• Journal of the Korean Society of Safety
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• v.26 no.3
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• pp.69-74
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• 2011

Despite most of tasks in manufacturing, construction and agriculture, etc., were currently mechanized and automated, manual materials handling still existed in atypical working condition. In case of manual materials handling, repetitive work, inappropriate working posture, excessive force, contact stress might cause overload, which could lead to work-related musculoskeletal disorders and low back pains. On this basis, the goal of this study is to reveal the effects of various lifting postures of trunk angles and lower extremity postures on maximum holding time(MHT). Twenty two subjects were recruited from a university population. The experiment was designed by a combination of three trunk angle ($0^{\circ}$, $20^{\circ}$, $60^{\circ}$) and three lower extremity postures(straight, bent, kneeling). Before experimental trials, subjects performed MVC(maximum voluntary contraction) exertions in three trunk angles ($0^{\circ}$, $20^{\circ}$, $60^{\circ}$) to calculate 30%MVC at designated postures. In each trial, they were required to hold the handheld load(30%MVC) for a designated posture as long as they could. The results of MVC by trunk angles were measured in $0^{\circ}$ > $20^{\circ}$ > $60^{\circ}$ orders, but those of MHT measured in $20^{\circ}$ > $0^{\circ}$ > $60^{\circ}$ orders. These results showed that straight posture is the ideal working posture in work exerted a strong force for a short time, but the ability to work might be improved in the trunk angle $20^{\circ}$ in work required 30%MVC for a long time. Also, results of MVC and MHT by lower extremity postures measured in straight > bent > kneeling orders.

• Journal of Korean Foot and Ankle Society
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• v.13 no.2
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• pp.162-168
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• 2009

Purpose: To evaluate the efficiency of the minimally invasive percutaneous plate osteosynthesis (MIPPO) with locking compression plate (LCP) for distal tibial metaphyseal intra-articular fracture compared with extra-articular fracture. Materials and Methods: From February 2006 to June 2008, 21 patients with distal tibia metaphyseal intra-articular fracture and 20 patients with extra-articular fracture were treated operatively by MIPPO technique with LCP and followed for at least one year. In the group with intra-articular fracture, mean age was 48.85 years old and a mean follow-up was 15 months. In the other group with extra-articular fracture, mean age was 52.35 years old and a mean follow-up was 14.5 months. The type of fracture was evaluated using the AO/OTA classification and open-fractures were according to the Gustilo-And gron classification. Radiologic evaluation with fracture healing and tibial alignment, clinical evaluation with Olerud and Molander ankle score and restriction of motion were done for treatment. Results: According to AO/OTA classification, There were 21 type A, 15 type B, 5 type C. Average union time of the intra-articular fracture (type B, C) was 18.7 weeks. Average union time of the extra-articular fracture (type A) was 17.1 weeks. All fractures were healed without malunion. There were no difference of mean restriction angle between intra-articular fracture (ankle dorsiflexion was 3.57 degree, plantar-flexion was 5.95 degree) and extra-articular fracture (ankle dorsiflexion was 3 degree, plantar-flexion was 3.75 degree). There were no difference of Olerud and Molander ankle score between them as a mean score of intra-articular and extra-articular was 89.25, 91.25 each other. As a complication, there were 3 case of skin necrosis, 8 case of discomfortable skin tenting by plate and 1 superficial infection, but could be healed by conservative care. Conclusion: MIPPO technique, combined articular reduction, with LCP of distal tibial metaphyseal fracture was a good method with high functional recovery.

• Journal of Life Science
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• v.19 no.12
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• pp.1821-1828
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• 2009

The purpose of this research was to investigate how the plyometric training and weight training program, applied in the field for exercise performance of throwing players, influenced improvement of athletic abilities, including agility, maximum muscular power, and strength. After implementing plyometric training and weight training to 21 high school throwing players for 10 weeks, we designed the next step. The 21 subjects were divided into two groups - women's group and men's group. All subjects were tested to determine agility using sidestep, burpee test, reaction time, lower body power and strength using standing long jump, standing jump, 30 m running, squats and leg presses. Additionally, isokinetic strength was measured using Cybex isokinetic dynamometer. The results showed that both groups demonstrated improvement in the standing long jump, standing jump and 30 m running after training. Particularly, the women's group indicated better improvement. Second, women's groups showed higher improvement in the sidestep and burpee test. However, in the reaction time test, the men's group indicated better improvement. Third, both groups showed better improvement in squats and leg presses after training. Particularly, the women's group indicated better improvement. Fourth, in the left and right side extension torque and flexion torque at a velocity of $60^{\circ}$/sec, both groups showed better improvement after training. In the left side extension peak torque, the men's group showed higher improvement, but the women's group showed higher improvement in the left side flexion and extension peak torque. Fifth, both groups showed better improvement in bench pressing and back strength after training. Particularly, the women's group indicated higher improvement.

