• 여성건강간호학회지
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• 제8권3호
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• pp.412-423
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• 2002

This study was designed to evaluate the effect of pelvic floor muscle exercise using biofeedback and electrical stimulation after normal vaginal delivery. The data were collected from November 1999 to April 2000 at a university hospital located in Seoul, Korea. Out of 49 women with normal vaginal delivery, 25 of experimental group(with exercise) and 24 of control group(without exercise) were questioned about lower urinary symptoms, discomfort during sexual intercourse and daily life. The maximum pressure of pelvic floor muscle contraction(MPPFMC) and duration of pelvic floor muscle contraction(DPFMC) were measured at pre-treatment, the end of treatment and 8 weeks after a treatment program. The pelvic floor muscle exercise program(using biofeedback and electrical stimulation) was applied to the experimental group twice a week for 4 weeks at the incontinence clinic and the pelvic floor muscle exercise at home for that time and more 8 weeks. Data were analyzed by t-test, $x^2$-test, Fisher's exact test and the repeated measures ANOVA. The results were as follows; 1) MPPFMC(p=0.000) and DPFMC(p=0.021) were significantly increased in the experimental group. 2) In the lower urinary symptoms, daily frequency(p=0.001), nocturia(p=0.002), incontinence episode(p=0.016), stress incontinence(p=0.012), quantity of incontinence(p=0.026), straining(p=0.041), and strength of stream(p=0.009) were significantly decreased in the experimental group. 3) Discomfort during sexual intercourse had not a significant difference between the two groups, which was not significantly decreased as time passed. 4) In the discomfort during daily life, activity restriction(p=0.042), exercise restriction (p=0.008), interpersonal relationship restriction(p=0.046), and discomfort of general life(p=0.027) showed a significant difference between the two groups, which were not significantly decreased as time passed. In conclusion, it is suggested that the pelvic floor muscle exercise using biofeedback and electrical stimulation might be a safer and more effective program for the improvement of postpartum pelvic muscle contraction.

• 한국컴퓨터정보학회논문지
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• 제27권10호
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• pp.163-173
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• 2022

본 연구에서는 요실금 발생빈도가 높아지는 40대, 50대, 60대 여성을 대상으로 하여 하반신 몸통 체형을 유형화하고 그 특징을 알아보고자 한다. 또, 연령대별 하반신 몸통 체형을 분류해봄으로써 요실금 팬티 패턴 개발에 필요한 기초자료를 얻고자 한다. 본 연구는 국가기술표준원 제8차 인체치수조사데이터 중 40-69세 여성 1543명을 대상으로 하여 하반신 몸통 관련 계측항목 총 29개를 분석하였다. 분석에는 SPSS 26.0 프로그램을 사용하였다. 하반신 몸통 높이 항목은 연령이 증가할수록 낮아지고, 너비 관련 항목은 연령이 증가할수록 넓어지며, 둘레 관련 항목은 허리둘레와 배둘레는 증가하고 엉덩이둘레는 작아지는 것으로 분석되었다. 몸통길이는 연령이 증가할수록 감소하였다. 하반신 몸통 구성 요인은 하반신 몸통 수평 요인, 높이 요인, 하부 요인, 수직 요인으로 분류되었다. 하반신 몸통 유형은 긴 역삼각 체형, 짧고 높은 몸통 체형, 몸통 비만 체형, 낮은 삼각 체형으로 분류되었다. 하반신 몸통 수평 요인과 높이 요인은 유형 3이 가장 크고, 하반신 몸통 수직 요인과 하부 요인은 유형 1이 가장 큰 것으로 분석되었다. 하반신 몸통은 허리와 복부가 발달된 유형과 엉덩이, 넙다리가 발달된 유형으로 분류되어 요실금 팬티의 가로 부위 설정 시 체형 차이의 반영이 요구되었다. 또, 몸통이 긴 유형과 짧은 유형으로 분류되어 앞중심과 뒷중심길이 차이를 반영할 수 있는 제도법이 필요하였다.

