• Title/Summary/Keyword: Early rehabilitation

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Rapid Lymphedema Progression in Breast Cancer Patient with Previous Forearm Fracture (전완 골절 과거력이 있던 유방암 환자에서 비전형적 림프부종 발생 1례)

  • Son, Sungwook;Lee, Sangcheol;Kim, Chung Reen
    • Clinical Pain
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    • v.19 no.2
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    • pp.129-132
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    • 2020
  • Fracture is uncommon cause of lymphedema. The mechanism of lymphedema progression is still unknown, but disruption of the lymphatic system during and after fracture might be involved. In contrast, breast cancer surgery is a common cause of lymphedema and is usually caused by the removal of axillary lymph nodes. Sentinel node biopsy (SNB) has been adopted in early breast cancer to reduce the risk of lymphedema. Thus, the incidence of lymphedema in SNB was lowered. However, less than 10% of SNB patients are still diagnosed with lymphedema, but it is known that it took years to diagnose. Recently, we encountered atypical lymphedema occurred after breast cancer surgery with SNB. Symptoms started earlier than usual and were more severe. Interestingly, she has a history of a proximal radial fracture on the same side of SNB. We thought there could be a relationship between the acceleration of breast cancer-related lymphedema and fracture.

A Case Report on Osgood-Schlatter Disease Treatment Using Complex Korean Medicine Therapy Including Chuna Therapy (추나 요법을 포함한 복합 한방치료를 이용한 오스굿-슐라터 병의 치료 증례보고)

  • Ji-Won Lee;Youn-Seok Ko;Min-Su Ju
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.2
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    • pp.51-62
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    • 2022
  • Objectives This case study aimed to investigate the effect of complex Korean medicine therapy and fascia Chuna therapy on Osgood-Schlatter disease. Methods Hospitalization treatment was performed on a 13-year-old Osgood-Schlatter patient who visited Woosuk University Korean Medicine Hospital. The patient complained of pain in both the tibial tuberosity and restriction on the range of knee joint movement. The results were evaluated using the visual analogue scale, knee injury and osteoarthritis outcome score, and range of motion. Results After treatment, knee pain decreased and range of movement angle improved. Conclusions This study suggests that complex Korean medicine therapy, including myofascial Chuna therapy, are effective in improving the range of motion and improving pain in early Osgood-Schlatter disease. The limitation of this study is that the subject of the study was limited to one case. Further clinical studies are required.

Simultaneous Hard Tissue and Soft Tissue Graft with Dental Implant Placement and Provisionalization: A Case Report

  • Hyunjae Kim;Young-Dan Cho;Sungtae Kim
    • Journal of Korean Dental Science
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    • v.17 no.2
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    • pp.84-91
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    • 2024
  • Achieving both esthetic and functional implant rehabilitation is crucial for the successful treatment of the anterior maxilla. Adequate peri-implant alveolar bone and soft tissue are essential for optimal rehabilitation of the esthetic area, and there is a direct association between the implant position and prosthetic outcomes. Immediate provisionalization may also be advantageous when combined with augmentation. This case report described the implant placement in a 25-year-old female patient who had lost her right maxillary lateral incisor (#12) due to trauma-induced avulsion. The treatment involved simultaneous grafting and collagenated, deproteinized bovine bone mineral, along with subepithelial connective tissue taken from the right maxillary tuberosity. A polyetheretherketone abutment and non-functional immediate provisionalization were performed by removing both the proximal and occlusal contacts on the composite resin crown. Clinical and radiographic evaluations revealed maintenance of stable ridge contour aspects for six months following surgical treatment. In summary, implant rehabilitation in the esthetic zone can be successful using simultaneous soft and hard tissue grafts. Moreover, soft tissue stabilization post-subepithelial connective tissue grafting can be achieved through early or immediate visualization, along with immediate implant placement.

Clinical Application of Neurodevelopmental Assessment for Infants and Toddlers (영유아 신경발달평가의 임상 적용)

  • Im, Sang Hee;Han, Eun Young;Song, Jungeun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.23 no.4
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    • pp.175-180
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    • 2012
  • Early detection and intervention is critical in improving prognosis of developmental disorders. Developmental delay can have many different causes and the clinical features of developmental delay are diverse according to its etiologic causes and severity. The vast and rapid growth of the child's neurobehavioral repertoire from birth through adolescence requires the physician's abundant experience, knowledge, and understanding of development. Here, we summarize instruments for use in neurodevelopmental assessment of infants and toddlers, focusing on motor development, which is the most frequent complaint listed in the developmental clinic.

Thin Bonded Concrete Overlay for Concrete Pavement Rehabilitation (콘크리트포장의 박층 콘크리트 덧씌우기공법)

  • 윤경구;이형준;엄주용;서영찬
    • Proceedings of the Korea Concrete Institute Conference
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    • 1997.04a
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    • pp.635-642
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    • 1997
  • This research focused on the development of concrete overlay and test, which was conducted at 88 Highway 105k, 2 lanes of 290 m. The field application test consists of 6 cm and 10 cm bonded concrete overlay and 25 cm unbonded concrete overlay, using the slag cement for opening lanes for traffic early. The overlay were placed in a day. The whole period of traffic closing wes 8 day and it was reopened to traffic after concrete overlay has cured for 3 day. 5 cracks were founded when the field test section was investigated after 1 month, but all these may not make significant problems to overlay because these initiated and growed at the same line of repair section. The rideability and skid resistance become much better like in the new pavement after overlay. The structural capacity against deflection was much. which were verified by FWD(Falling Weight Deflectometer). The field test section is being used in a good condition and the results of field application and pavement performance analysis are encouraging. This rehabilitation methods may be adopted in Korea after a more field performance verifications.

