• The Journal of Korean Physical Therapy
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• v.33 no.2
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• pp.76-83
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• 2021

Purpose: This study examined the effects of applying the Pilates reformer exercise to 17 adult women on the alignment of the standing posture. Methods: The subjects performed a Pilates reformer exercise for 60 minutes a day, three times a week, for a total of eight weeks. The Pilates reformer exercise consisted of five types: 1) lower and lift, 2) hundred, 3) plow, 4) airplane, and 5) twist. The standing posture alignment in the sagittal and frontal planes was measured using exbody 9100MOMI musculoskeletal analysis equipment. Results: A comparison of before and after the exercise using paired t-test revealed a significant decrease in the difference between the horizontal inclination and the vertical height that approached zero after the intervention in the frontal plane of anterior and posterior standing postures (p<0.05), and the lateral standing posture in the sagittal plane. In addition, the difference between the horizontal inclination and the vertical height decreased and approached zero after the intervention (p<0.05). Conclusion: The Pilates reformer exercise had a positive effect on the alignment of the standing posture.

• Journal of the Korean Society of Physical Medicine
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• v.14 no.2
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• pp.21-28
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• 2019

PURPOSE: This study was conducted to compare different standing postures with the use of standing aids for lumbar spine posture and muscle activity, and to identify the most desirable standing posture. METHODS: The lumbopelvic angle was assessed based on static radiographic measurement on the sagittal plane. Lumbar lordosis, lumbosacral lordosis, and the intervertebral joint angle at L1/L5 and L5/S1 were measured using radiography in three standing postures (standing on level ground, standing with one foot on a platform, and standing on a sloped surface). In addition, muscle activity was measured using surface electromyography to examine the co-contraction of the lumbar and hip muscles. RESULTS: Lumbar lordosis, lumbosacral lordosis, and L5/S1 intervertebral joint flexion occurred with one foot on the platform. No significant differences were found between standing on a sloped surface and standing on level ground. However, muscle co-contraction was reduced with the use of standing aids. CONCLUSION: This study demonstrated that standing with a foot on a platform induced lumbar lordosis, but that there was no significant difference between standing on a sloped surface and standing on level ground. However, muscle co-contraction was reduced with the use of standing aids. Based on the motor control pattern as a predictor of LBP, the use of standing aids would help workers during prolonged standing.

• 제어로봇시스템학회:학술대회논문집
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• 2002.10a
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• pp.77.2-77
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• 2002

Human upright standing posture in the sagittal plane is studied, when it exposed in the antero-posterior vibration. A two link inverted pendulum model is considered and described its functional behavior in terms of ankle and hip joint according to the dominant joints that provides the largest contribution to the corresponding human reactionary motion. The data is analyzed, both in the time domain and the frequency domain. Subjects behave as a non-rigid pendulum with a mass and a spring throughout the whole period of the platform motion. When vision was allowed, each segment of body shows more stabilized.

• Journal of Naturopathy
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• v.13 no.1
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• pp.51-61
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• 2024

Background: Manual acupressures in the correction and recovery of spinal deformities are known to be effective. However, they rely on therapists' skill and often require a long treatment time. The shortcomings of the manual therapy are anticipated to be effectively mitigated through self-gravitational acupressures (SGA) which stimulate multiple acupoints simultaneously with acupressure tools. Objective: The study aims to verify the effect of SGA for the correction of sagittal standing posture. Methods: A retrospective analysis was conducted on the postural improvements of the 93 subjects who underwent the SGA intervention, leveraging self-gravity for stimulating neck, back, pelvis, and calf areas both overall and sequentially using a set of acupressure tools equipped with multiple acupressing rods. Degree of posture abnormality was assessed before and after the SGA intervention using the photographic images of the subjects' sagittal standing postures, based on the angles of inclination of the upper body (from external auditory meatus to pelvis) and the lower body (from pelvis to malleolus) from the gravitational line passing through the hip joint. Results: After the SGA intervention, the upper body inclination angle was observed to decrease from an average of 3.2° to 1.6° (50.0% reduction, p<.001), and the lower body inclination angle decreased from an average of 3.5° to 3.2° (8.6% reduction, p<.01). Conclusion: The observed results underpin that SGA is effective for the correction of postural deformities. For the clinical application of SGA, prospective research is needed to optimize SGA protocol and acupressing tools and to validate long-term clinical efficacy.

