후종격동에 발생한 모세혈관상 혈관종 -1예 보고-

양주민,정원상,강정호,김영학,김혁,장기석,박문향 대한흉부외과학회 2004 Journal of Chest Surgery (J Chest Surg) Vol.37 No.5

Hemangiomas of mediastinum are rare lesions comprising less than 0.5% of all mediastinal masses. Posterior mediastinal hemangiomas are less common than anterior mediastinal. A 21 year old female was refered to our hospital because of abnormal mediastinal shadow in simple chest X-ray. Chest CT scan and T-spine MRI revealed a posterior mediastinal dumbbell-shaped mass with extradural extension. Surgical excision was performed and pathologic diagnosis was confirmed as 3×4×2 cm sized capillary hemangioma. 종격동에 발생한 혈관종은 전체 종격동 종양의 0.5% 미만을 차지할 정도로 드문 질환이다. 후종격동에 발생한 혈관종의 경우는 전종격동에 비해 더 드문 것으로 알려져 있다. 환자는 21세 여자로 단순 흉부 방사선촬영상 후종격동에 비정상적인 음영을 보여 본원으로 전원되어 시행한 흉부 전산화 단층촬영과 흉추 자기공명 영상촬영에서 척수 경막까지 도달되어 있는 아령모양의 후종격동 종양 소견을 보였다. 이에 수술적 절제를 시행하였고 병리 조직학적 검사결과 3 4 2 cm의 모세혈관상 혈관종의 소견이 관찰되었다.

태권도 엘리트 품새선수의 시합준비기간에 따른 심상전략 탐구

양주민 ( Yang Ju Min ),윤상진 ( Yoon Sang Jin ),이준호 ( Lee Jun Ho ) 한국체육대학교 체육과학연구소 2020 스포츠사이언스 Vol.38 No.1

The purpose of this study was to complement the deficiencies of previous studies on taekwondo elite poomsae players and to investigate the relationship between exercise performance and psychological technique. In order to achieve the purpose of the study, 10 poomsae elite participants were selected and, in the interview, qualitative research methods were conducted to derive the following results. Elite poomsae players used both Cognitive Specific Imagery(CS), Cognitive-General Imagery(CG), Motivational General-Mastery Imagery(MG-M), Motivational-Specific Imagery(MS), and Motivational General-Arousal Imagery (MG-A) type in a balanced manner before the match, in the match day, after the match, respectively. And especially, they used MG-A, CS, MG-M, MS, and CG in order. Also, it was found that MG-A was used most frequently before the match, MG-M in the match day, and CS after the match. Therefore, it was concluded that Elite poomsae players use different imagery techniques according to the timing and that the same imagery technique is used importantly regardless of the kyorugi and poomsae.

상완신경총 신경절전 손상의 전기진단검사와 자기공명영상의 유용성

주민철,강문규,양충용,신용일 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.6

Objective: This study aims at evaluating the usefulness of the electrodiagnostic study (EDx) and the magnetic resonance imaging (MRI), which are performed before surgical operation of brachial plexus injury. Method: We reviewed 57 cases of brachial plexopathy diagnosed with surgical findings. EDx and MRI were performed to the patients before surgery. Based upon intraoperative findings, we evaluated the occurrence of preganglionic root injury and subsequently each injured spinal root level. Results: EDx and MRI for preganglionic root injuries showed 92.1% and 78.9% of diagnostic sensitivity and 63.2% and 42.9% of diagnostic specificity, respectively. The followings were about each injured spinal root level. EDx showed that the sensitivities of C5, C6, C7, C8, T1 were 91.4%, 91.4%, 92.6%, 96%, 95.8%, and their specificities were 59.1%, 59.1%, 56.7%, 68.8%, 66.7%. MRI showed that the sensitivities were 47.4%, 57.9%, 58.3%, 75%, 66.7%, and their specificities were 57.1%, 71.4%, 78.6%, 85.7%, 85.7%. Conclusion: As for preganglionic brachial plexopathy, EDx was more useful than MRI to diagnose preganglionic root injury and determine the level of injured spinal root.

