• Title/Summary/Keyword: 누운자세

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Effect of Ribcage Stabilization Using a Belt on EMG Activity of the Abdominal Muscles During Double Leg Lowering in the Supine Position (벨트를 이용한 가슴우리 고정이 누운자세에서 다리내리기 동안 복부 근육들의 근활성도에 미치는 영향)

  • Weon, Jonghyuck
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.2
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    • pp.25-32
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    • 2017
  • Purpose : The purpose of this study was to determine the effect of ribcage stabilization using a belt in the supine position during double leg lowering (DLL) by investigating the electromyographic (EMG) activities of the abdominal muscles. Methods : Twenty-two subjects with lumbar extension syndrome were recruited. EMG activity was recorded from rectus abdominalis (RA) and internal oblique abdominalis (IO), external oblique abdominalis (EO) muscles while subjects performed three double leg lowering exercises: double leg lowering (DLL), double leg lowering with abdominal draw-in maneuver (DLL-ADIM), and double leg lowering with ribcage stabilization using a belt (DLL-belt). RA, IO, and EO EMG activity were analyzed via one-way repeated-measures analysis of variance (ANOVA). Bonferroni correction was performed where significant differences were identified (p<.017, .05/3). Results : RA, IO, and EO EMG activity differed significantly among the three exercises (p<.05). The use of post hoc pair-wise comparison with Bonferroni correction showed that RA muscle activity significantly differed among the three exercises (p<.017), and IO muscle activity in the DLL exercise was significantly decreased compared to the DLL-ADIM and DLL-belt exercises (p<.017). There was no significant difference between IO muscle activity for DLL-ADIM and DLL-belt exercises (p>.017). EO muscle activity in the DLL-belt exercise was significantly increased compared to both DLL and DLL-ADIM exercises (p<.017), but there was no significant difference between EO muscle activity for DLL and DLL-ADIM exercises (p>.017). Conclusion : DLL-belt is a more effective exercise for activating the abdominal muscles than DLL-ADIM exercise. Therefore, we recommend DLL-belt exercises for strengthening the abdominal muscles.

Comparison of the Contraction Ratios of the Transversus Abdominis Muscle During the Abdominal Drawing-in Maneuver in the Hook-Lying, Sitting, and Standing Positions (무릎 구부리고 누운 자세, 앉은 자세, 선 자세에서 복부 드로잉-인 방법을 수행하는 동안 배가로근의 수축비 비교)

  • Won, Jong-Im
    • PNF and Movement
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    • v.19 no.2
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    • pp.215-223
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    • 2021
  • Purpose: This study aimed to compare the contraction ratios of the abdominal muscles and the preferential activation ratios of the transversus abdominis muscle (TrA) during the abdominal drawing-in maneuver (ADIM) in the hook-lying, sitting, and standing positions. Methods: This study included 30 healthy participants. The thicknesses of the TrA, internal oblique muscle (IO), and external oblique muscle (EO) were measured at rest and during the ADIM in the hook-lying, sitting, and standing positions using B-mode ultrasound imaging. The contraction ratios of these muscles and the preferential activation ratios of the TrA were calculated for each position. Results: The contraction ratio of the TrA and preferential activation ratio of the TrA during the ADIM in the hook-lying position were significantly higher than those in the sitting and standing positions (p < 0.05). The contraction ratio of the TrA during the ADIM in the sitting position was significantly higher than that in the standing position (p < 0.05). Conclusion: The hook-lying position tended to facilitate TrA activity better than the sitting position. Furthermore, the sitting position tended to facilitate TrA activity better than the standing position. These findings suggest that the ADIM in the hook-lying position should be implemented before that in the sitting position and that the ADIM in the sitting position should be implemented before that in the standing position.

