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Changes of the Postural Sway and Weight Distribution According to Cooling the Foot (발의 냉 적용이 자세 동요와 체중 분포에 미치는 영향)

  • Chung, Hyung-Kuk
    • Journal of Korean Physical Therapy Science
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    • v.16 no.4
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    • pp.19-27
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    • 2009
  • Background: The purpose of this study was to examine changes of postural sway and weight distribution after cooling the foot. Methods: Ten men with no history of sensory, neurological and orthopedic disorders were participated in this study. They performed four methods: (1) non-treated feet group(control group); (2) both feet treated group; (3) right foot treated group; and (4) left foot treated group. The feet of them were put into ice box, then they stood more than forty seconds on EMED system with bared feet. Data on the moving length, velocity, and maximum velocity of COP and the weight distributions during thirty seconds only were measured in standing position. Results: (1) The moving length and velocity of COP were significant difference between control group and both feet treated group only(p<0.05). (2) The maximum velocity of COP was significant difference among control group and all experimental groups. (3) The changes of weight distribution were significant difference among control group and right/left foot treated groups. Conclusions: Cooling the foot led to increased postural sway and changed weight distribution patterns.

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Multiple Ossicular Dislocation Including Stapediovestibular Dislocation Presenting with Conductive Hearing Loss

  • Lee, Geonho;Kim, Yoonjoong;Kim, Bong Jik
    • Journal of Audiology & Otology
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    • v.25 no.3
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    • pp.159-162
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    • 2021
  • Temporal bone trauma can cause hearing loss and in case of prolonged conductive hearing loss, traumatic ossicular injury should be considered. Separation of the incudostapedial joint is the most common lesion, and stapediovestibular dislocation is relatively rare but can easily cause perilymphatic fistula. Here, we report a very rare case of external stapediovestibular dislocation after trauma, ending up with successful surgical outcome. A 27-year-old man with non-progressive hearing loss on the right side since childhood visited the clinic. Audiogram showed a conductive hearing loss with air-bone gap of 55 dB on the right side. Temporal bone CT revealed the disruption of ossicular chain. An exploratory tympanotomy identified multiple ossicular disruptions including external stapediovestibular dislocation with shiny fibrous membrane sealing the oval window. Ossicular chain reconstruction was performed using the total ossicular replacement prosthesis of titanium. A postoperative audiogram showed a recovery of air-bone gap less than 10 dB. To the best of our knowledge, this is the first case of external long-standing stapediovestibular dislocation, with oval window completely sealed with fibrous membrane, ending up with successful hearing recovery by surgery. This case would help dealing with such condition which can be encountered in the clinic.

Multiple Ossicular Dislocation Including Stapediovestibular Dislocation Presenting with Conductive Hearing Loss

  • Lee, Geonho;Kim, Yoonjoong;Kim, Bong Jik
    • Korean Journal of Audiology
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    • v.25 no.3
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    • pp.159-162
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    • 2021
  • Temporal bone trauma can cause hearing loss and in case of prolonged conductive hearing loss, traumatic ossicular injury should be considered. Separation of the incudostapedial joint is the most common lesion, and stapediovestibular dislocation is relatively rare but can easily cause perilymphatic fistula. Here, we report a very rare case of external stapediovestibular dislocation after trauma, ending up with successful surgical outcome. A 27-year-old man with non-progressive hearing loss on the right side since childhood visited the clinic. Audiogram showed a conductive hearing loss with air-bone gap of 55 dB on the right side. Temporal bone CT revealed the disruption of ossicular chain. An exploratory tympanotomy identified multiple ossicular disruptions including external stapediovestibular dislocation with shiny fibrous membrane sealing the oval window. Ossicular chain reconstruction was performed using the total ossicular replacement prosthesis of titanium. A postoperative audiogram showed a recovery of air-bone gap less than 10 dB. To the best of our knowledge, this is the first case of external long-standing stapediovestibular dislocation, with oval window completely sealed with fibrous membrane, ending up with successful hearing recovery by surgery. This case would help dealing with such condition which can be encountered in the clinic.

