• Title/Summary/Keyword: Treatment Posture

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Change to Pain's Level of Chronic Back pain patient With Hamstring Shortening in 27year's old After Application to Active Therapeutic Movement (ATM) and Sling Exercise-Case study (슬괵근 단축이 있는 27세 남자 만성요통환자의 ATM, 슬링운동치료 적용 후 통증수준의 변화-사례연구)

  • Yu, Woung-Sik;Jeon, Cha-Sun;Won, Sang-Hee
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.1
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    • pp.64-71
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    • 2009
  • Purpose: to purpose prevent to dysfunction and decrease to pain level use to active therapeutic movement and sling manual, stability exercise in shortening hamstring chronic back patient. Methods: The patient's complain was Buttock and Lower Back Pain due to dysfunction posture work. The subject's initial Pain Scale was 60 of 100(VAS). The Subject Treatment to Sling Mobility exercise, Home exercise, ATM, Sling Stability exercise, sensory motor training During 8weeks for 18 times. Results: The result was Visual Analog Scale(VAS)was decreased 10 of 100 after treatment. Conclusion: Visual Analog Scale(VAS)was decreased 10 of 100 after treatment. Functional Leg Length Was recover to same level. Trunk Flexibility was increase to 18cm. Active Knee Extension ankle was decrease to $15^{\circ}$ limit range of motion due to Lt. Hamstring Shortening limit range of motion $30^{\circ}$. GPS(Gobal Postural System)test was recover to same level. This case study need to sufficient data and times.

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Pharmacoacupuncture Treatment of Coccygodynia Caused by Perforating Cutaneous Nerve Entrapment Syndrome: Two Cases Report (관통피부신경 포착으로 발생한 꼬리뼈 통증 환자 약침치료 치험 2예)

  • Moon, Sori;An, Sunjoo;Choi, Seonghwan;Park, Seohyun;Keum, Dongho
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.149-156
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    • 2019
  • This study was performed to evaluate the effectiveness of pharmacoacupuncture treatment of coccygodynia caused by perforating cutaneous nerve entrapment syndrome. Two patients were diagnosed as coccygodynia caused by perforating cutaneous nerve entrapment syndrome which pain was within the anatomical field of the nerve, worsened by pressure-inducing posture, no objective sensory loss and in presence of pin-point tenderness. They were treated by pharmacoacupuncture at perforating cutaneous nerve region penertrating the sacrotuberous ligament and local tenderness point of coccyx. The evaluation of clinical outcome was done by pain intensity numerical rating scale (PI-NRS), pressure pain threshold (PPT) and EuroQol five dimensions questionnaire (EQ-5D) index. After treatment, their PI-NRS was decreased, PPT and EQ-5D index were increased. The pharmacoacupuncture therapy at entrapment point of perforating cutaneous nerve could be an effective way to treat coccygodynia caused by perforating cutaneous nerve entrapment syndrome.

A Case Report on the Immediate Effects of Cytoskeletal Manual Therapy on Pain, Muscle Thickness, and Pressure Pain Threshold in a Patient with Scoliosis

  • Hyunjoong Kim;Dajeong Kim
    • Physical Therapy Rehabilitation Science
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    • v.12 no.1
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    • pp.19-25
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    • 2023
  • Objective: Patients with scoliosis complain of various symptoms such as muscle imbalance, dysfunction, back pain, abnormal posture and gait abnormality. The most basic treatment for scoliosis is to observe the progress based on conservative treatment. Therefore, in this case report, the effect of cytoskeletal manual therapy (CMT), a soft tissue mobilization technique, on pain intensity, muscle thickness, and pressure pain threshold (PPT) in a patient with scoliosis was investigated. Design: A case report Methods: A 25-year-old male diagnosed with scoliosis visited the Neuromusculoskeletal Science Laboratory with chronic back pain. In the laboratory, scoliosis was confirmed through the X-ray image used for his diagnosis, and it was confirmed again through Adam's forward bending test. Pain, pressure pain threshold and muscle thickness were measured to compare the immediate effects of CMT applied in the laboratory for 40 minutes. Treatments were visited two weeks after the first visit and outcome measures were assessed after a total of two visits. Results: After receiving CMT up to the second session, the pain intensity decreased by 4 points and the screening angle decreased by 15 degrees. Muscle thickness decreased in all but 10 mm on the dominant side of the thoracic spine. All of the PPTs increased, and the greatest increase was 3.1 lb on the dominant side of the thoracic spine. Conclusions: CMT showed positive improvement in pain during trunk flexion, spinal curvature, muscle imbalance, and pressure pain, which is considered as an ancillary treatment option for scoliosis management.