• Journal of Korean Physical Therapy Science
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• v.10 no.1
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• pp.90-101
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• 2003

Gait analysis can provide a better understanding of how the alignment of the lower limb and foot can contribute to force observed at the knee. Anatomic and mechanical factors that affect loading in the knee pint can contribute to pathologic change seen at the knee in degenerative pint disease and should be considered in treatment plan. The purpose of this study is to present the gait analysis data and to determine whether there is any relationships between alignment of the lower limb, foot progression angle and knee pint moments in elderly healthy women with 3-dimensional motion analyzer. The results were as follows; 1. Cadence showed 114.8 steps/min, gait speed showed 1.05 m/s, time per a stride showed 1.06 sec, time per a step showed 0.53 sec, single-supporting phase was 0.41 sec, double-supporting phase was 0.24 sec, stride length was 1.04 m, Step length was 0.56 m. 2. According to the parameters of kinematics, the maximal knee flexion angle through swing phase showed left $46.82^{\circ}$, right $40.19^{\circ}$ and the maximal knee extension angle showed left $-1.32^{\circ}$, right $2.01^{\circ}$. knee varus showed left $26.90^{\circ}$, right $30.93^{\circ}$. 3. Moment, one of kinetic parameters of knee pint the maximal flexion moment showed left 0.363. Nm/kg, right 0.464 Nm/kg and maximal extension moment showed left 0.389 Nm/kg, right 0.463 Nm/kg. The maximal. adduction moment showed left 0.332 Nm/kg, right 0.379 Nm/kg and the maximal internal rotatory moment showed left 0.13 Nm/kg, right 0.140 Nm/kg. 4. On sagittal plane, the maximal power of knee joint showed left 0.571 J/kg, right 0.629 J/kg. On coronal plane, the maximal power of knee joint showed left 0.11 J/kg, right 0.12 J/kg. On transverse plane, the maximal power of knee joint showed left 0.058 J/kg, right 0.072 J/kg. 5. The subject who had varus alignment of the lower extremity had statistically higher in knee adduction moment in mid stance phase. 6. The subject who had large foot progression angle had statistically lower in knee adduction moment in late stance phase. A relationship was observed between the alignment of the lower extremity and the adduction moment of the knee joint during stance phase. Hence, we need some research to figure, out the change of adduction moment according to the sort of knee joint osteoarthritis and the normal geriatrics as well. And we also require more effective, specific therapeutic program by making use of those background of researches.

• Archives of Reconstructive Microsurgery
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• v.18 no.2
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• pp.55-61
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• 2009

Purpose: To analyze the clinical and radiologic results of the shoulder arthrodesis in brachial plexus injury patients with flail upper extremity. Material and Method: From Aug 1978 to April 2008, 29 shoulders in 29 patients with brachial plexus injury with shoulder fusion, we evaluated 20 shoulders in 20 patients, more than 1 year follow up. The average follow-up period was 6.45years (range: 1year~24years). There were 13 men and 7 women, and the mean age at the time of trauma was 32.0years(2~65 years). The type of injury was a motorcycle accident in 11 patients, in car accident in 5, pedestrian accident in 3, and fall from a height in 1. The lesion of injury was root and trunk in 1 patient, trunk and cord in 1, trunk in 18. Surgery was performed on the whole arm type paralysis in 12 patients, lower arm type paralysis in 8 patients. The preoperative visual analog scale score was 8.7(7~10). When the trapezius and serratus anterior muscle were in function, operation was performed. 18 patients were processed to the additional operation. Gracilis free flap in 6 patients, neurotization in 3, Steindler flexor plasty in 6, and tendon transfer in 3 were performed. Fixation was conducted with cancellous screws in 13 patients, Knoles pins in 5, and cancellous screws and Knoles pins in 2. The position of the arthrodesis at operation was $28.5^{\circ}$($20~45^{\circ}$) in abduction, $30.3^{\circ}$($20~45^{\circ}$) in flexion, and $30.8^{\circ}$($20~40^{\circ}$) in internal rotation. Result: The follow up visual analog scale score was 3.4(0~7). Postoperatively, shoulder spica cast was applied for 15.3weeks(8-20weeks). The median time to bony union was 17.7weeks(9~28weeks). Average range of motion was $32.0^{\circ}$($15~40^{\circ}$) of abduction, $24.0^{\circ}$($10~40^{\circ}$) of flexion, and $18.5^{\circ}$($10~30^{\circ}$)of internal rotation. Conclusion: The shoulder fusion in brachial plexus injury patients is one of the good methods to relieve pain, improve the function and stabilize the flail shoulder joint.

