• Title/Summary/Keyword: Lateral Flexion

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Effects of sling exercise and McKenzie exercise program on neck disability, pain, muscle strength and range of motion in chronic neck pain

  • Seo, Seung-Cheol;Choi, Jin-Young;Joo, Min-Young;Kim, Je-Hoon;Chang, Seul-Ki
    • Physical Therapy Rehabilitation Science
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    • v.1 no.1
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    • pp.40-48
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    • 2012
  • Objective: The aim of this study was to compare sling exercise group to McKenzie exercise group in patients with chronic neck pain. Design: Two group pretest-posttest design. Methods: Twenty subjects who have chronic neck pain were randomly divided into sling exercise group (n=10) and McKenzie exercise (n=10). Sling exercise group (n=10) received sling exercise for 30 minutes per day, twice a week over a 4 week period. And the other group were exercised McKenzie exercise (n=8) for 30 minutes per day, twice a week over a 4 week period. Neck disability index (NDI), Visual analog scale (VAS), algometer, digital manual muscle tester (MMT) and cervical muscle strength and cervical range of motion (ROM) are closely measured to identify the effect of sling exercise and McKenzie exercise. Results: For NDI, VAS, algometer on both trapezius, both rotation of cervical muscle strength, both lateral flexion of cervical muscle strength, cervical extension of ROM and both lateral flexion of ROM were significantly increased after intervention in sling exercise group (p<0.05), For VAS, algometer on both trapezius, left (Lt.) rotation of cervical muscle strength, Lt. lateral flexion of cervical muscle strength, cervical flexion and extension of ROM and Lt. lateral flexion of ROM were significantly increased after than before intervention in McKenzie exercise group (p<0.05). Conclusions: These study outcomes clearly support the notion that sling and McKenzie exercise improved pain, Muscle strength and ROM of patients with chronic neck pain. These results suggest that sling and McKenzie exercise program is suitable for chronic neck pain.

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Characteristics of Knee Joint Flexion Angle and Foot Pressure according Slope Climbing (경사로 오르기 동안 슬관절 굴곡각도와 족저압의 특성 비교)

  • Oh, Tae-Young;Song, Hyeon-Ju;Lee, Seul-Gi;Jung, Ye-Ji;Lim, Jong-Su
    • The Journal of the Korea Contents Association
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    • v.10 no.2
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    • pp.268-276
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    • 2010
  • This study was to investigate the knee joint flexion angle and the foot pressure during climbing with different slope. The 24 healthy subjects were participated. And foot pressure was investigated using Parotec system. The knee joint flexion angle were filmed to using a video camera on each slope($0^{\circ},\;3^{\circ},\;6{\circ},\;9^{\circ}$). And knee joint angle was investigated by Dartfish. The data were analyzed ANOVAs. In conclusion, there was significantly different that knee joint flexion angle related on each slope angle. In foot pressure, there was significantly different in lateral heel area(1 cell), medial midfoot area(9 cell), medial forefoot area(15, 16 cell) of left foot, and in lateral heel area(3 cell) of right foot. There was significantly different of foot pressure in lateral and medial heel when knee joint flexion angle is between $10^{\circ}$ and $20^{\circ}$. There was change of gait cycle according to walking slop angle increasing, and the initial contact phase was shorter, the foot pressure in lateral heel was lower.

The Effects of Task-Oriented Training for Left Trunk Flexion Pattern Using Real-Time Ultrasound Imaging -A Single-Subject Experimental Study- (편측무시 환자에게 실시간 초음파 영상을 이용한 왼쪽 몸통 굽힘 패턴을 적용한 과제지향적 훈련의 효과 -단일 사례 연구-)

  • Kim, Ji-Seon;Ki, Kyong-Il;Kang, Tae-Woo
    • PNF and Movement
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    • v.17 no.1
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    • pp.1-9
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    • 2019
  • Purpose: This study investigates the effects of task-oriented training for a left trunk flexion pattern using real-time ultrasound imaging in a stroke patient with unilateral neglect symptoms. Methods: This study used the ABA experimental design, which is a single-subject research method among individual case research methods. For the ABA experimental design, changes in the degree of unilateral neglect, balance ability, and the thickness of the lateral abdominal muscle were visually analyzed during the baseline process, in the intervention period, and after the intervention. The experiments were performed 24 times in total for 8 times in each of the 3 periods. The unilateral neglect was measured using the Albert test, balance ability was measured using the Berg balance test, and the thickness of the lateral abdominal muscle was measured using ultrasound imaging. The subject was a 50-year-old male patient with unilateral neglect caused by right cerebral hemorrhage. He performed task-oriented training for a voluntary left trunk flexion pattern using real-time ultrasound imaging during the intervention period. Results: The result of comparing the data collected during the intervention period with the data point average of the baseline process showed that balance ability improved and the tendency line was above the baseline. The tendency line of unilateral neglect was below the baseline and showed a decreasing tendency. The thickness of the lateral abdominal muscle showed an increasing trend and the tendency line was above the baseline. Conclusion: The results of this study suggest that the task-oriented training for left trunk flexion pattern using real-time ultrasound imaging has a beneficial effect on balance ability, the degree of unilateral neglect, and the strength of the lateral abdominal muscle in unilateral neglect patients.

