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Castleman's Disease of the Neck (경부 Castleman씨 병(거대 림프절 증식증) 1예)

  • Yang Yoon-Soo;Lee Sang-Heon;Hong Ki-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.20 no.2
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    • pp.194-197
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    • 2004
  • Castleman's disease was first described from Benjamin Castleman in 1956. The disease today is enumerated among lymphoproliferative disorders and has unknown etiology. Although the mediastinum is a their most common location, they also occurs in other areas of the body, usually where lymph nodes are normally found. Castleman's disease of the neck is very rare. We describe a case of Castleman's disease of the neck in a middle aged man, and discuss the clinical presentation, radiological findings, and pathological features.

The Influence of Neck Pain on Balance in Young People (젊은 사람의 목 통증이 균형에 미치는 영향)

  • Lee, Gyu-Chang
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.4
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    • pp.423-432
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    • 2012
  • PURPOSE: The purpose of this study was to investigate balance changes in young patients with neck pain by comparing postural sway velocity and velocity moment between young patients with neck pain and healthy subjects. METHODS: The cross-sectional study enrolled fifteen young patients with over 3-month duration of the neck pain and twelve healthy subjects between the ages of 20 and 30 years old. All subjects were measured their postural sway velocity and velocity moment during quiet standing with eyes open and eyes closed conditions. We compared the differences of postural sway velocity and velocity moment between neck pain patients and healthy subjects, and between eye open and eye close. RESULTS: Significant differences were evident in the anteroposterior and mediolateral sway velocity, and velocity moment of center-of-pressure (COP) between patients with neck pain and healthy subjects (p<.05), and in patients with neck pain in the eyes open and eyes closed conditions (p<.05). CONCLUSION: These results indicate that the balance of young patients with neck pain was worse than healthy subjects during quiet standing, and was especially lessened in the absence of vision. The finding may inform management program to decrease the balance deficits in young patients with neck pain.

Effects of Neck Stabilization and Swiss Ball Exercises on the Recovery from Fatigue of Neck Muscles in Turtle Neck Posture: Preliminary Experimental Study

  • Kim, Byeong Jo
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.2
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    • pp.1498-1507
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    • 2018
  • The purpose of this study was to examine the immediate effect of neck stabilization exercise and Swiss ball exercise on the recovery from the fatigue of neck muscles induced. The turtleneck posture was set artificially by using Smartphone with healthy adults. Repetitively measured ANOVA was executed to examine the changes in the muscle fatigue of sternocleidomastoid, upper trapezius, and splenius capitis among three-time intervals (at the time of general resting, work and after intervention) in the three intervention groups (neck stabilization exercise group, Swiss ball exercise group, and ordinary rest group). There were no significant differences in the changes of fatigue of sternocleidomastoid muscle among all three intervention groups at the time of general resting, work and after intervention (p>.05). Although there was no significant difference in the changes in the fatigue of upper trapezius and splenius capitis muscles between the intervention groups at the time of general resting and work (p>.05), there was the significant difference between the three intervention groups at the time of work and after intervention (p>.05). This study suggest that Swiss ball exercise is more effective in reducing the muscular fatigue of the neck and shoulder at a turtleneck posture than neck stabilization exercise.

Clinical Analysis of Penetrating Neck Injury: Review of 42 Operated Cases (관통성 경부 손상에 관한 임상적 고찰)

  • Choe, Hwan;Hong, Seok-Jin;Kim, Yeon-Soo;Cho, Jae-Gu;Baek, Seung-Kuk;Woo, Jeong-Soo;Jung, Kwang-Yoon;Kwon, Soon-Young
    • Korean Journal of Bronchoesophagology
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    • v.16 no.2
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    • pp.121-125
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    • 2010
  • Background: Penetrating neck injuries are potentially dangerous and require emergency management because of the presence of vital structures in the neck. The risk of airway, vascular, neurological, and pharyngoesophageal injuries leads to many difficult diagnostic decisions. The purpose of this retrospective study is to evaluate our experience with management of penetrating neck injuries, and to assess treatment outcome. Material and Method: Forty-two consecutive patients were identified (26 patients from Korea university Ansan hospital, 16 patients from Guro hospital) as having penetrating neck injuries from 2003 to 2009. With review of medical records, variables were collected and evaluated including the location of injury, mechanism of injury, number of significant injuries, diagnostic modalities, duration of hospital stay and outcome. Results: The location of injury was zone I (lower neck) in 13 cases (31%), zone II (midportion of the neck) in 22 (52%), and zone III (upper neck) in 7 (17%). Injuries were caused by stab wounds in 23 patients, penetrating foreign bodies in 12. Among 35 patients who had deep injuries that violated the platysma, significant injuries, including major vascular (20), trachea (5) Pharyngoesophageal injuries (5) were identified in 24 patients. The mean hospital stay was 9.5 days. Conclusion: The penetrating trauma in the neck may show various degrees of severity. However, Cervical penetrating injury should not be underestimated in spite of the minimal width of the lesion.

