• 한국컴퓨터정보학회논문지
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• 제27권8호
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• pp.195-202
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• 2022

본 연구에서는 장시간 심폐소생술 지속 시 구조자의 혈중 젖산 농도, 심박동수, 운동자각도를 측정함으로써 구조자의 피로도 변화를 파악하고자 하였다. 자료수집은 2021년도 7월 5일부터 7월 9일까지 D 대학교 특전의무부사관과 학생 12명, 응급구조학과 학생 12명 총 24명을 대상으로 60분 동안 2인 교대 가슴 압박 소생술을 수행하였다. 연구 결과 심폐소생술 지속시간에 따른 구조자의 혈중 젖산 농도, 심박동수, 주관적 피로도인 운동 자각도, 가슴 압박 속도는 유의미한 변화가 있었다(p<.001, p<.001, p<.001, p<.001). 매 측정 주기(30분, 40분, 50분, 60분) 시 혈중 젖산 농도는 심박동수와 유의한 정적 상관관계가 나타났으며(r=.696, p<.001, r=.672, p<.001, r=.709, p<.001, r=.782, p<.001), 운동자각도와도 유의한 정적 상관관계가 나타났다(r=.476, p<.05, r=.426, p<.05, r=.470, p<.05, r=.470, p<.05). 따라서 장시간 심폐소생술이 요구되는 상황에서 심박동수와 운동자각도를 활용한 구조자의 피로도 모니터링은 고품질의 가슴 압박을 유지하는데 유용할 것이다.

• 한국전문물리치료학회지
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• 제24권2호
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• pp.1-8
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• 2017

Background: Individuals with spinal cord injury (SCI) rely on their upper limbs for body-lifting activity (BLA). While studies have examined the electromyography (EMG) and kinematics of the shoulder joints during BLA, no studies have considered foot position during BLA. Objects: This study compared the effects of different foot positions during BLA on the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion in individuals with SCI. Methods: The study enrolled 13 mens with motor-complete paraplegic SCI, ASIA (American Spinal Injury Association) A or B. All subjects performed BLA with the feet positioned on the wheelchair footrest and on the floor independently. Surface EMG was used to collect data from the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii. The peak plantar pressure was measured using pedar-X and the knee flexion angle with Image J. Borg's rating perceived exertion scale was used to measure the physical activity intensity level. The paired t-test was used to compare the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion between the two feet positions during BLA. Results: The activity of the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii and rating perceived exertion decreased significantly and the peak plantar pressure and knee flexion angle increased significantly when performing BLA with the feet positioned on the wheelchair footrest compared with on the floor (p<.05). Conclusion: These findings suggest that individuals with SCI may perform BLA with the feet positioned on the wheelchair footrest for weight-relief lifting to decrease the shoulder muscle activities and the rating perceived exertion and to increase the peak plantar pressure and the knee flexion angle.

• 대한통합의학회지
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• 제7권2호
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• pp.133-139
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• 2019

Purpose : This study aims to investigate the rating of perceived exertion (RPE) and muscle activity of the inspiratory primary and accessory muscle during breathing exercise with different air hole diameters of the inspiratory muscle trainer (IMT). Methods : The Borg's scale and surface electromyography (EMG) was used to collect data of the RPE and muscle activity of the inspiratory primary the external intercostal (EI) and diaphragm (DIA) and accessory muscles anterior scalene (AS), sternocleidomastoid (SCM), pectoralis major (PM), and upper trapezius (UT) muscles during breathing exercise with different air hole diameters (6 mm, 4 mm, and 2 mm) of the IMT in healthy young male subjects. Results : The RPE and muscle activities of the AS, SCM, and UT are increased significantly in accordance to the decreasing diameter of air hole of air tip in IMT. However, there are no differences in the muscle activities of the PM, EI, and DIA based on differences of diameters of air hole of air tip in IMT. Conclusion : The smaller the diametr of IMT air-hole, RPE and muscle activities of AS, SCM and UT were increased. Therefore, further study would be necessary to investigate the proper intensity and relaxation posture for the exercise protocol to strengthen the inspiratory primary muscles.

