• Clinical and Experimental Pediatrics
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• v.65 no.3
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• pp.142-149
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• 2022

Background: Individuals with Down syndrome present with several impairments such as hypotonia, ligament laxity, decreased muscle strength, insufficient muscular cocontraction, inadequate postural control, and disturbed proprioception. These factors are responsible for the developmental challenges faced by children with Down syndrome. These individuals also present with balance dysfunctions. Purpose: This systematic review aims to describe the motor dysfunction and balance impairments in children and adolescents with Down syndrome. Methods: We searched the Scopus, ScienceDirect, MEDLINE, Wiley, and EBSCO databases for observational studies evaluating the motor abilities and balance performance in individuals with Down syndrome. The review was registered on PROSPERO. Results: A total of 1,096 articles were retrieved; after careful screening and scrutinizing against the inclusion and exclusion criteria, 10 articles were included in the review. Overall, the children and adolescents with Down syndrome showed delays and dysfunction in performing various activities such as sitting, pulling to stand, standing, and walking. They also presented with compensatory mechanisms to maintain their equilibrium in static and dynamic activities. Conclusion: The motor development of children with Down syndrome is significantly delayed due to structural differences in the brain. These individuals have inefficient compensatory strategies like increasing step width, increasing frequency of mediolateral center of pressure displacement, decreasing anteroposterior displacement, increasing trunk stiffness, and increasing posterior trunk displacement to maintain equilibrium. Down syndrome presents with interindividual variations; therefore, a thorough evaluation is required before a structured intervention is developed to improve motor and balance dysfunction.

• Physical Therapy Korea
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• v.5 no.3
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• pp.48-55
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• 1998

The purpose of this study was to identify vital capacity (VC) in relation to the changing position of 19 patients with spinal cord injury (SCI) and 20 normal controls. Among the 19 SCI patients, there were 9 quadriplegics and 10 paraplegics. The vital capacity was measured in each subject during sitting, standing, lying, and head down position of 30 degrees. The data were analysed by the Kruskal-Wallis test, Mann-Whitney test, and Wilcoxon signed rank test. For the SCI, significant difference of VC accoring to the 4 positions between quadriplegics and paraplegics. In the control group, significant difference of VC according to the 4 positions. In 4 positions the VC of men were significantly larger than that of women between two groups. No statistical significant difference was shown in VC by the postural change between quadriplegics and paraplegics.

• Journal of Acupuncture Research
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• v.26 no.2
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• pp.171-179
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• 2009

Objectives: The purpose of this study was to investigate the changes of obesity, blood composition and physical ability in obese children on body weight control program. Methods : The body weight control program included exercise, nutrition education and auricular acupuncture was performed 4 times a week during 12 weeks. 32 obese children whose body fat ratio were over 30% participated in this study. Measuring materials were body composition(weight, muscle mass, fat mass, fat ratio, BMI), physical measurement(height, waist circumference, chest circumference, hip circumference), physical ability(grip strength, sit-ups, sitting trunk flexion, sit-down stand-up test, standing long jump, opened eyes foot balance, side step), blood composition(WBC, Hb, ESR, Total Cholesterol, TG, GOT, GPT, BUN, Creatinine, Glucose) and survey(changes of eating habits, changes of living habits, knowledge of obesity, self-confidence, self-esteem). Results : From the results, positive changes were made in BMI, height, waist circumferences, chest circumferences, hip circumferences, sit-ups, sitting trunk flexion, sit-down stand-up test, standing long jump, opened eyes foot balance, side step, Hb, ESR, GOT, GPT and changes of eating habits through the body weight control program. Conclusions : This results suggest that body weight control program including exercise, nutrition education and auricular acupuncture may be effective for helping obese children.

