• Journal of The Korean Society of Integrative Medicine
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• v.8 no.4
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• pp.171-181
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• 2020

Purpose : The purpose of this study was to investigate the effects of curl-up and proprioceptive neuromuscular facilitation (PNF) neck flexion exercises on stroke patients' trunk muscle activity, ability to control the trunk, and balance by comparing two exercise methods. Methods : The study involved patients who had been diagnosed with stroke based on the results of computerized tomography or magnetic resonance imaging at O Hospital in Daegu, South Korea, between January and July 2020. In total, 30 subjects were selected and by flipping a coin, randomly assigned to an experimental group (n=15) that performed PNF neck flexion exercises and a control group (n=15) that performed curl-up exercises. Both groups received traditional rehabilitation therapy for 30 minutes a day five times a week for a six-week period. In addition, the experimental group performed PNF neck flexion exercises and the control group curl-up exercises for 15 minutes a day five times a week over the same period. The subjects' muscle activity in the rectus abdominis (RA), external oblique (EO), and internal oblique (IO) were measured before and after the experiment. The subjects' trunk impairment scale (TIS) and Berg balance scale (BBS) scores were also assessed. Paired t test was performed to measure the amount of statistical change before and after intervention in both groups. An independent sample T test was performed to measure the amount of statistical change between the two groups. Results : Both groups experienced statistically significant increases in their RA, IO and EO muscle activity, total TIS scores, and total BBS scores after the intervention. No statistically significant differences in the changes before and after the intervention were found for any of the resulting values between the two groups. Conclusion : A comprehensive review of the study's results suggested that neck flexion exercises using the PNF irradiation concept and curl-up exercise are effective in increasing stroke patients' abdominal muscle activity and improving trunk control ability and balance in chronic stroke patients.

• Archives of Plastic Surgery
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• v.49 no.3
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• pp.324-331
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• 2022

Prior abdominal liposuction can be viewed as a relative or absolute contraindication to abdominally based autologous breast reconstruction given concerns for damaged perforators and scarring complicating intraoperative dissection. This systematic review aims to explore the outcomes of abdominally based breast reconstruction in patients with a history of abdominal liposuction. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-guided literature search was conducted using PubMed, Scopus, and Web of Science from the earliest available date through June 2020. Deep inferior epigastric perforator, muscle-sparing transverse rectus abdominis musculocutaneous (TRAM), superficial inferior epigastric artery, and pedicled TRAM flaps were included for evaluation. Complications included total or partial flap loss, fat necrosis, seroma, delayed wound healing, and donor site complications. After inclusion criteria were applied, 336 non-duplicate articles were screened, yielding 11 for final review, representing 55 flaps in 43 patients. There was no instance of total flap loss, eight (14.5%) flaps developed partial loss or fat necrosis, three (5.4%) flaps had delayed wound healing, and two (4.6%) patients had donor site complications. Most authors (8/11) utilized some type of preoperative imaging. Doppler ultrasonography was the most used modality, and these patients had the lowest rate of partial flap loss or flap fat necrosis (8%), followed by those without any preoperative imaging (10%). In conclusion, this review supports that patients undergoing abdominally based autologous breast reconstruction with a history of abdominal liposuction are not at an increased risk of flap or donor site complications. Although preoperative imaging was common, it did not reliably decrease complications. Further prospective studies are needed to address the role of imaging in improving outcomes.

• Journal of The Korean Society of Integrative Medicine
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• v.10 no.3
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• pp.131-140
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• 2022

