• Title/Summary/Keyword: Examination Posture

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Study of Posture Evaluation Method in Chest PA Examination based on Artificial Intelligence (인공지능 기반 흉부 후전방향 검사에서 자세 평가 방법에 관한 연구)

  • Ho Seong Hwang;Yong Seok Choi;Dae Won Lee;Dong Hyun Kim;Ho Chul Kim
    • Journal of Biomedical Engineering Research
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    • v.44 no.3
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    • pp.167-175
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    • 2023
  • Chest PA is the basic examination of radiographic imaging. Moreover, Chest PA's demands are constantly increasing because of the Increase in respiratory diseases. However, it is not meeting the demand due to problems such as a shortage of radiological technologist, sexual shame caused by patient contact, and the spread of infectious diseases. There have been many cases of using artificial intelligence to solve this problem. Therefore, the purpose of this research is to build an artificial intelligence dataset of Chest PA and to find a posture evaluation method. To construct the posture dataset, the posture image is acquired during actual and simulated examination and classified correct and incorrect posture of the patient. And to evaluate the artificial intelligence posture method, a posture estimation algorithm is used to preprocess the dataset and an artificial intelligence classification algorithm is applied. As a result, Chest PA posture dataset is validated with in over 95% accuracy in all artificial intelligence classification and the accuracy is improved through the Top-Down posture estimation algorithm AlphaPose and the classification InceptionV3 algorithm. Based on this, it will be possible to build a non-face-to-face automatic Chest PA examination system using artificial intelligence.

Effects of strengthening and stretching exercises on the forward head posture

  • Lee, Song Hee;Lee, Joon Hee
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.2
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    • pp.1046-1050
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    • 2016
  • The purpose of this study was to investigate the effects of strengthening and stretching exercises on forward head angle and static dynamic balance ability. 21 adults with the forward head posture were participated in this study. Subjects were randomly assigned to strengthening exercise group I(n=11) and stretching exercise group II (n=10) respectively. Each group were underwent six intervention over the period of 2 weeks, each session lasting 30 minutes. During a preliminary examination, forward head angle and static dynamic balance were measured, and a post examination was conducted that involved same procedure as preliminary examination. There were significant differences in forward head angle after exercise in both groups. In the strengthening group, center of gravity total sway distances was significantly changed under all conditions. In the stretching group, center of gravity total sway distances was significantly changed when subjects had their eyes open while standing on an foam surface. There were significant changes in center of gravity sway velocities in the strengthening group under all conditions, and the same was true in the stretching group only when the subjects had their eyes open while standing on an foam surface. In the comparison between groups, eyes closed while standing on a firm surface was significantly different. There was a significant difference in dynamic balance of the stretching group when the subjects tilted their bodies forward, and there was a statistically significant difference between groups under the same condition. The results of this study suggest that forward head posture can be corrected through therapeutic exercise, and muscle strengthening exercise more effective in improving static balance of forward head posture more than stretching exercise.

Assessment of Dose and Image Quality according to the Change of Distance from Source to Image Receptor and the Examination Posture during the Skull Lateral Radiography (두부 측 방향 방사선검사 시 선원 영상수용체간 거리와 검사 자세 변화가 선량과 영상품질에 미치는 영향)

  • Eun-Hye, Kim;Young-Cheol, Joo;Han-Yong, Kim;Dong-Hwan, Kim
    • Journal of radiological science and technology
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    • v.45 no.6
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    • pp.483-489
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    • 2022
  • This study proposes a new skull lateral examination, and provides an improved examination environment for patients and radiologists. The study was divided into three groups. One group was divided into the SID (source to image receptor distance) 110 ㎝ and 180 ㎝ in the skull lateral posture, the other group The other group was divided into an position in contact with the detector and an position without contact with the detector, and the other group was divided into male and female groups, considering that the difference in shoulder width between adult males and females would affect the dose and image quality. For dose evaluation, the ESD (entrance surface dose) was measured at the EAM (external auditory meatus), and the conditions were applied equally at 70 ㎸p, 200 ㎃, and 10 ㎃s. For image quality evaluation, SNR (signal to noise ratio) and CNR (contrast to noise ratio) were measured in frontal sinus, EAM, and sella turcica. As a result of ESD comparison, when sid 110 ㎝ to sid 180 ㎝ was changed among the three groups, ESD values decreased the most to 729.18±4.62 μ㏉ and 224.18±0.74 μ㏉ at 180 ㎝ (p<0.01). The values of SNR and CNR were statistically significant (p<0.01), but there was no qualitative difference. This shows that when the SID is 180 ㎝, it is possible to reduce the dose without lowering the image quality. So, It is suggested that the SID 180 ㎝ is used without contacting the detector when examining the skull lateral.

