퇴행성 슬관절염에 관련요인연구

강점덕 대한정형도수물리치료학회 2008 대한정형도수물리치료학회지 Vol.14 No.2

폐경후에 골밀도의 관련인자 분석

강점덕,Kang, Jeom-Deok 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.1

본 연구는 2000년 7월 14일부터 8월 24일까지 대구광역시에 소재한 가톨릭병원 건강검진센타에서 골다공증 검사를 시행한 여성 36명을 대상으로 폐경후 여성의 골밀도차이를 비교하기 위해 실시하였다. 연령의 증가에 따라 요추부의 평균골밀도는 감소되었고, 신장이 증가할수록, 교육수준이 높을수록 평균골밀도는 증가했으며, 독신(이혼, 사별, 별거), 활동적인 직업 , 요통이 없다, 육류의 항목에서 평균골밀도는 각각 증가했지만 유의한 차이는 없었다. 골밀도의 표준편차인 T 값은 -2.5이하의 골다공증군이 41.7%로 가장 많았고, 골밀도 (BMD)는 평균 0.77g/c$m^2$로 나타났다. 가족중 골절시 연령이 증가할수록, 운동횟수, 운동시간이 증가할수록, 분만횟수가 증가할수록, 각각 골밀도는 높게 나타났지만 유의한 차이는 없었다. 자궁 절제술은 안했다가, 혈액형은 A형의 항목에서 골밀도는 높게 나타났지만 유의한 차이는 없었다. 폐경후 골밀도에 영향을 미치는 관련성이 있는 요인은 골밀도의 표준편차인 T 값이다(p<0.05). 본 연구는 폐경후 적성의 골밀도 관련요인에 대한 많은 변수를 고려한 전향적인 연구가 필요할 것으로 사료된다. Objectives: The objective of this study was to investigate the Associated factors of bone mineral density in postmenopausal was measured for 36 normal in the women from July 14.2000 to august 24,2000. Methods: The data were collected from women who visited Physical Examination Center of a Catholic university hospital located in Taegu. Bone mineral density(BMD) of lumbar spine was measured using energy absorptiometry. Results: The bone mineral density of the lumbar spine decreased with aging. The bone mineral density of the lumbar spine increased with number of delivery and number of abortion decreased. The mean bone mineral density of the lumbar spine of postmenopausal women in age less than 50 and 50 ${\sim}$ 59 were 0.79 g/c$m^2$, the lumbar spine of postmenopausal women in age greater than 60 was 0.69 g/c$m^2$. The mean bone mineral density of the lumbar spine of postmenopausal women in mean age 56.1. Conclusions: In the multiple regression of risk factors to bone mineral density(BMD) of lumbar spine were correlated with bone mineral density T-scores(p<0.05). Osteoporosis is a major public health problem among the elderly, demanding effective strategic approach for prevention and treatment.

류미티스관절염

강점덕 대한정형도수물리치료학회 2008 대한정형도수물리치료학회지 Vol.14 No.2

중년여성의 요통에 따른 골밀도 측정

강점덕,김종봉 대한정형물리치료학회 2001 대한정형도수물리치료학회지 Vol.7 No.1

Objectives: The objective of this study was to investigate analysis of bone mineral density according to Women with low back pain women. Methods: The data were collected from women who visited Physical Examination Center of a Catholic University hospital located in Daegu. Questionnaires were completed by 50 women during the period from July 20, 2000 to January 12, 2001. The sample was divided into three groups(the normal group of 16 cases and the osteopenia group of 12cases and the osteoporosis group of 22 cases). Bone mineral density(BMD) of lumbar spine was measured using energy absorptiometry. Results: The bone mineral density of the lumbar spine decreased with aging. The bone mineral density of the lumbar spine decreased with the serum Calcium and Phosphorus and Alkaline phosphatase increased. The mean bone mineral density of the lumbar spine of healthy women in age(50∼59) was 0.87g/㎠, the lumbar spine of women with low back pain in age(50∼59) was 0.77g/㎠. In the multiple regression of risk factors to bone mineral density(BMD) oflumbar spine were correlated with age, marriage existence, exercise time, the loving food of taste, calcium, bone mineral density standard T scores(p<0.05). The experience for LBP increased as weight increased(Odds ratio=999.000). The experience for LBP increased as number of Exercise decreased(Odds ratio=999.000). The experience for LBP increased as menopause existence increased(Odds ratio=999.000). The experience for LBP increased as serum Calcium and Phosphorus increased(Odds ratio=999.000). however all four variables had significant no relationship. The correlation in variables in relation to low back pain and bone mineral density, age showed contra-correlation with low back pain existence. Alkaline phosphatase(p<0.01). Weight showed contra-correlation with body mass index(BMI)(p<0.01). Exercise time showed correlation with number of exercise(p<0.01). The loving food of taste showed contra-correlation with Alkaline phosphatase(p<0.05). Bone mineral density showed correlation with menopause existence(p<0.05). Conclusion: Results from this study indicated that a statistically significant association between bone mineral density of the lumbar spin and age, marriage existence, exercise time, the loving food of taste, calcium, bone mineral density standard T scores. In logistic regression test, there were no related variables. The combination of bone mineral density measurement and assessment of the bone turnover rate by measuring biochemical would be helpful for the treatment of patients with risks of osteoporosis. The more precise study for risk factors to osteoporosis is essential.

