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Some cases of fused and deformed lumbar vertebrae in equine (말의 요추골유합과 요추골변형의 증례)

  • Kim, Chong-Sup;Kang, Byoung-Il;Koh, Phil-Ok;Cho, Kyu-Woan;Huh, Chan-Kwen;Won, Chung-Kil
    • Korean Journal of Veterinary Research
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    • v.44 no.1
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    • pp.1-5
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    • 2004
  • The fused and deformed lumbar vertebrae (L) of Thoroughbred horses were observed macroscopically. Results revealed five L in two cases, and six L in three cases. In two cases, the last two lumbar vertebrae were fused with each other. One case of the fused lumbar vertebra was observed in a horse with five L and the other in that with six L. In one case, the facet of second last lumbar vertebra was articulated with its anterior lumbar vertebra. On the other hand, four cases had the caudal border on the lateral tip of the lumbar transverse process partially overlapped with the cranial border of the following lumbar transverse process. In these cases, cranial and caudal tubers were formed on the overlapped part of the lumbar transverse process.

The Comparative analysis of X-ray film on Lumbar Scoliosis and HNP by Barge Method (Barge 방식에 의한 요추부 척추측만증과 추간판 탈출증의 X-ray 비교분석)

  • Kim, Gyu-Sub
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.1
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    • pp.53-61
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    • 2011
  • Objective: The purpose of this study is to evaluate the disc block subluxation for lumbar scoliosis and herniation of nucleus pulpous (HNP). Methods: We used AP & Lateral view X-ray for patients. And we measured of disc wedge angle, vertebral body rotation to evaluate the typical and atypical disc block subluxation. Results: On the analysis of the lateral view X-ray, 4th lumbar intervertebral disc angle (I.V.D angle) showed $4^{\circ}$, $5^{\circ}$, $3^{\circ}$, $0^{\circ}$ in the cases. On the 4th lumbar analysis of the AP view X-ray, lumbar scoliosis showed right disc wedge angle was $11^{\circ}$ (case 1), $17^{\circ}$ (case 2) and left vertebral body rotation was 13mm, 6mm. Lumbar HNP showed left disc wedge angle was $5^{\circ}$ (case 3), $4^{\circ}$ (case 4) and left vertebral body rotation was 2mm, 4mm. Conclusions: Disc block subluxation has been in lumbar scoliosis, but not been in lumbar HNP.

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Comparison of Hip Joint Strength between Young Woman Patient with Chronic Low Back Pain with Lumbar Instability and Normal Subjects

  • Cha, Hyun Gyu
    • Physical Therapy Rehabilitation Science
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    • v.11 no.3
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    • pp.370-375
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    • 2022
  • Objective: The purpose of this study was to compare the hip joint muscle strength of patients with chronic back pain with lumbar instability and normal subjects. Design: A case control study. Methods: Five types of lumbar instability test were conducted on forty young women with chronic low back pain for more than six months, and those who had 3 or more positive tests were selected as subjects. To select chronic back pain patients with lumbar instability group, aberrant movement patterns during lumbar flexion test (FMT), prone instability test (PIT), posterior-anterior mobility test (PAT), passive lumbar extension test (PLE), and pressure bio-feedback (PBF) were applied. In addition, a digital muscle strength meter was used to measure the hip flexor, extensor, adductor, and abductor muscles of chronic low back pain patients with lumbar instability group (n=20) and normal subject group (n=20). Results: As a result of comparing the hip joint muscle strength between the chronic back pain patient group with lumbar instability and the normal group, there were significant differences in the hip extensor, abductor, and adductor muscles (p<0.05). Conclusions: Patients of chronic back pain with lumbar instability were found to have weak hip joint muscle strength. Therefore, this study suggest that include hip joint strength exercise for functional recovery of chronic back pain patients.

The Effects of the Meditation Music and Lumbar Stabilization Exercise on Concentration, Balance and Muscle Activity in Elderly

  • Lee, Sang-Bin
    • Journal of International Academy of Physical Therapy Research
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    • v.2 no.1
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    • pp.260-266
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    • 2011
  • The purpose of this study was to investigate the effects of meditation music with lumbar stabilization exercise on balance, concentration and muscle activation. Participants are divided into Group A and Group B. Group A listened to meditation music while doing 4 sets of lumbar stabilization exercise. Group B did not listen to meditation music while doing 4 sets of lumbar stabilization exercise. Surface EMG data was obtained rectus abdominis, external oblique, erector spinae, multifidus muscle during lumbar stabilization exercise. To examine the effect of before-after experiment for concentration and balance, paired t-test was adopted. Changes in EMG data of each muscles were analyzed by independence t-test. There were statistically significant increasing at concentration level and balance level in Group A. But significant difference was not shown in muscle activation. The clinical effect of the meditation music with lumbar stabilization exercise was investigated in this study with more excellent results in concentration and balance. In conclusion, these results suggest that meditation music and lumbar stabilization exercise may be useful in elderly people.