• Journal of Korean Physical Therapy Science
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• v.31 no.3
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• pp.78-88
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• 2024

Background: This study was to investigate effects of flat-back posture during inhalation compared to normal posture, focusing on the expansion of the chest and the activation of neck muscles. Design: Case-control study. Methods: Thirty subjects participated in this study. Plumb line distances and Sagittal index were measured using a ruler and a laser level in the standing position to evaluate and classify thoracic kyphosis of the subjects. Chest expansion was measured using a ruler, and surface electromyography was used to measure muscle activity around the neck and shoulders during inhalation. Correlation analysis and independent t-tests were conducted to compare chest expansion and muscle activity around the neck between subjects with flat-back posture and those with normal posture during inhalation. Results: The correlation analysis showed a statistically significant positive correlation between Sagittal index and chest expansion at the level of the xiphoid process (r=.558, p<.05), and a statistically significant negative correlation between Sagittal index and activity of the upper trapezius at the onset of inhalation (r=-.368, p<.05). Independent t-test results indicated significant differences between the flat-back posture group and the normal posture group in the circumference of the xiphoid process at rest (p<.05) and in the activity of the upper trapezius at the onset of inhalation (p<.05). Conclusion: Flat-back posture influences a decrease in chest expansion and at the same time increases the muscle activity of the upper trapezius muscle at the beginning of inspiration.

• Journal of Oral Medicine and Pain
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• v.21 no.2
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• pp.305-315
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• 1996

This study was performed to investigate the changes of head posture according to natural standing or sitting posture. Twenty seven healthy dental students without any signs and symptoms of temporomandibular disorders participated in this study. Cervical resting posture (CRP) of the head in sagittal plane was measured by Cervical-Range-of-Motion $^\textregistered$(CROM, U.S.A.) and lateral cephalograph was taken in natural posture. The items related to angle in cephalograph were the angles of cranial and cervical inclination to true vertical line(VER/NSL, VER/AML), the angles of cervical inclination to nasion-sella line(CVT/NSL, OPT/NSL), the angles of comical inclination to horizontal line(CVT/HOR, OPT/HOR), the angle of cervical lordosis(CVT/OPT). The items related to line measurement were the distance from subocciput to Cl(Dl), Cl to C2(D2), C2 to C3(D3), C3 to C4(D4), the upper(PNS to posterior pharyngeal wall) and the lower(tongue base to posterior pharyngeal wall) pharyngeal space, the distance from nation to mention(Na-Me), and the radius of comical curvature from the first comical vertebra(Cl ) to the fifth cervical vertebra(C5). The data were analyzed with SAS/STAT program. The obtained results were as follows : 1. Most items related to angular measurement showed significant difference between in standing and sitting posture. The angles of CRP, CVT/NSL, OPT/NSL, CVT/HOR, OPT/HOR, and CVT/OPT were high in sitting posture, but the angles of VER/NSL, VER/NSL were low in sitting posture. 2. In vertebral distance, only the distance between C3 and C4 was differed by the posture, which decreased in sitting posture. In sitting posture, the distance from nasion to menton(Na-Me) was longer, but the radius was shorter than in standing posture. 3. Correlationship in angular measurements was almost same in both postures. Ceervical resting posture(CRP) was correlated with VER/NSL, VER\ulcornerNSL was correlated with CRP, CVT/NSL, and OPT/NSL, VER/AML was correlated with CVT/HOR, OPT/HOR, CVT/OPT, and the angle of cervical lordosis(CVT/OPT) was correlated with the radius. 4. Correlationship in linear measurement was observed only in among D3, D4, and radius. And the Na-Me was not correlated with any other items. From this results, The author concluded that the head posture in sitting was mote backward extended than in standing.

