• PNF and Movement
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• 제17권1호
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• pp.145-156
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• 2019

Purpose: This study suggests clinical reasoning strategies for therapists with little experience in clinical reasoning for the evaluation and treatment of patients with neurological disorders. Methods: The suggested method was the mnemonic PT STRESS whose initials represent the body structure and functions that can affect the activity limits and the items that can cause problems at the functional level in patients with neurological disorders. Results: PT STRESS stands for pain (P), ability of the trunk (T), sensation (S), tone (T), range of motion (R), emotion and endurance (E), muscular strength (strength), and stability (S). It tests and measures problems in the body structure and functions. Conclusion: This study suggests easy clinical reasoning strategies that can be used by therapists who have insufficient experience in the evaluation or treatment of patients with neurological disorders. However, more factors need to be considered in the future with regard to clinical reasoning of the diverse problems of patients with neurological disorders.

• 국제물리치료학회지
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• 제12권2호
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• pp.2314-2322
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• 2021

Background: Back pain is associated with a high risk of recurrence. Various physical therapy techniques for back pain have been studied, including reprogramming the central nervous system by integrating sensation and motion with sensory exercise training. Objectives: To aimed verify the effectiveness of sensorimotor training in improving postural stability and pain levels. Design: A randomized controlled trial. Methods: The study population was randomized into a sensory exercise training group and trunk stabilization training group and treated three times a week for 4 weeks. Each group took part in sensorimotor training for 15 minutes or lumbar stabilization exercise for 15 minutes. Results: After the intervention both groups showed Improvements in the variables. There was a significant difference in the dynamic postural stability, limit of stability, and modified visual analog scale scores in the sensorimotor training group compared to the lumbar stabilization exercise group (P<.05). Conclusion: Sensorimotor training appears to be an effective physical therapy exercise program that can be applied in patients with low back pain to improve muscle control ability.

• 대한인간공학회:학술대회논문집
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• 대한인간공학회 1993년도 춘계학술대회논문집
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• pp.18-26
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• 1993

When designing workplaces, controls should be placed within the reach of operator's arm or foot to guarantee effective performance. The aviation industry is perhaps the chief user of anthropometric data for its need to weight minimization and space optimization. In designing a workplace which must cater to a wide range of operator size, it might be sufficient to plan only for the 'average person'. Static arm reach measurements which are taken in conventional, standardized positions provide the necessary information, but they cannot be directly applied to dynamic situations. In this research, an approximate algorithm to generate the workspace of the human body including foot reach and trunk motion is proposed and tested. The robot kinematics was employed to represent the human body as a multi-link system.

• 한국운동역학회지
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• 제18권1호
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• pp.97-105
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• 2008

수영과 핀수영의 스타트 동작의 운동학적 변인들을 3차원 영상분석법으로 비교분석하였다. 수영 스타트에서는 상지는 후상방으로 몸통은 전상방으로 이동했다가 전하방으로 하강하는 양상을 보인 반면 핀수영 스타트에서는 모든 분절이 전하방으로 이동하는 양상을 보였다. 수영 스타트에서 신체중심은 멀리 전방으로 수평 이동하다가 하방으로 급격히 이동하는 반면 핀수영 스타트에서의 중심은 짧은 시간에 전하방으로 가깝게 이동하는 것으로 나타났다. 입수 시 수영의 중심은 수직 속도가 핀수영의 중심은 수평속도가 높게 나타났다. 수영과 핀수영 모두 상지의 속도가 하지보다 더 신체중심의 속도에 영향을 미치는 것으로 나타났다. 핀수영 스타트에서 고관절은 점프 전에 굴곡을 하는 반면 수영에서는 점프 후 공중에서 2번 굴곡을 하는 것으로 나타났다. 핀수영의 슬관절 굴곡 신전운동이 수영보다 더 급격한 것으로 나타났다.

