• 제목/요약/키워드: Lumbar range of motion

검색결과 124건 처리시간 0.028초

한방통전약물요법을 이용한 섬유근통환자 치험 1례 (Clinical Research on 1 Case of Fibromyalgia Treated by Iontophoresis)

  • 조현철;장건;송윤경;임형호;조태영
    • 대한추나의학회지
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    • 제6권1호
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    • pp.137-146
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    • 2005
  • Objective : We got a good effect on one patient who was diagnosed Fibromyalgia. Method : We treated 1 case of Fibromyalgia with acupuncture, moxibustion, herbal medication, and iontophoresis. We measured the VAS(Visual Analog Scale) and ROM(Range of motion) of Lumbar. Results : Patient's met complain is low back pain, pain and hemiparesis of night lower limb, and Pantalgia After treatment, most symptoms decreased and ROM, ambulation improved. VAS score changed from 10 to 2 for 52 days. Conclusion : The Fibromyalgia were successfully treated by acupuncture, moxibustion, herbal medication, and iontophoresis.

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대퇴부 손상의 치료 (Treatment of Thigh Injuries)

  • 박재형;김형수;김현철;지정민
    • 대한정형외과스포츠의학회지
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    • 제3권2호
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    • pp.100-106
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    • 2004
  • Thigh injuries are relatively uncommon sports injuries. But the incidence is increasing as many kinds of sports activity develops. And the prompt recognition and treatment of these injuries are critical to prevent prolonged disability. Also, despite the simple anatomic structure of the thigh, this region is finely tuned muscular mechanism with both anterior and posterior muscles crossing two joints. So the contracture of thigh muscle can result in not only decreased range of motion of the knee and hip joint, but also painful lumbar spine. So we reviewed recent literatures about the type of thigh injuries, diagnosis, treatment and rehabilitation.

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척추 유합술 후, 척추경 나사못 제거에 따른 인접 분절의 운동범위에 대한 유한요소해석 (The Change in Range of Motion after Removal of Instrumentation in Lumbar Arthrodesis Stiffness of Fusion Mass: Finite Element Analysis)

  • 강경탁;이화용;손주현;전흥재;김호중
    • 한국전산구조공학회:학술대회논문집
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    • 한국전산구조공학회 2009년도 정기 학술대회
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    • pp.283-286
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    • 2009
  • 척추경 나사못을 이용한 요추 유합술은 가장 보편적으로 사용되어지는 수술적 치료 방법이다. 과거 여러 연구들에서 이러한 척추 유합술의 임상적 우수성은 이미 입증 되었으며, 척추경 나사못은 시술 부위의 운동을 완전히 제한함으로써 높은 유합율을 얻을 수 있으나, 상대적으로 인접 분절의 조기 퇴행성 변화의 요인 중 하나로 보고되고 있다. 따라서 본 연구에서는 유한요소해석 방법을 이용하여 척추경 나사못 시술에 따른 척추체의 운동범위 및 인접 분절 추간판의 스트레스 증가량을 계산하였고, 척추경 나사못 모델과 유합 후 나사못 제거에 따른 모델 또 시술하기 전 정상모델과 비교하여 생체 역학적 측면에서 분석하여 척추경 나사못을 이용한 요추 유합술 후, 척추경 나사못의 제거의 임상적 효과와 그 이론적 근거를 제시하고자 한다.

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급성기 허리 및 고관절 통증에 대한 CP 약침을 포함한 한의 치료 3례 증례보고 (Korean Medicine Treatment Including Capsaicin-containing (CP) Pharmacopuncture for Acute Low Back and Hip Pain: A Case Report of 3 Patients)

  • 정진호;황지혜
    • Korean Journal of Acupuncture
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    • 제37권3호
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    • pp.191-197
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    • 2020
  • This case study reports the clinical response to Korean Medicine (KM) treatments including capsaicin-containing (CP) pharmacopuncture in three patients with acute low back and hip pain. Three patients were diagnosed with acute lumbar sprain, and were treated with CP pharmacopuncture, and other KM treatments including acupuncture, cupping, and herbal medicine. Numeric Rating Scale (NRS), Oswestry Disablility Index (ODI), and Clinical Evaluation Grade (CEG) were used to evaluate symptom changes. After one or two treatments, acute pain with limited range of motion in the low back and thigh region improved with a decrease in NRS, ODI, and CEG. These results suggest that further studies on KM treatments including CP pharmacopuncture for acute low back and hip pain are warranted.

