• 제목/요약/키워드: Pelvic correction

검색결과 37건 처리시간 0.022초

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

  • 백지유;배재룡;안훈모;이재흥
    • 대한의료기공학회지
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    • 제20권1호
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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.

전방머리자세 대상자에 대한 목운동과 골반운동이 척추 굽이에 미치는 효과 (Effects of Neck and Pelvic Exercise Using Swiss Ball on Spinal Curve in Adults with Forward Head Posture)

  • 배원식;장철
    • 대한통합의학회지
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    • 제9권3호
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    • pp.193-201
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    • 2021
  • Purpose : The purpose of this study was to compare the effect of pelvic exercise on the CVA and spinal curve in adults with forward head posture compared to the group using only neck exercise when pelvic exercise was performed in parallel with conventional neck exercise. Methods : GPS 400 and Formetric were used to identify craniovertebral angle (CVA), thoracic kyphosis, lumbar lordosis, and pelvic torsion and were measured by an experienced research manager. Forward head posture (FHP) was selected for people whose angle between the line connecting the ear ball and the seventh cervical spine and the horizontal line is 50 degrees or less. The 30 selected students were randomly divided into 15 experimental groups and 15 control groups. Mackenzie exercise and sling exercise were performed for neck exercise in both the experimental group and the control group, and pelvic exercise using a Swiss ball was additionally performed in the experimental group. All data collected in this study were analyzed using SPSS statistics 21.0. Cervical vetebral angle (CVA), thoracic kyphosis, lumbar lordosis, and pelvic torsion were compared at 0 weeks, 3 weeks, and 6 weeks for each measurement factor using ANOVA with repeated measures. For the statistical significance test, the significance level of α was set to .05. Results : The changes of pelvic torsion, thoracic kyphosis and CVA due to pelvic exercise using Swiss Ball and neck exercise were changed over time, but lumbar lordosis were not changed. And there were no significant differences among the groups. Conclusion : In conclusion, the pelvic correction exercise is considered to be an effective exercise for correcting the FHP and requires regular pelvic correction exercises. We expect the results to be used in clinical trials.

특발성 삼차신경통의 체형교정에 따른 호전 사례보고 (A Improving Case Report of Idiopathic Trigeminal Neuralgia by Body-form Correction)

  • 안성훈;조을화
    • Korean Journal of Acupuncture
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    • 제33권1호
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    • pp.37-45
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    • 2016
  • Objectives : To understand spatial cause hypothesis of idiopathic trigeminal neuralgia, the body truncus area was divided into intracranial, thoracic and pelvic cavity and was illustrated, the subjective pain degrees of idiopathic trigeminal neuralgia were compared with the illustraion of three cavity. Methods : The frontal view of pictures of idiopathic trigeminal neuralgia subject truncus area were illustrated into three circles which was treated with conservative methods like the pelvic correction, cervical correction, FCST, posture training without drugs and acupuncture. The spatial analysis of three circle vertical centerlines were compared with the pain degrees. Results : The vertical centerlines of three circles were agreed with the body gravity centerline depending on the treatment progresses. namely, as the parts of truncus were matched to the body gravity centerline, the degrees of pain were decreased. Conclusions : The vascular pressure on the trigeminal nerve which was causing the idiopathic trigeminal neuralgia might be induced by the spatial misalignment of truncus area because the spatial misalignment of it can press to move vascular into trigeminal nerve partially. Further study will be progressed.

무심기공 도인법이 요통치료에 미치는 효과 (The Effect of Moosim-Gi-Gong Doinbeop on Treatment of Low Back Pain)

