요통 환자의 요추 주변 근육 단면적과 신체안정성(Stability), 체중심(Center of Pressure)과의 관련성 : 동적평형검사(Tetrax)를 중심으로

성익현,이갑수,정재훈,김원우,조창영,최철우,하인혁,Seong, Ik-Hyun,Lee, Kap-Soo,Jung, Jae Hoon,Kim, Won-Woo,Cho, Chang-Young,Choi, Chul-Woo,Ha, In-Hyuk 척추신경추나의학회 2013 척추신경추나의학회지 Vol.8 No.2

Objectives : To identify the association between cross-sectional area of lumbar regional muscle and stability(ST), center of pressure(COP) assessed by tetrax. Methods : Patients(n=55) who had taken L-SPINE MRI and Tetrax(Sunlight, Israel) were analyzed retrospectively. To evaluate the cross-sectional area of lumbar regional muscle, L-SPINE MRI was used. Data of ST, COP were accumulated by using dynamic equilibrium analysis by Tetrax. Of the lumbar regional muscles, the Psoas muscles and the Paraspinalis muscles were examined. Using Pearson correlation, we analyzed COP, ST and the difference between the cross-sectional area of lumbar regional muscles. Results : The variance of cross-sectional area of both sides of Psoas muscle and COP had moderate positive correlation(r=0.621). Between variance of cross-sectional area of both sides of Paraspinalis and lumbar regional muscle and COP there was low positive correlation(r=0.287, r=0.329) ST also had low correlation with variance of cross-sectional area of both sides of Psoas muscle. Conclusion : The variance of cross-sectional area between both sides of Psoas muscle had moderate correlation with COP.

급성 및 만성 요통환자의 요부주위근 횡단면적과 요통 예후의 상관관계 연구

남지환,이종환,이슬지,김기원,이민정,전재윤,임수진,홍남중,송주현 대한침구의학회 2013 대한침구의학회지 Vol.30 No.4

Objectives : The purpose of this study was to evaluate the relationship between cross-sectional areas of the paraspinal and psoas muscles with low back pain. Methods : We assessed the cross-sectional area of the psoas and paraspinal muscles at the superior part of L4 level and vertebral body of L4 of 132 patients who were hospitalized with a chief complaint of low back pain at Jaseng Hospital of Korean Medicine from January 2013 to April 2013. After calculating the mean psoas area, we divided the patients into 2 groups by whether the psoas cross section was larger or smaller than the mean, and compared the admission period, verbal numeric rating scale(NRS) of low back pain(LBP), and improvement of verbal NRS of LBP. We also subcategorized the patients into acute and chronic groups according to the duration period, and compared the cross-sectional area of the psoas and paraspinal muscles. Results : Although analyses of the verbal NRS of LBP, and improvement of verbal NRS of LBP between groups with larger and smaller psoas cross section areas showed no significant difference, the admission period was significantly shorter in the group with larger psoas cross section areas. There was no significant difference in analyses of cross section areas in the acute and chronic groups. Of the possible prognostic variables, improvement of verbal NRS of LBP showed no correlation, while the admission period displayed a significant correlation. The cross-sectional area of the psoas and paraspinal muscles divided by the area of the vertebral body of L4 had a significant negative correlation with age. Conclusions : The cross-sectional area of the psoas and paraspinal muscles were correlated with the admission period in LBP patients, and the cross-sectional area of the surrounding muscles divided by the area of the L4 vertebral body was negatively correlated with age.

태권도 앞굽이 몸통반대지르기를 통한 고령자의 건각도의 유효성 분석

김기만(Ki Man Kim),배영상(Young Sang Bae) 한국발육발달학회 2009 한국발육발달학회지 Vol.17 No.4

The purpose of this study was to identify effectiveness of Taekwondo Apkubi Momtong Bandae Jireugi (AMBJ) as diagnostic method of health related to muscle level of older men. To accomplish the purpose, relationship between a 3 stride of AMBJ distance and a cross section area of psoas major muscle were analyze. By using random sampling, 10 older men were sampled as subject who participate Gate-ball club in S-Gu, D-metropolitan city. Analysis of relation between the 3 stride of AMBJ and psoas major muscle scale recorded by MRI of older men were executed. Results of the analysis could be summarized as the following. 1) In the case of older men, the male who has much muscle weight and large thigh girth has big cross section area of psoas major muscle. 2) Relation among 3 stride of AMBJ, muscle weight(r=.822, p<.01), and thigh girth(r=.720, p<.05) especially, cross section area of psoas major muscle presented very high correlation(r=.91, p<.001). 3) Based on the analysis, measurement result of the 3 stride of Taekwondo Apkubi Momtong Bandae Jireugi was very effective diagnostic method to assume for health related to muscle strength level and all the muscular strength level of older men.

