• 대한방사선기술학회지:방사선기술과학
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• 제34권2호
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• pp.91-96
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• 2011

정상인의 골반 정면 영상을 계측하여 성별과 나이에 따라 골반의 형태적 차이가 있는지 알아보고, 나이에 따라 골반의 변위가 발생하는지 남녀 구분하여 분석하였다. 정상인 총 382명(남성 194명, 여성 188명)을 대상으로 골반정면 단순촬영을 시행하여 PACS 영상에서 최대골반너비(MPB), 엉덩뼈너비(SB), 위골반공가로지름(TD), 넙다리뼈머리사이거리(DFH)를 측정하여 골반계측을 시행하였다. 성별에 따른 골반 계측 차이는 평균비교분석, 나이와 계측치의 관계는 상관분석을 하였다. 골반의 변위는 ANOVA test를 시행하였다. 최대골반너비는 성별에 따른 차이는 없었으나, 남성 엉덩뼈너비의 평균은 97.76 mm이었고, 여성은 102.00 mm으로 여성에서 엉덩뼈너비가 유의하게 큰 것으로 나타났다. 위골반공가로지름의 평균은 남성 138.00 mm, 여성 149.79 mm이었고, 넙다리뼈머리사이거리는 남성 141.94 mm, 여성 150.39 mm로 나타났고, 위골반공가로지름과 넙다리뼈머리사이거리는 여성에서 유의하게 더 큰 것으로 나타났다. 나이와 골반계측에서는 넙다리뼈머리 사이거리가 남성(r = -0.280)과 여성(r = -0.207)에서 각각 음의 상관관계가 있었다. 나이에 따른 골반 변위는 남성 50대에서 변위가 크게 나타났고, 여성은 60대, 70대에서 변위가 크게 나타났다. 엉덩뼈너비와 위골반공가로지름, 넙다리뼈머리사이거리는 남성보다 여성에서 더 크게 나타났고, 골반의 크기가 큰 사람은 최대골반너비와 엉덩뼈너비, 위골반공가로지름, 넙다리뼈머리사이거리도 컸다. 나이가 많을수록 변위가 크게 나타났고, 이는 노화의 과정이라고 판단된다.

• 한국자동차공학회논문집
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• 제21권2호
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• pp.104-113
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• 2013

New USNCAP has been carried out by NHTSA including front and side crash from MY2011. In this paper, test results for USNCAP Side crash were reviewed by statistical analysis. This review focused on side crash test results to investigate the effect of changes from new USNCAP side crash test protocol among 30 passenger cars. These results were summarized as followings. Total number of 5 star vehicles on the front seat dummy (16 vehicles, 53.3%) was slightly smaller than the rear seat's (17 vehicles, 56.7%) in MDB test. For the ES-2re dummy, chest injury, ie maximum rib deflection contributed to 66% in the mean value of $P_{joint}$. Pelvis injury was highly dependent upon performance up to 87% in the SID-IIs dummy cited on the rear seat in average $P_{joint}$. For Pole test, pelvis injury made contribution to the average performance to 83%. For standard deviation, it showed the largest value in the same body region as the mean value for each dummy. Overall front seat performance showed 14 vehicles, 44.6% with 5 star vehicles less than each MDB or Pole test result. This result showed that performances in MDB test were different pattern to Pole test on driver position. Number of 5star vehicles for overall side NCAP performance are 18 passenger cars (60%). Curtain airbag and driver thorax airbag were equipped in all test vehicles. One vehicle is equipped with thorax airbag in the rear seat. Results from two side tests considered as reliability problem, ie the cause for large standard deviation in side crash test. Consequently, the countermeasure for new USNCAP side crash test is essential to design the effective side structures for side collision and to control well dummy kinematics with curtain and thorax airbag in order to reduce chest and pelvis injuries.

• 한방재활의학과학회지
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• 제32권2호
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• pp.83-94
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• 2022

Objectives This systematic review aimed to analyze research about pelvic deviation diagnosis for Chuna manual therapy (CMT) and to review the diagnosis methods, indices, and results of diagnosis. Methods Ten electronic databases were systematically searched up to January 4th 2022. Clinical studies and reviews containing pelvic deviation diagnosis for CMT or using CMT as a treatment of pelvic deviation were selected and evaluated. CMT diagnosis in clinical studies and reviews were isolated and analyzed by 2 independent reviewers. Results Thirteen clinical studies and three reviews were included in the evaluation. X-ray analysis and manual testing were the two main methods used in CMT diagnosis of pelvic deviation. For manual testing in clinical studies, leg length insufficiency testing was the most frequently used measurement index and the most common diagnostic results were anterior and posterior rotation. In the X-ray analysis, Obturator foramen and femur head line were the most frequently used measurement index and the most common diagnostic results were anterior rotation and posterior rotation. Conclusions The systematic review found that manual testing and X-ray analysis were mainly used for the diagnosis of pelvic deviation in CMT among clincial and review articles. As there was little research about diagnosing pelvic deviation in CMT and any existing research presented only low standards of evidence, further research should be updated with using a more standardized approach.

