• 제목/요약/키워드: Sitting Position

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두부전방전위자세에서 두개척추각과 자세변화에 따른 폐활량의 차이 (Difference of Vital Capacity According to Cranio-Vertebral Angle and Posture Change of Forward Head Posture People)

  • 김지연;박은지;유지민;이명희
    • 대한물리치료과학회지
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    • 제25권1호
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    • pp.44-51
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    • 2018
  • Background: In this paper, the relationship between the Cranio-Vertebral Angle (CVA) and the vital capacity in each position is reviewed, and the vital capacity in the position is studied. Methods: This study targeted 20 non-smoking female students of U university, which is located in Gyeongju-si. To review the Forward Head Posture (FHP) of each subject, CVA was measured, and FVC, FEV1, and FEF (25-75%) were measured and analyzed using a spirometer. Subjects were ordered to exhale three times with ease and then inhale up to their total lung capacity. After then, they were requested to exhale longer than six seconds. Then the inspiration and expiration were repeated. The measurement was executed in three positions, including supine, prone, and sitting. In each position the measurement was repeated twice, and a one-minute break was given between each cycle, so it was measured six times in total. SPSS 14.0 for Windows was used to analyze the data. The subjects' general properties were analyzed using descriptive statistics, and the correlation between the angle and the respiration variable result in each position was analyzed. The result of the respiration variable in each position was analyzed using the one-way ANOVA, and then a Scheffe post-hoc comparison was executed. Results: According to the analysis result of the correlation between the angle and respiration variable in each position, the sitting position and FEF (25-75%) showed a positive correlation (P<0.05). The respiration variable in each position showed a significant difference in FVC (p<0.05), and the Scheffe post-hoc comparison differed in prone and sitting positions. Conclusion: To increase the FVC of FHP patients, different exercises for each position can be applied, and the result of this study can be utilized as background data for further research.

분만과정중 산모 체위변경에 따른 간호효과의 실질적 연구 (An Experimental Study on the Effects of Nursing Care According to Change of Position During Labor)

  • 조원분
    • 대한간호학회지
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    • 제8권1호
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    • pp.139-151
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    • 1978
  • This study is to observe the effects of nursing care according to change of position for comfort during labor and safe delivery of newborn infants and perturbment women. Fifty antepartal primipara with labor pain who were admitted to the delivery room of H University Medical Center from September 1, 1976 to November 15, 1976 (Estimate Delivery Confinement) were selected for this investigation. Among the 50 parturiencys, the experimental group (28 primipara) were placed in 30 degree upright sitting position and the control group (22 primipara) were placed in the supine position. following placement, both groups were observed. The summarized findings of the study were as follows; 1. There was a noticeably significant difference in the duration of the first stage of labor (defined as 4 cm. dilatation of the cervical os with the fetal presenting part engaged to full or 10 cm. dilatation) , between the two groups. For women in the 30 degree upright sitting position, the first stage of labor was close to 33.66 minutes shorter. than for the women in the supine position. (t : 32.79, D.F : 48, p<0.0,i) 2. Although slight differences were observed between the Apgar Scores of the newborn infants of primipara in the two groups, these were not significant. The mean Apgar Score among the newborn infants of primipara in the 30 degree upright sitting position was 9.64 compared with 9.04 for the newborn infants of primipara in the supine position, a difference of 0.6. (x$^2$= 2.44, D.F : 2, p〉0.05) 3. There was a significant difference in the conformability of the perturbment women between the two groups because the shortened duration of the first stage and the high level of comfort score calculated for six factors (body activity, serving bed pan, serving kidney basin, pushing, deep breathing and perturbment women's feelings), that affect nursing care.

