• 제목/요약/키워드: musculoskeletal symptom

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마라톤 후 발생한 스포츠 손상환자 199례의 응급 침 치료에 대한 증례분석 (A Descriptive Analysis of 199 Marathon Participants with Acute Sport Injuries Treated by Acupuncture in the Prehospital Setting)

  • 김건형;노승희;김유리;이병렬;김재규;양기영
    • Journal of Acupuncture Research
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    • 제30권1호
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    • pp.35-41
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    • 2013
  • Objectives : This study aimed to perform descriptive analysis on demographic characteristics and symptom distribution of 199 marathon participants in Pusan, Korea. Methods : Brief medical charts of 199 marathon participants in 11 marathon rallies who had visited the emergency medical support team of Korean Medicine Hospital, Pusan National University were collected. Participants' demographic and clinical characteristics were descriptively analyzed. Results : More than two third of participants who have visited the support team was male(71.9 %) and their mean age was 44.0(years). The main intervention was manual acupuncture with vigorous stimulation techniques. Most of treated symptoms were lower extremity pain(77.0 %). Knee pain was the most frequently recorded symptoms, following the ankle pain. No information on the safety of acupuncture treatments were reported in the records. Conclusions : Symptom distribution of marathon participants who have visited the emergency medical support team of Korean Medicine Hospital was similar to previous literatures of acute injuries of marathon athletes and runners. The role of acupuncture for emergency support care of acute injuries in marathon participants should be further explored in well-designed clinical studies.

요실금 자각 증상이 있는 중년여성들의 통증 및 삶의 질 정도에 대한 조사 (A Survey of the Pain and Quality of Life of the Middle-Aged Women with the Subjective Symptom of Urinary Incontinence)

  • 김은영;김근조;하미숙
    • 한국산학기술학회논문지
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    • 제11권11호
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    • pp.4382-4394
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    • 2010
  • 본 조사는 요실금 자각 증상이 있는 중년여성을 대상으로 요실금의 주관적 정도와 통증이 그에 따른 삶의 질에 미치는 영향을 알아보고자 하였다. 2010년 2월부터 5월까지 병원을 외래로 방문한 만성 근골격계 여성 환자를 대상으로 요실금 자각 증상이 있는 114명에게 요실금 관련 삶의 질 도구로 설문조사를 실시하였다. 전체적인 삶의 질은 보통($61.36{\pm}13.2$점)이라고 느꼈으며, 요실금과 관련한 통증은 허리통증으로 나타났다. 통증정도는 VAS 4~7의 중간통증으로 나타났으며, 요실금으로 인해 삶의 질 요인 중 행위의 회피 제한과 심리사회적으로 영향을 받는 것으로 나타났다. 조사로 인해 중년여성의 요실금과 통증이 삶의 질에 실질적인 영향을 미침으로 나타나 실질적인 중재 개발에 기초를 제공할 수 있을 것이라 생각된다.

그라인딩 작업시 손목자세별 국소진동 전달특성 분석 (An Analysis of Transmitted-Vibration Characteristics by Different Wrist Posture during Grinding Tasks)

  • 황성환;이동춘
    • 대한인간공학회지
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    • 제26권1호
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    • pp.29-37
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    • 2007
  • This study was performed to evaluate the characteristics of transmitted vibration to hand-arm system under different work posture while operating a light-weighted powered hand grinder. For the experiment, 8 different types of wrist posture (natural, unlar-flexion, radual-flexion, flexion, extension, complex posture, and etc.) and 3 types of feed force (20[N], 50[N], 70[N]) were considered. 10 male subjects were employed to polish metal plate with a hand grinder. All of them were normal and healthy with no history and symptom of the work related musculoskeletal disorders in the dominant hand. Vibration acceleration data were recorded with sampling rate, 2048[Hz]. In addition, unweighted overall R.M.S. acceleration at the tool and wrist, and transmissibility between them were used to evaluate factors from the recorded tri-axial vibration acceleration. The results indicate that transmissibility of natural wrist posture was significantly higher than others. In addition, as the feed force becomes larger, the vibration was transmitted in large quantities to hand-arm system through radius.

