• 제목/요약/키워드: standing lateral position

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사낭견에서 내측반월판 손상을 수반한 전방십자인대단열의 외과적 치유예 (A Case Report of Surgical Treatment in a Lamed Hunting Dog with Cranial Cruciate Ligament Rupture and Medial Meniscal Injury)

  • 정순욱;김영대;박수현;정월순;이충헌;신영규
    • 한국임상수의학회지
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    • 제16권2호
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    • pp.497-500
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    • 1999
  • A 4 years old male mixed breed dog, which weighed 25.5 kg, referred to Veterinary Teaching Hospital at College of Veterinary Medicine in Chonnam National University, because of chronic hindleg lameness. Click sound by flexion and extension of stifle joint, positive reaction by cranial drawer movement, fat pad sign and tibial position in cranial drawer position on the lateral radiographic view, medial patellar luxation (grade II), and lameness score 2.5 at standing and 2 at walking in right hindleg were showed. Under general anesthesia with enflurane, after medial arthrotomy, it was performed to remove remnants of cranial cruciate ligament and torn medial menisci and joint closed. In modified retinacular imbrication technique, one lateral fabellar/tuberosity suture, one medial fabellar/tuberosity suture, and one imbrication suture adjacent to the patella were placed. At 9 days after operation, lameness score 0 was observed and general condition was excellent.

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대동물 보정 차량을 이용한 횡와위 자세 육성우의 음경전위술 (Penile Translocation Surgery in Lateral Recumbency of a Calf Using Tilt-Up Mobile)

  • 정재관;문성호;강현구;김일화
    • 한국임상수의학회지
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    • 제29권1호
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    • pp.112-117
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    • 2012
  • This report evaluated the convenience and accessibility of a penile translocation surgery in the lateral recumbency of a calf using a tilt-up mobile compared with that of dorsal recumbency on the ground of a barn. One nine-month-old F-1 (Korean native sire x Holstein dam) calf was sedated with xylazine (0.03 mg/kg, IV) and restrained in the right lateral recumbency position on a tilt-up restraint mobile (90 cm high), whereas the other nine-month-old Korean native calf was administered xylazine (0.3 mg/kg, IV) and restrained in dorsal recumbency position on the ground of a barn, with assistance by one person. For the two calves, lidocaine was administered subcutaneously from the preputial orifice to the S-shaped penis. The preputial orifice was incised, and the preputial sheath and penis were separated bluntly, then laterally translocated to the site toward the left flank at a $40^{\circ}$ angle. Anti-inflammatory drug (ketoprofen) and antibiotics (penicillin) were administered following the surgery. The duration of surgery was 30 min shorter in the calf that received the surgery in lateral recumbency using the tilt-up mobile with operator's standing posture (60 min) than the one that underwent surgery in dorsal recumbency on the ground with operator's bending posture (90 min). One week after the surgery, the operation area, including the translocated preputial orifice, was healed without complications in both cases. The results detailed in this report demonstrate that penile translocation surgery in the lateral recumbency position using a tilt-up mobile might be used conveniently in calves due to the convenience of restraint, reduced surgery time, and reduced physical inconvenience for the surgeon.

A Comparison Study on the Change in Lumbar Lordosis When Standing, Sitting on a Chair, and Sitting on the Floor in Normal Individuals

