• 제목/요약/키워드: Manual Function

검색결과 553건 처리시간 0.029초

흉추 도수교정이 둥근어깨자세를 가진 30대 성인남녀의 통증, 관절가동범위, 근활성도에 미치는 영향 (The Effects of Thoracic Spine Thrust Manipulation on Shoulder Pain, Range of Motion and Muscle Activity in 30′s Adults with Rounded Shoulder Posture)

  • 이재남;양성화;공원태
    • 대한정형도수물리치료학회지
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    • 제22권1호
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    • pp.17-25
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    • 2016
  • Purpose: This study was aimed to determine the effects of thoracic spine thrust manipulation on muscle activities of the scapular upward rotators and middle deltoid, active range of motion (AROM), shoulder pain, and rounded shoulder posture in young adults with rounded shoulder. Methods: The subjects were 30 young adults (14 males, 16 females) with rounded shoulder. Thirty subjects were randomly assigned to an experimental (manipulation) and control (placebo) groups of fifteen subjects respectively. The manipulation group received the manipulation (high velocity, low amplitude), which was performed by a physical therapist with the subject in the supine position and with the arms crossed over the chest and hands passed over the shoulders. For the sham group, the same procedure was performed, with the exception that the high-velocity thrust was not applied. Measurements were taken before and after the intervention. Muscle activity of upper and lower trapezius, serratus anterior, middle deltoid was measured using surface electromyography. Visual analog scale (VAS) was used for shoulder pain. Goniometry was used for shoulder abduction active range of motion (AROM). Straight edge was used for supine rounded shoulder posture (RSP) distance. Results: The muscle activity of the upper trapezius, lower trapezius and middle deltoid muscle increased significantly after the intervention (p<.05). However, no significant difference was observed in serratus anterior muscle (p>.05). The VAS was significantly decreased and AROM significantly increased after the intervention (p<.05). The distance of RSP were not significant (p>.05). The control group showed no differences before and after the intervention (p>.05). Conclusion: The results of this study suggest that thoracic spine thrust manipulation can be an effective component of treatment plan to improve pain and function.

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에너지 대사량을 고려한 인력물자취급시의 생리적 안전 작업하중 모델 개발 (Development of a Model for Physiological Safe Work Load from a Model of Metabolic Energy for Manual Materials Handling Tasks)

  • 김홍기
    • 산업경영시스템학회지
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    • 제27권3호
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    • pp.90-96
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    • 2004
  • The objective of this study was to develop a model for safe work load based on a physiological model of metabolic energy of manual material handling tasks. Fifteen male subjects voluntarily participated in this study. Lifting activities with four different weights, 0, 8, 16, 24kg, and four different working frequencies (2, 5, 8, 11 lifts/min) for a lifting range from floor to the knuckle height of 76cm were considered. Oxygen consumption rates and heart rates were measured during the performance of sixteen different lifting activities. Simplified predictive equations for estimating the oxygen consumption rate and the heart rate were developed. The oxygen consumption rate and the heart rate could be expressed as a function of task variables; frequency and the weight of the load, and a personal variable, body weight, and their interactions. The coefficients of determination ($r^2$) of the model were 0.9777 and 0.9784, respectively, for the oxygen consumption rate and the heart rate. The model of oxygen consumption rate was modified to estimate the work load for the given oxygen consumption rate. The overall absolute percent errors of the validation of this equation for work load with the original data set was 39.03%. The overall absolute percent errors were much larger than this for the two models based on the US population. The models for the oxygen consumption rate and for the work load developed in this study work better than the two models based on the US population. However, without considering the biomechanical approach, the developed model for the work load and the two US models are not recommended to estimate the work loads for low frequent lifting activities.

