• Journal of Chest Surgery
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• v.30 no.7
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• pp.729-732
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• 1997

A case of chest wall malignant peripheral nerve sheath tumor(MPNST) was reported in the U.S.A by Mark and coworkers6)(1991), but none in korea. MPNST accounts for approximately 10% of all soft tissue sarcoma, mostly in patients between 20 and 50 years of age. MPNST arises in association with a major nerve trunk, including the sciatic nerve, brachial plexus, and sacral plexus and the most common anatomical site is the proximal portion of the upper and lower extremity and trunk. Surgical treatment is local excision of mass in low grade sarcoma but unblock resection is necessary in high grade sarcoma. We experienced multiple huge low grade MPNST on left chest wall of a 50 years old man. The tumor and invalved chest wall were removed, and the chest wall defect(15$\times$8 cm) was reconstructed with Teflon. Postoperative course was unevenful.

• Journal of the Korean Society of Safety
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• v.28 no.1
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• pp.88-94
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• 2013

The purpose of this study is to find out the difference of foot pressure according to the firefighter's work postures for providing the basic information to prevent Musculoskeletal disorders. This study was conducted by 9 male firefighters. Work postures were selected for rescuee handling, fire hose and hydraulic rescue equipment work postures. These were divided into 3 position, "High", "Middle" and the postures of taking out and letting down hydraulic rescue equipment were analyzed as starting point and end point respectively. Foot Pressure was used to analyze contact area, peak pressure, and maximum force in terms of work postures, and compared between fire hose and hydraulic rescue equipment work postures. The results of foot pressure are as follows. According to the results of rescuee handling work postures, one person handling posture showed wide contact area and foot pressure showed the highest at right foot. Accoridng to the (High), (Middle), (Low) postures of fire hose, the results didn't show the difference among the contact area, peak pressure and maximum force. As the results of hydraulic rescue equipment work postures, (Low) postures showed the highest in terms of the right foot of contact area, peak pressure and maximum force and (High) postures showed the highest in left foot. The increase of foot pressure lead to be inconvenience of low extremity and muscle fatigue for maintaining postural control cause pain. Thus, it is necessary to design insole-equipped working shoe for reduce the impulse and effect of foot during the rescuee handling work which standing out as foot pressure.

• Physical Therapy Korea
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• v.29 no.3
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• pp.215-224
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• 2022

Background: The presence of the lumbopelvic-hip neuromuscular chain is essential for dynamic spinal stabilization; its therapeutic effects on dynamic movements of the distal extremity segment and underpinning motor mechanism remain unknown and warrant further study on participants with low back pain (LBP). Objects: We aim to compare the effects of the broken chain exercise (BCE) and connected chain exercise (CCE) on electromyography (EMG) amplitude and onset time in participants with and without LBP. Methods: Randomized controlled clinical trial. A convenience sample of 40 nonathletic participants (mean age: 24.78 ± 1.70) with and without LBP participated in this study. All participants underwent CCE for 30 minutes, 30-minute daily. We measured EMG amplitude and onset times on bilateral erector spinae (ES), gluteus maximus (GM), hamstring (HAM), transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) during the prone hip extension (PHE) test before and after the BCE and CCE. We used multivariate analysis of variance (MANOVA) to analyze the amplitude and onset time difference between exercises (BCE and CCE) and Pearson's correlations to determine any synergistic relationship among the HAM, GM, bilateral TrA/IO, and ES muscles. The statistical analyses were used at p < 0.05. Results: MANOVA showed that CCE was more decreased on EMG amplitude in HAM and bilateral ES, while increased GM and contralateral TrA/IO than BCE (p < 0.05). MANOVA EMG onset time data analyses revealed that the main effect of the conditions was significant for all HAM, GM, and bilateral ES muscles, whereas the main effect for the group was significant only for GM and contralateral ES in healthy and LBP groups. Pearson's correlation coefficient was computed to assess the relationship between BCE and CCE on dependent variables. In most of the muscles, there was a strong, positive correlation between the two variables, and there was a significant relationship (p < 0.001). Conclusion: CCE produced more effective and coordinated core stabilization and motor control mechanism in the lumbopelvic-hip muscles in participants with and without LBP during PHE than BCE.

• Journal of Acupuncture Research
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• v.31 no.2
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• pp.183-193
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• 2014

Objectives : The purpose of this study is to report the improvement in patients with lumbar, cervical or radiating pain to the extremity by means of acupotomy. Methods : We treated 5 patients who have a disease related with lumbar or cervical spine with acupotomy combined with oriental medical treatment. We checked numeric rating scale(NRS), oswestry low back pain disability index(ODI) or neck disability index(NDI), and range of motion(ROM). Results : NRS and ODI/NDI were decreased, and ROM improved at all cases. Conclusions : This study shows acupotomy has a meaningful effect when applied on lumbar and cervical spine.

• Journal of The Korean Society of Integrative Medicine
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• v.3 no.2
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• pp.73-78
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• 2015

Purpose: This study was conducted to investigate out the effects of power by body application of weight training that can increase vertical jump, standing long jump, and medicine ball throw that are important factors for power ability. Methods: Sixteen in normal adult were participated in this study. The subjects were divided into the upper limb weight training group(N=16), the lower limb weight training group(N=16) and they exercised during a four-week period of time, three times a week, 70 minutes each, and the each group did take part in any exercise program. To evaluate the changes in power were measured by using the vertical jump, standing long jump, and medicine ball throw. The data was analyzed with a SPSS 18.0 program. Results: The results showed that the vertical jump, standing long jump were significantly increased in the upper limb weight training group(p<.01) and medicine ball throw was significantly increased in the both group(p<.05). However, there were that showed not significantly differences in all power items between two groups after experiment(p>.05). Conclusion: It was concluded that the weight training were effective in enhancing the power ability. Also, can be considered effective the better lower limb weight training group than upper limb weight training group.

