• Title/Summary/Keyword: Low back pain

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Health Status and Musculoskeletal Workload of Red Pepper Farmers (노지고추 농업인의 건강실태와 근골격계 작업부담)

  • Kim, Kyung-Ran;Lee, Kyung-Suk;Kim, Hyo-Cher;Song, Eun-Young
    • Journal of the Ergonomics Society of Korea
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    • v.28 no.3
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    • pp.7-15
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    • 2009
  • The objective of this study is to survey the working environmental conditions and musculoskeletal workload(DMQ) in red pepper farmers. 155 full-time farmers(males=91, females=64) lived in Chungnam and Jeonbuk participated in the study. To offer the fundamental data for agricultural improvement of red pepper farms, information about working farm conditions, health condition, musculoskeletal disorders(MSDs), labor intensity and musculoskeletal workload was obtained by questionnaire and interviews. The results are as follows: 1. The farmers reported sunlights, high temperature and cold/ draught as uncomfortable work environment. 2. Physical and mental fatigue in females is higher than that of males. 3. The prevalence rates of medical diagnosed diseases are higher in order of osteoarthritis, herniated nucleus pulposus(HNP), and chronic gastritis/gastric ulcer. 4. Prevalence rates of musculoskeletal symptoms more than standard 1 among the various pain areas are higher in order of low back, shoulders and knees. These results can be used practically for agricultural improvement of red pepper farms to prevent MSDs.

The relationship between Width of Lumbar Disc Space and Severity of Herniated Intervertebral Disc in Patients Diagnosis Disc space narrowing (요추 추간판 간격 좁아짐 진단 환자에서 요추 추간판 간격과 요추 추간판 탈출증 정도와의 상관성)

  • Lee, Kap-Soo;Kim, Won-Woo;Seong, Ik-Hyeon;Cho, Chang-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.8 no.2
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    • pp.79-86
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    • 2013
  • Objective : The purpose of this study was to suggest (diagnostic) criteria for lumbar disc space and see the correlation between lumbar disc space narrowing and the level of HIVD. Methods : We looked at the 113 patients diagnosed disc space narrowing with lumbar x-ray and MRI films who have visited Jaseng Hospital of Oriental Medicine with low back pain in October,2013. The width of lumbar disc space and the severity of Herniated Intervertebral Disc(HIVD) on MRI films were collected and stastically analyzed using one-way ANOVA. Results : In this study, measured value(%) for lumbar disc space of the group diagnosed serious HIVD, such as protrusion, extrusion and migration was significantly decresed compared to the normal group and the bulging group. Conclusion : There was a significant correlation between lumbar disc space narrowing and the level of HIVD.

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Study of Smart Vehicle Seat for Real-time Driver Posture Monitoring (운전자 자세 실시간 모니터링이 가능한 스마트 자동차 시트 연구)

  • Shim, Kwangmin;Seo, Jung Hwan
    • Journal of Auto-vehicle Safety Association
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    • v.12 no.1
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    • pp.52-61
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    • 2020
  • In recent years, the increasing interest in health-care requires the industrial products to be well-designed ergonomically. In the commercial vehicle industry, several researchers have demonstrated the driver's posture has great effect on the orthopedic desease such as fatigue, back pain, scoliosis, and so on. However, the existing sensor systems developed for measuring the driver posture in real time have suffered from inaccuracy and low reliability issues. Here, we suggest our smart vehicle seat system capable of real-time driver posture monitoring by using the air bag sensor package with high sensitivity and reliability. The ergonomic numerical model which can evaluate a driver's posture has been developed on the basis of the human body segmentation method followed by simulation-based validation. Our experimental analysis of obtained pressure distribution of a vehicle seat under the different driver's postures revealed our smart vehicle system successfully achieved the driver's real-time posture data in great agreement with our numerical model.

