• PNF and Movement
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• 제18권3호
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• pp.333-341
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• 2020

Purpose: The purpose of this study was to investigate the effect of open and closed kinetic chain exercises with a sling on neck flexor thickness during chin-in movement in office workers with forward head posture. Methods: Thirty-one selected subjects randomly performed chin-in movement in open kinetic chain and closed kinetic chain exercises using a sling. All subjects were measured for their neck flexor thickness using ultrasound measurement equipment during the performance of chin-in movement in open and closed kinetic chain exercised. A paired t-test was used to compare the thickness of the total neck flexor, superficial, and deep neck flexor, respectively, between open and closed kinetic chain exercises with chin-in movement. Results: The thickness of the superficial neck flexor diminished in size more greatly during the chin-in movement with the closed kinetic chain than the open kinetic chain, but this was not a statistically significant difference (p > 0.05). On the other hand, the thickness of the total neck flexor and deep neck flexor had more greatly increased during the chin-in movement with the closed kinetic chain than the open kinetic chain, and this was a statistically significant differences (p < 0.05). Conclusion: This study suggested that chin-in movement with a closed kinetic chain is more effective in activating the deep neck flexor than the open kinetic chain. Thus, we believe that the closed kinetic chain exercise using a sling is an effective intervention to correct the postural alignment of individuals with forward head posture.

• Kyungpook Mathematical Journal
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• 제59권2호
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• pp.341-352
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• 2019

Let M be an n-dimensional closed Riemannian manifold with metric g, $d{\mu}=e^{-{\phi}(x)}d{\nu}$ be the weighted measure and ${\Delta}_{p,{\phi}}$ be the weighted p-Laplacian. In this article we will study the evolution and monotonicity for the first nonzero eigenvalue problem of the weighted p-Laplace operator acting on the space of functions along the Yamabe flow on closed Riemannian manifolds. We find the first variation formula of it along the Yamabe flow. We obtain various monotonic quantities and give an example.

• 한국운동역학회지
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• 제21권1호
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• pp.31-38
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• 2011

This study aimed to determine the effects of the blockage of visual feedback on joint dynamics of the lower extremity. Fifteen healthy male subjects(age: $24.1{\pm}2.3\;yr$, height: $178.7{\pm}5.2\;cm$, weight: $73.6{\pm}6.6\;kg$) participated in this study. Each subject performed single-legged landing from a 45 cm-platform with the eyes open or closed. During the landing performance, three-dimensional kinematics of the lower extremity and ground reaction force(GRF) were recorded using a 8 infrared camera motion analysis system (Vicon MX-F20, Oxford Metric Ltd, Oxford, UK) with a force platform(ORG-6, AMTI, Watertown, MA). The results showed that at 50 ms prior to foot contact and at the time of foot contact, ankle plantar-flexion angle was smaller(p<.05) but the knee joint valgus and the hip flexion angles were greater with the eyes closed as compared to with the eyes open(p<.05). An increase in anterior GRF was observed during single-legged landing with the eyes closed as compared to with the eyes open(p<.05). Time to peak GRF in the medial, vertical and posterior directions occurred significantly earlier when the eyes were closed as compared to when the eyes were open(p<.05). Landing with the eyes closed resulted in a higher peak vertical loading rate(p<.05). In addition, the shock-absorbing power decreased at the ankle joint(p<.05) but increased at the hip joints when landing with the eyes closed(p<.05). When the eyes were closed, landing could be characterized by a less plantarflexed ankle joint and more flexed hip joint, with a faster time to peak GRF. These results imply that subjects are able to adapt the control of landing to different feedback conditions. Therefore, we suggest that training programs be introduced to reduce these injury risk factors.

• 생태와환경
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• 제55권1호
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• pp.49-59
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• 2022

