코틀린을 사용한 척추 질환 예방을 위한 Application 설계 및 구현

민경주,Kyoung-Ju Minn 한국인터넷방송통신학회 2024 한국인터넷방송통신학회 논문지 Vol.24 No.2

The increasing use of smart devices in South Korea has led to a rise in patients with spinal disorders. This study aims to develop an Android application with exercise prompts to prevent spinal disorders, enhance the usability of healthcare applications, and utilize Android's overlay technology to encourage physical activity. Considering South Korea's total population, it is estimated that around one million individuals may suffer from spinal disorders due to smart device usage. Emphasizing the importance of maintaining proper posture and regular exercise habits, this research highlights the need for innovative application development to assist users in preventing musculoskeletal disorders caused by smart device usage.

퇴행성 요추 질환에서 제 5요추이상 장분절 유합후 인접 분절의 변화

김환정,염진섭,강종원,김규현,오재욱,최원식 대한척추외과학회 2002 대한척추외과학회지 Vol.9 No.4

척추 질환으로 내원한 일본 직장인의 허리 통증 경험이 신체 부위 근골격계질환과의 관련성에 관한 연구

정한석,田邊 創,桑岡 俊文,天野 美苗,小野寺 靖,井内 隆詞,·井元 雄一,田辺 敬一 대한안전경영과학회 2015 대한안전경영과학회지 Vol.17 No.2

The study targeted Japanese employees who have visited hospital for spinal disorder. The study analyzed work environment and pain relief methods of work-related back pain patients, and the relationship between back pain and other body parts. The purpose of this study was to provide draw up measures for patients with back pain and to provide basic data for the sustainable prevention program. The study result of back pain, in other words, employees suffering from lumbago, had disparity between occupations; the highest number of patients were made up of 16-years or above long-serving employees, and below 5-years of short-serving employees. There were more patients complaining of chronic lumbago than acute lumbago, and patients recognized poor posture as the primary cause of lumbago. Furthermore, 99.5% of spinal disorder patients complain back pain, 23.2% use only alternative therapy, and 15.2% visit clinic and hospital with alternative therapy. Patients showed pain reduction and high satisfaction after using alternative therapy. The study targeted Japanese employees where complement therapy is more generalized than that of Korea, and thus there should be multilateral management programs provided in Korea as well.

척추 질환으로 내원한 일본 직장인의 허리 통증 경험이 신체 부위 근골격계질환과의 관련성에 관한 연구

정한석,田邊 創,桑岡 俊文,天野 美苗,小野寺 靖,井内 隆詞,井元 雄一,田辺 敬一 대한안전경영과학회 2015 대한안전경영과학회지 Vol.17 No.2

The study targeted Japanese employees who have visited hospital for spinal disorder. The study analyzed work environment and pain relief methods of work-related back pain patients, and the relationship between back pain and other body parts. The purpose of this study was to provide draw up measures for patients with back pain and to provide basic data for the sustainable prevention program. The study result of back pain, in other words, employees suffering from lumbago, had disparity between occupations; the highest number of patients were made up of 16-years or above long-serving employees, and below 5-years of short-serving employees. There were more patients complaining of chronic lumbago than acute lumbago, and patients recognized poor posture as the primary cause of lumbago. Furthermore, 99.5% of spinal disorder patients complain back pain, 23.2% use only alternative therapy, and 15.2% visit clinic and hospital with alternative therapy. Patients showed pain reduction and high satisfaction after using alternative therapy. The study targeted Japanese employees where complement therapy is more generalized than that of Korea, and thus there should be multilateral management programs provided in Korea as well.

퇴행성 요추 질환에서 후측방 유합술과 후방 추체간 유합술의 비교

송경진(Kyung-Jin Song),김기남(Ki-Nam Kim),송광훈(Kwang-Hun Song),이준모(Jun-Mo Lee) 대한정형외과학회 2006 대한정형외과학회지 Vol.41 No.4

