• Title/Summary/Keyword: Odi

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Bertolotti Syndrome: A Diagnostic and Management Dilemma for Pain Physicians

  • Jain, Anuj;Agarwal, Anil;Jain, Suruchi;Shamshery, Chetna
    • The Korean Journal of Pain
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    • v.26 no.4
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    • pp.368-373
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    • 2013
  • Background: Bertolotti's syndrome (BS), a form of lumbago in lumbosacral transitional vertebrae, is an important cause of low back pain in young patients. The purpose of this study was to assess the etiology of low back pain and the efficacy of treatment offered to patients with BS. Methods: All patients of BS Castellvi type1a during a period of 6 months were enrolled in the study. The patients underwent interventional pain procedures for diagnosis and pain relief. Response to the therapy was assessed based on VAS and ODI scores. A 50% decrease in VAS score or a VAS score less than 3 would be considered adequate pain relief. Results: All 20 patients diagnosed with BS during the 6-month observation period had scoliosis. Common causes of back pain were the ipsilateral L5-S1 facet joint, neoarticulation, the SI joint, and disc degeneration. Responses to various interventions for pain relief were different and inconsistent from patient to patient. In particular, responses to interventions for neoarticular pain were generally poor. Conclusions: Pain in patients with BS does not usually respond to interventional pain treatment. A very dynamic treatment approach must be pursued while managing BS patients, and the treatment plan must be individualized at various stages in order to obtain satisfactory pain relief.

Organizational Factors of the Successful Adoption in User-Centered Design

  • Kim, Byung-Kwan;Lee, Seung-Yong;Choi, Young-Keun
    • Journal of Distribution Science
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    • v.15 no.1
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    • pp.43-49
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    • 2017
  • Purpose - This study is to integrate organizational factors into UCD process. For this research purpose, we investigated the organizational factors which influence people behaviors in the context of user-centred design practice(UCP). And this study presents organizational culture, organizational learning and change management as the organizational factors. Especially, this study is to investigate how change management influences the relationship between the organizational culture/learning and UCD performance. Research design, data, and methodology - Using the survey methodology with a questionnaire, this study distributed the questionnaire to the experienced 112 practitioners of user-centred design practice in 52 Korean small and medium companies. The organizations differed in range and size from medium-scale, which is under 100 of employees, and to small-scale, which is from 100 to 500. Results - Organizational culture and organizational learning have positive effects on user-centred design practice performance as expected. And change management strengthens the positive relationship between organizational learning and user-centred design practice performance but has no effect on the relationship between organizational culture and user-centred design practice performance. Conclusions - This is the first empirical study of investigating and demonstrating some key organizational factors' relationships and UCD performance of an organization, which will support to institutionalize UCD within an organization, providing theoretical foundations.

A RADIOGRAPHIC STUDY OF THE HYOID BONE POSITION IN MALOCCLUSION (설골위치에 관한 연구)

  • Chang, Young-Il
    • The korean journal of orthodontics
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    • v.17 no.1
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    • pp.7-13
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    • 1987
  • This study was conducted to clarify the relationship of hyoid bone position to tongue position and mandible when malocclusion is categorized in the bilateral and in the vertical components. Five groups of samples (normal occlusion, unilateral and bilateral cross-bite, openbite, deep-bite) were selected for his investigation by utilizing the cephalograms. On the basis study, the following conclusions were obtained; 1. In the normal group. the mean hyoid position (H-M) was $9.83{\pm}4.27mm$. The mean distance of hyoid body to tongue dorsum (H-T) was $52.17{\pm}6.70mm$. The ratio of H-M/H-T was $18.59\%$. 2. In all malocclusion groups, the hyoid position (H-M) was found to be larger than that of the norm except the deep overbite group 3. The tongue dorsum position (H-T) was increased, compared to that of norm, in all malocclusion groups. 4. Hyoid position (H-M) was found to show high correlation to the ratio of H-M/H-T, H-T, PI-T (0.890, 0.699, 0.455). 5. The hyoid position (H-M) was found to show low correlation to the measurements of mandible, but among them the ODI was found to show conversely a little higher correlation against hyoid position (H-M).

