• Title/Summary/Keyword: lumbar support

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Effect of Mekenzie Lumbar Support on Pulmonary Function for Wheelchair Patients with Stroke

  • Park, Shin Jun;Kim, Soon Hee
    • 국제물리치료학회지
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    • 제9권2호
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    • pp.1494-1497
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    • 2018
  • This study aimed to determine the effect of McKenzie lumbar support on pulmonary function in Stroke patients. Twenty subjects (n=20) were divided into two groups: a McKenzie lumbar support group (MLS group=10), a control group (n=10). Pulmonary function was performed to assess its effectiveness. A spirometer was used to measure the forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow (PEF). The intervention was conducted for four weeks. In the MLS group, FEV1, FVC, and PEF were increased after McKenzie lumbar support. (p<0.05), while no significant differences in the variables were found in the control group (p>0.05). There were no significant differences in variables between the MLS group and the control group (p>0.05). Our findings suggest that applying Mckenzie lumbar support may be an alternative maneuver to improve pulmonary function in stroke patients.

요추 지지대에 의한 노인의 요추만곡 조절이 머리와 목 자세에 미치는 영향 (Influence of the Lumbar Spine Adjustment using the Lumbar Roll Support on Head and Neck Posture in Older Adults)

  • 고승현;김유신;윤범철
    • 한국콘텐츠학회논문지
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    • 제11권12호
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    • pp.800-806
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    • 2011
  • 본 연구는 요추 지지대가 노인의 머리와 목 자세에 미치는 영향을 분석하고자 하였다. 20명의 신체 건강한 노인(평균 나이 71.32세)을 대상으로 측정하였으며, 앉은 자세에서 모니터를 시청하는 동안 요추만곡을 요추 지지대 사용 유무에 따라 조절하였다. 측정은 측면에서 사진을 촬영하였다. NIH ImageJ 1.32 프로그램을 사용하여 상부경추 굴곡 각도와 하부경추 굴곡 각도를 측정하였고 분석은 대응 t 검정을 사용하였다. 그 결과, 상부경추 굴곡 각도와 하부경추 굴곡 각도는 요추 지지대 적용 여부에 따라 유의한 차이가 있었다. 상부경추 평균 굴곡 각도는 요추 지지대 적용할 때가 적용하지 않을 때보다 약 $2.83^{\circ}$ 증가하였다(p<0.005). 하부경추 평균 굴곡 각도 역시 요추 지지대를 적용할 때 약 $4.44^{\circ}$ 증가되었다(p<0.0001). 이는 요추 지지대를 적용하였을 때 상부경추와 하부경추 굴곡을 증가시킴으로 머리와 목 자세에 좋은 영향을 주는 것을 의미한다. 따라서 노인의 머리와 목 자세 개선시 요추만곡 조절을 고려해야 할 것이다.

Research the Effects of Thoracic and Lumbar Support Fixtures on Forward Head Posture during Visual Display Terminal Work

  • Kim, Yeoung-Sung;Park, Han-Kyu;Park, Min-Chull
    • 대한물리의학회지
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    • 제11권3호
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    • pp.41-47
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    • 2016
  • PURPOSE: Forward head posture (FHP) is one of the most common postural problems among white-collar workers who perform highly repetitive tasks in the same position. The aim of this study was to research the effects of thoracic and lumbar support fixtures on forward head posture (FHP) during visual display terminal (VDT) work. METHODS: The subjects were 36 healthy male students with no problems in their medical history or respiratory systems. The subjects were randomly assigned to three groups: control group (n=12), thoracic support fixtures (n=12), and lumbar support fixtures (n=12). We conducted a text typing task of the same content for 20 minutes, and evaluated the angles, including the craniovertebra angle (CVA), craniorotation angle (CRA) with photogrammetry. RESULTS: The thoracic and lumbar support fixture groups showed a statistically significant difference at the CVA and CRA to the control group (p<.05), and the post-hoc test showed an increase of the CVA and decrease of the CRA than the control group. However, when we compared the effects of thoracic and lumbar support fixtures on FHP, there was no significant difference in the difference in decrease of the CVA or increase of the CRA (p>.05). CONCLUSION: We determined that VDT work using thoracic and lumbar support fixtures has a positive effect on forward head posture in white-collar workers. Further studies are required to find the more effective location of support fixtures.