• 한국정밀공학회지
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• 제27권2호
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• pp.130-136
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• 2010

For stability analysis of the lumbar spine, the hypothesis presented is that the disc has stress sensors driving feedback mechanism, which could react to the imposed loads by adjusting the contraction of the muscles. Fusion in the motion segment of the lumbar spinal column is believed to alter the stability of the spinal column. To identify this effect finite element (FE) models combined with optimization technique was applied and quantify the role of each muscle and reaction forces in the spinal column with respect to the fusion level. The musculoskeletal FE model was consisted with detailed whole lumbar spine, pelvis, sacrum, coccyx and simplified trunk model. Vertebral body and pelvis were modeled as a rigid body and the rib cage was constructed with rigid truss element for the computational efficiency. Spinal fusion model was applied to L3-L4, L4-L5, L5-S1 (single level) and L3-L5 (two levels) segments. Muscle architecture with 46 local muscles was used as acting directions. Minimization of the nucleus pressure deviation and annulus fiber average axial stress deviation was selected for cost function. As a result, spinal fusion produced reaction changes at each motion segment as well as contribution of each muscle. Longissimus thoracis and psoas major muscle showed dramatic changes for the cases of L5-S1 and L3-L5 level fusion. Muscle force change at each muscle also generated relatively high nucleus pressure not only at the adjacent level but at another level, which can explain disc degeneration pattern observed in clinical study.

• 한국운동역학회지
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• 제28권1호
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• pp.1-8
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• 2018

Objective: The purpose of this study is to investigate the differences in biomechanical variables of golf driving motion according to gender. Method: A total of 21 healthy golfers (11 men and 10 women) who have more than 5 years of professional experience and have been registered in the Korea Golf Association was recruited. A 250-Hz 8-camera motion capture system (MX-T20, Vicon, LA, USA) was used to capture the motion trajectories of a total of 42 reflective markers attached to the golfer's body and club. Moreover, two 1,000-Hz AMTI force plates (AMTI OR6-7-400, AMTI, MA, USA) were used to measure the ground reaction force. The mean and standard deviation for each parameter were then calculated for both groups of 21 subjects. SPSS Windows version 23.0 was used for statistical analysis. The independent t-test was used to determine the differences between groups. An alpha level of .05 was utilized in all tests. Results: There were differences in joint angles according to gender during golf driver swing. Men showed a statistically significantly higher peak joint angle and maximum range of angle in sagittal and frontal axis of the pelvis, hip, and knee. Moreover, women's swing of the pelvis and hips was found to have a pattern using the peak joint angle and range of angle in the vertical axis of the pelvis and hip. There were the differences in peak joint moment according to gender during golf driver swing. Men used higher joint moment in the downswing phase than women in the extensor, abductor, and external rotator muscles of the right hip; flexor and adductor muscles of left hip joint; and flexor and extensor muscles of the right knee. Conclusion: This result reveals that male golfers conducted driver swing using stronger force of the lower body and ground reaction force based on strength of hip and thigh than female golfers.

• 대한핵의학회지
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• 제16권2호
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• pp.63-70
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• 1982

To evaluate the diagnostic usefulness and significance of quantitative sacroiliac joint scintigraphy in the assessment of sacroiliitis, we measured Sacroiliac Joint/Sacrum Uptake Ratio(SIS Ratio) by region of interest(ROI) method using $^{99m}Tc-methylene$ diphosphonate. The observed results were as follows: 1. Using ROI method, the SIS ratios for the control group of 65 persons were $1.05{\pm}0.08$(left) and $1.06{\pm}0.07$(right) which were narrower in range than those of slice method $(mean{\pm}S.D.)$. 2. The effects of age, gender and laterality on SIS ratio were not significant. 3. In left side, one of 6 patients with rheumatoid arthritis had SIS ratio in excess of 2 standard deviation of normal control group, and remainder had SIS ratios within normal limit. In right side, 3 patients had SIS ratios in excess of 2 standard deviation of normal control group, and remainder, within normal limit. 4. In both sacroiliac joint, 2 of 3 patients having sacroiliitis clinically with Reiter's syndrome whose pelvis A-P X-ray findings showed normal had high SIS ratios (left/right; 1.31/1.69, 1.90/1.80), but SIS ratio of one patient who had no evidence of sacroiliitis clinically was within normal limit. 5. In 6 patients with ankylosing spondylitis in both sacroiliac joints, 4 whose pelvis A-P Xray findings showed severe sclerotic change of sacroiliac joints had SIS ratio within normal limit or below that of normal control group, and SIS ratios of 2 patients whose pelvis A-P X-ray findings showed were increased. 6. 4 of 5 patients with low back pain of which cause could not be evaluated clinically and radiologically had SIS ratios in excess of that of normal control group. It would be concluded that quantitative sacroiliac joint scintigraphy is useful and sensitive screening method in the diagnosis as well as in the assessment clinical activity of sacroiliitis.