요추 추간판 탈출증 입원환자 208례를 통한 한방치료의 효과 연구 (The Study on Effectiveness of Oriental Medicine Treatment for Lumbar Disc Herniation Inpatients on 208 Cases)

  • 정재훈;김원우;성익현;이갑수;조창영;금창준;김희정;하인혁
    • 한방재활의학과학회지
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    • 제23권1호
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    • pp.77-86
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    • 2013
  • This study was introduced the short-term effectiveness of Oriental medicine treatment for lumbar disc herniation inpatients. We selected 208 inpatients with a magnetic resonance imaging(MRI)-confirmed lumbar disc herniation since June 2012 until August 2012. Their demographics characterisitics, numeric rating scale(NRS) and Oswestry back-related disability index(ODI) for low or leg pain, lumbar flexion and extension angle were assessed at baseline and when discharged from the hospital. When it measured the straight leg raisingscale(SLR), the low side of the angle was examined. Treatment every patient has received as follow; herbal medicine, bee venom, acupuncture and physical examination, spinal manipulation. NRS of low back pain and leg pain and ODI is $5.6{\pm}2.3$, $4.9{\pm}2.8$ and $45.5{\pm}20.0$, respectively at baseline and $2.8{\pm}1.8$, $2.7{\pm}1.9$ and $27.2{\pm}14.1$, respectively when discharged from the hospital. range of motion(ROM) of lumbar flexion and extension angle and SLR is $70.0{\pm}27.1$, $15.4{\pm}7.2$ and $61.3{\pm}23.0$ respectively at baseline and $80.5{\pm}16.9$, $18.25{\pm}4.1$ and $73.2{\pm}14.0$, respectively when discharged from the hospital. It shows that statistically significant improved(P<0.001). Furthermore, regarding patient satisfaction with the treatment, excellent(33.7%), good(55.4%), normal(10.4%), poor(0.5%), it suggests that most patients(89%) satisfied with the treatment.

요부안정화 중심의 필라테스 운동이 만성요통을 가진 여성노인의 체형 및 통증에 미치는 영향 (The Effect of Pilates Exercise for Lumbar Stabilization focused on Body Shape Improvement and Pain Relief of Senior Women with Chronic Back Pain)

  • 연분홍;안을섭
    • 한국응용과학기술학회지
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    • 제40권1호
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    • pp.95-102
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    • 2023
  • 본 연구에서는 만성요통을 가진 여성노인의 체형 및 요부안정화를 위해 12주간 필라테스 운동 프로그램을 적용한 후 체형에 미치는 영향을 알아보고, 통증의 변화를 규명함으로써 노화를 늦추고 신체활동 영역을 높일 수 있는 노인에게 적합한 운동 프로그램 개발에 필요한 자료를 제공하고자 하였다. 이에 3~5cm 중증도 통증범위의 만성요통을 가진 16명여성노인을 대상으로 주관적 통증척도지를 통해 실험집단 8명, 통제집단 8명을 단순무선표집(Simple Random Sampling)으로 선정하였다. 요부안정화 필라테스 운동 프로그램은 주 2회씩 총 12주간 50~60분간 실시하였으며, 1세트 종료 시 1분 휴식을 주는 방식으로 실시하였다. 그 결과 첫째, 체형 및 통증에서는 경추 기울기에서 요부안정화 운동그룹의 경우 운동 전에 비해 감소하였으나 통제집단은 증가하였다. 둘째, 요부 통증의 결과 운동집단의 경우 운동에 비해 감소하였으나 통제집단은 증가하였다. 결론적으로 요부안정화 필라테스 운동은 만성요통을 가진 여성노인에게 있어서 통증을 감소시킬 수 있는 프로그램으로 적용될 수 있으며, 체형을 개선시키는데 도움을 줄 수 있는 것으로 확인되었다.

한방병원에 입원한 Baastrup's Disease 환자의 보조자가 있는 동작침법을 포함한 한의학적 치료 효과: 증례보고 (Effect of Korean Medicine Treatment Including Help Motion Style Acupuncture Treatment for a Baastrup's Disease Patient In Korean Medicine Hospital: A Case Report)

  • 김한결;이성민;조소현;지형욱;고일환;김지원;윤정민;정혁진;김시원;박시영;석황우;전준하
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.235-242
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    • 2023
  • The purpose of this study is to report the effects of Korean medicine treatment in baastrup's disease. We treated the patient for 34 days using Korean medicine treatment such as acupuncture, pharmacopuncture, herbal medicine, Chuna manual therapy and help motion style acupuncture treatment. Numerical rating scale (NRS), EuroQol five dimension (EQ-5D) index, Oswestry disability index (ODI), and lumbar range of motion (ROM) were used as evaluation tools for the state. NRS decrease from 5 to 3, and EQ-5D index, ODI, L-spine ROM were improved by the treatment. In conclusion, this case study shows that Korean medicine treatment can be effective for baastrup's disease.