The Physical Characteristics of 119 EMTs and a Comparison of the Quality in Chest Compressions according to Posture in Pregnant Women Cardiac Arrest -A Mannequin Model lying with a 30° Incline to the Left- (119구급대원의 신체적 특성과 심정지 임신부 자세에 따른 가슴압박 질 비교 -30° 왼쪽 기울기 자세의 마네킨 모델-)

  • Park, Dae-Sung
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.197-204
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    • 2015
  • This study aims to identify the effects: quality of chest compressions, height and weight of pregnant women cardiac arrest while lying $30^{\circ}$ inclined to the left has on the quality of chest compressions administered by 119 EMT. For the purpose of this study, 62 members of 119 EMTs in M, N, S, Y cities and G cities of J province agreed to join in the test and the test was conducted from June 15 to 16 in 2015. Two mannequins (Resusci Anne$^{(R)}$) were used for the study and the chest compression process was recorded with the use of the Laerdal PC Skill Reporting System$^{(R)}$. As a result, it was discovered that for patients with a $30^{\circ}$ left inclination, who were below 170 cm in height and 65 kg in weight, the proper frequency and depth of compression were unsatisfactory. With this in mind, training programs and instruments that can improve the quality of chest compressions depending on a person's (patient's) height and weight should be developed.

Correlation Between Pectoralis Minor, Shoulder Mobility and Neck Range of Motion on Rounded Shoulder Posture for Life-Care Increase in Women University Student (여대생의 라이프 케어 증진을 위한 둥근 어깨 자세의 작은가슴근, 어깨가동성과 목 관절가동범위의 상관연구)

  • Seo, Tae-Hwa;Kim, Min-Sun;Jeong, Yeon-Woo
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.239-246
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    • 2019
  • This study aims to examine the correlation between pectoralis minor, shoulder mobility, and neck range of motion on rounded shoulder posture for Life-care increase in Women university student. The 80 female adults with rounded shoulder posture were selected for this study. Measurements of shoulder height were obtained by measuring the rounded shoulder posture using a caliper. To measure the length of pectoralis minor, a tape measure was used to measure from the point where the 4th rib and sternum meets to the inferior medial side of coracoid process. Shoulder mobility was measured by holding fists in both hands, then raising one side of the elbow until the palm on that side can be placed on the back, while lowering the other side of the elbow until the back of the hand on that side can be placed on the back. Neck range of motion was used to measure the neck movement including the flexion and the extension, lateral flexion to the right or to the left, and rotation to the right or to the left. The results of this study showed that there are significant negative correlations between pectoralis minor index, shoulder mobility, and neck range of motion in rounded shoulder posture(p<0.05). From these results, in female students with rounded shoulder, the lateral flexion of the neck to the left decreased as the left shoulder mobility increased, the neck extension decreased as the right pectoralis minor shortened, and the rotation of the neck to the left decreased as the left shoulder mobility increased.

Examination about Utility of Prone Position in PET/CT of Stomach Cancer Patient (위암 환자의 양전자 방출 컴퓨터 단층 검사에서 복와위(伏臥位) 촬영의 유용성에 대한 연구)

  • NamKoong, Hyuk;Park, Hoon-Hee;Oh, Shin-Hyun;Bahn, Yung-Kag;Kim, Jung-Yul;Lim, Han-Sang;Lee, Chang-Ho
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.2
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    • pp.93-99
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    • 2010
  • Purpose: Currently, PET/CT scan has been known to provide useful information to both preoperative and postoperative examination of cancer patients. Contracted stomach by the long fasting could cause difficulties of interpretation because of its size on reconstructed image data. To solve this problem, after the whole body PET/CT scan, patients were administrated in drinking 300 mL of water to expand stomach and performed additional scan on stomach region. Not only PET/CT scan but also CT performs this water-administration, and patients were take oral solution to make stomach expand for stomach cancer. When this scan performed, patients lay supine position. In this study, we evaluated the capacity of stomach through PET/CT scan with drinking water performed in supine and prone position so that we can distinguish exact location of cancer around pylorus and inferior wall of stomach. Furthermore, image data from supine and prone positions were analyzed the difference of volume of stomach through the change of standardized uptake values. Materials and Methods: From July 2009 to January 2010 in severance hospital, 30 patients who were diagnosed as early gastric cancer or advanced gastric cancer were chosen. All patients had PET/CT scan before the operation and have had follow-up PET/CT. The patients fast for at least 8 hours, and had an injection intravenously with $^{18}F$-FDG, 7.4 MBq (0.2 mCi/kg) per kilogram. They were rested for 60 minutes. Before the examination, all patients were administrated to drink water for 300 mL Patients had PET/CT scan with supine position around the region of stomach, whole body, and around the region of stomach with prone position after drinking another 300 mL of water respectively. Results: As a results of comparison between stomach capacity of 30 patients in supine and prone position, the study draw results that average capacity of stomach body was 460.29 $mm^2$ in supine position, and 641.39 $mm^2$ in prone position for 30 patients. The change of capacity shows 41.3% expanded in prone position. And there was no noticeable difference at maximum standardized uptake values in supine position and prone position. Conclusion: As results, stomach would have more expanded capacity in prone position than supine position. For patients who have physical disabilities to move freely, additional scan in prone position will be obstacle to perform. However, if additional scan in supine position add with the scan in prone position, it will be easier to diagnose stomach cancer. Moreover, we believe that this study will help the research for inventing support tools for patients who have physical disabilities in prone position.

