• 제목/요약/키워드: neck extension

검색결과 236건 처리시간 0.026초

근에너지기법이 둥근어깨를 가진 20대 여대생의 어깨복합체 가동성과 자세정렬에 미치는 영향 (The Effects of Muscle Energy Technique on the Shoulder Complex Range of Motion and Posture Alignment of Female College Students in their Twenties with a Round Shoulder)

  • 임경은;정연우;서태화
    • 대한정형도수물리치료학회지
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    • 제27권2호
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    • pp.17-25
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    • 2021
  • Background: The purpose of this study is to investigate basic data about the effects of muscle energy technique on the shoulder complex range of motion and posture alignment in the round shoulder posture. Methods: The subjects included 15 women that gave consent to participate in the study voluntarily. They performed the muscle energy technique for 30 minutes twice. The round shoulder posture was measured with a straight edge ruler. The shoulder complex range of motion was measured with the apley scratch test. The forward head posture was measured with ImageJ. The pectoralis minor muscle length was measured with a tape measure. Results: There were statistically significant differences in the round shoulder posture both right and left (p<.05). The experiment group showed statistically significant differences in the pectoralis minor muscle length (p<.05). There were significant differences in the shoulder complex range of motion including flexion, left lateral flexion, right lateral flexion, left side bending, and right side bending (p<.05), but no significant differences were found in extension (p>.05). The forward head posture showed significant differences in CVA changes (p<.05) and no significant differences in CRA changes (p>.05). Conclusion: These findings demonstrate that the muscle energy technique relaxed muscles around the shoulders and increased the shoulder complex range of motion. The technique is also expected to prevent pain in the neck and shoulders and lower injury risk. In conclusion, the muscle energy technique can be applied as an effective intervention for round shoulder posture.

Effects of Combined Cervical Stabilization and Stretching Exercises on Craniovertebral Angle, Respiration, Disability, and Range of Motion in Office Workers with Forward Head Posture : A Randomized Control Trial

  • Kim, Kyung;Kang, Na-Yeon
    • 대한통합의학회지
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    • 제10권3호
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    • pp.13-25
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    • 2022
  • Purpose : The purpose of this study was to investigate the effects of combined cervical stabilization exercise (CSE) and stretching exercise (SE) on office workers with forward head posture (FHP). Methods : A total of 32 office workers with forward head posture were randomly assigned to experimental (n=16) and control (n=16) groups. The experimental group underwent combined CSE and SE, and the control group underwent cervical self-myofascial release and SE. Both groups performed exercises for 40 min per day, thrice per week for a total of 6 weeks. Craniovertebral angle (CVA), respiration, disability, and joint range of motion (ROM) before and 6 weeks after intervention were measured and compared. Results : There was no significant between-group difference in the general characteristics (p>.05). The intra-group comparison showed significant differences in the visual analog scale (VAS) and neck disability index (NDI) of both groups post-intervention (p<.05). CVA and forced expiratory volume in 1 seconds (FEV1) were significantly improved post-intervention in the experimental group only (p<.05). In the experimental group, all ROM variables were significantly improved post-intervention. In contrast, in the control group, all ROM variables improved significantly post-intervention, except for extension (p<.05). The inter-group comparison showed significant differences in NDI, left lateral flexion, right lateral flexion, and left rotation between the two groups (p<.05). Conclusion : The combination of CSE and SE, which stabilizes the cervical spine, had positive effects on cranial rotation angle, respiration, disability, and joint ROM in office workers with forward head posture. Therefore, the combination of the two exercises may be an effective option to reduce symptoms and prevent postural problems in office workers with FHP.

The Oblique Extended Reverse First Dorsal Metacarpal Artery Perforator Flap for Coverage of the Radial-Volar Defect of the Proximal Interphalangeal Joint in the Index Finger: A Case Report

