• 제목/요약/키워드: lumbar spine measurement

검색결과 73건 처리시간 0.025초

도시에 거주하는 중년 여성들의 골밀도와 이에 영향을 미치는 인자들에 관한 연구 2. 골밀도에 영향을 미치는 요인에 관한 연구 (Bone Densities of the Middle Aged Women Residing in the City and Related Factors)

  • 손숙미;이윤나
    • 한국식품영양과학회지
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    • 제27권6호
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    • pp.1279-1284
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    • 1998
  • This study was conducted to investigate the effect of physiological and behavioral factors on the bone density of 125 middle aged women who visited Saint Bundo Hospital. 16.1% of subjects had osteoporosis and 40.3% had osteopenia according to the measurement of the bone density of lumbar spine. Mean age was 56.9 in osteoporosis group and 53.7 in osteopenia group. It was significantly different from the mean age of control group, 50.7. The mean bone density of the women who had menarche after 15 years old was significantly lower than that of the women who had menarche before 15. But the age of menopause, the total year of menstruation, irregularity of the menstrual cycle and percentage of subjects who had ovariectomy were not significantly different among osteoporosis, osteopenia and control group. The use of medication such as oral contraceptive, steroid, depressant, diuretic, and Ca supplement and the preference of salty food were not significantly different among three groups. The percentage of subjects who had rheumatism, gastric ulcer, and pain in neck or shoulder was higher in osteoporosis and osteopenia group than in control group. This study shows that the age and the age of menarche affect the bone density, and that behavioral factors were not sig nificantly different in osteoporosis and osteopenia group compared to the control group. Further researches are needed to find out the effective way to minimize the effect of age and other physiological conditions on the decrease of bone density.

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Correlation between anterior thigh pain and morphometric mismatch of femoral stem

  • Chung, Haksun;Chung, So Hak
    • Journal of Yeungnam Medical Science
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    • 제37권1호
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    • pp.40-46
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    • 2020
  • Background: Postoperative pain occurring after hip arthroplasty has become common since the expanded use of cementless femoral stems. The characteristic pain develop in the anterolateral thigh area. This study aimed to predict anterior thigh pain based on the measurements of postoperative anteroposterior (AP) and lateral (Lat) radiographs of the hip joint. Methods: The present study included 26 patients (29 hips) who underwent total hip replacement or bipolar hemiarthroplasty between March 2010 and May 2016, whose complete clinical information was available. AP and Lat radiographs of the affected hip were taken on the day of surgery and 1 and 6 months postoperatively. Patients with improper radiographs were excluded. The distance from the femoral stem to the nearest cortical bone in the distal region of the stem was measured. The patient group with a visual analog scale (VAS) score of ≥6 points was designated as patients with anterior thigh pain. Results: Sex, age, weight, height, body mass index, and bone mineral density in the lumbar spine and femur did not have a significant effect on postoperative VAS scores (p>0.05). Presence of contact between the femoral stem and cortical bone was associated with postoperative anterior thigh pain. Conclusion: Hip AP and Lat radiographs are usually taken to confirm fixation and alignment of the femoral stem after hip arthroplasty. The measurement method introduced in this study can be utilized for predicting anterior thigh pain after hip arthroplasty.

폐경 여성의 생식 관련 요인과 생활양식이 골밀도에 미치는 영향 (Influence of the Reproductive Factor and Life Style Factor in Postmenopausal Women's Bone Mineral Density)

  • 김태임;이미경
    • 여성건강간호학회지
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    • 제14권1호
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    • pp.12-19
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    • 2008
  • Purpose: This study was to identify the influencing factors in postmenopausal women's bone mineral density (BMD). Method: The sample for the study was 107 postmenopausal women who took the BMD test. For BMD measurement, lumbar spine BMD(L2-5) was measured by Dual-energy X-ray absorptiometry(DEXA). Data was collected by questionnaires on the selected variables such as reproductive factors and life style factors. Result: In reproductive factors, parity shows significant differences with BMD (F=4.16, p=.02). In life style factors, diet (F=3.01, p=.05) and exercise (F=7.39, p=.00) show significant differences with BMD. Excercise, diet and parity accounted for 42.0% of the influencing factors in Postmenopausal Women's Bone Mineral Density. Conclusion: The influencing factors in postmenopausal women's bone mineral density were excercise, diet and parity. In this paper, it is suggested that the influence of reproductive and life style factors in postmenopausal women's BMD should be studied by long term and needs repeated research. This study can be used as foundation material for nursing education program development for osteoporosis prevention and improvement.

