• Title/Summary/Keyword: trunk muscle

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Relationship of trunk muscle atrophy and provocation position in patients with chronic low back pain

  • Shin, Doo Chul;Song, Chang Ho
    • Physical Therapy Rehabilitation Science
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    • v.1 no.1
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    • pp.28-32
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    • 2012
  • Objective: The purpose of this study is to compare chronic low back pain patients' pain provocation position so as to identify the relevance with lumbar stabilizing muscles atrophy and pain provocation position. Design: Cross-sectional study. Methods: Fifty five chronic low back pain patients were participated in this study. Subjects were eligible for study participation if they were 35-55 years old and had experienced low back pain for more than 3 months. Subjects were questioned about pain and pain provocation test were done. And then they were inspected their cross sectional area (CSA) of lumbar muscles (erector spinae, iliopsoas, and multifidus) by using computed tomography. Analyze the relevance through the result data with painful area, aspect of pain and pain provocation position. Results: CSA of erector spinae showed significant decrease on ipsilateral extension position (p<0.05). Iliopsoas muscle showed significant decrease on contralateral position (p<0.05). Multifidus showed significant decrease on the position of contralateral extension and contralateral flexion (p<0.05). Conclusions: Based on the results of our study, it may be possible to evaluate muscle atrophy by assessing causing position.

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Effect of Work Environment and Low Back Pain on the Structural and Muscle Strength Changes in Lumbar Spine (작업환경과 요통이 요추의 구조 및 근력의 변화에 미치는 영향)

  • Kim, Na-Yeon;Kang, Jae-Hui;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.27 no.3
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    • pp.93-104
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    • 2010
  • Objectives : The purpose of this study is to observe the effects of work environment and low back pain on the structural and muscle strength changes in lumbar spine to helpful for preventation and cure of low back pain. Methods : Through measuring of lumbosacral angle, lumbar lordotic angle, lumbar gravity line ratio analyzed structure of lumbar spine and using Trunk Extension Flexion Program of CYBEX NORM System(cybex770+TMC, USA) analyzed Flex. PT, Ext. PT, E/F ratio of lumbar spine of company employees given a medical examination. Results : According to work environment, lumbar gravity line ratio is higher in white collar group than in blue collar group, Ext. PT is significantly lower in white collar group than in blue collar group. According to low back pain or not, lumbar gravity line ratio, Ext. PT is lower in low back pain group than in non-low back pain group. Conclusions : Work environment and low back pain effects on the structural and muscle strength changes in lumbar spine.

The Comparison of Sensitivity of Numerical Parameters for Quantification of Electromyographic (EMG) Signal (근전도의 정량적 분석시 사용되는 수리적 파라미터의 민감도 비교)

  • Kim, Jung-Yong;Jung, Myung-Chul
    • Journal of Korean Institute of Industrial Engineers
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    • v.25 no.3
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    • pp.330-335
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    • 1999
  • The goal of the study is to determine the most sensitive parameter to represent the degree of muscle force and fatigue. Various numerical parameters such as the first coefficient of Autoregressive (AR) Model, Root Mean Square (RMS), Zero Crossing Rate (ZCR), Mean Power Frequency (MPF), Median Frequency (MF) were tested in this study. Ten healthy male subjects participated in the experiment. They were asked to extend their trunk by using the right and left erector spinae muscles during a sustained isometric contraction for twenty seconds. The force levels were 15%, 30%, 45%, 60%, and 75% of Maximal Voluntary Contraction (MVC), and the order of trials was randomized. The results showed that RMS was the best parameter to measure the force level of the muscle, and that the first coefficient of AR model was relatively sensitive parameter for the fatigue measurement at less than 60% MVC condition. At the 75% MVC, however, both MPF and the first coefficient of AR Model showed the best performance in quantification of muscle fatigue. Therefore, the sensitivity of measurement can be improved by properly selecting the parameter based upon the level of force during a sustained isometric condition.

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Analysis of Muscle Activation related to Postural Stability according to Different Frequency of Whole Body Vibration during Quiet Standing (중립 선 자세에서의 전신진동 주파수에 따른 자세 안정근의 근활성 분석)

  • Seo, Hye-Jung;Kim, Joong-Hwi
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.316-321
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    • 2013
  • Purpose: The aimed of this study was to investigate muscle activation related to postural stability according to different frequency of whole body vibration during quiet standing, to identify the most effective training conditions that cause the highest neuromuscular responses, and to evaluate the difference of EMG activation according to the anatomical position of the muscle - proximal or distal from the vibration platform. Methods: Eighteen healthy subjects voluntarily participated in this single-group, repeated-measures study in which EMG data from upper trapezius, rectus abdominalis, external oblique abdominalis, elector spinae, gluteus maximus, rectus femoris, semitendinosus, and gastrocnemius were collected over different frequencies (0-5-10-15-20-25Hz) for each subject during quiet standing. Results: We observed a statistically significant difference in the mean values of %RVC of muscular activation according to different frequencies of whole body vibration during quiet standing in all muscles (p<0.05). Conclusion: Our results indicate that lower frequencies of vibration result in low muscular activation, and higher frequencies elicit high muscular activation. However, the most effective training condition that caused the highest activation was 20 Hz. In addition, the proximally located lower extremity muscles (GCM, RF, ST, GM) showed higher activation than the distally located trunk and neck muscles (ES, EO, RA, UT) together with increasing frequency.

