• 대한정형도수물리치료학회지
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• 제21권1호
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• pp.5-11
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• 2015

Background: The purpose of this study was to investigate the effects of Mulligan's straight leg raise with traction technique and hold-relax technique on flexibility of hamstring in people with shortened hamstring. Methods: Thirty two subjects participated in this study. The subjects were assigned to either the Mulligan's straight leg raise with traction technique group (n=16) or the hold-relax technique group (n=16). 90-90 straight leg raise test was performed for evaluation of hamstring shortening at initial time of study. After intervention, immediate effect (immediately after intervention) and lasted effect (60 min after intervention) were assessed. Results: In the both Mulligan's straight leg raise with traction technique and hold-relax technique groups, significant improvements on flexibility of hamstring was observed in immediately and 60 minute after intervention (p<.05). However, there are no significant difference was observed between groups (p>.05). Conclusion: In the results of this study, both Mulligan's straight leg raise with traction technique and hold-relax technique show immediately and 60 minute after evaluation effectiveness in flexibility of hamstring of people with shortened hamstring. In addition, although the difference is not statistically significant, Mulligan's straight leg raise with traction technique was more increased average extension angle of knee joint at 90-90 straight leg raise test than the hold-relax technique.

• 한국응용과학기술학회지
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• 제37권4호
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• pp.839-847
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• 2020

본 연구는 외발 착지 시 신체적 특성 요인들인 발목 유연성, 성별, Q-angle이 발목 관절 상해 요인들에 미치는 영향을 분석하는데 목적이 있었다. 이를 위해 오른발을 주발로 사용하고 체육을 전공하는 20대 남성 16명(나이: 20.19±1.78 years, 체중: 69.54±10.12 kg, 신장: 173.22±4.43 cm), 여성 16명(나이: 21.05±1.53 years, 체중: 61.75±6.97 kg, 신장: 159.34±4.56 cm)을 연구대상자로 선정하였다. 외발 착지 시 신체적 특성 요인들이 발목 관절 상해에 미치는 영향을 확인하기 위하여 첫째, 발목 상해 경험에 따른 하지 관절 움직임과 관절 모멘트의 독립 t-test를 실시하였다(α = .05). 둘째, t-test를 통하여 유의한 차이를 나타낸 변인을 종속변인으로 설정하고 발목 유연성, 성별의 차이, Q-angle을 독립변인으로 지정하여 선형다중회귀분석(Multiple Linear Regression)을 사용하였다(α = .05). 본 연구결과 발목 관절 상해를 경험한 그룹은 상해를 경험하지 않은 그룹과는 다르게 발목 관절의 내전, 무릎 관절의 내측 회전을 통한 착지 전략과 기술을 사용하는 것으로 나타났다. 또한 이러한 움직임은 발목 관절의 신전 모멘트를 증가시키고, 엉덩 관절의 신전 모멘트는 감소시키는 것으로 확인되었다. 특히 발목의 배측굴곡 유연성은 발목과 무릎의 착지전략에 영향을 미치며, 성별의 차이는 발목의 신전 모멘트에 영향을 미치는 것을 알 수 있었다. 따라서 외발 착지 시 신체적 특성 요인들이 발목 관절 상해에 영향을 미치는 요인들임을 확인 할 수 있었다.

• 한국운동역학회지
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• 제18권1호
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• pp.1-10
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• 2008

본 연구는 축구 인스텝 킥에서 지지 다리의 후족각과 차는 다리의 해부학적 회전 운동의 자료들을 분석해서 다음과 같은 결론을 얻었다. 발목 관절에서의 외반각은 지지발의 접지 이전에 최대 피크에 도달했으며, 저측 굴곡은 그룹 간 최대 피크의 타이밍에서 약간의 차이가 나타났다. 지지발의 접지 시 후족의 굴곡각은 그룹 간 통계적으로 유의한 차이가 났으며, 지지발의 접지 시 하퇴의 운동은 그룹 간 유의한 차이가 없었다. 접지 이전에 이미 하퇴를 후방으로 많이 기울였으며, 임팩트 순간 하퇴의 좌우 기울기는 22도였다. 차는 다리 고관절의 굴곡/신전은 지지발의 접지 시 최대 피크에 이르렀으며, 이 순간 고관절의 최대 신전각은 30도 이상으로 나타났다. 차는 다리 무릎 관절의 굴곡각은 접지와 임팩트의 사이에 최대로 굽혔으며, 족관절의 최대 저측 굴곡각과 최대 외번각은 그룹 간 유의한 차이는 나지 않은 반면, 최대 외측 회전각은 유의한 차이가 났다.

