• Archives of Plastic Surgery
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• 제38권2호
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• pp.207-211
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• 2011

Purpose: Surgery for thyroid gland requires skin incisions that can result in postsurgical neck scar. To overcome this, many surgeons performed a endoscopic thyroidectomy. But, this approach had a some problems. One of postoperative problems, iatrogenic cervical dystonia (CD) may occur. At common, CD is defined as a syndrome characterized by prolonged muscle contraction causing twisting, repetitive movements or abnormal posture. Botulinum toxin A (BTA, Botox$^{(R)}$, Allergan, Irvine, CA, USA) is well known treatment agent in the treatment of CD. So, the authors applied BTA injection in rare case with iatrogenic CD resulting in endoscopic thyroidectomy. Methods: A 43-year-old female had endoscopic subtotal thyroidectomy operation 3 years ago. She had symptoms such as progressive cervical pain, abnormal neck posture, depression, and sleep difficulty. About 1 year later, the patient who had previous myomectomy of the clavicular head of sternocleidomastoid muscle, however, symptoms were not improved. And then the patient received BTA therapy in our department. The 2 units per 0.1 mL solution was administered in a 1 mL tuberculin syringe. Results: The dose of BTA used in the patient was 36 units for vertical platysmal bands, superficially, and 10 units for ipsilateral sternocleidomastoid muscle, intramuscularly. After 2 weeks, additional the dose of BTA used in the patient was 5 points for remained scar bands, superficially. Complications related to injection such as significant swallowing difficulties, neck muscle weakness, or sensory change were not observed. In 9 months follow-up, the patient maintained a good result from the method of BTA injection alone. Conclusion: The basic concept is selective denervation for the hyperactive individual muscles and scar bands. We conclude that BTA is an effective and safe treatment for CD despite the iatrogenic and complex presentation of this complication.

• 융합정보논문지
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• 제7권4호
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• pp.97-103
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• 2017

본 연구의 목적은 앉은 자세에서 골반의 앞방향경사와 뒷방향경사에 따른 스마트폰의 사용이 목세움근과 위등세모근의 근활성도를 알아보고 IoT 디바이스 개발에 필요한 기초자료를 얻고자 하였다. 건강한 20-30대 성인남녀 15명을 대상으로 앉은 자세에서 골반앞방향경사와 골반뒷방향경사를 중재한 뒤 5분간 스마트폰을 사용하여 근전도 신호를 측정하고 중앙 3분의 근전도 신호를 사용하였다. 연구결과 앉은 자세에서 골반앞방향경사의 스마트폰 사용이 골반뒤방향경사와 비교하여 양측 목세움근(p<.001), 왼쪽 위등세모근(p<.001), 오른쪽 위등세모근(p<.002)의 %RVC 값이 유의하게 낮았다. 이는 골반의 앞방향경사를 통한 앉은 자세가 척추의 정상적인 만곡을 유지하여 스마트폰 사용 시 발생하게 되는 전방머리자세를 방지하여 목과 어깨 주변의 부하를 감소시켜 %RVC 값이 유의하게 낮았다고 사료되며 향후 골반경사에 중점을 둔 새로운 자세교정 IoT 디바이스들이 개발되어야할 것이다.

• Journal of Korean Neurosurgical Society
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• 제61권2호
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• pp.277-281
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• 2018

Objective : Craniovertebral junctional anomalies constitute a technical challenge. Surgical opening of atlantoaxial joint region is a complex procedure especially in patients with nuchal deformity like basilar invagination. This region has actually very complicated anatomical and functional characteristics, including multiple joints providing extension, flexion, and wide rotation. In fact, it is also a bottleneck region where bones, neural structures, and blood vessels are located. Stabilization surgery regarding this region should consider the fact that the area exposes excessive and life-long stress due to complex movements and human posture. Therefore, all options should be considered for surgical stabilization, and they could be interchanged during the surgery, if required. Methods : A 53-year-old male patient applied to outpatients' clinic with complaints of head and neck pain persisting for a long time. Physical examination was normal except increased deep tendon reflexes. The patient was on long-term corticosteroid due to an allergic disease. Magnetic resonance imaging and computed tomography findings indicated basilar invagination and atlantoaxial dislocation.The patient underwent C0-C3-C4 (lateral mass) and additional C0-C2 (translaminar) stabilization surgery. Results : In routine practice, the sites where rods are bound to occipital plates were placed as paramedian. Instead, we inserted lateral mass screw to the sites where occipital screws were inserted on the occipital plate, thereby creating a site where extra rod could be bound.When C2 translaminar screw is inserted, screw caps remain on the median plane, which makes them difficult to bind to contralateral system. These bind directly to occipital plate without any connection from this region to the contralateral system.Advantages of this technique include easy insertion of C2 translaminar screws, presence of increased screw sizes, and exclusion of pullout forces onto the screw from neck movements. Another advantage of the technique is the median placement of the rod; i.e., thick part of the occipital bone is in alignment with axial loading. Conclusion : We believe that this technique, which could be easily performed as adjuvant to classical stabilization surgery with no need for special screw and rod, may improve distraction force in patients with low bone density.

