• Title/Summary/Keyword: Lower limbs

Search Result 452, Processing Time 0.054 seconds

A comparison of 0.075% and 0.15% of ropivacaine with fentanyl for postoperative patient controlled epidural analgesia after laparoscopic gynecologic surgery

  • Jung, Hyun Chul;Seo, Hyo Jung;Lee, Deok Hee;Park, Sang-Jin
    • Journal of Yeungnam Medical Science
    • /
    • v.34 no.1
    • /
    • pp.37-42
    • /
    • 2017
  • Background: A motor blockade of lower limbs interferes with early ambulation and limits the usefulness of patient-controlled epidural analgesia (PCEA). The concentration of local anesthetic solution is a major determinant for motor block with PCEA. We compared the effects of epidural infusion of 0.075% ropivacaine with 0.15% epidural ropivacaine on postoperative analgesia, motor block of lower limbs, and other side effects. Methods: A total of 70 patients undergoing laparoscopic gynecologic surgery received epidural infusions (group R1, 0.15% ropivacaine with fentanyl; group R2, 0.075% ropivacaine with fentanyl). Pain score, motor block, and side effects (hypotension, nausea, vomiting, pruritus, urinary retention, dizziness, and numbness) were measured. Results: There were no significant differences in the demographic profiles between the groups. Pain scores of the group R1 and the group R2 were not significantly different. Motor block was more frequent in the group R1 (0.15% ropivacaine with fentanyl) than in the group R2 (0.075% ropivacaine with fentanyl). Conclusion: Lower concentration of ropivacaine (0.075%), when compared with higher concentration of ropivacaine (0.15%), seemed to provide similar analgesia with less motor blockade of the lower limbs for the purpose of PCEA.

Clinical Study of 1 case of patient with Quadriparesis diagnosed spinal cord infarction (척수경색(脊髓硬塞)으로 진단된 사지마비(四肢麻痺)환자 1례에 대한 임상 고찰)

  • Kim, Su-Yeon;Kwon, Bo-Hyoung;Song, Beom-Yong
    • Journal of Acupuncture Research
    • /
    • v.17 no.4
    • /
    • pp.200-210
    • /
    • 2000
  • By process of treatment for a case which diagnosed as spinal cord infarction and admitted from the 18th, April, 2000 to the 29th, July, 2000, the result are as foilows. Method and Results : In the earlier days of admission, this patient was diagnosed as damp-heat(濕熱) and was dosed with Cheongjo-tang. In medication, weakness in upper and lower limbs of the patient was improving. After diagnosed as Taeyangin, the patient was dosed with Ogapijangchuk-tang and punctured with Taeyangin Taegeuk-chim and Sagae-chim. As the result, Weakness in upper and lower limbs are improved remarkably. Conclusion : The prognosis of patients diagnosed spinal cord infarction is not so good. But, in the case of this patient, power and sense of four limbs improved remarkably through oriental medical treatment with rehabilitative therapy.

  • PDF

Stable Biped Walking by Trunk and Waist Motion

  • Jin, Jae-Hyun;Ahn, Sung-Ho;Park, Byung-Suk;Yoon, Ji-Sup
    • 제어로봇시스템학회:학술대회논문집
    • /
    • 2002.10a
    • /
    • pp.85.2-85
    • /
    • 2002
  • If a biped humanoid robot walks stably on even and uneven planes like a human being, it should have a control system capable of compensating for moments generated by motions of its lower-limbs, upper-limbs and head. In this paper, a compensatory motion control method is described for the stability of biped humanoid robots. This control method calculates the combined motion of the trunk and the waist that cancels the generated moments by using an iteration algorithm. During the biped walking, the combined motion is employed only for stability while the motion of the lower-limbs is used only for locomotion. This method is useful for not only a steady walking but also a transient walking. The e...

