• The Journal of Korean Physical Therapy
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• v.32 no.6
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• pp.335-340
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• 2020

Purpose: This study was performed to investigate the influence of the condition with and without external support on the strength of hip flexor in supine position in subjects without core stabilization. Hip flexor muscles are very functional in the hip joint structures. Therefore, it is essential to evaluate the strength of hip flexor in a clinical and precise way. Methods: Twenty subjects participated in this study. The double bent leg-lower test was used to evaluate subjects without core stabilization. The strength of hip flexor muscles was evaluated in supine position, both with and without external support condition. The paired t-test was used to compare the strength of hip flexor muscles according to external support. The level of statistical significance was at α=0.05. The intra-rater reliability of the repeated measures of hip flexor strength was estimated by calculating the intra-class correlation coefficients (ICC). Results: In subjects without core stabilization, the strength of hip flexor in supine was greater with external support than that without external support (p<0.05). In addition, the intra-rater reliability with an ICC (3, 1) of the strength measurement of hip flexor with external support was higher than that without external support. Conclusion: In subjects without core stabilization, the condition with external support can contribute to the strength of hip flexor in supine position and the strength measurement of hip flexor should be considered with the condition with and without external support.

• Tuberculosis and Respiratory Diseases
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• v.45 no.1
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• pp.140-152
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• 1998

Background: Prone position improves oxygenation in patients with ARDS probably by reducing shunt Reduction of shunt in prone position is thought to be effected by lowering of the critical opening pressure (COP) of the dorsal lung because the pleural pressure becomes less positive in prone position compared to supine position. It can then be assumed that prone position would bring about greater improvement in oxygenation when PEEP applied in supine position is just beneath COP than when PEEP is above COP. Hemodynamically, prone position is expected to attenuate the lifting of cardiac fossa induced by PEEP. Based on these backgrounds, we investigated whether the effect of prone position on oxygenation differs in magnitude according to the level of PEEP applied in supine position, and whether impaired cardiac output in supine position by PEEP can be restored in prone position. Methods: In seven mongrel dogs, $PaO_2/F_1O_2$(P/F) was measured in supine position and at prone position 30 min. Cardiac output (CO), stroke volume (SV), pulse rate (PR), and pulmonary artery occlusion pressure (PAOP) were measured in supine position, at prone position 5 min, and at prone position 30 min. After ARDS was established with warmed saline lavage(P/F ratio $134{\pm}72$ mm Hg), inflection point was measured by constant flow method($6.6{\pm}1.4cm$ $H_2O$), and the above variables were measured in supine and prone positions under the application of Low PEEP($5.0{\pm}1.2cm$ $H_2O$), and Optimal PEEP($9.0{\pm}1.2cm$ $H_2O$)(2 cm $H_2O$ below and above the inflection point, respectively) consecutively. Results : P/F ratio in supine position was $195{\pm}112$ mm Hg at Low PEEP and $466{\pm}63$ mm Hg at Optimal PEEP(p=0.003). Net increase of P/F ratio at prone position 30 min, however, was far greater at Low PEEP($205{\pm}90$ mm Hg) than at Optimal PEEP($33{\pm}33$ mm Hg)(p=0.009). Compared to CO in supine position at Optimal PEEP($2.4{\pm}0.5$ L/min), CO in prone improved to $3.4{\pm}0.6$ L/min at prone position 5 min (p=0.0180) and $3.6{\pm}0.7$ L/min at prone position 30 min (p=0.0180). Improvement in CO was attributable to the increase in SV: $14{\pm}2$ ml in supine position, $20{\pm}2$ ml at prone position 5 min (p=0.0180), and $21{\pm}2$ ml at prone position 30 min (p=0.0180), but not to change in PR or PAOP. When the dogs were turned to supine position again, MAP ($92{\pm}23$ mm Hg, p=0.009), CO ($2.4{\pm}0.5$ L/min, p=0.0277) and SV ($14{\pm}1$ ml, p=0.0277) were all decreased compared to prone position 30 min. Conclusion: Prone position in a dog with saline-lavaged acute lung injury appeared to augment the effect of relatively low PEEP on oxygenation, and also attenuate the adverse hemodynamic effect of relatively high PEEP. These findings suggest that a PEEP lower than Optimal PEEP can be adopted in prone position to achieve the goal of alveolar recruitment in ARDS avoiding the hemodynamic complications of a higher PEEP at the same time.

