• 한국산학기술학회논문지
• /
• 제21권1호
• /
• pp.546-559
• /
• 2020

본 연구는 월경불편감을 겪는 대상자들의 월경전증후군 및 월경곤란증을 완화하기 위해 적용한 수기요법의 중재효과를 확인하기 위해 실시한 메타분석 연구이다. 2018년 5월 31일까지 출판된 문헌들을 대상으로 검색한 결과 11개의 데이터베이스에서 총1,808개의 연구가 일차적으로 확인되었으며, 두 명의 연구자가 포함기준 및 배제기준을 충족하는 30개의 논문을 최종 선택하여 RoB과 RoBANS를 통해 각각 질 평가를 수행하였다. 연구 결과, 월경전증후군에 적용한 수기요법의 중재효과는 발반사요법이 -1.20 (95% CI: -1.55 to -0.86), 이압요법이 -0.44 (95% CI: -0.68 to -0.20), 지압요법이-0.56 (95% CI: -0.80 to -0.32)으로 나타났다. 월경곤란증에 적용한 수기요법의 중재효과는 발반사요법이 -0.64 (95% CI: -1.07 to -0.20), 이압요법이 -1.09 (95% CI: -1.46 to -0.71), 지압요법이 -0.75 (95% CI: -1.00 to -0.50), 마사지가 -0.68 (95% CI: -1.08 to -0.27)로 나타났다. 본 연구를 통해 수기요법이 월경전증후군 및 월경곤란증으로 야기되는 월경불편감을 완화시키는 효과를 있음을 확인한 바, 추후 표준화된 수기요법 개발의 기초자료로 본 연구의 결과가 활용되기를 기대한다.

• 사상체질의학회지
• /
• 제19권1호
• /
• pp.137-147
• /
• 2007

1. Objectvies This study is to examine the expected general condition change, clinical distinctive feature about using Ohgapichangchuk-Tang and Mihooteungshikchang-Tang and the range of using them based on the patient taken care by Taeyangin herb-medicines. 2. Methods We had observed 20 patients who visited Sasang Constitutional medical department in Dongguk Univ. oriental medical hospital from October 2003 to October 2006, diagnosed as Taeyangin and took Taeyangin herb-medicines more than twice. 3. Results and Conclusions 1) The chief complains of Taeyangins were 5 skin problem, 5 rhinitis, 2 digestion problem, 2 neurological problem, 3 fatigue ${\cdot}$ general weakness, 2 hand and foot hyperhidosis, 2 chest pain and discomfort, 2 genecological problem, 1 halitosis. Ohgapichangchuk-Tang was used for 4 rhinitis, 2 atopy, 1 fatigue, 1 halitosis. Mihooteungshikchang-Tang was used for 3 skin problem, 2 digestion problem, 2 neurological problem like dizziness or dysphagia ${\cdot}$ dysarthria, 2 hand and foot hyperhidosis, 2 chest pain and discomfort and 2 genecological problem. 2) The meaningful part after using Ohgapichangchuk-Tang and Mihooteungshikchang-Tang is 'dyspepsia', 'insomnia', 'dyspnea', 'dry skin' and 'sialosis'. It is necessary to check the general symptom. 3) Taeyangin used to have hard stool and not to sweat. 4) Ohgapichangchuk-Tang seemed to be used when there is digestion problem comparing with Mihooteungshikchang-Tang however it is not significant differences. 5) We require further examination to study Taeyangin's prescriptions.

• Journal of Korean Biological Nursing Science
• /
• 제24권2호
• /
• pp.131-139
• /
• 2022

Purpose: This study aimed to examine the changes in stress, occupational stress, and subjective health problems of novice female nurses within the first 18 months of work. Methods: This was a longitudinal study conducted with a secondary data analysis based on the Shift Work Nurse's Health and Turnover (SWNHT) study. The participants were 178 female novice nurses who participated in all 3 data collection activities (on the first day of orientation before ward placement [T0], 6 months after work [T1], and 18 months after work [T2]). The stress, occupational stress, 8 subjective health problems (upper musculoskeletal pain, leg/foot discomfort, depression, anxiety or emotional disorder, sleep disturbance, headache, gastrointestinal disorder, menstrual disorder, and others), and the greatest health problem during the study period were measured, respectively. Data were analyzed using SPSS 26.0 to obtain descriptive statistics. Results: The subjective health of novice female nurses were found to be poor at T1 compared to T0 on both physical (upper musculoskeletal pain, leg/foot discomfort, and sleep disturbance) and psychological health problems (depression and stress). However, the psychological health problems of the participants were alleviated at T2 whereas; physical health problems persisted until T2. Conclusion: Novice nurses had poor health problems 6 months after work. Sleep disturbance and musculoskeletal pain persisted although other health problems such as depression and stress were alleviated over the period. Strategies to prevent and manage different health problems of novice female nurses at different work duration are urgently needed.

