• Title/Summary/Keyword: 척추 전만

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Effect of Sling Lmubar Stabilization Exercise Program on the Balance of Adolescent Idiopathic Scoliosis Patients (슬링 요부안정화 운동프로그램이 청소년기 특발성 척추측만증 환자의 균형에 미치는 영향)

  • Bae, Young-Hyeon;Park, Sun-Hee;Lee, Hye-Lim;Lee, Suk-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.7
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    • pp.3074-3084
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    • 2012
  • The purpose of this study lies in examining how sling lumbar stabilization exercise affects static standing balance of adolescent idiopathic scoliosis patients. The subjects were forty patients who were diagnosed with idiopathic scoliosis. They were randomly assigned either to a experimental group (n=20) that received sling lmubar stabilization exercise program or to a control group (n=20) that received only education. Data were obtained for each patient from total sway path and sway velocity in standing on both feet with eyes closed and standing on both feet with eyes open were measured, using balance performance monitor. All variables were measured at pre- and post-exercise. There were significantly differences between the both groups for all variables at post-exercise (p<.05). The experimental group showed a significantly decreases in all variables at pre- and post-exercise (p<.05). But the control group showed a no significantly differences. These results revealed that sling lumbar stabilization exercise improved static standing balance, by reducing COP(center of pressure) sway path and sway velocity of idiopathic scoliosis patients, and it is expected that sling lumbar stabilization exercise will be used as balance enhancement exercise intervention for the treatment of adolescent idiopathic scoliosis patients.

A Study on Spinal Bone Mineral Density Measured with Quantitative Computed Tomography (정량적 전산화 단층촬영법을 이용한 척추 골밀도 측정)

  • Yeo, Jin-Dong;Ko, In-Ho
    • Journal of the Korean Society of Radiology
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    • v.4 no.2
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    • pp.5-11
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    • 2010
  • The purpose of this study is to compare and analyze the bone mineral content of women who went through osteoporotic menopause and that of women who are healthy. For the purpose, this researcher sampled some women and divided them into three groups. Group 1 consisted of women who were pre-menopausal and healthy, group 2, women who were post-menopausal and health and group 3, women who went through osteoporotic menopause. The researcher measured the bone density of all the subjects and compared its difference among the three groups. Then the researcher compared and analyzed the influences of bone density on the spine among women of each group or those of all the groups. Among all regions of the spine, that of most region was spongiosa which was ovally shaped. The researcher measured the bone mineral content of spongiosa which existed in a particular section of the spine between T12 and L4. Findings of the study can be summarized as follows. The older women were, the lower their bone density was. Especially, women who had osteoporosis were significantly lower in bone density than those who were healthy. In all women, except those of group 1, bone density more and more lowered as the measured region of the spine gradually moved from T12 to L4. From a statistical view, the bone density of the entire vertebral body could discriminate the groups 1, 2 and 3. But it was not possible to discriminate between the groups 2 and 3 only with the bone density of the most interested region as mentioned above.

Study on Topographical Changes by Frame of Wooden Groyne at the Riparian of the Pyungchang River (유도틀 설치에 따른 평창강 수변의 지형변화 연구)

