• PNF and Movement
• /
• 제21권2호
• /
• pp.185-192
• /
• 2023

Purpose: This study aimed to confirm the effectiveness of the diaphragm stretching technique as a treatment method for low back pain by evaluating maximum inspiratory pressure, maximum expiratory pressure, and changes in back mobility in patients with low back pain. Methods: Thirty-four patients with low back pain were randomly divided into two groups: an experimental group and a control group. The diaphragm stretching technique was conducted in the experimental group, and the placebo intervention was conducted in the control group. The diaphragm stretching technique was conducted once, maintaining tension for 7 min. The placebo intervention was conducted in the same position as the diaphragm stretching technique, but with only light contact maintained without pressure. Maximum inspiratory pressure, maximum expiratory pressure, and back mobility were measured before and after the intervention, and the changes were compared and analyzed. A paired sample t-test was used to compare measurements within the group before and after the intervention. An independent t-test was used to compare the experimental and control groups. Statistical significance (α) was set at 0.05. Results: In the experimental group, maximum inspiratory pressure, maximum expiratory pressure, and back mobility increased significantly after the intervention (p < 0.05). However, there was no significant difference in the changes in all areas of the control (p > 0.05). As a result of comparative analysis of changes before and after the intervention, there were significant differences in maximum inspiratory pressure, maximum expiratory pressure, and back mobility only in the experimental group (p < 0.05). Conclusion: The diaphragm stretching technique improved maximum inspiratory pressure, maximum expiratory pressure, and back mobility compared to the placebo intervention. Therefore, the diaphragm stretching technique can be recommended as a physical therapy intervention to improve pain in patients with LBP.

• 한국지반공학회논문집
• /
• 제21권3호
• /
• pp.109-118
• /
• 2005

터널과 같은 선형 구조물의 경우, 터널이 시공될 지반의 전체적인 상태를 설계단계에서 정확히 파악하기는 매우 힘든 것이 사실이다. 따라서 시공과정에서 획득되어지는 계측자료와 설계단계에의 사전정보를 적절히 조합하는 피드백(feed-back)과정이 필수적이게 된다. 본 논문에서는 터널 내에서 계측된 상대변위만을 역해석 입력값으로 적용한 3차원 터널 역해석 기법을 이용하여 터널 주변 지반의 최적의 지반정수를 평가하였다. 이를 위하여 예측치와 계측치를 합리적으로 조합할 수 있는 확장 Bayesian 방법(Extended Bayesian Meoth EBM)을 역해석의 목적함수로 사용하였으며, 터널 내공변위 예측을 위해 3차원 수치해석을 적용하였다. 두 곳의 실제 터널 현장계측자료를 바탕으로 역해석을 수행하였으며, 이를 통하여 제안된 역해석 기법의 효용성을 검증하였다.

• 한국지반공학회:학술대회논문집
• /
• 한국지반공학회 2002년도 봄 학술발표회 논문집
• /
• pp.49-54
• /
• 2002

This paper describes a systematic way of simultaneously identifying the ambient pore pressure and the rigidity index (=G/s$\_$u/) of soil by applying an optimization technique to the piezocone dissipation test result. An ambient pore pressure and optimal rigidity index were determined by minimizing the differences between theoretical excess pore pressures developed by Randolph ＆ Wroth(1979) and measured excess pore pressures from piezocone using optimization technique. The effectiveness of the proposed back-analysis method was examined against the well-documented performance of piezocone dissipation tests (Tanaka ＆ Sakagami, 1989), from the viewpoints of proper determination of selected target parameters and saving of test duration. It is shown that the proposed back-analysis method can evaluate properly the ambient pore pressure and the rigidity index by using only the early phase of the dissipation test data. Also, it is shown that with the optimized rigidity index and ambient pore pressure the proposed back-analysis method permits the horizontal coefficient of consolidation to be identified rationally.

