• Physical Therapy Korea
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• v.14 no.3
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• pp.41-47
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• 2007

Dance movements consist of combinations of movements such as jumping, rotation, maintaining balance, leg lifts, and plantar flexion with toe shoes. Dance movements require great muscle strength of lower extremities as well as muscular endurance. The purposes of this study were to investigate correlation between the anthropometric variables and the peak torque in young female dancers and to identify variables that affect isokinetic peak torque. Twenty-six female dancers ($19.7{\pm}1.2$ years of age) performed concentric maximum force efforts on the knee extensors and flexors at $60^{\circ}/sec$ and $120^{\circ}/sec$, the ankle plantar flexors (PF) and dorsiflexors (DF) at $30^{\circ}/sec$ and $120^{\circ}/sec$. Antropometric variables such as age, height, weight, body mass index (BMI), thigh girth, calf girth and duration of dance training were measured. To identify antropometric variables related to muscle strength, Pearson correlations were computed and a stepwise multiple regression analysis was performed. Pearson correlation coefficients of Knee extensor at $60^{\circ}/sec$ and $120^{\circ}/sec$ revealed moderate positive associations with BMI and thigh girth. Pearson correlation coefficients of ankle PF revealed low-to-moderate positive associations with height. Ankle DF also revealed moderate positive associations with BMI and calf girth. The main predictor variables of knee extensor at 60/sec, were stepwise multiple regression, age, height, thigh and girth.

• The Korean Journal of Pain
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• v.21 no.2
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• pp.159-163
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• 2008

Paraplegia is a relatively rare complication of epidural anesthesia. Several possible factors may contribute to the development of paraplegia including arachnoiditis, trauma and ischemia. We experienced a case where paraplegia had developed after epidural anesthesia for cesarean section. So we present the case and consider the possible etiologies. A 30-year-old previously healthy woman was referred to our hospital for postpartum motor weakness of the lower limbs. Six days prior, the patient was admitted at a local obstetric clinic for delivery at 39 weeks gestation. The patient underwent a Cesarean section under epidural anesthesia induced with 20 ml 2% lidocaine and 5 ml 0.5% bupivacaine. In the early morning of the day following the Cesarean section, a motor and sensory deficit in both lower extremities was noted. A lumbar MRI showed diffuse enhancement along the cauda equina and spinal cord surface in the lower lumbar spine, suggesting diffuse arachnoiditis.

• Journal of Korean Physical Therapy Science
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• v.19 no.3
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• pp.57-62
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• 2012

Background and Purpose : This study was to analysis effects of muscle fatigue on error of elbow joint sense. Methods : A total 19 healthy student(men = 10, women = 9) who did't have any problem of musculoskeletal system in upper extremities participated this study. we divided two groups into young group(n = 10, $19.67{\pm}.5$) and old group(n = 9, $28.56{\pm}1.5$). In order to evoke muscle fatigue of elbow flexor, we used Biodex, and participations performed concentric contraction of elbow flexor 150 numbers as well as we measured error of joint sense using by Biodex. We collected data just after, 30min, 2hour, 24hour after evoked muscle fatigue, and we finanlly acquired average value of three times measured joint sense of elbow joint. And we calculated value of percentage of error of joint sense. We analyzed collected data by repeated ANOVA, ANOVA using by SPSS ver.12.0 program. Result : This study showed that there was no significantly effects between groups and within groups, we could see that there was significantly difference among duration by each group of age, and sex(p<.05). Conclusion : The error of joint position sense presented highest value just period after evoked muscle fatigue compared after 30 min, 2 hours, 24 hours, and we can't find out interaction between duration and age and sex.

• Journal of the Korean Society of Safety
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• v.26 no.5
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• pp.81-88
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• 2011

The goal of this study was to determine whether food industry workers are exposed to musculoskeletal loads due to the work time, frequency, awkward postures and inappropriate workspace design. Three catering workers were evaluated based on job analysis and posture analysis. The results showed that the four most time-consuming tasks were arranging(17%), cooking(16%), handling before cooking(15%) and cutting(15%), and the four most frequent tasks were arranging(21%), cooking(18%), handling after cooking(16%) and handling before cooking(13%). The most common posture was a standing posture(73%) with neutral back(73%), and bent head(50%), left lower arm(71%), right lower arm(78%) and right hand(60%). The comparative analysis of subtasks for the risk levels of musculoskeletal disorders was conducted using the work time, frequency and cumulative time of the postures. The 'displaying' and 'handling after cooking' showed higher risk levels than other subtasks. In addition, the height and length of the tables were evaluated to be inadequate for the workers. It can be concluded that the working environments for catering workers of restaurants should be improved due to the high cumulative time of awkward postures of upper extremities.

