• 한국전문물리치료학회지
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• 제27권4호
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• pp.272-277
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• 2020

Background: Forward head posture (FHP) is common postural malalignment. FHP is described relatively extension to upper cervical and lower cervical is relatively flexion. Although several researchers mentioned the lower cervical flexion posture in FHP, most of the studies related to FHP is focused on the deep cervical flexor function. Objects: The purposes of present study is to compare the cervical strength (upper cervical extension [UCE], lower cervical extension [LCE], upper cervical flexion [UCF], lower cervical flexion [LCF]) between individuals with and without FHP. Methods: Fifty-one participants are recruited. Participants who have the craniovertebral angle (CVA) less than 48 degree were classified to the FHP group (n = 24) and the others were included in without FHP group (n = 27). The cervical strength (UCE, LCE, UCF, LCF) were measured using Smart KEMA strength sensor and the strength data was normalized by body weight. All strength measurement conducted at head and neck neutral position in sitting. Independent t-test was used to compare the cervical strength between individuals with and without FHP. Results: The mean value of CVA was greater in without FHP group than with FHP group (p < 0.000). The strength value of UCF (p < 0.002) and LCE (p < 0.001) was significant less in FHP group than without FHP group. But no significant differences were seen in the LCF and UCE strength between two groups. Conclusion: UCF and LCE weakness in FHP group should be considered to evaluate and manage the individuals with FHP.

• 한국의류산업학회지
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• 제13권5호
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• pp.759-768
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• 2011

This study is designed to understand current wearing conditions of air force mechanic parkas and evaluate their functionality by examining the wearing conditions and wearers' subjective assessment. By doing so, it also intends to identify issues that require improvements; and to provide basic data for future development of air force mechanic parkas. A survey was conducted as a study methodology, and the collected 1,628 questionnaires were analyzed. Findings of this study are as follows. 1. In the usability assessment, it was found that visibility of body sides was needed to be enhanced since reflective tapes were attached only to the front and back of the body; pockets were too big, but not convenient to keep mechanic tools; the design of hiding hood was not suitable for water-proof clothing; and a new design of size-controllable hood was called for since the hood blocked eye sight. With respect to the fabric, dissatisfaction was identified with durability, cold-proof and fire-proof features. 2. In the mobility assessment, respondents showed low satisfaction with collar heights and neck girths. Mobility score was over moderate level on average, except the parka length that obstructs wearers' movement, and neck and collar size. 3. In the wearability assessment, respondents presented moderate satisfaction with pleasantness, weight, pressure and dampness. However, insulation was found unsatisfactory. Based on the result, this study proposed improvement plans on design, pattern and fabric; and is expected to serve as basic data for developing more effective and functional air force mechanic parkas.

• PNF and Movement
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• 제19권3호
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• pp.361-374
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• 2021

Purpose: The study aimed to investigate the effects of neural mobilization with joint mobilization on dysfunction, pain, and range of motion in cervical radiculopathy patients. Methods: Forty-seven cervical radiculopathy patients were recruited for the study. The subjects were randomly allocated to three groups. Group A (n=16) received a neural mobilization with joint mobilization, Group B (n=15) received a neural mobilization (NM), Group C (n=16) received a joint mobilization (JM). All groups had five sets for a day, three days a week, for four weeks. All subjects were evaluated before and after intervention by their neck disability index (NDI), numeric pain rating scale (NPRS), and range of motion (ROM). Results: The results were as follows: First, the NDI was significantly decreased in all groups (p<0.05). Group A had more significantly decreased NDI than Group B and C (p<0.05). Secondly, the NPRS was significantly decreased in all groups (p<0.05). Group A had more significantly decreased cervical NPRS than Group B (p<0.05). Groups A and B were more effective at decreasing upper extremity NPRS than Group C (p<0.05). Thirdly, the ROM was significantly increased in all the groups (p<0.05). Group A had more significantly improved cervical rotation ROM than Group B (p<0.05). Significant short-term effects of the NM with JM on dysfunction, pain, and range of motion in cervical radiculopathy patients were recorded in this study. Conclusion: These findings gave some indications that it may be feasible to include NM with JM in interventions with cervical radiculopathy patients.

