• Title/Summary/Keyword: 환측

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A Case Report of Cellulitis Improved after Korean Medical Treatment (봉와직염의 한방 치험 1례)

  • Ji-Won Lee;Seung-Ug Hong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.36 no.4
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    • pp.164-174
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    • 2023
  • 목적 : 본 연구는 한방 치료로 호전된 봉와직염 환자 1례를 보고하고자 한다. 방법 : 76세 여환으로 봉와직염으로 본원에 입원하여 약 한 달 동안 한방 치료를 시행하였다. 시각 아날로그 척도(VAS), 환측 발의 둘레, 사진 및 염증 수치 등을 평가지표로 삼았다. 결과 : 퇴원 시 통증, 홍조, 열감, 가려움증과 같은 주관적 증상이 호전되었다. 환측 발의 부종이 감소하였으며, CRP 및 단핵구 수치도 감소하였다. 퇴원 후 약 한 달간의 추척검사 동안 증상이 재발하지 않았다. 결론 : 봉와직염에 한방 치료를 시행하여 호전을 보인 환자 1례에 대한 보고로, 봉와직염의 한방 치료에 대해 의미 있는 가능성을 제시하였다.

Distribution of Weakness at the Lower Extremity of Hemiparesis Patients (편측부전마비환자의 하지에서의 위약증상의 분포)

  • Park, Gun-Ju;Hah, Jung-Sang;Kim, Wook-Nyeun
    • Journal of Yeungnam Medical Science
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    • v.14 no.1
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    • pp.101-110
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    • 1997
  • The maximal voluntary strength of knee extension and flexion on both the right and left sides was measured in patients with hemiparesis of upper motor neuron type and in a group of normal subjects. Significant differences of maximal voluntary strength were found between male and female but the ratio of flexor to extensor strength did not vary significantly between the sides, between the sex in normal subjects. The maximal voluntary strength of uninvolved side were not reduced significantly but involved side reduced significantly in patients. The ratio of flexor to extensor strength in hemiparetic side was significantly less than the ratio for the normal subjects but not significant difference in uninvolved side of patients. According to the above results, the maximal voluntary strength of flexion was more reduced than that of the extension in lower extremity of hemiparesis patients. The strength ratio of flexion to extension was a useful parameter for guiding the rehabilitation of hemiparesis.

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Impact of Shock Wave on Nerve Regeneration in Motion Analysis of Affected Side after Nerve Injury (신경 손상 후 환측의 동작분석을 통한 충격파가 신경재생에 미치는 영향)

  • Lee, Jung-Ho;Choi, Yeong-Deok;Sung, Youn-Bum
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.3
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    • pp.533-540
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    • 2019
  • This study investigated the effect of extracorporeal shock wave therapy on nerve regeneration in nerve injured rats. In this study, we used 30 male Sprague-Dawley rats weighing 230-280g and 6 weeks old. Study groups were divided into two groups using a random sampling method: experimental group (n=15) treated with extracorporeal shock wave after sciatic nerve injury and control group (n=15) treated without extracorporeal shock wave after sciatic nerve injury. In this study, extracorporeal shock wave therapy equipment (OPTIMUS, SALUS TALENT 3, Korea) was used to apply extracorporeal shock wave therapy and applied to the sciatic nerve crush area of the right hind limb using low intensity. We measured the stance time and stride distance of the affected side using dartfish software. There was a statistically significant difference in the change of stance time and stride distance of the affected side between the experimental group using extracorporeal shock wave therapy and the control group without extracorporeal shock wave treatment. In conclusion, extracorporeal shock wave therapy has a positive effect on nerve regeneration.

