• Journal of the Korean Society of Physical Medicine
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• v.8 no.1
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• pp.59-69
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• 2013

연구목적: 본 연구는 만성 뇌졸중 환자를 대상으로 흡기근 저항훈련이 횡격막 두께와 폐기능 및 흉곽 확장에 미치는 효과를 알아보고자 수행하였다. 연구방법: 연구 대상자는 총 29명(남자 17명, 여자 12명)으로 흡기근 저항훈련군(15명)과 대조군(14명)으로 분류하였다. 모든 대상자는 6개월 이상된 만성 뇌졸중 환자로 일반적인 신경발달치료를 받고 있으며, 같은 기간 동안 흡기근 저항훈련군에 역치부하 흡기근육 단련기(threshold IMT device)를 제공하고 주 3회${\times}$1회 20분씩 6주간 시행하였다. 마비측과 비마비측 횡격막 두께측정을 위해 초음파의 7.5MHz linear probe를 사용하여 최대 흡기시(Tdi.con)와 휴식시(Tdi.rel)의 두께를 측정하고 수축률(TR)을 계산하였다. 또한 폐 활량계를 사용하여 노력성 폐활량을 측정하였으며, 줄자를 사용하여 흉곽 확장을 측정하였다. 연구결과: 6주간 중재 후 흡기근 저항훈련군에서 최대흡기시 횡격막 두께(Tdi.con)와 수축률(TR)은 유의한 증가를 보였다(p<.05). 1초간 노력성 호기량 ($FEV_1$)과 최대 호기 속도(PEF)도 유의한 증가를 보였으나(p<.05), 노력성 폐활량(FVC)과 1초간 노력성 호기량의 노력성 폐활량에 대한 비($FEV_1$/FVC), 흉곽 확장은 유의한 증가는 보이지 않았다(p>.05). 결론: 본 연구는 만성뇌졸중 환자를 대상으로 흡기근 저항훈련의 적용이 횡격막의 수축력과 폐기능 및 흉곽 확장력을 향상시켜 호흡근의 협응력을 증가시키고, 비활동성으로 인해 감소된 운동내성을 증가하게 함으로써 향후 재활에서 만성 뇌졸중 환자에게 2차적인 기능향상에 도움을 줄수 있을 것으로 보여진다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.9 no.1
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• pp.92-97
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• 2006

Congenital diaphragmatic eventration is the abnormal elevation of the diaphragm into the thoracic cavity. Sometimes, it is not easy to differentiate congenital diaphragmatic eventration from diaphragmatic hernia by either prenatal sonography or postnatal chest radiography. However, differential diagnosis of both diseases is practical because of different prognosis and surgical approaches. Careful interpretation of postnatal serial chest X-rays is mandatory to differentiate between both diseases. We report two neonates with congenital diaphragmatic eventration of left diaphragm that initially misdiagnosed as diaphragmatic hernia by prenatal sonography and postnatal chest radiography.

• Journal of Digital Policy
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• v.1 no.1
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• pp.7-13
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• 2022

The purpose of this study was to investigated the effect of taping intervention applied to the diaphragm on the anaerobic performance in 30 seconds. 18 healthy college students were randomly divided into experimental group(KT=9) and control group(Sham=9). In both groups, pre and post measurement was performed by wingate test, and post measurement was performed with taping application after a week rest. The statistics between two groups on the rate of change pre and post were analyzed through Mann-Whitney U test. Statistically, it showed that only the average power(AP) of control group was significantly different. This means that diaphragmatic taping did not affect the performance of anaerobic exercise for 30 seconds. However, considering the increase in aerobic metabolism during long-term anaerobic exercise longer than 30 seconds, further studies on anaerobic exercise performance within various time ranges are needed.

• Journal of Chest Surgery
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• v.37 no.12
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• pp.1025-1028
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• 2004

Epithelioid hemangioendothelioma (HE) is a very rare malignant tumor that is pathologically benign tumor originating from endothelial cell but clinically presents metastasis and recurrence. A 29-year-old asymptomatic man, preoperatively diagnosed as lung cancer in the left lower lung, underwent a lobectomy, a wedge lung resection of left upper lung, and partial resection of diaphragm. Left lower lobar lesion was confirmed as pulmonary epithelioid hemangioendothelioma, but the lesions of the left upper lung and diaphragm were remained calcified by spontaneous regression of HE. We report a case of subcutaneous metastasis that occurred two times at 10 months and 19 months after previous surgical treatment of pulmonary EH.

