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- 주제어 : Brachial plexus lesion (검색결과 5 건)
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절전, 절후 신경손상을 동반한 상완신경총병증 환자에서 시행한 척수자극술 −증례보고−
홍지희,장현석 대한통증학회 2008 The Korean Journal of Pain Vol.21 No.3
After a traumatic brachial plexus injury, 80% of patients develop severe pain in the deafferentated arm. This type of pain is considered very resistant to many forms of therapy. When we plan treatments for the patient who suffer from a pain from traumatic brachial plexus injury, clarifying the location of injured nerve is very important. EMG (electromyography), NCV (nerve conduction study), MRI (magnetic resonance imaging) and CT (computed tomography) myelography are recommended diagnostic method for this purpose. Here, we presented a patient who was suspected to have both preganglionic and postganglionic brachial plexus lesion by EMG and NCV study, he showed favorable response after spinal cord stimulation. (Korean J Pain 2008; 21: 244-247)
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Neuromuscular Skeletal Plasticity Moving on from Traditional Physiotherapy Concepts
Renata Horst 대한고유수용성신경근촉진법학회 2009 PNF and Movement Vol.7 No.1
Purpose:N.A.P.(Neuromuscular Skeletal Plasticity) an integrative neuro-orthopedic concept to facilitate motor strategies in daily life. The primary thesis is, that treatment of body functions and structural impairments should be integrated within goal-oriented activities. The purpose of this article is to demonstrate that the functional activity itself, determines the structure. Material and Methods:A case report of a dentist with brachial plexus lesion after a motor vehicle accident is presented. The necessity for training body functions within relevant tasks is undermined by references which emphasize the importance of training realistic activities to enhance long-term changes in neural representation. Results:The treatment methods presented in this case show significant effects for the patient´s ability to participate in his profession within less than a year´s time after his motor vehicle accident. Conclusions:Current evidence supports the treatment methods of this concept. The inability to flex his elbow and supinate his forearm placed a considerable doubt to his ability to ever be able to participate in his profession again. Structural reorganization is possible and depends on functional demands, which need to be trained task-specifically. Single case reports may serve as the basis for further randomized controlled studies to support the efficacy of the treatment methods within the N.A.P. concept.
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Neuromuscular Skeletal Plasticity Moving on from Traditional Physiotherapy Concepts
Horst, Renata Korea Proprioceptive Neuromuscular Facilitation As 2009 PNF and Movement Vol.7 No.1
Purpose : N.A.P.(Neuromuscular Skeletal Plasticity) an integrative neuro-orthopedic concept to facilitate motor strategies in daily life. The primary thesis is, that treatment of body functions and structural impairments should be integrated within goal-oriented activities. The purpose of this article is to demonstrate that the functional activity itself, determines the structure. Material and Methods : A case report of a dentist with brachial plexus lesion after a motor vehicle accident is presented. The necessity for training body functions within relevant tasks is undermined by references which emphasize the importance of training realistic activities to enhance long-term changes in neural representation. Results : The treatment methods presented in this case show significant effects for the patient's ability to participate in his profession within less than a year's time after his motor vehicle accident. Conclusions : Current evidence supports the treatment methods of this concept. The inability to flex his elbow and supinate his forearm placed a considerable doubt to his ability to ever be able to participate in his profession again. Structural reorganization is possible and depends on functional demands, which need to be trained task-specifically. Single case reports may serve as the basis for further randomized controlled studies to support the efficacy of the treatment methods within the N.A.P. concept.
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Dorsal Root Eentry Zone Operation for Brachial Plexus Avulsion Pain
Hwang, Sung Nam,Kwon, Jung Taek,Chang, Tae Sik,Park, Kwan,Kim, Young Baeg,Choi, Duck Young 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.7
1976년 Nashold에 의해 상박신경총 손상후 통증에 대한 척수후근 진입후 수술이 처음 도입 된 이래 이 수술법은 여러 종류의 통증질환에 시도되어 왔다. 이 수술법이 특히 상박신경총 손상후 통증에 가장 효과적임은 널리 입증되어 있으나 일부 환자에서는 수술후 통증이 지속되거나 수개월후 재발하는 경우가 있다. 이러한 실패의 원인은 알려져 있지 않으나 통증의 원인이 되는 비정상 세포가 수술시 완전히 파괴되지 않고 일부가 남아 통증을 일으킬 것으로 추측된다. 이에 저자는 2례의 환자에서 지금까지의 문헌보고의 방법보다 더욱 많은 척수후근 진입후 파괴를 하여 비록 4개월 간의 짧은 추적 결과이지만 좋은 결과를 얻었기에 이를 보고한다. Dorsal root entry zone operation has been applied to various pain syndromes since Nashold first introduced this procedure to brachinal avulsion(BPA) pain in 1976. Although this procedure is very effective in BPA pain, some of the patients are not benefited and some show recurrences after several months. The cause of these unhappy results are unknown but we speculate that in certain failed cases some of the diseased neurons escaped from destruction during radiofrequency thermocoagulation. In this report we present two cases of BPA pain which were succesfully treated by making more compact DREZ to make more complete neural destruction than previous reports.
ScienceON
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