• 제목/요약/키워드: Back Support

검색결과 550건 처리시간 0.028초

국내 초.중.고등학생들의 척추질환 진료경향 분석 (Analysis of Clinical Tendency of Spinal Disorder in Primary, Middle and High School Students in Korea)

  • 김민정;손창규;허동석;홍권의
    • Journal of Acupuncture Research
    • /
    • 제27권2호
    • /
    • pp.43-49
    • /
    • 2010
  • Objectives : Among young generation, the prevalence of spinal disorders is known to be increasing. This study aimed to analyze the clinical data of spinal disorder in young ages in Korea. Methods : Number of patient, kinds of disorder, and medical cost were analyzed for patients(7~18 years) underwent spinal disorders using computerized database of Health Insurance Review and Assessment Service(HIRAS) from 2004 to 2008. We included dorsopathies as spinal disorder according to Korean Classification of Diseases(KCD) and excluded spinal disorder caused by trauma. We compared the data of traditional Korean medicine treatment with that of western medical care. Results : 4.8% of the children and adolescents had medical treatment with spinal disorder in 2008. The claim number and medical cost for both traditional Korean medicine and western medicine treatment are increasing 1.8 and 1.3 times respectively over 5 years. Total medical spent of western clinic was 2.1 times than those of traditional Korean clinic. The most common spinal disorder was dorsalgia(31.8%) and scoliosis(13.5%) in western clinics while back pain(29.0%) and neck pain(10.8%) in oriental clinic. Conclusions : We first reported the clinical tendency of spinal disorder in Korean children adolescents from 2004 to 2008. This study will support the development of a strategy for traditional Korean medicine-based prevention or treatment of spinal disorders in young generation.

슬괵근 유연성 평가에 관한 연구 (Comparison of Six Tests for Assessing Hamstring Muscle Length)

  • 김선엽
    • 대한정형도수물리치료학회지
    • /
    • 제5권1호
    • /
    • pp.39-51
    • /
    • 1999
  • Background and Purpose. Objective measurements of hamstring muscle length are needed to quantify baseline limitations and to document the effectiveness of therapeutic interventions. Several indirect clinical tests for measuring hamstring muscle length are available, but influence of their test procedure is not well documented. The purpose of this study were 1) to describe hamstring muscle length as reflected by use of six tests(active straight leg raising(ASLR), passive straight leg raising(PSLR), passive straight leg raising with the lower back flat(PSLRB), active knee extension(AKE), passive knee extension(PKE), hip joint angle(HJA). 2) to examine the correlation among the tests. Subjects, Sixty subjects(30 men. 30 women) ranging in age from 18 to 25 years(mean 20.2 years) and with no limitation hamstring flexibility and no neurological and orthopedical problems. Methods. All subjects performed six tests. A inclinometer was used to determine the end point of range of motion. HJA was measured using an inclinometer placed over the sacrum. PSLRB were tested PSLR with the low back flat and the opposite thigh slightly flexed and support on pillows. Results, A mean ASLR value of 85.9 degrees, PSLR value of 99.9 degrees, PSLRB value of 109.8 degrees, AKE value of 77.2 degrees PKE value of 83.1 degrees and HJA value of 73.0 degrees were obtained for all subjects. A dependent t-test showed significant difference between the angles of ASLR and PSLR(p<0.001). There was a significant difference between the angles of PSLR and PSLRB(p<0.001). There was a significant difference between the angles of AKE and PKE(p<0.001). The highest correlation was between PSLR and PSLRB(r=0.915, p<0.001). All SLR tests were significants related(p<0.001), as well as AKE and PKE(p<0.001). The lowest correlation was between PKE and HJA(r=0.171. p>0.05). Conclusion and Discussion. The results indicated that the hip flexion angles for ASLR, PSLR and PSLRB were a difference, and the knee extension angles for AKE and PKE were a difference.

