• 대한물리의학회지
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• 제19권2호
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• pp.99-106
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• 2024

PURPOSE: This study is a data analysis study to determine the physical health problems and reasons for disabilities and activity limitation rates that limit daily life and social activities among the elderly population aged 75 or older in Korea. METHODS: This study data was extracted from the raw data of the 7th National Health and Welfare Survey (2016-2018). The subjects of this study were 1,995 elderly people (823 men, 1,172 women) aged 75 years or older. The collected data were analyzed using frequency analysis and logistic regression analysis. RESULTS: From 2016 to 2018, the activity limitation rate among the elderly population aged 75 or older in Korea was 20.6% for men, 24.6% for women, and 23.1% overall. The three major diseases with the highest frequency of activity limitations were back and neck problems (36.5%), arthritis and rheumatism (28.7%), and knee and leg pain (14.7%). Activity limitation due to old age was found to be 13.1%, making it the fourth most frequent reason. The rate of activity limitations due to mental retardation and obesity was found to be 0%. The three major activity limitation rates were significantly related to gender. CONCLUSION: The main diseases causing activity limitations among the elderly population aged 75 or older in Korea were back and neck problems, arthritis and rheumatism, and musculoskeletal diseases such as knee and leg pain. Therefore, it is believed that it can be used as basis data for reducing the activity limitation rate of the elderly population in the aging era.

• Pediatric Infection and Vaccine
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• 제31권1호
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• pp.153-157
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• 2024

Manubriosternal 관절의 패혈성 관절염은 특히 청소년에서 드물게 발생하는 질환으로, 종종 근골격 흉통, 갈비뼈염 등과 같은 보다 흔한 진단과 비슷하게 비특이적 증상으로 나타난다. 우리는 17세 소녀의 패혈성 관절염 사례를 보고하며 이러한 질환의 진단과 치료에 대한 어려움을 강조한다. 처음에는 일시적 비특이적 흉통으로 진단된 급성 흉통으로 시작하여, 환자의 응급실 재방문에서 고열과 같은 증상이 심화되어 추가적인 영상 촬영을 진행하였다. 결과적으로 Manubriosternal 관절의 패혈성 관절염 진단이 확인되었으며, 혈액 배양 결과 메티실린 감수성 황색포도상구균이 검출되었다. 진단 지연은 전형적인 증상의 부재 및 환자의 입원에 대한 소극적 태도 등이 영향을 끼친 것으로 보인다. 이 사례는 흉통이 있는 청소년에서 드문 감염 원인을 고려하는 중요성과 전형적이지 않은 해부학적 부위에서의 감염 의심의 필요성을 강조한다.

• 한국운동역학회지
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• 제16권3호
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• pp.137-148
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• 2006

The purpose of this study was to compare muscle activity in the lower extremity during walking wearing jogging and roller shoes. Twelve male middle school students (age: 15.0 yrs, height 173.7 cm, weight 587.7 N) who have no known musculoskeletal disorders were recruited as the subjects. Seven pairs of surface electrodes (QEMG8, Laxtha Korea, gain = 1,000, input impedance >$1012{\Omega}$, CMMR >100 dB) were attached to the right-hand side of the body to monitor the rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL), biceps femoris (BF), tibialis anterior (TA), and medial (GM) and lateral gastrocnemius (GL) while subjects walked wearing roller and jogging shoes in random order at a speed of 1.1 m/s. An event sync unit with a bright LED light was used to synchronize the video and EMG recordings. EMG data were filtered using a 10 Hz to 350 Hz Butterworth band-passdigital filter and further normalized to the respective maximum voluntary isometric contraction EMG levels. For each trial being analyzed, five critical instants and four phases were identified from the recording. Averaged IEMG and peak IEMG were determined for each trial. For each dependent variable, paired t-test was performed to test if significant difference existed between shoe conditions (p<.05). The VM, TA, BF, and GM activities during the initial double limb stance and the initial single limb stance reduced significantly when going from jogging shoe to roller shoe condition. The decrease in EMG levels in those muscles indicated that the subjects locked the ankle and knee joints in an awkward fashion to compensate for the imbalance. Muscle activity in the GM for the roller shoe condition was significantly greater than the corresponding value for the jogging shoe condition during the terminal double limb stance and the terminal single limb stance. Because the subjects tried to keep their upper body weight in front of the hip to prevent falling backward, the GM activity for the roller shoe condition increased. It seems that there are differences in muscle activity between roller shoe and jogging shoe conditions. The differences in EMG pattern may be caused primarily by the altered position of ankle, knee, and center of mass throughout the walking cycle. Future studies should examine joint kinematics during walking with roller shoes.

