• The Journal of Korean Physical Therapy
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• 제28권4호
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• pp.243-248
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• 2016

Purpose: This study was conducted to identify the effects of neuromuscular training performed on badminton club members' to improve muscle activity of the lower extremities and static and dynamic balance tests. Methods: The subjects were 20 badminton club members with chronic ankle instability who were randomly divided into a neuromuscular training group and a balance training group, each with 10 patients. Both exercises ware performed three days per week for 30 minutes a day over six weeks. Results: The neuromuscular training group showed increased muscle activity of the lower extremities compared to the balance training group. Neuromuscular training increased balance ability better than the balance training group, showing a significant difference and better efficiency of neuromuscular training when compared to balance training. Conclusion: This research evaluated neuromuscular training as an intervention for badminton club members with chronic ankle instability and compared the differences in muscle activity of the lower extremities and balance ability; as a result of the effective frequency for improving performance, there was a significant difference in muscle activity of lower extremities and balance ability of the neuromuscular training group and the control group.

• 대한임상독성학회지
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• 제13권1호
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• pp.46-49
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• 2015

Carbon monoxide (CO) intoxication is a leading cause of severe neuropsychological impairments. Peripheral nerve injury has rarely been reported. Following are brief statements describing the motor peripheral neuropathy involved bilateral lower extremities of a patient who recovered following acute carbon monoxide poisoning. After inhalation of smoke from a fire, a 60-year-old woman experienced bilateral leg weakness without edema or injury. Neurological examination showed diplegia and deep tendon areflexia in lower limbs. There was no sensory deficit in lower extremities, and no cognitive disturbances were detected. Creatine kinase was normal. Electroneuromyogram patterns were compatible with the diagnosis of bilateral axonal injury. Clinical course after normobaric oxygen and rehabilitation therapy was marked by complete recovery of neurological disorders. Peripheral neuropathy is an unusual complication of CO intoxication. Motor peripheral neuropathy involvement of bilateral lower extremities is exceptional. Various mechanisms have been implicated, including nerve compression secondary to rhabdomyolysis, nerve ischemia due to hypoxia, and direct nerve toxicity of carbon monoxide. Prognosis is commonly excellent without sequelae. Emergency physicians should understand the possible-neurologic presentations of CO intoxication and make a proper decision regarding treatment.

• 임상간호연구
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• 제20권1호
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• pp.102-112
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• 2014

Purpose: The purpose of this study was to identify the effects of foot bath therapy on operating room (OR) nurses' lower extremities edema, stress, and fatigue. Methods: This study used a randomized control group non-synchronized design. The data were collected from August to October 2013, and a total of 50 OR nurses in an university hospital in U Metropolitan City participated in the study: 25 nurses for the experimental group and 25 for the control group. The experimental group received foot bath in which feet were soaked in $40^{\circ}C$ water and immersed up to ankle line for 20 minutes per a day for 12 times. Results: There were significant decrease in the calf edema, physical stress, and fatigue between pre and post foot bath therapy. Conclusion: The findings of this study show that foot bath had the effect in decreasing lower extremities edema, stress, and fatigue among OR nurses. Foot bath therapy, therefore, is suggested as a comfort and easy-to-use method in clinical setting to reduce OR nurses' lower extremities edema, stress, and fatigue.

• PNF and Movement
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• 제17권3호
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• pp.353-368
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• 2019

Purpose: This study investigated the effects of trunk exercise using less-affected extremities on gait and balance in chronic stroke patients. Methods: Thirty subjects with chronic stroke disease were divided into two groups: a trunk exercise group that used less-affected extremities (n=15) and a general trunk exercise group (n=15). All interventions were conducted 30 min a day, 6 times per week, for 3 weeks. Gait parameters were measured before and after the intervention using Zebris FDM-1.5. In addition, all subjects were evaluated using the Trunk Impairment Scale, the Berg Balance Scale, and the Functional Gait Assessment before and after the intervention. Results: Both groups showed improvements on all outcome measured pre- to post-intervention (p<0.05). The groups exhibited significant differences for TIS, BBS, FGA, gait speed, step length, and cadence at post-intervention (p<0.05). Conclusion: This study showed that trunk exercise using less-affected extremities has therapeutic benefits on gait and balance in individuals with chronic stroke disease.

• Archives of Reconstructive Microsurgery
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• 제7권1호
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• pp.41-46
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• 1998

Microvascular free tissue transfer technique is widely accepted for reconstruction of extensive soft tissue defects on the extremities. The system of flap based on the subscapular artery and vein provides the widest ways of composite free flaps. The possible flaps that can be harvested based on this single vascular pedicle include the scapular and parascapular skin flaps, the serratus anterior and latissimus dorsi muscular flaps, the lateral scapular bone flap, the latissimus dorsi-rib flap, and the serratus anterior-rib flap. This combined flap is available to mutiple tissue defects or complex defects because it can incorporated with skin, muscle and bone flaps. A strikig advantage is the independent vascular pedicles of each components, which allow freedom in orientation of each components. So, it can be freely applied to any forms of three demensional defects on the upper and lower extremities. The combination of scapular cutaneous flap and latissimus dorsi musculocutaneous flap can be resurfaced for massive cutaneous defects on the extremities. We report the use of the combined scapular and latissimus dorsi free flap in seven patients to reconstruct massive deefcts on the extremities. There was no flap failure and little complications and disadvantages. The anatomy of this flap is reviewed and the indication and advantages are discussed.

