• 치위생과학회지
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• 제9권5호
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• pp.531-538
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• 2009

본 연구에서는 일부 치과종사자들의 근무환경 및 건강습관에 따른 근골격계 증상 경험률과 근골격계 증상의 영향요인을 분석하기 위하여 2009년 3월 9일부터 3월 28일까지 충청도에 소재한 치과종사자 200명을 대상으로 자기기입식 설문법을 실시하였으며, SPSS WIN 12.0 프로그램을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 연구대상자의 1년간 근골격계 증상 경험률을 신체부위별로 나누어 보면 어깨 60.5%, 하지(다리, 무릎, 발) 57.0%, 요부(등, 허리) 56.0%, 목 51.0%, 상지(팔, 손목, 손가락) 32.0%, 순으로 조사되었다. 2. 일반적 특성별 근골격계 증상 경험을 살펴보면 성별, 연령, 학력, 직위, 건강상태에서 통계적으로 유의한 차이를 보였으며, 근무환경에서는 근무경력, 일평균 진료환자수, 일평균 근무 시간수, 진료시 자세, 근무 만족도에서 통계적으로 유의한 차이를 보였다. 건강습관에서는 규칙적인 운동, 정기검진, 규칙적인 식습관에서 통계적으로 유의한 차이의 보였다. 3. 근골격계 증상에 미치는 영향요인을 분석한 결과 근무환경 특성에서는 근무만족, 건강습관 특성에서는 규칙적인 운동 요인이 근골격계 증상 경험에 영향을 미치는 것으로 조사되었다.

• 대한물리치료과학회지
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• 제26권3호
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• pp.23-36
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• 2019

Background: The purpose of this study was to investigate the effect of Plank exercise on unstable support surfaces on flexibility, abdominal muscle thickness and pain in patients with chronic back pain. Design: Randomized controlled trial. Methods: This study was performed on 16 patients with chronic back pain of ◯◯ military unit. Sixteen subjects were randomly assigned into two groups, an upper extremity trainer group (group I, n=8) and a lower extremity trainer group (group II, n=8). The subjects in group I carried out Flank exercise applying the stability trainer to their upper extremities and ones in group II carried out the same exercise applying the stability trainer to their lower extremities for 4 weeks. In order to ascertain the difference between two groups, flexibility, abdominal muscle thickness and pain were measured before and after the exercise. The flexibility was measured by sit and reach test, the thickness of the abdominal muscle was measured by using ultrasonic imaging equipment, and the pain was measured by the visual analogue scale. A paired t-test was utilized to compare changes in pain, abdominal muscle thickness and flexibility before and after flank exercise on unstable support surfaces. Analysis of Covariance (ANCOVA) was performed for ascertaining the significant differences between groups. The significance level was set by α=.05. Results: 1) The flexibilities of two groups were increased after the exercise (p<0.05). 2) In both groups, the thicknesses of rectus abdominis, external oblique abdominis, internal oblique abdominis, and transverse abdominis were all increased after the exercise (p<0.05). 3) The pains in both groups were decreased after the exercise (p<0.05). 4) In the comparisons of two groups, there were no differences in the flexibility, thickness of external oblique abdominis, internal oblique abdominis and transverse abdominis and pain (p>0.05). Whereas only thickness of Rectus abdominis was larger in the group I than in the group II (p<0.05). Conclusion: Plank exercise on the unstable support surface for 4 weeks resulted in increased flexibility, abdominal muscle thickness and pain reduction in patients with chronic back pain. Therefore, it is considered that performing flank exercise on the unstable supporting surface is suitable for the reduction of the pain in patients with chronic back pain. However, in this study, it is considered that continuous and diverse studies are needed because there was not a large difference between the groups when the upper or lower limbs are provided unstable support surfaces.

