• Title/Summary/Keyword: 요부

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Aseptic Meningitis after a Lumbar Epidural Steroid Injection -A case report- (요부 경막외 스테로이드 주입 후 발생한 무균성 수막염 -증례 보고-)

  • Hwang, Byeong Mun;Leem, Jung Gil
    • The Korean Journal of Pain
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    • v.18 no.1
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    • pp.52-55
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    • 2005
  • Complications following a well conducted epidural steroid injection are rare. A 50-year-old man developed a headache and neck stiffness 2 days after a lumbar epidural steroid injection. Under the impression of aseptic meningitis, fluid and nonsteroidal anti-inflammatory drug therapy was started immediately after cerebrospinal fluid (CSF) sampling. The CSF was turbid, and revealed a white blood cell count, protein, glucose and pressure of $550/{\mu}l$ (98% lymphocyte), 107.9 mg/dl, 48 mg/dl (serum 113 mg/dl) and $17cmH_2O$, respectively. The CSF stain and culture, and antibody test and polymerase chain reaction for pathogens were negative. A computed tomography (CT) scan of the brain revealed no abnormality, and a chest roentgenogram and the results of the neurological examination were normal. Under the impression of aseptic meningitis, the condition was managed conservatively, without antibiotics. Seven days later, the clinical symptoms had improved, and the patient discharged.

The Comparison of the Time Effect between Hot pack and Static Stretching Exercise for Lumbar Flexibility (온열요법과 스트레칭이 시간에 따라 요부의 유연성에 미치는 영향의 비교)

  • Yoo, Kyung-Tae
    • Journal of Korean Physical Therapy Science
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    • v.9 no.4
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    • pp.35-44
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    • 2002
  • The purpose of this study was to compare the effect of heat therapy, stretching exercise and to verify which method was most effective for lumbar flexibility improvement. Subjects were 20 apparantly healthy person(male10, female10) who did not have any medical problem. They were randomly divided and assigned into 2 groups: heat therapy, stretching exercise. For testing flexibility, trunk flexion, bunk extension, and Schober-test were performed. Pre-test was done prior to the each group's treatment. Test was done at 2nd week, 4th week and 6th week. There were no significant difference in improvement of trunk flexion and trunk extension after 6 weeks treatment among 2 methods. However in all 2 groups, there were statically significant improvement in flexibility as time go on. The rate of improvement was highest at 2nd week, while this was attenuated afterwards. The Schober-test score changed significantly from pre-test to the mid-test and to the post-test, while there were no significant difference among 2 methods of treatment. With the results above, it was concluded that heat therapy, stretching-exercise were all effective for improving flexibility without any significant priorities.

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A Study on Lolita Looks Revealed in Modern Mass Media (현대 대중매체에 나타난 롤리타룩에 관한 연구)

  • Ko, Youn-Jung;Kim, Min-Ja
    • Journal of the Korean Society of Clothing and Textiles
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    • v.33 no.5
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    • pp.691-700
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    • 2009
  • "Lolita," a novel by a Russian-American novelist, Vladimir Nabokov, has been the center of controversy since its first publication in 1955. As it gained wide fame across culture, it has exercised a great influence, altered or developed to diverse forms. Lolita, the title of the novel as well as the heroine's name, now takes a significant part in our society through all cultures and is used as various meanings and symbols. The purpose of this study is to reanalyze and reinterpret the current use of Lolita based on the characteristics initially portrayed in Nabokov's novel. The traits of the heroine were categorized into purity, seductiveness, and dualism and the commercial use of each in the mass media and fashion in Korea was closely examined. First, purity was interpreted as the archetypal image of a 12-year-old girl, while seductiveness was construed to involve temptation and enticement, ultimately leading a man astray. The dualism of an under-aged sexualized nymphet delineated in the novel as a poor little girl as well as a depraved temptress was stated as another trait of Lolita.