  • Kim, Byoung-Moon;Kim, Hyun-Ho;Hwang, Gil-Son;Kim, Dong-Oug;Park, Jung-Ho
    • Proceedings of the Korea Water Resources Association Conference
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    • 2012.05a
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    • pp.970-970
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    • 2012
  • 최근 치수의 기능을 수행하면서 원래 자연하천의 모습을 보전 혹은 복원하는 "생태하천 복원 공법"의 필요성이 대두되고 있으나 구체적인 공법에 대한 연구는 미미한 실정이다. 본 연구에서는 하천 내 시설물의 조성 시 유황에 따른 자연 하안 유도와 습지형태의 생물 서식공간 조성 유무를 평가하기 위하여 평창강 일원에 목재 유도틀을 설치하고 이에 따른 지형변화, 저서무척추동물을 포함한 수생생물들의 서식특성을 분석하였다. 평창강 금당계곡 일원을 대상으로 RMA-2 모형의 범용프로그램인 SMS 모형을 통해 수리 특성분석을 실시하였고 안산에 있는 수리모형 실험장에서 기본 수리특성 실험 후 수리적 안정성이 확보된 지점에 목재 유도틀을 2009년 9월에 설치하여 유도틀 설치 전과 설치 후 2010년 10월까지의 지형변화를 분석하였다. 지형의 측량은 광파측정기(니콘 DTM-520)로 하였으며 측량된 자료를 이용하여 Contour Map을 작성하여 지형변화를 분석하였고, 유도틀 설치지역을 중심으로 2010년에 3차에 걸쳐 지형 및 생물상 변화에 대한 정량 및 정성조사를 실시하여 비교분석 하였다. 유도틀 설치 후 2010년 하절기에 집중호우에 의한 유도틀의 파손 및 형태변형 등 문제가 없어 수리적으로 안정한 것으로 판단되었다. 지형 변화의 측면에서는 유도틀 조성 전 사질로 되어있던 단순한 선형의 하안이 유도틀 설치 후 다양한 하상재질 및 형태가 변화했으며 유도틀의 배치에 따라서 굼치 및 둠벙형 습지가 형성되었다. 유도틀 설치지역의 3개지점(상부, 중간배후습지, 하부)에서 저서무척추동물에 대하여 모니터링한 결과, 설치된 유도틀의 중간지점에서 가장 높게 종의 서식이 확인되었으며 상부지점과 하부지점은 상대적으로 낮게 나왔으나 상부지점 보다는 하부지점이 양호하게 나타났다. 조사시기별 개체수의 변화에서는 종수변화와 패턴이 유사하게 나타났으며 깔다구와 꼬마줄날도래등 특정종의 증식이 많았다. 또한, 굼치 및 둠벙형 습지 내에 어류의 치어 및 유어, 양서류, 파충류등 다양한 생물의 서식이 확인되었다. 이는 유도틀에 의해 생성 및 유도된 지형변화가 하천을 기반으로 생활하는 생물들에게 다양한 피난처 및 은신처 역할을 잘 제공하고 있음을 보여준다.

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Correlation Analysis between Cervical Hypolordosis and Radiological Result in Neck Pain (경항통 환자에 있어서 경추의 전만 감소와 영상의학검사 소견상의 연관성 분석)

  • Lee, Joon-Seok;Lee, Seul-Ji;Kim, Eun-Seok;Han, Kyung-Wan;Woo, Jae-Hyuk;Kim, Sang-Joo;Lee, Han;Kim, Chang-Youn
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.1-8
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    • 2010
  • Objectives : The propose of this study was to observe the correlation between Cervical hypolordosis and radiological result. Methods : We randomly selected among the 110 patients with X-ray and C-spine MRI films who have visited Jaseng Hospital of Oriental Medicine with neck pain. Radiographic measures of cervical lordosis and herniated disc were collected, and statistically analyzed. Results : In this study, if the finding of a X-ray showed straightening of cervical lordotic curve, based on MRI finging, the amount of herniation was more severe. Conclusions : There was a significant correlation between Cervical hypolordosis and herniated disc. Hypolordosis group complained a severe herniated disc.

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Perioperative Medical Treatment to Improve Surgical Outcomes: Management of Osteoporosis (수술적 치료 결과 향상을 위한 수술 전후 약물요법: 골다공증의 치료)

  • Shin, Hun Kyu;Lee, Jae Wook;Song, Seung Cheol
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.1
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    • pp.18-23
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    • 2019
  • As the population grows older and medical treatments are advancing, the number of spine surgeries in elderly patients has been increasing. To obtain a successful outcomes of spine surgery in elderly patients, surgeons should prepare meticulously because elderly patients can have osteoporosis and surgery can be more extensive than in younger patients. Therefore, this study reviewed the perioperative medical treatment, particularly for osteoporosis, to improve the surgical outcomes in elderly patients.

