• 한국산학기술학회논문지
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• 제19권3호
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• pp.423-429
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• 2018

연구목적 본 연구의 목적은 전신진동운동(whole body vibration exercise)이 드랍랜딩점프(drop landing jump) 동작에 미치는 영향을 규명하는 것으로 진동운동그룹(n=5, VEG, Vibration Exercise Group)과 단순운동그룹(n=5, OEG, Only Exercise Group)을 4주 동안 트레이닝 시킨 후 운동 전과 운동 4주 후 변화를 비교 분석하였다. 실험방법 3차원 영상 데이터는 10개의 적외선카메라(Vicon, UK)를 샘플링 율, 100 Hz.를 사용하여 획득하였으며, 하지 관절의 파워는 2대의 지면반력기(AMTI, USA)를 샘플링 율 1000Hz.로 데이터를 획득 하였다. 연구결과 첫째, 무게중심의 변동성은 하강국면에서 가장 크게 나타나 점프 후 착지 시 상해위험성이 큰 것으로 나타났다. 둘째, 진동운동그룹은 훈련기간에 관계없이 단순운동그룹보다 점프높이가 증가하였다. 셋째, 운동그룹간의 관절파워가 4주 훈련 후 엉덩관절 P1(굴곡)과 무릎관절 P2(신전)에서 통계적으로 유의한 차이를 보였으나, 훈련기간에 따른 하지의 관절파워는 모든 국면과 운동그룹에 관계없이 통계적으로 유의한 차이를 보이지 않았다. 결론 훈련기간에 관계없이 진동과 운동을 병행한 진동운동그룹이 운동만을 수행한 단순운동그룹보다 점프높이에 증가를 가져왔으나 점프높이와 하지의 관절 파워와의 일관성 규명할 수 없었다.

• 대한기계학회논문집A
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• 제38권10호
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• pp.1147-1155
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• 2014

인체의 근골격계 모델을 이용해 근력을 예측하기 위해서는 인체 및 근육의 물성치를 알아야 한다. 하지만 이러한 물성치들은 측정하기도 어렵고 사람마다 편차도 크다. 따라서 이러한 물성치들의 변화에 따라 근력이 얼마나 달라지는지 예측할 필요가 있다. 본 연구의 목적은 인체 및 근육 물성치의 불확실성을 고려하여 의자에서 일어서는 동작 시 인체 하지부의 근력을 예측하는 절차를 정립하는 것이다. 인체 하지부는 8 개의 Hill-type 근육-건 모델이 포함되어 있는 다물체 시스템으로 모델링 하였다. 이 모델은 시상면(sagittal plane)에서 평면운동을 하는 4 자유도 시스템이다. 각 근력은 일어서는 운동을 하는 동안 근육이 소모한 에너지가 최소화 되도록 근력이 결정된다는 가정 하에 최적화 방법을 이용하여 구하였다. 또한 인체 물성치가 불확실성을 가질 때 근력의 표준편차를 First Order Reliability Method 를 이용해 구하였다. 그 결과 주동근 근력의 표준편차는 150~300N 로 상당히 크게 계산되는 것을 알 수 있었다.

• 대한의용생체공학회:의공학회지
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• 제28권3호
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• pp.397-409
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• 2007

Owing to needs of biomechanical comprehension and analysis to obtain various medical treatment designs which are related with the spine in order to cure and diagnose LBP patients, the FE modeling and nonlinear analysis of lumbosacrum including a partial ilium and iliolumbar ligaments, were carried out. First, we investigated whether the geometrical configuration of vertebrae displayed by DICOM slice files is regular and normal condition. After constructing spinal vertebrae including a partial ilium, a sacrum and five lumbars (from L1 to L5)with anatomical shape reconstructed using softwares such as image modeler and CAD modeler, we added iliolumbar ligaments, lumbar ligaments, discs and facet joints, etc.. And also, we assigned material property and discretized the model using proper finite element types, thus it was completely modeled through the above procedure. For the verification of each segment, average sagittal ROM, average coronal ROM and average transversal ROM under various loading conditions(${\pm}10Nm$), average vertical displacement under compression(400N), ALL(Anterior Longitudinal Ligament) and PLL(Posterior Longitudinal Ligament) force at L12 level, strains of seven ligaments on sagittal plane at L45 level and maximal strain of disc fibers according to various loading conditions at L45 level, etc., they were compared with experimental results. For the verification of multilevel-lumbosacrum spine including partial ilium and iliolumbar ligaments, the cases with and without iliolumbar ligaments were compared with ROM of experiment. The results were obtained from analysis of the verified FE model as follows: I) Iliolumbar ligaments played a stabilizing role as mainly posterior iliolumbar ligaments under flexion and as both posterior and anterior iliolumbar ligaments of one side under lateral bending. 2) The iliolumbar ligaments decreased total ROM of 1-8% in total model according to various motion conditions, which changed facet contact forces of L5S level by approximately 0.8-1.4 times and disc forces of L5S level by approximately 0.8-1.5 times more than casewithout ilioligaments, under various loading conditions. 3) The force of lower discs such as L45 and L5S was bigger than upper discs under flexion, left and right bending and left and right twisting, except extension. 4) It was predicted that strains of posterior ligaments among iliolumbar ligaments would produce the maximum 16% under flexion and the maximum 10% under twisting. 5) It's expected that this present model applies to the development and design of artificial disc, since it was comparatively in agreement with the experimental datum.

