• 대한산업공학회지
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• 제5권2호
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• pp.21-36
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• 1979

Static muscle contractions when prolonged or frequently repeated result in discomfort, fatigue, and musculosketal injuries. An analytic and quantitative model has been developed in order to expand the working knowledge on muscle fatigue. In this paper, three Markov models of muscle fatigue are developed. These models are based on motor unit fatigue-recovery characteristics obtained from information on motor unit behavior as it relates to fatigue and graded exertions. Three successively more realistic models are developed that involve: (1) homogeneous motor units with intensity-dependent fatigue rates and state-independent recovery rates (the HMSI model); (2) homogeneous motor units, intensity-dependent fatigue rates and state-dependent recovery rates (the HMSD model); and (3) non-homogeneous motor units (i.e., Type S and Type F), intensity-dependent fatigue rates and state-dependent recovery rates (the HMSD model). The result indicate that a simple stochastic model provide a means to analyze the complex nature of muscle fatigue in sequential static exertions.

• 대한인간공학회지
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• 제25권4호
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• pp.35-40
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• 2006

The purpose of this study was to investigate the relationships between weights of backpack and back and shoulder pains of elementary school students in Korea. A cross-sectional sample of 278 boys and 233 girls aged between 7 and 12 years were analyzed for this study. 49.1% of the participated children reported their backpacks were felt heavy, and the weights of their backpack were grater than 13.3% of their body weight. About 65.4% of students carried greater than 10% of their body weights. The weight of the backpack showed significant positive relationship with shoulder pain but not with their back pain. The results of this study suggested that overweighed backpack could cause the musculoskeletal pain to the elementary school students. Therefore, an effective backpack safety program for parents and students is necessary to educate them how to prevent possible musculosketal pain related to the weight of backpack within the perspective of the ergonomical approach.

• Journal of Acupuncture Research
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• 제19권1호
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• pp.244-261
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• 2002

Objective & Methods : For development the new therapy applied on musculoskeletal and related diseases, We reviewed the XiaZhenDao therapy of new therapies used in other countries by texts and papers. Results : We investigated the theory, standardization, indications, contraindications, using methods, notices and advantages in textures, and compared this with other therapies. We discussed problems and requirements to using this therapy in Korea. Conclusion : The XiaZhenDao therapy is very effective new therapy to treat musculoskeletal and related diseases. To using this therapy in Korea, we will have to prepare legal and systemic equipments and supply complete educations and practices.

• 대한안전경영과학회지
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• 제4권2호
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• pp.57-70
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• 2002

Back pain is painful for people at a lower lumber(L4/L5 or L5/S1). It is experienced as a most frequent disaster 70％ of workers have suffered from back-pain. Especially, the occurrence rate of back pain for nurses is very high. Therefore, this study investigates female nurses who worked as a part of a medical cost management team, which mainly deal with the medical insurance in a general hospital at Seoul area. These nurses had different job tasks, which used computers for 50％ of their time, so it can be treated as VDT workers. As a first step of this project, a muscle fatigue was measured for these special VDT workers. First, survey for nurses was conducted to figure out what is a real problem of them. Second, to evaluate an experimental data, a medical cost management team was chosen for subjects. Areas of measurement were 3 places that were the trapezius (TR), the medial deltoid (MD), and the erector spine muscle (ES: L4/L5). These areas are most frequently used, so they were chosen for this study. Measurements were taken before work and after work. From these measurements, it was revealed that a fatigue really comes from their main VDT task excluding natural fatigue after work, so their work environment need to be corrected.

• 산경연구논집
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• 제8권7호
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• pp.63-70
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• 2017

Purpose - Due to the lack of physical activities and the increase of sedentary behaviors such as screen time, the health condition for contemporaries has been deteriorating. This study is designed to investigate how the use of worktable or tools unfit for body and sedentary behaviors can exercise influence on muscular skeletal disease and how it has an impact on lowering work efficiency and the quality of life with the medium of the muscular skeletal disease. Research design, data, and methodology - The research has developed a questionnaire with 5 hypothesis. The questionnaires were also made by interview and E-mail. 350 copies of questionnaires were distributed and 315 questionnaire were used for the analysis as valid data responses. SPSS ver.22.0 were used and made Cronbach's and reliability test, correlation, Baron & α Kenny 3 step mediated regression analysis. Results - The research has found that living environment factors have positive effect on the occurrence of musculosketal disease. Particularly, repeated use of unfit worktable or tools has a positive effect on the muscular skeletal disorder. And sedentary lifestyle also has a positive effect on the disease. The musculoskeletal disease caused by living environment has a positive impact on lowering the work efficiency. This study has also showed that the muscular skeletal disease has mediated the relationship between the living environment factors and the decrease of work efficiency due to musculoskeletal disease. The musculoskeletal disorders can effect the decrease of the quality of life as well, for the decrease of work efficiency has a positive effect on lowering the quality of life. Conclusions - Sedentary lifestyles, the use of worktable unfit for body, and the repeated use of a tool have caused the increase of muscular-skeletal diseases, and reduction of productivity as well as the hight cost of medical treatment for our contemporaries. Understanding the cause of disease morbidity, finding ways to prevent the disease, and educating people about them would contribute not only to improvement of individual health but also to the advancement of welfare for all.

