• 제목/요약/키워드: orthopedic effect

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요추간판 탈출증의 보존적 치료효과 분석 (The Effect Analysis of Conservative Treatment In Lumbar Intervertebral Disc)

  • 강점덕;박흥덕
    • 대한정형도수물리치료학회지
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    • 제7권2호
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    • pp.41-49
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    • 2001
  • This study was undertaken to find out the effect analysis of conservative treatment in of lumbar intervertebral disc. The data was performed to evaluate the effect of conservative treatment in 50 patients aging from 20 to 67 with lumbar intervertebral disc patients. Changes in low back pain score were evaluated by age, occupation, duration of symptoms, marital status, education period, self assessment. Duration of symptoms in over 7 months was 62.0%. 8.6 scores of complete recovery was changes in low back pain score of self assessment patients. In the multiple regression of risk factors to changes in low back pain score were correlated with age, education period, marital status, duration of symptoms(p<0.05). All patients were assessed by the low back pain protocol which was composed of symptom, clinical sign and activities of daily living scales before and after the treatment. Poor result could be predicted after the nonoperative treatment in the patient groups of changes low back pain score decreased with aging, duration of symptom over 7 months.

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중·고등 교원의 직무환경과 작업 관련 근골격계 증상 유병률 관계에서 스트레스가 직·간접적으로 미치는 영향 (The Direct or Indirect Effects of Teachers' Stress on the Relationship Between Working Environment and the Prevalence of Work-related Musculoskeletal Symptoms)

  • 손상우;황병준
    • 대한정형도수물리치료학회지
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    • 제28권1호
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    • pp.53-60
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    • 2022
  • Background: The aim of the study is to examine whether mediating or moderating effects of stress between teachers' work environment and work-related musculoskeletal disorders. Methods: Two hundred nine participants took part in the study and completed the surveys including work environment, stress and work-related musculoskeletal disorders questionnaires. Hayes's PROCESS macro was used to test the research models for mediating and moderating effects of stress between work environment with teachers and work-related musculoskeletal disorders. Indirect effect was tested using bootstrapped confidence intervals. Results: The result confirmed that Stress served as a indirect mediator between work environment and work-related musculoskeletal disorders, whereas there was no significant the moderating effect. Conclusion: Stress mediates the relationship between work environment and work-related musculoskeletal disorders. Therefore, it is crucial that teachers' work environment that increases stress should be enhanced to reduce work-related musculoskeletal disorders.

임상 연구에서 연구 표본수의 산출 (Calculation of Sample Size in Clinical Trials)

  • 이효진;김양수;박인
    • Clinics in Shoulder and Elbow
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    • 제16권1호
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    • pp.53-57
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    • 2013
  • 목적: 임상 연구의 통계 분석에 있어서 표본수 산출의 의미와 기본 방식에 대해서 알고자 한다. 대상 및 방법: 자료의 분류, 연구 디자인 및 도출하고자 하는 결과의 성격에 따라 각기 다른 식을 적용시켜 표본수를 산출 한다. 결과: 표본수 산출은 임상 연구를 시작하기 전에 선행되어야 하며, 적절한 표본수 산출은 유의한 결론 도출에 필수 불가결하다. 결론: 표본수 산출은 에러나 작은 변수에 민감하기 때문에 특정 식에 적용시킬 때는 주의를 요한다.

둥근어깨를 가진 성인에게 위 등세모근 활성도 감소를 위한 중재가 둥근어깨자세, 위 등세모근 근활성도와 목기능장애지수에 미치는 영향 (Effect of Upper Trapezius Inhibition on Round Shoulder Posture, Upper Trapezius Muscle Activity and Neck Disability Index for Adults with Round Shoulders)

  • 최종욱;정용식;권오국
    • 대한정형도수물리치료학회지
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    • 제26권1호
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    • pp.9-18
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    • 2020
  • Background: The aim of this study is for the effects of upper trapezius (UT) inhibition on round shoulder posture (RSP) index, pectoralis minor index (PMI), UT activity and neck disability index (NDI) in adults with RSP. Methods: 30 male and female participants with RSP were included in this study. The participants were divided into two groups: experimental group (EG) and the control group (CG). the EG received UT inhibition 3 days a week for 5 weeks those in the CG did not receive UT inhibition. Results: RSP index, PMI, UT activity and NDI were measured again, There was a significant difference within the EG at pre- result and post-results. Conclusion: These results suggest that UT inhibition with an RSP program was effective in decreasing the RSP index, UT activity, and NDI in adults with RSP.

