정체 운동이 거북목 증후군의 경부통증과 경추 기능장애지수 및 목 길이에 미치는 효과

김승원(Seung Won Kim),김성진(Jong Hyeok Kwak),곽종혁(Gyeong Rip Kim),최민경(Min Gyeong Choi),성현철(Hyun Chul Sung),송근성(Geun Sung Song) 한국방사선학회 2021 한국방사선학회 논문지 Vol.15 No.2

본 연구는 정체 운동이 거북목 증후군의 경부통증과 경추 기능장애지수의 감소 효과와 목 길이 변화에 미치는 효과를 파악함으로써 거북목 증후군의 중재방안을 마련할 뿐만 아니라 추후 이들 분야의 기초자료를 제공하고자 시행되었다. 연구대상은 사전 검사를 통해 선별된 총 60명 중 정체 운동군 21명, 운동군 19명, 대조군 20명 이었으며, 정체 운동군은 5가지 정체 운동요법을 적용하였고, 운동군은 8가지 경추 강화 운동을 적용하였으며, 대조군은 아무런 운동을 시행하지 않았다. 운동 전.후 및 10주 후에 경부통증, 경추 기능장애지수 및 목 길이를 측정하였다. 수집된 자료는 SPSS(v18.0) 통계프로그램을 이용하여 분석하였다. 정체 운동이 거북목 증후군의 경부통증과 경추 기능장애지수의 감소 효과와 목 길이 변화에 미치는 효과를 파악 정체 운동군과 운동군은 실험 전. 후 목 길이, 경부통증, 경추 기능장애지수에서 통계적으로 유의하게 감소하였으며, 대조군에서는 유의한 차이가 없었다. 정체 운동군이 운동군, 대조군에 비해 거북목 증후군의 경부통증 완화와 경추 기능장애지수 및 목 길이 감소에 보다 효과적이었고, 또한 8주 운동 후 실험을 종료하고 2주 뒤 사후검사 결과에서 8주 상태를 유지되었다. This study was conducted not only to find out the effect of straight body exercise on neck pain, necks disability and neck length change of turtle neck syndrome patients but also to provide fundamental data for this field in the future. Number of 60 persons were selected by pre-test and divided to 21 persons in straight body exercise group, 19 persons in exercise group and 20 persons in control group(non-exercise group). 5 kinds of straight body exercise were applied in straight body exercise group, 8 kinds of strengthening cervical vertebral exercise were applied in exercise group and no exercise was applied in control group . Neck pain, necks disability index and neck length were measured before and after exercise and 10 weeks later as well. The data were analyzed by SPSS(v18.0). In straight body exercise group and exercise group, neck length, neck pain and necks disability index were significantly decreased after eight weeks of exercise and there was no significant difference in control group. Neck length which was checked every week in straight body exercise group and exercise group was significantly decreased and there were significant differences after 3 weeks.. After 2 weeks of 8 weeks exercise, neck length, neck pain and necks disability were checked again in post test and those results were maintained just like 8 weeks exercise status. As above results, it was more efficient in the straight body exercise group than exercise group and control group to decrease neck pain, necks disability and neck length of turtle neck syndrome patients. Furthermore, after 2 weeks of 8 weeks exercise, the results were maintained just like 8 weeks exercise status. Therefore, the author consider that straight body exercise will be effective exercise for turtle neck syndrome patients, and this study would provide fundamental data for this field in the future.

근골격계 질환의 한,양방협진치료 효과 연구에 대한 체계적 문헌 고찰

이승진 ( Seung Jin Lee ),신병철 ( Byung Cheul Shin ),송근성 ( Geun Sung Song ),황의형 ( Eui Hyoung Hwang ),윤영주 ( Young Ju Yun ) 한방재활의학과학회 2011 한방재활의학과학회지 Vol.21 No.4

Objectives: This study aims to systematically evaluate the effectiveness of Eastern-Western integrative medicine for musculoskeletal disorders compared with Eastern or Western Medicine. Methods: Systematic searches of 9 major Korean databases were conducted for articles published up to July 2011. Searching keyword was “Integrative Medicine”. Prospective studies dealt with musculoskeletal disorders by Eastern-Western integrative medicine were included. Quality assessment of included studies was evaluated by Cochrane risk of bias tool. Results: 470 studies in total were searched. Among them, 7 studies met our inclusion criteria(3 randomized controlled clinical trials, 2 non-randomized controlled trials and 2 uncontrolled clinical trials). Included studies dealt with lumbar pain(3), shoulder pain(2), pain after traffic injury(1), spinal compression fracture(1). Eastern-Western integrative medicine showed better or equal effect for the treatment of various musculoskeletal disorders compared with Eastern or Western medicine alone. Conclusions: There is very weak evidence for the effectiveness of Eastern-Western integrative medicine for musculoskeletal disorders compared with Eastern or Western medicine alone. Well designed randomized controlled trials with rigorous methodology are needed to evaluate the effectiveness of Eastern-Western integrative medicine objectively in the future.

