• Physical Therapy Rehabilitation Science
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• 제1권1호
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• pp.28-32
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• 2012

Objective: The purpose of this study is to compare chronic low back pain patients' pain provocation position so as to identify the relevance with lumbar stabilizing muscles atrophy and pain provocation position. Design: Cross-sectional study. Methods: Fifty five chronic low back pain patients were participated in this study. Subjects were eligible for study participation if they were 35-55 years old and had experienced low back pain for more than 3 months. Subjects were questioned about pain and pain provocation test were done. And then they were inspected their cross sectional area (CSA) of lumbar muscles (erector spinae, iliopsoas, and multifidus) by using computed tomography. Analyze the relevance through the result data with painful area, aspect of pain and pain provocation position. Results: CSA of erector spinae showed significant decrease on ipsilateral extension position (p<0.05). Iliopsoas muscle showed significant decrease on contralateral position (p<0.05). Multifidus showed significant decrease on the position of contralateral extension and contralateral flexion (p<0.05). Conclusions: Based on the results of our study, it may be possible to evaluate muscle atrophy by assessing causing position.

• Journal of Acupuncture Research
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• 제27권3호
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• pp.93-104
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• 2010

Objectives : The purpose of this study is to observe the effects of work environment and low back pain on the structural and muscle strength changes in lumbar spine to helpful for preventation and cure of low back pain. Methods : Through measuring of lumbosacral angle, lumbar lordotic angle, lumbar gravity line ratio analyzed structure of lumbar spine and using Trunk Extension Flexion Program of CYBEX NORM System(cybex770+TMC, USA) analyzed Flex. PT, Ext. PT, E/F ratio of lumbar spine of company employees given a medical examination. Results : According to work environment, lumbar gravity line ratio is higher in white collar group than in blue collar group, Ext. PT is significantly lower in white collar group than in blue collar group. According to low back pain or not, lumbar gravity line ratio, Ext. PT is lower in low back pain group than in non-low back pain group. Conclusions : Work environment and low back pain effects on the structural and muscle strength changes in lumbar spine.

• 대한산업공학회지
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• 제25권3호
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• pp.330-335
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• 1999

The goal of the study is to determine the most sensitive parameter to represent the degree of muscle force and fatigue. Various numerical parameters such as the first coefficient of Autoregressive (AR) Model, Root Mean Square (RMS), Zero Crossing Rate (ZCR), Mean Power Frequency (MPF), Median Frequency (MF) were tested in this study. Ten healthy male subjects participated in the experiment. They were asked to extend their trunk by using the right and left erector spinae muscles during a sustained isometric contraction for twenty seconds. The force levels were 15%, 30%, 45%, 60%, and 75% of Maximal Voluntary Contraction (MVC), and the order of trials was randomized. The results showed that RMS was the best parameter to measure the force level of the muscle, and that the first coefficient of AR model was relatively sensitive parameter for the fatigue measurement at less than 60% MVC condition. At the 75% MVC, however, both MPF and the first coefficient of AR Model showed the best performance in quantification of muscle fatigue. Therefore, the sensitivity of measurement can be improved by properly selecting the parameter based upon the level of force during a sustained isometric condition.

• The Journal of Korean Physical Therapy
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• 제25권5호
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• pp.316-321
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• 2013

Purpose: The aimed of this study was to investigate muscle activation related to postural stability according to different frequency of whole body vibration during quiet standing, to identify the most effective training conditions that cause the highest neuromuscular responses, and to evaluate the difference of EMG activation according to the anatomical position of the muscle - proximal or distal from the vibration platform. Methods: Eighteen healthy subjects voluntarily participated in this single-group, repeated-measures study in which EMG data from upper trapezius, rectus abdominalis, external oblique abdominalis, elector spinae, gluteus maximus, rectus femoris, semitendinosus, and gastrocnemius were collected over different frequencies (0-5-10-15-20-25Hz) for each subject during quiet standing. Results: We observed a statistically significant difference in the mean values of %RVC of muscular activation according to different frequencies of whole body vibration during quiet standing in all muscles (p<0.05). Conclusion: Our results indicate that lower frequencies of vibration result in low muscular activation, and higher frequencies elicit high muscular activation. However, the most effective training condition that caused the highest activation was 20 Hz. In addition, the proximally located lower extremity muscles (GCM, RF, ST, GM) showed higher activation than the distally located trunk and neck muscles (ES, EO, RA, UT) together with increasing frequency.

