• Title/Summary/Keyword: therapy space

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A Case Study of Sandplay Therapy from the Perspective of the Father Complex for a Female College Student Raised in a Wife-battering Family (폭력가정에서 성장한 여자 대학생에 대한 부성 콤플렉스 관점에서의 모래놀이치료 사례연구)

  • Sim, Hee-Og
    • Journal of Families and Better Life
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    • v.32 no.2
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    • pp.143-157
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    • 2014
  • This study explored how a female college student from a wife-battering family overcame her negative father complex and found her femininity through sandplay therapy. The client wanted to have good relationships with people as a result of the therapy. Thirty-one therapy sessions were held. The initial phase of therapy included 1-7 sessions, the intermediate phase included 8-27 sessions, and the final phase included 28-31 sessions. The client expressed her empty heart, frozen femininity and potential to work that was blocked in terms of her internal work as well as in her ability to have relationships in the first phase of therapy. During the middle phase of therapy she pursued her real and authentic self by meeting her shadow and acknowledging the different viewpoints of others. In the final phase of therapy she welcomed a new world with determination of what she would do after graduation in a real life. Through sandplay therapy in a free and protected space, the client overcame her negative father complex and found her natural femininity.

Complication of epiduroscopy: a brief review and case report

  • Marchesini, Maurizio;Flaviano, Edoardo;Bellini, Valentina;Baciarello, Marco;Bignami, Elena Giovanna
    • The Korean Journal of Pain
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    • v.31 no.4
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    • pp.296-304
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    • 2018
  • Epiduroscopy is defined as a percutaneous, minimally invasive endoscopic investigation of the epidural space. Periduroscopy is currently used mainly as a diagnostic tool to directly visualize epidural adhesions in patients with failed back surgery syndrome (FBSS), and as a therapeutic action in patients with low back pain by accurately administering drugs, releasing inflammation, washing the epidural space, and mechanically releasing the scars displayed. Considering epiduroscopy a minimally invasive technique should not lead to underestimating its potential complications. The purpose of this review is to summarize and explain the mechanisms of the side effects strictly related to the technique itself, leaving aside complications considered typical for any kind of extradural procedure (e.g. adverse reactions due to the administration of drugs or bleeding) and not fitting the usual concept of epiduroscopy for which the data on its real usefulness are still lacking. The most frequent complications and side effects of epiduroscopy can be summarized as non-persistent post-procedural low back and/or leg discomfort/pain, transient neurological symptoms (headache, hearing impairment, paresthesia), dural puncture with or without post dural puncture headache (PDPH), post-procedural visual impairment with retinal hemorrhage, encephalopathy resulting in rhabdomyolysis due to a dural tear, intradural cyst, as well as neurogenic bladder and seizures. We also report for first time, to our knowledge, a case of symptomatic pneumocephalus after epiduroscopy, and try to explain the reason for this event and the precautions to avoid this complication.

A CLINICO-STATISTICAL ANALYSIS ON THE FASCIAL SPACE INFECTIONS OF ORAL AND MAXILLOFACIAL REGION (구강 악안면 근막간극 감염에 관한 임상통계학적 분석)

  • Joo, Hyun-Ho;Weon, Dong-Whan;Lee, Sang-Hwy;Kim, Il-Hyun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.5
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    • pp.490-496
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    • 2000
  • We have conducted a retrospective study of 224 patients with the diagnosis of oral and maxillofacial infection who had been treated between 1988 and 1999 at Gyeong-Sang National University Hospital. This study was aimed to furnish the data of oral and maxillofacial infection and to aid diagnosis and treatment. The most common fascial space involved, as determined by clinical, radiologic, and operative findings, were the submandibular space(39.4%). The most frequent cause of oral and maxillofacial infection was odontogenic 68.8%. In the odontogenic cause, dental caries was the most common cause. Two-hundred three patients required surgical drainage of the abscess. Seventeen patients needed tracheostomy for airway control. The overall mortality was 0.9% despite aggressive anti-microbial therapy and early surgical intervention. All other patients had an uneventful recovery without major complication except osteomyelitis case(6.0%). The combination of early radiologic diagnosis, effective antimicrobial therapy, and intensive surgical management contributed to the good prognosis.

