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      • 견관절 후방 불안정성

        정진영,Jeong, Jin-Young 대한정형외과스포츠의학회 2011 대한정형외과스포츠의학회지 Vol.10 No.1

        Rotator cuff disease is one of the most common shoulder problems. When dealing with patients suffering from rotator cuff disease, whether to perform surgery or not is the most common difficulty faced by the outpatient clinic. Choosing the adequate operation time as well as the method of operation is important when deciding to perform surgery. Selecting the type of non-surgical treatment is an important issue when opting not to perform surgery. This review article will focus on the decision-making process involved in the treatment of rotator cuff disease. 회전근 개 질환은 임상에서 대하는 가장 흔한 견관절 질환이다. 증상을 호소하는 회전근 개 파열 환자를 대하게 되면 수술을 시행할 것인지, 아니면 비수술적 치료를 시행할 것인지의 결정은 진료실에서 당면하는 가장 흔한 과제이다. 그리고 수술적 치료를 선택한다면, 언제 할 것인지, 어떤 수술방법을 선택할 것인지의 결정도 중요하며, 수술을 시행하지 않는 경우는 어떤 치료를 해야 할 것인지 또한 흔히 겪는 문제이다. 본 종설에서는 회전근 개 파열의 경우 언제 수술하나에 해당하는 수술의 적응증과, 수술하지 않는 경우는 어떻게 치료할 것인가? 라고 하는 비수술적 치료의 적응증에 관하여 기술하고자 한다.

      • KCI등재

        병원 근무자의 요통 발생 요인에 관한 연구

        정진영,손경현,Jeong, Jin-Young,Son, Kyung-Hyun 대한물리치료과학회 2009 대한물리치료과학회지 Vol.16 No.3

        Background: The purpose of this research was to investigate the factors affecting the low back pain of workers in hospital. 214 subjects waking at two general hospitals in Yosu city participated in this survey. Subjects consisted of doctors, nurses, medical engineers, officers and general laborers. The survey data were collected by a written questionnaire which made out by themselves for 25 days, from fourth August to 29th August, 2008. Methods: The questionnaire consisted of four categories, general, occupational, working habitual and the daily living characteristics. The collected data were analyzed by Chi-square test based on the present or absent of low back pain. Results: 1. In the general characteristics, low back pain had no significant relationship to all factors, sex, ago, body mass index, weight and height. 2. In the occupational characteristics, the phase of distribution of low back pain had statistical significant differences in the working hours a week, satisfaction of pay, satisfaction of occupation(p<0.05). However low back pain did not significantly related to the kind of occupation, period of work and degree of stress. 3. In the habitual characteristics, low back pain was significantly influenced by working posture, frequency of using lumbar and heavy material lifting, monotonous repetition of working operation and noise(p<0.05). No significant difference was shown in the factor of convenience of chair. 4. In the daily living characteristics, low back pain shown the significant differences in walking time a day, status of health and smoking pattern(p<0.05). there were, however, no significant differences in the aspect of the kind of house and bed, sleeping attitude, driving, riding time on the vehicle, exercising, frequency of cultural life and drinking alcohol. Conclusion: when I see above resultants totally, it appears a higher incidence caused by working environment rather than living habit and then consequently compared to hospital workers, they also have high incidence like others. In order to reduce incidence of low back pain and enjoy the our life we need to educate ourselves preventing program for low back pain and try to effort for preventing of low back pain on each department and individual.

      • 정복 불가능한 슬관절 탈구의 관절경적 치료

        정진영,Jeong, Jin-Young 대한관절경학회 2009 대한관절경학회지 Vol.13 No.2

        외상성 슬관절 탈구 중 도수 정복되지 않는 경우는 매우 드물며 대개는 관혈적 정복술을 요한다. 본 증례는 도수 정복되지않는 슬관절 탈구에 대한 관절경적 치료 경험으로 자기공명 영상에서 정복을 방해하는 내측 인대 및 관절낭 구조물을 관찰하고 관절경 검사로 확인한 후 대퇴골 내측와가 완전히 관찰되고 관절이 정복 될 때까지 끼어있는 조직을 제거하였으며 인대 봉합이나 재건술은 시행하지 않았다. 술 후 약 4주간의 신전상태에서 고정 후 점진적인 관절운동 및 체중부하 보행을 허용하였다. 3년 추시 관찰에서 경도의 슬관절 불안정성은 있었으나 일상생활에 지장 없었으며 정상범위의 관절운동범위를 회복하였다. Irreducible knee dislocation is a rare injury and often need an open procedure with ligaments reconstruction. This report describes a case of arthroscopic treatment of a patient with traumatic knee dislocation unable to reduce in a closed method. MRI revealed incarceration of the medial collateral ligament and capsule in the medial compartment. And arthroscopic examination confirmed incarcerated medial capsuloligamentous structures which prevented the knee from reduction. Arthroscopic procedure without ligaments reconstruction was complete when the medial condyle was well visualized and the knee reduced. After 4 weeks of immobilization in extension, range of motion exercise and gradual increases in weight bearing was allowed. At the 3- year follow-up, mild laxity was remained but the patient did not have any discomfort of doing ADL activity and showed full range of motion of the knee.

