• 국제물리치료학회지
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• 제7권2호
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• pp.1037-1040
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• 2016

This study aims to investigate the effects of ankle foot orthosis(AFO) on the activities of tibialis anterior(TA), soleus(Sol), rectus femoris(RF) and biceps femoris(BF) during stairs descending. The activities of TA, Sol, RF and BF were initially measured while descending 4 stairs without using AFO. The activities of the same muscles were then measured again while descending 4 stairs while using AFO. Wilcoxon signed-rank tests were used to analyze the results in order to examine the differences between the with using AFO and without using AFO. Although the activities of TA, Sol and RF were relatively lower while using AFO than without using AFO, only the differences in Sol and RF activities were significant(p<0.05). The activity of BF was relatively higher while using AFO compared to the activity of BF observed without using AFO. However, difference was not significant(p>0.05). Conclusion of this study was observed since AFO's ground reaction force absorption during stairs descending reduced the need to use So and RF that is related to shock absorption. BF activity was increased with AFO than without during standing forward to correct the trunk stability.

• 한국전문물리치료학회지
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• 제4권1호
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• pp.78-86
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• 1997

Back muscles play an important role in protecting the spine. Epidemiological studies have shown that loads imposed on the human spine during daily living play a significant role in the onset of low back pain. No previous study has attempted to correlate the response of the trunk musculature with the type of external load. The purpose of this study was to use surface electromyography (EMG) to quantify the relative demands placed on the back muscles while lifting loads in one hand. Forty asymptomatic, twenty year-old subjects stood while lifting loads of 10% of body weight(BW) unilaterally. All EMG data were normalized to a percentage of the EMG voltage produced during no-load standing(%EMG). Our major analysis involved a paired t-test for repeated measures. Of particular note was the fact that the ipsilateral 10% of BW condition produced statistically less % EMG change than did the contralateral 10% of the condition.

• 한국응용과학기술학회지
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• 제35권3호
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• pp.905-913
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• 2018

본 연구는 필라테스 동작 시 폼롤러의 적용과 움직임에 따른 몸통과 하지의 근활성도 차이를 알아보는 것이 목적이다. 피험자로 남자 8명을 선정하여 필라테스 네발자세, 교각자세, 코어컨트롤 동작을 매트위에서 정적동작, 폼롤러 위에서 정적동작, 폼롤러 위에서 동적동작으로 무선배정하여 1주 간격으로 수행하였다. 각 동작의 수행 시 척추세움근, 배곧은근, 배바깥빗근, 중간볼기근, 넙다리두갈래근과 넙다리곧은근의 근활성도를 측정하여 일원분산분석으로 분석하였다. 유의수준은 ${\alpha}=.05$로 설정하였다. 첫째, 네발기기 동작에서 폼롤러 동적동작에서는 배곧은근, 배바깥빗근, 중간볼기근, 넙다리두갈래근의 근활성도가 높게 나타났으며(p<.001)(p<.05), 폼롤러 정적동작에서는 넙다리곧은근의 근활성도가 높게 나타났다(p<.001). 둘째, 교각자세 동작에서 폼롤러 동적동작에서는 넙다리두갈래근의 근활성도가 높게 나타났다(p<.001). 셋째, 코어컨트롤 동작에서 폼롤러 동적 동작에서는 배곧은근, 척추세움근, 중간볼기근의 근활성도가 높게 나타났으며(p<.001)(p<.01), 정적 동작에서는 배바깥빗근의 근활성도가 높게 나타났다(p<.05). 필라테스 운동시 근활성도를 고려하여 방법과 난이도를 적용하면 더욱더 효과적일 것이라 사료된다.

• 한국정보통신학회논문지
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• 제15권11호
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• pp.2321-2326
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• 2011

경추는 머리와 몸통을 이어주는 중요한 요충지이기 때문에 매우 중요한 기관이며 매우 복잡한 구조로 되어있다. 본 논문에서는 경추 초음파 영상에서 경추 부분에 존재하는 흉쇄유돌근을 자동으로 검출하는 방법을 제안한다. 경추 초음파 영상에서 촬영 정보나 눈금자 등의 필요 없는 부분을 제외한 ROI(Region of Interest)영상을 추출하고 Ends-In Search Stretching 알고리즘을 적용하여 명암 대비를 강조한다. Stretching된 영상에 20 이상의 명암도를 가지는 픽셀을 대상으로 평균 이진화를 적용한 후, 잡음을 제거한다. 잡음이 제거된 영상에 흉쇄유돌근을 둘러싸고 있는 근막의 위치 정보를 이용하여 근막을 추출한 후, 근막의 객체 수에 따라서 각기 다른 방법을 적용하여 근육을 추출한다. 근막 객체가 하나인 경우에는 위에서 아래로 탐색하여 1차 근육 영역을 추출하고, 오른쪽에서 왼쪽으로 탐색하여 2차 근육 영역을 추출한 후, 1차와 2차 근육 영상을 하나로 합쳐 최종 근육 영역을 추출한다. 근막 객체가 두 개인 경우에는 근막 객체의 상단과 하단까지의 영역을 모두 추출한 후, 근막 객체 영역을 제거하는 방법으로 근육 영역을 추출한다. 추출된 근육 영역 중에서 두께가 가장 두꺼운 부분을 근육의 두께로 측정한다. 본 논문에서 제안된 방법을 경추 초음파 영상 30장을 대상으로 실험하여 물리치료사가 분석한 결과, 제안된 방법이 흉쇄유돌근을 정확히 추출되는 것을 확인하였다.