  • Bae, Jun-Seok;Jang, Jee-Soo;Lee, Sang-Ho;Kim, Jin-Uk
    • Journal of Korean Neurosurgical Society
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    • 제51권1호
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    • pp.20-23
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    • 2012
  • Objective : To compare radiographic analysis on the sagittal lumbar curve when standing, sitting on a chair, and sitting on the floor. Methods : Thirty asymptomatic volunteers without a history of spinal pathology were recruited. The study population comprised 11 women and 19 men with a mean age of 29.8 years. An independent observer assessed whole lumbar lordosis (WL) and segmental lordosis (SL) between L1 and S1 using the Cobb's angle on lateral radiographs of the lumbar spine obtained from normal individuals when standing, sitting on a chair, and sitting on the floor. WL and SL at each segment were compared for each position. Results : WL when sitting on the floor was reduced by 72.9% than the average of that in the standing position. Of the total decrease in WL, 78% occurred between L4 to S1. There were significant decreases in SL at all lumbar spinal levels, except L1-2, when sitting on the floor as compared to when standing and sitting on a chair. Changes in WL between the positions when sitting on a chair and when sitting on the floor were mostly contributed by the loss of SL at the L4-5 and L5-S1 levels. Conclusion : When sitting on the floor, WL is relatively low; this is mostly because of decreasing lordosis at the L4-5 and L5-S1 levels. In the case of lower lumbar fusion, hyperflexion is expected at the adjacent segment when sitting on the floor. To avoid this, sitting with a lordotic lumbar curve is important. Surgeons should remember to create sufficient lordosis when performing lower lumbar fusion surgery in patients with an oriental life style.

Impact of Position on Efficacy of Caudal Epidural Injection for Low Back Pain and Radicular Leg Pain Due to Central Spinal Stenosis and Lumbar Disc Hernia

  • Altun, Idiris;Yuksel, Kasim Zafer
    • Journal of Korean Neurosurgical Society
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    • 제60권2호
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    • pp.205-210
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    • 2017
  • Objective : This study was performed to evaluate and compare the efficacies of caudal epidural injections performed at prone and lateral decubitus positions. Methods : A total of 120 patients suffering from low back pain and radicular leg pain were included and patients were randomly distributed into 2 groups according to the position during injection. In Group 1 (n=60; 32 women, 28 men), caudal epidural injection was performed at prone position, whereas it was implemented at lateral decubitus position in Group 2 (n=60; 33 women, 27 men). Visual analogue scale, Oswestry Disability Index (ODI), walking tolerance (WT) and standing tolerance (ST) were compared in 2 groups before and after injection. Results : In Group 1, ODI values were higher at 30th minute (p=0.007), 3rd week (p=0.043) and 6th month (p=0.013). In Group 1, ODI, VAS and ST values were improved significantly at all follow-up periods compared to initial values. In Group 1, WT scores were better than initial values at 30th minute, 3rd week and 3rd month. In Group 2, ODI scores at 30th minute, 3rd week, 3rd month and 6th month were improved while VAS and ST scores were improved at all periods after injection. WT scores were better at 30th minute, 3rd week and 3rd month compared to initial WT scores. Conclusion : Our results indicated that application of injection procedure at lateral decubitus position allowing a more concentrated local distribution may provide better relief of pain.

『영추·경근』의 기본자세에 대한 연구 (Study on the Standard Posture of 『Yeongchu·Gyeonggeun (Lingshu·Jingjin)』)

  • 김민식;김창건;이은용
    • Korean Journal of Acupuncture
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    • 제37권1호
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    • pp.1-13
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    • 2020
  • Objectives : To analyze the contents of ≪Lingshu·Jingjin≫ and study the standard posture in context of Korean Medicine. Methods : Analyzed the terms related to the name, body region and orientation of Three Yin and Three Yang used in ≪Lingshu·Jingjin≫ to deduce the standard posture of the description. ≪Lingshu·Jingmai≫ was used as supplementary data. Results : The term "Three Yin and Three Yang" in ≪Lingshu·Jingjin≫ is used to indicate regions of the human body, and based on this, terms with orientation were used. Just like 'anatomical position', there is a standard posture in Korean Medicine, and it may seem to be similar overall, but there is a difference in posture in the upper extremity. In ≪Lingshu·Jingjin≫, Greater Yang is the dorsal region, Lesser Yang is the lateral surface region, Yang Brightness is the anterior surface region of the human body. In the body trunk, Three Yin refers to the inner parts of the human body. However, in the lower extremity, Three Yin refers to the medial surface of the legs. The name of the individual Meridian-muscle was given following the region corresponding to Three Yin and Three Yang. In ≪Lingshu·Jingjin≫, there is a basic posture that became the standard posture derived from the description. In an upright standing position, the feet face forward, the fingers naturally extended, and the back of the hand faces outward. The fact that the posture of the thumb is naturally extended is especially reflected in ≪Lingshu·Jingjin≫. This is clearly different from the "anatomical position" and as it can be the base of all areas of acupuncture, it is suggested that it be defined as the "Standard Position of Acupuncture Medicine". Conclusions : Based on our analysis, we suggest the "Standard Position of Acupuncture Medicine" as an upright standing position, with the feet facing forward, the fingers naturally extended, the back of the hand facing outward, and the thumb naturally extended.

