• 제목/요약/키워드: Lumbar movement

검색결과 146건 처리시간 0.021초

요로결석 환자의 경정맥 요로조영 검사 시 압박 유무에 따른 영상평가 (Image Measurement on Influence from Application of Compression Band on Intravenous Urography for Urolithiasis Patient)

  • 김형균;홍동희
    • 대한방사선기술학회지:방사선기술과학
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    • 제38권3호
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    • pp.261-266
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    • 2015
  • 요로결석으로 인한 경정맥 요로조영 검사는 방사선 비 투과성 물질인 요오드 조영제를 사용하여 요관의 경로에 있는 결석을 진단하는 방사선학적 검사법이다. 그 검사 방법 중 엉덩뼈 능선 상단에 대한 압박으로, 조영제가 방광으로 배출되는 것을 막아, 상부요로의 묘출을 용이하게 하는 압박대 사용 유무는 병원마다 다른 방법을 적용하고 있다. 연구자들은 실험을 통하여 압박 과 압박을 하지 않은 상태에서 조영제 진행의 특이도를 관찰하여 상호 비교하고자 하였다. 본 연구는 조영제의 종류, 용량, 검사진행 기준이 동일한 일 병원에서 실시한 경정맥 요로조영 검사 60 례를 후향적 영상평가 방법으로 실시하였다. 영상평가는 5 분 영상으로 제한하여 압박 유무에 대한 조영제의 해부학적 주행 위치가 용이한 시간대로 하였으며, 콩팥 피라미드에서 콩팥깔때기까지를 "RP", 콩팥깔때기에서 요추 3 번째 종판까지를 "PL", 양쪽 엉덩뼈 능선을 기준으로 상부와 하부를 "IU"와 "IL"으로 해부학적 영역을 설정하였다. 분석방법은 피셔의 정확 검정에 의한 통계적 방법으로 압박과 압박을 하지 않은 상태에서 해부학적 위치의 분포차이가 있는지를 분석하였다. 압박그룹과 압박을 하지 않은 그룹 각 30 례의 영상평가에서 P 값이 왼쪽 0.580, 오른쪽 0.711, 양쪽에서 0.960 등으로 나타나 통계적으로 유의한 분포의 차이가 없음을 확인하였다. 이로서 요로결석 환자의 경 정맥 요로조영 검사 시 압박 대 사용유무는 조영제 진행에 차이를 주지 않는다는 통계적 결론을 얻었다.

족소양담경(足少陽膽經)에서 투사(投射)되는 신경원(神經元)의 표지부위(標識部位)에 대한 연구(硏究) (Localization of the Neurons Projecting to the Gallbladder Meridian)

  • 육상원;이광규;이상룡;김점영;이창현;이봉희
    • Korean Journal of Acupuncture
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    • 제17권1호
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    • pp.101-121
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    • 2000
  • The purpose of this morphological studies was to investigate the relation to the meridian, acupoint and nerve. The common locations of the spinal cord and brain projecting to the the gallbladder, GB34 and common peroneal nerve were observed following injection of transsynaptic neurotropic virus, pseudorabies virus(PRV), into the gallbladder, GB34 and common peroneal nerve of the rabbit. After survival times of 96 hours following injection of PRV, the thirty rabbits were perfused, and their spinal cord and brain were frozen sectioned($30{\mu}m$). These sections were stained by PRV immunohistochemical staining method, and observed with light microscope. The results were as follows: 1. In spinal cord, PRV labeled neurons projecting to the gallbladder, GB34 and common peroneal nerve were founded in thoracic, lumbar and sacral spinal segments. Densely labeled areas of each spinal cord segment were founded in lamina V, VII, X, intermediolateral nucleus and dorsal nucleus. 2. In medulla oblongata, The PRV labeled neurons projecting to the gallbladder, GB34 and common peroneal nerve were founded in the A1 noradrenalin cells/C1 adrenalin cells/caudoventrolateral reticular nucleus, rostroventrolateral reticular nucleus, medullary reticular nucleus, dorsal motor nucleus of vagus nerve, nucleus tractus solitarius, raphe obscurus nucleus, raphe pallidus nucleus, raphe magnus nucleus, gigantocellular nucleus, lateral paragigantocellular nucleus, principal sensory trigeminal nucleus and spinal trigeminal nucleus. 3. In Pons, PRV labeled neurons were parabrachial nucleus, Kolliker-Fuse nucleus and cochlear nucleus. 4. In midbrain, PRV labeled neurons were founded in central gray matter and substantia nigra. 5. In diencephalon, PRV labeled neurons were founded in lateral hypothalamic nucleus, suprachiasmatic nucleus and paraventricular hypothalamic nucleus. 6. In cerebral cortex, PRV labeled neuron were founded in hind limb area.This results suggest that PRV labeled common areas of the spinal cord projecting to the gallbladder, GB34 and common peroneal nerve may be first-order neurons related to the somatic sensory, viscero-somatic sensory and symapathetic preganglionic neurons, and PRV labeled common area of the brain may be first, second and third-order neurons response to the movement of smooth muscle in gallbladder and blood vessels.These PRV labeled neurons may be central autonomic center related to the integration and modulation of reflex control linked to the sensory system monitoring the internal environment, including both visceral sensation and various chemical and physical qualities of the bloodstream. The present morphological results provide that gallbladder meridian and acupoint may be related to the central autonomic pathways.

