Hye Jin Moon

Ulsan University Hospital, Urusan, Ulsan, South Korea

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Publications (3)3.11 Total impact

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    ABSTRACT: The aim of this study was to investigate the changes in blood glucose and cortisol levels after glucocorticoid injections into the epidural space or the glenohumeral joint in patients with or without diabetes. Twenty-nine patients with sciatic or shoulder pain were included. Fasting plasma glucose and cortisol levels were measured at baseline. After glucocorticoid injection, the levels were measured again after 1, 7, and 21 days. The patients were divided into four subgroups according to the presence of diabetes and site of injection. In all subgroups, fasting plasma glucose levels were significantly higher 1 day after injection but returned to baseline 7 days after the injection. Compared with baseline, cortisol levels were markedly reduced 1 and 7 days after the injection. For both the diabetic and nondiabetic subjects, this drop was significantly larger in the epidural injection than the glenohumeral joint injection. At 21 days after injection, cortisol levels returned to baseline in all subgroups except in the diabetic patients treated with epidural injections. These findings indicate a need for caution when using local glucocorticoid injection therapy in diabetic patients, most notably when an epidural injection is given. It is also recommended that diabetic patients take more time off before receiving a succeeding epidural glucocorticoid injection.
    American journal of physical medicine & rehabilitation / Association of Academic Physiatrists 02/2014; · 1.56 Impact Factor
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    ABSTRACT: To compare the effects of lumbar stabilization exercises and lumbar dynamic strengthening exercises on the maximal isometric strength of the lumbar extensors, pain severity and functional disability in patients with chronic low back pain (LBP). Patients suffering nonspecific LBP for more than 3 months were included prospectively and randomized into lumbar stabilization exercise group (n=11) or lumbar dynamic strengthening exercise group (n=10). Exercises were performed for 1 hour, twice weekly, for 8 weeks. The strength of the lumbar extensors was measured at various angles ranging from 0° to 72° at intervals of 12°, using a MedX. The visual analog scale (VAS) and the Oswestry Low Back Pain Disability Questionnaire (ODQ) were used to measure the severity of LBP and functional disability before and after the exercise. Compared with the baseline, lumbar extension strength at all angles improved significantly in both groups after 8 weeks. The improvements were significantly greater in the lumbar stabilization exercise group at 0° and 12° of lumbar flexion. VAS decreased significantly after treatment; however, the changes were not significantly different between the groups. ODQ scores improved significantly in the stabilization exercise group only. Both lumbar stabilization and dynamic strengthening exercise strengthened the lumbar extensors and reduced LBP. However, the lumbar stabilization exercise was more effective in lumbar extensor strengthening and functional improvement in patients with nonspecific chronic LBP.
    Annals of rehabilitation medicine. 02/2013; 37(1):110-7.
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    ABSTRACT: The aim of this study was to determine the effects of bladder reconditioning by indwelling urethral catheter (IUC) clamping before IUC removal in stroke patients. Sixty patients with stroke were randomized to 0-, 1-, and 3-day IUC clamping groups. IUCs were removed without clamping in the 0-day group. In the other two groups, IUCs were clamped for 4 hrs followed by 5 mins of urinary drainage, a cycle repeated over 24 hrs in the 1-day and over 72 hrs in the 3-day clamping groups. Time to first voiding (FV), first voided volume (FV-vol), residual urine volume after FV, mean void volume, and residual urine volume on the third day after IUC removal were measured. We also recorded the voiding method such as self-voiding or intermittent catheterization, incidence of urinary tract infection, subjective complaints, and other complications. Time to FV, FV-vol, residual urine volume after FV, voiding method, mean voided volume, and residual urine volume on the third day after IUC removal had no significant difference among three groups, nor between the 0-day and the other two clamping groups. We observed a strong negative correlation between age and FV-vol. Of the patients in the 1- and 3-day clamping groups, 3 (7.5%) had symptomatic urinary tract infection and 9 (22.5%) complained of urinary leakage during IUC clamping program. Bladder reconditioning through IUC clamping has no noticeable benefits in stroke patients and may induce additional problems. These findings suggest that IUC removal without clamping is superior to IUC clamping for bladder reconditioning in stroke patients.
    American journal of physical medicine & rehabilitation / Association of Academic Physiatrists 05/2012; 91(8):681-8. · 1.56 Impact Factor