• 제목/요약/키워드: Neck stabilization

검색결과 77건 처리시간 0.024초

Clinical Experience of Traumatic C7-T1 Spondyloptosis

  • Lee, Dong-Geun;Hwang, Soo-Hyun;Lee, Chul-Hee;Kang, Dong-Ho
    • Journal of Korean Neurosurgical Society
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    • 제41권2호
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    • pp.127-129
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    • 2007
  • Two unusual cases of traumatic spondyloptosis of the cervical spine at the C7-T1 level are reported. One patient was treated with a single-stage combined anterior-posterior and anterior operation to achieve realignment of the cervical spondyloptosis, decompression of the spinal cord and keep of a three-column stabilization of the spine. The other patient was treated with conservative management that consisted of a rigid neck collar and pain control for two months. The patients were managed successfully and both had good neurological outcomes. We present here a summary of the clinical presentations, the surgical technique and results, and a review of the relevant literature.

Effect of Kinesiolology taping and Posture Stabilizing Exercise on Pain, Craniovertebral Angle, Proprioception in Adults with Forward Head Posture

  • Choi, Junghyun
    • 국제물리치료학회지
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    • 제10권3호
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    • pp.1862-1867
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    • 2019
  • Background: The importance of postural stabilization and cervical mobilization in subjects with pain from the anterior head posture is drawing more attention. However, studies on head and neck stabilizing intervention after mobilization are lacking. Objective: To examine the effects of Kinesiotaping and posture setting exercise on forward head posture (FHP). Design: Crossover Study Design Methods: The subjects were 17 male and female college students in their 20s with FHP. They were randomized into the Kinesiology taping group (KTG) with 9 subjects and posture stabilizing exercise group (PSEG) with 8 subjects. The intervention was conducted for 4 weeks, and changes in pain, craniovertebral angle (CVA), and proprioception were observed before and after intervention. Results: Pain was significantly reduced in the KTG and PSEG both before and after intervention. CVA and proprioception were significantly increased only in the PSEG. The differences in CVA and proprioception between the two groups were significant. Conclusions: These findings suggest that the application of posture setting exercise could decrease pain, proprioceptive error and increase CVA on FHP.

Intravenous catheter flanges as an external nasal stent: a novel technique

  • Shibani A. Nerurkar;Subramania Iyer;Arjun Krishnadas;Pramod Subash
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제50권2호
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    • pp.116-120
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    • 2024
  • External nasal splints are commonly used for immobilization following nasal fracture reduction or rhinoplasty procedures. The literature documents the use of various materials like thermoplastic materials, aluminum, Orthoplast, fiberglass, plaster of Paris, and polyvinyl siloxane. These materials are bulky, time-consuming, expensive, and cumbersome to use, and have been associated with complications including contact dermatitis and epidermolysis. Furthermore, they cannot be retained if the situation warrants prolonged stabilization and immobilization. We introduce a new technique using readily available scalp vein catheter flanges as an external nasal stent. The technique is easy to master, inexpensive, and limits edema and ecchymosis, while stabilizing the reconstructed nasal skeleton in position during the healing period.

중쇠뼈 찢김골절로 인한 고리중쇠 관절 불안정의 교정 (Correction of Atlanto-axial Instability by Avulsion Fracture of the Axis in a Dog)

  • 황용현;김민경;박정현;진소영;박기태;이희천;이재훈
    • 한국임상수의학회지
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    • 제30권6호
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    • pp.499-502
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    • 2013
  • 목 부위에 교상을 입은 8살의 중성화된 수컷 푸들이 내원하였다. 신체 검사에서, 보행이 불가능하였고 심부통증이 있는 사지의 불완전 마비로 UML 증상을 보였다. 방사선과 CT 검사에서 경추 1번의 횡돌기의 골절, 경추 2번의 가시돌기의 골절이 관찰 되었다. 보존적 처지를 1주일 실시 하였으나 증상이 완화 되지 않아 수술적 교정이 선택되었다. 수술적 안정은, 배쪽으로 접근하여 나사, K-wires 와 bone cement를 이용하여 내원 7일차에 실시 되었다. 수술 후 4주 이후 혼자 설 수 있었으며, 6주 이후 보행이 가능하였다. 본 증례에서는 등쪽과 배쪽 부위 중쇠뼈 골절을 교정하기 위하여 배쪽 복합 고정을 실시하였으며, 좋은 예후를 보였다.