Purpose : Although many studies have explored the effect of seating side angles on the spinal curve and surrounding muscles during seating, only a few studies have investigated the effect of different seating face angles on different lower limb and deep trunk muscles. Therefore, this study investigated the effects of seating surface angles (0 degrees, 10 degree anterior, and 10 degree rear) on lower extremity and deep trunk muscles in healthy adults. Methods : Thirty people were asked to sit once on each seating surface three times during the day, and their muscle thicknesses were measured by ultrasound while sitting. The method of sitting was the same when sitting on the three seating surfaces. Results : From the comparison results of the muscle thicknesses according to the seating surface angles, a significant difference existed in the muscle thicknesses of the vastus medialis, vastus medialis oblique, vastus intermedius, soleus and gastrocnemius (p<.05). However, no significant difference was found in the transversus abdominis, internal obliques, rectus femoris and vastus lateralis (p>.05). Conclusion : Our findings revealed that the lower back load decreases, the leg load increases, and the legs specific muscles are affected as the body tilts forward when sitting on the seating surface inclined forward. Therefore, it is possible to suggest a forwardly inclined seating surface that reduces lower back loads and utilizes the posture-maintaining muscles of the legs when sitting in a person with a poor sitting posture or lower back pain at ordinary times.

• Journal of the Korean Society of Physical Medicine
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• v.18 no.3
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• pp.99-111
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• 2023

PURPOSE: This study examined the effects of pelvic compression methods on the muscle activities of the trunk muscles during plank exercises in individuals with and without low back pain. METHODS: Individuals who experienced back pain for three or more days within the last six months (low back pain group, LBPG; n = 15) and those who did not (non-experienced low back pain group, NLBPG; n = 15) were instructed to perform plank exercise without pelvic compression or while wearing a ReaLine or Com-pressor belt. The electromyography (EMG) data was measured during each session of exercise. Surface EMG signals were collected for the rectus abdominis (RA), external oblique (EO), erector spinae (ES), and gluteus maximus (GM) muscles. The data were collected during three 5-s exercises with a 1-min rest period between the three sets. RESULTS: During the plank exercise, the muscle activity of the RA in the LBPG was significantly higher than that in the NLBPG (p < .05), and greater muscle activity was observed in the LBPG even when two pelvic compression methods were applied (p < .05). The muscle activity of RA was decreased significantly during pelvic compression according to the pelvic compression methods in both groups (p < .05). No significant interaction was observed between the groups or the pelvic compression methods for the RA, EO, ES, or GM muscle activities during plank exercises. CONCLUSION: Both pelvic compression methods reduced the RA muscle activity during plank exercises in individuals who had not experienced back pain within the last six months.

• Archives of Plastic Surgery
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• v.50 no.1
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• pp.10-16
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• 2023

Background The chest wall defects can be caused by various reasons. In the case of malignant tumor resection of the chest wall, it is essential to reconstruct the chest wall to cover the vital tissue and restore the pulmonary function with prevention of paradoxical motion. With our experience, we analyzed and evaluated the results and complications of the chest wall reconstructions followed by malignant tumor resection. Methods From 2013 to 2022, we reviewed a medical record of patients who received chest reconstruction due to chest wall malignant tumor resection. The following data were retrieved: patients' demographic data, tumor type, type of operation, method of chest wall reconstruction of the soft and skeletal tissue and complications. Results There were seven males and six female patients. The causes of reconstruction were 12 primary tumors and one metastatic carcinoma. The pathological types were seven sarcomas, three invasive breast carcinoma, and three squamous cell carcinomas. The skeletal reconstruction was performed in six patients. The series of the flap were eight pedicled latissimus dorsi (LD) myocutaneous flaps, two pectoralis major myocutaneous flap, two vertical rectus abdominis myocutaneous free flap, and one LD free flap. Among all the cases, only one staged reconstruction and successful reconstruction without flail chest. Most of the complications were atelectasis. Conclusion In the case of accompanying multiple ribs and sternal defect, skeletal reconstruction would need skeletal reconstruction to prevent paradoxical chest wall motion. The flap for soft tissue defect be selected according to defect size and location of chest wall. With our experience, we recommend the reconstruction algorithm for chest wall defect due to malignant tumor resection.