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A STUDY ON THE RELATIONSHIP BETWEEN THE GLENOID FOSSA POSITRON AND VARIOUS SKELETAL DISCREPANCIES (악안면 골격부조화와 관절와위치간의 상관관계에 관한 연구)

  • Kim, Cheol-Soo;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.17 no.1
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    • pp.47-54
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    • 1987
  • This study was designed to compare extreme variations in facial growth in order to examine the relationships between the glenoid fossa position and skeletal malocclusions. It was hypothesized that patients with large mandibular plane-sella nasion angles would have a more superior fossa position than patients with small mandibular plane-sella nasion angles. It was also hypothesized that patients with large ANB angles would have a more posterior fossa position than patients with small ANB angle. For this study, the data from lateral roentgenocephaloprams of 72 Females and 72 males aged from 10 to 18 years were used. The results were as follows 1. In the case of large ANB angle, glenoid fossa position was relatively posterior than that of small ANB angle in Female, but it was not significant in male. 2. In the case of large APDI, glenoid fossa position was relatively anterior in female, but it was not significant in male. 3. In the case of large SN-Go Gn angle, glenoid fossa position was relatively superior in both male and female. 4. In the case of large ODI, glenoid fossa position was relatively inferior in both male and female.

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The Effects of Manual Therapy and Therapeutic Exercise in Patient with Acute Lumbar Sprain: Case Study (급성 요추염좌에 대한 도수치료와 치료적 운동이 미치는 효과 : 단일사례연구)

  • Lee, Nam-Yung;Song, Hyun-Seung;Kwon, Chun-Suk
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.2
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    • pp.35-42
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    • 2014
  • Background: The purpose of this study was to effect of the manual therapy and pelvic floor muscle exercise interventions in patient with acute lumbar sprain. Based on this, proceed to present an effective physical treatments. Methods: Subject was 55 year old female patient with acute lumbar sprain. Subject was damaged, wash in the morning. Subject was hoping to return to work and Activity daily living (ADL) without pain. I proceed in order screening, evaluation, diagnosis, prognosis, treatment planning and intervention, re-screening. To solving problem, was conducted in parallel to a manual therapy and therapeutic exercise. Results: To investigate changes in body functions and activities was measured, Visual analog scale (VAS) and Oswestry disability index (ODI), changes in posture, maintain in posture, 10m walk test. The improved results were compared before and three weeks after mediation interventions. Conclusions: Frequency manual therapy and pelvic floor muscle exercise is thought to be an efficient way of patients with acute lumbar sprain.

The Clinical Report of the chronic HIVD Patient with Sacralization Treated with Quadratus Lumborum MST(Motion Style Treatment) & Korean Medicine Treatment (Sacralization를 동반한 급성 요추 추간판탈출증 환자를 요방형근 MST를 비롯한 한방치료를 통하여 치료한 치험 1례)

  • Kim, Moon-Hwi;Bae, Young-Hyeon;Kim, Ho-Sun;Kim, Hae-Sol;Kim, Jae-Young;Kim, Sung-Hwan;Lee, Sang-Gun
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.2
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    • pp.11-19
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    • 2014
  • Objectives : The Purpose of this study is to investigate the clinical application of conservative treatment including quadratus lumborum MST for lumbar HIVD(Herniated Intervertebral Disc) with sacralization. Methods : We used acupunture, herbal acupuncture, herbal medicine, Quadratus Lumborum MST for this patient. This patient received hospital treatment for 25 days. Results : After conservative treatment, the patient's pain was controlled and NRS score was decreased. ODI and ROM also were improved. Conclusions : Oriental conservative treatment including quadratus lumborum MST has a positive effect to control pain of lumbar HIVD(Herniated Intervertebral Disc) with sacralization.

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The Effect of Korean Medicine with Needle-embedding Therapy on a Lumbar Herniated Intervertebral Disc : A Case Report (요추 추간판 탈출증 환자에 대한 매선을 포함한 한의 복합치료의 효과 : 증례보고)

  • Hong, Seung Pyo;Bae, Ji Min;Kim, Dae Hun;Yang, Gi Young;Lee, Byung Ryul
    • Journal of Acupuncture Research
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    • v.33 no.4
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    • pp.219-224
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    • 2016
  • Objectives : The purpose of this study was to report the clinical effects of needle-embedding acupuncture therapy combined with Korean medicine on a lumbar herniated intervertebral disc. Methods : We treated one patient with a lumbar herniated intervertebral disc with needle-embedding acupuncture therapy combined with Korean medical treatment. We checked the numeric rating scale(NRS), oswestry low back pain disability index(ODI) and straight leg raising test(SLRT). Results : In this case, the numeric rating scale decreased, while the straight leg raising test results improved. Conclusion : Needle-embedding acupuncture therapy could be effective for pain-reduction for a lumbar herniated intervertebral disc.

