• The Journal of Korean Physical Therapy
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• 제16권3호
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• pp.86-96
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• 2004

A clinical study about painful manifestation on lumbar with regard to movement change of trunk The purpose of this study is to present the basis of low back pain therapy which is close examined of back muscle that is the main reason for that case of back pain when trunk rotation, flexion and extension. Therefore this study, which is based on literature review and clinical experience, has tried to figure out that back pain which is considered to be significant for the most increasing time, posture, motion, painful area, involved muscle have any influence on trunk rotation, flexion and extension This study has done with the patients in oriental rehabilitation clinic, K-oriental hospital, from Jan, 2003 to Dec, 2003. Total cases were 145(male:$39\%$-52 patients, female:$64.1\%$-93 patients) those who complained lumbosacral pain with radiating that makes patient unable to bending or extending the trunk. And they were surveyed retrospect way, checking the medical record and that of therapist. Results are as followings. 1. For sprain patient, $34.5\%$ complained pain on extension, and among them, the most remarkably, patients who did right rotation extension pattern were $20\%$. Herniated disc patient shows greater limit on flexion when trunk moves bending route, but right rotation with extension pattern shows the most limitation on flexion-extension according to the rotation of trunk 2. Cases of morning back pain($60.5\%$) showed high value on right rotation extension pattern($18.6\%$), right rotation flexion pattern($16.3\%$) but did not show big difference on left flexion and extension pattern 3. Patients those who complain pain on sitting position showed highest value each left, right $14.6\%$ of left and right rotation extension pattern 4. Among extension painful patient, there showed highest value of each $32.5\%$ on right rotation extension pattern, and $20.0\%$ on right rotation flexion pattern. 5. Tenderness distribution of quadratus lumborum showed $34.5\%$ on right rotation extension pattern, $20.7\%$ on left rotation extension pattern, and that of iliopsoas muscle at right rotation flexion pattern showed right muscle $20.0\%$, left $50.0\%$ Derived from the results of survey above, for sprain and HIVD patient showed greatest pain on right rotation pattern, for pain plus patient on right rotation extension among those who has extreme pain on sitting in the morning described tenderness on right quadratus lumborum, and those who complain pain on left rotation extension described tenderness on left lumborum the most Decisively, it is possible to figure out the problem muscle that involved when I found the time, position, motion that aggravating and painful area. Therefore this study would be expected to be able to be a useful clinical materials on diagnosis and therapy of low back pain.

• 한국방사선학회논문지
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• 제4권2호
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• pp.13-20
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• 2010

견갑골의 골절 유 무와 외상에 의한 탈구를 진단하는데 있어 견갑골의 정측면상의 영상을 얻는 것이 매우 중요하다. 본 연구의 목적은 견갑골 측방향 촬영시 한국인 성인을 대상으로 견갑골의 정측면상을 얻는데 가장 적합한 회전 각도를 알아보는데 있다. 견갑골의 촬영을 위해 내원한 환자 20명(여 8명)을 대상으로 하였고 이들의 평균연령은 35.4세(15세부터 66세)였다. 수동각도기의 거상각도를 $30^{\circ}$, $40^{\circ}$, $45^{\circ}$로 하여 전 후방향 촬영하였다. 영상의 평가는 전문가 5명이 내측연과 외측연의 완전겹침이 있는 영상은 4점, 내측연과 외측연이 불완전 겹침이 있는 영상은 3점, 견갑골체 내측연과 외측연이 겹침이 없는 영상은 2점, 내측연과 외측연이 사방향으로 나타난 영상은 1점으로 4단계로 나누어 blind test를 하여 평가하였다. 평가한 각도별 평균점수는 $30^{\circ}$가 $1.53{\pm}0.39$점, $40^{\circ}$가 $3.83{\pm}0.15$점, $45^{\circ}$가 $2.17{\pm}0.43$ 점으로 나타났다. 도한 가슴둘레가 100cm이상인 군과 100cm이하인 군 간에는 유의한 차이가(p<0. 05) 없었고, 남자와 여자 간에도 역시 유의한 차이가 없는 것으로 나타났다. 지금까지 견갑골 정측면상을 얻는데 적합한 환자의 회전각도에 관한 연구가 없었으나, 본 연구를 통해 검사측을 $40^{\circ}$ 회전하며 검사측 상완골을 반대쪽으로 들며 촬영하는 것이 한국인 성인에서 견갑골의 정측면상을 얻는데 가장 적합하다는 결론을 얻었다. 본 연구 결과는 향후 견갑골의 측방향 촬영을 하는데 유용할 것으로 사료된다.