Features of Work and Posture Analysis Outputs in General Hospital Nurses (종합병원 간호사의 업무 및 작업자세 분석결과 특징)

  • Park, Jung-Keun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.29 no.3
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    • pp.375-382
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    • 2019
  • Objectives: This study was to examine the features of work and posture analysis outputs in assessment of exposure to musculoskeletal disorder (MSD) risk factors in general hospital nurses. Methods: Work and posture analyses were carried out using observational approaches for nurses at general hospitals across Korea. With development of a taxonomy for assessing exposure to MSD risk factors, nursing tasks were documented in frequency (%time) for 8 hours a day in work analyses. Rapid Entire Body Assessment (REBA) scores were obtained for mode and maximum risk levels, respectively, during posture analyses. Results: A total of 27 nurses were observed while conducting 7 nursing tasks at 6 general hospitals. For both the work analyses and posture analyses, the taxonomy was developed and used. In the work analyses, 'Video display terminal task' and 'Nursing examination/ treatment' were the highest as 25%time for 8 hours a day, followed by 'Patient care' and 'Room rounding' as 13%time in order. In the posture analyses, the mode REBA scores were 2 or less for all nursing tasks while the maximum REBA scores were 7 for upper limbs at 'Room rounding' and 6 for trunk/neck/legs at 'Patient care'. Conclusions: The results showed the study nurses are occasionally at a risk for MSD, a medium level as designated in the REBA risk level, suggesting that it is important to control awkward posture at the nursing tasks such as 'Room rounding' and 'Patient care', in priority, for preventing MSD in the hospital sector including the study general hospitals.

Effect of Palm Facing Forward Posture on SpinoPelvic Parameters on the Whole Spine Lateral Radiography (척추 전장 측면 방사선검사 시 손바닥 정면 자세가 척추골반지표에 미치는 영향)

  • Joo, Young-Cheol;Kim, Han-Yong;Kim, Dong-Hwan
    • Journal of radiological science and technology
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    • v.45 no.5
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    • pp.391-396
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    • 2022
  • The purpose of this study was to investigate the effect of cross arms and palms facing forward on spinopelvic parameters during the whole spine lateral radiography. In addition, we would like to present the usefulness of a posture with the palm facing forward during whole spine lateral radiography of the spine using EOS. The subjects of this study were images of a total of 50 patients (18 males, 32 females) who whole spine lateral radiography using the conventional method and the EOS method from October 2020 to March 2021. The posture used in this study was set as 'CAP' for cross arms and 'PUSH' for posture with palms facing forward. In this study, among the spinal stability factors, thoracic kyphosis (thoracic vertebrae 4 to 12), lumbar lordosis (lumbar vertebrae 1 to sacrum 1), sagittal vertical axis, sacral slope, and shoulder flexion angle were compared on average. The mean thoracic kyphosis was 34.52±12.46° for CAP and 28.46±10.81° for PUSH (p<0.01). The lumbar lordosis of CAP was 42.45±17.45°and that of PUSH was 40.56±16.14°(p>0.57). The sagittal vertical axis was 26.59±34.34 mm in CAP and 21.21±35.41 mm in PUSH (p>0.44). In CAP, the sacral slope was 30.96±10.29°, and in PUSH, it was 31.01±10.19° (p>0.98). shoulder flexion angle was 38.31±8.24° for CAP and 26,08±6.71° for PUSH(p<0.01). As a result of this study, the PUSH posture is considered to be a posture that can minimize the shoulder flexion angle and can perform a stable examination while minimizing changes in spino-pelvic parameter.