Study on the Differences in the Results of Body Shape Test According to the Position of the Two Feet and the Usefulness of the Neck and Body Motion Image Test (두 발의 위치에 따른 체형검사 결과 차이와 체간신전 동작 이미지 검사의 유용성 연구)

  • Chang, Wan Song;Kim, Song Ja;Ryu, Seo Won;Lim, Duk Joon;Jung, Moon Young
    • Journal of Naturopathy
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    • v.9 no.1
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    • pp.22-26
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    • 2020
  • Purposes: The purposes of this study were to investigate the relationship between the standing position of the subject and the normal standing position(NSP) and the straight standing position(SSP) and to investigate the possibility of different body shape test results depending on the status of the image inspection apparatus. Methods: The images of the NSP and SSP were compared with each other by body line BLS system. Results: At the time of examination, the position of the camera was captured at a position 2.3 m vertically from the posterior position 45 cm behind the subject. This is a privacy protection method for covering the breast of the subject. Results: The physiological characteristics of the anatomical position of the body align image test are the living body. NSP and SSP tests showed different shapes of the pelvis AS(antero-supero) and pelvis rotation in the transverse plane. Shoulder and arm displacement was observed in the trunk extension image capture. Conclusions: In the body alignment test, the pelvis position test images of NSP and SSP are evaluated differently for pelvis rotation, AS, and PS. At the extension position of the trunk, a test of the maximal extension range showed that the left and right shortening of the shoulder anterior muscles could be observed. Inducing and testing the trunk extension is also useful.

The Differential Effects of Plyometric Training and Weight Training on Muscular Power, Agility and Maximal Muscular Strength of the Male and Female High-school Throwers (고등학교 투척선수들의 plyometric training과 weight training이 순발력, 민첩성 및 최대 근력에 미치는 영향)

  • Kim, Hyung-Don;Kim, Duk-Jung;Kwak, Yi-Sub
    • Journal of Life Science
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    • v.19 no.12
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    • pp.1821-1828
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    • 2009
  • The purpose of this research was to investigate how the plyometric training and weight training program, applied in the field for exercise performance of throwing players, influenced improvement of athletic abilities, including agility, maximum muscular power, and strength. After implementing plyometric training and weight training to 21 high school throwing players for 10 weeks, we designed the next step. The 21 subjects were divided into two groups - women's group and men's group. All subjects were tested to determine agility using sidestep, burpee test, reaction time, lower body power and strength using standing long jump, standing jump, 30 m running, squats and leg presses. Additionally, isokinetic strength was measured using Cybex isokinetic dynamometer. The results showed that both groups demonstrated improvement in the standing long jump, standing jump and 30 m running after training. Particularly, the women's group indicated better improvement. Second, women's groups showed higher improvement in the sidestep and burpee test. However, in the reaction time test, the men's group indicated better improvement. Third, both groups showed better improvement in squats and leg presses after training. Particularly, the women's group indicated better improvement. Fourth, in the left and right side extension torque and flexion torque at a velocity of $60^{\circ}$/sec, both groups showed better improvement after training. In the left side extension peak torque, the men's group showed higher improvement, but the women's group showed higher improvement in the left side flexion and extension peak torque. Fifth, both groups showed better improvement in bench pressing and back strength after training. Particularly, the women's group indicated higher improvement.

