• Title/Summary/Keyword: Lower back

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The Effects of Abdominal Strength Training Using Proprioceptive Neuromuscular Facilitation on the Balance Ability and Pain of Patients with Chronic Lower Back Pain (고유수용성신경근촉진법 복부강화훈련이 만성허리통증환자의 균형능력과 통증에 미치는 영향)

  • Kim, Chang-Heon;Kim, Beom-Ryong
    • PNF and Movement
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    • v.15 no.2
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    • pp.141-148
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    • 2017
  • Purpose: This study attempts to identify the effects of abdominal strength training using proprioceptive neuromuscular facilitation (PNF) on the balance ability and pain level of patients with chronic lower back pain. Methods: A total of 30 patients with chronic lower back pain were randomly divided into either experimental group I (n=10), who received abdominal strength training using PNF, experimental group II (n=10), who received abdominal strengthening training, or the control group (n=10), who received conventional physiotherapy. The interventions were applied three times a week for six weeks. We measured Berg's balance scale (BBS) in order to investigate the change in balance ability, while we measured the visible analogue scale (VAS) to determine the severity of pain. We conducted a paired t-test to compare the within-group change before and after the intervention. For the comparison of the between-group difference, we used a one-way ANOVA test. Tukey's test was used as a post hoc test. The statistical significance level was set at ${\alpha}=0.05$ for all the variables. Results: Experimental group I and experimental group II showed a significant within-group change in BBS (p<0.01). A statistically significant between-group difference was observed in terms of the change in BBS (p<0.01). According to the results of the post hoc Tukey test, experimental group I and experimental group II showed a more effective change in BBS than the control group. Experimental group I, experimental group II, and the control group all showed a significant within-group change in the VAS (p<0.01). There was a statistically significant between-group difference in terms of the change in the VAS (p<0.01). According to the results of the post hoc Tukey test, the change in the VAS was more effective in experimental group I than in experimental group II and the control group. Conclusion: In this study, the application of abdominal strength training using PNF for subjects who complained of chronic lower back pain proved effective in improving their balance ability and reducing pain. We therefore believe that this training method could be applied as a useful program for patients with chronic lower back pain.

THREE DIMENSIONAL FINITE ELEMENT ANALYSIS FOR REACTION TO MOLAR UPRIGHTING SPRING (대구치 직립 스프링 적용시 반작용에 관한 삼차원 유한요소법적 연구)

  • Choe, Yoo-Kyung;Kim, Tae-Woo;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.28 no.1 s.66
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    • pp.61-74
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    • 1998
  • The Purpose of this study was to investigate the stress distribution and tooth displacement at the initial phase produced by 5 types of molar uprighting springs using finite element method. The three dimensional finite element model of lower dentition, bone and springs was composed of 5083 elements and 2071 nodes. The results were as follows: 1. In case of helical spring and root spring, intrusion of lower canine and first premolar were observed md distal tipping, translation and extrusion of lower second molar were observed. 2. In case of T-loop, modified T-loop and box loop, intrusion and distal translation of lower second premolar were observed, and the largest crown distal tipping and translation of lower second molar were observed in T-loop and the smallest were observed in box loop. 3. In case of T-loop with cinch-bact crown distal tipping and translation of lower second molar were decreased, but extrusion was also decreased. 4. With increase of activation in T-loop, mesial translation and won distal tipping of lower second molar were increased and edentulous space was closing, but distal translation of second premolar was also increased. 5. With increase of tip-back bend in T--loop, distal tipping and translation of lower second molar were increased, but extrusion was also increased more largely.

