• 대한통합의학회지
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• 제11권3호
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• pp.1-10
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• 2023

Purpose : This study was conducted to determine the effect of intervention using a smartphone application on abdominal muscle thickness and maximum voluntary ventilation when conducting pelvic floor muscle exercise (PFME). Methods : This study was performed on 14 subjects. They were divided into two groups; PFME using smartphone application (n=7), common PFME (n=7). Both of group executed the exercise 5 times a week for 1 weeks. Abdominal muscle thickness was measured using ultrasound. Maximum voluntary ventilation was measured using a spirometer. The smartphone application used the paid version of Kegel trainer. This material was analyzed by the paired t-test to compare differences on each group and the independent t-test to compare between the two groups. Results : The PFME group using the smartphone application showed a significant increase in the transverse abdominis and internal oblique muscles (p<.05). The common PFME group showed a significant increase in the internal oblique muscle (p<.05). There was no significant difference in variation of the muscle thickness between the two groups (p>.05). The PFME group using the smartphone application showed a significant increase in the maximal voluntary ventilation (p<.05). There was no significant difference in variation of the maximal voluntary ventilation between the two groups (p>.05). Conclusion : As a results of this study, PFME using a smartphone application seems to induce voluntary participation of subjects and maintain continuity against time constraints. As a result, it is thought that using a smartphone application when performing PFME is efficient and convenient in terms of research method. However, this study is difficult to generalize due to the small number of subjects and short intervention period. Therefore, additional research should be conducted by modifying and supplementing these limitations.

• 대한방사선기술학회지:방사선기술과학
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• 제41권1호
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• pp.7-12
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• 2018

Patients who visit the emergency room with urinary stones have difficulty lying down in a supine position due to severe pain when performing the KUB test. The purpose of this study was to find methods to reduce the patients' pain and image distortion, and obtain medical images with high diagnostic values. After checking the standard classification of disease and cause of death, the target group consisted of 121 patients who had clearly distinguished stones from computed tomography. Patients with stones in the ureteralvesical junction were excluded. Qualitative image evaluation was performed by confirming the location of the stone in the computed tomography images. and evaluated the rate of visual discrimination of stones possible through KUB and abdominal plain X-ray. Quantitative image evaluation was performed on the KUB, abdominal plain X-ray images. The transverse process of the first lumbar vertebrae served as the standard point, and the length from this point to the lower part of the stone was measured. Results from looking at the rate of visual discrimination of stones possible through KUB and abdominal plain X-ray showed: 94 patients (77.6%) for KUB images and 91 patients (75.2%) for computed tomography images. The standard deviation for KUB and abdominal X-ray was 3 (2.4%). Comparing and analyzing the location from KUB images and abdominal plain X-ray images, the stone position was 10.1 mm in the kidney, 10.5 mm in the ureteropelvic junction, and 9.7 mm in the ureters. It was shown that the stone moved 10 mm on average with significant statistical difference (P<0.05). In cases where the pain is so severe that it is impossible to perform the test in the supine position, an alternative may be to check the stone position by performing a modified KUB test by having the patient stand in a vertical position. In the future, this will provide convenience to both the examiner and the patient when performing the examination, and it will contribute with its reproducibility.

• Journal of Yeungnam Medical Science
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• 제26권2호
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• pp.114-119
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• 2009

Colon cancer is the second most common malignancy in Korea. It is classified as superficial type, the mass type, the ulcerative type, the ulceroinfiltrative type, the diffuse infiltrative type and the unclassified type according to the colonoscopic findings. We report here on a case of colon cancer that was initially misdiagnosed as acute infectious colitis at the initial presentation. A 64-year-old man visited to Yeungnam University Hospital for watery diarrhea and lower abdominal pain. Colonoscopy revealed long segmental edematous mucosa and hyperemic mucosa with stenosis in the transverse colon. He was diagnosed as having acute infectious colitis according to the colonoscopic finding. However, two days later after colonoscopy, he visited the emergency room for hematochezia. We performed computerized tomography (CT) and obtained blood samples to find the origin of the bleeding. We found thickening of the transverse colon lumen and ascites on the CT finding and an elevated level of tumor markers; we also obtained the results of the colonoscopic biopsy that was done via colonoscopy. He was finally diagnosed as having colon cancer with carcinomatosis, a poorly differentiated adenocarcinoma.

• 대한물리의학회지
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• 제7권3호
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• pp.267-274
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• 2012

Purpose : The purpose of this study was to investigate characteristics of the forced pulmonary function test effect by changes in lung function related to postures and by Transverse Abdominis(TrA). Contraction in standing position during forced inspiration and expiration with young female adults. Methods : 10 young female adults were recruited this study. pulmonary Function test was measured with a Master-screen Body (VIASYS Inc., CA, 미국). To check the changes in lung function with different postures, we tested pulmonary function in the standing and supine position each. In the standing position, while the transversus abdominis was activating, we compared the forced inspiration with the forced expiration. Statistical analysis was used Independent t-test to know difference between forced inspiration and expiration of activated TrA. Results : According to the study, the change of pulmonary function were statistically significant difference in the standing compared to the supine position. The contraction of the transversus abdominis causes decrease in the change of forced inspiration and increase in the change of forced expiration. Conclusion : These results indicate that spontaneous contraction of the TrA in standing position helps pulmonary function. And the selective contraction of the transversus abdominis at the end of forced inspiration makes increases in the forced expiration.