• The Journal of Korean Physical Therapy
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• v.15 no.4
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• pp.488-497
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• 2003

The purpose of this study was to compare the muscle onset time of sternocleidomastoid (SCM) and rectus abdominalis (RA) muscle activity during head lift in supine position between cerebral palsy and healthy children. Ten cerebral palsy children and 10 age, sex-matched healthy children were recruited for this study. Muscle activity of the SCM and RA were collected by surface electromyography (MP100SWS). Results demonstrated that the muscle onset time order was not significantly different between cerebral palsy children and healthy children. However, the DMHT and ST between SCM and RA during head lift in supine position were significantly shorter in healthy children than in cerebral palsy children. Further studies are needed to clarify the mechanism of differences in muscle activation patterns during head lift in supine position in cerebral palsy children compared with healthy children.

• The Journal of Korean Physical Therapy
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• v.16 no.2
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• pp.22-32
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• 2004

The purpose of this study was to examine the effect of ankle-foot orthosis and lumbosacral orthosis on movement patterns used to rise from the supine position to erect stance. Thirty-two healthy adults participated. Subjects were videotaped while rising from a supine position on a floor mat. Each subject performed 10 trials each of three condition;general condition, right ankle-foot orthosis, lumbosacral orthosis. subjects rose most commonly using a symmetrical push pattern of the upper extremities, a symmetrical squat pattern in the lower extremities, a symmetrical in the trunk under each of three conditions. Changes in the incidence of movement patterns occurred in lower extremities of the ankle-foot orthosis and lumbosacral orthosis condition and trunk of the ankle-foot orthosis condition. From a dynamic pattern theory perspective, ankle motion is a control variable for the supine position to erect standing movement.

• The Journal of Korean Physical Therapy
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• v.5 no.1
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• pp.101-108
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• 1993

Physical therapy for patients with Multiple sclerosis, Parkinson's disease, Spinal cord injury. Osteoporosis, CVA and Cerebral Palsy often includes the evaluating and teaching of rolling movements. Motor abilities such as rolling from a supine to a prone position, moving to sitting. getting up on all fours and ultimately standing up from a supine position. represents progression toward physical independence. Rolling is important functional abilities for need to dressing, decubit prevent. bed mobility, neck control, crawling, creeping, sitting, standing and walking. The purposes of this study were to describe motor development concept and rolling task patterns and to approach the therapeutic exercises.

• The Korean Journal of Physiology
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• v.30 no.2
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• pp.237-247
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• 1996

This study was carried out to determine the effect of $-6^{\circ}$ head-down bedrest on the cardiovascular and hormonal responses to orthostasis and to evaluate the mechanism of orthostatic intolerance. Ten healthy young men were changed the body position from $-6^{\circ}$ head-down or supine bedrest for 2 hr to $70^{\circ}$ head-up tilt for 20 min. During the bedrest, there were no differences in hemodynamic and hormonal changes between the head-down and the supine positions. However, the tendency of decreased end-diastolic volume and increased cardiac contractility during the later period of 2 hr showed that the cardiovascular adaptation could be accelerated within a relatively short period in the head-down bedrest. During the head-up tilt, presyncopal signs were developed in five subjects of the supine bedrest, and one of the same subjects of the head-down bedrest. In the tolerant subjects, the increase in cardiac contractility and plasma epinephrine level during the bend-up tilt was greater following the head-down bedrest than that following the supine bedrest to compensate for reduced venous return. The intolerant subjects showed the greater decrease in end-diastolic and stroke volume, and the greater increase in heart rate during the head-up tilt than the tolerant subjects. Cardiac contractility and plasma epinephrine level were remarkably increased. However, arterial pressure was not maintained at the level for the appropriate compensation of the reduced venous return. It seems that the tolerance to orthostasis is more effective after the short-term head-down bedrest than after the supine bedrest, and the secretion of epinephrine induces the higher cardiac performance as a compensatory mechanism fur the reduced venous return during the orthostasis following the head-down bedrest than the supine bedrest.

• The Journal of Korean Physical Therapy
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• v.23 no.5
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• pp.7-14
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• 2011

Purpose: The purpose of this study was to describe the movement patterns when lying from an erect stance to a supine position of healthy adults and hemiplegia patients in the age group from 50 to 70. Methods: The subjects used in this study were 230 patients (144 healthy adults and 86 hemiplegia patients). Movement patterns were classified using categorical descriptions of the action of three body regions: the upper extremity, lower extremity, and the head-trunk region. Results: In the most common supine lying position in healthy adults (29.7%), the female fifties age group performed a symmetrical pattern using the upper extremity region, a symmetrical squat pattern using the lower extremity region, and a symmetrical pattern using the head-trunk region (1-1-1). However, in the most supine lying position in hemiplegia patients (32.0%), the female sixties age group usually performed this pattern by using the upper extremity and lower extremity regions in a squat position by raising the leg, and performing rotation of the head-trunk region (3-4-3). Conclusion: Using this clinical therapy, and considering the patients ability to exercise when lying from an erect stance to a supine position, the proper care could be provided. Moreover, this therapy introduces action based on a variety of training methods and on the effects which might result from any changes.