• 한국전문물리치료학회지
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• 제19권2호
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• pp.1-11
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• 2012

The pelvic compression belt (PCB) contributes to improving sacroiliac joint stability, and it has been used as an additional therapeutic option for patients with sacroiliac joint pain (SIJP). This study aimed to investigate whether the muscle activation patterns of the supporting leg was different between asymptomatic subjects and subjects with SIJP during one-leg standing, and how it changes with the PCB. 15 subjects with SIJP and 10 asymptomatic subjects volunteered to participate in this study. Surface electromyography (EMG) data (reaction time [RT] and muscle activation) were collected from the internal oblique, lumbar multifidius, gluteus maximus and biceps femoris muscles during one-leg standing with and without the PCB. Without the PCB condition, in the SIJP group, the biceps femoris muscle showed the fastest RT among all muscles (p<.05), whereas in the asymptomatic group, the RT of the internal oblique muscle was the most rapid (p<.05). In condition without the PCB, the biceps femoris EMG amplitudes in the SIJP group were significantly greater than that in the asymptomatic group (p<.05). After the application of the PCB, the RT of the biceps femoris muscle was significantly increased only in the SIJP group (p<.05). Moreover, the biceps femoris EMG amplitudes significantly decreased and the gluteus maximus EMG amplitudes significant increased only in the SIJP group by applying the PCB (p<.05). However, this had no such effect on the gluteus maximus and biceps femoris EMG patterns in the asymptomatic group (p>.05). Thus, this study supports the applying the PCB to patients with SIJP can be used as a helpful option to modify the activation patterns of the gluteus maximus and biceps femoris muscle.

• 대한정형도수물리치료학회지
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• 제11권2호
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• pp.40-48
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• 2005

In this study, the muscle strength and endurance of the lumbar at flexion and extension were determined using an isokinetic muscle strength meter (Biodex) in patients with chronic lumbar go (10 male and 10 females), and the changes in muscle strength and endurance of the lumbar at flexion and extension after application of Y-shaped sacrospinalis muscle taping, typically used for patient with lumbar go, were studied. In addition, the sacrospinalis muscle taping of a different shape (I-shaped taping) was applied bilaterally centering on the spine, and the muscle strength and endurance of the lumbar at flexion and extension were determined and compared with those before taping. In addition, the results after application of Y-shaped taping and I-shaped taping were also compared. 1. The extensor muscle strength of the lumbar at loading of $60^{\circ}$/sec before application of kinesio Taping and after application of Y-shaped taping showed the level of significance (p<.05). The flexor muscle strength of the lumbar at loading of $60^{\circ}$/sec before application of kinesio taping and after application of Y-shaped taping did not show the level of significance. 2. The flexor muscle endurance of the lumbar at loading of $90^{\circ}$/sec before application of kinesio Taping and application of Y-shaped taping did not show the level of significance. The extensor muscle endurance of the lumbar at loading of $90^{\circ}$/sec before application of kinesio Taping and after application of Y-shaped taping did not show the level of significance. 3. The extensor muscle strength of the lumbar at loading of $60^{\circ}$/sec before application of kinesio Taping and after application of I-shaped taping showed the level of significance (p<.05). The flexor muscle strength of the lumbar at loading of $60^{\circ}$/sec before application of kinesio Taping and after application of I-shaped taping showed the level of significance (p<.05). 4. The flexor muscle endurance of the lumbar at loading of $90^{\circ}$/sec before application of kinesio taping and after application of I-shaped taping showed the level of significance. The extensor muscle strength of the lumbar at loading of $90^{\circ}$/sec before application of kinesio Taping and after application of I-shaped taping showed the level of significance (p<.05). 5. In comparison between after application of Y-shaped taping and after application of I-shaped taping, the flexor muscle strength of the lumbar at loading of $60^{\circ}$/sec did not show the level of significance. In comparison between after application of Y-shaped taping and after application of I-shaped taping, the extensor muscle strength of the lumbar at loading of $60^{\circ}$/ sec showed the level of significance (p<.05). 6. In comparison between after application of Y-shaped taping and after application of I-shaped taping, the flexor muscle strength of the lumbar at loading of $90^{\circ}$/sec did not show the level of significance. In comparison between after application of Y-shaped taping and after application of I-shaped taping, the extensor muscle strength of the lumbar at loading of $90^{\circ}$/sec did not showed the level of significance (p<.05).

