• Title/Summary/Keyword: POSTURE EVALUATION

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The Effects of Sensory Integrative Therapy on Vestibulo-Proprioceptive Sensory Processing of Children With Asperger Syndrome (감각통합치료가 아스퍼거 아동의 전정.고유감각 처리능력에 미치는 효과)

  • Kim, Eun-Sung;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.6 no.1
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    • pp.35-46
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    • 2008
  • Objective : This study verifies the effects of sensory integrative (SI) therapy on vestibular- and proprioceptive sensory (BPS) processing ability of a child with Asperger Syndrome (AS). Method : A boy who is 11 years and 2 months old took the Functional Independence Measure for Children (Wee-FIM), Canadian Occupational Performance Measure (COPM), Short Sensory Profile, Bruininks-Oserestky Test of Motor Proficiency-2 (BOT-2), and Test of Playfulness (ToP) for the baseline. The child participated in 3 evaluation sessions and 8 therapy sessions based on the AB research design. Duration of each session is 50 min and the therapy session is divided into 40 minutes for treatment and 10 minutes for evaluation. Since the vestibular sense and proprioception build up one's ability of postural control, several tests were employed to evaluate the child' postural control as outcome measure; distance from front leg of chair to heel of the child with sitting (C-H distance), angle between trunk and thigh (hip joint angle) with sitting, and the 'prone-extension posture' which is a subtest of Clinical Observation of Motor and Postural Skill (COMPS) to examine postural control embodied with integration of reflex and BPS processing. Result : During the therapy, average data of the C-H distance is decreased from 27.33cm to 11.69cm, average data of the hip joint angle is also decreased from $43.3^{\circ}$ to $20^{\circ}$, and average time for the prone-extension posture is increased from 13.15seconds to 24.84seconds. Conclusion : This result indicates that the ability to postural control in sitting and to maintain the prone-extension posture can be improved by sensory integrative therapy, with enhanced BPS processing.

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Decision Making for the Arrangement of Spare Parts in Military Warehouse, considered on Working Time and Posture Difficulty (작업 시간과 자세위험도를 고려한 군 보급시설 수리부속 배치대안 결정)

  • Kim, Kyung-Rok;Cha, Jong-Han
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.10
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    • pp.4893-4901
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    • 2013
  • In order for a machine, especially used in the defense industry, to consistently operate during its life-time, lots of study has been done in machine design as well as machine maintenance. However, the realistic study is necessary in management and operation of a military support facility, where spare parts are stored and retrieved. In this paper, efficient arrangement of spare parts are proposed to acquire increased in efficiency and decreased in cost for operation management of the military support facility. First, spare parts is assorted by MTBF(Mean Time Between Failure) and divided in to three groups A/B/C as an alternative arrangement. Each defined alternatives will go under simulations and RULA(Rapid Upper Limb Assessment), which is posture classification scheme evaluation attributes, to find working time and posture difficulty and lastly by entropy measurement to be selected. This research proposes the efficient spare parts arrangement in military support facility to minimize working time and posture difficulty. By taking system and human engineering approach together into consideration, it will lead to show a specific value.

Physical Therapy Clinical Practice and Documentation for Pusher Syndrome in Stroke Patients: Case Report (밀기증후군을 가진 뇌졸중 환자에 대한 임상 실기와 문서화: 사례보고)