• 대한물리치료과학회지
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• 제8권1호
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• pp.893-906
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• 2001

The purposes of this study were to compare pelvic tilt. range of motion(ROM) of hip rotation, and leg length difference before and after manipulation and to investigate correlation between changes of each variables after manipulation of sacroiliac pint in 31 low back pain patients(11 males, 20 females) with sacroiliac pint dysfunction. The sacroiliac pint of patients was manipulated on the side of anterior pelvic tilt, using the technique described by Stoddard(1962) and Greenmann (1996). I used this technique because it usually eliminated sacroiliac Pint dysfunction in one treatment session. SPSS for window computer system was used to analyze the data. Also t-test was performed for comparison of the variables before and after manipulation, and Pearson product-moment correlation analysis and regression analysis were performed for changes of each variables after manipulation. The result were as follows: 1. The pelvic tilt after manipulation was significantly decreased(mean=$2.79^{\circ}$) compared with the pelvic tilt before manipulation(p=.001). 2. The PROM of hip internal rotation ipsilateral to anterior pelvic tilt after manipulation significantly decreased (mean = $1.88^{\circ}$) compared with hip internal rotation before manipulation (p=.008). The PROM of hip internal rotation ipsilateral to posterior pelvic tilt after manipulation significantly increased(mean = $1.29^{\circ}$) compared with hip internal rotation before manipulation (p=.029). 3. The PROM of hip external rotation ipsilateral to anterior pelvic tilt after manipulation significantly increased(mean=$2.42^{\circ}$) compared with the hip external rotation before manipulation(p=$2.42^{\circ}$) compared with the hip external rotation ipsilateral to posterior pelvic tilt after manipulation significantly decreased(mean = $1.84^{\circ}$) compared with the hip external rotation before manipulation (p=.008). 4. Leg length difference after manipulation significantly decreased(mean=2.15 mm) compared with leg length difference before manipulation (p=.008). Regression analysis revealed that a fair correlation was found between change in leg length difference and change in anterior pelvic tilt after manipulation(p=.009). 5. Pearson product-moment correlation coefficient was used to assess differences of the variables after manipulation. A fair correlation was found between change in leg length difference and change in anterior pelvic tilt after manipulation(r=.462, p<.01). A fair correlation was found between change in anterior pelvic tilt and change in hip internal rotation ipsilateral to anterior pelvic tilt(r=.397, p<.05) and between change in anterior pelvic tilt and change in hip external rotation ipsilateral to anterior pelvic tilt(r=.516, p<.01). A fair correlation was found between change in posterior pelvic tilt and changes in hip internal rotation ipsilateral to posterior pelvic tilt (r=.441, p<.05) and between change in posterior pelvic tilt and change in hip external rotation ipsilateral to posterior pelvic tilt(r=.361, p<.05). A fair correlation was found between change in hip internal rotation ipsilateral to anterior pelvic tilt and change in hip external rotation ipsilateral to posterior pelvic tilt(r=.388, p<.05) and between change in hip internal rotation ipsilateral to posterior pelvic tilt and change in hip internal rotation ipsilateral to anterior pelvic tilt(r=.426. p<.05).

• 대한의용생체공학회:의공학회지
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• 제33권4호
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• pp.184-193
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• 2012

Many studies have reported that housework done using household appliances may affect biomechanical characteristics of the musculoskeletal system. The purpose of this study was to investigate the effects of housework done using a pulsator washing machine on joints and muscles. We calculated joint torques and muscle strengths on the basis of an experimental/virtual three-dimensional motion analysis for six healthy females using the pulsator washing machine at different heights (H) and depths (D) of the inside drum (H (mm){\times}D (mm), Trial1: $962.5{\times}609.4$, Trial2: $962.5{\times}624.4$, Trial3: $982.5{\times}644.4$, Trial4: $995.5{\times}642.4$, Trial5: $1015.5{\times}677.4$). The joint torques and muscle strengths tended to be considerably different during torso flexion in the sagittal plane for all the trials. The maximum joint torques for the thoracic vertebra, left ankle, and right shoulder measured in Trial4 were significantly higher than those measured in the other trials (p < 0.05); in addition, those for the thoracic vertebra and both ankles measured in Trial5 were significantly higher than those measured in the other trials (p < 0.05). The maximum muscle strengths for the left trapezius muscle and both tibialis anterior muscles measured in Trial5 were significantly higher than those measured in the other trials (p < 0.05). These results indicate that housework done using a pulsator washing machine may affect joint torques and muscle strengths, and these effects are dependent on the height and/or depth of the inside drum of the pulsator washing machine.