허리안정화운동이 노인의 낙상예방에 미치는 효과 (Effect of Falls Prevention on Lumbar Stabilization Exercise in Elderly People)

  • 강권영;권혜민;권오성
    • 대한물리치료과학회지
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    • 제18권3호
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    • pp.25-32
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    • 2011
  • Background : The aim of this study is to effect of lumbar stabilization exercise on double limb support, balance ability and risk of fall index in elderly people. Methods : A six-week lumbar stabilization program training for improvement of balance ability and prevention of fall down were applied by dividing into ten people of experimental group and ten people of control group for elderly aged below sixty-five more than eighty years who were capable of independent activity of daily living. for double limb support, balance ability and fall index assessment, the TETRAX were used. Results : The double limb support, balance ability and fall index in experimental group indicating changes in statistical significance(p<0.05), But changes in significance were not found of all parts in control group(p>0.05). Conclusion : The above results mean that the lumbar stabilization exercise was effective for promotion of elderly people's double limb support, balance ability and fall index and further study considered need to be more the study relative to effect of fall prevention exercise program.

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허리지지를 위한 사무용 의자 개발 (Development of Office Chair for Lumbar Support)

  • 박수찬;이영신;김동진
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2000년도 추계학술대회논문집A
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    • pp.376-380
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    • 2000
  • All chairs are uncomfortable in the long run, but some chairs become uncomfortable more rapidly than others, and in any particular chair, some people will be more uncomfortable than others. Comfort will depend upon the interaction of chair characteristics, user characteristics, and task characteristics. In this study, we intend to design the comfortable office chair by investigating the anthropometric and biomechanical aspects for Korean. Therefore, we determine the design dimensions using the analysis of anthropometric data. With these dimensions, we design the chair mechanism of which backrest reclines with increasing chair pan declination. This mechanism allows the back to get adequate support at the correct level for any backrest declination. Also, the lumbar support in the backrest descends with increasing backrest reclining. By using this chair, a considerably better sitting posture can be obtained, and uncomfortable feeling and back pain may be prevented.

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요부 안정화를 위한 복대형 입는 로봇 개발 (Development of Brace-type Wearable Robot for Lumbar Stabilization)

  • 김주완;심재훈;김기원;정선근;박재흥
    • 로봇학회논문지
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    • 제18권2호
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    • pp.189-196
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    • 2023
  • An abdominal brace is a recommended treatment for patients with lumbar spinal disorders. However, due to the nature of the static brace, it uniformly compresses the lumbar region, which can weaken the lumbar muscles or create a psychological dependence that worsens the condition of the spine when worn for an extended period of time. Due to these issues, doctors limit the wearing time when prescribing it to patients. In this paper, we propose a device that can dynamically provide abdominal pressure and support according to the lumbar motion. The proposed device is a wearable robot in the form of a brace, with actuators and a driving unit mounted on the brace. To enhance wearability and reduce the weight of the device, worm gears actuator and a multi-pulley mechanism were adopted. Based on the spinal motion of the wearer measured by the Inertia measurement unit sensors, the drives wire by driving pulley, which provide tension to the multi-pulley mechanism on both sides, dynamically tightening or loosening the device. Finally, the device can dynamically provide abdominal pressure and support. We describe the hardware and system configuration of the device and demonstrate its potential through basic control experiments.

쪼그려 들기와 허리 굽혀 들기 시 하지관절 움직임과 요추 전만에 관한 생체역학적 분석 (Biomechanical Analysis of Lower Limb Joint Motions and Lumbar Lordosis during Squat and Stoop Lifting)

  • 황선홍;김영은;김영호
    • 한국정밀공학회지
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    • 제25권11호
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    • pp.107-118
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    • 2008
  • In this study, lower extremity joint kinematics and kinetics and lumbar lordosis were investigated for two different symmetrical lifting techniques(squat and stoop) using the three-dimensional motion analysis. Twenty-six male volunteers lifted boxes weighing 5, 10 and 15kg by both squat and stoop lifting techniques. There were not significant differences in maximum lumbar joint moments between the two techniques. The hip and ankle contributed the most part of the support moments during squat lifting, and the knee flexion moment played an important role in stoop lifting. The hip, ankle and lumbar joints generated power and only the khee joint absorbed power in the squat lifting. The knee and ankle joints absorbed power, the hip and lumbar joints generated power in the stoop lifting. The bi-articular antagonist muscles' co-contraction around the knee joint during the squat lifting and the eccentric co-contraction of the gastrocnemius and semitendinosus were found to be important for straightening up during the stoop lifting. At the time of lordotic curvature appearance in the squat lifting, there were significant correlations in all three lower extremity joint moments with the lumbar joint. Differently, only the hip moment had significant correlation with the lumbar joint in the stoop lifting. In conclusion, the knee extension which is prominent kinematics during the squat tilling was produced by the contributions of the kinetic factors from the hip and ankle joints(extensor moment and power generation) and the lumbar extension which is prominent kinematics during the stoop lifting could be produced by the contributions of the knee joint kinetic factors(flexor moment, power absorption, bi-articular muscle function).