• Korean Journal of Applied Biomechanics
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• v.13 no.1
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• pp.139-153
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• 2003

The purpose of the study was to present technical guidance about the field goal kicking motion in American football for novices. For this purpose, kinematic analysis on the field goal kicking motion of two skilled players and two unskilled players was carried out. The following conclusions were made: 1. In comparison on the total elapsed time of the kicking, there were no significant differences between two groups. The progressing time from BP event to impact among experts group, however, took 0.141 second less than that of novices group. 2. The experts group showed right hip rotatier horizontally toward the targeted ball fixing left hip as the axis. On the other hand, the novices group didn't use the left hip as the axis in the kicking motion. 3. At the impact of kicking the ball, regarding with the distance of the ball and the supporting leg, the right and left distance of experts was 3.45cm longer than that of novices, the front and the rear distance of experts was 5.14cm shorter than novices. 4. At the impact, experts' initial velocity of the targeted ball was $5.27^m/s$ faster than novices', besides experts' incidence angular displacement was $3.78^{\circ}$ larger than novices'. 5. After BP event, experts showed a stable movement maintaining flexion and extension at left hip joint and knee joint. On the other hand, for novices, the angle of the left lower extremities became larger. 6. Experts showed the efficient flexion and extension of the hip joint and the knee joint during following procedure in the whole event of the kicking motion. At the BP event, the right knee joint angle of novices was $11.46^{\circ}$ larger than that of experts. However, the duration of the impact event and FT event among, novices had less extension of knee joint than experts. 7. At the 2nd phase, for both of the groups, the angular velocity of the knee joint drastically increased as the angular velocity of hip joint decreased. However, only novices showed the largest negative angular velocity at the impact.

• Journal of Biomedical Engineering Research
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• v.32 no.2
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• pp.165-176
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• 2011

The femoral nerve innervates the quadriceps muscles and its dermatome supplies anteromedial thigh and medial foot. Paralysis of the quadriceps muscles due to the injury of the femoral nerve results in disability of the knee joint extension and loss of sensory of the thigh. A child could walk independently even though he had injured his femoral nerve severely due to the penetrating wound in the medial thigh. We measured and analyzed his gait performance in order to find the mechanisms that enabled him to walk independently. The child was eleven-year-old boy and he could not extend his knee voluntarily at all during a month after the injury. His gait analysis was performed five times (GA1~GA5) for sixteen months. His temporal-spatial parameters were not significantly different after the GA2 or GA3 test, and significant asymmetry was not observed except the single support time in GA1 results. The Lower limb joint angles in affected side had large differences in GA1 compared with the normal normative patterns. There were little knee joint flexion and extension motion during the stance phase in GA1 The maximum ankle plantar/dorsi flexion angles and the maximum knee extension angles were different from the normal values in the sound side. Asymmetries of the joint angles were analyzed by using the peak values. Significant asymmetries were found in GA1with seven parameters (ankle: peak planter flexion angle in stance phase, range of motion; ROM, knee: peak flexion angles during both stance and swing phase, ROM, hip: peak extension angle, ROM) while only two parameters (maximum hip extension angle and ROM of hip joint) had significant differences in GA5. The mid-stance valleys were not observed in both right and left sides of vertical ground reaction force (GRF) in the GA1, GA2. The loading response peak was far larger than the terminal stance peak of vertical ground reaction curve in the affected side of the GA3, GA4, GA5. The measured joint moment curves of the GA1, GA2, GA3 had large deviations and all of kinetic results had differences with the normal patterns. EMG signals described an absence of the rectus femoris muscle activity in the GA1 and GA2 (affected side). The EMG signals were detected in the GA3 and GA4 but their patterns were not normal yet, then their normal patterns were detected in the GA5. Through these following gait analysis of a child who had selective injuries on the knee extensor muscles, we could verify the actual functions of the knee extensor muscles during gait, and we also could observe his recovery and asymmetry with quantitative data during his rehabilitation.

