• 제목/요약/키워드: spinal cord injuries

검색결과 118건 처리시간 0.028초

척수장애인 성 상담을 위한 인지행동치료 적용에 관한 기초연구 (Sexual Counseling for People with Spinal Cord Injuries: The Application of Cognitive Behavior Therapy)

  • 신숙경
    • 디지털융복합연구
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    • 제16권11호
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    • pp.633-638
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    • 2018
  • 대부분의 나라에서 척수장애인 수는 해마다 증가하고 있다. 장애발생 이후 많은 척수장애인이 성 정체성과 성적 부적응 문제를 가지게 된다는 연구들이 많음에도 불구하고, 그동안 이 문제는 재활상담 현장에서 소극적으로 다루어져 왔다. 이에 본 연구는 척수장애인들이 직면하는 성적 문제들을 제시하고, 성 상담과 관련된 이전 연구를 살펴보았다. 그리고 마지막으로 재활현장에서 척수장애인에게 적용 가능한 인지행동치료(CBT)를 통한 성 상담의 몇 가지 치료적 전략들을 제시하였다. 본 연구는 향후 재활상담현장에서, 척수장애인 뿐만 아니라 장애발생 후 장애인들이 겪게 되는 성 문제에 대한 보다 적극적인 논의의 필요와 적용 가능한 CBT의 기초적 이론 제시로써 의미가 있다. 이를 위한 몇 가지 제안들을 담고 있다.

Upper extremity musculoskeletal pain during rehabilitation in persons with spinal cord injuries using manual wheelchairs

  • Kang, Bo Ra;Cho, Dong Hee;Kim, Han Seung;Ahn, Si-Nae
    • Physical Therapy Rehabilitation Science
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    • 제8권2호
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    • pp.79-85
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    • 2019
  • Objective: The purpose of this study was to investigate the relationship between physical features, strength, function, and upper extremity musculoskeletal pain during rehabilitation of manual wheelchair users with spinal cord injuries. Design: Cross-sectional study. Methods: The degree and frequency of upper extremity musculoskeletal pain were measured in persons with spinal cord injuries using manual wheelchairs with the use of questionnaires. The pain scores of the hand, wrist, and shoulder joints were calculated by multiplying the seriousness and frequency of pain. We collected data on the manual muscle test, Spinal Cord Independent Measure-III, and the Body Mass Index. Statistical analysis was performed by descriptive analysis and Pearson's correlation analysis. Results: A total of 47 patients participated in this study and the neurological level of the injuries ranged from C2 to S5. Pain in the shoulder joints was the most common in persons with tetraplegia and paraplegia. Pain was experienced as mild to moderate, and occurred one or more times a week. Of the 32 persons with paraplegia, the most common area of complaint was the shoulder. Of the 15 persons with paraplegia, the shoulder joints were the most common site of pain. The independence levels of the persons with spinal cord injuries were highly correlated to muscle strength levels (p<0.05). Conclusions: This study investigated upper extremity musculoskeletal pain during rehabilitation of manual wheelchair users with spinal cord injuries and the relationship between physical features, strength, and function. In most persons with spinal cord injuries, pain and frequency of shoulder joints were high and pain levels were also related to functional levels.

고유수용성촉진법을 이용한 호흡운동이 경수 손상환자의 호흡기능에 미치는 영향 : 증례보고 (Using the PNF Approach to Improve Respiratory Function in Patients with Cervical Spinal Cord Injuries)

  • 송귀빈;김정빈
    • PNF and Movement
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    • 제12권2호
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    • pp.115-121
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    • 2014
  • Purpose: The study aimed to examine the influence of PNF direct and indirect breathing treatments for patients with cervical spinal cord injuries who had breathing problems. Methods: For each cervical spinal cord patient, force vital capacity (FVC), peak expiratory flow, maximum phonation time (MPT), rib cage width, and VAS were measured pre-intervention and four weeks after post-intervention. The indirect method and the direct method were used for interventions. We treated patients with the indirect method using scapular anterior depression pattern, bilateral extensor pattern with rhythmic initiation, and a combination of isotonic. We treated patients with the direct method, applying pressure on the sternum and using rhythmic initiation (hold relax and stretch reflex) for the rib cage. Training occurred for 50 minutes a day and three days per week for four weeks. Results: FVC, MPT, peak expiratory flow, and rib cage width were increased and decreased at the VAS point for rolling after treatment. Conclusion: Patients with cervical spinal cord injuries who had breathing problems felt uncomfortable when they had conversations on a couch. We found that PNF direct and indirect treatments improved rib cage width and breathing functions of patients with cervical spinal cord injuries.

