• Title/Summary/Keyword: Abnormal posture

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Abnormal Treatment of Flexion and Extension of Knees (무릎의 굽힘과 폄에 대한 이상 치료)

  • Lee, Hyun-Chang;Shin, Seong-Yoon
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2018.01a
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    • pp.55-56
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    • 2018
  • Subjects will flex and extend their knees in a prone posture while keeping the pelvis in a neutral state after having straightened the knees and hip. The angle of the manual measurement of an average person when bent is between $110^{\circ}{\sim}135^{\circ}$. If the person complains of pain at the time of flexion, it signifies the presence of abnormality in the knee joints and muscles. The number and proportion of the patients were measured through this experiment.

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Botulinum Toxin A Treatment for Cervical Dystonia Resulting in Endoscopic Thyroidectomy: A Case Report (내시경 갑상샘 절제술 후 발생한 경부 근긴장이상증의 보툴리늄 A 독소를 이용한 치료: 증례보고)

  • Oh, Hwa-Young;Choi, Hwan-Jun;Nam, Doo-Hyun;Kim, Jun-Hyuk;Lee, Young-Man
    • Archives of Plastic Surgery
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    • v.38 no.2
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    • pp.207-211
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    • 2011
  • Purpose: Surgery for thyroid gland requires skin incisions that can result in postsurgical neck scar. To overcome this, many surgeons performed a endoscopic thyroidectomy. But, this approach had a some problems. One of postoperative problems, iatrogenic cervical dystonia (CD) may occur. At common, CD is defined as a syndrome characterized by prolonged muscle contraction causing twisting, repetitive movements or abnormal posture. Botulinum toxin A (BTA, Botox$^{(R)}$, Allergan, Irvine, CA, USA) is well known treatment agent in the treatment of CD. So, the authors applied BTA injection in rare case with iatrogenic CD resulting in endoscopic thyroidectomy. Methods: A 43-year-old female had endoscopic subtotal thyroidectomy operation 3 years ago. She had symptoms such as progressive cervical pain, abnormal neck posture, depression, and sleep difficulty. About 1 year later, the patient who had previous myomectomy of the clavicular head of sternocleidomastoid muscle, however, symptoms were not improved. And then the patient received BTA therapy in our department. The 2 units per 0.1 mL solution was administered in a 1 mL tuberculin syringe. Results: The dose of BTA used in the patient was 36 units for vertical platysmal bands, superficially, and 10 units for ipsilateral sternocleidomastoid muscle, intramuscularly. After 2 weeks, additional the dose of BTA used in the patient was 5 points for remained scar bands, superficially. Complications related to injection such as significant swallowing difficulties, neck muscle weakness, or sensory change were not observed. In 9 months follow-up, the patient maintained a good result from the method of BTA injection alone. Conclusion: The basic concept is selective denervation for the hyperactive individual muscles and scar bands. We conclude that BTA is an effective and safe treatment for CD despite the iatrogenic and complex presentation of this complication.

TREATMENT OF OPEN BITE BY TONGUE THRUSTING HABIT USING HABIT BREAKING APPLIANCE AND MYOFUNCTIONAL THERAPY (습관제거장치와 근기능요법을 이용한 혀내밀기 원인성 개방교합의 치료)

  • Choi, Ji-Won;Oh, You-Hyang;Lee, Chang-Seop;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.2
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    • pp.229-235
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    • 2005
  • A problem that affects children's dentitions is the harmful habit which is difficult to treat. Harmful habits for children are such as abnormal swallowing patterns, low/forward tongue rest posture problem, habitual open-lips resting posture, habitual mouth-breathing, excessive digital sucking habit and tongue thrusting. Tongue thrusting habits cause a bit of cranio-facial skeletal changes and a great deal of dental malocclusion such as anterior open bite. Anterior open bite causes masticatory, speech, and esthetic problems in the growing children and difficulties in diagnosis, treatment, and the prediction of its prognosis. The treatments of such abnormal behaviors involve orofacial myofunctional therapy and using of habit breaking appliance. The prognosis is not determined by the presence of severity of oral habit but the skeletal tendency of the patient. Usage of tongue crib resulted in not only the discontinuance of the habit but also improvement in overbite and overbite. This study showed that relatively successful results could be generated by using removable tongue crib and myofunctional therapy in the case of openbite related to tongue thrusting habit.