Arm Cortex S3C2440 Microcontroller Application for Transcranial Magnetic Stimulation's Pulse Forming on Bax Reactive Cells and Cell Death in Ischemia Induced Rats

  • Tac, Han-Ho;Kim, Whi-Young
    • Journal of Magnetics
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    • 제21권2호
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    • pp.266-272
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    • 2016
  • Transcranial magnetic stimulation devices has been used mainly for diagnostic purposes by measuring the functions of the nervous system rather than for treatment purposes, and has a problem of considerable energy fluctuations per repeated pulse. The majority of strokes are caused by ischemia and result in brain tissue damage, leading to problems of the central nervous system including hemiparesis, dysfunction of language and consciousness, and dysfunction of perception. Control is difficult and the size is large due to the difficulty of digitalizing the energy stored in a capacitor, and there are many heavy devices. In addition, there are many constraints when it is used for a range of purposes such as head and neck diagnosis, treatment and rehabilitation of nerve palsy, muscle strengthening, treatment of urinary incontinence etc. Output stabilization and minimization of the energy variation rate are required as the level of the transcranial magnetic stimulation device is dramatically improved and the demand for therapeutic purposes increases. This study developed a compact, low cost transcranial magnetic stimulation device with minimal energy variation of a high repeated pulse and output stabilization using a real time capacitor charge discharge voltage. Ischemia was induced in male SD rats by closing off the common carotid artery for 5 minutes, after which the blood was re-perfused. In the cerebrum, the number of PARP reactive cells after 24 hours significantly decreased (p < 0.05) in the TMS group compared to the GI group. As a result, TMS showed the greatest effect on necrosis-related PARP immuno-reactive cells 24 hours after ischemia, indicating necrosis inhibition, blocking of neural cell death, and protection of neural cells.

Effects of Stabilization Exercise Applying Sling Neurac Method on Pain and Cervical Alignment in Young Adults with Forward Head Posture

  • Jin-Wook Lee;Moon-Kyun Lim
    • 한국컴퓨터정보학회논문지
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    • 제28권5호
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    • pp.95-102
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    • 2023
  • 이 연구의 목적은 전방머리자세를 가진 젊은 성인을 대상으로 슬링뉴렉안정화운동이 중재방법이 통증 및 목뼈 앞굽음각, 중력중심선에 어떠한 영향을 미치는지 알아보고자 실시되었다. 연구의 대상자는 슬링뉴렉안정화운동그룹(SNSEG) 10명, 통제그룹(CC) 10명으로 선정하였으며, 8주간 주3회 70분간 실시하였다. 이 연구 결과 슬링뉴렉안정화운동은 통증은 감소(p<.001), 목뼈 앞굽음각은 증가(p<.001)와 중력중심선은 감소에(p<.01) 유의한 효과가 나타났다. 이상의 결과 종합해 보면 슬링뉴렉안정화운동은 속근육(LM)군의 고유수용성감각 개선 및 근활성화에 효과적이며, 대근육(GM)군과 공동활성화하여 앞굽은각과 중력중심선에 개선에 효과적인 것으로 나타났다. 따라서 깊은목굽힘근과 뒤통수밑근의 재활성화는 통증 조절과 자세 정렬에 중요한 요소로 전방머리자세 개선시킬 수 있는 효과적인 중재방법으로 제안한다.

요추 방출성 골절로 입원한 당뇨병 환자의 한양방 협진 치료 1례 (A Case of Korean-Western Medical Treatment of a Diabetic Patient Admitted with Lumbar Burst Fracture)

  • 강아현;한동근;서혜진;성재연;오주현;이유라;이형철;엄국현;송우섭
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.107-115
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    • 2018
  • Objectives: In the case of a diabetic patient diagnosed with lumbar burst fracture, we aim to present effective results in terms of pain management and blood glucose level stabilization. Methods: A patient was given combined traditional Korean medicine therapy, such as herbal medicine, acupuncture, and antidiabetic medications, during a hospitalization period. We measured the state and progress of this case with the NRS (Numeric Rating Scale) and ODI/NDI (Oswestry/Neck Disability Index). We also checked blood glucose levels regularly. Results: After treatment, the patient's pain was controlled, and the NRS score was decreased. Not only were the overall symptoms of the patient improved positively but the ODI/NDI scores were also improved. Blood glucose level was stabilized. Conclusions: One case of a diabetic patient diagnosed with lumbar burst fracture showed improvement of ODI, NDI, and NRS scores for back and neck pain. Further, the blood glucose level was stabilized.