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Size and Retention of Tongue Bulb for Tongue Retaining Device (혀 유지구의 크기와 유지력 평가)

  • Park, Nam-Seon;Lee, Ki-Ho;Kim, Mee-Eun;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.32 no.3
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    • pp.283-292
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    • 2007
  • In several treatment modalities for snoring and obstructive sleep apnea (OSA), oral appliances mainly including mandibular advancement appliance (MAA) and tongue retaining device (TRD) are recognized as a non-invasive, reversible alternative with favorable results. Tongue bulb is a major component of TRD which prevents the tongue from approaching the posterior wall of the pharynx and can be combined with MAA. Determination of tongue bulb size for the patient is important for therapeutic effect, but frequently needs time-consuming work. For effective fabrication and standardization of tongue bulbs, this study aimed to categorize tongue bulb size for healthy young men and to examine its relation with maximum retention force and with physical parameters including tongue-related variables. 36 non-snoring, asymptomatic young men with normal occlusion were voluntarily participated in this study (mean age: $24.47{\pm}2.58$ years). Experimental procedures consisted of prefabrication of tongue bulb set (20 types with a width of 27-36mm and thickness of 8 and 10 mm), determination of tongue bulb size and the maximum retention force for each subject, and measurement of physical parameters including body mass index (BMI), neck circumference and width, thickness and length of tongue. This study showed that there was significant difference of retention force among the bulb size-related groups both in upright and supine position (p<0.05) and that retention force increased with bulb size. Correlation of tongue bulb size with physical parameters was not clearly verified and there was no significant difference in retention force between upright and supine positions. Based on our results, it can be suggested that retention force relates with tongue bulb size, ultimately with tongue volume. A further study needs to be performed in the patients with snoring and OSA.

The Study on Ejection Fraction Change According to Patient Position Difference in Gated Blood Pool Scan (게이트심장혈액풀 스캔에서 환자의 자세 변화에 따른 심박출계수의 변화 연구)

  • Choi, Ho-Yong;Kim, Da-Eun;Jeong, Jae-Hun;Yun, Sang-Hyeok;Kim, Yeong-Seok;Won, Woo-Jae
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.1
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    • pp.91-95
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    • 2012
  • Purpose: In this study, we evaluated the ejection fraction (EF) according to the difference of patient position in Gated Blood Pool (GBP) scan. Material and Methods: The analysis was performed to 80 patients ($51.2{\pm}17.4$ years old) who examined GBP scan in Department of nuclear medicine, National Cancer Center from March 2011 to August 2011. We divided the patients into two groups; one group received conventional position (raise left arm up supine) and supine position (group 1) and the other group received conventional position and left arm back down supine position (group 2). To observe the change EF according to patient position difference, the image was reconstructed and analyzed by Xeleris (GE, USA). We measured body mass index (BMI) of patients. Result: In group 1, EF error less than 3% occurred at a rate of 72.5% (29 of the 40 patients). In group 2, EF error less than 3% occurred at a rate of 79% (32 of the 40 patients). The patient's BMI did not affect ejection fraction. Conclusion: The EF error of left arm back down supine position closer to conventional position than in supine position shows the results.