목적: 이분절 이하의 퇴행성 요추부 질환에서 후측방 유합술과 후방 추체간 유합술의 임상적, 방사선학적 결과를 분석하여 두 수술을 비교해 보고자 하였다. 대상 및 방법: 이분절 이하의 요추 유합술 및 척추경 나사못 고정술, 감압술을 시행받고 추시관찰이 가능하였던 90명을 대상으로 하였으며 이 중 요추 후측방 유합술을 실시한 환자 45명을 Ⅰ군, 요추체간 유합술을 실시한 환자 45명을 Ⅱ군으로 분류하였다. 결과: 요추 전만도는 Ⅰ군에서 술 전 36.84±8.31°, 술 후 40.58±7.61°, 최종 추시 시 35.73±7.61°이었고, Ⅱ군에서는 31.53±7.09°, 39.11±7.21°, 35.47±7.76°이었다. 골유합은 Ⅰ군에서 45예 중 41예(91.1%), Ⅱ군에서는 45예 중 43예(95.6%)에서 얻었다. 합병증은 Ⅰ군에서 11예(24.4%), Ⅱ군에서는 1예(2.2%)에서 발생하였다. 결론: 이분절 이하의 퇴행성 요추부 질환에서 실시한 후측방 유합술과 후방 추체간 유합술 모두에서 만족할 만한 골유합률과 임상적 결과를 보였고, 두 군 사이의 유의한 차이는 없었다. 요추 전만도와 합병증에서는 후방 추체간 유합술에서 더 좋은 결과를 얻었으나, 임상과 방사선적 결과에 대해서는 좀 더 장기적인 연구가 필요하리라 생각된다. Purpose : This study compared the surgical treatment results between posterior lumbar interbody fusion (PLIF) and posterolateral fusion (PLF) with pedicle screw fixation in degenerative lumbar spinal disorders. Materials and Methods : In 45 cases of PLF (group Ⅰ) and 45 cases of PLIF (group Ⅱ), lumbar lordosis, segmental lordosis, bone union and complications were considered to be an evaluation criterion. Kim's functional evaluation scale was used for the clinical results. Results : The average lumbar lordosis in group I was 36.84±8.31° preoperatively, 40.58±7.61° postoperatively and 35.73±7.61o at the last follow up. On the other hand, the respective changes in the average lumbar lordosis were 31.53±7.09°, 39.11±7.21°, and 35.47±7.76° in group Ⅱ. Definitive solid union was obtained in 41 cases in group Ⅰ (91.1%) and 43 cases in group Ⅱ (95.6%). The rate of complications was 24.4% (11 cases) in group I and 2.2% (6 cases) in group II, and a satisfactory functional outcome were obtained in 43 cases (95.6%) in group Ⅰ and 41 cases (91.1%) in group Ⅱ. Conclusion : Both PLF and PLIF on short segment fusion provided satisfactory bone union and clinical results. In segmental lordosis, there were no significant differences between the two groups. However, PLIF was more effective in preventing lumbar lordosis and complications than PLF. A longer term follow up will be needed to evaluate the adjacent segmental degeneration and maintenance of the sagittal balance.

한 분절 요추부 퇴행성 질환에 대한 TFC 단독 사용의 임상적 유용성

송경진(Kyung-Jin Song),임영진(Young-Jin Lim),최병완(Byung-Wan Choi),서규범(Kyu-Bum Seo) 대한정형외과학회 2008 대한정형외과학회지 Vol.43 No.2

목적: 퇴행성 요추부 질환에서 threaded titanium fusion cage (TFC)와 자가 장골을 이용한 한 분절 후방 추체간 유합술의 방사선학적 평가와 임상적 결과를 분석해 TFC의 유용성을 확인해 보고자 하였다. 대상 및 방법: TFC 만을 이용해 한 분절 후방 추체간 유합술을 시행 후 최소 3년 이상 추시 가능한 환자 37명을 대상으로 하였다. 임상적 결과의 평가는 요통, 하지 방사통, 일상생활에서 활동의 제한 여부 및 통증으로 인한 약의 복용 여부를 문진하여 Ragab 등의 평가 기준을 이용하여 평가하였다. 방사선 소견으로 요추 전만도, 분절간 전만도, 추간판 높이, 골유합율을 평가하였다. 결과: 추간판의 평균 높이는 술 전 6.18±2.54 ㎜, 술 후 11.71±1.60 ㎜, 최종 추시 9.94±1.94 ㎜로 술 전에 비해 최종 추시시 증가를 보이고 있었다. 요추부 평균 전만도는 술 전 에 27.46±11.47°, 최종 추시시 31.41±8.89°, 분절간 평균 전만도는 술 전에 11.51±9.35°, 최종 추시시 10.86±7.49°로 유의한 변화는 보이지 않았다. 임상적 결과는 89.2%에서 양호 이상의 결과를 얻었으며 73.0%에서 골유합 소견을 보였다. 결론: 한 분절 요추부 퇴행성 질환에서 TFC를 사용한 유합술은 추간판 높이와 요추부 전만각 유지 및 만족할 만한 임상적 결과를 얻을 수 있는 효과적인 수술방법으로 생각된다. Purpose: To evaluate the clinical and radiologic efficacy of posterior lumbar interbody fusion (PLIF) using a threaded fusion cage (TFC) alone with autogenous iliac corticocancellous bone graft for single-level degenerative lumbar spinal disorders. Materials and Methods: Thirty-eight consecutive patients receiving PLIF with TFC alone were evaluated with at least three years of follow-up. Clinical outcome and satisfaction were assessed using Ragab's measurements. Radiological outcomes were analyzed in terms of lumbar lordosis, segmental lordosis, disc height, and fusion rates. Results: Disc height was 6.18±2.54 ㎜, 11.71±1.60 ㎜ and 9.94±1.94 ㎜ on average for preoperative, postoperative, and final follow-up, respectively. Lumbar lordosis was 27.46±11.47°, 31.41±8.89° on average for preoperative and at final follow-up, respectively. Segmental lordosis was 11.51±9.35° preoperatively, and 10.86±7.49° at final follow-up. Satisfactory clinical outcome were obtained in 89.2% of patients with successful bone fusion in 73.0% of patients. Conclusion: Stand alone TFC is an effective treatment modality in maintenance of disc height and lumbar lordosis, with satisfactory long term clinical outcomes in the treatment of single-level degenerative lumbar spinal disorders.