• 대한통합의학회지
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• 제5권2호
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• pp.11-17
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• 2017

Purpose : The aim of this study was to verify differences in cervicocephalic joint position sense error after different sustained sitting postures in healthy young adults. Methods : Twenty-five healthy adults(12 men, 13 women) participated in this study. Repositioning errors of neck movement were observed in participants during joint repositioning tasks. During 2 test days with a 1-week interval, the participants performed forward head posture and upright sitting posture in random order. Both head-to-neutral(HTN) and head-to-target(HTT) tasks were performed on each day. On the first day, the participants sat slouched or upright for 10 minutes. Then, they sat upright and moved their heads at a self-selected speed with their eyes-closed to pre-determined neutral and target positions as accurately as possible. The participants noticed that when they reached a pre-determined position, the errors between pre-determined neutral and target positions and current position was recorded. The tasks consisted of flexion, extension and lateral bending. On the second day, the same test was performed after another sitting posture for 10 minutes. Repositioning error values were collected by using a smart phone-based inclinometer. The mean value for three trials was used for data analysis. A paired t-test was used for statistical analysis. Results : Significant differences in joint repositioning errors were found between the repositioning error after different sitting postures on the sagittal plane for both the HTN and HTT tasks (P<.05). No significant differences in errors on the coronal plane were found (P>.05). Conclusion : Cervicocephalic joint position sense can be affected by sitting postures, especially on the sagittal plane.

• 대한임상검사과학회지
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• 제40권2호
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• pp.129-134
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• 2008

Obstructive sleep apnea syndrome (OSAS) is occurred by apnea by the obstruction of upper trachea while sleeping, followed by repetitive drop on arterial oxygen saturation ($SpO_2$). Therefore, the present study was focused on relation between $SpO_2$ of while having difficulty in breathing and clinical characteristics of OSAS while sleeping. The study took place at Ewha women university Mokdong hospital with 149 subjects (male 121, female 28) who were examined for polysomnography (PSG) from May 2007 to February 2008. All subjects were adhered to electrodes and sensors to measure electroencephalogram (EEG), electrooculogram (EOG), chin & leg electromyogram (EMG), airflow at nasal and oral cavities, breathing movement of chest and abdominal snoring sound and $SpO_2$. Lowest $SpO_2$ in male was meaningfully low with higher body mass index (BMI), louder snoring sound and thick neck circumference (p<0.01). While mean $SpO_2$ based on the degree of AHI did not show significant difference, lowest $SpO_2$ was significantly low with high AHI (p<0.001). Also, lowest $SpO_2$ was closely correlated with BMI (r=-00.343, p<0.001), snoring sound (r=0.177, p<0.05), apnea index (r=-0.589, p<0.001), hypopnea index (r=-0.336, p<0.001) and apnea-hypopnea index (r=-0.664, p<0.001). $SpO_2$ was closely related to clinical characteristics of OSAS, like male, BMI, snoring sound and neck circumference. Also, polysomnography accompanied by recent development of sleep study is considered as critical test to diagnose OSAS, decide the severity of illness, and evaluate the treatment plan.

• 한국운동역학회지
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• 제12권2호
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• pp.207-214
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• 2002

