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      • KCI등재후보

        의인성 가동맥류로 인한 상완 신경총 손상을 경험한 환자 1례 - 증례 보고-

        손민균,김영욱,송현탁 대한근전도전기진단의학회 2012 대한근전도 전기진단의학회지 Vol.14 No.2

        There was a 35-year-old female patient who had been diagnosed alcoholic liver disease a year ago. In March 29th, 2010, she had to go to the emergency room, with a symptom of hematemesis. Central venous catheter insertion was tried at the right shoulder, but it was failed. Next day, weakness and sensory loss on her right upper extremity was developed. In CT scan, there was a pseudoaneurysm developed from right subclavian artery. In April 12th, the electrodiagnostic study was done. The electrodiagnostic impression was right severe incomplete brachial plexus injury at whole trunk level. Brachial plexus injuries due to iatrogenic subclavian artery pseudoaneuysm caused by central venous catetherization are very rare. We experienced the case of brachial plexus injury caused by subclavian pseudoaneurysm as a complication of subclavian vein catheterization.

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        Effects of Acute Low Back Pain on Postural Control

        손민균,이상숙,송현탁 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.1

        Objective To evaluate the changes in static and dynamic postural control after the development of acute low back pain.Methods Thirty healthy right-handed volunteers were divided into three groups; the right back pain group, the left back pain group, and the control group. 0.5 mL of 5% hypertonic saline was injected into L4—5 paraspinal muscle for 5 seconds to cause muscle pain. The movement of the center of gravity (COG) during their static and dynamic postural control was measured with their eyes open and with their eyes closed before and 2 minutes after the injection.Results The COGs for the healthy adults shifted to the right quadrant and the posterior quadrant during their static and dynamic postural control test (p<0.05). The static and dynamic instability index while they had their eyes closed was significantly increased than when they had their eyes open with and without acute back pain. After pain induction, their overall and anterior/posterior instability was increased in both the right back pain group and the left back pain group during the static postural control test (p<0.05). A right deviation and a posterior deviation of the COG still remained, and the posterior deviation was greater in the right back pain group (p<0.05).Conclusion The static instability, particularly the anterior/posterior instability was increased in the presence of acute low back pain, regardless of the visual information and the location of pain.

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