• 근관절건강학회지
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• 제15권2호
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• pp.155-165
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• 2008

Purpose: The purpose of this study was to develop a progressive exercise program based on clinical guidelines for exercise prescription for older adults with osteoarthritis, which was planned to improve the existing arthritis self-help program. Method: We analyzed the contents of the arthritis self-help program and closely reviewed the guideline of exercise prescription for elderly with osteoarthritis. Results: The major contents of the revised arthritis self-help program are as follows: 1) The weekly education is composed of one-hour exercise and one-hour health education about various subjects. 2) The weekly main exercise is composed of muscle strengthening and endurance exercise. 3) Endurance exercise consists of three steps. 4) Muscle strengthening exercise is performed by gravity at first, and then the Thera-Band muscle strengthening exercise is followed on the 4th week. Conclusion: It is necessary to verify the effect of the progressive exercise program for older adults with osteoarthritis. It is thought that this revised program could be adopted as a rehabilitation program for older adults with osteoarthritis.

• 근관절건강학회지
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• 제12권2호
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• pp.109-118
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• 2005

Purpose: The purpose of this study was to identify the effects of aquatic exercise program on pain, body weight, fatigue, flexibility in elderly women with osteoarthritis. Methods: The subjects of the study were sixty nine elderly women(age over 65years)who have an osteoarthritis. Aquatic exercise program consist of approximately one hour of exercise in water, two days per week, for six weeks. Data were gathered from September 2002 to August 2004 using a questionnaire and measuring body weight, flexibility of shoulder.. Data were analyzed with the SPSS Win 10.0 using frequency and paired t-test for differences between pre-exercise and post-exercise. Results: The results of this study are as follows: pain score, fatigue, body weight of post test were lower than those of pre test(t=5.587, p=0.000 ; t=3.394, p=0.001 ; t=4.664, p=0.000). Right and left flexibility scores of post test were better than those of pretest(Left: t=4.736, p=0.000 ; righrt: t=4.733, p=0.000). Conclusion: From these results, it is concluded that the aquatic exercise program can be effective in increasing physical and psychological function in elderly women.

• 근관절건강학회지
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• 제18권1호
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• pp.73-82
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• 2011

Purpose: The purpose of this study was to investigate the effects of a 12-week Tai Chi on the bone mineral density and bone metabolic markers in postmenopausal women Methods: Data were collected from March to July, 2009. Fifty postmenopausal women were recruited for the study. Twenty two women were allocated to experimental group, and 28 to control group. The experimental group underwent Tai Chi exercise twice a week for twelve weeks. The control group was only notified with results of bone mineral density and bone metabolic markers. Bone mineral density was measured by using of DTX-200 (Osteometer MediTech, Hawthorne, CA, USA) at distal radius site and bone metabolic markers were measured by radioimmunoassay method. Collected data were analyzed by t-test, $X^2$-test, and Mann-Whitney test. Results: After 12 weeks of treatment, the Tai Chi group showed a significant difference in bone mineral density compared to control group but no significant effect on osteocalcin and deoxypyridinoline level. Conclusion: Our results suggest that 12 weeks of Tai chi may delay bone loss in postmenopausal women.

• 근관절건강학회지
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• 제17권2호
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• pp.212-221
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• 2010

Purpose: The purpose of this study was to determine the effects of music therapy (Jang-Gu) on depression, stress, pain and body discomfort in women with osteoarthritis. Methods: The study is designed using one group pretest-posttest experimental design. 31 arthritis patients, the subjects of the group participated in the music therapy program. The program was provided for 12 weeks (two times per week). The questionnaires were used to measure the outcome variables before and after the program. Data were analyzed with the SPSS 17.0 using descriptive statistics, paired t-test. Results: Depression, Stress, Pain did not decrease. But body discomfort decreased (p=0.001). Conclusion: Therefore this program was effective in body discomfort and can be a community based self-help management program for arthritis patient.

• 근관절건강학회지
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• 제24권1호
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• pp.1-13
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• 2017

Purpose: This study was conducted to explore the experiences of women with osteoarthritis in the community-based aquatic exercise program. Methods: A total of 13 women who lived urban-rural complex areas participated in 8 weeks of aquatic exercise. Data were collected from two focused group interviews of those who signed informed consent. Results: Four categories emerged from the contents analysis: 1) assisting a remedial program (participant-centered education, alleviation of physical symptoms, and relieving stress), 2) Pleasure of being together (group exercise, feeling of pleasure and joy, and strong and confident supporter), 3) burden of participation (economic burden, low accessibility and unaccustomed swimming pool), 4) organizing and activating a self-help group(acquired confidence over exercise, hoping for continue exercise, and Needs of self-help meeting). Conclusion: Aquatic exercise was good for women living urban-rural area as it gave not only reliving arthritic symptoms but also improving social relationships. It is optimal to assist in making of a self-supporting group and continuing activities through it.

• 근관절건강학회지
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• 제16권2호
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• pp.145-153
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• 2009

Purpose: The effects of aroma massage on pain, activities of daily living, and fatigue were investigated in the patients who have knee osteoarthritis. Method: A quasi-experimental design with non-equivalent control group pretest-posttest measures was used. Twenty one and twenty subjects were included in control and experimental group, respectively. Subjects in experimental group had aroma massage which used lavender, chamomile, and ginger oil on painful knee. They were encouraged to implement aroma massage at least two times a day for 2 weeks. Subjects in the control group had conventional oil massage implementing by exactly same method as did in the experimental group. GRS(graphic rating scale), Korean version of WOMAC (Western Ontario and McMaster) osteoarthritis index, and MAF(multidimensional assessment of fatigue) were used to measure the outcome variables such as pain, activities of daily living and fatigue, respectively. Results: After 2 weeks, those in the experimental group reported significantly less pain and fatigue and better activities of daily living than those in the control group. Conclusion: Based on these results, aroma massage could be recommended as a self managed intervention for the patients with knee osteoarthritis.

