• 제목/요약/키워드: Iliopsoas muscle

검색결과 36건 처리시간 0.019초

Lumbar Plexopathy Caused by Metastatic Tumor, Which Was Mistaken for Postoperative Femoral Neuropathy

  • Lee, Ki-Hwa;Choe, Ji-Hyun;Lee, Sang-Eun;Park, Jae-Hong;Bang, Si-Ra;Kim, Yong-Han;Jeon, Sang-Yoon
    • The Korean Journal of Pain
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    • 제24권4호
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    • pp.226-230
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    • 2011
  • Surgical excision was performed on a 30-years old woman with a painful mass on her left thigh. The pathologic findings on the mass indicated fibromatosis. After the operation, she complained of allodynia and spontaneous pain at the operation site and ipsilateral lower leg. We treated her based on postoperative femoral neuropathy, but symptom was aggravated. We found a large liposarcoma in her left iliopsoas muscle which compressed the lumbar plexus. In conclusion, the cause of pain was lumbar plexopathy related to a mass in the left iliopsoas muscle. Prompt diagnosis of acute neuropathic pain after an operation is important and management must be based on exact causes.

Acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments: a case report of diagnosis and management

  • Bawale, Rajesh;Watson, Jay;Yusuf, Karshe;Pillai, Dilip;Singh, Bijayendra
    • Journal of Trauma and Injury
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    • 제35권2호
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    • pp.139-143
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    • 2022
  • Bacterial infection of skeletal muscle can lead to the formation of abscesses. Primary pyomyositis is typically seen in tropical countries, and Staphylococcus aureus is the commonest causative organism. We present a case of acute adductor magnus muscle abscess (pyomyositis) with spread to adjacent thigh compartments via the perforators without iliopsoas muscle involvement. Due to the involvement of the entire thigh compartment, systemic antibiotic treatment alone was insufficient, whereas surgical drainage improved the clinical picture. The aetiological organism was S. aureus. Herein, we report the case of a patient who had primary pyomyositis, rather than a secondary type, that spread to the posterior and lateral aspect of the thigh through the second and third perforators, which pierce the adductor magnus muscle belly before entering the femur.

Exercise-induced traumatic muscle injuries with active bleeding successfully treated by embolization: three case reports

  • Heo, Yoonjung;Kang, Hye Lim;Kim, Dong Hun
    • Journal of Trauma and Injury
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    • 제35권3호
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    • pp.219-222
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    • 2022
  • Muscle injuries caused by indirect trauma during exercise are common. Most of these injuries can be managed conservatively; however, further treatment is required in extreme cases. Although transcatheter arterial embolization is a possible treatment modality, its role in traumatic muscle injuries remains unclear. In this case series, we present three cases of exercise-induced muscle hemorrhage treated by transcatheter arterial embolization with successful outcomes. The damaged muscles were the rectus abdominis, adductor longus, and iliopsoas, and the vascular injuries were accessed via the femoral artery during the procedures.

운동유형별 뇌졸중 환자의 기능적 수행능력 변화 I : 보행시 하지근육 활성도 분석 (Changes of Functional Performance Ability in Stroke Patients by Exercise Types I : Analysis of Lower Extremity Muscle Activity during Walking)

