• The Korean Nurse
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• v.36 no.5
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• pp.45-62
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• 1998

The study was conducted from November 1995 to May 1996 at the one general hospital in Seoul. The total subjects of this study were 412 patients who have the experience of fall accident, among them 31 was who have fallen during hospitalization and 381 was who visited emergency room and out patient clinic. The purposes of this study were to determine the characteristics, risk factors and results of fall accident and to suggest the nursing strategies for prevention of fall. Data were collected by reviewing the medical records and interviewing with the fallers and their family members. For data analysis, spss/pc+ program was utilized for descriptive statistics, adjusted standardized $X^2$-test. The results of this study were as follows: 1) Total subjects were 412 fallers, of which 245(59.5%) were men and 167(40.5%) were women. Age were 0-14 years 79(19.2%), 15-44 years 125(30.4%), 45-64 years 104(25.2%), over 65 years 104(25.2%). 2) There was significant association between age and the sexes ($X^2$=39.17, P=0.00). 3) There was significant association between age and history of falls ($X^2$=44.41. P= .00). And history of falls in the elderly was significantly associated with falls. 4) There was significant association with age and medical diagnosis ($X^2$=140.66, P= .00), chief medical diagnosis were hypertension(34), diabetis mellitus(22), arthritis(11), stroke(8), fracture(7), pulmonary tuberculosis(6), dementia(5) and cataract(5), 5) There was significant association between age and intrinsic factors: cognitive impairment, mobility impairment, insomnia, emotional problems, urinary difficulty, visual impairments, hearing impairments, use of drugs (sedatives , antihypertensive drugs, diuretics, antidepressants) (P < 0.05). But there was no significant association between age and dizziness ($X^2$=2.87, P=.41). 6) 15.3% of total fallers were drunken state when they were fallen. 7) Environmental factors of fall accident were unusual posture (50.9%), slips(35.2%), trips (9.5%) and collision(4.4%). 8) Most of falls occurred during the day time, peak frequencies of falls occurred from 1pm to 6pm and 7am to 12am. 9) The places of fall accident were roads(22.6%), house-stairs 06.7%), rooms, floors, kitchen (11.2%), the roof-top, veranda, windows(10.9%), hospital(7.5%), ice or snowy ways(5.8%), bathroom(4.9%), playground, park(4.9%), subway-stairs(4.4%) and public-bathrooms (2.2%). 10) Activities at the time of fall accident were walking(37.6%), turning around or reaching for something(20.9%), going up or down stairs09.2%), exereise, working07.4%), up or down from a bed(2.7%), using wheelchair or walking aids, standing up or down from a chair(2.2%) and standing still(2.2%). 11) Anatomical locations of injuries by falls were head, face, neck(31.3%), lower extremities (29.9%). upper extremities(20.6%), spine, thorax, abdomen or pelvic contents(l1.4%) and unspecified(2.9%). 12) Types of injures were fracture(47.6%), bruises03.8%), laceration (13.3%), sprains(9.0%), headache(6.6%), abrasions(2.9%), intracranial hemorrage(2.4%) and burns(0.5%). 13) 41.5% of the fallers were hospitalized and average of hospitalization was 22.3 days. 14) The six fallers(1.46%) died from fall injuries. The two fallers died from intracranial hemorrage and the four fallers died of secondary infection; pneumonia(2), sepsis(1) and cell lulitis(1). It is suggested that 1) Further study is needed with larger sample size to identify the fall risk factors. 2) After the fall accident, comprehensive nursing care and regular physical exercise should be emphasized for the elderly person. 3) Safety education and safety facilities of the public place and home is necessary for fall prevention.