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Change of Lumbar Lordotic angle by Taping Therapy on Low Back Pain Patient with Lumbar Hyperlordosis ; A Case Report (테이핑 요법으로 호전된 요통환자의 요추전만도 변화 1례)

  • Youn, Yu-Suck;Lee, Jong-Soo;Moon, Sang-Hyun
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.157-165
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    • 2003
  • Low back pain (LBP) is a significant in today's society, with lifetime include factors associated with LBP ar reporter. Among the causes, aberration of posture may play a role in the development of LBP. Many investigators have assessed the curvature of spine in standing posture. But LBP is associated with Lumber Hyperlordosis of Hyperlordosis is controversial Subjects: In conservative treatment(acupuncture, herb med, manipulation & TENS. exercise, potural correction) for a 40 years old woman who had low back pain(V AS) be caused by decrease lumbar lordotic angie. Objectives: The object is change of lumbar lordotic angle of a 40 years old woman who had low back pain with Lumbar hyperlordosis, In conservative treatment. Method: In conservative treatment, We added taping therapy(mechanical correction taping of Kinesio Taping) about Lumbar Lordosis. Conclusion: We experienced a 40 years old woman who had love pack pain with Lumbar hyperlordosis. In conservative treatment, Her pain was Improved by additional taping therapy In company with decrease of Lumbar Lordosis. 1. abnormal spinal curvature, specially lumbar hyperlordosis act on induction & perpetuation agent for low back pain 2. In a patient had low back pain with lumbar hyperlordosis, change of lumbar lordotic angle is of utility value for the effect of treatment and assessment of prognosis. 3. pain control is more relative with change of lumbosacral angle than lumbar lordotic angle, in patient had low back pain with lumbar hyperlordosis. 4. mechanical taping therapy with elastic adhesive tape is effective for patient had low back pain with lumbar hyperlordosis

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A Study on Relationship Between TMD and Skeletodental Form in Long Face Patterns (장안모군에서 악관절 장애와 악안면 골격형태에 대한 연구)

  • Tae, Ki-Chul;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.29 no.1 s.72
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    • pp.37-49
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    • 1999
  • Forty-four females with normal temporomandibular joint were compared with fifty-one females with abnormal temporomandibular joint. An orthodontic study model and lateral cephalometric radiographic were used to investigate the relationship between TMD group and non-TMD group in long face patterns. The result were followed that ; 1. There were no significant in overbite and overjet amount. 2. A mandibular 1'st molar inclination and height to the mandibualr plane were more mesial inclined in TMD groups. 3. The functional factors, which were craniocervical posture , tongue posture and hyoid bone position, were no significant.

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The Effect of Seat Incline Angle in Hemiplegic Patients' Standing up Training