Relationship between Displacement of the Psoas Major Muscle and Spinal Alignment in Patients with Adult Spinal Deformity

Yoshiaki Oda,Tomoyuki Takigawa,Ryo Ugawa,Yasuyuki Shiozaki,Haruo Misawa,Yoshihisa Sugimoto,Masato Tanaka,Toshifumi Ozaki 대한척추외과학회 2018 Asian Spine Journal Vol.12 No.2

Study Design: Cross sectional study. Purpose: To clarify the difference in position of the psoas muscle between adult spinal deformity (ASD) and lumbar spinal stenosis (LSS). Overview of Literature: Although it is known that the psoas major muscle deviates in ASD patients, no report is available regarding the difference in comparison with LSS patients. Methods: This study investigates 39 patients. For evaluating spinal alignment, pelvic tilt (PT), pelvic incidence (PI), sacral slope, lumbar lordosis (LL), PI–LL, Cobb angle, and the convex side, the lumbar curves were measured. For measuring the position of the psoas major at the L4/5 disk level, magnetic resonance imaging was used. The displacements of psoas major muscle were measured separately in the anterior–posterior and lateral directions. We examined the relationship between the radiographic parameters and anterior displacement (AD) and lateral displacement (LD) of the psoas major muscle. Results: AD was demonstrated in 15 cases with ASD and nine cases with LSS (p >0.05). LD was observed in 13 cases with ASD and no cases with LSS (p <0.01). The Cobb angle was significantly greater in cases with AD than in those without AD (p =0.04). PT, LL, PI– LL, and Cobb angle were significantly greater in cases with LD (p <0.05). All cases with LD had AD, but no case without AD had LD (p <0.001). The side of greater displacement at L4/5 and the convex side of the lumbar curve were consistent in all cases. Conclusions: Despite AD being observed in LSS as well, LD was observed only in the ASD group. Radiographic parameters were worse when LD was seen, rather than AD.

대요근에 대한 근에너지기법을 이용한 자세이완기법 적용: 사례연구

최성환,홍현표,Choi, Sung-hwan,Hong, Hyun-pyo 대한정형도수물리치료학회 2017 대한정형도수물리치료학회지 Vol.23 No.1

Background: Positional release muscle energy technique (PRMET) is a method joined positional release technique and muscle energy technique. Methods: Subjects those who have low back pain from the acute to chronic phase, were applied PRMET method on psoas major muscle and measured the changes in pain and disfunction. Results: PRMET method is effective for reducing pain and disfunction on psoas major muscle. Conclusions: The advantages of PRMET method are minimized patient inconvenience, shortening of treatment time and effective for improvement. In the future research, methods need to be improved so that this can be applied to other muscles.

윗몸일으키기가 불가한 요통 환자에 대한 흉쇄유돌근과 요근의 반응성 근육조절 치료 방법의 적용에 관한 실험

김완태,Kim, Wan-Tae 대한물리치료과학회 2006 대한물리치료과학회지 Vol.13 No.1

Purpose: The purpose of this experimental study have been testifying about reactive muscle control regarding sternocleidomastoid and psoas. Low back pain patient do not sit-up exercise without abnormality of trunk flexor. The reason of problem is unbalance sternocleidomastoid and psoas. According to George J, Goodheart who have been developing Applied Kinesiology (A. K.) since reactive muscle recognized gait testing in 1964. Materials and Methods: From September, 2004 to February, 2005, I have controled sternocleidomastoid and psoas. It is applied to the patients who are unable sit up exercise at Yang-Dong local clinic, Yang-Pyung county, Kyung-Gi Do province in Korea. 24 Patients divided 2 groups. A group is applied general physical therapy. Also B group is added reactive muscle control from M.E.M.P.T.(Korean society of muscle and energy monitoring physical therapy) Results : The results of this study follow. 1. Possible sit up group 8 persons of the second group. 2. Not possible sit up group the others. Conclusion: The study present that reactive muscle control sternocliedomastoid and psoas is useful in patient with low back pain is difficult to sit up.

