• Title/Summary/Keyword: 요추부

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The Comparative analysis of X-ray film on Lumbar Scoliosis and HNP by Barge Method (Barge 방식에 의한 요추부 척추측만증과 추간판 탈출증의 X-ray 비교분석)

  • Kim, Gyu-Sub
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.1
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    • pp.53-61
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    • 2011
  • Objective: The purpose of this study is to evaluate the disc block subluxation for lumbar scoliosis and herniation of nucleus pulpous (HNP). Methods: We used AP & Lateral view X-ray for patients. And we measured of disc wedge angle, vertebral body rotation to evaluate the typical and atypical disc block subluxation. Results: On the analysis of the lateral view X-ray, 4th lumbar intervertebral disc angle (I.V.D angle) showed $4^{\circ}$, $5^{\circ}$, $3^{\circ}$, $0^{\circ}$ in the cases. On the 4th lumbar analysis of the AP view X-ray, lumbar scoliosis showed right disc wedge angle was $11^{\circ}$ (case 1), $17^{\circ}$ (case 2) and left vertebral body rotation was 13mm, 6mm. Lumbar HNP showed left disc wedge angle was $5^{\circ}$ (case 3), $4^{\circ}$ (case 4) and left vertebral body rotation was 2mm, 4mm. Conclusions: Disc block subluxation has been in lumbar scoliosis, but not been in lumbar HNP.

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A Study of Estimation of Lumbar Intervertebral Disc Size by Colombini's Method (Colombini 방법에 의한 요추부 추간판 크기 추정에 관한 연구)

  • Kim, Jong-Soon
    • The Journal of Korean Physical Therapy
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    • v.19 no.1
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    • pp.23-31
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    • 2007
  • Purpose: As a preliminary study, the purpose of this study was to examine the indirect estimation of the lumbar intervertebral disc size by two anthropometric methods, in order to compare these indirect methods with the direct analysis by radiological imaging. Methods: The wrist, elbow, knee, and ankle joint (both right and left) diameters were measured in 52 volunteers, and then intervertebral disc size was calculated using two anthropometric methods (Colombini and modified Colombini). The data were analysed with independent t-test to assess clinical usefulness. Results: When using right and left joint diameter, there was no significant difference in the estimation value of the L4-5 and L5-S1 intervetebral disc sizes. However, the study has shown that male subjects have significantly larger L4-5 and L5-S1 intervertebral disc sizes, compared with those of female subjects. In addition, disc sizes calculated by Colombini's formula were significantly larger than modified Colombini's formula. Conclusion: The indirect estimation of the intervertebral disc size by anthropometric method can be considered as a clinically useful method. However, further study should be conducted to compare anthropometric values with other radiological imaging.

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The Effect on Chronic Low Back Pain Patient Through Lumbar Extension Muscular Strength Training (만성 요통환자의 요추부 신전강화에 의한 효과)

  • Choi, Young-Deog
    • Journal of Korean Physical Therapy Science
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    • v.2 no.4
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    • pp.779-783
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    • 1995
  • The number of the subjects of this study were all sixteen including 8 male and 8 female. They were chronic low back pain patients and treated at hospital out patient. The patients took lumbar extension strength training. The results of examination and analysis isometric lumbar extension muscular strength before and after the training are as follows; 1. TFT increased after lumbar extension muscular strength exercise than before the exercise. Inspire of difference of each angle. The reciprocal action didn't happen between training and angle. 2. NMT increased after lumbar extension muscular strength exercise than the before the exercise and the difference of each angle didn't happen. The reciprocal action also didn't happen between the training and angle. 3. Comparing presented standard point with individual point, 13persons' muscle strength of first step increased, on the other and 3 person's muscle strength a little increased in a same category. 4. The grade of low back pain decreased for all subjects. Concluding this study, lumbar extension muscular strength exercise through isokinetic device decreases the grade of low back pain and increase lumbar extension muscular strength. It is that equal exercise effect happen in full range of motion, for the exercise effect doesn't show the difference of each angle.