• Tuberculosis and Respiratory Diseases
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• v.45 no.3
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• pp.619-623
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• 1998

Neurilemmoma, also called schwanomma, neurinoma, and perineural fibroblastoma is a rare benign tumor originated from the schwann cell of nerve sheath. They occur commonly at 20-50 aged person and involved the head and neck and flexor surface of the extremity. Histologically, they are characterized by Antoni A and Antoni B tissue composed of high and low cellularity. Primary neurilemmoma involved in the bronchial wall is extremely rare and few cases have been reported previously. We experienced neurilemmoma of the bronchial wall in a 72 year old woman. The pulmonary radiology showed the right middle lobe collapse with single lymphadenopathy, and bronchoscopic biopsy was performed to confirm the neurilemmoma.

• The Journal of Korean Physical Therapy
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• v.25 no.5
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• pp.316-321
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• 2013

Purpose: The aimed of this study was to investigate muscle activation related to postural stability according to different frequency of whole body vibration during quiet standing, to identify the most effective training conditions that cause the highest neuromuscular responses, and to evaluate the difference of EMG activation according to the anatomical position of the muscle - proximal or distal from the vibration platform. Methods: Eighteen healthy subjects voluntarily participated in this single-group, repeated-measures study in which EMG data from upper trapezius, rectus abdominalis, external oblique abdominalis, elector spinae, gluteus maximus, rectus femoris, semitendinosus, and gastrocnemius were collected over different frequencies (0-5-10-15-20-25Hz) for each subject during quiet standing. Results: We observed a statistically significant difference in the mean values of %RVC of muscular activation according to different frequencies of whole body vibration during quiet standing in all muscles (p<0.05). Conclusion: Our results indicate that lower frequencies of vibration result in low muscular activation, and higher frequencies elicit high muscular activation. However, the most effective training condition that caused the highest activation was 20 Hz. In addition, the proximally located lower extremity muscles (GCM, RF, ST, GM) showed higher activation than the distally located trunk and neck muscles (ES, EO, RA, UT) together with increasing frequency.

• Physical Therapy Korea
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• v.22 no.1
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• pp.79-92
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• 2015

The effects of Proprioceptive Neuromuscular Facilitation (PNF) and elastic band exercise on the physical functions and blood lipids of obese elderly women were investigated. The experimental group ($n_1=16$) patients underwent PNF for 12 weeks, and the control group ($n_2=15$) patients performed elastic band exercises. SPSS 21.0 was used to compute the means and standard deviations. After the 12-week PNF, both the experimental and control groups showed statistically significant differences in the physical functions (cardiovascular endurance, strength of the lower extremity, muscular endurance, flexibility, balance, and agility) (p<.05), but the difference in the experimental group was more significant than that in the control group (p<.05). In terms of the changes in the blood lipid levels (total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein), the experimental group showed significant changes (p<.05). In conclusion, PNF was confirmed as more effective than elastic band exercise in improving the physical functions and blood lipid levels of obese elderly women.

• Journal of the Ergonomics Society of Korea
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• v.29 no.4
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• pp.405-422
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• 2010

Occupational musculoskeletal disorders currently account for the largest proportion of the occupational illnesses in Korea. In this research, status of musculoskeletal disorders among the occupational illnesses was examined through workers' compensation claims data. Types and characteristics of musculoskeletal disorders were looked at other data set as well. The data sets included epidemiological investigation data reported by Occupational Safety and Health Research Institute, and data collected from occupational disease surveillance reports and Korean occupational health-related scientific journals. Number of cases, incidence rate and insurance benefits for occupational musculoskeletal disorders in Korea are increasing every year. In addition, musculoskeletal disorders occurrence is shifted from large enterprises group to small-and-medium group, from manufacturing to service sector, and from production workers to office and professional workers. Although low back pain is still most common, its occurrence characteristics is gradually shifted from traumatic to cumulative while musculoskeletal disorders are somewhat seemingly moved from lumbar to upper limb body part. Musculoskeletal disorders were observed to be more diverse and prevalent in epidemiological investigations or surveillance data rather in workers' compensation claims data. Musculoskeletal disorders occurrence is related to demographic factors, occupational psychosocial factors, and ergonomic risk factors at workplace for which appropriate preventive measures needed to be made accordingly.

• Korean Journal of Applied Biomechanics
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• v.20 no.3
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• pp.303-310
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• 2010

The purpose of this study was (a)to compare electromyographic (EMG) activities and physiological variables on the development of fatigue induced by ergometer test, (b)to determine investigate the differences in the stage of fatigue between the electromyographic characteristics and physiological variables. Nine male university students who have no musculoskeletal disorder were recruited as the subjects. The electromyographic characteristics(peak IEMG, average IEMG, median frequency, mean edge frequency) and physiological variables(HR, RPE, blood lactate) were determined for each stage(15, 30, 45, 60 minutes, all out). For each dependent variable, one-way analysis of variance(ANOVA) with repeated measures and correlation analysis were performed to test if significant difference existed(p<.05). The results showed that peak IEMG, average IEMG from low extremity and physiological variables were significantly increased during the all-out stage. EMG parameters in VL, VM show significantly correlation with physiological variables during whole stages. This indicated that IEMG values may be proper parameters to determine muscle fatigue rather than physiological variables.