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Effect of Artificial Leg Length Discrepancy on 3D Hip Joint Moments during Gait in Healthy Individuals (건강한 성인에서 인위적 다리길이 차이가 보행 중 3차원 엉덩관절 모멘트에 미치는 효과)

  • Jo, Min-Ji;Kim, Dong-Hyun;Han, Dong-Wook;Choi, Eun-Jin;Kim, Ye-Seul;Kim, Yong-Wook
    • PNF and Movement
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    • v.17 no.3
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    • pp.391-399
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    • 2019
  • Purpose: This study investigated the three-dimensional moment values of the hip joint for subjects with artificial leg length alterations and subjects with unaltered leg lengths. Methods: Forty-two healthy adults (8 men, 34 women) participated in this study. The selected subjects were able to walk normally, had less than a 1 cm leg length discrepancy, and were instructed to wear shoes that fit their feet. The study participants performed 8 dynamic gait trails to measure the hip joint moment using a three-dimensional motion analysis system. Kinetic and dynamic three-dimensional gait analysis data were collected from infrared cameras, and a force plate was used to standardize the weight of each subject. Results: There were significant correlations between the differences in the leg length discrepancy during right extension, right flexion, right internal rotation, and left extension in hip joint moments (p<0.05). There were significant correlations between the differences in shoe conditions during left extension, right flexion, right extension, and right internal rotation in the hip moments (p<0.05). Conclusion: This study suggests that a leg length discrepancy can affect hip joint moment, which may further exacerbate musculoskeletal disorders, such as osteoarthritis in lower extremity joints. Therefore, further studies should be conducted to verify the impact of clinical interventions on differences in hip joint moment values to correct leg length discrepancies and prevent osteoarthritis in lower extremity joints.

The Effect of Action Observation on Motor Function of Paretic Upper Extremity in Stroke Patients: Single Subject Study (동작관찰훈련이 뇌졸중 환자의 마비측 상지기능에 미치는 영향: 단일사례연구)

  • Jeong, Woo-Sik;Yun, Tae-Won;Choi, Yeon-Jeong;Lee, Hong-Gyun
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.2
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    • pp.271-280
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    • 2013
  • PURPOSE: This study was conducted in chronic hemiplegic patients to examine the effect of the training of the ipsilateral arm that is identical to the model performing movements and the training of the contralateral arm on the function of the arm. METHODS: The subjects were participated total 2 patients(the subject 1 with left hemiplegia and the subject 2 with right hemiplegia). The study was conducted for 4 weeks. The action observation training were repeated 10 times in 10 days during intervention period. The evaluation of the arm function such as BBT, MFT and MAL in the each subject were examined 5 times in the baseline period, 10 times during the intervention period and 5 times during the baseline regression period. RESULTS: The results of the evaluation in each subject were presented as mean values and video graphs. The arm function of the 2 subjects were improved during the intervention period in comparison with the baseline period, and the improvement was maintained even during the regression baseline period. In addition, there were large variation ratio of BBT and MAL (AOU, QOM) in comparison with subject 1. CONCLUSION: According to the results, the action observation training was more effective in improving upper limb function of stroke patients who imitate the performed behavior of paralyed parts on the same side.

Changes in the Pressure Pain Threshold by the Direction of Acupressure on Jisil(BL52) (지실혈에서 지압의 방향에 따른 압통 역치의 변화)

  • Kim, Jae Hong;Hong, Geum Na;Choi, Min Joo
    • Journal of Naturopathy
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    • v.10 no.1
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    • pp.26-32
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    • 2021
  • Purpose: At acupoint pressure, the pressing direction of all acupoints is usually vertical. However, it is not clear whether the vertical direction is toward the belly button or the body's center in the BL52. In this study, the effective direction of acupressure was studied by measuring the pressure pain threshold according to the direction of acupressure in 30 subjects. Methods: The distance from the subject's GV4 to the left and right BL52 and the distance from GV4 to the navel were measured, and then using the ellipse where the left and right BL52 of GV4 pass through the navel, the angles of the navel direction and the body's center were calculated in the left and right BL52. The pressure at the time when the subjects felt pain while pressing the BL52 in two directions was used as the acupressure pain threshold. The pain threshold was measured 3 times at 3 minute intervals on the left and right BL52s of the subject. Results: The acupressure pain threshold measured in the left and right BL52 of the subjects was significantly decreased when pressed toward the trunk center (p < .05). In BL52, it was more sensitive to pressure when the direction of pressure is toward the body's center. Conclusions: Acupressure therapy of acupoint is more sensitive to external stimuli than the surrounding. In this study, acupressure directed toward the trunk center is more efficient than toward the belly button in BL52.