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Development and Mechanical Performance Evaluation of Lumbar Porous Interbody Fusion Cage (요추부 다공성 추간체유합보형재의 개발 및 기계적 성능 평가)

  • Ahn, Yoon-Ho;Yoo, Kyeong-Joo;Park, Kwang-Min;Cha, Eun-Jong;Kim, Kyung-Ah;Ahn, Kyoung-Gee
    • Journal of Biomedical Engineering Research
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    • v.41 no.1
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    • pp.14-21
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    • 2020
  • Recently, porous additive manufactured(AM) cages have been introduced to provide more desirable stiffness and may be beneficial to bone ingrowth. They are designed to attempt to reduce the subsidence problem of traditional titanium cage and to get osseointegrative property that PEEK doesn't have. This study was performed to evaluate the mechanical performance of newly developed lumbar porous AM cages. Three types of mechanical tests were performed in accordance with the ASTM standards: Static compression, compression-shear, and subsidence tests. The porous AM cages with 60% porosity showed similar device stiffness and strength as the various products submitted to FDA 510(k), and their wider contact area improved the subsidence test results by about 50%. In conclusion, the porous AM cages developed in this study were considered mechanically safe and could be an alternative to solid PEEK cages.

Three Clinical Cases on Acute Lumbar Sprain Patients with Limited Range of Motion by Chuna Treatment (Saban-Method Technique) and Oriental Medical Treatments (관절 가동범위 제한을 동반한 급성 요추부 염좌 환자에 요부사반법(腰部斜搬法)과 한방치료를 병행한 치험 3례)

  • Lee, Kyung-Moo;Ahn, Hee-Bin;Lim, Sang-Hoon;Kim, Soon-Joong;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.4
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    • pp.189-202
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    • 2009
  • Objectives : This study was performed to evaluate the effects of Chuna treatment (Saban-method technique) on acute lumbar sprain patients with limited range of motion(LOM). Methods : Three patients suffered from acute lumbar sprain with LOM, were treated with Chuna therapy(Saban-method technique), acupuncture, herbal medicine, physical therapy and measured by VAS(Visual Analogue Scale) and ODI(Oswestry Disability Index). Results : After Chuna treatment and oriental medical treatments, we found out a recovery from three patients suffering from acute low back pain with LOM. Conclusions : Through this study, we suggest that Chuna treatment(Saban-method technique) and oriental medical treatments was effective to cure acute lumbar sprain patient with LOM.

Three Clinical Cases Study on Idiopathic Lumbar Scoliosis with Muscle Energy Techniques and Acupuncture Therapy (근에너지기법(Muscle Energy Techniques)과 침치료를 이용한 특발성 요추부 척추측만증 치험 3례)

  • Eom, Tae-Woong;Moon, Tae-Woong;Kang, Myung-Jin;Kong, Duck-Hyun;Cho, Tae-Young;Lee, Ki-Ha;Yoo, Da-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.173-185
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    • 2008
  • Objectives : This study is designed to evaluate the effectiveness of muscle energy techniques and acupuncture therapy on patients with idiopathic lumbar scoliosis. Methods : We have investigated 3 patients with idiopathic lumbar scoliosis, used muscle energy techniques and acupuncture therapy, measured Cobb's angle before and after treatment. Results : After treatment, One case, the L-spine Cobb's angle correctability was 62.74%, another case was 34.66%, the other case was 45.50%. Conclusions : These results suggest that muscle energy techniques and acupuncture therapy was effective treatment on patients with idiopathic lumbar scoliosis.

Effect of Chuna Treatment(Manupulation) on Lumbar Sprain Caused by Traffic Accident (교통사고 후 요추부 염좌를 진단받은 환자에 대한 추나치료의 효과)

  • Yoon, Dae-Yeon;Son, Jung-Min;Choi, Jin-Seo;Jung, Su-Hyen;Kim, Sun-Jung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.1
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    • pp.23-30
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    • 2010
  • Objectives: The purpose of this study is to investigate the effect of chuna treatment on lumbar sprain caused by traffic accident. Methods: This study carried out on 20 patients who have received hospital treatment in Semyung University Oriental Hospital. 20 patients were divided 2 groups. Non-chuna group got acupuncture-therapy, herbal medication, physical therapy and chuna group got chuna treatment besides. And then compared the VAS measurements of each group. Results: 1. Both group were significantly improved in VAS after 7 days of treatment. 2. Chuna group compared with Non-chuna group was significantly improved in VAS after 7 days of treatment. Conclusions: We found out that chuna treatment is considered to be effective and useful on lumbar sprain caused by traffic accident.