• 대한물리치료과학회지
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• 제9권2호
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• pp.49-66
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• 2002

This study was designed to evaluate the effect of pelvic floor muscle strengthening exercise treatment program for the older women with stress incontinence. The researcher developed 8 weeks training program which was implemented at a social welfare center in Seoul. The exercise method followed the Kegel criteria. Verbal instructions were given to the subjects. Subjects were confirmed of the exercises and evaluated by description of the exercise method. Fourteen elderly women(mean age 75.7) with stress incontinence participated and completed this program. The training sessions were held twice a week and each session took 45 minutes ; 15 minutes for pelvic floor muscle strengthening program and 30 minutes for other physical therapy. Pelvic floor muscle strengthening exercise program was applied using verbal instruction and practice at social welfare center, twice a week and daily home exercise program were given to each individual. The results were as follows ; 1. There was significant decrease of lower urinary symptoms in the subjects (p = 0.00) 2 But there was no significant change in the sexual matters (p = 0.44) and the life style (p = 0.41) In conclusion, further study with larger sample group is suggested in order to confirm the study result. Because of limited sample size, the study results were not conclusive. But the pelvic floor muscle strengthening exercise treatment program could be a safe and effective program and is suggestive for the community residing older women with stress incontinence as a geriatric physical therapy intervention.

• 한국임상수의학회지
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• 제31권4호
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• pp.307-312
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• 2014

충북대학교 동물의료센터에 16년령 암컷 시츄견이 복부팽만과 배뇨, 배변곤란을 주증으로 내원하였다. 신체검사 시 복부에서 10 cm 가량의 종양이 촉진되었으며 방사선 상에서 확인되었고, 방광은 종양에 의해 배꼽 쪽으로 변위되어 있었다. 초음파 상에서 종양은 불균질한 실질과 국소적으로 무에코성 영역을 가지고 있었다. 혈액검사 소견상 혈소판증가증과 약한 호중구증가증이 나타났으며, 혈액화학치 검사 결과 ALP 상승을 확인할 수 있었다. 개복술을 시행하여 자궁경과 방광 사이의 $10.5{\times}9.6cm$ 크기의 단단한 종양이 요도를 포매하고 있는 것을 확인하고 주위조직과 둔성분리 후 절제하였다. 조직병리학적 검사와 면역화학 적 검사 결과 종양은 평활근육종으로 진단되었다. 수술 후 일주일 뒤 배뇨곤란을 주증으로 재 내원하였다. 배뇨곤란의 원인을 찾기 위하여 요도조영술을 실시하였으나 물리적인 폐색 등 특별한 원인을 찾을 수 없었다. 방광근과 방광조임근에 작용하는 몇몇 약물요법 등을 시행하였지만 반응이 없어 중장기의 보존요법이 지시되었으며 배뇨곤란 증상은 술 후 27일차에 갑작스럽게 호전되어 환자는 원활한 배뇨를 하게 되었다. 본 증례는 요도를 포매하고 있는 복강 내 종양의 수술 후 예후와 배뇨곤란과 같은 후유증을 나타낼 수 있음을 시사하고 있다.

• 재활간호학회지
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• 제2권1호
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• pp.72-84
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• 1999

The purpose of this study was to identify the effectiveness of bladder training on self voiding after removal of catheter in female patients with craniotomy, finally to develop a bladder rehabilitation program for cognitive impaired patients. Nonequivalent control group posttest design was used. The population of this study consisted of 34 hospitalized neurosurgical patients, all patients have been received craniotomy. 17 patients were assigned to the experimental group and another 17 patients to the control group. The homogeneity of general characteristics of the subjects was no significant difference. Bladder training program consisted of pre-training education, the bladder training, positive verbal reinforcement. The experimental group has been received bladder training and the control group has been received gravity drainage. The dependent variable, the frequency of voiding trial untill self voiding achieves, the frequency of urinary retention, the amount of residual urine, the occurrence, of urinary incontinence, were measured during 3 days after catheter removed. The data analyzed with SPSSWIN ; frequency, percentage, t-test and $X^2$-test were used to analyze homogeneity of general characteristics of subjects between the experimental and the control group. T-test, Mann-Whitney U test, and $X^2$-test were used to determine the effect of bladder training. The result of the study were as follows : There was significant difference in the frequency of voiding trial untill self voiding achieves between the experimental group and the control group. There was no significant difference in the frequency of urinary retention between the experimental group and the control group. There was no significant difference in the amount of residual urine between the experimental group and the control group. However, there was significant difference in the amount of residual urine in urinary retention patients. There was significant difference in the occurrence of urinary incontinence between the experimental group and the control group. In conclusion, bladder training program as a nursing intervention was effective in conclusion, bladder self voiding ability after removal of catheter for craniotomy patients. Therefore, it is recommended to use the bladder training program clinically for the bladder management of cognitive impaired patients.

