신경박리가 말초 신경내 미세혈관에 미치는 영향에 관한 실험적 연구

김주오 全南大醫大 1981 전남의대학술지 Vol.18 No.2

뇌졸중 환자에게 하지 근력강화 프로그램이 균형, 보행과 상지 기능에 미치는 효과

김주오,이병희 한국콘텐츠학회 2020 한국콘텐츠학회논문지 Vol.20 No.6

The purpose of this study was to determine the effect of lower extremity strengthening program on balance, gait and upper limb function in patients with stroke. This study was a hospital-based with Central nerve system lesion patients, randomized controlled trial with a blinded assessor. Twenty four hemiparetic stroke patients were divided into two groups: a Lower extremity strengthening program group (LESPG)(n=12) and a Treadmill training group (TTG)(n=12). The LESPG performed a Lower extremity strengthening program on the affected side. The TTG exercised on a treadmill for 30 minutes a day. Assessment tools included the Timed Up and Go test (TUG), the Functional Gait Assessment (FGA) and the Manual Function Test (MFT). There was a significant difference in TUG, FGA, and MFT scores between the two groups in the LESPG for the balance, gait, and upper limb function than for the TTG(p<.01). Results of the present study indicated that the effect of lower extremity strengthening program for 4 weeks had an effect on balance, gait and upper limb function of hemiplegic patients after stroke. 본 연구는 뇌졸중 환자에게 하지 근력강화 프로그램이 균형, 보행 및 상지 기능에 미치는 효과에 대해서 알아보았다. 신경계 손상 환자가 있는 병원을 기반으로 해서 하지 근력 강화에 대한 연구 방법을 만들어서 진행하였고, 무작위대조시험을 적용하였다. 24명의 뇌졸중 환자를 두 군으로 분류하였다. 하지 근력 강화 프로그램그룹 (Lower extremity strengthening program group, LESPG) (12명)과 트레드밀 훈련그룹 (Treadmill trainig group, TTG) (12명)으로 실험하였다. LESPG는 마비측에 하지 근력 강화프로그램을 수행하였다. TTG는 하루 30분 동안 트레드밀 운동을 적용하였다. 평가 도구는 일어나서 보행 검사(Timed Up and Go test, TUG), 기능적 보행평가 (Functional Gait Assessment, FGA) 및 뇌졸중 상지 기능검사 (Manual Function Test, MFT)를 적용하였다. 균형, 보행 및 상지 기능에 대한 두 군 간의 TUG, FGA 및 MFT 점수는 LESPG가 TTG보다 유의한 차이가 있었다(p<.01). 4주간의 하지 근력강화 프로그램의 효과는 뇌졸중 후 편마비 환자의 균형, 보행 및 상지 기능에 효과가 있었다.

열린사슬운동과 닫힌사슬운동이 큰가슴근과 위팔세갈래근의 근활성도에 미치는 영향

김주오,장상훈,Kim, Ju-O,Jang, Sang-Hun 대한물리치료과학회 2018 대한물리치료과학회지 Vol.25 No.1

Background: The purpose of this study was to investigate the effect of open and close kinetic chain exercise on the muscle activity of pectoralis major and triceps. Method: Twenty healthy male college students were assessed three times over two weeks. The participants were randomly assigned to OKCE(Open Kinetic Chain Exercise) and CKCE(Close Kinetic Chain Exercise). On the first day, the 7th day and the last day, The MP(mean power) and PT(peak torque) of the PM(pectoralis major) and TR(triceps) during the exercise were measured with an electromyography device and the study was compared. Result: In the present study, it was found that Statistical analysis of the measured values at the end of experimental period revealed statistically significant differences in the MP and PT values of TR and PM. Conclusion: These findings suggest that CKCE and OKCE may be an effective physical therapy intervention for strengthening muscular activity in patients with low activity in the upper limb, including normal subjects, although it is not suitable for effective exercise by selecting either CKCE or OKCE.

