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<p></p><table class="protectTable" id="protectTable" style="font-family: 굴림, gulim, tahoma, sans-serif; font-size: 12px; line-height: 1.6; width: 712px; border-collapse: collapse;"><tbody><tr style="line-height: 1.6;"><td style="font-family: 굴림, gulim, tahoma, sans-serif; font-size: 12px;"><p style="word-wrap: normal; word-break: normal;"></p><div style="font-family: 돋움; line-height: 18px; color: rgb(109, 109, 109); text-align: justify; background-color: rgb(255, 255, 255);"><p style="color: rgb(68, 68, 68); font-family: gulim; line-height: 19px; text-align: start; background-color: rgb(254, 254, 254);"><b><span style="color: rgb(9, 0, 255);">There is emerging evidence that PT management may suffice </span><span style="font-size: 9pt; line-height: 1.6; color: rgb(9, 0, 255);">for patients with </span><span style="font-size: 9pt; line-height: 1.6; color: rgb(9, 0, 255);">benign paroxysmal positional vertigo, cervicogenic dizziness, and musculoskeletal </span><span style="font-size: 9pt; line-height: 1.6; color: rgb(9, 0, 255);">impairments</span><span style="font-size: 9pt; line-height: 1.6; color: rgb(9, 0, 255);"> leading to dysequilibrium. </span></b></p><p style="color: rgb(68, 68, 68); font-family: gulim; line-height: 19px; text-align: start; background-color: rgb(254, 254, 254);"><br></p><p style="color: rgb(68, 68, 68); font-family: gulim; line-height: 19px; text-align: start; background-color: rgb(254, 254, 254);">- 양성 돌발성 자세성 현훈, 경추성 어지러움, 근육장애로 야기되는 평형장애 환자는 물리치료로 치료될 수 있는 강력한 증거들이 떠오르고 있음. </p><p style="color: rgb(68, 68, 68); font-family: gulim; line-height: 19px; text-align: start; background-color: rgb(254, 254, 254);"><br></p><p style="color: rgb(68, 68, 68); font-family: gulim; line-height: 19px; text-align: start; background-color: rgb(254, 254, 254);">어지러움증의 치료도 <b><span style="color: rgb(255, 0, 0);">suboccipital releasing, 경추성 근육통, 관절기능부전 등을 치료한 후 전정재활운동법으로 어지러움증을 적응시키면 상당수준의 치료가 가능</span></b>하다. </p><p style="color: rgb(68, 68, 68); font-family: gulim; line-height: 19px; text-align: start; background-color: rgb(254, 254, 254);"><br></p><p style="color: rgb(68, 68, 68); font-family: gulim; line-height: 19px; text-align: start; background-color: rgb(254, 254, 254);">panic bird...</p><p><br></p></div></td></tr></tbody></table><p></p><p>어지러움증에 대해서 잘 정리된 논문이다.</p><p><br></p><p>1. bppv</p><p>2. cervicogenic dizzness</p><p>3. musculoskeletal impairments에 의한 어지러움증</p><p><br></p><p>수련의에게 맡겨야겠다.</p><p><br></p><p><br></p><p><a href='javascript:fileFilterViewer("http://cfile259.uf.daum.net/attach/1357A1505069A7A9369D88", "/cfile259/13/57A1505069A7A9369D88", "Dizziness in Orthopaedic Physical Therapy Practice.pdf", "grpid%3Dz4ZG%26fldid%3DQpja%26dataid%3D7%26fileid%3D1%26regdt%3D20121001211545&url=http%3A%2F%2Fcfile259.uf.daum.net%2Fattach%2F1357A1505069A7A9369D88")'><img src="https://t1.daumcdn.net/daumtop_deco/icon/icon.hanmail.net/editor/p_pdf_s.gif" border="0" alt="첨부파일" class="vam"/> Dizziness in Orthopaedic Physical Therapy Practice.pdf</a></p><p><br></p><p><a href="http://www.shelbournephysio.ca/pdfs/Dizzinesshistoryandphysicalexamination.pdf">http://www.shelbournephysio.ca/pdfs/Dizzinesshistoryandphysicalexamination.pdf</a></p><p><br></p><p><a href="http://academic.regis.edu/clinicaleducation/pdf's/Cervicogenic_dizziness_Wrisley.pdf">http://academic.regis.edu/clinicaleducation/pdf's/Cervicogenic_dizziness_Wrisley.pdf</a></p><p><br></p><p></p><p><span style="font-weight: bold;">Dizziness in Orthopaedic Physical Therapy Practice: History and Physical Examination</span></p><p><br></p><p></p><p></p><p><span style="font-weight: bold;">Abstract</span></p><p><b><span style="color: rgb(255, 0, 0);">Physical therapy (PT) differential diagnosis of patients complaining of dizziness centers on distinguishing those patients who might benefit from sole management by the physical therapist from those patients who require referral for medical-surgical differential diagnosis and (co) management. </span><span style="color: rgb(9, 0, 255);">There is