  • 장상철;정명수;필감매;안훈모;이재흥;노주희;배재룡
    • 대한의료기공학회지
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    • 제18권1호
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    • pp.1-26
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    • 2018
  • The objective of this study is to verify the effects of Moosim-Gi-Gong Doinbeop on low back pain targeting low back pain patients hospitalized in Korean medicine hospitals. For the study, 44 adult female and male patients hospitalized with low back pain at M Korean Medicine Hospital and H Korean Medicine Hospital located in Gimpo, Gyeonggi Province were recruited. The subjects had a temperature difference between left and right 湧泉(KI1) of over 0.5℃ through infrared thermographic imaging, and 23 of them were classified in the control group for retrospective analysis based on the test records. Infrared thermographic imaging, X-ray pelvic AP view - standing position, a sit-and-reach test and a VAS survey were employed for detection, and IBM SPSS Statistics 24 for the statistical process. The results were rounded down to three decimal places as in an average±standard deviation, and the significance level was 0.05 to be evaluated significant if p<0.05. The result of the study is as follows: 1. In the comparison between before and after conducting Moosim-Gi-Gong Doinbeop, the meaningful difference was shown in the experimental group in all indicators. But Indicators except for the temperature difference between right and left 湧泉(KI1)(difference between before and after) and In displaced pelvic correction indicators on the X-ray showed a significant difference in the control group. 2. As for the variation widths of the experimental group and the control group, the former showed significant temperature differences between 印堂(EX-HN3) and 關元(CV4) and right and left 湧泉(KI1); difference variations of anteflexion; and changes in PI and In displacement on the X-ray. 3. As for changes in the experimental group according to demographic characteristics, gender, age and degree of obesity did not show significant differences in all indicators. However, those who experienced back pain for more than six months in the experimental group showed the biggest body temperature differences between 印堂(EX-HN3) and 關元(CV4), while other indicators had no significant difference. As a result, patients who received Korean medicine treatment showed relieved back pain and improvement in pelvic correction and sports activity; however, those who got Moosim-Gi-Gong Doinbeop together showed more clearer improvement effects in pelvic correction and sports activity.

인체에서 기혈(氣穴) 순환 회복을 위한 기혈테라피의 효과 탐색 (Exploring the Effect of Qihyul-therapy for Recovery of Qi Circulation in Body)

  • 김용필;이형환
    • 한국자연치유학회지
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    • 제8권2호
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    • pp.63-70
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    • 2019
  • 목적: 본 연구의 목적은 둔부근육의 협착, 틀어진 체형, 어깨 통증이 있는 기혈순환이 나쁜 대상자들을 상대로 기혈테라피의 효과를 탐색하는 것이었다. 방법: 기혈테라피와 교정 기혈운동을 사용 하였다. 결과: 기혈테라피를 시술하기 전에 둔부 근육이 거의 움직이지 않았지만, 시술한 후에는 근육의 탄력이 회복되었고 회색으로 경화되었든 피부의 색상도 밝아지었고 항문 괄약근에도 힘이 생기었다. 대상자의 체형이 우측으로 -7°가량 틀어지면서 우측 팔이 좌측팔에 비해서 약 6 cm정도 길었었으나, 체형교정 후에는 우측 팔의 길이가 약 5 cm 정도 줄어들었고, 틀어졌던 체형이 거의 평형을 이루었다. 목 및 어깨교정 후에는 쇄골과 목의 간격이 7 cm로 간격이 넓어졌고, 승모근을 풀어준 후에는 10 cm로 넓어졌으며, 어깨통증이 많이 완화 되었다. 골반교정 후 둔부통증이 완화되었고, 고관절의 위치가 바르게 돌아왔다. 좌측으로 45°각도 틀어졌던 우측다리가 바르게 교정이 되었으며, 4 cm 정도 길었던 우측 다리의 길이도 좌우가 같아졌다. 둔부통증 및 무릎통증도 완화되었다. 골반교정 기혈운동 후에 대상자 1의 고관절의 위치가 바로 잡히어 좌측으로 45°각도 틀어졌던 우측다리가 바르게 교정이 되었고, 4 cm 정도 길었던 우측 다리의 길이도 좌우가 거의 같아졌다. 대상자2는 교정 전에는 무릎이 붙지가 않았고, 오른쪽 무릎이 왼쪽에 비해서 위로 5 cm 정도 올라갔었으며, 발목이 좌측에 비해서 30° 각도로 굽어져 있었는데, 교정 후에는 두 다리의 무릎이 안정되게 붙일 수 있게 되었고, 무릎의 높이도 같아 졌으며, 발목꺾임이 각도도 정상으로 교정이 되었다. 결론: 꾸준하게 기혈테라피와 척추교정 및 골반교정 기혈운동을 한다면 틀어졌던 체형도 바르게 회복되고, 아픈 통증도 완화되어 관련 질환들을 예방 및 치유하는데 효과가 있다고 본다.