  • Jeeyoon Kim;Bommie Florence Seo;Junho Lee;Sung No Jung
    • Archives of Plastic Surgery
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    • 제49권6호
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    • pp.760-763
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    • 2022
  • The dorsal metacarpal artery perforator flap is a flap that rises from the hand dorsum. Owing to its reliability and versatility, this flap is used as a workhorse for finger defect. However, to cover the radial-volar defect of the proximal interphalangeal joint (PIPJ) of the index finger, a longer flap is required than before. Here, we introduce the oblique extended reverse first dorsal metacarpal artery (FDMA) perforator flap to cover the radial-volar aspect defect of the index finger. A 45-year-old man got injured to the radial-volar defect of PIPJ of the left index finger caused by thermal press machine. The wound was 2 × 1 cm in size, and the joint and bone were exposed. We used FDMA perforator from anastomosis with palmar metacarpal artery at metacarpal neck. Since the defect was extended to the volar side, the flap was elevated by oblique extension to the fourth metacarpal base level. The fascia was included to the flap, and the flap was rotated counterclockwise. Finally, PIPJ was fully covered by the flap. Donor site was primarily closed. After 12 months of operation, the flap was stable without complication and limitation of range of motion. The oblique extended reverse FDMA perforator flap is a reliable method for covering the radial-volar defect of the PIPJ of the index finger. This flap, which also has an aesthetic advantage, will be a good choice for hand surgeons who want to cover the PIPJ defect of the index finger using a nonmicrosurgical option.

대퇴경부 골절 환자의 입원 생활 (The Hospital Life of the Patient with Femoral Neck Fracture)

  • 김경자;지성애
    • 간호행정학회지
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    • 제2권1호
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    • pp.35-56
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    • 1996
  • Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

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구강인두 종양의 방사선 치료 성적 (Primary Radiotherapy of Oropharyngeal Carcinoma : Experience in Korea Cancer Center Hospital (1980. 1-1986. 12))

  • 박영환;박우윤;조철구;고경환;류성렬;심윤상;오경균;이용식
    • Radiation Oncology Journal
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    • 제8권2호
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    • pp.189-198
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    • 1990
  • 저자들은 1980년 1월부터 1980년 12월까지 원자력병원 치료방사선과에서 방사선 치료를 받은 66명의 구강인두 편평상피 종양 환자들을 대상으로 한 후향적 분석을 통하여 다음과 같이 결과를 얻었다. 구강인두 종양의 원발 부위별 환자분포를 보면 편도부위 종양이 42예로 가장 많았고 연구개 종양이 12예, 구강저 종양이 9예 그리고 측인두 및 후인두벽 종양이 3예순이었다. 구강인두 부위에 침범한 병소들을 총체적으로 분석한 경우 원발병소의 병기에 따른 국소관해율은 T1과 T2 그리고 T3와 T4 병기에서 각각 80%와 77% 그리고 73%와 40%였고 전체적으로 70%의 국소관해율를 보였다. 국소관해율은 원발병소의 병기가 낮을수록, 또한 원발부위로 볼때 연구개부위 종양에서, 그리고 분화도상에 미분화된 세포를 가진 경우에 가장 높았다. 국소적 임파선의 병기에 따른 국소임파관해율은 N1과 N2 그리고 N3 병기에서 각각 96%와 63% 그리고 40%였으며 전체적으로 70%의 국소임파관해율를 보였다. 원발병소의 병기에 따른 5년 생존율은 T1과 T2에서 73%, T3와 T4에서 46%였다(p<0.05). 또한, 편도부위에 생긴 종양의 경우 5년 생존율은 주위조직으로의 침범이 없는 군이 있는 군보다 통계적인 유의차로 높았다(p<0.01). 결론적으로 볼때 방사선 요법이 해부학적 형태 유지 및 기능적인 보존측면에서 구강인두 종양에 대한 일차적인 치료방법으로서 효과적인 것으로 사료된다.

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동적 다엽콜리메이터를 이용한 척수의 부분 차폐 기법 (Spinal Cord Partial Block Technique Using Dynamic MLC)