• Journal of Chest Surgery
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• 제24권8호
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• pp.802-806
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• 1991

Primary neoplasms of the ribs and sternum are rare. Most primary bony chest wall neoplasms are malignant, and chondrosarcoma is the most common malignancy in this location The etiology of chondrosarcoma is unknown. Definitive diagnosis of chondrosarcoma can only be made pathologically. The natural history of chest wall chondrosarcoma is one of slow growth and local recurrence. Most tumors of the sternum require wide resection and reconstruction procedures, with potentially serious postoperative problems. Advances in chest wall reconstruction primarily through refinement in muscle transposition and clarification of the functional anatomy and blood supply of trunk muscles, has resulted in a more aggressive resection of the these tumors . Recently we experienced a case with chondrosarcoma of the sternum. A 56 year-old man was admitted to our hospital due to painless, slowly enlarging mass at the left sternoclavicular junctional area. The chest radiograph strongly suggested an underlying cartilaginous neoplasm owing to the appearance of typical flocculent and curvilinear calcifications within the lesion. On CT of the chest, the tumor exhibited a scalloped or lobulated contour, hypodensity of the nonmineralized component in comparison to adjacent muscle, and characteristic stippled cartilaginous matrix mineralization, also typical for cartilaginous neoplasm. The patient underwent wide resection of the chest wall tumor include with a 2-3cm margin of normal tissue on all sides and the thoracic skeletal defect was reconstructed with polytetrafluoroethylene [Gore-Tex] soft-tissue patch. Soft tissue reconstructive procedure was done with the pectoralis major muscle transposition. The patient had an uneventful postoperative course and discharged without adjuvant treatment such as radiation and chemotherapy.

• 대한정형도수물리치료학회지
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• 제19권2호
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• pp.55-60
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• 2013

Background: The purpose of this study was to determine if there is a difference in activation of the rectus femoris, vastus medialis oblique, vastus lateralis, semitendinosus, and biceps femoris when performing normal free squat with standinding position and free squat with $30^{\circ}$ flexed hip joint. Methods: Electromyograph surface electrodes were placed on the rectus femoris, vastus medialis oblique, vastus lateralis, semitendinosus, and biceps femoris of 19 healthy college students. The participants performed standing bilateral squats and standing bilateral squats with $30^{\circ}$ flexed hip joint with EMG measures taken upon initiation of muscle activity as confirmed by an electronic goniometer. Participants completed one trial with the EMG time measurements on each type. Results: There was a significant difference between normal squats(standing squats) and normal squats with $30^{\circ}$ flexed hip joint. The normal squat exercise was statistically higer than normal squat exercise with $30^{\circ}$ flexed trunk except for semitendinosus and biceps femoris that shown slightly high. Conclusions: As a result of this study, there were increases of muscle activity in both ways. In particular, it may be more beneficial for knee joint stabilization to perform normal squat exercise with standing position relatively.

• The Journal of Korean Physical Therapy
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• 제29권3호
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• pp.135-141
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• 2017

Purpose: This study was to identify the anticipatory postural adjustment (APA) mechanism which is represented by the onset time of trunk muscles and the displacement of the center of pressure (COP) according to the different base of support (BOS) during upper extremity movement. Methods: Thirty healthy subjects (14 males, 16 females) participated in this study. The movement was performed for 10 trials during each of various BOS (shoulder - width double leg stance, narrow base double leg stance, tandem stance, non-dominant single leg stance) at the 1.2 Hz frequency. Electromyography was used to measure muscle onset time and biorescue was used to measure characteristics of the displacement of COP. Surface bipolar electrodes were applied over the right deltoid anterior, right latissimus dorsi, both rectus abdominis, both internal oblique and both erector spinae. The data were analyzed by repeated one-way ANOVA and Duncan's post hoc test. Results: The study has revealed following. There were significant differences with muscle onset time in each BOS (p<0.01). There were significant differences in characteristics of the COP in each BOS (p<0.01). Conclusion: The study found that the more narrowed the basis requires the more rapid anticipatory postural control in contralateral postural muscle when the upper extremity movement is performed.