Effect of thoracic kyphosis and lumbar lordosis by Korean Medical treatment involving The Jeongham Therapy: 8 cases (정함요법을 포함한 한의학적 치료방법이 흉추후만 요추 전만에 미치는 영향: 환자 8례)

  • Park, Geun-Yong;Yu, Seung-Ho;Kim, Tae-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.1
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    • pp.121-127
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    • 2011
  • Objectives : To introduce the Jeongham Therapy which means a mandibul-rectifying treatment. And to show meaningful changes of thoracic kypkosis and lumbar lordosis by the Jeongham Therapy. Methods : We reviewed 8 patients having abnormal thoracic kyphosis and lumbar lordosis who were treated at the JeongHam Korean Medical Clinic. We measured thoracic kyphosis and lumbar lordosis by 3D Body Analyzer 'IBS 2000'. Results : Between before and after the Jeongham Therapy, statically significant differences were found in the thoracic kyphosis and lumbar lordosis. And in these values of measurements, the thoracic kyphosis and lumbar lordosis diminish after the Jeongham Therapy. Conclusion : These results suggest that the Jeongham Therapy is a meaningful therapy to diminish the thoracic kyphosis and lumbar lordosis.

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Statistical Study of the Ferguson's Angle, Lumbar Gravity Line and Lumbar Lordotic Angle in HIVD Patients. (요추간판탈출증 환자의 요천각, 요추중력중심선 및 요추전만각의 통계적 관찰)

  • Koh, Dong-Hyun;Hong, Soon-Sung;Lee, Jin-Ho;Jung, Sung-Yub;Shin, Joon-Shik
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.2 no.2
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    • pp.17-32
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    • 2007
  • Objectives : The lumbosacral joint is unstable area from an anatomical viewpoint, while it is also a very mobile area in ordinary life, so that clinically major causes of low back pain originate in this joint. The purpose of this study is to assess the difference of the Ferguson's angles, Lumbar gravity lines, Lumbar lordotic angles among Herniated of Intervertebral Disc(HIVD) patients. Methods : We analyzed the lateral view of lumbar spine checked at erect position on 88 patients who had been diagnosed as HIVD by Magnetic Resonance Imaging(MRI). We investigated the Ferguson's angle, Lumbar gravity line, Lumbar lordotic angle on X-ray film. Results and Conclusions : In the acute lumbago group the Ferguson's angle had a tendency to decrease, while in the chronic group it had a tendency to increase. In the acute lumbago group the Lumbar gravity line fell in front of the normal range(sacrum), while in the chronic group it fell behind the normal range(sacrum). In the acute lumbago group the Lumbar lordotic angle usually decreased, while in the chronic group it increased. The Ferguson's angle and the Lumbar gravity line, the Ferguson's angle and the Lumbar lordotic angle, the Lumbar gravity line and Lumbar lordotic angle each had a positive realtionship. The Ferguson's angle, the Lumbar gravity line and the Lumbar lordotic angle was less influenced by the level of HIVD and was more influenced by how long the patient had the pain. The correlationship between each factor was less in the chronic lumbago group than the acute group. In the chronic lumbago group the instability of the lumbosacral joint increased, while in the acute group the compression of the weight on the sacrum increased.

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Effects of Taping the Lower Back on the Lumbopelvic Region and Hip Joint Kinematics During Sit-to-Stand

  • Kim, Si-Hyun;Park, Kyue-Nam;Kwon, Oh-Yun;Choi, Houng-Sik
    • Physical Therapy Korea
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    • v.21 no.4
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    • pp.49-55
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    • 2014
  • Excessive lumbar flexion during sit-to-stand (STS) is a risk factor for lower back pain. Postural taping can prevent unwanted flexion of the lumbar spine. This study aimed to demonstrate the effect of taping the lower back on the lumbopelvic region and hip joint kinematics during STS. Sixteen healthy subjects participated. All subjects performed the STS with and without taping of the lower back. A three-dimensional motion analysis system was used to measure the kinematics of the lumbar spine, pelvis, and hip joint during STS. The angle of the peak lumbar flexion, pelvic anterior tilting, and hip flexion and angular displacement of the lumbar spine between starting position and maximal lumbar flexion were collected. Paired t-tests, or Wilcoxon's rank-sum test for non-parametric distribution, were used to assess differences in the measurements with and without taping. A p-value <.05 was taken to indicate a significant difference. Significant differences were observed in the angle of the peak lumbar flexion, pelvic anterior tilting, hip flexion and angular displacement of the lumbar spine (p<.05). Taping was associated with a significant decrease in the angle of peak lumbar flexion and angular displacement of the lumbar spine between the starting position and maximal lumbar spine flexion. In addition, the peak angle of pelvic anterior tilting and hip flexion were significantly increased with taping. The findings of this study suggest that taping the lower back can decrease excessive lumbar flexion, and increase the pelvic anterior tilting and hip flexion motion during STS.

