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KMID : 0363819750090020029
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Korean Journal of Nuclear Medicine
1975 Volume.9 No. 2 p.29 ~ p.37
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A Study of Achilles Tendon Reflex in Normal Korean
and Various Thyroid Diseases
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康晋榮/Kang, Jin Yung
金光源/芮盛普/李弘揆/高昌舜/Kim, Kwang Won/Yae, Sung Bo/Lee, Hong Kyu/Koh, Chang-Soon
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Abstract
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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 (62cases); 250±27 msec, female (36 cases); 266±27 msec, between 21 years old and 30 years old; male (38 cases);- 271±27 msec, female (21 cases); 284±27 msec, between _31 years old and 40 years old; male (26 cases); 275±25 msec, female (29 cases); 291 ±27 msec, between 41 years old and 50 years old; male (20 cases); 286±35 msec, female (24 cases); 307±42 msec, between 51 years old and 60 years old, male (20 cases); 296±33 msec, female (20 cases); _318±46msec, over 61 years; male (24 cases) 301±33 msec, female (20 cases); 325±35 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±20maec in untreated hyperthyroidism.
3) The Achilles tendon reflex time was markedly delayed to 435±59msec in hypothyroidism. 4) The Achilles tendon reflex time was not changed significantly in other thyroid diseases with normal thyroid function.
5) The Achilles tendon reflex -time _ showed good -correlationship with ETR, T3RU, 1311 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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KEYWORD
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