• Title/Summary/Keyword: Lumbar pad

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Effects of Wheelchair Back Support and Ischial Pad on Neck, Trunk Angle and Chest Expansion in Stroke Patients (휠체어 허리 지지대와 궁둥 패드가 뇌졸중 환자의 목, 몸통 각도 및 가슴우리 확장에 미치는 영향)

  • An, Jae-Young;Jeon, Kyung-Soo;Choi, Hye-Jin;Park, Jae-Hong;Kwon, Jeong-Eun;Shin, Ji-Yeon;Sin, Han-Sol;Gwon, Ji-Su;Jeong, Hye-Ji;Park, Shin-Jun
    • Journal of Digital Convergence
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    • v.16 no.8
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    • pp.301-309
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    • 2018
  • The purpose of this study was to investigate the immediate effect of lumbar support and ischial pad on neck, trunk angle and chest expansion for stroke patients using wheelchair. Fifteen stroke patients were measured repeatedly when a lumbar support using(L support), a Ischial pad using(I Pad), a Lumbar support with ischial pad using(L With I), and non using it(Non using). The measurement of the neck and trunk angle was confirmed using a mobile phone camera, and chest expansion was performed using a tapeline. L With I increased significantly in neck and trunk angle and lower chest expansion than non using. This study shows that simultaneous use of lumbar support and ischial pad for stroke patients using wheelchair can increase the neck and trunk angle, chest expansion immediately. Future studies will need to identify more long-term changes by continuing intervention with more subjects.

A Study on the Development of Protective Inner Wear for Lumbar Disc Disease Patients (Part II) -Development of Female Inner Wear and Wearing Test- (허리디스크 환자를 위한 허리보호용 이너웨어 개발 연구(제2보) -여성 이너웨어 개발과 착의평가-)

  • Kang, Hye-Jin;Jung, Myoung-Sook
    • Journal of the Korean Society of Clothing and Textiles
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    • v.41 no.1
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    • pp.141-152
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    • 2017
  • The lumbar disc is one of the first parts of the human body to age. Female discs start to age at twenty and completely age between fifty and sixty. The number of lumbar herniated intervertebral disc patients is increasing rapidly; however, studies on protective inner wear are insufficient. This study develops protective inner wear equipment for bodies. The following were the study methods and procedures. First, the protective design, pattern and making of the inner wear were based on the analysis of collected data. Second, one subject was selected, then human body parts were measured to create the inner protective pattern. The inner pattern was made by the basic size of the subject. The inner protective equipment was made for lumbar disc disease patients after a wearing test and after correcting the pattern. Third, inner protective equipment was thoroughly tested to verify the compatibility of lumbar pads. The following were the study results and observations. First, lumbar pads who had inner protection were easily worn and the design was very ladyish in contrast to other lumbar pads on the market. Second, the pattern was completed by referring to, Lee Hyoung Sook's, torso and her lumbar pad shape. The fabric was mesh (for good ventilation) and poly spandex (for elasticity). Third, lumbar inner protective equipment was verified through a subject assessment and a major assessment. This study showed high scores on appearance and functional satisfaction versus existing disc lumbar pads in the market. This study predicts that new waist protective inner wear can help the female patient's health and social life because it has great functionality and can maintain outer line patterns.

A Study on the Development of Protective Inner Wear for Lumbar Disc Disease Patients (Part I) -Analysis of Commercial Lumbar Pads and the Actual Wearing State of the Lumbar Pads- (허리디스크 환자를 위한 허리보호용 이너웨어 개발 연구(제1보) -시판 허리디스크 보조기 분석과 허리디스크 환자의 보조기 착용실태 조사-)