• 한국전문물리치료학회지
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• 제27권2호
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• pp.126-132
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• 2020

Background: Augmented somatosensory feedback stimulates the mechanoreceptor to deliver information on bodily position, improving the postural control. The various types of such feedback include ankle-foot orthoses (AFOs) and vibration. The optimal feedback to mitigate postural sway remains unclear, as does the effect of augmented somatosensory feedback on muscle co-contraction. Objects: We compared postural sway and ankle muscle co-contraction without feedback (control) and with either of two forms of somatosensory feedback (AFOs and vibration). Methods: We recruited 15 healthy subjects and tested them under three feedback conditions (control, AFOs, vibration) with two sensory conditions (eyes open, or eyes closed and the head tilted back), in random order. Postural sway was measured using a force platform; the mean sway area of the 95% confidence ellipse (AREA) and the mean velocity of the center-of-pressure displacement (VEL) were assessed. Co-contraction of the tibialis anterior and gastrocnemius muscles was measured using electromyography and converted into a co-contraction index (CI). Results: We found significant main effects of the three feedback states on postural sway (AREA, VEL) and the CI. The two sensory conditions exerted significant main effects on postural sway (AREA and VEL). AFOs reduced postural sway to a level significantly lower than that of the control (p = 0.014, p < 0.001) or that afforded by vibration (p = 0.024, p < 0.001). In terms of CI amelioration, the AFOs condition was significantly better than the control (p = 0.004). Vibration did not significantly improve either postural sway or the CI compared to the control condition. There was no significant interaction effect between the three feedback conditions and the two sensory conditions. Conclusion: Lower-extremity devices such as AFOs enhance somatosensory perception, improving postural control and decreasing the CI during static standing.

• 대한소아치과학회지
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• 제26권3호
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• pp.564-571
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• 1999

설골은 주위골 조직과는 직접적인 연결이 없이 근육과 인대를 통해 혀, 하악골, 두개골, 쇄골, 견갑골, 갑상연골, 인두 등에 연결된다. 이러한 특이한 해부학적 관계 때문에 설골의 위치는 하악의 위치, 머리의 위치, 기도상태에 따라 변하게 된다. 이에 저자는 설골과 부정교합과의 관계, 기도와의 연관성에 대해 알아보고자 경북대학교 소아치과에 부정교합을 주소로 내원한 환아 64명 (남자 : 39명, 여자 : 25명, I급 부정교합 : 25명, II급 부정교합 : 15명, III급 부정교합 : 24명)의 설골의 위치를 측면 두부방사선 규격사진상에서 계측하여 다음과 같은 결론을 얻었다. 1. I, II급 부정교합환아에 비해 III급 부정교합환아에서 설골은 더 전방에 위치하였고, 설골의 경사도도 더 완만하였다. 2. I, II, III급 부정교합환아에서 설골은 하악골과 척추골사이의 전후방적 위치는 일정하였다. 3. 설골은 하부기도의 전방경계를 이루는 골격구조임을 알 수 있었다.

• 한국자동차공학회논문집
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• 제18권1호
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• pp.105-111
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• 2010

In the field of 'Human Vibration', it has been interested subjects to make equal sensation curves related to translational and rotational direction of whole-body, hand-transmitted and head-transmitted vibration, etc. When we consider the vibration of a vehicle, the main factor is vertical whole-body vibration. Until now, most of equal sensation curves used to derive frequency weighting function had been made using Western people. However, because of the inherent differences (for example, characteristic and shape of body parts, muscular and cellular tissue) between the Western people and the Oriental people, equal sensation curves based on Oriental people might be required. Also, the weight differences between the samples which consist of average-weighted and over-weighted group might cause the difference of equal sensation curves. So, in this study, 20 male Korean people were used to find equal sensation curves subject to vertical whole-body vibration on seated posture. Among 20 males, an over weighted group consisted of 10 male persons and an average weighted group was the others. Integrating and analyzing the data of two groups, some of non-parametric tests such as 'The Wilcoxon Signed Rank Test' and 'The Mann Whitney U test' were used.