Chondrosarcoma of the Sternum - One Case Report - (흉골에 발생한 연골육종: 수술 치험 1례)

  • 정진용
    • Journal of Chest Surgery
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    • v.24 no.8
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    • pp.802-806
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    • 1991
  • Primary neoplasms of the ribs and sternum are rare. Most primary bony chest wall neoplasms are malignant, and chondrosarcoma is the most common malignancy in this location The etiology of chondrosarcoma is unknown. Definitive diagnosis of chondrosarcoma can only be made pathologically. The natural history of chest wall chondrosarcoma is one of slow growth and local recurrence. Most tumors of the sternum require wide resection and reconstruction procedures, with potentially serious postoperative problems. Advances in chest wall reconstruction primarily through refinement in muscle transposition and clarification of the functional anatomy and blood supply of trunk muscles, has resulted in a more aggressive resection of the these tumors . Recently we experienced a case with chondrosarcoma of the sternum. A 56 year-old man was admitted to our hospital due to painless, slowly enlarging mass at the left sternoclavicular junctional area. The chest radiograph strongly suggested an underlying cartilaginous neoplasm owing to the appearance of typical flocculent and curvilinear calcifications within the lesion. On CT of the chest, the tumor exhibited a scalloped or lobulated contour, hypodensity of the nonmineralized component in comparison to adjacent muscle, and characteristic stippled cartilaginous matrix mineralization, also typical for cartilaginous neoplasm. The patient underwent wide resection of the chest wall tumor include with a 2-3cm margin of normal tissue on all sides and the thoracic skeletal defect was reconstructed with polytetrafluoroethylene [Gore-Tex] soft-tissue patch. Soft tissue reconstructive procedure was done with the pectoralis major muscle transposition. The patient had an uneventful postoperative course and discharged without adjuvant treatment such as radiation and chemotherapy.

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Comparison of Low Limb Muscle Activity during Squat Exercise according to Hip Joint Flexion Angle (엉덩관절 굽힘 각도에 따른 쪼그려 앉기 운동 시 하지의 근활성도 비교)

  • Min, Dong-Ki
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.19 no.2
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    • pp.55-60
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    • 2013
  • Background: The purpose of this study was to determine if there is a difference in activation of the rectus femoris, vastus medialis oblique, vastus lateralis, semitendinosus, and biceps femoris when performing normal free squat with standinding position and free squat with $30^{\circ}$ flexed hip joint. Methods: Electromyograph surface electrodes were placed on the rectus femoris, vastus medialis oblique, vastus lateralis, semitendinosus, and biceps femoris of 19 healthy college students. The participants performed standing bilateral squats and standing bilateral squats with $30^{\circ}$ flexed hip joint with EMG measures taken upon initiation of muscle activity as confirmed by an electronic goniometer. Participants completed one trial with the EMG time measurements on each type. Results: There was a significant difference between normal squats(standing squats) and normal squats with $30^{\circ}$ flexed hip joint. The normal squat exercise was statistically higer than normal squat exercise with $30^{\circ}$ flexed trunk except for semitendinosus and biceps femoris that shown slightly high. Conclusions: As a result of this study, there were increases of muscle activity in both ways. In particular, it may be more beneficial for knee joint stabilization to perform normal squat exercise with standing position relatively.

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The Effect of the Base of Support on Anticipatory Postural Adjustment and Postural Stability

  • Nam, Hye-Sun;Kim, Joong-Hwi;Lim, Yoo-Jung
    • The Journal of Korean Physical Therapy
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    • v.29 no.3
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    • pp.135-141
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    • 2017
  • Purpose: This study was to identify the anticipatory postural adjustment (APA) mechanism which is represented by the onset time of trunk muscles and the displacement of the center of pressure (COP) according to the different base of support (BOS) during upper extremity movement. Methods: Thirty healthy subjects (14 males, 16 females) participated in this study. The movement was performed for 10 trials during each of various BOS (shoulder - width double leg stance, narrow base double leg stance, tandem stance, non-dominant single leg stance) at the 1.2 Hz frequency. Electromyography was used to measure muscle onset time and biorescue was used to measure characteristics of the displacement of COP. Surface bipolar electrodes were applied over the right deltoid anterior, right latissimus dorsi, both rectus abdominis, both internal oblique and both erector spinae. The data were analyzed by repeated one-way ANOVA and Duncan's post hoc test. Results: The study has revealed following. There were significant differences with muscle onset time in each BOS (p<0.01). There were significant differences in characteristics of the COP in each BOS (p<0.01). Conclusion: The study found that the more narrowed the basis requires the more rapid anticipatory postural control in contralateral postural muscle when the upper extremity movement is performed.