• 대한추나의학회지
• /
• 제1권1호
• /
• pp.55-65
• /
• 2000

The present study retrospectively investigated clinical outcome at patients with low back pain or sciatica during Chuna treatment (flexion-distraction technique). The study population consisted of 29 patients. Discogenic group consisted of 21 patients who were already diagnosed as HNP of lumbar spine with serial MRIs(magnetic resonance imaging) or CTs(computerized tomography). Simple LBP group consisted of 8 patients with low back pain & sciatica who were non-specific disorder on radiologic examination. All patients were treated with flexion-distraction technique, one of Chuna technique, under analysis of Moire Topography. And the evaluation of clinical outcome was done twice during this study by Moire Topography Analytic Point and Low Back Pain Assesment, Visual Analogue Scale. The results were summarized as follows; Total improvement rate of Moire Topography was $25.8{\pm}17.8%$, and the rate of Low Back Pain Assesment was $56.5{\pm}23.0%$, Visual Analogue Scale of post-treatment was $32.6{\pm}22.5$ Between Improvement rate of Moire Topography and improvement rate of Low Back Pain Assesment, significant correlation was proved(Person's coefficient was 0.381, p<0.05). After all, it is certain improvement of Moire Topography represents symptom's improvement.

• 한국구조물진단유지관리공학회 논문집
• /
• 제27권5호
• /
• pp.120-129
• /
• 2023

행어케이블의 장력은 현수교의 건전성과 안전성을 확인할 수 있는 주요 응답 중 하나이다. 일반적으로 공용 중인 현수교에서 행어케이블의 장력을 추정하기 위해 진동법이 주로 사용되고 있다. 진동법은 행어케이블에서 고유진동수들을 측정하고 행어케이블의 형상 조건을 이용하여 간접적으로 장력을 추정하는 방법이다. 이 연구에서는 영상계측시스템을 이용하여 팔영대교의 행어케이블에 대하여 장력을 추정하였다. 영상계측시스템은 측정의 편의성과 경제성을 고려하여 디지털 캠코더와 삼각대를 사용하였다. 영상계측시스템을 이용하여 측정된 행어케이블의 응답은 변위 기반이므로 진동법을 적용하기 위한 고차모드의 고유진동수는 측정하기 어려울 수 있다. 이 연구에서는 저차모드의 고유 진동수를 이용하여 장력을 추정할 수 있는 역해석 기법을 적용하였다. 역해석 기법은 현장에서 측정된 행어케이블의 고유진동수들과 유한요소해석을 이용하여 산정된 고유진동수들의 오차를 목적함수로 정의하여 최적화를 수행하였다. 최적화 방법은 목적함수의 편미분이 필요 없는 직접탐색법을 적용하였다. 역해석 기법을 이용하여 산정된 장력과 진동법을 이용하여 추정된 장력을 비교 분석하여 역해석 기법에 대한 신뢰도와 정확도를 확인하였다. 그 결과 역해석 기법을 적용하면 저차모드의 고유진동수를 이용하여도 신뢰성 있는 장력의 추정이 가능하였다.

• 한국지반공학회논문집
• /
• 제18권1호
• /
• pp.71-78
• /
• 2002

본 연구에서는 다층지반에 근입된 흙막이 벽의 단계별 계측변위로부터 각 층의 지반물성을 추정하고 이로부터 차기단계의 거동을 예측하기 위한 역해석 기법을 제안하였다. 지반이 다수의 층으로 구성되어 있을 경우 찾아야 할 대상변수가 많아지게 되며, 대상변수가 많아질수록 역해석에 상당한 무리가 따르게 된다. 이러한 층별 지반물성을 효율적으로 추정하기 위하여 최하단층부터 순차적으로 대상변수들을 찾아가는 방법을 이용하였다. 역해석은 상당량의 반복계산이 필요하기 때문에 정해석 방법으로는 해석시간이 짧고 시공단계 별 해석이 가능한 탄소성보법을 사용하였다. 역해석 대상변수는 탄소성 하중-변위 곡선의 구성요소인 지반반력계수와 수평토압계수들을 취하였으며, 목적함수는 이상변위에 의한 오차를 최소화시키기 위하여 단계별 계측변위 증분과 해석변위 증분의 차이로 구성하였다. 목적함수를 최소화 시키는 대상변수들을 찾기 위한 최적화 수법으로는 제약순차선형계획 법을 이용하였다. 본 연구를 통하여 제안된 방법을 수치해석자료 및 현장계측자료를 이용하여 검증하였다.