• 대한방사선기술학회지:방사선기술과학
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• 제40권4호
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• pp.567-573
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• 2017

본 연구의 목적은 흉 복부 다중검출기전산화단층촬영(multi-detector computed tomography; MDCT)에서 상지를 머리 위로 위치 잡이 할 수 없는 경우 흉 복부에서 거리에 따른 인공유무를 평가하고자 하였다. 128-채널 MDCT로 흉 복부 CT를 위한 인체대상과 흉부 팬텀을 현재 임상에서 검사하고 있는 조건(120 kVp, 110 mAs, standard algorithm)으로 검사하였다. 인체 검사 시 한번은 팔을 머리 쪽으로 올리고 검사하고, 팔을 내린 후 동일한 조건으로 한 번 더 검사하였다. 흉부 팬텀 실험은 환자와 동일한 조건으로 검사를 하고, 상지팬텀을 흉 복부에서 일정한 거리(0, 3, 7 cm)를 두고 검사하였다. 목적하는 부위에 관심영역을 설정하여 CT 값, 노이즈, 신호 대 잡음비, 대조도 대 잡음비를 측정하여 평가하였다. 인체를 대상으로 획득한 영상에서 노이즈는 팔을 올렸을 때와 비교하여 팔을 내렸을 때 지방, 갈비뼈, 근육 모두에서 증가하였다(0.79, 47.8, 27%). 팬텀 영상에서도 상지를 아래로 내렸을 경우 근육, 폐 실질에서 노이즈가 증가하였다(31.2, 9.4%). 또한 상지의 위치가 흉 복부에서 멀어질수록(0, 3, 7 cm) 노이즈가 감소하였다. 근육에서 노이즈는 상지가 흉부와 붙어있을 경우(0 cm)를 기준으로 3 cm, 7cm 떨어졌을 때 5, 25.12% 감소하였고, 폐실질에서 5.6, 15.35% 감소하였다. 흉 복부 CT 촬영 시 갠트리 내 검사 이외의 부위(상지 등)가 위치할 경우 흉 복부로부터 약 3 cm 이상 거리를 유지시킨 후 검사를 진행하면 발생할 수 있는 인공음영을 최소화시킬 수 있을 것으로 사료된다.

• The Journal of Korean Physical Therapy
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• 제20권3호
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• pp.45-51
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• 2008

Purpose: We evaluated the physical stress and pain to the musculoskeletal system of a dental practitioner when engaging in a dental scaling training exercise to prevent the development of musculoskeletal injuries. Methods: The 18 female (average age: 21$\pm$1 years) subjects were voluntarily picked from a group of juniors who have completed a one-and-a-half year training course that includes training exercises on the dentiform and on live subjects (other trainees). The test is done by measuring pain, activity, grip strength, and finger dexterity for each subject's hand and wrist. Before the test all subjects were confirmed to be right-handed and were informed of the study and its objective. Measuring was done before and after each subject performed dental scaling for one hour using the scaler and the curet. Results: Pain levels increased for both hand and shoulders, but hand pain was often greater than shoulder pain. Grip strength significantly declined in the right hand but not the left. For joint mobility, the flexion and the extension for the shoulder joint did not change; but the range of motion for both wrist joints significantly increased. For the dexterity test, both hands showed increased dexterity after the exercise. Conclusion: Dental scaling can affect the shoulders and wrists/hands. Therefore, a musculoskeletal injury prevention program for dental practitioners, which may include encouraging them to assume correct body posture when at work, must be sought. This study evaluated only the shoulders, wrists, and hands; but future studies should include areas such as the cervical area, the back, and the lower limbs.

• Annals of Clinical Neurophysiology
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• 제6권2호
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• pp.98-102
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• 2004

Background: Carpal tunnel syndrome (CTS) is a common condition characterized by entrapment neuropathy of the median nerves. Clinical manifestations are the most important findings for diagnosis and assessment of therapeutic effects. But, objective indicators, such as electrophysiological findings, are also valuable supplementary tools. This study investigated the relationship between clinical grading and sensory nerve conduction velocity (SNCV) of median proper palmar digital nerve (MPPDN) in CTS patients. Method: This study was done on 90 upper limbs of 53 patients with CTS (men: 6, women: 47, age: 26~69 years, mean age; 52 years). Each SNCV of MPPDN was recorded with bar electrode using antidromic method. Each SNCV was compared with clinical grading of CTS. The clinical grades of CTS were designated as follows; group 1 is mild symptoms, 2 is moderate symptoms, and 3 is severe and longstanding symptoms. Result: In thumb, the SNCV of MPPDN was not different significantly between 3 groups (p=0.817). In the index finger, the SNCV was the fastest in the group 1, but faster in group 3 than in group 2 (p=0.001). In the middle and ring fingers, SNCV was decreased in higher clinical grading groups (middle finger: p=0.015, ring finger: p=0.044). Conclusion: SNCV of MPPDN of middle and ring finger correlated with the clinical grading of CTS. SNCV of index finger was the fastest in group 1. But SNCV of thumb did not correlate with the clinical grading of CTS.