Evaluation of Pain and Its Effect on Quality of Life and Functioning in Men with Spinal Cord Injury

( Marzieh Hassanijirdehi ),( Mohammad Khak ),( Sohrab Afsharimirak ),( Kourosh Holakouienaieni ),( Soheil Saadat ),( Taher Taheri ),( Vafa Rahimimovaghar ) 대한통증학회 2015 The Korean Journal of Pain Vol.28 No.2

Background: Pain is one of the most important consequences of spinal cord injury (SCI). It may affect several aspects of life, especially the quality of life (QoL). Hence, this study was conducted to establish an understanding of pain and its correlates and effects on patients with SCI in our community. Methods: In a cross-sectional study, 58 male veterans suffering from SCI were admitted to our center for a regular follow-up. Demographic and SCI-related descriptive information were gathered using a self-reported questionnaire. To evaluate the patients’ pain quality and the effect of pain on daily life, a questionnaire in 3 parts of lumbar, cervical and shoulder pain was administered. EuroQoL questionnaire and General Health Questionnaire (GHQ) 12 were also used to assess the patients’ QoL. Results: The mean age of the participants was 45.91 ± 6.69 with mean injury time of 25.54 ± 5.91. forty-four patients (75.9%) reported pain, including lumbar pain (63%), cervical pain (39%) and shoulder pain (51%). The presence of pain was associated with lower QoL. Patients with lumbar pain reported a significant amount of pain affecting their daily life and this effect was higher in patients with lower GHQ score or anxiety/depressive disorder. Conclusions: Musculoskeletal pain, is a common complaint in veterans with SCI and is inversely associated with functioning and general health status. Lumbar and shoulder pain affects patient’s daily living more than cervical pain. (Korean J Pain 2015; 28: 129-136)

요추부 퇴행성 질환에서 PEEK 케이지를 이용한 후방 추체간 유합 및 고정술의 결과

송경진(Kyung-jin Song),임영진(Young-jin Lim),이광복(Kwang-Bok Lee) 대한정형외과학회 2007 대한정형외과학회지 Vol.42 No.4

