• 제목/요약/키워드: Palpation

검색결과 338건 처리시간 0.028초

Relationship between pain and effusion on magnetic resonance imaging in temporomandibular disorder patients

  • Park, Ha-Na;Kim, Kyoung-A;Koh, Kwang-Joon
    • Imaging Science in Dentistry
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    • 제44권4호
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    • pp.293-299
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    • 2014
  • Purpose: This study was performed to find the relationship between pain and joint effusion using magnetic resonance imaging (MRI) in temporomandibular disorder (TMD) patients. Materials and Methods: The study subjects included 232 TMD patients. The inclusion criteria in this study were the presence of spontaneous pain or provoked pain on one or both temporomandibular joints (TMJs). The provoked pain was divided into three groups: pain on palpation (G1), pain on mouth opening (G2), and pain on mastication (G3). MRI examinations were performed using a 1.5-T MRI scanner. T1- and T2-weighted images with para-sagittal and para-coronal images were obtained. According to the T2-weighted image findings, the cases of effusions were divided into four groups: normal, mild (E1), moderate (E2), and marked effusion (E3). A statistical analysis was carried out using the $X^2$ test with SPSS (version 12.0, SPSS Inc., Chicago, IL, USA). Results: Spontaneous pain, provoked pain, and both spontaneous and provoked pain were significantly related to joint effusion in TMD patients (p<0.05). However, among the various types of provoked pain, pain on palpation of the masticatory muscles and TMJ (G1) was not related to joint effusion in TMD patients (p>0.05). Conclusion: Spontaneous pain was related to the MRI findings of joint effusion; however, among the various types of provoked pain, pain on palpation of the masticatory muscles and TMJ was not related to the MRI findings of joint effusion. These results suggest that joint effusion has a significant influence on the prediction of TMJ pain.

한우(韓牛)의 번식효율(繁殖效率) 증진(增進)에 관한 연구(硏究) -혈중(血中) progesterone농도(濃度) 측정(測定)에 의한 분만(分娩)후 난소기능(卵巢機能) 회복상태(回復狀態)의 검토(檢討)- (Studies on the improvement of reproductive efficiency in Korean native cows -Plasma progesterone concentrations for monitoring ovarian activity in the postpartum period-)

  • 최한선;강병규;손창호;서국현
    • 대한수의학회지
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    • 제30권4호
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    • pp.515-523
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    • 1990
  • Plasma progesterone concentrations in 44 suckling Korean native cows were determined to monitor ovarian activity postpartum by radioimmunoassay. Blood samples were collected in 3 day intervals from 15 to 80 days postpartum. The ovaries and uterus were examined in 6 day intervals by rectal palpation. Results are summaried as follows: 1. The cows were qualified into four categories; Type I(normal): cyclic changes in plasma progesterone concentrations appear within 45 days postpartum(35 cows, 79.5%), Type II(cycle delayed): delayed resumption of ovarian activity by 55 days postpartum(5 cows, 11. 4%), Type III(cycle ceased with low progesterone): plasma progesterone concentrations remained low(${\leq}1ng/ml$) until 80 days postpartum(3 cows, 6.8%), Type IV(cycle ceased with high progesterone): plasma progesterone concentrations after 30 days remained high(${\geq}4.0ng/ml$) until 80 days postpartum(1 cow, 2.3%). 2. Out of the cows classified Type II and III, 7 cows had inactive ovaries and a cow had follicular cyst by rectal palpation. The cow of Type IV was diagnosed as bearing persistent corpus luteum by rectal palpation. 3. About 82% of the cows showed significant rises in plasma progesterone concentrations prior to 50 days postpartum and the cows of Type II and III resumed cycles in 31. 6(range 17~55) days after calving. However, 43.2% resumed cycles in 50 days postpartum by estrus signs. These results indicated that plasma progesterone concentrations assessed by radioimmunoassay can be utilized for monitoring postpartum ovarian activity and would be helpful for the early detection of ovarian dysfunction in the Korean native cow.

