• 대한물리의학회지
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• 제9권1호
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• pp.55-62
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• 2014

PURPOSE: The objective of this study was to determine the effects of virtual reality training on muscle activation in the elderly. METHODS: The subjects were 32 healthy elderly people aged between 65 and 80, who were divided into the VR(virtual reality) training group(n=17) and the control group(n=15). The Virtual reality training group engaged in a 30-minute exercise session using Wii Fit three times a week for eight weeks. Virtual reality training group used the Ski Slalom, Table tile, Balance bubble programs. low-extremity muscle activation of the two groups were measured before and after the intervention. RESULTS: To investigate the effects of the training on lower-extremity muscle activation, biceps femoris, gastrocnemius, tibialis anterior, vastus lateralis were measured. The results revealed that the activation of gastrocnemius and tibialis anterior significantly increased(p<.05), which indicates virtual reality training is effective in improving the activation of the muscles involved in the movement of the ankle joint. CONCLUSION: Virtual reality training is effective in improving the healthy elderly's activation of the muscles involved in the movement of the ankle joint. Thus, virtual reality training can be proposed as a form of fall prevention exercise for the elderly.

• 한국운동역학회지
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• 제21권3호
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• pp.345-352
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• 2011

The purpose of this study was to determine how spandex wear with compressive band affects biomechanical parameters during a golf swing. Nine male golf players, each with at least 6 years golf experienc(handy 4.5${\pm}$5.4), were recruited as the participants. Eight pairs of surface electrodes were attached to the left and right side of the body to monitor the pectoralis major(PM), external abdominal oblique(AO), erector spinae(ES), and vastus lateralis(VL). This study showed that the angular velocity of the club in EG were increased during the down swing phase but X-Factor and X-factor Stretch were reduced. Average and maximum nEMG (normalized EMG) values of the left AO(external abdominal oblique) were less in EG(experimental group) compared with CG(control group) during the back swing, whereas those of left PM(pectoralis major) in EG were greater than CG. It is more likely that EG performed effectively golf swing without excess muscle activity. Thus, the spandex wear with compressive band played an important role in improving swing performance with injury prevention. This has led to suggestions of the need for further kinetic and kinematic analyses to evaluate its function.

• Archives of Plastic Surgery
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• 제32권4호
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• pp.441-446
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• 2005

Sole reconstruction should consider both functional and aesthetic aspects; durable weight bearing surface, adequate contour for normal footwear, protective sensation and solid anchoring to deep tissue to resist shearing. The anterolateral thigh perforator free flap has such favorable characteristics as long pedicle, reliable perforators and minimal donor site morbidity. This flap can be safely thinned to 3-4 mm. It can also be elevated with sufficient bulk with muscles like vastus lateralis for complex defect. Between June 2002 and December 2004, 48 cases of sole reconstruction were performed with anterolateral thigh perforator free flaps. Follow up period ranged from 4 to 34 months with a mean of 14.7 months and with exception of one case, all flaps survived. One case of total flap loss was noted due to infection in a patient who was administered lifetime immunosuppressant. Partial necroses developed in three cases but were treated conservatively. Satisfactory aesthetic and functional results were achieved and acceptable gait recovery was noted. Seventy-eight percent of the patients regained protective sensation by 6 months and earlier sensory recovery was noted in sensate flap group. The authors also present a standardized protocol for preoperative patient evaluation and postoperative management and rehabilitation.

• International Journal of Contents
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• 제9권1호
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• pp.60-64
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• 2013

This study was performed for two of specific reasons, one is for exercise development for improving stroke patient's muscle power, balance and gait and, after verifying the effect of the exercise, the other is for showing that the appling this exercise was more effective on hemi-plegic stroke patients into the clinical trial. The subjects of this study were hemi-plegic patients by stroke, 51 patients were picked up, who were agreed with this research. Close kinetic chain leg exercise using mirrors was applied to study group I, Close kinetic chain leg exercise without mirrors was applied to study group II and general physical therapy was applied to comparison group. The results of this study are as follows. The difference of the groups, study group I showed more effective than study group II on checking rectus femoris, vastus lateralis, biceps femoris, Korean version of Berg Balance Scale, Center of pressure, Functional gait assessment. In this study, Close kinetic chain leg exercise showed more effective and significant on improving for muscle power, balance and gait on stroke patients. Especially, doing exercise using mirrors is considered as more effective method than without mirrors.