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Occupational Therapy Intervention for Malunion of Distal Radial Fracture: A Case Report

  • Noor Mohammad;Nahid Khan
    • CELLMED
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    • v.13 no.6
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    • pp.6.1-6.3
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    • 2023
  • Objective: Malunion of distal radial fracture can result in pain, stiffness, and decreased function of the affected limb. Occupational therapy intervention can improve outcomes in these patients, but there is limited research on the effectiveness of such interventions. Case Description: This case report describes the occupational therapy intervention and outcomes for a 44-year-old female patient with malunion of left distal radial fracture. The patient received 8 weeks of occupational therapy intervention consisting of therapeutic exercises, joint mobilization, and fine motor activities. The patient demonstrated significant improvements in range of motion, grip strength, and activities of daily living (ADL) in her left hand. The patient also reported less pain and greater ease in performing activities of daily living. Conclusion: Occupational therapy intervention can be effective in improving outcomes for patients with malunion of distal radial fracture. This case report highlights the importance of early intervention and interdisciplinary collaboration among healthcare professionals to optimize patient outcomes. Further research is needed to explore the effectiveness of occupational therapy interventions for patients with malunion of distal radial fracture.

A Case Report of Korean Medicine Treatment for a Patient with Early Dumping Syndrome with Diarrhea and Abdominal Pain after Gastrectomy (위절제술 후 발생한 설사, 복통 등을 주소로 하는 조기 덤핑증후군 환자의 한방 치험 1례)

  • Kim, Dong-won;Park, Jin-seo;Kil, Bong-hun;Jo, Hye-mi;Jung, Da-hae;Won, Jee-yeong;Cho, Jun-ho;Lee, Jung-eun
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.868-876
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    • 2020
  • The purpose of this study was to report the clinical effects of Korean medicine on a patient who suffered from Early Dumping Syndrome with diarrhea, abdominal pain, anorexia, and insomnia after gastrectomy. The patient was treated with herbal medicine, acupuncture and moxibustion use in combination with Western medicine for 4 weeks. Though anorexia was maintained at a similar level, other clinical symptoms (diarrhea, abdominal pain, and insomnia) were improved after Korean medicine treatment. Therefore, Korean medicine may be effective for treatment of Early Dumping Syndrome after gastrectomy.

Early loading on a maxillary posterior single implant with deepened threads: a case report (깊은 나사선을 갖는 임플란트를 이용한 상악 구치부 조기 하중: 증례보고)

  • Han, Chang-Hoon;Kim, Hyun-Seung;Park, Sang-Won;Yun, Kwi-Dug;Joo, Han-Sung;Lim, Hyun-Pil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.3
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    • pp.253-258
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    • 2014
  • This case report shows an early loading at the maxillary posterior area with the wide diameter implant which has a deepened threads after removal of failed implant. Implant Stability Quotient (ISQ) value has represented favorable result for one year. This clinical report describes the potential of early loading on a maxillary posterior single implant with deepened threads.

Physical Therapy at Early Stage for Return to Work in The Hand Injury (수부손상 환자의 직업복귀를 위한 조기 물리치료)

  • Bae Sung-Soo;Kwack Jeong-In;HwangBo Gak
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.11-20
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    • 1999
  • We can sec the case of hand injury patient in the industry field. Hand injury has more particularity than other injury cases. Because it is densely a lot of muscle, tendon, bone, vessels, and in progressing speedily to fibrosis, adhesion, stiffness than other joints. If it has baud injury, it is important to the physical therapy in early stage after operation. Otherwise, it is difficult to recover the function. Hand malfunction intimately has to do with the return to work and the grade of disability. There are many different hand injury cases but, we want to investigate several cases. : fracture. joint injury, tendon injury, and want to looking for treatment tine and method about these. So, we'll understand hand injury of industry disaster. and acknowledge of the importance of physical therapy in the early stage through these.

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Effect of Early Ankle Exercise with Functional Electrical Stimulation on Strength and Range of Motion of Ankle in Patients with Stroke (기능적 전기자극을 이용한 조기 발목재활운동이 급성기 뇌졸중 환자의 발목 근력과 가동범위에 미치는 영향)

  • Kim, Chang-Heon;Kang, Tae-Woo
    • PNF and Movement
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    • v.12 no.3
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    • pp.159-165
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    • 2014
  • Purpose: The purpose of this study was to investigate the effect of early ankle exercise with functional electrical stimulation(FES) on spasticity, strength and active range of motion of ankle in patients with stroke. Methods: This study included 21 patients with stroke, who were performed early ankle exercise combined FES. The exercise program comprised 5 sessions of 30 minutes per week for 4 weeks. The spasticity, strength and active range of motion of ankle were evaluated before and after training. The spasticity was measured by modified ashworth scale(MAS), strength of ankle was measured by hand-held dynamometer and active range of motion of ankle dorsi-flexion was measured by goniometer. All data were analyzed using SPSS 18.0. Results: Significant differences were observed the subjects for strength of ankle and active range of motion. The results of the study were as follow: strength of ankle was significantly increased subjects(p<.001) and active range of motion was significantly increased subjects(p<.001). Conclusion: Ankle is very important part of body in stroke patients. early ankle exercise with FES is effective for improvement of strength of ankle and active range of motion in patients with stroke. ealry ankle exercise with FES about stroke patient is very useful and effective. It is effective in clinical practice.