고식적 치료에 반응하지 않은 욕창 환자에서 음압-이용 흡인 치료법의 효과

복수경,윤종명,조경자,오상향,홍준형,이영진,김윤미 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.1

Objective: To evaluate the effect of Vacuum-Assisted Closure (V.A.C.) therapy in stage 3 or 4 pressure ulcers refractory to traditional saline wet gauze dressing. Method: Ten patients who had stage 3 or 4 pressure ulcers which were failed to heal with saline wet gauze dressing over 4 weeks were investigated. We treated these subjects with V.A.C. therapy. The length, width and depth of pressure ulcers were evaluated every week for 3 weeks. Soft tissue biopsy from pressure ulcer was taken before starting V.A.C. therapy and after the scheduled therapy was done. Results: The sizes of length, width and depth in pressure ulcer were significantly decreased after one week of V.A.C. application. And then healthy granulation tissue was formed. The length, width and depth of the pressure ulcer were decreased of 40.2%, 42.7% and 79.8% of their original size. Soft tissue biopsy in pressure ulcers was taken in 4 cases, the number and size of capillaries were more increased and inflammatory cells were decreased. Conclusion: V.A.C. therapy promoted wound healing and revealed favorable histological changes in pressure ulcers refractory to traditional dressing. We suggest that V.A.C. therapy can be used for the effective management of pressure ulcer.

Physical Functions in Follow-up Convergency Care by Discharge Locations

복수경,송영신 한국융합학회 2022 한국융합학회논문지 Vol.13 No.2

Discharge plans should be considered during rehabilitation depending on the location specified by the patients. This study aims to compare the demographics and rehabilitation function according to discharge location in people with rehabilitation one month after discharge. Among 300 discharged patients, 146 were discharged to their homes, 154 were transferred to facilities such as nursing homes. The results showed that rehabilitation function that scored using the modified Barthel Index were different according to discharge location. That is, the modified Barthel Index scored greater in home discharged patients than counter group. However, the home discharged patient's physical function and daily activities showed scores that required rehabilitation. Differentiated strategies should be needed for home and facility visit rehabilitation programs for rehabilitated patients.

Recurrent Cerebral Infarction Caused by Mobile Aortic Arch Thrombus Refractory to Warfarin Therapy

복수경,이영진,안수영 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.5

The mobile thrombus in the aortic arch is a rare condition, which becomes rarer when associated with cerebral infarction, resulting in disabling complications. Transesophageal echocardiography is useful for detecting the source of thrombi in the heart and aortic arch. Here, we report a case of a patient who suffered from recurrent cerebral infarction four times during the previous 18 months due to mobile thrombus in the aortic arch despite anticoagulant therapy. The thrombus with rocking motion (9.6 and 8 mm) was laid in the top of the aortic arch, and surgical resection was not allowed due to the location. We began anticoagulation therapy initially with heparin followed by a combination of warfarin, aspirin, and atorvastatin with an international normalized ratio between 2 and 3. The size of the aortic thrombi was significantly decreased by 3 mm and stabilized after 18 months.

The Effects of Changes of Ankle Strength and Range of Motion According to Aging on Balance

복수경,이태헌,이상숙 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.1

Objective To investigate the changes of ankle strength and range of motion with aging and which of the ankle strength and range of motion are contributed to balance. Methods Sixty healthy people (24 men and 36 women) have undergone tests for ankle strength and range of motion, using Biodex System 4 Pro; a one-leg balance, including postural sway and stability index using a Balance System; in which data were collected in a self-reported Desmond fall risk questionnaire.Results Participants are classified into 3 groups by age (group 1, 20—40 years; group 2, 40—65 years; group 3, over 65 years). Stability index and postural sway is significantly increased with aging. Ankle plantarflexor strength and ankle eversion range of motion is significantly decreased with aging. Pearson’s correlation revealed that ankle plantarflexor strength is significantly correlated with anterior/posterior sway, and ankle eversion range of motion is significantly correlated with medial/lateral sway in the aged group (over 65 years).Conclusion Stability, ankle plantarflexor strength, and eversion range of motion is declined with aging. In addition, strength of ankle plantarflexor and eversion range of motion is significantly correlated with balance stability. Further studies are needed for programs to improve the strength of plantarflexor, and range of motion of eversion of the ankle are beneficial in improving balance, stability, and prevention of falling in the elderly.

