• Journal of the Korea Convergence Society
• /
• v.9 no.3
• /
• pp.137-144
• /
• 2018

The purpose of this study was to investigate the fusion effects and difference them of the deep transverse stroking, manual stretching exercise and active muscle release technique on psoas major muscle thickness and muscle tone, and pelvic angle in non-specific low back pain patients. Psoas major muscle thickness was significantly decreased after the application of the deep transverse stroking $0.19{\pm}0.16cm$ (p <0.05), manual stretching exercise $0.18{\pm}0.14cm$ (p <0.05), and active muscle release technique $0.43{\pm}0.35cm$ (p <0.05). The pelvic angle was significantly decreased after the application of the deep transverse stroking $4.48{\pm}1.63^{\circ}$ (p <0.05), manual stretching exercise $5.36{\pm}2.04^{\circ}$ (p <0.05), and active muscle release technique $7.24{\pm}2.23^{\circ}$ (p <0.05). The Psoas major muscle tone was significantly decreased after application of the deep transverse stroking $0.96{\pm}0.93Hz$ (p <0.05), but manual stretching exercise $0.87{\pm}1.20Hz$ (p> 0.05) and active muscle release technique $0.82{\pm}0.98Hz$ (p> 0.05) there was no significant difference after application. There were no significant differences between the three intervention methods in the pelvic angle and psoas major muscle thickness and tone changes. In order to change psoas major muscle thickness and pelvic angle, three intervention methods should be applied appropriately according to the condition and environment of the patient, and deep transverse stroking is more effective for changing psoas major muscle tone.

• Journal of dental hygiene science
• /
• v.12 no.6
• /
• pp.558-565
• /
• 2012

The purpose of this study was to work related musculoskeletal disorders are a major. Occupational disease of the dental care profession is no exception. The survey was self-reported questionars of 300 dental hygienists that 268 dental hygienists reply to self-reported survey. This study results are as follows: Subjects of research analyzing the degree of physical musculoskeletal disorders pain, shoulder 90.3%, neck 89.2%, leg 83.6%, 81.7% back, hand/wrist/fingers 75.7%, arm/elbow, according to 52.8%. Therefore the work province of the research object people the musculoskeletal disorders appeared different. Generally characteristic was taller dental hygienists lower back pain and were out of less weight, study subjects had neck and arm pain. 29~33 year-old age the shoulder, over the age of 34 the arm/elbow to be high (p<0.05). Working environment to become a career, the more hand/wrist/fingers and the pain increased (p<0.05). The neck, shoulders (p<0.05), arm (p<0.01), waist high in the 3~4 years experience. And leg/foot was in the 1~2 years experience. This increase in working hours had increased pain in the neck but the hand/wrist/finger pain in the small hours of experience in the high pain(p<0.01). Conclusion of the musculoskeletal disorders of the dental hygienists often than the average for this risk is recognized. When it occurs early in treatment can be simple, but time is left to revert to normal when you do not already. Therefore, maintaining proper posture and dental hygienists, pain or fatigue appeared to accumulate immediately treated continued efforts are needed.

• Journal of Digital Convergence
• /
• v.11 no.11
• /
• pp.613-620
• /
• 2013

This study was conducted to measure and analyze the changes in paraspinal muscles of acute and chronic low back pain patients using MRI, and to provide clinical basic data for diagnosis and treatment for low back pain. For this purpose, 20 patients with acute low back pain frome August 2012 to January 2013 which occurred within 12 weeks, and 20 patients with chronic low back pain that progressed over 12 weeks, were chosen as subjects, and their MRI measurements were compared with one another. As a result, in relation to in the fatty degeneration ratio of the left spine and right spine, there were significant differences in erector spinae and multifidus(p<.001), and in relation to the Fat Infiltration ratio between all the groups, there were significant differences in psoas major, erector spinae and multifidus between the acute low back pain patient group and the chronic low back pain patient group(p<.001). In the post-hoc test, multifidus and erector spinae in the acute low back pain group and chronic low back pain group showed the highest Fat Infiltration ratio. The serious Fat Infiltration of multifidus and erector spinae in the chronic low back pain group led to weakened strength of muscles that stabilize the spine. In conclusion, it is considered that this study would present important data and basis in making acute and chronic low back pain patients pay more attention to multifidus and psoas major during rehabilitation exercise, and selecting a rehabilitation exercise program.

