• 제목/요약/키워드: functional disability

검색결과 395건 처리시간 0.024초

약침을 활용한 한방치료로 호전된 회전근개 파열 수술 후 견비통 환자에 대한 치험 1례 (1 Case of Shoulder Pain Treated with Oriental Treatment Including Pharmacopuncture in Rotator Cuff Surgery)

  • 정재엽;김정희;송춘호;장경전;김철홍;윤현민
    • Journal of Acupuncture Research
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    • 제29권6호
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    • pp.119-125
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    • 2012
  • Objectives : Rotator cuff tear is a common disease that causes shoulder pain and disability. Sometimes surgical treatment is demanded and appropriate rehabilitation is also needed to provide functional recovery. This report is intended to estimate the effect of oriental treatment for the patients in rotator cuff surgery rehabilitation period. Methods : From 29th October, 2012 to 13th November, 2012, One male patient who received rotator cuff surgery was treated with acupuncture, pharmacopuncture and herbal medication. NRS and ROM were evaluated to demonstrate the effect of treatment. Results : The patient showed the improvement in shoulder pain and ROM. Conclusion : Oriental treatments such as acupuncture, pharmacopuncture, herbal medication can be effective for relieving pain and increasing ROM in rotator cuff surgery rehabilitation period.

Restoration of Sagittal Balance in Spinal Deformity Surgery

  • Makhni, Melvin C.;Shillingford, Jamal N.;Laratta, Joseph L.;Hyun, Seung-Jae;Kim, Yongjung J.
    • Journal of Korean Neurosurgical Society
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    • 제61권2호
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    • pp.167-179
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    • 2018
  • The prevalence of patients with adult spinal deformity (ASD) has been reported as high as 68%. ASD often leads to significant pain and disability. Recent emphasis has been placed on sagittal plane balance and restoring normal sagittal alignment with regards to the three dimensional deformity of ASD. Optimal sagittal alignment has been known to increase spinal biomechanical efficiency, reduce energy expenditure by maintaining a stable posture with improved load absorption, influence better bony union, and help to decelerate adjacent segment deterioration. Increasingly positive sagittal imbalance has been shown to correlate with poor functional outcome and poor self-image along with poor psychological function. Compensatory mechanisms attempt to maintain sagittal balance through pelvic rotation, alterations in lumbar lordosis as well as knee and ankle flexion at the cost of increased energy expenditure. Restoring normal spinopelvic alignment is paramount to the treatment of complex spinal deformity with sagittal imbalance. Posterior osteotomies including posterior column osteotomies, pedicle subtraction osteotomies, and posterior vertebral column resection, as well anterior column support are well known to improve sagittal alignment. Understanding of whole spinal alignment and dynamics of spinopelvic alignment is essential to restore sagittal balance while minimizing the risk of developing sagittal decompensation after surgical intervention.

지역 박탈수준과 중고령층의 활동제한의 연관성 (Relationship between local authority deprivation and activity limitation in adults aged 50 or over)

  • 윤태호;김수영;윤미숙;문경주
    • 보건교육건강증진학회지
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    • 제32권2호
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    • pp.27-37
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    • 2015
  • Objectives: As the increasing of the length of the lifespan, more recent policy interest are concerned with how many years of life are lived without functional disability or activity limitation. We investigated the relationship between deprivation and activity limitation at the 251 local authority level. Methods: The data were derived from the 2010 Census 10% sample data. Crude and age-standardized activity limitation rates by gender at the ages of 50 or over and deprivation index were calculated. Mapping and multiple linear regression analysis were applied to explore relationship between area activity limitation and area deprivation. Results: There were considerable differences in activity limitation rate across the 251 local authorities. Age-standardized activity limitation rate in both male and female were strongly associated with the level of area deprivation. Especially, low social class, male unemployment, or non-apartment residents at the local level were strong positive association with local authorities' age-standardized activity limitation. Conclusion: More policy attention is needed for tackling regional inequality in activity limitation among older adults.