본 연구는 임팩트 시에 클럽페이스의 면을 3차원적으로 분석해 보고자 한다. 또한 숙련자와 초보자간에 차이를 비교, 분석하여 초보자의 퍼팅 스트로크 기술을 향상시키는 기초자료를 제공하는데도 그 목적이 있다. 이를 위하여 숙련된 골퍼 5명과 골프경험이 전혀 없는 학생 5명 등, 총 10명이 피험자로 연구에 참여하였다. 실험은 실내의 인조잔디에서 실시되었으며, 잔디에 지름 0.108 미터의 흘을 파서 실제 그린과 동일한 상황을 만들었다. 클럽페이스의 면을 정의하기 위하여 헤드부분의 toe, heel, 그리고 neck에 각각 지름 0.01 미터 의 마커를 부착하였으며, AG 456 비디오카메라(60Hz, 1/500s) 두 대를 이용하여 움직임을 기록하였다. 클럽페이스의 움직임을 3차원적으로 분석한 결과 다음과 같은 결론을 얻었다. 첫째, 클럽의 좌우 움직임에 영향을 주는 면의 움직임이 숙련자의 경우 평균 1도로 매우 작은 반면에 초보자들은 평균 6도 이상이었다. 둘째, 숙련자들은 클럽의 움직임보다 손의 움직임이 빨라서 볼을 낮게(클럽페이스를 닫은 상태로 임팩트) 보낼 수 있으나, 초보자들은 클럽보다 손의 움직임이 느려서 볼을 높게(클럽페이스를 열은 상태로 임팩트) 보낸다. 셋째, 클럽헤드의 입사와 반사각도 비는 전체적으로 1:3-4 이나, 임팩트 존에서의 비는 1:2 정도이다. 넷째, 숙련자의 수직벡터 방향은 초보자의 수직벡터 방향보다 퍼트 선 방향에서 볼 때 이탈각도가 작다. 퍼팅 스트로크는 볼과 클럽, 그리고 볼과 그린의 접촉에 따라서 결과가 나타나는 종목이다. 따라서 퍼터의 움직임도 중요하지만 볼의 움직임과 그린의 역할도 함께 연구가 병행되어야 한다.

• Journal of Chest Surgery
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• 제35권10호
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• pp.730-735
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• 2002

횡격막은 횡격막 신경과 동측의 하 흉벽 늑간신경의 지배를 받는다. 상완신경총의 적출 손상을 가진 환자에서 신경총의 일부 신경의 신경이식술에 횡경막 신경의 신경 이식편이 종종 이용된다. 이와 같이 횡격막 신경이 신경이식편으로 사용된 환자에서 횡격막 신경의 탈신경으로 인하여 발생하는 횡격막의 위치 및 운동의 변화를 연구하였다. 대상 및 방법 : 어께의 둔상으로 상완신경총의 적출 손상 때문에 동측의 횡격막 신경으로 근피부신경에 신경이식술을 시행한 13예를 대상으로 하였다. 흉강경 수술방법으로 흉강 내 횡격막 신경을 박리하고 횡격막 바로 위에서 횡격막 신경을 절단하여 경부 절개창을 통해서 외부로 끌어낸 다음 피하 터널을 통해서 동측의 근피부신경에 이식하였다. 엑스선 투시검사와 흉부 엑스선 촬영으로 수술 전후의 횡격막 위치 및 운동 상태를 조사하였다. 결과 : 흉강경을 이용하여 횡격막 신경을 박리 절단하는데 기술적 어려움이나 경미한 합병증도 없었다. 횡격막 신경의 절단 직후에는 횡격막이 평균 1.7 늑간 정도 올라가 있었으나, 엑스선 투시검사에서 흡기시 횡격막의 역행성 운동은 보이지 않았다. 1.5개월 이후의 엑스선 검사에서 횡격막의 위치는 수술 전에 비해 유의한 차이 없을 정도(평균 0.9 늑간 차이; p＝NS로 복원되었다. 횡격막 신경의 절단으로 횡격막의 운동 범위는 탈신경 전에 비해 유의한 차이가 없었다. 결론 : 횡격막 신경의 차단으로 인한 탈신경 후 횡격막의 운동기능은 남아 있었으며 횡격막의 위치는 시간이 경과함에 따라 어느 정도 회복되는 현상을 보였다. 그러나 폐활량이 계속 감소된 소견은 횡격막의 흡기력이 완전히 회복되지 않았음을 추정할 수 있다.