  • PDF

국내 치과의사의 근골격계질환 실태 조사 (Survey of Musculoskeletal Disorders in Korean Dentists)

  • 차주형;유태범;최화순;이재봉;김명기;정민근;정철현
    • 대한인간공학회지
    • /
    • 제26권2호
    • /
    • pp.137-147
    • /
    • 2007
  • Dentists are known to be highly exposed to the musculoskeletal disorders (MSD). The present study investigated the prevalence of MSD among Korean dentists and association between their MSD and physical workload. In addition, work-related causes of high physical workload were identified and needs of dentists were collected for improvement of dental instrument and environment. Four types of questionnaires including the Nordic questionnaire were used to investigate body troubles, physical workload, causes of physical workload, and improvement priority of dental components. A total of 104 dentists in Seoul were participated in the survey. Neck trouble (82%) was the most prevalent in the participated dentists and shoulder (68%) and low back trouble (56%) followed, while low back trouble was reported to be most common in previous western studies. The body troubles were related to the physical workload of the corresponding body parts, although they were not associated with personal characteristics. Most dentists selected 'to keep direct view inside patient's mouth' and 'no support of the hand with dental instruments' as causes of awkward and strenuous work postures. They wanted design improvement for some components in their operating room such as operating light and arrangement of workplace.

요추분절의 불안정성에 대한 임상적 소개와 안정성 운동관리 (Clinical presentation and specific stabilizing exercise management in Lumbar segmental instability)

  • 정연우;배성수
    • The Journal of Korean Physical Therapy
    • /
    • 제15권1호
    • /
    • pp.155-170
    • /
    • 2003
  • Lumbar segmental instability is considered to represent a significant sub-group within the chronic low back pain population. This condition has a unique clinical presentation that displays its symptoms and movement dysfunction within the neutral zone of the motion segment. The loosening of the motion segment secondary to injury and associated dysfunction of the local muscle system renders it biomechanically vulnerable in the neutral zone. There in evidence of muscle dysfunction related to the control of the movement system. There is a clear link between reduced proprioceptive input, altered slow motor unit recruitment and the development of chronic pain states. Dysfunction in the global and local muscle systems in presented to support the development of a system of classification of muscle function and development of dysfunction related to musculoskeletal pain. The global muscles control range of movement and alignment, and evidence of dysfunction is presented in terms of imbalance in recruitment and length between the global stability muscles and the global mobility muscles. The local stability muscles demonstrate evidence of failure of aeequate segmental control in terms of allowing excessive uncontrolled translation or specific loss of cross-sectional area at the site of pathology Motor recruitment deficits present as altered timing and patterns of recruitment. The evidence of local and global dysfunction allows the development of an integrated model of movement dysfunction. The clinical diagnosis of this chronic low back pain condition is based on the report of pain and the observation of movement dysfunction within the neutral zone and the associated finding of excessive intervertebral motion at the symptomatic level. Four different clinical patterns are described based on the directional nature of the injury and the manifestation of the patient's symptoms and motor dysfunction. A specific stabilizing exercise intervention based on a motor learning model in proposed and evidence for the efficacy of the approach provided.

  • PDF

네발기기 자세에서 어깨뼈 내밈 운동시 다리들기에 따른 앞톱니근과 위등세모근의 근활성도 비교 (Comparison of Muscle Activities Serratus Anterior and Upper Trapezius Muscle During Scapular Protraction in Quadruped Position at Legs Difference)

  • 김희곤;황병준;김종우
    • 대한정형도수물리치료학회지
    • /
    • 제25권1호
    • /
    • pp.29-36
    • /
    • 2019
  • Background: This study was conducted to investigate the effect of leg lift difference on the serratus anterior muscle and the upper trapezius muscle when a subject with winged scapula performs a scapula protraction exercise in a four-leg crawling posture. Method: Twenty normal adults and 20 subjects with winged scapula participated in the experiment. Surface EMG recordings were collected from serratus anterior muscle and back trapezius muscle during scapula protraction exercises. Scapular winging is measured with the lifting distance of scapula retraction to the back using an electronic digital caliper. In two groups of four-leg crawling posture, the two legs support, the dominant leg lifting, and the non-dominant leg lifting, including the scapula protraction, were performed. To examine the difference between groups in the variance analysis, the Bonferroni correction was used (significance level ${\alpha}=.017$). Statistical significance level ${\alpha}$ was .05. Results: There was a significant difference in serratus anterior muscle and upper trapezius muscle during push-up plus exercise in leg lifting in four-leg crawling posture, but there were no significant differences in muscle activity between serratus anterior muscle and upper trapezius muscle, and there was no significant difference according to the presence or absence of scapular winging. Conclusion: For the shoulder stability of the ipsilateral side with the serratus anterior muscle, the leg-lifting posture is effective in the four-leg crawling, and also when a subject with winged scapula chooses an exercise, lifting the ipsilateral side of leg with scapula protraction exercises at the same time may have a positive effect on scapula dysfunction.