요추간판 탈출증의 보존적 치료효과 분석

강점덕,박홍덕 대한정형물리치료학회 2001 대한정형도수물리치료학회지 Vol.7 No.2

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.

통증과 불안의 관계분석

강점덕 대한정형물리치료학회 2002 대한정형도수물리치료학회지 Vol.8 No.2

Objectives: This study was to analysis of pain using visual analogue scale and self rating anxiety scale questionnaire. Methods: Questionnaire were completed by 83 adult patients of department relation to pain in hospitals of Daegu from June 20, to August 10, 2001. The information was used to estimate multiple regression for the pain and anxiety scale related factors association. Results: Women visual analogue scale 4.6 scores of mean was higher than man 4.3 scores. Man self rating anxiety scale 30.2 scores of mean was higher than women 26.8 scores. The scores of 6 months above was discomfort 51.8%, 1 month below was mild 22.1%, 2-3 months was discomfort 10.5%, and 4-5 months was discomfort 9.3% in association between present pain index and duration. Conclusion: Visual analogue scale scores was significantly associated with frequency of present pain index. Self rating anxiety scale scores was significantly associated with frequency of occupation and present pain index.

경견완장애의 피로자각증상과 관련요인

강점덕 대한정형물리치료학회 2002 대한정형도수물리치료학회지 Vol.8 No.1

Objectives : In order to investigate industrial fatigue due to visual display terminal (VDT) work of post office. Methods : The questionnaire survey for subjective symptoms of fatigue was carried out on 39 post office clerks who had been engaged in VDT work for various length of work hours. The questionnaire comprised three goups of 10 items each, representing dullness and sleepiness, difficulty in concentration and bodily projection of fatigue. Results : The scores of dullness and sleepiness was 16.62, scores of concentration difficulty was 16.35, those of bodily fatigue was 16.23, and total scores was 49.21. Fatigue scores was significantly associated with age and work duration, VDT of work hours, ventilation, illumination, nosie. Conclusions : Data from this study support a statistically significant association between age and scores of dullness, scores of concentration difficulty, between work duration and scores of dullness, scores of bodily fatigue, between VDT of work hours and scores of bodily fatigue.

VDT 작업시간의 관련성 분석

강점덕 대한정형물리치료학회 2003 대한정형도수물리치료학회지 Vol.9 No.1

Objectives : This study was to investigate the relationshp analysis in VDT(visua1 display terminal) of work hours. Methods : Questionnaires were completed by 41 women in VDT operations. The information was used to estimate multiple regression for the VDT of work hours related factors association. Results : The prevalence of the VDT of work hours was significantly higher in the shoulder which followed by the neck, the hand and fingers, the arms, the lowback, the back. The VDT of work hours decreased with aging. The VDT of work hours increased with work duration, single, lower among habitual exercise. The desk height, the seat pan height, the posture on the sitting, the elbow angle all did not meet the recommended cnteria. Conclusions : Data from this study support a statistically significant association with satisfaction for occupation.

흉곽출구증후군

강점덕,박윤기 대한정형물리치료학회 2003 대한정형도수물리치료학회지 Vol.9 No.2

Thoracic outlet syndrome is actually a collection of syndromes brought about by abnormal compression of the neurovascular bundle by bony, ligamentous or muscular obstacles between the cervical spine and the lower border of the axilla. First of all a syndrome is defined as a group of signs and symptoms that collectively characterize or indicate a particular disease or abnormal condition. The neurovascular bundle which can suffer compression consists of the brachial plexus plus the C8 and T1 nerve roots and the subclavian artery and vein. The brachial plexus is the network of motor and sensory nerves which innervate the arm, the hand, and the region of the shoulder girdle. The vascular component of the bundle, the subclavian artery and vein transport blood to and from the arm, the hand, the shoulder girdle and the regions of the neck and head. The bony, ligamentous, and muscular obstacles all define the cervicoaxillary canal or the thoracic outlet and its course from the base of the neck to the axilla or arm pit. Look at the scheme of this region and it all becomes more easily understood. Compression occurs when the size and shape of the thoracic outlet is altered. The outlet can be altered by exercise, trauma, pregnancy, a congenital anomaly, an exostosis, postural weakness or changes. Thoracic outlet syndrome has been described as occurring in a diverse population. It is most often the result of poor or strenuous posture but can also result from trauma or constant muscle tension in the shoulder girdle. The first step to beginning any treatment begins with a trip to the doctor. Make a list of all of the symptoms which seem to be present even if the sensations are vague. Make a note of what activities and positions produce or alleviate the symptoms and the time of day when symptoms are worst. Also, note when the symptoms first appeared. This list is important and should also include any questions one may have.

VDT 증후군 자각증상에 영향을 미치는 요인

강점덕 대한정형도수물리치료학회 2004 대한정형도수물리치료학회지 Vol.10 No.2