• 제목/요약/키워드: C-C sling

검색결과 10건 처리시간 0.01초

급성 견봉쇄골관절 탈구에서 변형된 Phemister 술식과 C-C sling 술식의 결과 비교 (The Surgical Treatment of Acute Acromioclavicular Joint Dislocation Using C-C Sling Method and Modified Phemister Operation)

  • 전철홍;심대무;정을오;이종명;이병창;김정우
    • Clinics in Shoulder and Elbow
    • /
    • 제9권1호
    • /
    • pp.60-67
    • /
    • 2006
  • Purpose: The purpose of this study was to compare the method of using coraco-clavicular (C-C) sling with modified Phemister operation by postoperative clinical results, radiologic analysis and complications. Materials and Methods: 33 patients of acromioclavicular joint dislocation were included in this study. Thirteen patients were treated with simple C-C sling method and twenty patients were treated with modified Phemister operation. The assesment of clinical and radiological evaluation were performed and the final results were examined by using the Weitzman's classification. Results: In the final result of C-C sling method group, forward elevation $161^{\circ}$, external rotation $70^{\circ}$, internal rotation T8 level, Visual Analogue Scale (VAS) 83.3 points were checked. In modified Phemister operation group, forward elevation $155^{\circ}$, external rotation $67^{\circ}$, internal rotation T6 level, VAS 83.8 points were checked. In coracoclavicular distance of C-C sling method group, pre-operation 12.82 mm and last follow up 8.37 mm were checked. In modified Phemister operation group, pre-operation 12.8 mm and last follow up 7.7 mm were checked. In functional evaluation by the Weitzman criteria, C-C sling group had excellent 8, good 1, fair 1 and modified Phemister group had excellent 13, good 4, fair 3. Conclusion: C-C sling method would be the better than the Modified Phemister operation because of short operation time and smaller skin incision.

슬괵근 단축이 있는 27세 남자 만성요통환자의 ATM, 슬링운동치료 적용 후 통증수준의 변화-사례연구 (Change to Pain's Level of Chronic Back pain patient With Hamstring Shortening in 27year's old After Application to Active Therapeutic Movement (ATM) and Sling Exercise-Case study)

  • 유웅식;전차선;원상희
    • 대한정형도수물리치료학회지
    • /
    • 제15권1호
    • /
    • pp.64-71
    • /
    • 2009
  • Purpose: to purpose prevent to dysfunction and decrease to pain level use to active therapeutic movement and sling manual, stability exercise in shortening hamstring chronic back patient. Methods: The patient's complain was Buttock and Lower Back Pain due to dysfunction posture work. The subject's initial Pain Scale was 60 of 100(VAS). The Subject Treatment to Sling Mobility exercise, Home exercise, ATM, Sling Stability exercise, sensory motor training During 8weeks for 18 times. Results: The result was Visual Analog Scale(VAS)was decreased 10 of 100 after treatment. Conclusion: Visual Analog Scale(VAS)was decreased 10 of 100 after treatment. Functional Leg Length Was recover to same level. Trunk Flexibility was increase to 18cm. Active Knee Extension ankle was decrease to $15^{\circ}$ limit range of motion due to Lt. Hamstring Shortening limit range of motion $30^{\circ}$. GPS(Gobal Postural System)test was recover to same level. This case study need to sufficient data and times.