Biomechanical Evaluation of the Neck and Shoulder When Using Pillows with Various Inner Materials

  • Kim, Jung-Yong;Park, Ji-Soo;Park, Dae-Eun
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.2
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    • pp.339-347
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    • 2011
  • Objective: The purpose of this study was to evaluate of various material of pillows by using biomechanical variables such as the cervical stability, head pressure distribution, and muscle activity. Method: Eight subjects participated in the experiment. Three different materials such as polyester sponge, memory foam and the buckwheat shell used for Korean traditional pillow were tested. Electro-goniometer, six channels of electromyography(EMG), ten channels of the head pressure sensors were used to measure the biomechanical responses. Surface electrodes were attached to the right/left semispinals capitis(RSC, LSC), the right/left sternocleidomastoid(RSM, LSM), the right/left upper trapezius(RUT, LUT). The cervical stability was evaluated by the angle deviated from the standing neck position. The head pressure distribution was evaluated by the pressure per unit area recorded on the sensors and the intensity of peak pressure. Electromyography(EMG) data were analyzed by using root mean square(RMS) and mean power frequency(MPF). Results: The buckwheat shell material showed a higher stability in the cervical spine then the other pillows during spine position. In terms of head pressure distribution, the memory form indicated the lowest pressure at supine position, buckwheat shell material indicated the lowest pressure during lying down to side, and polyester cushion recorded the highest pressure at all postures. Conclusion: The buckwheat shell material has a biomechanical advantage to maintain a healthy neck angle and reduce the pressure on the head, which means the buckwheat shell is a potential material for ergonomic pillow design. The pillow with memory form showed second best biomechanical performance in this study. Application: The shape of the buckwheat shell pillow and the characteristics of materials can be used to design the pillow preventing neck pain and cervical disk problems.

A Case of the Localized Tension Pneumothorax Mimicking Giant Bullae (거대 폐기포 (giant bulla)로 오진된 국소형 긴장성 자발 기흉)

  • Ko, Hyuk;Park, Sung-Ho;Kim, Su-Hee;Park, Wan;Park, Chong-Bin;Kim, Jong-Wook;Ryu, Dae-Sik;Jung, Bock-Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.50 no.6
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    • pp.740-746
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    • 2001
  • Background : A 35-year-old woman was admitted to the emergency room with sudden dyspnea that developed one day prior. The initial Chest X-ray showed multiple bullous changes at the right middle and lower lung field and long standing fibrotic tuberculous changes at the right upper lung field. The left lung field was totally collapsed by an fibrotic old tuberculous lesion. In spite of supportive medical care with oxygen therapy after admission, the radiographic lesions were no significant change but the respiratory distress had worsened. The patient suffered respiratory failure and received mechanical ventilatory support. The HRCT showed a localized tension pneumothorax mimicking multiple giant bullae at the right lower lung field. Immediately after a closed thoracostomy with a 32 French chest tube and air drainage, her vital signs and dyspnea were gradually improved. The patient was successfully weaned from mechanical ventilation after 5 days of mechanical ventilatory support. The patient had received talc pleurodesis through a chest tube to prevent the recurrence of the life-threatening localized pneumothorax. The patient was discharged without recurrence of the pneumothorax.

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Three-dimensional Analysis of the Spine using Formetric 4D according to Upper Limb Movement and Resistance Application (상지의 움직임과 저항 적용에 따른 Formetric 4D를 이용한 척추의 3차원적 분석)

  • Kim, Hyun-Jin;Shin, Won-Seob
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.3
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    • pp.69-77
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    • 2020
  • PURPOSE: The aim of this study was to measure changes in spine inclination and thoracolumbar structure and morphology according to upper-extremity movements with and without resistance in order to evaluate the spine stability in workers. METHODS: Forty-eight middle-aged male workers (mean age, 40.48 ± 6.27 years) participated in this study. Using the spine analysis system, changes in the inclination of the spine and structure as well as shape of the thoracolumbar spine were measured. For posture measurement, the postures of standing, lifting the right and left arms (shoulder joint 90° flexion), and lifting with both arms were measured in random order. In addition, variables were measured using a resistance of 3 kg for each posture. The statistical significance level was set at α = .05 for all variables. RESULTS: There were statistically significant differences between the front and back inclinations of the spine, kyphotic curve of the thoracic spine, lordotic curve of the lumbar spine, rotation changes in the thoracolumbar spine, and rotation changes in the T4 vertebra (p < .05). However, there was no significant difference in the left and right tilts of the spine. In the post-hoc analysis, rotation changes in the T4 vertebra showed a significant difference in posture when resistance was applied to the left and right sides CONCLUSION: Causes of musculoskeletal diseases include excessive thoracic spine rotation, torsion, and hyperlordosis of the lumbar spine. Therefore, it is necessary to improve the working environment in order to ensure a healthy posture and prevent musculoskeletal diseases that can reduce the ability to carry various and/or excessive loads.

