관절경하 회전근 개 봉합술 후 파열 정도에 따른 통증 회복 양상

김주오,심상돈,노경환,손석준,김설전,양윤혁,Kim, Ju-O,Sim, Sang-Don,Noh, Kyung-Hwan,Shon, Suk-June,Kim, Sul-Jun,Yang, Yun-Hyeok 대한관절경학회 2009 대한관절경학회지 Vol.13 No.2

Purpose: The purpose of this study was to evaluate the pain recovery pattern according to the integrity and to analyze the factors affecting the progress and level of pain postoperatively. Materials and Methods: We examined 153 patients, who were treated with arthroscopic rotator cuff repair. 101 rotator cuff tears were full-thickness tear and 52 were partial tear. The mean follow up duration was 20 months (12~30 months). We evaluated the visual analogue scale, range of motion, ASES (American Shoulder and Elbow Surgeons), and UCLA (University of California at Los Angeles) scores preoperatively and postoperatively. We analyzed the pain recovery pattern between partial and full thickness tear using Student T-test and the factors affecting the progress and level of postoperative pain using multiple regression analysis. Results: The change patterns of visual analogue scale after arthroscpoic repair were similar regardless of the tear integrity. The VAS showed a continuous decreasing pattern, but increased at first 3 weeks postoperatively and at 7 weeks postoperatively, and then, decreased thereafter. The average VAS was ${\leqq}2$ points by postoperative 3 months. The factor affecting the pain score at 3 months was related to the preoperative limitation in forward flexion ($r^2=0.377$, p=0.021). Conclusion: There was no differences of the pain recovery pattern according to the integrity, and the factor affecting the progress of postoperative pain was preoperative angle of forward elevation. So, the appropriate preoperative rehabilitation protocol that can improve motions of the shoulder joint would help to improve the level of postoperative pain and functional recovery.

열린사슬운동과 닫힌사슬운동이 큰가슴근과 위팔세갈래근의 근활성도에 미치는 영향

김주오,장상훈,Kim, Ju-O,Jang, Sang-Hun 대한물리치료과학회 2018 대한물리치료과학회지 Vol.25 No.1

Background: The purpose of this study was to investigate the effect of open and close kinetic chain exercise on the muscle activity of pectoralis major and triceps. Method: Twenty healthy male college students were assessed three times over two weeks. The participants were randomly assigned to OKCE(Open Kinetic Chain Exercise) and CKCE(Close Kinetic Chain Exercise). On the first day, the 7th day and the last day, The MP(mean power) and PT(peak torque) of the PM(pectoralis major) and TR(triceps) during the exercise were measured with an electromyography device and the study was compared. Result: In the present study, it was found that Statistical analysis of the measured values at the end of experimental period revealed statistically significant differences in the MP and PT values of TR and PM. Conclusion: These findings suggest that CKCE and OKCE may be an effective physical therapy intervention for strengthening muscular activity in patients with low activity in the upper limb, including normal subjects, although it is not suitable for effective exercise by selecting either CKCE or OKCE.

뇌졸중 환자에게 하지 근력강화 프로그램이 균형, 보행과 상지 기능에 미치는 효과

김주오,이병희 한국콘텐츠학회 2020 한국콘텐츠학회논문지 Vol.20 No.6

The purpose of this study was to determine the effect of lower extremity strengthening program on balance, gait and upper limb function in patients with stroke. This study was a hospital-based with Central nerve system lesion patients, randomized controlled trial with a blinded assessor. Twenty four hemiparetic stroke patients were divided into two groups: a Lower extremity strengthening program group (LESPG)(n=12) and a Treadmill training group (TTG)(n=12). The LESPG performed a Lower extremity strengthening program on the affected side. The TTG exercised on a treadmill for 30 minutes a day. Assessment tools included the Timed Up and Go test (TUG), the Functional Gait Assessment (FGA) and the Manual Function Test (MFT). There was a significant difference in TUG, FGA, and MFT scores between the two groups in the LESPG for the balance, gait, and upper limb function than for the TTG(p<.01). Results of the present study indicated that the effect of lower extremity strengthening program for 4 weeks had an effect on balance, gait and upper limb function of hemiplegic patients after stroke. 본 연구는 뇌졸중 환자에게 하지 근력강화 프로그램이 균형, 보행 및 상지 기능에 미치는 효과에 대해서 알아보았다. 신경계 손상 환자가 있는 병원을 기반으로 해서 하지 근력 강화에 대한 연구 방법을 만들어서 진행하였고, 무작위대조시험을 적용하였다. 24명의 뇌졸중 환자를 두 군으로 분류하였다. 하지 근력 강화 프로그램그룹 (Lower extremity strengthening program group, LESPG) (12명)과 트레드밀 훈련그룹 (Treadmill trainig group, TTG) (12명)으로 실험하였다. LESPG는 마비측에 하지 근력 강화프로그램을 수행하였다. TTG는 하루 30분 동안 트레드밀 운동을 적용하였다. 평가 도구는 일어나서 보행 검사(Timed Up and Go test, TUG), 기능적 보행평가 (Functional Gait Assessment, FGA) 및 뇌졸중 상지 기능검사 (Manual Function Test, MFT)를 적용하였다. 균형, 보행 및 상지 기능에 대한 두 군 간의 TUG, FGA 및 MFT 점수는 LESPG가 TTG보다 유의한 차이가 있었다(p<.01). 4주간의 하지 근력강화 프로그램의 효과는 뇌졸중 후 편마비 환자의 균형, 보행 및 상지 기능에 효과가 있었다.

