• Title/Summary/Keyword: Iliac

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Inter-Rater Reliability of Abdominal Muscles Thickness Using Ultrasonography for Different Probe Locations and Thickness Measurement Techniques

  • Lim, One-Bin;Hong, Ji-A;Yi, Chung-Hwi;Cynn, Heon-Seock;Jung, Doh-Heon;Park, Il-Woo
    • Physical Therapy Korea
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    • v.18 no.4
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    • pp.60-67
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    • 2011
  • Ultrasonography (US) is a recent technique that has proven to be useful for assessing muscle thickness and guiding the rehabilitation decision-making of clinicians and researchers. The purpose of this study was to determine the inter-rater reliability of the US measurement of transversus abdominis (TrA), internal oblique (IO), and external oblique (EO) thicknesses for different probe locations and measurement techniques. Twenty healthy volunteers were recruited in this study. Muscle thicknesses of the transversus TrA, IO, and EO were measured three times in the hook-lying position. The three different probe locations were as follows: 1) Probe location 1 (PL1) was below the rib cage in direct vertical alignment with the anterior superior iliac spine (ASIS). 2) Probe location 2 (PL2) was halfway between the ASIS and the ribcage along the mid-axillary line. 3) Probe location 3 (PL3) was halfway between the iliac crest and the inferior angle of the rib cage, with adjustment to ensure the medial edge of the TrA. The two different techniques of thickness measurement from the captured images were as follows: 1) Muscle thickness was measured in the middle of the muscle belly, which was centered within the captured image (technique A; TA). 2) Muscle thickness was measured along a horizontal reference line located 2 cm apart from the medial edge of the TrA in the captured image (technique B; TB). The intraclass correlation coefficient (ICC [3,k]) was used to calculate the inter-rater reliability of the thickness measurement of TrA, IO and EO using the values from both the first and second examiner. In all three muscles, moderate to excellent reliability was found for all conditions (probe locations and measurement techniques) (ICC=.70~.97). In the PL1-TA condition, inter-rater reliability in the three muscle thicknesses was good to excellent (ICC=.85~.96). The reliability of all measurement conditions was excellent in IO (ICC=.95~.97). Therefore, the findings of this study suggest that TA can be applied to PL1 by clinicians and researchers in order to measure the thickness of abdominal muscles.

Changes in the girth of anthropometric variables during menstrual cycle in women university students (여자대학생의 생리주기에 따른 인체계측변인 둘레의 변화)

  • Kim, Young-Sun;Kang, Seol-Hee;Kim, Yun-Jung;Park, Won-Yeop;Jang, Jee-Hun
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.14 no.5
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    • pp.421-429
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    • 2021
  • The purpose of this study was to identify the change in the girth of anthropometric variables during menstrual cycle, and to provide basal data for health promotion program development during pre-menstrual phase and menstrual phase. Participants were 10 healthy women university students without menstrual irregularity, subjective premenstrual syndrome, premenstrual dysphoric disorder, dymenorrhea, obstetrician and gynecologic disease. Chest girth(axillary and papillary), waist girth(half point between iliac crest and 12th rib, and navel), and hip girth were repeatedly measured in menstrual phase, follicular phase, luteal phase during single menstrual cycle. As a result, axillary chest girth in menstrual phase was significantly increased than that in luteal phase. Papillary chest girth and waist girth at half point between iliac crest and 12th rib in menstrual phase were significantly increased than those in follicular phase. No significance was shown in chest and waist girth between follicular and luteal phase. No significance was shown in hip girth during menstrual cycle. In conclusion, signicant difference was shown in chest and waist girth during menstrual cycle. And it is suggested that succeeding research should be carried out with reference to body weight, body fat, blood and local hormone concentration during menstrual cycle.