  • Kang, Hye-Jin;Jung, Myoung-Sook
    • Journal of the Korean Society of Clothing and Textiles
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    • v.40 no.3
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    • pp.516-525
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    • 2016
  • Lumbar discs are one of the first parts of the musculoskeletal system to age in the human body. Lumbar disc for females start to age at twenty years of age and completely age between fifty and sixty. The number of lumbar herniated intervertebral disc patients are increasing rapidly; however, studies on protective inner wear are insufficient. This study was conducted to develop protective inner wear equipment that retains an aesthetic appreciation of the body. The methods and procedures of this study are as follows. First, foreign and domestic lumbar pads were researched and analyzed by visiting medical shops and internet shopping malls that sell lumbar pads. Second, the survey was conducted on forty patients with disc disease in hospitals located in Seoul and surrounding suburbs. The following are the study results and observations. First, the lumbar pads selling on the market had a variety of designs, textiles, and fabrics. The result of the research was to develop additional inner protective equipment for lumbar herniated intervertebral disc patients. Second, the survey results of the forty patients with disc disease were that housewives were the most vulnerable. All patients had experience purchasing lumbar pads. The prevention of pain and stress were the most selected responses for the motivation to buy lumbar pads. Most individuals said that they used lumbar pads for less than 1 year. Dissatisfaction came from fabric, activity and design. 'Being uncomfortable to wear' was the most common complaint. 'Protection and how easy the clothes were to wear' were the most selected for the necessity of developments. The Inner wear shape was the most selected in shape. Except for six respondents, all favored the lumbar protective inner wear design.

Correlation between Fatty Infiltration of Lumbar Paraspinal Muscle and Slip Percentage on 45 Korean Medicinal Treatment Cases of Spondylolisthesis: A Retrospective Study (척추전방전위증 환자 45예의 요추주변근육의 지방침착도와 전위정도의 상관성에 대한 후향적 연구)

  • Kim, Yu-Gon;Kim, Dae-Ho;Jeong, Hyeon-Gyo;Lim, Jin-Woong;Kim, Yong-Hwa;Kang, Deok;Jeong, Hwe-Joon;Shin, Kyung-Moon;Shin, Dong-Hoon;Yang, Jae-Woo;O, Ji-Hoon;Cho, Jae-Seong
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.1
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    • pp.51-62
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    • 2022
  • Objectives Objective of this study is to investigate the role of paraspinal muscles by examining the correlation between slip percentage (SP) of spondylolisthesis and fatty infiltration of lumbar paraspinal muscle. Methods Retrospective analysis was performed on 45 patients diagnosed with spondylolisthesis based on medical records. Using T2-weighted axial magnetic resonance imaging, cross-sectional areas (CSAs) of psoas major (PM), multifidus (MU) and erector spinae (ES) were calculated and divided by CSA of lower level vertebral body (VB). SP was measured using sagittal T2-weighted images. Correlation of SP with muscle relative cross-sectional area (RCSA) and muscle fatty infiltration by Goutallier classification was respectively analyzed using Spearman correlation. Statistic assessment conducted by Wilcoxon signed rank test and paired t-test using program GraphPad prism 5 (GraphPad Software, Inc., San Diego, CA, USA). Results Spondylolisthesis forward slip percentage by Taillard's method was negatively associated with both side MU RCSAs. No significant correlation was found between PM RCSA, ES RCSA and SP. Forward slippage was significantly correlated with fatty infiltration of lumbar paraspinal muscle measured by Goutallier classification. Conclusions This study is to understand the role of paraspinal muscle affecting spinal instability by investigating correlation between statistical deviation of lumbar muscle characters (RCSA, fatty infiltration of lumbar muscle) and SP. We found that spondylolisthesis SP is positively related to fatty infiltration of lumbar paraspinal muscle. and is negatively associated with both side MU RCSAs.

Predictable Factors for Dural Tears in Lumbar Burst Fractures with Vertical Laminar Fractures