움직임을 동반한 관절가동술 적용 전 시행된 연부조직가동술이 뇌졸중 환자의 족관절 가동범위, 근 조직, 균형에 미치는 즉각적인 효과 (The Immediate Effect of Soft Tissue Mobilization Before Mobilization with Movement on the Ankle Range of Motion, Muscle Tissue, Balance in Stroke Patients)

  • 장우석;최순호
    • 대한정형도수물리치료학회지
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    • 제26권1호
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    • pp.37-46
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    • 2020
  • Background: The present study aimed to investigate the immediate effects of Soft Tissue Mobilization (STM) before Mobilization with Movement (MWM) on ankle ROM, pennation angle, balance in stroke patients. Methods: A total of 22 subjects were randomly assigned to one of two groups: the experimental group and the control group. The experimental group received intervention STM before MWM. STM was applied for one minute, MWM was applied one set of six times, in a total 3 sets. The passive ankle joint range of motion (ROM) was measured using a goniometer, the pennation angle was measured using RUSI, and the balance was measured using Timed Up & Go Test. Results: The ROM of the ankle dorsi-flexion, muscle tissue (pennation angle) and balance were significantly increased. Conclusion: In this study, it was confirmed that the ankle dorsi-flexion ROM, pennation angle of the medial gastrocnemius muscle, and balance were significantly improved in the group where STM was performed before the MWM intervention. Therefore, the physiotherapists should consider these results in their intervention. If MWM is applied to stroke patients, applying STM first is a better intervention.

근위경골절골술에서 해부학적 축과 역학적 축의 변화가 경골후방경사각에 미치는 영향 (The Effect of Anatomical Axis and Mechanical Axis on Change of Posterior Tibial Slope Angle in PTO(Proximal Tibial Osteotomy))

  • 신은지;김철웅;이호상;배지훈;왕준호;;오동준
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2008년도 추계학술대회A
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    • pp.1543-1546
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    • 2008
  • The purpose of this study was to investigate factors affecting the change of tibial posterior slope and introduce a mathematical model which calculate, through 3-dimensional analysis of the proximal tibia, how the angle of the opening wedge along the anteromedial tibial cortex influences the tibial posterior slope and valgus correction when performing a medial open wedge osteotomy. This mathematical model with navigation system can be guidelines which provide surgeons on preoperative and intraoperative measurements to maintain or correct the tibial slope and to obtain the desired valgus correction of the lower limb during an opening wedge osteotomy.

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발목관절 가동술이 목과 어깨의 자세에 미치는 영향 (The Effect of Ankle Mobilization on Neck and Shoulder Position)

  • 형인혁;안목;김형수;김은영;이해정;배성수
    • The Journal of Korean Physical Therapy
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    • 제16권4호
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    • pp.264-282
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    • 2004
  • The purpose of the study was to investigate the effectiveness of ankle mobilization on neck and shoulder position. One hundred volunteers, aged between 18 and 26 years (mean age 22), were recruited and each subject was divided into four mobilization groups by their body type, which is based on the concept from 'general coordinative manipulation' and a control group. Ankle mobilization was applied based on their body type and no mobilization was applied on those of the control group. The positions of shoulders and neck were measured in comfortable standing posture. All measurements were taken before and after ankle mobilization from each subject in mobilization groups and those of control group was measured twice between ten minutes by a different tester on three different occasions. Twenty subjects were in each group basis of their body type and a control. In the position of neck and shoulder, all subjects regardless group showed significantly changed their neck

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척추부 촉진에 관한 연구 (The Study of Vertebral Palpation)