• Fashion & Textile Research Journal
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• v.4 no.3
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• pp.261-265
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• 2002

To propose a basic material that can improve the crumples in the knee area and can be applied as an element of garment design, the present study examined the elongation rates of the samples by differentiating the number of cutting lines according to the direction of the fabric, and then determined the puckering phenomenon by judging the conditions of the seams based on the looks of seam lines after bi-axil elongation. After the subjective evaluation on the knee areas of both the standard and modified trousers, the following conclusion was drawn : The elongation rates of the samples are: warp (3.98%)cross-legged (-0.2)>squatting down (-0.4); those in the modified trousers feel more comfortable when sitting on a chair (0.2)>cross-legged (0)>squatting down (-0.6). In the cross-legged posture, the modified trousers (0) has higher scores in the subjective evaluation than the standard ones (-0.2). The evaluation on the looks of needleworks in the samples with cutting lines along the direction of the fabric: weft2 (5.0)

• Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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• 2004.11a
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• pp.369-374
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• 2004

This study aims to measure an apparent mass of a seated human body at the sitting posture in a passenger car in the frequency range from 1 to 20 Hz and to investigate the dynamic characteristics. Thirty subjects joined the test where eight levels of acceleration from $0.1m/s^2\;to\;2.0m/s^2$ were used to excite seated human body. Most of apparent mass curves showed two peaks in the frequency range of $4\sim9Hz$, first peak was clearer at the contact point of the seat and the hip, and the second one at the contact point of the backrest and the back. Both peak frequencies were found to move down to lower frequencies with increase of acceleration magnitude. Shapes of apparent mass curves were clearly different from those at erect posture especially in the frequency range around and above the second peak.

• Journal of the Korean Society of Physical Medicine
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• v.16 no.1
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• pp.9-16
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• 2021

PURPOSE: This study was to investigate the effect of applying neck flexion during elbow flexion exercise on muscle activity of the biceps brachii, the anterior deltoid and the sternocleidomastoid (SCM). METHODS: Twenty healthy adults participated in this study. The subjects measured %MVIC (Maximal volumetric control) and collected the maximum electromyography (EMG) values in the biceps brachii, anterior deltoid, SCM. The first action was to sit in a sitting position with the eyes facing front and maintained the weight of each section by performing elbow flexion using a tension gauge. The second action was to sit in a sitting position with the head down and maintained the weight of each section by performing elbow flexion using a tension gauge. Paired T-test was used for comparison of the before-and-after neck flexion to analyze the muscle activity of the Biceps brachii of next flexion and extension, the SCM, and the Anterior deltoid during elbow flexion exercise. The Repeated measured ANOVA was used for comparing %MVIC in each muscle. The significance level (?) was set at .05. RESULTS: Neck flexion during elbow flexion increased the muscle activity of the Biceps brachii and Anterior Deltoid muscle in the maximal muscle strength 50 ~ 60%, 70 ~ 80% and decreased the muscle activity of the SCM (p < .05). CONCLUSION: The applic has been confirmed to reduce the mobilization of the SCM and increase the mobilization of the Biceps brachii and Anterior Deltoid to increase the mobilization. Therefore, it seems effective to apply neck flexion when elbow flexion exercise.

• Journal of Korean Physical Therapy Science
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• v.3 no.4
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• pp.207-214
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• 1996

Main cause of low back pain is a poor posture. Most low back pains are due to a poor posture. The poor posture induces muscle tension and finaliy low back pain. The poor posture arehabitually trained from the childhood by the environmetal factors. In general, maintaining good posture during working and sleeping hours are the first line of defence against back pam. (1) Supine posture is the easiest posture that relaxes and fixes muscles. Supine posture is thus a starting position for on exercise. Lying down releases the weight pressures of head and shoulder and thus body can be relaxed and extended which are helpful for treating back pain. However, supine posture can increase the pressure in ribcage posture aspect and disphragram due to visceral oragans. (2) Sitting in one position for a long time results in fatigue and relaxation of spinal muscies. Finally, body strength is weakened and sitting posture will become poor. If this poor posture continues for a longer time, pain will be accompanied due to overelongation of muscle ligaments. The habitual poor posture could induce intervertebral disc distortion. If the intervertebral disc is damaged, sitting in one position or movement causes pain. (3) Abnormal lumbar curve induces the tention of abdominal muscle and paravertebral muscle groups as well as tention of lower limb muscle group connected to pelvis. For a person with weak body strength, muscle relaxation increases curvature in lumbar, chest and cervical regions. This will induce a pelvic anterior tilting of the imaginary line between A. S. I. S. and P. S. I. S. Hip joint extensor muscle acts on releasing the pelvic anterior tilting. Contrections of hamstring muscle and femoral muscle recover the imaginary line between A.S.LS. and P.S.I.S. from pelvic anterior tilting. thus, contraction of rectus abdominis muscle are required to maintain the normal lumbar curve.