Multifidus Thickness Comparison between the Effectiveness of Abdominal Bracing and Maximum Expiration Maneuvers in Lumbo-Pelvic Upright Sitting Posture

  • Ko, Minjoo;Kim, Sujung
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.4
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    • pp.2178-2183
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    • 2020
  • Background: Trunk flexor-extensor muscles' co-activation and upright posture are important for spinal stability. Abdominal bracing and maximal expiration are being used as exercises to excel torso co-contraction. However, no study has on comparison of the effect of this exercise on multifidus in the upright sitting posture. Objectives: This study aims to verify the effectiveness of abdominal bracing and expiration maneuvers in lumbo-pelvic upright sitting. Design: Cross-sectional study. Methods: Eighteen healthy women were recruited for this study. The multifidus muscle thickness of all subjects was measured in three sitting conditions (lumbo-pelvic upright sitting, lumbo-pelvic upright sitting with abdominal bracing, and lumbo-pelvic upright sitting with maximum expiration) using ultrasound. One-way repeated measure analysis of variance was used for the evaluation. Results: Compared to lumbo-pelvic upright sitting, lumbo-pelvic upright sitting with abdominal bracing and lumbo-pelvic upright sitting with maximum expiration were associated with significantly increment of muscle thickness. There was no significant difference in muscle thickness between lumbo-pelvic upright sitting with abdominal bracing and lumbo-pelvic upright sitting with maximum expiration. Conclusion: Abdominal bracing and maximum expiration could be beneficial to increasing lumbar multifidus thickness in lumbo-pelvic upright sitting.

Effects of Exercise Program by Type on Balance Ability and Muscle Activity In A Standing Posture (유형별 운동프로그램이 선 자세에서의 균형능력과 근활성도에 미치는 영향)

  • Kang, Jeong-Il;Park, Jun-Su;Park, Seung-Kyu;Yang, Dae-Jung;Choi, Hyun;Jeong, Dae-Keun;Kwon, Hye-Min;Moon, Young-Jun
    • Journal of Digital Convergence
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    • v.12 no.7
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    • pp.411-418
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    • 2014
  • This study, in order to establish the effect of three exercise groups on the static and dynamic balancing abilities and the muscular activity, targeting adult males aged 20-29, assigned 15 men to each aquatic exercise group, trunk stabilization exercise group, and balance exercise group. The study was conducted from June, 2013 to August, 2013, and measured and compared the balancing ability and the muscle activity(tibialis anterior and gastrocnemius muscle) of the participants after performing intervention for 30 minutes a day, 3 days a week, for 6 weeks. As a result, on the comparison between before and after the intervention, there were significant differences in changes of the surface area and the whole path length in all the three groups(p<.05)(p<.01), and also on the dynamic balance, there was a significant difference in change of limited of stability(p<.05)(p<.01). On change of the muscle activity of tibialis anterior, both left and right sides showed statistically significant differences in all the three groups(p<.05)(p<.01), and gastrocnemius muscle showed a statistically significant difference in all the three groups except for the left side of the trunk stabilization exercise group(p<.05)(p<.01). It could be established that aquatic exercise is effective for improvement of the balancing ability and increase of the muscular activity, and we intend to propose specific aquatic exercise program development by conducting a study to determine the objective effect of aquatic exercise on the elderly or patients who have a poor balancing ability.

The Infection of Heterosporis anguillarum in Cultured Shortfin Eel (Anguilla bicolor pacifica) (양식동남아산 뱀장어(Anguilla bicolor pacifica)의 Heterosporis anguillarum 감염)

  • Kim, Jin-Do;Do, Jeong-Wan;Choi, Hye-Sung;Jo, Hyae-In;Lee, Nam-Sil;Kim, Young-Dae
    • Korean Journal of Environmental Biology
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    • v.32 no.4
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    • pp.382-388
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    • 2014
  • Shortfin eel (Anguilla bicolor pacifica) is a species of commercial importance and its production is greatly affected due to the infection by Heterosporis anguillarum. In this study, we evaluated the effect of H. anguillarum infection on the growth of Shortfin eel. A disease that trunk muscle of cultured shortfin eel, Anguilla bicolor pacifica, were irregular and resulted in death, breakout of the commercial eel culture farm. We observed that the trunk muscle of infected eels were irregular and represented white or yellowish externally. Histopathologically, a great numbers of large or small spores and sporophorocysts were also observed in degenerated muscle layer. The cloning of specific gene of H. anguillarum, encoding small subunit ribosomal RNA (SSU-rRNA) was amplified by the polymerase chain reaction(PCR) from the muscle lesion of diseased eel. The size of clone gene is well matched with the size of small subunit ribosomal RNA of H. anguillarum and thus confirming the infection by H. anguillarum.