• 한국운동역학회지
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• 제16권4호
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• pp.31-38
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• 2006

The purpose of this study was to investigate the effect of changing the steps height on the joint moment of lower extremity in stair-descent activity of elderly persons. Data were collected by 3-D cinematography and force platform. 9 male elderly subjects in the 60s and 70s participated in this study. All subjects performed a stair-descent in four different heights of stairs (10, 14, 18, 22cm) having 5 step staircase. The results were as follows. 1. For the step height of 22cm the maximum. plantarflexion moment was the smallest and the largest for the step height of 14cm. 2. There was not a statistical difference shown for the extension moment of the knee joint for the different height of steps. 3. There was not a statistical difference shown for the flexion moment of the hip joint for the varying height of steps but on average for the 18cm step this increased rapidly. 4. The smallest maximum. value for inversion moment was revealed for the step height of 10cm and this increased significantly for the step height of 22cm. 5. The smallest maximum. value for abduction moment of the hip joint was revealed for the step height of 10cm and this increased significantly for the step height of 22cm. 6. There was no significant difference shown for the maximum. abduction moment for the hip joint. The main conclusion is that there is a huge difference in the moment of the lower extremities for the elderly while walking down a stairs with a step height above 18 cm and that this moment increased or decreased rapidly under a condition of step height being 22cm. With the results from this research and related research of elderly walking upstairs it can be shown that the step height has a large role in the safety for the elderly.

• 한국운동역학회지
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• 제18권4호
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• pp.179-189
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• 2008

본 연구는 9명의 남자 중학교 초보피험자들을 대상으로 태권도 옆차기 동작의 숙련정도에 따른 운동학적 협응과정을 살펴보는 데 목적을 두었다. 이용된 변인은 최대합성직선속도, 분절간 각속도, 각도 대 각도 도면이었다. 분석결과, 연습후기로 갈수록 인접한 분절간의 운동량 전이가 잘 이루어져 각 분절의 최대합성직선속도가 유의하게 증가하였으며 분절간 각속도에서 학습후기로 갈수록 몸통에서 대퇴, 하퇴분절로의 순차적인 전이를 보였으며 던지는 듯하면서 미는 듯한 동작형태를 보였다. 엉덩관절과 무릎관절의 각도-각도 도면에서는 학습초기에는 다이나믹스한 변화를 보였으나 학습이 됨에 따라 숙련된 피험자처럼 안정적인 협응 패턴을 보여주었다.

• 한국전문물리치료학회지
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• 제2권1호
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• pp.51-61
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• 1995

In general, research in isokinetic exercise has focussed on studies of peak torque. However, peak torque is not always sufficient to assess the real amount of motion or to determine endurance. In this study, the subjects were 54 healthy students who performed continuous maximal isokinetic knee flexion and extension until their total work per time reached 50% of their maximal total work. Isokinetic curves were then plotted. Total work sums, exercise durations in seconds, and the numbers of repetitions were compared with reference to subject gender, angular velocity and muscle group. The relationship between total work sum, duration and number of repetition and thigh circumference plus leg length was computed. In addition, the characteristics of total work per second and total work per time were calculated. Results showed the total work sums differed greatly from muscle group to muscle group and with different angular velocities. The duration in seconds and the numbers of repetition differed only at higher angular velocity. Males achieved higher levels in every category except for some duration in seconds and some numbers of repetitions. Thigh circumference and leg length were deciding fators in every case, but duration in seconds and number of repetitions were not. These results suggest that measures of endurance should be included along with measures of total work when isokinetic studies are done. Measures of endurance in seconds are more accurate when isokinetic exercise is performed at lower angular velocities and numbers of repetitions at higher angular velocities.

• 한국전문물리치료학회지
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• 제24권4호
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• pp.1-10
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• 2017