  • Park, Jin-Kyu;Park, Jin-Woo;Cho, Dae-Chul;Sung, Joo-Kyung
    • Journal of Korean Neurosurgical Society
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    • v.50 no.1
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    • pp.11-16
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    • 2011
  • Objective : The purpose of the present study was to determine the incidence of dural tears and predictable factors suggesting dural tears in patients who had lumbar burst fractures with vertical laminar fractures. Methods : A retrospective review was done on thirty-one patients who underwent operative treatment for lumbar burst fractures with vertical laminar fractures between January 2003 and December 2008. All patients were divided into two groups according to existence of dural tears, which were surgically confirmed; 21 patients with dural tears and 10 patients without dural tears. Clinical and radiographic findings were analyzed for their association with dural tears. Results : Among a total of 31 patients, dural tears were detected in 21 (67%) patients. A preoperative neurological deficits and mean separation distances of the edges in laminar fractures were found to be the reliable factors of dural tears (p=0.001 and 0.002, respectively). Decreased ratio of the central canal diameter and interpedicular distance were also the reliable factors suggesting dural tears (p=0.006 and 0.015, respectively). However, dural tears showed no significant association with age, sex, level of injury, absence of a posterior fat pad signal, the angle of retropulsed segment, or site of laminar fracture. Conclusion : Our study of lumbar burst fracture combined laminar fracture revealed that dural tears should be ruled out in cases of a preoperative neurological deficits, wide separation of the laminar fracture, severe canal encroachment, and wider interpedicular distance.

Wearing Characteristic Evaluation of Hip Protector for Hip Fracture Prevention (고관절 골절 예방을 위한 힙프로텍터 착용특성 평가)

  • Jeon, Eun-Jin;Park, Sei-Kwon;You, Hee-Cheon;Kim, Hee-Eun
    • Fashion & Textile Research Journal
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    • v.16 no.6
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    • pp.1001-1007
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    • 2014
  • We surveyed the wearing characteristics of hip protectors. The problems of existing hip protectors were identified and the directions for improvement were presented. The evaluation of wearing characteristics was conducted on the 100 elderly women (60 to 85 years) with 5 types of hip protector. The questionnaire was composed of history and characteristics on falling, hip protector acceptance, preference, use characteristics and improvement requirements. The result of wearing characteristic evaluation indicated that 52% of the subject experienced falling in winter. Incidents resulting from falling occurred: outdoors (74.5%), bathroom (10.9%), and kitchen (5.5%). Body parts to be protected were in several areas: 35.6% for lumbar, 26.9% for hip joint, and 15% for hip bone. Participants prefer a belt B type design at a rate of 56.9% because it provided a sense of stability by clinging to the body and upholding the waist. Belt B type was the most appropriate in terms of fit, allowance, mobility, and design except pad thickness. To reduce the risk of hip fracture, hip protector needs to be designed in consideration of user's type of fall and body shape. The pattern and size of a hip protector has to be improved in regards to the amount of discomfort. An objective evaluation is needed for the ergonomic design of a hip protector based on and analysis of 3D body image of the elderly and the shock-absorbing quality of pad.

Effects of the Support Surface Condition on Muscle Activity of Trunk Muscles during Weight Shifting Exercise (지지면에 따른 체중 이동 시 체간 근육의 근활성도에 미치는 영향)

  • Jung, Kyoung-Sim;Chung, Yijung
    • The Journal of Korean Physical Therapy
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    • v.24 no.5
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    • pp.300-305
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    • 2012
  • Purpose: This study examined the muscle activity of the trunk muscles during weight shifting exercises on a stable and unstable surface. Methods: Ten healthy young subjects (4 males, 6 females) with no medical history of lower-extremity or lumbar spine disease were enrolled in this study. The muscle activity was recorded using surface electromyography (EMG) electrodes from the both sides of the external obliques and erector spinae muscles. Results: The EMG activities of the both rectus abdominalis, both external obliques and erector spinae muscles were significantly higher when the weight shifting exercise was performed on a firm surface than when a balance pad with a balance ball was used. In weight shifting exercises, the EMG activity of the contralateral external obliques and erector spinae muscles was significantly higher than that of the ipsilateral external obliques and erector spinae muscles under all three support surface conditions. Conclusion: Performing weight shifting exercise using an unstable surface is a useful method for facilitating the trunk-muscle strength and trunk stability.