• Journal of the Korean Society of Radiology
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• v.7 no.1
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• pp.71-79
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• 2013

The purpose of this study is to establish the basic data for the management of the elderly patients aged more than 60 suffering from musculoskeletal disorders in geriatric hospitals. From January, 1 2012 to December 31, 2012, 2,500 patients who were taken the x-ray inspection and were analyzed x-ray order 5,042 cases above spines, upper lower extremities and joints. The elderly age was divided into 3 groups according to Brody elderly statistics. The majority of elderly patients who visited the hospital are exposed to spinal disorders and joint diseases. Shoulder, knee, L-spine examination cases had accounted for more than half the number of total. By age group, the number of the first quarter was most dominant commonly. Second and third quarter was maintaining slightly decrease. The fourth quarter had reduced compared to the first quarter. If the visiting purposes and the disease causes analysis and preventive measures are taken in a study, it is expected to utilize as basic data to make a plan of the education for preventing diseases and elderly behavior planning for geriatric hospitals and to redistribute health care resources of the rural areas efficiently.

• Physical Therapy Korea
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• v.12 no.4
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• pp.41-47
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• 2005

The purpose of this study was to determine the intra-rater and inter-rater reliability of various forward head posture measurements. Ten healthy adults (age, $20.4{\pm}2.2$ yrs; height, $164.0{\pm}5.5$ cm; weight, $58.7{\pm}7.3$ kg) participated in the study. They were free of injury and neurologic deficits in the upper extremities and neck at the time of testing. The subjects were asked to perform head forward posture by under the guidance of physical therapists. Markers were placed on the C7 spinous process, mastoid process, tragus of the ear, outer canthus, and forehead. Measurement 1 for forward head posture assessment was measured as the angle between the horizontal line through C7 and the line connecting the C7 spinous process with the tragus of the ear. Measurement 2 was measured as the angle between the C7 spinous process, the mastoid process and the outer canthus. Measurement 3 was measured as two kinds of angles the HT (head tilt) angle is between the line from the midpoint of forehead to the tragus line and Y-axis at the tragus point. The NF (neck flexion) angle is between the line from the tragus to the C7 line and the Y-axis at the C7. Intra-rater, inter-rater reliability and coefficient of variation was assessed by comparing the measured values from three kinds of measurements of forward head posture. The intra-rater reliability was indicated by intraclass correlation coefficients [ICC(1,1)] and inter-rater reliability was shown by intraclass correlation coefficients [ICC(3,k)]. The results of study were as follows: ICC(1,1) values for intra-rater reliability of three measurements were in the 'excellent' category. ICC(3,k) values for inter-rater reliability of three measurements were also in the 'excellent' category. The coefficient of variation of method 2 had a lower value than method 1 and method 3. This data means that the measured value of method 2 was less scattered. Further research is needed to determine whether the validity of all measurements is revealed in the 'excellent' category.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.10
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• pp.4676-4685
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• 2012

We investigated to compare the effects of a low intensity eccentric exercise and dynamic stretching on symptoms of delayed onset muscle soreness (DOMS). The eighteen women who had not participated in a regular exercise programme for the lower extremities in the previous five months were randomly assigned to one of three experimental groups: control group, a low intensity eccentric exercise group and dynamic stretching group. We measured the joint range of motion (ROM), maximal voluntary isometric exercise (MVIC), muscle soreness rating scale and ultrasound image measurement before eccentric exercise inducing DOMS, and 24, 48, and 72 hours after an eccentric exercise inducing DOMS. The exercise programme in a low intensity eccentric exercise group and dynamic stretching group were respectively performed 3 times a week for 4 weeks before eccentric exercise inducing DOMS. There was significantly different between the groups in muscle soreness rating scale and MVIC (p<.05). However, there was not significantly different between groups in ultrasound image measurement and ROM (p<.05). These results suggest that a low intensity eccentric exercise group and dynamic stretching group effectively reduced muscle soreness rating scale out of the symptoms of DOMS. A low intensity eccentric exercise group may be an effective improvement than dynamic stretching group in muscle soreness rating scale.