Background: Flexion-relaxation phenomenon (FRP) was a term which refers to a sudden onset of myoelectric silence in the erector spinae muscles of the back during standing full forward flexion. Hamstring muscle length may be related to specific pelvic and trunk movements. Many studies have been done on the FRP of the erector spinae muscles. However, no studies have yet investigated the influence of hamstring muscle flexibility on the FRP of the hamstring muscle and lumbopelvic kinematics during forward bending. Objects: The purpose of this study was to examine the flexion-relaxation ratio (FRR) of the hamstring muscles and lumbopelvic kinematics and compare them during forward bending in subjects with different hamstring muscle flexibility. Methods: The subjects of two different groups were recruited using the active knee extension test. Group 1-consisted of 13 subjects who had a popliteal angle under $30^{\circ}$; Group 2-consisted of 13 subjects who had a popliteal angel above $50^{\circ}$. The kinematic parameters during the trunk bending task were recorded using a motion analysis system and the FRRs of the hamstring muscles were calculated. Differences between the groups were identified with an independent t-test. Results: The subjects with greater hamstring length had significantly less lumbar spine flexion movement and more pelvic flexion movement. The subjects with greater pelvic flexion movement had a higher rate of flexion relaxation during full trunk bending (p<.05). Conclusion: The results of this study suggest that differences in hamstring muscle flexibility might cause changes in people's hamstring muscle activity and lumbopelvic kinematics.

• 대한골관절종양학회지
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• 제13권1호
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• pp.55-59
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• 2007

활액막 연골종은 관절의 활액막에서 결체조직의 화생에 의해 연골 조직이 형성되는 질환이며 드물게 건초, 활액낭에 발생하는 경우도 있다. 정확한 발생 기전은 아직 밝혀지지 않았으나 외상, 감염 등이 원인으로 제시되고 있으며 관절 연골을 구성하던 연골의 일부가 떨어져 나와 활액막내로 흡수되어 연골성 화생을 일으킨다는 가설이 유력하다. 주로 슬관절에 발생하며 그 외 견관절, 주관절, 고관절 등에서 발생하는 것으로 알려져 있다. 65세 남자가 약 6개월 간의 우측 주관절 동통, 주관절 구축 및 우측 제1수지와 완관절의 신전 장애 및 감각 저하를 주소로 내원 하였다. 단순 방사선 검사상 주관절의 관절 간격이 좁아져 있었고 관절면의 가장 자리에 골극이 형성되어 있었으며 연골하골은 경화소견이 관찰되었다. 자기 공명 영상 검사상 요골두 직하방 전외측에 약 $16{\times}12$ mm 크기의 원형의 종양이 관찰되었으며, T1 강조 영상에서 균질의 저신호 강도, T2 강조 영상에서 고신호 강도와 저신호 강도가 혼재되어 있었다. 종양 절제술을 시행하였으며 수술소견상 종양에 의해 요골신경이 압박되어있는 소견이 관찰되었다. 절제한 종양은 조직소견상 활액막 연골종으로 진단되었다.

• 대한기계학회논문집A
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• 제33권4호
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• pp.430-439
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• 2009

Posterior Cruciate Ligament (PCL) plays an important role in knee extension. Rotational instability due to injured PCL can be restored by various PCL reconstruction methods. In this study, the initial lengthening affected by fixation device and location was demonstrated, and furthermore, the slippage and the relationship between lengthening ratio and slippage ratio in the calcaneus and soft tissue fixation methods was newly suggested. Eight specimens of proximal tibia and Achilles tendon grafts were harvested from four cadavers and divided into four groups in regard to the four different types of transtibial fixation techniques. The cyclic load ranged from 50 N to 250 N applied to each graft fixed to proximal tibia in 55 degrees. The initial lengthening ratio to the total elongation has been approximately constant regardless of the fixation methods. The soft tissue fixation method with an interference screw showed about 56.4% slippage ratio to the total elongation and the same method with a double cross-pin presented about 45.4% slippage ratio. The soft tissue fixation method with an interference screw demonstrated approximately 2 mm less total elongation and about 13% more slippage than lengthening because of poor fixation compared to the same method with a double cross-pin.

• 근관절건강학회지
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• 제8권1호
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• pp.109-121
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• 2001

The purpose of this study was to find out the long-term effects of the self-help program through the follow-up with peer group meetings of arthritis patients. In order to fulfil the purposes, the follow-up program with peer group meetings was developed by researchers with consisting of monthly health contract, group discussion, group counseling, recreation, and exercise. This program was carried out 2-3 hours once in a month for 5 months (1999-2000) and evaluated in a nonequivalent control group pretest-posttest quasi-experimental design. The subjects were 34 patients of experimental group and 24 of control group. The measurement tools of this study are pain rating scale(Lee & Song), KHAQ(Bae), rating scale of fatigue, and goniometer. The results of this study revealed no significant differences on number of pain site, fatigue, physical functioning, flexibility of the shoulder joints, and level of the extension of the knee joints between experimental group and control group. Whileas pain reaction of the control group was significantly high. However, the peers expressed very much their satisfaction and appreciations with the follow-up program with Peer group meetings. Actually, they wanted to have this peer group meeting continuously. This results suggested that the follow-up program with peer group meeting could be recommended as good nursing intervention to help the arthritis patients after having the Self Help Program in the community setting.