• 국제물리치료학회지
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• 제4권2호
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• pp.573-587
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• 2013

The purpose of this study was conducted in order to analyze the effects of the manual intervention and self-corrective exercise models of general coordinative manipulation(GCM) on the balance restoration of spine & extremities joints with distortions and mal-alignment areas. The subjects were the members who visited GCM Musculoskeletal Prevent Exercise Center from March 1 2012 to December 31 2013 because of spine & extremities joints distortion and mal-alignments, poor posture, and body type correction. All subjects were diagnosed with the four types of the GBT diagnosis. And according to the standards of the mobility vs stability types of the upper & lower body, they were classified into Group 1(40 persons) and Group 2(24 persons). For every other day for three times a week, GCM intervention models were applied to all subjects for four weeks, adding up to 12 times in total. Then the balance restoration effects were re-evaluated with the same methods. The results are as follows. 1) Balance restoration effects of VASdp(Visual analysis scale pain & discomfort) and ER(Equilibrium reaction: ER) came out higher in GCM body type(GBT) II III IV of Group 1. 2) In case of balance restoration effects in Moire and postural evaluation areas, Group 1 was higher and cervical and scapular girdle were higher in Group 2. The balance restoration of the four GBT types was significant in all regions(p<.05), and the scapular girdle came out as high in the order of GBTII IV I. 3) In case of thoracic-lumbar scoliosis and head rotation facial asymmetric cervical scoliosis ribcage forward, the balance restoration effects of the upper body postural evaluation areas came out the highest in Group 1 and Group 2, respectively. The balance restoration effects of the four GBT types were significant in all regions(p<.05), and came out the highest in lumbar scoliosis GBTIII I, ribcage forward and thoracic scoliosis GBTII IV. 4) The balance restoration effects of the lower body postural evaluation areas came out higher in Group 1 and Group 2 for pelvis girdle deviation patella high umbilicus tilt and hallux valgus foot longitudinal arch: FLA patella direction, respectively. The balance restoration effects of the four GBT types were significant in all regions(p<.05), and came out the highest in pelvis girdle deviation GBTIII I and patella high-direction GBTIV II I. 5) The balance restoration effects between the same GBT came out significant (p<.05) in all evaluation areas and items. The conclusions of this study was the manual intervention and self-corrective exercise models of the GCM about the mal-alignment of the spine & extremities joints across the whole body indicated high balance restoration effects(p<.05) in spine & extremities joints in all evaluation areas.

• 대한한의정보학회지
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• 제21권1호
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• pp.23-34
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• 2015

This study is aimed to verify what effects horseback riding has in treating hospitalized patients with low back pain in the Korean medicine hospital. The method of this study is choosing 31 people among hospitalized male and female patients whose chief complaints were low back pain in 2 Korean medicine hospital in Gyeonggi Province. 14 people who agreed to take horseback riding treatment were classified into experimental group and 17, the rest of the people, were classified into control group. Both experimental group and control group were treated with Korean medicine. In addition, only experimental group performed horseback riding program. Changes of temperature difference by digital infrared thermal imaging(DITI), sit and reach test and visual analogue scale(VAS) survey were used as measuring tools. IBM SPSS Statistics 21 was used in processing statistics. Mean ${\pm}$standard deviation was indicated down to two places of decimals and the level of significance was judged as p<0.05. The summary of this study's result is as in the following. First of all, the meaningful difference was shown in the experimental group but not in the control group in the difference of temperature between Yintang and Kwanwon(the difference between up and down). Secondly, there were significant difference in the experimental group which performed horseback riding treatments but not in the control group resulting from examining the change of temperature difference between left and right Yongchon. Thirdly, there were significant difference between experimental and control group in the change of sit and reach. Especially, the change was much more in experimental group. As known from the results above, patients who only were treated with Korean medicine relieved low back pain, reordered pelvis and improved the motor ability. However, the group which carried out horseback riding at the same time reordered pelvis and improved the motor ability more obviously.