• 대한족부족관절학회지
• /
• 제22권2호
• /
• pp.55-61
• /
• 2018

Chronic lateral ankle instability is a major complication of acute ankle sprains, which can cause discomfort in both daily and sports activity. In addition, it may result in degenerative changes to the ankle joint in the long term. An accurate diagnostic approach and successful treatment plan can be established based on a comprehensive understanding of the concept of functional and mechanical instability. The patients' history and correct physical examination would be the first and most important step. The hindfoot alignment, competence of the lateral ligaments, and proprioceptive function should be evaluated. Additional information can be gathered using standard and stress radiographs. In addition, concomitant pathologic conditions can be investigated by magnetic resonance imaging. Conservative rehabilitation composed of the range of motion, muscle strengthening, and proprioceptive exercise is the main treatment for functional instability and mechanical instability. Regarding the mechanical instability, surgical treatment can be considered for irresponsible patients after a sufficient period of rehabilitation. Anatomic repair (modified $Brostr{\ddot{o}}m$ operation) is regarded as the gold standard procedure. In cases with poor prognostic factors, an anatomical reconstruction or additional procedures can be chosen. For combined intra-articular pathologies, arthroscopic procedures should be conducted, and arthroscopic lateral ligament repair has recently been introduced. Regarding the postoperative management, early functional rehabilitation with short term immobilization is recommended.

• 대한족부족관절학회지
• /
• 제9권2호
• /
• pp.179-183
• /
• 2005

Purpose: Acute traumatic peroneal tendon dislocation is relatively rare disease and their methods of treatment is controversial, that we want to assess the characters and outcomes of 8 patients with early surgical treatments. Materials and Methods: We evaluated the results of 8 patients who can follow up more than 28 months using sex, age, side, injury sports, concomitant injuries, Eckert and Davis classifications, anatomic variants, results and complications. Results: All of 8 patients was male, average age was 27, Right side was dominant (5/8), causal sports was variable. Concomitant injuries were distal tibiofibular ligament syndesmosis injury, Peroneus longus injury, lateral collateral ligament injury. On behalf of Eckert and Davis classifications 5 patients were Grade 1 and other 3 patients were Grade 2. 1 case of low lying peroneus brevis belly was found as an anatomic variants. 6 of patients shown excellent results, 2 patients were good. Post operative complications were discomfort of operation site and mild limited dorsiflexion on ankle joint. Conclusion: Careful history and physical exam is important for diagnosis. And surgical treatments can expect good results.

• 한국의류학회지
• /
• 제35권5호
• /
• pp.527-536
• /
• 2011

Diabetics often suffer from the complications of foot disease. Foot discomfort results from poor blood circulation. Thus, diabetics should wear socks that do not constrict the blood flow in the feet and legs. This study examines the design factors and performance requirements of socks for diabetics. We apply the results to the development of socks for diabetic. The participants in this study were 112 diabetic patients who had visited a hospital in Busan. We conducted statistical tests that included t-tests and chi-squared tests. The results depended on age and gender. Male and female patients did not differ from each other in the most favorite style; however, their second favorite style was different. The second most preferred style for male patients was calf-length socks, while the second most preferred style for female patients were ankle-length socks. Male patients preferred black or gray socks, while female patients preferred white socks. Socks for diabetics should be machine washable, easy to remove, non-slip, lightweight, comfortable, deodorized, and antibacterial.