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The Effect of Stretching and Elastic Band Exercises Knee Space Distance and Plantar Pressure Distribution during Walking in Young Individuals with Genu Varum

  • Park, So-Ra;Ro, Hyo-Lyun;Namkoong, Seung
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.1
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    • pp.83-91
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    • 2017
  • PURPOSE: The purpose of this study was to investigate the effects of stretching and elastic band exercise on the knee space distance and plantar pressure distribution in people with genu varum. METHODS: The subjects of this study were students of a college who had genu varum of 14 subjects. The subjects were randomly divided into two groups as a stretching group (n=7, 4 males and 3 females, age: $20.14{\pm}2.54years$, height: $167.1{\pm}9.78cm$, weight: $58.6{\pm}10.13kg$) and a Thera-band group (n=7, 5 males and 2 females, age: $19.85{\pm}2.04years$, height: $166.5{\pm}5.82cm$, weight: $54.2{\pm}5.59kg$). The stretching and the There-band exercises were performed three times per a week, for four weeks. We measured changes in plantar pressure during walking, using a Gait Analyzer and distance of both knees at pre and post-intervention. RESULTS: These results suggest that the space distance of both knees showed differences before and after the intervention. The plantar pressure distribution was no changes in both groups before and after the intervention except for the left foot in a stretching group. CONCLUSION: As a result, the space distance of knees in both groups was significantly reduced. These result suggested that the Thera-band and stretching exercises were effective ways in alleviating genu varum.

Effect of Space Fabric Type Air Insole Pressure difference on Balance to Normal Adults (공간직물형 에어 인솔의 공기압 차이가 젊은 성인의 균형 능력에 미치는 영향)

  • Kim, Gi-Chul;Lee, Jeon-Hyeong;Kim, Sang-Su;Nam, Hue-Hyeong
    • PNF and Movement
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    • v.13 no.1
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    • pp.47-53
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    • 2015
  • Purpose: This study examined the effects of space fabric type air insole pressure differences on young adults' dynamic balance ability. Method: The subjects of this study were 17 young female adults without musculoskeletal system disease. Balance ability was measured by dividing the subjects into three groups: an experimental group which did not wear an air insole (insole-off group), an experimental group which wore an air insole to which air pressure of $0.55kg/cm^2$ was applied (insole-0.55 group), and an experimental group which wore an air insole to which air pressure of $0.75kg/cm^2$ was applied (insole-0.75 group). For dynamic balance, the subjects stood on a balance pad, and perimeter length and medium speed were measured three times. The averaged values were recorded and statistically processed. Result: There were significant differences in average speed, and the insole-0.75 group's average speed decreased compared to the insole-off group and the insole-0.55 group. Although the total movement distance did not statistically differ, the insole-75 group's movement distance decreased compared to the insole-off group and the insole-0.55 group. Conclusion: Application of a space fabric type air insole, in particular insole-0.75, was helpful in improving balance ability. This is considered to occur because the space fabric structure was conducive to decreasing sway and producing balance.

A Comparative Study on the Pain and Treatment Satisfaction between Korean Medical Treatment Combined with Ultrasound Guided Soyeom Pharmacopuncture Therapy in Thoracic Paravertebral Space and Non-Guided Soyeom Pharmacopuncture Therapy on Patients with Ribs Fracture: A Retrospective Study (늑골 골절 환자에서 초음파 유도하 흉추 주위 공간(TPVS) 소염약침 치료를 시행한 한방치료군과 촉지하 소염약침 치료를 시행한 한방치료군의 통증 및 치료만족도 비교 연구: 후향적 연구)

  • Kim, Yeon Hee;Oh, Tae Young;Lee, Eun Jung;Oh, Min Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.103-112
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    • 2019
  • Objectives The purpose of this study is to investigate pain reduction and treatment satisfaction of patients with rib fracrture treated with Soyeom pharmacopuncture therapy under ultrasonic guided - thoracic paravertebral space (TPVS), and also compare to the patients with non-guided pharmacoacupuncture. Methods We studied medical records of 6 patients hospitalized with rib fractures were analyzed retrospectively at department of Korean Medicine Rehabilitation from March 1, 2019 to May 31, 2019, The 3 patients had performed the treatment of Soyeom pharmacopuncture therapy on TPVS under ultrasonic guidance with Korean Medicine treatment (such as herbal medicine, acupuncture, moxabustion, etc) and the other 3 patients had performed the treatment of Soyeom pharmacopuncture therapy on TPVS through non-guided. We used numeric rating scale to assess improvements in pain and the five-point likert scale was used to assess treatment satisfaction. Statistical analysis was carried out using the IBM SPSS Statistics 24 program. Results The purpose of this study is to investigate pain reduction and treatment satisfaction of patients with rib fracrture treated with Soyeom pharmacopuncture therapy under ultrasonic guided - TPVS, and also compare to the patients with non-guided pharmacoacupuncture. Conclusions After analyzing 6 studies, we could imply that the treatment of Soyeom pharmacopuncture therapy on TPVS under ultrasonic guidance could be more effective on pain reduction and improvement of treatment satisfaction with rib fracture compared to those who were treated with non-guided pharmacoacupuncture.