• 대한정형외과학회지
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• 제56권1호
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• pp.42-50
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• 2021

목적: 종양인공관절 주위 골절은 안정된 고정의 어려움과 골유합 후에도 골질 약화로 해리 및 재골절 위험이 많다. 피질골 지주 중첩 동종골 이식술을 종양인공관절 주위 골절에 적용하면 내고정도 쉽고, 골유합 기간도 단축되며, 합병증도 줄일 수 있을 것이라고 생각하였다. 본 연구는 종양인공관절 주위 골절 27예(30 골절)의 골절의 양상과 치료 후 재건 술식에 따른 생존율 및 합병증, 중첩 동종골 이식술 추가 여부에 따라 골유합 기간 및 기능적 결과가 차이가 있는지 분석하였다. 대상 및 방법: 골절 치료 시 판형 동종골 이식을 한 군 16예와 시행하지 않은 군 14예를 비교하였다. 분석항목은 종양인공관절 치환술부터 골절까지 기간, 골절의 양상, 골유합 기간 차이, 합병증, 및 기능적 결과를 기술하였다. 결과: 골절 양상은 unified classification system (UCS) B형이 21예(70.0%, 21/30)로 가장 많았으며 그 중 B1이 14예(46.7%, 14/30), B2가 1예(3.4%, 1/30), B3가 6예(20.0%, 6/30)였고 C형이 9예(30.0%, 9/30)였다. Kaplan-Meier 법에 의한 30 재건 부위의 5년, 10년 생존율은 각각 84.5%±4.18%, 42.2%±7.83%였다. 전체 30예의 골유합 기간은 평균 5.1개월(범위, 2.0-11.2개월)이었다. 동종골 이식군은 평균 3.5개월(범위, 2.0-6.26개월)로 고식적 고정군의 평균 7.2개월(범위, 4.0-11.2개월)보다 짧았다(p<0.0001). 최종 기능평가상 동종골 이식군은 평균 26.1점으로 고식적 고정군의 평균 20.9점보다 높았다(p<0.0001). 합병증은 4예로 모두 동종골을 사용하지 않은 군에서 있었다. 결론: 종양인공관절 주위 골절은 드물고 골유합도 비교적 잘 이루어지나 유합 후 합병증 최소화가 중요하다. 판형 중첩 동종골 이식술은 골유합 기간을 단축, 골질 증가, 해리위험성 감소 효과가 있으며 종양인공관절 주위 골절에 유용한 방법이다.

• Journal of Preventive Medicine and Public Health
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• 제32권1호
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• pp.48-59
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• 1999

본 연구는 Rapid Upper Limb Assessment(RULA)를 이용하여 자동차 조립작 업에 대한 인간공학적 작업평가를 하고, 이 결과와 작업관련 상지 근골격계 질환의 자각증상율 및 작업특성 변수들의 연관성을 분석함으로써, RULA결과가 관련 신체부위의 통증이나 불편함으로 보고되는 근골격계 부하의 좋은 지표가 될 수 있는지, RULA평가체계를 이용하여 작업 위험도가 적합한지 여부를 평가할 수 있는가를 보고자 하였다. 자동차 제조업 작업자 314명을 대상으로 근골격계질환 자각증상설문과 RULA를 이용한 작업평가를 하였으며, 다음과 같은 결과를 얻었다. 1. NIOSH의 작업관련 근골격계 질환의 감시기준(surveillence criteria)에 따라 자각증상을 조사한 결과, 연구대상자 중 목 32.8%, 어깨 26.4%, 팔 10.5%, 손 29.3%, 허리 41.4%였으며, 한가지 이상 의 증상을 보이는 경우는 62.4%의 분포를 보였다. 2. 품질관리부에 비해 조립부서 작업자 틀이 전체 증상과 어깨, 허리, 팔 및 손부 위 증상에서 더 높은 유증상률을 보였다(p<0.05). 3. 부서별 RULA를 이용한 작업평가 결과, 서브/조립반과 의장반의 공정이 높은 위험점수를 보였다. 전체 조립부서에 대한 평가결과 적합한 작업은 3.02%였고, 62.8%가 부적합한 작업으로 작업전환이나 중재조치가 필요한 경우였다. 자각증상과 RULA를 이용한 작업평가 결과를 비교한 결과 RULA점수가 클수록 자각증상율이 높음을 보였다.(p<0.05) 4. RULA평가지표와 자각증상사이의 관련성을 보기 위하여, RULA지표와 기타 작업관련요인들을 독립변수로, 자각증상유무를 종속변수로 하여 다중 로지스틱 회귀분석을 실시하였다. 최종적으로 증상유무를 가장 잘 설명하는 회귀모형에 대한 분석결과는 다음과 같다. 모든 증상군에 대해서는 반복작업(OR 2.183), 진동공구 사용(OR 2.775)과 총 위험도 점수(OR 2.250); 목 부위 증상군에서는 상완의 자세점수(OR 1.786), 상완 및 손부 위의 총점수(OR 1.634) ; 어깨 증상군은 상지의 근사용(OR 3.076), 상완 및 손부 위의 총점수(OR 1.798); 어깨와 목 부위를 합한 증상군은 상완 및 손부위의 총점 수(OR 1.715)와 상지의 근사용 점수(OR 2.057); 팔 증상군에서는 상지의 근사용 점수(OR 10.662) ; 손 부위 증상군에 대해서는 손목의 자세/손목 비틀림 지표 (OR 2.068)와 상지의 근사용 점수(OR 2.215); 허리부위 증상군에서는 하지의 근사용 점수(OR 2.601)가 통계적으로 유의한 지표였다.(p<0.05) 이상의 결과에서 작업관련 상지근골격계 자각증상과 RULA 점수사이에는 연관성이 있음이 관찰되었다. 이는 RULA가 직업성 질환을 유발할 수 있는 근골격계 부하에 폭로된 작업자들을 평가하는, 일차적인 작업 위험도 평가도구(Screening tool)로서 쓰일 수 있음을 말해준다. 다만 향후 RULA 사용에 있어서 상지(upper limb)와 허리부위(back)의 평가를 구분하고, 기타 다른 작업관련 요인들에 대한 평가체계를 보완하는 것이 필요하다.