모바일 리더의 태그 리스트 재사용을 방지하는 저비용 RFID 태그 검색 프로토콜 (A Low-Cost RFID Tag Search Protocol Preventing the Reuse of Mobile Reader's Tag-List)

  • 여돈구;이상래;최현우;장재훈;염흥열
    • 정보보호학회논문지
    • /
    • 제21권1호
    • /
    • pp.143-151
    • /
    • 2011
  • 모바일 환경의 RFID 시스템에서는 백엔드 서버와 리더의 실시간 통신을 보장할 수 없으므로, 리더는 백엔드 서버와 통신이 불가능한 상황에서도 검색하고자 하는 특정 태그를 정확히 검색할 수 있는 능력을 보장할 수 있어야 한다. 모바일 리더 기반의 태그 검색 프로토콜에 대한 최근 연구들은 태그 및 리더의 프라이버시 문제를 다루고 있지만, 리더가 기존에 소유하던 태그 리스트의 재활용함으로써 발생할 수 있는 문제점은 고려하지 않고 있다. 다시 말해, 특정 태그에 대한 권한이 삭제된 리더가 기존에 소지하던 태그 리스트를 재활용함으로써 권한이 삭제된 태그를 검색할 수 있는 문제가 발생할 수 있다. 제안하는 프로토콜은 태그 리스트의 재활용을 방지함으로써 보안성이 향상된 태그 리스트를 제공하고, 모바일 리더 기반의 RFID 환경에 적합한 동적 ID 기반의 효율적인 태그 검색 프로토콜을 제공한다.

청소년의 인터넷성매매 유입실태와 탈성매매 과정에 관한 문화기술적 연구 (An Ethnographic Study on the Process of Adolescent Prostitution: How Does an Adolescent Become a Prostitute and Get Out of Prostitution)

  • 성윤숙
    • 청소년시설환경
    • /
    • 제10권4호
    • /
    • pp.91-104
    • /
    • 2012
  • This study investigated the process of how adolescents get caught into a net of online prostitution and get out of it. An in-depth interview was done with 43 adolescents who experienced online prostitution. It was found that 38 of 43 interviewees(88%) had an experience of running away from home and that 23 adolescents(53%) among them got involved in online prostitution for living expenses. Leaving home was a major route to prostitution. Fifty six percents experienced prostitution at the ages of 16 or 17 for the first time. The age group of 13-15 took 35%, which provided an evidence that most prostitutes experienced young. Moreover, the frequency of prostitution was shocking. Those who prostituted themselves 'more than 10, but less than 50 times(40%)' were more than those who did 'less than 10 times(37%).' Those who did 'more than 100 times' or even countlessly were 21%. Violation of human rights such as perverted sex, violence, sexual violence, threat, abduction, fraud, extortion by threats, and infection of sexually transmitted disease(STD) occurred quite often. In addition, the process of adolescent online prostitution categorized into the three stages: vulnerable stage, chaotic stage, and stabilized(out-of-prostitution) stage. It was possible that the three stages moved back and forth. The process shifted from the vulnerable stage to the chaotic one, and could get back to the vulnerable one. Or the speed of moving forward to the next sage could be accelerated if the individual management skills were coupled with support from many people and institutions.

RCEP 직접운송원칙을 활용한 우리나라의 FTA 물류 허브 가능성과 경제적 효과 (Economic Effects of FTA Logistics Hub Utilizing Direct Transportation Rules of Origin in RCEP)

  • 임병호
    • 무역학회지
    • /
    • 제46권3호
    • /
    • pp.135-149
    • /
    • 2021
  • This study analyzes the economic effect through the use of the RCEP direct transport rules, and suggests the necessacity of logistics efficiency and policy alternatives. The advantage of the hub network has been widely applied to the international logistics system, but there is a limit in the FTA logistics system in which goods must be directly transported between two contracting parties. Therefore, based on the new RCEP direct transport rules and the theoretical review on the possibility of an FTA logistics hub, FTA logistics efficiency improvement is estimated. This study quantitatively estimated the economic effect of direct transportation, unlike the previous studies, which were limited to the analysis of judicial precedents or surveys. GTAP model was used through five scenarios according to the impact of the RCEP tariff cut and the FTA logistics hub establishment in Singapore or Korea. As a result of the analysis, Korea's trade volume increased by 0.38% of exports and 1.63% of imports, and RCEP would increase exports by 0.27% and imports by 0.42%. In particular, the establishment of an FTA logistics hub (0.71%) was found to have a greater effect on the improvement of terms of trade than a tariff cut (0.12%), confirming the necessity of establishing an FTA logistics hub in RCEP. As a policy proposal, the institutional support of the customs authorities for the use of RCEP, the expansion of the free trade area where BWT traded cargo can be stored, and the establishment of a system for issuing back-to-back certificates of origin with approved exporters.