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구급대원의 헬멧 무게에 따른 들것 들고 내릴때 근활성도에 미치는 융합 요인분석 (The effects of muscle activity of ambulance workers carrying a patient on a stretcher with or without helmets)

  • 신동민;조병준;김경용
    • 한국융합학회논문지
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    • 제10권1호
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    • pp.371-380
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    • 2019
  • 본 연구는 구급대원 12명이 참여하여 나누어 근전도를 측정하였다. 헬멧을 착용하지 않는 경우, 920g 헬멧을 착용한 경우, 1310g 헬멧을 착용한 경우로 나누어 근전도를 측정하였다. 머리와 목의 좌우 움직임에서는 반대쪽(흉쇄 유돌근)는 근 활성도가 높았고, 굴곡과 과신전(흉쇄유돌근, 판상근)시 근 활성도는 유의성이 없었다. 특히 긴척추고정판에 무게를 싣고 들어올리거나 내릴때의 세모근과 척추 기립근은 헬멧 유무에 따라 근전도 활성에 다소 차이가 있는 것으로 나타났다. 구급대원들이 긴척추고정판을 이용하여 환자를 들어올리거나 내릴때는 머리와 목의 각도를 좌우로만 움직이지 않는다면 새로 개발한 스마트 헬멧은 대원들의 목 주위의 근육에 영향을 주지 않는다고 사료 된다. 척추기립근이나 세모긍의 경우는 각도가 커짐에 따라 허리와 등근육은 동작을 좌우하는 근육에서 근전도 활성이 높게 나타났다고 사료된다. 그렇지만 기존의 파워리프팅(들어올리는 동작)동작에서 허리를 가능한 꼿꼿히 세우는 규칙을 지킨다면 요추 주위의 근육 및 골격계 질병에 대한 대처를 할 수 있다고 생각된다.

오버핸드 그립과 언더핸드 그립, 무엇이 컨벤셔널 데드리프트에 효과적일까? (Overhand Grip or Underhand Grip, which one is more Effective on Conventional Deadlift Movement?)

  • Kim, Jaeho;Yoon, Sukhoon
    • 한국운동역학회지
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    • 제31권2호
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    • pp.133-139
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    • 2021
  • Objective: This study aims to verify the conventional deadlift motions using by two different grips, thereby elucidating the grounds for effective training methods that can minimize the risk of injury. Method: Total of 18 healthy young adults were recruited for this study (age: 25.11±2.19 yrs., height: 175.67±5.22 cm, body mass: 78.5±8.09 kg, 1-RM: 125.75±19.48 kg). All participants were asked to perform conventional deadlift with two types of grips which are overhand grip (OG) and underhand grip (UG). In each grip, participant perform the deadlift with 50% and 80% of the pre-measured 1-RM. A 3-dimensional motion analysis with 8 infrared cameras and 3 channels of EMG was performed in this study. A two-way ANOVA (group × load) with repeated measure was used for statistical verification. The significant level was set at α=.05. Results: There were significant differences in grip type and weight on the right shoulder joint, and only significant difference in grip on the left shoulder joint (p<.05). The hip joint ROM was significantly increased as the weight increased in both types of grips on phase 1, while the ROM of hip joint was significantly decreased as the weight increased only in the case of OG on phase 2 (p<.05). In case of the OG, as the weight, increased significantly increased L1 ROM and L3 ROM were revealed on phase 1 and phase 2, respectively (p<.05). Moreover, as the weight increased, UG revealed significantly decreased L5 ROM on phase 1, while both grips showed significantly increased ROM on phase 2 (p<.05). In addition, the erector spinae and the biceps femoris, which are synergist for the motion, showed a significant difference in both types of grip according to the weight (p<.05). The muscle activity ratio of gluteus maximus/biceps femoris showed a significant difference only in the UG according to the weight (p<.05). Conclusion: In conclusion, beginners might be suggested to use the UG for maintaining the neutral state of the lumbar spine and focus on the gluteus maximus muscle, which is the main activation muscle. For the experts, it may recommend alternative use of the OG and UG according to the training purpose to minimize the compensation effect.

좌섬(挫閃)·어혈(瘀血) 요통(腰痛)에 동기침법(動氣鍼法) 및 복합치료(複合治療)의 유효성(有效性) 및 안정성(安定性) 연구(硏究) (The Study of Effect and Safety related to Dong-gi Acupuncture(DGA) and Complex therapy on Lumbago due to blood stasis and sprain)