Effect of Craniocervical Flexion on Muscle Activities of Abdominal and Cervical Muscles During Abdominal Curl-Up Exercise

  • Yoon, Tae-Lim;Kim, Ki-Song
    • 한국전문물리치료학회지
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    • 제20권4호
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    • pp.32-39
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    • 2013
  • Abdominal curl-up exercise may excessively increased superficial neck flexor such as sternocleidomastoid (SCM) muscle. Also, the muscle activity of the abdominal muscles haven't investigated during abdominal curl-up with craniocervical flexion (CCF). Therefore, the purpose of our study was to determine the effect of CCF on the muscle activity of the abdominal and SCM muscles during abdominal curl-up. Twelve healthy subjects (six men and six women) with no history of abdominal or lower back pain within 6 weeks were recruited. Surface electromyographic signals were collected on SCM, rectus abdominis (RA), internal oblique (IO), and external oblique (EO) muscles bilaterally during performing the traditional abdominal curl-up and the abdominal curl-up with CCF. Paired t-tests were used to compare the differences in the muscle activity of the bilateral SCM, RA, EO, and IO muscles between the traditional abdominal curl-up and the abdominal curl-up with CCF (p<.05). There was significantly lower electromyogram (EMG) activity of the both SCMs during the abdominal curl-up with CCF (Right SCM, $39.50{\pm}15.29%MVIC$; Left SCM, $38.24{\pm}17.31%MVIC$) than with the traditional abdominal curl-up (Right SCM, $54.85{\pm}20.05%MVIC$; Left SCM, $53.18{\pm}26.72%MVIC$) (p<.05). The activity of abdominal muscles were not significantly different between the traditional abdominal curl-up and the abdominal curl-up with CCF. The abdominal curl-up with CCF requires significantly less muscle activity of SCM. Consequently, the abdominal curl-up with CCF is recommended to prevent excessive activation of superficial cervical flexors during abdominal curl-up exercise.

말티즈 견에서 Screw, Wire와 PMMA를 사용한 외상성 경추 골절의 안정화 (Stabilization using Screws, Wire, and PMMA for Traumatic Cervical Fracture in a Maltese Dog)

  • 김근영;김민경;박지훈;신정인;김준수;장윤설;이재훈
    • 한국임상수의학회지
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    • 제31권6호
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    • pp.519-522
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    • 2014
  • 2년령 2 kg 말티즈가 진행성 사지마비와 목의 통증으로 내원하였다. 개는 알 수 없는 외상 이후 지난 2주간 스테로이드로 처치되었으나 점진적으로 상태가 악화되었고, 사지마비 상태가 되었다. 내원 시 개는 보행이 불가능한 사지마비 상태를 보였다. 방사선 사진과 CT 결과, C2의 가로골절과, 환추관절과 C2-C3의 불완전 탈구가 발견되었다. 추가적으로, MRI 상에서 뇌수종이 관찰되었다. Screw, Wire 와 PMMA를 사용한 C1-C3의 안정화가 시행되었다. 수술 후 4주에 임상 증상이 개선되었고, 개는 수술 6주 후에 이전과 마찬가지로 보행이 가능하였다. 본 증례의 Screw, Wire 와 PMMA를 안정화로 경추 골절을 효과적으로 치료하였다.

야생 검은댕기해오라기에서 대퇴관절 탈골의 수술적 교정 (Surgical Repair of Coxofemoral Joint Luxation in a Wild Black-Crowned Night Heron (Nycticorax nycticorax))

  • 김은주;이종현;김민수;이기창;김남수;신기욱;이해범
    • 한국임상수의학회지
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    • 제30권1호
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    • pp.49-52
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    • 2013
  • 왼쪽 뒷다리의 파행을 보이는 야생 검은댕기해오라기가 내원하였다. 신체검사에서 왼쪽 뒷다리가 외측으로 $90^{\circ}$ 돌아가 있었으며 대퇴관절부위의 부종이 관찰되었다. 혈액검사와 더불어 영상학적 검사가 진행되었다. 골반 방사선 사진상 왼쪽 대퇴관절의 앞쪽 등쪽 방향 탈골이 확인되었다. 비흡수성 봉합사를 이용하여 탈골을 고정한 후 관절낭 성형술을 이용한 수술적 방법으로 교정하였다. 수술 10일 후 거의 정상에 가까운 보행을 보였으며, 수술 20일 후 자연으로 복귀되었다. 본 보고는 야생조류에서 대퇴골 탈골의 영상 진단 과정과 수술적 교정방법에 대해 소개하였다.