• Journal of Korean Neurosurgical Society
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• 제42권4호
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• pp.311-316
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• 2007

Objective : The objective of this study is to investigate the safety, surgical efficacy, and advantages of a polyaxial screw-rod system for posterior occipitocervicothoracic arthrodesis. Methods : Charts and radiographs of 32 patients who underwent posterior cervical fixation between October 2004 and February 2006 were retrospectively reviewed. Posterior cervical polyaxial screw-rod fixation was applied on the cervical spine and/or upper thoracic spine. The surgical indication was fracture or dislocation in 18, C1-2 ligamentous injury with trauma in 5, atlantoaxial instability by rheumatoid arthritis (RA) or diffuse idiopathic skeletal hyperostosis (DISH) in 4, cervical spondylosis with myelopathy in 4, and spinal metastatic tumor in 1. The patients were followed up and evaluated based on their clinical status and radiographs at 1, 3, 6 months and 1 year after surgery. Results : A total of 189 screws were implanted in 32 patients. Fixation was carried out over an average of 3.3 spinal segment (range, 2 to 7). The mean follow-up interval was 20.2 months. This system allowed for screw placement in the occiput, C1 lateral mass, C2 pars, C3-7 lateral masses, as well as the lower cervical and upper thoracic pedicles. Satisfactory bony fusion and reduction were achieved and confirmed in postoperative flexion-extension lateral radiographs and computed tomography (CT) scans in all cases. Revision surgery was required in two cases due to deep wound infection. One case needed a skin graft due to necrotic change. There was one case of kyphotic change due to adjacent segmental degeneration. There were no other complications, such as cord or vertebral artery injury, cerebrospinal fluid leak, screw malposition or back-out, or implant failure, and there were no cases of postoperative radiculopathy due to foraminal stenosis. Conclusion : Posterior cervical stabilization with a polyaxial screw-rod system is a safe and reliable technique that appears to offer several advantages over existing methods. Further biomechanical testings and clinical experiences are needed in order to determine the true benefits of this procedure.

• 한국운동역학회지
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• 제18권4호
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• pp.135-142
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• 2008

본 연구는 9명의 피험자가 2주간 하루 6시간동안 후족부 경사각을 이용한 신발인 S사(社) 신발을 착용하여 보행하였으며 신발을 처음 신었을 때와 2주간 하루 6시간 이상 착용한 후의 데이터를 통해 기존의 운동화와 S사(社) 신발간의 비교를 수행하였다. 1. 기립자세에서의 S사(社) 신발의 착용 시 근전도의 활동인 증가하고 압력분포 중심 움직임은 약 60% 정도 증가하였다. 2. 피험자의 보행 시 S사(社) 신발을 착용하였을 때 신발의 힐 부부분의 $20^{\circ}$ 경사각으로 인해 heel strike 시 발목이 약 $14^{\circ}$ 정도 발등 쪽으로 굽혀짐을 확인하였으며 무릎에서는 이를 보완하기 위해 $2^{\circ}$ 정도 굴곡 됨을 보였다. 3. 이로 인해 최대 지면반력이 보다 빠르게 나타났으나 크기는 변하지 않았다. 4. S사(社) 신발의 착용하고 보행 시 지지기에서 발목과 무릎의 부하는 21-61%의 감소하는 결과를 나타내었다. 결과적으로 S사(社) 신발 착용시 목과 무릎각의 굴곡 각을 증가시켜 보행 시 몸이 곧게 서도록 하였다. 또한 보행 시 부하를 감소시킬 수 있음을 나타냈으나 2주간의 신발 착용으로 인한 신체의 변화는 나타나지 않음을 보였다.

• Journal of Chest Surgery
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• 제45권6호
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• pp.380-389
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• 2012

