• 대한한의학회지
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• 제36권4호
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• pp.8-18
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• 2015

Objectives: There have been several studies evaluated effect of electroacupuncture (EA) on spasticity but most studies could not assess spasticity quantitatively because they used clinical rating scales for assessment spasticity. The objective of this study is to evaluate effect of EA on poststroke spasticity quantitatively using tendon reflex (T-reflex). Methods: 29 stroke patients with upper extremity spasticity were randomized to EA group and control group. The EA group received combined EA and rehabilitation therapy 5 times a week for 3 weeks. Acupuncture treatment was given at Jian Yu (LI 15), Qu Chi (LI 11), Shao Hai (HT 3), Wai Guan (TE 5), He Gu (LI 4), Lie Que (LU 7), Hou Xi (SI 3) of the affected side, 30 minutes of electrical stimulation with a frequency of 40/13 Hz was applied at Qu Chi (LI 11), He Gu (LI 4). The control group received only rehabilitation therapy. The efficacy of treatment was assessed using T-reflex latency and amplitude, modified Ashworth scale (MAS) of biceps brachii, brachioradialis and triceps brachii. Fugl-Meyer motor function assessment (FMA) and functional independence measure (FIM) were also measured to assess motor function and functional independence. All outcomes were measured before treatment, immediately after 3 weeks of treatment and 1 week after 3 weeks of treatment. Results: No statistically significant differences were found in outcomes including T-reflex between the study groups except for FIM values immediately after 3 weeks of treatment (p=0.037). Conclusions: These results suggest that 3 weeks of EA does not reduce poststroke upper extremity spasticity electrophysiologically and clinically. However, small sample sizes and contradictory tendency between results from T-reflex and those from MAS require cautious judgement on interpretation of the results. A larger, well-designed clinical trials for quantitative evaluation of effect of EA on poststroke spasticity will be needed.

• 수산해양교육연구
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• 제28권3호
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• pp.799-807
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• 2016

The objective of research was to explore the effects of Kinesic taping treatment on Kayaker's athletic performance and muscle fatigue variable. In order to accomplish such study objective, this study employed 8 ordinary university students and 8 university kayaker's as study subjects. The athletic performance records and blood lactate were analyzed before and after Kinesic taping treatment (KTT). Kinesic taping treatment was applied to the regions of agonist such as vastus medialis muscle, Latissimus dorsi muscle, Trapezius muscle, Biceps brachii muscle, and Triceps brachii muscle, which are major muscles for Kayaker's. Records for rest heart rate, athletic performance and blood lactate were measured upon 200m and 500m distance exercise using kayak ergometer. Data were analyzed by SPSS 19.0 using paired t-test and one-way repeated ANOVA at significant level of a = .05. First, performance records of 200m paddling kayak showed that the ordinary university students had a mean score of 60.13 second before and 58.75 second after kinesic taping treatment. University kayakers had a mean score of 58.75 second before and 53.0 second after kinesic taping treatment. Both groups had significant differences between before and after KTT in the athletic performance. In addition, levels of blood lactate showed that the ordinary university students had a mean score of 5.89mM before and 8.90mM after KTT and university kayaker's had a mean score of 5.79mM before and 8.48mM after KTT. The ANOVA showed that the level of ordinary university students' blood lactate was significantly higher than university kayakers only after KTT. Second, performance records of 500m paddling kayak showed that the ordinary university students had a mean score of 2.90 minute before and 2.77 minute after KTT and university kayaker's had a mean score of 2.30 minute before and 2.20 minute after KTT. Both groups had significant differences between before and after KTT in the athletic performance. Moreover, only university kayaker's had a significantly higher performance record than the counterpart. Levels of blood lactate showed that the ordinary university students had a mean score of 7.71mM before and 8.85mM after KTT and university kayakers had a mean score of 8.09mM before and 8.45mM after KTT. However, such a level of increase had no significant difference between the groups

• 대한수의학회지
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• 제14권2호
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• pp.135-150
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• 1974

