• Title/Summary/Keyword: Head tilting

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Comparison of measurements from digital cephalometric radiographs and 3D MDCT-synthetized cephalometric radiographs and the effect of head position (디지털 측방두부규격방사선사진과 MDCT의 3차원 재구성 영상을 이용한 합성측방두부규격방사선사진의 계측치 비교 및 머리 위치가 미치는 효과)

  • Kim, Mi-Ja;Choi, Bo-Ram;Huh, Kyung-Hoe;Yi, Won-Jin;Heo, Min-SUk;Lee, Sam-Sun;Choi, Soon-Chul
    • Imaging Science in Dentistry
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    • v.39 no.3
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    • pp.133-147
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    • 2009
  • Purpose : To investigate the reproducibilities and compare the measurements in digital and MDCT-synthesized cephalometric radiograph, and to investigate the effect of head position on the measurement during imaging with MDCT. Materials and Methods : Twenty-two dry skulls (combined with mandible) were used in this study. Conventional digital cephalometric radiograph was taken in standard position, and MDCT was taken in standard position and two rotated position ($10^{\circ}$ left rotation and $10^{\circ}$ right tilting). MDCT data were imported in $OnDemand^{(R)}$ and lateral cephalometric radiograph were synthesized from 3D virtual models. Two types of rotated MDCT data were synthesized with default mode and with corrected mode using both ear rods. For all six images, sixteen angular and eleven linear measurements were made in V-$Ceph^{(R)}$ three times. Reproducibility of measurements was assessed using repeated measures ANOV A and ICC. Linear and angular measurements were compared between digital and five MDCT-synthesized images by Student t-test. Results : All measurements in six types of cephalometric radiograph were not statistically different under ICC examination. Measurements were not different between digital and MDCT-synthesized images (P>.05). Measurements in MDCT-synthesized image in $10^{\circ}$ left rotation or $10^{\circ}$ right tilting position showed possibility of difference from digital image in some measurements, and possibility of improvement via realignment of head position using both ear rods. Conclusion : MDCT-synthesized cephalometric radiograph can substitute conventional cephalometric radiograph. The error on head position during imaging with MDCT have possibility that can produce measurement errors with MDCT-synthesized image, and these position error can be corrected by realignment of the head position using both ear rods.

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The Analysis of severity of forward head posture with observation and photographic method

  • Lee, Han-suk;Chung, Hyung-kuk;Park, Sun-wook
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.3
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    • pp.9-17
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    • 2015
  • PURPOSE: This paper aims to present the available angle to evaluate the severity of forward head posture (FHP) with the observation method and photographic method. METHODS: A cross-sectional observation research design study consisted of 29 subjects who was divided two groups (slight FHP group, moderate FHP group) in Eulji university was used. We evaluated the FHP and the angles including CranioVertebral Angle (CVA), Head Tilting Angle (HTA), Head Position Angle (HPA) and Forward Shoulder Angle (FSA) with the Body style S-8.0 (South Korea, LU Commerce). RESULTS: The mean of CVA, FSA from the slight FHP group was shown higher than moderate severe FHP group. According to independent t-test result, but there was no difference among all angles in two groups. The linear discriminate analysis showed the size of distinction of FSA was the biggest, and then CVA, HTA and HPA were in the order. 55.6% of FSA is properly classified in the slight FHP group. CONCLUSION: The FSA is the best to distinguish the severity of FHP and then CVA as the second best. Therefore, FSA is recommended to check the FHP.