반월상 연골판 손상을 동반한 내측 측부인대 부분파열 환자의 한방 치료 효과: 증례보고 (Effects of Korean Medicine Treatment on Medial Collateral Ligament Tear with Meniscal Tears : Report of 3 Cases)

  • 전용현;김두리;문희영;박지원;이윤하;채지원;최동주;최효정
    • 척추신경추나의학회지
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    • 제14권2호
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    • pp.89-100
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    • 2019
  • Objectives : The purpose of this report was to introduce 3 cases of patients diagnosed with both medial collateral ligament tear and meniscal tear that showed clinical improvement after Korean medicine treatment. Methods : These patients received Korean herbal medicine, pharmacopuncture treatment, and acupuncture treatment. We assessed these cases by using the Numeric Rating Scale (NRS), Western Ontario and McMaster Universities'Arthritis Index (WOMAC), and the European Quality of Life-5 Dimension Index (EQ-5D). Results : After Korean medicine treatment, most of the NRS, WOMAC, and EQ-5D scores showed improvement on every discharge date of these 3 cases. The NRS and WOMAC scores of all cases showed a decrease. The EQ-5D of all cases showed an increase. Conclusions : Through this research, we concluded that Korean medicine treatment can be helpful in relieving pain and improving the quality of life and function of knee joint movement in patients with medial collateral ligament tear and meniscal tears.

다목적 시뮬레이션 통합 하이브리드 유전자 알고리즘을 사용한 수동 조립라인의 동기 작업 모델 (A Synchronized Job Assignment Model for Manual Assembly Lines Using Multi-Objective Simulation Integrated Hybrid Genetic Algorithm (MO-SHGA))

  • 무하마드 임란;강창욱
    • 산업경영시스템학회지
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    • 제40권4호
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    • pp.211-220
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    • 2017
  • The application of the theoretical model to real assembly lines has been one of the biggest challenges for researchers and industrial engineers. There should be some realistic approach to achieve the conflicting objectives on real systems. Therefore, in this paper, a model is developed to synchronize a real system (A discrete event simulation model) with a theoretical model (An optimization model). This synchronization will enable the realistic optimization of systems. A job assignment model of the assembly line is formulated for the evaluation of proposed realistic optimization to achieve multiple conflicting objectives. The objectives, fluctuation in cycle time, throughput, labor cost, energy cost, teamwork and deviation in the skill level of operators have been modeled mathematically. To solve the formulated mathematical model, a multi-objective simulation integrated hybrid genetic algorithm (MO-SHGA) is proposed. In MO-SHGA each individual in each population acts as an input scenario of simulation. Also, it is very difficult to assign weights to the objective function in the traditional multi-objective GA because of pareto fronts. Therefore, we have proposed a probabilistic based linearization and multi-objective to single objective conversion method at population evolution phase. The performance of MO-SHGA is evaluated with the standard multi-objective genetic algorithm (MO-GA) with both deterministic and stochastic data settings. A case study of the goalkeeping gloves assembly line is also presented as a numerical example which is solved using MO-SHGA and MO-GA. The proposed research is useful for the development of synchronized human based assembly lines for real time monitoring, optimization, and control.

측두하악 증후군에 대한 침치료 군과 추나치료 군의 임상적 고찰 (Comparative Clinical Study between the Acupuncture Treatment and the Chuna Treatment on Temporomandibular Disorder)

  • 김태수;김창연;이기하;엄태웅;정영훈;고영탁
    • 척추신경추나의학회지
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    • 제1권1호
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    • pp.51-60
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    • 2006
  • Objectives : The purpose of study was to compare and analyze the effects of the distance Acupuncture and the Chuna on Temporomandibular Disorder. Methods : Clinical studies were done on 31 patients who were treated with Temporomandibular Disorder at Dept. of Acupuncture & Moxibusition of Hospital of Ha-na Oriental Medicine from May 23 2005 to Apr 30 2006. Subjects were divided Into two group, Distance acupuncture group and Chuna group. In Distance acupuncture group, we treated patients with Wijungyug(胃正格) or Damjungyug(膽正格). In Chuna group, we treated patients with Distraction & Translation technique. For evaluating Function of Temporomandibular joint of Patients, we use the Modified Craniomandibular Index(mCMI) before treatment and after 6th treatment. Results : In Mandibular Movement(MM) of patients, the patients of Acupuncture Group were more effective than Chuna group. In TMJ noise(TN) of patients, the patients of Chuna Group were more effective than Acupuncture group. Conclusions : The Distance acupuncture may be better effect on Mandibular Movement and The chuna maybe better effect on TMJ noise.

