• Journal of Korean Neurosurgical Society
• /
• v.30 no.sup1
• /
• pp.128-132
• /
• 2001

Aneurysm of the basilar artery trunk are rare and the surgical approach is very difficult because of the complexity of surgical anatomy around the basilar trunk and the vulnerable adjacent neurovascular structures. The development of brain CT and MRI makes the accurate diagnosis and produces the improvement of surgical approaches at the lesion of the skull base. One of the surgical approaches of basilar trunk aneurysms, the retrolabyrinthine presigmoid transtentorial transpetrosal approach to the aneurysm of the basilar trunk has some advantages of minimal retraction of cerebellum and temporal lobe, intact auditory and facial nerve function by the preservation of the vestibulocochlear and facial nerves, a preservation of sigmoid sinus and vein of Labbe and a relatively good operation field. We had a good result with this approach for the patient of basilar trunk aneurysm and reported the case with the review of literatures.

• Journal of Korean Physical Therapy Science
• /
• v.27 no.3
• /
• pp.75-83
• /
• 2020

Background: The effect of the Valsalva maneuver applied in resistance exercise has shown contradictory results. This study aims to investigate the effect of the Valsalva maneuver on resistance exercise by examining the changes that occur by applying the Valsalva maneuver during trunk flexion and extension resistance exercise in healthy adults. Design: Randomized controlled trial. Methods: 34 healthy adults were conveniently recruited. According to the with or without Valsalva maneuver, the flexion and extension of the trunk were measured and evaluated. Results: Paired t test showed that there was a statistically significant difference in maximum torque of trunk flexion in the resistance exercise with Valsalva maneuver. However, there was no statistically significant difference in trunk extension (p<.05), in the total and average work of trunk flexion and extension (p<.05). Conclusion: The results of this study in which the difference in the amount of exercise according to the application of the Valsalva maneuver was not significant, show that the practice of the Valsalva maneuver, which has a risk of injury, should be avoided in rehabilitation exercises.

• Physical Therapy Rehabilitation Science
• /
• v.10 no.2
• /
• pp.156-160
• /
• 2021

Objective: Low back pain easily becomes chronic and has a high recurrence rate. Therefore, it is most important to prevent chronicity and reduce the risk of recurrence in the early stages of back pain or at the stage with mild pain. Therefore, this study was conducted to compare hip joint muscle strength, trunk muscle endurance, and pelvic alignment between subjects with mild low back pain and subjects without back pain. Design: Crossed-sectional study Methods: The study was conducted by recruiting 30 students in their twenties who are enrolled in K University in Gyeongsangnam-do, and classifying them into 15 patients with mild back pain and 15 patients with normal. The subjects who participated in the experiment were measured for hip flexor and extensor muscle strength, trunk flexion and extension muscle endurance, and pelvic alignment. To measure hip joint muscle strength, biodex was used, and muscle endurance of the trunk was recorded at the end range of the trunk flexion and extension. And pelvic alignment was measured using Formetric 4D. Results: There were no significant differences in hip joint muscle strength, pelvic alignment, and trunk extension muscle endurance. The retention time was found to be significantly shorter in the mild low back pain group than in the normal group for trunk flexion muscle endurance. Conclusions: In the early stages of back pain or in the mild pain stage, training to increase muscle endurance of the flexor muscles may be helpful.

• Journal of the Korean Society of Physical Medicine
• /
• v.17 no.3
• /
• pp.31-40
• /
• 2022

PURPOSE: This study was conducted to investigate the effects of postural control training using a visual blind board, on head control, trunk control, and the sitting abilities of children with moderate-to-severe cerebral palsy. METHODS: Ten children with moderate to severe cerebral palsy participated in this study. Postural control training with a visual blind board was given for 40 minutes per session, 3 times a week for 4 weeks (12 sessions). Before and after the intervention, head control, trunk control, and sitting abilities were quantified using the head control scale, Korean version-trunk control measurement scale, and the sitting part of the Korean version-gross motor function measure-88, respectively. RESULTS: Postural control with the visual blind board significantly improved the head control ability of children with moderate to severe cerebral palsy (p = .015). Their trunk control abilities also showed significant improvement after the intervention (p = .016). However, their sitting ability did not show a significant change. CONCLUSION: These results showed that postural control training using a visual blind board is effective in improving the head and trunk control abilities of children with cerebral palsy. Further studies with suitable sample sizes and control groups are needed to reach a conclusion about the use of postural control training with visual blind boards for improvement of postural control of children with moderate to severe cerebral palsy.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.28 no.2
• /
• pp.45-55
• /
• 2022

