• Title/Summary/Keyword: Neck alignment

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The Effect of Corrective Exercise and TECAR therapy on neck alignments and pain in Forward Head Posture Patients (교정 운동과 TECAR 치료가 전방머리자세를 가진 환자의 목정렬과 통증에 미치는 영향)

  • Park, Si-Eun;Lee, Hyoung-Ryeol;Park, Shin-Jun
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.543-551
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    • 2018
  • This study investigated the effects of corrective exercise and TECAR on cervical alignment, pain threshold, and pain in forward head posture patients. The subject includes 30 forward head posture patients. In the intervention methods, the experimental group combined corrective exercise and TECAR treatment. Only the corrective exercise was applied to the control group. Assessments were made on cervico vertebra angle (CV angle), pain pressure threshold (PPT) and neck disability index (NDI) visual analog scale (VAS). The intervention was conducted six times a week for two weeks. Both groups showed significant differences in CV angle, PPT, NDI, and VAS. Also, PPT, NDI, and VAS excluding CV angle were significantly improved in the study group compared to the control group. These results suggest that the intervention method that combines corrective exercise and TECAR treatment has a more positive effect on pain and ADL ability of forward head posture patient.

Effects of complex exercises in pressure-pain threshold, pain and postural alignment of women university students with shoulder pain (복합운동이 어깨통증을 경험한 여대생들의 압통역치, 통증 및 자세정렬에 미치는 영향)

  • Park, Chung-hyun;Woo, Jae-seung;Lee, Jae-hyun;Jo, Eun-jeong;Hwang, Su-jeong;Woo, Sung-hee;Kang, Soon-hee
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.05a
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    • pp.704-707
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    • 2017
  • The purpose of this study was to examine if complex exercises could improve pressure-pain threshold and postural alignment in university students. Subjects in the CON group did not receive an intervention. Subjects in the EXP1 group were applied stretching exercises after applying hot packs on their both shoulders. Subjects in the EXP2 group were applied complex exercises including stretching, stabilization exercises of shoulder girdle and correction of wrong postures. Changes in pressure-pain threshold in the EXP1 group and EXP2 group were greater than that in the CON group (p<0.05). Changes in VAS scores in the EXP1 group and EXP2 group were greater than that in the CON group (p<0.05). Changes of postural alignment did not significantly differ among three groups (p>0.05). The results of this study indicates that complex exercises including stretching exercises, stabilization exercises of shoulder girdle and correction of wrong postures about neck and scapular can be an effective in reduction of shoulder pain and increase of pressure-pain threshold in women university with shoulder pain.

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The Surgical Management of Traumatic C6-C7 Spondyloptosis

  • Keskin, Fatih;Kalkan, Erdal;Erdi, Fatih
    • Journal of Korean Neurosurgical Society
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    • v.53 no.1
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    • pp.49-51
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    • 2013
  • A case of traumatic spondyloptosis of the cervical spine at the C6-C7 level is reported. The patient was treated succesfully with a anterior-posterior combined approach and decompression. The patient had good neurological outcome after surgery. A-51-year-old female patient was transported to our hospital's emergency department after a vehicle accident. The patient was quadriparetic (Asia D, MRC power 4/5) with severe neck pain. Plain radiographs, computerize tomography and spinal magnetic resonance imaging (MRI) showed C6-7 spondyloptosis and C5, C6 posterior element fractures. Gardner-Wells skeleton traction was applied. Spinal alignment was reachived by traction and dislocation was decreased to a grade 1 spondylolisthesis. Then the patient was firstly operated by anterior approach. Anterior stabilization and fusion was firstly achieved. Seven days after first operation the patient was operated by a posterior approach. The posterior stabilization and fusion was achieved. Postoperative lateral X-rays and three-dimensional computed tomography showed the physiological realignment and the correct screw placements. The patient's quadriparesis was improved significantly. Subaxial cervical spondyloptosis is a relatively rare clinical entity. In this report we present a summary of the clinical presentation, the surgical technique and outcome of this rarely seen spinal disorder.

The Study of Pain-Increased Factors on Cervical and Shoulder Pain by 3 Dimensional Moire Scanner (3차원 체형 측정기를 통한 경.견부 통증요인 분석)

  • Yang, Hoe-Song;Heo, Ja-Eun;Kim, Bo-Young;Seo, Dong-Yong;An, Chang-Heon;Yang, Hun-Kyung;Jeong, Chan-Ju;Lee, Hyoung-Soo
    • Journal of Korean Physical Therapy Science
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    • v.12 no.3
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    • pp.27-34
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    • 2005
  • The purpose of this study is to find out factors(shoulder level, acromion-occipital length, spine alignment, spine-scapula inferior angle length) of pain of neck & shoulder by 3 Dimensional Moire Scanner. 50 female student s aged 20 to 25 years old participated who lived in Sun-cheon si Jeonnam. They were examined with three measurement methods(Visual Analogue Scale : VAS, Algometer, 3 Dimensional Moire Scanner(IBS-2000). According to the results of multiple regression analysis. 1) There was a significant difference with shoulder level and spine-scapula inferior angle based on VAS. 2) There was a significant difference with shoulder level based of Algometer measurement value in Rhomboid muscles.