배수갑문의 설치가 하구 환경 및 어류군집에 미치는 영향을 파악하고 분석하기 위해 국내에 위치한 총 325개의 하구를 대상으로 2016년부터 2018년까지 조사를 실시하였다. 닫힌하구와 열린하구의 전반적인 어류군집은 차이가 있는 것으로 확인되었으며, 닫힌하구에서는 일차담수어류, 열린하구에서는 기수성 어류와 회유성 어류의 상대풍부도가 높게 나타났다. 해역별로 닫힌하구와 열린하구의 어류를 서식특성별로 구분한 결과에서 남해와 서해는 유사한 경향성을 나타냈으며, 닫힌하구에서 일차담수어류 비율이 가장 높고 열린하구에서는 기수성 어류의 비율이 가장 높으나, 동해에서는 닫힌하구와 열린하구 모두에서 기수성 어류와 회유성 어류의 비율이 높았다. 일차담수어류의 경우 염분에 대한 내성이 없거나 낮은 염분 내성 범위를 가지기 때문에 해수의 순환이 차단되어 염분농도가 낮아진 닫힌하구에서 높은 비율로 나타난다. 그러나, 동해의 경우 닫힌하구보다 열린하구에서 일차담수어류의 비율이 높았으며, 이는 동해안 지역의 특성(조차, 모래사주 등)이 반영된 결과로 판단된다. 또한, 하구어류평가지수(KEFAI)는 모든 해역별 열린하구에서 높은 것으로 확인되었으며(T-test, P<0.001), 닫힌하구는 남해, 열린하구는 동해에서 가장 높은 것으로 확인되었다. 해역별로 닫힌하구와 열린하구를 구성하는 어류군집은 모두 통계적으로 유의한 차이를 보였으며(PERMANOVA, East, Pseudo-F =3.0198, P =0.002; South, Pseudo-F =22.00, P=0.001; West, Pseudo-F=14.067, P=0.001), 해역별 어류군집 유사도에서도 동해, 남해, 서해의 닫힌하구와 열린하구의 어류군집이 뚜렷하게 차이남을 확인하였다(SIMPER, Group dissimilarity, 85.85%, 88.36%, 88.05%). 본 연구는 전국 하구의 유형에 따른 어류군집 특성 및 분포에 대한 정보를 제공하였다. 본 연구 결과는 향후 하구의 관리와 복원에 있어 해역 및 유형에 따라 적절한 관리방안을 수립하는 데에 활용될 수 있다.

• 호남수학학술지
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• 제39권4호
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• pp.575-590
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• 2017

A new class of functions called $R_{\theta}$-supercontinuous functions is introduced. Their basic properties are studied and their place in the hierarchy of strong variants of continuity, which already exist in the literature, is elaborated. The class of $R_{\theta}$-supercontinuous functions properly contains the class of $R_z$-supercontinuous functions [39] which in turn properly contains the class of $R_{cl}$-supercontinuous functions [43] and so includes all cl-supercontinuous (clopen continuous) functions ([38], [34]) and is properly contained in the class of $R_{\delta}$-supercontinuous functions [24].

• Journal of Trauma and Injury
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• 제25권1호
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• pp.7-16
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• 2012

Purpose: Cervical dislocations with locked facets account for more than 50% of all cervical injuries. Thus, investigating a suitable management of cervical locked facets is important. This study examined factors of close reduction failure in traumatically locked facets of the subaxial cervical spine patients to determine suitable surgical management. Methods: We retrospectively analyzed of the case histories of 28 patients with unilateral/bilateral cervical locked facets from Nov. 2004 to Dec. 2010. Based on MRI evaluation of disc status at the injury level, we found unilateral dislocations in 9 cases, and bilateral dislocations in 19 cases, The patients were investigated for neurologic recovery, closed reduction rate, factors of the close reduction barrier, fusion rate and period, spinal alignment, and complications. Results: The closed reduction failed in 23(82%) patients. Disc herniation was an obstacle to closed reduction (p=0.015) and was more frequent in cases involving a unilateral dislocation (p=0.041). The pedicle or facet fracture was another factor, although some patients showed aggravation of neurologic symptoms, most patients had improved by the last follow up. The kyphotic angle were statistically significant (p=0.043). Sixs patient underwent anterior decompression/fusion, and 15 patients underwent circumferential fusion, and 7 patients underwent posterior fusion. All patients were fused at 3 months after surgery. The complications were 1 case of CSF leakage and 1 case of esphageal fistula, 1 case of infection. Conclusion: We recommend closed reduction be performed as soon as possible after injury to maximize the potential for neurological recovery. Patients fot whom closed reduction of the cervical locked facets have a higher incidence of anatomic obstacles to reduction, including facet fractures and disc herniation. Immediate direct open anterior reduction or circumferential fixation/fusion of locked cervical facets is recommended as a treatment of choice for traumatic locked cervical facet patients after closed reduction failure.

• 한국전문물리치료학회지
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• 제24권4호
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• pp.11-19
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• 2017