• Korean Journal of Applied Biomechanics
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• v.18 no.1
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• pp.73-83
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• 2008

The purpose of this study was to investigate kinematic variables of three types of volleyball jump blocking motions through 3D video analysis. The subjects participated in this study were 7 male university volleyball players and 7 male physical education majors. 1. Regardless of blocking types, peak vertical velocity and jump height in the skilled group were faster and higher than the unskilled group. 2. The skilled group was flexed lower than the unskilled group at E2 of the hip, knee, and ankle joint during the cross over step blocking. 3. In all types of step, the peak angular velocity of the hip, knee, and ankle joint was showed at E2. 4. The skilled group was slower than the unskilled group at E2 of the angular velocity of the hip, knee, and ankle joint during cross over step blocking. In conclusion, the cross over step blocking in which the use of the upper extremities was relatively more available was effective to improve a defence skill for the jump height.

• Korean Journal of Applied Biomechanics
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• v.18 no.1
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• pp.213-226
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• 2008

E. H. KIM, E. S. CHOI, D, H. NAM, S. S. KIM, J. W. CHUNG and T. W. KIM, The Instrumenfal Development for Pulling . Reaping Training & Measuring in Judo.Korean Jiurnal of Sport Biomechanics, Vol. 18, No. 1, pp. 213-226, 2008. The purpose of this study was to develop a judo-doll uke(partner : doll-uke) for training and measurement applicable to pulling, pushing and reaping in judo. In Judo the most common techniques consist of the pulling, pushing and sweep which all need to be practiced with a partner. So the research needs to develop a measurement system that can be used to evaluate the forces involved with these techniques. Also the Doll-Uke must be developed so that judokas can train alone. After the manufacture of Doll-Uke the usefulness of it must be evaluated. The height of a Doll-Uke is l70cm and its weight is 50kg. Doll-Uke was developed with a trunk angle of 55 and the lower extremities of an angle of 45. The Doll-Uke can also measure the forces developed during the pulling, pushing and sweep. Due to the ability of the system to measure the forces while preforming Judo techniques feedback can be provided to the Judokas to improve their performance.

• Korean Journal of Applied Biomechanics
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• v.18 no.2
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• pp.75-83
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• 2008

The purpose of this study was to evaluate the correlation between joint moment and joint position angle according to the different walking speeds. According to the different walking speeds(1.5m/s, 1.8m/s, 2.1m/s), experiments were terminated by 8 male subjects. In conclusion, 1. The peak extensor moment of knee joint increased by increasing walking speed, however, walking speed didn't have an effect on peak flexor and abductor moment of knee joint. 2. The position angle of knee joint increased movement of flexion, but other position angles of knee joint didn't have difference when the peak extensor moment generated. 3. The peak joint moment of hip significantly increased in extension, flexion and abduction by increased walking speed. 4. The hip position angle showed more flexible at the hip peak flexor/extensor moment generated. 5. The co-ordination pattern between peak knee joint moment and knee position angle were mathematically modeled by using a least square method. We could get the high level value of R2. We expect to apply this results for evaluating the physical faculty of knee joint.

• Physical Therapy Korea
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• v.13 no.2
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• pp.16-25
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• 2006

The aim of this study was to investigate the kinematics of young adults during descent ramp climbing at different inclinations. Twenty-three subjects descended four steps at four different inclinations (level, $-8^{\circ}$, $-16^{\circ}$, $-24^{\circ}$). The 3-D kinematics were measured by a camera-based Falcon System. The data were analyzed using one-way ANOVA and the Student-Newman-Keuls test. The kinematics of descent ramp walking could be clearly distinguished from the kinematics of level walking. On a sagittal plane, the ankle joint was more plantar flexed at initial contact with $-16^{\circ}/-24^{\circ}$ inclination, was decreased in the toe off position with all inclinations (p<.001),and was decreased at maximum plantar flexion during the swing phase (p<.001). The knee joint was more flexed at initial contact with the $-24^{\circ}$ inclination (p<.001), was more flexed in the toe off position with all inclinations (p<.001), and was more flexed at minimum flexion during stance phase and at maximum flexion during swing phase with $-16^{\circ}$, $-24^{\circ}$ inclination (p<.001). The hip joint was more flexed in the toe off position with $-16^{\circ}$, $-24^{\circ}$ inclination and was deceased at maximum extension during stance phase with $-16^{\circ}$, $-24^{\circ}$ inclination (p<.05). In the frontal plane, the ankle joint was more everted at maximum eversion during stance phase with $-16^{\circ}/-24^{\circ}$ inclination (p<.01) and was decreased at maximum inversion during swing phase with $-16^{\circ}$, $-24^{\circ}$ inclination (p<.01). The knee joint was more increased at maximum varus during stance phase with $-16^{\circ}/-24^{\circ}$ inclination (p<.001). The hip joint was deceased at maximum adduction during stance phase with $-24^{\circ}$ inclination (p<.05). In a horizontal plane, only the knee joint was increased at maximum internal rotation during stance phase with $-24^{\circ}$ inclination (p<.05). In descent ramp walking, the different gait patterns occurred at an inclination of over $16^{\circ}$ on the descending ramp in the sagittal and frontal planes. These results suggest that there is a certain inclination angle or angular range where subjects do switch between level walking and descent ramp walking gait patterns.