  • 박성현;김정태
    • 한국운동역학회지
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    • 제18권1호
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    • pp.63-72
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    • 2008
  • 본 연구는 운동유형별 운동 전후 뇌졸중 환자의 보행시 하지근육 활성도의 차이를 비교 분석하여 임상에서 기능적 수행능력의 개선을 위한 효과적인 근력강화 방법을 제시하는데 그 목적이 있다. 이를 위하여 운동치료군, 탄성밴드군 및 신장반사군으로 구분하여 각각 7명씩 총 21명을 대상으로 하였고, 운동프로그램은 8주 동안 주 5회 실시하였다. 1차 단하지 지지기에서 장요근 및 대퇴이두근의 %MVIC는 신장반사군이 운동치료군과 탄성밴드군보다 높은 수준을 보였고, 반면 전경골근의 %MVIC는 탄성밴드군이 운동치료군보다 낮은 수준을 보였다. 2차 양하지 지지기에서 장요근의 %MVIC는 신장반사군이 운동치료군과 탄성밴드군보다 높은 수준을 보였고, 반면 내측 비복근의 %MVIC는 신장반사군이 운동치료군보다 낮은 수준을 보였다. 결론적으로 신장반사 운동은 운동치료와 탄성밴드를 이용한 근력강화 운동 보다 고관절의 안정성 및 하지 분절의 운동성을 제공하는 주요 근육의 활성도에 효과적인 영향을 미침으로써 임상에서 근 약화로 인한 운동 기능이 제한된 편마비 환자에게 실용적으로 접근할 수 있는 운동방법이라고 판단된다.

족소음경근(足少陰經筋)에 해당하는 근육(筋肉)에 관(關)한 고찰(考察) (A study on muscles falling under 'Foot lesser yin meridian sinew')

  • 송종근;전주현;이병렬;임윤경
    • Korean Journal of Acupuncture
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    • 제26권4호
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    • pp.135-144
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    • 2009
  • Objective : The Meridian sinew is one of the meridian subsystems, which includes muscles distributed on the twelve meridian. This study was performed to understand which muscle is falling under 'Foot lesser yin meridian sinew'. Methods : We have studied the literatures on meridian sinew theory and searched muscles which correspond to 'Foot lesser yin meridian sinew' in anatomical muscular system. And we researched myofascial pain syndrome about the symptoms of the muscles falling under 'Foot lesser yin meridian sinew'. Lastly we compared 'Foot lesser yin meridian sinew' with 'Deep Frontal Line' - one of the anatomical trains. Results & Conclusion : 1. It is considered that 'Foot lesser yin meridian sinew' includes flexor digitorum brevis muscle, abductor hallucis muscle, medial head of gastrocnemius muscle, flexor digitorum longus muscle, adductor muscle, iliopsoas muscle, erctor spinae muscle. 2. The symptoms of 'Foot lesser yin meridian sinew' are similar to the myofascial pain syndrome with referred pain of the muscles falling under 'Foot lesser yin meridian sinew'. 3. 'Deep frontal line' is similar to 'Foot lesser yin meridian sinew', but not exactly in neck & pelvic muscles.

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Study on Some Qualitative Features of Meat from Young Goat of Bulgarian Breeds and Crossbreeds of Goats Slaughtered at Various Ages

  • Stankov, Iv.K.;Todorov, N.A.;Mitev, J.E.;Miteva, Tch.M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제15권2호
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    • pp.283-289
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    • 2002
  • A comparative study on the quality of meat from three breeds of goats reared in Bulgaria: Local Aboriginal (LA); Bulgarian White Dairy (BWD) and crossbreeds of local aboriginal with Saanen goats (LA ${\times}$ S). Eight intact young male goats from each breed have been included in the experiment. The animals from the three breeds have been reared under similar conditions. The animals have been slaughtered at the age of 2 months (at weaning) and at the age of 6 months (upon reaching sexual maturity). The following tests have been performed on samples of m. longissimus dorsi between $5^{th}$ and $6^{th}$ ribs: pH 45 min post mortum, colorimetrically color of meat, water holding capacity and fatty acid composition of the fat. The thickness of muscle fibre and the proportion of muscle, connective and adipose tissue have been microscopically determined at m. longissimus dorsi, m. semitendinosus and m. iliopsoas. After deboning and separating the bigger tendons, the chemical composition of the meat from the left half of the carcass has been determined. The results reveal lack of statistically significant differences among the three breeds concerning pH, the water holding capacity, color of meat, thickness of the muscle fibre and fatty acid composition of the fat. The carcass meat of crossbreeds of LA ${\times}$ S contains significantly more fat than the other two breeds. This influences the proportion of muscle, connective and adipose tissue in m. longissimus dorsi, m. semitendinosus and m. iliopsoas, resulting in more adipose tissue in the LA ${\times}$ S compared to young goats of the LA or the BWD. There are differences in slaughtering 2-month-old goats (at weaning) and 6-month-old ones (upon reaching sexual maturity). At a greater age the content of fat in the carcass increases, as well as the quantity of the adipose tissue, the intensity of the colour of the meat and there is a tendency towards thickening of the muscle fibre and increasing the water holding capacity of meat. The moisture content in meat decreases due to the increase of fat.