PNF 하지패턴이 편마비 환자의 반대편 하지 측부 근육 활성도에 미치는 영향 (The Effect of Proprioceptive Neuromuscular Facilitation Exercise Patterns Targeting the Lower Extremity on Lateral Muscle Activity of the Opposite Lower Extremity in Chronic Hemiplegia Patients)

  • 김경환;박성훈;박노욱;이혜진
    • PNF and Movement
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    • 제16권1호
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    • pp.143-150
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    • 2018
  • Purpose: The purpose of this study was to investigate the influence of opposite lower extremity lateral muscle activation by proprioceptive neuromuscular facilitation (PNF) exercise targeting the lower extremities. Methods: Nineteen patients with chronic hemiplegia volunteered to participate in this study. PNF flexion, abduction, and internal rotation patterns; initial, end range, and extension patterns; abduction and internal rotation patterns; and initial and end range patterns were applied to the dominant lower extremity. Activation of lateral muscles (multifidus, gluteus medius, tensor fascia lata, and peroneous longus) of the paralyzed leg was then measured by electromyography (EMG). Results: There were significant differences in lateral muscle activation, depending on the PNF pattern applied, with the differences more significant in flexion, abduction, internal rotation, and end range patterns. Conclusion: PNF flexion, abduction, and internal rotation patterns can improve lateral muscle activation of one leg in the standing position in the gait cycle.

유연성 평발에 적용한 로우다이 테이핑에 의한 균형 수행력의 변화 (The Changes of Balance Performance by Low-dye Taping Application on Flexible Flatfoot)

  • 엄주리;문동철;김종순
    • 대한물리의학회지
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    • 제9권4호
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    • pp.355-361
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    • 2014
  • PURPOSE: The purpose of this study was to determine the immediate effect of low-dye taping on balance performance in subjects with flexible flatfoot. METHODS: Fifteen asymptomatic volunteers who had flexible flatfoot (age, $21.7{\pm}1.81$years; height, $164.80{\pm}7.57cm$; weight, $56.47{\pm}10.48kg$) were participated for this study. Navicular drop test was used to evaluate pronation of foot in three different conditions; non-weight bearing position without low-dye taping, weight bearing position without low-dye taping, weight bearing position with low-dye taping. And balance performance (anterio/ posterior, medial/lateral, and overall) was evaluated using the Biodex Balance System in three different conditions; one-leg standing without low-dye taping, one-leg standing with low-dye taping, and one-leg standing with low-dye taping in one week later. Repeated-measures analysis of variance (ANOVA) was used to assess navicular height and balance performance across the three testing conditions. RESULTS: Significant and clinically meaningful improvement in navicular height was found after application of the low-dye taping. However, there was no statistically significant change in balance performance. CONCLUSION: The results of this study provide evidence to suggest that low-dye taping does not affect balance performance.

