• 대한통합의학회지
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• 제9권4호
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• pp.191-200
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• 2021

Purpose : Chronic ankle instability can lead to problems in balance and gait due to weakness of the ankle muscles and decreased proprioceptive sensation. Balance training that stimulates proprioceptors is necessary to improve ankle stability. We aimed to compare the effects of unstable support balance exercises using whole body sonic vibration and an aero-step (TOGU) on proprioception and balance in individuals with unilateral functional ankle instability. Methods : Thirty-six participants with unilateral functional ankle instability were randomly recruited and divided into two groups (group 1 = sonic whole body vibration, group 2= TOGU). Individuals in each group participated in training for 5 weeks, 40 minutes per session, 5 times per week, and performed weight-bearing exercises in five postures on different unstable support surfaces. Proprioception was measured by digital inclinometer (Dualer IQ), and balance was measured by force platform (Biodex balance system). Results : Significant differences were observed in proprioception before and after intervention within both group (p<.05). Significant differences were also observed in the balance index before and after intervention within both groups (p<.05). Conclusion : As a result of this study, it is suggested that for individuals with ankle instability, unstable support surface training using a whole body sonic vibrator and TOGU can have a positive effects on proprioception and balance ability.

• The Journal of Asian Finance, Economics and Business
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• 제8권1호
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• pp.457-470
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• 2021

The banking system provides a number of important functions for the economy and is also the lifeblood and financier of the economy in each country. Large amounts of idle money have not been exploited by banks; however, banks still depend on loans, including loans from foreign banks, to meet the growing demand, as such, for banks, the cost of capital is high, the stability and business efficiency are low and banks have not promoted their internal resources to grow steadily. To achieve the goal, this research analyzes the factors affecting the choice of bank for the deposit decisions of customers in Vietnam. The study used a sample data of 250 individuals and SPSS software was used to analyze the data. The results showed that customer policy has a positive effect on customers' deposit decisions in a bank, and this is new evidence regarding behavioral theory in the case of Vietnam. Results further demonstrated that other factors such as employee image, brand, interest rate, relative influencing, and transaction time positively impact the choice of bank for the deposit decisions of customers. However, the bank's promotion strategies had no impact on the choice of bank for the deposit decisions of customers. Besides, employee image is the most influential factor in the deposit decisions, followed by the bank's brand and interest rate.

• Computers and Concrete
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• 제26권6호
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• pp.483-495
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• 2020

Dams are vital infrastructures that are expected to maintain their stability during seismic excitations. Accordingly, cemented material dams are an emerging type, which are being increasingly used around the world owing to benefiting from advantages of both earth-fill and concrete gravity dams, which should be designed safely when subjected to strong ground motion. In the present paper, the seismic performance of a cemented sand and gravel (CSG) dam is assessed using incremental dynamic analysis (IDA) method by accounting for two failure modes of tension cracking and base joint sliding considering the dam-reservoir-foundation interactions. To take the seismic uncertainties into account, the dam is analyzed under a suite of ground motion records and then, the effect of friction angle for base sliding as well as deformability of the foundation are investigated on the response of dam. To carry out the analyses, the Cindere dam in Turkey is selected as a case study, and various limit states corresponding to seismic performance levels of the dam are determined aiming to estimate the seismic fragilities. Based on the results, sliding of the Cindere dam could be serious under the maximum credible earthquake (MCE). Besides, dam faces are mostly to be cracked under such level of intensity. Moreover, the results indicate that as friction angle increases, probability of sliding between dam and foundation is reduced whereas, increases tensile cracking. Lastly, it is observed that foundation stiffening increases the probability of dam sliding but, reduces the tensile damage in the dam body.

• 터널과지하공간
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• 제31권4호
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• pp.211-220
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• 2021