The Effects of Head Support on Muscle Activity and Pain in a Forward-leaning Posture

  • Kim, Kang-hee;Ko, Yoon-hee;Yoon, Tae-lim
    • 한국전문물리치료학회지
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    • 제27권4호
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    • pp.264-271
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    • 2020
  • Background: Because a forward-leaning posture can cause increased back muscle activity and pain. Therefore, an innovative method to reduce back muscle activity and pain is required. Objects: This study aimed to investigate the effects of a head support on muscle activity and pain in a forward-leaning posture. Methods: A total of 14 male and 16 female students (average age, 21.65 ± 2.37 years; height, 166.15 ± 7.90 cm; and weight, 60.65 ± 9.00 kg) were recruited for the experiment. Two of them were excluded due to musculoskeletal disorders. The muscle activity and pain in the forward-leaning posture were assessed while participants washed dishes for 7 minutes with and without a head support. The condition of using a head support was randomly performed with a 5-minutes break. To confirm a lumbar flexion angle of 30° during the experiment, myoVIDEO was used, and surface electromyography was used to measure muscle activity. Pain was assessed using a 10-point visual analog scale (VAS). The Wilcoxon signed-rank test was used to analyze the data, with p < 0.05 indicating statistical significance. Results: The cervical, thoracic, and lumbar erector spinae muscle activities significantly decreased with the use of the head support, but there was no significant change in the gluteus maximus. There was a significant decrease in the VAS score for the lumbar erector spinae (p < 0.05), but there was no significant change in the VAS score for the cervical region. Conclusion: The use of a head support in a forward-leaning posture reduced cervical, thoracic, and lumbar erector muscle activity and pain. Therefore, it could be recommended during working in a forward-leaning posture, such as during dishwashing, cooking, and working as a factory employee.

습관적인 편측지지가 요통환자의 측만각과 장골능 높이에 미치는 영향 (Influence of Habitual Unilateral Support on Scoliosis Angle and Iliac Crest Height of Lumbago Patients)

  • 조운수;김용남;정진규
    • 대한임상전기생리학회지
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    • 제5권2호
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    • pp.73-84
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    • 2007
  • This study aims to examine changes from differences in the lumbar scoliosis angle and iliac crest height due to abnormal and habitual posture shown in unilateral weight load at standing posture and suggest data for preventing and treating lumbago. The subjects of this study are 16 lumbago patients between twenties and forties with chronic lumbago over six months, but without neurological symptoms. As a result of photographing front and back with three conditions such as weight load on both sides and left or right unilateral weight load posture in order to examine changes of lumbar scoliosis and iliac crest according to changes of posture at unilateral weight load, while scoliosis angle and iliac crest height by habitual unilateral support were increased, those by opposite support were decreased. In conclusion, it was found that habitual unilateral weight load may cause continuous distortion of spinal angle and change of iliac crest height and these may be a factor of lumbago. Therefore, if habitual unilateral weight load state is kept continuously, distortion of lumbar angle and iliac crest height may be greater and common efforts to change habitual unilateral weight load are needed.

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휠체어 허리 지지대와 궁둥 패드가 뇌졸중 환자의 목, 몸통 각도 및 가슴우리 확장에 미치는 영향 (Effects of Wheelchair Back Support and Ischial Pad on Neck, Trunk Angle and Chest Expansion in Stroke Patients)

  • 안재영;전경수;최혜진;박재홍;권정은;신지연;신한솔;권지수;정혜지;박신준
    • 디지털융복합연구
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    • 제16권8호
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    • pp.301-309
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    • 2018
  • 본 연구의 목적은 휠체어를 사용하는 뇌졸중 환자에게 허리 지지대와 궁둥 패드가 목, 몸통 각도와 가슴우리 확장에 미치는 영향을 즉각적으로 알아보고자 함이다. 15명의 뇌졸중 환자는 허리 지지대 사용, 궁둥 패드 사용, 허리 지지대와 궁둥 패드 동시 사용, 사용하지 않았을 때를 반복적으로 측정하였다. 측정은 휴대폰 카메라를 이용하여 목과 몸통 각도를 측정하였고, 가슴우리 확장은 줄자를 이용하였다. 연구 결과 허리 지지대와 궁둥 패드 동시 사용이 사용하지 않았을 때 보다 목, 몸통 각도, 아래쪽 가슴우리 확장에 유의하게 증가하였다. 본 연구를 통해 휠체어를 사용하는 뇌졸중 환자에게 허리 지지대와 궁둥 패드 동시 사용이 뇌졸중 환자의 가슴우리 확장과 목, 몸통 각도 증가에 즉각적인 영향을 미친다는 것을 알 수 있었다. 향후 연구에는 더 많은 대상자와 중재를 지속시켜 장기간의 변화를 확인할 필요가 있겠다.