Comparison of the Effects of Lumbar Stabilization Exercise According to the Presence or Absence of Gluteus Medius Muscle Weakness in Chronic Lower Back Pain Patients with Lumbar Instability (허리 불안정성이 있는 만성 허리통증 환자의 중간볼기근 약화 유무에 따른 허리 안정화 운동의 효과 비교)

  • Dae-ho Kim;Suhn-yeop Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.2
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    • pp.29-45
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    • 2024
  • PURPOSE: This study aimed to compare the effects of pain level, lower back pain dysfunction level, psychosocial level, hip abductor strength (HAS), number of positive lumbar instability tests, and dynamic balance (DB) by applying lumbar stabilization exercises according to the presence or absence of gluteus medius muscle weakness in chronic lower back pain (CLBP) patients with lumbar instability. METHODS: Thirty-five CLBP patients with lumbar instability were divided into the gluteus medius weakness (n = 18) and gluteus medius non-weakened (n = 17) groups using the gluteus medius manual muscle test. Intervention applied conservative physical therapy and lumbar stabilization exercises to both groups that lasted three times a week for four weeks. To compare the intervention effects, the quadruple visual analog scale (QVAS), the Korean version of the Oswestry disability index (K-ODI), fear-avoidance beliefs questionnaire (FABQ), HAS, lumbar instability tests positive response counter (LIC), and DB were measured. RESULTS: Significant differences were shown for QVAS, K-ODI, FABQ, HAS, LIC, and DB for both groups pre- and post-intervention (p < .05). Compared to the gluteus medius weakness group, the gluteus medius non-weakened group showed a significant difference (p < .05) in the changes in QVAS, K-ODI, FABQ-W, FABQ-total, and HAS. CONCLUSION: In CLBP patients with lumbar instability, having gluteus medius weakness was less effective in improving lumbar stabilization exercise than gluteus medius non-weakness regarding pain level, lower back pain dysfunction level, psychosocial level excluding physical activity, and hip abductor strength. Therefore, additional gluteus medius strengthening exercises are necessary for patients with lumbar instability and gluteus medius muscle weakness.

A Study for Clinical and Radiological Correlation between Lumbar Lordotic Angle, Lumbar Intervertebral Disc Angle and Lumbar Spinal Stenosis (요추 전만 각도 및 요추 추간판 각도와 요추 척추관 협착증의 상관관계에 관한 연구)

  • Kim, Jong-Su;Son, Seul-Ki;Kim, Se-Jun;Kim, Shin-Woong;Jeong, Seong-Hyun;Kim, Tae-Ho;Jeong, Yeon-Jae;Kim, Hyo-Sub
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.4
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    • pp.129-136
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    • 2014
  • Objectives The purpose of this study is to find out clinical and radiological correlation between lumbar lordotic angle, lumbar intervertebral disc angle and lumbar spinal stenosis. Methods Total 250 patients' who had visited Bu-Chun Jaseng Hospital of Korean Medicine lumbar lordotic angle, intervertebral disc angle of L4/5 and dural sac dimension of L4/5 were measured by X-ray and MRI films. We analysed correlation between lumbar lordotic angle, intervertebral disc angle of L4/5 and lumbar spinal stenosis in terms of clinical and radiological aspect. Results 1. The mean intervertebral disc angle of L4/5 were $10.72{\pm}3.98^{\circ}$, the mean lumbar lordotic angle were $41.97{\pm}11.73^{\circ}$ and the mean dural sac dimension of L4/5 were $133.18{\pm}45.46mm^2$. 2. This study shows that dural sac dimension of L4/5 was inversely reated to intervertebral disc angle of L4/5 by statistically (p<0.05). 3. There was visible difference regarding intervertebral disc angle of L4/5 between patients who had been diagnosed with lumbar spinal stenosis by clinically and patients who had not been diagnosed with lumbar spinal stenosis by clinically; The former's angle was relatively higher than the latter's (p<0.05). Conclusions There was a statistical significance between intervertebral disc angle of L4/5 and lumbar spinal stenosis in single-segment.

Effect of Lumbar Stabilizing Taping on The Electromyographic Activation of Trunk and Gluteal Muscles During One-Leg Standing (한발 서기 동작 시 요부 안정화 테이핑이 체간부와 고관절 주위근의 근활성도에 미치는영향)

  • Jeong, Ki-Yong;Kim, Suhn-Yeop
    • Journal of Korean Physical Therapy Science
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    • v.17 no.1_2
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    • pp.23-32
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    • 2010
  • Purpose: The purpose of this study was to investigate trunk and gluteal muscle activation during one-leg standing or two-leg standing with lumbar stabilizing taping using non-elastic tape. Method: The subjects of this study were twenty subjects(man=11, women=9) who be in good physical health and have not problem to back muscle and one leg standing. The surface electromyographic(EMG) data were recorded on external oblique(EO), gluteus medius(GMed), gluteus maximus(GMax), quadratus lumborum(QL) while pre- and post-lumbar stabilizing taping in two-leg standing and one-leg standing. The analysis of data was performed using the paired samples t-test to compare the difference of EMG activity of pre and post lumbar stabilizing taping. Result: Contrast of pre-lumbar stabilizing taping the muscle activity of QL in post-lumbar stabilizing taping is significant decrease on two-leg standing posture(p<.05), and the muscle activity of GMed is significant increase on one-leg standing posture(p<.05). Thus, we suggest that lumbar stabilizing taping using by functional tape will be able to affect on lumbar stability and gluteal muscle retraining.

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