• Title/Summary/Keyword: Examination Posture

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Effects of Muscle Thickness of Masseter and Sternocleidomastoid, Forward Head Posture and Breathing in Subjects With and Without Dentures

  • Kim, Se-Yeon;Kim, Ki-Song;Hwang, Young-In
    • Physical Therapy Korea
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    • v.29 no.4
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    • pp.255-261
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    • 2022
  • Background: For the elderly, masticatory function is one of the most important oral functions and the masticatory ability is related to the wearing of dentures. Many older people wear dentures for their masticatory function, but a significant number of older people who use dentures have found that they feel uncomfortable when performing their daily activities, such as performing masticating functions or talking. Objects: The purpose of this study is to investigate how the forward head posture (FHP), respiratory function and thickness of masseter (MS), and sternocleidomastoid (SCM) are affected by the presence or absence of dentures in the elderly, and what kind of correlation there is between these variables. Methods: The study was conducted on 11 patients in the normal group and 13 in the denture group. The participant's cognitive ability was evaluated using Mini-Mental State Examination Korean (MMSE-K), and the FHP was evaluated by measuring the craniovertebral angle (CVA). The thickness of the MS and SCM muscles were measured using ultrasound, and respiration was measured with a spirometry. As for the statistical method, the correlation of each variable was investigated using Spearman's correlation coefficient. Results: In the normal group, there was a significant correlation between forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) (p < 0.001), and in the denture group, FVC and FEV1 (p < 0.001), maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) (p < 0.001), CVA and Lt. MS (p = 0.012). Conclusion: CVA and Lt. MS of the denture group have a high negative correlation, it is related that the thickness of MS may be thick when the elderly wearing dentures are FHP.

Outcome Analysis of External Neurolysis in Posture-Induced Compressive Peroneal Neuropathy and the Utility of Magnetic Resonance Imaging in the Treatment Process

  • Junmo Kim;Jinseo Yang;Yongjun Cho;Sukhyung Kang;Hyukjai Choi;Jinpyeong Jeon
    • Journal of Korean Neurosurgical Society
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    • v.66 no.3
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    • pp.324-331
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    • 2023
  • Objective : We aimed to analyze the effectiveness of external neurolysis on the common peroneal nerve (CPN) in patients with posture-induced compressive peroneal neuropathy (PICPNe). Further, we aimed to examine the utility of magnetic resonance imaging (MRI) in assessing the severity of denervation status and predicting the postoperative prognosis. Methods : We included 13 patients (eight males and five females) with foot drop who underwent CPN decompression between 2018 and 2020. We designed a grading system for assessing the postoperative functional outcome. Additionally, we performed MRI to evaluate the denervation status of the affected musculature and its effect on postoperative recovery. Results : The median time to surgery was 3 months. The median preoperative ankle dorsiflexion and eversion grades were both 3, while the average functional grade was 1. Posterior crural intermuscular septum was the most common cause of nerve compression, followed by deep tendinous fascia and anterior crural intermuscular septum. There was a significant postoperative improvement in the median postoperative ankle dorsiflexion and eversion grades and average postoperative functional (4, 5, and 2.38, respectively). Preoperative ankle eversion was significantly correlated with denervation status. Additionally, the devernation status on MRI was positively correlated with the outcome favorability. However, denervation atrophy led to a less favorable outcome. Conclusion : Among patients with intractable PICPNe despite conservative management, surgical intervention could clinically improve motor function and functional ability. Additionally, MRI examination of the affected muscle could help diagnose CPNe and assess the postoperative prognosis.

Subhective Symptoms and Work-related Health Risk Factors in Korean Dental Laboratory Technicians (우리 나라 치과 기공사의 신체 자각 증상과 직업 관련 건강 위험 요인)