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Development of a System Observing Worker's Physiological Responses and 3-Dimensional Biomechanical Loads in the Task of Twisting While Lifting

  • Son, Hyun Mok;Seonwoo, Hoon;Kim, Jangho;Lim, KiTaek;Chung, Jong Hoon
    • Journal of Biosystems Engineering
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    • 제38권2호
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    • pp.163-170
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    • 2013
  • Purpose: The purpose of this study is to provide analysis of physiological, biomechanical responses occurring from the operation to lifting or twist lifting task appears frequently in agricultural work. Methods: This study investigated the changes of physiological factors such as heart rate, heart rate variability (HRV) and biomechanical factors such as physical activity and kinetic analysis in the task of twisting at the waist while lifting. Results: Heart rates changed significantly with the workload. The result indicated that the workload of 2 kg was light intensity work, and the workload of 12 kg was hard intensity work. Physical activity increased as the workload increased both on wrist and waist. Besides, stress index of the worker increased with the workload. Dynamic load to herniated discs was analyzed using inertial sensor, and the angular acceleration and torque increased with the workload. The proposed measurement system can measure the recipient's physiological and physical signals in real-time and analyzed 3-dimensionally according to the variety of work load. Conclusions: The system we propose will be a new method to measure agricultural workers' multi-dimensional signals and analyze various farming tasks.

B형 간염 보균자에서 골감소증의 빈도 및 간기능검사와의 연관성 (Incidence of Osteopenia in Female HBV Carrier and its Correlation with Liver Function Test)

  • 나은희;박재영;김상인
    • 한국건강관리협회지
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    • 제3권2호
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    • pp.181-188
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    • 2005
  • Background : Osteopenia has been recognized as one of potential complication of chronic liver diseases. Its correlation with hepatits B virus(HBV) carrier, however, has not been reported. Thus this study was aimed to clarify the relationship between the osteopenia and HBV carrier. Methods : Bone densities in 192 HBV carrier women and 200 healthy women were measured; the lumbar spine and three sites of the proximal femur(neck, Ward's triangle, greater trochanter) by dual-photon absorptiometry. And liver function tests(AST, ALT, Albumin, GGT, ALP) were also performed. Results : Bone densities at the four sites measured, were significantly correlated with one another(r=0.34 to 0.99, P<0.01). Compared with control group, HBV carriers had significant decreases in bone densities of femur(P<0.05), particularly marked at Ward's triangle. A negative correlations between bone densities and serum total alkaline phosphatase were also found(r=-0.44, P<0.01). Conclusions : Osteopenia was more prevalent in HBV carrier, particularly in the groups before-fifties. Serum total alkaline phosphatase was higher in those with reduced bone densities Thus measurement of bone densities seems to be necessary in female HBV carriers.

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여성의 개인적 특성과 생활양식요인을 이용한 골량감소 예측모형 (Prediction Model for Reduced Bone mass in Women using Individual Characteristics & Life Style Factors)