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Measurement of Uncertainty Using Standardized Protocol of Hand Grip Strength Measurement in Patients with Sarcopenia

  • Ha, Yong-Chan;Yoo, Jun-Il;Park, Young-Jin;Lee, Chang Han;Park, Ki-Soo
    • 대한골대사학회지
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    • 제25권4호
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    • pp.243-249
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    • 2018
  • Background: The aim of this study was to determine the accuracy and error range of hand grip strength measurement using various methods. Methods: Methods used for measurement of hand grip strength in 34 epidemiologic studies on sarcopenia were analyzed. Maximum grip strength was measured in a sitting position with the elbow flexed at 90 degrees, the shoulder in 0 degrees flexion, and the wrist in neutral position (0 degrees). Maximum grip strength in standing position was measured with the shoulder in 180 degrees flexion, the elbow fully extended, and the wrist in neutral position (0 degrees). Three measurements were taken on each side at 30 sec intervals. The uncertainty of measurement was calculated. Results: The combined uncertainty in sitting position on the right and left sides was 1.14% and 0.38%, respectively, and the combined uncertainty in standing position on the right and left sides was 0.35 and 1.20, respectively. The expanded uncertainty in sitting position on the right and left sides was 2.28 and 0.79, respectively, and the expanded uncertainty in standing position on the right and left sides was 0.71 and 2.41, respectively (k=2). Conclusions: Uncertainty of hand grip strength measurement was identified in this study, and a significant difference was observed between measurement. For more precise diagnosis of sarcopenia, dynamometers need to be corrected to overcome uncertainty.

앉은 자세에서 의자 표면 경사도가 호흡기능과 구어 산출에 미치는 영향 (The Effect of Seat Surface Inclination on Respiratory Function and Speech Production in sitting)

  • 신화경;김혜수;이옥분
    • The Journal of Korean Physical Therapy
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    • 제24권1호
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    • pp.29-34
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    • 2012
  • Purpose: The purpose of this study was to evaluate the difference between respiratory function and speech production, according to the seat surface inclination while in the sitting position. Methods: Respiratory function (FVC, FEV1) and speech production (inspiratory frequency, unit reading time, paragraph reading time) were measured in 3 sitting conditions: horizontal seat surface, seat surface tilted forward 15 degrees, and seat surface tilted backward 15 degrees. Results: We found that the mean values of FVC and FEV1 were statistically significant different according to three types of sitting positions (p<0.05). The following result was observed: forward tilted sitting > horizontal sitting > backward tilted sitting. There was no significant difference in speech production between the different positions. Respiratory function and speech production had a significantly negative correlation in the forward tilted condition and the backward tilted condition. Conclusion: This finding suggests that the seat surface inclination have an effect on respiratory function. Especially, forward tilted sitting may be an effective posture that may help increases the respiratory function.

비균형적인 앉은자세 교정을 위한 힘-감지 저항센서 이용 연구 (Study on a method for correcting unbalanced sitting posture by force-sensing resistors)

  • 변상필;장인혁;박기혁;손량희;이원구
    • 한국산업융합학회 논문집
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    • 제17권4호
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    • pp.203-210
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    • 2014
  • In this study, we present a method for correcting unbalanced sitting posture alignment to its optimal position, by designing a chair equipped with pressure sensor. With increasement in sedentary work, such as office work or study, people are now spending more time in chair. To accommodate sedentary life styles, many chairs are being designed for a comfortable sitting condition. However, without awareness and efforts for correct sitting posture, it may not be possible to achieve such condition. When the weight is not distributed evenly while sitting, it may cause various diseases such as scoliosis and a herniated disc. Being inspired by such facts, we have progressed basic researches to maintain the correct sitting posture. To demonstrate the proof-of-concept validation, we installed a series of sensors to a chair and then measured the changes in pressure distribution in various postures. The results show that this approach can be potentially helpful for understanding how fundamental problems due to unbalanced sitting posture can be corrected and maintained properly.

