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      • 슬관절과 견관절의 초기재활과정에서 관절운동범위와 스트레칭, 그리고 유산소성 운동 프로그램

        김용권,진영수,Kim Yong-Kweon,Jin Young-Soo 대한정형외과스포츠의학회 2003 대한정형외과스포츠의학회지 Vol.2 No.1

        본연구는슬관절과견관절의초기재활과정에서관절운동범위와스트레칭, 그리고유산소성운동프로그램에대한논문이다. 만약관절이손상후장기간동안고정된다면관절이굳어지고 근육은위축이 될것이다. 그러므로본 프로그램은다양한운동기술을포함하고있다. 즉관절의경직을예방하기위한운동범위확보와근육의이완을위한스트레칭, 심폐기능의감소를예방하기위한심혈관훈련(수영, 상체자전거, 고정식자전거)을포함하고있다. 초기재활과정에서는임상운동전문가와환자사이의상호관계를형성하는것이매우중요하다. 또한임상운동전문가는환자의통증과운동적응도, 체력수준, 프로그램의진행등에관해스포츠의학전문의와상의하는것이권장된다. This is a review article about range of motion, stretching, and aerobic exercise in accelerated rehabilitation of knee and shoulder. If the joint was immobilized for a long time after injury, it would cause stiffness and atrophy. Therefore, this program includes various exercise techniques; range of motion for joint stiffness, and stretching for muscle relaxation, and cardiovascular training (e.g., swimming, upper body extremity, stationary bicycle) for prevention of cardiopulmonary function decrease. In accelerated rehabilitation, It is very important factor to make interaction between clinical exercise specialist and patients. Also, we recommend that they should discuss with sports medicine doctor as a team members the following; pain, adaptation of exercise, fitness level, and progression of program.

      • KCI등재

        견관절 충돌증후군과 SLAP 병변이 있는 야구선수의 관절운동 범위와 등속성 근력 비교

        김용권 ( Yong Kweon Kim ),이현석 ( Hyun Suk Lee ),한경진 ( Kyung Jin Han ) 대한스포츠의학회 2009 대한스포츠의학회지 Vol.27 No.1

        The purpose of this study was to compare the range of motion and isokinetic strength of baseball pitchers with impingement or SLAP lesions. The subjects involved 24 athletes for this study. Athletes taken MRI diagnosis with impingement and SLAP lesion were each 8 persons, and Athletes who had no history of upper extremity injury were 8 persons. The athletes with impingement syndrome demonstrated significantly lower range of motion of internal rotation and horizontal adduction, glenohumeral internal rotation deficit, isokinetic strength of protraction/ retraction (60°/sec), and the ratios of protraction/retraction strength (60°/sec, 180°/sec) compared with the control group (p<0.05). And, Athletes with SLAP lesion had no significantly difference from control group in range of motion and retraction except for protraction strength (p>0.05).

      • KCI등재
      • KCI등재
      • KCI등재

        농구 선수의 Talar dome 골연골염 치료 및 재활운동 사례

        김용권(Kim, yong-kweon) 대한운동학회 2008 아시아 운동학 학술지 Vol.10 No.1

        이 연구는 발목 거골의 골연골 손상이 있는 농구선수의 치료 및 재활운동에 관한 증례보고를 함으로써 유사 사례 환자들의 재활운동에 도움을 주고자 함이다. 이 연구의 대상은 26세의 프로농구선수로 2007년 12월 26일에 관절경으로 우측 발목의 활액막 절개술과 다발성 천공술, 그리고 돌출된 연골을 제거하는 수술을 받았으며, 수술 후 4개월 동안 스포츠클리닉에서 재활운동을 실시하였다. 재활운동 기간 동안 운동프로그램과 증상을 제시하였고, 재활 전과 후의 증상과 상태를 비교하였다. 연구결과 수술 후 6주차에는 저측굴곡 관절가동범위는 건측과 34.2%의 차이가 있었으며, 배측굴곡은 12%의 차이가 있는 것으로 나타났다. 내전과 외전 가동범위는 수술 4주차에 거의 정상범위로 회복되었다. 수술 후 16주차에는 배측굴곡은 6.8%, 저측굴곡은 14.2%로 향상되었으며, 통증 및 기능평가(AOFAS score)에서는 84점으로 나타났다. MRI 비교결과에서는 약간의 긍정적 변화가 있는 것으로 나타났다. 그러나 수술 전과 비교했을 때 유의한 변화를 발견하기에는 여전히 짧은 기간으로 사료된다. The purpose of this study was to helpful to understand the information about treatment and therapeutic exercise of osteochondritis dissecans of the talar dome(ODT) through case study. The subject of this study is 26 years old and pro-basketball player. He had been surgery with arthroscopic synovectomy, multiple drilling and open spur excision of the talus. After the surgery, he had been therapeutic exercised for right ankle during 4 months in specific sports clinic. During his rehabilitation periods, the symptoms and signs of the patient was wrote on his chart and analyzed the range of motion(ROM), AOFAS score and MRI view of ankle. The ROM of plantar flexion of ankle was still high deference(34.2%) from the value of un-involved ankle at 6 weeks of postoperative. But the motion of ankle dorsiflexion was 12% deference from that the un-involved ankle. The ROM of inversion and eversion of ankle was within normal limit at 4 weeks of postoperative. When involved ROM compared with that of un-involved ROM after 16 weeks of postoperative. It has been increased ROM of plantar flexion( 6.8%) and dorsiflexion(14.2%). Also, the AOFAS score increased to 84 point. The MRI view was a little changes to positive effects. However, these results suggested that three months was too short for the finding of the positive changes on ODT compared with pre-operative.

