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Correlations of Cross-sectional Areas of Psoas and Paraspinal Muscles in Patients with Lumbar Disc Herniation According to the Age Groups (연령대별 요추 추간판탈출증 환자의 요근과 척추주위근 단면적에 대한 분석)

  • Kong, Deok-Hyun;Bae, Kwang-Ho;Go, Ho-Yeon;Kang, Myung-Jin;Kim, Jun-Su;Yang, Kee-Young;Lee, Jae-Hoon;Eun, Young-Jun
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.4
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    • pp.159-169
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    • 2010
  • Objectives : This study was designed to evaluate the correlation of the cross-sectional areas(CSA) of paraspinalis(iliocostalis lumborum, multifidus, longissimus thoracis parts lumborum) and psoas muscle and sex, age, change of the VAS(visual analogue scale) and past history of chronic low back pain in patients suffering from HIVD(herniation of intervertebral disc). Methods : Medical records of 140 subjects with HIVD were retrospectively reviewed. The MRI(magnetic resonance imaging) findings on the patients were scanned and analyzed by PiView program to find the paraspinal and psoas muscle CSA and were evaluated by the correlation of sex, age, change of the VAS, and past history of chronic low back pain. Results : There was significant difference between groups in male and female, young-adults age and middle age, middle age and old age, young-adults age and old age. But the correlation of the paraspinal and psoas muscle CSA and past history of chronic low back pain were partially significant. On the other hand, the correlation of the paraspinal and psoas muscle CSA and change of the VAS were not significant. Conclusions : These results suggest that the cross-sectional areas(CSA) of paraspinalis and psoas muscle have relevance to sex and age.

Quantitative analysis of lumbar multifidus atrophy with low back pain patients using Magnetic Resonance Image (자기공명영상(MRI)을 통한 요통환자의 다열근 위축에 대한 정량적 분석)

  • Yang, Dae-Jung
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.4
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    • pp.615-621
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    • 2010
  • Purpose : The purpose of this study was to compare chronic LBP patients and asymptomatic subjects on measures of multifidus size (cross-sectional area;CSA, thickness) and symmetry (proportional difference of relatively larger side to smaller side). Methods : Data were obtained from 12 asymptomatic subjects without a prior history of LBP (8 females, 4 males), and a retrospective audit was undertaken of records from 12 chronic low back pain patients (8 females, 4 males). CSA and Thickness of the lumbar multifidus muscles was measured from axial T1-weighted magnetic resonance images(MRI). Results : The results of the analysis showed that chronic LBP patients had significantly smaller multifidus CSA and thickness than asymptomatic subjects at L4-5 vertebral levels(p<.05). The asymmetry between sides was seen at L4- L5 vertebral level in patients with chronic low back pain presentations(p<.05). Conclusions : MRI provided a quantitative measure of change between asymptomatic subjects and chronic low back pain patients of multifidus muscle. MRI identified significant differences in cross-sectional area and thickness and helps to evaluate clinically and plan the treatment modalities of LBP.

Classification of Lower Body Types of Female Adults aged 18 to 69 based on 3D Body Scan Data - Focusing on the Front Type, Lateral-Front Type, and Lateral-Back Type -

  • Kim, Min Kyoung;Nam, Yun Ja
    • Fashion & Textile Research Journal
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    • v.18 no.1
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    • pp.91-102
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    • 2016
  • This study classified the lower body types of female adults aged 18 to 69. The lower body was divided into front, lateral front, and lateral back. In order to understand the shape and somatotype of each segment, 592 people were analyzed based on girth, height, length, depth, width, angle and cross section distance for each segment. For data analysis, SPSS 18.0 was performed for descriptive statics, principal component analysis, K-means cluster analysis, ANOVA, and Duncan's test (as verification). Factor analysis was performed based on index values, calculation values, angles, and cross section distances. The measured items resulted in a.) 16 items were extracted to 5 factors in the case of the front factor (FF) of the lower body, and b.) 24 items were extracted to 6 factors in the case of lateral front factor (LFF) and lateral back factor (LBF). Each factor was put through K-means cluster analysis, classifying the lower bodies into one of four types of based on the front type (FT), the lateral front type (LFT), and the lateral back type (LBT) respectively. This study proposed an understanding of various lower body shapes by segmenting and classifying the lower body shapes for each type.