• 한국운동역학회지
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• 제18권1호
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• pp.53-62
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• 2008

본 연구는 플랫폼 다이빙 종목 205B를 3차원 영상분석을 통하여 운동학적 분석을 하였다. 총소요시간은 평균 $1.112{\pm}0.12s$로 나타났으며 여유 있는 연기를 수행하기 위해 많은 소요시간을 확보하여야 할 것으로 사료된다, 이지시 신체중심의 높이는 평균 88.8cm이며 수평거리는 144.8cm, 수평, 수직속도는 평균 1.08m/s, 1.3m/s로 나타났으며, 회전동작은 높은 위치에서 수행해야 하며, 수평거리는 짧아야 입수자세에 유리 할 것으로 판단된다. 하지분절의 속도변화는 이지 시 속도가 감소한 이후 회전이 이루어지는 시점까지 상승하며 이지 순간에는 회전보다는 점프동작에 더 큰 영향을 미치며, 신체중심을 축으로 회전동작으로 이어지고 속도가 상승하는 것으로 판단된다. 몸통각속도는 이지 시에 크게 나타났는데, 이는 상 방향으로 점프하여 회전에 필요한 힘을 얻기 위해 상체분절을 최대한 곧게 펴고 신체중심을 높게 유지하여 도약을 해야 효과적인 동작을 수행 할 수 있기 때문으로 사료된다.

• 동의생리병리학회지
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• 제18권4호
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• pp.982-989
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• 2004

The following is the conclusion drawn from a review on the clinical cases cured by Jaeumkangwha-tang in perspective of Hyungsang medicine. Jaeumkangwha-tang originated from the modified Jibaiksamul-tang in 'Manbyunghuichun(萬病回春)' and applied to the diseases induced by flaming fire due to deficiency of Yin. In 'Donguibogam', there are two kinds of Jaeumkangwha-tang. One in the chapter of kidney is mainly prescribed to replenish the Jung of kidney and applicable to the cases with configuration and symptom of kidney along with fire. The other one in the chapter of fire is applied to the symptoms of flaming fire due to deficiency of Yin. The characteristics of the patients treated by Jaeumkangwha-tang from the viewpoint of Hyungsang medicine can be classified as follows : ① configuration: Dam type, Shin type, inverted triangular type(:天垂象), bird type, round eyes, thin lips, slender waist, thin leg, pretty face, sparkling eyes, prominent upper lip and upward eyes and nose. ② color : dark red complexion, red cheek bone, red lips and red glabella. ③ pulse : fine and fast pulse and pulsation on the Chuk(尺) in man and so forth. ④ symptoms: agility, talkativeness, pimpled face, crooked back, weakness to the heat of summer, light eating, timidity, blood-shot eyes, night sweat, cough, abundant phlegm, hemoptysis, bloody spittle, enervation, emaciation, back pain, flaccidity of lower limbs, involuntary emission, nocturnal emission, heat sensation in the chest palms and soles, anger, flush on cheek bone, red lips and dry mouth, reddish tongue, stiff excrement, scanty yellow urine, etc.

