• Clinics in Shoulder and Elbow
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• 제15권2호
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• pp.138-142
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• 2012

색소 융모 결절성 활액막염(Pigmented villonodular synovitis)은 활액막, 건막 및 점액낭 등에 융모 증식과 결절을 형성하는 드문 양성 활액막 증식성 질환으로 대부분 성인의 슬관절과 고관절에 발생한다. 수부, 완관절, 견관절 및 주관절에는 드물게 발생하며, 특히 소아에서의 주관절 색소 융모 결절성 활액막염은 아주 드물다. 좌측 주관절 통증이 있는 8세 남아의 단순 주관절 방사선 검사상 좌측 주두와에 양성 골종양과 같은 병변이 관찰되었다. 수술시 좌측 주관절의 활액막 이상 증식 소견이 관찰되어 임상적으로 색소 융모 결절성 활액막염을 의심하였으며, 병변의 개방 소파술 및 좌측 주관절의 근치적 활액막 절제술을 시행하였다. 절제 조직의 조직학적 검사 결과 색소 융모 결절성 활액막염으로 확진 되었다. 술 후 좌측 주관절의 통증이 호전되었으며, 정상 운동범위를 회복하였다. 저자들은 소아의 주관절에 발생한 골종양을 닮은 색소 융모 결절성 활액막염 1예를 보고함과 동시에 문헌 고찰을 하였다.

• 대한추나의학회지
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• 제5권1호
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• pp.213-222
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• 2004

Objectives : To investigate contributing degree of other factors except pelvic tilting to F.L.L.D by analizing with Gonstead technique on the correlation between femur head height discrepancy on the standing pelvic AP view and F.L.L.D caused by pelvic tilting. Method : We analysed standing pelvis AP X-ray of 70 patients who had visited at the department acupunture and moxibustion in Conmaul oriental medical hospital, during May, 1st, 2004 - July, 30th, 2004, with low back pain or lower extremity pain. We excluded the person with any past history of polio, genetic defect, malunited fracture, growth plate injury, infection and overgrowth attributable to hemangioma, or arteriovenous fistula. Results & Conclusion : The functional leg length discrepancy caused by pelvic tilting and femur head height difference had no statistical difference(p=0.132) but poorly correlated(Pearson ${\nu}=0.05$). In the 94.28% of subjects, the femur head height difference wasn't in accord with F.L.L.D. caused by pelvic tilting. In 47.14% of subjects were expected to have over $3^{mm}$ of leg length discrepancy after pelvic adjustment. The mean of measurement difference between two methods was $3.76{\pm}3.12^{mm}$ and the range was $0{\sim}11.4^{mm}$. Consequently, we must consider not only functional leg length discrepancy caused by pelvic tilting but also anatomical leg length discrepancy, misalignment of ankle, knee or hip joint etc.

• 대한물리의학회지
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• 제8권4호
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• pp.539-547
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• 2013

PURPOSE: This study examined the effects of exercise of diverse intensities on the expression of TNF-${\alpha}$(tumor necrosis factor-${\alpha}$) in the spinal cord in osteoarthritic rats. METHODS: Over a period of four weeks, the authors applied treadmill exercise programs of diverse intensities to Sprague-Dawley rats, to which intra-articular injection of monosodium iodoacetate(MIA, $3mg/50{\mu}l$, diluted in saline) was applied to the right knee joint to induce osteoarthritis. The four-week exercise program was not carried out with the control group(CG, n=10). Exercise programs of applicable intensities were applied to the low-intensity exercise group(LEG, n=10), moderate-intensity exercise group (MEG, n=10), and high-intensity exercise group(HEG, n=10) over the four weeks. Observations were made of expression of TNF-${\alpha}$ in the spinal cord in osteoarthritic rats using western blot analysis. RESULT: there were significant differences(p<.05) in the comparison of expression of TNF-${\alpha}$ between the four groups involved. The expression of TNF-${\alpha}$ in the spinal cord, the LEG and HEG had more elevated expression significantly than the CG(p<.05). But the MEG had reduced expression significantly than the CG(p<.05). CONCLUSION: These study results suggest that moderate-intensity exercise is effective in inhibition TNF-${\alpha}$ in the spinal cord. They also indicate that in prescribing exercise to treat osteoarthritic patients, exercise of moderate intensity is most suitable to patients' chronic pain, rather than low or high intensity.