Background: This study compared the effects of trunk stabilization exercise and hip joint exercises on the range of motion of the lumbar spine, pain severity, and severity of disability in patients with chronic lower back pain. Methods: A total of 30 participants were enrolled and divided into group 1 (n=10), group 2 (n=10), and group 3 (n=10) were performed by each group thrice a week for a total of 8 weeks. Group 1 performed warm-up exercise (15 min), trunk stabilization exercise (25 min), finish-up exercise (15mins). Group 2 performed warm-up exercise (15 min), hip exercise (25 mins, finish-up exercise (15mins). Group 3 warm-up exercise (15 min), trunk stabilization and hip exercise (25 min), Finish-up exercise (15 min). Participants were assessed for the range of motion of the lumbar spine, pain severity (visual analog scale score; VAS), and severity of disability (Oswestry disability index score; ODI) before and after the interventions. Results: All three groups showed a significant increase in the range of motion of the lumbar spine, but there was no significant difference among the groups. Moreover, the severity of pain and ODI were significantly decreased in all groups; however, the intergroup differences were non-significant. Conclusion: The results from this study confirmed the effectiveness of trunk stabilization and hip joint exercise in improving the lumbar range of motion, pain severity, and chronic lower back pain in patients. Thus, trunk and pelvic stabilization exercises and hip joint exercise can be used as clinical practices to treat and prevent chronic lower back pain.

• Physical Therapy Korea
• /
• v.30 no.3
• /
• pp.245-252
• /
• 2023

Background: Various functional tests such as upper quarter Y-balance test (UQYBT) are used to evaluate shoulder stability and mobility in clinical or sports fields. Previous studies have been conducted to determine the correlation between the scapular or trunk muscle and UQYBT. However, the correlation between UQYBT and hip flexor, which can be considered as a core muscle, has not been confirmed. Objects: To verify the relationship between the UQYBT and scapular muscle (scapular protractor and lower trapezius [LT]), trunk muscle, and hip flexor strengths in healthy male participants. Methods: A total of 37 healthy male participants were recruited and underwent UQYBT in the push-up posture. The isometric strength of the scapular protractor, LT, trunk flexor and extensor, and hip flexors were measured using a smart KEMA strength sensor (KOREATECH Inc.). Results: The superolateral direction of the UQYBT was moderately to strongly related to trunk extensor (r = 0.443, p < 0.01), scapular protractor (r = 0.412, p < 0.05), LT (r = 0.436, p < 0.01), and both sides of the hip flexors (supporting-side: r = 0.669, p < 0.01; non-supporting-side: r = 0.641, p < 0.01). The inferolateral direction of the UQYBT was moderately related to the scapular protractor (r = 0.429, p < 0.01), LT (r = 0.511, p < 0.01), and both sides of hip flexors (supporting-side: r = 0.481, p < 0.01; non-supporting-side: r = 0.521, p < 0.01). The medial direction of the UQYBT was moderately to strongly related with the scapular protractor (r = 0.522, p < 0.01), LT (r = 0.541, p < 0.01), and both sides of hip flexors (supporting-side: r = 0.605, p < 0.01; non-supporting-side: r = 0.561, p < 0.01). Conclusion: This study showed that the strength of the scapular muscles, trunk muscles, and hip flexor muscles correlated to the UQYBT. Therefore, the strength of not only the scapular and trunk muscles but also the hip flexor muscles should be considered to improve the UQYBT.

