• Title, Summary, Keyword: Pelvic malposition

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Analysis of the Research Trends of Pelvic Malposition in Korean Clinical Research (골반부와 관련된 국내임상연구동향 고찰 -골반부의 변위를 중심으로-)

  • Park, Jaehyeon;Nam, Soohyeon;Kim, Donghoo;Kang, Jun-Hyuk;Heo, Woo-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.2
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    • pp.81-88
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    • 2015
  • Objectives The purpose of this review was to analyze the research trends in clinical research related to pelvic malposition published in Korean medicine journals. Methods We searched articles in Korean databases (OASIS, NDSL, RISS, and KTKP), and sorted the articles by publishing date, pelvic malposition type, field of study, and measurement index. Results 1. 25 original articles and 9 case report articles were reviewed. 2. In recent years, this topic has been studied more frequently, with an increasing number of original articles published. 3. 16 articles analyzed pelvic malposition type. And half of the articles focused on ilium. 4. The original articles have figured out the correlation between pelvic malposition measurement indices and other measurement indices or diseases. 5. Treatment tools, such as chuna therapy, the mckenzie method, devices for correcting malposition, acupuncture were used in the case report articles. 6. 29 measurement indices, such as Ferguson's angle, Ilium shadow measurement, and Iliac height difference were used. Conclusions According to the literature, pelvic malposition is related to other diseases and measurement indices, and manual medicine on pelvic malposition can be effective. However, due to the lack of sufficient empirical evidence from medical articles to support this, further clinical research should be conducted.

The comparative study between the effect of Chuna manual treatment and Chuna manual treatment with self muscle energy techniques on patients with pelvic malposition : A Randomized, Controlled, Trial (골반 변위가 있는 환자에서 추나 치료군과 자가 MET 병행군의 교정 정도 비교 연구 : 무작위 대조 연구)

  • Yun, Yong-Il;Huh, Suk-Won;Bae, Young-Chun;Jung, Bum-Hwan;Jo, Joo-Hyun
    • The Journal of Korea CHUNA Manual Medicine for Spine and Nerves
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    • v.10 no.1
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    • pp.75-86
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    • 2015
  • Objectives : The purpose of this study is to compare the effect of Chuna manual treatment and Chuna manual treatment with self muscle energy techniques on patients with pelvic malposition Methods : Random allocation was done. We used Chuna manual treatment to control group and Chuna manual treatment with self muscle energy techniques to experimental group. These patient's pelvic malposition were checked by Leg length analysis, measuring Innominate measurement length, obturator foramen size and height of femur head. Results : 1)After the 3 weeks treatment, patients' inequality of leg length and Innominate measurement length were significantly reduced. 2)There was no significant difference between control group and experimental group. Conclusions : Chuna manual treatment and Chuna manual treatment with self muscle energy techniques are considered to be effective and useful in patients with pelvic malposition. But there was no significant difference between control group and experimental group.

Diagnostic X-ray from the Perspective of Chuna Manual Medicine, Based on the Listing System of Spinal and Pelvic Subluxation (단순 방사선 영상 검사를 통한 추나의학적 진단 방법 - 척추.골반변위 명명체계를 중심으로 -)

  • Lee, Jin-Hyun;Kim, Chang-Gon;Jo, Dong-Chan;Moon, Su-Jeong;Park, Tae-Young;Ko, Youn-Suk;Nam, Hang-Woo;Lee, Jung-Han
    • The Journal of Korea CHUNA Manual Medicine for Spine and Nerves
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    • v.9 no.1
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    • pp.1-14
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    • 2014
  • Objective : The purpose of this study is to offer a new approach to diagnostic X-ray in perspective of Chuna manual medicine for clinical application. Methods : Characteristics of each malposition in X-ray were analyzed comprehensively, based on the listing system. By verifying these results, find out the methods of X-ray diagnosis according to the each malposition. Results : 1. Vertebral malposition can be explained by alignment and relative position of vertebral body in the X-ray. To obtain more accurate estimation of subluxation, features of other structures should be considered, such as spinous process, intervertebral foramen and disc space. 2. Pelvic malposition can be determined by relative location of anterior superior iliac spine (ASIS) and posterior superior iliac spine (PSIS) in the X-ray. Also other pelvic parameters should be utilized to make a diagnosis of sacral malposition. Conclusions : Diagnostic X-ray should be applied to many clinicians for reasonable Chuna manual medicine application. And further studies are needed to use the diagnostic X-ray in the perspective of Chuna manual medicine.