The Investigation of the Demands about School Science and the Perception about Scientifically Specialized High School (학교 과학에 대한 수요자 요구조사 및 과학특성화 고등학교에 대한 인식 조사)

  • Son, Jeongwoo;Lee, Bongwoo;Lee, Ki-young;Lee, Changjae;Choi, Jaehyeok;Jeon, Hwayoung;Han, Inki;Han, JaeYoung;Hong, Juneuy
    • Journal of Science Education
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    • v.33 no.2
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    • pp.165-172
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    • 2009
  • Korean 7th national curriculum gave the right to elect the advanced subject such as physics II, chemistry II. Students could elect the subject by their aptitude and interest. But, actually, the choice was constrained by school circumstances such as the number of teacher and the number of class. high school students. We investigated the demand about school science and perception about scientifically specialized high school in which the students could have all advanced science subjects by the survey of 336 middle school students including 148 students in the science education center for the gifted, 220 high school students, and 70 science teachers in capital region. As results of this study, most of the high school opened chemistry and biology advanced subjects, but only 37.1% of them opend physics advanced subject. This constrained students' right of elect the subject by their interest. While most of middle school and high school students normally demanded the more experiment in the class and the easier science content, the students in the science education center for the gifted demanded more science class time. The students who wanted to have science career had very positive recognition of scientifically specialized high school and science teachers agreed to running the scientifically specialized high school.

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Effect of rTMS on Motor Sequence Learning and Brain Activation : A Preliminary Study (반복적 경두부 자기자극이 운동학습과 뇌 운동영역 활성화에 미치는 영향 : 예비연구)

  • Park, Ji-Won;Kim, Jong-Man;Kim, Yun-Hee
    • Physical Therapy Korea
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    • v.10 no.3
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    • pp.17-27
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    • 2003
  • Repetitive transcranial magnetic stimulation (rTMS) modulates cortical excitability beyond the duration of the rTMS trains themselves. Depending on rTMS parameters, a lasting inhibition or facilitation of cortical excitability can be induced. Therefore, rTMS of high or low frequency over motor cortex may change certain aspects of motor learning performance and cortical activation. This study investigated the effect of high and low frequency subthreshold rTMS applied to the motor cortex on motor learning of sequential finger movements and brain activation using functional MRI (fMRI). Three healthy right-handed subjects (mean age 23.3) were enrolled. All subjects were trained with sequences of seven-digit rapid sequential finger movements, 30 minutes per day for 5 consecutive days using their left hand. 10 Hz (high frequency) and 1 Hz (low frequency) trains of rTMS with 80% of resting motor threshold and sham stimulation were applied for each subject during the period of motor learning. rTMS was delivered on the scalp over the right primary motor cortex using a figure-eight shaped coil and a Rapid(R) stimulator with two Booster Modules (Magstim Co. Ltd, UK). Functional MRI (fMRI) was performed on a 3T ISOL Forte scanner before and after training in all subjects (35 slices per one brain volume TR/TE = 3000/30 ms, Flip angle $60^{\circ}$, FOV 220 mm, $64{\times}64$ matrix, slice thickness 4 mm). Response time (RT) and target scores (TS) of sequential finger movements were monitored during the training period and fMRl scanning. All subjects showed decreased RT and increased TS which reflecting learning effects over the training session. The subject who received high frequency rTMS showed better performance in TS and RT than those of the subjects with low frequency or sham stimulation of rTMS. In fMRI, the subject who received high frequency rTMS showed increased activation of primary motor cortex, premotor, and medial cerebellar areas after the motor sequence learning after the training, but the subject with low frequency rTMS showed decreased activation in above areas. High frequency subthreshold rTMS on the motor cortex may facilitate the excitability of motor cortex and improve the performance of motor sequence learning in normal subject.

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Correlation Analysis of Ocular Dominance and Levator Palpebrae Superioris Muscle Function (주시안과 눈꺼풀 올림근 기능의 상관관계 분석)

  • Ha, Ki-Young;Suh, Hyeun-Woo;Kim, Boo-Yeong;Kim, Tae-Yeon;Park, Sung-Gyu
    • Archives of Plastic Surgery
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    • v.37 no.3
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    • pp.265-270
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    • 2010
  • Purpose: Most of the bilateral structures in our body are not perfectly balanced, such that one side is preferred than the other or it has physiological superiority. Eyes also have an imbalance; the eye with sensory and motional superiority compared to the other is called dominant eye. Authors of this study focused on analyzing the correlation between the dominant eye and levator palpebrae superioris muscle. Methods: The subject of this study was 42 patients with no ptosis and with no past history of blepharoplasty. Hand dominance was identified through questionnaire and dominant eye was identified by hole-in-the-card dominance test (Dolman's test) in all patients. The function of levator palpebrae superioris muscle was measured by MLD (marginal limbal distance). During the measuring procedure, frontalis muscle was not inhibited to avoid the eyelid skin hooding. Results: Out of 42 patients, 27 patients (64.3%) were right ocular dominant, 15 patients (35.7%) were left ocular dominant, 36 patients (85.7%) were right hand dominant and 4 patients (9.5%) were left hand dominant. Out of 27 right ocular dominant patients, right MLD was larger than the left in 26 patients (96.3%). It was larger in average of 0.47 mm (p<0.001) in 27 right ocular dominant patients. Also, left MLD was larger than the right in 11 patients (73.3%) out of 15 left ocular dominant patients. It was larger in average of 0.57 mm (p=0.003) in 27 left ocular dominant patients. MLD on the side of the dominant eye was larger in average of 0.50 mm (p<0.001) than the MLD of non-dominant eye side. Right MLD was larger than the left in average of 0.28mm (p=0.010) in right hand dominant patients, and left MLD was larger than the right in average of 1.15 mm (p=0.025) in left hand dominant patients. Conclusion: The function of levator palpebrae muscle differs in right and left, and the difference correlates with the dominant eye. Also, the function of levator palpebrae muscle is stronger in the dominant eye. We were able to present statistical evidence regarding the difference of the function in right and left levator palpebrae muscle. This may be a factor worth consideration in terms of balancing the eyes during the blepharoplasty.