  • 이은남;이은옥
    • 근관절건강학회지
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    • 제5권1호
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    • pp.83-109
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    • 1998
  • This study was carried out to identify the Important modifiable risk factors for reduced bone mass and to construct prediction model which can classify women with either low or high bone mass. Through the literature review, individual characteristics such as age, body weight, height, education level, family history, age of menarche, postmenopausal period, gravity, parity, menopausal status, and breast feeding period were identified and factors of life style such as past milk consumption, past physical activity, present daily activity, present calcium intake, alcohol intake, cigarette smoking, coffee consumption were identified as influencing factors of reduced bone mass in women. Four hundred and eighty women aged between 28 and 76 who had given measurement bone mineral density by dual energy x-ray absortiometry in lumbar vertebrae and femur from July to October, 1997 at 4 general hospitals in Seoul and Pusan were selected for this study. Women were excluded if they had a history of any chronic illness such as rheumatoid arthritis, diabetes mellitus, hyperthroidism, & gastrointestinal disorder and any medication such as calcium supplements, calcitonin, estrogen, thyroxine, antacids, & corticosteroids known affect bone. As a result of these exclusion criteria, four hundred and seventeen women were used for analysis. Multiple logistic regression model was developed for estimating the likelihood of the presence or absence of reduced bone mass. A SAS procedure was used to estimate risk factor coefficient. The results are as follows For lumbar spine, the variables significant were age, body weight, menopause status, daily activity, past milk consumption, and past physical activity(p<0.01), while for femoral Ward's triangle, age, body weight, level of education, past milk consumption, past physical activity(p<0.001). Past physical activity, present daily activity and past milk consumption are the most powerful modifiable predictors in vertebrae and femur among the predictors. When the model performance was evaluated by comparing the observed outcome with predicted outcome, the model correctly identified 74.1% of persons with reduced bone mass and 84.5% of persons with normal bone mass in the lumbar vertebrae and 82.9% of persons with reduced bone mass and 75.0% of persons with normal bone mass in the femoral Ward's triangle. On the basis of these results, a number of recommendations for the management of reduced bone mass may be made : First, those woman who are classified as high risk group of the reduced bone mass in the prediction model should examine the bone mineral density to further examine the usefulness of this model. Second, the optimal amount of milk consumption and a regular weight bearing exercise in childhood, adolescence, and early adult should be ensured.

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생애전환기 건강진단 골밀도 검사시 측정도구에 따른 진단범위의 유효성 평가 (Estimation of Diagnostic Range for Measurement Tools, while BMD Testing to Health Examination in Transitional Ages)

  • 김남수;정경식;강은정;오정은;이병국
    • 한국콘텐츠학회논문지
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    • 제12권10호
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    • pp.385-394
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    • 2012
  • 본 연구의 목적은 생애전환기 건강진단 골밀도 검사시 측정도구(DEXA, QUS, RA)에 따른 진단범위의 유효성을 평가하는 것이다. DEXA를 이용한 골밀도 검사 결과 T-score -2.5를 기준으로 할 때 QUS의 cutoff 값은 -1.733이며, 이때 민감도는 70.4%, 특이도는 59.5%이었고 T-score -3.0을 기준으로 할 때 cutoff 값은 -2.323으로 이때 민감도는 70.4%, 특이도는 56.8%이었다. DEXA를 이용한 골밀도 검사 결과 T-score -2.5를 기준으로 할 때 RA의 cutoff 값은 -1.675이며, 이때 민감도는 70.0%, 특이도는 63.7%이었고 T-score -3.0을 기준으로 할 때 cutoff 값은 -2.325로 이때 민감도는 70.0%, 특이도는 42.9%로 QUS와 RA의 측정도구 간에 큰 차이를 보이지 않았다. 골밀도 측정도구의 상관관계와 재현성에 대한 평가에서는 일부 차이를 제외하고는 측정도구 간 및 측정도구의 반복 측정값 간에 유의한 차이를 보이지 않았다. ROC 분석에서 측정도구별 평균골밀도 측정결과는 DEXA를 기준으로 할 때 RA와 QUS는 모두 유효한 것으로 판단된다. 다만, 생애전환기 골다공증 진단에 보다 정확한 결과를 얻기 위해서는 성별이나 연령층, 다양한 측정부위별 정량화된 결과를 진단기준의 보정지표로 고려하는 것이 필요하다.