• Journal of Oral Medicine and Pain
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• 제41권4호
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• pp.161-168
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• 2016

Purpose: Patients who suffer from rheumatic arthritis, fibromyalgia, other various inflammatory diseases and musculoskeletal disorders, which are all similar to temporomandibular disorders (TMD), have been complaining about changes in the level and type of pain in response to changes in weather conditions for a long time. Through an investigation about pain perception in TMD patients in response to weather conditions, our primary objective was to develop base materials for future studies on change in pain in response to meteorological factors. Methods: Among patients who presented with TMD to Department of Oral Medicine, Pusan National University Dental Hospital from August to October 2016, one hundred consecutive TMD patients diagnosed with TMDs according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were recruited for the study and 28 patients were excluded according to exclusion criteria. Survey was done with the questionnaire and investigated whether there was any difference in incidence and level of pain in TMD patients between non-rainy and rainy days. Results: Among a total of 72 samples, 4 patients reported change in pain on rainy days rather than non-rainy days. Two patients from chronic group (joint and complex subgroup) reported increased pain on rainy days rather than non-rainy days but it was not statistically significant (p>0.05). One patient from chronic/muscle group reported the change in pain characteristics while pain intensity remained unchanged. One patient from acute/complex group reported decreased pain intensity. In comparison of the patients who reported increased pain on rainy days between acute and chronic groups, there were two reported cases and were both from chronic group only. There was a significantly higher chance of reporting increased pain on rainy days in chronic group than acute group (p<0.001). Conclusions: It is considered that TMD patients couldn't perceive the change in pain well in response to weather change on rainy days but some chronic patients could perceive the increase in pain in rainy days.

• 한국운동역학회지
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• 제16권1호
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• pp.101-108
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• 2006

The purpose of this study was to compare GRF characteristics during walking wearing jogging and roller shoes. Twelve male middle school students (age: $15.0{\pm}0.0\;yrs$, height: $173.6{\pm}5.0\;cm$, weight: $587.6{\pm}89.3\;N$) who have no known musculoskeletal disorders were recruited as the subjects. Kinematic data from six S-VHS camcorders(Panasonic AG456, 60 fields/s) and GRF data from two force platform; (AMII OR6-5) were collected while subjects walked wearing roller and jogging shoes in random order at a speed of 1.1 m/s. An event sync unit with a bright LED light was used to synchronize the video and GRF recordings. GRF data were filtered using a 20 Hz low pass Butterworth. digital filter and further normalized to the subject's body weight. For each trial being analyzed, five critical instants and four phases were identified from the recording. Temporal parameters, GRFs, displacement of center of pressure (DCP), and loading and decay rates were determined for each trial. For each dependent variable, paired t-test was performed to test if significant difference existed between shoe conditions (p <.05). Vertical GRFs at heel contact increased and braking forces at the end of initial double limb stance reduced significantly when going from jogging shoe to roller shoe condition. Robbins and Waked (1997) reported that balance and vertical GRF are closely related It seems that the ankle and knee joints are locked in an awkward fashion at the heel contact to compensate for the imbalance. The DCP in the antero-posterior direction for the roller shoe condition was significantly less than the corresponding value for the jogging shoe condition. Because the subjects tried to keep their upper body weight in front of the hip to prevent falling backward, the DCP for the roller shoe condition was restricted The results indicate that walking with roller shoes had little effect on temporal parameters, and loading and decay rates. It seems that there are differences in GRF characteristics between roller shoe and jogging shoe conditions. The differences in GRF pattern may be caused primarily by the altered position of ankle, knee, and center of mass throughout the walking cycle. Future studies should examine muscle activation patterns and joint kinematics during walking with roller shoes.

• 한국운동역학회지
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• 제19권2호
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• pp.399-406
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• 2009

본 연구의 목적은 롤러 신발과 조깅 신발 착용 후 보행 시 운동학적 변인에 대하여 비교 분석 하는데 있다. 이를 위해 하지 근골격계에 이상이 없는 중학생 8명을 피험자로 선정하여 3차원 동작 분석을 실시하였다. 분석 결과, 활보장, 인체무게 중심변위 및 선속도, 관절각 및 각속도에서 집단 간 통계적으로 유의한 차이를 보였다. 특히 롤러 집단의 경우 지지 시 발목 관절각이 증가하고 무릎각의 각속도가 감소하는 결과를 나타내었다. 이는 롤러 신발의 경우 장착된 휠에 의해 지지 시 적절한 배측굴곡이 이루지지 못하고, 불안정성을 극복하기 위해 무릎의 과도한 굴곡이 나타난 것으로 사료되어 진다. 이러한 운동학적 변인의 차이는 롤러 신발 보행 시 정상 패턴과는 다른 불안정한 보행 동작을 유발시키고 이러한 동작이 지속적으로 이루어진다면 하지 근골격계에 변화를 유발시켜 부상 유발의 가능성이 있을 것으로 생각된다. 따라서 본 연구 결과를 토대로 향후 보다 안정성 높은 롤러 신발을 개발할 수 있을 것으로 기대된다.