바닥면의 교란에 따른 자세균형능력의 변화 (Ability to Maintain Postural Control while Standing on Perturbed Surfaces)

  • 박성하;이승원
    • 산업경영시스템학회지
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    • 제31권4호
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    • pp.146-152
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    • 2008
  • This study was aimed to understand the effects of perturbed floor surface on human postural stability while standing. Ten subjects were asked to stand quietly on the surface with two angles of inclination ($0^{\circ}$ and $5^{\circ}$), two contamination conditions (dry and oil-contaminated), and three commercial floor materials (ceramic tile, coated wood, and vinyl tile). During each trial, a force plate with data acquisition systems was used to collect subject's center of pressure (COP) position. Measured COPs were then converted into the length of postural sway path in both subject's anterior-posterior (AP) and medio-lateral (ML) axis. Results showed that the length of sway path in ML axis was significantly affected by the angle of inclination and the type of floor material. The sway length was increased significantly at the inclination angle of $5^{\circ}$ and on the vinyl tile, respectively. The contamination condition, however, did not significantly affect the postural sway length in both AP and ML axis. The results imply that a proper treatment of floor surface and material is critical to preserving postural balance while standing.

농업인의 작업화 유형과 작업 부하가 정적 자세균형에 미치는 영향 (Effects of Footwear and Workload on Static Body Balance of Farmers)

  • 박성하
    • 산업경영시스템학회지
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    • 제43권2호
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    • pp.39-47
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    • 2020
  • Postural stability can reduce the likelihood of critical slip and fall accidents in workplaces. The present study aimed to analyze the effect of shoes type on the ability of postural control during quiet standing. The effect of workload on the body balance was also of primary concern. Thirteen healthy male undergraduate students participated voluntarily in the experimental study. Standing on a force plate with wearing slippers, sports shoes, or safety shoes, two-axis coordinate on subjects' center of pressures (COP) was obtained in the two levels, rest and workload. For the workload level, subjects performed treadmill exercise to reach the predetermined level of physical workload. By converting the position coordinates of COPs, the postural sway length in both anterior-posterior (AP) axis and medio-lateral (ML) axis was assessed. ANOVA results showed that, in AP direction, wearing slippers significantly increased the postural sway length compared to wearing sports shoes or safety shoes. No significant difference in the mean sway length in AP axis was observed between sports shoes and safety shoes. In ML direction, both the workload and the shoes type did not significantly affect the mean length of postural sway. However, the postural sway length increased marginally with the slippers especially during the workload condition. This study explains wearing slippers may interfere with the ability of postural control during quiet standing. Physical workload decreases the ability of postural stability further.

12주간의 불안정성 신발 착용이 직립 자세 및 보행역학에 미치는 영향 (Effects of 12-week Wearing of the Unstable Shoes on the Standing Posture and Gait Mechanics)

  • 박기란;안송이;이기광
    • 한국운동역학회지
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    • 제16권3호
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    • pp.165-172
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    • 2006
  • The purpose of this study was to determine effects of 12-week wearing of unstable shoe on the standing posture and gait mechanics. Nine healthy men were asked to wear the unstable shoes for 12-week and walk for 30 minute everyday. Their standing posture and gait mechanics were measured before and after treatment. Standing posture was measured for each side(anterior, posterior, lateral) for standing position. And gait analysis was measured joint angle of a right lower limb between first right heel contact and second right heel contact. Kinematic data were collected using video camera at 30 frame per seconds. Statistical analysis was paired t-test(p<.05) to compare before training with after that. A head tilt angle was significantly decreased for posterior side(p<.05). The angle of between center of line and surface was significantly decreased at midstance and take off during walking(p<.05). Ankle dorsiflexion significantly increased at heel contact2(p<.05) and ankle plantarflexion significantly increased at midstance and midswing(p<.05). The increase of ankle dorsiflexion showed that our results consisted with previous study. In conclusion, there was not large significant difference in static standing posture but joint angle of lower limb represented many changes with increasing of ankle motion during walking. These were of benefit to body by increasing leg muscle activity but it was necessary for man having a ankle problem to consider. Further studies concerning optimum outsole angle of unstable shoes are necessary.