• 한국운동역학회지
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• 제21권3호
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• pp.361-368
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• 2011

The purpose of this study was to investigate the effect of isometric hip adduction and abduction on the muscle activities of vastus medialis oblique(VMO) and vastus lateralis(VL) during leg squat exercises. This study consisted of 21 healthy subjects who had no medical history of anterior knee pain or lower extremity disorders. The ball and belt were used to isometrically adduct and abduct the hip joint during the leg squat exercise, respectively. The surface electromyograms of VMO and VL were analyzed, and the findings were used to calculate the VMO:VL ratio during 3 different quadriceps-strengthening exercises(leg squat, LS leg squat with isometric hip adduction, LSHD leg squat with isometric hip abduction, LSHB). The muscle activities of VMO and VL and the VMO:VL ratios were compared using the paired t-test with Bonferroni adjustment. The results showed that the muscle activities of VMO and VL during LSHD were greater than those during LSHB. The VMO:VL ratio was the highest during LSHD. This finding suggests that LSHD using a ball is more effective than LS and LSHB in selectively increasing the muscle activities of VMO. Therefore, we suggest that leg squat exercise with isometric hip adduction using a ball would be useful for maintaining correct patella tracking and for selectively strengthening VMO.

• The Journal of Korean Physical Therapy
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• 제13권1호
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• pp.175-188
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• 2001

The purpose of this study was to investigate the effect of the cold air application for release of inflamation and pain in patient with acute rheumatoid arthritis who had taken medication(NSAIDs, DMARDs, corticosteroids). The participants had knee joint pain and ESR score over the 30. They were randomly assigned to three groups with each 15. Control group(group I ) were applied cold air and medication, experimental group II were applied hot pack and medication. and experimental group III were applied only medication. They were evaluated from April 1, 2000 to september 1,2000 ,and it was examined by ESR and VAS(visual analoge scale) in Lee Bang Hoon rehabilitation medicine clinic in Jeju Korea. The result of this study were as follow: 1. It was found that group 1, group II and group III had the statistically significant reduction of the ESR score according to treatment time(p<.05). 2. There were not statistically significant differences in ESR change pattern of each group according to treatment time(p>.05). 3. There were not statistically significant differences in the change of ESR according to treatment time between group I and group II , group I and group III , and group II and group III (p<.05). 4. It was found that group I . group II and group III had the statistically significant reduction of the VAS(Visual Analoge Scale) score according to treatment time(p<.05). 5. There were statistically significant differences in VAS score according to treatment time between control group(group I ) and experimental groups(group II and group III)(p<.05), but there were not stsiistically significant differences between experimental groups(p>.05).

• Journal of Acupuncture Research
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• 제19권1호
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• pp.1-10
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• 2002

Objective : This study was designed to evaluate the possibility of treatment of Diabetes Mellitus by the Acupuncture. Methods : We reviewed 8 patients of Diabetes Mellitus who were diagnosed CVA, low back pain, knee joint pain, etc. They were hospitalized at Sangji University Oriental Medical Hospital during 2001.3.22~2001.10.22. First, we divided into two groups. Group I was administrated by acupuncture at Taep'o(SP21), and was not given any western medicine about Diabetes Mellitus after admission. Group II was administrated by Western medicine. We observed the change of serum glucose(FBS/PP2hrs), urine glucose figure after acupuncture at Taep'o(SP21) for 2 weeks, and compared Group I with Group II. Results : The results obtained as follows ; 1. There was a improvement in Group I(62.5%) and Group II (87.5%). 2. The figure of FBS in Group I was decreased, but there was no signification. There was a significant decrease in Group II (P<0.05). 3. The figure of PP2hrs in Group I was showed a significant decrease(P<0.05). There was also a significant decrease in Group II(P<0.05). 4. The urine glucose of Group I was showed a non-significant increase. There was a significant decrease in Group II(0.05

• 융합정보논문지
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• 제7권4호
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• pp.39-43
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• 2017

본 연구의 목적은 앉은 자세에서 일어날 때 비탄력 테이핑을 이용한 무릎뼈의 안쪽 활주와 아래 안쪽 활주가 안쪽넓은근과 가쪽넓은근의 근활성도 비율에 미치는 영향에 대해 알아보고자 하는 것이었다. 측정 결과, 안쪽 활주와 비교하여 아래 안쪽 활주를 적용했을 때 안쪽넓은근의 근활성도가 전체 근활성도 대비 비율이 더 높게 나타나는 것을 확인할 수 있었다. 무릎뼈의 안쪽 활주보다 아래 안쪽 활주가 무릎관절의 안정성에 더 큰 기여를 하며, 특히 무릎넙다리 통증증후군의 증상 완화 및 예방에 효과적일 것으로 사료된다. 이와 관련하여 무릎뼈를 아래 안쪽 방향으로 활주 시킬 수 있는 보조기 및 운동복 등의 개발은 무릎관절의 건강을 확보할 수 있는 새로운 방법이 될 것으로 기대한다.

