• Title/Summary/Keyword: 요추부

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Use of Digital Infrared Thermography on Experimental Spinal Cord Compression in Dogs (개에서 실험적으로 유발한 척수압박에 대한 적외선 체열촬영술의 적용)

  • Kim Wan-Tae;Kim Min-Su;Kim Sun Young;Seo Kang-Moon;Nam Tchi-Chou
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.302-308
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    • 2005
  • This study was performed to examine the absolute skin temperature and temperature difference $({\Delta}T)$ between the left and the right, the upper and the lower parts on the back of dog and to investigate the clinical usefulness of infrared thermography as diagnostic or prognostic aid on experimental spinal cord compression by using Digital Infrared Imaging System. In normal dogs, symmetrical and contouring patterns were observed in thermogram. The skin temperature difference was not significant between the left and the right, the upper and the lower parts on the back. In spinal cord compressed dog, there was symmetrical temperature reduction pattern around lesion. Patterns of ${\Delta}T$ between thoracic and lumbar portions were remarkable and showed the tendency to return to normal after 4 weeks of operation. It is considered that infrared thermography is a useful diagnostic and prognostic aid for spinal cord injury in dogs.

Chronic Injuries and Types of Injuries Related to Adolescent Taekwondo Athletes (성장기 태권도 선수의 만성 통증과 손상 유형)

  • Kim, Ha-Kyung;Kim, Chang-Yoon;Shim, Hee-Jong;Park, Sung-Min;Bae, Byung-Jo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.8 no.1
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    • pp.46-50
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    • 2009
  • Purpose: This study was designed to analyze? the chronic pain of adolescent Taekwondo athletes, to research the understanding about chronic pain of coaches and athletes, to? reduce the development of chronic pain. Materials and Methods: From March. 2006 to June 2007, 210 athletics and 12 coaches of elementary, middle and high school in Kwang-ju city were surveyed. They was evaluated by physical examination, simple radiographs and MRI. Results: In 210 athletics, 162(77.1%) athletes had chronic pain. 19(11.7%) athletes had over three regions of pain, 74(45.7%) athletes had two regions of pain, 69(42.6%) athletes had one region of pain. In 274 cases of 164 athletes, the most common region was foot and ankle(145 cases, 52.9%), followed by hand(47 cases, 17.2%) and knee(38 cases,13.9%), hip(25 cases, 9.1%), and lumbar area(19 cases, 6.9%) The chronic pain was classified by injury type. Contusion of foot was 103 cases(most common), sprain of ankles was 40cases, Contusion of hands and wrists was 28 cases, and so on. The etiologies of injury that causes the chronic pain were match injury in training that is most common, intensive exercise and match injury in competition. Conclusion: The chronic pain was common in adolescent Taekwondo athletes. The ankle and foot were the most common region of chronic pain and the match injury was the most common injury, caused the chronic pain. Although athletes had considerable mental stress about chronic pain, the treatment of chronic pain and rest were insufficient. Therefore the variable effort to prevent injury and to treatment injury must be considered importantly.

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Changes in Bone Mineral Density and Biochemical Markers of Bone Turnover in Young Women: A 1-Year Follow-up Study (청년기 여성의 골밀도와 골대사지표의 변화: 1년 추적조사)

  • Kim, Myung-Hee;Hwang, Sun-Kyung;Kim, Ju-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.12
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    • pp.3943-3952
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    • 2009
  • This study investigated the changes in bone mineral density(BMD) and biochemical bone turnover markers over 1 year in healthy young college women. In comparison of changes in BMD at the lumbar spine, proximal femur (trochanter, femoral neck, Ward's triangle), and whole body over 1 year, there was only a significant difference in that at forearm. However, serum osteocalcin, a marker of bone formation, and urinary deoxypyridinoline, a marker of bone reabsorption, were significantly changed over 1 year. These findings indicate that although BMD does not significantly change in early young adult, the changes of bone metabolism markers seem to mean active bone turnover in early young adult women.

