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NTIS 바로가기대한정형도수물리치료학회지 = The Journal of Korean Academy of Orthopedic Manual Physical Therapy, v.25 no.2, 2019년, pp.65 - 72
안승원 (동국대학교 일산병원 물리치료실) , 정영준 (구미대학교 물리치료과) , 정상모 (경인의료재활센터병원 재활센터)
Background: The purpose of this study was to investigate into the effects of physical therapy intervention with local vibration on pain, ROM (range of motion) and psychological status in multiple trauma patients caused by traffic accident. Methods: A patient with multiple trauma were recruited. Befo...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
중증외상환자의 특성은? | 중증외상환자의 특성은 다른 질환과는 다르며 빠른 시간 안에 적절한 치료를 받지 못할 경우 사망 및 후유증으로 인한 영구적 장애를 남길 가능성이 높다. 따라서 사고 발생 후에 신속하고 적절한 외상처치가 중요하다(You, 2012). | |
인위적인 체성감각 (somatosensory) 자극 중 부작용이 적은 것은? | 최근에 여러 연구를 통하여 인위적인 체성감각 (somatosensory) 자극이 신체 기능 향상 및 통증 감소에 긍정적 영향을 미친다는 것이 보고되고 있다(Celnik 등, 2007; Noma 등, 2012; Steyvers 등, 2003). 특히 체성감각을 자극하는 진동자극은 다양한 운동방법과 상관없이 제공이 용이하고, 자극의 혐오성과 같은 부작용이 적어 의료재활분야에서 활발한 연구가 이루어지고 있다(Cardinale와 Wakeling, 2005). | |
PTSD는 어디에 영향을 끼치는가? | PTSD는 반복적이고 침습적인 회상이나 꿈을 통한 외상의 재경험, 외상과 관련한 자극에 대한 지속적인 회피 반응과 감각마비, 지속적으로 증가된 각성 증상을 보이며, 3개월 이상 만성화가 되기도 한다(American Psychiatric Association, 2000). 또한 PTSD는 자율신경계, 시상하부-뇌하수체-부신의 축(hypothalamo-pituitary-adrenal axis, HPA axis), 스트레스 호르몬에 양향을 준다고 알려져 있으며, 신체화 경향이나 의학적으로 설명되지 않은 통증과 가장 강한 관계를 보이는 정신과 질환 중 하나이다(McFarlane, 2010). |
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