• Physical Therapy Korea
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• v.24 no.2
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• pp.66-75
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• 2017

Background: After a stroke, the control of the trunk muscle may be severely impaired. Due to the importance of trunk control in complex daily postures, the ability to adopt a correct sitting posture is considered a determinant of the recovery of independent function after a stroke. Objects: The purposes of this study were to compare differences in buttock pressure between the left and right sides of hemiplegic patients and differences in their pelvic tilting angles (sagittal and coronal planes) after sitting training with visual biofeedback (VBF) in real time. Methods: Twenty-two individuals with unilateral strokes (11 left-side and 11 right-side hemiplegic stroke patients) participated in this study. Buttock pressure was measured using a pressure mat, and pelvic angles were measured using a palpation meter. Results: The asymmetry of pressure between the right and left (first and third chamber) sides was significantly decreased after the VBF training. The measurements obtained using the palpation meter revealed a significant decrease in the pelvic angles pre- versus post-intervention. Conclusion: VBF training may be distribute a patient's buttock pressure equally while in a sitting posture and increase the length of time a stroke patient can maintain a symmetrical sitting posture. It can also improve pelvic control while sitting in a neutral position.

• The Journal of Korean Physical Therapy
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• v.31 no.1
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• pp.35-39
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• 2019

Purpose: The purpose of this study was to assess the intra-rater and inter-rater reliability and validity of pelvic tilting angle measurements using a smart phone-based inclinometer (Clino) compared to a palpation meter (PALM) in the standing and sitting position. This study used an interchangeable method with Clino to measure the pelvic tilting angle in the standing and sitting positions. Methods: Twenty healthy subjects were recruited. Measurements of the pelvic tilting angle in the standing and sitting positions were obtained by two examiners using the Clino and PALM. A resting session was conducted 10 minutes later to assess the intra and inter rater reliability. To assess validity of the measurement using Clino, a PALM was used as the gold standard. The intra-class correlation coefficient (ICC) was used to determine the intra and inter rater reliability of Clino and a PALM. To assess the validity, the Pearson correlation coefficients were used for two measurement techniques to measure the pelvic tilting angle in the standing and sitting positions. The statistical significance was set to ${\alpha}=0.05$. Results: Measurements of the pelvic tilt had high inter-rater reliability in the standing (ICC=0.82) and sitting (ICC=0.88) positions using Clino and intra-rater reliability in the standing (ICC=0.87) and sitting (ICC=0.91) positions using Clino. Measurements of the pelvic tilt had high validity by a comparison of PALM and Clino in the standing (r=0.83) and sitting (r=0.89) positions (p<0.05). Conclusion: The use of Clino can be recommended as a tool to replace the PALM and measure the pelvic tilt angle in the standing and sitting positions while maintaining the clinical reliability and validity.

• The Journal of Pediatrics of Korean Medicine
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• v.15 no.1
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• pp.165-182
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• 2001

In oriental medicine, diagnostic method was the four examination(四診) which was composed of inspection(望診), inquiring(問診), listening and smelling(聞診), palpation(切診). Inspection of skin color(望色) indicated the observation of patient's complexion(色診). In oriental medical theory, complexion of face was related to meridians(經絡) and zang-fu(贓腑). The change of complexion was reflected the ups and downs of qi(氣) and blood(血), the relative seriousness of an illness. especially, observation of complexion was essential in children, because of diagnostic difficulty and positive change according to each disease. The purpose of this study was to construct for standard measurement and invent for computerizing diagnostic system which was based on observation of complexion. It was objectively measured complexion using spectrophotometer and chroma meter. Measurement of complexion should make an offer the index of diagnosis.