In-depth exploration of machine learning algorithms for predicting sidewall displacement in underground caverns

  • Hanan Samadi;Abed Alanazi;Sabih Hashim Muhodir;Shtwai Alsubai;Abdullah Alqahtani;Mehrez Marzougui
    • Geomechanics and Engineering
    • /
    • 제37권4호
    • /
    • pp.307-321
    • /
    • 2024
  • This paper delves into the critical assessment of predicting sidewall displacement in underground caverns through the application of nine distinct machine learning techniques. The accurate prediction of sidewall displacement is essential for ensuring the structural safety and stability of underground caverns, which are prone to various geological challenges. The dataset utilized in this study comprises a total of 310 data points, each containing 13 relevant parameters extracted from 10 underground cavern projects located in Iran and other regions. To facilitate a comprehensive evaluation, the dataset is evenly divided into training and testing subset. The study employs a diverse array of machine learning models, including recurrent neural network, back-propagation neural network, K-nearest neighbors, normalized and ordinary radial basis function, support vector machine, weight estimation, feed-forward stepwise regression, and fuzzy inference system. These models are leveraged to develop predictive models that can accurately forecast sidewall displacement in underground caverns. The training phase involves utilizing 80% of the dataset (248 data points) to train the models, while the remaining 20% (62 data points) are used for testing and validation purposes. The findings of the study highlight the back-propagation neural network (BPNN) model as the most effective in providing accurate predictions. The BPNN model demonstrates a remarkably high correlation coefficient (R2 = 0.99) and a low error rate (RMSE = 4.27E-05), indicating its superior performance in predicting sidewall displacement in underground caverns. This research contributes valuable insights into the application of machine learning techniques for enhancing the safety and stability of underground structures.

유도 전동기의 고장 검출 및 분류를 위한 특징 벡터 추출과 분류기의 다양한 설정에 따른 분류 성능 비교 (Feature Vector Extraction and Classification Performance Comparison According to Various Settings of Classifiers for Fault Detection and Classification of Induction Motor)

  • 강명수;뉘엔 투 낙;김용민;김철홍;김종면
    • 한국음향학회지
    • /
    • 제30권8호
    • /
    • pp.446-460
    • /
    • 2011
  • 최근 항공 산업, 자동차 산업 등의 산업 현장에서 유도 전동기의 사용이 증대되고 있으며, 유도 전동기는 산업 현장에서 중요한 역할을 하고 있다. 따라서 유도 전동기의 고장으로 인한 피해를 최소화하기 위해 유도 전동기의 고장 검출 및 분류 시스템의 개발이 중요한 문제로 대두되고 있다. 이와 같은 이유로 본 논문에서는 유도 전동기의 고장을 조기에 검출하고 진단하기 위해 에너지 (short-time energy)와 특이치 분해와 이산 코사인 변환과 특이치 분해를 이용한 특징 벡터 추출 방법을 제안하였고, 이를 역 전파 신경 회로망과 다층 서포트 벡터 머신의 입력으로 이용하여 유도 전동기의 고장을 유형별로 분류하였다. 하지만 본 논문에서는 역 전파 신경 회로망과 다층 서포트 벡터 머신을 분류기로 사용함에 있어 역 전파 신경 회로망은 신경망을 구성하는 입력 뉴런 수, 은닉 뉴런 수, 학습 알고리즘에 의해 분류 성능이 달라지며, 다층 서포트 벡터 머신은 커널 함수로 사용한 가우시안 방사 기저 함수의 표준 편차 값에 따라 분류 성능이 달라지는 점을 고려하여 여러 가지 조건하에서의 실험을 통해 높은 분류 성능을 보이는 설정 방법을 제시하였다.