• 기본간호학회지
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• 제14권3호
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• pp.280-287
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• 2007

Purpose: This study was done to identify effects of lumbar curve support on back pain and comfort during bed rest after transurethral resection of prostate (TURP). Method: A quasi-experimental design with a non-equivalent control group was used. All patients were diagnosed with benign prostatic hyperplasia and underwent TURP. Twenty participants were assigned to the experimental group and twenty to the control group. After TURP, the lumbar curve of patients in the experimental group was supported using gel pads for 6 hours while the control group received the usual care with the both leg straight. The intensity of back pain and comfort levels were assessed on immediate return to the unit and for six hours following TURP. Bleeding complications were detected from hemoglobin and hematocrit levels. Results: Support of lumbar curve was found to be significantly effective in reducing back pain. the need for analgesics was significantly less in the experimental group. Comfort levels were not significantly different between the two groups. There were no bleeding complications in either group. Conclusion: These results suggest that supporting of lumbar curve ameliorates back pain without causing an increased incidence of bleeding complications after TURP and this nursing intervention should help TURP patients to be more comfortable.

• 대한인간공학회지
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• 제22권3호
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• pp.57-73
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• 2003

Although body pressure distribution is sensitive to movements and is relatively simple to measure even in small space, there are few researches involving applications to driver's posture and its change. The main objective in this study is the application of body pressure distribution measurements for the prediction of the driver's posture and its change. This requires quantitative analyses of the dynamic body pressure distribution, which is the change of body pressure distribution with time. The experiment involved 16 male subjects who drove for 45 minutes in a seating buck. Measurement time, stature group, and lumbar support prominence were selected as independent variables, with subjective ratings of driver's discomfort, body posture data of hip, torso. knee angle, and body pressure data variables as dependent variables. The body pressure change variables and subjective ratings were found to increase as the measurement time increased and body pressure ratio variables reflected the torso angle. From the results and analysis of the body posture data and subjective rating results, it was predicted that the seats and the design of the lumbar supports used in the experiment was not fit for tall subjects, which could also be confirmed through the body pressure distribution data.

• 대한산업공학회지
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• 제39권3호
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• pp.192-197
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• 2013

In this study, it is investigated the relationship between sitting discomfort and major design variables of lumber support, such as prominence, height and width through volunteer tests. Korean $50^{th}$ percentile males and American $50^{th}$ percentile males are recruited among 36 to 45 years old peoples who have driving experiences and have no back pain during the past 12 months. Subject ratings are asked by changing design variables randomly. Body pressure and lumber position changes are also measured as object measures. And correlation among subject ratings, object measures and three design variables are analyzed using statistical analysis. As a result, it is revealed that prominence is the most dominant factor that correlates to the discomfort strongly for both-Koreans and Americans and contribution of other two variables are very low.

• 척추신경추나의학회지
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• 제13권2호
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• pp.1-10
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• 2018

Objectives : To evaluate the evidence supporting the effectiveness and safety of Chuna manual therapy(CMT) for lumbar spinal stenosis Methods : We searched 10 electronic databases(Pubmed, EMBASE, Cochrane Library, CAJ, RISS, KISS, KISTI, KMBASE, DBpia, NDSL) and related 2 journals up to October 2018. We included randomized controlled trials(RCTs) of testing CMT for lumbar spinal stenosis patients. The methodological quality of RCTs related assessed by the Cochrane risk of bias tool 1.0. Results : Three RCTs were eligible in our inclusion criteria. The meta-analysis of 3 studies showed positive results for the using CMT for lumbar spinal stenosis. Conclusions : The review found favorable evidence of CMT for treating lumbar spinal stenosis with meta-analysis. However, our systematic review has limited evidence to support CMT for lumbar spinal stenosis because of low quality of original articles and further well-designed RCTs should be encouraged.

• The Journal of Korean Physical Therapy
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• 제26권2호
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• pp.97-103
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• 2014

Purpose: The aim of this study was to clarify the gender difference during standing balance in accordance with recruitment of abdominal muscles against sudden support surface translation. Methods: Twenty healthy males (n = 10, $26.50{\pm}3.54$ years, $170.60{\pm}6.30cm$, $72.80{\pm}5.69kg$) and females (n = 10, $24.40{\pm}2.63$ years, $163.00{\pm}4.97cm$, $52.10{\pm}4.41kg$) participated in the study. Each subject performed standing balance task on a platform, which moved in the anterior and posterior direction, with a total of 18 trials in three abdominal conditions (resting, hollowing, and bracing). We analyzed angular displacement of thoracic and lumbar spine and linear displacement of center of mass for evaluatione of spinal stability and standing balance, respectively. Results: Angular displacement of thoracic and lumbar spine and linear displacement of center of mass did not differ significantly between female and male in all conditions. Conclusion: Our results indicate that the ability to maintain spinal stability and standing balance were similar between male and female regardless of the abdominal contractile conditions and the direction of support surface translation.

