근막 동통 증후군 환자에 대한 조사 연구

김선엽,강흥기,권오윤,Kim, Suhn-Yeop,Kang, Heung-Kee,Kwon, Oh-Yun 대한물리치료과학회 1995 대한물리치료과학회지 Vol.2 No.1

The purpose of this review was to examine the clinical characteristics of patients who had a diagnosis of Myofascial Pain Syndrome(MPS). Myofascial pain is a painful condition of skeletal muscle characterized by the presence of one or more trigger points. A trigger point(TrP) is a focus of hyperirritability in a tissues. Of the patients with MPS, 21(44.7 %) were male and 26(55.3 %) were female. The mean duration of MPS was 9.6 months for males and 11.3 months for females. Trigger points with associated referred patterns of pain were found in muscles of the post neck(trapezius, infrasupinatus) and in quadratus lumborum muscle. Patients reported increased fatigue(87.2 %), tingling sensation(66.0 %), numbness(66.0 %), tension(55.3 %), anxiety(44.7 %), headache (59.6 %), pilomotor activation(59.6 %).

Burst형과 고빈도형 경피신경전기자극치료가 실험적 동통역치와 체온에 미치는 영향 비교

김선엽,최흥식,권오윤,Kim, Suhn-Yeop,Choi, Houng-Sik,Kwon, Oh-Yun 대한물리치료과학회 1995 대한물리치료과학회지 Vol.2 No.2

We randomly assigned 61 healthy subjects(male 14, female 47) to compare the experimental pain threshold and skin temperature between high mode TENS and burst mode TENS. In this study, 61 subjects were divided into three groups ; high mode TENS(n=20), burst mode TENS (n=20), and control group(n=21). Experimental pain thresholds and skin temperatures were measured before, immediately after cessation of stimulation, and at 30 minutes post stimulation. Stimulation was applied to the dorsal surface of the forearm(L14, LI10). Pain thresholds were measured by chronaxie meter. Skin temperature were measured by electrical digital thermometer. The results are as follows ; 1. There were no statistical difference in the pain threshold and skin temperature at before TENS stimulation among the three groups(p>0.05). 2. The pain threshold and skin temperature in burst mode TENS group was significantly higher and longer effect than that in high mode TENS group and control group(p<0.01). 3. The pain threshold in burst mode TENS group decreased to prestimulation levels by 30 minutes poststimulation. 4. The skin temperature in burst mode TENS group decreased to prestimulation levels by 20 minutes poststimulation. 5. The skin temperature was significantly difference among three group at immediately after, and at 30 minutes poststimulation and the skin temperature in burst mode TENS group was significantely higher than that in two groups(p<0.001). 6. The increasing rate of pain threshold in high mode TENS group after immediately cassation of stimulation was 24.3%(p<0.001). 7. The increasing rate of pain threshold in burst mode TENS group after immediately cessation of stimulation was 93.5% (p<0.001).

요통의 요골반부 안정화(lumbo-pelvic stabilization) 접근법

김선엽,Kim, Suhn-Yeop 대한정형도수물리치료학회 1998 대한정형도수물리치료학회지 Vol.4 No.1

Activity of the trunk muscles is essential for maintaining stability of the lumbar spine because of the unstable structure of that portion of the spine. The central nervous system deals with stabilization of the spine by contraction of the abdominal and multifidus muscles in anticipations of reactive forces produced by limb movement. Recent evidence indicates that the lumbar multifidus muscle and transversus abdominis muscle may be involved in controlling spinal stability. Stabilization training in neutral spine is an integrated approach of education in proper posture and body mechanics along with exercise to improve strength, flexibility, muscular and cardiovascular endurance, and coordination of movement.

냉(cold)적용 방법에 따른 동통 역치 및 피부 온도의 변화

김선엽,류이화,박은화,배혜진,Kim, Suhn-Yeop,Ryu, I-Hwa,Park, Eun-Haw,Bae, Hye-Jin 대한물리치료과학회 1996 대한물리치료과학회지 Vol.3 No.3

The purpose of this experimental study was conducted to examine the most effective modality between two methods of cold application(ice pack and cold spray), the most effective length of time for the application and the continuing effect after each type of cold application. Sixty students were assigned randomly to each of two cold application methods; (a) ice pack, (2) cold spray. Each methods was applied to the posterior surface of right forearm with subject in the sitting position. Skin temperature and the electrical stimulation induced pain threshold were measured before each application and every five degree ($^{\circ}C$) decline point after ice pack application. They were also measured point of minimum skin temperature after cold spray application. The results of this study are as follows; 1. Skin temperatures according to the cold spray application decreased to a range of $4.2^{\circ}C{\sim}9.2^{\circ}C$(male, p<0.001), $3.6^{\circ}C{\sim}7.6^{\circ}C$(female, p<0.001). 2. Pain threshold according to the cold spray application increased to a range of $0.6mA{\sim}1.9mA$(male, p<0.01), $1.2mA{\sim}3.86mA$(female, p>0.05).

등속성(isokinetic) 운동을 이용한 근력 평가

김선엽,Kim, Suhn-Yeop 대한물리치료과학회 1994 대한물리치료과학회지 Vol.1 No.1

As a new concept of resistive exercise, isokinetic exercise was developed during the late 1960's. In isokinetic exercise, the subject works at a fixed speed aganist variable and totally accommodating resistance. During isokinetic exercise the resistance accommodates the external maintains maximum output throughout the full range of motion. The maximum torque during isokinetic movements is a measure of the muscular force applied in dynamic conditions.