억간산(抑肝散) 가미방(加味方)으로 증상 호전 보인 진전 환자 1례에 대한 증례 보고 (A case study of tremor patient with Yeokgansan-gamibang)

  • 임승민;안정조;최병렬;송기철;김만호;김윤식;설인찬
    • 대한한방내과학회지
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    • 제24권2_4호
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    • pp.1062-1066
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    • 2003
  • Tremor is a rhythmic and involuntary muscular contraction characterized by oscillations of body parts. Tremor often accompanies neurological disorders associated with aging. Although the disorder is not life-threatening, it can be responsible for functional disability and interpersonal relationship problems. We have recently examined a number of tremor-patients. one of them was improved significantly through the herbal medicine (Yeokgansan-gamibang) and acupuncture, so we report it for the better treatment.

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Effectiveness of Physical Therapy Management of Axillary Web Syndrome following Sentinel Lymph Node Biopsy in Breast Cancer Patients: Case Study

  • Shim, Young-Hun;Chae, Yun-Won;Park, Ji-Won
    • The Journal of Korean Physical Therapy
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    • 제28권2호
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    • pp.142-148
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    • 2016
  • Purpose: The aim of this pilot study was to determine the effect of soft tissue technique (STT) in Axillary Web Syndrome (AWS) following sentinel Lymph Node Biopsy in breast cancer patients by examining the upper extremity function, range of motion, and pain. Methods: Nineteen patients with breast cancer-related AWS were evaluated. STT was performed on the symptom area for treatment of AWS symptoms. We evaluated AWS symptoms and pain intensity using a visual analogue scale (VAS), and functional disability using the Korean version of the Disabilities of Arm, Shoulder, and Hand (DASH) questionnaire, glenohumeral joint (GHJ) flexion and abduction range of motion (ROM) with or without elbow extension. Results: Visual analyses of the data suggest a modest effect of STT in improving GHJ flexion, abduction ROM with or without elbow extension, DASH for upper extremity function, and Pain. The statistically significant improvement in baseline observed for pain, DASH, and ROM data made it impossible to assess the effects of STT on those outcomes. There were no adverse events. Conclusions: STT may be an effective and safe treatment option for AWS patients recovering from breast cancer treatment; however, further research is needed.

침(針)과 한약(韓藥) 치료(治療)를 통한 진전 환자 4례(例)에 대한 증례보고 (A Clinical Study on 4 Cases of Tremor Patients with Acupuncture Treatment)

  • 신현권;공현우;박세진;서주희;김주원
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.267-276
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    • 2005
  • Tremor is a rhythmic, involuntary muscular contraction characterized by oscillations(to-and-fro movements) of a part of the body. The most common of all involuntary movements, tremor can affect various body parts such as the hands, head, facial structures, vocal cords, trunk, and legs; most tremors, however, occur in the hands. Tremor often accompanies neurological disorders associated with aging. Although the disorder is not life-threatening, it can be responsible for functional disability and social embarrassment. The clinical study was carried out the 4 patients with tremor who were treated in Dong Seo Medical Center from 1 January 2005 to 31 August. The results were summarized as follows. Tremor has relation to liver according to Jangbu theory. So we performed acupuncture treatment(Ganseonggyeok) and Herbal medication on tremor. After our treatments, tremor and some other symptoms were improved.

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기공요법을 활용한 만성두통환자 1례에 대한 증례보고 (A clinical study on the case of Qigong therapeutics on chronic headache patient)

  • 한창현;송익수;김병회;김봉석;신미숙;최선미
    • 동의신경정신과학회지
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    • 제18권3호
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    • pp.331-340
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    • 2007
  • The etiology of chronic headache is not yet fully explained, the treatment of this symptom is not simple. We show the effect of Qigong therapeutics applied on chronic headache patient, in order to establish a primary data for further studies of new treatments. We treated 2 times a weeks for 3 weeks. The acupoints, (太陽穴)(Ex-HN5), (老龍穴), (大趾甲下穴), and (百會穴)(GV20) were stimulated for 10 seconds by Qigong-Acupuncture, and after that Qigong therapy was performed for 30 minutes The effects were analyzed using VAS scores, PPI(Present Pain Intensity), HI(Headache Index) and HDI(The Henry Ford Headache Disability Inventory). We concluded that Qigong therapeutics applied on chronic headache patient showed effects of relieving pain, improving general activities and changing the mood. Further researches are needed to evaluate the distinct functional mechanism of Qigong therapeutics, hut this study is meaningful in the sense that it will act as a fundamental study to build on.