• 사상체질의학회지
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• 제26권3호
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• pp.272-280
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• 2014

Objectives This research was carried out to establish the clinical practice guideline(CPG) for Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology of Soyangin disease. Methods Dongeuisusebowon(sinchuk edition) and several kinds of literatures including journal articles concerning this symptomatology of Soyangin disease were collected and classified. Sasang constitutional specialists' conference was held to make an agreement on the conflicting issues as well. Consensus was drawn as a result of the conference. Results & Conclusions 3 papers were selected as an inclusion and exclusion criteria for the relevant articles to Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology of Soyangin disease. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology consists of two aspects : Yin-Deficit Diurnal-Heat (Eumheo-oyeol) severe pattern and Yin-Deficit Diurnal-Heat (Eumheo-oyeol) critical pattern. In Yin-Deficit Diurnal-Heat (Eumheo-oyeol) severe pattern contains 1 disease, namely, Clear Yang Depletion of Large Intestine (Daejang-cheongyang Moson) pattern (Lower wasting-thirst (Haso) pattern). In Yin-Deficit Diurnal-Heat (Eumheo-oyeol) critical pattern contains 2 diseases, Yin-Deficit Diurnal-Heat (Eumheo-oyeol) pattern and Yin-Deficit Diurnal-Heat (Eumheo-oyeol) advanced pattern. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology has several kinds of symptoms like dry mouth, disliking to drink much water, diurnal body fever, coldness on the back and nausea as well as body fever, chest discomfort, constipation or dry stool as a common symptoms of Interior Heat disease. Clear Yang Depletion of Large Intestine (Daejang-cheongyang Moson) pattern (Lower wasting-thirst (Haso) pattern) has above mentioned symptoms and much urine/turbid urine, thin thigh and knee joints and twinge of joint pain over the body. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) pattern has symptoms like indigestion and epigastric discomfort, abdominal pain and vomiting in addition. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) advanced pattern has symptoms like hematemesis as well.

• 대한관절경학회지
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• 제16권2호
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• pp.175-179
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• 2012

활막 연골종증(synovial chondromatosis)은 관절 활막에 존재하는 활액막 세포가 연골모세포로의 화생에 의해 발생하는 것으로 슬관절, 고관절 등의 큰 관절에 주로 발생하며 견관절에 발생하는 경우는 드물다. 술전에 진단하기는 어려운 경우가 많으며, 수술적 활액막 절제술이 치료에 효과적이다. 저자들은 어깨 관절의 불편감과 통증을 호소하는 44세 여자환자에서 초자연골로 구성된 유리체를 동반한 견봉하 공간의 연골종증을 경험하여 이를 문헌 고찰과 함께 보고하고자 한다.

• 근관절건강학회지
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• 제2권2호
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• pp.131-146
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• 1995

Many arthritis patients experience weakness of muscles in extremities mainly due to disuse atrophy and weight gain because of the limited activities and exercises. This study examines the effects of the 6-week aquatic-exercise program on the body fat and the muscle of the rheumatoid arthritis patients. Seventeen patients in the experimental group and 18 in the control group were assigned depending on their preference and physical condition. These patients had more than 3 points of pain out of 10, deformities in knee, wrist and ankle joints. The amount of aquatic exercise increases from 35 minutes in the first week to 60 minutes in the 6th week. In the resting period they discussed their own experiences about exercise, personal and family affairs, and performed some recreation programs in order to increase the self-efficacy and promote the relationship with other patients by the group activities. Skinfold thickness and circumferences of both extremities were measured before and after experiment to compare the difference. For testing the body fat Saham Model was used. Prior to the experiment two group's body weight, skinfold thickness and skin circumferences were not significantly different which indicates the homogeneity of two groups. Body weight and most parts of skinfold thickness of the experimental group were significantly lower than the control group after 6-week aquatic exercise program. Circumference was not significantly lower than the control after the program. These findings indicate the in-crease of muscle sizes and the reduction of the body fat. Therefore a more active application of aquatic exercise into a variety of clients is strongly suggested.