한국의 대심도 (>40m 깊이) 터널 공사 시에 터널 붕괴 사고가 종종 일어나고 있으며, 도심지 지하공간의 얕은 심도에 인공적으로 조성된 지반에는 자연 공동뿐만 아니라 상수도관, 하수도관, 전력구 및 지하철 건설로 인한 인위적인 공동들이 복잡하게 분포되어 있다. 대심도 터널 굴착을 위해서는 이러한 다공질의 특성을 보이는 다양한 지반의 특성 및 지질구조가 지반의 안전에 미치는 영향을 이해하여야 한다. 본 연구는 국내외 사례를 바탕으로 한국의 대심도 굴착에서 암반의 위험 산정을 위한 위험 인자를 분석하였다. 연구결과, 대심도 터널 굴착시 지반의 안정성에 영향을 주는 총 7개의 카테고리들과 총 38개의 인자들이 도출되었다. 가중치가 상대적으로 높은 인자들은 단층 및 단층점토, 차응력, 암종, 지하수 및 머드 유입, 암석의 일축압축강도, 터널 단면의 크기, 터널 상부 암반의 두께, 카르스트 및 계곡지형, 습곡, 석회암의 협재, 지하수위 변동, 터널 심도, 암맥, RQD, 절리 특성, 이방성, 암반파열(rockburst) 등으로 나타났다.

• 한국컴퓨터정보학회논문지
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• 제27권1호
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• pp.97-105
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• 2022

이 연구는 플로싱밴드 운동이 기능적 발목 불안정성 태권도 시범단 선수들의 관절가동범위와 수직점프에 어떠한 영향을 미치는지 분석하여 플로싱 밴드의 효과를 알아보는데 목적이 있다. D 대학교에 재학 중인 남성 태권도 시범단 선수 21명을 대상으로 기능적 발목 불안정성 그룹(FAIG, n=7명), 경미한 발목 불안정성 그룹(MAIG, n=7명), 발목 안정성 그룹(ASG, n=7명)으로 구분하였다. 모든 그룹은 일회성 플로싱밴드 운동 프로그램을 실시하였다. 그 결과 FAIG의 발등굽힘(Dorsi flexion, p<.01), 안쪽번짐(Inversion, p<.01), 가쪽번짐(Eversion, p<.05)에서 유의하게 관절가동범위가 증가하였으며, 수직점프(p<.01)에서도 유의한 증가를 보였다. FAI를 가진 태권도 시범단 선수들의 플로싱밴드 운동은 발목의 관절가동범위와 수직점프를 증가시킴으로 경기력 향상과 발목손상의 위험을 줄일 수 있는 하나의 중재방법이 될 수 있는 가능성을 확인하였다.

• 대한정형외과학회지
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• 제56권3호
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• pp.200-207
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• 2021

대퇴 삽입물 주위 골절은 고관절 치환술 후 발생하는 가장 치료하기 어려운 합병증 중 하나이며, 만족스러운 치료 결과를 얻으려면 면밀한 임상 및 방사선 사진 평가, 정확한 분류 및 치료 원칙에 대한 이해가 필수적이다. Vancouver 분류 시스템은 이러한 삽입물 주위 골절의 치료를 계획하기 위한 간단하고 효과적인 방법이다. 대퇴 스템이 안정된 골절은 견고한 내고정으로 효과적으로 치료할 수 있지만 대퇴 스템 해리가 동반된 경우 삽입물 주위 대퇴 골절은 재치환술이 필요하다. 고관절 치환술 후 발생할 수 있는 삽입물 주위 대퇴 골절 환자의 치료 원리와 대퇴 스템의 안정성을 평가하는 방법에 대해 설명하고자 한다.

• 한국전문물리치료학회지
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• 제29권1호
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• pp.11-18
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• 2022

Background: Muscle activities of gluteus maximus (GM) and hamstring (HAM) have important roles in the stability and mobility of the hip joint during various functional activities including bridge and prone hip extension exercises. Objects: The purpose of this study is to investigate muscle activities of GM, multifidus (MF) and HAM during three different bridge exercises in healthy individuals. Methods: Twenty healthy subjects were participated. Electromyography device was used to measure muscle activities of GM, MF and HAM. Each subject was asked to perform three different bridge exercises with hip abduction (0°, 15°, 30°) in random order. One-way repeated measures analysis of the variance and a Bonferroni post hoc test were used. Statistical significance was set at α = 0.01. Results: The muscle activity of GM was significantly different among three conditions (hip abduction 0°, 15°, 30°) (adjusted p-value [Padj] < 0.01). The muscle activity of GM was significantly greater during bridge exercise with hip abduction 30° compared to 0° and 15° (Padj < 0.01). There was no significant difference in the muscle activity of MF and HAM muscle (Padj > 0.01). The ratio of muscle activity (ratio = GM/HAM) during bridge exercise with hip abduction 30° was significant greater compared to the hip abduction angles 0° and 15° (Padj < 0.01). Conclusion: Bridge exercise with hip abduction 30° can be recommended to selectively facilitate the muscle activity of GM and improve the ratio of muscle activity between GM and HAM.

