• 수산해양기술연구
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• 제60권2호
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• pp.152-160
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• 2024

We analyzed risk factors of coastal gillnet fishers during fishing process and considered work safety measures to reduce safety accidents during fishing using a UWB (ultra wideband) based positioning system. The static position accuracy of the UWB based positioning system was 45 cm. When entering a port, there is a risk of falling overboard. When casting a net, there was a risk of falling overboard due to being hit by fishing gear or guards, or getting caught in a buoy line or sinker line. When hauling a net, there is a risk of getting caught between fishing gear and net hauler, and the risk of musculoskeletal disorders due to repetitive work over a long period of time. Most safety accidents during work on fishing boats are blamed on human errors of the fisher and skipper, but safety accidents occur due to a mixture of mechanical and equipment factors, work and environmental factors, and management factors in addition to human errors. Therefore, the 4E were presented as countermeasures against the 4M, which are causes of safety accidents, and the proposed measures were used to identify risk factors for operation process, comply with work safety rules, and ensure the wearing of personal protective equipments. We need to reduce safety accidents during work by making it part of our daily routine. These research results can be used in the future for optimal placement of fishing gear and fishing nets in other coastal industries where safety accidents occur frequently.

• 성인간호학회지
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• 제25권5호
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• pp.539-548
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• 2013

Purpose: The purpose of this study was to investigate the effect of supplemental vitamin D on the physiological indices, muscle mass, and physical functions of aged women. Methods: A non-equivalent pretest-posttest design was used. The participants were 65 elderly women with low serum vitamin D levels. This study was conducted for 12 weeks. The experimental group (n=34) received vitamin D and regular exercise whereas the control group (n=31) received only regular exercise. The data were analyzed by the IBM PASW Statistics (SPSS) 19.0 program. Results: Serum vitamin D (U=0.00, p<.001), parathyroid hormone (U=99.50, p<.001) and calcium (U=250.50, p<.001) levels were significantly increased in the experimental group after the intervention. The experimental group showed significantly increased scores of muscle mass, strength, physical balance, and gait compared to those of the control group. Conclusion: Vitamin D supplementation improved physiological indices, muscle mass, and physical functions. In addition, this program may help to prevent disorders of the musculoskeletal system in aged women.

• 대한물리의학회지
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• 제8권3호
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• pp.289-294
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• 2013

PURPOSE: The purpose of this study was to examine differences in erect spinae activities at different height of table during ultrasound therapy in order to propose a optimum work environment. METHODS: Twenty five healthy adult males and females volunteered to participate in this study. EMG signals of both erector spinae(T10, T12, L2, L4) were recorded throught the surface electromyography system at different height of table(45cm, 56.2cm, 67.5cm) during ultrasound therapy work. RESULTS: The higher table heights was, the lower %RVC of the T10, T12, L2, L4 erect spinae at both sides. The left and right T10, T12 and the left L4 showed significant differences. The lower the spinal level was, the higher %RVC of both erect spinae at 45cm, 56.2cm, 67.5cm. The left erect spinae at 56.2cm, right erect spinae at 45cm, 67.5cm showed significant differences. CONCLUSION: The muscle activities of both erect spinae decreased at higher table height and increased lower spinal level. We identified lower table height are risk factor of spine work related musculoskeletal disorders.

• 대한통합의학회지
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• 제5권4호
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• pp.41-48
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• 2017

Purpose : The purpose of this study was to verify the relationships among the knee adduction moment, hip rotation range, strength of hip rotators, and Foot Posture Index of healthy young adults. Method : Thirty-two healthy adults(24 male, 8 females) participated in this study. Subjects performed 5 walking trials to evaluate the knee adduction moments using a three-dimensional motion analysis system. Hip rotation ranges and hip rotator strengths were measured using a standard goniometer and a handheld dynamometer, respectively. The mean of three trials of clinical tests was used for data analysis. Results : The first peak knee adduction moment was significantly correlated with the hip rotation ranges and hip rotator strengths (P<.05). The second peak knee adduction moment was showed significant correlations with hip external rotation and rotation ratio. There were no correlations between Foot Posture Index and all knee adduction moments (P>.05). Conclusion : This study suggests that imbalances of the range of motion and strength of the internal and external rotation of the hip joint can affect knee adduction moments. The impact may exacerbate musculoskeletal disorders such as osteoarthritis of the knee. Therefore, further studies should be conducted to evaluate the effects of clinical interventions to correct these imbalances on the reduction of the knee adduction moments in patients with knee osteoarthritis.