Effects of bed cleanliness on tucked and extended sleep-related lying postures of Japanese Black fattening cattle

  • Shen Dan;Hidetoshi Kakihara;Michiru Fukasawa
    • Animal Bioscience
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    • v.36 no.11
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    • pp.1769-1774
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    • 2023
  • Objective: Resting comfort may influence sleep-related lying postures in cattle. This study aimed to investigate the effects of bed cleanliness on tucked (TSP) and extended (ESP) head positions in sleep-related lying postures. Methods: The study was conducted over two experimental periods. In each period, four Japanese Black fattening cattle were assigned to the cleaning treatment (CL), in which bedding material was replaced once during each experimental period. Four cattle were assigned to the control treatment (CON) with no bed cleaning. Daily duration, bout frequency, and bout length of sleep-related lying postures were measured, and bed moisture, ammonia concentration in the air, plasma cortisol, and serotonin concentration were also measured within one week before and after cleaning treatment in each period. Results: The bed moisture and ammonia concentrations decreased in CL after bed cleaning. Following bed cleaning, the duration and bout frequency of TSP in CL decreased compared to that observed in CON, whereas ESP in CL increased after bed cleaning. Total duration of sleep-related lying postures and cortisol and serotonin levels did not differ between CL and CON. Conclusion: These results suggest that cattle in sleep-related lying postures shifted from tucked head positions to extended head positions in response to improved bed cleanliness.

MODALITY OF MALOCCLUSION ACCORDING TO REGIONAL DIFFERENCE USING HLD (HANDICAPPING LABIOLINGUAL DEVIATION), TPI(TREATMENT PRIORITY INDEX) AND HMAR(HANDICAPPED MALOCCLUSION ASSESSING RECORD) (HLD (Handicapping Labiolingual Deviation), TPI (Treatment Priority Index)와 HMAR (Handicapped Malocclusion Assessing Record)를 이용한 지역간 부정교합 양상에 관한 연구)

  • Sohn, Byung-Wha;Hwang, Chung-Ju;Hwang, Hyun-Sik
    • The korean journal of orthodontics
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    • v.23 no.1 s.40
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    • pp.17-35
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    • 1993
  • We tried to evaluate frequencies and severities of malocclusion of various socioeconomic areas according to growth and development. To obtain objective validity, we used Handicapping Labiolingual Deviation (HLD) suggested by Draker, Treatment Priority Index (TPI) by Grainger, Handicapped Malocclusion Assessing Record (HMAR) by American Dental Association and American Association of Orthodontist. Seoul and Kwangju were selected as an urban group, Ahnyang as an middle socioeconomic group and Hwasun near the Kwangju area as an rural group. 140 (male 63, female 73) of 5th grade in 'E' elementary school students in Seoul, 202 (male 101, female 101) of 'S' elementary school students in Kwangju, 207(male 105, female 102) of 'H' elementary school students in Hwasun, and 100(male 49, female 51) of 'M' elementary school students of in Ahnyang of all the same grade were analyzed and we obtained the results as follows; 1. TPI, HLD, and HMAR showed high coincidence and reproducibility between different observer. (p<0.01) 2. In comparison of TPI, HLD, and HMAR according to clinical decision, there was statistically difference between each other. (p<0.01) 3. As the severity of malocclusion increases there was high correlation between TPI and HLD, and between HLD and HMAR (p<0.05) 4. With respect to differences between areas in TPI and HLD, there was statistically difference between Ahnyang and other areas. 5. In Seoul as an urban group there was a high incidence of periodic checkup and history of orthodontic treatment than other area. 6. Mode of feeding and posture during sleeping did not affect the severity of malocclusion. As a conclusion, TPI, HLD and HMAR are so reproducible and coincident that they can be used as a guide on evaluating the frequency and severity of malocclusion and determining the priority of orthodontic treatment to determine the need and supply of orthodontic treatment. Furthermore these indices can provide objectively valid data for establishing public health problem solution.