Changes of Synovial Fluid Cytokine in Anterior Cruciate Ligament Injury (전방 십자 인대 손상 후 활액 내 싸이토카인의 변화)

  • Kim, Sung-Hun;Lee, Woo-Suk;Hur, Yoon-Moo;Jo, Sung-Kwun;Kim, Tae-Kyun;Chung, Whan-Young
    • Journal of the Korean Arthroscopy Society
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    • v.11 no.1
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    • pp.7-12
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    • 2007
  • Purpose: The purpose of our study was to determine the concentrations of cytokines in ACL deficient knee, the changes of cytokines from injury as the time progressed, and changes of cytokines after ACL reconstruction. Materials and Methods: Twenty-five patients with ACL-injured knee were enrolled. Synovial fluid lavages were collected at the time of surgery. Before surgery, twenty-five patients were aspirated synovial fluid from their injured and uninjured knees. Twelve patients were aspirated synovial fluid after 9 months postoperatively. The samples were analysed for $IL-1{\beta},\;TNF-{\alpha}$, MMP-3, IL-6 and TIMP-1 using ELISA. Results: The $IL-1{\beta}\;and\;TNF-{\alpha}$ concentrations were below detectable ranges in all uninjured knees and ACL ruptured knees. There were no significant difference between the mean concentrations of the uninjured and ACL injured knees for TIMP-1 and IL-6. The mean concentration of MMP-3 in ACL injured knees was significantly higher than in the uninjured knees. In the 12 cases after 9 months postoperatively, the mean concentration of MMP-3 was no significant difference between preoperative cytokine levels. Conclusion: The concentration of MMP-3 was only higher in the ACL injured knee than uninjured knee and no significant change was examined after 9 months postoperatively.

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A Study for Comparison of Geometric Characteristics on Forearms for Improvement of Convinience in Splint Manufacturing with 3D Printing Technology (3D 프린팅 기술을 적용한 스플린트의 제작 용이성 향상을 위한 아래팔 기하 정보 비교에 관한 연구)

  • Chang, Ji Hong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.12 no.5
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    • pp.475-481
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    • 2019
  • A splint is one of assisting devices for the disabled with hemiplegia or contracture and is manually made by an experienced expert. Heated thermoplastic materials are continuously fitted to the affected part. This traditional method has a possible risk of low-temperature burn, quality variance of the splint due to the proficiency of maker. etc. While various approaches has been made using 3D printing technology in order to redeem those disadvantages, they still carry high cost issues with 3D scanners or accuracy issues with manual measurement. This research begins with symmetrical characteristics of human body and focuses on the preliminary study for the possibility of splint manufacturing with 3D printing technology based on geometric characteristics of unaffected arm. 3D right and left forearm models of healthy male adults were created by photogrammetry software and a series of digital images in order to measure the circumference and cross-sectional area of the forearm models at every 20mm from the elbow. The circumference and cross-sectional area showed tolerable levels of differences between both sides within subjects; The circumference and cross-sectional area showed very strong correlations between both sides within subjects. From these findings, the possibility of splint manufacturing with 3D printing technology could be confirmed based on the geometric characteristics of unaffected side.

An Application of Constraint-Induced Therapy in Patients With Chronic Hemiparesis After Brain Injury (뇌 손상 후 편부전마비 환자에서의 억제-유도 치료의 적용)

  • Park, Ji-Won;Kim, Jong-Man;Kim, Yun-Hee
    • Physical Therapy Korea
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    • v.8 no.4
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    • pp.91-99
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    • 2001
  • 뇌 손상 후 급성기에 기능의 자발적인 회복이 일어나지만 환자들은 환측의 상지를 잘 사용하지 못하게 된다. 그 결과 원하는 움직임을 억제하는 상황을 발생시키는데 이것을 학습 무사용 증후군(learned nonu se syndrome)이라 한다. 이러한 학습 무사용 증후군을 치료하기 위해 억제-유도 치료(constraint-induced therapy)가 고안되었다. 억제-유도 치료는 연속되는 몇 주간에 걸쳐 매일 많은 시간 동안 건측의 상지를 묶어두고 환측 상지를 사용하게 하여 기능을 반복 학습하게 함으로써 기능을 증진시키는 방법이다. 이미 여러 연구자들이 경두개 자기자극(transcranial magnetic stimulation), 움직임 관련 피질전위(movement-related cortical potential), 기능적 자기공명 영상기법(functional magnetic resonance imaging) 등을 통하여 억제-유도 치료 후 운동피질영역에서의 재조직화를 보고함으로써 기능 증진과 관련된 회복 기전을 뒷받침하고 있다. 억제-유도 치료의 영역은 확대되어 뇌졸중, 척수손상, 고관절 치환술 후로 하지에서의 기능증진을 위하여 연구가 진행되고 있으며 특히 뇌졸중 후 실어증 환자에서 새로운 방법으로 제시되고 있다. 따라서, 억제-유도 치료는 신경학적인 손상 후 움직임의 재활에 있어서 치료-유도를 통한 중추신경계의 회복에 효과적으로 작용할 수 있다.