Simultaneous occurrence of an Odontogenic Myxoma and a Squamous Cell Carcinoma of the Mandible (편평세포암종과 병발한 치성점액종)

  • Kim Bong-Su;Lee Sang-Rae;Hwang Eui-Hwan;Lee Byung-Do
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.29 no.1
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    • pp.341-355
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    • 1999
  • Squamous cell carcinoma is the most common type of oral cancer and odontogenic myxoma is relatively uncommon benign tumor of mesenchymal origin. There are, to our knowledge, no prior reports of simultaneously occurring squamous cell carcinoma and odontogenic myxoma of the jaw bones. In this case, at first, the plain films and computed tomograms revealed a large expansile multilocular radiolucent lesion on left mandible and marked expansion of cortical plate. In addition this radiograms revealed also infiltrative bony destruction of anterior and medial border of ascending ramus of left mandible and alveolar bone of left maxilla, floating teeth on left lower molar area and metastatic enlargement of left submandibular, jugular digastric and spinal accessory lymphnodes. Magnetic resonance imaging of this patient revealed infiltrative growth of tumor on alveolar bone of left maxilla, left retromolar fat pad. left masseter and left medial pterygoid muscle. Intraoral presurgical biopsy presented typical features of squamous cell carcinoma. After chemotherapy with radiation therapy during 6 months. this central lesion was diagnosed as odontogenic myxoma by the postsurgical biopsy. After 3 months, this patient presented multiple metastatic signs at lumbar spines, rib and liver. Consequently, our case is simultaneous occurrence of squamous cell carcinoma and odontogenic myxoma.

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Anti-climacterium Effects of Gagamguibiondam-tang in Ovariectomized Rats (난소적출로 유발된 랫트 갱년기 장애에 대한 가감귀비온담탕의 생리활성 효과 평가)

  • Han, Sang-Gyeom;Kim, Dong-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.4
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    • pp.18-44
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    • 2017
  • Purpose: The object of this study was to observe the anti-climacterium activity of Gagamguibiondam-tang (GGOT) on ovariectomized (OVX) rats, a well-documented rodent models resembles with women postmenopausal climacterium symptoms, as including cardiovascular diseases, obesity, hyperlipidemia, osteoporosis, organ steatosis and mental disorders. Methods: In this study, anti-climacteric effects were evaluated separated into three categories; 1) anti-obese, 2) anti-uterine atrophy and 3) anti-osteoporotic effects. Five groups were used (8 rats in each group); sham control, OVX control, GGOT 500, 250 and 125 mg/kg administered groups. Twenty-eight days after bilateral OVX surgery, GGOT were orally administered, once a day for 84 days, and then the changes on the body weight and gain during experimental periods, serum estradiol levels, abdominal fat pad and uterus weights with histopathology of abdominal fat pads (total thickness and mean adipocyte diameters) and uterus (total, epithelial and mucosal thickness, percentages of uterine gland regions) for anti-obese and estrogenic effects. In addition, femur, tibia and fourth or fifth lumbar vertebrae (L4 or L5) wet, dry and ash weights, mineral density (BMD), bone strength (failure load), serum osteocalcin and bone specific alkaline phosphatase (bALP) contents, histological and histomorphometrical analyses - bone mass and structure with bone resorption, were monitored for anti-osteoporosis activity. Results: As a result of OVX, noticeable increases of body weight and gains, food and water consumption, weights of abdominal fat pad deposited in dorsal abdominal cavity, serum osteocalcin levels were demonstrated in this experiment with decrease of uterus, femur, tibia and L5 weights, serum bALP and estradiol levels. In addition, marked hypertrophic changes of adipocytes located in deposited abdominal fat pads, uterine disused atrophic changes, decreases of bone mass and structures of femur, tibia and L4 were also observed in OVX control rats with dramatic increases of bone resorption markers, the Ocn and OS/BS at histopathological and histomorphometrical analysis in this study as compared with sham-operated control rats, suggesting the estrogen-deficient climacterium symptoms - obese and osteoporosis were induced by OVX, respectively. However, these estrogen-deficient climacterium symptoms induced by bilateral OVX in rats were significantly inhibited by 84 days of continuous oral treatment of GGOT 500, 250 and 125 mg/kg, respectively. Especially, GGOT 500, 250 and 125 mg/kg showed clear dose-dependent inhibitory activities on the OVX-induced climacterium signs. Conclusion: The results suggest that oral administration of GGOT 500, 250 and 125 mg/kg has clear dose-dependent favorable anti-climacterium effects - estrogenic, anti-obese and anti-osteoporotic activities in OVX rats in this experiment.