• Wind and Structures
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• 제27권3호
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• pp.163-173
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• 2018

The design wind pressure for low-rise buildings in the ASCE 7-10 is defined by procedures that are categorized into the Main Wind Force-Resisting System (MWFRS) and the Components and Cladding (C&C). Some of these procedures were originally developed based on steel portal frames of industrial buildings, while the residential structures are a completely different structural system, most of which are designed as low-rise light-frame wood constructions. The purpose of this study is to discuss the rationality (or irrationality) of the extension of the wind loads calculated by the ASCE 7-10 to the light-frame wood residential buildings that represent the most vulnerable structures under extreme wind conditions. To serve this purpose, the same approach as used in the development of Chapter 28 of the ASCE 7-10 that envelops peak responses is adopted in the present study. Database-assisted design (DAD) methodology is used by applying the dynamic wind loads from Louisiana State University (LSU) database on a typical residential building model to assess the applicability of the standard by comparing the induced responses. Rather than the postulated critical member demands on the industrial building such as the bending moments at the knee, the maximum values at the critical points for wood frame buildings under wind loads are used as indicators for the comparison. Then, the critical members are identified through these indicators in terms of the displacement or the uplift force at connections and roof envelope. As a result, some situations for each of the ASCE 7 procedures yielding unconservative wind loads on the typical low-rise residential building are identified.

• Physical Therapy Rehabilitation Science
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• 제8권4호
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• pp.210-217
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• 2019

Objective: This study was conducted to compare the immediate effect of hamstring stretching techniques of static stretching, proprioceptive neuromuscular facilitation (PNF) hold-relax and PNF irradiation on the hamstring muscle. Design: Three-group pretest-posttest design. Methods: Fifty-one subjects with shortened hamstrings were randomly assigned to the static stretching group (n=17), PNF hold-relax group (n=17), and the PNF irradiation group (n=17). All subjects performed an active knee extension (AKE) test to assess for the lower extremity with a shortened hamstring. The static stretching group performed stretches by lifting their leg to the maximum extent (3 times, 30 seconds). The PNF hold-relax group performed maximal isometric contraction against the experimenter's resistance (3 times, 10 seconds). The PNF irradiation group performed maximum isometric contraction against the experimenter's resistance toward the direction of the body (5 times, 5 seconds). The pre and post-tests measured range of motion (ROM), pressure pain thresholds (PPT) and muscle tone. Results: There were significant differences in ROM and PPT between pre and post intervention in each group (p<0.05). There was a significant difference only in the ROM among groups (p<0.05). Post-hoc analysis showed that the changes in ROM occurred in the order of the PNF hold-relax group, static stretching group and PNF irradiation group (p<0.05). Conclusions: The findings of this study suggest that the PNF irradiation technique may improve ROM and may be used to improve ROM similar to other stretching techniques. Therefore, the PNF irradiation technique could be included in stretching programs and can be used as a suitable stretching method depending on the situation.

• 재활복지공학회논문지
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• 제9권4호
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• pp.319-329
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• 2015

본 논문에서는 다자유도 동적 하네스 시스템 개발을 위해 일상동작에서와 트레드밀 보행 시 하네스 체중 지지에 따른 하지 동작 패턴에 관한 연구를 수행하였다. 건강한 성인 남성 5명을 대상으로 일상생활 동작과 하네스 체중지지에 따른 좌, 우 대퇴직근, 외측광근, 전경골근, 외측 비복근과 족압을 측정하였다. 실험 결과, 일상생활 동작 수행 시 EMG는 각 구분 동작들에 따른 특이적인 근육 활성을 나타내었다. 슬관절의 굴곡과 신전을 요하는 앉기, 서기, 계단 오르기, 계단 내리기 동작에서의 외측광근의 활성이 두드러졌다. 족압 분포의 경우 일상생활 동작 중 중력방향으로 내려오는 계단 내려오기 동작에서 가장 큰 족압 분포 값을 보였다. 수동형 하네스 체중 지지율이 증가에 따라 근육 활성도와 족압 분포 값은 감소하는 경향을 보였다. 이러한 결과를 토대로 체중지지를 통한 보행 훈련이 체중지지율 변화에 따라 다양한 환자 군에 적용 시킬 수 있을 것이다 판단된다.