운동생리학 : 가령에 따른 대요근 및 대퇴근육군의 부위별 위축형태에 관한 연구

김준동(JunDongKim) 한국체육학회 2004 한국체육학회지 Vol.43 No.6

The purpose of the present study was to investigate the changes of femoral muscles mass in it`s three different levels(upper, middle and lower) and the psoas major muscle` mass with aging. The subjects were 71 males at the age ranging from 18 to 83, who were grouped into 8 age brackets of 18-29, 30-39, 4049, 50-59, 60-64, 65-69, 70-74, and 74 or older. Using MRI(magnetic resonance imaging), muscle cross-sectional area(CSA) was measured on psoas major and thigh muscle(divided into extensor and flexor). The extensor group(70%, 50%) showed a statistically significant decrease in value from the 30`s age group when compared with the 18-29 age bracket(70%; p<0.01, 50%; p<0.05); however, the 50`s age group already indicated a decrease to 30%(p<0.01). In contrast, the CSA of the psoas major showed a significant lower value from 40`s age group(p<0.05). In conclusion, the present study shows that the decrease in the psoas major and the femoral muscles` mass with aging decreases at the same rate with no observed difference in any of the three different levels. In addition, the importance of training methods has been indicated such as mobilization of all the femoral muscles, to prevent the aging muscular mass decrease.

추간판 탈출증의 수핵 탈출부위와 요근의 좌우 단면적 넓이와의 상관관계

김형길 ( Hyung Kil Kim ),이동은 ( Dong Eun Lee ),조웅희 ( Woong Hee Cho ),김두희 ( Doo Hee Kim ),박원형 ( Won Hyung Park ),차윤엽 ( Yun Yeop Cha ),최가영 ( Ga Young Choi ) 한방재활의학과학회 2011 한방재활의학과학회지 Vol.21 No.4

Objectives: This study was designed to investigate the correlation between the axial section area in psoas major muscles and nucleus discharge part of HIVD(herniated intervertebral disc) of lumbar(L)-spine. Methods: We measured the axial section area in psoas muscles. Then through the medical charts, we investigated nucleus discharge part of HIVD of L-spine. We analyzed the relationship between them. Results: There was no significant correlation nucleus discharge part and psoas major muscle`s axial section area. There was significant correlation aging and psoas major muscle`s axial section area with control the sex. Conclusions: According to above results, there was no significant the area of axial section in psoas major muscles and nucleus discharge part of HIVD of L-spine.

Psoas Compartment Blockade in a Laterally Herniated Disc Compressing the Psoas Muscle - A Case Report -

Kim, Hye-Young,Park, Jin-Woo,Park, Soo-Young,Moon, Jee-Youn,Shin, Jae-Hyuck,Park, Sang-Hyun The Korean Pain Society 2012 The Korean Journal of Pain Vol.25 No.2

A psoas compartment block has been used to provide anesthesia for orthopedic surgical procedures and analgesia for post-operative pain. Currently, this block is advocated for relieving pain in the lower extremity and pelvic area resulting from various origins. We report a case of a 69-year-old male patient who had gait abnormality with posterior pelvic and hip pain, which were both aggravated by hip extension. From the magnetic resonance image, the patient was found to have a laterally herniated intervertebral disc at the L2/3 level, which compressed the right psoas muscle. This was thought to be the origin of the pain, so a psoas compartment block was performed using 0.25% chirocaine with triamcinolone 5mg, and the pain in both the pelvis and hip were relieved.

Case Reports : Psoas Compartment Blockade in a Laterally Herniated Disc Compressing the Psoas Muscle

( Hye Young Kim ),( Jin Woo Park ),( Soo Young Park ),( Jee Youn Moon ),( Jae Hyuck Shin ),( Sang Hyun Park ) 대한통증학회 2012 The Korean Journal of Pain Vol.25 No.2

A psoas compartment block has been used to provide anesthesia for orthopedic surgical procedures and analgesia for post-operative pain. Currently, this block is advocated for relieving pain in the lower extremity and pelvic area resulting from various origins. We report a case of a 69-year-old male patient who had gait abnormality with posterior pelvic and hip pain, which were both aggravated by hip extension. From the magnetic resonance image, the patient was found to have a laterally herniated intervertebral disc at the L2/3 level, which compressed the right psoas muscle. This was thought to be the origin of the pain, so a psoas compartment block was performed using 0.25% chirocaine with triamcinolone 5mg, and the pain in both the pelvis and hip were relieved. (Korean J Pain 2012; 25: 116-120)