  • Sim, Woo Sang;Jung, Kwang Tae;Won, Byeong Hee
    • Journal of the Ergonomics Society of Korea
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    • v.35 no.6
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    • pp.493-501
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    • 2016
  • Objective: This study analyzes the effect of angle conditions of rehabilitation equipment used for supporting hemiplegic patients on their rehabilitation training for standing action. The study was performed by adjusting the rear angle of seat inclination through a motion analysis. Background: Owing to a loss of muscle rigidity and degradation of muscle control ability, hemiplegic stroke patients suffer from asymmetrical posture, abnormal body balance, and degraded balance abilities due to poor weight-shifting capacity. The ability to shift and maintain one's weight is extremely essential for mobility, which plays an important role in our daily life. Thus, to improve patients' ability to maintain weight evenly and move normally, they need to undergo orthostatic and ambulatory training. Method: Using a motion analysis system, knee movements on both hemiplegic side and non-hemiplegic side were measured and analyzed in five angles ($0^{\circ}$, $10^{\circ}$, $30^{\circ}$, $50^{\circ}$, $70^{\circ}$) while supported by the sit-to-stand rehabilitation equipment. Results: The knee movements on both sides increased as the angle increased in angle support interval to support a hemiplegic patient's standing up position. In standing up interval, a hemiplegic patient's knee movement deviations on both sides decreased, and the movement differences between hemiplegic and non-hemiplegic legs also decreased as the angle increased. Conclusion: The results of this study showed that the rehabilitation effectiveness increases as the angle increases, leading to a balanced standing posture through the decrease of movement difference between hemiplegic and non-hemiplegic sides and an improved standing up ability through the increase of knee movement on both sides. However, angles higher than $50^{\circ}$ didn't provide a significant effect. Therefore, a support angle under $50^{\circ}$ was proposed in this study. Application: The results of this study are expected to be applicable to the design of sit-to-stand support equipment to improve the effectiveness of the rehabilitation process of hemiplegic patients.

A Comparsion of the Influences on the University Students Craniovertebral Angle of Passive Scapular Alignment Exercise and Hold and Relaxation Technique (수동적 어깨뼈정렬운동과 유지이완기법이 대학생의 머리척추각(C1~C7)에 미치는 영향 비교)

  • Jo, Him-Chan;Kim, Min-ji;Kim, Bo-rim;Kim, Soo-kyung;Kim, Jung-eun;Kim, Ji-soo;Park, Won-woo;Bae, In-han;Lee, Suk-hwan;Eum, Hee-jee;Jang, Myung-woo;Jang, Hyun-jung;Jung, Hye-lim;Cho, Eun-sung;Kim, Geun-jo;Jang, Sang-hun
    • Journal of Korean Physical Therapy Science
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    • v.26 no.2
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    • pp.38-45
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    • 2019
  • Purpose: This study purpose to comparison the effects of passive scapular alignment exercise and hold & relaxation technique on craniovertebral angle (C1~C7) with forward head posture due to using variety bag and using computer in healthy subjects. Design: Randomized Controlled Trial. Methods: 22 subjects were divide into two groups: PSAEx group and H/R group two groups. After exercise, the CVA were measured using C7 and tragus. Collected data were statistically analyzed by SPSS 20.2 Results: There were significant differences pre and post the exercise. Conclusion: PSAEx and H/R technique was effective to correct a abnormal CVA posture. The result of this study may helpful as basic data for orthopedic physical therapy.

Correlation between Tone of Suboccipital Muscle and Endurance of Deep Neck Flexor Muscle according to Angle Changes in College Students (대학생의 머리척추 각도에 따른 뒤통수밑근 긴장도와 깊은목굽힘근의 지구력과의 상관관계)

  • Lee, Hee-ji;Lee, Yeon-soo;Jeong, Ji-young;Seo, Dong-kwon
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.2
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    • pp.137-144
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    • 2019
  • PURPOSE: The continued use of smartphones has resulted in an abnormal body posture and neck alignment changes. Maintaining this posture for a long time weakens the flexor muscles in the neck and shortens the extensor muscles in the neck. This study examined the correlation between the suboccipital muscle tension and deep neck flexor muscle physical endurance according to the craniovertebral angles. METHODS: The craniovertebral angle, tension of the suboccipital muscle and endurance of the deep neck flexor muscle were measured in 58 healthy 20-year-old male and female college students. The tension of suboccipital muscle and endurance of the deep neck flexor muscle were then divided according to the body mass index (BMI). Their correlation with the craniovertebral angle was then examined. Each parameter was measured three times to determine the interrater reliability. RESULTS: The craniovertebral angle and suboccipital muscle tension showed differed significantly. On the other hand, the craniovertebral angle and deep neck flexor muscle physical endurance showed no significant differences. CONCLUSION: The results show that the craniovertebral angle and deep neck flexor muscle physical endurance were not correlated, but a smaller craniovertebral angle resulted in a higher suboccipital muscle tension.