• 임상간호연구
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• 제17권1호
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• pp.81-89
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• 2011

Purpose: The purpose of this study was to examine the effects of early passive range of motion (ROM) exercise on ROM of lower extremities and foot edema in hemiplegic patients after stroke. Methods: The data were collected between August 2009 and April 2010 from 11 patients in the experimental group and 13 in the control group. The passive ROM exercise was performed twice a day for 2 weeks. Results: In the experimental group, ROM of lower extremities (flexion of hip, flexion of knee and ankle) increased significantly compared to that of the control group. There was no significant difference in foot edema between the two groups. Conclusion: The results indicated that the early passive ROM exercise can improve the ROM of lower extremities, but not the foot edema in patients after stroke.

• Journal of Korean Biological Nursing Science
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• 제21권3호
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• pp.199-206
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• 2019

Purpose: The purpose of this paper was to verify effects of the team approach rehabilitation program on balance, gait, and muscle strength of lower extremities of elderly people with Parkinson's disease. Method: Subjects of this paper were 40 elderly people with Parkinson's disease, 20 control and experimental groups respectively, who could walk independently and were less than the 2.5 Hoehn &Yahr stage. The team approach rehabilitation program was applied to the experimental group for 12 weeks. Results: There was significant decrease in second at timed up &go test (p= .008), but no significant difference in reach length at functional reach test (p= .201) with partial improvement of balance. There was no significant difference in second at 10-meter walk test (p= .070), but showed tendency of improvement of gait. And number of times at 30s-chair stand test, indicating muscle strength on lower extremities, increased significantly (p= .029), Conclusion: The team approach rehabilitation program has demonstrated its effectiveness on improving balance, and muscle strength of lower extremities for the elderly with Parkinson's disease.

• 한국의류학회지
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• 제46권4호
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• pp.613-623
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• 2022

This study developed a functional prototype jacket designed to reduce loads on the upper extremities of workers performing repetitive motions in the same posture for extended periods of time. Dynamic taping lines were applied to the upper extremities, and three dimensional (3D) supporters were inserted in the abdomen and back waist areas corresponding to the core muscles. Clothing pressure on the upper-extremity dynamic taping lines was set to two levels (proto P1 and proto P2), and the 3D supporters were designed in three types (proto FW, proto FW/BW, proto FW/BW/BBX). According to the subjective pressure perceived on each part of the upper extremities, the level proto P1 pressure was preferred. The proto FW/BW/BBX 3D supporter was rated as excellent, and the perceived pressure was ranked as satisfactory. The prototype jacket performed upper-extremity load reduction when the upper-extremity clothing-pressure level was set to 1.8 kPa, 2.1 kPa, and 2.4 kPa on the upper arm, forearm, and wrist regions, respectively, and when 3D supporters were installed in the abdomen and back of the waist with the addition of a back band.

• 한국운동역학회지
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• 제18권2호
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• pp.41-48
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• 2008

본 연구의 목적은 테니스 두 스탠스 유형(pinpoint stance, platform stance)에 따른 서브 시 하지관절의 모멘트를 분석하여 테니스 선수들이 연습 시 상해를 예방할 수 있도록 현장에서 지도할 객관적인 기초자료를 얻기 위해 테니스 고등학교 우수선수 7명을 대상으로 하였으며, VICON System의 분석프로그램인 Workstation, Bodybuilder, Polygon을 이용하여 하지관절의 모멘트를 분석하였다. 구체적인 변인은 발목, 무릎, 엉덩관절의 모멘트들을 중점적으로 비교 분석한바 다음과 같은 결론을 얻었다. 테니스 두 스탠스 유형에 따른 서브 동작 시 하지관절에 발생되는 모멘트의 패턴은 각각 다른 패턴이었으며, 모멘트의 크기는 발목 배측 굴곡 모멘트만 plat가 크게 발생되었으며, 다른 모멘트는 pin이 크게 발생되었다. 또 굴신모멘트에서는 엉덩, 발목, 무릎 순이었으며, 회전모멘트는 발목, 무릎, 엉덩 순으로 큰 모멘트를 나타내 보였다. 하지관절의 굴신과 회전모멘트는 백스윙동작과 백스윙동작부터 포워드 스윙으로 변화되는 시점까지 모멘트의 크기가 가장 크게 나타났으며, 변화도 크게 나타내보였다. 이때 상해가 발생할 위험성이 높기 때문에 이에 주의해야 한다고 사료된다.

• The Journal of Korean Physical Therapy
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• 제25권2호
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• pp.88-95
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• 2013

Purpose: The purpose of this study was to conduct an analysis of kinematics of lower extremities and trunk in stance phase of walking according to turning direction. Methods: Ten university students (five male, five female) who were in their 20s (mean age was 20.6 years old) participated in this study. Participants did not have participants did not have any problem with skeletal muscular system. We used the "Qualisys motion capture system" for analysis of trunk and lower extremity movement in stance phase of walking according to turning direction. We collected data while subjects walked a distance of 10 m, and at the 6 m line, subjects were required to turn to the left side and the right leg was positioned in stance phase and the left leg was positioned in swing. For data analysis, the SPSS for Windows ver. 20.0 statistics program was used in performance of one way analysis of variance according to turning direction. Results: Significant difference of trunk and lower extremities was observed for turning direction according to walking cycle (p<0.05). Upper trunk movement showed a greater increase at three dimensions than lower trunk, and in heel off phase, pelvic movement showed a greater increase than lower trunk (p<0.05). In 45 degree and 90 degrees of turning direction, all movements of trunk and lower extremities were significantly different among three events of stance phase (p<0.05). Conclusion: We suggest that three-dimensional movement analysis of trunk and lower extremities during turning movement was very important in order to indicate increasing balance or walking ability for people with impaired movement or walking.