• 제목/요약/키워드: Musculoskeletal Problems

검색결과 211건 처리시간 0.024초

『강평상한론(康平傷寒論)』 맥(脉)에 관한 고찰: 임상 증례 분석 및 고문자학적 해석을 통하여 (A Conceptual Study of "Mai (脉)" in Gangpyeong-Shanghanlun Based on Comparative case analysis and Paleography)

  • 조성환;하현이;윤효중;박재경;허주;이성준
    • 대한상한금궤의학회지
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    • 제15권1호
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    • pp.1-52
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    • 2023
  • Objective : The objective of this study was to explore the meaning of Mai (脉) in the fifteen letters provisions of Gangpyeong-Shanghanlun through the comparative analysis of 10 cases and paleography. Methods : We have collected 10 cases that have been diagnosed and treated by Gangpyeong-Shanghanlun Mai (脉) provision. And then, comparative analysis has been done among those 10 cases. Based on result of case analysis, paleographic meaning of each Mai (脉) have been studied to redefine Gangpyeong-Shanghanlun Mai (脉)'s meaning. Results : After administration of Mai (脉) provision's herbal medicine, all 10 patients recovered their mobility problem and pain. From this result, we could fomulate the hypothesis that Mai (脉) in Gangpyeong-Shanghanlun could mean mobility problems. After through further paleography studies, we could elaborate each Mai (脉)'s clinical meaning and related diseases. Conclusions : Mai (脉) in Gangpyeong-Shanghanlun could mean mobility problems caused by various diseases, which include musculoskeletal pain, neuropathy, syncope, fatigue, developmental disability and major depressive disorder.

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뇌손상 가족 간병인의 근골격계 자각증상과 관련요인 (The Factors Related to Musculoskeletal Symptoms of Family Care-Givers who Have a Patient with Brain Damage)

  • 전은미;이성아;구정완
    • 한국산학기술학회논문지
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    • 제18권1호
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    • pp.336-344
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    • 2017
  • 본 연구는 뇌손상 진단을 받고 병원에서 재활치료를 실시하고 있는 환자의 가족 간병인 340명을 대상으로 근골격계증상을 알아보고 그 관련요인을 파악하고자 자기 기입식 설문조사를 실시하였다. 설문조사 내용은 일반적 특성, 간병활동 특성, 근골격계 자각 증상이였다. 본 연구의 조사 기간은 2014년 3월부터 4월이며, 재활병원 및 요양병원에서 수집하였다. 연구결과 독립변수에 따른 자각증상 호소율은 신체부위별로 다르게 나타났다. 요인분석의 결과는 목의 경우 초졸의 학력이 영향을 끼쳤고, 어깨의 경우 여자, 나이 50~59세, 학력 중졸, 간병기간 1년 이내와 1년 7개월 이상 2년 이내가 영향을 끼쳤다. 팔/팔꿈치의 경우 나이 40~49세, 학력 대졸, 간병기간 1년 이내와 1년 7개월 이상 2년 이내 변인이 유의한 영향을 끼쳤다. 손/손목/손가락의 경우 나이 50~59세, 간병기간 1년 이내와 1년 7개월 이상 2년 이내 변인이 통증에 유의한 영향을 끼쳤다. 다리/발의 경우 나이 50~59세, 간병기간 6개월 이내 변인이 통증에 유의한 영향을 미치는 것으로 나타났다. 허리의 경우 학력 초졸 중졸 고졸, 간병기간 1년 이내와 1년 7개월 이상 2년 이내, 독립보행 불가능 변인이 통증에 유의한 영향을 미치는 것으로 나타났다. 진단명 별 간병활동 특성에서 근골격계 자각증상 호소율은 통계적으로 유의하지 않았다. 근골격계 자각증상 호소에 가장 영향을 미치는 간병활동 동작으로는 이동하기와 보행이었다. 근골격계 자각증상에 영향을 미치는 전체 요인에 대해서는 간병 기간 1년 이내가 전체 통증에 유의한(p<.05) 영향을 미치는 것으로 나타났다. 본 연구의 결론으로는 뇌손상 환자의 가족 간병인은 환자를 간병하는 간병활동 특성에서 근골격계 질환의 위험에 노출되어 생활하는 것을 알 수 있었다. 또한 뇌손상 환자를 돌보는 가족 간병인의 신체부위별 근골격계 증상에 영향을 미치는 요인이 다르므로 이러한 요인에 대한 체계적이며 종합적인 예방 교육과 연구가 마련되어야 할 것이다.