  • PDF

슬링을 이용한 능동 운동프로그램이 무릎 관절 전치환술 환자의 통증과 균형에 미치는 영향 (The Effects of Active Exercise Program using Sling on the Pain and Balance Following Total Knee Replacement)

  • 류제주;정범철;유경태
    • 융합정보논문지
    • /
    • 제12권2호
    • /
    • pp.174-183
    • /
    • 2022
  • 본 연구는 슬링을 이용한 능동 운동프로그램이 무릎 관절 전치환술 환자의 통증과 균형에 미치는 영향을 알아보고자 실시하였다. 대상자는 무릎 관절 전치환술을 받고 입원 중인 환자 20명이며, 수술 후에 CPM (Continuous passive motion) 만을 적용하는 집단 (CPM group; CG)과 CPM과 슬링을 이용한 능동 운동프로그램을 병행하는 집단 (CPM with active exercise program using sling group; CSG)으로 10명씩 무작위로 배치되었다. CG는 CPM을 주 5일, CSG는 CPM을 주 2일, 슬링을 이용한 능동 운동프로그램을 주 3일 실시하였고, 각 중재는 하루 40분씩 총 4주간 실시하였다. 통증은 VAS(Visual analog scale)을 이용하여 평가하였고, 균형은 BT4 (Balance training 4)를 이용하여 C90 area, Trace length, Sway average velocity를 눈을 뜬 상태와 감은 상태로 측정하였다. 그 결과, 두 집단 모두 통증에서 집단 내에서 유의하게 감소하였고, 집단 간의 변화량에서도 유의한 차이가 있었다. 균형에서 CG의 C90을 제외한 모든 변인이 중재 후 유의한 변화가 있었으며, 집단 간 변화량에서는 눈을 감은 상태의 C90과 Vel에서 유의한 차이가 있었다. 따라서 CPM과 슬링을 이용한 능동 운동프로그램을 함께 시행하는 것은 무릎 관절 전치환술 환자의 통증 감소와 균형 향상에 효과적인 중재라고 생각한다.

고등학교 남자배구선수들의 안정화운동에 대한 경.요부의 통증수준과 근육량, 체지방에 미치는 영향 (The Effect of Stability Exercise For Pain Level of Cervical and Lumbar Region, Muscle Volume and Fat Mass Composition in Body of High School in Man volleyball Player)

  • 원상희;전차선;유응식
    • 대한정형도수물리치료학회지
    • /
    • 제15권1호
    • /
    • pp.41-48
    • /
    • 2009
  • Purpose: to program introduction the effects of stability sling exercise and common exercise of high school in man volleyball player. Methods: This study divided the subjects into a sling-exercise group and a common exercise group to compare after practicing exercises twice per week for 8 weeks (total 16 times). To compare the means of the experimental group and the control group on each variable, the ANOVA for repeated measure was used and if there was any significant difference across the measurement times, post-hoc comparisons were conducted for the difference. Results: The T-tests for group difference according to exercise type on each of the variables showed the results as follows. The pain in cervical region is experimental and control groups pain correlation were not significant(p>0.05). But lumbar region experimental and control groups were significant(p<0.05). Muscle volume was increased during 8weeks in experimental and control groups. But experimental and control groups muscle volume correlation were not significant(p>0.05). Conclusion: Fat Mass composition was decreased during 8 weeks in experimental and control groups. But experimental and control groups mass composition correlation were not significant(p>0.05).

  • PDF

슬링의 안정화운동이 고등학교 남자 배구선수들의 흉추부, 견부, 슬관절부 통증 수준에 미치는 영향 (The Effects of Stabilization Exercises on the Pain of the Thoracic, Shoulder and Knee Joint in High School Volleyball Players)

  • 원상희;김명섭;양기웅
    • 대한정형도수물리치료학회지
    • /
    • 제19권1호
    • /
    • pp.1-8
    • /
    • 2013
  • Background: This study aims to examine the effects of sling exercise and common exercise on the pain level of various body parts. Methods: This study divided the subjects into a sling-exercise group and a common exercise group to for each group across the measurement times after practicing exercises twice per week for 8 weeks (total 16times). To compare the means of the experimental group and the control group on each variable, the ANOVA for repeated measure was used and if there was any significant difference across the measurement times, post-hoc comparisons were conducted for the difference. The T-tests for group difference according to exercise type on each of the variables showed the results as follows. Results: The results of this study suggest that there were significant difference in pain in shoulder pain, but no significant difference could be found in the Thoracic pain & Knee joint pain. There was no significant difference to distinguish between the sling exercise and the common exercise. Conclusions: Currently the sling exercise is not spread out widely in Korea, so that the recognition and studies of the sling exercise is still lacking. Hence, this study can hopefully facilitate popularity of the sling exercise and systematic prospect studies on it in the near future.

