• 대한기계학회논문집A
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• 제34권2호
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• pp.139-143
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• 2010

자동차 충돌에 의하여 편타성 손상이 일어나게 되는데, 대부분 경추부분에서 발생한다. 이러한 편타성손상의 메카니즘은 아직까지 명확히 밝혀지지 않고 있다. 본 논문에서는 다물체 경추에 근육을 부착한 모델을 만들고, 부착된 근육에 follower load 개념에 근거한 최적화방법을 이용하여 계산된 초기힘(preloads)를 가하였다. 경추모델에서 추체, 추간판 및 근육은 인간의 해부학적 정보와 일치시켜 제작되었다. 이번 연구의 목적은 경추모델에 부착된 근육에 초기힘이 존재할 때 초기힘의 편타성 손상에의 영향을 조사하는 것이다. 결론적으로, 초기힘이 존재하는 근육-경추모델의 경우가 초기힘이 존재하지 않는 모델에 비하여 좀더 실제와 일치하는 경향성을 보여주었다.

• Journal of Acupuncture Research
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• 제17권3호
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• pp.75-86
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• 2000

Objectives : This study is to applied effectively to the acupuncture treatment for disorders following whiplash injuries. Methods : This study suggests five various ways and principtes of treating disorders following whiplash injuries by means of acupuncture. First principle is that acupuncture treatment is carried out on acupoint far from cervical spine at acute stage, on the other hand, Extraordinary Vessel and other acupuncture treatment such as five element acupuncture treatment is applied at chronic stage in order to control balance disoders due to cervical pathology. Second is acupuncture treatment will be performed in group of three part of Meridian System-Yangmyung, Taeyang, Soyang-according to cervical kinetic, its characteristic and location of pain. Third is acupuncture treatment could be performed on basis of theory of Eohyel-disorders and disturbance of blood circulation. Fourth is to decrease tension of SCM muscle, because disorders following whiplash injuries has much association to injury of CM muscle and is simillar to tension syndroms of SCM muscle. fifth is taping therapy could control and decrease disorders following whiplash injuries based on spiral balance taping theory. Conclusions : These results suggest that acupuncture treatment for disorders following whiplash injuries will significally decrease pain and control syndrom caused by cervical disorder.

• Journal of Acupuncture Research
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• 제19권3호
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• pp.180-191
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• 2002

Objective : This study was performed to evaluate the effect of oriental medical treatment in whiplash injury patients which caused by traffic accident. Methods : The clinical study was carried out 37 cases of whiplash injury patients which had been admitted in Daejon university Cheon-an oriental hospital from June, 2001 to December, 2001. Results : l. In the distribution of sex distinction was female much more than male in the ratio of 3:2 and thirties was most in age distribution. 2. In situation of traffic accident, The most case was rear-ending(70.27%). 3. Except cervical pain or it's reffered pain, there were whole body symptoms as fallow, insomnia in 11cases(29.73%), night pain in 10 cases(27.03%), general body pain in 8cases(21.62), dizziness in 6cases(16.22%). 4. According to Meridian Muscle theory, a injured parts of patient were devided as follows. There were 22cases(59.46%) which have injury in Bladder, Small Intestine Meridian Muscle, 10cases(27.03%) in Gallblader, Triple Energizer Meridian Muscle, 5cases(13.51%) in Stomach, Large Intestine Meridian Muscle. 5. There were 6cases(16.22%) of the grade of complete recovery, 10cases(27.03%) of the grade of excellent, 12cases(32.43%) of the grade of improvement, 6cases(16.22%) of the grade of disimprovement and 3cases(8.11%) of the grade of poor. So 28cases(75.68%) were efficacious. 6. Generally Herb-meds that have efficacy of Geo-Eohyeol were most used(27cases, 72.97%) in early stage. Secondly Herb-med that have efficacy of Yiqi-sunqi were used(20case, 54,05%) in middle stage and Herb-med of Bo-Qiheol were used(l0cases, 27.03%) in latter term. The most used Herb-med was Hoisu-san, Oyaksungi-san(22cases, 54.96%). 7. In l5cases which have Aqua-Acupuncture treatment, There were 3cases of Complete recovery, 5cases of Excellent, 4cases of Improvement, 2cases of Disimprovement, 1cases of Poor. 8cases(53.33%) were above Excellent grade, so it is more efficatious Than simple treatment without Aqua-Acupuncture(36.37%). 8. The improvement of Bladder, Small Intestine Meridian Muscle was 77.27%, Gallblader, Triple Energizer Meridian Muscle was 70% and Stomach, Large Intestine Meridian Muscle was 80%. Additional Aqua-Acupuncture treatment improved to be effective in Bladder, Small Intestine Meridian Muscle(77.78%), in Gallblader, Triple Energizer Meridian Muscle(75%), in Stomach, Large Intestine Meridian Muscle(100%). Conclusions : In this study, Oriental treatment especially Aqua-Acupuncture was effective in whiplash injury patients which caused by traffic accident.