• 한국운동역학회지
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• 제28권3호
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• pp.175-180
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• 2018

Objective: Anterior cruciate ligament reconstruction (ACLR) has been considered the primary treatment for anterior cruciate ligament (ACL) injured patient. However, there is little biomechanical evidence regarding bilateral knee joint biomechanics during landing and cutting task after ACLR. Method: Eighteen females with ACLR participated in this investigation. Double leg jump landing (DLJL) and single leg jump cut (SLJC) biomechanics were assessed. Results: During DLJL, the healthy knee showed greater knee valgus angle at initial contact ($^{\circ}$) compared to the injured knee (Injured: $2.93{\pm}2.59$, Healthy: $4.20{\pm}2.46$, t=2.957, p=0.009). There was a significant difference in anterior tibial shear force ($N{\times}N^{-1}$) with greater in the injured knee (Injured: $1.41{\pm}0.39$, Healthy: $1.30{\pm}0.35$, t=2.201, p=0.042). During SLJC, injured knee showed greater knee extension moment ($N^*m{\times}[N^*m]^{-1}$) compared to healthy knee (Injured: $0.51{\pm}0.19$, Healthy: $0.47{\pm}0.17$, t=2.761, p=0.013). However, there was no significant differences between the knees in the other variables. Conclusion: ACLRfemales exhibited a greater knee valgus angle at initial contact and lesser anterior tibial shear force on the healthy knee during double leg jump landing. In addition, ACLR females showed a greater knee extension moment on the injured knee during single leg jump cut.

• 한국운동역학회지
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• 제29권3호
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• pp.185-196
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• 2019

Objective: The aim of this study was to suggest correct and effective way of squat through biomechanical analysis variables on the change of the toe-out angle. Method: 7 high school male weightlifter (age: $17.57{\pm}0.53yrs$, height: $174.0{\pm}3.93cm$, weight: $81.0{\pm}9.17kg$, 1RM: $164.29{\pm}20.7kg$) participated in this study. Results: Angle of the hip joint at E2 was smaller than toe-out angle was in $20^{\circ}$ than in $0^{\circ}$ (p<.05). Angular velocity of the foot joint at E1 and E3 was quicker that in $10^{\circ}$ than in $30^{\circ}$ (p<.05). Anterior-posterior stability index was greater that toe-out angle was in $30^{\circ}$ than in $0^{\circ}$ (p<.05). In average iEMG of flexion phase, VM of right, left leg showed high activity at toe-out angle $30^{\circ}$. In average iEMG of flexion phase, extension phase and in peak iEMG, RF of right leg, VM and VL of left leg showed high activity at all of the toe-out angles. In average iEMG of flexion phase, extension phase and in peak iEMG, all of the muscles activity of right leg showed high in $10^{\circ}$ and low in $0^{\circ}$, $30^{\circ}$. Conclusion: It is judged that setting the toe-out angle $10^{\circ}$ in squat help to efficiently use muscles and ensure stability.

• 대한정형외과스포츠의학회지
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• 제2권1호
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• pp.50-55
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• 2003

목적: 플라이오메트릭 훈련이 하지 슬관절의 굴곡과신전, 족관절의 배측굴곡과 족저굴곡의 등속성 총일량에 미치는 영향의 정도를알아보며이훈련법의효과검증을위해시도되었다. 대상및방법: 선택된 플라이오메트릭훈련 방식은 7가지로pike jump, double leg hop, double leg bound, single leg hop, stride jump cross over, alternate leg bound, box jump로구성되었다. 연구대상자는20 $\~$22세사이의대학생으로, 훈련시행군(N=5), 대조군(N=4)으로8주간 시행하고 훈련 전후 등속성 장비를 이용하여 슬관절과 족관절의 등속성 총일량을 측정하였다. 결과: 플라이오메트릭 훈련을 시행한군에서 높은 각속도의 슬관절과 족관절 운동의 총일량이 대조군에 비하여 증가하였다(p<0.05) .결론: 결과적으로 플라이오메트릭 훈련은 하지슬관절과족관절의등속성 총일량에 부분적으로영향을미치는것을알수있으며, 더나아가운동수행에도영향을미칠수있는것을의미한다.

• 대한한의학회지
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• 제22권1호
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• pp.104-110
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• 2001

Muscle rupture is not a common disease. But it is known that partial muscle rupture commonly occurs to active sports athletes or heavy workers who receive severe physical stress. Gastrocnemius muscle rupture(this is called ‘tennis leg’)is often caused by sudden overstretching of the muscle through concomitant ankle dorsiflexion and knee extension. This rupture may result in a swelling and pain that is easily confused with other diseases like thrombophlebitis. Ultrasonography can confirm the clinical suspicion of tennis leg and the assessment of the size of the lesion, and can discriminate from other diseases. So it is a useful, noninvasive, low-cost modality to diagnose and follow up tennis leg. We experienced 2 cases of partial gastrocnemius muscle rupture patients who were treated by conservative methods or acupuncture therapy and followed up with Ultrasonography, and arrived at some interesting results, which we report along with a review of some relevant literature.