• Tuberculosis and Respiratory Diseases
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• v.45 no.4
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• pp.736-745
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• 1998

Background: Respiratory muscle interaction is further profoundly affected by a number of pathologic conditions. Hyperinflation may be particularly severe in chronic obstructive pulmonary disease(COPD) patients, in whom the functional residual capacity(FRC) often exceeds predicted total lung capacity(TLC). Hyperinflation reduces the diaphragmatic effectiveness as a pressure generator and reduces diaphragmatic contribution to chest wall motion. Ultrasonography has recently been shown to be a sensitive and reproducible method of assessing diaphragmatic excursion. This study was performed to evaluate how differences of diaphragmatic excursion measured by ultrasonography associate with normal subjects and COPD patients. Methods: We measured diaphragmatic excursions with ultrasonography on 28 healthy subjects(l6 medical students, 12 age-matched control) and 17 COPD patients. Ultrasonographic measurements were performed during tidal breathing and maximal respiratory efforts approximating vital capacity breathing using Aloka KEC-620 with 3.5 MHz transducer. Measurements were taken in the supine posture. The ultrasonographic probe was positioned transversely in the midclavicular line below the right subcostal margin. After detecting the right hemidiaphragm in the B-mode the ultrasound beam was then positioned so that it was approximately parallel to the movement of middle or posterior third of right diaphragm. Recordings in the M-mode at this position were made throughout the test. Measurements of diaphragmatic excursion on M-mode tracing were calculated by the average gap in 3 times-respiration cycle. Pulmonary function test(SensorMedics 2800), maximal inspiratory(PImax) and expiratory mouth pressure(PEmax, Vitalopower KH-101, Chest) were measured in the seated posture. Results: During the tidal breathing, diaphragmatic excursions were recorded $1.5{\pm}0.5cm$, $1.7{\pm}0.5cm$ and $1.5{\pm}0.6cm$ in medical students, age-matched control group and COPD patients, respectively. Diaphragm excursions during maximal respiratory efforts were significantly decreased in COPD patients ($3.7{\pm}1.3cm$) when compared with medical students, age-matched control group($6.7{\pm}1.3cm$, $5.8{\pm}1.2cm$, p< 0.05}. During maximal respiratory efforts in control subjects, diaphragm excursions were correlated with $FEV_1$, FEVl/FVC, PEF, PIF, and height. In COPD patients, diaphragm excursions during maximal respiratory efforts were correlated with PEmax(maximal expiratory pressure), age, and %FVC. In multiple regression analysis, the combination of PEmax and age was an independent marker of diaphragm excursions during maximal respiratory efforts with COPD patients. Conclusion: COPD subjects had smaller diaphragmatic excursions during maximal respiratory efforts than control subjects. During maximal respiratory efforts in COPD patients, diaphragm excursions were well correlated with PEmax. These results suggest that diaphragm excursions during maximal respiratory efforts with COPD patients may be valuable at predicting the pulmonary function.

• Journal of Chest Surgery
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• v.30 no.10
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• pp.1005-1009
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• 1997

Diaphragm injuries are very important because, if both thoracic and abdominal viscera are damaged, a combination of shock and acute respiratory distress may develop. It can be highly lethal. This evaluation was based on the reviews of 17 cases of traumatic diaphragm injuries treated at the Department of Cardiovascular Surgery, Seoul Adventist Hospital during 5 years from March 1993 to February 1997. The mean age of the patients was 37.2 years and sex ratio was 3.2:1 with male dominance. Blunt trauma(N=5, Rt.=4, Lt.= 1) was 29.5%, penetrating trauma(N= 12, Rt.=5, Lt.=7) was 70.5%. Dyspnea(76%) was the most common symptom. Blunt trauma(9.8$\pm$3.7 Cm) was larger than the penetrating trauma(3.2$\pm$ 1.3 Cm)(P<0.05) in the size(mean$\pm$SD) of the injury. All of the patients had associated injuries and repaired immediatley with thoracic approach 11 cases(64%), abdominal approaih 3 cases(18%) and thoracoabdominal approach 3 cases(18%). f cases of penetrating diaphragmatic t auma was diagnosed on the operation of other organ injury Now we suggest that diaphragmatic injury should be suspected in all patients with penetrating as well as blunt injury of the chest and abdomen to protect the patient from its late complications.

