• 한국전문물리치료학회지
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• 제8권3호
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• pp.97-105
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• 2001

The purpose of this study was to investigate the effect of functional strengthening exercise on static and dynamic standing balance in a child with cerebral palsy. The subject was a 7 year old boy with diplegia whose Gross Motor Function Measure (GMFM) score was 80% along with G1 of the lower extremities in Modified Ashworth Scale. The subject was ambulatory with some degree of limitation and demonstrated muscle weakness and strength asymmetry in the lower extremities. A changing criterion design for a single-subject research was used for this study. The functional strengthening exercise consisted of lower extremity ergometer exercise and knee exercise with grading movement in standing position, each for 20 minutes, which lasted 18 sessions for 6 weeks. A knee extensor strength test on both extremities and standing balance test were conducted after each functional strengthening exercise. Two types of standing balance were tested: one leg stance test and functional reach test. One leg stance test was to evaluate static standing balance, and functional reach test was to evaluate dynamic standing balance. The results showed that the functional strengthening exercise had some positive effects on improvement of both static and dynamic standing balance, and there was a positive correlation between the knee strength and standing balance.

• 대한의용생체공학회:의공학회지
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• 제30권6호
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• pp.495-502
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• 2009

This paper investigated the effects of dynamic postural control for maintaining upright standing on a support surface during continuous sinusoidal horizontal translation in anterior-posterior direction. 15 healthy young subjects participated in this experiment. The analysis of body movement was analyzed using Ariel Performance Analysis System. Motion pattern was analyzed by seven markers on subject's body. Position of markers were head, chest, hip, right knee, left knee, right ankle and left ankle. Seven different frequencies of support surface were employed ; 0.1, 0.25, 0.5, 0.75, 1, 1.5 and 2Hz at 2cm of moving path of motionbase. The experiments were performed dynamic postural reponses at the condition of eye open. The results showed that median frequency of the knee, ankle were increased in all frequency bands. Following the frequency of perturbation increased, postural control strategy was changed from ankle strategy to combined strategy. The experiment results could be applied to the dynamic postural training for the elderly and the rehabilitation training for the patients to improving the ability of postural control.

• 한국운동역학회지
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• 제24권3호
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• pp.259-267
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• 2014

The purpose of this study was to find the relationship between standing posture biomechanics and physical fitness in the elderly. Physical fitness variables and postural variables for 227 (140 women and 87 men) elderly individuals were tested. Physical fitness tests (Korean Institute of Sports Science, 2012) included 3m sit, walk, and return, grip test, 30 second chair sit and stand, sit and reach, figure 8 walks, and 2 minute stationary march. Postural biomechanics variables included resting calcaneal stance position (RCSP), shoulder slope, pelvic slope, knee flexion angle, leg length difference, thoracic angle, and upper body slope. In statistical analysis, multiple regression was conducted by using stepwise selection method via SAS (version 9.2). Analysis for both men and women revealed significant relationships between physical fitness and age, upper body slope, knee flexion angle, leg length difference. Pelvic and thoracic angle were only related to figure 8 walking and sit and reach in women, while RCSP and shoulder slope had no relationship with any physical fitness variables.

• PNF and Movement
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• 제4권1호
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• pp.27-36
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• 2006

Purpose : The main purpose of this study was to investigate the effect on Balance Ability of Knee Osteoarthritis(OA) by Lower Extremity Patterns with dynamic reverse in Proprioceptive Neuromuscular Facilitation(PNF). Methods : The subjects were consisted of 30 women patients with knee OA. All subjects were randomly assigned to PNF group. Each group had a treatment for 30 minutes per day and three times a week during 8 weeks period. Was used to measure recovery or worse of patient's condition, muscle assessment questionnaire(MAQ) was used to measure patient' s muscular strength, Endurance, coordination/balance, KWOMAC was used to pain, stiffness, and physical function, and BPM was used to measure path, anterior-posterior. Results : This study results in following conclusons. 1. MAQ score was significantly decreased in PNF group(p<.05). 2. KWOMAC score was significantly decreased in PNF group(p<.05). 3. BPM were score was significantly decreased in PNF group(p>.05). Conclusion : From this result the PNF treatment retrogression characteristic will be effective in treatment of patient, with the arthritis and widely may be applied at a therapist.

• PNF and Movement
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• 제4권1호
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• pp.19-25
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• 2006

Purpose : The main purpose of this study was to investigate the influence of walking exercise on balance ability of knee osteoarthritis. The subject were consisted of 30 women patients with knee osteoarthritis. Method : The walking exercise group with modality treatment. The walking exercise for 40 minutes per day and three times a week during 6 weeks period. Short Form McGill Pain Questionnaire(SFMPQ) was used to measure patient's pain level. Patient Specific Functional Scale(PSFS) was used to measure patient's functional disability level. BPM was used to measure sway area. Global Perceived Effect Scale(GPES) was used to measure recovery or worse of patient's condition. Results : 1. SFMPQ was walking exercise showed significantly decreased more than before treatment (p<.05). 2. PSFS was walking exercise showed significantly increased more than before treatment (p<.05). 3. Sway area was walking exercise showed significantly limited area more than before treatment (p<.05). 4. GPES was walking exercise showed significantly increased more than before treatment(p<.05) Conclusion : This study will be used as exercise method of patient with osteoarhtritis.