Treatment of Snoring and Obstructive Sleep Apnea - Oral Appliance Therapy of Snoring and OSA - (임상가를 위한 특집 3 - 코골이와 수면무호흡증의 치료 - 무엇으로 치료할 것 인가? 구강내장치를 중심으로 -)

  • Song, Yun-Heon
    • The Journal of the Korean dental association
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    • v.48 no.3
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    • pp.190-195
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    • 2010
  • Oral appliance therapy is a simple, reversible way for improving snoring and/or obstructive sleep apnea. It may be indicated for the patients who are unable to tolerate continuous positive airway pressure (CPAP) or who have potential risks for surgical intervention. Oral appliance therapy increases airway space by the providing stable anterior positioning of the mandible, pulling out tongue, lifting up soft palate, or changing the muscle activity of the genioglossus. Currently, more than 80 different types of oral appliances have been introduced for snoring and/or obstructive sleep apnea. They are classified by their characteristics such as mode of action, adjustability and material used. This article provides a detailed clinical protocol and treatment procedure for oral appliance therapy.

A Case Study of Sandplay Therapy for an Elementary School Boy Living in a Small Income Fatherless Family Who Exhibits Maladjustments in Both School and Home (학교와 가정에서 부적응 문제를 보이는 저소득 모자가정 초등학생 남아의 모래놀이치료 사례연구)

  • Sim, Hee-Og
    • Korean Journal of Child Studies
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    • v.35 no.1
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    • pp.17-41
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    • 2014
  • This study explored the sandplay therapy case of a 5th grade boy who was living in a small income fatherless family from the viewpoints of both sandplay theory and related literatures. The goal of the therapy was to lessen his difficulties under the free and protected space of sandplay therapy. This study comprised 59 sessions of sandplay therapy. The subject exhibited his situations in the initial parts of therapy(1~5, the preparation for war against enemies) by putting miniatures related to Egypt and by placing Indians who were keeping the house from enemies. In the intermediate sessions(6~47, holding a ceremony), he repeated burning rituals, played finding treasures, and exhibited both struggle and construction. In the final parts(48~59, integration), he showed integration by expressing the adaptation to the collective. This study indicated the effectiveness of sandplay therapy, because his maladjustments in both school and home were reduced.

Retropharyngeal space abscess due to spread of odontogenic infection: two cases report (치성감염의 확산으로 인한 후인두간극농양: 증례보고)

  • Jung, Tae-Young;Chae, Byung-Moo;Jeong, Yong-Seon;Park, Sang-Jun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.4
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    • pp.314-319
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    • 2010
  • Odontogenic infections are a normally locally confined, self-limiting process that is easily treated by antibiotic therapy and local surgical treatment. However, it may spread into the surrounding tissues through a perforation of the bone, and into contiguous fascial spaces or planes like the primary or secondary fascial spaces. If the infection extends widely, it may spread into the lateral pharyngeal and retropharyngeal space. The retropharyngeal space is located posterior to the pharynx. If an odontogenic infection spreads into this space, severe life-threatening complications will occur, such as airway obstruction, mediastinitis, pericarditis, pleurisy, pulmonary abscess, aspiration pneumonia and hematogenous dissemination to the distant organs. The mortality rate of mediastinitis ranges from 35% to 50%. Therefore, a rapid evaluation and treatment are essential for treating retropharyngeal space abscesses and preventing severe complications. Recently, we encountered two cases of a retropharyngeal space abscess due to the spread of an odontogenic infection. In all patients, early diagnosis was performed by computed tomography scanning and a physical examination. All patients were treated successfully by extensive surgical and antibiotic therapy.