Radiograph-based Diagnostic Methods for Thoracic and Lumbar Spine Malposition in Chuna Manual Therapy Using Biomarkers (단순 방사선 영상기반 바이오마커를 활용한 흉·요추의 추나의학적 변위 진단 방법)

  • Jin-Hyun Lee;Minho Choi;Joong Il Kim;Jun-Su Jang;Tae-Yong Park
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.18 no.2
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    • pp.1-8
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    • 2023
  • Objectives This study aimed to propose biomarkers for diagnosing Chuna manual therapy (CMT) based on X-ray images in the thoracic and lumbar spines. Methods Through a literature review and expert consensus process, diagnostic biomarkers for CMT were selected based on the listing system in thoracic and lumbar radiograph anterior-posterior (AP) and lateral views. Results 1. Diagnostic biomarkers were derived from four points on the outer contour of the vertebral body in the thoracic and lumbar spine radiograph lateral view, enabling the diagnosis of flexion and extension malposition. 2. Additional diagnostic biomarkers were identified in the thoracic and lumbar radiographAP view, utilizing points on the outer contour of the vertebral body. These biomarkers facilitate the diagnosis of lateral bending. Moreover, biomarkers derived from the innermost point of the pedicle contour allow for the diagnosis of rotation malposition. 3. Furthermore, through the biomarkers proposed in this study, all malpositions of the thoracolumbar spines and complex Type I and II malpositions can be diagnosed in CMT. Conclusions The biomarkers reported in this study consist of minimal points to determine the position of the vertebral body, providing the advantage of simplicity while minimizing potential errors during the CMT diagnostic process. Further clinical research and the development of related programs should be pursued to expand the evidence for CMT.

Development of Gait Analysis Algorithm for Hemiplegic Patients based on Accelerometry (가속도계를 이용한 편마비 환자의 보행 분석 알고리즘 개발)

  • 이재영;이경중;김영호;이성호;박시운
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.41 no.4
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    • pp.55-62
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    • 2004
  • In this paper, we have developed a portable acceleration measurement system to measure acceleration signals during walking and a gait analysis algorithm which can evaluate gait regularity and symmetry and estimate gait parameters automatically. Portable acceleration measurement system consists of a biaxial accelerometer, amplifiers, lowpass filter with cut-off frequency of 16Hz, one-chip microcontroller, EEPROM and RF(TX/RX) module. The algerian includes FFT analysis, filter processing and detection of main peaks. In order to develop the algorithm, eight hemiplegic patients for training set and the other eight hemiplegic patients for test set are participated in the experiment. Acceleration signals during 10m walking were measured at 60 samples/sec from a biaxial accelerometer mounted between L3 and L4 intervertebral area. The algorithm, detected foot contacts and classified right/left steps, and then calculated gait parameters based on these informations. Compared with video data and analysis by manual, algorithm showed good performance in detection of foot contacts and classification of right/left steps in test set perfectly. In the future, with improving the reliability and ability of the algerian so that calculate more gait Parameters accurately, this system and algerian could be used to evaluate improvement of walking ability in hemiplegic patients in clinical practice.

Bone Mineral Density and Bone Markers in the Children with Epilepsy Taking on Chronic Anticonvulsants (장기간 항경련제를 복용하고 있는 소아 간질 환아들의 골밀도 및 골대사 지표들)

  • Lee, Soon Bum;Kang, So Young;Yu, Jeesuk
    • Clinical and Experimental Pediatrics
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    • v.48 no.5
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    • pp.527-533
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    • 2005
  • Purpose : Long-term administration of anticonvulsants in children with epilepsy may cause short stature, hypocalcemia and low bone mineral density. This study was performed for the early detection of abnormal bone metabolism in children with epilepsy on taking anticonvulsants. Methods : Thirty children aged 5 to 16 years who were diagnosed with epilepsy were enrolled in this study. All had taken anticonvulsants for more than one year. Bone mineral density of lumbar vertebra was measured by dual-energy X-ray absorptiometry. Serum calcium, phosphorous, alkaline phosphatase, 25-hydroxycholecalciferol[$25(OH)D_3$], parathyroid hormone, and urine deoxypyridinoline were measured as biochemical bone markers. Bone age and body mass index were also calculated. Results : Bone minreal density, body mass index, bone age, and height were significantly decreased in two female patients who had taken two antiepileptic drugs for more than four years and they also had chronic diseases such as cerebral palsy with microcephaly, encephalomalacia, and microcephaly with atrial septal defect. Bone mineral density had significant positive correlations with body mass index(P<0.01) and bone age(P<0.01). Conclusion : This study showed chronic medication of anticonvulsants in children may cause low bone mineral density and short stature. Bone age and body mass index could be the important surrogate markers to find the population at risk. More studies, including a large study population and long term cohort study, will be required.

