• 근관절건강학회지
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• 제7권1호
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• pp.89-101
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• 2000

This study was carried out to compare the bone mineral density and risk factors of osteoporosis between normal and rheumatoid arthritis in postmenopausal women. Sixty-eight postmenopausal patients with rheumatoid arthritis(RA) were compared with 124 postmenopausal normal women. Data were collected from october, 1998 to April, 1999 at Dong-a university hospital in Pusan. From all subjects, individual characteristics such as age, body weight, height, age of menarche, duration of menopause, gravity, parity, and breast feeding period and factors of life style such as milk consumption, exercise, alcohol intake, cigarette smoking, coffee consumption were identified as influencing factors of osteoporosis by questionnaire. From RA patients, health assessment score, Ritchie articular index, erythrocyte sedimentation rate, C-reactive protein and steroid dosage were measured by rheumatologist on measuring bone mineral density. Bone mineral density was measured at the Lumbar spine, femoral neck, femur Ward's triangle, and femur trochanter using dual x-ray absorptiometry. The data was analyzed by using a frequency, t-test, Chi-square, ANCOVA with SPSS PC program. The results could be summarized as follows : 1) There was a significant difference in age and breast feeding period between RA patients and normal women. 2) RA patients took less calcium in the past and practiced less regular exercise in past and present than normal women. 3) There was no difference in lumbar bone mineral density between RA patients and normal women. 4) There was a significant difference in femur Ward's triangle and femur trochanter between RA patients and normal women after adjustment for age and breast feeding period. 5) The prevalence of osteoporosis of all subjects was the highest in femur Ward's triangle. In summary, our findings suggest that the bone mineral densities of femur Ward's triangle and trochanter in postmenopausal women with RA is significantly lower than normal women. Also the exercise participation rate of postmenopausal women with RA is lower than normal women. For the further study, we recommend to develop exercise program that improve the bone mineral density in femur Ward's triangle and trochanter and to test the effect of that exercise program.

• 한국산학기술학회논문지
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• 제22권2호
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• pp.659-666
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• 2021

이 연구는 정상 성인에서 머리-목 굽힘 운동 시 시선의 각도와 압력이 깊은목굽힘근의 두께변화에 미치는 영향을 알아보고자 하였다. 본 연구에는 27명이 참여하였다. 머리-목굽힘 운동하는 동안 4가지(0°, 20°, 40°, 60°)의 시선과 5가지(20mmHg, 22mmHg, 24mmHg, 26mmHg, 28mmHg)의 압력에서 목긴근과 목빗근의 근 두께는 초음파 영상을 이용해 측정하였다. 시선 각도 및 압력변화에 따른 목긴근과 목빗근의 두께 변화를 비교 분석하기 위하여 반복측정분산분석을 수행하였다. 본 연구결과, 목긴근은 20과 22mmHg에서 0°와 20°, 0°와 40°, 0°와 60°은 유의한 차이를 보였으며, 20°에서 가장 근활성도가 높았다(p<.05). 목빗근은 28mmHg에서 0°와 20°, 20°와 40°, 40°와 60°은 유의한 차이를 보였으며, 20°에서 가장 낮은 근활성도를 보였다(p<.05). 본 연구에서 머리-목 굽힘 운동 시에는 시선의 방향을 20°로 설정하는 것이 목긴근의 활성화를 높이고, 목빗근의 근활성도를 낮추어 운동의 효과를 얻을 수 있다는 것을 찾았다. 본 연구의 결과를 바탕으로 임상환경에서 머리-목 굽힘 운동시에 시선 방향을 설정하여 운동의 효과를 증대시키길 바란다.