• 혜화의학회지
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• 제19권2호
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• pp.207-218
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• 2011

Objective : The purpose of this study was to review on exercise therapy of oriental medicine and investigate the effect of Oriental medicine's exercise therapy. Methods : We have researched and analyzed theories and literatures of Oriental medicine's exercise therapy. Result : The following results were obtained in this study. 1. The Doin therapy is one of Oriental medicine's traditional rules for one´s health which based on 'Unity of Heaven and Man'. It grow and supply the 'Qi' for improve health, and connote solution of modern society's various diseases. 2. The Chuna therapy is one of Oriental medicine's traditional therapy that treat harden, set in or malposition of musculoskeletal system 3. Meditation refers to all activities that concentrate the consciousness to current state, have physiological and psychological effects such as pain and stress management. 4. Oriental medicine's exercise therapy connote the strength that apply to medical care for the aged and psychical disorders of modern man. 5. For revitalization of Oriental medicine's exercise therapy, need more active public relations, develop modern methods of Qigong and Significant clinical research on the effects must be carried out. Conclusion : Oriental medicine's exercise therapy can be a solution to various diseases of modern society, and need significant research for revitalization.

• 대한한의학회지
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• 제30권5호
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• pp.115-126
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• 2009

Objective: By assessing the quality of methodology and synthesis of results of RCTs (Randomized Controlled Clinical Trials) with herbal acupuncture (pharmacopuncture), we hope to help with administrating herbal acupuncture therapy in clinic and conducting RCT with herbal acupuncture. Methods: Reports of RCT conducted in Korea published in medical journals until February 2009 were collected. We surveyed elementary information of RCTs, evaluated randomization, double-blinding, allocation concealment and put together the results of RCTs by seven clinical topics. Results: 38 RCTs with herbal acupuncture were selected, then adequate methods for randomization and allocation concealment were found in 39% and 5% of studies. Complete double-blinding and a clear accounting of all participants were conducted in 42% and 50% of reports. The synthesis of RCTs revealed that herbal acupuncture was useful and effective on degenerative gonarthritis, omarthralgia on cerebrovascular accident, acute ankle sprain, back sprain, neck sprain, headache, rheumatoid arthritis and tennis elbow, generally. Conclusions: Although further improvement in quality of methodology of RCTs with herbal acupuncture is required, clinical usefulness of herbal acupuncture was shown especially on disorders of musculoskeletal system via RCTs.

• 대한물리의학회지
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• 제14권3호
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• pp.21-27
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• 2019

PURPOSE: This study examined the changes in the kinematic variables during walking on a downhill ramp according to the shoe heel height. METHODS: The subjects were 10 adult women with no history of musculoskeletal disorders who agreed to participate in the study. Data were collected using a motion analysis system (VICON) consisting of six infrared cameras. The slope was 120 cm in width, 200 cm in length, and 15 in inclination. To confirm the change in gait parameters (stride length, gait speed) and lower extremity joint angle according to the heel heights of the shoes, flat, 5 cm, and 10 cm heel shoes were prepared and walked alternately. RESULTS: As a result, both the stride length and walking speed showed significant differences according to the heel height between flat and 10 cm (p<.05). In the sagittal plane, there was no significant difference in the hip joint and knee joint, but a significant difference was observed in all events in the ankle joint on all heel heights (p<.05). In particular, the heel strike and mid stance events showed significant differences among all height conditions (p<.05). No significant difference was observed in any of the joint angle changes in the frontal plane (p>.05). CONCLUSION: As the shoe heel height increased, the instability increased and efforts to secure the stability were made, leading to a shortened stride length, walking speed, and angle of the ankle joint.

