• Title/Summary/Keyword: Lordotic Angle

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A Study for Clinical and Radiological Correlation between Lumbar Lordotic Angle, Lumbar Intervertebral Disc Angle and Lumbar Spinal Stenosis (요추 전만 각도 및 요추 추간판 각도와 요추 척추관 협착증의 상관관계에 관한 연구)

  • Kim, Jong-Su;Son, Seul-Ki;Kim, Se-Jun;Kim, Shin-Woong;Jeong, Seong-Hyun;Kim, Tae-Ho;Jeong, Yeon-Jae;Kim, Hyo-Sub
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.4
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    • pp.129-136
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    • 2014
  • Objectives The purpose of this study is to find out clinical and radiological correlation between lumbar lordotic angle, lumbar intervertebral disc angle and lumbar spinal stenosis. Methods Total 250 patients' who had visited Bu-Chun Jaseng Hospital of Korean Medicine lumbar lordotic angle, intervertebral disc angle of L4/5 and dural sac dimension of L4/5 were measured by X-ray and MRI films. We analysed correlation between lumbar lordotic angle, intervertebral disc angle of L4/5 and lumbar spinal stenosis in terms of clinical and radiological aspect. Results 1. The mean intervertebral disc angle of L4/5 were $10.72{\pm}3.98^{\circ}$, the mean lumbar lordotic angle were $41.97{\pm}11.73^{\circ}$ and the mean dural sac dimension of L4/5 were $133.18{\pm}45.46mm^2$. 2. This study shows that dural sac dimension of L4/5 was inversely reated to intervertebral disc angle of L4/5 by statistically (p<0.05). 3. There was visible difference regarding intervertebral disc angle of L4/5 between patients who had been diagnosed with lumbar spinal stenosis by clinically and patients who had not been diagnosed with lumbar spinal stenosis by clinically; The former's angle was relatively higher than the latter's (p<0.05). Conclusions There was a statistical significance between intervertebral disc angle of L4/5 and lumbar spinal stenosis in single-segment.

Association between Prognosis of Low Back Pain Patients with Severity of Abnormal Lumbar Lordosis (한방병원에 입원한 요통 환자의 요추 전만각, 요천각 변화의 심각도에 따른 예후 분석 연구)

  • Han, Su-Bin;Kim, Eun-San;Kim, Hyo-Jun;Jo, Hoo-In;Kim, Mi-hye;Lee, Nam-Woo;Han, Jeong-Hun;Park, Byung-Hak;Son, Jae-Min;Kang, Do-Hyeon;Min, Tae-Woon;Lee, Hyun-Jun;Ahn, Jae-Seo;Lee, Han-Sol
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.4
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    • pp.143-154
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    • 2020
  • Objectives To analyze the prognosis of patients with low back pain according to the severity of abnormal lumbar lordotic angle and Ferguson's angle. Methods Data from electronic medical record of a total of 199 patients hospitalized in Korean medicine hospital were analyzed. With the sagittal view of lumbar spine X-ray, lumbar lordotic angle was defined as the angle between the superior endplate of L1 with the inferior endplate of L5. Ferguson's angle was defined as the angle between the superior surfaces of the sacral with a horizontal line. 'Measure Cobb's Angle Tool' of 'INFINITT PACS' was used to measure both angles. Lumbar lordotic angle and Ferguson's angle were subdivided into five sections. The number of days from onset and the duration of hospitalization were analyzed in each section. Results Severe hypolordotic lumbar lordotic angle group were found to have longer medical history and hospitalization duration than the control group. The ratio of long-term hospitalization (over 15 days) and chronic medical history (over 180 days) of patients with severe hypolordotic Ferguson's angle were significantly higher than the control group. The ratio of patients with chronic medical history (over 180 days) was significantly higher in severe hyperlordotic Ferguson's angle group than the control group. Conclusions Severe hypolordotic lumbar lordotic angle was related to patient's prognosis. Both severe hyperlordotic and severe hypolordotic Ferguson's angle were found to be related to patient's prognosis. However, a moderate loss of lumbar lordotic angle and Ferguson's angle was not related to prognosis of low back pain patients.

Technical Improvement for Spine Radiography by Comparing Scoliotic and Lordotic Angle with Different Positioning Methods (촬영자세별 척추측만각과 척추전만각의 비교 분석에 따른 개선 방안)