국소진동이 척수손상환자의 발목족저굴곡 경직과 비복근과 가자미근의 간헐성 경련에 미치는 일시적 효과 (Immediate Effects of Local Vibration on Ankle Plantarflexion Spasticity and Clonus of both the Gastrocnemius and Soleus in Patients with Spinal Cord Injury)

  • 안문철;송창호
    • 대한물리의학회지
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    • 제11권2호
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    • pp.1-11
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    • 2016
  • PURPOSE: This study was conducted to assess the effects of local vibration on ankle plantarflexion spasticity and clonus in patients with spinal cord injury. METHODS: The subjects were 14 inpatients with complete or incomplete spinal cord injury (SCI) whose scores were higher than 1 on the Modified Ashworth Scale (MAS) and Spinal Cord Assessment Tool for Spastic Reflexes (SCATS) scale of paraplegia. A randomized single-blind cross-over design was used. Vibration treatment involved a single application of vibration for 10 min in the sitting position, and placebo treatment involved the patient remaining in the sitting position for 10 min. One day after treatment, vibration and placebo treatments were crossed over. Spasticity was measured by using the MAS, and resistance force, by using a hand-held dynamometer; clonus was gauged by using the SCATS scale and clonus burst duration. Additionally, the burst maximal frequency and voluntary ankle dorsiflexion angle of the triceps surae were measured. RESULTS: The application of vibration treatment in the sitting position significantly reduced the MAS scores and resistance force, but significantly increased the dorsiflexion angle of the ankle joint (p<0.05). Furthermore, the vibration treatment diminished the clonus burst duration and SCATS score significantly (p<0.05). Although it reduced the burst maximal frequency of the lateral gastrocnemius and medial soleus, this was significant only for the lateral gastrocnemius. The placebo treatment did not significantly affect any of the test parameters. CONCLUSION: Vibration treatment in the sitting position was effective in cases of spasticity and clonus caused by SCI.

점진적 앉은 자세에서의 PNF운동이 소뇌 손상환자의 동적 균형능력에 미치는 효과 -단일 사례 연구- (Effects of Using PNF in Progressive Sitting Position on Dynamic Balance in a Patient with a Cerebellar Injury -Single Subject Design-)

  • 김대경;나은진;문상현
    • PNF and Movement
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    • 제14권2호
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    • pp.149-155
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    • 2016
  • Purpose: The purpose of this study was to investigate the effects of using proprioceptive neuromuscular facilitation (PNF) exercise in the progressive sitting position on the dynamic balance ability of a patient with a cerebellar injury. Methods: The subject had ataxia due to cerebellar injury. The subject participated in a PNF bilateral scapular pattern exercise with stabilizing reversal technique during a progressive sitting position session as well as baseline for 20 minutes a day for 4 weeks. In the first session, PNF exercises were performed at a height of 40 cm for 10 minutes, and in the second session they were performed at 50 cm for 10 minutes from a lower center of gravity (COG) to a higher COG sitting position. We used the Berg Balance Scale (BBS), Five-Times-Sit-to-Stand Test (FTSST), and the Timed Up and Go Test (TUGT) to measure the subject's dynamic balance ability every two days through the entire session. Results: After participating in the program, the subject's dynamic balance ability improved compared to the first baseline, as measured by BBS (2 points increased), FTSST (5.3 sec decreased), and TUGT (2 sec decreased). The increase was also maintained in the second baseline session. Conclusion: PNF exercise using bilateral scapula patterns with a stabilizing reversal technique helps to enhance the dynamic balance ability of a cerebellar injury patient.