  • PDF

Chronic progressive external ophthalmoplegia in a Saudi patient with a mutation in the POLG gene successfully managed with bilateral frontalis sling

  • Algahtani, Hussein;Shirah, Bader;Alsaggaf, Khalid;Al-Qahtani, Mohammad H.;Abdulkareem, Angham Abdulrahman;Naseer, Muhammad Imran;Abuzinadah, Ahmad R.
    • Journal of Genetic Medicine
    • /
    • 제18권2호
    • /
    • pp.121-126
    • /
    • 2021
  • Chronic progressive external ophthalmoplegia (CPEO) is a complex slowly progressive mitochondrial disorder characterized by extraocular muscle weakness with or without multisystem involvement. The mainstay of therapy in a patient with CPEO is supportive. However, in moderate cases, surgery might be indicated including surgeries for ptosis and strabismus. In this article, we report a Saudi patient with CPEO due to compound heterozygous variants in the DNA polymerase gamma (POLG) gene c.2246T>C p.(Phe749Ser) and c.1735C>T p.(Arg579Trp), which are classified as pathogenic. Proper diagnosis with genetic testing confirmation is important to guide the management and counsel the patient about the prognosis and the management options. The patient was successfully managed with bilateral frontalis sling and illustrates the importance of surgical intervention to improve vision and cosmetic appearance in patients with CPEO. We emphasize the importance of multidisciplinary care in the management of cases of mitochondriopathy, especially CPEO.

융합형 초음파 영상을 통한 세 가지 교각운동에 따른 몸통근육의 두께 비교 (Comparison of Trunk Muscles Thickness in Three Different Bridge Exercises by Ultrasound Fusion Imaging)

  • 강지현;심재훈
    • 한국융합학회논문지
    • /
    • 제6권5호
    • /
    • pp.123-130
    • /
    • 2015
  • 본 연구는 융합형 초음파 영상(ultrasound fusion imaging)을 이용하여 세 가지 교각운동(bridge exercise) 방법에 따른 몸통근육의 두께변화를 알아보기 위해 실시되었다. 건강한 성인 남녀 32명을 대상으로 교각 운동을 실시하는 동안 배속빗근(internal oblique), 배바깥빗근(external oblique), 배가로근(transverse abdominis) 그리고 뭇갈래근(multifidus)의 두께를 측정하였다. 연구결과, 세 가지 교각운동 방법에 따라 배속빗근, 배가로근, 뭇갈래근에서 유의한 두께변화를 보였다. 배가로근과 뭇갈래근은 exercise C(sling)에서 두께가 가장 증가하였고, exercise B(gym ball)와 exercise A(fixed support surface) 순으로 증가하였다. 배속빗근은 치료용 볼을 이용한 교각운동 시 두께가 가장 증가하였고, 슬링과 고정된 지지면 순으로 증가하였다. 특히, 슬링에서의 교각운동이 몸통 근육 두께증가에 가장 효과적인 방법이라고 사료된다. 최근까지, 몸통근육을 활성화 시키는 효과적인 방법으로 슬링에서의 교각운동이 많이 제안 되었지만, 융합형 초음파를 이용하여 관찰한 연구는 많지 않았다. 따라서 본 연구의 결과를 통해 임상에서 다양한 교각운동의 처방과 적용 시에 유용한 지침을 제공하고자 한다.