• Korean Journal of Applied Biomechanics
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• v.25 no.1
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• pp.49-56
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• 2015

Objectives : The purpose of this study was to present quantitative data and basic references to decrease the accident risk of soccer instructors. Methods : To obtain data, we conducted an investigation on how H/Q ratio affects the dynamic stability of the lower extremity at the time of drop landing. The study targeted 13 soccer players from C University who have not had any injuries or wounds in the lower extremity joints and in any other parts of their bodies over the last 6 months. By using CMIS (USA), the players were divided into two groups according to H/Q ratios higher and lower than 69%, respectively. The subjects in each group were instructed to perform a drop landing. Results : The H/Q ratio did not affect the maximal flexion angle of the knee joints at the time of drop landing. In addition the dominant group with a relatively high H/Q ratio was observed to have increased time to reduce shock and to efficiently absorb the ground reaction force during drop landing. Also, the dominant group with a relatively high H/Q ratio utilized the strong performances of the antagonistic muscles around the hamstrings and the controlled rotatory powers of the thighs that were applied to the tibias supported by the ground. Finally, H/Q ratio, load factors, and mean and maximum EMG were significantly negatively related, whereas GRFx showed a positive relationship. In fact, these factors all affected the impact of the load from the H/Q ratio to the knee joints. Conclusion : From these findings it can be concluded that unbalanced H/Q ratio can be considered as a predictor of knee joint injury at the time of drop landing.

• Journal of the Korean Society of Fisheries and Ocean Technology
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• v.52 no.4
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• pp.308-317
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• 2016

The tail flip of the decapod shrimp is a main feature in escaping behavior from the mesh of the codend in the trawl. The characteristics of tail flip in target prawn was observed and analyzed in a water tunnel in respect of flow condition and mesh penetration by a high speed video camera (500 fps). The tail bending angle or bending time in static water was significantly different than in flow water (0.7 m/s) and resultantly the angular velocity in static water was significantly higher than in flow water when carapace was fixed condition. When escaping through vertical traverse net panel in water flow the relative moving angle and relative passing angle to flow direction during tail flip, it significantly decreases the number of shrimps escaping than the case of blocking shrimp. The bending angles of tail flip between net blocking and passing through mesh were not significantly different while the bending time of shrimp passing through mesh was significantly longer than when shrimp blocking on the net. Accordingly the angular velocity of passing through mesh was significantly slower than blocking on the net although the angular velocity of the tail flip was not significantly related with carapace length. The main feature of tail flip for mesh penetration was considered as smaller diagonal direction as moving and passing angle in relation to net panel as right angle to flow direction rather than the angular velocity of tail flip.

• Journal of the Korean Society of Physical Medicine
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• v.12 no.4
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• pp.113-122
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• 2017

PURPOSE: The purpose of this study was to investigate the comparison of muscle activity and mechanical loading according to the angle of ankle joint during a sit-to-stand (STS) task. METHODS: Thirty-four young participants performed the STS in a randomized trial with the ankle joint at a neutral, 15 degrees dorsiflexion and 15 degrees plantarflexion angle in a fixed sitting posture with the knee in 105 degrees flexion. Muscle activity of the tibialis anterior (TA), rectus femoris (RF), biceps femoris (BF), and gastrocnemius medialis (GCM) was measured, and the parameters calculated in relation to mechanical loading were the STS-time, maximum peak, minimum peak, and total sum of mechanical loading. RESULTS: In the dorsiflexion position, the muscle activity of the TA and GCM showed a significant increase (p<.05), and the STS time, maximum peak and total sum of mechanical loading showed a significant difference compared to that in the neutral position (p<.05). In the plantarflexion position, the muscle activity of the RF and GCM showed a significant increase (p<.05), while that of the TA showed a significant decrease (p<.05) compared to that in the neutral position. And the minimum peak was significantly increased than the neutral position (p<.05), and the maximum peak and total sum of mechanical loading were showed significant difference compared with dorsiflexion position (p<.05). CONCLUSION: These results show that there is a difference in muscle activity and mechanical loading when performing the STS movement according to the change in the ankle joint angle.