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소화기질환 진단의 최신지견 (Recent Advances in Diagnosis of Gastrointestinal Disease)

  • 최호승;김재관;최서형
    • 대한한의진단학회지
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    • 제13권1호
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    • pp.1-9
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    • 2009
  • Objectives : If patients notice a symptom indicating inveterate dyspepsia but they don't have any problem around gastroscope, they get diagnosed as a functional dyspepsia or an imaginary stomach disease, but to overcome the limitations of these diagnoses, we are analyzing them for the common feature and are looking for a new diagnostics for them. Methods : Based on our survey with 122 patients with inveterate dyspepsia, we analyzed the period of onset, eating habits, the main symptoms, and observations on the gastroscope. We also analyzed the function of the stomach and intestines by EAV examinations, and the outer walls of the stomach and intestines by subdividing the level of coagulation into six with abdominal palpation. Results : We figured out that people who appeals about inveterate dyspepsia have had long period of onset, and that they had bad eating habits, shoulder stiffness, neck stiffness, headache, dizziness, etc. These are all the similar symptoms beside dyspepsia, which indicates that it is a syndrome. From about 70%, they didn't had particular problem in gastroscope, and as to be seen from the result of EAV examination, their stomachs and intestines had become functionless. Also, we were able to feel a stiffened tissue through abdominal palpation. Conclusion : Through this investigation, we found out that what the gastroscope can not find so that gets diagnosed as a functional dyspepsia or an imaginary stomach disease can be diagnosed as a syndrome called damjeok by overcoming the limitation utilizing the survey, EAV examinations, and abdominal palpation. We can find a mighty significance from the fact that it can be diagnosed as a syndrome.

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Clinical assessment and grading of back pain in horses

  • Mayaki, Abubakar Musa;Razak, Intan Shameha Abdul;Adzahan, Noraniza Mohd;Mazlan, Mazlina;Rasedee, Abdullah
    • Journal of Veterinary Science
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    • 제21권6호
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    • pp.82.1-82.10
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    • 2020
  • Background: The clinical presentation of horses with back pain (BP) vary considerably with most horse's willingness to take part in athletic or riding purpose becoming impossible. However, there are some clinical features that are directly responsible for the loss or failure of performance. Objectives: To investigate the clinical features of the thoracolumbar region associated with BP in horses and to use some of the clinical features to classify equine BP. Methods: Twenty-four horses comprised of 14 with BP and 10 apparently healthy horses were assessed for clinical abnormality that best differentiate BP from normal horses. The horses were then graded (0-5) using the degree of pain response, muscular hypertonicity, thoracolumbar joint stiffness and overall physical dysfunction of the horse. Results: The common clinical features that significantly differentiate horses with BP from non-BP were longissimus dorsi spasm at palpation (78.6%), paravertebral muscle stiffness (64.3%), resist lateral bending (64.3%), and poor hindlimb impulsion (85.7%). There were significantly (p < 0.05) higher scores for pain response to palpation, muscular hypertonicity, thoracolumbar joint stiffness and physical dysfunction among horses with BP in relation to non-BP. A significant relationship exists between all the graded abnormalities. Based on the cumulative score, horses with BP were categorized into mild, mild-moderate, moderate and severe cases. Conclusions: BP in horse can be differentiated by severity of pain response to back palpation, back muscle hypertonicity, thoracolumbar joint stiffness, physical dysfunctions and their cumulative grading score is useful in the assessment and categorization of BP in horses.

Evaluation of Spinal Fusion Using Bone Marrow Derived Mesenchymal Stem Cells with or without Fibroblast Growth Factor-4

  • Seo, Hyun-Sung;Jung, Jong-Kwon;Lim, Mi-Hyun;Hyun, Dong-Keun;Oh, Nam-Sik;Yoon, Seung-Hwan
    • Journal of Korean Neurosurgical Society
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    • 제46권4호
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    • pp.397-402
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    • 2009
  • Objective : In this study, the authors assessed the ability of rat bone marrow derived mesenchymal stem cells (BMDMSCs), in the presence of a growth factor, fibroblast growth factor-4 (FGF-4) and hydroxyapatite, to act as a scaffold for posterolateral spinal fusion in a rat model. Methods : Using a rat posterolateral spine fusion model. the experimental study comprised 3 groups. Group 1 was composed of 6 animals that were implanted with 0.08 gram hydroxyapatite only. Group 2 was composed of 6 animals that were implanted with 0.08 gram hydroxyapatite containing $1{\times}10^6/60{\mu}L$ rat of BMDMSCs. Group 3 was composed of 6 animals that were implanted with 0.08 gram hydroxyapatite containing $1{\times}10^6/60{\mu}L$ of rat BMDMSCs and FGF-4 $1{\mu}G$ to induce the bony differentiation of the BMDMSCs. Rats were assessed using radiographs obtained at 4, 6, and 8 weeks postoperatively. After sacrifice, spines were explanted and assessed by manual palpation, high-resolution microcomputerized tomography, and histological analysis. Results : Radiographic, high-resolution microcomputerized tomographic, and manual palpation revealed spinal fusion in five rats (83%) in Group 2 at 8 weeks. However, in Group 1, three (60%) rats developed fusion at L4-L5 by radiography and two (40%) by manual palpation in radiographic examination. In addition, in Group 3, bone fusion was observed in only 50% of rats by manual palpation and radiographic examination at this time. Conclusion : The present study demonstrates that 0.08 gram of hydroxyapatite with $1{\times}10^6/60{\mu}L$ rat of BMDMSCs induced bone fusion. FGF4, added to differentiate primitive $1{\times}10^6/60{\mu}L$ rat of BMDMSCs did not induce fusion. Based on histologic data, FGF-4 appears to induce fibrotic change rather than differentiation to bone by $1{\times}10^6/60{\mu}L$ rat of BMDMSCs.

