ÀϹݰøÁö
º¸Çè°øÁö
ȸ¿ø¼Ò½Ä
°¢Á¾Çà»çÀÏÁ¤
  ÇÐȸ¼Ò½Ä > ÀϹݰøÁö
2020 ¿Â¶óÀÎ ¸®ºäÄÚ½º Áú¹®¿¡ ´ëÇÑ ´äº¯ÀÔ´Ï´Ù.
» ÀÛ¼ºÀÚ : ´ëÇÑÀÓ»óÅëÁõÇÐȸ » ÀÛ¼ºÀÏ : 2020-12-14 » Á¶È¸ : 56
» ÷ºÎÆÄÀÏ : ÷ºÎÆÄÀÏÀÌ ¾ø½À´Ï´Ù.

´ëÇÑÀÓ»óÅëÁõÇÐȸ 2020 ¿Â¶óÀÎ ¸®ºäÄÚ½º Áú¹®¿¡ ´ëÇÑ ´äº¯ÀÔ´Ï´Ù.




Áú¹®: 




ºê·¡´ý¿¡¼­ artificial hip joints with polyethylene liner ¿¡´Â ultrasound°¡ ±Ý±â·Î ³ª¿Í Àִµ¥¿ä. ¼Ò°³ÇØÁֽй®Á¦¿¡¼­ THR ȯÀÚ¿¡¼­ ultrasound¸¦ »ç¿ëÇÏ¿´½À´Ï´Ù. THRÀÇ °æ¿ì º¸Åë Àú·± plastic materialÀ» »ç¿ëÇÏÁö ¾Ê¾Æ¼­ US¸¦ »ç¿ë °¡´ÉÇÑ°Í ÀÎÁö¿ä?




´äº¯: 




(¼ÒÀ±¼ö ¼±»ý´Ô)




¸Â½À´Ï´Ù. polyethylene Àº ±Ý±â ÀÔ´Ï´Ù. ¹®Á¦¿¡¼­ ÃæºÐÈ÷ ¼³¸íÇÏÁö´Â ¸øÇÑ°Í °°½À´Ï´Ù.
ÇÏÁö¸¸ ÃÖ±Ù ¼ö¼úÀº °ÅÀÇ ´ëºÎºÐ ¼¼¶ó¹Í ceramic °üÀý¸éÀ» °¡Áø THR À» »ç¿ëÇϱ⠶§¹®¿¡ »ç¿ë °¡´ÉÇÒ°ÍÀ¸·Î º¸ÀÔ´Ï´Ù.
¹®Á¦¿¡¼­ Á¤È®È÷ ceramic À¸·Î ¸í½Ã ÇØ¾ß µÉ°Í°°½À´Ï´Ù.
Áú¹® °¨»çÇÕ´Ï´Ù.







Áú¹®:




manipulation¿¡¼­ thrustÀÇ ±Ý±â·Î ASÀÇ inflammatory phase°¡ Àִµ¥¿ä. ´Ù¸¥ phaseÀÇ AS¿¡¼­´Â ÀÌ¿ëÀÌ °¡´ÉÇÑÁö¿ä?







´äº¯: 




(±è±â¿í ¼±»ý´Ô)




Áú¹® °¨»çµå¸³´Ï´Ù. Delisa p 1723¿¡ thrustÀÇ CIxÀ¸·Î spondyloarthropathy·Î Á¦½ÃÇÏ¿´½À´Ï´Ù. Spondyloarthropathy´Â ±Ý±â·Î ¾Ë°í °è½Ã¸é µÇ°Ú½À´Ï´Ù. 







Áú¹®: Low back painÀÌ mainÀÎ ÁúȯÁß¿¡ ZPP joint pain¸»°íµµ discogenic pain (external annulus fiberÂÊ)µµ °¡´ÉÇѰ¡¿ä? ±×·³ ±× µÎ°¡ÁöÀÇ °¨º°Àº ¾î¶»°Ô ÇÒ ¼ö ÀÖÀ»Áö¿ä?