An Overview of Clinical Studies on Pelvic Correction in Korea (골반교정에 대한 국내 임상 연구 동향)

  • Beag, Ji You;Bae, Jae Ryong;Ahn, Hun Mo;Lee, Jae Heung
    • Journal of Korean Medical Ki-Gong Academy
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    • v.20 no.1
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    • pp.118-147
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    • 2020
  • Objective : The purpose of this study is to understand trends of pelvic correction therapy in Korea and to assist research activities on pelvic correction therapy. Also, this study selected and presented indicators for measuring pelvic slope to help ensure consistent studies with uniform indicators in future studies related to pelvic correction. Methods : The following keywords "골반", "골반 교정", "골반 변위" "Pelvic correction" were searched on three specialized search sites (RISS, NAI, DBpia). Trends in pelvic correction therapy were analyzed through the selected researches suitable among these searched researches in an overview format. Results : 1. A total of 7,806 studies were searched and a total of 268 studies were finally selected. 2. Studies began in 1977 and have been actively studied until recently, with 35 studies in 2017 being the most recent trend since 2000. 3. In the results according to the Main Field of Research, the 'Arts and Kinesiology'(113, 42.16%) and 'Medicine and Pharmacy'(103, 38.43%) were the most in order. To the Middle Field, the 'Kinesiology was the largest with 96(35.82%) studies. 4. In the results according to the study design, 'Pre-Post Test(PPT)' was the largest with 107 studies. 5. In the results according to the Intervention, 'Exercise' was the largest with 165 studies, of which 'Pilates' and 'Yoga' in 'Training' was the largest. 6. Among the evaluation method, the 'Pelvic Index' was used 146 times, followed by 'Spinal Alignment (99)', 'Other Joints (93)', and 'Kinetic Specialized Measurement Test (56)'. 7. Among the evaluation methods, the pelvic slope measurement indicators were PT (58), PH (48), Pelvic Torsion (40), Iliac Crest (38), ASIS-PSIS distance/angle (27), and Pelvic Width (I.W., I.L., S.W) (25) in order. 8. The journals that published the most researches were KJSS(Korean Alliance For Health, Physical Education, Recreation, And Dance;9), and JKPT(Korean Physical Therapy;9). Among the University, the Graduate School of Silla University published the most papers (12). 9. The author who published the most studies were Seungjin Park(3), the co-authors were Hoseong Lee, Gideok Park, Seongsu Bae(3), and the Thesis-Director Gyeongok Lee(7). Conclusions : 1. Studies on pelvic correction treatment continue to increase every year. 2. The main academic field of pelvic correction is 'Sports', 'Physical Therapy', and 'Medical Science'. 3. The most chosen research design method in the study on pelvic correction treatment was 'Pre-Post Test(PPT)', primarily as an intermediary, Pilates and yoga during exercise therapy, and then Chiropractic during handcraft were used as multiple frequencies. 4. Among the various measurement method indicators of pelvic correction previously used, multiple frequency was taken up in the order of PT, PH, Pelvic Torsion, iliac crest, ASIS-PSIS distance/angle, and pelvic width (I.W.,I.L.,S.W). Typically, measurements through "ASIS-PSIS angle" are recommended and are considered as the most rational in clinical trials.

Portal vein reconstruction in pediatric liver transplantation using end-to-side jump graft: A case report

  • Jaewon Lee;Nam-Joon Yi;Jae-Yoon Kim;Hyun Hwa Choi;Jiyoung Kim;Sola Lee;Su young Hong;Ung Sik Jin;Seong-Mi Yang;Jeong-Moo Lee;Suk Kyun Hong;YoungRok Choi;Kwang-Woong Lee;Kyung-Suk Suh
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.27 no.3
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    • pp.313-316
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    • 2023
  • Attenuated portal vein (PV) flow is challenging in pediatric liver transplantation (LT) because it is unsuitable for classic end-to-end jump graft reconstruction from a small superior mesenteric vein (SMV). We thus introduce a novel technique of an end-to-side jump graft from SMV during pediatric LT using an adult partial liver graft. We successfully performed two cases of end-to-side retropancreatic jump graft using an iliac vein graft for PV reconstruction. One patient was a 2-year-old boy with hepatoblastoma and a Yerdel grade 3 PV thrombosis who underwent split LT. Another patient was an 8-month-old girl who had biliary atresia and PV hypoplasia with stenosis on the confluence level of the SMV; she underwent retransplantation because of graft failure related to PV thrombosis. After native PV was resected at the SMV confluence level, an end-to-side reconstruction was done from the proximal SMV to an interposition iliac vein. The interposition vein graft through posterior to the pancreas was obliquely anastomosed to the graft PV. There was no PV related complication during the follow-up period. Using a jump vascular graft in an end-to-side manner to connect the small native SMV and the large graft PV is a feasible treatment option in pediatric recipients with inadequate portal flow due to thrombosis or hypoplasia of the PV.