Bioecological Study of the Upwelling Area Around Cheju Island - Community structure of the Benthic Macroinvertebrates at the Rocky Intertidal Zone of Chagwi-do, Cheju Island - (제주도 주변 요승역의 생물생태학적 기초연구 - 차귀도 조간대에 분포하는 대형저서무척추동물의 군집구조 -)

  • 이정재;현재민;김종철
    • The Korean Journal of Malacology
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    • v.11 no.1
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    • pp.1-20
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    • 1995
  • 1993년 7월부터 1994년 5월까지 제주도 차귀도 4개 지점 조간대의 대형저서무척추동물의 분포와 군집구조에 관한 연구결과는 다음과 같다. 1. 차귀도 조간대에 분포하는 대형무척추동물은 총 9문, 17강, 35목, 75과, 146종이었다.2. 계절별 출현종수는 춘계에 124종, 하계 113종, 추계 99종, 동계에 86종이었다.3. 조간대 상부구역의 제1우점종은 좁쌀무늬총알고둥(N. exigua), 제2우점은 거북선(P. mitalla). (N.japonica),울타리고둥(M. labio), 중부구역은 배무래기(N. schrenkii), 밤고둥(C. argyrostoma lischkei), 울타리고둥, 깜장각시고둥(M. perplexa), 검은따개비(T. squamosa japonica)가 지점에 따라 제1, 제2우점종을 이루었다. 하부구역은 밤고둥, 검은따개비, 줄군부 (L. coreanica), 거북손, 굵은줄격판담치(S. virgatus)가 지점에 따라 우점하였으며, 상부구역 우점종의 군집우점지수는 매우 높았다.4. 조간대 하부구역의 종다양성은 상부구역이나 중부구역에 비하여 컸고 계절별 출현종수에 유의성이 있었으나 상부구역이나 중부구역에는 없었다.5. 종다양도지수와 균등도에는 상. 중. 하 구역별유의성은 없었고 풍부도에서는 상부구역에서 유의하였다.6. 제주 미기록종으로 부채넓적이끼벌레(D. su-bovoidea), 딱지조개(P. japonica), 목주림고둥(T. guerinii), 전촉수갯지렁이(A. validus), 바다거미(L. hilgendorfi)가 채집되었다.

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Effect of Pelvic Tilting and the Back-belt on Electromyographic Activity of Erector Spinae During Lifting (골반경사 방향과 허리벨트 착용이 물건 들고 일어서기 시 척추기립근의 활동전위에 미치는 영향)

  • Park, Hyung-Ki;Kim, Tack-Hoon
    • The Journal of the Korea Contents Association
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    • v.9 no.3
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    • pp.296-304
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    • 2009
  • The purpose of this study were to examine the effect of two different pelvic alignments and the back belt on electromyographic(EMG) activity of the erector spinae during lifting. The results were as follows: 1) EMG activity of erector spinae was greater when the pelvis was tilted anteriorly than when the pelvis was tilted posteriorly during lifting. 2) EMG activity of erector spinae was greater when the back belt than when without the back belt during lifting. These results suggest that the greater EMG activity of erector spinae with an anterior pelvic tilt position and with back belt during lifting may ensure optimal muscular support for the spine while handling loads.

A Biomechanical Study on the Various Factors of Vertebroplasty Using Image Analysis and Finite Element Analysis (의료영상 분석과 유한요소법을 통한 추체 성형술의 다양한 인자들에 대한 생체 역학적 효과 분석)

  • 전봉재;권순영;이창섭;탁계래;이권용;이성재
    • Journal of Biomedical Engineering Research
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    • v.25 no.3
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    • pp.171-182
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    • 2004
  • This study investigates the biomechanical efficacies of vertebroplasty which is used to treat vertebral body fracture with bone cement augmentation for osteoporotic patients using image and finite element analysis. Simulated models were divided into two groups: (a) a vertebral body, (b) a functional spinal unit(FSU). For a vertebral body model, the maximum axial displacement was investigated under axial compression to evaluate the effect of structural integrity. The stiffness of each FE model simulated was normalized by the stiffness of intact model. In the case of FSU model, 3 types of compression fractures were formulated to assess the influence on spinal curvature changes. The FSU models were loaded under compressive pressure to calculate the change of spinal curvature. The results according to the various factors suggest that vertebroplasty has the biomechanical efficacy of the increment of structural reinforcement in a patient who has relatively high level of BMD and a patient with the amount of 15%, PMMA injection of the cancellous bone volume. The spinal curvatures after compression fracture simulation vary from 9$^{\circ}$ to 17$^{\circ}$ of kyphosis compared to that the spinal curvature of normal model was -2.8$^{\circ}$ of lordosis. These spinal curvature changes cause the severe spinal deformity under the same loading. As the degree of compressive fracture increases the spinal deformity also increases. The results indicate that vertebroplasty has the increasing effect of the structural integrity regardless of the amount of PMMA or BMD and the restoration of decreased vertebral body height may be an important factor when the compressive fracture caused the significant height loss of vertebral body.