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유리빌딩 청소를 위한 4족 보행로봇 (Four-legged robot for glass building cleaning)

  • 김청솔;김동성;최청환;박지민;진태석
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2017년도 춘계학술대회
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    • pp.452-455
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    • 2017
  • 본 연구회는 최근 고층빌딩의 수가 증가함에 따라 이에 요구되는 외부벽면 청소방법에 대해 관심을 가지게 되었다. 이러한 부분을 청소하게 될 때 사람이 곤돌라를 이용하여 위험한 수작업을 이용하는데 있어서 매년 사고가 일어난다. 이를 통해 수직 구조물에서 작업을 할 때 사람이 위험하게 수작업을 하지 않고 간단한 조작으로 로봇을 조종하며 손쉬운 작업을 할 수 있도록 하는 것을 주된 목표로 정하였다. 고도가 높아질수록 바람의 세기가 증가함에 있어서 외부의 저항을 견뎌내면서 수직구조물에 부착하는 메카니즘을 개념을 적용하였고, 기존 4족 보행로봇을 기반으로 한 다리 끝 부분에 추가 부착장치를 장착하여 사용자의 컨트롤에 따라 유리에 탈부착 가능한 기능을 가진 로봇을 개발 결과를 제시 하였다.

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천수근 약침을 이용한 퇴행성 슬관절질환 치험 1례 (The Case Report of Degenerative Diseases of Knee Joint with Harpagophytum Radix Pharmacopuncture)

  • 이승열;김희정;배상은;김흥수;이진호;하인혁;김철수
    • 척추신경추나의학회지
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    • 제8권2호
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    • pp.123-130
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    • 2013
  • Objectives : The purpose of this clinical case is to evaluate the efficacy of Harpagophytum radix. Pharmacopuncture on Degenerative diseases of knee joint. Methods : We used Korean Medicine treatment and Harpagophytum radix. pharmacopuncture, for this patients. This case is measured and assessed by Neumerical Rating Scale(NRS), Korea Western Ontario MacMaster Universities Osteoarthritis Index(KWOMAC) and Physical examination of knee joint. Results : The NRS decreased from 8 to 5(Left knee joint) & 5 to 4(Right knee joint) and KWOMAC total points decreased from 77 to 41. Also Physical examination of knee joint improved. Conclusions : Harpagophytum radix. pharmacopuncture with Korean Medicine treatment is proved to be helpful to the pain relief and function recovery of knee joint.

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요부신전강화 운동프로그램이 단순추간판탈출증 수술환자의 요부근육 및 통증 그리고 사회복귀에 미치는 영향 (The effects of lumbar extensors strengthening program on low back muscle power and mass, pain, return to work of patients who took laser operation for herniated lumbar disc)