• PNF and Movement
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• 제9권3호
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• pp.1-9
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• 2011

Purpose : The purpose of this study was to find the effects of the transverse abdominis/internal abdominal oblique (TrA/IO), multifidus (MF) muscles while stabilization exercise was performed in a four-point kneeling position on the unstable surface. Methods : Twenty healthy adults volunteered to participate in this study. Each subject was instructed regarding maximum voluntary isometric contractions (MVIC) and stabilization exercise in four-point kneeling on the unstable surface. While MVIC and stabilization exercise of individual muscles were being performed, activation of the muscles was measured using surface electromyography (EMG). Activation of the muscles while performing stabilization exercise in four-point kneeling on the unstable surface was normalized to a percentages of the MVIC. Results : TrA/IO, MF muscles showed no significant differences among the surfaces. Conclusion : Activation of the trunk muscles while performing stabilization exercise in four-point kneeling does not effect on the surface.

• 근관절건강학회지
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• 제20권3호
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• pp.189-196
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• 2013

Purpose: The purpose of this study was to investigate electromyographic (EMG) activity of deep and superficial trunk muscles during trunk stabilization exercises with and without stabilization maneuvers. Methods: The relative muscle activity ratios and local muscle activities of 25 healthy males were measured using the 8 channel surface EMG system (Myosystem 1400A, Noraxon Inc., U.S.A). The surface EMG activities were tested during performing abdominal hollowing maneuver (AHM), abdominal bracing maneuver (ABM) and no stabilization maneuver (NSM) in random order. Data were analyzed using $1{\times}3$ repeated measures ANOVA. Results: During bridging exercises, the EMG activity ratio of transverse abdominis/internal oblique abdominis relative to rectus abdominis was significantly lower in NSM than in AHM and ABM. During bridging and kneeling exercises, the EMG activity ratio of multifidus relative to erector spinae was significantly higher in AHM than in NSM. Conclusion: The AHM can be clinically used by the physical therapist to activate selectively the trunk muscles when designing selective training programs for patients.

• Journal of Chest Surgery
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• 제9권2호
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• pp.287-292
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• 1976

This is a report of a case of congenital esophageal hiatus hernia, occurring in a younger child at the age of one year and two months. The child was suffered from vomiting (intermittently coffee-ground vomitus or blood-flecked vomitus), coughing, and high fever for about 3 months.Diagnosis was confirmed by the radiologic barium study of the gastrointestinal tracts. The herniated organs were entire stomach and a part of the transverse colon. They were located in the right chest. The etiologic pathology was mainly congenital developmental defect of the musculature of the diaphragm, forming the posterior margin of the esophgeal hiatus, and additionally slight shorted esophagus. After reduction of herniated organs back to the abdominal cavity through abdominal approach, herniorrhaphy was performed through transthoracic approach with modified Allison's procedure. At the same time, any associated anomalies, such as hypertrophic pyloric stenosis, were not seen. Postoperative course was uneventful.

• The Korean Journal of Pain
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• 제10권1호
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• pp.89-92
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• 1997

Neurolytic splanchnic nerve block is effective for treatment of intractable upper abdominal cancer pain. Conventional approach for splanchnic nerve block is conducted in the prone position to ensure proper orientation and to allow insertion of needles on each side of the vertebral body. However, the prone position has some technical disadvantages as this position is frequently poorly tolerated by a majority of patients with advanced cancer due to severe abdominal pain, ascites and so on. Male patient, 53-year old with transverse colon cancer, carcinomatosis peritonei and $L_1,\;L_2$ vertebral body metastasis, was admitted for treatment of severe right upper quadrant and right iliac crest pain. We performed neurolytic splanchnic nerve block with transdiscal technique in the lateral decubitus position under fluoroscopic guidance, and well noted the usefulness and the advantage of this technique. The benefits of this technique are safe, simple and effective because the lateral position is better tolerated by patients and makes bony landmarks more accessible during fluoroscopy.

• 한국임상수의학회지
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• 제27권1호
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• pp.113-116
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• 2010

A 6-years-old 30 kg male Germen Shepherd dog was presented with the history of abdominal pain, intermittent vomiting and anorexia. Abdominal survey radiography and ultrasonography revealed marked colonic distention. Positive contrast radiography revealed a colonic obstruction between the transverse colon and descending colon. Foreign bodies were identfied during colonoscopy. The descending colon was inflated by the air of endocope then foreign bodies were moved to the descending colon. Foreign bodies were removed by the enema. The dog's clinical signs resolved following foreign body removal.

• 대한물리치료과학회지
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• 제25권3호
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• pp.25-31
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• 2018

Background: The purpose of this study was to find out how changes in knee angles in stable and unstable support surfaces affect the muscle thickness of core muscles. Methods: The subjects of this study were 25 male adult. Each knee angle of 120, 90 and 60 degrees, they were performed bridge exercise on the stabilized surface and on the unstable support surface using TOGU, and measured the muscle thickness of the external and internal oblique muscle and the abdominal muscles through ultrasound images. Results: There was no significant difference between the thickness of the rectus abdominis and the internal oblique muscle depending on the support surface and the knee joint bending angles. However, there was a significant difference between the external oblique muscle and the transverse abdominis muscle by knee joint flexion angle. Conclusion: While the muscle thickness of the core muscle was not significantly affected by each support surface during the bridge exercise, there were significant changes in the core muscle as a result of changes in knee angle.