Effect of lumbar extensor strength according to lumbosacral angle change on chronic lumbar back pain patients (만성요통환자의 요천추 각도가 요부신전 근력에 미치는 영향)

  • Kim Kyoung-Tae;Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.16 no.1
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    • pp.14-31
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    • 2004
  • The Purpose of this study was to investigate the change of lumbar extensor strength according to lumbosacral angle on chronic lumbar back pain patients. For this investigation lumbar extensor strength was administered to 60 patients who were diagnosed chronic lumbar back pain The subjects was to investigate lumbosacral angle in standing position and it were calculated lumbar extensor strength by using Medex. The result of this study summarized are as follows ; 1. Total experimental group exhibited significantly higher difference than control group in lumbar extensor strength among all degree lumbosacral angle. 2. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, all degree difference was revealed II, I, III order. 3. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, I group difference was did not. 4. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, all degree among II group was noted significantly difference except 24, 72 angle. 5. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, control group was revealed higher muscle strength 48, 60, 72 angle, however no significantly difference was noted 0, 12, 24 angle. The study was objected difference of other group in both of experimental and control group. Because lumbar extensor weakness with bad position was gradually increased back pain, to Maintain normal lumbosacral angle befor exercising lumbar extensor strength was most important.

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The Effects of Lumbar Stabilization Exercise on Muscle Activity and Isokinetic Muscle Strength of Female Patients with Chronic Low Back Pain (요부안정화 운동이 만성요통여성 환자의 근활성도와 등속성 근력에 미치는 영향)

  • 방현수
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.2
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    • pp.63-71
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    • 2015
  • PURPOSE: The purpose of this study to investigate the effects of exercise on lumbar stabilization in muscle activity and isokinetic muscle strength of female with chronic low back pain. METHODS: The candidates was chose to twenty women in their 30s and 40s complaining back pain for over 12 weeks and consist of 10 people for lumbar stabilization and general physical therapy group(PL group), another 10 people for general physical therapy group(GP group). Lumbar stabilization exercise was conducted for 8 weeks and was comprised of 60 minutes for two times a week. In order to examine the effects of lumbar stabilization, results in the present study were analyzed maximal voluntary isometric contraction (MVIC) using electromyogram to measure muscle activity and isokinetic performance including peak torque and average power at the pre to post. RESULTS: The following are results in this study. The MVIC and isokinetic muscle strength were gradually increased in all group. As the result of the test of the MVIC and isokinetic muscle strength, the difference of lumbar stabilization and general physical therapy group is statistically more significant than that of general physical therapy group. CONCLUSION: In the present study, results indicate that lumbar stabilization helps to improve the muscle activity and isokinetic muscle strength.

Changes of Muscle Activation Pattern of Trunk Muscles during Whole-body Tilts with and without Axial Rotation (전신 기울임 운동시 축 회전 유무에 따른 체간근 활성도 변화)

  • Kim, Sol-Bi;Chang, Yun-Hee;Kim, Shin-Ki;Bae, Tae-Soo;Mun, Mu-Seong;Park, Jong-Chul
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.7
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    • pp.805-810
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    • 2012
  • Determining of the exercise intensity is very important in terms of induction of low fatigue during exercise. Little information is available on the contraction level of the trunk muscles during whole body tilts with and without axial rotation. This study was to investigate the difference muscle activation level according to axial rotation. Twenty subjects were participated. The muscle activities of the five trunk muscles were bilaterally measured at eight axial rotation angles with 12 tilt angles along $15^{\circ}$ intervals. The results showed that tilt with $45^{\circ}$ axial rotation was more balanced in the same tilt angle and was maintained approximately level of 40% MVC at over $60^{\circ}$ tilt angle with respect to co-contraction of abdominal and back muscle. Lumbar stabilization exercise using whole body tilts would be more effective with axial rotation than without axial rotation in terms of muscle co-contraction.

Effects of the PNF Stabilization Technique for the Hip Joint and the Bridging Exercise on the Trunk Stabilizer Muscles in Healthy Adults (고관절에 적용한 PNF 안정화 기법과 교각운동이 요부안정화 근육에 미치는 영향)

  • Kim, Yong-Hun;Jung, Ju-Hyeon
    • PNF and Movement
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    • v.15 no.1
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    • pp.51-56
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of the PNF stabilization technique for the hip joint and the bridging exercise on the trunk stabilizer muscles in healthy adults. Methods: Twenty-eight healthy adults were randomly allocated to either a PNF stabilization exercise group (n = 12) or a bridging exercise group (n = 16). The outcome measures included the contraction thickness ratio in the transversus abdominis (TrA), internal oblique (IO), and external oblique (EO), and the TrA lateral slide was assessed during the abdominal drawing-in maneuver using b-mode ultrasound. The researcher measured the abdominal muscle thickness of each participant before the therapist began the intervention and at the moment that the intervention was applied. Between-group comparisons were performed using the Mann-Whitney U test. The level of statistical significance was set at 0.05. Results: The PNF intervention program showed a significant increase in the trunk stabilizer muscle. The percentage of change in the TrA thickness showed a significant interaction between intervention. However, there were no significant differences in the IO and EO between the two groups. Conclusion: The PNF stabilization technique for the hip joint can be used effectively to improve the IO and TrA muscles in healthy adults.