´äº¯:




(±è³«È¯ ¼±»ý´Ô)




±³°ú¼­¿¡¼­ Á¦½ÃµÈ leg painº¸´Ù back painÀÌ ÁÖÁõ»óÀÎ °æ¿ì·Î¼­ Zygapophyseal joint¿Í discogenic pain (internal disc disruption)¿¡ ´ëÇØ ¾ð±ÞÇϰí ÀÖ½À´Ï´Ù. µÎ Áúȯ¿¡ ´ëÇÑ °¨º°Àº ÀÓ»óÀûÀ¸·Î ¾î·Á¿î ½ÃµµÀÎ µ¿½Ã¿¡, Áõ»ó°ú ¡Èĸ¸À¸·Î Áø´ÜÀû ±âÁØÀ» ¼³Á¤ÇÏ´Â °ÍÀº ÇâÈÄ Ä¡·á°èȹÀ» ¼¼¿ì´Â µ¥ Å« µµ¿òÀÌ µÇÁö ¾Ê¾Æ¼­ Zygapophyseal joint ȤÀº medial branchÀÇ diagnostic blockÀ» ½ÃµµÇϰųª, provocation discography¸¦ ÅëÇØ¼­ Áø´Ü ½Ãµµ¸¦ ÇÏ°Ô µË´Ï´Ù.
ÆíÃø ´ÜÀÏ ºÎÀ§ÀÇ Zygapophyseal joint-origin painÀº ÇØ´ç ºÎÀ§¿¡ stress °¡ÇÏ¿© ÅëÁõ À¯¹ßÀ» º¸´Â °ÍÀÌ Áø´ÜÀûÀ̶ó°í ÇÕ´Ï´Ù. (DeLisa, Part 1 PRINCIPLES OF ASSESSMENT AND EVALUATION, EXAMINATION OF THE LUMBAR SPINE) ÀÌ ¹æ¹ýÀ¸·Î L-spine extension postion during standingÀ» ½ÃÇàÇϰųª ´õ ÈçÈ÷´Â supine position ¿¡¼­ ÀǽɵǴ Zygapophyseal joint À§Ä¡¿¡ »ó´ëÀûÀÎ ¾ÐÅëÀ» È®ÀÎÇÒ ¼ö ÀÖ½À´Ï´Ù. L-spine motionÀ» ÀÌ¿ëÇÑ ÅëÁõ ÀÚ±Ø ¹æ½ÄÀÇ Áø´ÜÀ» ¸®¼­Ä¡¿¡¼­ »ç¿ëÇϱ⵵ Çϴµ¥, ±³°ú¼­¿¡´Â ¼ö·ÏµÇ¾î ÀÖÁö ¾Ê½À´Ï´Ù. Zygapophyseal joint-origin pain¿¡ ¿µ»óÀÇÇÐÀû ¼Ò°ßÀ» Âü°íÇÒ ¼ö ÀÖÀ¸³ª ƯÀ̵µ°¡ ³ôÁö´Â ¾Ê½À´Ï´Ù.
Internal disc disruption, discogenic pain µî ´Ù¸¥ ¿ë¾î·Î À¯»çÇÑ °³³äÀ» ¼³¸íÇϰí ÀÖ½À´Ï´Ù. Axial back painÀÌ ÁÖÁõ»óÀÎ ÀÌ ÁúȯÀº ¸¸¼ºÀûÀ̰í Á¡ÁøÀû ¾ÇÈ­¸¦ Ư¡À¸·Î Çϸç Ã༺ ºÎÇÏ¿¡ ÅëÁõÀÌ ¼­¼­È÷ ¾ÇÈ­µÇ°í Áö¼ÓµÇ´Â ¾ç»óÀ» º¸ÀÔ´Ï´Ù. Spine motion¿¡ ¿µÇâÀ» ¹ÞÁö¸¸, ƯÁ¤ ¿òÁ÷ÀÓ¿¡ ±ÞÀÛ½º·± ÅëÁõÀº µå¹°´Ù°í ¾Ë·ÁÁ® ÀÖ½À´Ï´Ù. ´ë°³´Â instability test¿¡¼­ ¾ç¼ºÀ» º¸ÀÔ´Ï´Ù. Á¾ÇÕÀûÀÎ Æò°¡À̰í Áø´ÜÀÇ gold standard´Â provocation discography¶ó°í ±³°ú¼­ÀûÀ¸·Îµµ ¼³¸íÇϰí ÀÖ½À´Ï´Ù¸¸, Ãß°£ÆÇ ³» ½Ã¼ú¿¡ ´ëÇÑ ºÎÁ¤ÀûÀÎ ¿¬±¸ °á°úµé·Î ÀÎÇØ ³í¶õÀÌ Àֱ⵵ ÇÕ´Ï´Ù.
´äº¯ÀÌ µÇ¼Ì±â¸¦ °í´ëÇÕ´Ï´Ù.







