• 대한정형도수물리치료학회지
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• 제29권1호
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• pp.41-52
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• 2023

Background: Bulgarian split squat (BSS) is beneficial to improve dynamic balance ability and muscle activity of lower extremities, however its effects have not been fully investigated. Therefore, this study aimed to compare changes in dynamic balance ability and muscle properties according to various modifications of BSS exercises. Methods: Thirty healthy male volunteers participated in this study, and they were randomly divided into three different groups. The subjects performed the BSS exercise either on a stable surface with the eyes opened (n=10) or eyes closed (n=10), and on an unstable support plane with eyes opened (n=10) conditions, respectively. Dynamic balance ability was measured via Biodex balance system under the eyes-opened and closed conditions. Additionally, muscle properties of the rectus femoris (RF), vastus medialis (VM) and vastus lateralis (VL) were evaluated. Results: Dynamic balance ability did not show the significant differences among the groups that performed the BSS exercises. However, in the Unstable group, there were significant differences in the overall stability index and anterior posterior stability index under the eyes-closed condition between pre-exercise and post-exercise. In comparison of muscle properties according to the groups, RF muscle showed a significant difference in amount of change of elasticity (p=.038). Additionally, there were significant changes in post measurements of VM muscle tone (p=.016), stiffness (p=.012) and elasticity (p=.002). VL muscle, however had no significant differences in muscle properties. Conclusion: These results indicate that BSS exercises could induce the alteration of RF and VM muscle properties, in particular VM muscle which is susceptible to weakness. Thus, BSS could be applied in various ways as an effective rehabilitation exercise.

• 재활복지공학회논문지
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• 제10권2호
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• pp.155-162
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• 2016

본 연구에서는 보행 시 발생되는 근전도를 이용하여 보행 시 보행불균형 상태를 판단하고자 한다. 보행불균형 상태 판단시스템의 실효성 확인을 위해 인코더와 가속도, 근전도 센서 기반의 보행 불균형 판단 시스템을 제안한다. 건강한 성인 남성 10 명을 대상으로 실험을 진행하였다. 보행 신호를 획득하기 위해 고관절과 슬관절에 인코더 센서를 부착하고, 발목에 가속도 센서, 외측광근과 전경골근에 근전도 센서를 부착하였다. 보행 불균형을 판단하기위해 SI(Symmetry Index)를 사용하였다. 정상보행과 불균형보행을 측정하기 위해 한쪽 발에 인위적으로 1.5 cm의 굽을 추가해가며 0 cm부터 6 cm까지 5번의 실험을 반복하였다. 인코더와 근전도의 경우 0 cm의 정상보행과 1.5 cm의 불균형보행을 정상보행으로 판단하였고 3 cm와 4.5 cm, 6 cm의 불균형보행은 불균형보행으로 판단하였다. 가속도의 경우 0 cm와 1.5 cm, 3 cm의 불균형보행을 정상보행으로 판단하였고 4.5 cm와 6 cm의 불균형보행을 불균형보행으로 판단하였다.

• 한국운동역학회지
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• 제22권3호
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• pp.357-363
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• 2012

The purpose of this study was to investigate the effects of different saddle heights on lower-limb joint angle and muscle activity. Six elite cyclists(age: $32.2{\pm}5.2years$, height: $171.0{\pm}3.5cm$, weight: $79.7{\pm}5.6kg$, cycle career: $13{\pm}6.2years$) participated in three min. submaximal(90 rpm) pedaling tests with the same load and cadence based on saddle heights where subject's saddle height was determined by his knee flexion angle when the pedal crank was at the 6 o'clock position. Joint angles(hip, knee, ankle joints) and the activity of lower limb muscles(biceps femoris(BF), vastus lateralis(VL), tibialis anterior(TA) and gastrocnemius medial(GM)) were compared by measuring 3D motion and electromyography(EMG) data. Results showed that there were significant differences in minimum hip & knee joint angle and range of motion of hip and knee joint between saddle heights. Onset timing and integrated EMG of only BF among 4 muscles were significantly different between saddle heights. Especially there was a negative relationship between minimum hip joint angle and onset timing of BF in most subject, which means that onset timing of BF became fast as the degree of bending of the hip joint became larger by saddle height. Optimal pedaling will be possible through increased amount of muscle activation due to the appropriate burst onset timing by proper pedaling posture with adjusted saddle height.