견부통 환자에 대한 물리치료방법의 적용 시간을 중심으로 한 기술적 연구

김선엽,채정병,권재확,Kim, Suhn-Yeop,Chae, Jung-Byung,Kwon, Jae-Hoak 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

Objective: The purpose of this research was to use data for furnish quality physical therapy service. The research subjects were admitted shoulder pain patients treated with physical therapy that was to grasp physical therapy method as distinguishing application time. Subject: Total number of distributed questionnaire was 563 persons that was to utilized physical therapy room of 56th medical institution and distributed it to each physical therapist in charge. Method: The research used questionnaire in order to research itemized treatment application time that is according to physical therapy method to applicated with shoulder pain patient. The research contents is to received shoulder pain diagnosis period, total duration of utilizing physical therapy room, the number of times per week to used physical therapy room, etc. And we had physical therapist recording the time of application physical therapy method come under the items. Result: The average treatment time was 59.2 minutes at all patients. During this time, 39.7 min was modality treatment. Active movement treatment was only 7.1 min. Total treatment time was longest in general hospital at 64.9 min, it was shortest in clinical hospital at 53.3 min. Treatment time was difference as hospital scale(p<0.001). Active movement treatment time was longest in general hospital at 11.5 min. The average treatment time was 4.5 min in clinical hospital. Therefore, it was related to hospital scale(p<0.05). The average of manual therapy time by physical therapist was 7.5 min. General hospital was linger at 8.6 min than clinical hospital at 6.7 min(p<0.05). Patient of 90.2 % were treated to hot pack, ultra-sound treatment was next as 50.1%. Active strengthening exercise was most carrying out of the active treatment as 25.4 %. Active sensorimotor exercise was practiced only 28 persons of 5.0 %. Most joint mobilization (38.4 %) was used of the passive manual therapy items, next to soft tissue mobilization (33.0 %), and next to manual distraction therapy(14.0 %).

산모의 요통 실태와 관리에 대한 조사 연구

김선엽(Kim Suhn yeop),남건우(Nam Kun Woo) 한국전문물리치료학회 2002 한국전문물리치료학회지 Vol.9 No.1

Many pregnant women have experienced low back pain(LBP) during pregnancy and after delivery, and it has been an important component in women health. This study was designed to investigate the characteristics and management of the LBP in postpartum women was 28.1 years. Of 85 postpartum women, 55.3% (n=47) had LBP after pregnancy. Thirty of 47 women had pain on lumbar region, 17 postpartum women had pain on sacroilium region. Of 85 postpartum women, 74%(n=54) had LBP before pregnancy and 71.8% (n=61) had LBP during pregnancy. Of 47 postpartum women who had LBP, 83% (n=39) had not received medical management for LBP, 12.8% (n=6) took medication, and 4.3% (n=2) performed self-exercise. None of postpartum women had received physical therapy during pregnancy and after delivery for treatment low back pain. The pain in SI region was more severe than in lumbar region after pregnancy according to VAS (visual analog scale)(p<.05). However there was no significant difference in VAS scores between SI pain and lumbar pain before and during pregnancy (p<.05). Pain region after delivery was related to pain region of pre-pregnancy and during pregnancy(p<.01). Pain level delivery was related to the pain and night pain level during pregnancy(p<.01).

근긴장도검사기(Myotonometer)를 이용한 상완이두근과 대퇴사두근 검사의 신뢰도 연구

김선엽 ( Suhn Yeop Kim ) 한국전문물리치료학회 2007 한국전문물리치료학회지 Vol.14 No.2

슬관절 골관절염 환자의 슬관절 주위근의 근력비와 Q-각과의 관계

김선엽(Suhn-yeop Kim) 한국전문물리치료학회 2005 한국전문물리치료학회지 Vol.12 No.1

The quadriceps-angle (Q-angle) and the ratio of hamstring/quadriceps (H/Q) are important for the stability of the knee and for protection from excessive stress. The aim of this study was to examine the association between Q-angle and H/Q ratio with and without knee osteoarthritis. We compared knee osteoarthritis patients with symptom-free women. The mean age of the patients in the arthritis group (25 women, osteoarthritis) was 59.7 years. The non-arthritis group consisted of 25 women with a mean age of 55.2 years. of the 25 women with osteoarthritis, 5 had the condition in their left knee, 5 had it in their right knee, and 15 had it on both sides. There was no significant difference in the knee Q-angle of the left and right knees of the arthritis group and the non-arthritis-group (p>.05). The strength of all the muscles around the involved right knee in the arthritis group was significantly weaker than that of the non-arthritis group (p<.05). However, in the left knee, only the strength of the knee extensors and internal rotators was significantly weaker than that of the non-arthritis group (p<.05). The Q-angle was not associated with the H/Q ratio and internal rotators/external rotators ratio of the involved knee in the arthritis group (p>.05). Neither was the Q-angle associated with the pain level of an involved knee in the arthritis group (p>.05). The knee pain was not associated with the H/Q ratio of the involved knee in the arthritis group (p>.05). The Q-angle was not associated with the ratio of H/Q and pain level of the involved knee in the osteoarthritis women.

운동센터 이용자의 근골격계 관련 통증 발생 실태

김선엽 ( Suhn Yeop Kim ),양정옥 ( Joung Oak Yang ) 한국전문물리치료학회 2006 한국전문물리치료학회지 Vol.13 No.3