This study is aimed at determining the effects of rehabilitation training on lumbar extension strength and relief of back pain in middle-aged women of low back pain. Twenty-nine subjects(total 29 people; CLBP 16, HLD 13) were trained twice per week for eight weeks and completed a maximum isometric test at various flexion angle(the degree of $0^{\circ}$, $12^{\circ}$, $24^{\circ}$, $36^{\icrc}$, $48^{\circ}$, $60^{\circ}$, $72^{\circ}$) by lumbar extension machine. The result showed that. 1. Patient group of CLBP were increased the maximum lumbar extension strength at a range of 7 flexion angles after rehabilitation rather than no rehabilitation(on the average 60.75%). The operated patient group in HLD also showed an increase of 56.55%. In view of these cases, all of two groups showed a significant increase of muscle strength(p<.05). But there is no difference between pre-exercise and post-exercise groups. 2. Patient group of CLBP were increased higher rate than 41% for maximum lumbar extension strength(91.79% at $0^{\circ}$, 79.41% at $12^{\circ}$, 65.89% at $24^{\circ}$) at all angles after 8 weeks training. Both groups indicated a significant increase(p<.05) of lumbar extension strength at all degrees. There is no difference between pre-exercise and post-exercise groups. 3. Relief of back pain in Patient group of CLBP showed a decrease of average 105.2% and patient group of HLD indicated a decrease of average 64.57% two groups showed a significant reduction (p<.05, p<.05). But in case of a decrease of pain, CLBP group got 3.44 points and HLD group got 4.77 points. In view of these results, two groups showed remarkable reduction of back pain, however HLD group had residual pain relatively.
The Journal of Korean Academy of Orthopedic Manual Physical Therapy
/
v.29
no.1
/
pp.81-93
/
2023
Purpose: The current case study focuses on identifying the effects of manual therapy and home self-therapeutic exercise including on mouth opening and pain relief in patients with continuous neck pain with myofascial temporomandibular disorders (TMDs) accompanied by headache induced by masticatory myalgia Subjects: The study participant was a 27-year-old woman who was treated a year ago for pain related to TMDs accompanied by a headache. Methods: Manual therapy of the cervical spine with upper cervical spine posterior-to-anterior mobilization (C1~C2), upper cervical spine flexion mobilization (C0~C2), upper cervical spine lateral flexion mobilization (C0~C1), upper cervical spine thrust manual therapy (C1~C2) and manual therapy of the temporomandibular joint and muscles with transverse medial accessory temporomandibular joint mobilization, manual therapies for the temporal, the masseter, and medial pterygoid muscles were performed twice a week for about 30 minutes for 4 weeks. This protocol included 3 sessions in total. The home self-therapeutic exercise was to be performed two to three times a day. Results: The values more improved MMO increased to 41.4 mm, left masseter muscle PPT to 2.9 kgf/cm2, right masseter muscle PPT to 3.1 kgf/cm2, KHIT-6 to 46 points, neck pain intensity (by NRS) to 2 points, headache frequency to per weeks, cervical kyphotic angle to -8.06%, and GCPS to grade 1 (low-intensity pain without pain-related disorder). Conclusion: Manual therapy and home self-therapeutic exercise can be helpful for mouth opening and pain relief in patients with myofascial TMDs accompanied by secondary headaches induced by masticatory myalgia.
Journal of the Korea Academia-Industrial cooperation Society
/
v.21
no.6
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pp.468-474
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2020
The aim of this study was to compare the effect of a horseback riding simulator, Slings and Kendall Exercise on a cranio-vertebral angle and the neck pain of the Forward Head Posture. This study included 30 young people with forward head posture. They were randomly divided into three groups. Each group performed the exercises for six weeks three times a week from September 2018 to November 2018. The variations of cranio-vertebral angle and neck pain were analyzed using paired t-tests and a one-way ANOVA test. The results of the study are as follows. Three groups showed significant variations of cranio-vertebral angle and neck pain (p < 0.05). But comparison of cranio-vertebral angle and neck pain between the groups showed no significant difference (p > 0.05). This study found that each exercise group for forward head posture was effective for inducing normal cervical alignment and neck pain relief. Therefore, various exercises can improve the forward head posture.