CT/MRI 영상에서의 이미지 추출-분석 시스템 (Extract and Analysis System for CT/MRI Images)

  • 곽호영;허지순
    • 한국컴퓨터정보학회논문지
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    • 제19권1호
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    • pp.131-140
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    • 2014
  • 오늘날 사용하고 있는 의료용 영상의 대부분은 주로 병변을 확인하기 위한 수단으로 이용되고 있는데, 이러한 의료용 영상을 병변 확인뿐만 아니라 학술적 연구나 외과적 수술 처치를 위한 분석 및 참고 자료로 이용할 수 있다면 의학적 학술 연구에 도움을 줄 수 있으며, 외과적 수술 처치 및 치료에서 선행 시뮬레이션을 통하여 처치 오류를 줄일 수 있다. 따라서 본 논문에서는 의료용 이미지 영상에 대해 해당 영상에서 필요한 부분을 벡터 형식의 점(point cloud)들로 추출하고, 이들 벡터 정보를 이용하여 연구나 진료 및 수술에서 필요한 정보로 가공하여 시뮬레이션이 가능하도록 하는 시스템을 설계하고 구현함으로써 학술적 연구나 환자에 대한 진단 처치에 보다 효율적으로 접근할 수 있는 방법을 제공하고자 하였다.

3차원 뉴튼(3D-NEWTON)을 이용한 척추 주위근 기능 평가의 유용성 (The Utility of Measuring Paravertebral Muscle Function with 3D-NEWTON)

  • 한나미;김현동;황지선;배중혁
    • The Journal of Korean Physical Therapy
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    • 제25권1호
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    • pp.16-22
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    • 2013
  • Purpose: This study evaluated the validity of measuring paravertebral muscle function with 3D-NEWTON (Hanmed, Korea) by assessing the correlation between Biodex (Biodex, USA) and surface electromyography (EMG). Methods: Nineteen healthy adults participated. The function of their paravertebral muscle was measured in three ways. Maximum endurance time was measured in seconds when 3D-NEWTON was inclined forward for assessing extensor function, and inclined backward for assessing flexor function. Using surface EMG, maximum muscle activity was obtained from the eractor spinae and rectus abdominis during the 3D-NEWTON measurement. Maximum muscle activity was the mean activity from 10 seconds when the root mean squared firing data was highest. Through Biodex the peak torques of the extensor and flexor were measured during isometric exercises. The Spearman correlation coefficiencts from 3D-NEWTON, surface EMG, and Biodex were calculated. Results: The data from surface EMG and Biodex were statistically correlated when measured for flexor function, but less so for extensor function. In the case of 3D-NEWTON, the correlation coefficient with Biodex was 0.50 (p=0.05), while the coefficient with surface EMG was 0.53 (p=0.02) when measured for extensor function. Similarly, the correlation coefficienct with Biodex was 0.60 (p=0.01), while the surface EMG was 0.51 (p=0.03) for flexor function. Conclusion: 3D-NEWTON was a useful method for measuring paravertebral muscle function and can give helpful information for treating people with diseases associated with the lumbar spine.

요추 관절가동범위와 신체압력중심을 이용한 신체균형능력 분석 및 훈련 콘텐츠 (Analysis and Training Contents of Body Balance Ability using Range of Motion of Lumbar Spine and Center of Body Pressure)

  • 구세진;김동연;신성욱;정성택
    • 한국인터넷방송통신학회논문지
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    • 제19권1호
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    • pp.279-287
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    • 2019
  • 본 논문에서는 신체의 움직임 정보와 족압 분포의 변화를 측정하여 신체 균형 능력을 분석하고자 하였다. 그래서 관성측정장치와 FSR 센서를 사용하여 관절가동범위와 신체압력중심을 측정하고 분석할 수 있는 프로그램을 개발하였고, 이에 대한 결과를 바탕으로 균형 능력 개선에 도움을 줄 수 있는 콘텐츠를 제작하였다. 이 프로그램에서 측정된 관절가동범위와 신체압력중심의 정량적인 값을 실시간으로 시각화하여 사용자가 결과를 쉽게 알 수 있도록 하였다. 또한 콘텐츠는 측정된 균형정보를 바탕으로 난이도가 조절되며 균형능력을 개선하고자 하는 방향에 맞춰 수행할 수 있도록 제작되었다. 이것은 사용자의 동작에 따라 움직이는 물체를 보면서 진행하는 시각 되먹임 방법을 이용하여 집중력과 참여의지를 높여 더욱 효과적인 균형 훈련 결과를 기대할 수 있다.