• The Korean Journal of Pain
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• 제11권1호
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• pp.138-142
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• 1998

Fibromyalgia syndrome is defined as a diffuse, aching musculoskeletal pain associated with multiple and discrete predictable tender points along with stiffness. A primary form associated without any disease is uncommon compared to the secondary diffuse fibrositis. We witnessed a case of a primary fibromyalgia syndrome. A 28-year-old woman was suffering from pain on posterior neck, right shoulder, upper back, left hand and arm for two years. She also complained of morning stiffness, fatigue, and headache. We treated her with stellate ganglion block with 0.25% bupivacaine, medication that included amitriptyline, TENS and superlizer. We also recommended aerobic exercise.

• 대한수의학회지
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• 제56권2호
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• pp.121-123
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• 2016

A 7-year-old castrated male domestic short-hair cat presented with anorexia, constipation, depression, and voice alteration. Physical and neurological examinations revealed hyperthermia ($40.5^{\circ}C$), ventroflexion of the neck, reduced responses to external stimuli, generalized muscle weakness, and exercise intolerance. Thoracic radiographs revealed the presence of a cranial mediastinal mass. The history, clinical signs, and other examination results were compatible with acquired myasthenia gravis (MG). Acetylcholine receptor (AChR) antibody titers were determined to confirm MG and the serum AChR antibody concentration was 1.24 nmol/L (reference interval, < 0.3 nmol/L). This is the first diagnosis of acquired MG in a cat in Korea.

• 대한정형도수물리치료학회지
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• 제9권1호
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• pp.19-28
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• 2003

Objectives : This study was to investigate the relationship analysis in VDT(visual display terminal) of work hours. Methods : Questionnaires were completed by 41 women in VDT operations. The information was used to estimate multiple regression for the VDT of work hours related factors association. Results : The prevalence of the VDT of work hours was significantly higher in the shoulder which followed by the neck, the hand and fingers, the arms, the lowback, the back. The VDT of work hours decreased with aging. The VDT of work hours increased with work duration, single, lower among habitual exercise. The desk height, the seat pan height, the posture on the sitting, the elbow angle all did not meet the recommended criteria. Conclusions : Data from this study support a statistically significant association with satisfaction for occupation.

• 동의생리병리학회지
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• 제32권4호
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• pp.232-246
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• 2018

The purpose of this research is to contribute to clinical researches on neck pain and cervical spondylosis by reviewing the latest research trends and evaluation tools through the analyses of clinical studies on neck pain and cervical spondylosis over the last 5 years. 70 papers satisfying the selection conditions among the RCT papers that had been searched as "neck pain" or "cervical spondylosis" at Pubmed(https://www.ncbi.nlm.nih.gov/pubmed) from March 2011 to February 2016 were targeted. Papers were numbered in order of their publication dates and analyzed by classifying their contents into 1) pain classification, 2) treatment type, 3) treatment duration, 4) treatment time, 5) number of participants, 6) evaluation tools and methods of research, and 7) evaluation duration. 55 papers targeted chronic neck pain, 6 papers acute and subacute neck pain, and 2 papers subacute and chronic neck pain. In comparison by intervention, 43 papers corresponded to physical therapy, 3 papers to acupuncture, 1 to herbal fomentation, 5 to medication, and 18 papers corresponded to multilateral comparisons comparing the efficacy by various interventions. In research period, there were 50 papers based on treatment period, 16 papers based on the number of treatments, and 4 papers based on different periods depending on each group. In treatment duration, the cases from 1 month or more to less than 3 months were most, followed by the cases of less than 1 month, and the cases from 3 months or more to less than 6 months. In treatment frequency, the number of treatments of the treatment group was the same as that of the control group in 51 papers, and many treatments were conducted by the methods of acupuncture, manual therapy, and injection therapy in cases of once or twice of treatments, and physical therapy and electroacupuncture corresponded mainly to the cases from 3 times or more to less than 10 times of treatments, and retrospective observation and exercise programs corresponded mainly to the cases of more than 30 times of treatments. In the number of subjects of the researches, the cases from 50 or more to less than 100 were most, followed by the cases from 20 or more to less than 50. There were 7 evaluation tools cited 10 times or more: VAS, NRS, PPT, NDI, NPQ, CROM, and SF-36. In evaluation period, 37 papers evaluated only during the treatment period, and 33 papers conducted follow-up. In follow-up period, the cases of less than 3 months were most, followed by the cases from 6 months or more to less than 1 year, and the cases from 3 months or more to less than 6 months. When planning clinical researches on cervical pain in the future, appropriate intervention methods, frequency and duration of treatment, period of follow-up, appropriate number of subjects and selection of evaluation tools for objective validity will have to be considered. In addition, randomization, double-blind, etc. will have to be considered for researches with high basis level.