골반 뒤틀림 변위 분석법에 대한 소고 (Pelvic Twist Analysis, PTA)

  • 조종진;김상덕
    • 대한추나의학회지
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    • 제5권1호
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    • pp.135-139
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    • 2004
  • Objectives : The objectives of this report is to introduce PTA. Methods : The examination of the leg length inequality gives us a useful tool for diagnosis of body imbalance. especially pelvic distortion. There are four steps in the process of the leg analysis, according to "The Standard Manual of Chuna Society (2nd ed., Seoul:KCA Press. 2001)". In the last step of the analysis, knee-flexing over $90^{\circ}$, we have often experienced a specific sign that the lower legs are attracted toward one side spontaneously. The authors call it 'Lower Leg Lateral Attraction'. This is a very significant sign that gives us which is the major part between pelvis and the upper parts over sacrum. Thus it is definded as "Pelvic Twist Analysis, PTA" by the authors. With PTA, first, you must check the side of short leg and next, check the side of lateral attraction in lower leg over-flexing. If both sides coincide with each other, then the major part you can correct first is pelvic distortion. If not, you must find another part for primary correction, instead of pelvis. Conclusions : PTA becomes a useful complement to the examination of the leg length inequality.

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자궁 경부암의 방사선 치료계획에서 자기공명 영상을 이용한 조사야 교정 (Treatment Planning Correction Using MRI in the Radiotherapy of Cervical Cancer)

  • 신세원;조길호;박찬원
    • Journal of Yeungnam Medical Science
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    • 제12권2호
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    • pp.203-209
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    • 1995
  • 본 연구는 최근에 개발되어 임상적으로 널리 이용되는 자기공명 영상상을 20명의 자궁 경부암 환자의 치료계획에 적용하여 전통적인 치료계획과 비교하여 아래의 결과를 얻었다. 1. 측방 조사야의 가로길이는 11 cm가 7명(35%)으로 가장 많았으며, 10 cm가 6명(30%), 9 cm와 12 cm가 각각 3명(15%)이었으며 13 cm는 1명(5%)이었다. 2. 측방 조사야의 중심 이동은 자궁의 크기나 골반의 횡경과는 무관하였다. 3. 자기공명 영상을 이용한 방사선치료계획을 한 결과 전통적인 방법으로 결정된 전골반 측방 조사야의 변경이 20명 중 5명(25%)에서 있었으므로 향후 자궁 경부암이나 자궁 체부암의 정확한 치료를 위해서는 자기공명 영상이 매우 중요함을 시사하였으며 향후 더 많은 환자를 대상으로 자기공명 영상을 이용한 방사선치료 성적을 전통적인 방법에 의한 성적과 비교하는 연구가 요구된다.

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발레 바와 탄성밴드의 복합운동이 중년여성의 신체조성, 체력, 자세교정에 미치는 영향 (Effects of Ballet Bar and Elastic Band Exercise on Body Composition, Physical Fitness and Postural Correction in Middle-Aged Women)

  • 채지우;김현준
    • 대한통합의학회지
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    • 제8권2호
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    • pp.109-119
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    • 2020
  • Purpose : The purpose of this study was to investigate the effects of a combined exercise program using a ballet bar and elastic bands on the body composition, physical strength, and postural correction of middle-aged women. Methods : The subjects were 28 middle-aged women with no ballet experience. They were divided into an experimental group (n=14; exercise group) and a control group (n=14; non-exercise group) through random sampling. The experimental group underwent an exercise program using a ballet bar and elastic bands for 50 minutes twice a week for 12 weeks, whereas the control group performed no exercise. The subjects in both group had their body composition, physical fitness, and postural angles measured before and after the intervention. A paired t-test was used to compare pre- and post-test values within each group, and a two-way repeated measures ANOVA was employed to compare pre- and post-test changes between the two groups. Results : Regarding body composition, statistically significant differences in BMI (p<.05), body fat percentage (p<.001), and muscle mass (p<.001) were observed between the two groups before and after the intervention. For physical fitness, the experimental group showed statistically significant increases in quick reflexes (p<.001), muscle endurance (p<.001), and muscle strength (p<.001). For postural correction, the experimental group exhibited statistically significant decreases in all variables: the head (p<.001), shoulder (p<.001), cervical tilt (p<.001), right-left pelvic tilt (p<.001), and anterior-posterior pelvic tilt (p<.001). Conclusion : A combined exercise program using a ballet bar and elastic bands had positive effects on the body composition, physical fitness, and postural correction of middle-aged women.

