• The Korean Journal of Pain
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• 제23권3호
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• pp.190-197
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• 2010

Background: Conventional spinal saddle block is performed with the patient in a sitting position, keeping the patient sitting for between 3 to 10 min after injection of a drug. This amount of time, however, is long enough to cause prolonged postoperative urinary retention. The trend in this block is to lower the dose of local anesthetics, providing a selective segmental block; however, an optimal dose and method are needed for adequate anesthesia in variable situations. Therefore, in this study, we evaluated the question of whether only 1 min of sitting after drug injection would be sufficient and safe for minor anorectal surgery. Methods: Two hundred and sixteen patients undergoing minor anorectal surgery under spinal anesthesia remained sitting for 1 min after completion of subarachnoid administration of 1 ml of a 0.5% hyperbaric bupivacaine solution (5 mg). They were then placed in the jack-knife position. After surgery, analgesia levels were assessed using loss of cold sensation in the supine position. The next day, urination and 11-point numeric rating scale (NRS) for postoperative pain were assessed. Results: None of the patients required additional analgesics during surgical manipulation. Postoperative sensory levels were T10 [T8-T12] in patients, and no significant differences were observed between sex (P = 0.857), height (P = 0.065), obesity (P = 0.873), or age (P = 0.138). Urinary retention developed in only 7 patients (3.2%). In this group, NRS was $5.0{\pm}2.4$ (P = 0.014). Conclusions: The one-minute sitting position for spinal saddle block before the jack-knife position is a safe method for use with minor anorectal surgery and can reduce development of postoperative urinary retention.

• PNF and Movement
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• 제14권1호
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• pp.1-6
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• 2016

Purpose: The purpose of this study was to analyze the effects of proprioceptive neuromuscular facilitation (PNF) patterns on electromyography (EMG) activity in the rectus abdominis, internal abdominal oblique, external abdominal oblique, and erector spinae according to position changes. Methods: Ten healthy adults volunteered to participate in the study. The subjects were required to complete exercises that followed two PNF extremity patterns, namely, an upper extremity extension-adduction-internal rotation pattern and a lower extremity flexion-adduction-external rotation pattern. The exercises were applied in the supine, side-lying, and sitting positions. Repeated measure one-way ANOVA and post-hoc Bonferroni correction were used to determine the influence of the patterns on muscle activity for each muscle, and descriptive statistics were then used to determine the local/global muscle ratios. Results: The upper extremity pattern had a significant effect on the rectus abdominis and erector spinae in the supine position, and on the internal oblique and external oblique in the sitting position (p<0.05). The median value for the internal oblique/rectus abdominis showed a high ratio of 2.05, and a high ratio of 1.01 was shown for the internal oblique/external oblique in the sitting position. The lower extremity pattern had a significant effect on the rectus abdominis in the side-lying position and on the internal oblique, external oblique, and erector spinae in the sitting position (p<0.05). The median value for the internal oblique/rectus abdominis showed a high ratio of 2.83 in the sitting position and a high ratio of 1.30 for the internal oblique/external oblique in the side-lying position. Conclusion: The PNF pattern increases local muscle activation in an unstable position. Therefore, when the pattern is used for intervention purposes, trunk stability and varied position changes should be taken into account.

• 대한방사선기술학회지:방사선기술과학
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• 제34권3호
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• pp.189-193
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• 2011

상지 검사(upper extremity X-ray examinations, UEX) 시 환자 위치 잡이로 가장 많이 활용되고 있는 앉은 자세 상지 X-ray 검사(sitting position upper extremity X-ray examinations, SUEX) 시 방사선에 민감한 생식샘과 목적장기 이외 부위에 대한 피폭이 크다고 판단되어 의료기관 별 SUEX 시 납 앞치마(Apron) 착용 유무와 생식샘 및 목적장기 이외 부위에 대한 방사선 피폭과 피폭선량 감소 방안에 대한 연구 결과 거리가 멀어 질수록, 조사야 조절장치를 가능한 목적장기 부위로 제한 조절할수록, 피사체의 두께가 얇을수록 방사선에 의한 피폭은 감소하였고, 생식샘 차폐 유무에 따른 피폭은 생식샘을 차폐했을 때 약 10~50%의 저감화효과를 얻을 수 있었다. 또한 검사 시 apron 착용 유무에 대한 조사에서는 대부분의 경우 apron을 착용하지 않은 것으로 조사되어 시급히 시정되어야 될 것으로 생각된다.