Effect of Myofascial Release Therapy on Newborns and Infants with Congenital Torticollis (근막이완술이 영유아 근성사경의 치료효과에 미치는 영향)

  • Park, Tae-Kyu;Kim, Jong-Ryul;Cho, Mi-Suk;Park, Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.18 no.5
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    • pp.1-11
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    • 2006
  • Purpose: This study was to evaluate effects of myofascial release therapy for newborns and infants with congenital torticollis. Methods: In a two month period, thirty-six newborns and infants diagnosed with congenital muscular torticollis received treatment thirty times; then divided into a myofascial release group and stretching group. Crying frequency was used to measure the amount of crying time during treatment. Ultrasonography was used to measure the size of fibromatosis. Physical examinations were used to measure the degree of head tilting and rotation. Results: The results were as follows: 1. Crying frequency was significantly decreased in myofascial degree group. 2. The size of fibromatosis was not significantly decreased in ultrasonography. 3. Head tilt was significantly decreased in myofascial release group. 4. Rotation was not significantly increased in myofascial release and control group. Conclusion: The above results suggest that myofascial release therapy is helpful decreasing head tilt, crying frequency, and increasing head rotation.

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Effects of Head-down Tilt $(-6^{\circ})$ on Peripheral Blood Flow in Dogs (두부하위$(-6^{\circ})$로의 체위변동이 말초혈류에 미치는 영향)

  • Chae, E-Up;Yang, Seon-Young;Bae, Jae-Hoon;Song, Dae-Kyu
    • The Korean Journal of Physiology
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    • v.24 no.1
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    • pp.51-65
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    • 1990
  • The purpose of the present study was to examine the hemodynamic responses, especially in arterial and skin blood flows, in conjunction with the changes of plasma catecholamine levels as an indirect marker of adrenergic tone during the early stage of head-down tilt (HDT), and to evaluate the early physiological regulatory mechanism in simulated weightlessness. Ten mongrel dogs, weighing8\;{\sim}\;14\;kg, were intravenously anesthetized with nembutal, and postural changes were performed by using the tilting table. The postural changes were performed in the following order: supine, prone, HDT $(-6^{\circ}C)$ and lastly recovery prone position. The duration of each position was 30 minutes. The measurements were made before, during and after each postural change. The arterial blood flow $({\.{Q}})$ at the left common carotid and right brachial arteries was measured by the electromagnetic flowmeter. Blood pressure (BP) was directly measured by pressure transducer in the left brachial artery. To evaluate the peripheral blood flow, skin blood flow $({\.{Q}})$ was calculated by the percent changes of photoelectric pulse amplitude on the forepaw, and skin temperature was recorded. The peripheral vascular resistance (PR) was calculated by dividing respective mean BP values by ${\.{Q}}$ of both sides of common carotid and brachial arteries. Heart rate (HR), respiratory rate (f) and PH, $Po_{2},\;Pco_{2}$ and hematocrit of arterial and venous blood were also measured. The concentration of plasma epinephrine and norepinephrine was measured by radioenzymatic method. The results are summarized as follows: Tilting to head-down position from prone position, HR was initially increased (p<0.05) and BP was not significantly changed. While ${\.{Q}}$ of the common carotid artery was decreased (p<0.05) and PR through the head was increased, ${\.{Q}}$ of the brachial artery was increased (p<0.05) and PR through forelimbs was decreased. ${\.{Q}}$ of the forepaw was initially increased (p<0.05) and then slightly decreased, on the whole revealing an increasing trend. Plasma norepinephrine was slightly decreased and the epinephrine was slightly increased. f was increased and arterial pH was increased (p<0.05). In conclusion, the central blood pooling during HDT shows an increased HR via Bainbridge reflex and an increased ${\.{Q}}$ of the forepaw and brachial ${\.{Q}}$, due to decreased PR which may be originated from the depressor reflex of cardiopulmonary baroreceptors. It is suggested that the blood flow to the brain was adequately regulated throughout HDT $(-6^{\circ}C)$ in spite of central blood pooling. And it is apparent that the changes of plasma norepinephrine level are inversely proportional to those of ${\.{Q}}$ of the forepaw, and the changes of epinephrine level are paralleled with those of the brachial ${\.{Q}}$.