Clinical Study on a Case of Herniation(Herniated) of Nucleus Pulposus with Sacro-Occipital Technique (Sacro-Occipital Technique를 통한 추간판 탈출증 환자 치험 1례에 대한 임상적 고찰)

  • Park, Min-Jie;Sung, Su-Min;Hwang, Min-Seop;Yun, Chong-Hwa;Park, Min-Jung;Kim, Jung-Uk
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.189-196
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    • 2005
  • Objectives : This report intended to estimate effect taken by using Sacro-Occipital Technique on the patient with Herniation of Nucleus Pulposus(Central type). Method : From 11 May, 2005 to 30 June, 2005. The patient recived Sacro-Occipital Technique and Acupuncture therapy. Result : After being hospitalized for 50 days. the patient's Motor Grade, ODI, VAS, ROM were improved each from IV to IV+. from 26 to 20, from 10 to 2, and ROM with flexion/entension, rotation were improved each from 70'/0' to 90'/12', from 30'/40' to 45'/55'. Conclusion : We considered Sacro-Occipital Technique has an useful effect on Herniation of Nucleus Pulposus

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The Effects of Stabilization Exercise with Abdominal Breath on Balance and Oswestry Disability Index for Low Back Pain Patients (복식호흡을 병행한 척추 안정화운동이 요통환자의 균형능력과 오스웨스트리 장애지수에 미치는 영향)

  • Son, Ho-Hee
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.1
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    • pp.107-113
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    • 2015
  • PURPOSE: This study was to investigate the effect of stabilization exercise with abdominal breath on Balance and Oswestry Disability Index for Low Back Pain Patients. METHODS: The subjects were 18 low back pain patients in their twenties. The subjects were randomly assigned into experimental group and control group. Control group and experimental group both participated in 30 minutes of stabilization exercise for 8 weeks(5 times/week), and experimental group participated in stabilization exercise with abdominal breath. The subjects were tested balance and pain using BioRescue and Oswestry Diability Index respectively, before and after intervention. RESULTS: The experimental group showed a statistical significance in movement areas of the body's center(p<.05), but there was no significant differences between groups (p>.05). The experimental group showed a statistical significance in movement distances of the body's center with eyes open(p<.05), and there was significant differences between groups(p<.05). Both groups showed a statistical significance in ODI between pre and post test(p<.05) but there was no significant differences between groups(p>.05). CONCLUSION: As a result, the group participating in stabilization exercise with abdominal breath had a more effective improvement than the control group. Therefore, the stabilization exercise with abdominal breath may be used improving balance and pain in low back pain patients.

Piriformis Syndrome in Knee Osteoarthritis Patients after Wearing Rocker Bottom Shoes

  • Byeon, Gyeong-Jo;Kim, Kyung-Hoon
    • The Korean Journal of Pain
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    • v.24 no.2
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    • pp.93-99
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    • 2011
  • Background: Rocker bottom shoes (RBS) are popular among patients with different foot, leg, or back problems in Korea. Patients with knee osteoarthritis concurrent weakness in the quadriceps femoris muscle, who wear these shoes, are often assumed to develop piriformis syndrome (PS). This study was performed to improve the understanding about the effect of wearing such shoes on duration of the syndrome in knee osteoarthritis. Methods: We randomly assigned 150 patients with PS, who had used RBS daily for at least 6 months, to 2 groups, the S (stopped wearing) and K (kept wearing) groups. Both the groups were subdivided into the O and N groups, comprising patients with and without knee osteoarthritis, respectively. The effects of the treatment, including piriformis muscle injections and a home exercise program, were compared between the 2 groups by using a flexion-adduction-internal rotation (FAIR) test, a numeric rating scale (NRS), and the revised Oswestry disability index (ODI) during the 12-week follow-up. Results: The positive FAIR test ratios, mean NRS scores, and revised ODIs were higher in the KO group than the SN group from 4-12 weeks after treatment. Conclusions: RBS may extend duration of the PS in osteoarthritis patients.