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Evaluation of Growth, Carcass, Immune Response and Stress Parameters in Naked Neck Chicken and Their Normal Siblings under Tropical Winter and Summer Temperatures

  • Rajkumar, U.;Reddy, M.R.;Rao, S.V. Rama;Radhika, K.;Shanmugam, M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.24 no.4
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    • pp.509-516
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    • 2011
  • The performance of naked neck and normal chicken was evaluated with respect to growth, carcass, immune, biochemical and stress parameters under winter and summer seasons to assess the suitability of naked neck birds under high temperatures in the global scenario of climate change. The growth performance was significantly ($p{\leq}0.05$) higher in naked neck chicken in the summer season. The dressing percentage was significantly ($p{\leq}0.05$) higher in naked neck birds in both winter and summer season because of reduced plumage. The thigh, giblet and feather proportion significantly ($p{\leq}0.05$) varied between naked neck and normal chickens in summer season. The humeral immune response to sheep red blood cells (SRBC), Newcastle disease vaccine (NDV) and cutaneous basophil hypersensitivity (CBH) did not show any significant differences among the chicken groups. The protein and cholesterol concentration observed was within the normal ranges. The total cholesterol levels in plasma were significantly ($p{\leq}0.05$) lower in naked neck birds in both the seasons. H:L ratio was significantly ($p{\leq}0.05$) lower in summer season indicating less stress in naked neck chicken. Basophil and eosinophil concentration was significantly ($p{\leq}0.05$) higher in normal chicken in summer. The lipid peroxidation was higher in full feathered birds under summer stress. The enzyme glutathione reductase (GR) levels were significantly higher during the summer and varied significantly ($p{\leq}0.05$) between the normal and naked neck chicken in both seasons. The results indicated that the naked neck birds performed significantly better at high ambient temperatures with respect to growth, carcass and biochemical parameters. It was concluded that the ability of the naked neck chicken to adapt to high temperatures foresees a viable option for the biological mitigation of climate change.

The Results of the Radial Forearm Free Flap for Head and Neck Reconstruction (전완유리피판의 두경부재건술 적용결과)

  • Cho Sung-Dong;Kim Jeong-Joon;Kim Hyung-Jin;Paeng Jae-Phil;Park Ji-Hoon;Kwon Soon-Young;Choi Jong-Ouck;Ahn Deok-Sun;Jung Kwang-Yoon
    • Korean Journal of Head & Neck Oncology
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    • v.18 no.1
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    • pp.46-49
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    • 2002
  • Background: Free flaps have become a very important role in the ablative head and neck surgery with functional preservation of defect sites. The forearm free flap has many advantage of lack of bulk, ease of dissection, vascularity, and malleability. Patients and Methods: A review of 51 radial forearm free flaps performed between may 1990 and feburary 2001 at the Korea University was undertaken to determine outcome. Patient age ranged 27 to 72 years (mean 56). There were 44 men and 7 women. The most prevalent neoplasm was squamous cell carcinoma. Results: The tans verse cervical artery and the external jugular vein were the most frequent receipient sites for microvascular anastomosis. Total flap loss occurred in 2 cases (4%) and other complications were seen in 42%. Fifteen patients received preoperative irradiation and the complication was higher than non-irradiation patients, but statistically not significant. Conclusion: The radial forearm free flap offers a variety of reconstructive options for head and neck. Its low flap loss and complication rates offer the best choice for reconstruction of defect of head and neck malignancy.

Movement Patterns of Head and Neck in Proprioceptive Neuromuscular Facilitation (고유수용성 신경근 촉진법의 두부·경부 운동 패턴)

  • Bae, Sung-soo;Kim, Sang-soo
    • PNF and Movement
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    • v.3 no.1
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    • pp.27-34
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    • 2005
  • Objective : The purpose of this study was conducted to find correct head and neck patterns, manual contact. verbal commands with proprioceptive neuromuscular facilitation(PNF). Method : This is a literature study with books, seminar note and book for PNF international course. Result : Keep the information of the biomechanics and neural science in head and neck patterns and emphasize that manual contact, verbal commands and visual stimulus. Manual contacting for movement guide and stability of the $C_0/C_1$ verbal command and visual stimulus for correcting of the $C_0/C_1$ movements. Conclusion : In reminder for PNF learning, begin with head and neck and upper trunk patterns. In that time, Knott and Voss(1968) had not enough information about biomechanic movement components and neural science movement components. But Knott and Voss(1968) emphasized that head and neck patterns relate with trunk, upper extremities and lower extremities directly. Alar ligaments are relaxed with the head in neutral and taut in flexion. Axial rotation of the head and neck tightens both alar ligaments. The right upper and left lower portions of the alar ligament limit left lateral flexion of the head and neck. Therefore, head and neck patterns has to be modify. When head moving, eye and vestibular stimulus will be change. During head and neck patterns, must be consider about stimulus of eye system and vestibular system also.