The Development of a SVR-based Empirical Model for the Effect of the Unbalanced Floor Height on MVC of Lifting Task (불균형한 바닥높이가 들기 작업의 최대발휘근력에 미치는 영향 분석을 위한 SVR 예측모델 설계)

  • Oh, Hyunsoo;Chang, Seong Rok;Kim, Younghwan;Lee, Chang Jun
    • Journal of the Korean Society of Safety
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    • v.29 no.4
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    • pp.153-159
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    • 2014
  • Low back pain is one of major issues in musculoskeletal diseases mainly caused by MMH (Manual Material Handling) tasks. In Korea, the standards of NIOSH(National Institute for Occupational Safety and Health) Lift Equations in U. S. A. have been most widely used. However, there is no standard in case the height of one feet is higher than that of another one. Moreover, since the standards are developed in U. S. A., there are many limitations for the applicability of Korean workers. In this study, MVC(Maximum Voluntary Contraction) for four postures are measured and an empirical model based on SVR(Support Vector Regression) is constructed. Constructing SVR model, PSO(Particle Swarm Optimization) is employed to investigate the optimal parameters of SVR. The results show that the performance of this empirical model is approximately accurate, even if the deviation of experimental values is large due to the individual differences. This empirical model may contribute to establish the standards of MMH tasks in Korea.

The Comparison of Effective between Acupuncture and Bee Venom Acupuncture on the Treatment of Acute Lumbar Herniation of Intervertebral Disc (급성기 요추간판탈출증에 있어 봉약침 치료의 효과에 대한 비교 연구)

  • Cha, Jung-Ho;Chang, So-Young;Lee, Tae-Ho;Owi, Jong-Song;Lee, Eun-Yong
    • Journal of Pharmacopuncture
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    • v.9 no.2
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    • pp.67-71
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    • 2006
  • Objective : Herniation of Intervertebral Disc(HIVD) is the most common disease causing low back pain. Acupuncture and Bee Venom Acupuncture has been us ε d for treatment of HIVD. This study is to investigate the effective of Bee Venom Acupuncture for HIVD. Methods : We researched 18 patients who were diagnosed by CT and MRI as having HIVD, and treated them Acupuncture only or Acupuncture and Bee Venom Acupuncture. We compared the VAS and ROM angle of two groups. Results & Conclusions : 1. In admission date, no significant improvement between Acupuncture group and Bee Venom Acupuncture group 2. In variation of flexion and extension, Bee Venom Acupuncture group shows statistically significant improvement 3. In VAS, Bee Venom Acupuncture group shows statistically significant improvement for 1 week and discharge day

Analysis of biomechanical change of adjacent motion segment of the lumbar spine with an implanted artificial disc (인공추간판 적용 시 인접 운동 분절에서의 변화 분석)

  • Kim Y.E.;Yun S.S.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.10a
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    • pp.244-247
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    • 2005
  • Although several artificial disc designs have been developed for the treatment of discogenic low back pain and used clinically, biomechanical change with its implantation seldom studied. To evaluate the effect of artificial disc implantation on the biomechanics of lumbar spinal unit, nonlinear three-dimensional finite element model of L1-L5, S1 was developed and strain and stress of vertebral body and surrounding spinal ligaments were predicted. Intact osteoligamentous L1-L5, S1 model was created with 1-mm CT scan of a volunteer and known material property of each element were applied. This model also includes the effect of local muscles which was modeled with pre-strained spring elements. The intact model was validated with reported biomechanical data. Two models implanted with artificial discs, SB Charite or Prodisc, at L4/5 via anterior approach were also developed. The implanted model predictions were compared with that of intact model. Angular motion of vertebral body, force on spinal ligaments, facet joint contact force with $2\sim12$ Nm flexion-extension moment.

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Multiple Spinal Intradural Schwannomas in the Absence of Neurofibromatosis Type 2 Manifestations - A Case Report - (Neurofibromatosis Type 2와 무관하게 발생된 척추 경막내 다발성 신경초종 - 증 례 보 고 -)

  • Kim, Jung Tae;Sung, Jung Nam;Park, Bong Jin;Cho, Maeng Ki;Kim, Young Joon
    • Journal of Korean Neurosurgical Society
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    • v.29 no.4
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    • pp.550-554
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    • 2000
  • Most extracranial schwannomas are solitary, but neurofibromas are frequently associated with other manietations of neurofibromatosis. Schwannomas that occur within the context of neurofibromatosis tend to be multiple, but multiple schwannomas without manifestation of neurofibromatosis type 2 are very rare. The authors report a very rare case of multiple spinal intradural schwannomas in the absence of neurofibromatosis Type 2 maniestations. A 40-year-old man suffered from longstanding low back pain and left side sciatica which was treated with two stage operations. MRI showed multiple intradural mass lesions extending from L1 vertebral segment to S1 vertebral segment. There were no clinical and radiological manifestations of Type 2 neurofibromatosis. Histologically confirmed diagnosis was schwannoma.

