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모 전자제조업체 남자 근로자들의 신체적합도와 연령, 체지방율, 업무특성 및 생활습관의 관련성 연구
윤승렬,우극현,정영연,남팔수,이영하,박완섭,김상우 大韓産業醫學會 1996 대한직업환경의학회지 Vol.8 No.3
본 연구는 20대에서 40대의 남자근로자들을 대상으로 신체적합도를 평가하여 일반적으로 신체적합도에 영향을 준다고 알려진 연령과 비만정도, 일상생활습관(커피, 흡연, 음주 규칙적 운동여부, 스트레스) 및 업무특성과의 연관성을 연구한 단면조사연구이다. 신체적합도 측정으로 근력 평가는 악력과 배근력을 측정하였고, 근지구력 평가는 복근지구력인 윗몸일으키기를, 유연성 평가로 윗몸앞으로 굽히기를 측정하였다. 심폐지구력 평가는 자전거 ergometer로 최대산소섭취량과 노력성폐활량 및 일초율을 측정하였다. 연령은 악력을 제외한 대부분의 체력평가에서 유의한 차이를 보였다. 체지방율이 20%를 넘는 비만의 경우 악력(P<0.01), 배근력(P<0.05), 유연성(P<0.01), 최대산소섭취량(P<0.01)에서 통계학적으로 유의한 차이를 보였다. 생활습관중 규칙적 운동은 최대산소섭취량(p<0.05)에서 유의한 차이를 보였다. 업무특성별로 나눈 사무직과 생산직의 신체적합도평가에서는 악력만 유의한 차이가 있었다(P<0.01). 결론적으로 신체적합도와 가장 연관성이 높은 특성들로는 연령과 비만 및 여가시 규칙적인 운동이었다. 앞으로의 과제는 신체적합도 측정과 함께 생활습관과 신체활동을 구체적이고 세분화하여 조사하고 조사함에 있어 편리한 측정도구를 개발하고 영양과 관련된 식생활 습관 및 스트레스와 같은 정신건강에 대한 평가를 겸해서 건강에 대한 평가기준을 객관적이고 폭넓게 해야 할 것이다. This is pilot study to evaluate the relationship of physical fitness with age, body fat, work pattern and life style among 20∼49 aged male workers(n=417). Physical fitness was measured by maximum oxygen uptake, forced vital capacity, 1 second forced expiratory volume, grip strength, back strength, sit ups and trunk flexion. Life style was self-reported on a questionnaire about regular exercises, smoking, alcohol consumption, coffee consumption, degree of stress, and percent of body fat measured by bioelectrical impedance fat meter. Age was significantly and negatively related to physical fitness except grip strength. Obesity was next to most significant factor for physical fitness, it was associated with maximum oxygen uptake, grip strength, back strength, trunk flexion. Regular exercise was associated with maximum oxygen uptake. Others was insignificantly related to physical fitness. Performance of physical fitness test was significantly correlated with age, obesity and regular exercise.
경골 간부와 근위부의 분절 및 분쇄 골절의 Retrograde Ender 정을 이용한 치료
임수재,윤승렬,최중근,최근선 대한골절학회 1999 대한골절학회지 Vol.12 No.3
Purpose: To present the result of retrograde Ender pinning technique for treatment of comminuted segmental fracture of the proximal tibial shaft. Materials and Methods: From 1994 to 1998, we treated twenty-one cases of the comminuted segmental proximal tibial shaft fracture with the retrograde Ender pinning technique. We have followed up the clinical results. Results: The clinical bone union time was average eleven weeks, and the radiologic bone union time was average nineteen weeks. Conclusion: In the treatment of comminuted segmental proximal tibial shaft fracture, the retrograde Ender pinning technique is useful. The method improves fixation of the proximal fragment, is simple and effective, provides good fixation of the tibia in patients in whom stabilization of several fractures is required, and can be used for fixation of tibial shaft fracture with soft tissue damage.
Dynamic Condylar Screw(DCS)를 이용한 대퇴골 원위부 골절의 고정과 조기 운동 치료의 결과
김동진,임수재,윤승렬 대한골절학회 1998 대한골절학회지 Vol.11 No.3
Fracture of the distal femur is not as common as femoral shaft or hip fracture. A widening medullary canal, thin cortex, osteopenia make open reduction and internal fixation difficult, even for an experienced surgeon. The surgical treatment for supracondylar femoral fractures has a better outcome because of improved implants, fixation technique and preoperative planing during the past two decades. We reviewed 33 cases of fractures of the distal femur at Soon Chun Hyang Gumi Hospital from June, 1992 to March, l996 with minimum 12 months follow up. Following results were obtained. 1. In age distribution, fourth decade was most frequent. 2. The most common cause of these fractures was traffic accident. 3. The most common fracture type was type C by Muller classification. 4. Complication were as follows: pain, knee joint stiffness, bursitis, skin infection etc. 5. The satisfactory results could be obtained by the open reduction and rigid internal fixation followed by early R.O.M. exercise of knee joint
나수균,임수재,정석영,윤승렬,최원기 대한골절학회 1996 대한골절학회지 Vol.9 No.4
Fracture of the talus are relatively uncommon injury. when they occur, however. they we of major importance. because of the relatively heigh frequency of complications and long term disability. Complications such as non-union, avascular necrosis, traumatic arthritis are frequently developed as a late sequele in fracture or fracture-dislocation of the talus because of talar surface is covered mainly with articular catilage and poor blood supply. Authors have reviewed 19 cases of the talus fracture & fracture-dislocation surgically treated at Soonchunhyang University Kumi Hospital from Januarty l987 to October l995 with minimal 1 year follow up period. The result were as follows l. Of 19 cases, I 6 male and 3 female with their average age of 29.8 years. 2. The cause of injury were traffic accident(motor veiheicle accident)-l0/19 cases (53%), direct trauma-2/19 cases(11%), sport injury-I/l9 5%) and fall from height- 019 cases (32%) 3. The most common concomittant injury was the ipsilateral fracture of the tibiofibular (including medial malleolar fracture)-9/19 cases(47%) 4. According to the hawkins' classification. 5 cases in typeI. 8 cases in typeII, 5 cases in type III and I cases in type IV. 5. According to the Hawkins' therapeutic criteria. excellent results in 8 cases, good in 7 cases, fair in 3 cases but poor in I case. 6. Avascular necrosis was occured in 7 cues (37%) and ankle stiffness in 4 cases (21%) but nonunion was not observed.
요골 원위부 골절후에 발생한 장무지 신건의 지연성 파열 - 1례 보고 -
나수균,서유성,임수재,윤승렬,최중근,정연철 대한골절학회 1999 대한골절학회지 Vol.12 No.1
After distal radius fracture, delayed rupture of extensor pollicis longus is rare. It is known that delayed rupture of extensor pollicis longus tendon result from undisplaced distal radius fracture. We have experienced a case of rupture of the extensor pollicis longus tendon after undisplaced distal radius fracture, and treated with palmaris longus tendon graft. the result were satisfactory without complications.
김연일,서유성,임수재,윤승렬,최중근,정연철 대한골절학회 1999 대한골절학회지 Vol.12 No.2
Traumatic hip dislocation in childhood is rare. Factors predisposing to abnormal results are delayed reduction and severe trauma. We experienced 8 year-old girl with traumatic posterior hip dislocation and treated with immediate closed reduction. At 30 months follow-up, our patient had good functional and good roentgenographic result with no posttraumatic arthritis or posttraumatic avascular necrosis. So we report this case with review of literature.