부자(附子)의 경구투여(經口投與)가 RAT의 척수손상(脊髓損傷)에 미치는 영향(影響) 및 비교(比較) (The Effects of Radix aconiti on the Contraction of Rat's Spinal Cord Injury)

  • 이건목;김경식;이강창
    • Journal of Acupuncture Research
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    • 제15권2호
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    • pp.105-116
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    • 1998
  • Purpose In this study, We observed the recovery process in the ability to move in the hind limbs of the rats whose spinal cord injuries were treated by Radix acouniti(RA). The purpose of this study is to see the effects of Radix acouniti(RA) water extract on the contraction of rat's spinal cord injury. Procedure First, the rats were subjected to hemisectional spinal cord injuries by a scalpel blade. Those rats, then, were divided into three groups: Sham operated rats group and the experimental group, which received the Radix acouniti(RA) water extract, and the control group, which had no treatment. Their recovery in the ability to walk was observed by the Open Field Test (OFT) for 14 days after the injuries. Method The OFT was applied at four points: the hip, knee, ankle joint, and the tail. Each joint was given a movement rating of from 0 to 3, depending on the amount of movement. A movement rating of 0 designates no movement, a 1 designates slight movement, a 2 designates increased movement, and a 3 designates active movement. Slight movement is defined as a joint displaying less than or equal to 30% of that joint range, increased movement is displaying less than or equal to 60% of that joint's range, and active movement is greater than or equal to 90% of that joint's range. Tail movement is also graded on a scale of 0 to 3. A rating of 0 indicates that the tail is down 100% of the time, one of 1 indicates that the tail is down more than 10%, one of 2 shows that the tail is down less than 50% but more than 10% of the time, and one of 3 shows that the tail is down less than 10% of the time. All four ratings were added together and then averaged to arrive at a single score. Results The sham group which did not go through spinal cord injuries showed near normal results on all 3 joints and tail from right after the operation, which one would expect. The RA oral application group showed more effective recovery of movememt function than the control group around 4 days after the spinal cord injuries. However, after 14 days, both groups displayed almost the same degree of movement recovery. The results of this study are summarized as follows: 1. After 14days the spinal cord injuries, movement was recovered in sham operated group, control group, and experimented group in the hip, the knee, the tail and then the ankle of rats, in that order. 2. Around 7 days after the spinal cord injuries, the experimental group proved the effectiveness of the therapy in terms of movement recovery. 3. The level of ALT, ALP, AST in RA treated group was slightly increased. 4. The level of BUN and creatinine in RA treated group was slightly increased. The above results indicate that RA therapy at an early stage can bring about better movement recovery in patients with spinal cord injuries from traffic accidents or industrial disasters. But there is apparent side effect of RA on clinical, therefore the study on this should be continued.

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Delayed Post-Traumatic Spinal Cord Infarction with Quadriplegia: A Case Report

  • Kim, Tae Hoon
    • Journal of Trauma and Injury
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    • 제34권4호
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    • pp.279-283
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    • 2021
  • Traumatic spinal cord infarction is a rare condition that causes serious paralysis. The regulation of spinal cord blood flow in injured spinal cords remains unknown. Spinal cord infarction or ischemia has been reported after cardiovascular interventions, scoliosis correction, or profound hypotension. In this case, a 52-year-old man revisited the emergency center with motor and sensory abnormalities in all four extremities 56 hours after a motor vehicle collision. Despite the clinical presentation and imaging examination, there were no specific findings on the patient's first visit to the trauma center. Cervical spine computed tomography angiography showed a narrow vertebral artery, and diffusion-weighted imaging revealed spinal cord infarction from C3 to C5 with high signal intensity. It should be kept in mind that delayed-onset spinal cord infarction may occur in minor or major trauma patients as a result of head and neck injuries.

척수손상 치료 약제의 현재와 미래: 체계적 고찰 (Current Concept and Future of the Management of Spinal Cord Injury: A Systematic Review)

  • 최일;하진경;전상용
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.63-73
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    • 2013
  • Spinal cord injury (SCI) is a serious condition associated with social and familial burden, as well as significant neurologic deficit. Despite the many advances in the treatment of spinal cord injury, a fundamental treatment for neurologic functional recovery has not yet been developed. In this article, we review two directions of development for spinal cord injury treatment: neuroprotective pharmacological agents and axon-regenerating cell therapy. We expect developments in these two to lead to improve functional recovery in patients with spinal cord injuries and to reduce burdens on society, as well as the patients' families.

