• Title/Summary/Keyword: palpation pressure

Search Result 30, Processing Time 0.028 seconds

Development of Pulse Wave Analysis Model with Skin Effect (손목의 피부특성을 고려한 맥상파 해석모델 개발)

  • Shin, Sang-Hoon
    • The Journal of the Society of Korean Medicine Diagnostics
    • /
    • v.15 no.2
    • /
    • pp.159-168
    • /
    • 2011
  • Objectives: The purpose of this study is to develop the pulse wave analysis model with the palpation pressure and the skin effect. Methods: The position of pulse diagnosis was modeled with elastic string system. The skin was modeled with the elastic string, the palpation pressure with tension in the string, and the blood vessel pressure with external force on the string. Using the wave equation in the physics, the simplified pulse model was transformed to the mathematical model. Results: To the verification of the model, the effects of the palpation pressure and the skin effect were tested. Conclusions: There was optimal palpation pressure, describing the exact vessel pressure pattern and maximizing the amplitude of the skin displacement. For the optimal condition, the increased palpation pressure was needed with the increased skin thickness. Therefore, the developed pulse wave analysis model showed the good results.

A Robotic Medical Palpation using Contact Pressure Distribution (접촉 압력 분포를 이용한 로봇 의료 촉진)

  • Kim, Hyoungkyun;Choi, Seungmoon;Chung, Wan Kyun
    • The Journal of Korea Robotics Society
    • /
    • v.12 no.3
    • /
    • pp.322-331
    • /
    • 2017
  • In this paper we present a novel robotic palpation method for the lump shape estimation using contact pressure distribution. Many previous researches about the robotic palpation have used a stiffness map, which is not suitable to obtain geometrical information of a lump. As a result, they require a large data set and long palpation time to estimate the lump shape. Instead of using the stiffness map, the proposed palpation method uses the difference between the normal force direction and the surface normal to detect the lump boundary and estimate its normal. The palpation trajectory is generated by the normal of the lump boundary to track the lump boundary in real-time. The proposed approach requires small data set and short palpation time for the lump shape estimation since the shape can be directly estimated from the optimally generated palpation trajectory. An experiment result shows that our method can find the lump shape accurately in real-time with small data and short time.

A Medical Palpation Guidance System for Minimally Invasive Surgery using Contact Pressure Distribution (접촉 압력 분포를 이용한 최소 침습 수술을 위한 의료 촉진 가이던스 시스템)

  • Kim, Hyoungkyun;Chung, Wan Kyun
    • Journal of Sensor Science and Technology
    • /
    • v.26 no.4
    • /
    • pp.266-273
    • /
    • 2017
  • In this research a medical palpation guidance system for minimally invasive surgery (MIS) is proposed. Palpation is a useful tool for identifying a size and location of a lump during a surgery. However, conventional manual palpation is only available in open surgery, so there has been several researches about palpation assistant or guidance system for MIS. The previously developed systems are based on a pressure based or stiffness based approach. These previous approaches have some limitations in increasing complexity of the systems and lack of geometric information about the lump which is more important information for the lump removal than the stiffness information. We propose a palpation guidance system using a novel approach using contact pressure distribution. Since our approach gives the geometry information of the lump as well as the existence information, the operator can easily notice the currently identified lump region and the optimal position for the next palpation. The experiment results show that our approach can offer the geometry information of the lump correctly.

Studies on Early Pregnancy Diagnosis in Dairy Cows (유우(乳牛)의 조기임신진단(早期姙娠診斷)에 관한 연구(硏究))

  • Kim, Kyo-Joon;Kim, Sang-Keun
    • Korean Journal of Veterinary Research
    • /
    • v.20 no.2
    • /
    • pp.135-141
    • /
    • 1980
  • This experiment was carried out to investigate of the early pregnancy diagnosis by finger pressure method, mucus smear method and rectal palpation method in 169 heads of pregnant dairy cow. 1. Pregnancy diagnostic rate of previous, middle and late period of pregnancy by finger pressure methods were 87.3%, 82.0% and 70% respectively. 2. Pregnancy diagnostic rate of previous, middle and late period of pregnancy by mucus smear methods were 83.1%. 94.9% and 95.0% respectively. 3. Pregnancy diagnostic rate of previous, middle and later period of pregnancy by rectal palpation methods were 83.1%, 96.1% and 100% respectively. 4. Pregnancy diagnostic rate of early pregnancy by finger pressure method, mucus smear method and rectal palpation method were 86.7%, 86.8% and 66% respectively. 5. Accordingly, finger pressure method in pregnancy diagnosis is thought to be recommendable because this early diagnostic means are simple with accurate results.