족삼양경근(足三陽經筋)의 근육학적(筋肉學的) 고찰(考察) (A Study on Muscular System of Foot Three Yang Meridian-Muscle)

  • 이명선;홍승원;이상룡
    • Korean Journal of Acupuncture
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    • 제25권2호
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    • pp.1-32
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    • 2008
  • Objectives : This study was performed to understand the interrelation between 'Foot three yang meridian-muscle' and 'muscular system'. Methods : We have researched some of the literatures on Meridian-muscle theory, anatomical muscular system, myofascial pain syndrome and anatomy trains. And especially we have compared myofascial pain syndrome to anatomy trains and researched what kind of relationship is exist between them. Results : It is considered that Foot taeyang meridian-muscle includes Abductor digiti minimi m., Gastrocnemius m., Biceps femoris m., Longissimus m., Omohyoid m., Occipital m., Frontal m., Orbicularis oculi m., Trapezius m., Sternocleidomastoid m., Sternohyoid m., Zygomaticus m. Foot soyang meridian-muscle includes Dorsal interosseus m., Tendon of extensor digitorum longus m., Extensor digitorum longus m., Iliotibial band, Vastus lateralis m., Piriformis m., Tensor fasciae latae m., Internal abdominal oblique m., External abdominal oblique m,, Internal intercostal m., External intercostal m., Pectoralis major m., Sternocleidomastoid m., Posterior auricular m., Temporal m., Masseter m., Orbicularis oculi m. Foot yangmyung meridian-muscle includes Extensor digitorum longus m., Vastus lateralis m., Iliotibial band, Iliopsoas m., Anterior tibial m., Rectus femoris m., Sartorius m., Rectus abdominis m., Pectoralis major m., Internal intercostal m., External intercostal m., Sternocleidomastoid m., Masseter m., Levator labii superioris m., Zygomatic major m., Zygomatic minor m., Orbicularis oculi m., Buccinator m. and the symptoms of Foot three yang meridian-muscle are similar to the myofascial pain syndrome. Superficial back line in anatomy trains is similar to the pathway of Foot taeyang meridian-muscle. Lateral Line in anatomy trains is similar to the pathway of Foot soyang meridian-muscle. Superficial Front Arm Line in anatomy trains is similar to the pathway of Foot yangmyung meridian-muscle. Conclusions : There is some difference between myofascial pain syndrome and meridian-muscle theory in that the former explains each muscle individually, while the latter classifies muscular system in the view of integrated organism. More studies are needed in anatomy and physiology to support the integration of muscular system of Foot three yang meridian-muscle in aspect of anatomy trains.

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봉입체 근염 : 임상과 전기생리학 소견 (Inclusion Body Myositis : Clinical Features and Electrophysiological Findings)

  • 김광국
    • Annals of Clinical Neurophysiology
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    • 제8권1호
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    • pp.16-22
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    • 2006
  • Sporadic inclusion body myositis (s-IBM) is an aquired slowly progressive inflammatory myopathy with unknown etiology. Although light microscopic abnormalities and characteristic histopathology on muscle biopsy distinguishes from other inflammatory myopathies, vacuolated muscle fibers, intracellular amyloid deposits or tubulofilaments in electromicroscopic findings are not definite in some patients. This review shows the prominently involved muscles in s-IBM and specific or nonspecific electrophysiologic manifestations from reported data for helping the diagnosis of definite-or probable-IBM patients. In lower limbs, the quadriceps is predominantly involved, as is iliopsoas, and tibialis anterior is common. In the upper limbs, the greatest weakness is in forearm finger flexors. Finger extensors, biceps and triceps also are moderately to prominently involved. The majority of patients demonstrate polyphasic MUAPs that are short in duration. An additional striking feature is the concomitant documentation of long-duration, large-amplitude, polyphasic MUAPs. In spite of the frequent mixed myopathic-neurogenic electromyographic findings of IBM, just like that of chronic myositis, asymmetric, slowly progressive weakness of flexor digitorum profundus or quadriceps femoris muscles after age of 50 is very necessary condition for the diagnosis of IBM.