• 근관절건강학회지
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• 제16권2호
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• pp.116-124
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• 2009

Purpose: The purpose of this study was to examine the effects of a Tai Chi exercise program on physical function and physiological variables in patients with degenerative arthritis. Methods: The study utilized a nonequivalent control group with pretest-posttest design. Data collection was done with the elders from two welfare institutions in C-city between July I and September 22, 2007. The participants were assigned either to an experimental group (n=24) or to a control group (n=22). The experimental group participated in Tai Chi exercise for 60 minutes per session, twice a week for 12 weeks and the control group received the education about arthritis for 3 weeks. Results: Except for $VO_2max$, weight, and body fat rate, the elders in the experimental group showed significant improvement in physical function (grip strength, flexibility, balance), and physiological variables (BP) compared to the control group. Conclusion: The results suggest that Tai Chi exercise would partially improve physical function, and physiological variables. Further studies are needed to determine the effects on physical fitness and physiological variables after Tai Chi exercise in this population.

• 한국산학기술학회논문지
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• 제13권10호
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• pp.4711-4716
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• 2012

본 연구는 2008-2009년 국민건강영양조사 자료에서 자궁절제술을 하지 않은 폐경 후 12년 미만의 폐경기 여성 686명을 대상으로 콩 단백질 섭취량과 요추 및 대퇴골 골밀도의 연관성을 알아보고자 하였다. 연구대상을 골 소실이 상대적으로 빠른 폐경 후 4년 미만 기간에 있는 여성군과 폐경후 4년 이상인 여성군으로 층화하여 각각 콩 단백질 섭취량과 골밀도의 관계를 분석하였다. 연령, 체중, 신장, 칼슘 섭취량 등을 보정하였을 때 폐경 후 4년 미만인 여성군에서는 콩 단백질 섭취량과 요추 및 대퇴골 골밀도 사이에 유의한 연관성이 없었다. 반면 동일한 보정을 하였을 때 폐경 후 4년 이상인 여성에서는 콩 단백질 섭취와 대퇴골(femoral neck, total hip 부위) 골밀도 사이에는 역방향의 유의한 연관성이 있었으나, 총단백질 섭취량, Na섭취량, 에너지섭취량을 추가 보정한 결과 그 연관성이 사라졌다. 결론적으로 한국인 폐경기 여성에서 콩 단백질 섭취와 골밀도는 연관성이 없는 것으로 사료된다.

• 대한치과교정학회지
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• 제36권4호
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• pp.308-320
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• 2006

견인골 신장술의 개념을 치주인대 조직에 적용한 Liou의 급속 치아 이동 술식은 이동할 견치의 원심부 골 삭제에 의한 치조골 저항의 최소화 및 근심부의 치주조직 견인에 의한 골 형성으로 요약된다. 이는 주로 제1소구치 발치 후 견치의 견인을 요하는 환자들에 적용되어 효과적으로 치료 기간을 단축하고 양호한 결과를 얻을 수 있으나 견인 중 견치의 경사 및 정출 등 문제점이 발생하기 쉬우므로 견인이 완료될 때까지 치체이동을 유도하며 경로를 유지하는 것이 중요하다. 본 증례에서는 이러한 급속견인의 예측가능성을 높이기 위해 설측으로 연장된 견인스크류를 순측의 견고한 안내선과 병행 적용하였다. 발치 직후 미리 제작된 견치 치근 모델을 적용하여 발치와의 깊이를 형성하고 또한 교정용 미니스크류 임플란트를 이용하여 고정원을 보강하였다. 이러한 방법을 적용하여 골격성 II급 관계 및 전치 돌출을 보이는 성인 여환에서 효과적인 견치 및 전치부 견인을 통해 치료기간을 13개월로 단축할 수 있었다. 우려했던 치수의 실활 혹은 치주조직의 병소는 발견되지 않았으며 치료 후 10개월 유지 시에도 양호한 교합관계 및 치주조직의 건강상태를 보였다. 본 증례에서 소개된 방법을 통하여 급속 견인을 필요로 하는 경우에 보다 예측 가능한 방법으로 효율적인 치료를 할 수 있을 것으로 사료된다.

• Journal of Chest Surgery
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• 제42권3호
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• pp.404-407
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• 2009

43세 여환이 2달 전부터 간간히 생긴 좌측 흉부의 통증을 주소로 내원하였다. 시행한 흉부 전산화 단층 촬영상 좌측 흉부에 계란 모양의 종괴가 발견되었다. 신경원성 종양과의 감별이 어려워 국소 절제술을 시행하였고 조직 검사상 늑골 막에 생긴 골 외 유잉 육종으로 판명되었다. 양전자방출 단층 촬영 시행후 전이가 없어 재수술로 광범위 국소 절제술 및 흉부 재건술을 시행하였으며 항암 화학 요법으로 치료하였다. 환자는 1년간의 항암 화학 요법 치료를 받고 있으며 국소 재발 없이 건강한 상태이다. 환자의 나이와 종양의 기원이 일반적인 골 외 유잉 육종과 다른 특징이 있었다. 이에 국내에서 드물게 보고된 늑골 막에서 생긴 골 외 유잉 육종 1예를 치험하였기에 고찰과 함께 보고하는 바이다.