Áú¹®: 




ÁÁÀº °­ÀÇ °¨»çµå¸³´Ï´Ù. À̹ø ¼½¼Ç µÎ¹øÂ° °­ÀÇ¿¡¼­´Â ÀӽźΠlbp¿¡¼­ age°¡ risk factor·Î ¸»¾¸ÇØÁ̴ּµ¥ À̹ø °­ÀÇ¿¡¼­´Â ¾Æ´Ï¶ó°í ¼Ò°³¸¦ ÇØÁּż­ Ȥ½Ã ¾î¶»°Ô º¸´Â °ÍÀÌ ¸Â´ÂÁö ¿©Âã½À´Ï´Ù.







´äº¯:




(À¯Áö¼º ¼±»ý´Ô)




Braddom¿¡¼­ Á¤¸®µÈ °Í¿¡ µû¸£¸é preganancy¿¡¼­ persistent low back pain°ú pelvic floor dysfunction ÀÇ risk factor°¡ Â÷À̰¡ ÀÖ½À´Ï´Ù.
1. Risk factors for persistent back pain after pregnancy ¿¡¼­ risk factor´Â
Both low back pain and pelvic girdle pain, pain occurring in early pregnancy, weakness of back extensors, older patients, and those with work dissatisfaction




pregnancy and postpartum pelvic floor dysfunction ¿¡¼­ risk factor´Â
Risk factors: History of low back pain, previous trauma to the pelvis
Probable risk factors: Parity and workload
Not risk factors: Use of oral contraceptive pills, time interval since last pregnancy, height, weight, smoking, age
À¸·Î Á¤¸®µÇ¾î ÀÖ½À´Ï´Ù.







(±è³«È¯ ¼±»ý´Ô)




¿ì¼± ÀÓ»êºÎ ¿äÅë ȤÀº Àӽżº ¿äÅë¿¡ ´ëÇÑ ÇмúÀû Á¤Àǰ¡ »ç½Ç»ó ºÒºÐ¸íÇÕ´Ï´Ù. ´Ù¸¸ ÀӽŠ»óÅ¿¡¼­ ¾ÇÈ­µÇ°Å³ª ¾ÇÈ­µÇ´Â ÅëÁõÀ¸·Î ôÃßÀÇ ±¸Á¶º´¸®Àû º¯È­°¡ ºÒºÐ¸íÇÑ °æ¿ì·Î ÇÑÁ¤ÇÏ¿© ³íÀÇÇÏ´Â °Í °°½À´Ï´Ù. ¿¹¸¦ µé¾î ÀӽŠÁß¿¡µµ Ãß°£ÆÇÅ»ÃâÁõÀÌ ¹ß»ýÇÒ ¼ö Àִµ¥ À̰ÍÀº Àӽżº ¿äÅëÀÇ ³íÀÇ ´ë»ó¿¡¼­ Á¦¿ÜµË´Ï´Ù.
¾Æ¸¶, Lumbar spine °­ÀÇ¿Í Pelvic Floor disorders °­ÀÇ ³»¿ëÀÌ »óÀÌÇÏ°Ô ¹Þ¾ÆµéÀ̽Š°Í °°½À´Ï´Ù. Lumbar spine °­ÀǸ¦ ¸ÃÀº ¿¬Àڷμ­, ¿¬·ÉÀÌ Àӽżº ¿äÅë ¹ß»ýÀÇ À§ÇèÀÎÀÚ°¡ ¾Æ´Ï¶ó, °í·ÉÀÌ Àӽżº ¿äÅë ÀÌÈÄ (Ãâ»ê ÈÄ)¿¡µµ Áö¼ÓµÇ´Â ¿äÅëÀÇ À§ÇèÀÎÀÚ·Î ¼Ò°³ÇÏ¿´½À´Ï´Ù. °­ÀÇ·ÏÀ» ´Ù½Ã Çѹø È®Àιٶø´Ï´Ù. ±×¸®°í ´ÙÃâ»êÀÇ °æ¿ì ¿äÅëÀÇ À§Çèµµ°¡ ³ô¾ÆÁö´Âµ¥ ÀÌ °æ¿ì´Â Àӽżº ¿äÅë¿¡ ±¹ÇÑµÈ °ÍÀº ¾Æ´Õ´Ï´Ù.
´äº¯ÀÌ µÇ¼Ì±â¸¦ °í´ëÇÕ´Ï´Ù.