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Wearable Elbow Rehabilitation Robot Capable of Mirror Therapy (거울치료가 가능한 착용형 팔꿈치 재활로봇)

  • Yang, J.H.;Baek, J.S.;Moon, I.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.2
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    • pp.73-78
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    • 2014
  • In this paper we propose a wearable elbow rehabilitation robot applied the mirror therapy for elbow rehabilitation. To implement the mirror therapy, a data suit for measuring healthy elbow motion is developed. A powered elbow exoskeleton wearing in paralyzed arm is controlled by the measured data from the healthy elbow motion. In experiments, the elbow rehabilitation exercise by the mirror therapy is performed. From the experimental results we show the wearable exercise robot including the data suit is applicable to the mirror therapy for elbow rehabilitation.

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The Comparison Research on Walking Pattern of Rehabilitation Training Program Participants in Stroke Patients (재활운동에 참가한 뇌졸중 환자들의 걷기형태 비교 연구)

  • Jin, Young-Wan
    • Journal of Life Science
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    • v.19 no.9
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    • pp.1299-1303
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    • 2009
  • The purpose of this study was to analyse the gait characteristics of stroke patients walking on a Zebris system, through quantitative three-dimensional biomechanical analysis. They underwent a continuous rehabilitation training program (RTP). A comparison was made between 3 month and 6 month RTP participants. Their ages were between 60 and 65. The data were analyzed by t-test. The result of comparative analysis of the two groups can be summarized as below. Temporal-spatial data, sagittal plane angular kinematics data, and peak ground reaction force and max pressure data showed that there were no significant differences between the 3 month RTP group and the 6month RTP group (Table 2, Table3, Table 4). It can be suggested that patients with hemiplegia after stroke can improve their walking function through continuous RTP participation.

Effects of the Symmetric Upper Extremity Motion Trainer on the Motor Function Recovery after Brain Injury: An fMRI Study (뇌손상 후 운동신경기능 회복에 대한 대칭형 상지 운동기구의 효과: 기능적 뇌 자기공명영상 연구)

  • Tae Ki-Sik;Choi Hue-Seok;Song Sung-Jae;Kim Young-Ho
    • Progress in Medical Physics
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    • v.16 no.1
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    • pp.1-9
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    • 2005
  • The effect of the developed symmetric upper extremity motion trainer on the cortical activation pattern was investigated in three chronic hemiparetic patients using both fMRI and Fugl-Meyer test. The training program was performed at 1 hr/day, 5 days/week during 6 weeks. Fugl-Meyer tests were performed every two weeks during the training. fMRI was performed at 3T scanner with wrist flexion-extension in two different tasks before and after the training program: the only unaffected hand movement (Task 1) and passive movements of affected hand by the active movement of unaffected hand (Task 2). fMRI studies in Task 1 showed that cortical activations decreased in ipsilateral SMC but increased in contralateral SMC. Task 2 showed cortical reorganizations in bilateral SMC, PMA and SMA. Therefore, it seems that the cortical reorganization in chronic hemiparetic patients can be induced by the training with the developed symmetric upper extremity motion trainer.

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