• 국제물리치료학회지
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• 제11권4호
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• pp.2178-2183
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• 2020

Background: Trunk flexor-extensor muscles' co-activation and upright posture are important for spinal stability. Abdominal bracing and maximal expiration are being used as exercises to excel torso co-contraction. However, no study has on comparison of the effect of this exercise on multifidus in the upright sitting posture. Objectives: This study aims to verify the effectiveness of abdominal bracing and expiration maneuvers in lumbo-pelvic upright sitting. Design: Cross-sectional study. Methods: Eighteen healthy women were recruited for this study. The multifidus muscle thickness of all subjects was measured in three sitting conditions (lumbo-pelvic upright sitting, lumbo-pelvic upright sitting with abdominal bracing, and lumbo-pelvic upright sitting with maximum expiration) using ultrasound. One-way repeated measure analysis of variance was used for the evaluation. Results: Compared to lumbo-pelvic upright sitting, lumbo-pelvic upright sitting with abdominal bracing and lumbo-pelvic upright sitting with maximum expiration were associated with significantly increment of muscle thickness. There was no significant difference in muscle thickness between lumbo-pelvic upright sitting with abdominal bracing and lumbo-pelvic upright sitting with maximum expiration. Conclusion: Abdominal bracing and maximum expiration could be beneficial to increasing lumbar multifidus thickness in lumbo-pelvic upright sitting.

• 디지털융복합연구
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• 제12권7호
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• pp.411-418
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• 2014

본 연구는 20대 성인남성을 대상으로 세 운동군이 정적 및 동적 균형능력과 근활성도에 미치는 효과를 규명하기 위하여 수중 운동군, 체간 안정화 운동군, 균형 운동군으로 각각 15명씩 배치하였다. 2013년 6월부터 2013년 9월까지 연구가 진행되었으며, 6주 간 1주일에 3일, 1회 30분 동안 중재 후, 동일 대상자들의 균형능력 및 근활성도(앞정강근, 장딴지근)를 측정하여 비교하였다. 그 결과 집단 내 중재 전과 중재 후의 비교에서 세 운동군 모두 신체중심 이동면적과 총궤적길이의 변화는 유의한 차이가 있었고(p<.05)(p<.01), 동적 균형에서도 안정성 한계의 변화는 유의한 차이가 있었다(p<.05)(p<.01). 앞정간근의 근활성도의 변화에서 세 운동군의 좌 우측 모두 통계학적으로 유의한 차이가 있었고(p<.05)(p<.01), 장딴지근은 체간 안정화 운동군의 좌측을 제외한 모두 통계학적으로 유의한 차이가 있었다(p<.05)(p<.01). 수중 운동이 균형능력의 향상과 근활성도 증가에 효과적임을 규명하였고, 본 연구결과를 토대로 균형능력이 좋지 않은 노인이나 환자들에게 객관적인 수중 운동 효과를 밝힐 수 있는 연구가 진행되어 구체적인 수중 운동 프로그램 개발을 제안하고자 한다.

• 환경생물
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• 제32권4호
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• pp.382-388
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• 2014

최근 뱀장어 양식장에서 사육 중이던 동남아산 뱀장어에 몸통 근육의 요철현상을 나타내면서 폐사를 일으키는 질병이 발생하였다. 병어의 몸통 근육 내 환부는 흰색 또는 황색으로 변해있었다. 병리조직학적인 변화는 근조직내에 수많은 포자와 크고 작은 시스트들이 변형된 근육근섬유 내에 관찰되었다. 병어의 근육 환부를 취하여 PCR을 실시하여 H. anguillarum이 가지는 특정 유전자인 Small subunit ribosomal RNA (SSU-rRNA)를 증폭하였다. 좀 더 정확한 동정을 위해 PCR product를 Cloning 후 Sequencing하여 서열들을 분석한 결과 H. anguillarum의 Small subunit ribosomal RNA (Gene bank accession number: AB623036) 서열과 일치하게 나타남을 확인할 수 있었다. primer 18F과 1537R의 PCR product는 약 1366 bp 길이가 일치하였으며, V1과 1392R를 이용한 PCR product는 1200 bp가 일치하게 나타났다. 또한 H1과 H2의 PCR product의 경우는 800 bp 정도 일치하였으며 이의 서열은 나머지 2개의 product가 공통적으로 가지고 있는 서열이었다. 이를 토대로 본 연구에서는 동남아산 뱀장어에 감염된 포자충은 H. anguillarum임을 동정할 수 있었다.