  • Jung, Jae-Yeon;Son, Soon-Yong;Lee, Jong-Seok;Yoo, Beong-Gyu
    • Journal of radiological science and technology
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    • v.34 no.4
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    • pp.263-269
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    • 2011
  • Since the spine radiography were explained differently at every several hospitals and textbooks. the technique has not been accurately defined and interfered each other. We would like to define the most appropriate positioning for clinical cases, and reference books, by comparing scoliotic angle and lordotic angle. From Mar 2009 to Sep 2011, 85 patient cases were studied, who had not been undergone surgical treatment among spondylopathy patients. Scoliotic angle and lordotic angle were measured, using Cobb's method. We analyzed statistically using t-test(SPSS 18), and evaluated spine general radiography position. Moreover, we researched on the actual condition at 10 university hospitals in Seoul. The results of scoliotic angle measurement, the value at erect position showed 20.98% higher than supine position, and it has statistical significance (p<.01). In lordotic angle measurement, the value at neutral holding position represented 29.3% higher than supine position, and it also has statistical significance(p<.01). The results of clinical survey, supine posine(70.0%) took much higher possession than erect position(30.0%). In conclusion, compare to supine position, erect position shows increased scoliotic and lordotic angle. It was agreed with the importance of clinical erect position radiography, which gravity affects. So clinical radiologist must recognize the difference, and conduct an accurate study.

Change of Lumbar Lordotic angle by Taping Therapy on Low Back Pain Patient with Lumbar Hyperlordosis ; A Case Report (테이핑 요법으로 호전된 요통환자의 요추전만도 변화 1례)

  • Youn, Yu-Suck;Lee, Jong-Soo;Moon, Sang-Hyun
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.157-165
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    • 2003
  • Low back pain (LBP) is a significant in today's society, with lifetime include factors associated with LBP ar reporter. Among the causes, aberration of posture may play a role in the development of LBP. Many investigators have assessed the curvature of spine in standing posture. But LBP is associated with Lumber Hyperlordosis of Hyperlordosis is controversial Subjects: In conservative treatment(acupuncture, herb med, manipulation & TENS. exercise, potural correction) for a 40 years old woman who had low back pain(V AS) be caused by decrease lumbar lordotic angie. Objectives: The object is change of lumbar lordotic angle of a 40 years old woman who had low back pain with Lumbar hyperlordosis, In conservative treatment. Method: In conservative treatment, We added taping therapy(mechanical correction taping of Kinesio Taping) about Lumbar Lordosis. Conclusion: We experienced a 40 years old woman who had love pack pain with Lumbar hyperlordosis. In conservative treatment, Her pain was Improved by additional taping therapy In company with decrease of Lumbar Lordosis. 1. abnormal spinal curvature, specially lumbar hyperlordosis act on induction & perpetuation agent for low back pain 2. In a patient had low back pain with lumbar hyperlordosis, change of lumbar lordotic angle is of utility value for the effect of treatment and assessment of prognosis. 3. pain control is more relative with change of lumbosacral angle than lumbar lordotic angle, in patient had low back pain with lumbar hyperlordosis. 4. mechanical taping therapy with elastic adhesive tape is effective for patient had low back pain with lumbar hyperlordosis

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The Effects of a Sling Exercise Program on the Correction of the Forward Head Posture Among Adolescent (현수운동 프로그램이 청소년들의 두부전방자세에 미치는 효과)

  • Yu, Dal-Yeong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.2
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    • pp.15-20
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    • 2014
  • Objective: The purpose of this study was to investigate the effects of sling exercise on the cervical lordotic angle, craniovertebral angle, and head rotation angle among adolescents in the forward head posture. Methods: The subjects include 22 adolescents that recorded a mild level or higher on the posture evaluation index by New York State. They were randomly divided to the hand exercise group (n=11) and the control group (n=11). The former group participated in the sling exercise program three times a week over four weeks in total with each session lasting 60 minutes, whereas the latter group was not included in the program. The cervical lordotic angle, craniovertebral angle, and head rotation angle were measured before and after the intervention. Results: The study compared the cervical lordotic angle between the two groups before and after sling exercise and found that the sling exercise group made an increase of $7.36^{\circ}$ from $21.91^{\circ}$ to $29.27^{\circ}$ after the intervention(p<.05). As for the comparison results of the craniovertebral angle, the sling exercise group made an increase of $5.64^{\circ}$ from $48.91^{\circ}$ to $54.55^{\circ}$ after the intervention (p<.05). As for the comparison results of the cranial-rotation angle, the sling exercise group made an decrease of $-7.73^{\circ}$ from $148.82^{\circ}$ to $141.09^{\circ}$ after the intervention (p<.05). The control group showed no differences before and after the intervention (p>.05). Conclusion: Those findings indicate that the application of sling exercise in the forward head posture can be a good program to maintain the right posture and improve or prevent an abnormal posture and raise a need for more clinical applications and ongoing researches.