• 한국자연치유학회지
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• 제8권2호
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• pp.63-70
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• 2019

목적: 본 연구의 목적은 둔부근육의 협착, 틀어진 체형, 어깨 통증이 있는 기혈순환이 나쁜 대상자들을 상대로 기혈테라피의 효과를 탐색하는 것이었다. 방법: 기혈테라피와 교정 기혈운동을 사용 하였다. 결과: 기혈테라피를 시술하기 전에 둔부 근육이 거의 움직이지 않았지만, 시술한 후에는 근육의 탄력이 회복되었고 회색으로 경화되었든 피부의 색상도 밝아지었고 항문 괄약근에도 힘이 생기었다. 대상자의 체형이 우측으로 -7°가량 틀어지면서 우측 팔이 좌측팔에 비해서 약 6 cm정도 길었었으나, 체형교정 후에는 우측 팔의 길이가 약 5 cm 정도 줄어들었고, 틀어졌던 체형이 거의 평형을 이루었다. 목 및 어깨교정 후에는 쇄골과 목의 간격이 7 cm로 간격이 넓어졌고, 승모근을 풀어준 후에는 10 cm로 넓어졌으며, 어깨통증이 많이 완화 되었다. 골반교정 후 둔부통증이 완화되었고, 고관절의 위치가 바르게 돌아왔다. 좌측으로 45°각도 틀어졌던 우측다리가 바르게 교정이 되었으며, 4 cm 정도 길었던 우측 다리의 길이도 좌우가 같아졌다. 둔부통증 및 무릎통증도 완화되었다. 골반교정 기혈운동 후에 대상자 1의 고관절의 위치가 바로 잡히어 좌측으로 45°각도 틀어졌던 우측다리가 바르게 교정이 되었고, 4 cm 정도 길었던 우측 다리의 길이도 좌우가 거의 같아졌다. 대상자2는 교정 전에는 무릎이 붙지가 않았고, 오른쪽 무릎이 왼쪽에 비해서 위로 5 cm 정도 올라갔었으며, 발목이 좌측에 비해서 30° 각도로 굽어져 있었는데, 교정 후에는 두 다리의 무릎이 안정되게 붙일 수 있게 되었고, 무릎의 높이도 같아 졌으며, 발목꺾임이 각도도 정상으로 교정이 되었다. 결론: 꾸준하게 기혈테라피와 척추교정 및 골반교정 기혈운동을 한다면 틀어졌던 체형도 바르게 회복되고, 아픈 통증도 완화되어 관련 질환들을 예방 및 치유하는데 효과가 있다고 본다.

• 대한치과의료관리학회지
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• 제7권1호
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• pp.21-28
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• 2019