Low back pain due to Sacro iliac joint Dysfunction (천장관절 기능이상과 요통증)

  • Lim, Sung-Soo
    • Journal of Korean Physical Therapy Science
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    • v.6 no.3
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    • pp.25-40
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    • 1999
  • The hub of weight bearing in the human body for both static and dynamic activities is the lumbopelvic region. It is a key region of extraordinary stability, since the trunk and ground forces converage in this region. The two sacroiliac joints form an integral part of this lumbopelvic unit. Considerable effort has been expended to study and quantify the normal range of movement of the sacroiliac joints Mitchell suggests that the ilium rotates in a posterior direction at heel strike and progresses in an anterior direction as the individual passes through the stance phase. The overall key appears to lie in determining the weight-bearing pattern of the sacroiliac (lumbopelvic) region from above and below that results in the familiar pain of sacroiliac dysfunction, assessing the status of the injured tissues, and intervening with the proper treatment protocols that maximize the body's healing processes. The purpose of this chapter is to provide a comprehensive overview of the sacroiliac joint's tissues and biomechanics, as well as concepts of evaluation and treatment. This overview is aimed at assisting the clinician in identifying the forces that are potentially destructive to the lumbopelvic tissues.

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Modified External Skeletal Fixation for Craniodorsal Coxofemoral Luxation in 5 Dogs (개의 전배측 고관절 탈구에서 변형된 외골격 고정 적용 5례)

  • Jung, Chang-Su;Lim, Ji-Hey;Byeon, Ye-Eun;Kim, Wan-Hee;Yoon, Jung-Hee;Kweon, Oh-Kyeong
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.631-635
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    • 2007
  • Luxation of the hip is the most common luxation seen in small animals. Luxations are classified by the direction in which the femoral head lies in relation to the acetabulum and craniodorsal luxations are the most common type. Recommendations for treatment are based on the presence of preexisting disease, the type and duration of luxation and severity of concurrent injuries. In this study modified external skeletal fixation was used for craniodorsal coxofemoral luxation in 5 dogs. Luxated head Joint was reduced and fixator pins were applied into the greater trochanter, the middle point of iliac body and the lateral surface of sacroiliac joint in a closed fashion. Reduction was successful in 4 of the 5 operated limbs. Complications noted in this study included pin tract drainage, pin loosening and secondary fracture at the pin insertion site.

The Result of Posterior Microforaminotomy for Posterolateral Herniation of Cervical Discs (후측방으로 탈출된 경추 디스크의 후방 미세간공천개절제술의 치료결과)

  • Kim, Young Soo;Kuh, Sung Uk;Jin, Byung Ho;Cho, Young Eun;Chin, Dong Kyu
    • Journal of Korean Neurosurgical Society
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    • v.30 no.6
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    • pp.743-748
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    • 2001
  • Objective : To evaluate the effectiveness of posterior microforaminotomy in treatment of posterolateral cervical disc herniation, the authors retrospectively analyzed the result of posterior microforaminotomy in our institute. Patients and Methods : Ten patients with radiculopathy due to posterolateral cervical disc herniation have been treated with posterior microforaminotomy from August 1996 to July 2000. We analyzed clinical results in all patients who were followed up for an average of 10 months. Results : The mean age was 47.2 years and all patients were treated with posterior microforaminotomy as primary treatment. one patient was received anterior cervical interbody fusion with iliac bone 12 years before. Clinical improvement in the last follow-up were seen in all patients and there were no complications. Conclusion : Microcervical foraminotomy is considered useful operative method for posterolateral soft disc herniation. We conclude that the posterior microforaminotomy for radiculopathy due to soft posterolateral cervical disc herniation seems to be safe and effective in selective patients.

