• Title/Summary/Keyword: Neutral Position

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The Implications of Feminist Epistemology for Knowledge Production in Social Welfare (사회복지연구를 위한 페미니스트 인식론의 비평과 함의)

  • Sung, Jung-Suk;Lee, Na-Young
    • Korean Journal of Social Welfare
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    • v.62 no.2
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    • pp.349-373
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    • 2010
  • The purpose of this paper is to critically analyze the way of knowledge production in social welfare and to graft feminist epistemology to the discipline of social welfare. To put it more concretely, as analyzing the epistemological and methodological issues appeared in the articles in "orean Journal of Social Welfare", this study examines the meanings of feminist epistemology and its implications to research and practice in social welfare. From its onset, feminist research criticized the 'mainstream' ways of conceptualizing knowledge construction via research conducted upon a positivist epistemological position. Particularly, western feminists have problematized the androcentric bias embedded within the so-called 'social sciences' that we have taken for granted as 'scientific,' 'objective,' and 'neutral,' and attempted to redirect and reformulate the way of knowledge production with new concepts of 'strong objectivity,' 'partial/situated knowledge,' and 'strong reflection.' We believe that the implications of feminist epistemology to enable us to reflect the power relationship between subject and object, I and Other, and the researcher and the researched will contribute to recover the original vision of social welfare as critical theory and liberating practice in social work.

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Effect of Sagittal Pelvic Tilt on Kinematic Changes of Hip and Knee Joint During Sit-to-Stand (일어서기 동작 시 시상면 골반 기울임이 엉덩관절과 무릎관절의 운동형상학에 미치는 영향)

  • Lim, In-Hyuk;Choi, Bo-Ram;Kim, Hyun-Sook
    • Physical Therapy Korea
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    • v.18 no.3
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    • pp.26-37
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    • 2011
  • Although there have been various studies related to the body's movement from a sitting to a standing position (sit-to-stand task), there is limited information on the kinematic changes on the frontal and transverse planes. The purpose of this study was to ascertain how pelvic tilt affects kinematic changes in the frontal and transverse planes in the hip and knee joints during a sit-to-stand task. For this study, 33 healthy participants (13 female) were recruited. Each participant rose from a sitting to a standing posture at his or her preferred speed for each of three different pelvic tilt trials (anterior, posterior, and neutral), and the measured angles were analyzed using a 3-D motion analysis system. A one-way repeated measure analysis of variance was performed with Bonferroni's post hoc test. In addition, an independent t-test was carried out to determine the sex differences in hip and knee joint kinematic changes during the sit-to-stand tasks. The results were as follows: 1) The hip and knee joint angle in the frontal and transverse planes showed a significant difference between the different pelvic tilt postures during sitting in the pre-buttock lift-off phase (pre-LO) (p<.05). Compared to the posterior pelvic tilt posture, the anterior pelvic tilt posture involved significantly greater hip joint adduction and internal rotation, knee joint adduction, and reduced internal rotation of the knee joint. 2) Sex differences were found with significant differences for males in the initial and maximal angles in the frontal plane of the hip and knee joint (p<.05). Females had a significantly smaller initial abduction angle of the hip joint and a significantly greater maximal angle of the hip adduction joint. These results suggest that selecting a sit-to-stand exercise for pelvic tilt posture should be considered to control abnormal movement in the lower extremities.

Effects of the Trunk and Neck Extensor Muscle Activity According to Leg Positionon in Bridging Exercise (교각운동에서 다리의 위치에 따른 목폄근의 활성도에 미치는 영향)