재발성 뇌실내출혈을 일으킨 경연수접합부 동정맥기형 - 증례보고 -

이상원,최창화,차승헌,박동준,송근성,이영우,Lee, Sang Weon,Choi, Chang Hwa,Cha, Seung Heon,Park, Dong June,Song, Geun Sung,Lee, Young Woo 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.6

Cervicomedullary junction arteriovenous malformation(AVM) is extremely rare. The authors present a case of a cervicomedullary junction AVM in a 31-year-old woman presenting with recurrent intraventricular hemorrhage (IVH). Magnetic resonance imaging revealed the AVM(of a size of approximately $2{\times}2.5{\times}4cm$) extending from a lower medulla to C2-3 level. Vertebral angiography demonstrated a tightly coiled vascular mass with multiple feeders (radiculomedullary arteries) and irregular-shaped aneurysm at distal part of feeder originating at right C-1 level. The patient underwent superselective embolization of upper nidus and the aneurysm. The pertinent literature is reviewed, and diagnostic and therapeutic implications are discussed.

전두골에 발생한 콜레스테롤 육아종 1례 - 증례보고 -

이상원,차승헌,박동준,송근성,최창화,이영우,Lee, Sang Weon,Cha, Seung Heon,Park, Dong June,Song, Geun Sung,Choi, Chang Hwa,Lee, Young Woo 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.6

Cholesterol granuloma of frontal bone is a rare disease which usually occurs at the lateral part of the supraorbital ridge. This expanding lesion grows slowly and extends into the orbit and anterior cranial fossa. The most common symptom is proptosis. This granuloma is composed of a granulomatous reaction surrounding cholesterol crystals. Surgical treatment involves aspiration of contents and stripping or curettage of the lining which is highly successful. We experienced a case of cholesterol granuloma of frontal bone with huge intracranial extension, which was cured by surgical removal. The clinical features, radiologic, and pathologic finding were discussed and the pertinent literatures were reviewed.

뇌실-복강 단락 원위도관의 심장내전위 - 증례보고 -

김병주,차승헌,박동준,송근성,최창화,이영우,Kim, Byung Joo,Cha, Seung Heon,Park, Dong June,Song, Geun Sung,Choi, Chang Hwa,Lee, Young Woo 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.2

Ventriculoperitoneal(V-P) shunt has been used as a popular method for surgical treatment of hydrocephalus. But complications such as infection, mechanical obstruction and failure of flow rate sometimes make painful stress to neurosurgeons and patients. Of particular, migration of distal V-P shunt catheter to extraperitoneal space has rarely been reported. Even rarer is intracardiac migration of distal V-P shunt catheter. Authors report a such case and discuss the possible mechanism and preventive method.

임상 : 뇌하수체 선종에 대한 경접형동접근술의 임상분석

양문석 ( Moon Seok Yang ),차승헌 ( Seung Heon Cha ),조원호 ( Won Ho Cho ),이상원 ( Sang Won Lee ),송근성 ( Geun Sung Song ),최창화 ( Chang Hwa Choi ) 대한뇌종양학회 2007 대한뇌종양학회지 Vol.6 No.2

Objective:Transsphenoidal approach(TSA) for pituitary tumor has evolved significantly since it was described initially during the first decade of the 20th century. This study was to evaluate the efficacy of TSA and prognosis of pituitary adenoma after TSA. Methods:This study included 132 cases of pituitary adenoma which underwent transsphenoidal approach from 2000 to 2006. We analyzed radiologic findings, symptoms, results, prognosis and reviewed the literatures. Mean follow-up period was 22 months. Statistical analysis was performed using paired t-test and considered significant for value less than 0.05. Results:There were 80 functional adenomas, 52 non-functional adenomas among 132 cases. Tumors were removed totally in 63.6% and subtotally in 36.4%. Follow-up magnetic resonance imagings(MRIs) showed that remnant mass after TSA existed on medial compartment of cavernous sinus and suprasellar area that did not descend during the operation in spite of Valsalva maneuver. 18 cases(13.6%) recurred after TSA. Among them, 4 cases underwent repeated TSA, 2 cases endured transcranial approach and Gamma-Knife radiosurgery applied to another 11 cases. A case which had been removed totally, but presented hormonal symptoms after 6 months. There was statistically significance between stage and extent of removal(p=0.0012). There was no major complications and mortality related to TSA. Conclusion:Although remnant rate of pituitary adenoma after TSA was 38.0%, this approach offered excellent decompression to optic chiasm. It could be a safer and more effective approach to pituitary adenoma if it is supported with endoscopic introduction to pituitary fossa and additional therapy such as Gamma-Knife radiosurgery.

