• Archives of Plastic Surgery
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• 제42권1호
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• pp.73-77
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• 2015

The latissimus dorsi flap is popular due to the versatile nature of its applications. When used as a pedicled flap it provides a robust solution when soft tissue coverage is required following breast, thoracic and head and neck surgery. Its utilization as a free flap is extensive due to the muscle's size, constant anatomy, large caliber of the pedicle and the fact it can be used for functional muscle transfers. In facial palsy it provides the surgeon with a long neurovascular pedicle that is invaluable in situations where commonly used facial vessels are not available, in congenital cases or where previous free functional muscle transfers have been attempted, or patients where a one-stage procedure is indicated and a long nerve is required to reach the contra-lateral side. Although some facial palsy surgeons use the trans-axillary approach, an operative guide of raising the flap by this method has not been provided. A clear guide of raising the flap with the patient in the supine position is described in detail and offers the benefits of reducing the risk of potential brachial plexus injury and allows two surgical teams to work synchronously to reduce operative time.

• Journal of Yeungnam Medical Science
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• 제7권1호
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• pp.173-179
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• 1990

상악의 복합조직 결손이 크게 있을 경우에 그를 재건하는데는 여러가지 방법이 있지만, 본 영남대학교 의과대학 성형외과학 교실에서는 최근 경험한 2예의 상악부 복합조직결손을 재건함에 있어서 광배근 근피 유리피판술을 이용하였던 바, 각각 16개월 및 2개월의 추적에 있어서 별다른 기능적 이상없이 만족할 만한 결과를 보았다.

• 대한물리치료과학회지
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• 제15권3호
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• pp.31-41
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• 2008

Purpose : The purpose of this study is to examine the muscle activity of shoulder stabilization according to change of supporting base interval between push-up bend and push-up plus position and is to prevent or treat a shoulder injury by the most effective exercise for rehabilitation. Methods : This study analyzed the muscle activity according to change of supporting base interval between push-up bend and push-up plus movement. The participants without neuromuscular disease were 25 students - 12 males and 13 females - all twenty or over and the surface electrode of EMG attached on pectoralis major, triceps long head, middle trapezius, lower trapezius, serratus anterior and latissimus dorsi. The process has practiced 3 sessions of supporting base interval - narrowing interval, two shoulder interval, broad interval - by push-up bend and push-up plus movement. Result : 1. The muscle activity of pectoralis major was significantly increased according to narrow interval of supporting base on push-up plus movement and was significant difference(p<.05). 2. The muscle activity of biceps was significantly increased according to narrow interval of supporting base on push-up bend movement(p<.05). 3. The muscle activity of middle or lower trapezius was a difference according to change of supporting base on push-up bend and push-up plus movement but was not significant difference. 4. The muscle activity of serratus anterior was significantly increased according to broad interval of supporting base on push-up bend movement(p<.05). 5. The muscle activity of latissimus dorsi was significantly increased according to broad interval of supporting base on push-up bend movement(p<.05). Conclusion : These results lead us to the conclusion that push-up bend exercise have the effect of muscle strength of biceps on narrowing interval, of serratus anterior or latissimus dorsi on broad interval and push-up plus exercise have the effect of muscle strength of pectoralis major on narrowing interval of support base.

• Archives of Plastic Surgery
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• 제34권3호
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• pp.336-341
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• 2007