근관절 전문간호교육 프로그램개발에 관한 요구조사 (Nurses' Needs and Priority for Developing Advanced Nursing Education Program in Musculoskeletal Care)

  • 김종임;임난영;조경숙;이은남;송라윤;은영;박원숙;이동숙;권영숙;심희숙;장부영;최미경;이지현
    • 근관절건강학회지
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    • 제19권2호
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    • pp.120-130
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    • 2012
  • Purpose: The purpose of this study was to assess nurses' educational needs for developing advanced nursing education program for musculoskeletal care. Methods: The participants consisted of 272 clinical nurses who had experience of taking care of patients with musculoskeletal problems. A structured questionnaire with 28 items was used to assess educational needs and priority perceived by clinical nurses. Collected data were analyzed using SPSSWIN V.18.0 program for descriptive statistics. This survey was conducted in accordance with standard ethical guidelines for all research involving human participants. Results: While the majority (93.4%) perceived needs for advanced education program, about half of the participants (48.5%) reported no educational experience about musculoskeletal care. The clinical nurses perceived important for 23 out of 28 areas to be included in advanced nursing education. Especially, the areas of pain management, surgical care, and medication were perceived high priority for education program in caring musculoskeletal patients. Conclusion: The study findings showed that most nurses perceived the need for advanced nursing education program in musculoskeletal care, and the areas with higher priority as perceived by nurses should be reflected in the program.

Chronic pelvic pain arising from dysfunctional stabilizing muscles of the hip joint and pelvis

  • Lee, Dae Wook;Lim, Chang Hun;Han, Jae Young;Kim, Woong Mo
    • The Korean Journal of Pain
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    • 제29권4호
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    • pp.274-276
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    • 2016
  • Chronic pelvic pain in women is a very annoying condition that is responsible for substantial suffering and medical expense. But dealing with this pain can be tough, because there are numerous possible causes for the pelvic pain such as urologic, gynecologic, gastrointestinal, neurologic, or musculoskeletal problems. Of these, musculoskeletal problem may be a primary cause of chronic pelvic pain in patients with a preceding trauma to the low back, pelvis, or lower extremities. Here, we report the case of a 54-year-old female patient with severe chronic pelvic pain after a transcutaneous electrical nerve stimulation (TENS) accident that was successfully managed with image-guided trigger point injections on several pelvic stabilizing muscles.

근골격계 질환 예방을 위한 재생타이어 트레드 버핑머신 개발 (Development of Tread Buffing Machine for Recapped Tire for prevention of Musculoskeletal System disorder)

  • 김재열;한재호;이연신;김항우;오성민
    • 한국공작기계학회:학술대회논문집
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    • 한국공작기계학회 2004년도 추계학술대회 논문집
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    • pp.175-180
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    • 2004
  • As a part of environmental pollution prevention and resources recycling, the regeneration of waste tire has been largely contributed to national industry. But, the worker has been evaded this regeneration process by reason of the best mischievous process condition among 3D industries. So, the first, the process condition of regenerating waste tire was analyzed. The second, the equipment or system was developed for the improvement of working strength and environment. The last, researchers intend to solve these problems

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조선업종의 유해요인조사 및 인간공학적 개선 (Risk Factor Analysis and Ergonomics Improvements in a Shipbuilding Industry)

  • 오순영;정병용
    • 대한인간공학회지
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    • 제24권1호
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    • pp.27-35
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    • 2005
  • This paper describes a practical ergonomic approach for the shipbuilding industry that occupies the highest rate of work-related musculoskeletal disorders (WMSD) in Korea. Typical work processes within a shipbuilding operation were surveyed to determine the presence of risk factors associated with musculoskeletal disorders. We used interviews, document analysis, video analysis, and OWAS postural analysis to identify and quantify ergonomic risk factors that workers may be exposed to in the course of their normal work duties. Some ergonomics actions were performed to solve the problems identified in the risk factor analysis. The practical ergonomic approach has resulted in decreases in workers' accident, and increases in productivity. The ergonomic solutions developed in this study could be applied to other sectors of industry that share common features of work with shipbuilding industry.