Effects of Short-Term Intensive Balance Training for the Performance Ability of Lower Extremities in the Elderly (노인의 단기집중 균형훈련이 하지수행능력에 미치는 영향)

  • Jung, Soon-Mi;An, Duk-Hyun
    • Physical Therapy Korea
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    • v.14 no.1
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    • pp.11-20
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    • 2007
  • The objective of this study was to discern the effects of a balance training program on the performance of lower extremities in order to improve strength (muscle power, flexibility, walking power), balance control and walking ability in the elderly. The subjects selected were aged 65 years and over, with no known relevant medical history that may disturb their balance, and have also been visiting the Gimhae Senior Welfare Center. The variable group consisted of 30 subjects, of whom were people who had been participating in balance training programs (One Leg Standing; OLS, Functional Reach; FR, Timed Get Up and Go; TUG) as an intervention for 8 weeks 3 times per a week. They were examined in order to identify their balance control before and after. The control group consisted of thirty subjects who preferred to exercise without any intervention relating to balance training program. The subjects were measured before and after balance training in order to determine the effectiveness of exercise and the effectiveness of exercise combined with the aid of a Balance Performance Monitor. 1. Mean time on OLS test with left and right sided extremities in the experimental group was 35.44 sec, 42.10 sec longer than control group respectively. In FR tests applied to the left and right side, mean reaching distance was increased up to 5.56 cm, 6.73 cm in experimental group respectively. Mean time on TUG test from a chair in experimental group was decreased to 2.33 sec. 2. Mean value of decline in the level balance control, both left and right side, decreased to 2.24% as examined by the Balance Performance Monitor. Mean scores for sway level after balance training decrease to .98% and for balance control both anterior and posterior directions decreased to mean 1.07% and 1.44%, respectively.

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Comparison of the Effects of Sling Exercise and Total Body Resistance Exercise on Physical Functional Performance and Postural Balance : A preliminary study

  • Han-Kyu Park;Byoung-Ha Hwang
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.2
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    • pp.11-23
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    • 2024
  • Purpose : The purpose of this study was to investigate the effect of exercise using a suspension device (sling and total body resistance exercise; TRX) on physical functional performance and postural balance. Methods : An experimental study comparing 2 different suspension exercise was conducted on 16 healthy college students. 16 subjects were assigned to two groups. They were classified into 8 sling group and 8 TRX group. Miniplus was used to evaluate physical functional performance. In this study, isokinetic resistance mode was used to compare and analyze seven movement patterns. Biorescue was used to evaluate postural balance. The intervention exercises in this study are as follows. Standing lean forward (SLF) using a sling and TRX was performed 3 times a week for 3 weeks. The SLF was held for 10 seconds and then rested for 15 seconds, repeated a total of 10 times for 3 sets. Results : In the TRX group, significant increases were observed in physical functional performance (p<.05). Among the differences between groups, significant differences were confirmed on the front of the right arm, the back of the left arm, and the back of the right arm. In the sling group, significant increases were observed in left, right, front, and overall dynamic balance (p<.05). A significant increase in posterior dynamic balance was confirmed in the TRX group (p<.05). There was no significant difference between groups. Conclusion : Based on the results of this study, TRX was effective in improving physical functional performance, while the sling was effective in enhancing postural balance. However, confirming the effectiveness of slings and TRX in the relationship between physical functional performance and postural balance proved inadequate. Therefore, additional research should be conducted to verify the effects of suspension.