한국재내산양(韓國在來山羊) 11마리의 전지근(前肢筋)을 절개하여 관찰하였던 바 다음과 같은 결과를 얻었다. 1. 한국재내산양(韓國在來山羊)의 전지(前肢)에서는 다음과 같은 근(筋)들을 관찰할 수 있었다. 승모근(僧帽筋) M. trapezus, 릉형근(菱形筋) M. rhomboideus, 완두근(腕頭筋) M. brachiocephalicus, 쇄골하근(鎖骨下筋) M. subclavius, 견갑횡구근(肩甲橫究筋) M. omotransv-ersarius, 란배근(瀾背筋) M. latissimus dorsi, 천흉근(淺胸筋) M. pectoralis guperficialis, 탐흉근(探胸筋) M. pectorlis profundus, 복거근(腹鋸筋) M. serratus ventralis, 삼각근(三角筋) M. deltoideus, 극하근(棘下筋) M. infraspinatus, 극상근(棘上筋) M. supraspinatus, 견갑하근(肩甲下筋) M. subscapularis, 대원근(大圓筋) M. teres major, 소원근(小圓筋) M. theres minor, 전완근막장근(前腕筋膜張筋) M. tensor fascia antebrachii, 삼두완근(三頭腕筋) M. triceps brachii, 주근 M. anconeus, 이두완근(二頭腕筋) M. biceps brachii, 상완근(上腕筋) M. brachialis, 조훼완근(鳥喙腕筋) M. coracobrachialis, 요완신근(橈腕伸筋) M. extensor carpi radialis, 고유제삼지신근(固有第三指伸筋) M. extensor digiti tertii proprius, 총지신근(總指伸筋) M. extensor digitorum cemmunis 고유제사지신근(固有第四指伸筋) M. extensor digiti quartii proprius, 척완신근(尺腕伸筋) M. extensor carpi ulnaris, 장모지외전근(長母指外轉筋) M. abductor pollicis longus, 척완굴근(尺腕屈筋) M. flexor carpi ulnaris, 요완굴근(橈腕屈筋) M. flexor carpi radialis, 원회내근(圓回內筋) M. pronator teres, 천지굴근(淺指屈筋) M. flexor digitorum suprficialis, 탐지굴근(探指屈筋) M. flexor digitorum profundus, 골간근(骨間筋) M. interosseus medius. 2. 천흉근(淺胸筋)과 심흉근(深胸筋)은 각각 전부(前部)와 후부(後部)로 명확히 분리(分離)되어있으며 특히 심흉근(深胸筋)의 전부(前部)와 후부(後部)는 서로 떨어져서 기시(起始)를 하고있어 그 사이에는 흉골(胸骨)이 노출되어 있었다. 3. 쇄골하근(鎖骨下筋)은 전예(全例)에서 관찰할 수 있었다. 4. 조탁흉근(鳥啄胸筋)은 소나 양에 비하여 매우 발달하였으며 특히 3예(例)에서는 더욱 발달하여 3개의 부분(部分)으로 되어있어 상완골 내측면 거의 전체를 덮고 있었다. 5. 주근, 소원근(小圓筋) 등 소동물(小動物)에서는 작은 근(筋)들이 매우 발달하였으나 장모지외전근(長母指外轉筋)은 엷고 작았다. 6. 반추류(反芻類)에서 가끔 볼 수 있는 M. extensor pollicis는 관찰할 수 없었다.

• 한국운동역학회지
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• 제19권2호
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• pp.347-357
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• 2009