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Baseplate Design to Improve Swaging Performance of Actuator in a HDD (HDD 액추에이터의 스웨이징성능향상을 위한 베이스플레이트 최적설계)

  • Lee, Haeng-Soo;Hong, Eo-Jin
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.33 no.8
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    • pp.760-766
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    • 2009
  • In the manufacturing process of HDD, ball swaging method is commonly used to joint the Head Gimbal Assembly(HGA) with the arm of the actuator. The hub on the HGA is placed into the hole of the actuator arm, and the hub and arm is bonded by the pressure of steel ball. The pressure for plastic deformation on the baseplate causes the undesirable deformation on HGA, such as tilting, flying height change of head. After obtaining the key parameters that have large sensitivity on the swaging process, the optimal shape of baseplate is proposed to increase the static performance during swaging process. Contribution of the proposed design for the swaging performance is verified by contact simulation with elasto-plastic deformation.

Three Dimensional Computed Tomography in the Assessment of Subtle Fracture in Dogs (컴퓨터단층촬영에서 3차원 재구성 영상을 통한 개의 골절 진단)

  • 이기창;권정국;송경진;최민철
    • Journal of Veterinary Clinics
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    • v.20 no.4
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    • pp.523-526
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    • 2003
  • Three dimensional computed tomographic images were obtained in two cases with trauma. The first case of a 3 year-old male Maltese, with ataxia and head tilting due to head trauma was referred to veterinary medical teaching hospital, Seoul National University. Remarkable findings were not found on survey radiographs. With the help of three-dimensional reconstruction computed tomographic imaging, parietal and occipital bone fracture was identified. The second case of 4 month-old female Yorkshire terrier with left forelimb lameness was referred right after trauma. Survey radiography showed obvious incongruity of the elbow joint. Lateral and medial condyle of the left humerus fracture and lateral displacement of the left ulna were apparent in three-dimensional computed tomographic image. It was considered that three-dimensional computed tomography could be used as an aid modality for the exact evaluation of extends and degree of fracture as well as planning of orthopedic surgery.

Posture and Low Back Pain (일반적인 자세가 요통에 미치는 영향에 대한 고찰)

  • Jung, Mun-Boung;Lee, Geoun-Sung;Kang, Eun-Mi;Oh, Kyeong-Seok
    • Journal of Korean Physical Therapy Science
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    • v.3 no.4
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    • pp.207-214
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    • 1996
  • Main cause of low back pain is a poor posture. Most low back pains are due to a poor posture. The poor posture induces muscle tension and finaliy low back pain. The poor posture arehabitually trained from the childhood by the environmetal factors. In general, maintaining good posture during working and sleeping hours are the first line of defence against back pam. (1) Supine posture is the easiest posture that relaxes and fixes muscles. Supine posture is thus a starting position for on exercise. Lying down releases the weight pressures of head and shoulder and thus body can be relaxed and extended which are helpful for treating back pain. However, supine posture can increase the pressure in ribcage posture aspect and disphragram due to visceral oragans. (2) Sitting in one position for a long time results in fatigue and relaxation of spinal muscies. Finally, body strength is weakened and sitting posture will become poor. If this poor posture continues for a longer time, pain will be accompanied due to overelongation of muscle ligaments. The habitual poor posture could induce intervertebral disc distortion. If the intervertebral disc is damaged, sitting in one position or movement causes pain. (3) Abnormal lumbar curve induces the tention of abdominal muscle and paravertebral muscle groups as well as tention of lower limb muscle group connected to pelvis. For a person with weak body strength, muscle relaxation increases curvature in lumbar, chest and cervical regions. This will induce a pelvic anterior tilting of the imaginary line between A. S. I. S. and P. S. I. S. Hip joint extensor muscle acts on releasing the pelvic anterior tilting. Contrections of hamstring muscle and femoral muscle recover the imaginary line between A.S.LS. and P.S.I.S. from pelvic anterior tilting. thus, contraction of rectus abdominis muscle are required to maintain the normal lumbar curve.