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A Survey on the Causes and Related Factos of Korea Seaman′s Occupational Low back pain (해기사의 작업성 요통과 관련요인에 관한 연구)

  • 김재호
    • Journal of the Korean Institute of Navigation
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    • v.23 no.2
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    • pp.67-79
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    • 1999
  • The purpose of this study is to provide basic date on the causes and factors related with the workload on board for Korea Seaman's Low Back Pain. The date had been acquisited through the questionaires of those and analysed in Korea Institute of Maritime and Fisheries Technology from February 10 to April 10 in 1999. The results of this study are as follows: 1. The incidence of Occupational low back pain for the recent 12 months has been recorded as 56.2% of the subject. 2. The highter Occupational satisfaction has the lower incidence of low back pain(p<0.01). and the person who takes a rest(p<0.05) and physical exercise regularly(p<0.01) has lower experience of the incidence. 3. The incidence of low back pain by charateristics of vessel was turn out as 59.3% of the fishing vessel, 55.3% merchantmarine and 52.9% of the vessel of special purpose. The incidence of each department of a ship has recorded as 54.3% of Deck Dept. 59.2% of engine Dept but there was little relationship between those. And the longer period of work and on-board service has the hither incidence of the higher incdence(p<0.01). 4. The fittness of the working table (p<0.01) and chair(p<0.01) has affeced the incidence of low back pain significantly 5. The higher incidence of low back pain has been experienced in case of working: in back posture, and lifting up or carrying a heavy load(p<0.01) 6. The major cause of low back pain was turned out as excessive workload(26.5%) and stress (18.5%) ; the stress(24.1%) and excessive overwork(22.4%) for Deck dept. and excessive workload(32.3%) and bad position(21.7%) for Engine Dept(P<0.01)

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The Relationship between Perceived Family Functioning and Depression in Patients with Chronic Low-Back Pain (만성요통환자가 지각하는 가족기능과 우울의 관계)

  • Son Jung-Tae;Park Hyun-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.316-331
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    • 2000
  • This study was conducted using a descriptive correlational survey design to identify how patients with chronic low-back pain perceived family function and to examine the relationship between family function and depression. The participants of the study were 116 patients with chronic low-back pain patient who were having follow-up treatment in a local pain clinic, located in Daegu. A structured questionnaire was filled out participants themselves and the structured interview was given during January and February, 2000. The data collection instrument were FACE II-Korean version and Beck's Depression Inventory(1983). The data collected were analysed using mean, standard deviation(SD), t-test, F-test, Duncan test and Pearson correlation coefficient, done with SAS. The results are as follows; 1. The mean of the respondents' perceived family function was 3.47, with emotional bonding at 3.61, acceptability and sharing at 3.61, participation at 3.23, negotiation and satisfaction at 3.24 and responsibility and expectation at 3.76. 2. The mean of the respondents' perceived depression was $17.53{\pm}8.76$. 3. There was significantly negative correlation between family function and depression(r=-0.4817, p=.0001). 4. Research variables included demographic characteristics and showed that subjects who were aged 65 years or older showed significantly lower scores in patient's perceived family function than those who were aged 45 years or below(p=.0502). Perceived family function of females respondents were significantly lower than males(p=.0026). The illiterate showed significantly lower scores than other groups(p=.0001). Respondents with spouse and extended family tended to show significantly higher scores than those who were living with spouse only or by themselves alone(p=.0091). Those who had higher income showed significantly higher scores than in the lower income group(p=.0001). 5. For family function regarding pain characteristics, those who reported severe pain-related daily activity impediments showed significantly lower scores in family function than others with less pain(p=.0357).

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Developing a prototype of bi-stretch pants for women in their 20s and 30s with overweight lower bodies (20~30대 하체비만형 여성을 위한 양방향 스트레치 팬츠 원형 개발)