The Effects of PNF on Active Lumbar Flexion ROM and Activity of Daily Living for Adult Scoliosis with Low Back Pain (급성 요통을 동반한 성인 측만증 환자에게 적용한 고유수용성신경근촉진법이 요부 능동 굴곡 관절가동 범위 및 일상생활동작에 미치는 영향 : 증례보고)

  • Na, Eun-Jin;Shin, Seung-Sub
    • PNF and Movement
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    • v.10 no.4
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    • pp.33-40
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    • 2012
  • Purpose : The purpose of this study was to investigate the effects of PNF on active lumbar flexion ROM and difficulty of activity of daily living for adult scoliosis with low back pain. Methods : A 23-aged adult scoliosis with diagnosed herniated lumbar disc. The patient was treated by PNF for 30 minutes a day, 2 times a week during six weeks. Active lumbar flexion ROM and difficulty of activity of daily living were evaluated by the Modified-Modified Schober test and Oswestry Disability Questionnaire every week after treatment including the pretest of the first day of treatment. Results : There were a significant improvement in active lumbar flexion ROM between pretest and the last test. There were significant decreased in difficulty of activity of daily living positive between pretest and the last test. Conclusion : PNF will be useful for increasing active lumbar flexion ROM and decreasing the difficulty of activity of daily living positive for adult scoliosis with low back pain.

Development of Brace-type Wearable Robot for Lumbar Stabilization (요부 안정화를 위한 복대형 입는 로봇 개발)

  • Joowan Kim;Jaehoon Sim;Keewon Kim;Sungun Chung;Jaeheung Park
    • The Journal of Korea Robotics Society
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    • v.18 no.2
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    • pp.189-196
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    • 2023
  • An abdominal brace is a recommended treatment for patients with lumbar spinal disorders. However, due to the nature of the static brace, it uniformly compresses the lumbar region, which can weaken the lumbar muscles or create a psychological dependence that worsens the condition of the spine when worn for an extended period of time. Due to these issues, doctors limit the wearing time when prescribing it to patients. In this paper, we propose a device that can dynamically provide abdominal pressure and support according to the lumbar motion. The proposed device is a wearable robot in the form of a brace, with actuators and a driving unit mounted on the brace. To enhance wearability and reduce the weight of the device, worm gears actuator and a multi-pulley mechanism were adopted. Based on the spinal motion of the wearer measured by the Inertia measurement unit sensors, the drives wire by driving pulley, which provide tension to the multi-pulley mechanism on both sides, dynamically tightening or loosening the device. Finally, the device can dynamically provide abdominal pressure and support. We describe the hardware and system configuration of the device and demonstrate its potential through basic control experiments.

Analysis of Kinematic Differences in Body Kick Movements in Mixed Martial Arts Athletes with and without Chronic Low Back Pain (종합격투기 선수들의 만성요부통증 유무에 따른 바디킥 동작의 운동역학적 차이 분석)

  • Kyung Il Lee;Dool Hee Lee
    • Korean Journal of Applied Biomechanics
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    • v.33 no.4
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    • pp.155-163
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    • 2023
  • Objective: The purpose of this study is to identify the difference in the quality of muscle contraction and kick movements according to the presence or absence of back pain in body kick movements of mixed martial arts athletes. Method: In this study, four athletes (32.75 ± 4.79 yrs, 172.50 ± 5.20 cm, 77.73 ± 13.28 kg) who have suffered chronic back pain for more than three months and scored 12 points in the Korean version of ODI. Four painless athletes (33.50 ± 4.04 yrs, 174.25 ± 3.10 cm, 83.50 ± 10.21 kg) participated. Results: During the body kick operation, the pain group had significantly higher muscle activity in the right Transversus abdominis and right Rectus femoris compared to the normal group (p<.05). In the rectus abdominis, the muscle activity was significantly lower than that of the normal group (p<.05). Also, the pain group has a higher toe speed than the normal group Significantly slow (p<.05), there was a delay in contraction of the Transversus abdominis. Conclusion: The results of this study suggest that chronic pain in the lumbar spine degrades the core's function, resulting in inefficient coordination such as Transversus abdominis contraction delay and Transversus abdominis and Rectus femoris excessive activation to compensate for it.