• Title/Summary/Keyword: 흉요추

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A Case Report on Burning Acupuncture Treatments for Stable Compression Fracture (화침을 이용한 흉요추부 압박골절 치험 1례)

  • Lee, Jong-Soo;Han, Soon-Hyun
    • The Journal of Korea CHUNA Manual Medicine
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    • v.3 no.1
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    • pp.167-174
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    • 2002
  • Stable compression fractures are most often caused by trauma as traffic accidents. Stable compression fractures can refer pain to the mid-back, which is characterized by the pain in the thoracolumbar spinous prosess. recently we experienced a 19 years old man who had lumbago originating from Stable compression fractures and condition was improved through burning acupunture.

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Paraganglioma of the Thoracolumbar Spinal Canal -A Case Report- (흉요추부에 발생한 부신경절종 - 증례 보고 -)

  • Jeong, Soon-Taek;Kim, Dong-Hee;Cho, Se-Hyun;Park, Hyung-Bin;Hwang, Sun-Chul;Lee, Jeong-Hee
    • The Journal of the Korean bone and joint tumor society
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    • v.13 no.2
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    • pp.130-134
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    • 2007
  • Paragangliomas arise from a multicentric system of paraganglion cells derived from the neuroectoderm. Although these tumors are the most common in the head and neck region, they may occur in diverse locations including mediastinum, retroperitoneum and visceral organs. Spinal paragangliomas arising in the intradural space of the thoracolumbar spine have been reported rarely, with the majority located in the cauda equina. Only few cases of thoracic paraganglioma have been previously reported. We present an additional case of thoracolumbar paraganglioma and review the clinical MRI and histopathological features of this unusual tumor.

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Postural Aberrations in Female Patients With Chronic Low Back Pain (만성요통 여성 환자들에서 발생되는 자세의 변화)

  • Oh, Duck-Won
    • Physical Therapy Korea
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    • v.7 no.4
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    • pp.1-7
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    • 2000
  • 이 연구의 목적은 만성요통 여성 환자들에서 나타나는 자세 이상을 평가하고 방사선적 변수들과 임상적인 변수들과의 상관성을 알아보는 것이다. 이 연구의 대상자는 만성요통 여성 환자 38명과 대조군 32명이었다. 변수의 측정은 모든 대상자들이 이완된 자세로 기립한 상태에서 방사선 검사를 실시한 후 경추전만각, 흉추후만각, 요추전만각, 그리고 요추경사각을 측정하였다. 대상자들의 연령과 통증기간은 의무기록지를 참고하였다. 자료분석은 요통군과 대조군의 방사선적 변수들 간의 유의한 차이가 있는지를 알아보기 위해 독립된 t-검정을 시행하였고, 방사선적 변수들과 임상적 변수들과의 상관성을 알아보기 위해 피어슨 상관분석을 시행하였다. 연구결과 만성요통 환자군과 대조군사이의 경추전만각(p<.05), 요추전만각(p<.001), 그리고 천추경사각(p<.01)에서 통계학적으로 유의한 차이가 보였다. 통증기간은 요추전만각과 통계적학으로 유의한 상관관계가 있었으며(p<.05), 경추전만각은 흉추후만각과 통계학적으로 유의한 상관관계가 있었다(p<.05). 또한 흉추후만각, 요추전만각, 그리고 천추경사각은 각각 상호간에 상관관계가 있었다(p<.05). 만성요통은 요추만곡의 변화를 초래하여 흉추부 및 경추부의 자세이상을 유발할 수 있다. 그러므로 요통으로 인하여 올 수 있는 신체 전반적인 자세이상을 미리 예측하고 이를 교정하여야만 장기적으로 올 수 있는 합병증들을 예방할 수 있을 것이다.

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Spinal Stability Evaluation According to the Change in the Spinal Fixation Segment Based on Finite Element Analysis (유한요소해석 기반 척추 고정분절 변화에 따른 척추 안정성 평가)

  • Kim, Cheol-Jeong;Son, Seung Min;Heo, Jin-Young;Lee, Chi-Seung
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.33 no.3
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    • pp.145-152
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    • 2020
  • In this study, we evaluated spinal stability based on the change in the thoracolumbar fixation segment using finite element analysis (FEA). To accomplish this, a finite element (FE) model of a normal thoracolumbar spine (T10-L4), including intervertebral discs (IVD), ligaments, and facet joints, was constructed, and the material properties reported in previous studies were implemented. However, L1 was assumed as the lesion site, and three types of posterior fixation, namely, L1-L2, T12-L2, and T12-L1-L2, were implemented in the thoracolumbar FE model. In addition, the loading conditions for flexion, extension, lateral bending, and axial rotation were adopted. Through the series FEA, the deformation, equivalent stress, range of motion, and moment on the pedicle screws, vertebrae, and IVD were calculated, and the spinal stability was evaluated based on the FEA results.