• The Journal of Korean Physical Therapy
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• 제24권5호
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• pp.362-369
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• 2012

Purpose: This study examined the effects of an elastic band resistance exercise program on the body functions and Glycosylated hemoglobin (HbA1c) of elderly people with type 2 diabetes. Methods: Twenty-seven elderly patients with type 2 diabetes were enrolled in this study (exercise group 14, control group 13). The subjects in the exercise group participated in the program for 60 minutes a day, three times a week, for 12 weeks. All the subject's body functions, HbA1c were measured to compare the following: before the intervention, at the completion of the 12 weeks intervention, and eight weeks after the intervention. Results: Compared to the control group, the exercise group showed significant improvements in the 12 week and follow-up measurement after the intervention in body function, such as the strength of the upper and lower limbs, agility and limit of stability. The body functions of the exercise group improved as the period of intervention progressed. On the other hand, the HbA1c level at each follow-up measurement was similar in the two groups. Conclusion: The 12 week elastic band exercise program is recommended as an effective intervention for improving the body functions of elderly people with type 2 diabetes. Nevertheless, a combined intervention of steady exercise, diet therapy and drug therapy will be needed for further active prevention and management of type 2 diabetes.

• 대한수의학회지
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• 제33권1호
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• pp.109-117
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• 1993

This paper dealt with the situation and the hatch rate of bot's eggs on the equine hairs in Cheju horse with the species grouping of the bot flies of equine(genus Gasterophilus). The prevalence and infection dynamics of Gasterophilus spp. larvae was also evaluated in the equine alimentary canal submitted in this laboratory for the necropsy or from the abattoir. Samples including Gasterophilus spp. larvae, bot's flies and its eggs, which were collected from the alimentary canal and equine hairs, respectively, were studied and classified by morphology. The morphologic feature of the spines of Gasterophilus larvae were studied by scanning electron microscope. 1. Gasterophilus intestinalis larvae concentrated in the nonglandular portions of the stomach. The infection of second-, and third stage larvae were common in November, and from January to October, respectively. Gasterophilus nasalis larvae were commonly identified on the gastric pylorus and upper portion of duodenum. Second stage larvae were found from October to December, and 3rd stage larvae, from January to September. 2. The hatch rate of laid eggs of Gasterophilus intestinalis was 28.4%, and that of Gasterophilus nasalis was 79.5%. The hatch rate of Gasterophilus intestinalis eggs was highest(62.5%) in December. The hatch rate of laid eggs were higher in the region of scapula(64.0%) and limbs(62.5%) than on the maned hairs. The eggs of Gasterophilus nasalis were completely hatched by October. 3. Eight hundred five Cheju horses examined in this study were infected with the eggs of Gasterophilus spp. Gasterophilus intestinalis eggs on the body regions from sixty horses were recognized in phalangeal (14.4%), in abdominal(13.8%), metacarpal, brachial and cervical regions. Gasterophilus nasalis eggs were uncommon and recognized in submandibular regions(1.4%). 4. In conclusion, the infection of imago, larvae and eggs of both Gasterophilus intestinalis and Gasterophilus nasalis were indentified in cheju horse.

• 비파괴검사학회지
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• 제31권5호
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• pp.472-478
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• 2011

본 연구의 목적은 소프트 골프 용구가 인체에 미치는 역학적 효과를 분석하는 것이다. 이를 위해 골프 스윙 동작을 캡처하여 스윙 모델을 생성하였고 시뮬레이션을 통해 손목, 팔꿈치, 어깨, 허리 관절의 토크를 도출하였다. 총 5명이 실험에 참여하였고 아연 합금 헤드의 소프트 골프 클럽과 기존 아이언 7번 클럽을 사용하였으며, 클럽당 5번씩 스윙을 수행하였다. 3대의 포지션 센서, 적외선 발광마커와 힘판을 사용하여 골프 스윙 동작을 캡처하였다. 인체 모델 생성 및 동역학 해석 프로그램을 통해 스윙 모델을 생성하여 시뮬레이션 하였고 관절의 토크를 도출하였다. 결과로 소프트 골프 클럽을 이용한 스윙에서 손목 관절 토크는 기존 골프 클럽을 이용한 스윙의 48.83 % 수준이며, 팔꿈치는 61.10 %, 어깨는 74.74 %, 허리는 102.46 %이다. 따라서 소프트 골프 클럽을 이용하여 스윙할 때, 기존 골프 클럽을 이용할 때보다 작은 힘으로 스윙 동작을 수행할 수 있기 때문에 관절에 부하가 적을 것이며, 관절 부상의 감소에 기여할 것이다.