      • KCI등재

        춘천지역 중년과 노인의 고혈압 인지율, 치료율, 조절률 및 인지율 관련 요인: 한림노년연구(HAS)

        정진영,최용준,장숙랑,홍경순,최영호,최문기,김동현,Jeong, Jin-Young,Choi, Yong-Jun,Jang, Soong-Nang,Hong, Kyung-Soon,Choi, Young-Ho,Choi, Moon-Ki,Kim, Dong-Hyun 대한예방의학회 2007 예방의학회지 Vol.40 No.4

        Objectives : To estimate the awareness, treatment and control rate, as well as to identify the awareness-related factors for hypertension. Methods : The study participants were 482 adults (men 206, women 276), aged 45 or over, diagnosed with hypertension and living in Chuncheon. The awareness rate was defined as the proportion of persons among those with hypertension who had previously been diagnosed by a physician. The treatment rate was defined as the proportion of persons who had used anti-hypertensive medication, among those who were aware of their hypertension. The control rate was defined as the proportion of persons who kept blood pressure normal, among those who had been treated for their hypertension. Multivariable logistic regression analysis was carried out for the awareness-related factors using SAS VER 8.1. Results : The awareness, treatment, and control rate were 55,8% (53.4% for men; 57.6% for women), 89.6% (87,2% for men; 91.2% for women), and 34.4% (28.1 % for men; 38.6% for women), respectively. The awareness-related factors included a family history of hypertension (odds ratio[OR], 5.63; 95% confidence interval[95% CI]=1.53-20.72), smoking([Ex; OR 0.38, 95% CI= 0.15-0.96)], [Current; OR 0.28, 95% CI=0.10-0.80]), and alcohol intake ([Ex; OR 3.22, 95% CI 1.03-10.09],[Current; OR 3.36, 95% CI=1.30-8.71]) for men, and education(OR 2.23, 95% CI=1.10-4.53), body mass index(OR 2.72, 95% CI=1.13-6.53), and self-rated health(OR 2.38, 95% CI=1.07-5.30) for women. Conclusions : The awareness rate of hypertension among the middle aged and elderly in Chuncheon was 55.8%. The related factors of awareness were gender specific. Further studies are needed to elucidate the putative reasons for these gender differences.

      • KCI등재

        최대 신장성 수축 운동 후 인체 족배굴곡근 건막의 탄성 변화

        정진영 ( Jin Young Jeong ),이성철 ( Sung Cheol Lee ),이해동 ( Hae Dong Lee ) 한국운동역학회 2011 한국운동역학회지 Vol.21 No.2

        The purpose of this study was to investigate changes in elastic properties of tendon structure of human ankle dorsiflexor following eccentric exercise. Six male subjects(age: 27.3±2.0years, height: 180.3±1.4cm, weight: 82.6±5.3kg) and three female subjects(age: 26.7±2.9years, height: 170.0±4.2cm, weight: 66.6±1.4kg) performed a single bout eccentric exercise consisting of 120 repetitions of maximum eccentric contractions. Prior to and following the eccentric exercise, isometric ankle dorsiflexion strength along with longitudinal ultrasound image of the tibialis anterior(TA) were collected. Muscle strength decreased about 30% after eccentric exercise. From the muscle strength vs. aponeurosis elongation curve, we obtained an index of stiffness. Stiffness of deep aponeurosis of the TA was assessed and found to be decreased from 87.4±33.56 N/mm to 73.1±23.52 N/mm. The results of this study suggest that decrease in stiffness of the TA aponeurosis following eccentric exercise might have significant implications to functions of the muscle-tendon complex and the involved joint motion and provide better understanding of eccentric exercise in the fields of training and rehabilitation.

      • 성별 및 채뇨 시각별 <SUP>1</SUP>H NMR 기반 뇨 대사체 프로파일링 연구

        정진영(Jin-Young Jeong),황금숙(Geum-Sook Hwang),박종철(Jong-Chul Park),김동현(Dong-Hyun Kim),하미나(Mina Ha) 환경독성보건학회 2010 환경독성보건학회지 Vol.25 No.4

        Objectives : This study was undertaken to examine the metabolomic changes due to gender and diurnal variation at sampling time and to identify an appropriate time point for urine sampling in epidemiologic studies using metabolomic profiles. Methods : Urine samples were collected twice a day (morning and afternoon) from 20 healthy Korean adults after fasting for 8 hours. The metabolomic assay was investigated using H NMR spectroscopy coupled with the principal components analysis (PCA) and partial least squares discriminant analysis (PLS-DA). The metabolites responsible for differentiation between groups were identified through the loading plot of PLS-DA and quantified using Chenomx NMR Suite with a 600 ㎒ library. Results : Metabolites responsible for differentiation in gender and sampling time were creatinine, trimethyl anine oxide (TMAO), hippurate, mannitol, citrate and acetoacetate. Dimethylamine showed difference only as a factor of diurnal time. The level of creatinine was higher in men compared to women, and the levels of citrate, TMAO, hippurate, mannitol, and acetoacetate were higher in women compared to men. The levels of creatinine, TMAO, hippurate, dimethylamine and mannitol were higher in the morning rather than the afternoon while those of citrate and acetoacetate were higher in the afternoon rather than the morning. Conclusions : Since urinary metabolomic profiles varied by gender and diurnal cycle, urine sampling should be performed at the same time point for all participants in epidemiologic studies using metabolomic profiles.

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