A Study for cervical range of motion in Physical Therapists (물리치료사들의 경추 가동범위에 관한 연구)

  • Kim, Chan-Kyu;Cho, Byeong-Mo
    • Journal of Korean Physical Therapy Science
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    • v.8 no.1
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    • pp.879-883
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    • 2001
  • The purpose of this study is to find out the influence of Physical Therapists' heavy work on their cervical spines. Subjects were 80 members of Physical Therapists, 40 males and 40 females who were between 3rd decades to 4th decades. The Cervcial Range of Motion instrument was used to measure six cervical range of motion such as flexion, extension, left and right lateral flexion, left and right rotation. The degree of rotation and both lateral flexion was appeared as decrement in 4th decades than 3rd decades(P<0.05). And the left lateral flexion in female Physical therapiest was increased than in male ones(P<0.05). By this results, it was proved that the older the PT's age, the less the cervical motion range and there were more decrement in male Physical Therapists than female Physical Therapists. And finally I think that the evaluating method used in this study will be clinically very useful and be a basic raw materials for evaluating the existence and the degree of functional disability as in the occupational hazards due to Physical Therapist's heavy work.

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Correlation Between Shoulder Gradient, Range of Motion of the Neck, and Subjective Pain level of the Potential Risk Group of Smart-phone Addiction (스마트폰 중독 잠재위험군의 어깨 기울기, 목 관절가동범위 및 주관적 통증 정도의 상관관계)

  • Jeong, Yeonwoo
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.2
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    • pp.83-90
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    • 2017
  • Purpose : The purpose of this study was to investigate the correlation between shoulder gradient, range of motion of the neck, and subjective pain level of the potential risk group of smart-phone addiction. Methods : The subjects of this study were 90 women's who had potential risk of smart-phone addiction. VAS was used to measure subjectively pain intensity. Global Postural System was used to measure forward head posture. CROM was used to measure flexion, extension, lateral flexion of cervical range of motion. Results : The results of this study showed that was significant positive correlation between the both shoulder gradient, and cervical range of motion(p<.05). Statistically significant negative correlation between the VAS and left lateral flexion(p<.05). Conclusions : The difference between the gradient of both shoulders increased with the use of smart-phone addiction, and the cervical left lateral flexion decreased as the pain increased. This suggests that recognition on decrease of using smart phone and postural correction is necessary.

Psychophysical Discomfort Evaluation of Complex Trunk Postures (복합적인 몸통 자세의 심물리학적 불편도 평가)

  • Lee, In-Seok;Ryu, Hyung-Gon;Chung, Min-K.;Kee, Do-Hyung
    • Journal of Korean Institute of Industrial Engineers
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    • v.27 no.4
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    • pp.413-423
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    • 2001
  • Low back disorders (LBDs) are one of the most common and costly work-related musculoskeletal disorders. One of the major possible risk factors of LBDs is to work with static and awkward trunk postures, especially in a complex trunk posture involving flexion, twisting and lateral bending simultaneously. This study is to examine the effect of complex trunk postures on the postural stresses using a psychophysical method. Twelve healthy male students participated in an experiment, in which 29 different trunk postures were evaluated using the magnitude estimation method. The results showed that subjective discomfort significantly increased as the levels of trunk flexion, lateral bending and rotation increased. Significant interaction effects were found between rotation and lateral bending or flexion when the severe lateral bending or rotation were assumed, indicating that simultaneous occurrence of trunk flexion, lateral bending and rotation increases discomfort ratings synergistically. A postural workload evaluation scheme of trunk postures was proposed based on the angular deviation levels from the neutral position. Each trunk posture was assigned numerical stress index depending upon its discomfort rating, which was defined as the ratio of discomfort of a posture to that of its neutral posture. Four qualitative action categories for the stress index were also provided in order to enable practitioners to apply corrective actions appropriately. The proposed scheme is expected to be applied to several field areas for evaluating trunk postural stresses.

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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.