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The Comparative Study between Leg Length Analysis and X-ray on Diagnosis of Pelvic Malpositions - according to Positions and Valuation Bases - (기능성 족지장단분석과 X-ray의 골반변위 진단의 비교 연구 - X-ray 촬영 자세 및 평가 기준에 따라 -)

  • Lee, Jung-Min;Koog, Gil-Ho;Choi, Bo-Mi;Jeong, Hyun-A;Hong, Seo-Young
    • The Journal of Korea CHUNA Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.169-180
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    • 2010
  • Objectives: This study was carried out to investigate the relationship of leg length analysis and X-ray finding according to positions and valuation bases on diagnosis of pelvic malpositions. Methods: Twenty-two people who get $33.09{\pm}10.73$ as average were evaluated by leg length analysis and X-ray findings. After measuring innominate measurement(IM), femur head line. distance between S2 and posterior superior iliac spine(PSIS). ilium shadow measurement(ISM), major axis of obturator foramen(MaF), minor axis of obturator foramen(MiF) and distance between off centering measurement and symphysis pubis, those were analyzed. Results: 1. In assessment of posterior rotation malposition ilium(PI), it was showed the best coincidence between leg length analysis and X-ray analyzed by 1M in supine position(11 cases, 50.5%). 2. In assessment of inflare, coincidence index between leg length analysis and X-ray were not good($4.00{\pm}3.03$ cases, $18.15{\pm}13.82%$). And leg length analysis were not sensitive. 3. On the whole, coincidence index between leg length analysis and X-ray were not good(best: 1 case, 45.5%; worst: 11 cases, 50.0%). Conclusions: Results form this investigation showed the relationship of leg length analysis and X-ray according 10 positions and valuation bases on diagnosis of pelvic malpositions. This results are expected to contribute to establish method of assessment in diagnosis of pelvic malpositions.

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Patient Reported Outcomes from Sacroiliac Joint Fusion

  • Kancherla, Vamsi K.;McGowan, Shane M.;Audley, Brittany N.;Sokunbi, Gbolabo;Puccio, Steven T.
    • Asian Spine Journal
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    • v.11 no.1
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    • pp.120-126
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    • 2017
  • Study Design: Retrospective, case series. Purpose: The purpose of this study is to determine morbidity, complications, and patient reported outcomes from minimally invasive sacroiliac joint (SIJ) fusion. Overview of Literature: Lumbar back pain emanating from the SIJ can be surgically treated via a percutaneous approach in the appropriately selected patient with minimal morbidity and acceptable functional outcomes. Methods: Patients diagnosed by >2 physical examination maneuvers and subjective relief from a computed tomography-guided lidocaine-bupivacaine-steroid injection underwent SIJ fusion after failing conservative management with a combination of oral anti-inflammatory medications, physical therapy, and pelvic belt stabilization. Perioperative data collected include estimated blood loss (EBL) and operative time. Oswestry disability index, 12-item short form health survey (SF-12), visual analogue score, and functional status were analyzed. All complications were noted. Results: The study cohort of 45 cases (69% female) achieved postoperative survey follow-up at 9.9 and 32.3 months. SF-12 physical component summary statistically improved while all other scores were equivalent. Mean EBL and operative time were 22 mL and 36 minutes, respectively. Initial survey showed that 64% of patients discontinued narcotics (29/45), 71% do not use an assistive device (32/45), and 15.6% do not work due to pain (7/45). 73% of patients stated they would have the surgery again (33/45). For the second survey, 65% of patients discontinued narcotics (26/40), 70% did not use an assistive device (28/40), and 17.5% did not work due to pain (7/40). A history of thoracolumbar instrumentation (16/45) did not significantly affect outcomes. Three complications described by screw malposition with neurologic deficit (6.7%) were treated with screw repositioning (1 case) and removal of a single superior implant (2 cases) with time to revision of 2.2 months. All three ultimately had resolution of radicular pain. Conclusions: Percutaneous SIJ fusion offers minimal morbidity and acceptable functional outcomes. While women and those with a prior history of lumbar instrumentation may be at increased risk of having SIJ dysfunction requiring surgical intervention, it was not found to affect postoperative functional outcomes when compared to the non-instrumented group.