• The Korean Journal of Emergency Medical Services
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• v.11 no.3
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• pp.81-92
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• 2007

The main purpose of this study was to survey baby-sitters who have experienced safety accidents of children ; the causes of safety accidents, wounded parts of the body caused by safety accidents and how to handle emergency situation. The research participants consisted of 31 baby-sitters who have experienced safety accidents of children and have been participating in Baby-Sitter Programs at S university, in Suwon Kyunggi Province. The data were collected from June 13th to July 4th, 2007 using open questionnaires on semi-structure. The data were analyzed using a SPSS PC+ statistical program. The results of this study were as follows ; First, according to the general demographics, it has indicated that 32.2% of baby-sitters who participated in this research are mostly the age group of between 41 and 50years old. And 48.3% of baby-sitters are graduated from high school. In addition, 83.9% of baby-sitters go married and 41.9% of them have only one child. Second, in terms of experiences about baby-sitting, 51.6% of baby-sitters mostly do their jobs in the afternoon. They usually cared 1 or 2years old babies in the afternoon time. 48.3% of baby-sitters experienced baby-sitting for less than 6months. And the financial support was the main reason why they decided to do baby-sitting jobs. Third, the causes of safety accidents while caring children, included 'falling down(22.6%)', 'baby-walker(19.4%)'. Also, it was found that 61.3% of children who had accidents were male. When safety accidents occurred, the baby-sitters had been doing 'feeding milk(29.1%)', 'going out(16.1%)' and 'self-care(16.1%)'. Also, it has shown that the accidents mostly occurred in the afternoon(64.5%). Fourth, the parts of the injuries in safety accidents, predominantly involved the parts of arms(38.7%), legs(25.8%) and head and neck(12.8%). In conclusion, this research was intended to provide the basic data in safety accidents of children who were cared by baby-sitters. In the further research, it is suggested that studying for safety accidents of children and safety education programs for baby-sitters should be necessary.

• Physical Therapy Rehabilitation Science
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• v.2 no.2
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• pp.70-74
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• 2013

Objective: The aim of this study was to determine the impact of the application of whole body vibration training (WBV) on the balance ability of patients with an American Spinal Injury Association (ASIA) type C or D spinal cord injury. Design: Randomized controlled trial. Methods: Twelve patients with spinal cord injury were enrolled in this study. The participants were randomized to an experimental group (n=6) or control group (n=6). The subjects in the experimental group received WBV exercise and the control group received the sham exercise without vibration. The vibrations were adjusted vertically to the patient at a 30 Hz frequency and 3 mm amplitude. The whole body vibration lasted for 16 minutes in total including 5-minutes warm-up and cool-down at the beginning and end of the program, respectively. The static sitting balance ability was assessed by measuring the postural sway while sitting on the force plate with the eyes opened or closed. Postural sway length was measured for 30 seconds with a self-selected comfortable position. Results: In the static balance test, the anterio-posterior, medio-lateral, and total postural sway length with the eyes open and closed was improved significantly before and after the intervention in the experimental group (p<0.05). The experimental group showed significantly more improvement than the control group (p<0.05). Conclusions: Our results demonstrated that WBV training has a positive effect on improving static sitting balance and enhanced control of postural sway in patients with an ASIA-C or D type spinal cord injury.

• 제어로봇시스템학회:학술대회논문집
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• 2004.08a
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• pp.87-91
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• 2004

High aged society is rapidly progressing in Japan. The rate of aged person more than 65 years old in the population are estimated 25 % in 2017 and rate of younger population will be decreased at same time. As a result, it is estimated that the human resources that is looking after or supporting for the aged person will be drained in Japan. In the other hand, the society has to provide high quality of life in order to be improved living environment for aged person. To decrease the share of nursing and caring for the aged person, it is required that new supporting systems for aged person have to build up as soon as possible. But it is required that various kind of measurement for posture and movement in activities with a simple and single detector for the aged person. The measurement instrument has to be lightweight and simple structure. The results give us a simple measurement method are classified that the posture of sitting down, lying down in stationary statuses and walking, running and going to up and down on the stairs in moving statuses. The detected data will plane to transmit to wireless mobile system to the host computer.