• Proceedings of the Safety Management and Science Conference
• /
• 2012.11a
• /
• pp.393-401
• /
• 2012

본 연구에서의 미용업 종사자의 감정노동, 직무 및 사회심리적 스트레스, 피로도가 근골격계질환에 미치는 직 간접적인 영향을 평가하기 위하여 시도되었다. 그 결과 미용업 종사자의 근골격계질환 자각증사자는 신체부위 중 어깨의 근골격계질환 관련 자각증상자가 가장 많았으며, 목, 허리, 손목, 팔, 발, 무릎 순으로 나타났다. 미용업 종사자의 감정노동 각 문항별 평가 결과는 '나는 기분이 나쁠 때 고객들에게 표현하지 않도록 최선을 다한다'의 문항이 3.92점으로 가장 높게 나타났으며, 이와 반대로 '표현되는 행동과 실제 감정의 차이 때문에 혼란스러울 때가 있다' 2.61점으로 나타났다. 미용업 종사자의 작업 관련 심리적인 요인이 근골격계질환에 미치는 영향에 대하여 근골격계질환자가 무증상자에 비하여 감정노동과 피로도에 영향을 더 많이 받는다는 것으로 나타났으며, 직무 스트레스가 증가할수록 사회심리적 스트레스는 낮아지지만 피로도가 증가하는 것으로 나타났다. 감정노동이 피로도에 미치는 영향에서 직 간접적인 영향이 모두 높은 것으로 나타났으며 직무 스트레스가 피로도를 통해 근골격계질환에 미치는 간접적인 영향이 큰 것으로 나타났다. 본 연구를 통하여 미용 종사자의 작업 관련 물리적 심리적 개선 방안 마련이 요구되면 산업안전보건 분야의 정책적 관리 방안 마련을 제안한다.

• The Korean Journal of Pain
• /
• v.5 no.1
• /
• pp.113-116
• /
• 1992

The psoas compartment block has been advocated as the technique of choice for the surgical correction of the fractured neck of the femur. It is, moreover, widely used as a technique for postoperative analgesia. This block has not been discribed in the treatment of pain in cancer patients unitl 1988. A 54-year-old woman with advanced stomach cancer complained of pain in the right leg. Psoas compartment block using bupivacaine and methylprednisolone; was effective for pain control. Psoas compartment block is a useful procedure and can be of particular use in patients who have not responded to opiates or find the side effects intolerable.

• Proceedings of the Korean Operations and Management Science Society Conference
• /
• 2002.05a
• /
• pp.792-796
• /
• 2002

관찰적 작업자세 평가기법은 각 관절의 자세를 관찰 기록하여 자세 부하를 평가하는 실용적인 인간공학적 작업평가 기법이다. 본 연구에서는 각 관절의 불편도 지수와 전신의 자세 부하의 관계성을 모형화하고, 전신의 작업자세 부하를 평가하는 방법론을 제시하였다. 자동차 조립공정의 대표적인 작업자세들을 대상으로 하여 정적인 자세의 심물리학적 부하를 전신에 대하여 평가하였다 전신의 불편도는 비중립 자세를 취하고 있는 각 관절의 조합에 의해 영향을 받는다. 특히, 자동차 조립공정에서는 어깨 높이 이상의 작업을 대상으로 하는 경우에 어깨, 목, 허리, 손목 등에서 비중립 자세를 동시에 취하여 전신의 불편도가 큰 것으로 나타났다. 평가된 전신의 불편도와 각 자세의 관절별 불편도 지수의 관계를 다중선형회귀모형으로 모형화하는 것이 타당한 것으로 나타났다. 모형에서 전신 불편도에 가장 큰 영향을 미치는 관절은 어깨이며, 손목의 영향이 가장 적은 것으로 나타났다. 이 모형을 통해 작업자세 부하를 정량적으로 평가하는 것이 가능할 것으로 기대된다.

• Korean Security Journal
• /
• no.20
• /
• pp.71-93
• /
• 2009

The purpose of this study was to evaluate the effects of using spinal stabilization exercise for the improvement of atrophy of the multifidus and psoas major, of pain and disability with chronic low back pain in private guard and security. For 42 patients diagnosed with CLBP, and divided into spinal stabilization exercise group(SSEG) and general spinal strengthening exercise group(GSSEG). Each exercise was conducted for 10 weeks. Pain and disability were measured before and after exercise using the Visual analogue scale(VAS) and the Oswestry disability index(ODI). Cross section area(CSA) of both the left and right multifidus and the psoas major at the upper end plate of L4 were measured before and after exercise using computed tomography(CT). After 10 weeks of exercise, the both group's pain and lumbar disability were significantly decreased(p<0.01). Also there was significant difference in both group(p<0.05). In addition, the CSA of the left and right multifidus and posas major were significantly increased as compared to the pre-exercise in both group(p<0.01). But SSEG's cross sectional areas of multifidus was more significantly increase than GSSEG(p<0.05). In summary, Spinal stabilization exercise is more effective in improving atrophy in private guard and security patients, in reducing patients' pain and disability. It is an effective treatment to aid rehabilitation in these cases.