• 한국안전학회지
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• 제30권5호
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• pp.74-79
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• 2015

The purpose of this study is to find out its effect on changes in the joint angle and the success rate of cardiopulmonary resuscitation by conducting cardiopulmonary resuscitation (CPR) when wearing and not wearing PPE (personal protective equipment) targeting 20 paramedics with more than 5 years of experience. The subjects carried out CPR in 30:2 for 4 minutes and collected images were digitized by Kwon3D XP Software Package(Version 4.0) and then data were obtained. Data, which were collected by analyzing the motion when starting in one cycle, when pressing to the maximum, in the final position (relaxed), were analyzed by using SPSS 18.0. In conclusion, during CPR, the angle of the both shoulder joints was not significant (p>.05) and the angle of the right elbow joint was reduced in all positions and was statistically significant (p<.05) and the angle of the left was significantly reduced in the maximum pressure posture and the final position (p>.05). In the case of the trunk, the angle increased statistically significantly at all stages (p<.01, p<.001). Also, during CPR, the average compression rate was significantly reduced after wearing PPE (p<.05) and average hand escape time by cycle increased statistically significantly (p<.05) but chest compression execution rate at the correct depth did not show any significant difference between the two groups (p>05).

• 한국운동역학회지
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• 제24권3호
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• pp.269-275
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• 2014

The purpose of this study is to develop functional garment wear for patients with adolescent idiopathic scoliosis (AIS) and to analyze changes in Cobb's angle and the COM of the body and the pelvis during gaits in order to identify the effects of the functional garment wear. The subjects of the study were 9 patients with adolescent idiopathic scoliosis, who wore the functional garment wear for 12 weeks 12 hours a day. As for the research methods, the scoliotic angle was measured using Cobb's angle, and the shoulder angle and the COM of the body and the pelvis during gaits for the AIS patients were calculated using five high speed infrared cameras. As a result of the study, it was found that the scoliotic angle (Cobb's angle) was reduced significantly and that the smaller the original scoliotic angle, the greater the effects. As for the shoulder motion angle, a significantly larger angle was found 12 weeks after wearing the functional garment wear, and particularly, larger shoulder motion (activity) was observed at the phase of right heel contact. As for the motion of the body and the pelvis, the moving ranges were significantly reduced after wearing the functional garment wear for 12 weeks, which stabilized gait in the patients with adolescent idiopathic scoliosis.

• 한국정밀공학회지
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• 제27권2호
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• pp.130-136
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• 2010

For stability analysis of the lumbar spine, the hypothesis presented is that the disc has stress sensors driving feedback mechanism, which could react to the imposed loads by adjusting the contraction of the muscles. Fusion in the motion segment of the lumbar spinal column is believed to alter the stability of the spinal column. To identify this effect finite element (FE) models combined with optimization technique was applied and quantify the role of each muscle and reaction forces in the spinal column with respect to the fusion level. The musculoskeletal FE model was consisted with detailed whole lumbar spine, pelvis, sacrum, coccyx and simplified trunk model. Vertebral body and pelvis were modeled as a rigid body and the rib cage was constructed with rigid truss element for the computational efficiency. Spinal fusion model was applied to L3-L4, L4-L5, L5-S1 (single level) and L3-L5 (two levels) segments. Muscle architecture with 46 local muscles was used as acting directions. Minimization of the nucleus pressure deviation and annulus fiber average axial stress deviation was selected for cost function. As a result, spinal fusion produced reaction changes at each motion segment as well as contribution of each muscle. Longissimus thoracis and psoas major muscle showed dramatic changes for the cases of L5-S1 and L3-L5 level fusion. Muscle force change at each muscle also generated relatively high nucleus pressure not only at the adjacent level but at another level, which can explain disc degeneration pattern observed in clinical study.

