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

  • Kim, Min-Jung;Son, Chang-Gue;Heo, Dong-Seok;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.27 no.2
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    • pp.43-49
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    • 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.

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

  • Kim, Suhn-Yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.5 no.1
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    • pp.39-51
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    • 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.

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

  • Cha, Joo-Hyoung;Ryu, Tae-Beum;Choi, Hwa-Soon;Lee, Jai-Bong;Kim, Myeng-Ki;Chung, Min-K.;Jeong, Cheol-Hyun
    • Journal of the Ergonomics Society of Korea
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    • v.26 no.2
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    • pp.137-147
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    • 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.

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

  • Jung Yeon-Woo;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.1
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    • pp.155-170
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    • 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.

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

  • Kim, Hee-gon;Hwang, Byeong-jun;Kim, Jong-woo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.1
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    • pp.29-36
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    • 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.

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

  • Yeo, Don-Gu;Lee, Sang-Rae;Choi, Hyun-Woo;Jang, Jae-Hoon;Youm, Heung-Youl
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.21 no.1
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    • pp.143-151
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    • 2011
  • When a real-time data transfer is not possible between a reader and a back-end server in the mobile environment, the reader should support a capability to search a certain tag without communicating with a back-end server. Some recent papers related to the mobile reader-based tag search protocol have addressed privacy concerns for the reader and the tags. However, to our best knowledge, there are no papers addressing the problem arising from reusing tag lists existed in the mobile reader. In other words, there arise a problem that a mobile reader which has lost an right to access to a specific tag is able to search that tag by reusing a tag list for searching a particular tag. If mobile reader having an unauthorized tag list, the mobile reader can reuse a particular tag list. Our protocol provides the enhanced secure tag lists preventing the reuse of the tag lists and an efficient tag search protocol based on dynamic identity in the mobile reader-based RFID environments.

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

  • Sung, Yun-Sook
    • Youth Facilities and Environment
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    • v.10 no.4
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    • pp.91-104
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    • 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.

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

  • Byeong-Ho Lim
    • Korea Trade Review
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    • v.46 no.3
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    • pp.135-149
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    • 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
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    • v.37 no.4
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    • pp.307-321
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    • 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.

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

  • Kang, Myeong-Su;Nguyen, Thu-Ngoc;Kim, Yong-Min;Kim, Cheol-Hong;Kim, Jong-Myon
    • The Journal of the Acoustical Society of Korea
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    • v.30 no.8
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    • pp.446-460
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    • 2011
  • The use of induction motors has been recently increasing with automation in aeronautical and automotive industries, and it playes a significant role. This has motivated that many researchers have studied on developing fault detection and classification systems of an induction motor in order to minimize economical damage caused by its fault. With this reason, this paper proposed feature vector extraction methods based on STE (short-time energy)+SVD (singular value decomposition) and DCT (discrete cosine transform)+SVD techniques to early detect and diagnose faults of induction motors, and classified faults of an induction motor into different types of them by using extracted features as inputs of BPNN (back propagation neural network) and multi-layer SVM (support vector machine). When BPNN and multi-lay SVM are used as classifiers for fault classification, there are many settings that affect classification performance: the number of input layers, the number of hidden layers and learning algorithms for BPNN, and standard deviation values of Gaussian radial basis function for multi-layer SVM. Therefore, this paper quantitatively simulated to find appropriate settings for those classifiers yielding higher classification performance than others.