  • PDF

Optimization of Tube Voltage according to Patient's Body Type during Limb examination in Digital X-ray Equipment (디지털 엑스선 장비의 사지 검사 시 환자 체형에 따른 관전압 최적화)

  • Kim, Sang-Hyun
    • Journal of the Korean Society of Radiology
    • /
    • v.11 no.5
    • /
    • pp.379-385
    • /
    • 2017
  • This study identifies the optimal tube voltages depending on the changes in the patient's body type for limb tests using a digital radiography (DR) system. For the upper-limp test, the dose area product (DAP) was fixed at $5.06dGy{\ast} cm^2$, and for the lower-limb test, the DAP was fixed at $5.04dGy{\ast} cm^2$. Afterwards, the tube voltage was changed to four different stages and the images were taken three times at each stage. The thickness of the limbs was increased by 10 mm to 30 mm to change in the patient's body type. For a quantitative evaluation, Image J was used to calculate the contrast to noise ratio (CNR) and signal to noise ratio (SNR) among the four groups, according to the tube voltage. For statistical testing, the statistically significant differences were analyzed through the Kruskal-Wallis test at a 95% confidence level. For the qualitative analysis of the images, the pre-determined items were evaluated based on a 5-point Likert scale. In both upper-limb and lower-limb tests, the more the tube voltage increased, the more the CNR and SNR of the images decreased. The test on the changes depending on the patient's body shape showed that the more the thickness increased, the more the CNR and SNR decreased. In the qualitative evaluation on the upper limbs, the more the tube voltage increased, the more score increased to 4.6 at the maximum of 55kV and 3.6 at 40kV, respectively. The mean score for the lower limbs was 4.4, regardless of the tube voltage. The more either the upper or lower limbs got thicker, the more the score generally decreased. The score of the upper limps sharply dropped at 40kV, whereas that of the lower limps sharply dropped at 50kV. For patients with a standard thickness, the optimized images can be obtained when taken at 45kV for the upper limbs, and at 50kV for the lower limbs. However, when the thickness of the patient's limbs increases, it is best to set the tube voltage at 50 kV for the upper limbs and at 55 kV for the lower limbs.

A Case Report of Chemotherapy-induced Neuropathic Pain Treated with Oriental Medicine

  • Cho, Jung-Hyo;Kim, Jin-Mi;Kim, Jin-Hee;Oh, Young-Seon;Kim, Cheol-Jung
    • The Journal of Korean Medicine
    • /
    • v.31 no.6
    • /
    • pp.58-63
    • /
    • 2010
  • Objective: We present a case of chemotherapy-induced neuropathic pain with the aim of driving further study evaluating the effectiveness of Oriental medical treatment on patients with neuropathic pain. Method: We prescribed Bogijetong-tang (BJT) two times a day and performed acupuncture and moxibustion once a day over one month of hospitalization. Laboratory tests were performed twice a month during this period. To evaluate the therapeutic effect, Total Symptom Score (TSS) or Visual Analog Score (VAS) was examined at intervals of 7 days. Result: Laboratory data showed no abnormal signs compared with those of initial examination. The patient's subjective symptoms were rapidly relieved within one month. Also, the sums of TSS scores (upper limbs/lower limbs) decreased from 13.64/7.32 to 3.32/3.32 points, and VAS scores (upper limbs/lower limbs) improved from 19/10 to 6/8 points. Conclusion: This case presents a possibility that Oriental medical treatment may offer potential benefits (from an approach aimed at relieving of pain) for patients with chemotherapy-induced neuropathic pain.

Effects of Local Heating on Whole Body Skin Temperature - Centered on the Comparison of Old Women & Female Collegians -