Clinical Study on the Correlation between 3-Dimensional MOIRE Topography and Questionnaire for School Screening in Scoliosis (척추측만증 검진을 위한 모아레 체형측정법과 설문조사의 상관성 연구)

  • Yoo, Han-Keel;Kim, Hae-Jung;Shin, Byung-Cheul
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.141-153
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    • 2003
  • Objectives : The purpose of this study is researching for correlation between Moire topography results and questionnaire which include obesity rate, height, weight, posture, pain aspect (low back pain, headache, fatigue, neck pain etc), studying posture, school attendance method, menarche. Methods : The authors practiced Moire topography and questionnaire for primary & middle school 24,419 students [male 12,843, female 11,576] in Jeonbuk, korea in 2002. After we distinguished students who had abnormal finding in Moire topography and statistically analysed the data. Results : According to this research, the abnormal finding in Moire topography results was 37.3% (9,105 students), and students needed X-ray re-examination were 3.9% (953 students). According to statistical analysis, male/female and primary/middle school students have no difference in deformity degree of the body surface examined by Moire. Height and weight have low correlation with deformity degree of the body surface examined by Moire and menarche, pain aspect have no correlation. But, school attendance method by bicycle and $90^{\circ}$upright sitting in study posture is the best way to decrease the deformity degree of the body surface examined by Moire. Conclusions : Following this research, throughout Moire topography could detect trunk asymmetry that couldn't be found existing X-ray examination, and school attendance by bicycle and $90^{\circ}$upright sitting in study posture is good for school students to prevent back deformity.

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Work analysis of route survey work on forest-road (임도 노선측량 작업의 작업분석)

  • Kweon, Hyeong-Keon;Lee, Joon-Woo;Choi, Sung-Min;Yeom, In-Hwan
    • Korean Journal of Agricultural Science
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    • v.40 no.3
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    • pp.209-214
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    • 2013
  • This study examined the work time, work posture, and work intensity for the actual measurement step in forest road the design work that was being carried out. The measurement of the forest road was being carried by a team of three workers and a team of four workers. The examination of work time found that the measurement of 1km took about 8 hours for the four-worker team and 12 hours for the three-worker team. The examination of work intensity found that the energy metabolic rates of the three-worker team were lower than four-worker team. Because their energy consumption per minute decreased as their work time and rest time increased. Furthermore, when appropriate rest time was applied according to work time, the energy metabolic rate decreased and the work intensity became lower. The four-worker team was more advantageous from the time and cost aspects of the forest road measurement work. Furthermore, as the rest time was very low compared to the work time, more efficient forest road measurement work would be possible if the work intensity was lowered by considering the rest time when calculating the standard work time.

A Study on the Pattern for the Clean Room Garment of the Overall Type (오버롤(Overall)형 방진복의 패턴설계에 관한 연구)

  • Na, Mi-Hyang;Jang, Kyung-Jin;Lee, Yeun-Soon
    • Korean Journal of Human Ecology
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    • v.6 no.2
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    • pp.121-131
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    • 1997
  • This study was to design the clean room garment which fits for a body and adjusts well to the action. We examined the body's changes in action through a body measurment and made a sample of the clean room garment to which had adapted the body's changes in action and evaluated the function and the appearance compared with the existing the clean room garment. The followings were summery of the results : 1. Back intersyce breadth decreased, trunk length increased and the other parts were not change. At a posture of raising hands($M_3$) in comparison with an upright posture($M_0$). Back intersyce breadth, hip length and knee length increased and the other parts were a little change. At a bowing posture($M_2$) in comparison with an upright posture($M_0$). Back hip girth, knee length, hip length and leg length increased and the other parts were not change. At a working posture on a chair($M_1$) in comparison with an upright posture($M_0$). 2. The overall clean room garment was made increasing on the changes of part of a body through measuring and body measurement. 3. From the test of the function, it became known that the devised clean room garment was superior to the existing one in the parts of neck, shoulder, armpit and elbow at a working posture on a chair($M_1$), in the parts of neck, shoulder, and armpit at a bowing posture($M_2$), and the armpit at a posture of raising hands($M_3$). The appearance was better on the whole. 4. From the examination of photographs, the waist line of the devised clean room garment was not so much pulled up as that of the existing one on moving. And when sitting down on a chair, the waist line of the existing one was pulled down while that of the devised one had no change. As above, we investigated the actual conditions of wearing the clean room garment and measured the body's changes according the various actions. So we applied these results to the devised clean room garment but we couldn't research the clean mom effect of it owing to not obtaining the measuring instrument. The aspect of ergonomics liked the feeling of wearing and fitted to the action must be given consideration to the clean room garment, and simultaneously the dust-resistant effect must be taken into consideration in order to improve the quality of the goods. Therefore, we think it should be continued the research on the dust-resistant effect, material, washing method, quality control, and size along with the aspect of ergonomics.