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Evaluation of Setup Usefulness of CBCT using Rando Phantom (인체 팬텀(Rando Phantom)을 이용한 CBCT의 Setup 유용성 평가)

  • Jang, Eun-Sung
    • The Journal of the Korea Contents Association
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    • v.11 no.7
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    • pp.234-238
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    • 2011
  • This paper will evaluate the usefulness of 3D target of CBCT by comparing human body's posture and position when simulated treatment is being carried out as well as human phantom posture and position using CBCT which is applying OBI. From the Rando Phantom which is located in the datum point moved in parallel and rotationary direction using CBCT. Then the mean and standard deviation difference on images location difference that are acquired were compared with real the Rando Phantom' moved distance. To make a plan of simulated treatment with the same procedure of real radiation therapy, we are going to setup the Rando Phantom. With an assumption that the position is set in accurate place, we measured the setup errors accroding to the change of the translation and rotation. Tests are repeated 10 times to get the standard deviation of the error values. The variability in couch shift after positioning equivalent to average residual error showed lateral $0.2{\pm}0.2$mm, longitudinal $0.4{\pm}0.3$mm, vertical $-0.4{\pm}0.1$mm. The average rotation erroes target localization after simulated $0.4{\pm}0.2$ mm, $0.3{\pm}0.3$ mm, and $0.3{\pm}0.4$ mm. The detection error by rotation is $0{\sim}0.6^{\circ}$ CBCT 3D/3D matching using the Rando Phantom minimized the errors by realizing accurate matching during simulated treatment and patient caring.

Influence of Superficial Heat and Deep Heat for Lumbo-sacral Segment on H-Reflex (흉요추부의 표재열 및 심부열 적용이 H 반사의 변화에 미치는 영향)

  • Yoon, Se-Won;Lim, Young-Eun;Lee, Jeong-Woo
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.5 no.2
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    • pp.1-9
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    • 2007
  • Purpose: The purpose of this study was to investigate influence of superficial heat and deep heat for lumbo-sacral segment on H-reflex. Methods: Subjects of this research were 12 normal men and women (6 men and 6 women) and they were assigned to superficial heat group (6) and deep heat group (6). Heat treatment was applied between Th12-L2 by placing them at prone posture. superficial heat was applied for 20 min at 30 cm height with infrared lamp. Deep heat was applied for 20 mm at 5 cm height with 100 watt of microwave diathermy. H-reflex used diagnostic electromyography, active electrode was placed at muscle belly of medial gastrocnemius muscle at prone posture and electrical stimulation was given to posterior tibial nerve. Measurement was made before and after experiment and 10 min. and 20 min. after experiment. All data were analyzed with window 12.0 program, comparison of differences among measured items of groups according to repeated measurement was made with repeated measures ANOVA and significance level a was 0.05. Results: M latency at latency analysis showed little changes at two groups. H latency was reduced a little immediately after experiment and recovered to original state, there was significant difference. In analysis of amplitude, Mmax amplitude showed rise a little immediately after.

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Factor analysis of Presence (Presence련와 관련된 요인 분석)