• The Korea Journal of Herbology
• /
• v.23 no.2
• /
• pp.41-49
• /
• 2008

Objectives : In order to distinguish morphological characteristics of trunk bark and root bark of Ulmus davidiana var. japonica (Rehder) Nakai and the trunk bark and root bark of Hemiptelea davidii Planchon were sampled and compared in terms of their external and internal features with flour states according to their medical use, through microscopic examination. Methods : The slice of the tested material made by paraffin section technique was colored with Safranine Malachite Green contrast methods, and the flour of it was mounted by the liquid made by the same ratio of each of glycerin, acetic acid, and water, and then observed and photographed by olympus-BHT. Results : 1. Internal Features 1) A large parenchymatous cell was observed in the phloem of the slice of both trunk bark and root bark of Ulmi Cortex. However, both of the trunk bark and root bark of Hemipteleae Cortex did not have parenchymatous cell in the phloem; instead, stone cells including much square crystal of calcium oxalate were distributed around fiber bundle, and the parenchymatous cell included much druse crystal of calcium oxalate. 2) In both the Ulmi Cortex and Hemipteleae Cortex, rhytidome was observed in trunk bark, but not in root bark, but in the parenchymatous cell of the root bark of the Ulmi Cortex contained starch grain. 2. Flour States 1) In the flour of root bark of the Ulmi Cortex, a large parenchymatous cell was observed. However, in the flour of trunk bark and root bark of Hemipteleae Cortex, no parenchymatous eel was found; instead, stone cell including square crystal of calcium oxalate and druse crystal of calcium oxalate were observed. 2) There was no remarkable difference between the trunk bark and root bark of Hemipteleae Cortex. However, starch grain was contained in the parenchymatous cell of the root bark of Ulmi Cortex but not in the trunk bark of it. Conclusions : There were some morphological differences in external, internal, and flour parts of Ulmi Cortex and Hemipteleae Cortex. In particular, there was a morphological difference in flour states between the trunk bark and root bark of Ulmi Cortex, it is possible to use microscope to distinguish their flour states.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.13 no.10
• /
• pp.4629-4635
• /
• 2012

This study was aimed at the relationship between peak EMG amplitude on low back muscles acting on L5/S1 and load center of gravity, trunk lateral bending while lifting an object. Musculoskeletal disorders including low back pain can occur even when handling heavy objects only once as well as when doing non-heavy materials repeatedly. 11 male subjects with average 23 age were required to lift a 15.8kg object symmetrically three times. Peak EMG amplitudes on 6 muscles related with L5/S1 were recorded and analyzed. The lifting conditions consisted of lifting symmetric load with no trunk lateral bending, asymmetric load with no trunk lateral bending, and asymmetric load with trunk lateral bending to the load center of gravity within an object. The results showed that peak EMG amplitude on back muscles contralateral to load center of gravity was observed greater in comparison with the symmetric load. Also, in case of lifting asymmetric load the posture with trunk lateral bending increased peak EMG amplitude on muscles contralateral to load center of gravity more than with no trunk lateral bending. This research can be used as one administrative intervention in order to reduce the low back pain incidence with suggesting workers that they keep the trunk not bending to load center of gravity if possible when lifting a heavy asymmetric object.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.12 no.3
• /
• pp.1244-1252
• /
• 2011

This study was to investigate the effect of intensive trunk-pelvic stabilizing training using sling exercise on trunk muscle activity and balance in patients with hemiplegia. Twenty hemiplegic patients(6 month ${\leq}$, 1 years >) participated were divided into two groups randomly. Control group(n=10) had only general rehabilitation training and experimental group(n=10) had both the general rehabilitation training and intensive trunk-pelvic stabilizing training using sling. They were treated for 30 min./5 times/4 week. I measured ability of trunk control, muscle activity, and balance which were done before and after the intensive training using sling. In significant difference after training, show a significant difference in TIS(p<.001), in particular static(p<.05), dynamic(p<.01), coordination(p<.05) and muscle activity of RA(p<.001), EO(p<.001), ES(p<.001), Multifidus(p<.05), FMA(Balance)(p<.01), and static(p<.001) & dynamic(p<.001) balance ability on MTD-Balance system. As this study proved effective therapeutic exercise of trunk muscle activity and balance ability on intensive trunk-pelvic stabilizing training using sling, it could identify importance of trunk-pelvic stabilizing and control on balance.

• Journal of the Korea Convergence Society
• /
• v.11 no.3
• /
• pp.245-252
• /
• 2020

The present study aimed to identify the effects of the trunk stability exercise on functional movement, dynamic balance, and trunk stability in patients with chronic low back pain, and to compare the difference among yoga exercise, pilates exercise and core exercise. Forty-three patients with chronic low back pain were divided into three groups; 15 yoga groups, 15 pilates groups, and 13 core exercise groups. All subjects were tested the Functional movement, dynamic balance, and trunk stability using Functional Movement Screen (FMS), Lower Quater Y-Balance Test (YBT-LQ) and Trunk Stability Test (TST), respectively, and after each 8-week exercise program was applied, all variables were retested. After exercising during 8 weeks, FMS, YBT-LQ and TST scores of all three groups were significantly improved, compared to before, but there were no interaction effect among three groups depending on application of exercise program. These results showed that yoga, pilates and core exercise help to improve functional movement, dynamic balance and trunk stability in adults with chronic low back pain.