The purpose of this study was to investigate the association between wrong postures and pain during scaling and encourage dental hygienists and students to exercise scaling in a good position. After obtaining informed consent, 107 students (3rd and 4th grade students) who had an experience with scaling practice were enrolled. The questionnaire included three general items, four items related to the posture during scaling, and nine items related to pain management (total 16 items), for which the five-point Likert scale was used. Through the questionnaire, we examined the preference of posture during scaling, posture education during scaling, pain in each part during scaling, pain management, and pain management method. In the scaling exercise, 86.3% of the subjects were instructed on the correct posture, and 87.9% of the subjects perceived the possibility of inducing musculoskeletal disorders based on the scaling posture. The percentage of subjects who responded that they performed scaling in the correct posture was 33.6% and that of subjects who answered that they bowed or turned their head by more than 15° was 64.4%. Further, 45.7% of the subjects answered that they bent their shoulders, and 29.9% of the subjects answered that their postures were not parallel to the floor. Pain during scaling was still higher when they bent their head, they bent their waist, and they bent their wrist (p<0.05). During scaling, pain was most frequent in the fingers and hands (15%), followed by the neck (14%), shoulders (11.2%), waist (9.3%), and feet and legs (2.8%). The percentage of subjects who performed regular exercise (or stretching) to prevent pain was 29.9% and that of subjects who managed pain after scaling was 12.1%. Further, exercise (24.6%) and self-massage (20.3%) were highly used as the pain management methods, and the school practice was preferred to education media for pain management (79.4%). In the scaling practice, there was a training on pain management, but the frequency of practicing in the wrong posture was high. Moreover, pain increased upon practicing in an incorrect posture. Therefore, more in-depth and systematic education on the necessity and method of musculoskeletal disease management during scaling is required.

• 말소리와 음성과학
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• 제15권3호
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• pp.53-58
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• 2023

갑상선 절제술 후 정상적인 성대 움직임을 보이는 경우의 29.7%가 주관적인 음성문제를 호소하며, 이는 의사소통과 관련된 삶의 질 저하로 이어질 수 있다. 본 연구의 목적은 신경학적 손상이 없는 갑상선 절제술 후 음성의 음도문제를 개선하기 위해 경부운동과 semi-occluded vocal tract exercise를 적용하여 고안한 음성치료법의 효과를 알아보는 것이다. 이를 위해 갑상선 절제술 후 음도문제를 보이는 여성 10명을 대상으로 무작위 배정에 의힌 음성치료를 갑상선 술 2주 후 1회 실시하였다. 술 전과 술 후, 음성치료 직후의 음성 비교하기 위해 음향학적 분석[fundamental frequency, jitter, shimmer, noise-to-harmonics ratio, min Voice Range Profile(VRP), max VRP, VRP]을 실시하였다. 연구결과, 술 전에 비해 술 후 유의한 감소를 보였던 max VRP, VRP가 음성치료 직후 유의한 증가를 보였다. 이와 같은 결과는 본 연구의 음성치료법이 갑상선 술 후 음성문제의 주요한 증상인 고음역대 주파수 저하를 개선하는데 효과적인 방법임을 시사한다. 추후에는 본 치료효과가 장기간 지속되는지에 대한 연구가 필요할 것이다.

• 한국치위생학회지
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• 제12권6호
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• pp.1128-1137
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• 2012

Objectives : The purpose of this study was to identify the factors that affect working environment related musculoskeletal subjective symptoms among dental hygienists. Methods : The subjects in this study were 232 dental hygienists working at dental clinics and general hospitals in Daegu. The data has collected through the self-questionnaire survey from July 9th 2012 to July 31th. Results : 1. Musculoskeletal subjective symptoms were 85.3% in shoulder(right), 81.9% in neck, 74.6% in shoulder(left), 65.5% in wrist(right), 56.5% in lower leg(right). 2. Pain frequency of musculoskeletal subjective symptoms were the highest 24.7% in neck. Seeing the severity pain was the highest 9.0% in foot(left). The investigation of work interference related to substantially pain showed the highest 18.5% in wrist(right). 3. Musculoskeletal subjective symptoms correlated with general characteristics such as age, marital status, regular exercise and medical check-up(p<.05). 4. Musculoskeletal subjective symptoms correlated with working environments such as working career, the night treatment, the average daily number of patients handled, the average daily standing work hours, the regular rest, the major job in work place and physical burden(p<.05). Conclusions : The education or program on wrong working habits and bad postures of dental hygienists is needed to prevent musculoskeletal disorder.