• 대한본초학회지
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• 제32권6호
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• pp.31-39
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• 2017

Objectives : Menopausal symptoms are characteristic symptoms which are occur in women before and after menopause. In Western medicine, hormone therapies are mainly used but patients show reluctance because they exhibit serious side effects. In Oriental medicine, there are also limits to the treatment. So I tried to find a new easily accessible treatment. I performed the experiments to verify the effect of natural dyed apparel with Indigo and Schisandra fruit. Methods : This experiment was performed on 30 women who were experiencing menopausal symptoms. We checked the participant's general condition through questionnaire and physical condition with inbody test and made natural-dyed living suit style dresses. We asked the women to wear the apparel for four weeks. They checked for changes in symptoms weekly with kupperman's index. Results : The main symptoms of participants are sweating, hot flushes, joint pain. After wearing of the apparel, there were decreased hot flushes, sleep improvement, psychological stability etc. According to the kupperman's index, patients with mild symptoms were 13.3% at first week to start the experiment but four weeks later, patients with mild symptoms were increased to 50%. On the other hand, patients with severe symptoms were decreased 33.3% to 6.7%. In the test results, there was a significant decrease in 1, 2 and 3 weeks, there was a decrease in 4 weeks but no significance in the figure Conclusion : Natural dyed apprel with Indigo and Schisandra fruit was effective on treating women who were experiencing menopausal symptoms.

• The Journal of Korean Physical Therapy
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• 제34권1호
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• pp.45-50
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• 2022

Purpose: The purpose of this study was to compare the spatiotemporal and kinematic gait parameters and muscle activity of the lower extremities between forward walking on sand (FWS) and backward walking on sand (BWS) in normal adults. Methods: This study was conducted on 13 healthy adults. Subjects performed FWS and BWS and the spatiotemporal and kinematic gait parameters of stride time, stride length, velocity, cadence, step length, stance, swing, double support, and hip range of motion (ROM), knee ROM were measured by a wearable inertial measurement unit system. In addition, the muscle activity of the rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA), and gastrocnemius (GA) was measured. Results: The stride length, stride velocity, cadence, and step length in the BWS were significantly lower than FWS (p<0.05), and stride time was significantly greater (p<0.05). However, there was no significant difference in the ratio of stance, swing, and double support between the two (p>0.05). The kinematic gait parameters, including hip and knee joint range of motion in BWS, were significantly lower than FWS (p<0.05). The muscle activity of the RF in BWS was significantly higher than FWS (p<0.05), but the muscle activity of the BF, TA, GA did not show any significant differences between the two movements (p>0.05). Conclusion: A strategy to increase stability by changing the gait parameters is used in BWS, and this study confirmed that BWS was a safe and effective movement to increase RF muscle activity without straining the joints. Therefore, BWS can be recommended for effective activation of the RF.

• 대한정형외과학회지
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• 제56권4호
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• pp.361-365
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• 2021

골반골 골절은 고에너지 손상이며 주변 조직 및 장기의 손상이 동반되는 경우가 흔하다. 골반 외상 환자에서 적절한 치료가 제공되지 않으면 사망률이 높아지므로 수상 초기에 적극적인 치료를 요하게 된다. 하지만 광범위한 수술을 시행하기에는 환자의 상태가 허락되지 않는 경우가 많아서 최소 침습적인 수술을 고려하게 된다. 치골의 경피적 고정은 피부 절개를 크게 하지 않고도 골반의 전방부 안정성을 획득할 수 있는 방법으로 비교적 쉽게 적용할 수 있어 여러 문헌에서 소개되고 있다. 그러나 대부분의 문헌에서는 비전위성 골절에 대한 나사 고정을 기술하고 있으며 전위성 골절을 경피적 나사 고정으로 치료할 때 비구의 관절면을 침범하지 않는 위치로 나사를 삽입하는 것이 어려운 점은 간과되고 있다. 저자는 치골의 전위성 골절의 경피적 나사 고정 시 구부러진 유도핀을 이용하여 관절면의 침범을 피하면서 유관나사를 쉽게 삽입할 수 있었기에 본 술식을 소개하고자 한다.