  • PDF

An Introduction Of Abdominal Palpation Signs In Japanese Oriental Medicine -A New Approach To The Practice Of Abdominal Palpation In Korean Oriental Medicine- (한방(漢方)의 복진법(腹診法)에 관(關)하여 -한의학(韓醫學)에서의 복진법(腹診法) 도입(導入)에 대한 접근시도(接近試圖)-)

  • Joh, Ki-Ho;Toshiaki, Kita;Katsutoshi, Terasawa;Moon, Sang-Kwan;Ko, Chang-Nam;Kim, Young-Suk;Bae, Hyung-Sup;Lee, Kyung-Sup
    • The Journal of Internal Korean Medicine
    • /
    • v.18 no.1
    • /
    • pp.86-96
    • /
    • 1997
  • We examined clinical and reseach data about abdominal palpation conducted in japanese oriental medicine from the early stages of its medical history to the latest research, so as to introduce it into korean oriental medicine. That is to say, we studied clinical significance and suitable oriental medicine prescription about following : sweat and moistness of abdominal skin ; temperature of abdominal skin ; palpation and visible peristaltic movement ; meteorism ; tonus of the whole rectus abdominis muscle ; local tonus of parts rectus abdominis muscle ; palpitation of abdominal aorta ; resistance tender on pressure in epigastric region, subcostal region, umbilical region, lower abdomen, para-umbilical region, cecal region, sigmoid region and inguinal region ; sound of fluctuating liquid in the epigastric region. The result was that abdominal palpation was an immediately applicable method of clinical diagnosis in oriental medicine, and is being proven by western medicine methodology today. Therefore we suggest that korean oriental medicine would advance greatly if abdominal palpation were applied.

  • PDF

Verification of Reliable Blood Pressure Monitor in a Moving Ambulance during an Emergency (응급상황시 이송중인 구급차에서 신뢰할 수 있는 혈압계 검증)

  • Jeon, Jai-In
    • The Journal of the Convergence on Culture Technology
    • /
    • v.8 no.3
    • /
    • pp.91-97
    • /
    • 2022
  • The purpose of this study was to analyze the measurements of blood pressure and time using manual and automatic blood pressure monitors in various road conditions to verify reliable blood pressure monitor in a moving ambulance. First, the manual blood pressure monitor palpation on unpaved roads showed a systolic pressure deviation of 5 mmHg. However, the automatic blood pressure monitor showed two measurement failures, one reading failure, and the measured systolic pressure deviation was 35 mmHg. The measurement time was 102 seconds faster on average than the automatic blood pressure monitor. Second, the palpation of the manual blood pressure monitor while going over speed bumps remained constant at 130 mmHg. However, the automatic blood pressure monitor had a systolic pressure deviation of 52 mmHg. The measurement time was 61 seconds faster on average than the automatic blood pressure monitor. Finally, the manual blood pressure monitor palpation on the sharp curve road showed a systolic pressure deviation of 5 mmHg. The automatic blood pressure monitor had one reading failure and the measured systolic pressure deviation was 21 mmHg. The measurement time showed that the manual blood pressure monitor was 101 seconds faster than the automatic blood pressure monitor. As a result, in a moving ambulance during an emergency, the manual blood pressure monitor showed high reliability because the blood pressure measurement was constant and the measurement time was short.

Study of the Relation between Palpation of the Jeonjung(膻中, $CV_{17}$) and Autonomic Nerve System by Heart Rate Variability (심박 변이도 분석을 통한 전중혈(膻中穴) 압진(壓診)과 자율신경실조의 상관성 연구)

  • Ha, Seon-Yun;Cho, Seong-Yeun;Jang, Jin-Young;Kim, Yong-Suk;Nam, Sang-Soo
    • Journal of Acupuncture Research
    • /
    • v.26 no.5
    • /
    • pp.57-63
    • /
    • 2009
  • Objectives : Since the Front Points are treated as response zone, it can be used for the diagnosis and treatment of disease in viscera and bowels. Jeonjung($CV_{17}$) is the Front Point of SIMPO, it is related with cardiovascular, neuro-psychiatrical disease in aspect of Oriental Medicine. This research is for clarifying relations with palpation of the Jeonjung($CV_{17}$) and autonomic nerve system by comparing HRV and SRI(Stress Reaction Index). Methods : This study was proceeded for three months, from June 2009 to September 2009. Among 31 healthy volunteers, 13 subjects who complained the pressure pain around Jeonjung($CV_{17}$) are classified pressure pain group and 18 subjects who had no pain around Jeonjung($CV_{17}$) as normal group. All subjects had their HRV(SA-2000E: Medicore Co..Ltd. Korea) and SRI measured at visit. We studied the difference of HRV between two groups.(Statistics by Student t-test, p<0.05) Results : LF normalization of the pressure pain group were significantly higher than those of the normal group. HF normalization of the pressure pain group were significantly lower than those of the normal group. Compared with those of the normal group, total SRI of the pressure pain group were low but it's not significant. Conclusions : The results of HRV of the pressure pain group show that pressure pain around Jeonjung($CV_{17}$) is related to mental stress and autonomic disturbance.