• Journal of Chest Surgery
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• v.39 no.9 s.266
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• pp.725-728
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• 2006

A six-month old boy and a thirty-month old girl who suffered from dyspnea were admitted to our hospital. Their primary disease was congenital myopathy, and both of them had a history of recurrent pneumonia. Chest X-ray scan showed unilateral diaphragmatic eventration. To minimize the injury of weakened respiratory muscle in children with myopathy, VATS plication was performed under double lung ventilation. Each of the two patients were discharged on the 17th and 24th postoperative day. We report two cases of successful VATS plication in children with diaphragmatic eventration associated with congenital myopathy.

• Korean Journal of Veterinary Research
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• v.15 no.2
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• pp.271-277
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• 1975

한국재내산양(韓國在來山羊) 11두(頭)의 흉벽근(胸壁筋)을 절개하여 관찰하였던 바 다음과 같은 결과(結果)를 얻었다. 1. 산양(山羊)의 흉벽(胸壁)에는 횡격막을 포함하여 11개의 筋들을 확인할 수 있었다 : 전배거근(前背鋸筋) M. serratusdorsalis cranialis, 후배거근(後背鋸筋) M. serratus dorsalis caudalis, 사각근(斜角筋) M. scalenus, 늑횡근(肋橫筋) M. transversus costarum, 늑골거근(肋骨擧筋) Mm. levatores costarum, 외늑간근(外肋間筋) Mm. intercostales externi, 내늑간근(內肋間筋) Mm. intercostales interni, 늑연골간근(肋軟骨間筋) Mm. intercartilaginei, 늑골후인근(肋骨後引筋) M. retractor costae, 흉횡근(胸橫筋) M. transversus thoracis, 횡격막(橫隔膜) Diaphragma. 2. 전배거근(前背鋸筋)의 발달이 아주 미약하여 단지 1예(例)에서만 볼 수 있었다. 3. 사각근(斜角筋)은 천부(淺部)(M. scalenus supracostalis)와 심부(深部)(M. scalenus primal costae)로 구분되었으며 이들은 각각 배(背), 복(腹)으로 나누어졌고, 천부(淺部)는 제 1늑골 및 제 3~4늑골에서 기시(起始)하고 있었다. 4. 늑연골간근(肋軟骨間筋)은 제 7늑간에서는 양쪽 늑골이 서로 밀접하게 붙어있어 나타나지 않았으며, 제 1늑간 부터 제 6늑간 사이에서는 섬유방향이 거의 수평으로 향하고 있어 내늑간근(內肋間筋)의 연장으로 보이고 제 8늑간 부터 마지막 늑간사이에서는 거의 수직으로 향하고 있어 외늑간근(外肋間筋)의 연장으로 보인다.

• Journal of the Institute of Electronics and Information Engineers
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• v.50 no.11
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• pp.188-194
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• 2013

In this paper, we proposed a new method for pulmonary vessels image segmentation and refinement from pulmonary image. Proposed method consist of following five steps. First, threshold estimation is performed by polynomial regression analysis of histogram variation rate of the pulmonary image. Second, segmentation of pulmonary vessels object is performed by density-based segmentation method based on estimated threshold in first step. Third, 2D connected component labeling method is applied to segmented pulmonary vessels. The seed point of both side diaphragms is determined by eccentricity and size of component. Fourth step is diaphragm extraction by 3D region growing method at the determined seed point. Finally, noise cancelation of pulmonary vessels image is performed by 3D connected component labeling method. The experimental result is showed accurately pulmonary vessels image segmentation, the diaphragm extraction and the noise cancelation of the pulmonary vessels image.

• Proceedings of the KAIS Fall Conference
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• 2009.05a
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• pp.204-207
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• 2009

일반적으로 가창을 위한 호흡법으로는 두 가지를 들 수 있다. 가슴의 횡격막 부분을 사용하는 복식호흡법과 배꼽 밑 부분의 아랫배를 활용한 단전호흡법으로 나눌 수 있다. 일반적으로 윗배를 사용하는 복식 호흡법의 경우 주로 성악 발성에서 사용 하였으며, 아랫배를 활용한 단전호흡법의 경우 창이나 판소리 등의 국악 창법에 많이 사용되었다. 상대적으로 역사가 짧은 대중음악의 경우는 특정한 호흡법이 없고 누구에게 배웠느냐에 따라 호흡하는 방법이 결정되었다. 그러나 매스미디어가 발전함에 따라 대중음악 분야도 발전하게 되었고, 대중가요 가수들을 위한 독창적인 호흡법도 절실히 필요하게 되었다. 따라서 본 연구에서는 가창력을 증진 시킬 수 있는 효과적인 호흡법을 제시해 보고자 한다.