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A Analysis of Isotonic Torque of Shoulder Joint for Overthrow Pitcher of Professional Baseball Player (프로야구 오버드로우 투수의 견관절 등속성 토크에 관한 분석)

  • So, Jae-Moo;Kim, Young-Il;Kim, Hyo-Eun
    • Korean Journal of Applied Biomechanics
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    • v.12 no.2
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    • pp.295-306
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    • 2002
  • The purpose of this study was analysis inter relative the ball velocity and isotonic torque of shoulder joint. The subject were twelve overthrow pitcher of professional baseball player. The measurement was used Cybex 6000. The results of this study were as follows : 1. As the siting position of maximal adduction torque of dominant, A group was higher than B group. As the non-dominant, B group was higher than A group for improved angular velocity. There is no significance difference between group. 2. As the siting position of maximal abduction torque of dominant and non-dominant, B group was higher than A group for all measurement. There is no significance difference between group. 3. As the layed position of maximal internal torque of dominant, A group was higher than B group. As the non-dominant was just higher at $180_{\circ}$/sec than B group, B group was higher at $60_{\circ}$/sec and $300_{\circ}$/sec than A group. There is no significance difference between group. 4. As the layed position of maximal external torque of dominant and non-dominant, A group was more higher than B group for all measurement. There is no significance difference between group. 5. As the standing position of maximal internal torque of dominant, A group was just higher at $60_{\circ}$/sec than B group, B group was higher at $180_{\circ}$/sec and $300_{\circ}$/sec than A group. As the non-dominant, B group was higher than A group. There is no significance difference between group. 6. As the standing position of maximal external torque of dominant, A group was higher $60_{\circ}$/sec and $180_{\circ}$/sec than B group. But B group was higher $300_{\circ}$/sec than A group. As the non-dominant, B group was higher than A group. There is no significance difference between group.

Characteristic Analysis of Flexibility and Muscle Strength according to Exercise using Lumbar Strengthen Exercise Instrument (요추강화 운동기기의 훈련을 통한 유연성 및 근력 특성 분석)

  • Kang, S.R.;Kim, K.;Jeong, G.Y.;Moon, D.A.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.4 no.1
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    • pp.53-61
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    • 2010
  • In this paper, We investigated the characteristic analysis of flexibility and muscle strength for exercise to verify capacity in rehabilitation exercise of lumbar using lumbar strengthen exercise instrument. We have experiment in 20th years man and woman who are 20 subject with no medical history, we divided subjects into control group with no exercise and training group with lumbar strengthen exercise. We used Hi-Spine(Medicalscience.korea) also, provided exercise 40 minute a day, three days a week and progressed total four weeks. Moreover in our experiment, subjects exercised four postural position as lay down, sit, stand and stretch each ten minute. We measured trunk extension backward, trunk flexion forward, evaluation of based physical fitness and lumbar joint torque. The reults have shown that there more improved all for flexibility, based physical fitness and lumbar joint torque in training group than control group. We indicated that by rotating 3-D axis movement flatform of exercise instrument, muscle spindle in subject have been stimulated and these rotation direction and angle caused muscle tonus and contraction that makes muscle, flexibility and based physical fitness improve more. Our study can be used rehabilitation exercise program to aged people and patient with lumbar injury.

Relation of head posture and occlusal contact area using photo occlusion analysis (광조사교합분석법을 이용한 머리 위치와 교합접촉면적의 관계)

  • Kim, Chang-Hwan;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.2
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    • pp.90-97
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    • 2019
  • Purpose: Previous studies related with occlusal contact area were limited that interocclusal thickness level or the method of measurement has not been accurate in measuring. The purpose of this study was to investigate the relation between head posture and occlusal contact area using photo occlusion analysis. Materials and Methods: 54 subjects with complete dentition (44 men, 10 women / 23 to 33 years of age) were included. To identify the relationship between head posture and occlusal contact area, subjects took interocclusal record in maximal intercuspal position with three different positions(supine position ($0^{\circ}$) / inclined position ($45^{\circ}$) / upright position ($90^{\circ}$)) on the dental unit chair. Occlusal contact area was analyzed using photo occlusion analysis. Statistical analyses were performed with SPSS ver.25.0 at 95% confidence interval. Results: Head posture has no significant effect on the changes of occlusal contact area (P > 0.05). Conclusion: When interocclusal relation is stable, head posture does not change a interocclusal record because head posture has no significant effect on occlusal contact area. Analysis of occlusal contact area using photo occlsion analysis device is useful due to its material property and simplicity.