  • Shim, Boo-Ja
    • Journal of Fashion Business
    • /
    • v.6 no.3
    • /
    • pp.84-93
    • /
    • 2002
  • The purpose of this study was to design functional clothing based on the physical characteristics of old women. The subjects of this experiment were 5 healthy old women and 5 college women. While the subjects were exposed to the circumstances of $28{\pm}0.5^{\circ}C$ and local heating at 7 areas (chest, abdomen, back, loin, hand, thigh and instep), their skin temperature, physiological reaction and psychological reaction were determined. The conclusions about the effects of local heating are as follows : 1. Skin temperature before heating was in the order of head-neck> trunk> upper limbs> lower limbs (Group A: old subjects) and head-neck> trunk> lower limbs> upper limbs (Group B: young subjects). 2. The heating pad was attached and detached for 30 minutes each. The sharpest rise and fall were recorded at 5 minutes with the pad on and off. Both groups had great changes in the body parts near trunk. 3. With the pad on and off, both groups showed no change in body temperature, blood pressure, and pulse rate. 4. Concerning the pervasive effects of local heating on whole body skin temperature, loin heating greatly increased other body parts in Group A. In Group B, the effects were large in heating chest, abdomen, back, loin, and thigh. 5. The loin part of old women has the greatest pervasive effect of local body heating.

A Biomechanical Analysis of Judo's Kuzushi(balance-breaking) Motion (유도 팔방기울이기 동작의 생체역학적 특성 분석)

  • Kim, Sung-Sup;Kim, Eui-Hwan;Kim, Tae-Whan
    • Korean Journal of Applied Biomechanics
    • /
    • v.17 no.2
    • /
    • pp.207-216
    • /
    • 2007
  • The purpose of this study was to biomechanical analysis Judo's Kuzushi throwing motion in order to increase the effectiveness of Nage-waja(throwing technique). The Tori was a Judo player with 18 years experience(4th degree) while the Uke was a player with 2 years experience(1st degree). The kinematic data was captured using the Vicon motion system (7 cameras) and the kinetics were recorded by force plates(2 AMTI). The following were the results; While leaning to the front the subject's trunk's angle was $14.5^{\circ}$, the lower limbs angle was $23.8^{\circ}$, knee angle was $179.6^{\circ}$ and the vertical reaction of the left leg was 325.42N(BW 0.34) and the right leg was 233.7N(BW 0.47). While leaning back the subject's trunk's angle was $11.3^{\circ}$, the lower limbs angle was $4.1^{\circ}$, knee angle was $1761^{\circ}$ and the vertical reaction of the left leg was 299.53N(BW 0.43) and the right leg was 441.7N(BW 0.64). While leaning to the left the subject's trunk's angle was $30.8^{\circ}$, the lower limbs angle was $2.7^{\circ}$, knee angle was $175.2^{\circ}$ and the vertical reaction of the left leg was 711N(BW 1.03) and the right leg was 9.2N(BW 0.01). While leaning to the right the subject's trunk's angle was $36.5^{\circ}$, the lower limbs angle was $10.4^{\circ}$, knee angle was $175.2^{\circ}$ and the vertical reaction of the left leg was 13.2N(BW 0.02) and the right leg was 694.7N(BW 1.01). While leaning to the left front corner the subject's trunk's angle was $19.8^{\circ}$ (front) and $15.1^{\circ}$ (left), the lower limbs angle was $17.8^{\circ}$ (front) and $2.4^{\circ}$ (left), knee angle was $177.8^{\circ}$ (front) and $173.9^{\circ}$(left), and the vertical reaction of the left leg was 547.4N(BW 0.8) and the right leg was 117.8N(BW 0.17). While leaning to the right front corner the subject's trunk's angle was $15.4^{\circ}$ (front) and $17.7^{\circ}$ (right), the lower limbs angle was $21.1^{\circ}$, (front) and $5.7^{\circ}$ (right), knee angle was $175.5^{\circ}$ (front) and $178.9^{\circ}$(right), and the vertical reaction of the left leg was 53N(BW 0.08) and the right leg was 622.4N(BW 09). While leaning to the left rear corner the subject's trunk's angle was $9.2^{\circ}$ (back) and $13.8^{\circ}$ (left), the lower limbs angle was $2^{\circ}$, (back) and $5.7^{\circ}$ (left), knee angle was $175.5^{\circ}$ (back) and $172.8^{\circ}$(left), and the vertical reaction of the left leg was 698.2N(BW 1.02) and the right leg was 49.6N(BW 0.07). While leaning to the right rear corner the subject's trunk's angle was $8.9^{\circ}$ (back) and $19.6^{\circ}$ (right), the lower limbs angle was ${0.6^{\circ}}_"$ (back) and $3.1^{\circ}$ (right), knee angle was $174.6^{\circ}$ (back) and $175.6^{\circ}$(right), and the vertical reaction of the left leg was 7.2N(BW 0.01) and the right leg was 749.4N(BW 1.09). It was observed that during the Judo motion Kuzushii the range of the COM varied from $26.5{\sim}39.9cm$. It was concluded that the upper body leaned further than the lower body as there was knee extension. There was high left leg reaction forces while leaning to the left and likewise for the right side. It was therefore deduced that the Kuzushi was a more effective throwing technique for the left side.