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Characteristics of Pelvic Ranges According to Artificial Leg Length Discrepancy During Gait: Three-Dimensional Analysis in Healthy Individuals (보행 중 인위적 다리길이 차이에 따른 3차원적 골반 가동범위의 특성)

  • Kim, Yongwook
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.2
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    • pp.59-67
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    • 2019
  • Purpose : The purpose of this study was to analyze the dynamic range of motion (ROM) of pelvic and translation of center of mass (COM) when wearing different shoe insole lifts according to leg length discrepancy (LLD) during free speed gait. Methods : Thirty-five healthy adults were participated in this study. Kinematic data were collected using a Vicon motion capture system. Reflective and cluster 40 markers attached to participants lower extremities and were asked to walk in a 6 m gait way under three different shoe lift conditions (without any insole, 1 cm insole, and 2 cm insole). The pelvic ROM and COM translation in three planes were sorted using a Nexus software, and a Visual3D motion analysis software was used to coordinate all kinematic data. Results : There were significantly increased maximal pelvic elevation and total pelvic range in coronal plane when wearing a standard shoe with 2 cm insole lift during gait (p<.05). When wearing a standard shoe with 2 cm insole lift, the total range of the pelvic segment were significantly different in all three motion planes (p<.05). Conclusion : Although LLD of less than 2 cm develops abnormal movement pattern of the pelvis and may cause of musculoskeletal diseases such as low back pain, hip and knee joint osteoarthritis, therefore intensive various physical therapy interventions for LLD are needed.

Severe Paraspinal Muscle Atrophy with Fatty Degeneration in a Young Adult: A Case Report (젊은 성인의 척추주위근에 발생한 지방 변성을 동반한 심한 근위축: 증례보고)

  • Huh, Jae-Won;Yang, Won-Jong;Park, Eunhee;Lee, Jae Eun;Kim, Chul-Hyun
    • Journal of Electrodiagnosis and Neuromuscular Diseases
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    • v.20 no.2
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    • pp.130-134
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    • 2018
  • A 36-year-old male patient developed diffuse low back pain. His past medical history was unremarkable and had no family history of neuromuscular disease. He had no bladder and bowel problems. Creatine kinase was 172 U/L (normal < 170). Other fluid and blood chemistry tests were normal. Manual muscle test grades of extremities and sensory examination were normal. Muscle stretch reflexes were normal. Fasciculations and myotonia were not detected. Straight leg raising test was negative. There was no spinal root compression, spinal stenosis, or signal intensity change of spinal cord on magnetic resonance imaging (MRI). Fatty change and atrophy of the cervical, thoracic and lumbar paraspinal muscles were noted on MRI. Nerve conduction studies were normal. Electromyography showed 1+ positive sharp waves in the lumbar paraspinal muscles. Electromyography of upper and lower extremity muscles revealed no abnormal spontaneous activity. We report a rare case of severe paraspinal muscle atrophy with fatty degeneration in a Young Adult.

Is There Therapeutic Evidence for PNF? (고유수용성신경근촉진법의 치료적 근거는?)

  • Woo, Young-Keun
    • PNF and Movement
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    • v.12 no.2
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    • pp.51-61
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    • 2014
  • Purpose: This study aimed to review articles related to PNF and easily provide information to readers who have difficulty reading papers or using PNF in clinics without a background in statistical knowledge. Methods: We used PubMed to collect papers on international studies and we conducted a search on April 28, 2014. Keywords used for the PubMed search were "PNF" and "Proprioceptive Neuromuscular Facilitation". The search results identified 765 papers that had been published since 1954. To target the papers for review, we selected 66 papers, excluding papers that were not published in online journals and papers that were written in a second language. Results: The reviewed papers consisted of studies that addressed basic principles and procedures, combined with other interventions, including PNF stretching concepts, and other diseases with PNF concepts. The articles related to basic procedures and principles reported on optimal contraction intensity, patterns, and irradiation. The articles related to stretching and strengthening reported on stretching the hamstring muscles in healthy subjects, in combination with other interventions such as neuromobilization, clinical massage, kinesio taping, and water immersion. The articles related to specific diseases reported on stroke, low back pain, athletic injury, total knee replacement, etc. Conclusion: In the 66 articles reviewed for this study, there was little evidence that PNF has therapeutic value. However, in future research on the application of PNF, investigators could conduct a more in-depth analysis of this topic and present more objective and useful information on the therapeutic benefits of PNF.