A Case Report for One Case of Thyrotoxic Periodic Paralysis Patient

  • Lee Kyung-Hwan;Kim Yong-Seong
    • 대한한의학회지
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    • 제25권4호
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    • pp.226-234
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    • 2004
  • Objective : The thyrotoxic periodic paralysis mainly appears in case of hyperthyroidism and the amyotonia is the characteristic main symptom. Through the deteriorated case and treatment by oriental medicine, the purpose of this research is to study the change of symptoms and the treatment effect for one case of a thyrotoxic periodic paralysis patient, Methods and Results : The treatment was carried out with oriental medicine as a main treatment and by the oriental medicinally deteriorated case, acupuncture treatment, moxibustion treatment and herbal medicine treatment were used as the main treatment methods. Also based on the symptoms which could appear with hyperthyroidism, the changes of symptoms were evaluated once a day with 4 levels of subjective scales that the patient was feeling, by dividing with 4 aspects of totalis symptoms, cardiovascular symptoms, musculoskeletal symptoms and other symptoms. In addition, it was shown that through the continuous hematologic test, the subjective and objective symptoms were mostly decreased during the treatment periods by comparing with the objective thyroid hormone (T3, T4, TSH) levels and the electrolyte levels. Conclusion : With this result, it was considered that oriental medicinal treatment was very effective for the thyrotoxic periodic paralysis through the oriental medicinally deteriorated case.

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종골에 발생한 골아세포종 (1례 보고) (Osteoblastoma in Calcaneus (A Case Report))

  • 송은규;정성택;조성태;이재혁
    • 대한골관절종양학회지
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    • 제2권1호
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    • pp.111-115
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    • 1996
  • Benign osteoblastoma, a rare tumor which forms osteoid and woven bone, represents 3% of benign and 1% of all primary bone tumors. It can involve anywhere in the axial skeleton, which is most common in the spine (34%). But the lesion of the calcaneus is extremely rare. The ratio of males to females is 2:1, with 80 percent of the patients being under thirty years of age. Pain is the most common symptom and rarely pathologic fracture. Osteoblastoma is a benign tumor but has a high recurrence rate after intracapsular malignant change. Therefore, choice of surgical procedure is the 'enbloc' resection. Authors have experienced a case of osteoblastoma developed in calcaneus. The treatment was wide resection and triple arthrodesis. We have reported here the case in which osteoblastoma occured in calcaneus of the right foot.

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골반골의 악성종양 (Malignant Tumor of the Pelvic Bone)

  • 신규호;한수봉;궁윤배
    • 대한골관절종양학회지
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    • 제1권2호
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    • pp.181-188
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    • 1995
  • Malignant tumor of the pelvic bone has nonspecific symptom and it is not easily detected by physical examination or by radiologic study in early stage, because of its anatomical characteristics. Associated with their variety of disease entity, the treatment of malignant pelvic bone tumor is a problematic point. We have analysed 36 cases of malignant pelvic bone tumors diagnosed at the Severance hospital from 1968 to 1993 to provide a reference for diagnosis and treatment of the malignant pelvic bone tumors. We found that the chondrosarcoma(27.8%) and the osteogenic sarcoma(27.8%) were the most common type of pelvic bone malignancy, and then, in the order of incidence, there were Ewing's sarcoma(16.7%), malignant fibrous histiocytoma(11.1%). There were differences of the age distribution among each diseases and the average age was Ewing's sarcoma 20.5, osteogenic sarcoma 27.2, chondrosarcoma 40.0, malignant fibrous histiocytoma 64.8, respectively. Three of the 5 patients with low grade tumors survived(60%), whereas 3 of the 17 patients with high grade tumors survived(18%). The survival rate of the low grade malignant group was 60%, the high grade was 18%.

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Ergonomic Problems and Their Improving Measures in Office Environment of General Hospitals

  • Kee, Dohyung
    • 대한인간공학회지
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    • 제34권2호
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    • pp.135-143
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    • 2015
  • Objective: The purposes of this study are to investigate ergonomic problems and to propose their improving measures in office environment of big general hospitals. Background: Office tasks have varying risk factors of work-related musculoskeletal disorders (WMSDs). The first symptom resulted from the office work was recognized as an occupational disease in Korea in 1986. Although the symptoms have increased since its first recognition, there has been few study on the effect of office work environment settings. Method: First, the author took pictures of working scenes performed in three big university hospitals. Next, the pictures were analyzed in view point of ergonomics. Based on the analysis, their improving measures were proposed for reducing work stress. Results: The results showed that most physical office environment settings such as dimensions of tables/desks and chairs, leg room, thigh, knee and foot clearances, and chairs used did not satisfy the ergonomically recommended design guidelines. In addition, some clerks placed personal belongings under their desks, put monitors in high position and did not lean against the backrest of chairs in seated tasks, which resulted in poor working postures of leg, back, neck etc. It is recommended that the hospital management should provide their clerks with ergonomically designed office furniture and continuously perform ergonomics training program for raising clerks' recognition for office ergonomics. Conclusion: Most office environment settings investigated in this study were not in good condition in view point of ergonomic design for the settings. Application: It would be useful as basic data for establishing ergonomically good office environment in hospitals.