Immobilization Effect and Abdominal Pressure of Newly-Developed Lumbosacral Spinal Orthosis during Task Performance (새롭게 개발한 요천추 보조기의 과제 수행 중 척추의 고정효과와 복부압력)

  • Jeon, Kyung Soo;Yang, Hee Seung;Jang, Soo Woong;Shin, Hee Dong;Lee, Yun kyung;Lee, Young;Lee, Seul Bin Na;Ahn, Dong Young;Sim, Woo Sob;Cho, Min;Cho, Kyu Jik;Park, Dong Beom;Park, Kwan Soo
    • Clinical Pain
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    • v.19 no.2
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    • pp.70-79
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    • 2020
  • Objective: We evaluated the efficacy of a newly-developed spinal orthoses (V-LSO) by comparing the stabilizing effect, abdominal pressure, and comfort of 3 different semirigid LSOs (classic LSO, V-LSO, and Cybertech®) during various body movements. Method: Thirty healthy volunteers (23~47 years, 24 males, 6 females) were selected. A dual inclinometer measured the range of motion (ROM) while the participants performed flexion/extension and lateral flexion of the lumbar spine with 3 LSOs. The LSO's pressure on the abdominal surface was measured using 9 pressure sensors while lying, sitting, standing, flexion/extension, lateral flexion, axial rotation, and lifting a box. Comfort and subjective immobilization were analyzed by a questionnaire. Results: V-LSO had a statistically significant effect on flexion over Cybertech®. No significant differences were noted during extension and lateral flexion between the 3 LSOs. The abdominal pressure showed no significant differences while supine. While sitting, standing, and lifting a box, the mean abdominal pressure for V-LSO were significantly higher than those for Cybertech®. During lumbar flexion, the mean abdominal pressures for classic LSO and V-LSO were significantly higher than that of Cybertech®. For extension, lateral flexion and axial rotation, the abdominal pressure for V-LSO was significantly higher than those of classic LSO and Cybertech®. In the subjective analysis, V-LSO and Cybertech® scored best for comfort. Conclusion: The V-LSO and Cybertech® were more comfortable than the classic LSO, and hence, may have improved compliance with decreased discomfort. V-LSO may be superior to the other LSOs in restricting lumbar movement and increasing intraabdominal pressure.

Abnormal Treatment of Lateral Flexion and Rotation of Cervical Spine (목뼈의 바깥쪽 굽힘과 회전에 대한 이상 치료)

  • Lee, Hyun-Chang;Shin, Seong-Yoon
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2018.01a
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    • pp.67-68
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    • 2018
  • 본 논문에서는 중요한 목뼈 부문의 움직임을 다루도록 한다. 특히, 목뼈의 가쪽 굽힘과 돌림에 대한 각도를 측정하고 고통을 수반하는지를 파악한다. 측정한 각도가 정상수치를 크게 벗어나거나 통증을 동반하면 이상이 있는 것으로 간주하여 치료법을 제시한다.

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A Functional Design of Fire Fighter Coveralls (소방용 coverall의 기능적 디자인 연구)

  • Kim, Younghee
    • Journal of the Korean Society of Clothing and Textiles
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    • v.26 no.12
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    • pp.1739-1748
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    • 2002
  • 본 연구의 목적은 소방용 coverall의 디자인이 소방수들의 동작기능성에 어떤 영 향을 주는지에 관하여 고찰하여, 보다 기능적 인 coverall을 개발, 궁극적으로 작업자의 노동력을 향상시키고, 보다 안락한 환경 속에서 작업할 수 있도록 도와주는데에 있다. 미국 캔사스 지역의 전문 소방수를 대상으로, interview 및 video analysis를 통하여, 그들이 현재 사용하고 있는 current coverall의 동작기능면에서의 문제점을 조사, 분석한 후, 이를 바탕으로 prototype coverall을 개발하였다 prototype coverall의 동작기능성을 객관적으로 측정하기 위하여 10가지 실험동작(shoulder adduction/ abduction, shoulder flexion/extension, trunk flexion/extension(standing), hip flexion/extension(knee), hip flexion/extension(trunk), upper leg flexion, trunk lateral flexion, hip adduction, trunk flexion/ extension(sitting), upper leg flexion)을 선택하여 이의 관절각도(range-of-motion)를 Leighton flexometer, goniometer, computer-aided method를 이용하여 측정하였으며, 착용자의 주관적 평가를 위하여서는 23 항목의 wearer acceptability scale를 사용하였다. ANOVA(Analysis of Variance)와 LSD(Least Significant Difference)를 이용한 통계처리 결과, prototype coverall이 current coverall에 비해 동작기능성 (특히 crotch, torso, hip movement)에 있어서 우수함을 보이고 있다.