• 대한의용생체공학회:의공학회지
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• 제28권1호
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• pp.46-54
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• 2007

Objective: The first aim of this study is to determine the effects of acupuncture on the autonomic nervous system (ANS) via Heart Rate (HR) and Pupil Size (PS), and to compare the effects of acupuncture on the subjects' ANS when they are in a sitting position with the effects when they are in a supine position. Methods: Ten healthy male subjects were randomized to receive either verum acupuncture stimulation in a sitting position (SitV), verum acupuncture stimulation in a supine position (SupV), sham acupuncture stimulation in a sitting position (SitS), and sham acupuncture stimulation in a supine position (SupS). Acupuncture stimulation was applied to Neguan point (PC6) on the forearm. The subject's electrocardiogram (ECG) and pupil size were recorded continuously from 5 min before stimulation to 12 min after stimulation. Results: Verum and sham acupuncture stimulation were found to have reduced heart rate (p<0.01) and to have increased pupil size (p<0.01) in all the subjects. But when the reduction in HR and the increment in PS after verum acupuncture stimulation (both sitting and supine position) were compared with those after sham acupuncture stimulation, it was found that the reduction in HR (74.48 and 73.47 bpm, p<0.063) and the increment of PS (7.32 and, 6.10 mm, p<0.001) after verum acupuncture stimulation were greater than those after sham acupuncture stimulation, and that the corresponding values were statistically significant. In addition, at the baseline, it was found that the subjects had a larger PS and a faster HR in a sitting position than when they did so in a supine position. And then the reduction and increment ratio in the subject's HR and PS when they underwent acupuncture stimulation in a sitting position was significantly different from the reduction and increment in their HR and PS when they underwent the procedure in a supine position-i.e., the reduction ratio in HR was greater when they underwent the procedure in a sitting position, and such reduction ratio was statistically significant (p<0.05). As for the increment in PS, it was greater when the subjects underwent the procedure in a supine position, and such increment was significant (p<0.05). Conclusion: Manual acupuncture stimulation on Neguan point (PC6) has more significant influence on the autonomic nervous system rather than sham acupuncture (tactile stimulation). And the position-induced different states of ANS have different influence on the acupuncture effect.

• 한국운동역학회지
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• 제22권3호
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• pp.341-348
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• 2012

The purpose of this study was to compare the muscle activities of the thoracic extensor(TE) and lumbar extensor(LE) during trunk lift (TL) exercise according to exercise position. Seventeen healthy subjects with no medial history of back pain were recruited for this study. Subjects performed the TL exercise in prone, quadruped and heel-sitting positions. The activities of the TE and LE were measured using surface electromyography during TL exercise in each exercise position. A one-way repeated-measures analysis of variance (ANOVA) was used to compare the normalized muscle activities of the TE and LE and the TE/LE ratio. The results showed that there was not significant effect of exercise position on the muscle activities of TE(p>.05). However, there was significant effect of exercise position on the muscle activities of LE and the TE/LE ratio(p>.05). Post hoc pair-wise comparisons with Bonferroni correction showed that both muscle activities of LE and TE/LE ratio in prone position were significantly different in those in heel-sitting and quadruped positions, during TL exercise, respectively. The TE/LE ratio was the greatest for TL exercise in heel-sitting position. Therefore, for selective activation of the TE muscle, we recommend performing the TL exercise in heel-sitting or quadruped position.

• 대한간호학회지
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• 제15권2호
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• pp.25-33
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• 1985

This study intended to investigate the volume of respiration according to the postoperative time and positions among the upper abdominal surgery patients. Tidal volume and vital capacity were measured in three positions-supine, left lateral and sitting position-at preoperatively, 12 hours postoperatively and 36 hours postoperatively. Thirteen male and seven female patients who were admitted for elective abdominal surgery under general anesthesia were the subjects of the study. Those patients with cardiopulmonary problems, obesity and smoking habit were excluded from the study. The study was conducted from March 15 to June 30, 1985 in Seoul National University Hospital. Tidal volume and vital capacity were measured by Wright spirometer in various positions at preoperatively, 12 hours postoperatively and 36 hours postoperatively. The results were as following: 1) Vital capacity was significantly decreased at 12 hours preperatively and 36 hours postoperatively than preoperatively. Vital capacity was not significantly different in Various positions, but sitting position revealed better than left lateral and supine position. Tidal volume was not significantly different in each position. 2) Male patients showed significantly higher than female patients in tidal volume and vital capacity. Vital Capacity was not significantly different by sex in each position, but vital capacity was higher in sitting position than in lateral and supire position. 3) There was not significantly different in tidal volume and vital capacity according to the type of incision and positions, vital capacity was higher in sitting positionthan in left lateral and supine position.

• The Journal of Korean Physical Therapy
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• 제35권5호
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• pp.151-155
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• 2023

Purpose: This study examined the effect of the degree of neck flexion on the muscle activity of the upper trapezius and sternocleidomastoid muscles in the sitting position. Methods: Twenty-five healthy young adults participated in this study. The study was designed to compare the muscle activity of the upper trapezius and sternocleidomastoid muscles according to the neck flexion angle under the three conditions (neutral position, 15° neck flexion, and 45° neck flexion) in the sitting position. During the neck position of three conditions in sitting, the electromyography (EMG) data (% maximum voluntary isometric contraction) of the muscles were recorded using a wireless surface EMG system. Results: The muscle activity of the upper trapezius muscle and the sternocleidomastoid muscles showed a significant difference according to the three-neck position conditions (p<0.05), and in the post-hoc test results, both muscles showed significant differences between the neutral position and 15° flexion, the neutral position and 45° flexion, and the 15° flexion and 45° flexion, respectively. Conclusion: The load on the muscles around the neck and shoulders increased as the neck flexion angle increased. This suggests that performing various daily activities and tasks with the neck as neutral as possible can prevent muscle fatigue or musculoskeletal disorders.