• Korean Journal of Applied Biomechanics
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• v.23 no.3
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• pp.201-208
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• 2013

The aim of this study was to investigate badminton smash and drop motion depends on player's level. To perform this study, ten male badminton players were participated: five skilled players (SG, age: $21.6{\pm}1.1$ yrs, height: $181.4{\pm}6.8$ cm, body mass: $72.4{\pm}5.7$ kg, career: $11.2{\pm}1.1$ yrs) and five less-skilled players (LSG, age: $21.2{\pm}1.1$ yrs, height: $180.2{\pm}5.6$ cm, body mass: $73.6{\pm}6.7$ kg, career: $10.6{\pm}0.9$ yrs). Three-dimensional motion analysis with 7 infrared cameras was performed with a sampling frequency as 200 Hz. Player's swing motion was divided into four events: starting motion (E1), backswing (E2), impact (E3), following (E4). For all upper joints, LSG showed greater angle differences between drop and smash motions than that of SG at E3 (p<.05). For all upper joints, greater angular velocities were found in SG than that of LSG. For both groups, significantly smaller angular velocities were found in drop motion than that of smash motion (p<.05). The greater sequential angular velocities (proximal to distal) were found in SG than LSG during smash motion. Based on our findings, performing the same motion between drop and smash would be related to enhance performance at badminton competition. It is expected that these results will be useful in developing a training program for enhancing performance of badminton athletes.

• Korean Journal of Applied Biomechanics
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• v.23 no.2
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• pp.159-167
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• 2013

The purpose of this study was to evaluate the gender differences on gait pattern and the kinetics on lower extremities according to the different gait speed. Ten collegiate male students (age : $23.80{\pm}2.94$ yrs, height : $179.40{\pm}5.04$ cm, weight : $66.57{\pm}5.64$ kg) and ten female students (age : $23.40{\pm}2.91$ yrs, height : $166.06{\pm}5.61$ cm, weight : $53.76{\pm}2.75$ kg) participated in this study. To investigate the role, the ratio of the use, and the effectiveness of each joint during gait, we examined the joint work and the contribution to total work. The results of this study were as follows: First, gait pattern was not differ between male and female, hip joint ROM increased with the increase of gait speed both male and female. Second, the eccentric work of the ankle joint decreased with the increase of the gait speed both male and female, on the other hand increased on the knee joint. Third, in the result of the contribution to total eccentric work, male in both the two gait speed was the biggest on the hips joint. However, female in normal gait speed was the greatest on the ankle joint, was the most on the knee joint in the fast gait speed. Forth, the concentric work on the ankle and hip joint increased with the increase of gait speed both male and female. Fifth, in the result of the contribution to total concentric work, there is no difference in the male both the two gait speed, however decreased in the female on the knee joint with the increase of the gait speed, on the other hand increased on the ankle joint.

• Archives of Plastic Surgery
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• v.38 no.4
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• pp.427-437
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• 2011

Purpose: Composite tissue allotransplantation is a new therapeutic modality to reconstruct major tissue defects of the head and neck region and extremities. However, there is a serious ethical debate about whether the risks posed by the life-long immunosuppression that a recipient would have to take justify the benefits of receiving this non-life saving procedure. The purpose of this study is to examine differences between expert and non-expert groups in risk acceptance and expectations regarding hand and foot allotransplantations. Methods: The author conducted a survey of 345 subjects in total (lay public n=110; medical students, n=120; doctors, n=115), using a questionnaire-based instrument, the Louisville Instrument for Transplantation (translated to Korean). Results: Of the three groups studied, risk acceptance was found to be lowest in the doctor group and highest in the non-expert group, and the difference was significant (p < 0.05). The expectations of aesthetic and functional improvement from the procedure, however, were found to be highest in the non-expert group and lowest in the doctor group, and the differences were also significant (p < 0.05). Conclusion: The results of this study shows that the three populations have noticeable differences in risk acceptance and expectations regarding hand and foot allotransplantations. Therefore, accurate and sufficient information on these procedures should be provided to patients from both medical and ethical perspectives.