뇌졸중과 척수손상환자에게 적용되는 간호진단에 관한 연구 (A Study on Rehabilitation Nursing Diagnoses used for the Clients with Stroke and Spinal Cord Injury in Korea)

  • 서문자;임난영;강현숙;김금순;양광희;조복희;이명화;오혜경
    • 재활간호학회지
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    • 제2권1호
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    • pp.22-28
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    • 1999
  • The development of standards and guidelines of rehabilitation nursing has been the major concerns for providing better nursing to the rehabilitation clients. As the patients with stroke and spinal cord injuries are the most prevalent physical disabilities in Korea, this study focussed on the nursing diagnoses of these two groups of patients. In order to identify the nursing diagnoses frequently used In their practice for the patients with stroke and spinal cord injuries, a survey was done with the questionnaire form developed by the research team. The surveyee were the staff nurses working at rehabilitation wards more than 2 years from 8 general hospitals in Korea, They identified and set the priorities of 13 nursing diagnoses from 79 stroke patients and 10 nursing diagnoses from 35 patients with spinal cord injuries during the periods from March 1 to June 2, 1999. The identified nursing diagnoses for the stroke patients are impaired physical immobility, sensory-perceptual alteration, activity intolerance, self-care deficit, altered defecation, altered urination, risk for injury, unilateral neglect, impaired skin integrity, altered thought processes, pain, altered health maintenance, dysreflexia. The identified nursing diagnoses for spinal cord injuries are altered urination, altered defecation, impaired skin integrity, pain, risk for injury, reflex incontinence, impaired physical immobility, self-care deficit, activity intolerance, knowledge deficit.

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척수손상인의 적응과정에 관한 근거이론적 접근 (A Ground Theory Approach to the Adaptation Process of the Spinal Cord Injured Persons)

  • 송충숙
    • 동서간호학연구지
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    • 제22권2호
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    • pp.158-169
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    • 2016
  • Purpose: This study is a qualitative research on the adaptation of the spinal cord injury after fortuitous the accident. Methods: The subjects are fifteen spinal cord injuries. As a study method, this author employed Grounded theory, one of the qualitative research methods. For data analysis, the procedures of Grounded theory methodology was adopted, and then the data collection were collected for six months from March to September 2009. Concerning the frequence of interviewing, each participants went through individual interviewing twice at least and up to four times if necessary. Results: As a result of open coding, total thirty six concepts and twenty categories were drawn. To synthesize these categories, they came to choose 'Going into the new self-made spinal cord injury' as a nuclear category. Typological analysis based on the result of the paradigm model divided them into a reality-avoiding, passive coping, reality-maintaining, reality-overcoming, and self-fulfillment type. Conclusion: As a result of this study, family support to those with spinal cord disability is an important factor for their motive for rehabilitation and adjustment, spinal disabilities were accepted to mostly the disabilities in relations with colleagues. Thus it is necessary to give them a nursing intervention through disability group for successful adjustment to life with disability.

여성 척수장애인의 체험에 대한 현상학적 연구 (Phenomenology on the Lived Experience of Korean Women with Spinal Cord Injuries)

  • 황혜민;이명선;박은영;권은진
    • 대한간호학회지
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    • 제42권4호
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    • pp.508-516
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    • 2012
  • Purpose: The purpose of the study was to understand and explain the essences and structures of the experience of Korean women who have had a spinal cord injury. Methods: The data were collected in 2010 through individual in-depth interviews using open-ended questions. A total of 9 women with spinal cord injuries participated in the study. Each interview lasted about 2 hours. Verbatim transcripts were analyzed using phenomenological analysis. Results: Five theme clusters emerged from the analysis using Colaizzi's method: frozen mind with rigid body; shame due to restrictions of physical function and dependency; struggle to go back to the previous normal body; disabilities that are noticeable in everyday family life; rebirth by discarding the obsessions of the past. These theme clusters illustrate that although most participants faced very strange and unbearable situations in most aspects of life after the injury, they were empowered finally by finding their hope and by giving new meanings to the current existence. Conclusion: This study provides deep understanding of women with spinal cord injuries who are relatively alienated from society. Based on the results of the study, health professionals could develop effective nursing interventions to improve quality of life of these women.

척수장애 성인남성의 신체측정치 분석 (Analysis of Body Size of Disabled Men with Spinal Cord Injuries)

  • 한문정;송명견
    • 한국지역사회생활과학회지
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    • 제18권3호
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    • pp.433-444
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    • 2007
  • Today the number of the disabled people with a spinal cord injury is increasing by the acquired factor. The purpose of the study is to furnish basic data for the study of satisfactory clothing construction data by considering the physical variation by the time passed the since the injury. Also the study includes the actual measuring of the disabled men with spinal cord injuries which is compared with the data of the 5th national anthropometric survey of Korea and makes it possible to grasp the distinguished physical feature of the disabled men with the spinal cord injury. As a result, first, the measured data are smaller than those of the 5th national anthropometric survey of Korea in the items of height and length of the upper half of the body related to stature. Second, the measured data are bigger than those of the 5th national anthropometric survey of Korea in the items of breadth, depth and circumference of the upper half of the body related to the exercise. Third, there are differences in the items of depth of the lower half of the body, breadth and circumference in the analysis of the time passed since the injury.

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