• Journal of Korea Entertainment Industry Association
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• v.14 no.3
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• pp.383-392
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• 2020

This study was to compare the effects of joint mobilization, treadmill with insole, and joint mobilization and treadmill with insole on pain, pelvic angle, and foot pressure in patients with sacroiliac joint pain. 24 patients randomly assigned to joint mobilization group(n=8), treadmill with insole group(n=8), or joint mobilization and treadmill with insole group(n=8). Each groups were conducted 30 minutes a day, two days a week for four weeks. Pain was evaluated using visual analogue scale and pelvic angle was measured using palpation meter and foot pressure(fore/rear ratio) was measured using Gateview AFA-50 before intervention and after 4 weeks. All groups were significant differences pain in intragroup(p<.01). In pelvic angle, the joint mobilization group was statistically significant in the anterior tilt only, the joint mobilization and treadmill with insole group showed statistically significant improvement in both anterior and posterior tilt(p<.01), and the treadmill with insole group did not show any statistically significant change(p>.05). Also the joint mobilization and treadmill with insole group were significant differences in foot pressure(p<.01). All the interventions reduce sacroiliac joint pain and joint mobilization and treadmill with insole training are most effective changes in pelvic angle and foot pressure. This study can be used as a basic data for prevention of injury, posture correction and gait training in patients with sacroiliac joint pain, as well as chronic low back pain and plantar pressure problem.

• The Journal of Korean Physical Therapy
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• v.26 no.1
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• pp.15-20
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• 2014

Purpose: We investigate to evaluate the effects of scapular stabilization exercise on dynamic standing balance in stroke patients. Methods: Thirty hemiplegic patients participated was divided into control group and training group randomly. Control group(n=15) had only general rehabilitation training and training group (n=15) had both the general rehabilitation training and intensive scapular stabilization exercise. They were treated for 15minute/5 times/4 week. We measured PALM (palpation meter) to measure affected side's distances from spine to scapular. We measured FRT (functional reach test), FSST (four squared step test), and BPM (balance performance monitering) to evaluate dynamic standing balance. Results: Training group showed a significant difference in the distances from spine to scapular, FRT, FSST, and variables of BPM comparing control group (p<0.05). But control group was not significant difference. Conclusion: These results suggest that scapular stabilization exercises have positive effects on dynamic standing position.

• Physical Therapy Korea
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• v.27 no.2
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• pp.149-154
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• 2020

Background: The range of pelvic tilt is one of modifiable risk factors in preventing the lower back pain. Objects: The purpose of this study were to compare the range of pelvic tilt motion by testing position and sex. Methods: One hundred five young adults (61 females and 44 males) agreed to participate in measuring the anterior and posterior pelvic tilt with the PALM (Palpation Meter) in sitting and standing. The range of pelvic tilt motion was defined as the difference between the pelvic anterior and posterior tilt angles. Results: In general, the anterior pelvic tilt was greater (p < 0.01) in standing than in sitting and the posterior pelvic tilt was lesser (p < 0.01) in sitting than in standing. The anterior pelvic tilt in sitting and standing was greater (p < 0.01) in the females than in the males. However, the effect of sex on the posterior pelvic tilt was only significant in sitting (p < 0.01), but not in standing (p = 0.78). The range of pelvic tilt was greater (p = 0.03) in sitting but not significantly (p = 0.07) affected by the sex. Conclusion: The pelvic tilt motion in these young adults showed large variability and further studies are needed to understand better its relationship to the prevalence of the lower back disorders.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.21 no.2
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• pp.47-52
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• 2015

Background: The objective of this study was to compare dysmenorrhea with pelvic alignment, hip joint range of motion about 20's female university students. Sixty two female students participated in this study. To investigate the measure of dysmenorrhea, we used modified menstrual distress questionnaire (MMDQ) and numerric rating scale (NRS). The pelvic alignment was assessed by using the palpation meter. The active range of motion (ROM) were assessed by measuring the flexion, extension, abduction, adduction, internal rotation and external rotation. Each measurement was assessed by goniometer. The data were analyzed by calculating independent T-test. Consequently, As the increase of dysmenorrhea, we observed significantly the increase of pelvic anterior tilt in right and left pelvic (p<.05). Otherwise, as the increase of dysmenorrhea, range of motion of hip joint was significantly limited in right and left external rotation (p<.05). Thus, this study provides young female with valuable information about dysmenorrhea.