• Archives of Plastic Surgery
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• 제39권2호
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• pp.130-136
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• 2012

Background : Complex elbow injuries with associated nerve, muscle, or joint injury commonly develop post-inury stiffness. In order to preserve function, joint congruency, elbow stability and durable wound coverage must be achieved in a timely manner. Methods : A retrospective review of patients who underwent orthopaedic fixation followed by free anterolateral thigh (ALT) flap soft tissue coverage was performed. Five patients were identified and included in this study. Results : We present a series of 5 cases managed with this principle. Soft tissue defects ranged in size from $4{\times}9cm$ ($36cm^2$) to $15{\times}30cm$ ($450cm^2$) and were located either posteriorly (n=4) or anteriorly (n=1). Associated injuries included open fractures (n=3) and motor nerve transection (n=2). Wound coverage was achieved in a mean duration of 18.8 days (range, 11 to 42 day). There were no flap failures and no major complications. The mean postoperative active elbow motion was $102^{\circ}$ (range, $45^{\circ}$ to $140^{\circ}$). Conclusions : In our small series we have highlighted the safety and utility of using the free ALT flap in complex elbow injuries. The ALT flap has many advantages which include abundant skin and subcutaneous tissue; vascularised vastus lateralis muscle that was used in our series to obliterate dead space, provide a vascular bed for nerve grafts and combat infection; and, access to fascia lata grafts for reconstruction of the triceps tendon.

• Journal of Acupuncture Research
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• 제22권5호
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• pp.29-36
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• 2005

Objectives : This study is performed to understand the interrelation between 'Foot soyang muscle of the Gall bladder channel' and 'muscular system' on the basis of the link between meridian muscle theory and myofascial pain syndrome. Methods : We have researched some of oriental medical books about meridian muscle theory and western medical books about anatomical muscular system. Results & Conclusion : 1. Myofascial pain syndrome is the medical treatment which finds the start point of the pain in fascia and then treats it on the basis of object and concrete anatomical theory, so its application is needed for objectification of the oriental medicine. 2. There is a wide difference between myofascial pain syndrome and meridian muscle theory in that the former explains each muscle individually, while the latter classifies muscles systematically in the view of organism. 3. Foot soyang muscle contains Dorsal interosseous m, Extensor digitorum longus m, Musculus peroneus brevis, longus and, tertius, lliotibial tract, Vastus lateralis m, Gluteus m, Aximus m, Piriformis m, Tensor fasciae latae m, Gluteus minimus m, Obliquus internus & externus abdominis m, External & Internal intercostal m, Serratus anterior m, Pectoralis major m, Sternocleidomastoid m, Auricularis posterior m, Temporalis m, Masseter m, Orbicularis oculi m etc. on the basis of function and the nature of a disease reflected in muscle. 4. Foot soyang muscle keeps the balance of left md right of the body on the outside, while the Gall bladder keeps the balance of the JangBuKiHyeul(臟腑氣血) on the inside.

• 한국전문물리치료학회지
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• 제10권2호
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• pp.11-22
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• 2003

The purpose of this study was to analyze the effects of three different pelvic tilts on a sit-to-stand (STS) and to suggest a new assessment approach based on biomechanical analysis. The three difrent pelvic tilts were: (1) comfortable pelvic tilt sit-to-stand (CPT STS), (2) posterior pelvic tilt sit-to-stand (PPT STS) and (3) anterior pelvic tilt sit-to-stand (APT STS). To determine the onset time of muscle contraction surface electrodes were applied to the rectus femoris muscle (RF), vastus lateralis muscle (VL), biceps femoris muscle (BF), tibialis anterior muscle (TA), gastrocnemius muscle (GCM), and soleus muscle (SOL). The ICC was used for functional linkage analysis. The findings of this study were as follows. First, significant differences were found in kinematic variables and in muscle activation pattern among the three activities. Second, the results of functional integrated analysis revealed that recruited muscle activation patterns changed when the thigh-off was viewed as a reference point. Third, there were independent functional units between the thigh-off and the VL and between the thigh-off and the RF in the functional linkage analysis. The VL and RF acted as prime mover muscles, and more postural adjustment muscle recruitment was required as the demand of postural muscle control increased (PPT STS, APT STS, and CPT STS in order). In conclusion, the findings of this study suggest the following evaluative and therapeutic approach for STS activity. APT STS can be introduced for movement efficiency and functional advantage when abnormal STS is treated. However, excessive APT would change the muscle activation patterns of BF and SOL and require additional postural muscle control to cause abnormal control patterns.

• 한국전문물리치료학회지
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• 제10권2호
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• pp.99-110
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• 2003