• 한국임상수의학회지
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• 제23권1호
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• pp.61-64
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• 2006

체중 4.65kg, 나이 13 개월의 수컷 페키니즈 견이 무뇨 증상으로 건국대학교 수의과대학 부속 동물병원에 내원하였다. 신체 검사상에서 복부 촉진을 통해 심각한 방광 팽창을 확인 하였다. 방광 내 요도 카테터 삽입을 시도 하였으나 실패 하였다. 혈액 화학 검사에서 BUN농도(35.6mg/dl)와 크레아틴농도(1.9mg/dl)가 각각 상승된 것으로 나타났다.단순 방사선 및 요도조영술에서 심한 방광팽창 및 막성 요도의 시작 부분이 폐쇄된 소견을 보였다. 수술동안 투시기를 이용 방광요도조영술과 요도조영술을 동시에 실시하여 본 바 폐쇄 부분 길이가 13mm임을 확인하였다. 골반강내 위치한 요도 폐쇄 부위가 피부절개선상까지 견인으로 노출이 가능하여 치골절골술 없이도 요도절제 및 요도문합을 실시할 수 있었다. 요도를 5-0 polyglycolic acid로 문합하고 이 부위를 대망막으로 감쌌다. 수술 후 첫째 날, 식욕이 회복 되었고, 5일 째 비정상 범위를 보였던 혈청 화학 수치들이 정상을 보였다. 그러나 요도 카테터를 제거한 후 약간의 요실금이 관찰 되었다. 7일 째 뇨 분석 결과가 정상 수치를 나타냈고, 14일 째 배설성 요로 조영술을 통해 수술 부위에 소변 누수가 없음을 확인 하였다. 21일 째, 더 이상의 요실금이 확인 되지 않았으며, 1년이 지난 현재 재발없이 정상적인 배뇨와 건강한 상태임을 확인할 수 있었다.

• Journal of Korean Neurosurgical Society
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• 제53권2호
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• pp.129-131
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• 2013

The incidence of spinal meningioma is very rare in children. A 14-year-old girl presented with right arm weakness, gait disturbance, and urinary incontinence. Cervical magnetic resonance imaging revealed an intradural extramedullary tumor dorsal to the spinal cord in the level of C1. The tumor was totally removed despite the severe cord compression. Meningotheliomatous meningioma was diagnosed after histological examination.

• Journal of information and communication convergence engineering
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• 제6권1호
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• pp.73-79
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• 2008

Result that study magnet nerve curer for treatment induced current generation and current of ion for development in main point incontinence, prostate, sphincter, nervous system, rigidity, headache, retrogression arthritis, ligament damage, Rheumatism arthritis, peripheral nerve etc., can classify by 4. Embodied do first, full bridge magnet occurrence chapter, and communication with PC is available, confirmed various action loops an experiment. Could confirm correct treatment probe second, woman and man disease person. Third, derived so that healing may be possible naturally by addition of apron form according to disease. Because composition of finally, treatment probe composes by act of negative plate form, manufacture is easy and cooling designed for easy direction. More superior result of cooling appeared than existing in incidental and ingredients, cooling efficiency, composition, complexity, convenience etc. that expense and composition manufacture very straightforwardly and experimental by 2 - Tank ways.

• 동의생리병리학회지
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• 제30권1호
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• pp.73-79
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• 2016

It was aimed to report a case of both anterior cerebral artery territory infarction patient improved by korean medical treatment. The patient was diagnosed by brain magnetic resonance imaging(MRI) and magnetic resonance angiography(MRA). The symptoms were quadriplegia, urinary frequency, urinary incontinence and abulia. I applied herbal medicine, acupuncture, moxibustion, pharmacopuncture, cupping and physical exercise therapy. As a result of them, the symptoms of the patient were improved considerably. Status of the patient was evaluated by manaul muscle test(MMT), modified barthel index(MBI) and functional independence measure(FIM) and medical interview. MBI score was changed from 35 to 95 and FIM score was changed from 66 to 115. Therefore this report suggests that korean medical treatment could be effective to the anterior cerebral artery territory infarction.

• 대한수의학회지
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• 제47권2호
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• pp.229-231
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• 2007

Vulvar agenesis in an eight-month-old toy poodle dog is described. Urinary incontinence and dysuria were the main clinical signs. The morphology of the urogenital system was assessed with contrast radiography. The constructers of lower urinary tract and reproductive system except for the vulva were normal features. Through episiostomy, a perineal stoma, resembling a vulva, was created, resulting in complete resolution of the clinical signs.