  • Ha, Hee-Jung;Seong, Ok-Jin
    • The Research Journal of the Costume Culture
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    • v.21 no.2
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    • pp.246-260
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    • 2013
  • This research was carried out on women in their 20s and 30s who have overweight lower body. The subjects selected for this study were women a Rohrer index of 1.6 or higher, a waist circumference 78.5cm to 83.5cm, and a lower drop of at least 18cm. The aim is to propose a prototype of bi-stretch pants meeting demands for both functionality and aesthetic appeal. Various clothing patterns ease amount of the waist and hip circumferences and crotch depths and were developed. They had different crotch widths, and center back line angles. The results showed that the best pants patterns were ease 1cm to the total hip circumference. The front hip circumference was H/4-0.5cm, and the back hip circumference was H/4+1cm. The front crotch width was H/20+1cm, the back crotch width was H/10+3cm. No additional ease was given to the total waistline. The front waist circumference was W/4+0.5cm. The back waist circumference was W/4-0.5cm. The knee circumference was set at 44cm, the pant hem width was set at 36cm, and the pant length was set at 100cm-5cm. The findings of this research can be used as basic data for stretch pants that fit the abdomen, hips, and thighs for women in their 20s and 30s with overweight lower body.

Variation of Grain Quality of Rice Varieties Grown at Different Locations II. Relationship between Characteristics Related to Grain Quality (벼품종의 재배지역에 따른 미질특성변이 II. 미질관련형질 상호간의 관계)

  • Kwang-Ho Kim
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.35 no.2
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    • pp.137-145
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    • 1990
  • Six commercial rice varieties were cultivated at different locations in 1987 and 1988. Rice samples harvested from 8 to 20 locations for a variety each year were used to measure or observe grain appearance, amylose content and alkali digestibility, cooked rice texture using rheometer, gelatinization and viscosity of rice flour using amylograph, and eating Quality of cooked rice by sensory evaluation. Relationship between Quality characteristics showing large locational variation were analized to approach the long-term objective, rice grain Quality standardization. Percent white-center and white-belly grain of the same variety showed great variation between locations, but did not affect on 1000-grain weight, amylose content and alkali digestibility, amylogram and rheogram characteristics, and eating Quality of cooked rice. Positive correlationship were obtained between maximum viscosity and break down, and maximum viscosity and alkali digestibility. Set back was correlated negatively with maximum viscosity, break down and alkali digestibility. Rice samples having significantly lower values of maximum viscosity and break down and higher set back value at the same time showed higher ADV and lower texture palatability index (TPI) and viscousness/hardness ratio (Vi/H), and lower sensory evaluation score of cooked rice compared with those of rices having typically higher values of maximum viscosity and break down and lower set back value. When TPI, Vi/H and overall sensory eating score of cooked rices measured were divided into three categories, high, medium and low using deviation from locational mean value of a variety, many of rice samples having high TPI or high Vi/H showed medium or high in overall sensory eating score of cooked rice.

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Characteristics and Classification of Lower Body of Unmarried Adult Female aged Twenties (20대 미혼여성의 하반신 체형분류 및 특성)

  • 성화경;최경미
    • Journal of the Korean Society of Clothing and Textiles
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    • v.21 no.4
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    • pp.727-739
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    • 1997
  • The purpose of this study was to classify and analyze the lower body of adult female and to provide it'stotal data for clothing construction. The subjects were 82 Korean adult females and their age range is from 19 to 24 years old. 42 variables (10 variables from the direct anthropometric data, 2 variables from the multiplication method and 30 variables from the indirect anthropometric data) in total were applies to analyze(means, standard deviations, factor analysis, cluster analysis) The result of factor analysis indicated that 10 factors were extract'cd through factor analysis and orthogonal rotation by the method of varimax and those factors comprise 82. 5 percent of total variance. The obesity of lower body was closely related to hip angle indicated the degree of drooping hip was extracted a independent factor, not influenced by other variance. And somatotype of lower body is classified by cluster analysis, using the FASTCLUS of SAS. To classify the lower body, two kinds of silhouette, front- back and side were applied to analize. The front- back silhouette was subdivided into five groups and the side silhouette four.