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뇌졸중 환자에서 반복적인 양측성 운동학습 적용이 상지기능에 미치는 영향

  • 이명희
    • The Journal of Korean Physical Therapy
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    • 제15권3호
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    • pp.202-222
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    • 2003
  • Chronic upper extremity hemiparesis is a leading cause of functional disability after stroke. The purpose of this study were to identify effects of a 6weeks repetitive bilateral arm training on upper motor function and the reorganization of motor network. Four chronic stroke patients participated in this study. They performed for 6 consecutive weeks, 3 days a week, 30 minutes a day. In the single group study, four 5-minute periods per session of bilateral arm training were performed with the use of a custom-designed arm training machine. The results of this study was as follows. 1. Following the 6weeks period of RBAT, patient exhibited a improvement in FMA and BBT. 2. Following the 6weeks period of RBAT, it showed improvement in reaching time, symbol digit substitution and finger tapping speed of KCNT. 3. fMRI activation after RBAT showed a focal map in lesional cortical area and perilesional motor areas. These fMRI data suggest that hemodynamics response to RBAT reflect sensorimotor reorganization in contralateral hemisphere. In conclusion, these date suggest that improved upper extremity function induced by repetitive bilateral arm training after stroke is associated with reorganization of motor network as a neural basis for the improvement of paratic upper extremity function.

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Sacral Nerve Stimulation for Treatment of Chronic Intractable Anorectal Pain -A Case Report-

  • Yang, Kyung-Seung;Kim, Young-Hoon;Park, Hue-Jung;Lee, Min-Hye;Kim, Dong-Hee;Moon, Dong-Eon
    • The Korean Journal of Pain
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    • 제23권1호
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    • pp.60-64
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    • 2010
  • Despite recent methodological advancement of the practical pain medicine, many cases of the chronic anorectal pain have been intractable. A 54-year-old female patient who had a month history of a constant severe anorectal pain was referred to our clinic for further management. No organic or functional pathology was found. In spite of several modalities of management, such as medications and nerve blocks had been applied, the efficacy of such treatments was not long-lasting. Eventually, she underwent temporary then subsequent permanent sacral nerve stimulation. Her sequential numerical rating scale for pain and pain disability index were markedly improved. We report a successful management of the chronic intractable anorectal pain via permanent sacral nerve stimulation. But further controlled studies may be needed.

물리치료사들의 경추 가동범위에 관한 연구 (A Study for cervical range of motion in Physical Therapists)

  • 김찬규;조병모
    • 대한물리치료과학회지
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    • 제8권1호
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    • pp.879-883
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    • 2001
  • The purpose of this study is to find out the influence of Physical Therapists' heavy work on their cervical spines. Subjects were 80 members of Physical Therapists, 40 males and 40 females who were between 3rd decades to 4th decades. The Cervcial Range of Motion instrument was used to measure six cervical range of motion such as flexion, extension, left and right lateral flexion, left and right rotation. The degree of rotation and both lateral flexion was appeared as decrement in 4th decades than 3rd decades(P<0.05). And the left lateral flexion in female Physical therapiest was increased than in male ones(P<0.05). By this results, it was proved that the older the PT's age, the less the cervical motion range and there were more decrement in male Physical Therapists than female Physical Therapists. And finally I think that the evaluating method used in this study will be clinically very useful and be a basic raw materials for evaluating the existence and the degree of functional disability as in the occupational hazards due to Physical Therapist's heavy work.

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