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Study on the effect of Post Open laser Lumbar Micro-discectomy on the Cross Section Area of Deep Muscles in Patients (요추부 미세 현미경 레이져 디스크 수술(OLM)이 환자의 심부근육 단면적 크기에 미치는 영향)

  • Kong, Bong-Jun;Kim, Jin-Sang;Min, Dong-Ki
    • PNF and Movement
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    • v.10 no.2
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    • pp.25-31
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    • 2012
  • Purpose : The purpose of this study is to figure out the effects of Open Laser Microdiscectomy(OLM) on deep muscles by comparing multifidus and longissimus muscle size (cross section area; CSA) of pre and post operation. Methods : The subjects consisted of forty patients who had OLM. The data were analyzed with paired t-test comparing left and right deep muscle CSA of pre and post-operation, and both the deep muscle CSA of pre and post-operation, using SPSS ver. 15.0 program. Results : The results of this study showed a significant difference in deep muscle size (CSA) between pre and post operation (p<.05). Although there was not a meaningful difference between right and left deep muscle size (CSA) in pre operation (p>.05), there was a significant difference between both of them in post operation (p<.05). Conclusion : Therefore we made the conclusion that the operation causes decrease of muscle tone in deep muscles and muscle imbalance by causing muscle atrophy in the lumbar deep muscle after the operation.

Guillain-Barre Syndrome after Minimally Invasive Lumbar Procedure: A Case Report (요추부 최소침습적 시술 후 길랑-바레 증후군: 증례보고)

  • Lee, Bong-Yeon;Yoon, Seo-Ra;Ryu, Su-Ra;Choe, Yu-Ri
    • Journal of Electrodiagnosis and Neuromuscular Diseases
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    • v.20 no.2
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    • pp.159-163
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    • 2018
  • Guillain-Barre syndrome (GBS) after trauma and general orthopedic surgery is rare. A 74-year-old woman showed ascending paralysis symmetrically, dysarthria, dysphagia and areflexia on 14 days after minimally invasive endoscopic thermoannuloplasty on L4-5 level. Brain and lumbar magnetic resonance imaging demonstrate no abnormal findings. The electrodiagnostic study showed prolonged distal motor, sensory latencies and F-wave latencies and reduced amplitude of compound muscle action potential in nerves of upper and lower extremities. In the cerebrospinal fluid (CSF) examination, total protein and IgG were increased. We diagnosed Guillain-Barre Syndrome based on clinical features, electrodiagnostic study and CSF examination and the patient improved symptoms after immunoglobulin injection and rehabilitation. Because the occurrence of GBS after minimally invasive procedure has not been reported, we report a case of GBS after minimally invasive procedure with literature review.

Case Report: The Complex Korean Medicine Treatment of Abdominal and Lower Back Pain after Laparoscopic Hysterectomy (자궁적출술 후 하복부 및 요추부 통증을 호소하는 환자에 대한 한방 복합 치료 1례)

  • Yu-jin Lee;Minjin Kwon;Na-young Kim;Yu-Ra Im
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.197-206
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    • 2023
  • Objesctives: This study reports the effect of Korean medicine treatment on a patient with abdominal and lower back pain after a laparoscopic hysterectomy. Methods: The patient received Korean herbal medicine, pharmacopuncture treatment, and acupuncture treatment for six days. We measured the numeric rating scale (NRS), Oswestry Disability Index (ODI), Range of Motion (ROM), and Life-5 Dimensions scale (EQ-5D) to assess symptom changes. Results: After treatment, the patient showed decreased numeric rating scale (NRS) and Oswestry Disability Index (ODI), as well as augmented Range of Motion (ROM) and European Quality of Life 5 Dimensions scale (EQ-5D). Conclusion: The results indicate that Korean medicine treatment is effective management for patients with abdominal and lower back pain after a laparoscopic hysterectomy.