• Animal Bioscience
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• v.36 no.8
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• pp.1156-1166
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• 2023

Objective: Pork belly is a cut of meat with high worldwide demand. However, although the belly is comprised of multiple muscles and fat, unlike the loin muscle, research on their genetic parameters has yet to focus on a representative cut. To use swine breeding, it is necessary to estimate heritability against pork belly traits. Moreover, estimating genetic correlations is needed to identify genetic relationship among the traditional carcass and meat quality traits. This study sought to estimate the heritability of the carcass, belly, and their component traits, as well as the genetic correlations among them, to confirm whether these traits can be improved. Methods: A total of 543 Yorkshire pigs (406 castrated males and 137 females) from 49 sires and 244 dam were used in this study. To estimate genetic parameters, a total of 12 traits such as lean meat production ability, meat quality and pork belly traits were chosen. The heritabilities were estimated by using genome-wide efficient mixed model association software. The statistical model was selected so that farm, carcass weight, sex, and slaughter season were fixed effects. In addition, its genetic parameters were calculated via MTG2 software. Results: The heritability estimates for the 7th belly slice along the whole plate and its components were low to moderate (0.07±0.07 to 0.33±0.07). Moreover, the genetic correlations among the carcass and belly traits were moderate to high (0.28±0.20 to 0.99±0.31). Particularly, the rectus abdominis muscle exhibited a high absolute genetic correlation with the belly and meat quality (0.73±52 to 0.93±0.43). Conclusion: A moderate to high correlation coefficient was obtained based on the genetic parameters. The belly could be genetically improved to contain a larger proportion of muscle regardless of lean meat production ability.

• Journal of the Korean Applied Science and Technology
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• v.39 no.2
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• pp.335-339
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• 2022

The purpose of this research was to investigate the comparison of core muscle activities according to different performance in static Plank exercise. Ten "J" University's males(age, 23.20±0.65 years; height, 174.54±1.51 cm; body mass, 70.00±2.24 kg; and BMI, 22.94±0.51 kg/m²) completed this study as the subjects. Four type's static Plank motions were performed(full Plank, FP; elbow Plank, EP; side Plank, SP; reverse Plank, RP). For the EMG analysis, we measured the core muscle activities of right side on the rectus abdominis(RA), external oblique(EO), latissimus dorsi(LD), and erector spinae(ES). This research's results were as follows. LD and ES muscle activities were greatest during RP(p<.001). RA and EO muscle activities were greatest during EP(p<.001). Therefore, this results are anticipated to serve as basic data for static Plank performance applications in effective exercise programs.

• Physical Therapy Korea
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• v.20 no.1
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• pp.1-9
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• 2013

The purpose of this study was to determine the effect of the pelvic compression belt (PCB) on the electromyography (EMG) activities of trunk muscles during sit-to-stand (SitTS), and stand-to-sit (StandTS) tasks. Twenty healthy subjects (7 men and 13 women) were recruited for this study. The subjects performed SitTS, and StandTS tasks, with and without a PCB. Surface EMG was used to record activity of the internal oblique (IO), external oblique (EO), rectus abdominis (RA), erector spinae (ES), and multifidus (MF) of the dominant limb. EMG activity significantly decreased in the RA (without the PCB, $8.34{\pm}6.04$ %maximal voluntary isometric contraction [%MVIC]; with the PCB, $7.64{\pm}5.11$ %MVIC), EO (without the PCB, $14.83{\pm}11.82$ %MVIC; with the PCB, $11.98{\pm}7.60$ %MVIC), MF (without the PCB, $21.74{\pm}7.76$ %MVIC; with the PCB, $18.50{\pm}8.04$ %MVIC), and ES (without the PCB, $18.39{\pm}7.16$ %MVIC; with the PCB, $16.63{\pm}6.31$ %MVIC) during the SitTS task and in the IO (without the PCB, $20.58{\pm}15.60$ %MVIC; with the PCB, $17.27{\pm}12.32$ %MVIlC), RA (without the PCB, $8.04{\pm}5.68$ %MVIC; with the PCB, $7.40{\pm}4.71$ %MVIC), EO (without the PCB, $13.29{\pm}8.80$ %MVIC; with the PCB, $11.24{\pm}6.14$ %MVIC), MF (without the PCB, $18.59{\pm}7.64$ %MVIC; with the PCB, $15.86{\pm}6.48$ %MVIC), and ES (without the PCB, $17.14{\pm}6.44$ %MVIC; with the PCB, $15.46{\pm}5.62$ %MVIC) during the StandTS task when a PCB was used (p<.05). In men the EMG activity of the MF significantly decreased during the SitTS task when a PCB was used (p<.05): in women, the EMG activity of the RA, EO, MF, and ES during the SitTS task and that of the EO, MF, and ES during the SitTS task significantly decreased when a PCB was used (p<.05). In addition, the rates of change in the EMG activity of each muscle differed significantly during the SitTS and StandTS tasks before and after the use of the PCB. However, the EMG activity did not significantly differ between the male and female subjects. These findings suggest that the PCB may contribute to the modification of activation patterns of the trunk muscles during SitTS, and StandTS tasks.

