• The Journal of Korean Physical Therapy
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• 제33권2호
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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.

• 대한물리의학회지
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• 제14권2호
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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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• 제어로봇시스템학회 2002년도 ICCAS
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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.

• 한국자연치유학회지
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• 제13권1호
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• pp.51-61
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• 2024

배경: 수기 요법은 척추 변형의 교정 및 회복에 효과가 있으나 시술자의 역량에 의존적이며 긴 시술 시간이 소요된다. 지압 도구를 이용하여 다수의 지압점을 동시에 자극하는 자가 중력 지압(self-gravitational acupressure, SGA)은 이러한 수기 요법의 문제를 효과적으로 경감할 수 있다. 목적: 자가 중력 지압이 시상면 기립 자세의 교정에 미치는 효과를 검증하고자 한다. 방법: 다수의 지압봉을 구비한 지압 도구 세트를 목, 등, 골반, 종아리 부위를 자가 중력을 이용하여 전체적으로 또한 순차적으로 자극하는 SGA 프로그램을 체험한 93명의 시상면 기립 자세를 후향적으로 분석하여 체형 개선 효과를 평가했다. 기립 자세의 이상 정도는, SGA 전후 대상자의 기립 자세 사진 영상에서, 고관절을 통과하는 중력선을 기준으로 상체(외이도~골반) 및 하체(골반~복사뼈)의 기울어진 각도를 이용하여 평가했다. 결과: SGA 프로그램 체험 후 대상자 93명의 시상면 기립 자세의 상체 경사각은 평균 3.2°에서 1.6°로 50.0% 감소했고(p<.001), 하체 경사각은 평균 3.5°에서 3.2°로 8.6% 감소한 것으로 나타났다(p<.01). 결론: 본 연구를 통해 SGA의 기립 자세 교정 효과를 확인했다. 체형의 교정을 위한 SGA의 임상적인 활용을 위해, 지압 도구의 개선, SGA 프로토콜의 최적화 및 장기적인 임상적인 유효성을 검증하는 전향적인 연구가 필요하다.

• 대한물리치료과학회지
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• 제31권3호
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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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• 제21권2호
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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.

• 한국전문물리치료학회지
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• 제9권1호
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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.

• 대한인간공학회지
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• 제31권3호
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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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• 제어로봇시스템학회 2003년도 ICCAS
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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.

• 대한통합의학회지
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• 제8권3호
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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.