  • Hwang, Ki-Kyeong;Song, Su-Young;Doo, Yeong-Taek;Yoon, Se-Won;Lee, Jeong-Woo
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.9 no.1
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    • pp.41-49
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    • 2011
  • This study purposes to conduct visual feedback and body posture control training on stroke patients with pusher syndrome in order to reduce their pusher syndrome. This study also examines changes resulting from the training and applies the guidelines necessary for documentation of patient/customer management. The participant for this study was one patient with pusher syndrome. The study progressed from a medical examination of the subject followed by evaluation, diagnosis, prognosis, intervention and treatment plan, and finally re-examination in order of precedence. Problems in the participant's functional activities, difficulties in changes from sitting postures into standing postures, and maintaining standing postures were determined as primary restrictions on activities and the improvement of these activities was set up as a goal through discussions with the patient. Interventions were mainly implemented to reduce the pusher syndrome with visual feedback provided using mirrors and exercises focusing on leaning in order to maintain posture while sitting. Changes from supine postures to sitting postures and the degree of changes in maintaining standing postures were compared between before and after the intervention by measuring times in the same environment and the degree of pusher syndrome was measured using the SCP tool. The process of this clinical practice was documented. The SCP score that indicates the degree of changes in the participant's pusher syndrome changed from 3.75 points to 0.8 point indicating a decrease in pushing. Among functional activities, posture changes from sitting postures to standing postures and maintaining standing postures were improved. In addition, since the patient could maintain standing postures, the patient could walk indoors. In this case study, mirrors and body posture control training used as interventions to relieve pusher syndromes can be easily applied in clinics to examine the form of functional recovery. The results indicated that these intervention methods were effective and thus it is thought that the results can be used as basic data to utilize these intervention methods diversely. In addition, the documentation of patient/client management was applied as actual documentation in Korean and based on the results, we could show decision making processes for patients' functional goals and objectively explain problems, prognoses and changes made through the interventions.

An Convergence Analysis of Muscle Characteristics, Muscle Activity and Posture in Patients with Cervicogenic Headache (경추성 두통 환자의 근육 특성과 자세 및 근활성도의 융복합적 분석)

  • Yoon, Jong-Hyuk
    • Journal of Digital Convergence
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    • v.19 no.6
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    • pp.265-271
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    • 2021
  • This study aimed to define the diagnostic criteria for cervicogenic headache and propose an efficient method of clinical evaluation and physical therapy. Fifteen patients with cervicogenic headache and 15 healthy individuals were recruited and categorized into the test group and the control group, respectively. The groups were compared in terms of muscle characteristics, muscle activity and posture, and the intervariable correlations were analyzed for the test group. A significant between-group difference was found in the stiffness of the suboccipital muscle and the tone and stiffness of the upper trapezius muscle (p<.001). In posture comparison, a significant difference was noted in neck tilt angle and the T1 slope angle (p<.05). The activity of the sternocleidomastoid muscle was also significantly different between the groups (p<.001). When the correlations among the muscle characteristics, the posture, and the activity of the sternocleidomastoid muscle were analyzed for the test group, a positive correlation was found between the tone and the stiffness of the suboccipital muscle (p<.001) and between the tone and the stiffness of the upper trapezius muscle (p<.001). The findings of this study suggest a more efficient approach for the assessment and treatment of cervicogenic headache patients. It is considered that, further studies including more subjects of various job categories and comparing the outcomes.

Effects of Cervical Stabilization and Scapular Stabilization Exercise on the Proprioception and Craniovertebral Angle and Upper Trapezius Muscle Tone of People with F orward Head Posture

  • Seung-Hwan, Lee;Byoung-Ha, Yoo;Hyun-Seo, Pyo;Dongyeop, Lee;Ji-Heon, Hong;Jae-Ho, Yu;Jin-Seop, Kim;Seong-Gil, Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.4
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    • pp.1-13
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    • 2022
  • PURPOSE: This study examined the effects of the craniovertebral angle, proprioception (joint error test), and the upper trapezius on the muscle tone when comparing cervical stabilization and scapula stabilization exercises and when two exercises were performed together. METHODS: The participants in this study agreed in advance, and this study was carried out by recruiting 27 university students in their twenties with mild frontal posture. The subjects were assigned randomly to three groups that performed cervical stabilization exercises, scapular stabilization exercises, and both cervical and scapular stabilization exercises. One-way repeated ANOVA was used to analyze the evaluation values of the 1st, 3rd, and 6th weeks of exercise intervention within the group, and one-way ANOVA was used to compare the difference in the effects of exercise intervention among the three groups. RESULTS: Proprioception was significantly different in the cervical stabilization exercises (CSE) group and the cervical stabilization exercises + Scapular stabilization exercises (CSE+SSE) groups at three weeks, and there was a significant difference between the scapular stabilization exercises (SSE) group and the CSE+SSE group (p < .05). At six weeks, there was a significant difference between the CSE group and the CSE+SSE group, and there was a significant difference between the SSE group and the CSE+SSE group (p < .05). There was a significant difference between three and six weeks in the CSE group (p < .05). In the SSE group, there was a significant difference between pre and six weeks, and between three and six weeks (p < .05). In the CSE+SSE group, there was a significant difference between pre and three weeks, and between pre and six weeks (p < .05). On the other hand, there were no significant differences between CVA and muscular tone in all three groups (P > .05). CONCLUSION: In all groups, the proprioception (joint error test) showed significant improvement, and the CSE+SSE group showed greater improvement than the other groups. As a result, the appropriate combination of neck stabilization exercise and scapular stabilization exercise effectively improved proprioception in the presence of forward head posture (FHP).