Preservation of the Posterior Ligaments for Preventing Postoperative Spinal Instability in Posterior Decompression of Lumbar Spinal Stenosis: Comparative Study between Port-Hole Decompression and Subtotal Laminectomy (요추부 척추관 협착증의 후방 감압술에서 후방 인대의 보존 여부와 술 후 척추 불안정성과의 연관성: 포트홀(Port-Hole) 감압술과 후궁 아전절제술 간 비교 연구)

  • Jung, Yu-Hun;Na, Hwa-Yeop;Choe, Saehun;Kim, Jin;Lee, Joon-Ha
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.71-77
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    • 2020
  • Purpose: To determine if sparing the interspinous and supraspinous ligaments during posterior decompression for lumbar spinal stenosis is significant in preventing postoperative spinal instability. Materials and Methods: A total of 83 patients who underwent posterior decompression for lumbar spinal stenosis between March 2014 and March 2017 with a minimum one-year follow-up period, were studied retrospectively. The subjects were divided into two groups according to the type of surgery. Fifty-six patients who underwent posterior decompression by the port-hole technique were grouped as A, while 27 patients who underwent posterior decompression by a subtotal laminectomy grouped as B. To evaluate the clinical results, the Oswestry disability index (ODI), visual analogue scale (VAS) for both back pain (VAS-B) and radiating pain (VAS-R), and the walking distance of neurogenic intermittent claudication (NIC) were checked pre- and postoperatively, while simple radiographs of the lateral and flexion-extension view in the standing position were taken preoperatively and then every six months after to measure anteroposterior slippage (slip percentage), the difference in anteroposterior slippage between flexion and extension (dynamic slip percentage), angular displacement, and the difference in angular displacement between flexion and extension (dynamic angular displacement) to evaluate the radiological results. Results: The ODI (from 28.1 to 12.8 in group A, from 27.3 to 12.3 in group B), VAS-B (from 7.0 to 2.6 in group A, from 7.7 to 3.2 in group B), VAS-R (from 8.5 to 2.8 in group A, from 8.7 to 2.9 in group B), and walking distance of NIC (from 118.4 m to 1,496.2 m in group A, from 127.6 m to 1,481.6 m in group B) were improved in both groups. On the other hand, while the other radiologic results showed no differences, the dynamic angular displacement between both groups showed a significant difference postoperatively (group A from 6.2° to 6.7°, group B from 6.5° to 8.4°, p-value=0.019). Conclusion: Removal of the posterior ligaments, including the interspinous and supraspinous ligaments, during posterior decompression of lumbar spinal stenosis can cause a postoperative increase in dynamic angular displacement, which can be prevented by the port-hole technique, which spares these posterior ligaments.

Vertebrate Fauna, Speciation and Geological History in the Cheju Island (제주도의 척추동물상과 종분화 및 지사학적 역사)

  • 심재한;박병상
    • Korean Journal of Environment and Ecology
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    • v.12 no.1
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    • pp.42-57
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    • 1998
  • Cheju island had that a fresh water Pisces composed of 9 Orders, 12Families, 24 Species, Amphibians composed of 2 Orders, 6 Families, 9 Species, Reptiles composed of 2 Suborders, 5 Families, 10 Species, Aves composed of 18 Orders, 49 Families, 236 Species and Mammalian composed of 6 Oredrs, 9 Families, 16 Species. So, total vertebrate's fauna were 35 Oredrs, 2 Suborders, 80 Families, 4 Subfamilies and 295 Species. Endemic species of the Cheju island were Mustela sibirica quelpartis, Apodemus agrarius vhejuensis, Micromys minutus hertigi and Crocidura russula quelpartis, Ageithalos caudatus trivirgatus, Sitta europaea bedfordi, Eophona personata personata and Dendrocopos oeucotos quelpartis, Troglodytes troglodytes fumigatus, Parus major minor, Cettia diphone cantans and Hynobius leechii quelpartis. Especially, Sibynoghis collaris and Anguilla mauritiana were only habitated in the Cheju island. And the Cheju island was formed in extending from Plieocene to Pleistocene. Differentiation of species was continued by geological isolation 0.3 million years that repeating glacial epoch and interglacial epoch.

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