The purpose of this study was to analyze the effects of three different pelvic tilts on sit-to-stand ativities and to suggest a new therapeutic approach for movement reeducation in patients who have difficulty with sit-to-stand activities. The three different pelvic tilts were: (1) comfortable pelvic tilt sit-to-stand (CPT STS), (2) posterior pelvic tilt sit-to-stand (PPT STS) and (3) anterior pelvic tilt sit-to-stand (APT STS). To analyze the kinematic component of STS, a motion analysis system (Zebris) was applied to the ankle, knee, hip joint, and thigh-off area. Also, to determine the onset time of muscle contraction, surface electrodes were placed to the rectus femoris muscle (RF), the vastus lateralis muscle (VL), the biceps femoris muscle (BF), the tibialis anterior muscle (TA), the gastrocnemius muscle (GCM), and the soleus muscle (SOL). One-way repeated ANOVA was used for the statistical analysis. First, significant differences were found in kinematic variables for the hip, knee, ankle joint, and thigh-off among the three activities. Second, there was significant difference in muscle activation pattern in TA. VL. and BF among three activities. In conclusion, the findings of this study suggest the following evaluative and therapeutic approach for STS activity: (1) Changes in knee and ankle joints should be prioritized and recruitment order differences in VL and RF can be generated to accomplish abnormal STS activity. (2) APT STS can be introduced for movement efficiency and functional advantage when abnormal STS is treated.

• 재활복지공학회논문지
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• 제9권4호
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• pp.319-329
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• 2015

본 논문에서는 다자유도 동적 하네스 시스템 개발을 위해 일상동작에서와 트레드밀 보행 시 하네스 체중 지지에 따른 하지 동작 패턴에 관한 연구를 수행하였다. 건강한 성인 남성 5명을 대상으로 일상생활 동작과 하네스 체중지지에 따른 좌, 우 대퇴직근, 외측광근, 전경골근, 외측 비복근과 족압을 측정하였다. 실험 결과, 일상생활 동작 수행 시 EMG는 각 구분 동작들에 따른 특이적인 근육 활성을 나타내었다. 슬관절의 굴곡과 신전을 요하는 앉기, 서기, 계단 오르기, 계단 내리기 동작에서의 외측광근의 활성이 두드러졌다. 족압 분포의 경우 일상생활 동작 중 중력방향으로 내려오는 계단 내려오기 동작에서 가장 큰 족압 분포 값을 보였다. 수동형 하네스 체중 지지율이 증가에 따라 근육 활성도와 족압 분포 값은 감소하는 경향을 보였다. 이러한 결과를 토대로 체중지지를 통한 보행 훈련이 체중지지율 변화에 따라 다양한 환자 군에 적용 시킬 수 있을 것이다 판단된다.

• 대한물리의학회지
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• 제9권3호
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• pp.243-248
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• 2014

PURPOSE: This study was aim to the change of muscle activities of lower extremity and waist during lifting a small object on the floor according to different foot position of women in their twenties wearing a skirt. METHODS: 9 women in their twenties wearing a skirt were selected and were measured the muscle activities of medial gastrocnemius (MG), tibialis anterior (TA), vastus lateralis (VL) and iliocostalis (IC) when they lifted a small object on the floor. The two different foot position employed were "both feet posed straight side by side" (condition 1) and "both feet posed diagonally to 45 degree" (condition 2) used. The order of feet position was selected randomly and the subject took a rest for 30 min between tests to prevent muscle fatigue. We calculated the mean and standard deviation of muscle activities and used Mann-Whitney U test to compare the difference between the two foot positions with SPSS(IBM Korea) RESULTS: The muscle activity of condition 2 was greater than that of condition 1 in right side of TA, VL, and IC and left side of TA, VL, MG and IC. The right side of TA, VL and left side VL were significant difference between condition 1 and condition 2(p<.05). CONCLUSION: We suggest "both feet posed straight side by side" position is better if a woman wearing a skirt lift the small object and it will help prevent the low back and lower limb problems in the future.

• 한국운동역학회지
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• 제17권4호
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• pp.181-190
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• 2007

The purpose of this study was to analyze the muscle fatigue for lower limbs during the level and downhill running. The subjects were 6 males of twenties who have no experience to get the injury in the lower limbs and required to run on the level and downhill which was -7% grade treadmill at 8.3km/h. EMG signal was gained by ME3000P8 Measurement Unit and computed the Median Frequency(MF) with the power spectrum analysis in the Megawin software. Rectus femoris(RF), Vastus lateralis(VL), Gluteus medius(GLU), Biceps Femoris(BF), gastrocnemius medial head(GM), gastrocnemius lateral head(GL), Tibialis anterior(TA) were selected. The result of this study were as follows: The MF of RF decreased in the downhill running than level running in length of time but, the MF of VL was opposite. The MF of BF decreased in the level and downhill running, but, the MF of BF decreased much in the level than downhill running. The MF of GLU decreased much in the downhill running but, almost no change in the level running. The MF of TA decreased in the level running than downhill running. The MF of GL decreased in the level running but, the MF of GM decreased in the downhill running in length of time. This study analyzed the muscle fatigue of the lower limbs with the median frequency on the basis of an assumption that the impact force for the flexion and extension of the joint and the body mass may be much in the eccentric contraction such as the downhill running than level running. RF and GM showed the muscle fatigue in the downhill running than level running. BF and GL showed the muscle fatigue in the level running than downhill running.