• Journal of Radiation Protection and Research
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• 제25권1호
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• pp.31-36
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• 2000

방사선치료시 환자자세의 변화에 따라 방사선조사영역이 불일치하게 되어 주변의 정상조직에 불필요한 방사선조사가 생길수 있다. 본 연구에서는 골반부위 방사선 치료환자를 대상으로 Elecrtronic portal imaging device(EPID)로 고정기구를 사용한 방사선조사영역의 영상을 획득하여 고정기구사용에 따른 조사영역변화에 대한 오차를 분석하고자 한다 충남대학교병원 치료방사서과에서 1998년 8월부터 1999년 8월까지 21명의 골반부위 방사선치료환자를 대상으로 하였다. 환자들은 모두 앙와위자세를 유지하면서 치료를 받았고 고정기구를 사용하지 않은 11명과 고정기구를 사용한 10명으로 각각 나누어서 연구를 실행하였다 고정기구는 스터로폼을 이용하였다. 전체 치료과 정중 EPID를 이용하여 전면조사시 x(right-left)축, y(longitudinal)방향을, 측면조사는 z축(vertical) y축(longitudinal)방향을 대상으로 영상을 얻었다. 전체 치료과정중 얻은 영상들을 모의치료시 촬영한 기준필름과 matching기법을 이용하여 오차를 측정하였다. 고정기구를 사용하지 않은 11명 환자의 전면 조사영역의 경우 x축, y축으로의 평균이동값은 각각 0.19 mm, 0.48 mm이었고 계통이동과 우연이동은 평균이동으로부터 표준편차가 x축, y축으로 각각 2.38 mm, 2.19 mm와 1.92 mm, 1.29 mm이었다. 측면조사영역에서 z축, y축으혹의 평균이동값은 각각 -3.61 mm, 2.07 mm이었고 계통이동과 우연이동은 표준편차가 z축, y축므로 각각 3.20 mm, 2.29 mm와 2.73 mm, 1.62 mm이었다. 한편 고정기구를 사용란 10명 환자의 전면 조사영역에서 x축, y축으로의 평균이동값은 각각 0.71 mm, -1.07 mm이었고 계통이동과 우연이동은 표준편차가 x축, y축으로 각각 1.80 mm, 2.26 mm와 1.56 mm, 1.27 mm이었다. 측면조사영역에서 z축, y축으로의 평균이동값은 각각 -1.76 mm 1.08 mm 이었고 계통이동과 우연이동은 평균이동으로부터 표준편차가 x축, y축으로 각각 1.87 mm 2.83 mm와 1.68 mrn, 1.65 mm이었다. 본 연구에서는 고정기구를 사용한 환자군의 조사영역의 오차는 고정기구를 사용하지 않은 환자군의 조사영역의 오차에 비해 약간 감소됨을 확인할 수 있었다. 그리고 두그룹간의 우연오차는 감소하고 계통오차는 크게 변화하지 않는 경향을 보였다. 그러므로 골반부위 방사선 치료사 고정기구를 사용함으로써 방사선 조사영역에 대한 오차유발의 원인을 줄일 수 있을 것으로 생각된다.

• 한국정밀공학회지
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• 제28권1호
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• pp.115-122
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• 2011

Recently, we have proposed a hypothesis that spinal structures have a stress sensor driving feedback mechanism, In the human spine, spinal structure could react to modify muscular action in such a way so as to equalize stress at the disc, therefore reduce the risk of injury, In this analysis, abdominal muscle and abdominal pressure, which were not included in the previous study, were added to identify those effects in spine stability during upright stance posture for the case where the intervertebral disc plays the role of mechanoreceptor, The musculoskeletal FE model was consisted with detailed whole lumbar spine, pelvis, sacrum, coccyx and simplified trunk model. Muscle architecture with 46 local muscles containing paraspinal muscle and 6 rectus abdominal muscles were assigned according to the acting directions. The magnitude of 4kPa was considered for abdominal pressure. Minimization of the nucleus pressure deviation and annulus fiber average tension stress deviation was chosen for cost function. Developed model provide nice coincidence with in-vivo measurement (nucleus pressure). Analysis was conducted according to existence of co-activation of abdominal muscle and abdominal pressure. Antagonistic activity of abdominal muscle produced stability of spinal column with relatively small amount of total muscle force. In contrast to the abdominal muscle, effect of abdominal pressure was not clear that was partly depending on the assumption of constant abdominal pressure.