상지에 발생한 기무라씨병 - 증례 보고 -

김주오,허해룡,유상문,Kim, Ju-O,Hur, Hae-Ryong,Yoo, Sang-Moon 대한근골격종양학회 2001 대한골관절종양학회지 Vol.7 No.1

기무라씨병은 종괴를 형성하는 원인 불명의 흔치 않는 만성 염증성 질환으로서 동양인에서 자주 이환되며 특히 젊은 남자에서 호발된다. 호발 장소는 주로 두경부이며, 일차적으로 피하 조직과 진피에 발생된다. 비교적 양호한 경과를 보이며, 그 치료 방법으로는 수술적 절제술, 스테로이드 투여법 및 방사선 조사 등이 있다. 저자들은 우측 상완부에 발생한 무통성의 비교적 유동성이 있는 연부 조직 종양 1례에 대한 변연부 절제술을 시행하여 병리조직학적으로 기무라씨병으로 확진하였으며, 수술 후 15개월 추시 상 재발 소견은 없었다. Kimura's disease is a mass producing uncommon chronic inflammatory process of unknown cause. It is more common among Orientals and affects particularly the young male. Sites of predilection include the head and neck regions, primarily the subcutaneous tissue and dermis. It's clinical course is benign in nature. The treatment modalities for this disease are surgical excision, steroid therapy and radiation therapy. We experienced a case of soft tissue mass in the right upper arm. It was painless and relatively movable. We performed marginal excision of the mass, which was turned out to be Kimura's disease on microscopic examination. In this case, disease recurrence was not found fifteen months after the operation.

하지 석고 붕대의 체중 부하 감소효과의 비교

김주오,최승준,임한기,유상문 대한골절학회 2001 대한골절학회지 Vol.14 No.4

Purpose: We compared and evaluated the unloading effect and the availability of four different types of lower limb casts. Materials and Methods: The subjects were ten healthy men who had no gait disturbances, neuromuscular disorder, and deformities of lower extremities. The mean age was 25.2years (22-29) and the mean weight was 62.6㎏ (53.9-69.1). The trials consisted of patellar tendon bearing (PTB) casts, short leg casts, long leg extension casts, and long leg 30° flexion casts. In each experiment, ten sets of measurements were taken with all subjects wearing four different types of lower limb casts and walking on a flat surface indoors. The load cell was placed on the sole of the foot and wrapped with casts so that we could measure the pressure of the sole during gait. The percentage of load reduction was calculated by comparing pressure of the soles and the bottom of the casts. Results: The unloading effects of the PTB, the short leg, the long leg extension, and the long leg 30° flexion casts were 23.8%, 19.5%, 25.5%, 27.9% of the loading. No significant difference of unloading effect was demonstrated between each four different types of lower limb casts (P$gt;0.05). Conclusion: Notwithstanding the clinical success of the lower limb casts in below-knee fractures, the unloading effect of the casts was limited and any type of the casts did not show better unloading effects.

Effect of upper extremity coordination exercise during standing on the paretic side on balance, gait ability and activities of daily living in persons with stroke

김주오,이병희 물리치료재활과학회 2017 Physical therapy rehabilitation science Vol.6 No.2

Objective: The purpose of this study was to determine the effect of upper extremity coordination exercise (UECE) during standing on the paretic side on balance, gait ability and activities of daily living (ADL) in persons with stroke. Design: A randomized controlled trial. Methods: A total of 27 patients with hemiplegic diagnosis after stroke were divided into two groups. Fourteen patients were in the study group and 13 patients were in the control group. The study group received conventional physical therapy and UECE during standing on the paretic side. The control group received conventional physical therapy and simple upper extremity exercise (SUEE). Subjects in both groups were given upper extremity training for 30 minutes per day, five times a week for 4 weeks. Initial evaluation was performed before treatment and reevaluated 4 weeks later to compare the changes of balance, gait ability and ADL (Korean version of modified Barthel index, K-MBI). Results: Both groups showed a significant effect for balance, gait ability and ADL (p<0.05). In the Independent t-test, between both groups showed a significant effect for balance and gait ability except ADL (p<0.05). Conclusions: In this paper, we investigated the changes in balance, walking, and ADL through UECE. We found significant changes in the study group and the control group. Results of the present study indicated that UECE during standing on the paretic side for 4 weeks had an effect on balance, gait ability and ADL (K-MBI) in persons with hemiplegia after stroke.