  • Cho, Hyun-Rae;Jung, Da-Eun;Chae, Jung-Byung
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.1
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    • pp.125-132
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    • 2014
  • PURPOSE: This study aims to determine the optimal knee joint angle and hip joint angle for minimizing the cervical muscle tension and maximizing the muscle activity of the trunk during the bridging exercise for trunk stabilization. METHODS: The bridging exercise in this study included seven forms of exercise: having a knee joint flexion angle of $120^{\circ}$, $90^{\circ}$, $60^{\circ}$, $45^{\circ}$ and hip joint abduction angle of $15^{\circ}$, $10^{\circ}$, $5^{\circ}$. The posture of the bridging exercise was as follows. To prevent the increase of hyper lumbar lordosis during the bridging exercise, the exercise was practiced after maintaining the lumbar neutral position through the pelvic posterior tilting exercise. RESULTS: The abduction angles did not result in statistically significant effects on the cervical erector, external oblique, rectus abdominis and erector spinae muscles. However, in relation to the knee joint angles, during the bridging exercise, statistically significant results were exhibited. CONCLUSION: The knee joint angle affected the muscle activity of the neck muscle. The greater the knee joint angle, the lower the load placed on the neck muscle. In contrast, the load increased as the knee joint angle decreased. In addition, the muscle activity of the neck muscle and trunk muscle increased as the knee joint angle decreased.

Range of Motion of Great Toe after Sesamoidectomy: A Cadaveric Study (종자골 절제 후 족무지 관절의 운동 변화)

  • Chung, Hyun-Wook;Kim, Jin-Goo;Lee, Woo-Chun;Moon, Jeong-Seok;Suh, Jin-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.138-141
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    • 2009
  • Purpose: Regardless of potential and actual complications, the sesamoidectomy either tibial side or fibular side or both, had been used as a surgical option for various pathologic conditions. The objective of this cadaveric study was to identify the changes of range of motion of great toe after sesamoidectomy. Material and Methods: Eight fresh cadaver legs were used. The angular changes of the hallucal articulations were measured by traction of the flexor hallucis longus tendon at the proximal border of fibro-osseous tarsal tunnel and by traction of the extensor hallucis longus tendon at the superior border of inferior extensor retinaculum. The measurement started at neutral position and proceeded to the maximum for respective tendons. After sesamoidectomy either partial or total, same procedures were repeated and the angular changes were measured. Results: In flexion of great toe, there were significant metatarsophalangeal angular differences at 1 cm traction in total sesamoidectomy and lateral sesamoidectomy. In extension of great toe, there were significant metatarsophalangeal angular differences at more than 2 cm traction in total sesamoidectomy. In other measurements, there were no significant angular changes of the hallucal articulations. Conclusion: The sesamoidectomy resulted in change of motion of great toe. Statistical analysis showed that the significant increases in the initial flexion and maximal extension occurred with total sesamoidectomy and the significant increase in the initial flexion occurred with lateral sesamoidectomy.

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A Study on the Measurement of the Normal Tracheal Length in Korea adults (한국성인의 기관 길이 측정에 관한 연구)

  • 나명훈
    • Journal of Chest Surgery
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    • v.28 no.8
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    • pp.766-771
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    • 1995
  • The trachea is defined as the airway from the inferior border of the cricoid cartilage to the top of the carinal spur. This paper would confirm the normal tracheal length of Korean adults through the actual measurement using the fiberoptic bronchoscopy. The subjects of this study were 25 patients, 13 males and 12 females between the age of 20 to 69 without abnormality on the neck, trachea, mediastinum and lung pharenchyme on the preoperative chest X-ray, who received the operations from the period of July to September, 1994. For those patients who had heart diseases, the cardiothoracic ratio was below 50%. The measurement was performed on the patients with endotracheal intubation under the general anesthesia in supine and neutral position. The tracheal length was calculated by the difference between the length from the tip of the endotracheal tube [E-tube to carina and to the needle which was inserted into the E-tube at the lower border of the palpated cricoid cartilage, by inserting the broncoscopy through the E-tube. The result was as follow : 1 The measured tracheal length for men was 11.8 0.2 cm[mean standard deviation and women was 10.5 0.3 cm, and that was longer than this [p<0.01 . The average was 11.2 1.0 cm and the standard error was 0.20 cm. 2 According to the correlation between the tracheal length to weight, height[Ht , age, and body surface area[BSA respectively, the Ht [p=0.003 , age [p=0.055 , and the BSA[p=0.017 were significant, while weight was not [p=0.314 . 3 From the regression analysis of the tracheal length[T.L. to the Ht, Age, and the BSA which were significant, the following equation was derived.i Ht : T.L.= -1.29 + 0.076 x Ht [P=0.003 ii Age: T.L.= 10.04 + 0.028 x Age [P=0.055 iii BSA : T.L.= 5.60 + 3.48 x BSA [P=0.017 iv In multi-regression : T.L. = -4.15 + 0.034 x Age + 0.085 x Ht [P=0.0002]

