• 제목/요약/키워드: Muscle Reaction Force

검색결과 65건 처리시간 0.029초

다운증후군 아동의 트레드밀 보행에 대한 운동학적 분석 (A Kinematic analysis on the treadmill gait of children with Down Syndrome)

  • 오성근;이재훈
    • 한국산학기술학회논문지
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    • 제12권9호
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    • pp.3834-3842
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    • 2011
  • 본 연구에서는 선천적으로 관절 느슨함과 낮은 근 장력을 갖고 있는 다운증후군아동 보행의 운동학적 특성을 알아보고자 한다. 특히 자료수집의 편리성과 재현성이 높고, 유용한 보행훈련도구로서 그 사용이 증가되는 추세인 트레드밀에서 보행을 실시하였다. 다른 중복장애가 없는 다운증후군 남자아동 10명을 대상으로 적외선카메라로 3차원 보행 자료를 수집하여 시공간적 변인과 운동학적 변인을 산출하여 이들의 보행특성을 분석하였다. 그 결과, 다운증후군아동들은 선천적인 근골격계 특성으로 인한 보행불안정성을 극복하기 위해 엉덩, 무릎, 발목관절 모두를 구부리고 걷는 구부정 걸음(crouch gait)형태를 보였으며, 모든 다리관절의 신전을 작게 하여 결과적으로 추진력이 자제하였다. 이는 더 크게 신체를 추진할수록 발뒤꿈치 착지 시에 체중수용의 부담이 증가하기 때문인 것으로 판단된다. 이 연구 결과는 다운증후군의 관절불안정성을 개선하기 위해 효과적인 근 골격계 강화훈련 프로그램을 마련하는데 유용한 자료를 제공할 것으로 기대되며, 다운증후군뿐만 아니라 선천적 또는 후천적 근골격계 장애를 개선하거나 극복할 수 있는 운동프로그램 개발에도 참고 자료가 될 것으로 예상된다.

Moire 영상을 이용한 근골격계 질환의 한의학적 진단에 관한 연구 (A Study on Oriental Medical Diagnosis of Musculoskeletal Disorders using Moire Image)

  • 이은경;유승현;이수경;강성호;한종민;정명수;천은주;송용선;이기남
    • 대한예방한의학회지
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    • 제4권2호
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    • pp.72-92
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    • 2000
  • This research has conducted studies on an Oriental medicine-based method of diagnosing of occupational musculoskeletal system diseases. This researcher has searched through existing relevant medical literature. Also, this researcher has worked on a moire topography using moire topography. In this course, this researcher has reached the following conclusion in relation to the possibility of using a moire topography as a diagnosing device of musculoskeletal system diseases under Oriental medicine . 1 The Western medicine outlines its criteria of screening occupational musculoskeletal system diseases as follows A. The occupational musculoskeletal diseases must clearly include one or more of the subjective symptoms characterized by pain, hypoesthesia dysaesthesia, anaesthesia. etc . B, There should be clinically admitted objective observations and diagnosis outlining that the disease concerned shows symptoms such as tenderness, induration. and edema that can appear with occupational musculoskeletal system diseases. dyscinesia should be admitted with the disease concerned, or there should be observations and diagnosis outlining that abnormality exists in electric muscular or nervous diagnosis and examination . C. It should be admitted that prior to the occurrence of symptoms or observations and diagnosis on musculoskeletal system-related diseases, a patient has been engaged in works with conditions requiring improper work posture or work movement. That is, this is an approach whereby they see abnormality in the musculoskeletal system come from material and structural defect, and adjust and control abnormality in the musculoskeletal system and secreta . 2. The Oriental medicines sees that a patient develops the pain of occupational musculoskeletal diseases as he cannot properly activate the flow of his life force and blood thus not only causing formation of lumps in the body and blocking the flow of life force and blood in some parts of the body. Hence, The Oriental medicine focuses on resolving the cause of weakening the flow of life force and blood, instead of taking material approach of correcting structural abnormality Furthermore , Oriental medicine sees that when muscle tension builds up, this presses blood vessels and nerves passing by, triggering circulation dyscrasia and neurological reaction and thus leading to lesion. Thus, instead of taking skeletal or neurophysiological approach. it seeks to fundamentally resolve the cause of the flow of the life force and blood in muscles not being activated. As a result Oriental medicine attributes the main cause of musculoskeletal system diseases to muscle tension and its build-up that stem from an individual's long formed chronicle habit and work environment. This approach considers not only the social structure aspect including companies owners and work environment that the existing methods have looked at, but also individual workers' responsibility and their environmental factors. Hence, this is a step forward method. 3 The diagnosis of musculoskeletal diseases under Oriental medicine is characterized by the fact that an Oriental medicine doctor uses not only photos taken by himself, but also various detection devices to gather information and pass comprehensive judgment on it. Thus, it is the core of diagnosis under Oriental medicine to develop diagnosing devices matching the characteristics of information to be induced and to interpret information so induced from the views of Oriental medicine. Diagnosis using diagnosing devices values the whole state of a patient and formal abnormality alike, and the whole balance and muscular state of a patient serves as the basis of diagnosis. Hence, this method, instead of depending on the information gathered from devices under Western medicine, requires devices that provide information on the whole state of a patient in addition to the local abnormality information that X-ray. CT, etc., can offer. This method sees muscle as the central part of the abnormality in the musculoskeletal system and thus requires diagnosing devices enabling the muscular state. 4. The diagnosing device using moire topography under Oriental medicine has advantages below and can be used for diagnosing musculoskeletal system diseases with industrial workers . First, the device can Provide information on the body in an unbalanced state. and thus identify the imbalance and difference of height in the left and right stature that a patient can not notice at normal times. Second, the device shows the twisting of muscles or induration regions in a contour map. This is not possible with existing shooting machines such as X-ray, CT, etc., thus differentiating itself from existing machines. Third, this device makes it possible for Oriental medicine to take its unique approach to the abnormality in the musculoskeletal system. Oriental medicine sees the state and imbalance state in muscles as major factors in determining the lesion of musculoskeletal system, and the device makes it possible to shoot the state of muscles in detail. In this respect, the device is significant. Fourth, the device has an advantage as non-aggression diagnosing device.