• Journal of Acupuncture Research
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• 제27권2호
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• pp.89-95
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• 2010

Objectives : This study was designed to investigate incidence rate, clinical features and treatment of headache followed after acupotomy. And based on that, we study correlating between post acupotomy headache and post-lumbar puncture headache(PLPH). Methods : From September 1st, 2007 to December 31st, 2007, the 73 inpatients who admitted to Daejeon Oriental hospital and underwent acupotomy on lumbar spine and cervical spine etc. more than once were observed. Then 9 inpatients who occurred headache after acupotomy was analyzed according to incidence rate, gender, age, clinical features. Results : We investigated clinical features of post acupotomy headache and made comparative study of post acupotomy headache and PLPH. The average frequency of post acupotomy headache was about 12.3%. The risk factors are undergoing acupotomy on lumbar spine, young age. Gender does not affect the incidence of post acupotomy headache. Patients complain of headache which worsen when the patients is upright and improve after the patients lie back down in a few minutes. Those clinical features are similar to PLPH. Conclusions : Although two type of headache have significant similarities, there is no enough evidence to support this study. In addition, the cause and treatment of post acupotomy headache are still unclear. Thus, based on the above study, more studies have to be investigated.

• 한방재활의학과학회지
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• 제28권4호
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• pp.59-69
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• 2018

Objectives This is one of the manuals of East-west integrative medicine which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. The purpose of this manual is to support clinical decision making and communication during the rehabilitation of patients after lumbar spine surgery. Methods The drafting was done by two rehabilitation specialists in Korean Medicine. After a rehabilitation specialist in western medicine reviewed the draft and exchanged their ideas, a revised version that reflects the goal of consultation was made. Then the Committee agreed to adopt the manuals through the process of review and feedback in addition to face-to-face discussions. Results This manual describes clinical decision making for rehabilitation after lumbar microdiskectomy, interbody fusion, and kyphoplasty. Therefore it contains the schedule of rehabilitation treatment through the surgical technique, general goal of the rehabilitation by phase, scales for outcome measure and postoperative infection management. Conclusions The proposal of this manual has a significance for it provides information about decision making process and contents of treatment in one medical institution for East-west integrative rehabilitation treatment after lumbar spine surgery.

• 한국응급구조학회지
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• 제24권3호
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• pp.79-87
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• 2020

Purpose: This study sought to determine how the act of performing cardiopulmonary resuscitation (CPR) affects the rescuer's muscle tone, stiffness, and fatigue in the lumbar region. Methods: The research subjects were 30 healthy men in their twenties in possession of a Basic Life Support (BLS) provider certificate. In this study, the CPR rescuer's muscle tone and stiffness in the upper and lower lumbar regions were measured in the resting position, starting position, and position after 10 min. Their level of fatigue was measured before and after performing CPR. Results: Muscle tone and stiffness in the upper and lower lumbar regions of the research subjects significantly increased throughout the CPR process and lasted up to 10 min after the process (p<.001). The subjects' fatigue also significantly increased post-CPR (p<.001). Conclusion: This study suggests that performing CPR creates muscular and physiological stress, fatigue, and ultimately, lower back pain.

• The Journal of Korean Physical Therapy
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• 제13권2호
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• pp.467-475
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• 2001

The purpose of this study was to evaluate changes of static lumbar lordosis by different heel heights in normal adults and patients with herniation of nucleus pulposus(HNP). The lumbar lordosis was examined while standing on barefoot, on heel support with 4cm heel, and with 8cm heel in 10 normal adults and 10patients with HNP. Standing lumbar lateral view was performed by 20 minutes adaptation with corresponding shoe types. The angle of lumbar lordosis was taken with Wiltse and Winter's method(angles between upper margin of 1 st lumbar body and upper margin of 5th lumbar body). The results of this study were as follow: 1. Significant statistical decrease in lumbar lordosis was observed as heel heights were increased from barefoot to 8cm high heel in normal adults(p<0.05). 2. There were no significant differences in lumbar lordosis according to three different heel heights in patients with HNP(p>0.05). 3. In comparison of barefoot, There were statistically significant decrease in HNP patients compared with normal adults in terms of lumbar lordosis(p<0.05).

• 한국의류학회지
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• 제36권2호
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• pp.179-193
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• 2012

The development of modern transportation technology has required many people in spaces (such as vehicle seats, airports, and train stations) for long periods. The public seats provided in these places are manufactured in a standard size; however, fatigue sets in if the seats are unsuitable for the person's physical size. For this reason, this study developed an air cushion vest that would enhance the comfort of vehicle seats. Passengers in vehicles, trains, airplanes, and buses were observed and surveyed to understand the demand for seat comfort. Our analysis found that the greatest source of discomfort was involuntary nodding of the head while asleep and discomfort around the waist area. For this reason, the air cushion vest was designed to support the head and the waist. The neck cushion of this vest was designed to strengthen head support to counter forward nodding because existing commercial neck cushions had no support for forward nodding. For the waist cushion, at lumbar and below-lumbar parts were chosen as the key parts to be supported, the cushion was designed to contain air at those parts. To cover the embedded waist cushion, the vest was designed to be long. The closure was constructed with zippers from the neck to waistline, and with invisible snaps from the waistline to the hemline so that the wearer could open them easily while seated. A subjective comfort evaluation was conducted to verify the effectiveness of the developed vest. In the test, the developed cushions received a better evaluation than cushions currently available on the market. The volume of the vest could be adjusted by the inflow and outflow of air. It was proven that the vest was effective in terms of comfort and portability. This shows that the developed vest could enhance passenger comfort while sitting on vehicle seats.