8주간의 슬링을 이용한 요부안정화 운동이 천장관절 증후군 남성의 근체형 및 주관적 통증정도에 미치는 효과 (The Effect of Sling Lumbar Stabilization Exercise to Muscle Body Type and Subjective Pain Degree of Men Who Have Sacroiliac Joint Syndrome)

  • 백순기
    • 디지털융복합연구
    • /
    • 제12권12호
    • /
    • pp.651-658
    • /
    • 2014
  • 본 연구는 천장관절 증후군으로 진단받은 중년남성 17명을 대상으로 슬링을 이용한 요부 안정화 운동이 근체형 및 주관적 통증에 영향을 주는지를 규명하여 슬링을 이용한 요부안정화 운동의 효과성을 증명하는데 있다. 본 연구의 대상자는 C시에 소재한 S정형외과에서 X-Ray 등의 검사를 통하여 천장관절 증후군으로 진단 받은 6개월 이상의 병력이 있는 만성 요통환자를 대상으로 슬링을 이용한 요부안정화 운동을 8주간 주 3회씩 1회 30분 통 24회 실시한 후 3차원 Moire 근체형검사기를 사용하여 근체형의 변화와 변형된 VAS통증 자각도를 이용하여 주관적 통증정도의 전 후 변화를 다음과 같은 결과를 얻었다. 근체형의 변화는 운동전과 운동 후 통계적으로 유의하게 향상됐고 주관적 통증정도 역시 통계적으로 유의한 감소를 나타내었다. 따라서 슬링을 이용한 요부안정화 운동은 천장관절 증후군 환자의 근체형 및 통증개선에 긍정적인 영향을 주는 것으로 판명되었다.

무릎관절 굽힘 각도에 따른 뒤꿈치 들기 동안 종아리 세갈래근의 활성도 (Activation of the Triceps Surae During Heel Raising Depend on the Knee Joint Flexion Angles)

  • 권유정;송민영
    • 대한물리의학회지
    • /
    • 제8권4호
    • /
    • pp.497-503
    • /
    • 2013
  • PURPOSE: The purpose of this study was to investigate the change of triceps surae activation during heel raise test in standing among knee flexion angles($0^{\circ}C$, $30^{\circ}C$, $45^{\circ}C$, $60^{\circ}C$). METHODS: Twenty healthy individuals performed unilateral plantarflexion in standing with $0^{\circ}C$, $30^{\circ}C$, $45^{\circ}C$, $60^{\circ}C$ knee flexion. Activity of medial gastrocnemius(MG), lateral gastrocnemius(LG), soleus(Sol) was recorded with surface electromyography(EMG). RESULT: The muscle activations induced the four different positions were compared and results showed that was significant difference MG and LG while the angle increase from $0^{\circ}C$ to $30^{\circ}C$, $45^{\circ}C$, $60^{\circ}C$ but Sol did not show significant differences in every angle. CONCLUSION: This study suggest that $30^{\circ}C$ knee flexion is required to induce a significant mechanical disadvantage of gastrocnemius.

송전선로 가선공사용 활차형 런닝보드 개발 (Development of Pulley Type Running Board for Wiring Work of Overhead Transmission Line)

  • 민병욱;백승도;장석한;위화복;나원찬
    • 대한전기학회:학술대회논문집
    • /
    • 대한전기학회 2005년도 추계학술대회 논문집 전력기술부문
    • /
    • pp.80-82
    • /
    • 2005
  • There is a method for stringing conductors which is connected to a wire over transmission towers by helicopter or human power and the wire and conductors are pulled by an engine puller. The length of one string section is usually 4-6 km and 2-4 conductors are strung at the same time with a single wire. A tensioner is used to maintain the sag and a running board is installed between the wire and conductors to prevent the rotation of conductors but the variance in topology, the line angle and unequal wiring tension between conductors causes conductor rotation damage or the conductor connection point to breakaway when the pulley is passed. This paper presents a method to prevent conductor rotation during stringing by inserting a pulley in the running board and equally maintaining conductor tension by sling wire after developing and testing.

  • PDF