목과 어깨근육 운동프로그램이 전방머리자세의 척추-골반 정렬 변화에 미치는 영향 (Effects of Neck and Shoulder Exercise Program on Spino-Pelvic Alignment in Subject with Forward Head Posture)

  • 강효정;양회송
    • 대한통합의학회지
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    • 제7권4호
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    • pp.265-272
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    • 2019
  • Purpose : Excessive computer use frequently results in musculoskeletal disorders of the neck and shoulder such as forward head posture (FHP). The purpose of this study was to investigate effects of neck and shoulder exercise program on spino-pelvic alignment and the correlation between change in head and neck posture and spino-pelvic alignment in FHP. Methods : The study included 44 participants with FHP. The participants performed the exercise for correction of FHP 2-3 times a week for 4 weeks. We examined whole spine X-ray images in the lateral standing position with both arms crossed. We measured anterior head translation distance (AHT), craniovertebral angle (CVA), cervical lordosis (CL), thoracic kyphosis (TK), lumbosacral lordosis (LSL), sacral slope (SS), pelvic tilt (PT), and pelvic incidence (PI) of the subjects. The association between change in AHT and each spino-pelvic parameter was also subjected to Pearson's correlation coefficient analysis. Results : There were statistically significant differences before and after exercise in the parameters of AHT, CVA, and SS (p<.05). Significant negative correlation was observed between the change in AHT and CVA (r=-.768, p<.001), and CL (r=-.388, p<.05). There was significant positive correlation between the change in AHT and SS (r=.328, p<.05), and PI (r=.333, p<.05). However, no significant correlation was observed in change in AHT with that of TK, LSL, and PT. Conclusion : Based on the above results, we conclude that there is a relationship between change in AHT, which is a parameter associated with forward displacement of the head, and that of CVA, CL, SS, and PI after exercise in cases of FHP.

2,30대 정상 성인남녀의 몸통 굽힘 시 골반의 기울임과 몸통 움직임 및 몸통 폄 근의 상관관계 연구 (Correlation between Pelvic Tilt Angle with Trunk Motion and Trunk Extensor during Trunk Forward Flexion in Adults Aged 2,30)

  • 박영주;이상열
    • 대한통합의학회지
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    • 제7권1호
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    • pp.81-88
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    • 2019
  • Purpose : The purpose of this study was to examine if there is any correlation between pelvic tilt angle and trunk motion and trunk extensor during trunk forward flexion and to measure trunk motion, onset time of trunk motion, and onset time of trunk extensor activation. Methods : The subjects of this study were 42 healthy adults. The subjects had no back pain due to neurological disease and no experience of back surgery. After pelvic tilt angle was measured, each trunk forward flexion was performed three times. Trunk motion and onset time of trunk motion were measured using Myomotion. Four sensors were used, with one located at the upper thoracic (below $C_7$), the lower thoracic ($T_{12}-L_1$), the sacrum ($S_1$), and at the center of the anterior femur. Onset time of trunk extensors (spinalis, longissimus, gluteus medius, gluteus maximus, biceps femoris, and gastrocnemius) activation was measured using a wireless surface EMG. The EMG amplitude was normalized by using the reference voluntary contraction (RVC). The statistical significance of the results were evaluated using Pearson's correlation test. Results : The correlation between pelvic tilt angle and lumbar motion, onset time of pelvis motion, and onset time of gluteus medius activation was statistically significant in a positive direction (p<.05). The correlation between pelvic tilt angle with pelvis motion, onset time of lumbar motion, and onset time of longissimus activation showed a statistically significant negative correlation (p<.05). Conclusion : The study results provide a significant contribution to our understanding of the lumbar load at the initial stage of trunk flexion. Therefore, it may be possible to provide basic data for evaluation and treatment, such as orthodontic treatment for alignment of the spine and back pain. In addition, it is necessary to focus on normal exercise pattern reeducation as well as pelvic correction during exercise in daily life or in industrial fields.