  • Kim, Woong-Chul;Lee, Se-Hoon
    • Journal of Technologic Dentistry
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    • v.22 no.1
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    • pp.89-112
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    • 2000
  • Although dental laboratory technicians are prone to be exposed to various work-related health hazardous materials such as dusts, chemicals, etc., the prevalence and nature of work-related health problems of them have not been a matter of great concern in the field of occupational health service in Korea. The purpose of the present investigation was to describe a collected profile of subjective health symptoms and their attributable factors in Korean dental laboratory technicians. A questionnaire listing five groups of health symptoms and five health symptom-related factors was mailed to randomly selected 1,900 dental laboratory technicians. Among them, 1,344 dental laboratory technicians filled out the questionnaires and returnde them. Five groups of health symptoms included musculoskeletal symptom, dermal symptoms, respiratory symptoms, eys symptoms, and ear symptoms. Five health symptom-related factors were occupational environment-related health risk factors, work history, health related habits and status, use of personal protective equipment and general characteristics. Detailed parameters of health risk factors were work posture, vibration, and chemical or physical hazards such as dust, fume, vapor, solvent, light, and noise for occupational environment-related factors; work place, area, number of employees, work hours, career, work part, and work load for work history; Broca's index, hours of sleep, eating, smoking, alcohol, exercise, health examination, and self assessed health status for health habits and status; face masks, goggles, and so on for use of personal protective equipment, and; age, sex, marital status, and education for general characteristics. Before the start of main survey, a pilot survey was carried out for validity and reliability tests of the questionnaire. All the data obtained were coded and analyzed with PC/SAS 6.12 program. The prevalence of health symptoms was the highest in musculoskelton (87.3%), and followde by eyes (78.9%), respiratory organs (64.3%), ears (57.8%), and skin (52.2%) in descending order. Statistically significant risk factors by multiple logistic regression analyses were sex, health examination, self assessed health status, and hand/finger posture in musculoskeletal symptoms; sex, self assessed health status, career, acid gas, and hand contact with resin mixture in deraml symptoms; Broka's smoking, exercise, self assessed health status, and face mask in respiratory symptoms; sex, hours of sleep, self assessed health status, work hours, work load, plaster dust, inadequate lighting, and goggle in eys symptoms, and eating, smoking, self assessed health status, and work load in ear symptoms. With the above considerations in mind, prevalence of subjective symptoms among Korean dental laboratory technicians was relatively high, and they were attributable to most of the occupational environment-related factors, work history, use of personal protective equipment, health habits and status, and general characteristics. Particularly, it is suggested that health promotion programs for promoting self- assessed health status and smoking cessation, preventive measures for protection of the female technicians’health, and reducing work load be necessary, since those factors were associated with more than one subjective symptom.

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Effects of Breast Dose on Plain Abdominal Position (복부 방사선검사 자세가 유방선량에 미치는 영향)

  • Joo, Young-Cheol;Kim, Sheung-Hyuk
    • Journal of radiological science and technology
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    • v.43 no.3
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    • pp.155-159
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    • 2020
  • The purpose of this study is to investigate the effect of posture changes(Anteroposterior projection, Posteroanterior projection) in the plain abdominal examination on breast dose and to examine its clinical usefulness. This study was used a human body phantom and a glass dosimeter. Glass dosimeters were directly inserted from the center and outside of medial and lateral. In this study, the deep dose was measured in the right breast and the surface dose in the left breast. During the abdominal examination, the central X-ray incident point was perpendicularly incident to the image receptor 5 cm above the iliac crest. The exposure parameters were 82 kVp, 320 mA, 50 ms, x-ray field size 14×17 inch The distance between the center X-ray and the detector was fixed at 110 cm, and only the top two AEC chambers were used. As a result of this study, the medial and lateral side doses of the right breast were 535.73±30.68 μGy and 414.46±33.52 μGy for erect AP, and 145.80±18.52 μGy and 148.76±12.92 μGy in erect PA. The superficial breast dose was 754.00±68.36 μGy on the medial side and 674.06±45.58 μGy on the lateral side in the erect AP, 70.66±7.98 μGy on the medial side, and 86.46±15.35 μGy on the lateral side in the erect PA. There was a statistically significant difference in the difference between the mean values of the medial and lateral side doses in the deep and superficial areas of the breast according to the postural change (p <0.01). As a result of this study, If the abdominal radiography was examined in the PA position, the dose reduction effect was 72.78% on the medial side, 64.10% on the lateral side of the deep breast, 90.62% on the medial side, and 87.17% on the lateral side of the superficial breast compared to the AP position.