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A CLINCO-RADIOGRAPHIC STUDY ON EFFECT OF HAP USED AFTER ODONTOGENIC CYST ENUCLEATION (치성 낭종 적출술후 사용된 HAP의 효과에 대한 임상적 방사선학적 연구)

  • Rim, Jae-Seok;Kim, Seong-Mun;Ryu, Jae-Jun;Kim, Hui-Jong;Lee, Sang-Eun;Cho, Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.3
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    • pp.57-62
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    • 1990
  • Many alloplastic materials have been used as the bony substitute in large bony defects caused by fracture, periodontitis, & cyst, etc. Nowadays Hydroxyapatite(HAP) is the most usable material as the bony substitute. The reasonable properties of HAP are nontoxic, biocompatible to host tissues & have osteoconductivity. Other bioceramic materials are recommended as the bony substitute with high success rate. We have studied the clinical use of HAP as the bony substitute in the defected area caused by cyst. The reasonalbe & successful results are obtained. The results were as followed. 1. Better prognosis was obtained in the case of HAP & bone mixed graft than HAP graft only. And the best prognosis was obtained in the case of iliac bone graft. 2. Better prognosis was obtained in Mx. than in Mn. 3. It seems that the soft tissue ingrowth into the HAP granule play an important role in the success of the HAP graft. 4. Though the flap covering the HAP granules was perforated, the relative good prognosis was obtained by re-suturing the perforeated site.

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MANDIBULAR RECONSTRUCTION BY TISSUE EXPANSION AND ILIAC BONE GRAFT (조직확장술및 장골이식을 이용한 하악골 결손부의 재건)

  • Lee, Kye-Young;Min, Kong-In;Cheung, Soo-Il;Park, Jae-Byum;Ahn, Jae-Jin;Kim, Do-Geun;Kim, Chal-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.4
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    • pp.449-453
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    • 2000
  • Soft tissue expansion is widely used technique in oral & maxillofacial reconstruction and provide new method of reconstruction in posttraumatic alopecia, post burn, wide scar, congenital deformity, benign tumor, tattoo, etc. Expanded tissue flaps have the advantage of increased vascularity, proximity to the defect, and similarity of color and texture. They also preclude the need to advance flaps from distant sites. Tissue expansion can be used to form a well vascularized cavity to accomodate and nourish bone grafts. The following report describes the uses of tissue expanders by allowing bone grafting to correct both soft and bony defects of mandibular region

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Effects of Bridge Exercise with Pelvic Compression Belt on Electromyographic Activities of Selected Lumbopelvic Muscles in Young Adults with Lumbar Instability

  • Cha, Hyun-Gyu;Choe, Yu-Won;Wu, Yan-Ting;Kim, Myoung-Kwon
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.3
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    • pp.1-10
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    • 2017
  • PURPOSE: This study assessed the effect of the pelvic compression belt on the electromyographic activity of erector spinae (ES), internal oblique (IO), rectus femoris (RF), and biceps femoris (BF) after bridge exercise with pelvic belt compression in subjects with lumbar instability. METHODS: Forty subjects with lumbar instability volunteered for this study. We asked them to perform the bridge exercise while wearing a pelvic belt compression for 30 minutes five times weekly over a six week period. The pelvic compression belt was adjusted just below the anterior superior iliac spines with stabilizing pressure using elastic compression bands during bridge position. Surface electromyographic data were collected from the erector spinae (ES), internal oblique (IO), rectus femoris (RF) and biceps femoris (BF). RESULTS: After the six week intervention, the experimental group improved significantly. Muscle activation significantly decreased in the erector spinae, rectus femoris, and biceps femoris, and increased in the internal oblique muscle in bridge position while wearing a PCB (P <.01). CONCLUSION: Our findings suggest that the bridge exercise with pelvic belt compression is helpful to reduce activation in superficial muscles and lower extremity muscles such as erector spinae (ES), rectus femoris (RF), biceps femoris (BF) and increase activation in deep trunk muscle such as the internal oblique (IO).