조기에 두개골 전이를 일으킨 여포성 갑상선암 -증례보고-

조원호 ( Won Ho Cho ),차승헌 ( Seung Heon Cha ),송근성 ( Geun Sung Song ),최창화 ( Chang Hwa Choi ) 대한뇌종양학회·대한신경종양학회·대한소아뇌종양학회 2007 대한뇌종양학회지 Vol.6 No.2

Metastasis to the skull frequently occurs in patients with lung, breast and prostate cancer. However, skull metastases from thyroid carcinoma have been rarely reported. Thyroid carcinoma usually have a long clinical course before the diagnosis of skull metastasis, however we experienced an unusual early skull metastasis from thyroid carcinoma. We review the literature on skull metastasis from thyroid follicular carcinoma and report a case of a 55-year-old female who presented with lytic skull metastasis of thyroid follicular carcinoma. She had a history of thyroid surgery for a thyroid nodule 1 year ago. She complained of painless scalp mass over the left parietal region. Radiological investigations revealed a lytic skull mass in the left parietal region. The histological diagnosis was skull metastasis from thyroid follicular carcinoma. The patient was given whole body I131 radio-iodine internal radiation and thyroid stimulating hormone(TSH) suppression therapy.

원발병소불명의 전이성 뇌종양

전진호 ( Jin Ho Jeon ),이상원 ( Sang Weon Lee ),최병관 ( Byung Kwan Choi ),차승헌 ( Seung Heon Cha ),송근성 ( Geun Seung Song ),최창화 ( Chang Hwa Choi ) 대한뇌종양학회 2003 대한뇌종양학회지 Vol.2 No.2

Background:The prognosis of patients with brain metastasis of unknown primary tumor is controversial. The authors reviewed the results of gross total resection with radiotherapy in this group of patients. Methods:Between 1993-2000, 133 patients admitted to the study department for the treatment of metastatic brain tumor. Gross total resection was done in 33 patients with single brain lesion. Ten patients had solitary brain metastasis without a detectable primary site despite extensive systemic evaluation(Group I), and remaining 23 had previous cancer history or a detectable primary lesion(Group II). Survival analysis and comparison was done. Results:The median survival was 24.1months in group I(range, 6.5-58.5) and 19.0months in group II(range, 4.7- 40.6). The overall survival for group I was better than group II, but not significant. Adenocarcinoma was the most common histology of group I. During the follow-up the primary tumor was found in 7 patients and was located in the lung in 4 patients. Conclusion:Brain metastasis of unknown primary tumor has better prognosis than that of brain metastasis in general. Gross total resection with radiotherapy for local disease control is effective in this group of patients especially in solitary lesion.

내시경적 생검 및 제 3 뇌실 개창술과 감마나이프 방사선 수술로 치료된 시상부 교종

조원호 ( Won Ho Cho ),이상원 ( Sang Weon Lee ),이동훈 ( Dong Hoon Lee ),차승헌 ( Seung Heon Cha ),송근성 ( Geun Sung Song ),최창화 ( Chang Hwa Choi ) 대한뇌종양학회·대한신경종양학회·대한소아뇌종양학회 2005 대한뇌종양학회지 Vol.4 No.2

We present the case of a thalamic glioma with obstructive hydrocephalus. The patient was successfully treated with neuroendoscopic biopsy, third ventriculostomy and subsequent gamma knife radiosurgery. At 12 months the tumor has decreased in size and the patient has no neurologic deficits. Neuroendoscopic surgery combined with gamma knife radiosurgery may play an important role in the selected intracranial tumors with minimally invasive technique.

