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유혜영 ( Yu Hye Yeong ),신영신 ( Sin Yeong Sin ),우영식 ( U Yeong Sig ),최강현 ( Choe Gang Hyeon ),이정록 ( Lee Jeong Log ),이소영 ( Lee So Yeong ),박철휘 ( Park Cheol Hwi ),안명임 ( An Myeong Im ),장윤식 ( Jang Yun Sig ),방병기 ( 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.6
Patients undergoing maintenance dialysis show an increased susceptibility to tuberculosis because host immunity is decreased secondary to malnutrition, impaired cellular immunity, acidosis and etc. Extrapulmonary tuberculosis is more prevalent in patients with end stage renal disease than in normal subjects. Among the extrapulmonary tuberculosis in patients receiving hemodialysis, the diagnosis of tuberculous spondylitis is difficult because the symptoms are non specific and attributable to uremia, and the appearance of plain radiographs is often normal during the early phase of the disease. We experienced a case of tuberculous spondylitis in a hemodialysis patient. A 55 years old female admitted with fever, weight loss and back pain. Conventional radiograph of T-spine showed no definite abnormal finding. However, chest CT revealed heterogeneously enhancing soft tissue around the T8 vertebral body and T-spine MRI showed compatible finding to tuberculous spondylitis. She received radical excision of involved vertebra and confirmed tuberculous spondylitis with histologic finding from a surgical specimen. Following the administration of anti-tuberculosis medication(isoniazid, rifampin, pyraziamide, ethambutol) and radical excision, patient`s symptom and sign were improved. The patient is maintaining dialysis with anti-tuberculosis medication for 5 months.
수정된 강제유도운동 치료를 병행한 신체중심치료 접근법이 성인 편마비 환자의 상지동작, 손가락 근력 및 상지기능에 미치는 영향
정혜진 ( Hye-jin Jeong ),강미영 ( Mi-yeong Gang ) 대한신경치료학회 2020 신경치료 Vol.24 No.3
Purpose The purpose of this study was to investigate effect of the physical focused approach combined with modified constraint-induced movement therapy on upper limb movement, finger strength and upper limb function in hemiplegic patients. Methods Ten stroke patients were selected for the study and randomly divided into the experimental (n=5) and the control group (n=5). All participants were evaluated upper limb movement, reach speed, finger strength, and upper limb functions. The intervention was performed 3 times a week for 30 minutes a day for 4 weeks both of before and after intervention. Results In comparison between both of before and after intervention, there was no statistically significant difference in upper limb movement (p>.05) when evaluated with the zebris in the experimental group, but there was a significant difference in the control group (p<.05). In additionally, the finger strength showed statistically significant difference in the experimental group when evaluated by finger touch system in comparison between before and after intervention (p< .05). There was no significant difference in the control group (p >.05), and there was no significant difference in both groups in the upper limb function evaluated by the Manual Function Test (p >.05). Conclusion In this study, the experimental group had the effect with stability of the proximal shoulder muscles, reducing the movement of compensation from the shoulder movement during the upper limb movement and increasing the muscle strength of the fingers. The control group was increased upper limb movement through continuous and repetitive tasks.