  • PDF

A study on Palpation of the back-shu points (배유혈(背兪穴) 안진(按診)에 관(關)한 고찰(考察))

  • Hong, Mun-Yeup;Park, Won-Hwan
    • The Journal of Dong Guk Oriental Medicine
    • /
    • v.8 no.2
    • /
    • pp.155-173
    • /
    • 2000
  • The diagnosis in Oriental medicine is done by inspection, auscultation and olfaction, interrogation, four diagnostics of pulse feeling and palpation, and various system of identification like identification according to Qi(vital energy), Xue and body fluids, identification according to fair principles, identification according to principles of Wei, Qi, Ying and Xue, identification according to Sanjiao(the triple heater), identification according to four type physical constitution. Sometimes, symptoms and diagnosis techniques according to symptoms is selectively applied for the diagnosis. Among them the pulse feeling and palpation diagnosis technique using the sense of finger and palm of the hand is divided into feeling of pulse and palpation and pressing maneuver. Pressing maneuver is a diagnosis technique pressing and rubbing the affected part in order to attain data of identification including inside and outside condition of the body with regard to the nature, condition and relative seriousness of disease. There are palpation of the skin, palpation the hand and foot, palpation the chest and the abdomen, palpation shu points in pressing maneuver. The diagnosis of the Back Shu points is a technique to examine the change of disease condition from pressure ache, spontaneous ache, tension, relaxation, solidification revealed through channels and collaterals. I investigates starting disease and an attack of disease of twelve pulse and pulse condition through the study relative to the substance and technique of pressing maneuver, and adjusts diagnosis techniques of a region for acupuncture and matters to be attended. The conclusions are as follows. 1. The Shu or stream points in which pathogenic factors go are important to medical treatment of dormant diseases like bowels disease, cold symptom complex and insufficiency symptom complex. 2. Disease classified by system is diagnosed by the condition of process part like pro-trusion, cave-in, tension, relaxation, pressure ache through palpating the Shu or stream points, that is pressing upward or downward left and right sides of the backbone process by hands. 3. In real clinic pressing maneuver of one's back side is very important to patient's diagnosis treatment. Thus, pressing maneuver of one's back side have to be done without omission. 4. Diagnosis must be accomplished through the perception about the diversity of diagnosis technique of bowels disease, the exact knowledge about pressing maneuver of one's back side for enlargement of treatment range and rising of treatment rate, and pressing maneuver of the Shu or the stream points.

  • PDF

Effect of Visual Biofeedback Training in Real Time on Buttock Pressure and Pelvic Tilting Angles of Hemiplegic Patients During Sitting

  • Cho, Min-su;Park, Kyue-nam;Choung, Sung-dae;Kwon, Oh-yun
    • Physical Therapy Korea
    • /
    • v.24 no.2
    • /
    • pp.66-75
    • /
    • 2017
  • Background: After a stroke, the control of the trunk muscle may be severely impaired. Due to the importance of trunk control in complex daily postures, the ability to adopt a correct sitting posture is considered a determinant of the recovery of independent function after a stroke. Objects: The purposes of this study were to compare differences in buttock pressure between the left and right sides of hemiplegic patients and differences in their pelvic tilting angles (sagittal and coronal planes) after sitting training with visual biofeedback (VBF) in real time. Methods: Twenty-two individuals with unilateral strokes (11 left-side and 11 right-side hemiplegic stroke patients) participated in this study. Buttock pressure was measured using a pressure mat, and pelvic angles were measured using a palpation meter. Results: The asymmetry of pressure between the right and left (first and third chamber) sides was significantly decreased after the VBF training. The measurements obtained using the palpation meter revealed a significant decrease in the pelvic angles pre- versus post-intervention. Conclusion: VBF training may be distribute a patient's buttock pressure equally while in a sitting posture and increase the length of time a stroke patient can maintain a symmetrical sitting posture. It can also improve pelvic control while sitting in a neutral position.

The Correlation between Tongue Pain and Tenderness of Tongue by Digital Palpation in Burning Mouth Syndrome Patients: A Preliminary Study

  • Ryu, Ji-Won;Yoon, A-Hyang;Ahn, Jong-Mo
    • Journal of Oral Medicine and Pain
    • /
    • v.44 no.2
    • /
    • pp.54-58
    • /
    • 2019
  • Purpose: The aim of this study is to evaluate the correlation between tongue pain and tenderness of tongue by digital palpation (DP) in Burning Mouth Syndrome (BMS) patients. Methods: One hundred thirty-four consecutive patients (60 BMS with tongue pain and 74 non-BMS) who attended the Department of Oral Medicine (Chosun University Dental Hospital, Gwangju, Korea) from January 2018 to December 2018 were included in this study. The examined sites were anterior, lateral (right and left) and central part of the tongue. The pain sites were reported by the patients and the tender points on DP test were recorded by the clinicians. DP test was performed by well-trained clinicians with palpation of the tongue with 0.5 kg pressure using the thumb and index finger. Obtained results for BMS and non-BMS group were compared using t-test (p<0.05). Results: 1. The BMS group had higher tender score on DP test of the tongue and there was a significant difference between the BMS and non-BMS groups. 2. The accuracy of the pain site and the tender point was shown to be 0.68 total (anterior 0.68; right lateral 0.69; left lateral 0.70; central 0.61). Conclusions: This study suggests that the tenderness to DP of the tongue could be related to the painsites in the BMS patients. Further study is needed to confirm the usefulness of DP test of the tongue to examine the BMS patients.