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A Comparison of the Biochemical Characteristics of Different Anatomical Regions of Chub (Scomber japonicus) and Blue Mackerel (Scomber australasicus) Muscles (고등어 및 망치고등어육의 부위별 생화학적 특성 비교)

  • Bae, Jin-Han;Yoon, Sung-Ho;Lim, Sun-Young
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.43 no.1
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    • pp.6-11
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    • 2010
  • Chub and blue mackerels are popular fish resources in Korea, but little is known about each biochemical characters of different anatomical regions. To investigate biochemical characters of chub and blue mackerels, three ordinary muscle regions were identified by their fin position; namely anterior, median, posterior. In addition, red muscle, as a dark muscle, was obtained from beneath the lateral line to compare with ordinary muscles. Proximate and lipid-class compositions did not show any discernible trends in the different anatomical ordinary muscles from mackerel of the same kind, while significant differences between ordinary and red muscles in the same mackerel, or between chub and blue mackerels, were observed. Red muscles from both mackerels had higher levels in lipids with higher neutral lipid class compared with ordinary muscles. The major difference between chub and blue mackerels was the levels of lipids and neural lipid class, indicating that all muscles from chub mackerel showed higher levels of neural lipids compared with those of blue mackerel (P<0.05). Fatty acid compositions showed that the percentage of polyunsaturated fatty acids (PUFA), especially docosahexaenoic acid (DHA, 22:6n-3), in median and posterior was higher compared with anterior muscle from both mackerels. When compared with chub mackerel, blue mackerel showed higher percentage of DHA in all muscle regions. In amino acid analysis, taurine concentration was much higher in the red muscle than in the ordinary muscles. But levels of histamine, glutamic acid, leucine and lysine were higher in the ordinary muscles. Our results indicated that chub mackerel contained more lipids than blue mackerel and that red muscle had higher levels of neural lipid and taurine compared to ordinary muscles.

Ultrasound Guided Shoulder Joint Injection through Rotator Cuff Interval (초음파를 활용한 회전근개 간격으로 접근한 견관절 주사법)

  • Lim, Jong Bum;Kim, Young Ki;Kim, Sung Woo;Sung, Kyu Wan;Jung, Il;Lee, Chung
    • The Korean Journal of Pain
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    • v.21 no.1
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    • pp.57-61
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    • 2008
  • Background: Shoulder joint injection is currently performed under fluoroscopic or computed tomography scan guidance. We performed this study to determine if an ultrasound guided shoulder joint injection through rotator cuff interval would have clinical usefulness. Methods: A total of 17 volunteers [12 women, 5 men; mean age 28 yr (23-32 yr)] received shoulder joint injection under multilinear ultrasound (5-10 MHz). Volunteers were positioned supinely on a table with their arm in a neutral position. The anterior shoulder region of the patient was sterilized using povidone iodine. A 24 gauge needle was introduced and directly visualized in real time as it passed obliquely from the skin surface to the inferior space of the biceps tendon. If there was little or no resistance to the injection, a contrast media (omnipaque) was injected and checked fluoroscopically. Results: Ultrasound guided shoulder joint injection through rotator cuff interval was successful in all cases. The average time taken for the procedure was $27.5{\pm}16.5sec$. The vertical distance from skin to the inferior space of the biceps tendon was $1.6{\pm}0.4cm$ and the distance of needle from the skin to the inferior space of biceps tendon was $2.8{\pm}0.6cm$. The procedure was well tolerated by all volunteers. Conclusions: Ultrasound guided shoulder joint injection through rotator cuff interval is an effective, rapid, and easy-to-perform injection technique. Ultrasound guided injection enables exact needle placement and avoids the use of both ionizing radiation and iodinated contrast material.