교합상을 이용한 치료가 두개하악장애 환자에 미치는 부작용에 관한 연구 (A Study on the Side Effect of the Splint Therapy for the Patient with Craniomandlbular Disorders)

  • 김영구;이승우;정성창
    • Journal of Oral Medicine and Pain
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    • 제15권1호
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    • pp.45-53
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    • 1991
  • 저자는 두개하악 장애로 교합상치료를 받고있는 42명의 환자를 대상으로 치료전, 치료후 1개월, 3개월, 6개월째에 주관적 평가, 임상적 검사, 근전도 검사, 컴퓨터 교합 분석을 시행하여 다음과 같은 결론을 얻었다. 1. 주관적 평가인 visual analogue scale과 Helkimo's anamnestic dysfunction index는 유의하게 감소하였다. 임상적 검사시 MM(mandibular movement), TM(TMJ capsule palpation), EM(extraoral muscle palpation), Di(Helkimo's clinical dysfuction index)는 유의하게 감소하였고 무통성 개구량은 유의하게 감소하였다. 2. 42명의 환자중 10명에서 교합변화가 관찰되었으며, 5명에서 치주질환, 2명에서 치아 과민감, 1명에서 구토경향이 관찰되었다. 3. 치주칠환을 보이는 10명의 환자중 3명은 교합상치료 이전부터 치주질환에 이환된 상태였으며 3명에서는 교합변화가 함께 관찰되었다. 4. 교합변화를 보인 10명의 환자중 교합상의 장착시간을 줄였을 때, 3명이 원래의 교합상태로 회복되었고 4명은 부분적으로 회복되었으며 3명에서는 변화를 관찰할 수 없었다. 5. 악관절 내장 제 5기 환자에서 교합변화가 더 빈번히 나타났으며 통계적으로 유의한 차이를 보였다. 6. Habitual clenching 시와 Maximal clenching 시 사이의 치아접촉점 수, maximal clenching 시의 치아 접촉점의 수와 접촉 치아수 사이에 매우 유의한 상관관계를 보였고, habitual clenching 시의 치아접촉점의 수와 접촉 치아수, Habitual clenching 시와 maximal clenching시 사이의 치아 접촉시간에서도 유의한 상관관계를 보였다.

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초음파를 이용한 한우의 조기임신진단에 관한 연구 (Studies on Early Pregnancy Diagnosis in Korean Native Cattle by Ultrasonography)

  • 전병준;윤기영;이은송;이우근;이병천;황우석
    • 한국수정란이식학회지
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    • 제11권3호
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    • pp.291-300
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    • 1996
  • Real time B-mode ultrasound was used to detect the early conceptus in 187 Korean native cattles between days 10 and 60 after last insemination. The ultrasound diagnostic findings were systemically confirmed by palpation per rectum after the 60th day of last insemination. The embryonic vesicle and the embryo proper within the veside were first visible on mean day fl and 23, respectively. The heartbeat of the embryo proper could be detected on day 26, and the limb buds, placentomes, amnion, fetal movement, umbilical cord, optic area and split hooves were first visible on day 33, 34, 34, 44.5, 45, 32 and 48, respectively. The mean length of embryo proper was 3.8mm on day 23 which later increased to 56. 6rnrn on day 60. When ultrasound was used to detect the conceptus between days 20 and 30 after insemination and palpation per rectum after the 60th day of insemination, the accuracy rates of pregnancy detection by ultrasound scanning at days 20, 22, 24, 26, 28, 30 were 44.4, 69.2, 78.6, 87.5, 90.0, 93.3%. In summary, the early pregnancy diagnosis of Korean native cattle with ultrasound appears high accuracy rates. It is considered that ultrasound can be used in veterinary practice well.

