• The Journal of Korean Physical Therapy
• /
• 제30권5호
• /
• pp.199-203
• /
• 2018

The number of reported cases with dual disability is increasing for the past few decades. Currently, dual disability of lower limb amputation and motor weakness after stroke became a strong issue in public concern. The functional levels of patients have shown in the wide range from independent community ambulation to non-ambulation. Thus, it indicates that favorable outcomes for dual disability may depend upon adopted rehabilitative strategies. We present the case of a man with left below-knee amputation and severe right-sided weakness following a huge putaminal hemorrhage. He had suffered from extreme pain and misfit of the prosthetic socket and the complicated residual limb for three years prior to the stroke. Forty days post-stroke, we performed a revision surgery to resolve the complications of bony overgrowth, verrucous hyperplasia, and neuroma and applied an ankle foot orthosis (AFO). Two years post-stroke, he was able to ambulate outside his home and negotiate stairs using a cane. This is the first case with the dual disability of lower limb amputation and contralateral hemiplegia to undergo revision surgery. The results suggest that an early revision surgery and use of an AFO are crucial for achieving a higher level of mobility in such cases.

• Korean Journal of Acupuncture
• /
• 제36권4호
• /
• pp.189-199
• /
• 2019

Objectives : This study aimed to investigate the effects of electroacupuncture (EA), the laser acupuncture (LA) and the combination therapy (LA+EA) in a collagenase-induced osteoarthritis rat model. Methods : Osteoarthritis rat model was induced by injection of collagenase into left lower articular cavity (50 μl to knee and 10 μl to ankle). In order to assess the anti-osteoarthritic effects of EA, the 650 nm LA and 650 nm LA+EA, the histopathological findings and plantar withdrawal responses were analyzed. Results : All of the treatment methods used in this study were effective in reducing pain. All treatment groups were effective in decreasing inflammatory cytokines of TNF-a and IL-6; the 650 nm LA and 650 nm LA+EA groups significantly reduced IL-1β. Conclusions : 650 nm LA and EA inhibit the production of collagenase-induced inflammatory mediators of osteoarthritis.

• 셀메드
• /
• 제5권2호
• /
• pp.10.1-10.3
• /
• 2015

Arthritis is a major cause of joint pain, stiffness, and subsequent disability which adversely affects quality of life. Seriously, it can lead to long term social and psychological effects including loss of independence, depression, and anxiety. Arthritis is usually treated with joint replacement surgery or medications. However, the artificial joint is temporary and pharmacological measures have side effects, such as addiction or hypersensitivity. Thus, orthotics has been developed to improve arthritis as a nonpharmacological measure. The increased regional load across compartments of articular cartilage is an important factor in the cause of the arthritis. Mubal$^{(R)}$, a clinical shoe insole, has a sliding function to help people to walk straight and realign the body balance. The slide of Mubal$^{(R)}$ reduces the knee joint loading in patients with arthritis. In addition, pumping function of Mubal$^{(R)}$ can mitigate arthritis by stretching the squashed nerves from lumbar to cervical vertebral and actively circulating blood of pelvic limb. In addition, Mubal$^{(R)}$ could help to stimulate the growth plate. Therefore, Mubal$^{(R)}$ can be used for the child with short stature as well as patients with arthritis.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제28권5호
• /
• pp.353-357
• /
• 2002

Pigmented villonodular synovitis(PVNS) usually presents as a benign proliferative monoarticular arthritis that affects the knee in 80% of cases, followed in frequency by the hip, ankle, and calcaneocuboid joint. PVNS rarely affects temporomandibular joint area. Patients typically complain of pain, locking, and recurrent swelling. Tumor progression limits the range of movement of the joint and causes it to become stiff and firm. Sometimes a palpable mass can be appreciated. Aggressive form of PVNS invades into adjacent bones and soft tissues, is confused with other types of neoplasia. Here we report 2 cases of the PVNS on a temporomadibular

• PNF and Movement
• /
• 제7권4호
• /
• pp.17-23
• /
• 2009

Purpose : The objective of this study was conducted to find out treatment of weight bearing joint problems. Method : This is a literature study with books, seminar note and international PNF course books. Result : In joint therapy have to consider that what kind joint mechanics during movement, what kind relation between rotatory component of the force and translatory component of the force, what kind muscles are in the global mobilizer(GM) and local stabilizer(LS). One joint has muscle imbalance between GM and LS. It will make joint surface degenerative change which will make joint pain. Conclusion : Joint therapy is not only joint mobilization but also biomechanics of joint and GM's and LS's role. Total knee of hip joint replacement is not perfect. Before surgery have to be find out problem solving method within the physical medicine.