• 근관절건강학회지
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• 제19권1호
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• pp.16-26
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• 2012

Purpose: The purpose of this study was to investigate the effects of lumbar stabilization exercise on balance ability in patients with adolescent idiopathic scoliosis. Methods: This study was one group pretest-posttest design. Twenty young idiopathic scoliosis patients were recruited for this study. They had the lumbar stabilization exercise program for 40 minutes a day, three times per week for 3 weeks. The lumbar trunk muscle endurance test and clinical balance tests (functional forward reach, functional lateral reach, Fukuda 50-stepping, one leg standing with eyes open and eyes closed) were measured before and after the lumbar stabilization exercise. Results: There were significant differences between pre-and post-test in absolute value of the difference between right and left lateral reach, distance of Fukud 50-stepping and one leg standing on the each side with eyes closed(p<.05). The results showed that the lumbar trunk muscle endurance significantly increased(p<.05). Conclusion: In this study indicated that the lumbar stabilization exercise was effective on balance ability and lumbar trunk muscle endurance in patients with young idiopathic scoliosis.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2011년도 춘계학술대회 논문집
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• pp.496-504
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• 2011

The region trunk line railroad route undergoes an influence on a large scale in train operation systematic reorganization. This keynote of the train operation not being to the consumer and not to be is because being to the supplier. The trunk line route user of region supply change of the supplier sensitively, accepts but, the demand unit will be able to change the supply massive demanders does not become and like that to accept this back is not the railroad the mean of transportation which grudge is different a mean of transportation mainly makes use. This hits to neither the gist of GLORY promotions of the railroad public corporation which pursues the railroad use which is ordinary even in the basis of governmental policy of stock of coal small green growth and not to be is arranged. For the railroad use activation of the region trunk line route consequently and to excavate the demand hindrance element and a demand lure element the inside and the outside defines and to observe the fluctuation of use importing in existing train operation systematic fluctuation, with the user tries analyzes the instance of the overseas railroad enterprise about the process which reflects the opinion of the area and improvement under preparing boil.

• 대한인간공학회지
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• 제27권2호
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• pp.1-7
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• 2008

This study quantified 7 trunk muscles' physiological cross-sectional areas (PCSAs) and developed prediction equations for the physiological cross-sectional area as a function of anthropometic variables for Korean people. Nine females and nine males were participated in the magnetic resonance imaging (MRI) scans approximately from S1 through T8. Muscle fiber angle corrected cross-sectional areas (anatomical cross sectional areas: ACSAs) were recorded at each vertebral level and maximum value of ACSAs were determined as physiological cross sectional area (PCSA). There was a significant gender difference in PCSAs of all muscles (p<0.05). Stepwise linear regression techniques using anthropometric measures (e.g., height, weight, trunk depths and widths) as independent variables were conducted to develop prediction equations for the PCSA for each muscle. For males, six muscles' significant prediction equations (p<0.05) were developed except quadratus lumborum. For females, three prediction equations were developed for psoas, quadratus lumborum, and erector spinae muscles (p<0.05).

• 대한임상전기생리학회지
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• 제7권1호
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• pp.35-42
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• 2009

Purpose : The purpose of this study was to investigate the effects of Swiss ball lumbar stabilization exercise on the strength and flexibility, balance for the subjects. 30 university students who aged an average $23.21{\pm}4.41$ years. Methods : The exercise program lasted for 4 weeks with a frequency of 3 times per week within 12 to RPE. The result was analyzed by case study were measured by sit-up for strength, and back muscle strength, and trunk flexion test and trunk extension lifting for flexibility, and also measured by balance test before and during, and after the Swiss ball exercise program. Statistical analysis was performed using SPSS/Win(15.0) version and t-test. Results : By the result of this study, we found that the number of performing sit-up strength was increased, and back muscle strength was increase, and trunk flexion test and trunk extension lifting was increased after the 4 weeks Swiss ball exercise program. Conclusion : These finding indicate that Swiss ball lumbar stabilization exercise using Swiss ball could be beneficial to the subjects. The effect of increasing strength and flexibility, balance was flexibility.