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융비술에서 고어텍스 제거 후 발생한 재발성 이물성 육아종의 치험례 (Reccurent Foreign body Granuloma after Gore-tex Removal in Rhinoplasty)

  • 권순근;유영천;양원용;박준;강상윤
    • Archives of Plastic Surgery
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    • 제35권5호
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    • pp.611-614
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    • 2008
  • Purpose: Infection, foreign body reaction and decreased volume of implant are common complications after augmentation rhinoplasty with $Gore-tex^{(R)}$ implant. The author experienced two cases of recurrent foreign body granuloma in the patients who underwent $Gore-tex^{(R)}$ removal because of infection after augmentation rhinoplasty. and treated them with complete removal of$Gore-tex^{(R)}$. Methods: Case 1: A 49 year-old female visited our clinic for recurrent foreign body reaction on nasal dorsum and tip area. The patient underwent augmentation rhinoplasty with $Gore-tex^{(R)}$ 3 years ago and implant was removed due to infection 9 months ago. Excision of the granuloma was performed and a piece of foreign body suspicious to be a $Gore-tex^{(R)}$ implant debris was detected under the subcutaneous pocket. The implant fragments were removed and nasalis muscle rotation flap was performed to cover the lesion. The specimen was proved to be $Gore-tex^{(R)}$ in histological study. Case 2: A 31 year-old-male with recurrent foreign body granuloma on the nasal tip area visited our clinic. 10 years ago, the patient had augmentation rhinoplasty with silicone implant and then, he underwent revisional rhinoplasty five times including nasal implant removal, which was performed 9 months ago. The authors excised the granuloma and found a small sized foreign body suspicious to be a $Gore-tex^{(R)}$ implant debris under the granuloma. The foreign body was excised and identified to be $Gore-tex^{(R)}$ in histological study. Results: In both cases, the lesions were healed without any complications and there were no evidences of recurrence up to 6 months of follow-up. Conclusion: The $Gore-tex^{(R)}$ is known to be weak against mechanical force. These properties of $Gore-tex^{(R)}$ make it difficult to remove the implant completely. In the patient who have infection after augmentation rhinoplasty with $Gore-tex^{(R)}$, the operator should take care to perform the complete removal without remaining fragment of the implant.