• The Journal of the Korean bone and joint tumor society
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• v.11 no.2
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• pp.148-154
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• 2005

Purpose: To evaluate the long term results of surgical treatment for sacral chordoma. Material and Method: We reviewed the records of 4 patients with sacral tumor treated surgical resection. Mean follow-up duration was 8.3 year(3~11). All cases were performed complete resection of tumor mass through posterior approach in 3 cases and anterior-posterior approach in one. The most caudad nerve-roots spared were the second sacral roots in one and the third sacral roots in 3 cases. Functions of voiding and defecation including neurological symptoms of lower extremities, other complications of surgical treatment, and local recurrence or distant metastasis of tumor were evaluated. Result: There was no motor deficit in all cases, but radiating pain was developed in one and wound infection in one. Bladder function was preserved in 2 cases, intermittent incontinence in one, and doing intermittent catheterization in one. Bowel function was preserved in one and 2 cases were suffered from constipation. At the last follow-up, disease-free was in one, local recurrence in one, and local recurrence with distant metastasis in one. Conclusion: The result of surgical resection for sacral chordoma is satisfactory showing average 8 years survival. Early detection and aggressive surgical treatment is the best to prolong survival and to minimize functional deficit with preservation of upper sacral nerves.

• Korean Journal of Applied Biomechanics
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• v.13 no.3
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• pp.327-340
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• 2003

The purpose of this study was to investigate the height of jump, angle of the ankle and knee, the angular velocity of the ankle and knee between two types of ballet shoes during a jump in the 1st position. The subjects were 5 female ballet majors of university in Busan the majors who have been dancing ballet for six years on the average. The conclusions are as follows: 1. The height of jump had no significant difference between two types of ballet shoes, and then the average of the height of jump with point shoes group ($20.24{\pm}4.62\;cm$) was a little higher than ballet shoes group ($17.50{\pm}4.05\;cm$). 2. The angle of the ankle had no significant difference for all events between two types of ballet shoes. The minimum angle of ankle joint was represented to $54.36_{\circ}$ at the E1 of the left ankle angle of the ballet shoes and the maximum value was showed $155.43_{\circ}$ at the E3 of the right ankle angle of the point shoes. 3. The angle of the knee had no significant difference for all events between two types of ballet shoes. The minimum angle of knee joint was represented to $99.54_{\circ}$ at the E1 of the left knee angle of the ballet shoes and the maximum value was showed $174.25_{\circ}$ at the E3 of the right knee angle of the point shoes. 4. The ankle velocity of the ankle had no significant difference for all events between two types of ballet shoes. The minimum angular velocity of the ankle was represented to 4.35 deg/s at the maximum height(E3) of the point shoes and the maximum value was showed 597.81 deg/s at the take-off(E2) of the right ankle angle of the point shoes. 5. The angular velocity of the knee had significant difference between two types of ballet shoes at the event 1(p<.05). The minimum angular velocity of the hee was represented to -1.68 deg/s at the maximum height(E3) of the point shoes and the maximum value was showed 360.25 deg/s at the take-off(E2) of the left knee angle of the ballet shoes. The other events had no significant difference between two types of ballet shoes.