• Korean Journal of Head & Neck Oncology
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• v.23 no.1
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• pp.26-31
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• 2007

Background and Objectives：Microvascular free flap reconstruction has been revolutionized in last two decades, and became a standard option in the reconstruction of head and neck defects. We intended to review our experiences of 51 microvascular free flap for head and neck defects during 5-year period and to analyze the types of flaps according to primary sites, success and complication rates. Subjects and Methods：From Oct. 2001 through Dec. 2005, fifty one free flap reconstructions were performed in forty nine patients at ENT department of Soonchunhyang university bucheon hospital. Primary sites, pathology, T-stage, operative time, time interval of oral feeding, and various reconstructive factors such as recipient and donor vessels, free flap related complications, failure rates and salvage rates were retrospectively analyzed. The relation between complication rates and preoperative risk factors were statistically analyzed. Results：Methods of reconstruction were radial forearm free flap(RFFF)(n=28, 54.9%), anterolateral thigh free flaps(n=9, ALTFF)(17.6%), rectus abdominis free flap(n=7, RAFF)(13.7%), jejunal free flap(n=5, JFF)(9.8%), and miscellanous(n=2, 4.0%) in order. In free flap related complications, failure of free flap occurred in seven cases(13.7%) and pharyngocutaneous fistula occurred in five cases(9.8%) among fifty one free flaps. The overall success rate of free flaps was 86.3%. Salvage of free flaps was possible only one among eight cases(12.5%). In positive preoperative risk factor groups, failure of free flap was higher than in negative risk factor group. However, it was not statistically significant. Conclusion：We confirmed that free flap reconstructions are highly versatile and reliable options for use in the reconstruction of various soft tissue defects of the head and neck. Free flaps have gained great popularity given its versatility, ability for a two-team approach, and minimal donor site morbidity. However, complications related to microvascular surgery may be overcome by increased surgical experience and by intensive flap monitoring in early postoperative period.

• Journal of Korean Foot and Ankle Society
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• v.1 no.1
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• pp.59-64
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• 1997

The aims of free tissue transplantation to the injured foot are to cover the exposed blood vessels, nerves, muscles, tendons and bones, to clear up infection, to lessen the morbidity, to shorten the hospitalization, and to prepare for further surgical procedures when no local or transpositioning flaps are available. Authors have carried out free flap transplantation in 13 cases of crushing injury, osteomyelitis and electrical burn in the foot at Chonbuk National University Hospital from June 1992 through May 1996. The results were as follows : 1. 9 cases of 13 (69%) were sustained from the traffic accident. 2. The dorsalis pedis free flap transplantation has been performed most frequently in 5 cases (38.5%), followed gracilis muscle flap in 4 cases(30.7%), rectus abdominis muscle flap in 2 cases(15.4%), latissimus dorsi muscle flap and upper arm flap in 1 each. 3. 6 muscle flaps were covered with split thickness skin graft 20 days after microsurgical anastomosis. 4. All of 13 cases were survived after microsurgical procedure and showed excellent coverage in the foot.