Activation of Trunk Muscles during Stabilization Exercises in Four-point Kneeling (네발기기 자세에서 실시하는 안정화 운동에 따른 체간 근육의 활성도)

  • Lee, Hyun-Ok
    • The Journal of Korean Physical Therapy
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    • v.22 no.5
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    • pp.33-38
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    • 2010
  • Purpose: This study examined the activation of the rectus abdominis (RA), external abdominal oblique (EO), transversus abdominis, internal abdominal oblique (TrA/IO), and Multifidus (MF) muscles while stabilization exercise was performed in a four-point kneeling position. Methods: Experiments were conducted on 21 healthy male adults (mean age=25.29 years) who voluntarily agreed to participate in the study. Each subject was instructed regarding maximal voluntary contractions (MVC) and stabilization exercise in four-point kneeling. While MVC and stabilization exercise of individual muscles were being performed, activation of the muscles was measured using surface electromyography (EMG). Activation of the muscles while performing stabilization exercise in four-point kneeling was normalized to a percentages of the MVC. Results: Left RA, right TrA/IO, right and left MF muscles showed significant differences among the positions. Conclusion: Selecting an optimal position can aid subjects on physical conditions while performing stabilization exercises in the four-point kneeling position.

The Effect of Thera-Band Stretching Exercise on Flexibility of Shoulder Joint (탄력밴드 스트레칭이 견관절 유연성에 미치는 효과)

  • Kim, Nan-Soo
    • The Journal of Korean Physical Therapy
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    • v.17 no.4
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    • pp.477-484
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    • 2005
  • Purpose: The purpose of this study was to evaluate effect of Thera-Band stretching exercise on flexibility of shoulder joint. Methods: The research deign was a experimental pre-post control group design. Sixteen subject were randomly divided into two groups; experimental group(n=8) and control group(n=8). Experimental group performed Thera-Band PNF stretching for 4 weeks and control group was not performed. To compare with the effectiveness of Thera-Band PNF stretching between two groups, I measured flexibility of shoulder joint with an Apley scratch test. The data were analyzed by Independence T-test. Results: The experimental group was significantly increased the flexibility at the right and left shoulder internal rotation. But the experimental group was not significantly increased the flexibility at the right and left shoulder external rotation. Conclusion: These result suggest that home-based exercise programs with Thera-Band can serve as a practical and effective means of flexibility gains in general people.

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Additive Regression Models for Censored Data (중도절단된 자료에 대한 가법회귀모형)

  • Kim, Chul-Ki
    • Journal of Korean Society for Quality Management
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    • v.24 no.1
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    • pp.32-43
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    • 1996
  • In this paper we develop nonparametric methods for regression analysis when the response variable is subject to censoring that arises naturally in quality engineering. This development is based on a general missing information principle that enables us to apply, via an iterative scheme, nonparametric regression techniques for complete data to iteratively reconstructed data from a given sample with censored observations. In particular, additive regression models are extended to right-censored data. This nonparametric regression method is applied to a simulated data set and the estimated smooth functions provide insights into the relationship between failure time and explanatory variables in the data.

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A Study on Obligation and Right of the Parties of International Factoring (국제팩토링계약의 당사자의 권리와 의무에 관한 연구)

  • Park, Se-Hun;Han, Ki-Moon
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.43
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    • pp.143-168
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    • 2009
  • International Factoring transaction in Korea is different from that of financially advanced countries in terms of legal system and commercial and financial practices. As for the domestic factoring, Korean factors are only involved in advances often on a with recourse basis. With regard to the international factoring, Korean factors do not accommodate whole account receivables from clients (suppliers) but handle on a selective basis. Among Korean banks, KEXIM (Export and Import Bank of Korea) is sole factor for international transactions. Currently KEXIM and several foreign banks handle factoring provide factoring services with limitation to invoice discounting which is largely extended to large corporate names. Therefore this is far different from factoring in Europe and Americas designed for small exporters with non recourse advances. In respect of legal environment, receivable assignment is subject to debtor' acknowledge or approval of such assignment according to Civil Law Act. To remove the legal obstacles, Korean government have prepared new law which allows factor's own notification of assignment (and thereby reimbursement right) to debtor with some evidences.

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