• Safety and Health at Work
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• 제13권3호
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• pp.315-325
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• 2022

Background: Firefighters are required to carry self-contained breathing apparatus (SCBA), which increases the risk of musculoskeletal disorders. This study assessed the newly recruited firefighters' internal forces and potential musculoskeletal disorders when carrying SCBA. The effects of SCBA strap lengths were also evaluated. Methods: Kinematic parameters of twelve male subjects running in a control condition with no SCBA equipped and three varying-strapped SCBAs were measured using 3D inertial motion capture. Subsequently, motion data and predicted ground reaction force were inputted for subject-specific musculoskeletal modeling to estimate joint and muscle forces. Results: The knee was exposed to the highest internal force when carrying SCBA, followed by the rectus femoris and hip, while the shoulder had the lowest force compared to the no-SCBA condition. Our model also revealed that adjusting SCBA straps length was an efficient strategy to influence the force that occurred at the lumbar spine, hip, and knee regions. Grey relation analysis indicated that the deviation of the center of mass, step length, and knee flexion-extension angle could be used as the predictor of musculoskeletal disorders. Conclusion: The finding suggested that the training of the newly recruits focuses on the coordinated movement of muscle and joints in the lower limb. The strap lengths around 98-105 cm were also recommended. The findings are expected to provide injury interventions to enhance the occupational health and safety of the newly recruited firefighters.

• 한국운동역학회지
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• 제26권4호
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• pp.407-412
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• 2016

Objective: The aim of this study was to analyze the net joint moment and joint power of the lower extremity during squat in female patients with genu varum. Method: Eight female patients with genu varum were asked to do regular squats, and their net joint moment and joint power were compared to those of another eight female participants with straight legs. Their video recordings and ground reaction force data were analyzed to be used as a theoretical evidence of squatting effectively for female patients with genu varum. Results: Squats had a higher impact on internal knee joint rotation and ankle joint flexion moments in the genu varum group than in the straight leg group due to their weak and short hip joint muscles. Conclusion: There is a need to develop a squat movement that is appropriate for women with genu varum in order to distribute overload efficiently among the hip, knee, and ankle joints and to strengthen the muscles in a balanced way.

• 대한골관절종양학회지
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• 제5권1호
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• pp.9-16
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• 1999

A new method of limb sparing by resection, extracorporeal irradiation and reimplantation has several theoretical advantages. This method preserves the mobility of a joint and avoids the problem of loosening or breakage of tumor prosthesis. This study involved using extracorporeal irradiated autogenous joint transplantation for reconstruction after en bloc resection, and observed the periods of functional union and histological changes in irradiated tissue of the knee joint. This study also aimed to clarify whether the degeneration of articular cartilage is induced in rabbits by a single 50Gy dose of irradiation at the knee joint. Twenty New Zealand rabbits about three kilograms were randomized into two groups of 10 rabbits each. In group 1, as control, we resected the knee joint followed by reimplantation without irradiation. Group 2 received extracorporeal irradiation on the resected knee joint followed by reimplantation. Following are the results of these observations. The osteotomy site showed external callus formation in the roentgenographic finding eight weeks after reimplantation. There was marked degenerative changes in the collagen fiber of the irradiated anterior cruciate ligament and meniscus during the fourth week, but new blood-vessel formation was observed in the vicinity. There was degenerative changes in the collagen fiber of articular cartilage treated extracorporeal irradiation at four and eight weeks in the scanning electron micrographic findings. These findings was in contrast to those of subchondral bone which showed decreased cellularity and empty lacuna at four and eight weeks. Autoradiography demonstrated active [$^3H$]uridine incorporation by irradiated chondrocyte at eight weeks after reimplantation. These results indicate that when destruction of the articular cartilage and soft tissue of the knee joint is not severe, extracorporeal irradiation and reimplantation can be used with several advantage in maintaining movement of the joint while avoiding problems of tumor prosthesis and rejection, and therefore extracorporeal irradiated autogenous joint transplantation can be used as a limb-sparing procedure for temporary biological spacer in the childhood bone tumor around the knee.

• 한국산업경영시스템학회:학술대회논문집
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• 한국산업경영시스템학회 2002년도 춘계학술대회
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• pp.291-296
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• 2002

The midsole hardness of athletic footwear affects capability of absorbing impact shock and controls rearfoot movement during running and walking. The prior studies were focused on examining the proper hardness of footwear for rearfoot movement or to finding effective hardness for absorbing impact shock. The displacements of maximal Achilles tendon angle described a amount of pronation motion is decreased when medial hardness of midsole is large more than lateral. Increasing hardness of footwear midsole are effected to reduce maximum and intial pronation angle, but declined the ability of impact shock during heelstrike. For determination of effectiveness hardness of midsole, therefore, the study that makes a compromise between rearfoot movement and absorbing impact during footstrike must be performed. The purpose of this study is to examine quantitative values of rearfoot control and absorbing impact shock with different hardness of medial and lateral midsole on heel portion. The results are useful to define biomechanical hardness of midsole for developing running shoes. As variable for impact shock, accelerations onto shank and knee are measured during 4 running speeds (5, 7, 9, 11km/h). Also, maximum and $10\%$ pronation angle (Achilles tendon angle) were measured using high-speed camera.

• 한국운동역학회지
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• 제16권2호
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• pp.109-120
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• 2006

The purpose of this study was to examine the kinematical characteristics of gymnasts who can perform the KOVACS skill, and to grope for the better KOVACS Piked motion. The subjects were 3 male national gymnasts and were filmed with video cameras. And kinematic data were collected from the event of maximum knee flexion to the re-grasp the bar after airborne motion during KOVACS Piked motion. And the following conclusion were drawn; S1 took the enough time and inadequate height for performing KOVACS Piked motion. S2 showed the inadequate time and height during airborne motion with the large forward-backward and left-right movement. S3 showed the better KOVACS Piked movement among gymnasts, but the weak point of S3 was the large left-right shift. Based on the above conclusions, the gymnasts should be trained the enough time and height for the effective airborne movement and to reduce the left-right movement.