• The Journal of Korean Physical Therapy
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• 제16권2호
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• pp.140-155
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• 2004

The purpose of this study was to assess the effectiveness of scapular pattern of PNF on the pain level in whiplash injury patients. Pain level were assessed prior, after first, after second, after third, after fourth, and after fifth treatment. All 6 times were calculated pain level. To find out the effectiveness of scapular pattern of PNF, we were divide two groups. The one group was consisted of 25 patients that were treated with H/P electrical therapy and MFR, and the other group was consisted of 25 patients that were treated with H/P, electrical therapy, and scapular pattern of PNF. The results were as follow: 1. There were statistical significance on the pain level in MFR group during all treatment periods(p<0.05). 2. There were statistical significance on the pain level in scapular pattern of PNF group all during treatment periods(p<0.05). 3. Scapular pattern of PNF group had more statistical significance than MFR group on the pain level during all treatment periods(p<0.05). Consequently, this study suggest that scapular pattern of PNF technique has a very effectiveness to the whiplash injury patients.

• 자동차안전학회지
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• 제9권3호
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• pp.7-12
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• 2017

The whiplash is the most important issue of low speed rear-impact. So auto makers are committed to developing a seat to improve whiplash injury. Most NCAP tests have been used by same pulse (Mid Velocity 16kph). Only Euro NCAP uses different pulse that consists of Low, Mid, High velocity. But Euro NCAP also uses same pulse in Mid velocity as other NCAP test. That Mid velocity NCAP pulse was made by rear impact that has 90's vehicle structure properties. That pulse was used until now days. However these days, auto maker use more high tensile steel than 90's as customer and society demand more fuel efficiency and light vehicle with good safety structure. So modern vehicles have different pulse patterns of rear impact than NCAP pulse and 90's vehicle crash properties. In this paper, the test was conducted by following condition. Target car was impacted by the rigid barrier with certain velocity. Finally target vehicle gained delta V 16kph which was same velocity as NCAP Mid Velocity pulse. It is critical velocity which occur long period neck injury. It is very different pulse that was gained by real car impact from NCAP pulse. And it has higher peak G with high fluctuation and short duration than NCAP pulse.

• The Journal of Korean Physical Therapy
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• 제16권3호
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• pp.125-141
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• 2004

The purpose of this study was to assess the effectiveness of myofascial release(MFR) technique and Taping therapy on the pain level in whiplash injury patients. Pain level were assessed prior treatment, after first treatment, after second treatment, after third treatment, after fourth treatment, and after fifth treatment. All 6 times were calculated pain level. To find out the effectiveness of MFR and Taping therapy, we were divide two groups. The one group was consisted of 25 patients that were treated with H/P, electrical therapy and MFR, and the other group was consisted of 25 patients that were treated with H/P, electrical therapy, and Taping therapy. The results were as follow: 1. There were statistical significance on the pain level in MFR group during all treatment periods(p<0.05). 2. There were statistical significance on the pain level in Taping group all during treatment periods(p<0.05). 3. Taping group had more statistical significance than MFR group on the pain level during all treatment periods(p<0.05). Consequently, this study suggest that Taping therapy has a very effectiveness to the whiplash injury patients.