Purpose: The most accepted method for the reanimation of a paralyzed face is the two-stage method that combines cross-face nerve grafting with free-muscle transfer. Although the results of reconstruction with this method are satisfactory, there is an excessive delay between the stages, which prolongs the period of rehabilitation. In order to overcome this drawback, a one- stage, neurovascular free-flap reconstruction method using free neurovascular muscle flaps is introduced. Methods: From 1994 to 2004, 35 patients with longstanding facial palsy were treated. Fifteen patients underwent the single-stage reconstruction with the latissimus dorsi muscle, and 20 patients underwent the two-stage reconstruction method with the gracilis muscle. We compared the long-term results of the two methods of reconstruction. The mean follow-up period was 28.7 months for one-stage reconstruction, and 35.2 months for the two-stage, respectively. Results: In the patient group of the single stage reconstruction, both mouth corner excursion and animation grade were markedly improved at the final postoperative visit. Moreover, the first muscle contraction occurred earlier in this group, than in the two-stage reconstruction group. However, four patients in the single stage group never achieved a first muscle contraction or mouth corner excursion. Conclusion: Facial palsy is a very challenging condition for cosmetic surgeons to deal with. Traditional methods for treatment of chronic facial palsy use a two-stage muscle flap which is time-consuming and burdensome to patients, many of whom are averse to waiting 8 to 12 months to complete the two stages. The one-stage reconstruction method described herein uses a latissimus dorsi free-flap and has demonstrated consistent positive outcomes in clinical assessments.

• 재활복지공학회논문지
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• 제7권1호
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• pp.13-19
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• 2013

본 연구는 휠체어 사이클 경사로 주행 시 척수 손상으로 인한 하지마비 장애인의 상체의 근전도 특성을 평가하고자 하였다. 이를 위하여 척수손상 장애인 3명을 대상으로 $0^{\circ}$, $3^{\circ}$, $6^{\circ}$의 경사로에서 휠체어 사이클 주행을 하도록 하였으며, 이때 이두근, 삼두근, 전 삼각근, 상승모근, 광배근, 복직근의 근 활성 최대값과 수축 시간, 수축 개시 종료 시기를 측정 및 분석하였다. 본 연구 결과 휠체어 사이클의 경사로 주행 시 수축 시간과 근 수축 종료시간이 경사도가 증가함에 따라 유의하게 길어지고 지연됐으며, 광배근의 최대 근 활성도는 평지 주행보다 유의하게 증가하였다 (p<0.05). 이와 같은 결과는 휠체어 사이클의 경사로 주행 시 광배근의 과도한 사용을 의미한다.

• 한국운동역학회지
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• 제14권1호
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• pp.41-50
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• 2004

The objective of the study is to analyze the myoelectrical activity involved in performing the Swallow movement, a D-level technique, in order to use it as the basic research data in helping train gymnasts in how to perform strength-related techniques. To this end, four national representative athletes who participated in the 2002 Busan Asian Games were selected. The results of the comparison analysis of the individual models are summarized as follows. 1) The results of the E.M.G analysis showed that during the Swallow movement, the myoelectrical activity was detected higher in pectorialis major muscle and bicep brachii muscle than in trapezius muscle and deltoid muscle. 2) The results of the E.M.G analysis showed that during the Swallow movement, the myoelectrical activity was measured high in triceps brachii muscle and palmaris longus muscle, while the myoelectrical activity was recorded low in latissimus dorsi muscle and rectus abdominis muscle. 3) In performing the Swallow in the rings, the mean average (%) was found high in the order of erector spinae, pectorialis major muscle, palmaris longus muscle, triceps brachii muscle, deltoid muscle, latissimus dorsi muscle, and trapezius muscle. All taken together, the athletes showed a difference in the distribution of the muscles during the performance of the Swallow. The muscle that showed a constant distribution among the athletes was pectoralis major muscle, which proves that for a stable performance, it is ideal to increase the myoelectrical activity in pectoralis major muscle.

• 한국운동역학회지
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• 제20권3호
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• pp.277-284
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• 2010

The purpose of this study was to investigate the trunk rotation type by wheel and axle. In order to analysis, 3D-motion analysis and electromyography were conducted on kinematic variables, impulse, average-EMG and integrated-EMG. Twelve healthy (age: $21.8{\pm}2.2$ yrs, height: $175.4{\pm}5.0cm$, weight: $66.7{\pm}6.4kg$) participated in the experiment. The results were as follows; in hand's velocity and acceleration, wheel and axial rotating movement using kinematic chain(type 3) were much faster. In impulse, type 3 was much stronger. In average-EMG, right and left, latissimus dorsi muscles was much stronger. In integrated-EMG, left erector spinae, right/left latissimus dorsi, and left external oblique muscles was much stronger. These results considered that, in the trunk rotation utilizing the kinematic chains action, latissimus dorsi muscles highly contribute to the muscle utilization that makes the rotating movement maximally effective.

