• Title/Summary/Keyword: Lower Extremities

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복직근 유리 조직 이식술 (Rectus Abdominis free Muscle Transplantation)

  • 이준모;장기영
    • Archives of Reconstructive Microsurgery
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    • 제3권1호
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    • pp.90-96
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    • 1994
  • 1. 교통사고 등으로 인한 외상성 골노출이 8례로 가장 많았으며, 원인으로서는 교통사고가 7례이었고 1례는 기계사고 이었으며, 부위 별로는 하지 경골이 7례, 종골이 1례이었다. 2. 2례의 만성 골수염에서는 유리조직 이식술과 함께 골소파술 및 정주 항생제 요법을 병행하였다. 3. 총 10례중 9례에서 완전 생존하여 90%의 성공률을 보였다. 4. 공여부위에 대한 합병증은 소량의 혈종을 형성한 1례에서 2차 탐구술과 흡인술을 시행하였으며 합병증없이 치유되었다.

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누운 자세에서 똑바로 일어서기의 남여별 운동형태 분석 (Gender Differences in Movement Patterns Used by Teenage to Rise from Supine to Erect Stance)

  • 배성수;박상욱
    • The Journal of Korean Physical Therapy
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    • 제6권1호
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    • pp.147-153
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    • 1994
  • The purpose of this study were to describe the movement pattern used to rise from supine to erect stance and to evaluate the influence gender might have on the movement patterns used for rising. Fifty males and fifty-three females, mean 14 years of age, performed the rising task while being videotaped. Movement patterns were classified using categorical descriptions of the action of three body regions; the upper extremities, lower extremities, and head-trunk region. The most common pattern of males and females were symmetrical push(upper extremity), symmetrical(head-trunk) and symmetrical squat(lower extremity). In the upper extremity component, a symmetrical reach to push pattern was new category. Eighteen of males and twenty-one of females different movement pattern combinations were observed. Results indicate physical therapists should consider the patient's age and gender.

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줄자를 이용한 하지부피 측정시 부위별 검사자간, 검사자내 신뢰도 측정 (Intertester and Intratester Reliability of Tape Measurement on Lower Extremities)

  • 김성중;양회송;이충휘
    • 한국전문물리치료학회지
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    • 제7권1호
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    • pp.38-45
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    • 2000
  • Tape measurement for evaluating edema is frequently used by clinicians. The primary purpose of this study is to determine the intertester and intratester reliability of tape measurement carried out by two physical therapists on lower extremities. The intertester and intratester reliability of six anatomical landmarks measurements were determined in six healthy subjects. The measurements were taken in five sessions by each tester. The intraclass correlation coefficients (2,1) were between .87 and .99 for intertester reliability. Intratester reliability was .93 and .99 for A tester and .82 and .99 for B tester. The average range of variation was .13 to .54 in six landmarks. The reliability of six volume measurements was very high. These results support the use tape measurement as a reliable tool for measuring limb girth.

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기능적 전기자극 I - 척수손상환자의 기능적 보행을 중심으로 - (Functional Electrical Stimulation(FES) : Part I)

  • 이재호
    • 한국전문물리치료학회지
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    • 제2권1호
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    • pp.62-70
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    • 1995
  • The use of electricity to evoke s skeletal muscle response is FES, which is a form of functional electrical stimulation. In the case of the damaged spinal cord, the technique can supply stimulation to the lower moter neurons and their muscle fiber, which have been disconnected from control of the higher nervous system. Recent advances in electronics, particularly miniaturization, have made possible the design of much improved systems of electrodes and stimulaters for FES. Clinical research has followed two main lines: the use of FES in the upper extremities for producing functional hand rehabilitation in quadriplegics and in the lower extremities for producing standing and gait in paraplegics.

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Lehich 증후군;치험1례 (Lerich syndrome; 1 case)

  • 고영상;구자홍;김공수
    • Journal of Chest Surgery
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    • 제26권10호
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    • pp.808-811
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    • 1993
  • Leriche syndrome ia a common entity which causes ischemia of the lower extremities. Since the introduction of aortic resection and homograft replacement by Oudot in 1951, reconstructive procedures to restore distal blood flow by either endarterectomy or, later, with prosthetic graft have become standardized. Recently we experienced a case of Leriche syndrome. A 50 year-old male patient admitted with intermittent claudication, impotence, and symmetrical atrophy at lower extremities. Aortogram revealed complete obstruction at infrarenal abdominal aorta and Doppler sonogram revealed only minimal blood flow at left femoral artery.Successful surgical treatment was accomplished with endarterectomy at proximal left renal artery and a bypass from abdominal aorta at the level of both renal arteries to both external iliac arteries with bifurcated Gore-tex vascular graft. After bypass operation, we did palpate with arterial pulse at both popliteal artery.He was recovered without complication.