The Usability Analysis for Ergonomic Evaluation Methods of Work-related Musculoskeletal Disorders (작업관련성 근골격계질환의 인간공학적 평가 기법들에 대한 사용성 평가)

  • Im, Su-Jung;Choi, Soon-Young;Park, Dong-Hyun
    • Journal of the Korea Safety Management & Science
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    • v.13 no.2
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    • pp.83-90
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    • 2011
  • It has been very important to have an exact evaluation for risk factors in order to prevent WMSDs(Work-related Musculoskeletal Disorders). However, most WMSDs evaluation methods have always been some problems of possibilities associated with subjective evaluation. Therefore, this study tried to conduct a sort of usability analysis on three major evaluation methods(OWAS, RULA, REBA). Specifically, major subjects in the study consisted of three parts as follows; comparison of the results between experienced and inexperienced observers, analysis for the consistency of the results in terms of different evaluation times, and analysis for the consistency of the results in terms of different job characteristics(based on the part of the automobile). The results of the study were summarized as follows; 1) There was statistically significant difference of the results by RULA and by REBA between experienced and inexperienced observers. This might be due to the fact that experienced observers have had better ability to detect the important working posture during evaluation. However, the results by OWAS did not give any significantly different results between experienced and inexperienced observers, 2) All three checklists applied by experienced subjects did not show any single result significantly different in terms of different evaluation times. This might have to do with high intra-observer reliability from some of previous studies, 3) The five parts of an automobile were selected as five major jobs with different job characteristics in the automobile industry. Specifically, they were door part, front part(hood, etc.), inside part(dash board, seats, etc.), rear part(trunk etc.), and bottom part. All three methods did not show any significant differences for the results from each observers. Further study on this subject would eventually provide a sophisticated evaluating guidelines for WMSDs regarding determination of observer-specific evaluation, identification of repetitive number of evaluations for stable results for each checklist, determination of job-specific evaluation methods, and so on.

Objective Physiology Evaluation and Subjective Satisfaction Evaluation when Wearing Fitness Compression Wear for the Elderly (고령자용 피트니스 압박웨어 착용시의 객관적 인체생리 평가 및 주관적 만족도 평가)

  • Eun-Jin Jeon;Hee-Eun Kim
    • Fashion & Textile Research Journal
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    • v.25 no.4
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    • pp.508-519
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    • 2023
  • Muscle reduction owing to aging causes changes in physical function among the elderly. Fitness compression wear reduces fatigue by compressing the main muscles, expanding blood vessels, and rapidly discharging lactic acid. The effect of clothing pressure when wearing fitness compression wear for the elderly was objectively and subjectively evaluated for six women aged 55-64 years. The evaluation clothes were three types of tops and bottoms, one type of design (A) preferred among the existing compression wear, and two types of design (B and C). The objective evaluation items included clothing pressure, blood flow, surface temperature, and subjective satisfaction. It was found that clothing A had the highest clothing pressure in the straight posture and five fitness movements. Blood flow increased the most when wearing the evaluation clothing. The surface temperature was found to be the highest for clothing C, and subjective satisfaction was found to be the best when wearing evaluation clothing B. If the tensile strength was low and the tensile elongation was high, as in evaluation clothing B, it was recognized as appropriate clothing pressure, and the subject was subjectively satisfied. When manufacturing fitness compression wear in the future, it will be possible to increase users' objective and subjective satisfaction with wearing it, if the incision of the garment were placed at the location of the line of non-extension (LoNE), and appropriate material characteristics are applied.

