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위식도 역류질환이 수면무호흡증의 증상과 수술 결과에 미치는 영향
한바다,예미경,김유리,신선미,신승헌 대한비과학회 2012 Journal of rhinology Vol.19 No.1
Background : Gastroesophageal reflux (GER) is characterized by the retrograde movement of gastric contents into the esophagus and laryngopharynx. Recent studies have described a relationship between GER and obstructive sleep apnea (OSA). The aim of this study was to determine whether the presence of GER affects the symptoms and treatment results of OSA. Methods : One hundred twenty-seven OSA patients were enrolled in this study. All subjects underwent overnight polysomnography. Objective symptoms were evaluated using the Epworth Sleepiness Scale (ESS), the Stanford Sleepiness Scale (SSS), the Pittsburgh Sleep Quality Index (PSQI) and Korean version of the World Health Organization Quality of Life Assessment Instrument-BREF (WHOQOL). Diagnosis of GER was based on the Korean version of GER questionnaires. Post-operative subjective symptoms were evaluated 3 months after uvulopalatopharyngoplasty. Results : Body mass index, ESS, and SSS were significantly higher in the GER group, but polysomnographic parameters were not different between two groups. In the GER group, post-operative overall health quality was significantly improved, but the subjective symptoms were not different between the two groups. Conclusions: Although the prevalence of GER was higher in OSA patients, GER did not significantly influence OSA symptoms and post-operative results.
그라스톤을 이용한 연부조직가동술과 근에너지기법이 발목관절 가동성과 장딴지근 깃각 및 압통에 미치는 영향
한바다,심재훈,이형렬 한국신경근육물리치료학회(구 한국신경근육재활학회) 2020 한국신경근육재활학회지 Vol.10 No.1
This study aimed to identify alterations in the pennation angle of the gastrocnemius, active ankle dorsiflexion range-of-motion and pressure pain threshold in response to passive stretching(PS), instrument assisted soft tissue mobilization (IASTM) using Graston, and muscle energy technique (MET). Twenty-four people with no orthopedic or neurological diseases volunteered to participate in the study. Their both legs were allocated either the PS, IASTM, or MET groups, 16 in each. Outcome measure included the pennation angle of the gastrocnemius, active ankle dorsiflexion range-of-motion and pressure pain threshold. Intervention was a 4 repetitions of 30-sec stretch for the PS group, a 2-min sweeping the soft tissue for the IASTM, and a 8 repetitions of isometric contraction and 7-sec relaxation for the MET group. As a result of this study, pre- and post-treatment changes in the pennation angle and range-of-motion were significantly different for the three groups(p<.01). Pre- and post-treatment changes in the pressure pain threshold were significantly different for the IASTM and MET groups(p<.05). But not different for the PS groups(p>.05). There were found statistically significant differences in the active ankle dorsiflexion ROM between the PS group and the others.(p<.05). This study suggests that IASTM and MET are more recommended than PS to increase the active ankle dorsiflexion ROM effectively.
한바다,이재욱,김민경,김정규 대한이비인후과학회 2012 대한이비인후과학회지 두경부외과학 Vol.55 No.10
Inflammatory myofibroblastic tumor (IMT), which is composed of spindle shaped myofibroblasts accompanied by an inflammatory infiltrate, is an uncommon neoplasm. Herein we present a rare case of an IMT of the parotid gland. The patient was a 56-year-old woman with parotid mass, which developed a tingling sensation around the mouth angle when the mass was palpated. Ultrasound and CT scan showed a parotid mass with an ill-defined margin. Preoperative gun biopsy showed spindle shaped cell proliferation without cytological atypia. Surgery revealed that the mass was adhesive to buccal branch of facial nerve without encapsulation. The adhesive part of the facial nerve was excised with mass due to the possibility of malignancy. The final pathological report confirming IMT became available following the surgery. We stress that confirmation of IMT should be included in the differential diagnosis of parotid mass which shows spindle shaped cells in histology.