The Effect of Various Interventions on an Adult with Scoliosis (척추측만증 치료를 위한 다양한 중재의 적용-사례연구)

  • Choi, Woon-Ho
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.17 no.2
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    • pp.57-63
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    • 2011
  • Background: To investigate the effect of various intervention application on idiopathic scoliosis patient. Methods: One 20-years-old female subject underwent various intervention 3 times per week for 7 weeks. Modality physical therapy, muscle energy technique, combined pelvic tilt exercise and self exercise was performed for 50minutes. Degree of pain, axial trunk rotation, Cobb's angle, kyphotic angle, lumbar lordotic angle, and sacral angle were measured. Results: The subject decreased in degree of pan, axial trunk rotation, Cobb's angle, thoracic kyphotic angle, lumbar lordotic angle and sacral angle. Conclusions: The various interventions for scoliosis patients are effective in the pain and the improvement of angle on radiograph. However, any method is difficult to determine effective interventions.

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The Saggital Alignment in Degenerative and Isthmic Spondylothesis Patients : A Clinical Survey (퇴행성 및 협부형 척추전방전위증 환자의 시상면상 형태의 임상례 보고)

  • Lee, Jin-Hyuk;Kang, Man-Ho;Sul, Moo-Chang;Cho, Kye-Chang;Jin, Eun-Seok;Lee, Han
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.3 no.1
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    • pp.55-64
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    • 2008
  • Objective : Spondylothesis is a disease which sagittal facet of vertebral body's invariable alignment is being broken and vertebral body being pushed forward. Main pattern of spondylothesis is isthmic spondylothesis by isthmus defect or fracture, degenerative spondylothesis occurred by desiccated change of intervertebral disc or vertebral condyle joint's ligament. The purpose of this study is to assess the difference of the Pelvic angles, Lumbosacral angles, Pelvic tilt, and Lumbar lordotic angles of the spondylothesis patients. Methods : We analyzed the lateral view of lumbar spine of 49 isthmic spondylothesis patients, 45 degenerative spondylothesis patients and 26 patients who haven't been diagnosed as vertebra disease. We investigated each patient's pelvic angle, lumbosacral angle, pelvic tilt and lumbar lordotic angle. Results and Conclusion : 1. Pelvic incidence, in cases of degenerate spondylothesis patients, is higher than spondylothesis patients but shows less significance. On the contrary significance is higher than the group haven't been diagnosed as vertebra disease. 2. Lumbosacral incidence, in cases of isthmic spondylothesis patients, shows higher significance than degenerative spondylothesis patients and the group haven't been diagnosed as vertebra disease. 3 Pelvic tilt, in cases of degenerative spondylothesis patients, shows higher significance than isthmic spondylothesis patients and the group haven't been diagnosed as vertebra disease. 4. Lumbar lordotic angle, in cases of isthmic spondylothesis patients, shows higher significance than degenerative spondylothesis patients and the group haven't been diagnosed as vertebra disease. 5. Degenerative spondylothesis patient shows specific impression, a forwardly moved high femoral axial and as a result of large lumbrosacral angle and lumbar lordotic angle shows specific impression, an increased weight pressure on sacrum.

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A Relationship Study of Lumbar Lordortic Angle and Herniation of Intervertebral Disc (요추 전만 각도와 요추 추간판 탈출증의 상관성 분석)

  • Jun, Jae-Yun;Lee, Joon-Seok;Lee, Seul-Ji;Nam, Ji-Hwan;Lee, Min-Jung;Kim, Kie-Won;Lim, Su-Jin;Song, Ju-Hyun;Moon, Ja-Young;Yeom, Seung-Chul;Lee, Sung-Chul
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.7 no.2
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    • pp.83-90
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    • 2012
  • Objectives : The perpose of this study was to observe the correlation between lumbar lordotic angle and radiological result. Methods : We randomly selected among the 150 patients with lumbar X-ray and MRI films who have visited Jaseng Hospital of Oriental Medicine with low back pain. Radiographic lumbar lordotic angle and lumbar HIVD were collected and stastically analyzed. Results : In this study, if the finding of a X-ray showed straightening of lumbar lordotic curve, based on MRI finding, the number of HIVD increased. Conclusions : There was a significant correlation between lumbar hypolordosis and HIVD, hypolordosis complained mare HIDVs.

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The Effects of Coordinative Locomotor Training with Elastic Bands on the Body Alignment of Elementary School Baseball Players (탄력밴드를 이용한 협응이동훈련이 초등학교 야구선수의 신체 정렬에 미치는 영향)

  • Park, Se-Ju;Park, Chi-Bok;Kim, Yong-Sung
    • PNF and Movement
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    • v.17 no.3
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    • pp.411-419
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    • 2019
  • Purpose: This study determined the effects of elastic bands in coordinative locomotor training on the body alignment of elementary school baseball players. Methods: Thirty subjects were recruited for this study and separated into two groups: the coordinative locomotor training group with elastic bands (n=15) and the non-training control group (n=15) were five times a week for eight. The trunk inclination, trunk imbalance, kyphotic angle and lordotic angle were used to evaluate body alignment. Results: The experimental group showed significant improvements in trunk inclination, trunk imbalance, kyphotic angle and lordotic angle (p<0.05). Conclusion: Coordinative locomotor training impacted postural alignment in elementary school baseball players.