The Effect on Trunk Forward Flexion Motion of Thoraco-Abdominal Breathing Pattern Correction for Life Care Promotion in Lumbar Instability People (라이프케어증진을 위한 흉·복부 호흡패턴교정이 요추부 불안정성자들의 몸통 전방 굴곡 동작에 미치는 영향)

  • Ki, Chul;Heo, Myoung
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.245-253
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    • 2020
  • This study has conducted to investigate the changes in the mobility of the three thoraco-abdominal lines(TAMs) during breathing and in the thoracic and lumbar spine mobility(TSM, LSM) during trunk forward flexion, after breathing pattern correction. The 30 subjects with lumbar instability(LI) have divided into the breathing pattern correction exercise(BPC) group of 15 subjects and the lumbar stabilization exercise(LSE) group of 15 subjects and performed each exercise for 40 minutes at one session, and a total of 18 sessions were applied for 6 weeks. As a result, The BPC group during breathing showed a significant increase in all TAMs(p<.001) and in the TSM(p<.001) than the LSE group. Besides, had a more decrease in the LSM than the LSE group(p<.001). The BPC showed high positive correlations with TAMs(rest: r=.868, forced: r=.870) and the TSM(r=.672) and had a negative correlation with the LSM(r=-.420). Based on this result of the study, the authors believe that the BPC in LI people could decrease the lumbar flexion mobility when they have motion of trunk forward flexion with promotions in the thoracic spine and rib joint mobility by improvements in relative mobility of thoraco-abdominal lines.

Biomechanical Analysis of Different Thoracolumbar Orthosis Designs using Finite Element Method (유한요소 해석을 이용한 정형용 흉·요추 보조기의 형태에 따른 생체역학적 분석)

  • Kim, Y.H.;Jun, S.C.;Jung, D.Y.;Lee, S.J.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.6 no.1
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    • pp.45-50
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    • 2012
  • Thoracolumbar orthosis has been used for the rehabilitation of the patients with senile kyphosis. Recently, a number of different thoracolumbar orthosis designs have been introduced but its biomechanical effectiveness still remain unknown. In this study, we compared the pressure distribution on the surface of the trunk and stresses on the orthosis in relation to changes in connecting frame designs (Type 1, one-connecting frame type; Type 2, two-connecting frame type; Type 3, all-in-one type) using finite element (FE) models under different motions of the trunk. The results showed that Type 3 distributed the pressure on the trunk most evenly followed by Type 2 and Type 1 and the difference between Type 1 and Type 2 was negligible. ROM was limited most effectively by Type 3 ($8.5{\sim}9.4^{\circ}$), followed by Type 2 ($11.3{\sim}13.9^{\circ}$) and Type 1 ($12.1{\sim}15.4^{\circ}$). The ratio between the peak von Mises stress and yield strength of each material remained less than 20% regardless of orthosis type indicating low likelihood of component failure. In conclusion, our study found that all-in-one type of orthosis was the most effective design for the conservative treatment of spinal deformity in terms of function and comfort.

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A Case Report on the Thoracic & Lumbar Disc and Scoliosis Treated by Flexion-Distraction Technique (굴곡신연기법을 이용한 흉요추 추간판 탈출증과 척추 측만증의 치험 1례)

  • Kim, Se-Jong;Min, Boo-Ki;Yoon, Il-Ji;Oh, Min-Suck
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.2
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    • pp.73-80
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    • 2006
  • This study is designed to evaluate the effect of flexion-distraction technique for the patient with thoracic & lumbar disc and scoliosis. After flexion-distraction technique the. results of VAS of lumbago, orthopedics tests, cobb's angle were improved significantly. It is suggested that flexion-distraction technique might be effective for the patient with Thoracic & Lumbar Disc and Scoliosis.

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