Properties of Pulse Waveforms by Posture Changes : Standing, Sitting, Supine Posture

측정 자세의 변화에 따른 맥의 변화 특성 : 선 자세, 앉은 자세, 누운 자세

  • Kown, Sun-Min (Dept. of Biomedical Engineering, College of Health Science, Yonsei University) ;
  • Kang, Hee-Jung (Daeyomedi Co., Ltd.) ;
  • Lee, Sang-Hun (Korea Institution of Oriental Medicine) ;
  • Yim, Yun-Kyoung (Dept. of Meridian & Acupoints, College of Oriental Medicine, DaeJeon University) ;
  • Lee, Yong-Heum (Dept. of Biomedical Engineering, College of Health Science, Yonsei University)
  • 권선민 (연세대학교 보건과학대학 의공학과 한의공학연구실) ;
  • 강희정 (대요메디(주)) ;
  • 이상훈 (한국한의학연구원) ;
  • 임윤경 (대전대학교 한의과대학 경락경혈학교실) ;
  • 이용흠 (연세대학교 보건과학대학 의공학과 한의공학연구실)
  • Published : 2009.12.27

Abstract

Objectives : Informations on pulse diagnosis in literature are based on diagnosing pulse waveforms on supine posture. However, today's pulse waveforms are measured on various postures for the convenience of patients or doctors. For objective measurement, the effect of posture on the pulse waveforms should be considered. The objective of this study was to find posture-related changes in the radial pulse waveforms. Methods : We used an instrument, DMP-3000(DAEYOMEDI Co., Ansan, Korea), measuring radial pulse waveforms noninvasively by tonometric method. 25 male subjects participated in the trial. Before measuring radial pulse waveforms subjects had rest for 5 min. The pulse waveforms were measured on the left wrist. Each subject underwent this course on the supine, sitting, and standing posture. We analyzed pulse waveforms with Height-parameters, Time-parameters, Energy, and Elastic rate. Results : Height-parameters(h1~h5) on the supine posture were bigger than those on the sitting and standing posture. In case of Time-parameters, the parameters making up systolic time decrease in order of on standing, sitting, and supine position. However, systolic time and diastolic time didn't have any changes. Energy of pulse was the biggest on supine posture and Elastic rate on standing posture. Conclusions : In this study we found that posture changes affect radial pulse waveforms. For quantification of the changes, more trials should be done. After analyzing much data we might apply parameters of pulse waveforms changed by posture. Also, we might diagnose special disease with properties of pulse waveforms by posture.

Keywords

References

  1. Lee HJ, Kim GY, Park YS, Park YB, Huh W. A study on the contrast radial pulse diagnosis of Inyoung-Chongu. J semiconductor Tech Sci. 1992 ; 15(1) ; 424-8.
  2. 홍순석. 중의진단학. 서울 : 군자출판사. 2009 : 353
  3. Ghrist, David G. Variations in pulse and blood pressure with interrupted change of posture. Collected papers of the Mayo Clinic and the Mayo Foundation. 1930 ; (22) ; 464-74.
  4. Cavelaars M., Tulen J. H. M., van Bemmel J. H., Mulder P. G. H., van den Meriracker A. H.. Haemodynamic responses to physical activity and body posture during everyday life. J Hypertens. 2004 ; 22(1) ; 88-96.
  5. Cavelaars M., Tulen J. H. M., van Bemmel J. H., Mulder P. G. H., van den Meriracker A. H.. Reproducibility of intra-arterial ambulatory blood pressure: effects of physical activity and posture. J Hypertens. 2004 ; 22(6) ; 1105-12. https://doi.org/10.1097/00004872-200406000-00010
  6. Kim JY, Kim KY, Go GD. A Study on the problems and the method for improvement of Pulse Analyzers. J Korean Inst Oriental Med Diagn. 1999 ; 3(1) ; 28-36.
  7. Park YB. Present and prospect of pulse diagnostic apparatus. J Korean Inst Oriental Med Diagn. 1997 ; 1(1) ; 86-94.
  8. 신순식, 김경철. 한의 맥진의 현대적 객 관화 연구 - 맥파 추출 정보의 분석기법에 관한 연구. 대한의료정보학회. 2004 ; 10 ; 126-9.
  9. 김경철, 강희정. 맥(脈) 의공학 연구방법 론. 안산 : 대요메디(주). 2008 ; 499.
  10. 윤영준, 강희정, 류경호, 김경철, 신순 식. 3D 맥진 시스템. 동의한의연. 2004 ; 8 ; 10-3.
  11. 조영일, 유정열, 서상호, 이병권, 이상준, 권혁문. 생체유체역학(BIO FLUID MECHANICS). 서울 : 야스미디어. 2006 : 479.