• 대한통합의학회지
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• 제6권1호
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• pp.83-89
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• 2018

Purpose : The purpose of this study was to examine the effects of the trunk stabilization exercise in the musical tempo on lumbar lordosis angle, muscle activity and pain. Methods : For the 30 people with lumbar lordosis angle legion and back pain, a random selection was made with MLSE (15) and LSE (15) to measure VAS, lumbar lordosis angle and Muscle Activity. Result : There were significant decreases in intra group comparisons to lumbar lordosis angle were seen in MLSE and LSE groups, and significant decreases in inter group comparisons in MLSE groups. significant decreases in intra group comparisons to VAS were seen in MLSE and LSE groups, and significant decreases in inter group comparisons in MLSE groups. Significant intra-group comparison of muscle activity, MLSE groups increases were rectus obdominis(right/left) and erector spinae muscle(right/left), LSE groups increases were erector spinae muscle(right/left), and significant increases in inter group comparisons rectus obdominis(right) and erector spinae muscle(left) in MLSE groups Conclusion : Based on the above findings, a program to restore the lumbar lordosis angle, and increase muscle strength should be developed at by applying the combine existing trunk stabilization physical therapy technique and musical tempo.

• The Journal of Korean Physical Therapy
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• 제30권4호
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• pp.123-128
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• 2018

Purpose: This study examined the effects of neuromuscular electrical stimulation (NMES) and horseback riding using a robotic device on the trunk muscle activity and gross motor function in children with spastic diplegia. Methods: Children with spastic diplegia were divided into two groups: an experimental group (NMES and horseback riding using a robotic device [n=10]) and a control group (placebo NMES and horseback riding using a robotic device [n=10]). Each group received general physical therapy and occupational therapy. Each intervention involved the administration of NMES for 15 minutes and horseback riding using robotic device therapy for 15 minutes three times a week for 4 weeks. The evaluation included both the rectus abdominis muscles (RA), external oblique muscles (EO), thoracic paraspinal muscles (TP), and lumbar paraspinal muscles (LP) activity and GMFM. Results: The RA, EO, TP, and LP muscle activity, GMFM C, D, and E were increased significantly in the experimental and control groups. A significant increase in both the TP muscle activity and GMFM D was observed in the experimental group compared to the control group. Conclusion: This study showed that horseback riding using a robotic device is an effective intervention for trunk muscle activity and GMFM in children with spastic diplegia. However, if NMES is added to the back muscles, it is possible to further increase the thoracic paraspinal muscle activity and standing ability.

• 한국운동역학회지
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• 제17권2호
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• pp.61-73
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• 2007

The purpose of this study was to investigate the influence of the muscular endurance on the kinematic factors during a prolonged run. Subjects, 12 males, who were divided into three groups(lower group, general group, and in higher group) after measuring the lower limb's muscular endurance previously. They were asked toe run on the treadmill at 7.4km/h of speed. To analyze the kinematics parameters of the trunk during running, the ProReflex MCU Camera(Qualisys, Sweden) were used. All parameters were sampled from 5 minute, 40 minute, and 60 minute moments during running. An ANOVA with Repeated Measure was used to test the statistic significance between and within groups for all parameters determined with SPSS 11.0. Significance was defined as p<.05. The conclusions were as follows; There was significantly difference within(lapse of running time) groups in the take-off and minimum knee angle event of swing phase of the trunk flexion and extension. In conclusion, the muscular endurance affected on movement of the trunk during a prolonged run. In addition, it showed that there was significant difference in the energy consumption by lapse of running time. Therefore, it seems to be relationships between the muscular endurance and running efficiency.

• 한국콘텐츠학회논문지
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• 제9권12호
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• pp.665-673
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• 2009

본 연구는 만성요통환자 30명을 대상으로 PNF와 체간 운동프로그램을 적용한 다음 환자들의 통증, 기능장애 그리고 정적균형과 동적균형에 미치는 효과에 대해 알아보기 위해 실시하였다. 각 군의 운동효과를 측정하기 위해 모든 대상자는 통증과 함께 Oswestry 장애지수와 외다리기립검사를 통해 정적균형을 측정하였고, Balance 측정기를 이용하여 동적균형을 측정하였다. 그 결과 통증, Oswestry 장애지수, 외다리 기립검사 및 동적균형 모두 체간운동군에 비해 PNF 군이 유의한 차이가 있었다(p<0.05). 따라서 이번 연구결과를 통해 알 수 있는 것은 PNF의 내려치기와 들어올리기 패턴이 만성 요통환자에게 효과적이라는 것을 알 수 있다.