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이온영동법으로 투여된 Prednisolone에 의한 측두하악관절통의 완화 효과 (The Effects of Iontophoretically Applied Prednisolone on the Relief of TMJ Pain)

  • Yong-Hyeon Jeon;Sang-Cheol Yoon;Jae-Kap Choi
    • Journal of Oral Medicine and Pain
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    • 제20권1호
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    • pp.89-96
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    • 1995
  • The purpose of this study was to assess the pain-relieving effect of iontophoretically applied prednisolone on the patients with temporomandibular joint (TMJ) pain. 30 TMJ pain patients participated in this study. Inclusion criteria for subject selection were 1) tenderness of TMJ on palpation and 2) visual analog scales (VAS) of above 20 mm. The patients with polyarthralgia, rheumatic arthralgia, and systemic diseases were excluded for this experiment. The patients were randomly assigned to one of three groups; (1) Group 1 for administration of 2% prednisolone, (2) Group 2 for administration of 1% prednisolone, and (3) Group 3 for administration of saline. Phoresor PM600(Motion Control Utah, U.S.A) was used for administration of drugs by iontophoresis. Baseline and post-medication pain levels were recorded by VAS, pressure pain threshold (PPT), and palpation index (PI). Post-medication data were compared with baseline data for each group. The results were as follows : 1. All the groups showed significant decrease of VAS scores after treatment. 2. PPT was significantly increase only in Group 1 and 2 not in Group 3. 3. PI was significantly decreased only in Group 1 and 2 not in group 3.

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우세눈과 비우세눈의 높낮이 식별 인지능력 차이에 관한 연구 (The Study on Difference in Height Cognition Ability in Dominant and Non-dominant Eye)

  • 최율정;이준용;심현보
    • 대한정형도수물리치료학회지
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    • 제22권2호
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    • pp.29-33
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    • 2016
  • Background: The purpose of this study was to investigate the difference of height cognition ability according to dominant or non-dominant eye. Methods: Forty one healthy adults (male: 19, female: 22, 22-43 years) participated in this study. Hole in the card test was performed to identify dominant eye. To figure out height cognition ability between dominant and non-dominant eye, we had subjects answer which point is higher or even on the monitor. Results: The Right answer on dominant eye was $8.15{\pm}1.44$ point and the right answer on non-dominant eye was $7.56{\pm}1.55$ point. There was a statistically significant difference between dominant eye group and non-dominant eye group (p<.05). Conclusion: We think that the dominant eye may be used for reliable diagnosis. In future study, investigate on relation between dominant hand and dominant eye and the difference of dominant eye and non-dominant eye when to palpation are required.

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The Effect of Hyaluronate-Carboxymethyl Cellulose on Bone Graft Substitute Healing in a Rat Spinal Fusion Model

  • Lee, Jung-Hee;Jeong, Bi-O
    • Journal of Korean Neurosurgical Society
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    • 제50권5호
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    • pp.409-414
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    • 2011
  • Objective : The aim of this study was to evaluate the impact of sodium hyaluronate-sodium carboxymethyl cellulose (HA-CMC), an anti-adhesive material for spinal surgery, on bone fusion by applying it to rat spinal models after lumbar posterolateral fusion. Methods : Lumbar posterolateral fusion was performed at L4-5 using bone graft substitutes in 30 rats. HA-CMC was injected in 15 rats at a dose of 0.2 cc (HA-CMC group) and a saline solution of 0.2 cc in the other 15 rats (control group). Simple radiographs were taken until postoperative 9 weeks with an interval of one week. At postoperative 4 and 9 weeks, three dimensional computed tomography (3D CT) scanning was performed to observe the process of bone fusion. At 9 weeks, bone fusion was confirmed by gross examination and manual palpation. Results : There were no statistically significant differences in bone fusion between the two groups. 3D CT scanning did not reveal significant differences between the groups. The gross examination and manual palpation after autopsy performed at 9 weeks confirmed bone union in 93.3% of both groups. Conclusion : The anti-adhesive material used for spinal surgery did not have adverse effects on spinal fusion in rats.