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뇌졸중 환자에서 고유수용성신경근촉진법이 환측 근육의 방사형태에 미치는 영향: 사전연구 (Effect of Proprioceptive Neuromuscular Facilitation on Muscle Irradiation Patterns of the Affected Side of in Stroke Patients: A Preliminary Study)

  • 김원호
    • 한국전문물리치료학회지
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    • 제16권2호
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    • pp.59-66
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    • 2009
  • This study investigated the irradiation pattern of muscles on the affected side in stroke patients after application of diagonal 2 extension (D2 ex) proprioceptive neuromuscular facilitation in the unaffected upper extremity. Seven stroke patients participated. Electromyographic activities were recorded in the iliopsoas, biceps brachii, and triceps brachii were recorded by surface electrodes at rest, D2 ex with knee extension, and D2 ex with knee 90 flexion, normalized by maximal voluntary isometric contraction (MVIC) values. The medial frequencies of biceps brachii in both sides were also measured to compare muscle type recruited. %MVIC of biceps brachii and triceps brachii were significantly higher in D2 ex than at rest (p<.05). There was no difference in median frequency of biceps brachii between the affected and unaffected side (p>.05). This suggests that proprioceptive neuromuscular facilitation using D2 ex may improve muscle activities of the paretic side and that the irritation pattern of the affected side may respond to maintain body equilibrium according to movement of the sound side.

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근에너지기법과 스트레칭 운동이 허리 통증을 경험하고 있는 성인에 통증과 심리사회적 수준, 기능장애 수준, 체간 유연성에 미치는 영향 비교 (Comparison of the Effect of Muscle Energy Techniques and Stretching Exercises on Pain and Psychosocial Dysfunction Levels in Individuals With Low Back Pain)

  • 차병하;김선엽
    • 한국전문물리치료학회지
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    • 제29권1호
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    • pp.54-63
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    • 2022
  • Background: Low back and neck pain are two of the most common medical problems in the adult population. It is estimated that between 70% and 80% adults experience an episode of low back pain at least once during their lifetime. Objects: This study aimed to compare the effects of various stretching exercises and muscle energy techniques used for treatment of iliopsoas, quadratus lumborum, and hamstrings of patients with low back pain. Methods: A total of 52 subjects were randomly assigned to the control group (n = 17), the muscle energy technology group (METG, n = 19), and the stretching exercise group (SEG, n = 16). Interventions were performed twice a week for 4 weeks. Outcomes were measured before and after 4 weeks of treatment in the three groups, using the Korean version of the Oswestry Disability Index, the Visual Analogue Scale (VAS), the Fear Avoidance Belief Questionnaire (FABQ), the Finger to Floor test (FTF), the Modified-Modified Schober Test (MMS), and the Trunk Flexion Range of Motion test. Results: This study showed significant reduction in the pre-test and post-test KODI, VAS, and FABQ scores in all the three groups (p < 0.05). The KODI, VAS, FABQ and FTF assessed in this study showed interactions between the groups and the measurement time point (p < 0.01). After intervention, the KODI, VAS, FABQ and FTF in the SEG and METG were significantly higher (p < 0.05), and there was no difference between the METG and SEG. MMS and HFROM test showed no difference between the three groups (p > 0.05). Conclusion: KODI, VAS, FABQ and FTF showed significant improvement after basic physical therapy, muscle energy technique, and stretching exercise intervention. And there was no significant difference in the intervention effect between the muscle energy group and the stretching exercise group.