A study on the improvement plan of fire simulation training for the improvement of fire response ability : Focusing on the fire simulation training of business facility (화재대응능력 향상을 위한 화재모의훈련의 개선방안에 관한 연구 : 업무시설의 화재모의훈련 중심으로)

  • Kim, Bongjun;Ryu, Guhwan
    • Journal of Digital Convergence
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    • v.18 no.9
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    • pp.191-198
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    • 2020
  • In this study, in order to propose an improvement plan for fire simulation training to improve fire response capability, fire simulation training is conducted for three business facilities, and changes according to whether training materials are used and whether the response time for each response stage is reflected in the training evaluation. The response posture and response ability of the training participants were observed and analyzed. As a result of the analysis, it was analyzed that most of the training participants improved their participation in training, response posture, and response ability when the use of training textbooks and response time for each response stage were reflected in the training evaluation. In the event of a fire simulation training, a number of training materials that can similarly implement the fire situation are used to improve and maintain the fire response capabilities (fire notification and fire report, initial extinguishing, and evacuation) of the training participants, and the target time for each response step. The result was that it can be used as a useful index for improving fire response capability and improving fire simulation training in the future and feedback only when quantitative training evaluation is conducted based on this setting.

The Evaluation of Women Empolyees of Department Store about the Characteristics, the Movement Adaptability and the Fitness of Their Uniform (백화점 여직원의 유니폼 속성, 동작적합성, 치수적합성에 대한 평가)

  • Kim, Soon-Boon;Lee, Yeong-Suk
    • Fashion & Textile Research Journal
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    • v.9 no.5
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    • pp.528-537
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    • 2007
  • The aims of this study was to provide useful informations to the uniform industries to promote the production of the functional and esthetical goods. The subjects of this study were the 243 department woman employees in Daegu City. The data were analysed through factor analysis, one-way ANOVA, Scheffe-test, $x^2$-test, and t-test. The result were as follows; The ages were from 20 to 50 years old, and their working divisions were clothing (46.5%), food (18.1%), miscellaneous (14.4%), daily articles (11.1%). The evaluation of characteristics of their uniform was somewhat unsatisfactory (2.65) and showed the significant differences among the age groups. The unsatisfaction of blouse materials (2.11) were the highest among the evaluation of the materials, and the inconveniency of sitting posture with folding knees were the highest (3.98) and showed the significant differences among the working division groups. The significant differences of the fitness were showed in the sleeve length of blouse, the length of vest, and the length of trousers.

Subjective symptoms and risk assessment of musculoskeletal disorders of the dental hygienists (치과위생사의 근골격계질환 자각증상 및 위험도 평가)

  • Kim, Jung-Hee;Yoo, Wang-Keun
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.1
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    • pp.67-79
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    • 2012
  • Objectives : The study was carried out to find out the experience of musculoskeletal disorder symptoms of dental hygienists and evaluate the risk with ergonomic evaluation method(RULA). Methods : The subjects in this study were 344 dental hygienists working at dental clinics and general hospitals in Seoul, Gyeonggi, Daejeon and Chungnam/Chungbuk. The data were collected through the self-questionnaire survey from July 26th 2010 to September 30th 2010. Results : The results showed that those who working at dental hospital, network dental clinics, with 1-5 years of clinical experience, long working hour and sitting hour, no rest hour, more physical and mental burden had higher rate of the experience of musculoskeletal disorder symptoms compared with other groups. The final score of RULA evaluation results was 6 on average requiring continuous observation and urgent demand for work improvements. According to the result of RULA evaluation by work, the orthodontic clinics were 4.5, prosthodontic clinics were 5.0, and dental surgery clinics were 6.8 being the most risky. Conclusions : The study showed high complaints rate on musculoskeletal disorders in dental hygienists. Thus, various measures including provision of proper working and rest hours, use of ergonomic working equipments, strengthening the health education for desirable working posture and the development of musculoskeletal disorder prevention program should be needed.