중심 정맥 카테터 제거 후 발생한 뇌 공기 색전증 -증례보고-

복수경,현화진,이영진,윤종명,오상향 대한재활의학회 2007 Annals of Rehabilitation Medicine Vol.31 No.2

Effects of Custom-Made Rigid Foot Orthosis on Pes Planus in Children Over 6 Years Old

복수경,김봉옥,Jun Ho Lim,So-Young Ahn 대한재활의학회 2014 Annals of Rehabilitation Medicine Vol.38 No.3

Objective To identify the effects of a custom-made rigid foot orthosis (RFO) in children over six years old with pes planus.Methods The medical records of 39 children (mean age, 10.3±4.09 years) diagnosed with pes planus, fitted with RFOs, and had who more than two consecutive radiological studies were reviewed. The resting calcaneal stance position (RCSP), anteroposterior talocalcaneal angle (APTCA), lateral talocalcaneal angle (LTTCA), the lateral talometatarsal angle (LTTMA), and calcaneal pitch (CP) of both feet were measured to evaluate foot alignment. After diagnosis, children were fitted with a pair of RFOs and recommended to walk with heel strike and reciprocal arm swing to normalize the gait pattern. A follow-up clinical evaluation with radiological measurements was performed after 12–18 months and after 24 months of RFO application. Post-hoc analysis was used to test for significant differences between the radiological indicators and RCSP.Results With RFOs, all radiological indicators changed in the corrective direction except LTTCA. RCSP and CP in the third measurement showed significant improvement in comparison with the second and baseline measurements. Additionally, APTCA and LTTMA revealed improvements at the third measurement versus the baseline measurements.Conclusion This study revealed that radiological indicators improved significantly after 24 months of RFO application. A prospective long-term controlled study with radiographical evaluation is necessary to confirm the therapeutic effects of RFOs and to determine the optimal duration of wear in children with pes planus.

편타 손상 환자에서 급성기의 우울증상이 병의 경과에 미치는 영향

복수경,이영진,이창규,송황준,박만춘,남승호 대한재활의학회 2010 Annals of Rehabilitation Medicine Vol.34 No.2

Objective: To find out the effect of depressive symptoms at acute stage on the course of disease progression in whiplash patients. Method: Thirty-eight patients with neck pain after acute whiplash injury were enrolled. The patients were prospectively surveyed within 7 days after whiplash injury and followed up after discharge by telephone interview. Depressive symptoms, self-perceived disability from neck pain, and pain intensity were measured by Center for Epidemiological Studies-Depression Scale (CES-D), neck disability index (NDI), and visual analog scale (VAS), respectively. Depressive group was defined as CES-D scores more than 21. The correlation between duration of total treatment and CES-D score and other variables was investigated by calculating independent t-test, Pearson’s correlation coefficient and linear regression analysis. Results: The mean overall score of CES-D was 20.8±11.7 and 20 (52.6%) patients were classified as depressive group. Depressive group showed longer duration of total treatment (55.1±35.1 vs 38.9±16.4, p>0.05) and higher pain intensity after total treatment (37.0±21.3 vs 29.4±20.1, p>0.05) than non-depressive group, but statistical significance was not sufficient. Duration of total treatment was correlated with NDI score (γ=0.454, p<0.01) and initial pain intensity (γ=0.349, p<0.05), but not related with socio-demographic factors - age, gender, marital status - and CES-D score. Conclusion: Duration of total treatment was correlated with physical disability and initial pain intensity. Depressive symptoms at acute stage of whiplash injury was correlated with both of them. Depressive symptoms could affect the outcome of whiplash injury indirectly through pain intensity and physical disability. (J Korean Acad Rehab Med 2010; 34: 233-237)

피부온도가 운동단위활동전위에 미치는 영향

손민균,복수경,윤승호,장순자 大韓再活醫學會 1997 Annals of Rehabilitation Medicine Vol.21 No.2

뇌졸중 환자의 시기에 따른 평균 혈소판 요소의 변화

홍준형,복수경,조경자,오상향,윤종명,이종욱 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.1

Objective: Decrease of platelet density by degranulation of activated platelet is well correlated with decrease of mean platelet component (MPC) value. We intended to investigate the change of MPC, mean platelet volume, and platelet count according to the stroke stage and difference between ischemic and hemorrhagic infarction. Method: Thirty eight patients (ischemic stroke 28 men, hemorrhagic stroke 10 men) and twenty age-matched healthy persons were included in this study. They were divided into acute stage group and subacute stage group. Each of them were sampled by venously and investigated about mean platelet component, mean platelet volume, and platelet counts. Results: In ischemic stroke, there was statically (p<0.05) meaningful decrease of MPC value in acute stage (27.5±1.7) compared to control group (28.8±0.9). And MPC value in subacute stage showed meaningful increase (28.1±1.3) compared to acute stage but still remained in statically lower value compared to control value. In hemorrhagic stroke, there was no meaningful difference of MPC value in acute stage group (28.6±2.0) and subacute stage group (27.9±1.1) compared to control group. Conclusion: In ischemic stroke patients, MPC value in acute stage decreased meaningfully and this change might be useful as a landmark in predicting the activity of infarction.

하반신마비 환자의 의자차 추진중 에너지 소모

김봉옥,복수경,변정현,방덕영 大韓再活醫學會 1996 Annals of Rehabilitation Medicine Vol.20 No.1