• 대한인간공학회지
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• 제33권6호
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• pp.565-575
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• 2014

Objective: The aim of this study is to evaluate the effect of weight of load and time on the physical workload of repetitive upper-limb tasks with handling light weight loads using EMG and perceived discomfort, and to investigate the relationship between EMG and perceived discomfort for those repetitive tasks of moving light weight loads. Background: Repetitive upper-limb motion is known as one of the main risk factors of musculoskeletal disorders, and a lot of repetitive tasks are carried out while handling light weight loads in the industry. In evaluating the workload of repetitive tasks handling light weight loads, EMG and perceived discomfort can be used, though their relationship in those work conditions are not much investigated. Method: A laboratory experiment with 18 healthy males were conducted to record EMG signals from 5 muscle sites of the right arm and shoulder and rate perceived discomforts for the body parts and the whole body while carrying out repetitive materials-handling tasks for 52min. The subjects were divided into 3 groups which handled the loads of 1kg, 2kg and 3kg, respectively. ANOVAs were conducted to analyze the effects of the weight and time on RMS of EMG amplitude (normalized RMS: NRMS), median frequency of power spectrum of EMG (normalized MDF: NMDF) and perceived discomfort. The correlations between NRMS and NMDF and perceived discomfort were also analyzed. Results: Statistically significant muscular fatigue effects were not found from NRMS and NMDF in most muscles, while there were significant increases of discomfort as the task time elapsed. It was shown that there were an increasing trend of the muscular activity as the weight of load increased and a decreasing trend of median frequency of EMG of upper and lower arms as time elapsed. It was found that there were significant negative correlations between NMDFs from the lower arm and discomfort ratings, though the relationships were weak. Conclusion: It can be concluded that the working conditions adopted in this study were not enough to induce muscular fatigue, while there was significant increase in perceived discomfort. A further study is necessary to integrate the objective and subjective measures for more reliable and sensitive evaluation of workload of repetitive tasks of handling light weight loads. Application: This study can be used as a basic study for the evaluation of workload of repetitive tasks handling light weight loads.

• Journal of Korean Neurosurgical Society
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• 제61권6호
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• pp.680-688
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• 2018

Objective : To mitigate the risk of iatrogenic instability, new posterior decompression techniques able to preserve musculoskeletal structures have been introduced but never extensively investigated from a biomechanical point of view. This study was aimed to investigate the impact on spinal flexibility caused by a unilateral laminotomy for bilateral decompression, in comparison to the intact condition and a laminectomy with preservation of a bony bridge at the vertebral arch. Secondary aims were to investigate the biomechanical effects of two-level decompression and the quantification of the restoration of stability after posterior fixation. Methods : A universal spine tester was used to measure the flexibility of six L2-L5 human spine specimens in intact conditions and after decompression and fixation surgeries. An incremental damage protocol was applied : 1) unilateral laminotomy for bilateral decompression at L3-L4; 2) on three specimens, the unilateral laminotomy was extended to L4-L5; 3) laminectomy with preservation of a bony bridge at the vertebral arch (at L3-L4 in the first three specimens and at L4-L5 in the rest); and 4) pedicle screw fixation at the involved levels. Results : Unilateral laminotomy for bilateral decompression had a minor influence on the lumbar flexibility. In flexion-extension, the median range of motion increased by 8%. The bone-preserving laminectomy did not cause major changes in spinal flexibility. Two-level decompression approximately induced a twofold destabilization compared to the single-level treatment, with greater effect on the lower level. Posterior fixation reduced the flexibility to values lower than in the intact conditions in all cases. Conclusion : In vitro testing of human lumbar specimens revealed that unilateral laminotomy for bilateral decompression and bone-preserving laminectomy induced a minor destabilization at the operated level. In absence of other pathological factors (e.g., clinical instability, spondylolisthesis), both techniques appear to be safe from a biomechanical point of view.