• 대한인간공학회지
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• 제36권5호
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• pp.569-578
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• 2017

Objective: The purposes of this experiment are an analysis of accuracy between target force level and subjective rating for the Target Force Level and an analysis of the patterns of subjective rating depending on target force level when there is no feedback from males for analysis. Background: The study of perceived exertion about the static contraction is processed with using among the matching procedure method between contralateral limbs, Exertion vs. Borg CR-10 scale and Exertion vs. %MVC (Maximum Voluntary Contraction). However, when there is no feedback, there is lack of the study on whether the subject can distinguish the subjective rating of the force depending on the target force levels. Method: Total 30 males, healthy subjects are measured the maximum grip strength, MVC, and then, each subject is measured the subjective rating and the accuracy with the random target force level (10, 20, 30, 40, 50, 60, 70, 80, and 90% MVC). Results: In the MVC study, males exerted 256.87N (${\pm}51.33$). In the subjective rating of grip strength increased for each Target Force Level (9 levels), higher subjective rating evaluated (p<0.05). In accuracy examination between target force level and subjective rating of grip strength by each %MVC, 10, 30, 40, 50, 70, 90% target force levels showed accurate strength (p>0.05). However, at 20% target force level, the subjects evaluated less subjective rating of grip strength than the target force (Underestimation), and at 60% and 80% target force level, the subjects evaluated more subjective rating of grip strength than the target force (Overestimation) (p<0.05). Conclusion: In the experiment, the MVC showed 256.87N (${\pm}51.33$) for the male adults and as the subjective rating value increased for each Target Force Level (9 levels), higher subjective rating evaluated (p<0.05). Moreover, the results of the accuracy test between target forces and subjective rating of the subjects showed that most participants rated a fairly accurate assessment of subjective rating of grip strength for Target Force Level (9 levels), except for 20%, 60%, and 80%MVC. Application: This experimental result would be used for basic data for the subjective rating of grip strength pattern by the target force level when the voluntary muscle is contracted.

• The Journal of Korean Physical Therapy
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• 제32권2호
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• pp.132-136
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• 2020

Purpose: The talk test (TT) is an alternative, self-reported method for prescribing and guiding exercise training in both healthy adults and patients with cardiovascular and pulmonary diseases. This study examined whether the TT is a valid tool for evaluating the exercise intensity during two different types of aerobic activity on a treadmill or stationary bicycle in a healthy population. Methods: A total of ten subjects (six males and four females) who had no medical history related to musculoskeletal, cardiovascular, and pulmonary disorders were enrolled in this study. They were evaluated using the TT, which consisted of three-level of difficulties demanding cardiac loads while performing aerobic activities on a treadmill and bicycle ergometer across two consecutive days in a counterbalanced manner. During the activities, the psychophysiological response markers were collected in terms of the heart rate, oxygen saturation, rating of perceived exertion, and metabolic equivalents. Results: Statistical analyses revealed a significant difference in the between-subject variance regarding the TT level effect (p<0.05). On the other hand, no significant findings were detected on the between-group variance(p>0.05) and the TT level×group interaction (p>0.05). The independent t-test indicated no significant differences in heart rate, oxygen saturation, rating of perceived exertion, and metabolic equivalents at any levels of the TT in the two groups. The TT showed a strong correlation with the rating of perceived exertion. Conclusion: This study showed that the TT is a valid and alternative tool for evaluating the aerobic exercise intensity in a healthy population. In addition, differences in the psychophysiological response markers between two aerobic activities, treadmill and bicycle ergometer, were detected in the same exercise intensity scaled with the TT. The TT can be used to evaluate and prescribe the exercise intensity of aerobic activity in cardiovascular and pulmonary physical therapy.

• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.430-435
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• 2022

Objective: This study was conducted to investigate the effect of active movement with skin mobilization on range of motion, pain, and rating of perceived exertion in patients diagnosed with axillary web syndrome after axillary lymph node dissection. Design: A Case report Methods: It was performed on 7 patients diagnosed with axillary web syndrome after lymph node dissection. The subjects experienced a decrease in the range of joint motion and pain in movement when raising their arms in their daily lives, and complained of discomfort. The active range of motion, numeric rating scale, and modified Borg scale of shoulder joint flexion were measured, and the differences after active movement with skin mobilization were compared. Results: All subjects increased by 24.9 degree on average in active range of motion after active movement with skin mobilization intervention. There was no pain in the maximum range of joint motion measured before intervention, and rating of perceived exertion was significantly reduced. Conclusions: Active movement with skin mobilization can be a very useful way to help improve and treat axillary web syndrome, and it is recommended for improving the function and quality of life of axillary web syndrome patients. and It is also believed that it can be used steadily at home through the education of patients and families.

