• PNF and Movement
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• 제15권1호
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• pp.97-104
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• 2017

Purpose: This study seeks to determine the effect of a lower extremity strengthening exercise that uses proprioceptive neuromuscular facilitation (PNF) on the gait and balance ability of a stroke patient. Methods: In this case study, a lower extremity strengthening exercise that used PNF was performed by the subject for 30 minutes 4 times per week for a 4-week period alongside typical rehabilitation therapy. The lower extremity pattern used flexion-abduction-internal rotation with knee flexion, extension-abduction-internal rotation, bilateral leg extension pattern. The 10 m walk test and 6 minute walk test were used to assess gait ability. The Berg balance scale was used to assess balance ability. Results: After the intervention, the time for the 10 m walk test decreased by 5.72 sec, the distance for the 6 minute walk test decreased by 20 meters, and the score on the Berg balance scale improved by 7 points, which indicates the effectiveness of this therapy for stroke patients. Conclusion: The results of this study indicate that a lower extremity strengthening exercise using PNF can improve the gait ability and balance ability of stroke patients.

• 한국운동역학회지
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• 제18권2호
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• pp.29-39
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• 2008

본 연구는 평행봉 티펠트 기술에 대한 훈련 프로그램을 개발하여 8주간 적용하고 프로그램 전과 후의 차이를 3차원 영상분석법을 사용, 운동학적으로 비교 분석을 통해 기술별 동작의 향상도 및 특성을 규명하고자 하였다. 훈련 프로그램은 다운스윙 보강운동, 업스윙 보강운동, 다운스윙과 업스윙을 연결하는 보강운동으로 구성하여 실시하였으며, 견관절을 신전시켰다가 가슴을 오목하게 빠르게 모아주는 다운스윙의 훈련으로 견관절을 신전시켜 신체중심을 후방으로 크게 하강하는 모습으로 개선되었다. 수직방향으로 빠르게 다리를 차주면서 상체를 세워주는 업스윙의 훈련결과 신체중심이 전방으로 흐르지 않으면서 수직방향으로 신체중심을 빠르게 상승시키는 모습으로 개선되었다. 업스윙의 훈련 시 상승하면서 전방으로 신체중심이 크게 이동하지 않도록 통제하면서 봉의 탄성을 이용하면서 고관절을 빠르게 신전시켜 상체를 튕겨 주는듯한 느낌으로 상승하도록 지도하여야 한다. 다운스윙에서 업스윙으로의 동작을 연결하는 훈련에서는 신체중심을 후방으로 크게 하강하였다가 빠르게 수직 상승하여 체공시간을 확보하면서 다리가 굽혀지지 않도록 지도하여야 하며, 훈련결과 체공시간의 증가로 안정된 동작으로 동작이 완성되는 모습으로 개선되었다.

• Journal of Korean Neurosurgical Society
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• 제48권5호
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• pp.461-464
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• 2010

The authors report a 58-year-old woman with low-grade fibromyxoid sarcoma primarily located in the right paravertebral area with extension to L4 neural foramen. The patient complained lower back pain with radiating pain along the posterolateral aspect of the right lower leg. She underwent subtotal surgical removal and Cyber Knife therapy. Diagnosis was made by strikingly characteristic microscopic appearance of a bland spindle cell sarcoma which contained numerous giant collagen rosettes and was also supported by immunohistological findings. The diagnostic image findings and literatures are reviewed and discussed.

• Journal of Korean Neurosurgical Society
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• 제38권1호
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• pp.74-76
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• 2005

Cavernous angiomas represent 5 to 12% of spinal vascular malformations and usually are located at the vertebral body level with possible extension into the extradural space. The intradural intramedullary cavernous angioma occurs in about 3% of cases, whereas extramedullary localization is extremely rare. We report a case of intradural extramedullary cavernous angioma in which the patient presented with low back pain and both leg pain. The magnetic resonance imaging study showed intraspinal mass lesion at L1-2. It was removed totally through laminectomy of L1-2 and confirmed as cavernous angioma. The postoperative course was uneventful without any neurologic deficit. We report this unusual spinal malformation.

• 한국운동역학회지
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• 제24권1호
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• pp.85-93
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• 2014

The purpose of this study was to investigate a relationship among Taekwondo, soccer and gymnastic athletes their balance ability and lower extremity muscle strength, muscle endurance and also whether these variables show differences by sports type. For this purpose, 10 Taekwondo athletes, 10 soccer athletes and 10 gymnastic athletes that is a high school in I area were selected and their balance ability, isokinetic muscle strength and muscle endurance were measured by using force platform (AMTI) and isokinetic measurement (HUMAC NORM). Then the following results were obtained by conducting pearson product-moment correlation analysis and one-way ANOVA. In case of both right and left foot one-leg standing with open-eyes, there was a relation between both knee extension maximal muscle strength of Taekwondo, soccer, gymnastic athletes and balance ability, and in case of right foot one-leg standing with open-eyes, there was a relation between that is right plantar flexion and dorsi flexion maximum muscle strength and muscle endurance of Taekwondo, soccer, gymnastic athletes and their balance ability. Furthermore, in case of left dorsi flexion maximum muscle strength, there were significant differences in order of Taekwondo, gymnastics and soccer, and for isokinetic plantar flexion maximum muscle endurance, both right and left showed significant differences in order of Taekwondo, gymnastic and soccer.