Relations between Airway Narrowing and Prevertebral Soft Tissue Swelling after Anterior Cervical Spine Surgery : The Value of Lateral Neck Radiographs

  • Kim, Hee-Seop;Youm, Jin-Young;Kwon, Hyon-Jo;Choi, Seung-Won;Kim, Seon-Hwan;Koh, Hyeon-Song
    • Journal of Korean Neurosurgical Society
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    • v.42 no.2
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    • pp.97-102
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    • 2007
  • Objective : The authors attempted to evaluate the pattern of the airway narrowing due to prevertebral soft tissue swelling after surgery of the anterior cervical spine and their clinical significances using plain cervical X-ray images. Methods : Twenty-four patients undergoing anterior cervical spine surgery were reviewed from January 2004 to December 2005. Postoperatively, in daily basis, lateral radiograph of the neck was obtained in neutral position. We measured the upper airway diameter above and below the epiglottis level and prevertebral soft tissue diameter every day for a week and finally 2 weeks after surgery using their simple lateral cervical X-ray films. Results : Both airway narrowing and prevertebral soft tissue swelling were maximum in postoperative 2 days, and decreased rapidly in postoperative 7 days. Airway narrowing was aggravated postoperatively but slowly decreased as prevertebral soft tissue swelling diminished. But, the severity of airway narrowing showed no clinical correlations with clinical symptom and radiologic severity. Conclusion : Not all patients who show severe airway narrowing and prevertebral soft tissue swelling on their plain cervical X-ray film complain respiratory insufficiency. But, the patients with undergoing anterior cervical spine surgery should be monitored carefully for respiratory insufficiency, especially during several days following operation because both airway narrowing and prevertebral soft tissue swelling become peak at postoperative 2-3 days.

Effect of Taping on Lumbar Kinematics and Muscle Activities During Typing in Individuals With Nonspecific Chronic Low Back Pain

  • Kim, Hyun-A;Kwon, Oh-Yun;Ahn, Sun-Hee;Jeon, In-Cheol;Choung, Sung-Dae
    • Physical Therapy Korea
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    • v.22 no.1
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    • pp.93-102
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    • 2015
  • Prolonged sitting can contribute to low back pain. The lumbar taping can be applied to correct the sitting posture. This study aimed to investigate the effect of lumbar taping on lumbar kinematics and the muscle activities of multifidus (MF) and internal oblique in the individuals with nonspecific chronic low back pain (NSCLBP) as they type for 30 minutes. Nineteen subjects with NSCLBP (9 people in non taping group and 10 people in taping group) were recruited. Lumbar taping was applied to the taping group before typing. Both groups started typing in a neutral sitting position with their feet on the floor. The change of posture and S2 posterior tilting (S2P) were measured to investigate kinematic data. Three sensors were attached on T12, L3, and S2 to identify the change of posture. Surface electromyography was used to measure the muscle activities. Palpation meter was used to standardize the angle of pelvic tilt in sagittal plane before typing. All instruments were used to measure each data before and after typing. Independent t-test was used to compare the changing values of lumbar kinematics and muscle activities before and after typing between both groups. The changing values of S2P and change of posture of L3 and S2 were significantly smaller in the taping group compared to the non taping group (p<.05). The changing value of muscle activities of MF between before and after typing was significantly smaller in the taping group compared to the non taping group (p<.05). In conclusion, the lumbar taping during the 30-minute typing task can be applied to maintain correct sitting posture in the lumbar and pelvis and to maintain activation of MF.

Experimental Study on the Static Behavior of the Spliced PSC Box Girder (분절 PSC 박스거더의 정적거동에 관한 실험적 연구)

  • Chung, Won-Seok;Kim, Jae-Hueng;Chung, Dae-Ki
    • Journal of the Korea Concrete Institute
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    • v.19 no.4
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    • pp.433-439
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    • 2007
  • The main objective of the paper is to investigate the static behavior of a prestressed concrete (PSC) girder that has been spliced with precast box segments. A 20 m long full-scale spliced PSC girder is fabricated and tested to compare its static performance against a monolithic girder. The monolithic girder has the same geometric and material properties with respect to the spliced girder. This includes infernal strain, deflections, neutral axis position, and crack patterns for both girders. The test also consists of monitoring relative displacements occurring across the joints. Both the horizontal displacement (gap) and vertical displacement (sliding) are measured throughout the loading procedure. All results have been compared to those obtained from the monolithic girder. It has been demonstrated that the spliced girder offers close behavior with respect to the monolithic girder up to the crack load. Both girders exhibits ductile flexural failure rather than abrupt shear failure at joints.