자세반사에 기초한 요통의 테이핑 치료 (Taping Therapy for the Low Back Pain based on Postural Reflexes)

  • 김용권
    • 대한물리치료과학회지
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    • 제8권2호
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    • pp.1023-1032
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    • 2001
  • The muscles relating to movement of painful low back was analyzed kinematically, by method of applying elastic tapes and putting non-elastic tapes on muscles involving those movements which cause pain and limitation of range of motion (ROM) in low back and trunk. Taping therapy which is effective for improvement of painful low back and which is supposed to facilitate the total and continual movement based on the postural reflexes will be presented in this paper. Fifty cases who had painful low back were investigated. Patients with painful low back were at first asked pain point and direction of painful movement, and then tested the muscles which are cause of those pain and limited motion. Before attaching tape, all subjects were divided into two groups, flexor pattern and extensor pattern, according to direction of increasing pain. Elastic tapes were applied from origin to insertion of objective muscles and non-elastic tapes were put on effective points of the muscles which were associated with respect to pain and limited ROM. As a result of this study, all subjects with low back pain significantly improved in pain and ROM at the low back. The longest treatment duration group for the low back pain cases was herniated lumbar disc(10.4 days) group. Low back pain have been treated by so many ways. muscles factor should be emphasized to be distinguish1y important to reduce low back pain. The muscles relating to make directly painful motion in low back and trunk should be confirmed by means of taping and painful motion should be analyzed by point of view of postural reflexes.

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한방병원에 입원한 압박 골절 환자에 대한 한방 치료 1례 (A Case Report on Korean Medical Treatment for a Patient Hospitalized with Acute Compression Fracture)

  • 이유진;최기원;권민진;장원석;윤준흠;배인수;황동욱;윤경영
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.1027-1034
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    • 2021
  • Objectives: This study aimed to determine the effects of Korean medical treatment on a patient with compression fractures. Methods: The patient was treated with herbal medicine and acupuncture for 51 days. Symptom changes were measured using the Numerical Rating Scale (NRS), Range of Motion (ROM), Oswestry Disability Index (ODI), and European Quality of Life Five Dimensions (EQ-5D) Scale. Results: The NRS score for lower back pain decreased from 7 to 3, and the ODI score decreased from 51.11 to 22.22. Range of motion (ROM) increased meaningfully in flexion(from 30 to 60), Left/Right lateral bending(from 10/30 to 30/45), Left/Right rotation (from 10/30 to 30/45), and the EQ-5D score also increased from 0.506 to 0.677. Conclusion: The results indicate that Korean medical treatment may be effective for managing patients' acute compression fractures.

척추경나사못을 이용한 유합술과 동반 시술된 극돌기간 삽입기구의 생체역학적 연구 (Biomechanical Analysis of a Combined Interspinous Spacer with a Posterior Lumbar Fusion with Pedicle Screws)

  • 김영현;박은영;이성재
    • 대한의용생체공학회:의공학회지
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    • 제36권6호
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    • pp.276-282
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    • 2015
  • Recently, during the multi-level fusion with pedicle screws, interspinous spacer are sometimes substituted for the most superior level of the fusion in an attempt to reduce the number of fusion level and likelihood of degeneration process at the adjacent level. In this study, a finite element (FE) study was performed to assess biomechanical efficacies of the interspinous spacer combined with posterior lumbar fusion with a previously-validated 3-dimensional FE model of the intact lumbar spine (L1-S1). The post-operative models were made by modifying the intact model to simulate the implantation of interspinous spacer and pedicle screws at the L3-4 and L4-5. Four different configurations of the post-op model were considered: (1) a normal spinal model; (2) Type 1, one-level fusion using posterior pedicle screws at the L4-5; (3) Type 2, two-level (L3-5) fusion; (4) Type 3, Type 1 plus Coflex$^{TM}$ at the L3-4. hybrid protocol (intact: 10 Nm) with a compressive follower load of 400N were used to flex, extend, axially rotate and laterally bend the FE model. As compared to the intact model, Type 2 showed the greatest increase in Range of motion (ROM) at the adjacent level (L2-3), followed Type 3, and Type 1 depending on the loading type. At L3-4, ROM of Type 2 was reduced by 34~56% regardless of loading mode, as compared to decrease of 55% in Type 3 only in extension. In case of normal bone strength model (Type 3_Normal), PVMS at the process and the pedicle remained less than 20% of their yield strengths regardless of loading, except in extension (about 35%). However, for the osteoporotic model (Type 3_Osteoporotic), it reached up to 56% in extension indicating increased susceptibility to fracture. This study suggested that substitution of the superior level fusion with the interspinous spacer in multi-level fusion may be able to offer similar biomechanical outcome and stability while reducing likelihood of adjacent level degeneration.