Background: Bovine pericardium is one of the most widely used materials in bioprosthetic heart valves. Immunologic responses have been implicated as potential causes of limited durability of xenogenic valves. This study aimed to determine the effectiveness of decellularization and ${\alpha}$-galactosidase (${\alpha}$-gal) to remove major xenoreactive antigens from xenogenic tissues. Materials and Methods: Recombinant Bacteroides thetaiotaomicron (B. thetaiotaomicron) ${\alpha}$-gal or decellularization, or both were used to remove ${\alpha}$-gal from bovine pericardium. It was confirmed by ${\alpha}$-gal-bovine serum albumin-based enzyme-linked immunosorbent assay (ELISA), high-performance anion exchange chromatography, flow cytometry, 3,3'-diaminobenzidine-staining, and lectin-based ELISA. The mechanical properties of bovine pericardium after decellularization or ${\alpha}$-gal treatment were investigated by tests of tensile-strength, permeability, and compliance. Collagen fiber rearrangement was also evaluated by a 20,000${\times}$ transmission electron microscope (TEM). Results: Recombinant B. thetaiotaomicron ${\alpha}$-gal could effectively remove ${\alpha}$-gal from bovine pericardium B. thetaiotaomicron (0.1 U/mL, pH 7.2) while recombinant human ${\alpha}$-gal removed it recombinant human ${\alpha}$-gal (10 U/mL, pH 5.0). There was no difference in the mechanical properties of fresh and recombinant ${\alpha}$-gal-treated bovine pericardium. Furthermore, the TEM findings demonstrated that recombinant ${\alpha}$-gal made no difference in the arrangement of collagen fiber bundles with decellularization. Conclusion: Recombinant B. thetaiotaomicron ${\alpha}$-gal effectively removed ${\alpha}$-gal from bovine pericardium with a small amount under physiological conditions compared to human recombinant ${\alpha}$-gal, which may alleviate the harmful xenoreactive immunologic responses of ${\alpha}$-gal. Recombinant ${\alpha}$-gal treatment had no adverse effects on the mechanical properties of bovine pericardium.

• 대한인간공학회지
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• 제34권3호
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• pp.279-291
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• 2015

Objective: The purpose of the study is to evaluate appropriate weight for aged farmers in manually handling livestock feed in bags using ergonomic methods. Background: In the livestock industry in South Korea, despite the trend of aging of labor manpower, heavy items are still manually handled in many farms. In particular, among stockbreeding works, the handling of feed in bags weighing 25~30kg is reported as a cause of frequent injuries and musculoskeletal system diseases. However, studies on the standard for recommended weight allowed considering the physical characteristics of aged farmers older than 60 years with greatly decreased physical strength and muscle strength are insufficient. Method: To evaluate appropriate weight for handling of heavy livestock feed in bags, physical techniques for measuring recognized levels of physical work loads, the NLE (NIOSH lifting equation) a method that is an observation type technique, and an ergonomic modeling technique to predict compressive force imposed on L5/S1 were used. Subjects who participated in the experiment were organized into two groups of males/females with mean age exceeding 60 years, and lifting tasks were evaluated for nine weight levels. Results: Based on the results of psychophysical measurement, females showed a tendency of more drastic increases compared to males when weight was over 19kg. The results of estimation of regression models for the weight, 18.0 kg ($r^2=0.97$) and 15.3kg ($r^2=0.97$) were evaluated as stable load for males and females, respectively. In addition, both the observation type evaluation and ergonomic model evaluation showed stable loads in a range of 15~18kg. Conclusion: Given the results of the study, the weight of the feed in bags currently distributed to farms can become a cause of not only overexertion but also farm work related disasters such as musculoskeletal disorders and safety accidents. Providing livestock feed in bags weighing not more than 19kg for aged farmers is judged desirable, and managerial improvement for this matter is considered necessary. Application: The results of the present study can be utilized as useful data for institutional improvement of the weight of livestock feed in bags.

• 대한치과교정학회지
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• 제25권5호
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• pp.543-555
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• 1995

골격성 부정교합에 대한 악정형 치료시, 바람직한 악정형 효과를 얻기 위해서는 악정형 장치의 역학 현상에 대한 분석이 필요하다. 상악의 저성장에 기인한 골격성 III급 부정교합의 치료를 위한 상악골의 전방견인시 바람직한 견인력 방향과 견인 위치를 알아보기 위해, 성인 두개골을 대상으로 3차원 유한 요소 모델을 제작하여, 제1소구치와 제1대구치에서 각각 교합평면에 평행 또는 $20^{\circ}$ 하방으로 500g의 전방 견인력을 주어 상악골체의 각 부분에서 응력과 변위를 분석하여 다음과 같은 결과를 얻었다. 1. 모든 경우 상악골이 반시계 방향으로 회전하는 양상을 보였다. 2. 견인력 방향에 따른 상악골의 회전은, $20^{\circ}$ 하방으로 견인하는 경우가 평행하게 견인하는 경우보다 더 적었다. 3. 견인 위치에 따른 상악골의 회전은, 평행하게 견인시에는 견인 위치가 제1대구치일 때가, $20^{\circ}$ 하방으로 견인시에는 제1소구치일 때가 더 적었다. 이상의 결과 견인력 작용선이 상악골체의 저항 중심점에 가장 근접하여 반시계 방향으로의 변위가 가장 적게 일어난 제1소구치에서 $20^{\circ}$ 하방으로 견인한 경우가 바람직한 견인력 방향과 견인 위치로 판단되었다.