Evaluated the L-spine Magnetic Resonance Imaging for the Scanning Method of the Lateral Recumbent Position with to the Embarrassed Control of the Acute Low Back Pain (자기공명검사에서 통증제어가 불가능한 급성 요통 환자의 옆으로 누운 자세에 대한 영상평가)

  • Lee, Jaeheun;Lee, Jaeseung;Im, Inchul
    • Journal of the Korean Society of Radiology
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    • v.8 no.5
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    • pp.255-260
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    • 2014
  • The acute lumbar pain patients who were unavoidable to take MRI examination were made to take altered lateral recumbent position. they were also not able to control their painfulness and to be in supine position. In this study, it is supposed to increase success rate of the MRI examination through taking the altered lateral recumbent position in using spine and body matrix coil. This altered position made relaxing lumber pain and fatigue for the patients who suffered from sever lumber pain. In these reasons, it decreases the motion artifacts through correcting uncomfortable posture. As a result, qualitative analysis for the image quality was estimated to have average points of supine position A group(lateral recumbent position) of normal candidates and B group(lateral recumbent position) of the abnormal candidates who have sever pain at 4.64, 3.44, and 3.40, respectively. In conclusion, while qualitative analysis in the examination with supine position of the normal patients had significantly high points, the qualitative analysis in the examination with lateral recumbent position of the normal patients and abnormal patients who had sever lumbar pain was almost same. In addition, it was judged that radiologists' imagery interpretation had no other problems in the image evaluation of B group who had acute lumbar pain of abnormal patients. Hereupon, if this technique becomes generalized for the patients who suffer from supine position in the examination, it is supposed to be useful in medical field.

A Study on New Shielding Method for Minimizing Thyroid Oran Dose on Chest Radiography Used Automatic Exposure Control (자동노출조절장치를 이용한 흉부 방사선검사 시 갑상샘 장기선량 최소화를 위한 새로운 차폐 방법에 관한 연구)

  • Joo, Young-Cheol;Hong, Dong-Hee;Han, Beom-Hee
    • Journal of radiological science and technology
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    • v.43 no.5
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    • pp.323-329
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    • 2020
  • The purpose of this study is to investigate the effect of radiation shielding on the thyroid organ dose and image quality during Chest PA examination using automatic exposure control system. This study was conducted in the patient posture and examination conditions such as Chest PA using human model phantom. An experiment without shielding was set as a control group (non) and the cases of using paper coated with a contrast agent (contrast) and bismuth (bismuth) were used as experimental groups. Compared to non-shielded(non), the dose at bismuth increased about 7% in C(cervical vertebrae)5 and C6 and 14% in C7 and contrast showed dose increases of about 17 to 19% in C5 and C6 and about 21% in C7. As a result of the image quality comparison, when measured in the center of the cervical vertebrae, both SNR and CNR in bismuth increased about 40% higher than non, and contrast showed about 8 to 9% improvement. Compared with soft tissues of the cervix, bismuth reduced SNR by about 15% and CNR by about 13%, in contrast, SNR decreased by 11%, and CNR decreased by about 10%. In the Chest PA using AEC, the method of using the shield in front of the collimator has the advantage to observe the anatomical structure of the neck area well compared to the method using the lead. However, the dose at the neck can be increased by 7-21% depending on shielding materials.

Development of Acanthial Parieto Projection for Maxillary Diagnosis in X-ray Paranasal Sinuses (X-ray 코곁굴 검사에서 위턱굴 진단을 위한 비극-두정방향 촬영법 개발)

  • Byung-Ju Ahn;Yong-Wan Kim;In-Soo Kim
    • Journal of the Korean Society of Radiology
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    • v.17 no.3
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    • pp.327-333
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    • 2023
  • In Order to Diagnose Maxillary Bone and Maxillary Sinus in the X-Ray Paranasal Sinus Projection test, this Study used Skull Rando Phantom to Change the Posture and X-ray tube Angle to 5° of the Head or 5° of ROC Who worked for more than 10 years. The Significance of the Evaluated score was Verified through SPSS Ver. 3.0, and the Cronbach value was Significantly higher at 0.712. In addition, as a Result of Calculating SNR by Setting the ROI(Receiver Operation Characteristic) of the Maxillary bone and Maxillary sinus images, it was the Highest at 6,449 in the Examination by tilting 5° toward the Head or Leg of the X-ray tube. In the study, it is believed that among the X-Ray simple Paranasal Sinus projection tests, a sharp Image can be Obtained during the Examination by Tilting the X-ray tube 5° toward the Head or Leg.