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Proposal of CT Simulator Quality Assurance Items (전산화단층 모의치료장치의 정도관리 항목 제안)

  • Kim, Yon-Lae;Yoon, Young-Woo;Jung, Jae-Yong;Lee, Jeong-Woo;Chung, Jin-Beom
    • Journal of radiological science and technology
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    • v.44 no.4
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    • pp.367-373
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    • 2021
  • A quality assurance of computed tomography(CT) have done seven items that were water attenuation coefficient, noise, homogeneity, spatial resolution, contrast resolution, slice thickness, artifact using by standard phantom. But there is no quality assurance items and methods for CT simulator at domestic institutions yet. Therefore the study aimed to access the CT dose index(CTDI), table tilting, image distortion, laser accuracy, table movement accuracy and CT seven items for CT simulator quality assurance. The CTDI at the center of the head phantom was 0.81 for 80 kVp, 1.55 for 100 kVp, 2.50 for 120 mm, 0.22 for 80 kVp at the center of the body phantom, 0.469 for 100 kVp, and 0.81 for 120 kVp. The table tilting was within the tolerance range of ±1.0° or less. Image distortion had 1 mm distortion in the left and right images based on the center, and the laser accuracy was measured within ±2 mm tolerance. The purpose of this study is to improve the quality assurance items suitable for the current situation in Korea in order to protect the normal tissues during the radiation treatment process and manage the CT simulator that is implemented to find the location of the tumor more clearly. In order to improve the accuracy of the CT simulator when looking at the results, the error range of each item should be small. It is hoped that the quality assurance items of the CT simulator will be improved by suggesting the quality assurance direction of the CT simulator in this study, and the results of radiation therapy will also improve.

X-ray Arcelin Projection Study for Diagnosing Mastoid Process and Petrous Ports (꼭지돌기와 바위부 진단을 위한 엑스선 Arcelin 촬영법 연구)

  • Jun-Haeng Lee
    • Journal of the Korean Society of Radiology
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    • v.18 no.3
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    • pp.301-307
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    • 2024
  • The Study Evaluated Radiography Images using the Mastoid Process Axial Oblique Projection (Arcelin) imaging method for the Diagnosis of Pyramid Ridge, Mastoid Process, Mastoid Process air cells, Tympanum, Internal auditory and petrous in Supine Position. The subjective ROC (receiver operation characteristic) evaluation method was conducted on five Radiological technologists who have worked in the Image medical Department of University Hospitals for more than 8 years, and the Objective Evaluation, signal-to-noise Ratio (SNR), was evaluated and Analyzed. The Cronbach Alpha value was significantly higher at 0.816. In the Image ROC Evaluation Taken by Tilting the X-ray Tube 5°, 10°, 15° toward the leg by 10°, it Scored 34 points, and in the overall evaluation, the SNR scored high at 6,549. In Addition, In the Image Evaluation taken by Tilting the X-ray Tube 5°, 10°, and 15° toward the head, it Scored 32 points In the Image ROC Evaluation taken by tilting 5°, and in the Objective Evaluation, SNR received the highest score of 6,732.

Analysis of refractive error according to the position of vision measurement using an automatic refractor (자동굴절검사기를 이용한 시력측정 자세에 따른 굴절이상도 분석)

  • Bong-Hwan, Kim;Sun-Hee, Han;Se-Hyeon, An;Chang-Seop, Sin;Won-Jeong, Jang;In-Seon, Hwang;Hyung-Soo, Kim
    • Journal of Korean Clinical Health Science
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    • v.10 no.2
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    • pp.1587-1593
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    • 2022
  • Purpose. This study was to investigate the degree of refractive error that occurs depending on the measurement location of the subject when performing a refraction test using the automatic refractor. Methods. When performing the auto-refraction test, measurements were taken while increasing the distance between the forehead and the forehead rest, and the measurements were made by tilting the head clockwise and counterclockwise. Results. During the auto-refraction test, significant refractive error occurred when the forehead was not attached to the forehead support or the subject's head was turned clockwise or counterclockwise. Conclusions. When performing a refraction test using an automatic refractor, the examiner will have to pay attention to whether the subject's forehead is in close contact with the forehead rest, and whether the head is tilted.