emerging evidence that PT management may suffice </span><span style="font-size: 9pt; line-height: 1.6; color: rgb(9, 0, 255);">for patients with </span><span style="font-size: 9pt; line-height: 1.6; color: rgb(9, 0, 255);">benign paroxysmal positional vertigo, cervicogenic dizziness, and musculoskeletal </span><span style="font-size: 9pt; line-height: 1.6; color: rgb(9, 0, 255);">impairments</span><span style="font-size: 9pt; line-height: 1.6; color: rgb(9, 0, 255);"> leading to dysequilibrium. </span></b></p><p><br></p><p>- 양성 돌발성 자세성 현훈, 경추성 어지러움, 근육장애로 야기되는 평형장애 환자는 물리치료로 치료될 수 있는 강력한 증거들이 떠오르고 있음. </p><p><br></p><p><b>This article provides information on the<span style="color: rgb(255, 0, 0);"> history taking and physical examination</span> relevant to patients with a main complaint of dizziness</b>. The intention of the article is to enable the therapist to distinguish between patients complaining of dizziness due to these three conditions amenable to sole PT management and those patients who likely require referral. Where available, we have provided data on reliability and validity of the history items and physical tests described to help the clinician establish a level of research-based confidence with which to interpret history and physical examination findings. </p><p><br></p><p>The decision to refer the patient for a medical-surgical eval‎uation is based on our findings, the interpretation of such findings in light of data on reliability and validity of history items and physical tests, an analysis of the risk of harm to the patient, and the response to seemingly appropriate intervention.</p><p></p><p><br></p><p><br></p><p style="text-align: center; "><img src="https://t1.daumcdn.net/cfile/cafe/1706CF4B5069A79A2A" class="txc-image" actualwidth="825" hspace="1" vspace="1" border="0" width="825" style="clear:none;float:none;" id="A_1706CF4B5069A79A2A8924"/></p><p><br></p><p>Medications associated with subtypes of dizziness</p><p><br></p><p style="text-align: center; "><img src="https://t1.daumcdn.net/cfile/cafe/1455103F5069A87034" class="txc-image" actualwidth="834" hspace="1" vspace="1" border="0" width="834" style="clear:none;float:none;" id="A_1455103F5069A870343D01"/></p><p><br></p><p>Romberg test</p><p><br></p><p style="text-align: center; "><img src="https://t1.daumcdn.net/cfile/cafe/172EAA3E5069A8C913" class="txc-image" actualwidth="496" hspace="1" vspace="1" border="0" width="496" style="clear:none;float:none;" id="A_172EAA3E5069A8C9138474"/></p><p>Modified Clinical Test of Sensory Integration of Balance</p><p><br></p><p style="text-align: center; "><img src="https://t1.daumcdn.net/cfile/cafe/1471883F5069A8F117" class="txc-image" actualwidth="992" hspace="1" vspace="1" border="0" width="992" style="clear:none;float:none;" id="A_1471883F5069A8F117A545"/></p><p><br></p><p>Fukuda step test</p><p><br></p><p style="text-align: center; "><img src="https://t1.daumcdn.net/cfile/cafe/1928DB455069A92104" class="txc-image" actualwidth="421" hspace="1" vspace="1" border="0" width="421" style="clear:none;float:none;" id="A_1928DB455069A921045619"/></p><p>Signs and symptoms indicative of pathologies amenable to sole PT management</p><p><br></p><p style="text-align: center; "><img src="https://t1.daumcdn.net/cfile/cafe/196C06425069A9D205" class="txc-image" actualwidth="738" hspace="1" vspace="1" border="0" width="738" style="clear:none;float:none;" id="A_196C06425069A9D2057593"/></p><p><br></p><p><br></p>
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카페 게시글
경추성 두통, 어지러움, 이명
우리가 치료할 수 있는 어지러움증(Dizziness in Orthopaedic Physical Therapy Practice) - 수련의 몫
문형철
추천 2
조회 1,844
12.10.01 21:15
댓글 9
북마크 번역하기 공유하기 기능 더보기
다음검색
첫댓글 유용한 자료 감사합니다.^^
임상 7년차 물리치료사입니다. 저번주 금요일에 BPPV로 인해 dizziness 호소하시는 중년 여성분이 오셨는데..
처음 접하는 케이스에 당황...근데 물리치료로 해결 가능한 질환이라고 하네요 헉...이거 얼마나 물리치료사들이 이해하고 있을까 나만 모를까 등등 자존심 팍~~~상하고 있던 찰나에 원장님 자료 게시....좋은 자료 감사합니다.^^
좋은 자료에 감사합니다, 여기에 제가 궁금한 자료들이 정말 많네요, 열정에 탄복하며, 감사합니다^^
네... 꼭 함께 지식을 나누기를 바랍니다.
대단하다... 이런 자료를 어떻게 찾아냈을까?
궁하면 통합니다 ㅎㅎ
요거 며칠내로 한글파일로 정리해서 올라올거에요
그저 감사할 따름입니다.
감사..^^
감사드립니다.