• 디지털융복합연구
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• 제13권8호
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• pp.495-502
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• 2015

본 연구는 빙상 선수를 대상으로 외발점프 훈련 시 하지관절 운동역학 변인의 차이를 분석함으로써 무릎테이핑의 효과를 알아보고자 하였다. 연구결과 다음과 같은 결론을 얻었다. 점프높이는 테이핑 후 높은 것으로 나타났지만 테이핑에 따른 차이는 없는 것으로 나타났다. 상승 시 좌 우, 전 후 최대충격력은 테이핑 후 감소되는 것으로 나타났고, 수직 최대충격력은 테이핑 후 증가된 것으로 나타났다. 착지에서 테이핑 후의 좌우 최대충격력은 감소되었으나 전 후, 수직 최대 충격력은 증가된 것으로 나타났다. 상승과 하강 시 테이핑 후 충격량의 감소가 크게 나타났다. 상승 시 테이핑 후 무릎관절의 신전, 외번모멘트에서 감소가 나타났다. 착지에서 테이핑 후 무릎관절의 굴곡모멘트는 감소했지만 내번모멘트는 테이핑 후 증가된 것으로 나타났다. 무릎테이핑이 선수들의 부상예방과 운동수행능력에 도움을 줄 수 있을 것으로 판단되며 스포츠의학과의 융복합연구가 필요할 것으로 판단된다.

• 한국운동역학회지
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• 제27권3호
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• pp.189-195
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• 2017

Objective: The aim of this study was to examine the effect of foot landing type (forefoot vs. rearfoot landing) on kinematics, kinetics, and energy absorption of hip, knee, and ankle joints. Method: Twenty-five healthy men performed single-leg landings with two different foot landing types: forefoot and rearfoot landing. A motion-capture system equipped with eight infrared cameras and a synchronized force plate embedded in the floor was used. Three-dimensional kinematic and kinetic parameters were compared using paired two-tailed Student's t-tests at a significance level of .05. Results: On initial contact, a greater knee flexion angle was shown during rearfoot landing (p < .001), but the lower knee flexion angle was found at peak vertical ground reaction force (GRF) (p < .001). On initial contact, ankles showed plantarflexion, inversion, and external rotation during forefoot landing, while dorsiflexion, eversion, and internal rotation were shown during rearfoot landing (p < .001, all). At peak vertical GRF, the knee extension moment and ankle plantarflexion moment were lower in rearfoot landing than in forefoot landing (p = .003 and p < .001, respectively). From initial contact to peak vertical GRF, the negative work of the hip, knee, and ankle joint was significantly reduced during rearfoot landing (p < .001, all). The contribution to the total work of the ankle joint was the greatest during forefoot landing, whereas the contribution to the total work of the hip joint was the greatest during rearfoot landing. Conclusion: These results suggest that the energy absorption strategy was changed during rearfoot landing compared with forefoot landing according to lower-extremity joint kinematics and kinetics.

• 대한물리의학회지
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• 제11권1호
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• pp.93-105
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• 2016

PURPOSE: The purpose of this study was to determine the effect of corrective exercise on hip joint range of motion, lower limb alignment, radiographs of hip and knee joints, and quadriceps muscle activity in a patient with knee joint valgus deformity. METHODS: A single-subject A-B-A experimental design was used to determine the effects of therapeutic exercise. The single-subject was a 27-year-old male, who presented with knee joint valgus deformity. Corrective exercise program was performed for 40 min/day twice a week for 12-week. Range of motion (hip flexion, extension, abduction, adduction, internal rotation, and external rotation), lower limb alignment test (Q-angle, rear foot alignment, and leg length), standing anterior-posterior radiographs (neck shaft angle and knee joint space), and quadriceps muscle activity of both lower limbs were measured before (A 1), after 6 weeks (B 1) and after 12-weeks (B 2) of corrective exercise and after 6 weeks of exercise completion (A 2). RESULTS: Hip range of motion increased in all directions of both sides at B 2 and A 2 compared to at A 1. Q-angle of both side and leg length discrepancy decreased at B 2 and A 2 compared to at A 1. Neck shaft angle and knee joint space of both sides improve at B 2 and A 2 compared to at A 1. Quadriceps of both side muscle activities improved at B 2 and A 2 compared to at A 1. CONCLUSION: We demonstrated that corrective exercise increases range of motion, and improves lower limb alignment and muscle activity in a patient with knee joint valgus deformity.

• 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.

• 한국의류학회지
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• 제40권2호
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• pp.240-257
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• 2016

This study determines the effect of 3D compression pants and Kinesio taping on muscular function of the leg during knee joint flexion and extension. Eight males participated in the experiment, wearing basic pants (BP), Kinesio taping on bare skin (KT), 3D compression pants with (KTP) and without Kinesio taping (CP). The test protocol for isokinetic muscular function was composed of four sets at three angular velocities (60, 180, $240^{\circ}/sec$) using Cybex 660. Peak torque and work per repetition of the lower limbs of eight males were analyzed from the result of Cybex. Agility and power of the subjects were examined from side step and sergeant jump. Peak torque, average power, work per repetition, force decay time of subjects wearing CP and KTP were significantly better than BP or KT, especially at low angular velocity of $60^{\circ}/sec$. The time to generate peak torque of subjects wearing BP was the longest, while the force-decay time of BP was the shortest. The application of Kinesio tape on skin did not increase muscle peak torque, work and power, but did shorten the time to generate peak torque.