Background: Individuals with spinal cord injury (SCI) rely on their upper limbs for body-lifting activity (BLA). While studies have examined the electromyography (EMG) and kinematics of the shoulder joints during BLA, no studies have considered foot position during BLA. Objects: This study compared the effects of different foot positions during BLA on the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion in individuals with SCI. Methods: The study enrolled 13 mens with motor-complete paraplegic SCI, ASIA (American Spinal Injury Association) A or B. All subjects performed BLA with the feet positioned on the wheelchair footrest and on the floor independently. Surface EMG was used to collect data from the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii. The peak plantar pressure was measured using pedar-X and the knee flexion angle with Image J. Borg's rating perceived exertion scale was used to measure the physical activity intensity level. The paired t-test was used to compare the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion between the two feet positions during BLA. Results: The activity of the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii and rating perceived exertion decreased significantly and the peak plantar pressure and knee flexion angle increased significantly when performing BLA with the feet positioned on the wheelchair footrest compared with on the floor (p<.05). Conclusion: These findings suggest that individuals with SCI may perform BLA with the feet positioned on the wheelchair footrest for weight-relief lifting to decrease the shoulder muscle activities and the rating perceived exertion and to increase the peak plantar pressure and the knee flexion angle.
This study attempted to investigate the effects of gold therapy on myofascial pain syndrome(MPS) in the neck, back and shoulder in comparison to stone therapy and verify its availability as an efficient nursing mediator in clinical trials. For this, therapy was given to a total of 20 women in two groups (gold therapy group, stone therapy group: 10 persons each) living in the capital region three times a week (40 min. at a time) for two weeks. In both groups, a statistically significant decrease was found in the following after the treatment: neck circumference, shoulder width, width of the inferior angle of scapula, shoulder thickness and waist circumference (p<0.001). In terms of differences, the gold therapy group was greater than the stone therapy group. In both groups, a statistically significant increase was observed after treatment in the following: cervical lateral bending (right), cervical lateral bending (left), cervical flexion and cervical extension angle (p<0.001). In terms of differences, the gold therapy group was greater than the stone therapy group. In conclusion, this study seems to show that gold therapy is a nursing intervention option having effective fascial relaxation and pain relief for the neck, back and shoulder. Therefore, it would be valuable as safe, non-invasive therapy.
In this study, types of rock slope failure are analyzed by considering both joint characteristics investigated on previous landslide regions located at northern part of Mt. Jiri and geographic features of natural slopes deduced from GIS. The landslide prediction map was produced by superposing the frequency ratio layers for the six geographic features including elevation, slope aspect, slope angle, shaded relief, curvature and stream distance, and then the landslide risk map was deduced by combination of the prediction map and the damage map obtained by taking account of humanity factors such as roads and buildings in the study area. According to analysis on geographic features for previous landslide regions, the landslides occurred as following rate: 88% at 330~710 m in elevation, 77.7% at $90{\sim}270^{\circ}$ in slope aspect, 93.9% at $10{\sim}40^{\circ}$ in slope angle, 82.78% at grade3~7 in shaded relief, 86.28% at -5~+5 in curvature, and 82.92% within 400m in stream distance. Approximately 75% of the landslide regions belongs to the region of 'high' or 'very high' grade in the prediction map, and 13.27% of the study area is exposed to 'high risk' of landslide.
In order to evaluate the sensor`s look direction bias in the Landsat TM image and to estimate trends of primary geological lineaments, we have attempted to systematically compare lineaments in TM image, relief shadowed DEM's, and actual lineaments of geologic and topographic map through the Hough transform technique. Hough transform is known to be very effective to estimate the trend of geological lineaments, and help us to obtain the true trends of lineaments. It is often necessary to compensate the preferential enhancements of terrain lineaments in a TM image occurred by to look direction bias, and that can be achieved by utilizing an auxiliary data. In this study, we have successfully adopted the relief shadowed DEM in which the illuminating azimuth angle is perpendicular to look direction of a TM image for assessing true trends of geological lineaments. The results also show that the sum of four relief shadowed DEM's directional components can possibly be used as an alternative. In Euiseong-gun area where Sindong Group and Mayans Group are mainly distributed, geological lineaments trending $N5^{\circ}$~$10^{\circ}$W are dominant, while those of $N55^{\circ}$~$65^{\circ}$ W are major trends in Cheongsong-gun area where Hayang Group, Yucheon Group and Bulguksa Granite are distributed. Using relief shadowed DEM as an auxiliary data, we found the $N55^{\circ}$~$65^{\circ}$ W lineaments which are not cleanly observed in TM image over Euiseong-gun area. Compared with the trend of Gumchon and Gaum strike-slip faults, these lineaments are considered to be an extension of the faults. Therefore these strike-slip faults possibly extend up to Sindong Group in the northwest parts in the study area.