• Journal of Korean Library and Information Science Society
• /
• v.42 no.4
• /
• pp.243-262
• /
• 2011

The aim of this study was to investigate musculo-skeletal symtoms and working conditions of university library's librarians to search for the risk factors related to musculo-skeletal symptoms. The study subjects were 266 librarians who were working at 20 university libraries. A self-recording questionnaire was used to investigate the general characteristics, working conditions, job intensity, job satisfaction and stress, education of musculoskeletal disorders and nature of musculoskeletal symptom. Statistical analysis was done by using t-test and multiple regression analysis. The complaint proportion of self-reported positive musculoskeletal symptoms was 62.5% and that of severe musculoskeletal symptoms was 26.1%. Multiple regression analysis showed that low satisfaction of working conditions, high job intensity, irregular mealtime, job stress were closely related to the positive rate of musculoskeletal symptoms. Therefore, it will be necessary to make efforts to reduce the prevalence of musculoskeletal disorders improving working conditions and mitigating the job intensity.

• Journal of Korean Society of Forest Science
• /
• v.110 no.2
• /
• pp.210-216
• /
• 2021

Musculoskeletal disorders affect workers' safety in most industries, and forest operations are classified as a musculoskeletal burden according to the Occupational Safety and Health Act in South Korea. In particular, felling and delimbing operations are mainly conducted by manpower, and then, it is necessary to evaluate ergonomic risk assessment for safety of felling and delimbing workers. Three ergonomic risk assessment methods, such as Ovako Working posture Analysis System (OWAS), Rapid Upper Limb Assessment (RULA), and Rapid Entire Body Assessment (REBA), are available for assessing exposure to risk factors associated with timber harvesting operations. Here, three ergonomic risk assessment methods were applied to examine ergonomic risk assessments in chainsaw felling and delimbing operations. Additionally, exposure to risk factors in each method was analyzed to propose an optimal working posture in felling and delimbing operations. The risk levels of these operations were evaluated to be highest in the RULA method, followed by the OWAS and REBA methods, and most of the exposed working postures were examined with a low-risk level of two and three without requiring any immediate working posture changes. However, two significant working postures, including the bending posture of the waist and leg in felling operation and standing posture on the fallen trees in delimbing operation, were assessed as the high-risk level and needed immediate working posture changes. Low-risk work levels were examined in the squatting posture for felling operation and the straightened posture of the waist and leg for delimbing operation. Moreover, the slope in felling operation and the tree height in delimbing operation significantly affected risk level assessment of working posture. Therefore, our study supports that felling and delimbing workers must operate with low-risk working postures for safety.

• Fire Science and Engineering
• /
• v.28 no.4
• /
• pp.81-88
• /
• 2014

This study identified the complaint ratio of musculoskeletal symptom by 119 EMTs and investigated the work risk extent through ergonomics evaluation about the patient transport works, which cause work-related musculoskeletal disorders (WMSDs) to 119 EMTs. For this, the complaint ratio of musculoskeletal symptom utilized questionnaire tool based on KOSHA Code H-30-2008 and the risk extent about the patient transport work evaluated by using ergonomics evaluation tools such as OWAS, RULA and REBA. According to the study result, 60.9% of 119 EMTs experienced musculoskeletal symptom. Among them, the symptom on back was the most common (36.1%). The work, which mostly causes WMSDs, has been found as patient transport work (48.4%). Among the patient transport motion, loading/unloading of ambulance cot to/from ambulance and the lifting of patient by stretcher were OWAS risk-level 3 and RULA/REBA risk-level 3 to 4. Among the patient transport environment, carrying patient on stairway using emergency mini-stretcher, moving patient in vehicle using spine board and piggy-back carrying or cradle carrying patient on stairway or slope way were OWAS, RULA, REBA risk level 3 to 4. It is suggested that immediate improvement in work postures for these works should contribute to prevention against WMSDs to 119 EMTs.