• The korean journal of orthodontics
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• v.26 no.1 s.54
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• pp.43-52
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• 1996

The purpose of this study was to compare and evaluate the upper airway structure between the snorers and asymptomatic control subjects depending on the positional change. Lateral cephalograms in the upright and supine position were taken in 25 female snorers and 20 female asymptomatic control subjects. The length and the area of the soft palate, tongue and airway were measured and evaluated statistically. The results obtained were as follows : 1. The snorers showed longer and higher tongue, narrower and longer airway, inferiorly positioned hyoid bone, longer and broader soft palate and narrower hypopharynx than the control subjects both in the upright and supine position. In addition, the snorers showed broader tongue area and narrower oropharynx area than the control subjects in supine position. 2. Depending on the positional change from upright to supine position, the controls and the snorers showed decreased airway length and superior positioned the hyoid bone. In addition, the snorers showed decreased tongue length and height, airway length and thickness and oropharynx area, but increased tongue area and soft palate area.

• Korean Journal of Acupuncture
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• v.26 no.4
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• pp.13-22
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• 2009

Objectives : Informations on pulse diagnosis in literature are based on diagnosing pulse waveforms on supine posture. However, today's pulse waveforms are measured on various postures for the convenience of patients or doctors. For objective measurement, the effect of posture on the pulse waveforms should be considered. The objective of this study was to find posture-related changes in the radial pulse waveforms. Methods : We used an instrument, DMP-3000(DAEYOMEDI Co., Ansan, Korea), measuring radial pulse waveforms noninvasively by tonometric method. 25 male subjects participated in the trial. Before measuring radial pulse waveforms subjects had rest for 5 min. The pulse waveforms were measured on the left wrist. Each subject underwent this course on the supine, sitting, and standing posture. We analyzed pulse waveforms with Height-parameters, Time-parameters, Energy, and Elastic rate. Results : Height-parameters(h1~h5) on the supine posture were bigger than those on the sitting and standing posture. In case of Time-parameters, the parameters making up systolic time decrease in order of on standing, sitting, and supine position. However, systolic time and diastolic time didn't have any changes. Energy of pulse was the biggest on supine posture and Elastic rate on standing posture. Conclusions : In this study we found that posture changes affect radial pulse waveforms. For quantification of the changes, more trials should be done. After analyzing much data we might apply parameters of pulse waveforms changed by posture. Also, we might diagnose special disease with properties of pulse waveforms by posture.

• Journal of Neurogastroenterology and Motility
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• v.24 no.4
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• pp.570-576
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• 2018

Background/Aims Swallows with viscous or solid boluses in different body positions alter esophageal manometry patterns. Limitations of previous studies include lack of standardized viscous substrates and the need for chewing prior to swallowing solid boluses. We hypothesize that high-resolution impedance manometry (HRiM) using standardized viscous and super-viscous swallows in supine and upright positions improves sensitivity for detecting esophageal motility abnormalities when compared with traditional saline swallows. To establish normative values for these novel substrates, we recruited healthy volunteers and performed HRiM. Methods Standardized viscous and super-viscous substrates were prepared using "Thick-It" food thickener and a rotational viscometer. All swallows were administered in 5-mL increments in both supine and upright positions. HRiM metrics and impedance (bolus transit) were calculated. We used a paired two-tailed t test to compare all metrics by position and substrate. Results The 5-g, 7-g, and 10-g substrates measured 5000, 36 200, and 64 $700mPa{\cdot}sec$, respectively. In 18 volunteers, we observed that the integrated relaxation pressure was lower when upright than when supine for all substrates (P < 0.01). The 10-g substrate significantly increased integrated relaxation pressure when compared to saline in the supine position (P < 0.01). Substrates and positions also affected distal contractile integral, distal latency, and impedance values. Conclusions We examined HRiM values using novel standardized viscous and super-viscous substrates in healthy subjects for both supine and upright positions. We found that viscosity and position affected HRiM Chicago metrics and have potential to increase the sensitivity of esophageal manometry.