Effects of the Abduction Resistance of the Hip Joint during Bridge Exercise in Patients with Chronic Back Pain: A Cross-Over Study

  • Kim, Dong-Hyun;Kim, Kyu-Ryeong;Bae, Chang-Hwan;Kim, Myoung-Kwon
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.3
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    • pp.1-10
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    • 2022
  • PURPOSE: This study examined the effects of the resistance levels on the muscle activities around the hip and spine during bridge exercise with hip abduction resistance in patients with chronic back pain. METHODS: A cross-over study design was used. Twenty subjects with low back pain were enrolled in this study. The subjects performed bridge exercises with hip abduction resistances (20 mmHg, 40 mmHg, and 60 mmHg). A Narrow Sling was used to provide resistance. Surface electromyography was used to measure the activity of the erector spinae, biceps femoris, gluteus maximus, and gluteus medius. RESULTS: The muscle activity of the gluteus maximus and gluteus medius increased significantly with increasing resistance levels. There was a significant difference in the muscle activity of the biceps femoris with a resistance level between 20 mmHg and 40 mmHg, but there was no significant difference in the other resistance levels. There was no significant difference according to resistance level in the erector spinae. The muscle activity ratios of the gluteus medius/erector spinae and gluteus maximus/erector spinae increased significantly with increasing resistance strength. CONCLUSION: The different levels of abduction resistance for hip abduction during bridge exercise will help activate the gluteus maximus selectively in patients with chronic back pain.

The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: a cross-sectional study

  • Mustafaoglu, Rustem;Yasaci, Zeynal;Zirek, Emrah;Griffiths, Mark D.;Ozdincler, Arzu Razak
    • The Korean Journal of Pain
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    • v.34 no.1
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    • pp.72-81
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    • 2021
  • Background: In the literature, there have been debates as to whether smartphone use has negative effects on physical and mental health. The present study investigated the extent to which smartphone addiction impacts on musculoskeletal pain prevalence among university students. Methods: The questionnaire consisted of three sections: demographic information, the Smartphone Addiction Scale (SAS), and the modified Nordic Musculoskeletal Questionnaire. Results: A total of 249 participants were included in this cross-sectional study. The body parts that were reported with highest prevalence of musculoskeletal pain were the upper back (70.3%), neck (65.9%), and wrists/hands (68.7%). The SAS scores were correlated with duration of smartphone use on a typical day (P = 0.001), duration of owning a smartphone (P = 0.027), and musculoskeletal pain prevalence in the neck (P = 0.001), wrists/hands (P = 0.001), shoulders (P = 0.025), and upper back (P = 0.023). The SAS score was significantly associated with prevalence of musculoskeletal pain in the neck (odd ratio [OR], 1.08; 95% confidence interval [CI], 0.98-1.10; P = 0.002), wrists/hands (OR, 1.07; 95% CI, 0.97-1.09; P = 0.001), and upper back (OR, 1.10; 95% CI, 0.98-1.11; P = 0.033). Conclusions: The findings indicated that the upper back, neck, and wrists/hands have a higher prevalence of musculoskeletal pain among smartphone users, particularly those with a smartphone addiction. Smartphone addiction scores were correlated with duration of smartphone use on a typical day, duration of owning smartphone, and musculoskeletal pain prevalence in the neck, wrists/hands, shoulders, and upper back.

A New Manufacturing Process for the Ring Plate of Automobile Fuel Tank (자동차 연료탱크용 링 플레이트의 신 제조공법)

  • Chae, M.S.;Lim, Y.H.;Suh, Y.S.;Kim, Y.S.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2008.05a
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    • pp.311-315
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    • 2008
  • Currently, in automobile industry. the efforts to reduce the manufacturing cost by changing the process of manufacturing are continually performed. In this paper, we proposed a new manufacturing process, the roll bending of a ring plate of automotive fuel tank instead of conventional press blanking process to reduce material loss and manufacturing cost. Finite element analysis was used to optimize the roll bending process to assure rectangular cross-section of the ring plate. Also, spring-back analysis after the roll bending was performed and dimension of the bending die considering spring-back was analyzed. Finally, we verified a possibility for realization of the proposed method shape with prototypes.