  • 황성수;김명준
    • 대한정형도수물리치료학회지
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    • 제10권2호
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    • pp.45-56
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    • 2004
  • OBJECTIVE: The objective of this study was to know the effects of the postoperative lumbar extensor strengthening exercise program on back muscles strength and volume, pain, and the time of return to work. METHODS: A prospective controlled trial of lumbar extensor exercise program in patients who underwent microdiscectomy or percutaneous endoscopic discectomy for prolapsed lumbar intervertebral disc. Seventy-five patients were randomized into exercise group (20 male, 15 female) and non-exercise group (18 male, 22 female). Six weeks after surgery, patients in exercise group undertook a 12-week lumbar extension exercise (MedX) program. Assessment of spinal function was performed in all patients on postoperative 6 weeks, 18 weeks. The assessment included measures of lumbar extensor power, muscle mass of erector spinalis. All patients completed the visual analog scale (VAS) for evaluation of pain, and return to work. RESULTS: In muscle power, there were statistically significant improvements between pre and post test on muscle power in exercise group. But there were not statistically significant difference on muscle power in non-exercise group. In muscle mass, there were statistically significant difference between pre and post test on muscle mass in exercise group. But there were not statistically significant difference on muscle mass in non-exercise group. In the pain, there were statistically significant decrease between pre and post test on both group. But there were not statistically significant difference on fatty tissue and obesity in non-exercise group. The percentages of return to work in postoperative 4 months were significantly greater in the exercise group than in the non -exercise group. CONCLUSIONS: Postoperative lumbar extensor strengthening exercise program appears to be more beneficial to the patients who underwent operation for prolapsed lumbar intervertbral disc.

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주상골 하강이 하지 배열의 임상적 평가에 미치는 영향 (The Effect of Navicular Drop on The Clinical Measures of Lower Extremity Alignment)

  • 김준우;이은희;고경희;김선엽
    • 대한정형도수물리치료학회지
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    • 제16권1호
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    • pp.1-8
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    • 2010
  • Purpose : This study aimed to examine the relationships among five clinical measures for functional alignment of the lower extremity. Methods : Thirty healthy subjects (15 males and 15 females) were recruited for the study. The five clinical measures of functional alignment of the lower extremity included navicular drop, quadriceps angle, internal rotation of hip, and anterior and lateral pelvic tilt angles. The level of navicular drop was calculated by the difference between the height of the navicular bone in the sitting (non-weight bearing) and standing (weight bearing) positions. The quadriceps angle and internal rotation of hip were measured using a standard goniometer with photographic markers while the subjects were lying in a prone position on a table with their knee at $90^{\circ}$ flexion. Anterior and lateral pelvic tilt angles were determined using a inclinometer. Results : Correlation and a simple linear regression analysis were used to assess relationships between the clinical measures. There were significant correlations between navicular drop and quadriceps angle (p<.05), between navicular drop and internal rotation of hip (p<.05), and between quadriceps angle and internal rotation of hip (p<.01). In simple linear regression analysis, the navicular drop appeared to be a factor affecting the quadriceps angle and internal rotation of hip (p<.05). The findings suggest that navicular drop has a great impact on lower extremity alignment. Conclusion : This study might help us to examine lower extremity function and clarify its role as a potential injury risk factor.

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자동차 실내의 전자파 복사원에 관한 연구 (A Study on the Radiating Source of Electro-magnetic Waves in the Cabin of Automobile)

  • 최광제
    • 한국자동차공학회논문집
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    • 제14권5호
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    • pp.107-114
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    • 2006
  • This paper investigates the radiating source of electro-magnetic waves in the cabin of automobile with spark ignition engine. Front seats are very close to the engine room where electro-magnetic waves are expected to be radiating. But front seat area is believed to be a blind zone, which is not affected by radiating electro-magnetic waves, because a bulk board and floor board shield the front seat area. The level and frequency spectrum of electro-magnetic waves are measured at the passenger seat and the engine room. The measured frequency range is $145{\sim}365MHz$. As a results, the level of the electro-magnetic waves of automatic transmission vehicle is greater than -82dBm. The shapes of frequency spectrum of both engine room and passenger seat are look alike. But the level of electro-magnetic waves of manual transmission vehicle is less than -82dBm and the shapes of frequency spectrum of engine room and passenger seat are different to each other. From these results, we can say that any mal-function caused by electro-magnetic waves in the automobile cabin are only possible for automatic transmission vehicle. Also, it is believed that the radiating source of electro-magnetic waves is inside the vehicle. Thus, based on the transmission line theory, this paper presumably concludes that the cables which connect all the components inside a automatic transmission vehicle must be a radiating source of electro-magnetic waves in the cabin.