흉부 전산화 단층 촬영 검사 시 발생하는 생식선 차폐 유무에따른 산란 선량 차이에 관한 연구

곽종혁(Jong Hyeok Kwak),김성진(Gyeong Rip Kim),성현철(Hyun Chul Sung),김승원(Seung Won Kim),송근성(Geun Sung Song),최민경(Min Gyeong Choi),이상원(Sang Weon Lee) 한국방사선학회 2021 한국방사선학회 논문지 Vol.15 No.2

생식선 차폐를 하지 않았을 때 전부, 양 측부, 후부, 생식선 부위의 산란선을 측정하고 Xenolite nolead Apron(0.35 mm Pb), Xenolite nolead Apron(front 0.35 mm Pb Mix back 0.25 mm Pb, Skirt overlap), Half Apron(0.5 mm Pb)로 차폐 후 각각의 산란 선량을 측정하였다. 흉부 전산화 단층촬영 검사 시 검사 부위의 산란 선량은 272 µ㏜가 측정되었고, Apron으로 차폐하지 않았을 시에 평균 전부 43 µ㏜, 좌측부 81 µ㏜, 우측부 82 µ㏜, 후부 38.8 µ㏜, Gonad 부위 16 µ㏜로 측정되었다. Xenolite nolead Apron으로 위쪽 부분만 차폐하고 측정했을 전부 11.2 µ㏜, 좌측부 43.1 µ㏜, 우측부 45.3 µ㏜, 후부 12 µ㏜, Gonad 부위 5.2 µ㏜로 측정되었다. Xenolite nolead Apron(Skirt overlap)으로 Pelvis 부위를 360˚ 감싼 후 선량을 측정하였을 때 전부 5.6 µ㏜, 좌측부 22.4 µ㏜, 우측부 15.7 µ㏜, 후부 6 µ㏜, Gonad 부위 3.2 µ㏜로 측정되었다. Xenolite nolead Apron(Skirt overlap)으로 Pelvis 부위를 360˚ 감싼 후 선량을 측정하였을 때 전부 5.6 µ㏜, 좌측부 22.4 µ㏜, 우측부 15.7 µ㏜, 후부 6 µ㏜, Gonad 위 3.2 µ㏜로 측정되었다. Half Apron으로 위쪽만 차폐하고 측정했을 때에는 전부 10.7 µ㏜, 좌측부 42.6 µ㏜, 우측부 40.6 µ㏜, 후부 11.3 µ㏜, Gonad부위 4.7 µ㏜로 측정되었다. 골반 부위를 360° 차폐하는 방법이 80% 이상 선량 감소를 보였고, 전부 차폐 시 70% 이상의 선량 감소 효과를 보였으며 모든 전산화 단층 촬영 검사에 있어 피폭선량 경감을 위한 연구와 차폐 가능한 장비를 활용하는 다양한 기법에 관한 지속적인 연구가 필요하리라 사료된다. his study is a study on the difference in dose according to the presence or absence of gonadal shielding of scattered rays generated during chest computed tomography examination, and the scattered dose of the examination site was measured by placing the RadEye G-10 device in the center of the phantom. When the gonads are not shielded, the scattering lines of the whole, both sides, posterior and gonads are measured and Xenolite nolead Apron (0.35 mm PB), Xenolite nolead Apron (front 0.35 mm PB Mix back 0.25 mm PB, Skirt overlap), Half Apron After shielding with (0.5 mm PB), each scattered dose was measured. During chest computed tomography, the scattered dose of the test site was measured at 272 µ㏜, and when not shielded with Apron, the average total was 43 µ㏜, left 81 µ㏜, right part 82 µ㏜, posterior part 38.8 µ㏜, and Gonad part 16 µ㏜. Became. Xenolite nolead Apron shielded only the upper part and measured all 11.2 µ㏜, left part 43.1 µ㏜, right part 45.3 µ㏜, posterior part 12 µ㏜ and Gonad part 5.2 µ㏜. Xenolite nolead Apron (Skirt overlap) covered the Pelvis area 360˚ and the dose was measured to be 5.6 µ㏜ in the whole, 22.4 µ㏜ in the left, 15.7 µ㏜ in the right side, 6 µ㏜ in the posterior part, and 3.2 µ㏜ in the Gonad part. Xenolite nolead Apron (Skirt overlap) covered the Pelvis area 360˚ and the dose was measured to be 5.6 µ㏜ in the whole, 22.4 µ㏜ in the left, 15.7 µ㏜ in the right side, 6 µ㏜ in the posterior part, and 3.2 µ㏜ in the Gonad part. When measuring only the upper part with Half Apron, the total measurement was 10.7 µ㏜, the left part 42.6 µ㏜, the right part 40.6 µ㏜, the posterior part 11.3 µ㏜, and the Gonad part 4.7 µ㏜. The method of 360° shielding of the pelvic area showed a dose reduction of more than 80%, and a dose reduction effect of more than 70% was shown when all shielding was performed. In all computerized tomography examinations, research to reduce the exposure dose and various shielding devices were used. It is believed that continuous research on the technique is needed.