• 한국의류학회지
• /
• 제41권3호
• /
• pp.420-432
• /
• 2017

This study examined user needs for compression pant development for women with pes planus in their 50s and 60s. A total of 355 women aged 50 to 69 participated in the survey and interview. Questions were asked if they had pes planus, the using condition of foot orthotic, inconveniences during gait, and wearing condition of compression pants. The results showed that 42 (11.8%) women had pes planus. Orthotic insole and arch support were used most frequently. The most uncomfortable aspect of foot orthotic (n=146) was that it was difficult to use unless they were going outside. Participants with pes planus responded that they felt discomfort on the inner area of propodium, metatarsus, ankle, and knee during gait. The purchase and wearing rate of compression pants were not high; however, compression pants were purchased with specific needs and purposes. Respondents mainly wore the compression pants for sports activities. M size was the most frequently worn size. They preferred high waist type leggings and there was a need to increase the compression strength of the waist, thigh, knee and ankle. Additionally, the ease of donning and doffing were discussed.

• 대한족부족관절학회지
• /
• 제2권2호
• /
• pp.82-87
• /
• 1998

The ankle is a complex structure supporting the entire musculoskeletal system during standing and walking. And so the goals of operative treatment for ankle fractures are to obtain an anatomical reduction that is maintained by stable fixation, resulting in a healed fracture and recovery of normal function. The 64 patients who had ankle fractures were treated by arthroscopic reduction(20 cases) and open reduction (43 cases) in Konkuk university hospital from February 1991 to October 1997 and the results were analyzed in clinical and radiological aspects. The following results were obtained. According to the criteria of Meyer, arthroscopic assisted reduction group had good or excellent results in 18 cases (90%) and open reduction group good or excellent in 35 cases (83%). The difference of the results was not significant statistically, but arthroscopic assisted reduction technique has several advantages over open technique; the best assessment of articular surface, lower wound problem, postoperatively faster rate of rehabilitation and minor discomfort.

• 대한족부족관절학회지
• /
• 제27권3호
• /
• pp.112-116
• /
• 2023

A 74-year-old female patient, who underwent surgery for a left distal tibiofibular fracture 40 years earlier, visited the hospital with an ankle varus deformity due to malunion. The patient complained of discomfort while walking due to the ankle and hindfoot varus deformity but did not complain of ankle pain. Therefore, correction using supramalleolar osteotomy was planned, and through virtual surgical simulation, it was predicted that a correction angle of 24° and an osteotomy gap open of 12 mm would be necessary. An osteotomy guide and an osteotomy gap block were made using three-dimensional (3D) printing to perform the osteotomy and correct the deformity according to the predicted goal. One year after surgery, it was observed that the ankle varus was corrected according to the surgical simulation, and the patient was able to walk comfortably. Thus, for correction of deformity, virtual surgical simulation and a 3D-printed osteotomy guide can be used to predict the target value for correction. This is useful for increasing the accuracy of correction of the deformity.

• 대한족부족관절학회지
• /
• 제27권4호
• /
• pp.131-136
• /
• 2023

Purpose: This study compared the clinical and radiology results of arthrodesis between the anterior and transfibular approaches with a lateral malleolar-saving procedure in ankle arthritis. Materials and Methods: This study was a retrospective study of 31 cases who underwent ankle arthrodesis with the anterior approach (14 cases) and trans-fibular approach (17 cases). The remnant lateral malleolus was fixed during the trans-fibular procedure. The patients included 17 females and 14 males with a mean age of 57.2 (range 41~73) years; the mean follow-up was 30.4 (range 15~68) months. The clinical and radiology outcomes, including the American Orthopedic Foot & Ankle Society (AOFAS) scores, visual analog scale (VAS), and union time, were recorded. The complications and subjective satisfaction degrees were also recorded and compared between the two groups. Results: Clinically, the preoperative mean AOFAS score and VAS in the anterior approach group were 39.3 and 7.4, respectively, which changed to 61.9 and 3.1 postoperatively. In the trans-fibular approach group, the mean AOFAS score and VAS increased from 36.6 to 64.2 and 7.1 to 2.4, respectively. On the other hand, no significant differences in the clinical results were observed between the two groups. The time to achieve union was 9.2 and 11.6 weeks in the anterior and transfibular approach groups, respectively. Three patients (21%) complained of tenderness and discomfort around the fibular tip in the anterior approach group, and seven patients (41%) showed a gap between the talus and remnant lateral malleolus in the trans-fibular approach group. Conclusion: There was no difference in the clinical and radiological results between the anterior and transfibular approaches with a lateral malleolar saving procedure in ankle arthrodesis. Careful selection of the approach method according to the patient's preoperative condition is needed to prevent remnant discomfort or nonunion around the lateral malleolus.