• Archives of Plastic Surgery
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• v.34 no.4
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• pp.471-477
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• 2007

Purpose: Hydrofluoric acid(HF) is one of the most dangerous mineral acids with dissociated fluoride ions. As hydrofluoric acid is present in various household products(such as rust removers), a large population of industrials is at the risk of HF exposure. It is a very strong organic acid, used widely in glass etching, metal washing, and in the semiconductor industry. Even when using adequate safety measures, lack of care on the user's part results in chemical burn by HF. Symptoms caused by HF-induced chemical burns shows delayed manifestations resulting in a loss of proper treatment opportunities. We therefore reviewed 20 cases of HF-induced chemical burns and treatment principle. Methods: The objects of this study were 19 male patients and 1 female treated from March 2004 to March 2006. There were 19 cases of injury on digits and 1 on the wrist area. There were 15 cases of immediate treatment after sustaining HF-induced burns, and 5 cases of delayed treatment. As a principle, in the emergency treatment, partial or complete removal of the nail along with copious washing with normal saline was done, depending on the degree of HF invasion of the distal digital extremities. Results: The 15 cases who came to the hospital immediately after the injury were healed completely without sequelae, and those who delayed their treatment needed secondary surgical measures, due to the severity of inflammation and necrosis of the digital tissues. Conclusion: As the industrial sector develops, the use of HF is increasing more and more, leading to increase in incidences of HF-induced chemical burns. When treating chemical burns caused by HF, washing by copious amounts of normal saline, along with early removal of the nails, rather than calcium gluconate, seems to be a available method for preserving the shape and function of the digits and the nail. The education of patients regarding this subject should be empathized accordingly.

• Archives of Plastic Surgery
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• v.47 no.1
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• pp.62-69
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• 2020

Background Cryolipolysis, a preferred method for minimally invasive body contouring, involves the noninvasive cooling of adipocytes to induce lipolysis without damaging other tissues. This study aimed to evaluate the safety and efficacy of cryolipolysis for the treatment of excessive fat tissue. Methods Between May 2014 and December 2017, 231 patients with 448 areas of interest were enrolled and their records were retrospectively reviewed. We used five different vacuum applicators, and the best-fitting applicator was used for each area. One cycle of cryolipolysis was applied at a cooling intensity factor of 41.6. The efficacy was evaluated 12 weeks after treatment via review of clinical photographs, the pinch test, and ultrasonographic measurements of fat thickness. The occurrence of any complications was also assessed. Results The volume was reduced in all of the areas to which cryolipolysis was applied. The rate of reduction of the fat layer as measured via the pinch test was 19.2%, and the rate of the decrease in fat layer thickness as measured via ultrasonography was 22.8%. Fat reduction of the upper arm differed significantly from that of the abdomen and flank, but no significant difference was found between sexes. The side effects were limited to erythema, edema, bruising, and numbness at the treatment site and resolved without treatment. Conclusions Cryolipolysis, with new and better-fitting applicators, is safe, fast, and effective for the reduction of excessive fat tissue on the abdomen, back, flank, and extremities. It is a good option for treating excess adipose tissue in Asian patients.

• The Journal of Korean Physical Therapy
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• v.23 no.1
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• pp.7-11
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• 2011

Purpose: Driving is essential to maintain independent living status in modern times. Many patients want to know when they can drive again, but it's only possible if they have the ability to control lower extremity muscles. In this study, we compared the effects of velocity on onset time of lower extremity muscles during driving tasks. Methods: Twelve participants (5 male, 7 female) were enrolled. EMGs were used to test the onset time of lower extremity muscles; tibialis anterior, soleus, rectus femoris. To analyze the data, we used two way ANOVA. Results: According to brake pedaling velocity, there was a significant difference in brake response time (p<0.05). Further, when comparing the lower extremity muscles, there was a significant difference in onset time (p<0.05). The order of muscle recruitment was tibialis anterior, rectus femoris, and soleus for achieving maximal velocity, but the order was rectus femoris, tibialis anterior, soleus for achieving submaximal velocity. Conclusion: Brake pedaling velocity has significant effects on onset time of muscle contractions in the lower extremities. We suggested that a future study needs more subjects and more detailed research such as evaluat-ions of visuo-motor coordination and fine motor dexterity.