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Development of International Versions of Pattern Identification Questionnaires using Cross-cultural Translation Methodology: Seven Emotions, Fatigue and Malaise, Phlegm, Food Retension, and Blood Stasis (칠정, 노권, 담음, 식적, 어혈 변증 설문지의 횡문화적 번역 연구)

  • Kim, Hyunho
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.22 no.1
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    • pp.33-44
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    • 2018
  • Objectives This study aimed to perform a cross-cultural translation of 5 kinds of pattern identification questionnaires from Korean to English: questionnaires for seven emotions, fatigue and malaise, phlegm, food retention, and blood stasis. Methods We followed the strict guideline on the cross-cultural translation of healthcare evaluation tool. Total five stages of study were conducted. First, translations of two individual translators. Second, synthesizing of the two results. Third, two back translations from synthesized version to Korean. Fourth, expert committee reviewed with the original version, synthesized version, back translated versions to make a pre-final version. Last, with the pre-final version, 5 Americans evaluated face validity of the pre-final version. We made a final version after the above-mentioned 5 stages. Result and conclusion International versions of the 5 kinds of pattern identification questionnaires were completed. We can expect this versions are widly used for clinical usage and following academical researches.

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Correlation Analysis of Pressure Pain Threshold and Muscle Thickness in Individuals with Non-Specific Low Back Pain

  • Kim, Hyun-Joong;Moon, Seoyoung
    • Physical Therapy Rehabilitation Science
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    • v.11 no.3
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    • pp.329-334
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    • 2022
  • Objective: Low back pain (LBP) is a symptom that accounts for a large proportion of musculoskeletal pain. Among them, non-specific LBP (NSLBP) means that the pathological cause is unknown, and belongs to the most common LBP. Studies on the mechanism of muscle control in LBP are insufficient, and quantitative studies are needed. Design: Observational cross-sectional study design Methods: A Thirty participants with NSLBP symptoms were enrolled, and their pressure pain thresholds (PPT) and muscle and fat thickness were measured. Participants measured the paraspinal muscles (PM) of the thoracic and lumbar spine and medial hamstring (semitendinosus) on the dominant and non-dominant sides in the prone position. Results: Among the variables that were significant in the correlation analysis, PM of the thoracic and lumbar spine showed a significant relationship in the PPT ([thoracic spine PM]=1.141+0.912 [lumbar spine PM]). Also, there was a significant relationship between the lumbar spine PM in the PPT and the thoracic spine PM in the muscle thickness ([lumbar spine PM of PPT]=4.057+0.117 [thoracic spine PM of muscle thickness]) Conclusions: Although there was no muscle imbalance according to the dominant and non-dominant side, there is a correlation between the pressure pain threshold and the muscle thickness between the paraspinal muscles of the thoracic spine and the lumbar spine.

A Study on the Reduction of Spring Back for Precision Forming of Steam Generator Tube (증기발생기 전열관의 정밀성형을 위한 스프링 백 저감에 관한 연구)

  • Suh Y. S.;Kim Y. W.;Kim J. I.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2001.10a
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    • pp.102-105
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    • 2001
  • The spring back taking place after the coiling process of steam generator tube leads to the dimensional inaccuracy. In order to reduce the spring back, tension force was applied to the one end of the tube during forming. In this work, parametric study using FEM was performed to find the appropriate magnitude of tension force. The force that induces minimum suing back was found by simultaneously taking account of suing back amount, cross-sectional ovality, and thickness of the tube wall after deformation. In addition, stress relieving by heat treatment was also simulated as an alternative to the former method. The latter was found to be more effective under the given constraints.

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A Study on the Control of Spring Back for the Precision Forming of the Steam Generator Helical Tube (나선형 증기 발생기 튜브의 정밀성형을 위한 스프링백 제어 연구)

  • 서영성;김용완;김종인
    • Transactions of Materials Processing
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    • v.11 no.3
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    • pp.238-245
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    • 2002
  • The spring back taking place after the coiling process of steam generator tube leads to the dimensional inaccuracy. In order to reduce the spring back, tension force was applied to the one end of the tube during forming. In this work, parametric study using FEM was performed to find the appropriate magnitude of tension force. The force that induces minimum spring back was found by simultaneously taking account if spring back amount, cross-sectional ovality, and thickness of the tube wall after deformation. In addition, stress relieving by heat treatment was also simulated as an alternative to the former method. The latter was found to be more effective under the given constraints.