  • 조계화;성기월
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.225-239
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    • 2000
  • This study is a research of conceptual development to find the factors of presence. The concept and the definition of presence received from literary review. On the basis of these findings, we formulate the contents of presence through structured interview guide composed of open-ended questionnaire which included the frequency, attitude, and posture. We selected 104 samples who are the patients, doctors, nurses, and other health providers. And then the contents of presence were established after integrating the formulated contents and putting them in order. The categorizing of the presence was made after discussing with specialist in this field. By using the selected contents, we made 25 statements of presence which were categorized into three factors. The results were as follows: 1. The definition of presence is being with at the same time and space, making attention with openness, and the therapeutic interaction with empathy. 2. The contents of presence through personal interviews are The time required is 5 minutes(46.15%), 2-3 minutes(34.61%), and 10 minutes (15.38%) respectively. The frequency of visiting is 3 times(39.20%), every time(23.07%), and more than 5 times(20.19%) respectively. \circled2 In case of being with nurse is having pain(39.42%), suffering trouble or severe fear(9.61%), feeling discomfort(8.65%), taking care of wound(7.69%), and other unfavorable symptoms(6.73%) respectively. \circled3 The posture being with nurse is depends on the situations(63.46%), sitting(26.92%), and standing(9.61%) respectively. Eye contact with nurse is face to face(78.84%), depends on the situations(20.19%), and not face to face(0.96%) respectively. \circled4 The attitudes of comfort are explaining about disease(23.07%), holding on hands (14.42%), touching on the suffering parts (11.53%), and unconditionally being with(7.69%) respectively. \circled5 Nurses' caring actions are kindness (27.88%), replying to the question (12.50%), smiling(10.57%), bright appearances (8.65%), and right and quick treatment(8.65%) respectively. \circled6 The effects of being with are peaceful mind(58.65%), quick recovery(13.46%), and decrease in fear(12.50%) respectively. \circled7 The attitudes of being with are listening (11.53%), recognition(8.65%), talking about discomfort(8.65%), and answering kindly (7.69%) respectively. 3. From the analysis of presence factors, 25 statements and 3 categorized factors are presented.

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An Ergonomic Analysis on Working Posture Associated with Dental Treatment Using Indirect Viewing Method (간접보기 도구를 이용한 치과 진료 관련 작업자세에 대한 인간공학적 분석)

  • Son, Chang-Won;Choi, Soon-Young;Park, Dong-Hyun
    • Journal of the Korea Safety Management & Science
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    • v.12 no.2
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    • pp.55-64
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    • 2010
  • This study tried to focus on nontraditional job that has not been studied in terms of the subjects associated with MSDs(Musculoskeletal Disorders). Specifically, dental procedure was the job to be analyzed in this study. An alternative method as well as a traditional method for viewing teeth while performing simulated dental procedures. Four graduated students did both methods(direct view and indirect view) as the subjects in this study. The method based on indirect view used a video camera and monitor to view the teeth. The experiment was conducted five times for each subject. The major findings in this study were as follows; 1) Job speed was increased with the repetitions for both methods, 2) Difference of Neck flexion between direct and indirect methods was statistically siginificant(Neck flexion for indirect method was dramatically decreased), 3) Difference of job speed between direct and indirect methods was statistically significant(Job speed for direct method was faster than that of indirect method), 4) Difference of error rate between direct and indirect methods was statistically significant(error rate for direct method was lower than that of indirect method), 5) Even though indirect method did not provide better performance in terms of job speed and error rate yet, it seemed to need a trade-off between two methods in the future since indirect method provided better working postures than that of direct method.

Dose Assessment According to Application of Carbon Fabric Blanket During Radiation Therapy of the Spine Metastasis Cancer (척추 전이암 환자의 방사선치료 시 Carbon Fabric Blanket 적용에 따른 선량평가)

  • Yang, Myung-Sic;Kim, Jung-Soo;Lee, Sun-Young;Kwon, Hyoung-Cheol
    • Journal of radiological science and technology
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    • v.42 no.1
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    • pp.61-66
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    • 2019
  • The purpose of this study was to improve the unstable treatment posture by placing the Carbon fabric blanket on the couch which was used for the patient fixation for the unstable posture from the severe pain caused by the neuromuscular pressure of the spinal metastatic cancer patient and to analyze the dose difference caused by the energy loss of high energy radiation. Using a linear accelerator, a FC-65G was installed at a depth of 5 cm at a solid phantom at 6 MV and 10 MV energies. The SAD was 100 cm, Gantry angle was $0^{\circ}$, a Cotton and Carbon blanket with a thickness of 1 cm on the couch, The blankets were placed on the couch and the dose was measured according to field size. For the dose measurement, and the dose was measured at 100 MU each time, and the mean value was calculated by repeating the measurement three times in order to reduce the error. The results showed that the difference rate in dose between Carbon blanket and Cotton blanket was respectively -0.54% and -0.75% based on the absence of the blanket(Non). Therefore, it is considered that the use of Carbon fabric blanket, which reduces the patient's pain and does not affect the depth dose, may be useful during radiation therapy of the spine metastasis cancer.