신경박리가 말초 신경내 미세혈관에 미치는 영향에 관한 실험적 연구

김주오 全南大醫大 1981 전남의대학술지 Vol.18 No.2

급성 전방십자 인대손상의 치료

김주오 대한슬관절학회 1989 대한슬관절학회지 Vol.1 No.1

Concerning anterior cruciate ligament injuries, many authors reported varied types and results of treatment. The author summarized the general guide-line of operation, the principle of surgery, and the postoperative rehabilitation of anterior cruciate ligament injuries.

십자인대 및 주위조직의 미세혈관 분포 - 한국인 슬관절의 미세혈관 조영술후 소견 -

김주오,심대무,김상수,김선규 ( Ju O Kim,Dae Moo Shim,Sang Soo Kim,Seon Kyu Kim ) 대한슬관절학회 1991 Knee Surgery and Related Research Vol.3 No.1

A microangiography was done for the human knee specimen and the following findings were observed. 1. The major vascular supply of anteriar cruciate ligaments arose from the synovial tissue surrounding femoral attachments, and that of posterior cruciate ligaments arose from the synovial tissues surrounding both tibial and femoral attachments. 2. Infrapatellar fat pad gave branches to patellar tendon, but no branch to an- terior cruciate ligament or menisci. 3. The vascular supply of menisci was confined to their outer 1/3, and both horns.

골절 고정용 금속판 사용후 재질의 변화에 관한 연구

김주오,전철홍,심용석,김상수,최정기 圓光大學校 醫科學硏究所 1991 圓光醫科學 Vol.7 No.1-2

To estimate causative factors leading to failure of internal fixation devices, we performed mechanical, metallurgical and X-ray diffractional studies of plates. The study included three unused, six used, and broken one during implantation to the fractured femurs. Inner surfaces of used or broken plates revealed increased cracks and conversion of metal crystal from austenite to martensite structures, which implied that the plates became brittle. The ultimate tensile strength of used plates was increased and it meaned that the stress during implantation within the body did not weaken the ultimate tensile strength of the plates, rather made them stiff and hard. The used or broken plates were proved to lose their original ductility during implantation and became hard and brittle.

트레이드밀 전방, 후방 보행 시 속도와 경사도에 따른 하지 근활성도의 변화

김주오,인태성,Kim, Ju-O,In, Tae-Sung 대한물리치료과학회 2017 대한물리치료과학회지 Vol.24 No.1

Purpose: The purpose of this study was to investigate the changes in the activity of the thigh muscle(rectus femoris, vastus medial/ lateralis, hamstring medial/lateralis) which are caused by the change cf lower extremity muscle activity to speed and inclination during forward and backward walking on the treadmill. Method: Twenty healthy young adults were recruited. The subjects were given a warm-up for 1 minute at the speed of 2.0km/h before exercise, and 2km/h to 4km/h from 10% to 4km/h in the frontal and backward walking. Result: In the present study, it was found that the muscle activity of the lateral broad and inward wide muscles increased when the treadmill was backward for 40 seconds without training. And the femur and the muscle were significantly different from 10% to 4km/h(p<.05). Conclusion: These findings suggest that in the treadmill, it is effective in increasing the leg strength in the backward walking than in the forward walking. And it was concluded that muscle activity increased at 4km/h when the speed was 2km/h when backward walking.

대퇴골 분쇄상 간부 골절에서의 골수 내 금속판을 이용한 고정 - 1예 보고 -

김주오,정문수,박봉주 대한골절학회 2007 대한골절학회지 Vol.20 No.4

대퇴 간부 분쇄상 골절은 주 골절편의 피질골 접촉면이 적어서 불안정하여 골수내정만으로 안정성를 얻기가 어렵다. 특히 골다공증이 존재하는 경우에 한 개의 측면 금속판과 나사를 통한 고정은 나사못과 피질골 사이의 고정 실패로 인하여 불유합을 야기할 수 있다. 이에 광범위한 연부조직의 박리를 줄이고 해부학적 정렬을 이루며, 안정된 골 고정을 위해 골수 내 금속판을 조합한 이중 금속판 고정술을 시행하여 성공적인 치료를 할 수 있다.

슬관절 반월상연골판의 구조 및 운동

김주오,전철홍 ( Ju O Kim,Churl Hong Chun ) 대한슬관절학회 1991 Knee Surgery and Related Research Vol.3 No.2

ANATOMY The medial meniscus is semicircular and is narrower than the nearly circular lateral meniscus. In prenatal period the menisci are very cellular and highly vascularized throughout the subtances. After skeletal maturity, the peripheral vascularized connec- tive tissue constitutes from outer 1/3 of the total width. This vascular zone attach the meniscus to the joint capsule and probably provides the oxygen and nutrition to the outermost portion of the meniscus. The remaining (termed the midsubstance) is made up of avascular, aneural, and alymphatic fibrocartilage consisting of cells (fibrochond- rocytes) surrounded by the abundant extracellular matrix. The extracellula matrix is composed mainly of Type 1 collagen, with small quantities of proteoglycans, matrix glycoproteins and elastin. The appearance of the fibrochondrocyte is similar to chon- drocyte, yet they synthesize a fibrocartiagenous matrix. MOVEMENTS OF THE MENISCUS Flexion causes the meniscus to slide posteriorly in the tibial plateau. Because of its tight fixation to the joint capsule and medial collateral ligament, the medial meniscus is considerably less mobile fhan the lateral meniscus. With extreme flexion the posterior horn of the medial meniscus is compressed between femur and tibia and can be injured easily. A combination af sudden uncontrolled rotation and flexion-extension motion cause the injury of the meniscus, usually longitudinal tear in the medial meniscus and transverse or langitudinal tear in the lateral meniscus.