  • 박윤기
    • 대한정형도수물리치료학회지
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    • 제16권1호
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    • pp.57-63
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    • 2010
  • The palpation of spinous process and transverse process of vertebra are important part of the assesment and treatment from Orthopedic manual therapy. But the palpation area is descriptive differently each of literatures. So we generally got these outcomes. : There are C2, C3, C4 and C6 process as a bony landmarks and these are important part of establish the precise location of pain appears from cervical spine. Even though C7 process regard a prominent part, it is hard to distinguish C6 and process of T1. Thru that differentiation, grab the patient's forehead and try them cervical and hyper-extension check any movement of process or put on the fingers on C7 preocess and check the movement. The palpation of thoracic spine process is the land mark which determines general level orientation in the spine easily, there are T2, T7 spinous process. However, It is depends on how do you test the patient's arm when you palpate it and it can effect on spinous process. The transverse process of C1 is the only spot for palpation in cervical spine, and T1-3, T12 transverse process can palpate it when it stands on the process. The end of T4-6, T11 is placed on middle on vertebra of transverse process and transverse process. T7-9, T10 transverse process is place on same position as spinous process which is upper part of the spine.

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견갑 및 부견갑 병합 유리피판에 의한 광범위한 사지 연부 조직 결손의 수복 (Free Vascularized Scapular and Parascapular Combined Flap Coverage for Extensive Soft Tissue Injury of the Extremity)

  • 최수중;장기영;이창주
    • Archives of Reconstructive Microsurgery
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    • 제14권2호
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    • pp.144-151
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    • 2005
  • Purpose: Disaster as traffic accident, industrial disaster, high voltage electrical bum and flame burn of extremity have a destructive effect because of the involvement of deep structure. Generally, such injury may result in decreased function or loss of limb. In this study the successful use of the combined scapular/parascapular flap as microsurgical transfer to cover extensive defect of electrical and flame bum is reported. Material and Method: Between January 2000 and June 2001, the combined scapular and parascapular flap was used for the coverage of soft tissue defect for 7 patients were admitted to our department with high voltage electrical bum and flame burn. The recipient site were the wrist joint in 2 cases, the forearm in 1 case, the ankle joint in 1 case, the foot dorsum in 1 case, the heel in 1 case. Result: Flap survival was complete in all patients. The result of flap coverage for these deep wound was successful. Conclusion: The advantages of scapular/parascapular combined flap were coverage of the large defect, easy shaping of the flap to fit the required three dimensional configuration around the joint, non hair bearing skin of uniform thickness, minimal donor site morbidity.

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골반 안정화운동이 산후 요통 여성에게 통증, 기능장애, 심리사회적수준, 근활성도에 미치는 영향 (The Effects of Pelvic Floor Stabilization exercise on Pain, Function, Psychosocial, EMG Activity on the Lower Back Pain with Postpartum Women)

  • 이민지;권오국;송현승
    • 대한정형도수물리치료학회지
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    • 제24권2호
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    • pp.17-27
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    • 2018
  • Background: This study investigated the effects of pelvic floor stabilization exercise of pain, disfunction, psychosocial, electromyography (EMG) activity on the lower back pain with postpartum. Methods: The study included 20 postpartum women who were randomly assigned to a sling exercise group (SEG, n=10) or a general physical therapy group (GPTG, n=10). Outcomes were assessed using to lower back pain with postpartum the quadruple visual analogue scale (QVAS), the Korean version of the Oswestry disability index (KODI), the fear avoidance belief questionnaire (FABQ), the inventory of functional status after childbirth (IFSAC), the edinburgh postnatal depression scale-Korean (EPDS-K), and trunk muscle activity before and after a 4-week exercise intervention. Statistical analysis were performed using a mean, standard deviation, crosstab test, paired t-test, independent t-test. Kolmogorove-Smirnov test was used for test of normality. Results: Compared to the GPTG, the SEG showed significant improvement in the QVAS, KODI, FABQ, IFSAC, and EPDK-K scores (p<.05) after 4 weeks. Conclusion: Postpartum pelvic strengthening exercise proved to have a positive effect.