피부미용사의 손 부위 통증에 관한 연구 (A Study on Pain Characteristics in Parts of the Hand among Estheticians)

  • 김정화;피영규;이사우
    • 한국산업보건학회지
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    • 제25권2호
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    • pp.220-228
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    • 2015
  • Objectives: The purpose of this study was to investigate estheticians' self-reported pain symptoms and pain levels according to the parts of the hand. Methods: Data were collected through a questionnaire survey among 116 estheticians from 31 skin care centers and spas. Information about general characteristics, job characteristics and work characteristics were based on data from the self-administered questionnaire. To determine the self-reported pain symptoms and pain levels according to the parts of the hand, a Cornell Musculoskeletal Discomfort Questionnaire was used. Results: The subjects had the greatest self-reported pain symptoms in the thumb(Right: 53.4%, Left: 46.6%) and felt the highest level of pain in the wrist(Right: 4.87 points, Left: 4.71 points). Physical burdens and age had statistically significant effects on the pain level in the right hand, while physical burdens and the manager rather than the director had statistically significant effects on the pain level in the left hand. Conclusions: Since the thumb and wrist have the greatest subjective pain symptoms in the hand, the use of proper tools is recommended in order to reduce the usage of the thumbs during massage, as is regular stretching to protect the wrists.

치과위생사의 근골격계질환 자각증상에 관한 요인 (A Factor Analysis on Subjective Symptom of Musculoskeletal Diseases in Dental Hygienists)

  • 정미애
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2012년도 춘계 종합학술대회 논문집
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    • pp.347-348
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    • 2012
  • 본 연구의 목적은 치과위생사의 근무환경, 근골격계 질환 예방교육에 대한 인식, 작업관련성 근골격계 질환과 근무특성과의 연관성에 대하여 알아보고자 하였으며, 근골격계 질환 증상 감소를 위한 관리방안을 제시하고자 한다. 전국(서울, 경기, 대구, 포항) 210명의 치과위생사를 대상으로2011년 8월 1일부터 12일까지 자기기입식 설문지 조사를 시행한 후 회수하여 응답이 불분명하거나 크게 사고를 당한 5명을 제외한 205명에 대해서 분석 하였다. 수집된 자료는 SPSS WIN 15.0 프로그램을 이용하여 분석하였다. 그 결과 근골격계질환 예방에 관한 교육을 받은 적이 없는 치위생사가 78.0%로 대부분을 차지하였으며, 근골격계 질환 예방프로그램이 필요하다고 인식하는 치과위생사가 93.2%로 대부분을 차지하였다. 신체부위별 통증빈도를 보면, 평균이 '어깨-목 사이(오른쪽)'가 3.07로 가장 높았고, 신체부위별 통증 정도를 보면, 평균이 '발목/종아리(왼쪽)'가 1.47로 가장 높게 나타났다. 신체부위별 근골격계 질환 통증경험 관련 작업능력 지장여부를 보면, 평균이 '무릎(오른쪽)'이 1.84로 가장 높게 나타났다. 손에 대한 근골격계 질환 증상으로는 오른손의 불편함 정도를 보면, 평균이 'Abductor hallucis muscle' 부분이 2.05로 가장 높았고, 왼손의 불편함 정도를 보면, 평균이 'Thumb' 부분이 1.69로 가장 높게 나타났다.

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The Effect of Complex Korean Medical Treatment with Acupotomy on Irritable Bowel Syndrome: A Case Report

  • Min, Baek Ki;Jin, Joon Soo;Lee, Do Eun;Shin, Won Bin;Shin, Jin Hyeon;Youn, In Ae
    • Journal of Acupuncture Research
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    • 제37권1호
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    • pp.59-63
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    • 2020
  • The effects of complex Korean medicine treatment including acupotomy, on irritable bowel syndrome (IBS) are reported in this case study. A 54-year-old woman with diarrheal symptoms that alternatively improved and worsened for many years and worsening abdominal pain visited the emergency room and was diagnosed with IBS; she was admitted for approximately 2 weeks at the Acupuncture and Moxibustion Department of National Medical Center (NMC). Numerical rating scale (NRS), irritable bowel syndrome-quality of life (IBS-QOL), and gastrointestinal symptom rating scale (GSRS) scores were evaluated on the day of hospitalization, midway through the hospitalization period, and on the day of discharge. Abdominal pain was measured daily using NRS, and the score decreased from 8 at admission to 0 at discharge. The IBS-QOL percentile score improved from 42 points to 100 points. The total GSRS score also improved, from 30 points to 2 points. These results suggest that complex Korean medicine treatment with acupotomy, is useful for treating internal diseases, such as IBS, as well as musculoskeletal disorders.