The Clinical Study on Effects of Thoracolumbar Junction's Hyeopcheok Points(夾脊穴) for Low Back Pain (요둔통 환자에 흉요추이행부 협척혈 병행 치료 효과의 임상적 연구)

  • Park, Chan-Kyu;Kim, Su-Jang;Kim, Ja-Young;Jeong, Seon-Mee;Min, Eun-Kyeong;Kim, Yeong-Il
    • Journal of Acupuncture Research
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    • v.26 no.1
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    • pp.15-22
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    • 2009
  • Objectives : This study was performed to evaluate the effects of thoracolumbar junction's Hyeopcheok points(夾脊穴) for low-back pain in the thoracolumbar junction syndrome. Method : 1. Measurement : We investigated 26 patients with low-back pain. The unpleasantness of pain was measured by visual analogue scale(VAS), and the Oswestry low-back pain disability index(ODI). We compared the VAS and ODI scores of the two groups statistically. 2. Intervention : Use Acupuncture and bee venom injection in thoracolumbar junction's Hyeopcheok points that display main tender points. Also, herb medication and physical therapy was used. Results and Conclusion : As a result of treatment, thoracolumbar junction's Hyeopcheok points is very effective for low-back pain. However, more cases are required to oriental medicine in order to prove the availability.

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A Study on the Actual Conditions of Scoliosis in Fifth and Sixth Grade School Children (초등학교 5, 6학년을 대상으로 한 척추측만증 실태조사)

  • Lee, Sook-Bee;Kim, Jong-Bee
    • Journal of the Korean Society of School Health
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    • v.12 no.1
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    • pp.143-148
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    • 1999
  • The focus of this study is to introduce the relationship between the Forward Bending Test and scoliosis. Our research screening process was conducted on elementary fifth and sixth grade school children. X-ray analysis on students who tested positive on the Forward Bending Test showed a strong positive relationship between the two. Thus, it is desirable that local schools participate actively in taking the Forward Bending Test for early detection of scoliosis among school children. In addition, schools should educate their students technigues that prevent scoliosis and the progress of it by teaching technigues how to sit up as well as muscle enhancing exercises around the spine and pelvic area.

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Classification of Vertebral Body Fractures with Two-level Posterior Column Injuries of the Thoracolumbar Spine (두 개의 수준을 침범한 후주손상을 동반한 흉요추부 추체 골절의 분류)

  • Koh, Young-Do;Jeong, Hoon;Yeo, Sung-Gu
    • Journal of Trauma and Injury
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    • v.18 no.1
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    • pp.26-32
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    • 2005
  • Purpose: We evaluate the characteristics of vertebral body fractures in two level flexion-distraction injuries of the thoracolumbar spine Methods: The findings of radiographs, computed tomographs, and MRIs of 43 patients with flexion-distraction injuries combined with vertebral body fractures were retrospectively evaluated. We divided the patients with bursting fractures into two groups, the distractive group (posterior vertebral height ratio >1) and the compressive group (vertebral height ratio <1). Results: There were 23 compression fractures and 20 bursting fractures. In bursting fractures, the distractive group had 5 cases, and the compressive group 15 cases. In 24 cases (55.8%), the interspinous distances were widened. The average of the canal encroachment was 4% in the distractive group and 40% in the compressive group. At last follow-up, the average loss of correction was 2.0 degree in compression fractures and 2.7 degree in bursting fractures. Conclusion: The configurations of vertebral body fractures in flexion-distraction injuries of the thoracolumbar spine were varied as to the location of the axis of flexion. Because bursting fractures in flexion-distraction injuries had distractive or compressive features, one should consider that in establishing operative plan.

Two Cases of Idiopathic Scoliosis with Double Curved Thoracolumbar Spine using Muscle Energy Technique (근에너지기법을 이용한 흉요추부 이중만곡 형태의 특발성 척추 측만증 호전 2례)

  • Lee, Sung-Joon;Lee, Hyuk-Jae;Lee, Yu-Jin
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.12 no.2
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    • pp.63-71
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    • 2017
  • Objectives : The purpose of this study is to report the effect of muscle energy technique(MET) on idiopathic scoliosis with double curved thoracolumbar spine. Methods : Two patients with idiopathic scoliosis with double curved thoracolumbar spine were treated by MET. To investigate the outcome of the patients' improvement, we observed the standing X-ray of cervical, thoracic, lumbar spine. And Cobb's angle, correctability and visual analog scale(VAS) were used to measure changes during treatment. Results : After treatment, Cobb's angle, correctability and VAS were improved significantly. Conclusions : MET showed significant improvement to idiopathic scoliosis with double curved thoracolumbar spine. There is limitation on this study due to insufficient number of cases. Further research should be followed.

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