편마비 환자에서 기능적 전기자극치료가 하지 운동기능에 미치는 영향

양충용·,김태진,주민철,오경재,박순아,이진훈,신용일 대한재활의학회 2009 Annals of Rehabilitation Medicine Vol.33 No.1

Objective: To investigate the effect of functional electrical stimulation (FES) on the motor function of lower limb in hemiplegic patients with stroke or brain injury. Method: Fifty subjects (age, 56.66±9.85 years old; prevalence duration, 113.49±79.94 days after stroke or brain injury) were assigned randomly to 1 of 2 groups; the experimental group (n=25) received conventional rehabilitation with FES and the control group (n=25) received conventional rehabilitation without FES. FES was applied 20 minutes concomitant with rehabilitation, 5 days per week for 4 weeks. Outcome measurements included muscle strength, modified Ashworth scale, Brunnstrom stage, motricity index, 10 meter walking test (10 MWT), and circumference ratios of lower extremity (including thigh and calf). Subjects were evaluated before treatment and at 4 weeks after treatment. Results: No significant differences were found in the baseline measurements. After 4 weeks of treatment, there was significant improvement in thigh circumference ratio and 10 MWT in the FES group, when compared with the control group (p<0.05). Conclusion: Twenty sessions of FES, applied to postacute stroke or brain injured patients plus conventional rehabilitation, improved their motor and walking ability. Objective: To investigate the effect of functional electrical stimulation (FES) on the motor function of lower limb in hemiplegic patients with stroke or brain injury. Method: Fifty subjects (age, 56.66±9.85 years old; prevalence duration, 113.49±79.94 days after stroke or brain injury) were assigned randomly to 1 of 2 groups; the experimental group (n=25) received conventional rehabilitation with FES and the control group (n=25) received conventional rehabilitation without FES. FES was applied 20 minutes concomitant with rehabilitation, 5 days per week for 4 weeks. Outcome measurements included muscle strength, modified Ashworth scale, Brunnstrom stage, motricity index, 10 meter walking test (10 MWT), and circumference ratios of lower extremity (including thigh and calf). Subjects were evaluated before treatment and at 4 weeks after treatment. Results: No significant differences were found in the baseline measurements. After 4 weeks of treatment, there was significant improvement in thigh circumference ratio and 10 MWT in the FES group, when compared with the control group (p<0.05). Conclusion: Twenty sessions of FES, applied to postacute stroke or brain injured patients plus conventional rehabilitation, improved their motor and walking ability.

중증 장애환자의 구강위생과 치은건강

양충용,주민철 圓光大學校 醫科學硏究所 2004 圓光醫科學 Vol.19 No.1

수근관 증후군의 전기진단적 경중에 따른 Mecobalamin (Vitamin B₁₂)과 NSAIDS의 병용 투여 효과

양충용,주민철,신용일 대한임상노인의학회 2005 대한임상노인의학회지 Vol.6 No.4

연구배경: 본 연구는 수근관 증후군에서 질환의 심한 정도에 따른 mecobalamin과 NSAIDS 두 약제의 병용 투여가 증상과 신경전도에 어떠한 영향을 주는지 파악하고 수근관 증후군의 경중도가 어떠한 인자로 작용하는지 알아보고자 하였다. 방법: 이학적 검사와 전기진단 검사에 의해 수근관 증후군으로 진단받은 환자 17명, 25수를 대상으로 전기진단 검사로 경도, 중등도, 중도로 구분하여 4주 동안 methycobal과 NAIDS를 매일 투여하였다. 주관적 증상, 기능 수행검사, 이학적 검사, 전반적 호전도, 전반적 치료 만족도를 구하였고, 전기 진단학적 검사와 투약의 부작용을 검사하였다. 결과: Methycobal과 NAIDS의 병용 투약 4주 후 증상과 이학적 검사, 전기진단 검사를 통해 다음과 같은 결과를 얻었다. (1) 증상과 이학적 소견 유무를 통해 치료 전후에 비교하였을 때 소염진통제와 mecobalamin 병용 투약이 모든 군에서 효과적인 치료 방법이며, 중등도군에서 병용투여로 통계적으로 의미 있는 호전을 유도하였다. (2) 치료 전후의 환자의 인상에 의한 전반적 호전도를 평가할 때 각 군에서 전체적으로 호전된 양상을 보였고 무변과 증상의 악화는 없었다. 주관적 증상과 이학적 검사에서 일반적으로 감각신경의 증상이 치료에 빠른 반응을 보인 반면 운동 신경의 증상은 큰 호전도를 보이지 않았다. (3) 환자의 인상에 따른 전반적 만족도는 치료 전에 비해 55∼83% 정도의 만족을 보였고, 수근관 증후군의 정도가 심한 경우 약물치료 외의 다른 치료방법 시도율이 높았다. (4) 신경진단학 검사로 치료 후 추이를 살펴보았을 때 정중 감각신경이 약물에 잘 반응하였으나 병용 약물치료를 시행하여도 신경진단학 검사상 세 군간 상호 이동을 초래할 정도의 변화를 유도하지는 못했다. (5) 약물 치료 시 치료 기간별 매주 변화도를 측정하였을 때 전반적 통증의 감소 정도와 만족도 변화가 시간의 흐름에 따라 꾸준히 호전됨을 알 수 있었다. (6) 병용 약물 투여 후 투약을 중지할 만한 증상은 없었다. 결론: 수근관 증후군에서 mecobalamin과 NSAIDS 병용 투여는 증상과 전기진단학적 호전에 효과적인 치료 방법이며 특히 중등도군과 정중 감각신경 증상의 호전에 치료 효과가 좋았으며, 비교적 안전한 치료 방법으로 사료된다. Background: The aim of this study is to evaluate of the effects of short-term combined therapy with mecobalamin and NSAIDS on changes of symptoms and electrodiagnostic findings according to the severity of carpal tunnel syndrome. Methods: We enrolled 17 patients (25 hands) with carpal tunnel syndrome. They were assigned to mild, moderate and severe groups by electrodiagnostic severity. All patients had taken mecobalamin and NSAIDS for 4 weeks. The data are based on the patients' subjective reports of their symptoms, the scale of activities of daily living, physical examination, general improvement, general satisfaction score, side effect and objective electromyographic examination. Results: The changes of clinical symptoms, physical examination and electromyographic findings after 4 week treatment were as follows; (1) The combined treatment is effect method based on symptoms and physical examination, especially patients in moderate group had significant improvements. (2) The general improvement by patients impression was positive on the whole groups. The median sensory symptoms was marked improved than motor symptoms. (3) The general satisfaction degree by patients impression was about 55-83% and the using another treatment was high in severe group. (4) The electrodiagnostic findings suggest that median sensory conduction was more improved. (5) The general improvement and satisfaction degree per week was improved by the march of time. (6) There was no report of the side-effect on this combined therapy. Conclusion: The results of this study suggest that the combined therapy with mecobalamin and NSAIDS was safe and suit to carpal tunnel syndrome well, especially which was more effective in moderate group and median sensory fibers.