The Effects of the Communication Accompanied with Music Therapy on the Anxiety of the Patients during the MRI Examination (MRI 검사 시 음악요법을 동반한 의사소통이 환자의 불안에 미치는 영향)

  • Yoon, Yong-Hak;Yoon, Hee-Jung;Lee, Sung-Kook;Kim, Kyung-Hee;Kwon, Gi-hong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.93-102
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    • 2016
  • This study examined effects of the communication accompanied with music therapy on the anxiety of patients during a MRI examination. In the experiment group consisting of thirty patients and the control group consisting of thirty patients, the experiment was performed from February 1st 2014 to March 31st 2014 in hospital C located in Daegu Korea. The research design was a non-equivalent control group quasi-experimental study. The results showed that the anxiety score (VAS score) on communication with music therapy of the experimental group was significantly lower (p=.001), than that of the control group. Among the vital signs, the blood pressure was similar in both groups. On the other hand, the pulse rate of the experiment group was significantly lower (p=.001). Four categories of the physical discomfort (perspiration, facial change, change in physical posture, and change in vocal sound) did not show any statistically significant difference between the control and experiment group. Among the mental discomforts, dizziness did not have a significant difference between the experiment group and the control group, but the experimental group had significantly low fear (p=.001) and anxiety (p=.001). From the above results, communication accompanying music therapy proves is an effective alternative examination method that reduces the anxiety of patients.

The Effect of Functional Independence in Long Term Care Elderly People on the Mental and Health factor (정신 및 건강요인이 장기요양 노인의 기능적 독립성에 미치는 영향)

  • Shin, Hong-Cheul;Kang, Jeong-Il;Lee, Kyoung-Hwa
    • Journal of Korean Physical Therapy Science
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    • v.15 no.1
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    • pp.47-56
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    • 2008
  • The purpose of this study was to seek for a performance level of functional independence of the long term care elderly people. This study questionnaires 160 elders with 80 in a large city and 80 in small-to-medium sized city in order to find out the functional independence of elderly people. The results of this study were as follows. 1. Functional independence level following health factor; The comparison of degrees of functional independence level between two groups showed significant difference in sanitation, drinking and smoking, eating habit, chronic disease, physical activities, and regular physical examination(P<.05). But the comparison between two groups was not showed significant difference in present treatment, regular exercise. 2. Functional independence level following Psychological factor; The comparison of degrees of functional independence level between two groups showed significant difference in health evaluation(P<.05). But the comparison between two groups was not showed significant difference in quality of life. In conclusion it is needed that stable housing, much physical activities, and diversified family members should be realized and stable livelihood security recipients to maintain and improve health of the aged and to be socially satisfied.

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A Review of Pregnancy Related Low Back Pain (임신 중 요통에 관한 고찰)

  • Cho Mi-sook;Park Rae-joon
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.431-441
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    • 2003
  • Pregnancy and puerperium are associated with significant changes in pschological and physiologic health status. Back and pelvic pain is common in pregnancy with prevalence figures in the range of $48\%-90\%$. The pain starts during pregnancy and often disappears soon after childbirth. But the prevalence of such pain four to six months post postpartum is report to be $25-40\%$. In $10-15\%$ of the case the pain become chronics, that is persisting for more than three months after childbirth. Low back pain and pelvic pain maybe caused by several factors related to changes that occur naturally during pregnancy. Changes in the center of gravity can create a strain on weight-bearing structures in bone. Pregnancy related hormones, relaxin, create general laxity of collagenous tissue. Another factor found to be a possible primary or contributing cause for law back and hip symptoms are leg length inequality, weight gain and changes in foot function. This article outlines the physiological and biomechanical changes that occur during pregnancy which have been reported to be possible causes of low back and pelvic pain And then, examination, diagnosis, evaluation and treatment of the woman during pregnancy are described. Standard treatment for low back pain and pelvic pain in pregnancy includes education in anatomy and kinesiology, back-strengthening exercise, training of the abdominal muscles and body posture correction. So, most woman during pregnancy require individual consultation and physiotherapist.

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