• 대한족부족관절학회지
• /
• 제6권2호
• /
• pp.217-220
• /
• 2002

Although osteochondromas are common bone lesions, extraosseous osteochondromas are rare. The most common sites of involvement are the hand, knee, and foot. The authors experienced a case of soft tissue osteochondroma in the plantar aspect of the left foot. The patient complained of a palpable mass for 5 years. The mass grew slowly and had been asymptomatic until 5 months prior to admission when the patient developed slight pain on ambulation and numbness distal to the mid foot. Radiologic studies demonstrated well-circumscribed, lobulated, ossified mass in the plantar aspect of the mid foot. Histological examination confirmed a osteochondroma of soft tissue origin.

• 대한통합의학회지
• /
• 제7권2호
• /
• pp.59-67
• /
• 2019

Purpose : The purpose of this study was to analyze the dynamic range of motion (ROM) of pelvic and translation of center of mass (COM) when wearing different shoe insole lifts according to leg length discrepancy (LLD) during free speed gait. Methods : Thirty-five healthy adults were participated in this study. Kinematic data were collected using a Vicon motion capture system. Reflective and cluster 40 markers attached to participants lower extremities and were asked to walk in a 6 m gait way under three different shoe lift conditions (without any insole, 1 cm insole, and 2 cm insole). The pelvic ROM and COM translation in three planes were sorted using a Nexus software, and a Visual3D motion analysis software was used to coordinate all kinematic data. Results : There were significantly increased maximal pelvic elevation and total pelvic range in coronal plane when wearing a standard shoe with 2 cm insole lift during gait (p<.05). When wearing a standard shoe with 2 cm insole lift, the total range of the pelvic segment were significantly different in all three motion planes (p<.05). Conclusion : Although LLD of less than 2 cm develops abnormal movement pattern of the pelvis and may cause of musculoskeletal diseases such as low back pain, hip and knee joint osteoarthritis, therefore intensive various physical therapy interventions for LLD are needed.

• 가정∙방문간호학회지
• /
• 제26권1호
• /
• pp.102-110
• /
• 2019

Purpose: This study aimed to investigate the effects of a nurse-led community comprehensive exercise program on the body composition, physical function, and health-related quality of life in elderly patients with osteoporosis. Method: The study was conducted with one group pretest-posttest design. A total of 57 elderly patients participated in 8 weeks of intervention. Data was analyzed with the SPSS ver. 23.0 using descriptive statistics and paired t-test. Results: At the end of the intervention, body mass index was significantly increased (t=2.93, p=.005), but right leg balance (t=2.40, p=.02) was significantly improved. In addition, the total Korean-Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) (t=3.48, p=.001), knee pain (t=2.61, p=.012), stiffness (t=2.53, p=.014), and physical function (t=3.51, p=.001) were significantly decreased. EuroQoL Visual Analogue Scale (EQ-VAS) scores (t=4.25, p<.001) were significantly improved. Conclusion: The nurse-led eight-week community comprehensive exercise program did not show desirable change in the body composition but was effective on the physical function and health-related quality of life for older people with osteoartritis.

• 척추신경추나의학회지
• /
• 제13권2호
• /
• pp.85-95
• /
• 2018

Objectives : The aim of the present study was to report the clinical progress of a patient who underwent surgical treatment of necrotizing fasciitis. Methods : During the admission period, The patient was treated with acupuncture, cupping, Korean Medicine, Chuna therapy every day and observed by Numeric Rating Scale(NRS), Pain Disability Index(PDI), Beck Depression Inventory(BDI), and assessment about range of motion(ROM) and manual muscle test(MMT) for hip & knee joint. Results : After treated by using above treatment, NRS, PDI, BDI and ROM, MMT were improved. Conclusions : Korean Medical treatment are estimated to be good for patients after surgical treatment of necrotizing fasciitis. But more cases are required to prove the effectiveness of the treatment.

• PNF and Movement
• /
• 제12권2호
• /
• pp.51-61
• /
• 2014

Purpose: This study aimed to review articles related to PNF and easily provide information to readers who have difficulty reading papers or using PNF in clinics without a background in statistical knowledge. Methods: We used PubMed to collect papers on international studies and we conducted a search on April 28, 2014. Keywords used for the PubMed search were "PNF" and "Proprioceptive Neuromuscular Facilitation". The search results identified 765 papers that had been published since 1954. To target the papers for review, we selected 66 papers, excluding papers that were not published in online journals and papers that were written in a second language. Results: The reviewed papers consisted of studies that addressed basic principles and procedures, combined with other interventions, including PNF stretching concepts, and other diseases with PNF concepts. The articles related to basic procedures and principles reported on optimal contraction intensity, patterns, and irradiation. The articles related to stretching and strengthening reported on stretching the hamstring muscles in healthy subjects, in combination with other interventions such as neuromobilization, clinical massage, kinesio taping, and water immersion. The articles related to specific diseases reported on stroke, low back pain, athletic injury, total knee replacement, etc. Conclusion: In the 66 articles reviewed for this study, there was little evidence that PNF has therapeutic value. However, in future research on the application of PNF, investigators could conduct a more in-depth analysis of this topic and present more objective and useful information on the therapeutic benefits of PNF.