Influence of External Scapular Stabilization on the Isometric Strength of Shoulder Flexor in the Sitting Position in Subjects with Scapular Winging

  • Jang, Tae-Jin;Hwang, Byeong-Hun;Jeon, In-Cheol
    • The Journal of Korean Physical Therapy
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    • 제33권5호
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    • pp.252-257
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    • 2021
  • Purpose: The purpose of this study was to compare the influence of external scapular stabilization on the isometric strength of shoulder flexor muscle in subjects with and without scapular winging and conditions with and without external scapular stabilization. Methods: A total of 30 subjects with and without scapular winging were enrolled. Two groups were classified using clinical and diagnostic tests to divide the groups with and without scapular winging (15 with scapular winging 15 without scapular winging). The isometric strength of the shoulder flexor was measured using a tensiometer. The isometric strength was evaluated in the sitting position with and without an external scapular stabilization. The external scapular stabilization was provided with the examiner's hand to fix scapular winging during shoulder flexion. The changing value was calculated to determine the isometric strength difference between shoulder flexion with and without the external scapular stabilization in each group. The changing value between isometric strength of shoulder flexor with and without scapular winging was compared using the independent t-test. Statistical significance was set at 0.05. Results: In the group with scapular winging, the shoulder flexor isometric strength in the sitting position was greater with an external scapular stabilization than without an external scapular stabilization (p<0.05). There was no significant difference in the shoulder flexor isometric strength in the subjects without scapular winging between conditions with or without an external scapular stabilization (p>0.05). Conclusion: The external scapular stabilization in the individuals with scapular winging may increase shoulder flexor isometric strength in the sitting position.

Development and feasibility test of sit-to-stand transfer assistive device

  • Ha, SinHo;Jeong, SeYeon;Hong, SoungKyun;Choi, Wonjae;Lee, Kwangkook;Park, Donghwan;Son, SangJun;Shin, HyeonHui;Lee, GyuChang
    • 대한물리치료과학회지
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    • 제29권1호
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    • pp.41-46
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    • 2022
  • Background: The purpose of this study was to develop a sit-to-stand transfer assistive device, and to conduct a feasibility test. Design: A technical note. Methods and results: In this study, we developed a sit-to-stand transfer assistive device for the elderly and the disabled who have difficulty standing up independently from sitting positions. The sit-to-stand transfer assistive device allows the user to transfer the weight from a sitting position to a standing position while shifting the weight forward by grabbing and pulling a support stand. Ten healthy adults participated in the feasibility test of the device. Each participant used the developed sit-to-stand transfer assistive device and investigated supplementation through a brief interview. As a result of the feasibility test, the opinion was that the device could assist the sit-to-stand transfer to some extent. There were opinions that it needed a function to adjust the height of the knee protective plate in the sitting position according to the user's physical characteristics. Because of the inconvenience of operating the lock device for fixing the position and adjusting inclination, there was an opinion that the improvement for a locking device is needed. There were opinions that it would be better to reduce the size of the device due to its inconvenience of portability. Conclusion: In this study, we developed the sit-to-stand transfer assistive device for the elderly and the disabled who have difficulty standing up independently from sitting positions. In addition, it is considered that the upgrade of the device is necessary for the future since there are supplementary opinions on some points.

척수손상환자의 폐활량에 자세가 미치는 영향 (The Effect of Position on Measured Lung Capacity of Patients with Spinal Cord Injury)

  • 김명권;황보각
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2012년도 춘계 종합학술대회 논문집
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    • pp.173-174
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    • 2012
  • To determine whether position affects measured lung capacity of spinal cord injury patients. The study subjects were 45 patients with spinal cord injury (cervical level 15, thoracic level 15, lumbar level 15). Subjects were provided with a full explanation of the experimental procedures and all provided written consent signifying their voluntary participation. We used a spirometer (Spirometer, Micromedical Ltd, UK) to measure pulmonary function in the supine and sitting positions (straightened upper body at an angle of $90^{\circ}$). Forced vital capacity (FVC), forced expiratory volume during the first second (FEV1), tidal volume (TV), and maximum insufflation capacity (MIC) were also measured. FVC, FEV1, TV, MIC (%) were greater in the supine than in the sitting position for those with injury at the cervical or thoracic injury level. On the other hand, FVC, FEV1, TV, MIC (%) were lower in the supine position for those with an injury at the lumbar level. More attention should be paid to the effect of injury level on measured lung capacity.

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