뇌졸중 환자의 한방 및 보완 대체요법 이용실태

양충용,신용일,주민철,길은영 圓光大學校 醫科學硏究所 2004 圓光醫科學 Vol.19 No.2

건선 환자에서 아시트레틴 치료 중 발생한 다장기 혈전성 폐색증 1례-증례 보고-

양충용,김태진,노세응,주민철,길은영,신용일 대한재활의학회 2007 Annals of Rehabilitation Medicine Vol.31 No.3

하지마비 환자에서 수근관증후군의 초음파적 소견

주민철,양충용,김태진,송재은,박순아,조해중,길은영,신용일 대한재활의학회 2008 Annals of Rehabilitation Medicine Vol.32 No.2

Objective: To assess the diagnostic value of ultrasonography for the median nerve, the state of life style activities and the pain degree of upper extremities in paraplegics with carpal tunnel syndrome (CTS). Method: Eighteen wheelchair ambulators with spinal cord injury who had neurological level below T2 were studied. Patients with peripheral or central neuropathies were excluded. Patients were assigned to either the electrodiagnostic CTS (group CTS, 7) or electrodiagnostically negative (group non- CTS, 11), and healthy volunteers (15) were classified as control group. The cross sectional area of the median nerve (MN-CSA) at carpal pisiform level was ultrasonographically measured. The degree of painful restriction to execute ADL by hands (TR-ADL), the pain grade (visual analog scale, VAS) of upper extremities and revised version of Korean spinal cord independence measure (KSCIM-R) for functional level were measured and analyzed. Results: Nine hands (14.3%) of 7 patients out of 34 hands had CTS in electrodiagnostic study. There were significant difference among groups in TR-ADL hours (CTS group; 5.0 vs non-CTS group; 10.2, p<0.05), VAS (4.1 vs 2.0, respectively, p<0.05), and no statistical difference in KSCIM-R (68.4 vs 52.1, p>0.05), MN-CSA (12.3 mm2 vs 7.9 mm2 vs control group; 8.0 mm2, p<0.05). Using the ROC curve, the cut-off value of MN-CSA produced 8.5 mm2 providing a diagnostic sensitivity of 77.8% and specificity of 59.6%. Conclusion: The ultrasonographic measurement of the median nerve may be a useful non-invasive screening test for the diagnosis of CTS in paraplegic patients with wrist pain.

뇌졸중후 연하곤란 환자의 식이 상태 비교

신용일,양충용,김헌수,강문규,주민철,길은영,권영미 圓光大學校 醫科學硏究所 2004 圓光醫科學 Vol.19 No.2