Bio-diesel applications seem to be extended due to bio-diesel policies and changes of agricultural environment. This study was conducted to develop a rapeseed reaping equipment attachable to the conventional combine. This paper was intended to report concept design, process and manufacturing of the prototype rapeseed reaping equipment. For concept design, physical properties of "SUNMANG", which is a typical rapeseed as bio-diesel materials, were considered. The designed prototype rapeseed reaping equipment consisted of wide-width plates, finger type knifes, side cutter knifes and drive equipments. The wide-width plate is 2.1 m wide, 0.7 m long, and 0.002 m thick. The finger type cutter knifes have 14.5 fingers, 30 knifes, and the specification was 7.6 cm of pitch, 8.3 cm of length and $21^{\circ}$ of cutting angle. The side cutter knifes consisted of a hydraulic pump, a hydraulic motor, a flow control and a relief valve, a hydraulic hose, a driving equipment and a reciprocating cutter knife. The 18 reciprocating cutter knifes were 137 cm long and knife pitch, knife length and cutting angle were 7.7 cm, 10.5 cm, and $18^{\circ}$. Prototype weight of the rapeseed reaping equipment was heavier by 272 kg when compared with the manual reaping equipments. Load distributions of left and right side showed 50% and 49%, and those of front and rear side showed 64% and 36%. Static turn-over angles in left and right of the prototype were $38.1^{\circ}$ and $38.7^{\circ}$, respectively. The designed prototype rapeseed reaping equipment was properly mounted at the front of a conventional combine.
Objective : A modified surgical technique of posterior cervical foramintomy called posterior cervical inclinatory foraminotomy (PCIF) was introduced in previous preliminary article. PCIF allows better preservation of facet joint and capsule than conventional techniques. The authors conducted a study to investigate long-term outcomes of PCIF. Methods : We retrospectively reviewed demographic, radiologic, and clinical data from the patients who underwent PCIFs at our institution. Criteria included a minimum of 48 month follow-up and PCIFs for patients with radiculopathy from foraminal stenosis (C2-T1; single or multilevel) with persistent or recurrent root symptoms despite conservative treatment for more than 3 months. Patients who had undergone previous cervical operation were excluded. The visual analogue scale (VAS) score was used for clinical follow-up, and radiologic follow-up was performed to compare the changes of cervical sagittal alignment, focal angle and disc-space height of treated segment. Results : The PCIFs were performed between April 2007 and March 2011 on 46 patients (32 males and 14 females) with a total of 73 levels affected. The average duration of follow-up was 74.4 months. Improvements in radiculopathic pain were seen in 39 patients (84.7%), and VAS score decreased from $6.82{\pm}1.9$ to $2.19{\pm}1.9$. Posterior neck pain also improved in 25 patients (71.4%) among 35 patients, and VAS score decreased from $4.97{\pm}2.0$ to $2.71{\pm}1.9$. The mean disc-space heights of treated segment were $5.41{\pm}1.03mm$ preoperatively and decreased to $5.17{\pm}1.12mm$ postoperatively. No statistically significant changes in cervical sagittal alignment, focal angle were seen during the follow-up period (Cox proportional hazards analysis and Student t-test, p>0.05). Conclusion : The PCIF is highly effective in treating patients with cervical spondylotic radiculopathy, leading to long-lasting relief in pain. Long-term radiologic follow-up showed no significant spinal angular imbalance.
Objective : Percutaneous vertebroplasty (VP) can provide immediate stabilization in pathologic fractures of spinal tumors. However, long term follow-up data in cases of pathologic fractures are lacking. The authors report follow-up results of VP in 185 pathologic fractures of 102 spinal tumor patients. Methods : Percutaneous VP was performed at 185 vertebral bodies of 102 patients from 2001 to 2007. Retrospective analysis was done with medical records and radiological data. The change of visual analogue score (VAS), vertebral body (VB) height and kyphotic angle were measured preoperatively and on postoperative one day and at 3, 6, and 12 months. Results : The patients were composed of metastatic spine tumors (81%) and multiple myeloma (19%). Involved spinal segments were between T6 and L5. Mean follow-up period was 12.2 months. VAS for back pain was 8.24 preoperatively, 3.59 (postoperative one day), 4.08 (three months) and 5.22 (one year). VB compression ratio changed from 21.33% preoperatively to 13.82% (postoperative one day), 14.36% (three month), and 16.04% (one year). Kyphotic angle changed from $15.35^{\circ}$ preoperatively to $12.03^{\circ}$ (postoperative one day), $13.64^{\circ}$ (three month), and $15.61^{\circ}$ (one year). Conclusion : Immediate pain relief was definite after VP in pathologic compression fracture of osteolytic spinal disease. Although VAS was slightly increased on one year follow-up, VP effect was maintained without significant change. These results indicate that VP could be a safe and effective procedure as a palliative treatment of the spinal tumor patients.
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