• 디지털융복합연구
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• 제13권7호
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• pp.373-380
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• 2015

본 연구는 테니스 한손과 양손 백핸드 스트로크 동작에서 하지관절 움직임의 차이를 확인하여 유형별 특성을 밝히는데 그 목적이 있으며 그 결과는 다음과 같다. 볼의 속도를 결정하는 중요한 요인인 라켓헤드의 합성 속도는 양손 백핸드 스트로크 동작이 한손보다 빠른 속도를 나타냈다. 양손 백핸드 스트로크는 하체의 움직임을 최소화시키고 몸통 회전을 통한 스트로크를 하는 반면 한손 백핸드 스트로크는 몸통을 이용한 스트로크를 하기 보다는 공을 쫓아가듯이 스트로크 하는 것으로 나타났다. 슬관절의 신전모멘트는 한손 백핸드 스트로크가 큰 것으로 나타났지만, 내번모멘트와 회내모멘트 그리고 굴곡모멘트는 양손 스트로크에서 크게 나타났다. 고관절의 경우 신전, 내번, 회내 모멘트가 양손 백핸드 스트로크가 한손 보다 모두 큰 것으로 나타났는데 특히 내번모멘트의 경우 큰 차이를 나타난 반면, 외번모멘트는 한손 백핸드 스트로크가 큰 것으로 나타났다.

• 한국운동역학회지
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• 제27권2호
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• pp.91-97
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• 2017

Objective: To investigate rotation movement of segment for performing each position and its effect on knee/hip angulation, COM inclination, and edging angle changes. Method: Twelve Alpine skiers (age: $25.8{\pm}4.8years$, height: $173.8{\pm}5.9cm$, weight: $71.4{\pm}7.4kg$, length of career: $9.9{\pm}4.6years$) participated in this study. Each skier was asked to perform counter-rotation, neutral, and rotation positions. Results: Shank and thigh were less rotated in the counter-rotation position than in other positions, whereas the trunk and pelvis were more counter-rotated (p<.05). Hip angulation, COM inclination, and edging angle were significantly greater in the counter-rotation position than in other positions (p<.05). Conclusion: Our finding proved that the counter-rotation position increases hip angulation, COM inclination, and edging angle. Consequently, we suggest that skiers should perform counter-rotation of the trunk and pelvis relative to the ski direction in the vertical axis for the counter-rotation position. Further analysis will continue to investigate the effects of the counter-rotation position in real ski slope with kinetic analysis.

• 대한물리치료과학회지
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• 제5권4호
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• pp.795-807
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• 1998

The purpose of this study was to investigate the effects of exercise therapy to oldwomen's muscle strength, flexibility and IADL. To identify the effect of exercise therapy on oldwomen's muscle strength, flexibility and IADL, this study attempted to determine grip strength, back strength, leg strength, flexibility of upper and low(flexion, extension, abduction), flexibility of trunk(flexion, extension) and IADL, using dynamometer, goniometer and Geriatric center IADL, for 34 female. Thirty-four subjects participating in this study consisted of A group(from sixty-five to sixty-nine, eleven person), B group(from seventy to seventy-four, twelve person), C group(over seventy-five years old, eleven person). Data from the findings of this experiment were computed for and standard deviation by using repeated measurement of MINI TAB. As a result, the following conclusion was drawn : 1. Subject group showed significantly higher scores on effect of exercise between three age group after regular exercise. 2. Subject group showed significantly higher scores on muscle strength(grip strength, back strength, leg strength) and there is a difference between three age group after regular exercise of muscle strength. 3. Subject group showed significantly higher scores on flexibility (upper, lower, trunk) and there is a difference between three age group after regular exercise of flexibility. 4. Subject group showed significantly higher scores on IADL(Instrumental activities of daily living) and there is a difference between three age group after regular exercise. As a result of this study, the effect of exercise training program had improved muscle strength, ROM (range of motion) of joint, IADL. Thus exercise training program could be beneficially applied for the prevention of disability and promotion of health and wellbeing in the aged easily and safely.