• 한국운동역학회지
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• 제15권1호
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• pp.45-61
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• 2005

Stance is defined as any state in which the total mass of the body is supported by the feet. In order to maintain stance, the sum of gravito-inertial forces acting on the body must be registered by equal and opposite forces at the region of contact between the organism and the support surface. Balance is controlled by applying forces to the surface of support so as to maintain the body's center of mass vertically above the feet. for a muIti-segment organism, there can be a variety of ways in which balance can be controlled, since movements of different body segments can have similar effects on the control of balance. In general, the organism tends to have a body configuration that is aligned with gravito-inertial force when there are no external forces acting on it. If any segments of the body are not aligned with gravito-inertial force vector, a torque on that segment would tend to move the body's center of mass. The maintenance of postural stability is accomplished in humans by a complex neural control system. This requires organizing integrating and acting upon visual, vestibular, and somatosensory input, providing orientation information to the postural control system. The information necessary to control and coordinate movement is provided by the visual sense of eye position with respect to the surrounding surface layout, the vestibular sense of head orientation in the gravito-inertial space, and the somatic sense of body segment position relative to one another and to the support surface. In this study, perception and action capability was examined from various points of view. The underlying assumption of the study was that the change of postural configuration could be effected by organism, environment and task goal.

• 한국운동역학회지
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• 제22권3호
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• pp.373-378
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• 2012

The purpose of this study was to develop an electric riding machine for cycle fitting to control riding posture easily, to measure frame size quantitatively, and to overcome disadvantages of the traditional systems. The electric riding machine consisted of actuator, load controller, and display & control unit. The actuator unit by BLDC(BrushLess Direct Current) motor drives the saddle height up and down, the crank forward and backward, the handlebar up and down, and the handlebar forward and backward. The load controller unit controls loads by Eddy current controller with electromagnet and aluminum circular plate. The display & control unit consisted of frame size controller and display panel which shows top tube length(485~663mm), head tube length(85~243mm), seat tube length(481~671mm), and seat tube angle($62.7{\sim}76.4^{\circ}$). The range of frame size control for developed electric riding machine did not have difference compared to traditional commercial systems, but quantitative and precise control with 0.1 mm length and $0.1^{\circ}$ angle was possible through digital measurement. Unlike traditional commercial systems, frame size control was possible during riding through motor driven method, thus fitting duration decreased. It is necessary for further improvement to have feedback from users. It is believed that developed electric riding machine can help to develop domestic fitting system.

• 전력전자학회논문지
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• 제7권6호
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• pp.524-530
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• 2002

일상 생활에서 반사적인 자세 조절은 정전기관, 시각, 고유수용체 등의 감수체에 의한 구심성 신호가 정전 신경핵에 전달되어 안구운동이나 골격근의 수축을 유발하여 이루어진다. 자세조절기능의 부조화는 오심, 구토, 현기증 등을 초래하여 삶의 의욕을 상실하게 만든다. 본 연구의 목적은 정전기관의 반규관과 이석기관을 선별적으로 자극하기 위한 탈수직축 회전자극 시스템과 수평, 수직, 3D 환경에서 시각자극을 할 수 있는 시운동자극시스템을 개발하여 인간의 자세조절 기능을 평가 하는데 있다. 탈수직축 회전자극 시스템은 편안한 의자와 DC 서보모터로 구동되는 기울임 테이블로 구성되고 PMSM에 의해 제어된다. 그리고 속도 궤환 루프와 위치 궤환 루프를 포함하는 이중 피드백 루프가 서보 제어되는 회전자극시스템에 적용된다. HMD를 이용하여 수평, 수직, 3D 시각자극패턴을 구현 하였고 OKN 자극을 위한 무선시스템과 전기안진 기록계를 이용하여 안구운동을 기록하였다. 이득, 위상, 대칭성은 정전 자극과 시각 자극에 의해 유발되는 안구운동의 분석으로부터 얻어진다.

• 대한의용생체공학회:의공학회지
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• 제32권1호
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• pp.7-14
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• 2011

This study suggested an optimized algorithm for detecting the loss of balance(LOB) in the seated position. And the sensitivity analysis was performed in order to identify the role of each design variable in the algorithm. The LOB algorithm consisted of data processing of measured signals, an internal model of the central nervous system and a control error anomaly(CEA) detector. This study optimized design variables of a CEA detector to obtain improved values of the success rate(SR) of detecting the LOB and the margin time(MT) provided for preventing the falling. Nine healthy adult volunteers were involved in the experiments. All the subjects were asked to balance their body in a predescribed seated posture with the rear legs of a four-legged wooden chair. The ground reaction force from the right leg was measured from the force plate while the accelerations of the chair and the head were measured from a couple of piezoelectric accelerometers. The measured data were processed to predict the LOB using a detection algorithm. Variables S2, h2 and hd are related to the detector: S2 represents a data selecting window, h2 a time shift and hd an operating period of the LOB detection algorithm. S2 was varied from 0.1 to 10 sec with an increment of 0.1 sec, and both h2 and hd were varied from 0.01 to 1.0 sec with an increment of 0.01 sec. It was found that the SR and MT were increased by up to 9.7% and 0.497 sec comparing with the previously published case when the values of S2, h2 and hd were set to 4.5, 0.3 and 0.2 sec, respectively. Also the results of sensitivity analysis showed that S2 and h2 had considerable influence on the SR while these variables were not so sensitive to the MT.