  • 조삼주;이병용;이상욱;안승도;김종훈;권수일;최은경
    • 한국의학물리학회지:의학물리
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    • 제14권1호
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    • pp.8-14
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    • 2003
  • 두경부 및 흥부에서 척수 견딤선량은 방사선 치료 제약 조건중의 하나이다. 이 영역에서 척수 견딤 선량을 임상적으로 허용 가능한 수준으로 유지하면서 표적에 임상적으로 유의한 선량을 전달하는 것은 쉽지 않은 문제이다. 기존의 치료 방법을 적용할 때 따르는 문제를 해결하기 위해 동적 다엽콜리메이터(dynamic multi leaf collimator, dMLC)를 사용한 척수의 부분 차폐 기법(spial cord partial block technique)을 개발하였다. 이 기법은 기존의 3차원 방사선 치료 계획 장치를 사용하여 치료계획을 수립한다. 치료 계획 절차는 표적을 잘 포함 할 수 있는 빔 방향 및 빔 개수를 설정한 후, 척수 등 방사선 민감 장기를 보호하기 위한 부분차폐를 적용하여 최적화된 선량분포를 만들어 낸다. 이 기법의 유용성을 평가하기 위해 동일한 환자에 대해 기존의 치료 계획과 PBT 치료 계획을 수립하여 상호 비교 평가하였다. 평균 선량과 DVH를 치료 계획 평가 인자로 사용하였다. 임상 적용 가능성을 위해 일련의 정도관리를 수행하여 평가하였다. 이 정도관리는 선량 분포 검증에 대한 필름 도시메트리와 단일점 측정으로 구성되어 있다. PBT 치료계획이 기존의 치료계획 보다 좋은 결과를 얻을 수 있었으며, 두경부에서 유용한 치료 기법임을 볼 수 있었다.

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근막이완기법에 의한 유연성 및 혈장 카테콜라민의 변화 (Changes of Flexibility and Plasma Catecholamine by Myofascial Release Approach)

  • 김종순;문동철;장경수
    • 한국콘텐츠학회논문지
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    • 제12권3호
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    • pp.214-221
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    • 2012
  • 최근 일부 연구자에 의해 근막의 자율신경지배가 보고되고 있다. 그러나 근막이완술의 효과에 대한 신경 생리학적 설명과 근거는 없는 실정이다. 이에 본 연구의 목적은 근막이완술에 의해 자율신경계의 흥분이 변화될 수 있는지의 여부를 알아보고자 하였다. 본 연구에서는 건강한 20대 피검자 30명을 15명씩 무작위로 근막이완술군(MG)과 위약대조군(PCG)로 배치하였다. 근막이완술군으로 배정된 피검자들에게는 치료대에 바로 누운 자세에서 두개 기저부 이완기법(cranial base release)을 5분간 적용하였고 위약대조군으로 배정된 피검자들은 같은 자세와 절차를 거치지만 실제 근막이완술을 적용하지 않는 위약 치료를 적용하였다. 근육의 유연성은 경부의 관절가동범위로 측정하였으며 자율신경계의 변화는 심박수, 혈압 그리고 에피네프린과 노르에피네프린의 수치로 측정하였다. 본 연구의 결과는 다음과 같다. 1. 근막이완술군에서 신전과 측방굴곡의 가동범위 변화율이 유의하게 증가하였다. 2. 심박수와 혈압, 그리고 에피네프린의 변화율은 두 군간 유의한 차이가 없었다. 3. 노르에피네프린의 변화율은 두 군간 유의한 차이가 있었다. 본 연구의 결과 근막이완술이 자율신경계의 흥분을 변화 시킬 수 있다는 근거는 없었다.

구강 설 편평 상피 세포암의 임상적, 치료적 고찰 (Clinical and Therapeutic Aspects of Squamous Cell Carcinoma of Oral Tongue)

  • 류삼열;이창걸;박인규;서창옥;김귀언;노준규
    • Radiation Oncology Journal
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    • 제5권2호
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    • pp.105-110
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    • 1987
  • 구강 내 설암은 설의 전방 삼분의 이에서 발생하는 것으로 근치적 요법으로는 수술과 방사선 치료가 그 근간을 이루어 왔으며, 같은 병기에서 두 요법간의 완치율은 거의 동일한 것으로 보고되고 있다. 특히 조기병소(T1, T2)에서는 이 두 요법간에 비슷한 국소 퇴치율을 보이므로 치료법의 선택에는 그 치료로 인해 발생하는 기능적 손상 및 미용적 결손을 최소화하는데 역점을 두어야 할 것이다. 그러므로 큰 기능적 손상 없이 용이하게 절제할 수 있는 첨단부 및 배부의 작은 병소를 제외하고 대부분의 조기병소는 방사선 요법으로 정상적인 발성 및 연하작용을 유지하며 치료할 수 있다. 그러나 비교적 진행된 병소(late T2, T3) 중 하부 침윤이 심하지 않으면 방사선 치료만으로 완치될 수 있으며 수술은 방사선 치료 후 재발암의 구원요법으로 유보해 두는 것이 바람직할 것이다. 방사선 치료의 방법으로는 외부 조사법 외에 자입요법 등이 있으나 최대의 국소 퇴치를 위해서는 자입요법이 필수적인 것으로 나타났다. 이러한 자입요법으로 치료기간을 단축할 수 있음은 말할 것도 없고 투여되는 선량을 증가시킴으로서 국소 퇴치율의 향상을 기대하고 나아가 생존율을 높일 수 가 있을 것이다.