목적: 다분절 퇴행성 요추부 질환에서 PEEK 케이지를 이용한 후방 추체간 유합 및 척추경 나사못 고정술의 결과를 확인해 보고자 하였다. 대상 및 방법: PEEK 케이지를 이용한 후방 추체간 유합 및 척추경 나사못 고정술을 시행한 환자 중 최소 1년 이상 추시 가능한 152명을 대상으로, 이 중 단분절에만 후방 추체간 유합술을 시행한 80명을 A군, 이분절에서 시행한 60명을 B군, 삼분절에서 시행한 12명을 C군으로 분류하였다. 각 군 간에 수술시간, 출혈량, 합병증, 요추부 시상면 배열, 골유합률을 비교하였고, 임상적 결과는 김의 평가 기준을 이용하였다. 결과: 수술시간은 A군 190.25±40.89분, B군 230.46±39.13분, C군 243.25±39.13분 (p=0.08), 출혈량은 A군 평균 1,140±704 ㎖, B군에서 1,328±776 ㎖, C군에서 1,688±756 ㎖ (p=0.07)로 각 군 간에 통계적으로 유의한 차이는 보이지 않았다. 요추 전만도, 분절간 전만도, 전방, 중앙 추간판 높이는 세 군 모두에서 술 전에 비해 술 후 교정 되었고 추시 과정에서 감소하였지만 술 전에 비해서는 최종 추시 시 모두 증가하였다. 임상적 결과는 A군 93.25%, B군 91.67%, C군 91.67%에서 양호 이상의 결과를 얻었고, 골 유합률은 A군 93.75%, B군 95.00%, C군 91.67%의 결과를 보였다. 합병증은 A군에서 술 후 감염 2예에서 나사못 이완이 동반 되었고, 불유합 5예, 혈종 2예였고, B군은 술 후 감염과 이에 따른 나사못 이완 1예, 불유합 3예, 경막 열상 1예, 신경근 불완전 손상 1예 에서 발생하였다. C군은 술 후 신경근 손상이 1예에서 발생하였다. 결론: 다분절 퇴행성 척추 질환의 치료에서도 자가골 충전 PEEK 케이지를 이용하여 후방 추체간 유합 및 척추경 나사못 고정술을 실시하면 단분절 병변에서처럼 우수한 임상적 결과와 골 유합을 얻을 수 있었기에 다분절 퇴행성 척추 질환의 수술적 치료 방법 중 하나로 추천 할 수 있을 것으로 사료된다. Purpose: To evaluate the results of posterior lumbar interbody fusion (PLIF) using PEEK cage with local laminectomized bone and pedicle screws stabilization in multiple segment degenerative lumbar spinal disorders. Materials and Methods: We performed a retrospective analysis (1 yr follow-up examination) on 152 patients with PLIF using PEEK cage. The 152 patients, were sub-categorized as follows: 1) group A - one level fusion (80 cases), 2) group B - two level fusion (60 cases), and 3) group C - three level fusion (12 cases). We compared each group based on operation time, amount of bleeding, number of complications, sagittal alignment, fusion rate, adjacent segment problems, and evaluation of the clinical result as per the criteria in Kim et al (1991). Results: For operation time group A took 190.25±40.89 min, group B took 230.46±39.13 min, and group C took 243.25±39.13 min (p=0.08). Furthermore, amount of bleeding for group A was 1,140±704 ml, group B was 1,328±776 ml, and group C was 1,688±756 ml (p=0.07). Consequently, no significant difference was observed between each group. For lumbar lordosis, segmental lordosis, anterior and middle disc height, the last follow-up value was significantly greater than the preoperative value in all three groups. For the adjacent segmental problem, group A had 6 cases, group B had 6 cases, and group Chad 2cases. The clinical result revealed a good result in 93.25% for group A, 91.67% for group B, 91.67% for group C. In addition, the fusion rate was 93.75% for group A, 95.00% for group B, and 91.67% for group C. Moreover, the number post-operative complication cases for group A totaled 2 postoperative infections with metal loosening, 5 non-union, and 2 hematomas. Group B had 1 postoperative infection with metal loosening, 3 nonunion, 1 dural tear, and 1 incomplete root injury. Lastly, in group C, 1 complete root injury occurred. Conclusion: APLIF using PEEK cage with local laminectomized bone and posterior pedicle screw stabilization in multiple segments should be considered to be a useful surgical method as a result of favorable clinical results and a fusion rate similar to the rate of a single segment.

파킨슨병 치료에서 턱관절음양균형요법의 활용 가능성에 대한 소고

채인철(In-Cheol Chae),이영준(Young-Jun Lee),유호룡(Ho-Ryong Yoo) 턱관절균형의학회 2021 턱관절균형의학회지 Vol.11 No.1

There are many studies that show the association between Parkinson’s disease and temporomandibular joint disorder. However, no clinical studies have yet been reported that TMJ Banlancing Therapy (TBT) can treat Parkinson’s disease. In this study, the applicability of TBT for the treatment of Parkinson’s disease was investigated by reviewing several studies on the factors related to Parkinson’s disease and temporomandibular joint disorder and clinical studies of patients with Parkinson’s disease using conventional oral appliances and exercises. In summary, it is considered that TBT has a high potential for use in the treatment of Parkinson’s disease, but it is thought that prospective clinical research is needed in the future to establish objective evidence related to this.

국내 초․중․고등학생들의 척추질환 진료경향 분석

김민정,손창규,허동석,홍권의 대한침구의학회 2010 대한침구의학회지 Vol.27 No.2

Objectives : Among young generation, the prevalence of spinal disorders is known to be increasing. This study aimed to analyze the clinical data of spinal disorder in young ages in Korea. Methods : Number of patient, kinds of disorder, and medical cost were analyzed for patients(7~18 years) underwent spinal disorders using computerized database of Health Insurance Review and Assessment Service(HIRAS) from 2004 to 2008. We included dorsopathies as spinal disorder according to Korean Classification of Diseases(KCD) and excluded spinal disorder caused by trauma. We compared the data of traditional Korean medicine treatment with that of western medical care. Results : 4.8% of the children and adolescents had medical treatment with spinal disorder in 2008. The claim number and medical cost for both traditional Korean medicine and western medicine treatment are increasing 1.8 and 1.3 times respectively over 5 years. Total medical spent of western clinic was 2.1 times than those of traditional Korean clinic. The most common spinal disorder was dorsalgia(31.8%) and scoliosis(13.5%) in western clinics while back pain(29.0%) and neck pain(10.8%) in oriental clinic. Conclusions : We first reported the clinical tendency of spinal disorder in Korean children adolescents from 2004 to 2008. This study will support the development of a strategy for traditional Korean medicine-based prevention or treatment of spinal disorders in young generation.