• 대한인간공학회지
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• 제32권6호
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• pp.541-547
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• 2013

Objective: The aim of this study is to find the influence on muscle fatigue by changing an angle of neck while Shaker exercise. Background: Shaker exercise is commonly applied to dysphagia patients for strengthen suprahyoid muscle(SHM) and relaxing upper esophageal sphincter. Method: Experiments were conducted by measuring muscle fatigue with surface electromyography(SEMG) in case of neck $15^{\circ}$ and $50^{\circ}$ flexion, in addition to original method. For the study 30 undergraduate students were participated as subjects. Muscle fatigue was measured with variations of median frequency(MF) and median frequency slope(MFS) by attaching SEMG to 3 muscles. At the same time, perceived exertion was measured by using Borg's rating of perceived exertion(RPE). Results: A MF was increased when low angle in SHM, both male and female. It means that muscle fatigue was significantly decreased(p<.05). RPE was significantly increased when low angle(p<.01). Perceived exertion explained 15.2% of the variation of MF in SHM. And regression equation was, MF in SHM = 59.918 + (4,910 * RPE). Conclusion: The outcome shows that it is possible to use the efficient method which makes muscle fatigue decrease by reducing the angle of neck flexion. Application: The results might contribute to develop the effective Shaker exercise method.

• 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.

• Physical Therapy Rehabilitation Science
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• 제7권1호
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• pp.18-22
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• 2018

Objective: This study aimed to investigate the effect of different-sized airways of the inspiratory muscle trainer (IMT) on maximal inspiratory pressure (MIP) and the rating of perceived exertion, as measured by the modified Borg scale (m-Borg). Design: Cross-sectional study. Methods: Twenty healthy subjects (10 men, 10 women) volunteered for the study. The spirometry was used to measure MIP. The trial order of the three spirometry conditions was chosen randomly. After measuring the MIP and before taking the final break, each of the conditions were immediately measured using the m-Borg. All subjects used the IMT with an airway diameter of 5-, 6-, and 7-mm. Results: The MIP significantly decreased with the decreasing airway diameter of the IMT (p<0.001), and the differences in all three conditions (7- and 6-mm, 6- and 5-mm, and 7- and 5-mm airways) were significant (p<0.05). The RPE significantly increased with the decreasing airway diameter of the IMT (p<0.001), and the differences in all three conditions (7- and 6-mm, 6- and 5-mm, and 7- and 5-mm airways) were significant (p<0.05). Conclusions: Decreasing the airway diameter of the IMT decreased the MIP and increased the m-Borg. In regards to physical exercise within the clinical setting, the m-Borg could be a useful as a prior monitoring method to prevent dyspnea for patients with narrowed airways (blocked with secretion or sputum in pulmonary disease) and the different-sized airways of the IMT could be applied as a useful tool to improve MIP for prevention of pulmonary disease.

• Physical Therapy Rehabilitation Science
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• 제3권2호
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• pp.86-92
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• 2014

Objective: Whole body vibration (WBV) and plyometrics are common training techniques which increase strength, blood flow, and lower body force and power. The effects these techniques have on sedentary population is unknown. It is our aim to assess the effectiveness of WBV and plyometrics on sedentary population. Design: Experimental study. Methods: Twenty-seven sedentary subjects were assigned to either the control group, jumping only group, or jumping with vibration group. Jump height (myotest or vertec), velocity, force, blood lactates, and rating of perceived exertion (RPE). Subjects were measured on the initial, seventh, and eighteenth visits. Control group attended measurements only. Jumping only and jumping with vibration groups performed jumping from a vibrating platform to a surface 7 1/2 inches higher for 3 bouts of 20 seconds. Each subject in jumping only and jumping with vibration groups attended three times per week for six weeks. Vibration was set at 40 Hz and 2-4 mm of displacement. Results: There was no significant change among groups in force, velocity, vertec height, and myotest height. However there was a significant increase in vertec height from initial to final measure (p<0.05) for jumping with vibration group. RPE was significantly higher between control group and jumping with vibration group after intervention (p<0.05). Conclusions: WBV with vibration increased jump height. Jumping with vibration group experienced increased exertion than for controls. WBV with plyometrics had no effect on force, velocity, blood lactates, or calculated jump height. Further studies controlling for initial measure of blood lactates and using an external focus may be necessary to elicit velocity, force and jump height changes.