¹øÈ£ Á¦¸ñ ÀÛ¼ºÀÚ ÀÛ¼ºÀÏ Ã·ºÎ Á¶È¸
* ¿äõÃßÃß°£ÆÇÅ»ÃâÁõ Áø·áÁöħ °ü¸®ÀÚ 2018-11-21 2599
* ÀÔȸºñ ¹× ¿¬È¸ºñ °øÁö ´ëÇÑÀÓ... 2010-10-14 9999
403 ´ëÇÑ¿¬ÇÏÀå¾ÖÇÐȸ 2021³â Á¦9Â÷ ¿¬ÇÏÀå¾Ö Àü¹®Ä¡·á°úÁ¤... °ü¸®ÀÚ 2020-12-18 27
2020 ¿Â¶óÀÎ ¸®ºäÄÚ½º Áú¹®¿¡ ´ëÇÑ ´äº¯ÀÔ´Ï´Ù. ´ëÇÑÀÓ... 2020-12-14 56
401 2020³â ¿Â¶óÀÎ ¸®ºäÄÚ½º ÆòÁ¡ À̼ö ³»¿ª °ü¸®ÀÚ 2020-12-10 193
400 2020³â ´ëÇѽºÆ÷Ã÷°úÇС¤¿îµ¿ÀÇÇÐȸ Ãß°èÇмú´ëȸ °ü¸®ÀÚ 2020-11-27 75
399 2020 Ãß°èÇмú´ëȸ Áú¹®¿¡ ´ëÇÑ ´äº¯ÀÔ´Ï´Ù. ´ëÇÑÀÓ... 2020-11-24 136
398 2020³â Ãß°èÇмú´ëȸ ÆòÁ¡ À̼ö ³»¿ª °ü¸®ÀÚ 2020-11-20 223
397 ´ëÇÑÀÓ»óÅëÁõÇÐȸ 2020 ¿Â¶óÀÎ ¸®ºäÄÚ½º °ü¸®ÀÚ 2020-11-20 162
396 ´ëÇѳëÀÎÀçȰÀÇÇÐȸ¡¤´ëÇѾÏÀçȰÇÐȸ 2020³â ¸®ºäÄÚ½º °ü¸®ÀÚ 2020-11-17 54
   1  ·  2  ·  3  ·  4  ·  5  ·  6  ·  7  ·  8  ·  9  ·  10   


[02447] ¼­¿ï µ¿´ë¹®±¸ °æÈñ´ë·Î 23 (ȸ±âµ¿) (°æÈñ´ëÇб³º´¿ø ÀçȰÀÇÇаú ³»)
TEL : (¹®Àǽð£: 9½Ã-17½Ã) 02-958-8567 FAX : 02-958-8557 E-mail : kapainmed@hanmail.net
Copyright by The Korean Association of Pain Medicine. All rights reserved