기계설비 제조업체의 인간공학적 진단 및 개선사례 (A Case Study of Ergonomic Analysis and Improvement of a Machinery Manufacturing Company)

  • 박희석;허소림
    • 대한인간공학회지
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    • 제25권4호
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    • pp.153-157
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    • 2006
  • The objective of this study was to establish a systematic ergonomic program for the prevention and control of work-related musculoskeletal disorders(WMSDs) in a machinery manufacturing company. The steps such as looking for the signs of WMSDs problems, setting the stage for action, training-building in-house expertise, gathering and examining the evidence of WMSDS, developing controls of health care management, and proactive ergonomic interventions were applied. The primary success factors were management commitment and encouragement, and harmonious union-management relations.

소침도(小鍼刀) 요법(療法)에 관한 문헌적(文獻的) 고찰(考察) (Review on The XiaZhenDao Therapy)

  • 정혜윤;강성길;고형균
    • Journal of Acupuncture Research
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    • 제19권1호
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    • pp.244-261
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    • 2002
  • Objective & Methods : For development the new therapy applied on musculoskeletal and related diseases, We reviewed the XiaZhenDao therapy of new therapies used in other countries by texts and papers. Results : We investigated the theory, standardization, indications, contraindications, using methods, notices and advantages in textures, and compared this with other therapies. We discussed problems and requirements to using this therapy in Korea. Conclusion : The XiaZhenDao therapy is very effective new therapy to treat musculoskeletal and related diseases. To using this therapy in Korea, we will have to prepare legal and systemic equipments and supply complete educations and practices.

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악성종양의 감별진단을 위한 근골격의 확산강조영상 검사 시 최적의 여기횟수 (Diffusion Weighted Imaging in Musculoskeletal MRI: Analysis on Optimal Number of Excitations Providing better Differentiation of Maglignant Tumor)

  • 최관우
    • 한국콘텐츠학회논문지
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    • 제18권8호
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    • pp.338-344
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    • 2018
  • 본 연구에서는 근골격 확산강조영상 검사 시 검사시간이 긴 여기횟수의 문제점을 인지하고 이를 대체할 수 있는 최적의 여기횟수를 제시하여 이를 개선하고자 하였다. 연구방법은 무릎관절 MRI 검사를 받은 30명을 대상으로, 여기횟수를 1부터 5까지 사용하여 뼈와 근육의 확산강조영상을 획득한 다음 여기횟수의 변화에 따른 ADC value를 비교분석 하였다. 연구 결과 기존에 관행적으로 사용해왔던 여기횟수 5와 차이가 없는 최소 여기횟수는 뼈의 경우 4, 근육의 경우 2로 나타났다. 이는 기존 여기횟수의 검사시간에 비해 뼈는 21.2%, 근육은 59.6% 단축된 수치로, 위에 제시한 여기횟수를 적용하면 통계적으로 차이가 없어 검사시간을 단축시키면서 기존 여기횟수를 대체할 수 있음을 의미하는 것이다. 결론적으로 본 연구가 제시한 여기횟수를 근골격 확산강조영상 검사에 적용하면 검사시간의 증가로 인해 발생할 수 있는 문제점을 개선할 수 있다.

한방의료분쟁의 현황과 예방에 대한 연구 (Study about the Status and Prevention of Oriental Medical Disputes)

  • 이은솔;오지윤;조현석;김경호;이승덕;김갑성;김은정
    • 대한한의학회지
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    • 제35권1호
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    • pp.58-67
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    • 2014
  • Objectives: The purpose of this study was to analyze the current status of legal disputes in the Oriental medical clinics and hospitals in South Korea, and to suggest their possible solutions. Methods: Legal dispute cases advised by the Association of Korean Medicine from January 2005 to April 2012 were collected and analyzed. Results: 196 Oriental medical dispute cases were analyzed for the study. Problems in musculoskeletal system and connective tissues (37 cases) were the most common cause of Oriental medical disputes. As per treatment methods related to the dispute, acupuncture (66 cases) and herbal medicine (63 cases) were indicated as the two most common causes. The most common initial problems the patients had at the beginning of their treatment were musculoskeletal system and connective tissues problems (87 cases). Out of 196 dispute cases, only 49 were found to be the fault of Oriental medical doctors. Conclusions: This study can be used as a basis to prevent possible Oriental medical disputes. Subsequent studies should be based on a more comprehensive and extensive range of data.