본 연구의 목적은 농구 자유투 동작 시 근전도 분석 및 지면 반력 분석을 통해 숙련자와 미숙련자 간의 차이를 비교분석하는데 있다. 근전도 분석을 위해 7쌍의 표면전극을 피험자의 요측수근굴근, 장요측수근신근, 상완이두근, 상완삼두근, 대퇴직근, 전경골근, 내측 비복근, 접지전극은 상전장골근에 부착하였다. 두 대의 지면반력기를 통해 전 후, 좌 우, 수직 방향에 작용하는 지면반력과, 압력 중심 이동을 측정하였다. 숙련자의 경우 볼을 투사하기까지 근육활동이 미숙련자에 비해 상대적으로 낮은 근육활동을 나타내었다. 이는 자유투 동작 시 볼 을 투사하는데 있어서 숙련자가 미숙련자보다 낮은 근육활동으로도 효율적으로 볼을 투사 한다는 것을 알 수 있다. 미숙련자는 불필요한 좌우 방향의 힘의 이동을 발생시켜 자유투를 안정적으로 수행하지 못하는 것으로 나타났으며 숙련자의 경우에는 원활한 전후 방향의 지면반력과 압력 중심 이동을 통해 안정적으로 볼을 투척하는 것으로 판단되어진다. 따라서 자유투 동작은 상지와 하지의 협응성과 유연성을 통해 안정된 슈팅 동작이 이루어질 것으로 사료된다.

• 대한인간공학회지
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• 제32권5호
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• pp.437-442
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• 2013

Objective: The objective of this study was to investigate the effects of drive-assisting system in a shower carrier on the upper body muscle activities of caregivers through drivability tests. Background: In care facilities, one of the major ADL (Activities of Daily Living) factors is bathing/showering. Recently, bath/shower-assisting equipment is actively being introduced in care facilities to reduce caregivers' muscle burden. In particular, it is desirable to utilize a shower carrier equipped with drive-assisting system to effectively care for the elderly. However, there were few systematic studies on the relationship between muscle activities and drive-assisting speeds. Method: For the drivability tests to study the effects on the muscle activities according to the drive-assisting speeds(corresponding drive-voltages: 0.0V, 2.0V, 2.1V, 2.3V), 6 females in their 40s($43{\pm}4yrs$, $157{\pm}5cm$, and $54.5{\pm}1.5kg$) were selected. To measure muscle activities of caregivers through drivability tests, 7 muscles in the upper body(TM/Trapezius Muscle, DM/Deltoid Muscle, BBM/Biceps Brachii Muscle, TBM/Triceps Brachii Muscle, ECRLM/Extensor Carpi Radialis Longus Muscle, FCUM/Flexor Carpi Ulnaris Muscle, and ESM/Erector Spinae Muscle) were selected. Results: In the TM, muscle activities were decreased as 21% compared to 0.0V, when drive-voltage 2.0V was applied, as 57% by 2.1V, and 62% by 2.3V(p<0.05), whereas 40%, 56%, and 69% of muscles activities were decreased respectively from the DM(p<0.05). Also, from the UL(BBM+TBM+ECRLM+FCUM), muscle activities were decreased by 17% with 2.0V as against 0.0V, by 47% with 2.1V, and 52% with 2.3V, whereas decreases in muscle activities from the ESM were found by 20%, 34%, and 42% respectively by 2.0V, 2.1V, and 2.3V(p<0.05). Conclusion: The muscle activities were decreased in the order of the DM, TM, ESM, and UL. As muscle activities were remarkably reduced as drive voltage were increased, it was expected to reduce the upper body muscle burden on the caregivers when using shower carriers equipped with driving-assist system. Applications: The results from this study can be applied for the development of a shower carrier including other equipment to possibly reduce the muscle burden of the caregivers.

• 한국방사선학회논문지
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• 제7권1호
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• pp.99-106
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• 2013

본 연구는 급성염증과 비슷한 지연성 근육통이 있을 때 초기 한냉치료를 적용함에 있어 냉기에 의한 냉각통증을 최소화하면서, 근육온도를 낮출 수 있는 방법으로 냉기단독과 냉기와 적외선 조사 병용을 적용하여 피부온도에 미치는 영향을 측정하고, 냉기와 적외선 병용치료의 효율성을 평가함과 동시에 초음파를 통한 근 두께를 바탕으로 등척성 근기능을 평가해보고자 하였다. 본 연구의 결과 냉기와 적외선 병용치료 시 냉기 단독치료보다 냉각통증의 빈도가 낮게 나타났으며, 냉각통증 자각 시점도 늦게 나타났다. 또한 충분한 냉기적용 후 피부온도가 재가온되는데 있어서 냉기를 2회 적용할 때가 1회 적용할 때 보다 더 느려지며, 냉기 단독치료보다 냉기와 적외선 광선 조사 병용치료 시 더 느려짐을 나타내어 2회 이상의 반복적인 냉기 적용이 냉기의 효용이 있다고 나타났다. 또한 상완이두근 두께 변화에 있어서 병용군이 대조군보다 더 크게 나타나 이 효과를 뒷받침하게 되었다. 이러한 연구결과 자료는 향후 급성염증이 있는 환자에게 한냉치료와 관련된 치료적인 자료로써 활용될 수 있을 것이라 생각되고 근골격계 초음파 진단기를 활용하여 통증에 대한 자각도를 간접적으로 표현하는 것이 구체화되어 임상에서 널리 활용될 것으로 보여진다.