  • 김기현;임형호;황현서;송호섭;송영상;권순정;김경남;안광현;이성노;강미숙;전임정
    • Journal of Acupuncture Research
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    • 제19권3호
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    • pp.107-114
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    • 2002
  • Objective : This study was designed to find the most effective and safest way to overcome Lumbago due to blood stasis and sprain involved in a few Meridian Tendino-musculatures by evaluating the effect of two kinds of Dong-gi(Dong-qi) Acupuncture(DGA) and by reporting their side effects. Material : 97 patients of out and admission patients were selected, who were diagnosed with lumbar sprain caused by repetitive bending, heavy weight lifting, unsuitable posture, concussion and falling down and whose Lumbago due to blood stasis and sprain in the concept of oriental medicine. Methods : 97 patients were divided into three groups. One is exclusive DGA group to which DGA and the method retaining needles on the acupoints for about 20 minutes were applied, the other is DGA combined active exercise group in which patients stretched their Meridian Tendino-muscuIatures with their hips moving up and downward repeatedly during DGA, the third is DGA combined passive exercise group in which patients were made to flex or extend their bodies on the auto flexion-distraction table in a prone position, from 10 to 20 degree, during DGA. In each group, bed rest, physical therapy and herbal medicine were used according to symptoms, in addition to DGA. In DGA method, "Su(Shu)" points of the meridian related to the involved Meridian Tendino-musculature were mainly chosen, that is, Sokkol(Shugu, B65), Hugye(Houxi, SI3), ChungJo(Zhongzhu, TE3) were used, for most LBP belonged to Bladder and Gallbladder Meridian Tendino-musculature disorders. Pyong-Bo-Pyong-Sa(Ping-Bu-Ping-Xie) such as Dong-Gi and Yeom-Jeon(Nian-Zhuan) was applied as Bo-Sa method. For evaluation of effectiveness, new score system was devised by severity of pain and range of movement. the score was given twice at patients' first and last visit and the difference between first and last score was regarded as a evaluation scale, the effectiveness was classified into four grade by evaluation scale.(scale : 12-15; excellent, 8-11; good, 4-7; fair, 0-3; bad) Results : 1. Exclusive DGA, DGA combined active exercise and DGA combined passive exercise group showed 97, 87 and 89% in effectiveness. 2. Exclusive DGA, DGA combined active exercise and DGA combined passive exercise group showed no aggravation of pain, range of movement. 3. In blood test of 34 patients, only one patient showed abnormal rise of sGOT, sGPT and $\gamma$-GTP at his first visit and the others didn't show any detrimental change. DGA had no bad influence upon BUN and creatinine of patients. Conclusion : For complex theraphy combining DGA, exercise, physical therapy and Herbal medicine proved to be highly effective on treating lumbago due to blood stasis and sprain, this is expected to be available for clinical use.

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『동의수세보원(東醫壽世保元)』 태소음양인(太少陰陽人)의 「병증론(病證論)」에 관(關)한 연구(硏究) (The Study about 「The Discourse on the Constitutional Symptoms and Diseases」 of Sasangin on the 『Dongyi Suse Bowon』)

  • 이수경;송일병
    • 사상체질의학회지
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    • 제11권2호
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    • pp.1-26
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    • 1999
  • 1. 연구 목적 사상의학(四象醫學)의 체질증(體質證)과 체질병증(體質病證)의 접근에는 기존 증치의학(證治醫學)과는 다른 통증(痛症)에 대한 시각을 제시하고, 사상의학(四象醫學) 고유 술어로 병리(病理)나 병증(病證)을 설명하여 기존 개념과 혼돈되며, "성명론(性命論)", "사단론(四端論)", "확윤론(擴允論)", "장부론(臟腑論)"을 통해 제시한 인간관(人間觀)과 세계관(世界觀). 이들 간의 조직 원리가 "병증론(病證論)"을 통해 몸에 구현되므로 사상의학(四象醫學)의 병증용약(病證用藥)에 어려움을 느끼게 된다. 그러나 사상의학(四象醫學)도 기존의 증치의학(證治醫學)을 바탕으로 하고 있어 기존의 의학에서 사상의학(四象醫學)이 성립되는 과정과 이제마(李濟馬)의 인간관으로 "병증론(病證論)"을 접근하여 사상의학(四象醫學)의 체질증(體質證)과 체질병증(體質病證)에 대한 정확한 이해를 돕고자 하였다. 2. 연구 방법 문헌적 구로 태소음양인(太少陰陽人)의 병증(病證)을 설명하기 위해 "상한론(傷寒論)", "활인서(活人書)" 등 인용 원서의 병증(病證) 인식(認識)과 이를 인용한 "동의보감(東醫寶鑑)"에서의 병증(病證)을 비교하고 이것이 태소음양인(太少陰陽人)의 체질증(體質證)과 체질병증(體質病證)으로 자리매김되는 과정을 파악하고 그 병리(病理)와 병증(病證)을 "동의수세보원(東醫壽世保元)"의 "성명론(性命論)", "사단론(四端論)", "확윤론(擴允論)", "장부론(臟腑論)"을 통해 드러나는 인간관의 체계로 파악하고자 하였다. 3. 결론 태소음양인의 병증론을 통해 표리병증의 인식 배경과 변화 과정 표리병증의 특징, 체질증과 체질병증의 출발점인 소증의 인식, 기존 의학과 다른 체질병증, 태소음양인의 병증의 특징 등을 살펴 사상의학 체질병증에 대한 결론을 얻어 보고하는 바이다.

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