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Influence of life stress on Temporomandibular joint disorders in undergraduate students (대학생의 생활 스트레스가 측두하악관절 장애에 미치는 영향)

  • Kwon, Soon Suk;Lee, Hye-Eun
    • Journal of Technologic Dentistry
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    • v.39 no.3
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    • pp.187-196
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    • 2017
  • Purpose: The purpose of this study was to investigate the factors contributing to temporomandibular joint disorder symptoms. Methods: The survey was conducted from May 1 to June 10 2017 against college students(120 males and 123 females) in Daejeon and Gangwon who understood the purpose of this study and agreed to participate. Results: First, The most frequent symptom of temporomandibular joint disorders is noises from the joint (male 45%, female 61.8%), followed by headache or neck pain (male 25.8%, female 52.8%). There was shown a significant difference by gender in all items except for jaw dropping, poor alignment of teeth and trauma(p<0.05). Second, Looking into the correlation between stress and subjective symptoms of Temporomandibular joint disorders, The stress of Temporomandibular joint disorders showed more significant relation with realistic issues such as academic task, economic burden (e.g., treatment cost), future career, and life values rather than aspect of social relationship(p<0.01). Conclusion: As a result of analyzing variables to understand the influence of stress on temporomandibular joint disorders, the accumulated number of bad habits, stress and temporomandibular joint disorders showed a significantly positive correlation with one another (p<0.05). In other words, the higher the stress level the severe the temporomandibular joint disorders; the more the bad habits the severe the temporomandibular joint disorders;

Effect of the Changes in Forward Head Posture and Neutral Head Posture on Respiratory (전방머리자세와 중립자세에 대한 인위적 자세변화가 호흡에 미치는 영향)

  • Bae, Wonsik;Lee, Keoncheol;Park, Seungwook;Baek, Yonghyeon
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.1
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    • pp.67-74
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    • 2017
  • Purpose : Forward head posture is typical neck disorders occur in all people. And this attitude causes a shortening and weakening of the muscles in the body. It also causes excessive extension acts as a reward. This attitude has to change if the pain occurs around the neck and shoulders, and are subjected to unusual stress. Patients with chronic neck pain associated with forward head posture was found to be the more severe the fall of the respiratory, forward head posture poor quality of much breath. The purpose of this study was to compare the effect of changes in forward head posture and neutral head posture on respiratory. Method : Forty volunteers were participated in study and divided into two groups [forward head posture group (n=20) and neutral head posture group (n=20)]. We measured cervical alignment with global postural system to find out a forward head posture. Respiratory function was measured with a SPIROVIT SP-1 equipment and we found out a forced vital capacity (FVC), forced expiratory volume at one second (FEV1) and FEV1/FVC. A pared t-test was used to determine a statistical significance for the pulmonary function variation and a independent t-test was used to determine a statistical significance in the two groups. Results : In the experimental group, FVC and FEV1 were significantly higher in the artificial neutral head posture than in the forward head posture. In the control group, FVC and FEV1 were significantly higher in the neutral head posture than in the forward head posture. FVC, FEV1, and FEV1/ FVC were significantly higher in the neutral head posture of control group than the artificial neutral head posture of experimental group and higher in the artificial forward head posture of control group than the forward head posture of experimental group. Conclusion : In conclusion, neutral head posture is considered to be an important factor in correct posture and improvement of lung function and continuous study of posture correction program for posture imbalance will be needed.

Surgical Outcome of Cervical Arthroplasty Using $Bryan^{(R)}$

  • Kim, Hong-Ki;Kim, Myung-Hyun;Cho, Do-Sang;Kim, Sung-Hak
    • Journal of Korean Neurosurgical Society
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    • v.46 no.6
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    • pp.532-537
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    • 2009
  • Objective : Recently, motion preservation has come to the forefront of emerging technologies in spine surgery. This is the important background information of the emergence of cervical arthroplasty as an alternative to arthrodesis that offers the promise of restoring normal spinal movement and reduces a kinematic strain on adjacent segments. The study was designed to evaluate early surgical outcome and radiological effects of $Bryan^{(R)}$ cervical disc prosthesis. Methods : The authors retrospectively reviewed radiographic and clinical outcomes in 52 patients who received the $Bryan^{(R)}$ Cervical Disc prosthesis, for whom follow-up data were available. Static and dynamic radiographs were measured by computer to determine the angles formed by the endplates of the natural disc preoperatively, those formed by the shells of the implanted prosthesis, the angle of functional spine unit (FSU), and the C2-7 Cobb angle. The range of motion (ROM) was also determined radiographically, whereas clinical outcomes were assessed using Odom's criteria, visual analogue pain scale (VAS) and neck disability index (NDI). Results : A total of 71 $Bryan^{(R)}$ disc were placed in 52 patients. A single-level procedure was performed in 36 patients, a two-level procedure in 13 patients, and a three-level procedure in 3. Radiographic and clinical assessments were made preoperatively. Mean follow-up duration was 29.2 months, ranging from 6 to 36 months. All of the patients were satisfied with the surgical results by Odom's criteria, and showed significant improvement by VAS and NDI score (p < 0.05). The postoperative ROM of the implanted level was preserved without significant difference from preoperative ROM of the operated level (p < 0.05). 97% of patients with a preoperative lordotic sagittal orientation of the FSU were able to maintain lordosis. The overall sagittal alignment of the cervical spine was preserved in 88.5% of cases at the final follow up. Interestingly, preoperatively kyphotic FSU resulted in lordotic FSU in 70% of patients during the late follow up, and preoperatively kyphotic overall cervical alignment resulted in lordosis in 66.6% of the patients postoperatively. Conclusion : Arthroplasty using the $Bryan^{(R)}$ disc seemed to be safe and provided encouraging clinical and radiologic outcome in our study. Although the early results are promising, this is a relatively new approach, therefore long-term follow up studies are required to prove its efficacy and its ability to prevent adjacent segment disease.