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고유수용성 신경근 촉진법에 의한 편마비 환자의 보행 및 계단 오르기 변화 (Change of walking and stair up in hemiplegia by Proprioceptive Neuromuscular Facilitation techniques)

  • 김대경
    • The Journal of Korean Physical Therapy
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    • 제11권3호
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    • pp.57-64
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    • 1999
  • The purpose of this study is to evaluate the effects of the lower extremities patterns in proprioceptive neuromuscular facilitation to the gait and stair up of the hemiplegic stroke patient. the patient was taken lower extremities patterns in porprioceptive neuromuscular facilitation with 5 times per week for 8 weeks. The results were as followings ; 1. The walking times was decreased from 78 seconds to 39 seconds at 20m, 2. The stride length was increased from 48.3cm to 93.3cm. 3. The step length was increassed from 25.2cm to 47.2cm. 4. The stair up was increased from 3.2cm to 15.5cm.

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Newly Developed Urinary Retention and Motor Weakness of Lower Extremities in a Postherpetic Neuralgia Patient

  • Lee, Mi Hyun;Song, Jang Ho;Lee, Doo Ik;Ahn, Hyun Soo;Park, Ji Woong;Cha, Young Deog
    • The Korean Journal of Pain
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    • 제26권1호
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    • pp.76-79
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    • 2013
  • During the early stage of postherpetic neuralgia, an epidural block on the affected segment is helpful in controlling pain and preventing progression to a chronic state. The main neurologic complication following an epidural block is cord compression symptom due to an epidural hematoma. When neurologic complications arise from an epidural block for the treatment of postherpetic neuralgia, it is important to determine whether the complications are due to the procedure or due to the herpes zoster itself. We report a case of a patient who was diagnosed with herpes zoster myelitis during treatment for postherpetic neuralgia. The patient complained of motor weakness in the lower extremities after receiving a thoracic epidural block six times. Although initially, we believed that the complications were due to the epidural block, it was ultimately determined to be from the herpes zoster myelitis.

산후풍(産後風)을 동반한 산후 복부 지방 저류 환자의 치험1례 (A Case Study on an Abdominally Obese Patient with Postpartum Disease)

  • 김동환;이인호;이종훈
    • 한방비만학회지
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    • 제6권2호
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    • pp.105-112
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    • 2006
  • We experienced an abdominal obese patient with postpartum disease. From the 15th of July 2006 to the 16th of September 2006 we applied herbal medications (Gungguijohyeoleumgamibang and Taeeumjouitanggamibang), acupuncture, auricular acupuncture, electrolipolysis, low calorie diet, aerobic exercise, behavioral therapy to her. We examined the changes in body weight, BMI, PBF and WHR and the changes in cold hypersensitivity of lower extremities and pain of wrists and ankles. Her weight decreased from 49.6kg to 44.5kg, BMI from $20.9kg/m^2$ to $18.8kg/m^2$, PBF from 27.7% to 23.9%, WHR from 0.84 to 0.78. Cold hypersensitivity of lower extremities and pain of wrists and ankles, symptoms typical of postpartum disease disappeared after treatment. Despite a low calorie diet, lactational performance was not impaired.

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진행성 색소성 자반병 한방 치험 1례 (A Case of Progressive Pigmented Purpuric Dermatosis)

  • 최인화
    • 한방안이비인후피부과학회지
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    • 제14권2호
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    • pp.194-197
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    • 2001
  • Progressive pigmented purpuric dermatosis(Schamberg's disease, purpura simplex) is an uncommon eruption characterized by petechiae and patches of brownish pigmentation, particularly on the lower extremities. Lesions remain for months or years and present only a cosmetic problem. there is no hematologic disease, venous insufficiency, or associated internal disease. The most characteristic feature is orange brown, pinhead-sized "cayenne pepper" spots. It is hard to find similar disease in Oriental Medicine, however it could be though related with 瘀血. We observed and treated a 25 old female with progressive pigmented purpuric dermatosis on her lower extremities, without pain and itching sign. About 1 year after our treatment, herb-medication. acupuncture treatment, negative therapy and applied aroma oil in order to remove the 瘀血(a kind of congestion) & inner heat and promote the circulation of her blood, the area of pigmented purpuric dermatosis was decreased remarkably and the colour was lighter. She is been treated continuously now and satisfied with the efficacy of treatment.

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Comparison of Impulses Experienced on Human Joints Walking on the Ground to Those Experienced Walking on a Treadmill

  • So, Byung-Rok;Yi, Byung-Ju;Han, Seog-Young
    • International Journal of Control, Automation, and Systems
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    • 제6권2호
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    • pp.243-252
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    • 2008
  • It has been reported that long-term exercise on a treadmill (running machine) may cause injury to the joints in a human's lower extremities. Previous works related to analysis of human walking motion are, however, mostly based on clinical statistics and experimental methodology. This paper proposes an analytical methodology. Specifically, this work deals with a comparison of normal walking on the ground and walking on a treadmill in regard to the external and internal impulses exerted on the joints of a human's lower extremities. First, a modeling procedure of impulses, impulse geometry, and impulse measure for the human lower extremity model will be briefly introduced and a new impulse measure for analysis of internal impulse is developed. Based on these analytical tools, we analyze the external and internal impulses through a planar 7-linked human lower extremity model. It is shown through simulation that the human walking on a treadmill exhibits greater internal impulses on the knee and ankle joints of the supporting leg when compared to that on the ground. In order to corroborate the effectiveness of the proposed methodology, a force platform was developed to measure the external impulses exerted on the ground for the cases of the normal walking and walking on the treadmill. It is shown that the experimental results correspond well to the simulation results.