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관성측정장치를 이용한 경추관절 가동범위 측정의 검사 내 반복성 및 검사-재검사 신뢰도 연구 (Test-retest Reliability and Intratest Repeatability of Measuring Cervical Range of Motion Using Inertial Measurement Unit)

  • 김현호;김경욱;박지민;김은석;이민준;강중원;이상훈;박영배
    • Journal of Acupuncture Research
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    • 제30권4호
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    • pp.25-33
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    • 2013
  • Objectives : To assess the test-retest reliability and the intratest repeatability in measuring the cervical range of motion of healthy subjects with wireless microelectromechanical system inertial measurement unit(MEMS-IMU) system and to discuss the feasibility of this system in the clinical setting to evaluate the cervical spine musculoskeletal. Methods : 12 healthy people who were evaluated as no- or mild-disability with neck disability index were participated. Their cervical motion were measured with IMU twice in consecutive two days for the test-retest reliability study. Intratest repeatability was calculated in the two tests separately. The calculated intraclass correlation coefficients(ICC) were discussed and compared with the those of the previous studies. Results : Cervical range of motion data were acquired and statistically processed: left rotation($61.64^{\circ}$), right rotation($65.12^{\circ}$), extension($61.98^{\circ}$), flexion($52.81^{\circ}$), left bending($39.31^{\circ}$), right bending($41.08^{\circ}$). ICCs were 0.77~0.98(intratest repeatability) and 0.74~0.93 (test-retest reliability) in the primary motion. In the coupling motion, intratest repeatability ICCs were 0.93~ 0.99(transverse primary plane), 0.88~0.97(saggital primay plane), and 0.77~0.93(coronal primary plane). Test-retest reliability of coupling motion were 0.90~0.97(transverse primary plane), 0.00~0.72(saggital primary plane), and 0.04~0.76(coronal primary plane). Conclusions : Several types of range-of-motion devices are now on use in many fields including medicine, but the practicality of the devices in clinical use is questionable for the convenient and economical aspects. In this study, we presented the reliability of cervical range of motion test with the developed wireless MEMS-IMU system and discussed its potential utility in clinical use.

한우에서의 주사기 오사용으로 발생한 파상풍 증례 (Tetanus occurred by misuse of syringe in Korean native cattle)

  • 이경현;김하영;정병열;김종완;이기찬;소병재;엄재구;송재찬;최은진
    • 한국동물위생학회지
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    • 제42권1호
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    • pp.39-42
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    • 2019
  • Tetanus is an acute, often fatal, and infectious disease of all species of domestic animals caused by the neurotoxin of Clostridium tetani (C. tetani). This disease is usually known to develop after microbial contamination in the deep or penetrating wound sites. In February 2017, a farmer who was raising 76 cows injected foot and mouth disease vaccine to three or more cows with one syringe. Their clinical symptoms were observed 2 to 16 days after the vaccination. The initial symptoms were stiffness, rigidity of the neck and limbs, pricked ears, and prolapse of the third eyelid. Subsequently, there was recumbency with extension of the limbs, convulsions and opistotonus and the affected 20 cows were all died. Two dead cows were submitted to Animal and Plant Quarantine Agency for disease diagnosis. At necropsy, a focal edematous abscess of 15 to 20 cm in diameter was grossly observed in the subcutaneous and intramuscular tissue of scapular region and filled with a large amount of greenish pus. The feed was full in oral cavity and slightly observed in the trachea and lobes of lung. Histopathologically, focal granulomatous nodules with eosinophilic materials in the tissue were observed. In the lung, aspiration pneumonia and gram (+) bacteria were seen. The C. tetani was isolated in samples anaerobically cultured using reinforced clostridial medium and identified by PCR. To our knowledge, no previous outbreak of tetanus in cattle has affected such a high number of animals; neither has it been associated with misuse of the same syringe and needle to administer multiple individuals.