A Therapeutic Approach Based on Motor Development in Congenital Muscular Torticollis: A Case Report (선천성 근육 사경 환아에 대한 운동 발달적 치료 접근: 증례보고)

  • Ryu, Je-Yong;Kim, Yu-Jin;Sung, Ju-Yeon;Shim, Jae-Hun;Lee, Gyu-Wan;Oh, Duck-Won
    • Physical Therapy Korea
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    • v.13 no.2
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    • pp.77-84
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    • 2006
  • Although conservative management of congenital muscular torticollis (CMT) has been well documented, relatively little is known about the response to the treatment. The purposes of this case report were to describe the use of a therapeutic approach based on motor development in physical therapy intervention for an infant with CMT and to report the result of the treatment. The patient was a 20-day-old baby boy with left CMT presenting muscular mass in the left sternocleidomastoid muscle. The angle of the lateral head tilt was 20 degrees. The size of muscular mass was 5.3 mm in ultrasonography. Intervention included ultrasonic therapy, soft tissue massage, passive and active range of motion exercises, motor developmental therapy, and parent instruction. The procedures of motor developmental therapy and changes in the amount of lateral head tilt were documented using photography. The size of the mass was decreased to .3 mm before the 5-month follow-up. The patient also maintained a midline head position in the supine position and a midline head alignment during all functional activities. A therapeutic approach based on motor development is a beneficial method for reducing an asymmetrical head and neck position, and facilitating normal development as a component of physical therapy intervention.

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A Study on Melting Phenomena of Solder Paste (솔더 페이스트의 용융현상 연구)

  • 김문일;안병용;정재필
    • Journal of the Microelectronics and Packaging Society
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    • v.8 no.1
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    • pp.5-11
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    • 2001
  • Melting behavior and bridge phenomenon of solder paste, which is essential for surface mount technology in pachaging, were investigated. Solder paste of Sn-37%Pb was printed on Cu-pattern of PCB, and heated over melting point. Melting behavior of the paste was observed using CCD-camera. In order to modelize the melting and agglomeration phenomena of paste, two solder balls of 0.76 mm diameter were used. As experimental results, the paste start to melt from the margin of the printed shape. The height of the melted paste decreased from 270 $\mu\textrm{m}$ to 200 $\mu\textrm{m}$ firstly, and finally recovered to 250 $\mu\textrm{m}$ During the melting procedure, pores were evolved from the molted paste. Concerning melting model of solder ball, relationship between contact area of solder ball and soldering time was derived as $\chi^2/t=4r \; \gamma/\eta=7.56 m^2$/s at $280^{\circ}C$.

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Classification of Side Somatotype of Upper Lateral Torso Analyzing 3D Body Scan Image of American Females (미국 여성의 3차원 바디 스캔 이미지 분석을 통한 상반신 측면체형 분류)

  • Na, Hyun-Shin
    • Journal of the Korean Society of Costume
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    • v.57 no.4 s.113
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    • pp.9-17
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    • 2007
  • Somatotype is human body shape and physique type which can be classified not only by the size, but also by the shape or posture of the body. Postural variations in the alignment of the back, shoulder, and neck can have an adverse effect on the fit of garments designed to hang from the shoulders. There have been some previous studies about the lateral upper torso by analyzing photographic measurements. In this study, 3D body scan images were used to classify the side somatotype of upper lateral method even though they are major data in the classification of upper torso. This study focused on following objective.; 1) To apply new and developing technology into the apparel industry analyzing 3D body scan images. 2) To classify upper laterla torso using the data through the new improver technology, 3D body scanner. 3) To propose basic materials for well fitted garments for each type of figure. The test subjects for this study were two hundreds nine female aged 19 years and up who were recruited in Cornell university body scan research team. Seventeen Variables(12 angles, 5 lengths) out of 3D body scan data were measured based on these landmarks and applied to analyze. The result of factor analysis indicated that 6 factors were extracted through factor analysis and orthogonal rotation by the method of Varimax and those factors comprise 62.5% of total variance. And the somatotype of upper body is classified into 3 types of figures according to cluster analysis; Bent forward posture, Straight posture, Swayback posture. Future study could be addressed about the somatotype of body by the age group based on the large database with wide variety of age.