• 한국자동차공학회논문집
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• 제21권3호
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• pp.66-73
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• 2013

This study assesses neck injury of occupants in a real traffic accident case that a preceding vehicle moved backward and impacted a parked vehicle at a low velocity. This case is different from a case of whiplash injury caused by rear impact on vehicle. The impact velocity was estimated from damages of the two vehicle bumpers and the displacement of the parked vehicle was also estimated from CCTV images. MADYMO simulation was performed based on the vehicle specifications and investigation report. The comparison of neck flexion moments with the corresponding injury criteria revealed that occupants of the parked vehicle might have hardly neck injury.

• 척추신경추나의학회지
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• 제16권2호
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• pp.97-105
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• 2021

Objectives This study is aimed to evaluate cost-effectiveness of treatment of Korean Medicine for whiplash associated disorders (WAD) and to suggest the direction of future research. Methods We searched papers in Pubmed database to use some keywords indicating whiplash injury syndrome, treatment of Korean Medicine and cost-effectiveness. After searching, appropriate papers were selected depending on the exclusion criteria. The selected papers were analyzed in the sections of author, publication year, intervention and control groups, outcome measurement, the list including in the cost, cost-effectiveness, cost-utility and study design. Results Four studies about effect of Korean medicine and 3 studies about economic evaluation were finally included. Acupuncture was effective for balance disorder and neck pain. Economic evaluation studies used analytical decision model or cost-consequence analysis. Cost-effectiveness analysis using visual analog scale and cost-utility analysis using quality adjusted life years were performed. Initiating timing of proper management affected the consequence of treatments. Direct and indirect medical costs including supportive devices, and non-medical costs such as litigation were considered. Conclusions We conclude that studies haven't been conducted so far to evaluate the cost-effectiveness of Korean Medicine in whiplash injury syndrome. Thus, future studies are needed in this section.

• 척추신경추나의학회지
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• 제16권2호
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• pp.21-28
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• 2021

Objectives To investigate the effectiveness of manual therapy for neck pain caused by traffic accidents. Methods We searched six electronic databases (OASIS, KISS, RISS, NDSL, MEDLINE, and Cochrane Library) to gather randomized controlled trials using the keywords 'manual theray OR chuna OR tuina' and 'whiplash injury OR neck sprain'. Results Eight RCTs were selected based on the inclusion criteria. Four studies were meta-analyses. The systematic review found a positive effect of manual therapy for whiplash injury. All studies showed a high risk of performance bias. Conclusions The systematic review reported favorable results using manual therapy for neck pain caused by traffic accidents. However, this study has several limitations owing to the high risk of bias. Further clinical studies and the development of a study design are required for stronger evidence.

• Physical Therapy Rehabilitation Science
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• 제12권3호
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• pp.310-319
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• 2023

Objective: The purpose of this study was to investigate the effects of a combination of progressive scapular stabilization exercises, neck and thoracic spine mobilization, and thermoelectric physical therapy on pain, range of motion, muscle strength, and function in patients with acute whiplash injury. Design: A randomized controlled trial design. Methods: A total of 24 subjects were included in this study. They were randomly assigned to an experimental group (n=12) that performed scapular stabilization exercises, neck and thoracic spine mobilization, and physiotherapy, and a control group (n=12) that only performed neck and thoracic spine mobilization and physiotherapy. The pre-test was conducted before the intervention and consisted of a total of 12 treatment sessions of 60 minutes each, three times a week. A posttest was conducted 4 weeks later. Pain, range of motion, muscle strength, and function were assessed before and after intervention. Results: The results of the study showed that there was a significant difference in pain reduction and range of motion and muscle strength improvement in the experimental group, and a significant difference was also found between the experimental group and the control group in terms of functional evaluation. Conclusions: The combination of exercise therapy and joint mobilization technique and physical therapy resulted in greater improvements in pain, range of motion, strength, and function assessment, contributing to improved overall function.