Background: Methods for exercising serratus anterior (SA) and upper trapezius (UT) muscles are important for the recovery of patients with various shoulder disorders, yet the efficacy of closed or open kinetic chain exercises have not yet been evaluated. Objects: The purpose of this study was to compare the activation of the SA and UT muscles during scapular protraction considering both closed and open kinetic chain exercises. Methods: Thirty subjects were randomly divided into experimental groups (closed kinetic chain exercise) and control groups (open kinetic chain exercise) in which scapular protraction was performed at $90^{\circ}$ or $125^{\circ}$ shoulder flexion. Electromyographic activity data were collected from the SA and UT muscles per position and exercise method. Results: Separate mixed 2-way analysis of variance showed significant differences in the activation of the SA (F1,28=6.447, p=.017) and the UT (F1,28=35.450, p=.001) muscles between the groups at $90^{\circ}$ and $125^{\circ}$ shoulder flexion. Also, the SA/UT ratio measures at $90^{\circ}$ and $125^{\circ}$ shoulder flexion significantly differed between the groups (F1,28=15.457, p=.001). That is, the closed chain exercise was more effective than open chain exercise for strengthening the SA muscle and controlling the UT muscle, $125^{\circ}$ of shoulder joint was more effective than $90^{\circ}$. Conclusion: The findings suggest that scapular protraction with shoulder $125^{\circ}$ flexion at the closed kinetic chain exercise may be more effective in increasing SA muscle activation and decreasing UT muscle activation as well as increasing the SA/UT ratio than open kinetic chain exercise.

• Journal of Acupuncture Research
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• 제37권2호
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• pp.118-122
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• 2020

Background: Compared with conventional closed therapy, acupotomy has the advantages of lower cost, convenient application, and better single and long-term effects. The aim of this study was to explore the clinical effect of acupotomy in the treatment of Tarsal Tunnel syndrome. Methods: There were 80 patients enrolled into the study who were randomly assigned to either the acupotomy or closed therapy group, with 40 patients in each group. The acupotomy group was treated once every 6 days, on 3 occasions for the duration of treatment, and the closed therapy group was treated twice a week, for 3 weeks as the course of treatment. The effects of treatment were analyzed and evaluated according to the standard of curative effect. Results: The "cure rate" of the number of patients in the acupotomy group whose symptoms had completely disappeared (13 patient out of 39) was higher than the closed therapy group (1 patient out of 39), and this difference was significant (p < 0.01). The number of patients in the acupotomy group who did not benefit from the therapy (5 patients) was significantly lower than the closed therapy group (15 patients; p < 0.05). The total number of patients in the acupotomy group who benefitted from the therapy (34 patients) resulted in an effective rate of 87.18%, which was higher than the closed therapy group (24 patients; 61.53%). The difference was statistically significant (p < 0.05). Conclusion: Acupotomy is effective in the treatment of Tarsal Tunnel syndrome, was superior to traditional closed therapy, and is worthy of clinical application.

• 대한정형도수물리치료학회지
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• 제15권1호
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• pp.22-31
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• 2009

Purpose The purpose of this study was to compare the effects of closed kinetic chain exercise and open kinetic chain exercise in improving the balance of patients with hemiplegia. Methods Ten patients with stroke were randomly allocated to either a closed kinetic chain exercise (CKC) group(n=5) or an open kinetic chain exercise(OKC) group(n=5). The subjects of each group followed the exercise regimen of their respective groups, and each exercise was performed for 50 mins per day, 3 days per week, for 4 weeks. Assessment was made using Berg Balance Scale (BBS), One Leg Standing(OLS) test, and Timed up and go(TUG) test. The 2 groups were assessed twice: before and after the intervention. Results The TUG test score was significantly different in the CKC group between before and after intervention (p<.05); however, there was no such deference in the OKC group (p>.05). Further, the scores of the BBS and OLS tests were not significantly different for the 2 groups between before and after intervention (p>.05). The hanges in these BBS and OLS score were not significantly different(p>.05); however, there was a significant difference in the change in the TUG scores (p<.05). Conclusion On the basis of the results of this study, we found that the closed kinetic chain exercise is more effective in improving the walking ability and dynamic balance in patients with stroke. Future studies are warranted in this regard.

• 한국임상수의학회지
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• 제33권6호
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• pp.362-367
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• 2016

The aim of the study was to evaluate ultrasonographic findings, affected age, hematology, blood chemistry and clinical signs according to open or closed cervix in 102 bitches presented for treatment of pyometra. The prevalence of pyometra according to breed was observed in Maltese 22.5%, Yorkshire Terrier 13.7% and Shih Tzu 12.7%. The mean age of dogs was $9.6{\pm}0.3years$, and open cervix pyometra was more prevalent than closed cervix pyometra. Clinical signs included anorexia, vaginal discharge, depression, polyuria/polydipsia, vomiting, and abdominal distension. The concentration of BUN and the activity of ALP in dogs with closed cervix pyometra were significantly higher than those in dogs with open cervix pyometra (p < 0.05). The white blood cell and neutrophils in dogs with closed cervix pyometra were significant higher than those in dogs with open cervix pyometra (p < 0.05). Ultrasonographic findings of the uterus with open or closed cervix pyometra showed variable patterns. The uterine wall was variable in appearance, from thick and irregular to smooth and thin. The uterine wall was thicker in open cervix pyometra than in closed cervix pyometra. The luminal cavity included smaller amount of anechoic fluid in open cervix pyometra than in closed cervix pyometra.