• 한국콘텐츠학회논문지
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• 제19권5호
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• pp.350-362
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• 2019

본 연구에서는 연령에 따른 운수업근로자의 직무특성과 건강이 사고경험에 어떠한 영향을 미치는지를 확인하고, 이를 통해 사고예방과 고령운수업근로자에 대한 다양한 관점을 제시하고자 하였다. 산업안전보건연구원에서 실시한 '제 4차 근로환경조사'의 자료를 활용하였으며, 최종적으로 1,997명의 운수업근로자 자료를 상관분석과 교차분석, 로지스틱 회귀분석을 실시하였다. 연구 결과, 운수업근로자의 연령과 사고경험에는 상관관계가 나타나지 않았다. 운수업근로자의 특성과 사고경험과의 관계에서 고령근로자의 경우, '직무수행 중 실수 시 타인이 다침', '근골격계 문제', '심혈관계 문제', '손이나 팔의 반복동작' 순으로 유의한 영향을 미치는 것으로 나타났으며, 이 변수들에 대한 모델 설명력은 56.9%였다(p<.01). 비고령근로자의 경우에는, '우울 및 불안장애', '직무와 안전과의 관계', '직무수행 중 실수 시 타인이 다침', '노동조합 여부' 순으로 유의한 영향을 미치는 것으로 나타났으며, 모델 설명력은 21.8%였다(p<.01). 따라서 추후 운수업근로자들의 사고예방을 위해서는 연령 이외에도 건강과 직무특성 등 다양한 변수를 고려한 접근이 필요할 것이다.

• 대한인간공학회지
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• 제36권3호
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• pp.183-196
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• 2017

Objective: The purpose of this research was to assess the agreement between job physical risk factor analysis by ergonomists using ergonomic methods and physical examinations made by occupational physicians on the presence of musculoskeletal disorders of the upper extremities. Background: Ergonomics is the systematic application of principles concerned with the design of devices and working conditions for enhancing human capabilities and optimizing working and living conditions. Proper ergonomic design is necessary to prevent injuries and physical and emotional stress. The major types of ergonomic injuries and incidents are cumulative trauma disorders (CTDs), acute strains, sprains, and system failures. Minimization of use of excessive force and awkward postures can help to prevent such injuries Method: Initial data were collected as part of a larger study by the University of Utah Ergonomics and Safety program field data collection teams and medical data collection teams from the Rocky Mountain Center for Occupational and Environmental Health (RMCOEH). Subjects included 173 male and female workers, 83 at Beehive Clothing (a clothing plant), 74 at Autoliv (a plant making air bags for vehicles), and 16 at Deseret Meat (a meat-processing plant). Posture and effort levels were analyzed using a software program developed at the University of Utah (Utah Ergonomic Analysis Tool). The Ergonomic Epicondylitis Model (EEM) was developed to assess the risk of epicondylitis from observable job physical factors. The model considers five job risk factors: (1) intensity of exertion, (2) forearm rotation, (3) wrist posture, (4) elbow compression, and (5) speed of work. Qualitative ratings of these physical factors were determined during video analysis. Personal variables were also investigated to study their relationship with epicondylitis. Logistic regression models were used to determine the association between risk factors and symptoms of epicondyle pain. Results: Results of this study indicate that gender, smoking status, and BMI do have an effect on the risk of epicondylitis but there is not a statistically significant relationship between EEM and epicondylitis. Conclusion: This research studied the relationship between an Ergonomic Epicondylitis Model (EEM) and the occurrence of epicondylitis. The model was not predictive for epicondylitis. However, it is clear that epicondylitis was associated with some individual risk factors such as smoking status, gender, and BMI. Based on the results, future research may discover risk factors that seem to increase the risk of epicondylitis. Application: Although this research used a combination of questionnaire, ergonomic job analysis, and medical job analysis to specifically verify risk factors related to epicondylitis, there are limitations. This research did not have a very large sample size because only 173 subjects were available for this study. Also, it was conducted in only 3 facilities, a plant making air bags for vehicles, a meat-processing plant, and a clothing plant in Utah. If working conditions in other kinds of facilities are considered, results may improve. Therefore, future research should perform analysis with additional subjects in different kinds of facilities. Repetition and duration of a task were not considered as risk factors in this research. These two factors could be associated with epicondylitis so it could be important to include these factors in future research. Psychosocial data and workplace conditions (e.g., low temperature) were also noted during data collection, and could be used to further study the prevalence of epicondylitis. Univariate analysis methods could be used for each variable of EEM. This research was performed using multivariate analysis. Therefore, it was difficult to recognize the different effect of each variable. Basically, the difference between univariate and multivariate analysis is that univariate analysis deals with one predictor variable at a time, whereas multivariate analysis deals with multiple predictor variables combined in a predetermined manner. The univariate analysis could show how each variable is associated with epicondyle pain. This may allow more appropriate weighting factors to be determined and therefore improve the performance of the EEM.