The Analysis of the Muscle Fatigue for the Lower Limbs Muscle during the Level and Downhill Running (평지와 내리막 달리기 시 하지 근육의 근 피로에 관한 연구)

  • Moon, Gon-Sung;Lee, Eui-Lin
    • Korean Journal of Applied Biomechanics
    • /
    • v.17 no.4
    • /
    • pp.181-190
    • /
    • 2007
  • The purpose of this study was to analyze the muscle fatigue for lower limbs during the level and downhill running. The subjects were 6 males of twenties who have no experience to get the injury in the lower limbs and required to run on the level and downhill which was -7% grade treadmill at 8.3km/h. EMG signal was gained by ME3000P8 Measurement Unit and computed the Median Frequency(MF) with the power spectrum analysis in the Megawin software. Rectus femoris(RF), Vastus lateralis(VL), Gluteus medius(GLU), Biceps Femoris(BF), gastrocnemius medial head(GM), gastrocnemius lateral head(GL), Tibialis anterior(TA) were selected. The result of this study were as follows: The MF of RF decreased in the downhill running than level running in length of time but, the MF of VL was opposite. The MF of BF decreased in the level and downhill running, but, the MF of BF decreased much in the level than downhill running. The MF of GLU decreased much in the downhill running but, almost no change in the level running. The MF of TA decreased in the level running than downhill running. The MF of GL decreased in the level running but, the MF of GM decreased in the downhill running in length of time. This study analyzed the muscle fatigue of the lower limbs with the median frequency on the basis of an assumption that the impact force for the flexion and extension of the joint and the body mass may be much in the eccentric contraction such as the downhill running than level running. RF and GM showed the muscle fatigue in the downhill running than level running. BF and GL showed the muscle fatigue in the level running than downhill running.

The Kinetic Analysis of Arabesque Turn Motion in Modern Dance by Upper Extremity Usage (상지이용유무에 따른 현대무용 아라베스크 턴 동작의 운동역학적 분석)

  • Park, Yang-Sun;Kim, Ji-Hye
    • Korean Journal of Applied Biomechanics
    • /
    • v.19 no.3
    • /
    • pp.457-466
    • /
    • 2009
  • This study puts the purpose in providing the scientific basis of dance motion as an artistic expression by analyzing the kinematic variable and the distribution factor of power affecting the motion, which is connected to the turn, right after the arabesque motion according to the existence and non existence of using the arm in the arabesque motion of modern dance. As a result of this study, arabesque turn motion, not using the upper limbs, used more turning force of head and body than the arabesque turn motion, using the upper limbs, and arabesque turn using the upper limbs obtained the turning force, using the right shoulder. The range of the hip joint on the left and the position change of left tiptoe in the Arabesque turn motion using the upper limbs is largely ascended to the vertical axis, while, the position of tiptoe in the Arabesque turn motion, not using the upper limbs is dropped to the lower part of each event. In the replacement of body center, Arabesque turn motion using the upper limbs is moved more to the turning axis than arabesque turn motion not using the upper limbs. As a result of maximum vertical ground reaction force, Arabesque turn motion using the upper limbs appeared to be a lower value than the Arabesque turn motion not using the upper limbs.