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Effects of Local Cooling on Heat Strain in the Hot Environment -On the Trunk Region-

  • Hwang, Kyoung-Sook;Choi, Jeong-Wha;Lee, Kyung-Suk
    • Journal of Environmental Health Sciences
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    • v.33 no.3
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    • pp.211-216
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    • 2007
  • This study was to determine the effect of cooling part of the trunk without harm for the health. The results provide basic data for the development of clothing which could increase work efficiency and reduce body strain in hot environment. Eight males took part in the study. The experiment was conducted in a climate-chamber controlled with $37{\pm}1^{\circ}C,\;50{\pm}5%R.H$. The trunk was divided into six areas to be cooled: head, neck, chest, abdomen, the upper back, the lower back. According to preceding studies, permissible safety cooling limits of skin temperature, of each part of the trunk for four hours cooling were $25^{\circ}C$ on the head, $20^{\circ}C$ on the neck, $27^{\circ}C$ on the chest, $25^{\circ}C$ on the abdomen, $20^{\circ}C$ on the upper back, $20^{\circ}C$ on the lower back. So cooling temperatures of each region set up temperatures above mentioned. In conclusion, the head, the neck and the upper back cooling could reduce sweating amount, rectal temperature and heart rates and reduce the heat stress of workers exposing in the hot environment by decreased subjective sensations of heat and comfort. Thus, it was concluded that effectiveness of cooling among the trunk was best on the head and the neck.

The Comparative Study of Digital Infrared Thermal Image(DITI) on the Patients of Low Back Pain and Normal Group (요통환자와 정상인의 적외선 체열검사 비교 고찰)

  • Kim, Na-Yeon;Choi, Joo-Young;Kang, Jae-Hui;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.27 no.5
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    • pp.89-96
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    • 2010
  • Objectives : This study is designed to evaluate the diagnostic significances of DITI on the patients of low back pain according to impression, symptoms and medical history. Methods : According to impression, symptoms and medical history, thermal changes of $BL_{23}$, $BL_{26}$, $BL_{40}$, $BL_{57}$, $GB_{31}$ and $BL_{60}$ were compared forty-eight low back pain patients and twenty-three normal group. Results : Surface temperature of $BL_{26}$ in case of L-spine HNP is significantly higher than normal group. Surface temperature of $BL_{26}$ in case of low back pain is significantly higher, $GB_{31}$ of radiating pain is significantly lower than normal group. Surface temperature of $BL_{26}$ in case of acute stage is significantly higher, $GB_{31}$ of chronic stage is significantly lower than normal group. Conclusions : Thermal changes of $BL_{26}$ and $GB_{31}$ on the patients of low back pain compared with normal group, according to impression, symptoms and medical history has significances.

Back Pain of Muscular Origin (근긴장성 요통의 치료에 대한 새로운 소견)

  • Choi, Joong-Rieb
    • The Korean Journal of Pain
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    • v.6 no.1
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    • pp.83-95
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    • 1993
  • In out-patient clinic, it seems to be common that most back pain arise from muscular origins rather than from skeletal origins. Most physicians have wished to diagnose lower back pain from the radiologic findings only. From clinical experiences and anatomical studies, I have gotten a different opinion from common sense about backaches. If I met a patient who had lower back pain around the posterior superior iliac crest(P.S.I.C.) area, I would had to search a trigger point in the erector spinae muscles at the level of thoraco-lumber junction rather than at the level of the painful site. It is why that sensory innervation over the posterior superior iliac crest area is the posterior primary branch of T12 spinal nerve running down through the erector spinae muscles. Pain on the iliac crest area is supposedly due to hyperirritability of the sensory nerve distributing to this area. Hyperirritability of the posterior primary branch of $T_{12}$ spinal nerve may be due to the spasm of the longissimus thoracis muscle in the erector spinae muscles at the level of the thoraco-lumbar junction. So finally, I would like to insist that spasmolytic treatment on the muscle at the level of the thoraco-lumbar junction would be better for pain relief around P.S.I.C. than treatment at the painful site only.

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