• 한국임상수의학회지
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• 제33권2호
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• pp.124-128
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• 2016

A 7-year-old intact female Maltese dog presented with a history of bite wounds. Physical examination revealed labored breathing, four puncture wounds with subcutaneous emphysema of the thorax, and paradoxical respiratory movement of the right thoracic wall. On radiography, a segmental fracture of the right 7th rib and a single fracture of the 8th rib were evident on the dorsal thorax. An inward displacement of the fractured segment and contusion of the right caudal lung lobe were identified with computed tomography. A diagnosis of pseudo-flail chest was made. Exploratory thoracotomy revealed a full-thickness muscular defect, a marked discoloration of the right caudal lung lobe, a segmental fracture of the right 7th rib, and a single fracture of the right 8th rib. Necrotic tissues were removed using surgical debridement. The fractured 7th and 8th ribs were corrected using a single interfragmentary wiring technique. The thoracic wall was reconstructed using the latissimus dorsi muscle flap. Additional thoracic stabilization using a thermoplastic splint was applied to correct paradoxical respiratory movement. The external splint was removed 4 weeks postoperatively. There was no evidence of respiratory abnormalities 18 months postoperatively.

• 한국전문물리치료학회지
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• 제13권2호
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• pp.35-42
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• 2006

The walker provides stability for walking for people whose lower extremities are disabled. It is important to measure and determine the appropriate height of a walker to conserve energy and to improve function. The purposes of this study were to examine effects of walker height and gait velocity on triceps, latissimus dorsi muscle activation, and energy expenditure index (EEI) during ambulation with a walker. Fifteen healthy subjects participated in this study. Each subject was assigned a walker with one of three heights (high, standard, lower height) and of two gait velocities (comfortable gait velocity or fast gait velocity). Electromyographic data were collected from triceps and latissimus dorsi, and EEI was determined from each condition. Two-way repeated analysis of variance (ANOVA) was used to determine the statistical significance. Post hoc comparison was performed with the Bonferroni test. The results of this study were summarized as follows: 1. There was a significant difference in the %MVIC of triceps among different walker height factors. Post hoc comparison revealed that %MVIC of dominant triceps brachii was more significantly increased in patients who used the higher walker than those who used the lower walker (p<.05). 2. There were significant differences in the %MVIC of the latissimus dorsi among different walker height factors and gait velocity factors. Post hoc comparison revealed that the %MVIC of dominant latissimus dorsi was also more significantly increased in patients who used the higher walker than those who used the lower walker (p<.05) and in those who used the faster gait velocity than those who used the slower gait velocity (p<.05). 3. There were significant differences in the EEI among different walker height factors and gait velocity factors. Post hoc comparison revealed that the EEI was significantly increased among those who used higher and lower walkers compared with the standard walker. The EEI was also more significantly increased among those who used the fast gait velocity than those who used the slower gait velocity (p<.05). It has been concluded that increased muscle activation in triceps and latissimus dorsi was required when the walker height increased and that more energy was exp ended when the gait velocity increased. Therefore, from the findings of this study, it is recommended that walker height be adjusted according to the purposes of gait training and that healthy subjects conserve energy when ambulating with standard walkers in a comfortable gait velocity.

• 한국안전학회지
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• 제16권1호
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• pp.79-83
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• 2001

Posture of the upper limbs in field works is known to be an important risk factor associated with CTD(Cumulative Trauma Disorders). In particular, uncomfortable posture and highly repetitive works in shipbuilding industry(for instance, sand blasting, grinding and blast painting, etc) made workers exposed to a great risk of injuries. The purpose of this paper is to analyze recruitment pattern of the muscles according to posture(joint angle displacement) during grinding. In this study, EMG signals of pectoralis major, latissimus dorsi, and posterior deltoid muscle were measured and analyzed from FlexComp EMG solution. And subjective ratings of perceived exertion were made using Borg's CR-10 rating scale.