• 한국지반공학회논문집
• /
• 제21권3호
• /
• pp.99-108
• /
• 2005

지하 구조물을 설계하는데 있어서 가장 중요하면서도 어려운 일은 대상 지반의 정확한 공학적 특성을 파악하는 것이다. 본 논문의 주된 목적은 터널 주변지반의 지반정수 평가를 위한 새로운 터널 역해석 기법의 제안에 있다. 이를 위하여, 초기 예측치와 계측치로부터 예측된 값을 합리적으로 조합할 수 있는 확장 Bayesian 방법(Extended Bayesian Method, EBM)을 적용하였다. 또한 터널 내에서 계측된 터널 상대변위만을 역해석 입력값으로 사용함으로써 터널 절대변위 예측을 위한 수학적 연산 과정에서 발생되는 오차를 제거하였으며, 터널 상대변위 발생 경향을 역해석에 충분히 반영하기 위하여 3차원 수치해석을 적용하였다. 이를 바탕으로 본 논문에서는 터널 상대변위를 이용한 3차원 터널 역해석 기법을 제안하였으며, 가상의 단면에 대한 예제해석을 통해 그 적용성을 검증하였다.

• Geomechanics and Engineering
• /
• 제36권1호
• /
• pp.83-97
• /
• 2024

It is important to make reasonable prediction about the long-term deformation of high rockfill geostructures. However, the deformation is usually underestimated using the rockfill parameters obtained from laboratory tests due to different size effects, which make it necessary to identify parameters from in-situ monitoring data. This paper proposes a novel hybrid back-analysis method with a modified objective function defined for the time-dependent back-analysis problem. The method consists of two stages. In the first stage, an improved weighted average method is proposed to quickly narrow the search region; while in the second stage, an adaptive response surface method is proposed to iteratively search for the satisfactory solution, with a technique that can adaptively consider the translation, contraction or expansion of the exploration region. The accuracy and computational efficiency of the proposed hybrid back-analysis method is demonstrated by back-analyzing the long-term deformation of two high embankments constructed for airport runways, with the rockfills being modeled by a rheological model considering the influence of stress states on the creep behavior.

• 대한인간공학회지
• /
• 제17권2호
• /
• pp.11-23
• /
• 1998

Dynamic motion difference between normal subjects and low-back pain (LBP) patients has been investigated in terms of kinematic variables such as range of motion, velocity and acceleration of the back and hip. Ten healthy subjects and ten LBP patients were recruited in this study. Electro-goniometer such as Lumbar Motion Monitor and Hip Monitor have been used for quantitative measurement of the trunk motion during repetitive flexion and extension for ten seconds. Results indicated that the velocity and acceleration of the back and hip were important parameters to quantitatively identify LBP patients. The consistency of cyclic trunk motion and the relationship between the back and hip were measured in terms of Variance Ratio and Phase Angle in order to accurately assess the motion characteristics of LBP patients. In particular, the hip motion has been proven to be a very important factor in describing the kinematics of damaged lower back. The functional evaluation technique suggested in this study will be a tool to assist physicians for an accurate diagnosis and timely rehabilitation along with current image diagnosis techniques.

• 대한통합의학회지
• /
• 제6권4호
• /
• pp.139-148
• /
• 2018

Purpose : The purpose of this study was to examine the effects of waist mobilization technique intervention for patients with chronic back pain on balance and the low back pain disability index. Methods : The subjects were 30 patients with chronic back pain. They were sampled and divided into a manual therapy group and a spinal decompression group. 15 subjects were randomly assigned to each group. Each training in this study participated for 6 weeks, 5 times a week, once a day, 15 minutes a day. Balance ability was measured with a balance analyzer, and the low back pain disability index was measured using the Oswestry Disability Index (ODI). Results : In the balance abilities, there was a significant difference in the manual therapy group compared to the spinal decompression group. In the low back pain disability index, there was a significant difference in the manual therapy group compared to the spinal decompression group. Conclusion : The analysis results of the effect of 6 weeks of waist mobilization technique intervention on the balance and low back pain disability index for patients with chronic back pain revealed that the manual therapy is more effective for static and dynamic balance ability and the low back pain disability index. In the future, we can promote independent life skills and expect a rapid recovery of patients with chronic back pain. Based on this study, further studies are needed on the effects of balance, the mechanical properties of muscle, and the low back pain disability index depending on various manual therapy techniques.