• The Journal of Korean Physical Therapy
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• v.21 no.2
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• pp.23-29
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• 2009

Purpose: This study examined the effects of the symmetrical scapular alignment on the weight bearing of hemiplegic patients in the standing position. Methods: PALM (PALpation Meter) test and Gaitview AFA-50 were used to measure the skeletal alignment of the scapula and the weight bearing loaded on the affected and unaffected sides before and after training. The data was analyzed using a paired t-test on the SPSS 12.0 program for descriptive statistics. A p value <0.05 was considered significant. Results: The mean difference in the scapular alignments on sup. & mid. & inf. area in the hemiplegic side before and after training was $0.93\pm0.50cm$ and $0.58\pm0.43cm$, respectively. There was a significant decrease after training rather than that before (p<0.05). The mean weight bearing on the foot area in the hemiplegic patients before and after training was $9.12\pm5.51N/cm^2$ and $4.36\pm4.11N/cm^2$, respectively,. There was a significant decrease after training rather than that before (p<0.05). The scapuar alignments and weight bearing data on the standing position were grouped around the average (to central point) in the distribution graph. Conclusion: These findings suggest that the symmetrical scapular alignment can serve as an effective means of improving the weight bearing ability of hemiplegic patients.

• Journal of the Korean Society of Physical Medicine
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• v.16 no.1
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• pp.17-22
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• 2021

PURPOSE: This study examined the correlations between gait, static balance, and pelvic inclination in patients with chronic stroke. METHODS: Twenty-two chronic stroke patients were included in this study. The subjects participated in gait, static balance, and pelvic inclination tests. In the gait measurement, the cadence and gait velocity were measured, and the average of three trials was calculated and recorded. The static balance was measured using a force platform. The data was captured for ten seconds, and five successful trials were recorded. Pelvic inclination in the sagittal plane was measured using a palpation meter. For data processing, a KolmogorovSmirnov test was used to determine the type of distribution for all variables. Pearson's correlation coefficient was used for correlation analysis. The correlations among the gait, static balance, and pelvic inclination was calculated. The level of significance was .05. RESULTS: Significant negative correlations were observed between the gait variables (cadence, velocity) and static balance variables (COP path length, COP average velocity, and 95% confidence ellipse area) (p < .05). On the other hand, there was no significant correlation between pelvic inclination and gait or between the pelvic inclination and static balance variables. CONCLUSION: Significant correlations were observed between the gait function and static balance. On the other hand, there were no significant correlations between the pelvic inclination and gait and static balance. These results suggest that the pelvic inclination is not an important consideration for increasing the gait function and static balance.

• Journal of the Korean Society of Physical Medicine
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• v.18 no.3
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• pp.113-119
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• 2023

PURPOSE: This study aimed to determine the effects of using a smartphone in the sitting position on the pelvic posture and the low back pressure pain threshold (PPT). METHODS: Thirty participants (15 women and 15 men) were recruited for this study. The participants were asked to sit in a normal sitting position without using a smartphone, followed by sitting while watching a video using a smartphone. The pelvic posture was measured using the back range of motion II (BROM II) device and a palpation meter. We measured PPT using the digital pressure algometer. RESULTS: Pelvic posterior tilting was significantly greater when sitting while using a smartphone relative to sitting without using a smartphone (p < .05). There was no significant difference in the height of the iliac crest when sitting while using a smartphone compared to sitting without using a smartphone (p > .05). The PPTs of L1, L3, and L5 were significantly lower when sitting while using a smartphone relative to sitting without using a smartphone (p < .05). CONCLUSION: Based on these results, it can be concluded that frequent smartphone use while sitting may potentially increase the risk of developing low back problems.