• 대한의용생체공학회:의공학회지
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• 제34권4호
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• pp.163-169
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• 2013

The purpose of this study was to verify exercise effect of horse riding exercise according to estimate basal physical fitness and activities of daily living(ADL) function in the aged. Participants were nineteen peoples who have no impediment of activity. They performed horse riding exercise using SRider(Neipplus, Co., Korea) at sixty minutes a day. Exercise has progressed three days a week for eight weeks. We measured trunk flexion, sit up, whole body reaction, leg strength and maximal oxygen uptake as basal physical fitness. Also three meter gait, single stance with eyes opened and single stance with eyes closed as ADL function were estimated once a month. The result of legs strength and whole body reaction showed the higher significantly than before the exercise. Moreover, the result of three meter walking ability only increased significantly among the ADL function. This means that horse riding exercise might be activated continuous muscular contraction with maintained tonus of muscle. We thought that continuous movement of horse riding could be lead to isometric muscle contraction in lower limbs. Our study found that horse riding exercise could improve lower strengths and muscle reaction for exercise effect. Also we suggested that horse riding exercise could be adapted to exercise methods that could provide rehabilitation and treatment enough for the aged or disabled person.

• 한국운동역학회지
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• 제30권1호
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• pp.121-129
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• 2020

Objective: This study was conducted with the aim of verifying the effectiveness of the duocock exercise, which is being utilized at the newly developed site to promote balance maintenance, basic physical strength and muscle strength among various age groups, in order to prevent fall and successfully age. Method: In this study, we conducted the duocock Exercise Program for 12 weeks (twice a week for an hour) for 10 senior citizens aged 65 or older (68.8±4.76 yrs, height: 15±6.00 cm) using Western-based health institutions in Daejeon, and compared the pre- and post- effects on basic physical strength and posture balance. All the data obtained from this study were used in statistical program SPSS 24 to perform paired t-test. The significance level for all statistical analyses was set at the level of p<0.05. Results: The 12 week duocock program showed statistically significant improvements in lower extremity muscle strength, equilibrium, agility, balance, and coordination in the basic fitness factors underlying successful aging (p<0.05). In addition, the trunk imbalance, which acts as a factor of falls and body balance, was statistically significant (p<0.05) and the posture balance of the sagittal plane also showed the effect of proper body adjustment. Conclusion: Based on the results of this study, duocock provides a new exercise program in the form of a sustainable sport as a two-handed exercise, and is very effective for the elderly to improve their basic physical strength as well as to control postural imbalances, strengthen and increase muscle strength.

• 한국산업보건학회지
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• 제15권1호
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• pp.61-70
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• 2005

This study investigated the spinal loads(L5/S1 disc compression and shear forces) predicted from four biomechanical models: one EMG model and three optimization models. Three objective functions used in the optimization models were to miminize 1) the cubed muscle forces : MF3, 2) the cubed muscle stress : MS3, 3) maximum muscle intensity : MI. Twelve healthy male subjects participated in the isometric voluntary exertion tests to six directions : flexion/extension, left/right lateral bending, clockwise/ counterclockwise twist. EMG signals were measured from ten trunk muscles and spinal loads were assessed at 10, 20, 30, 40, 50, 60, 70, 80, 90%MVE(maximum voluntary exertion) in each direction. Three optimization models predicted lower L5/S1 disc compression forces than the EMG model, on average, by 31%(MF3), 27%(MS3), 8%(MI). Especially, in twist and extension, the differences were relatively large. Anterior-posterior shear forces predicted from optimization models were lower, on average, by 27%(MF3), 21%(MS3), 9%(MI) than by the EMG model, especially in flexion(MF3 : 45%, MS3 : 40%, MI : 35%). Lateral shear forces were predicted far less than anterior-posterior shear forces(total average = 124 N), and the optimization models predicted larger values than the EMG model on average. These results indicated that the optimization models could underestimate compression forces during twisting and extension, and anterior-posterior shear forces during flexion. Thus, future research should address the antagonistic coactivation, one major reason of the difference between optimization models and the EMG model, in the optimization models.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제32권6호
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• pp.598-602
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• 2006

저자 등은 우측 측방 경부 및 이하부에 발생한 침습성 지방종을 가진 57세 여자 환자에서 이하선 천엽 절제술과 함께 외과적 절제술로 종물을 제거하였다. 술 후 약 2.5년 동안 추적 관찰한 결과 현재까지 재발 등 이상 소견 없이 기능적, 심미적으로 양호한 결과를 얻었기에 문헌고찰과 함께 보고함으로써 지방종의 진단과 치료에 도움이 되고자 한다.