대한핵의학회지 (1967년~2009년)
대한핵의학회지 1975;9(2)29~9
정상한국인 및 각종갑상선질환에서의 아킬레스건반사시간에 관한 연구 ( Study of Achilles Tendon Reflex in Normal Korean and Various Thyroid Diseases )
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Author 강진영(Jin Young Kang),김광원(Kwang Won Kim),예성보(Sung Bo Yae),이홍규(Hong Kyu Lee),고창순(Chang Soon Koh),
Affiliation
Abstract

In an attempt to establish the diagnostic value of Achilles tendon reflex and to determine the normal value of Achilles tendon reflex time in normal Korean, the author measured the Achilles tendon reflex time by photomotograph. This study was carried out in 272 cases with various thyroid diseases and 340 normal Korean. 1) The Achilles tendon reflex time in normal Korean was like this, between 11 years old and 20 years old; male (62 cases); 250¡¾27 msec, female (36 cases); 266¡¾27 msec, between 21 years old and 30 years old; male (38 cases); 271¡¾27 msec, female (21 cases); 284¡¾27 msec, between 31 years old and 40 years old; male (26 cases); 275¡¾25 msec, female (29 cases); 291¡¾27 msec, between 41 years old and 50 years old; maIe (20 cases); 286¡¾35 msec, female (24 cases); 307¡¾42 msec, between 51 years old and 60 years old, male (20 cases); 296¡¾33 msec, female (20 cases); 318¡¾46 msec, over 61 years; male (24 cases) 301¡¾33 msec, female (20 cases); 325¡¾35 msec. The Achilles tendon reflex time was delayed with increasing age and delayed in the female. 2) The Achilles tendon reflex time was markedly shortened to 221¡¾20 msec in untreated hyperthyroidism. 3) The Achilles tendon reflex time was markedly delayed to 435¡¾59 msec in hypothyroidism. 4) The Achilies tendon reflex time was not changed significantly in other thyroid diseases with norms thyroid function. 5) The Achilles tendon reflex time showed good correlationship with ETR, T3RU, 131I thyroid uptake and serum TSH. 6) Reproducibility of Achilles tendon reflex time was good, and no significant difference between left and right was noted. 7) Diagnostic accuracy of Achilles tendon reflex time was 71% in hyperthyroidism and 90% in hypothyroidism. 8) The Achilles tendon reflex time showed useful test to evaluate the clinical course of the hyperthyroidism.

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