      • KCI등재

        흉통과 ST 분절상승을 보이는 환자에서 급성심근경색증과 비심근경색증의 심전도 분석

        김용권(Yong Kweon Kim),류진호(Jin Ho Ryoo),허탁(Tag Heo),민용일(Yong Il Min),소정일(Jung Il So) 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

        Background: ST segment elevation in patient with chest pain was seen in acute myocardial infarction and in numerous other non-infarction syndromes. The causes of non-infarction syndrome were left ventricular hypertrophy, BER(benign early repolarization), and left bundle branch block in cardiac origin and were hyperkalemia and hyperventilation syndrome in metabolic origin and were others. Furthermore, the differentiation of electrocardiogram between acute myocardial infarction and non-infarction syndrome was very difficult. So, we compared and analysed characteristics of ST segment elevation of acute myocardial infarction and non-infarction syndrome that suggested the clue of early diagnosis of coronary artery disease. Method and Materials: We retrospectively reviewed the electrocardiogram of 961 patients with chest pain who visited the emergency center from January 1999 to December 1999. Acute myocardial infarction was diagnosed by clinical finding, electrocardiogram, cardiac enzyme, echocardiogram, and myocardial spect. Left ventricular hypertrophy, BER, and left bundle branch block in cardiac origin of non-infarction syndrome were diagnosed by electrocardiographic criteria suggested by William J. Brady. Acute myocarditis, acute pericarditis, and hyperventilation syndrome were diagnosed by clinical finding. Results: Among 961 patients with chest pain, 236(24.6%) patients manifested ST segment elevation who were diagnosed acute myocardial infarction in 162(68.6%) patients and non-infarction syndrome in 74(31.4%) patients. The causes of non-infarction syndrome in 74 patients were left ventricular hypertrophy(32:13.6%), BER(28:11.9%), left bundle branch block(11:4.7%), and others(3:1.3%). Three others were acute myocarditis, acute pericarditis, and hyperventilation syndrome. Electrocardiographic characteristics of ST segment elevation of non-infarction syndrome manifested almost same finding compared to William J. Brady` criteria. Conclusion: ST segment elevation in patient with chest pain visited emergency department was seen in acute myocardial infarction(68.6%) and the other non-infarction syndromes(31.4%). Significant number of patients were not associated with acute myocardial infarction. Therefore, we must completely understand characteristics of ST segment elevation in acute myocardial infarction and the other non-infarction syndromes to diagnose fatal early coronary artery disease and to avoid unnecessary thrombolytic therapy.

      • KCI등재

        운동처방 및 스포츠재활 사례연구 작성을 위한 지침

        김용권 ( Yong Kweon Kim ) 한국운동생리학회 2015 운동과학 Vol.24 No.4

        PURPOSE: The purpose of this review was to suggest considerations and general guidelines for writing a case report in the field of exercise prescription and sports rehabilitation. METHODS: A total of 46 case reports published in Korean journals were reviewed. Thirty three of them were published in the Journal in Korean Society of Sports Medicine, all of which were on surgical techniques or sports injuries unique to athletes. The remaining 13 reports were found in the Korean Society of Exercise Physiology and the Official Journal of the Korean Academy of Kinesiology, dealing with specific exercise programs on various cases. RESULTS: All of case reports were divided by 9 categories: 1) choice of a good case; the case must be a human subject with an unique disease and physical condition and/or who provides a message in controlling exercise, 2) title of a case report; it should provide new information and specific exercise programs, 3) introduction of a case; it should be concise and specific to the case, 4) presentation of a case; case presentation should be clearly described and disclose a written informed consent, 5) method of and response to an exercise program; in this section, it should clearly describe a reaction and response to an exercise program or specific movement, 6) results; the results should report tables or figures of key measurements before and after exercise program, 7) discussion about a case; it should not just be an interesting description of the case, but address important clinical issues, and authors should always attempt to maintain reasonable balance between new information and review of existing literature, 9) conclusion; it should summarize take-home messages, interesting results, exercise teaching points, and new knowledge. CONCLUSIONS: It is concluded that case reports can help reviewers and exercise specialists improve quality of their works. A case report should address uniqueness of a case, objectivities, interpretations, and educational values. Therefore, this paper may be helpful to clinicians and researchers writing a case report in the field of exercise prescription and sports rehabilitation.

      • Fabrication of Substrate Integrated Waveguide (SIW)-based Shielded Stripline using Silicon Anisotropic Wet-Etch and BCB-based Polymer Bonding

        Yong-Seung Bang(방용승),Namgon Kim(김남곤),Jung-Mu Kim(김정무),Changyul Cheon(천창율),Youngwoo Kwon(권영우),Yong-Kweon Kim(김용권) 대한전기학회 2009 대한전기학회 학술대회 논문집 Vol.2009 No.7

        This paper reports on a fabrication of novel substrate integrated waveguide (SIW)-based shielded stripline applicable to the broadband transverse electromagnetic (TEM) single-mode propagation. We suggested a structure for half-SIW and half-shielded stripline, which combined through the benzocyclobutene (BCB) bonding layer. The electrical interconnection between the sidewall of anisotropic wet-etched silicon and patterned BCB layers is measured subsequent to the metalization on the side wall. The proposed SIW-based shielded stripline has great potential in terms of simple fabrication, integration with planar circuits and monolithic system fabricated on a SIW structure.

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