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정용설,안경회,김희상,이종하,김동환,김학준,김진성 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.3
Objective: The aim of this study was to evaluate the efficacy of the local steroid injection in the patients with medial superior cluneal nerve entrapment. Method: The participants were 20 (13 men, 7 women) patients with medial superior cluneal nerve entrapment diagnosed by Maigne's criteria (unilateral buttock pain, tender point at iliac crest, and relieved pain by nerve block). All patients were injected with 1% lidocaine 1.75 ml and triamcinolone 10 mg at maximal tender point which was 7~8 cm away from spinous process horizontally on the iliac crest. The visual analogue scale (VAS) and the modified Oswestry questionnaire (MOQ) were checked at before, 2 weeks and 4 weeks after injection. And the VAS waschecked 10 min after injection to determine the accuracy of injections. Results: The mean VAS scores of before injection, 10 min, 2 weeks, and 4 weeks after injection were 7.7, 2.8, 4.0, and 4.0 respectively. The mean MOQ of before injection, 2 weeks, 4 weeks after injection were 35.7, 23.8, and 23.8 respectively. Both VAS and MOQ were significantly different in before injection, 2 weeks and 4 weeks after injection (p<0.05). Conclusion: The local steroid injection is an effective treatment of medial superior cluneal nerve entrapment.
유승돈,정용설,김태우 대한의사협회 2017 대한의사협회지 Vol.60 No.11
Acute-phase rehabilitation hospitals focus on managing disabilities, reducing sequelae and symptoms, and enhancing social reintegration, to provide patients with the highest possible independence and the best quality of life. In order to achieve these goals, it is necessary to ensure the appropriate length of hospital stays based on a consideration of disease severity and patients’ potential for rehabilitation, as well as to provide multidisciplinary rehabilitation. Multidisciplinary rehabilitation has been shown to be effective in the management of complex or severe conditions. Hospitals should include rehabilitation centers (specialized rehabilitation units) for patients with complex or severe needs. Starting in acute settings, specialized rehabilitation wards provide intensive, highly specialized interventions to restore function to patients with complex rehabilitation needs. Financial resources should be allocated to rehabilitation services to implement recommendations for the delivery of medical services In Korea, the appropriate allocation of resources for rehabilitation could increase both the availability and the quality of rehabilitation services by facilitating the establishment of specialized rehabilitation units in acute settings.
Atypical Supernumerary Phantom Limb and Phantom Limb Pain in Two Patients with Pontine Hemorrhage
유승돈,김동환,정용설,전진만,박지혜 대한의학회 2011 Journal of Korean medical science Vol.26 No.6
Phantom limbs are usually observed after amputation of extremities. In patients after a stroke, a similar but rarely occurring phenomenon consisting of the patient experiencing the presence of an additional limb has been described. This phenomenon, generally called supernumerary phantom limb (SPL), may be caused by lesions in the right or left cerebral hemisphere, but has been predominantly reported in patients who have had a right hemispheric stroke. We report two cases of atypical SPL and phantom limb pain (PLP) after pontine hemorrhage. The patients were treated conservatively and their symptoms lasted more than 1 month. This is the first report of SPLs after left pontine hemorrhage, and phantom perception and pain lasted longer than those in previously observed cases. Our results indicate that SPL may be more common than reported; therefore, thorough examinations are essential for the care of stroke patients.
요추 후관절 증후군에서 하이알우론산 관절내 주사치료의 유용성
김희상,안경회,이종하,김동환,김민정,김학준,정용설 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.5
Objective: To evaluate the efficacy of intra-articular hyaluronic acid injection and to compare this with the efficacy of steroid injection for the treatment of facet syndrome of the lumbar spine. Method: Sixty-eight patients with facet syndrome of the lumbar spine were assigned two groups at random to receive an intra-articular injection into the facet joint. One group received a intra-articular injection of the facet joint three times at 1 week apart with a mixture of hyaluronic acid 0.6~0.7 ml and 1% lidocaine 0.2 ml. The other group received a intra-articular injection of the facet joint one time with a mixture of triamcinolone 10 mg and 1% lidocaine 0.5~1 ml. The effectiveness of treatment was assessed with the visual analogue scale (VAS), and the patient's life activities were assessed with the modified Oswestry questionnaire. Results: The VAS and the patient's life activity of the two groups all showed improvement at 1 week, 1 month and 3 months after injection, but there was no significant difference in the VAS scores and the patient's life activity scores between the two groups. Conclusion: The intra-articular injection of hyaluronic acid would be a good treatment method for facet syndrome of the lumbar spine.
제 5 요수 신경근병증에서 제 4-5 요추간공을 통한 경막외 주사의 효과
안경회,김희상,이종하,김동환,조동익,신지철,정용설 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.3
Objective: The aim of this study was to compare the therapeutic and functional values between the L5-S1 transforaminal epidural steroid injection (TFESI) and L4-5 TFESI in patients with L5 radiculopathy. Method: Among 30 patients with unilateral herniated nucleus pulposus (HNP) and L5 radiculopathy, 15 patients received L5-S1 TFESI and 15 patients received L4-5 TFESI. All patients were checked visual analogue scale (VAS) and functional score before injection, after 1 day, 2 weeks and 4 weeks.Results: The VAS of before injection, after 1 day, 2 weeks and 4 weeks were 6.6, 4.0, 3.0, and 2.8 in L5-S1 TFESI, 6.2, 3.9, 2.7, and 2.6 in L4-5 TFESI, respectively. The functional score of before injection, after 1 day, 2 weeks and 4 weeks were 1.8, 2.3, 2.6, and 3.0 in L5-S1 TFESI, 1.6, 2.2, 2.5, and 2.8 in L4-5 TFESI, respectively. There was no statistical difference between the groups (p>0.05). Conclusion: This study suggested that either L5-S1 TFESI or L4-5 TFESI could be a valuable treatment of L5 radicular pain.
김희상,김민정,안경회,이종하,김동환,김학준,정용설 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.4
Objective: To evaluate the effects of patella taping on pain and disability in symptomatic knee osteoarthritis (OA). Method: Using a within-subjects study design, 54 patients were tested under three conditions in random order: untaped, wearing therapeutic knee tape and wearing control knee tape. Outcome measure was pain as measured by visual analogue scale and disability as measured by walking speed, timed up and go test, and step test. Results: The therapeutic tape significantly reduced pain, when compared with the control and untaped conditions (p<0.05). Also significant improvement in disability was ob-served on timed up and go test and step test in therapeutic tape compared with the control and untaped conditions (p<0.05). But there was no significant difference on walking speed among three conditions (p>0.05). A significant association between change of pain in stairs and lateral patellofemoral joint space was evident (r=0.503, p<0.05). Conclusion: Therapeutic knee tape is a simple, inexpensive strategy that increases the treatment options for therapists and patients in the conservative management of knee OA.