• 대한물리의학회지
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• 제1권1호
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• pp.59-66
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• 2006

Purpose : The purpose of this study was to investigate the effects of diaphragmatic breathing on activation of lumbar paraspinal muscles of normal healthy people. Diaphragmatic breathing may affect activation of trunk muscles. The assumptions are as follows: the crural diaphragm attatches to the lumbar vertebrae from L1 to L3, the voluntary downward pressurization of the diaphragm increases intra-abdominal pressure, and this increases the stiffness of the spine. Methods : Sixty male college students ranging 19 to 34 years were screened and % maximal voluntary contraction(% MVC) of trunk muscles on the four positions of back extension exercise was compared during the pre and post of inspiration of diaphragmatic breathing. Results : 1. % MVC of right and left erector spinae had the statistically significant difference between pre and post inspiration of diaphragmatic breathing in the dynamic right arm and left leg extension position(p<0.05). 2. % MVC of right and left erector spinae had the statistically significant difference between pre and post inspiration of diaphragmatic breathing in the dynamic left arm and right leg extension position(p<0.05). 3. % MVC of right and left erector spinae had the statistically significant difference between pre and post inspiration of diaphragmatic breathing in the static lying prone extension position(p<0.05). 4. % MVC of right and left erector spinae had the statistically significant difference between pre and post inspiration of diaphragmatic breathing in the static lying on prone position(p<0.05). Conclusion : This study will be used as the purpose of data collection of lumbar paraspinal muscles on diaphragmatic breathing and be introduced as the new therapeutic intervention for management of patients with back pain.

• PNF and Movement
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• 제17권1호
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• pp.119-127
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• 2019

Purpose: The purpose of this study is to show the effect of elastic band on balance and functional ability in chronic stroke patients living in community. Methods: The subjects who participated in the study were 9 patients with chronic stroke. One of them gave up during the study, finally 8 patients performed. The intervention was conducted once a week for 10 weeks. In this study functional reach test (FRT), timed up and go test (TUG), Tinetti performance oriented mobility assessment (Tinetti-POMA) were measured for balance. The coordination training of arms and legs using the elastic band was performed in three positions as supine, side lying, sitting. One arm performed flexion-adduction- external rotation with elbow flexion pattern and the opposite side(diagonal) leg was performed flexion-adduction-external rotation with knee flexion pattern, the other arm's pattern was extension-abduction-internal rotation with elbow extension and the opposite side (diagonal) leg was in extension-abduction-internal rotation with knee extension pattern. The training was performed in each position for 15 minutes in per position. The participants had a five minute break after each training. Results: The results are as follows. FRT and Tinetti-POMA showed significant increase statistically in each position. The TUG showed significant decrease statistically in each position. Conclusion: Even though the coordination training with elastic band had performed once a week, it showed positive effects on balance in chronic stroke patients. Therefore, if we can suggest the appropriate frequencies of coordination training of arms and legs using the elastic band, it can be a method to improve daily life and life quality to patients with chronic stroke.

• PNF and Movement
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• 제20권2호
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• pp.179-187
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• 2022

Purpose: The purpose of this study was to determine the asymmetrical difference between the use of leg muscles on the surgical and non-surgical sides during initial lower extremity ergometer exercise after unilateral knee arthroplasty. Methods: Twelve elderly patients diagnosed with degenerative arthritis of the knee and who underwent unilateral arthroplasty were included in this study. The leg length of each subject was taken into account when setting the application distance of the lower extremity ergometer. The same pedal resistance, strength, and speed were used for all the subjects. The total angle of use of the ergometer (360°) was analyzed by dividing it into an extension section and a flexion section. Using a surface electromyography system, the activities of the muscles of the surgical and non-surgical sides were converted into maximal voluntary isometric contraction (MVIC) and analyzed using the paired t-test. Results: When the activities of the muscles on the surgical and non-surgical sides were compared, it was found that the rectus femoris and biceps femoris had significant differences in the flexion and extension sections (p < .05), and that the tibialis anterior significantly differed in the flexion section (p < .05). There was no significant difference in the extension section of the tibialis anterior muscle, or in the flexion and extension sections of the gastrocnemius (p >.05). Conclusion: The results of this study confirm that the rectus femoris, tibialis anterior, biceps femoris, and gastrocnemius on the surgical side act in an opposite manner to those on the non-surgical side during pedaling in the same section.