• 한국의류산업학회지
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• 제4권2호
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• pp.137-144
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• 2002

This study was to provide the fundamental data for a scientific and rational clothing construction by investigating the variation of the upper body surface with the use of the method of Surgical tape. The subject were 3 middle elementary schoolboys classified standard somatotype, and arm-movements were consisted of 6 types. The statistical analyses used in this study were mean, standard deviation and the ANOVA and LSD procedure. Shoulder point was moved to be the inside or upside and the shape of the armhole-line was differently changed as the arm-movement become larger. By moving to upside of the anterior armpit point, posterior armpit point and armpit point, the increase of the side seam length and the ascent of the line of width between armpits were distinct. And by arm-movements, in the items of horizontal, front neck base girth, back upper bust girth, back bust girth and back waist girth were increased and the other standard lines were apt to be decreased. In the items of vertical, all standard lines of front side and side seam length showed increased, back waist length and back length showed decreased. The variation of armhole was indefinite. In the rate of the variation, the shoulder length showed the maximum rate of contraction by 41.3%, decreasing 3.7 cm in $180^{\circ}$ degrees, and the side seam length showed the maximum rate of expansion by 60.6%, increasing 8.97 cm in the same degrees.

• 복식문화연구
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• 제10권2호
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• pp.132-145
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• 2002

This study conducted a questionnaire survey of family restaurant employees in Seoul on their satisfaction and preference in working uniforms, and analysed the result to suggest adequate designs to serve the purposes of uniforms. The result is as follows - First, many pointed out a need to improve generally showing a low satisfaction with varying degrees according to sexes and ages. More women complained about colors, designs, materials and sizes than men did, and young employees in their twenties wanted better designs, colors and sizes in the order while those in their thirties and forties were dissatisfied mostly with materials. The need fur the improvement was focused on function and designs, and as for uniform materials, perspiration absorbency had the highest level of dissatisfaction. Second, about 40% of the respondents said the skirt width, pants length, and sleeve width were trio small or too big, therefore it is vital to improve uniform sizes. Third, the employees on duty felt uncomfortable mostly when they sat, and the neck and armhole parts were the most uncomfortable. The most easily tainted parts were in the order of the collar, front hem, and sleeve seam for upper garments, and the hip, bottom hem, and pleats for lower ones. Therefore it is required to develop functional uniforms considering the body features and momentum. Fourth, the most preferred material was that guaranteed easy movement and good air-permeability, and colors were in the order of white, beige and black for upper garments, and black, beige and blue for lower ones. And plain, natural and stripped patterns were preferred by both men and women. As seen so far, restaurant employees were mostly dissatisfied with the design, movement, and function of their uniforms demanding functional ones made of better and comfortable material. Uniform designs were suggested based on the analysis of the demonstrative rese.

• Journal of Korean Neurosurgical Society
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• 제48권2호
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• pp.134-138
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• 2010

Objective : Meige syndrome is the combination of blepharospasm and oromandibular dystonia. We assessed the surgical results of bilateral globus pallidus internus (GPi) deep brain stimulation (DBS) in patients with medically refractory Meige syndrome. Methods : Eleven patients were retrospectively analyzed with follow-ups of more than 12 months. The mean follow-up period was $23.1{\pm}6.4$ months. The mean age at time of surgery was $58.0{\pm}7.8$ years. The mean duration of symptoms was $8.7 {\pm}7.6$ years. DBS electrodes were placed under local anesthesia using microelectrode recording and stimulation. After $2.4{\pm}1.3$ days of trial tests, the stimulation device was implanted under general anesthesia. Patients were evaluated using the Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS). Results : BFMDRS total movement scores improved by 59.8%, 63.5%, 74.1%, 74.5%, and 85.5% during the immediate postoperative period of test stimulation, 3, 6, 12, and 24 months (n = 5) after surgery, respectively. The BFMDRS total movement scores were reduced gradually and the results reached statistical significance in the postoperative period (test period, p < 0.001; 3 months, p < 0.001; 6 months, p = 0.003; 12 months, p < 0.001; 24 months, p = 0.042). There was no statistical difference between 12 months and 24 months. BFM subscores improved by 63.3% for the eyes, 80.9% for the mouth, 68.4% for speech/swallowing, and 87.9% for the neck at 12 months after surgery. The adverse effects were insignificant. Conclusion : The bilateral GPi-DBS can be effective for the treatment of intractable Meige syndrome without significant side effects.