• The Journal of Korean Physical Therapy
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• 제11권1호
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• pp.129-136
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• 1999

The purpode of this study was to determine the EMG characteristies of 7 subjects with hemiplegic gait receiving therapeautic exercise after stroke. The akin electrode and gait analysis system were used. The normal gait of 6 health volunteers was analysised. The results were following. 1. Gluteus maximus, the extensor of hip joint had high level of activity compared to normal, and had two peak in late stance phase and early Swing phase. 2. Medial hamstring, the flexor of knee joint had low level of activity compared to normal, and had continuous low amplitude pattern. 3. Vastus lateralis, the extensor of knee joint had high level of activity compared to normal, and had not continuous high amplitude. From early stance phase and mid stance phase, activity had high level but after swing phase. similar to normal. 4. Gastrocnemius, plantar flexor of ankle joint had low level of activity compared to normal and had continuous low amplitude. 5. Tibialis anterior, dorsiflexor of ankle joint had similar muscle activity to normal and had continuous low amplitude.

• Archives of Reconstructive Microsurgery
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• 제14권1호
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• pp.24-30
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• 2005

Thigh perforator flaps are used popularly, because they have a small thickness, a long vascular pedicle and a low rate of donor site morbidity. Among thigh perforator flaps, anterolateral thigh perforator flaps are generally used, but it is not easy to dissect the vastus lateralis muscle to find the vasuclar pedicle. The authors have planed 11 anteromedial thigh perforator flaps that have septocutaneous perforators. We were able to find anteromedial thigh perforators in 8 cases(72.7%). The perforators originated from the medial descending branch of the lateral circumflex femoral artery in 2 cases and a branch to the rectus femoris muscle in 6 cases. Of this type of surgery, 7 flaps survived. However, 1 flap failed because of arterial insufficiency. We believe the anteromedial thigh perforator flap is a good option when the thigh region is decided as a donor site, but surgeons should keep in mind that the perforator of anteromedial thigh flap may be absent.

• 대한의용생체공학회:의공학회지
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• 제15권4호
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• pp.429-438
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• 1994

An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate eleclromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocnemius m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher'stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical slimulator restored partially gait function in paraplegic patients.

• 생명과학회지
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• 제20권11호
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• pp.1704-1710
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• 2010

본 연구는 뇌졸중 발병 후 재활운동에 참가하는 환자들을 대상으로 재활운동 3개월이 지난 시점에서 1차 실험을 하였고, 6개월이 지난 시점에서 2차 실험을 하여 운동역학적 비교분석을 하였다. 실험에 사용된 장비는 영상분석기, 족저압분석기, 근전도분석기를 사용하였다. 대상자는 7명으로 하였으며 통계방법은 t-test분석 이용하였다. 결과는 엉덩관절의 최대신전 피크 값과 최대신전 피크 모멘트 값에서 통계적으로 유의한 차이를 나타내었다(p<0.05). 족저압의 비교에서는 환측 다리의 족저압에서 일반적인 걷기 동작시에 족저압의 중심이동거리에서 통계적으로 유의한 차이를 나타내었다(p<0.05). 근전도 분석에서는 대퇴사두근 중의 대퇴직근과 외측광근의 근력에서 통계적으로 유의한 차이를 나타내었다(p<0.05).

• 한국운동역학회지
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• 제16권2호
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• pp.9-19
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• 2006

The purpose of this study was to analyze the kinematic variables of the lower limbs joints and the muscle activity for lower limbs during the level and downhill running. The subjects were 6 males of twenties and required to run on the level and downhill which was -7% grade treadmill at 8.3km/h. The running performances were filmed by high speed video camera and EMG signal was gained by ME3000P8 Measurement Unit. Rectus femoris(RF), Vastus lateralis(VL), Gluteus medius(GLU), Biceps femoris(BF), gastrocnemius medial head(GM), gastrocnemius lateral head(GL), Soleus(SO), Tibialis anterior(TA) were selected. The result of this study were as follows: 1. Ankle, knee, hip joint in downhill running showed less movement than the level running but, no significant difference. 2. VL and BF during the support phase in downhill running showed Iess muscle activity than the level running. but RF showed the opposite result. 3. GM, GL, SO adn TA during the supports phase in downhill running showed less muscle activity than the level running.

• 대한인간공학회지
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• 제27권1호
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• pp.53-60
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• 2008

The purpose of this study is to provide basic data, such as exerting muscle power of the lower-extremity, EMG test and pressure distribution for designing ergonomic workstation in sitting posture. The exerting muscle power of the lower-extremity was measured by PRIMUS in 4 postures of 90$^{\circ}$, 120$^{\circ}$, 150$^{\circ}$ and 180$^{\circ}$. And performed ANOVA test on Max. and Mean 100%MVC. In EMG test for surveying muscle mobiligation, 5 muscles(Rectus Femoris, Vastus Lateralis, Gastrocnemius, Soleus, Tibialis Anterior) were employed. Additional experiment in pressure distribution in sitting posture by Pliance(16$\time$16 poles), Max. pressure was measured and performed ANOVA test on the results. Concludingly, sitting posture with 120$^{\circ}$ lower-extremity is the best design criterion for ergonomic workstation in sitting posture.