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Effect of Neck Exercise with PNF for Dysphagia and Pain of Neck in Patients with Stroke (PNF를 이용한 경부 운동이 뇌졸중 환자의 연하기능과 경부 통증에 미치는 영향)

  • Kim, Chang-Heon
    • PNF and Movement
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    • v.13 no.4
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    • pp.169-174
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    • 2015
  • Purpose: This study aimed to investigate the effect of neck exercises using proprioceptive neuromuscular facilitation (PNF) on dysphagia and neck pain in stroke patients. Methods: This study included 20 patients with stroke who performed the following neck exercises using PNF: flexion, lateral flexion, and rotation. The PNF technique was repeated under the guidance of verbal commands from a physical therapist. The exercise program consisted of 5 times, 30-minute sessions each week for four weeks. The Mann Assessment of Swallowing Ability (MASA) and the visual analogue scale (VAS) were used to evaluate the patients before and after the training. Swallowing ability was evaluated using MASA, and the patients' pain was evaluated using VAS. All data were analyzed using SPSS 21.0. Results: Significant differences were observed for the MASA and VAS in the subjects: MASA was significantly improved (p<0.00) and VAS was significantlyincreased (p<0.00). Conclusion: The neck is a very important part of the body in stroke patients. Neck exercises using PNF are effective for improving dysphagia and decreasing neck pain in patients with stroke. Thus, neck exercises using PNF are very effective for stroke patients, and this approach would be effective in clinical practice.

Influence of Upper Trapezius and Sternocleidomastoid Muscle Activation according to Cervical Flexion Angle in Sitting Posture

  • Sung-Min Son
    • The Journal of Korean Physical Therapy
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    • v.35 no.5
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    • pp.151-155
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    • 2023
  • Purpose: This study examined the effect of the degree of neck flexion on the muscle activity of the upper trapezius and sternocleidomastoid muscles in the sitting position. Methods: Twenty-five healthy young adults participated in this study. The study was designed to compare the muscle activity of the upper trapezius and sternocleidomastoid muscles according to the neck flexion angle under the three conditions (neutral position, 15° neck flexion, and 45° neck flexion) in the sitting position. During the neck position of three conditions in sitting, the electromyography (EMG) data (% maximum voluntary isometric contraction) of the muscles were recorded using a wireless surface EMG system. Results: The muscle activity of the upper trapezius muscle and the sternocleidomastoid muscles showed a significant difference according to the three-neck position conditions (p<0.05), and in the post-hoc test results, both muscles showed significant differences between the neutral position and 15° flexion, the neutral position and 45° flexion, and the 15° flexion and 45° flexion, respectively. Conclusion: The load on the muscles around the neck and shoulders increased as the neck flexion angle increased. This suggests that performing various daily activities and tasks with the neck as neutral as possible can prevent muscle fatigue or musculoskeletal disorders.

A Case of Fish Bone Foreign Body as a Lateral Neck Mass (외측경부 종물로 나타난 어류골편이물 1례)

  • Chu, Hyung-Ro;Ko, Weon-Hyoug;Choi, Dong-Joon;Kim, Il-Woo;Kim, Beom-Gyu;Park, Il-Seok;Kim, Yong-Bok
    • Korean Journal of Bronchoesophagology
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    • v.13 no.2
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    • pp.72-77
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    • 2007
  • The case report of migrating ingested fish bone presenting as an unresolving inflamed neck mass is rare. The diagnosis must be suspected in a patient with an unresolving inflamed cutaneous lesion, especially one with a punctum, the tenderness of the lesion elicited on swallowing and the presence of a palpable subcutaneous neck mass. In such a patient, a history of recent foreign body ingestion must be actively sought. An accurate early diagnosis of this easily treatable condition is desirable because it could avert unnecessary delays, inconveniences, anxiety, costs, and surgery. The authors experienced a case of lateral neck mass resulting from the migration of a fish bone which was successfully removed by surgical exploration and made a report with a review of literature.

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