The Eastern and Western Medical Investigation on the Relation with I.I.C.P and Kwul (두개내압상승(頭蓋內壓上昇)과 궐의(厥) 상관성(相關性)에 대(對)한 동서의학적(東西醫學的) 고찰(考察))

  • Jung, Seung-Hyun;Park, Seong-Sik;Lee, Won-Chul
    • The Journal of Dong Guk Oriental Medicine
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    • v.3
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    • pp.237-267
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    • 1994
  • The purpose of this study is the approach to I.I.C.P. centered on the meaning of consciousness disorder and the pathological aspect of Kwul (Jose consciousness ; faint, fall into a coma). The meaning of consciousness disorder and apoplexy is evidently involved the definition of Kwul. 1. It is found that the etymological interpretation on Kwul which the energy rises back to go through blocked space and the meaning interpretation of regarding Kwul as apoplexy with medical viewpoint, are related with consciousness disorder and motor disturbance in IICP in the aspect of the rise of Kwul and the abnormal rising of vital energy and blood, In addtion, the overall of meaning of Kwul is showed in table <1-1> by reference to doctors of many generations, 2. The pathology of Kwul includes abnormal rising, sthenia-syndrome in the upper part and asthenia in the lower, the origin of Kwul, the lower, looking like Yin by too sthenic Yang and looking like Yang by too sthenic Yin. The headache, vomiting, papilledema, paralysis of nervi craniales, coma, blood pressure rising, tachycardia by I.I.C.P can be regarded as a conception of trouble of vital energy, sthenia-syndrome of Kwul. The pulse pressure, brachycardia, bradypnea can be regarded as the conception of looking like Yin by too sthenic Yang. 3. In the emergency of Kwul, the abnormal ternimal reversion of the Kwulyin channel, Kuyang channel, and three Yins are related with the phenomenon in I.I.C.P. It is considered that the reverse movement of materials, I.I.C.P. can be closely observed by giving meaning on the meridian of Kwul in Somunkwulron. And the content of phrases of Naelyung which includes consciousness disorder refered in the chapter of Kwul, is compared with I.I.C.P. 4. The followings should be considered; examination of optic symptom and abnormal posture in cerebral herniation ; understanding and working out counterplans of factors and symptoms of consciousness disorder by the observation of vital sign, check of general stages, neurologic inverstigation, clinical diagnosis, and subsidiary diagnosis; application of morphological change of opinion; addtion of the conception of demonstration centered on Yunkyung, Samyinkwulruk, asthenia and thenia of healthy energy in oriental medicine. 5. The similarity of Kwul and I.I.C.P. can be found from etiology and pathotenic factor. The similarity is clearly found by investigation of etiology, pathotenic factor, symptoms and thrapy of Kwul, disease symptom ar.d other symptoms.

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Clinical Case study of Conservative Caring Method to Abnormal Knee Flexion in Standing Position (기립상태에서 비정상적 무릎관절 굴곡에 대한 보존적 치료 임상사례연구)

  • Cho, Il-Young
    • The Journal of the Korea Contents Association
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    • v.9 no.1
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    • pp.323-330
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    • 2009
  • Objectives: There are many reasons to restrict extension of knee. Unless we can find any structural deformities from patients, we don't have any clue of helping this condition except give them some instruction of exercise of strengthening anterior thigh muscles and releasing extensor muscle group of lower extremities. In this study, the author reports new case, using technique of releasing restriction of knee movement based on Sacro Occipital Technique. Method: From the day of notifying 14yrs. old patient's extension restriction of knee, it had have 7 trials of having S.O.T category Ⅰ. technique procedure. Result: The patient can stand without extension restriction of knee. Conclusion: In many case, muscle soft tissue work helps releasing hamstring tension so that we can make patient stand with straightly extended knee position but if this method is not working then S.O.T category Ⅰ. technique procedure may be considerable to improve this condition.