• The Korean Journal of Pain
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• 제10권2호
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• pp.166-169
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• 1997

Background: We have noted a high incidence of vasovagal episodes associated with use of interscalene block(ISB) for shoulder arthroscopy in the sitting position. The purpose of this retrospective study is to alert the possibility of potentially dangerous vasovagal events, describe the characteristics of this problem, and propose therapeutic devices. Methods: Results 62 patients who underwent shoulder arthroscopy in the sitting position with ISB were retrospectively analyzed. Group 1, 10 patients experienced vasovagal events characterized by sudden hypotension and bradycardia. Remaining 52 patients, Group 2, did not experience these symptoms. All patient charts were reviewed for age, sex, side of surgery, premedication, preoperative fluid and intraoperative medications. Perioperative hemodynamic changes were also compared between the two groups. Results: Vasovagal events experienced in 16% of patients(10/62) and occurred $39{\pm}18$ min after sitting position and $22{\pm}18$ min after start of operation. Number of patients who receiving anticholinergics for premedication were significantly lower in Group 1 than Group 2(2/10 vs. 28/52, p<0.05). Conclusions: Bezold-parish reflex is a potential mechanism for sudden hypotension and bradycardia which can occur during shoulder arthroscopy in sitting position. Therefore anticholinergic pretreatment and meticulous monitoring during operation are recommended to prevent B-J reflex.

• PNF and Movement
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• 제17권3호
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• pp.421-429
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• 2019

Purpose: This study evaluated the relationship between pelvic pressure and irradiation of the proprioceptive neuromuscular facilitation (PNF) upper arm pattern exercises with an elastic band while in a sitting position. Methods: Fourteen subjects with asymptomatic pelvic pressure participated in this study. Pelvic pressure was measured using a Gaitview® system while sitting and performing PNF bilateral upper arm patterns. Resistance strength was provided by the blue elastic band. The statistical significance of the results was evaluated using a repeated one-way ANOVA and the independent t-test. The Bonferroni method was used for the post-hoc test. Results: The results revealed a significant change in the pelvic pressure when performing the PNF arm pattern. The average resistance pressure on the pelvis, with the elastic band, significantly increased after the initial sitting position (F=3.91, 3.92; p<0.05). No significant pelvic pressure changes were noted for each PNF upper arm pattern (p>0.05). Conclusion: The results of this study showed a positive relationship between pelvic pressure and the irradiation of PNF upper arm pattern exercises with resistance in the sitting position.

• 한국산학기술학회논문지
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• 제13권8호
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• pp.3513-3520
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• 2012

본 연구는 뇌졸중 환자와 정상 성인이 앉은 자세에서 동적으로 변화하는 지지면의 각도에 적응하여 신체를 정위시키는 능력에 차이가 있는지 알아보기 위해 실시되었다. 뇌졸중 환자 12명(남 6명, 여 6명)과 정상 성인 12명(남 6명, 여 6명)을 대상으로 실시하였고, 앉은 자세에서 지지면을 2가지 방향(우세측, 비우세측)으로 기울였을 때 수직선과 머리와 체간이 이루는 각도를 영상 동작 분석 시스템을 이용하여 측정하였다. 앉은 자세에서 우세한 쪽을 올렸을 때 뇌졸중 환자와 정상 성인의 사이의 머리와 체간의 각도는 유의한 차이를 보였다(p<0.05). 앉은 자세에서 비우세한 쪽을 올렸을 때 뇌졸중 환자와 정상 성인 사이의 머리와 체간의 각도는 유의한 차이를 보였다(p<0.05). 앉은 자세에서 비우세한 쪽을 내렸을 때 뇌졸중 환자와 정상 성인 사이의 머리와 체간의 각도는 유의한 차이를 보였다(p<0.05). 앉은 자세에서 우세한 쪽을 내렸을 때 뇌졸중 환자와 정상 성인 사이의 머리의 각도는 유의한 차이를 보였으나(p<0.05) 체간의 각도는 유의한 차이를 보이지 않았다(p>0.05). 본 연구의 결과, 뇌졸중 환자들이 정상 성인에 비해 동적으로 변화하는 지지면의 각도에 적응하여 신체를 정위시키는 능력에 있어서 다양한 결손이 있음을 확인하였다. 뇌졸중 환자가 앉은 자세에서 환경의 변화에 적응하여 신체를 정위시키는 능력의 분석을 통해 뇌졸중 환자의 앉은 자세 조절의 문제점을 좀 더 명확히 이해할 수 있을 것으로 여겨진다.