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The Coordinative Locomotor Training Intervention Strategy Using the ICF Tool to Improve the Standing Posture in Scoliosis: A Case Report

  • Lee, Jeong-a;Kim, Jin-cheol
    • The Journal of Korean Physical Therapy
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    • v.33 no.1
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    • pp.7-15
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    • 2021
  • Purpose: This study was examined to improve the standing posture of a scoliosis client using the ICF Tool. Methods: For examination, the study subject was a 16-year-old female student diagnosed with 3curve-pelvic (3CP) type scoliosis. Information about her were collected through a client interview and based on international Classification of Functioning, Disability and Health (ICF). The ICF core set was for post-acute musculoskeletal conditions, and the ICF level 2 items suggested by National Rehabilitation Information Center (NARIC) were added to the recommendations for scoliosis. For evaluation, the ICF assessment sheet was used to identify the interaction among the problems. For the diagnosis, the client's functional problems were described in ICF terms. For the prognosis, the global goals for reaching the client's functional activity and participation level were presented as the long-and short-term goals. For the intervention, a coordinative locomotor training program composed of warm-up, main exercise, and cool-down was applied 3 times a week, 50 minutes a day, for 5 weeks. For the outcome, the differences between before and after the intervention were compared with the ICF qualifier and are shown with the ICF evaluation display. Results: Clinical advantages were observed in body function and structure (7° decrease of thoracic angle, 7 score increase of trunk muscle power, 6.47s improve of one leg standing, 4 score decrease of neck pain). The activity for maintaining the standing posture, in which the client had a primary limitation, was improved. Conclusion: Applying the coordinative locomotor training program is expected to improve scoliosis client's standing posture.

Case Report of Physical Therapy Using the PNF Concept in a Patient with Shoulder Impingement Syndrome (어깨 부딪힘 증후군 환자에 대한 PNF 개념을 이용한 물리치료 사례보고)

  • Kim, Jwa-Jun;Shin, Jae-Wook
    • PNF and Movement
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    • v.12 no.3
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    • pp.189-199
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    • 2014
  • Purpose: The objective of this case report is to examine the impact of physical therapy using the proprioceptive neuromuscular facilitation (PNF) concept for a patient with shoulder impingement syndrome. Methods: The patient is a 35-year-old female who has felt pain in the right shoulder for one month. The physical examination evaluated sensory integration, pain, joint integration and mobility, posture, reflex integration, range of motion, muscular strength, analysis of movement, and shoulder function. Comprehensive physical therapy was given to the patient, including stretching, mobilization, strengthening, posture correction, coordination improvement, daily activities, and sports exercises. The therapy was given 5 times a week for the first 5 weeks, then 3 times a week for the next 5 weeks. In all, the intervention lasted for 10 weeks. Results: The patient's senses, posture, and muscular strength all improved to a normal level. The degree of pain fell from 3/10 to 0/10 for activities taking place below shoulder height, and from 8/10 to 1/10 for activities above the head. Additionally, joint integration, motility, range of motion, and movements also improved. The disabilities of the arm, shoulder and hand (DASH) for functional evaluation improved from 27.5 to 10.3. Conclusion: Physical therapy using the PNF concept is effective in improving the body structure, function, activity, and participation of patients with motor disorders of the shoulder impingement syndrome.