• Safety and Health at Work
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• 제10권3호
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• pp.314-320
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• 2019

Background: Sitting posture may be related to risk factors, including inadequate weight-bearing support, particularly when maintained for long periods. Considering that body weight is loaded in a closed support system composed of the seat, backrest, floor and working surface, the aims of the present study were to describe the development of an ergonomic sitting workstation to continuously record weight-bearing at the seat, chair, backrest, work surface, and floor and to test its measurement properties: reproducibility, criterion-related validity, and sensitivity. Methods: Rigid bodies (1 to 30 kg) and participant weights were recorded to evaluate the workstation measurement properties. Results: Rigid body tests showed variation values less than 0.050 kg on reproducibility test and errors below 5% of measured value on criterion validity tests. Participant tests showed no statistically significant differences between repeated measures ($p{\geq}0.40$), errors were less than 2% of participant weights an sensitivity presented statistically significant changes (p = 0.007). Conclusion: The sitting workstation proposed showed to be reliable, valid and sensitive for use in future ergonomic studies to evaluate the sitting posture.

• Journal of Yeungnam Medical Science
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• 제39권3호
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• pp.200-205
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• 2022

Pain from nervous or musculoskeletal disorders is one of the most common complaints in clinical practice. Corticosteroids have a high pain-reducing effect, and their injection is generally used to control various types of pain. However, they have various adverse effects including flushing, hyperglycemia, allergic reactions, menstrual changes, immunosuppression, and adrenal suppression. Pulsed radiofrequency (PRF) is known to have a pain-reducing effect similar to that of corticosteroid injection, with nearly no major side effects. Therefore, it has been widely used to treat various types of pain, such as neuropathic, joint, discogenic, and muscle pain. In the current review, we outlined the pain-reducing mechanisms of PRF by reviewing previous studies. When PRF was first introduced, it was supposed to reduce pain by long-term depression of pain signaling from the peripheral nerve to the central nervous system. In addition, deactivation of microglia at the level of the spinal dorsal horn, reduction of proinflammatory cytokines, increased endogenous opioid precursor messenger ribonucleic acid, enhancement of noradrenergic and serotonergic descending pain inhibitory pathways, suppression of excitation of C-afferent fibers, and microscopic damage of nociceptive C- and A-delta fibers have been found to contribute to pain reduction after PRF application. However, the pain-reducing mechanism of PRF has not been clearly and definitely elucidated. Further studies are warranted to clarify the pain-reducing mechanism of PRF.

• The Journal of Korean Physical Therapy
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• 제35권5호
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• pp.151-155
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• 2023

Purpose: This study examined the effect of the degree of neck flexion on the muscle activity of the upper trapezius and sternocleidomastoid muscles in the sitting position. Methods: Twenty-five healthy young adults participated in this study. The study was designed to compare the muscle activity of the upper trapezius and sternocleidomastoid muscles according to the neck flexion angle under the three conditions (neutral position, 15° neck flexion, and 45° neck flexion) in the sitting position. During the neck position of three conditions in sitting, the electromyography (EMG) data (% maximum voluntary isometric contraction) of the muscles were recorded using a wireless surface EMG system. Results: The muscle activity of the upper trapezius muscle and the sternocleidomastoid muscles showed a significant difference according to the three-neck position conditions (p<0.05), and in the post-hoc test results, both muscles showed significant differences between the neutral position and 15° flexion, the neutral position and 45° flexion, and the 15° flexion and 45° flexion, respectively. Conclusion: The load on the muscles around the neck and shoulders increased as the neck flexion angle increased. This suggests that performing various daily activities and tasks with the neck as neutral as possible can prevent muscle fatigue or musculoskeletal disorders.