• 한국임상수의학회지
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• 제30권1호
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• pp.45-48
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• 2013

수컷, 12년령, 2 kg의 푸들견이 오른쪽 앞다리 파행 평가를 위해 내원하였다. 병력 검사에서 교통사고 후 1년 동안 재발성 양측 어깨 관절 탈구를 보이다가 최근 들어 왼쪽 어깨는 유지가 잘 되고 오른쪽 어깨는 탈구가 심해진 것을 확인 하였다. 신체 검사에서 오른쪽 앞다리 파행을 확인 하였고, 방사선 검사에서 상완골 내측 탈구와 상완골과 견갑골의 겹침 현상을 확인 하였다. 수술 중 근위축, 상완 두갈래 근육 톤 감소, 어깨 관절 내측 인대 파열, 어깨 아래근 정지부 파열을 확인 하였다. 상완 두갈래근 변위술을 사용하였으나 수술 7일 후 재탈구를 확인 하였다. 견갑골 어깨 관절 부위에 장착한 두 개의 $2mm{\times}6mm$ 피질용 본 앵커와 상완골 어깨 관절 부위에 장착한 한 개의 $4mm{\times}6mm$ 해면질용 본 앵커를 이용 어깨 관절 내측 인대 복원술을 실시 하였다. 수술 직후 및 6주 후 방사선 검사에서 어깨 관절 탈구를 확인 할 수 없었다. 수술 후 6개월 신체 검사에서 파행은 더 이상 관찰 되지 않았다.

• 대한인간공학회지
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• 제35권6호
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• pp.595-609
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• 2016

Objective: The purpose of this study was to develop and validate the guidelines for Medic Work Table (MWT) based on the anthropometric data of medical technologists. Background: Users' anthropometric data such as sitting height, sitting elbow height, knee height, and so on are significant factors for designing comfortable and useful furniture. Thus, many guidelines for different types of desks and chairs based on the users' anthropometric data have been suggested to many researchers. However, few researches have been conducted to provide design guidelines for MWT for blood collecting task. Medical technologists often use their upper extremities to perform blood collecting task with high repetitions. These repeated motions could be a critical factor in the prevalence rate of Work-related Musculoskeletal Disorders (WMSDs). Therefore, a study on ergonomic design of MWT would be essential in preventing the WMSDs and improving the quality of the working environment of medical technologists. Method: This study suggested design guidelines for ergonomic MWT by focusing on the heights of the upper side and underside, depths of the inside and outside, and width of MWT through anthropometric studies and literature reviews. Afterwards, a new MWT was made using the suggested design guidelines for this study. Five healthy medical technologists participated to evaluate the original MWT and new MWT. All participants took part in the range of motion (ROM) test, electromyography (EMG) muscle activity test, and usability test to validate the suggested guidelines in this study. EMG signals of related muscles (Flexor Carpi Ulnaris, Extensor Carpi Ulnaris, Deltoid Anterior, and Biceps Branchii) were recorded through the surface electromyography system from both the original MWT and the new MWT. The ROM test of the shoulder and elbow flexion was also assessed using motion sensors. Results: The newly designed MWT showed decreased ROMs of the shoulder and elbow up to 22% and 18% compared to the original MWT. The muscle activities in the new MWT also showed a decrease of 13% in Anterior Deltoid, 6% in Biceps Brachii, 5% in Flexor Carpi Ulnaris, and 8% in Extensor Carpi Ulnaris muscle groups, compared to the original MWT. In the usability test, the satisfaction score of the new MWT was also 56.1% higher than that of the original MWT. Conclusion: This study suggested guidelines for designing MWT and validating the guidelines through qualitative and quantitative analyses. The results of motion analysis, muscle activity, and usability tests demonstrated that the newly designed MWT may lead to less physical stress, less awkward posture, and better physical user interface. Application: The recommended guidelines of the MWT would be helpful information for designing an ergonomic MWT that reduces physical loads and improves the performance of many medical technologists.