트레이드밀 전방, 후방 보행 시 속도와 경사도에 따른 하지 근활성도의 변화

김주오,인태성,Kim, Ju-O,In, Tae-Sung 대한물리치료과학회 2017 대한물리치료과학회지 Vol.24 No.1

Purpose: The purpose of this study was to investigate the changes in the activity of the thigh muscle(rectus femoris, vastus medial/ lateralis, hamstring medial/lateralis) which are caused by the change cf lower extremity muscle activity to speed and inclination during forward and backward walking on the treadmill. Method: Twenty healthy young adults were recruited. The subjects were given a warm-up for 1 minute at the speed of 2.0km/h before exercise, and 2km/h to 4km/h from 10% to 4km/h in the frontal and backward walking. Result: In the present study, it was found that the muscle activity of the lateral broad and inward wide muscles increased when the treadmill was backward for 40 seconds without training. And the femur and the muscle were significantly different from 10% to 4km/h(p<.05). Conclusion: These findings suggest that in the treadmill, it is effective in increasing the leg strength in the backward walking than in the forward walking. And it was concluded that muscle activity increased at 4km/h when the speed was 2km/h when backward walking.

대퇴골 전자간 골절수술시 압박고 나사 고정과 감마정 고정의 비교

김주오,임한기,오재일,유상문 대한골절학회 2001 대한골절학회지 Vol.14 No.2

Purpose : To compare and analyze the operative results of compression hip screw with those of gamma nail in the treatment of intertrochanteric fracture of femur. Materials and Methods: We performed retrospective analysis of intertrochanteric fracture of femur using the compression hip screws on 16 cases(stable 8 cases, unstable 8 cases) and compared the results with those of 21 cases(stable 5 cases, unstable 16 cases) of Gamma nail fixation. All the 37 cases were operated between April 1992 and May 1997 and followed for minimal 12 months. We permitted earlier weight bearing for the Gamma nail inserted group(1 week vs 3 weeks). We evaluated the operation time, bleeding amount, intraoperative and postoperative complications, bone union time, neck-shaft angle, and functional assessment by follow up radiographs and clinical results. Results: The average operation time was shorter in the Gamma nail group than in the compression hip screw group (97±23.3 compared with 117±35.9 minutes; p$lt;0.05). The average amount of bleeding was lesser in the Gamma nail group than in the compression hip screw group (592 compared with 712 ml: p$lt;0.05). The fracture union time and clinical function of two groups showed no statistically significant difference(p$gt;0.05). During Gamma nail insertion, crack was developed in one femoral shaft which was united after bed rest and delayed weight bearing. Postoperative complications were coxa vara in 3 cases(1 case on Gamma nail, 2 cases on CHS) and cutting out of lag screw in 3 cases(1 case on Gamma nail, 2 cases on CHS), but showed no statistically significant difference between two groups(p=0.781). Conclusion: Early weight bearing can be encouraged for the Gamma nail group and this seemed to be beneficial for the old patients. The Gamma nail fixation is considered as a useful method for the patients with intertrochanteric fracture if it is managed with proper technique.

골절 고정용 금속판 사용후 재질의 변화에 관한 연구

김주오,전철홍,심용석,김상수,최정기 圓光大學校 醫科學硏究所 1991 圓光醫科學 Vol.7 No.1-2

To estimate causative factors leading to failure of internal fixation devices, we performed mechanical, metallurgical and X-ray diffractional studies of plates. The study included three unused, six used, and broken one during implantation to the fractured femurs. Inner surfaces of used or broken plates revealed increased cracks and conversion of metal crystal from austenite to martensite structures, which implied that the plates became brittle. The ultimate tensile strength of used plates was increased and it meaned that the stress during implantation within the body did not weaken the ultimate tensile strength of the plates, rather made them stiff and hard. The used or broken plates were proved to lose their original ductility during implantation and became hard and brittle.

급성 전방십자 인대손상의 치료

김주오 대한슬관절학회 1989 대한슬관절학회지 Vol.1 No.1

Concerning anterior cruciate ligament injuries, many authors reported varied types and results of treatment. The author summarized the general guide-line of operation, the principle of surgery, and the postoperative rehabilitation of anterior cruciate ligament injuries.