• Physical Therapy Korea
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• v.9 no.1
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• pp.53-61
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• 2002

The purpose of this study was to compare the body alignment during standing on level and wedge board. Twenty healthy college students (8 females, 12 males) were evaluated in this study. Diagnostic contourline potographic imaging system (Model JTC-1, Jodang Trading Co.) was used to measure body alignment. Sagittal and frontal plane images were used to analyze the body alignment. The result showed that the cervical and lumbar lordotic curve significantly decreased during standing on wedge board when compared with standing on level. On the other hand, thoracic kyphosis significantly increased during standing on wedge board. There was no significant difference in body alignment according to gender, weight, and height. Clinically, patients with low back pain and severe lordosis may be affected by heel wedge. Further study is needed to identify whether the standing on wedge board can change the body alignment in patients with low back pain and spinal deformity.

• Journal of the Ergonomics Society of Korea
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• v.31 no.3
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• pp.437-444
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• 2012

The purpose of this study was to suggest appropriate human model for ergonomic evaluation considering working postures on 3D space. Background: Traditionally extreme design rules have been widely utilized at the stage of designing products. Body size of 5th percentile and 95th percentile in stature has been generally selected for controllability and clearance evaluation, respectively. However, these rules had limitations in reflecting working posture in ergonomic evaluation. Method: In order to define working posture on 3D space, not only sagittal plane but also lateral plane was considered. Kinematic linkage body model was utilized for representation of working posture. By utilizing the anthropometric data of 2,836 South Korean male populations, the point cloud for end points of linkage models was derived. The individuals who were lacking in certain controllability were selected as human models for the evaluation. Result: In case of standing posture it was found that conventional approach is proper for all controllability evaluations. Contrary to standing posture, tall people had less controllability on control location below shoulder point in sitting posture. Conclusion: From the derived proper range on controllability, ergonomic evaluation rule was suggested according to working posture especially in standing and sitting. Application: The results of the study are expected to aid in selection of appropriate human model for ergonomic evaluation and to improve the usability of products and work space.

• 제어로봇시스템학회:학술대회논문집
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• 2003.10a
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• pp.1504-1508
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• 2003

The functional behavior of each body segments were investigated with respect to human standing posture when they were exposed to the horizontal vibration in the sagittal plane. This study is processed by experimental approach. The data is analyzed, both in the time domain and in the frequency domain. Random and multisinusoidal vibration was used as input. The ankle, hip, and head were employed as the significant body segments. High relative movements were present between hip and head, and there was no significant relationship between ankle and head. Variations of visual input produced a significant postural effect.

• Journal of The Korean Society of Integrative Medicine
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• v.8 no.3
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• pp.173-180
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• 2020

Purpose : The aim of this study was to assess the intra- and inter-rater reliability and validity of measurements of head, neck, and pelvis posture using a mobile application in subjects with forward head posture. Methods : Forty-eight volunteers (22 men, 26 women) participated in this study. Two raters independently examined whole body picture images in a lateral standing posture with arms crossed using a CA-Smart Posture Reminder (CA-SPR), and a rater took and calculated posture images twice to assess reliability. We measured five parameters: craniovertebral angle 1 (CVA1), anterior shoulder translation (AST), pelvic tilt (PT), knee angle (KA), and ankle angle (AA) in the subject's sagittal plane using CA-SPR. We examined whole spine X-ray images in the same position to assess validity. We measured four variables in the subjects: CVA2, translation distance (AHT), anterior pelvic plane (APP), and sacral slope (SS). The intra- and inter-rater reliability were calculated using the intraclass correlation coefficient (ICC). Convergent validity was calculated using Pearson's correlation coefficient. Results : The intra-rater reliability (ICC=.889 -.989) and inter-rater reliability (ICC=.800 -.980) were excellent for all variables measured using CA-SPR. The variables measured using CA-SPR and X-ray were significantly positively correlated (r=.623, p<.01). However, the correlation of the variables in the pelvis was not statistically significant. Conclusion : This study shows that a mobile application (CA-SPR) is a useful tool for measuring head and neck posture in subjects with forward head posture. However, further study is needed to measure pelvic variables when using a mobile application.