• 대한임상전기생리학회지
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• 제7권1호
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• pp.1-6
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• 2009

Purpose : We investigated the effects of microcurrent(MC) electrical stimulation on each intensity($100{\mu}A,\;200{\mu}A,\;500{\mu}A$ - 30pps frequency was same) on delayed onset muscle soreness(DOMS). Methods : Subjects were assigned randomly divided into three groups of eight for three different treatment protocoals($100{\mu}A,\;200{\mu}A,\;500{\mu}A$-experimental groups). Twenty-four healthy males and females subjects were participated in this study. All subjects performed eccentric exercise of elbow flexor(biceps brachii) until exhausted. The measured items of elbow flexor muscle strength were Nicholas Manual Muscle Taster(NMMT). The measured items of elbow joint range of motion ROM) were Goniometer. The measured items of elbow flexor muscle pain were visual analogue scale(VAS). Treatment were applied at 30 minute exercise after and again at 24 hours and at 48 hours and at 72 hours after. Measurements were taken after treatment. Analysis of Results using repeated measures analysis of variance(ANOVA) and post hoc tests were as follows: two-way ANOVA with repeated measurement for muscle strength, flexion ROM, extension ROM and VAS. Results : This results showed eccentric exercise casused DOMS, DOMS response to eccentric exercise were reduces by microcurrent therapy. DOMS was significant decreased at $100{\mu}A,\;200{\mu}A,\;500{\mu}A$. Muscle strength was significant difference at all intensity. Elbow flexion ROM was significant difference at all intensity but elbow extension ROM was insignificant difference at all intensity. VAS score was significant difference at $100{\mu}A$ and $500{\mu}A$ but insignificant difference at $200{\mu}A$. All experimental groups showed insignificant difference with all intensity MENS. Conclusion : These findings indicate that microcurrent therapy is had effect on recovery from exercise induced muscle damage. In our's suggestion, microcurrent therapy is particularly more appropriate therapeutic modality.

• The Journal of Korean Physical Therapy
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• 제27권5호
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• pp.299-303
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• 2015

Purpose: The objective of this study was to examine the changes in muscle activity on the anterior deltoid muscle depending on the stretch rate of kinesio tape when applying kinesio tape in healthy adult subjects. Methods: This study was a single-blind randomized controlled trial, including 22 healthy participants (male 15, female 7) with no pathology or past history of shoulder who participated voluntarily. Participants applied a different stretch rate of the kinesio tape, and the functional activity was tested. The stretch rate of kinesio tape was 0%, 10%, and 20%. Subjects lifted a weight (5% of their body weight) to their shoulder height. Subjects lifted a weight up to an angle of 90 degrees in the sagittal plane, and muscle activities (biceps brachii, anterior deltoid, middle deltoid, upper trapezius) were assessed using EMG (electromyography). Analysis of muscle activity was divided into two parts (lift weight and keep holding). The EMG activity of each muscle was normalized to the value of reference voluntary contraction (%RVC) and explored using repeated ANOVA. Results: There were no significant differences in muscle activity depending on the ratio of tape stretch when lifting a weight (p>0.05). There were no significant differences in muscle activity depending on the ratio of tape stretch when holding a weight (p>0.05). Conclusion: According to the results of this study, in the case of applying kinesio taping therapy for healthy people, it was found that the stretch rate of the tape does not have an effect on muscle activity.