• 국제물리치료학회지
• /
• 제4권2호
• /
• pp.573-587
• /
• 2013

The purpose of this study was conducted in order to analyze the effects of the manual intervention and self-corrective exercise models of general coordinative manipulation(GCM) on the balance restoration of spine & extremities joints with distortions and mal-alignment areas. The subjects were the members who visited GCM Musculoskeletal Prevent Exercise Center from March 1 2012 to December 31 2013 because of spine & extremities joints distortion and mal-alignments, poor posture, and body type correction. All subjects were diagnosed with the four types of the GBT diagnosis. And according to the standards of the mobility vs stability types of the upper & lower body, they were classified into Group 1(40 persons) and Group 2(24 persons). For every other day for three times a week, GCM intervention models were applied to all subjects for four weeks, adding up to 12 times in total. Then the balance restoration effects were re-evaluated with the same methods. The results are as follows. 1) Balance restoration effects of VASdp(Visual analysis scale pain & discomfort) and ER(Equilibrium reaction: ER) came out higher in GCM body type(GBT) II III IV of Group 1. 2) In case of balance restoration effects in Moire and postural evaluation areas, Group 1 was higher and cervical and scapular girdle were higher in Group 2. The balance restoration of the four GBT types was significant in all regions(p<.05), and the scapular girdle came out as high in the order of GBTII IV I. 3) In case of thoracic-lumbar scoliosis and head rotation facial asymmetric cervical scoliosis ribcage forward, the balance restoration effects of the upper body postural evaluation areas came out the highest in Group 1 and Group 2, respectively. The balance restoration effects of the four GBT types were significant in all regions(p<.05), and came out the highest in lumbar scoliosis GBTIII I, ribcage forward and thoracic scoliosis GBTII IV. 4) The balance restoration effects of the lower body postural evaluation areas came out higher in Group 1 and Group 2 for pelvis girdle deviation patella high umbilicus tilt and hallux valgus foot longitudinal arch: FLA patella direction, respectively. The balance restoration effects of the four GBT types were significant in all regions(p<.05), and came out the highest in pelvis girdle deviation GBTIII I and patella high-direction GBTIV II I. 5) The balance restoration effects between the same GBT came out significant (p<.05) in all evaluation areas and items. The conclusions of this study was the manual intervention and self-corrective exercise models of the GCM about the mal-alignment of the spine & extremities joints across the whole body indicated high balance restoration effects(p<.05) in spine & extremities joints in all evaluation areas.

• 대한치과교정학회지
• /
• 제30권4호
• /
• pp.467-473
• /
• 2000

각형 호선이 edgewise 브라켓에 삽입되면 first, second order는 bending에 의해, third order는 torsion(비틀림)에 의해 3차원적인 force system이 발생한다. Bending에 관하여는 분석적 그리고 실험적인 많은 연구가 보고 되어 있는 반면 비틀림에 관해서는 상대적으로 많은 연구가 이루어 지지 않았다. 본 연구의 목적은 각형 와이어의 재료와 단면의 형태가 와이어의 비틀림 모멘트에 어떻게 영향을 주는지를 이론적, 실험적으로 밝혀서 임상적으로 적절한 모멘트를 가할 때 호선의 재료와 굵기를 합리적으로 선택할 수 있도록 하는데 있다. 실험재료로는 third order조절을 위해 가장 많이 사용하는 호선을 사용하였다. 크기별로 0.016x0.022, 0.017x0.025, 0.019x0.025인치 그리고 재료로는 stainless steel (Ormco), TMA(Ormco), NiTi(Ormco), 그리고 braided stainless steel(DentaFlex, Dentauum) 네 가지를 사용하여 총 12개의 조합을 사용하였다. Torsion formula를 이용하여 비틀림 강성 (torque/twist rate)을 계산하였고 torque gauge를 이용하여 비틀림 강성, 항복 비틀림 모멘트 (yield torsional moment), 그리고 최대 비틀림 모멘트 (ultimate torsional moment)를 측정하였다. Torsion formula에 의하면 비틀림 강성 (T/$\theta$)은 재료적인 특성(G)과 호선의 단면의 특성(J)에 비례하고 호선의 길이(L)에 반비례한다. 대부분의 실험치는 이론적인 값과 비슷하게 나타났다.