment, in the group not having a regular exercise and in the group having insufficient sleeping hours. Finally, the complaint rate of musculo-skeletal disorder for the job-related characteristics was significantly high in the group suffering from the physical burden of their work, in the group working while bending at the waist and in the group carrying out repetitive tasks.

Development of Work-related Musculoskeletal Disorder Questionnaire Using Receiver Operating Characteristic Analysis (Receiver Operating Characteristic 분석법을 이용한 업무관련성 근골격계질환 설문지 개발)

  • Kwon, Ho-Jang;Ju, Yeong-Su;Cho, Soo-Hun;Kang, Dae-Hee;Sung, Joo-Hon;Choi, Seong-Woo;Choi, Jae-Wook;Kim, Jae-Young;Kim, Don-Gyu;Kim, Jai-Yong
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.3
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    • pp.361-373
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    • 1999
  • Objectives: Receive Operating Characteristic(ROC) curve with the area under the ROC curve(AUC) is one of the most popular indicator to evaluate the criterion validity of the measurement tool. This study was conducted to develop a standardized questionnaire to discriminate workers at high-risk of work-related musculoskeletal disorders using ROC analysis. Methods: The diagnostic results determined by rehabilitation medicine specialists in 370 persons(89 shipyard CAD workers, 113 telephone directory assistant operators, 79 women with occupation, and 89 housewives) were compared with participant's own replies to 'the questionnair on the worker's subjective physical symptoms'(Kwon, 1996). The AUC's from four models with different methods in item selection and weighting were compared with each other. These 4 models were applied to 225 persons, working in an assembly line of motor vehicle, for the purpose of AUC reliability test. Results: In a weighted model with 11 items, the AUC was 0.8155 in the primary study population, and 0.8026 in the secondary study population(p=0.3780). It was superior in the aspects of discriminability, reliability and convenience. A new questionnaire of musculoskeletal disorder could be constructed by this model. Conclusion: A more valid questionnaire with a small number of items and the quantitative weight scores useful for the relative comparisons are the main results of this study. While the absolute reference value applicable to the wide range of populations was not estimated, the basic intent of this study, developing a surveillance fool through quantitative validation of the measures, would serve for the systematic disease prevention activities.

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