후족부 경사각을 이용한 신발에 관한 생체역학적 연구 (A Biomechanical Research for Incorates a Rounded Sole with a 20 Degree Heel Lift in Functional Shoes)

  • 이중숙;박상균;박승범
    • 한국운동역학회지
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    • 제18권4호
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    • pp.135-142
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    • 2008
  • 본 연구는 9명의 피험자가 2주간 하루 6시간동안 후족부 경사각을 이용한 신발인 S사(社) 신발을 착용하여 보행하였으며 신발을 처음 신었을 때와 2주간 하루 6시간 이상 착용한 후의 데이터를 통해 기존의 운동화와 S사(社) 신발간의 비교를 수행하였다. 1. 기립자세에서의 S사(社) 신발의 착용 시 근전도의 활동인 증가하고 압력분포 중심 움직임은 약 60% 정도 증가하였다. 2. 피험자의 보행 시 S사(社) 신발을 착용하였을 때 신발의 힐 부부분의 $20^{\circ}$ 경사각으로 인해 heel strike 시 발목이 약 $14^{\circ}$ 정도 발등 쪽으로 굽혀짐을 확인하였으며 무릎에서는 이를 보완하기 위해 $2^{\circ}$ 정도 굴곡 됨을 보였다. 3. 이로 인해 최대 지면반력이 보다 빠르게 나타났으나 크기는 변하지 않았다. 4. S사(社) 신발의 착용하고 보행 시 지지기에서 발목과 무릎의 부하는 21-61%의 감소하는 결과를 나타내었다. 결과적으로 S사(社) 신발 착용시 목과 무릎각의 굴곡 각을 증가시켜 보행 시 몸이 곧게 서도록 하였다. 또한 보행 시 부하를 감소시킬 수 있음을 나타냈으나 2주간의 신발 착용으로 인한 신체의 변화는 나타나지 않음을 보였다.

사료 내 β-Glucanase 활성이 강화된 복합효소제 급여가 육계의 생산성과 혈청성분 및 육질에 미치는 영향 (The Effects of Dietary Enzyme Mixture Fortified with β-Glucanase Activity on the Growth Performance, Serum Components, and Meat Quality of Broiler Chicks)

  • 조진국;정수진;주은정;최진영;김병석;윤병선;남기택;황성구
    • 한국축산식품학회지
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    • 제27권4호
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    • pp.409-415
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    • 2007
  • 본 연구에서는 Ross 208 종의 broiler 31,800수를 대조구와 복합 효소제 첨가구로 나누어 5주간에 걸쳐 대조구는 옥수수-대두박을 기초로 한 시판 육계사료를 급여하고, 시험구는 ${\beta}-glucanase$를 강화한 복합 효소제를 0.3% 첨가 급여하여 생산성과 혈청성분과 육질에 미치는 영향을 조사하였다. 시험기간 동안의 각 시험구의 증체량 및 사료 효율, 생산지수, 육성율을 측정하였고 무작위로 각 시험구당 20수를 선발하여 혈청 콜레스테롤 및 glucose 농도를 측정하였다. 또 ND와 IBD 항원을 음용 투여한 브로일러의 ND와 IBD에 대한 항체역가를 조사하였으며, 육질검사로 도체의 pH 및 육색, 가열감량, 보수력, 전단력을 측정하였다. 사육시험 결과, 0.3% 복합 효소제 시험구가 대조구에 비해 평균체중 19%, 생산지수 6.8%, 사료효율 5.5%, 육성율 5%의 증가를 나타내었다. 복합 효소제 시험구는 대조구보다 혈청내 HDL-콜레스테롤 양을 증가시키고 glucose의 양을 감소시켰다. 육계 혈청 내 ND 및 IBD 항원에 대한 항체역가도 복합 효소제 시험구가 대조구보다 높았다. 육질검사에 있어서는 복합 효소제 시험구가 대조구보다 육색과 전단력은 차이가 없었으나 보수력(p<0.05)과 가열감량이 개선되는 결과를 나타내었다. 이상의 결과로부터 ${\beta}-glucanase$ 활성을 강화한 복합 효소제의 첨가 급여는, 육계의 생산성과 혈청성분과 면역기능과 육질을 개선시키는 효과가 있는 것으로 사료된다.