• 대한정형도수물리치료학회지
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• 제21권1호
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• pp.49-56
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• 2015

Background: Although many of those who drive for a living are exposed to repetitive and awkward posture and whole body vibration which cause them cumulative trauma disorder, therapeutic studies related to the problems from the transport unit are still somewhat inadequate. The purpose of this case report is to identify the effect of combined exercise program on patients suffering chronic neck pain caused by long hour of intra-city bus driving. Method: A total of 4 subjects are selected as patients, all of whom have more than 10 years of experience in intra-city bus transportation services. These people have suffered from neck pain for years. We ran the combined exercise program 3 times a week for 4 weeks and respectively evaluated the results after the 2nd and 4th week. We implemented conventional physiotherapy for 40 minutes, another 40 minutes of combined exercise program, and then educated the patients to enable themselves to do active stretching program as a home program. The combined exercise program contained 3 different stages. 1st stage: active stretching program, 2nd stage combined stabilization exercise and strengthening exercise, 3rd stage: proprioceptive exercise Result: After 4 weeks of intervention, there was enhance in the range of motion. $12^{\circ}$ increase in flexion, $10^{\circ}$ in extension, $6^{\circ}$ in lateral flexion respectively, and $10^{\circ}$ in rotation on average. VAS(visual analgue scale) decreased by 33% on average, NDI(neck diability index) by 28% and fatigability by 23%. Conclusion: There were improved results in the range of motion, NDI, VAS, and in fatigability after applying combined exercise program to intra-city bus drivers exposed to whole body vibration and cumulative trauma disorder.

• 국제물리치료학회지
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• 제11권4호
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• pp.2253-2260
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• 2020

Background: Patients with low back pain (LBP) experience misalignments in the center of pressure (COP) and muscle imbalances due to frequent onesided posture adjustments to avoid pain. Objectives: To identify the effects of Squat Exercises with Vertical Whole-Body Vibration on the Center of Pressure and Trunk Muscle Activity. Design: Randomized controlled trial. Methods: Thirty LBP patients with an imbalance in the COP were sampled and randomly assigned to an experimental group of 15 patients who under went an intervention involving squat exercises with vertical WBV and a control group of 15 patients who were treated via a walking intervention. As pretests before the interventions, the subjects' COP was identified by measuring their stability index (ST), and erector spinae, rectus abdominis, transverse abdominis, gluteus medius muscle activity was analyzed by determining the % reference voluntary contraction (%RVC) value using surface electromyography while sit to stand. After four weeks, a post test was conducted to remeasure the same variables using the same methods. Results: Statistically significant differences were found in the ST (P<.01) and trunk muscle (P<.05, P<.001) in the experimental group before and after the intervention. In terms of the differences between the left- and right-side (RL) muscle activity, only the transverse abdominis (TrA) and gluteus medius (GM) exhibited statistically significant increase (P<.05). A comparison of the groups showed statistically significant differences in the TrA with respect to muscle activity (P<.05) and in the RLTrA and RLGM in terms ofthe difference between left- and right-side muscle activity (P<.01). Conclusion: Squat exercises with vertical WBV produced effective changes in the COP of patients with LBP by reducing muscle imbalances through the delivery of a uniform force. In particular, strengthening the TrA and reducing an imbalance in the GM were determined to be important factors in improving the COP.

• Safety and Health at Work
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• 제9권2호
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• pp.125-132
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• 2018

Background: According to the US Bureau of Labor Statistics, musculoskeletal disorders (MSDs) accounted for 32% of all nonfatal injury and illness cases in 2014 among full-time workers. Our objective was to review and summarize the evidence linking occupational exposures to vibration and awkward posture with MSDs of the shoulder and neck. Methods: A literature search was conducted using the terms musculoskeletal disorders, vibration, and awkward posture. All types of observational epidemiologic studies, with the exception of case reports, published during 1998-2015 were included. Databases searched were MEDLINE (Ovid), Embase (Ovid), Scopus, Ergonomic Abstracts, NIOSHTIC-2, and Health and Safety Science Abstracts. Results: Occupational exposures to whole-body or hand-arm vibration were significantly associated with or resulted in MSDs of the shoulder and neck. Awkward postures while working were also associated with MSDs in these locations. These findings were consistent across study designs, populations, and countries. Conclusion: Occupational exposure to vibration and awkward posture are associated with shoulder and neck MSDs. Longitudinal studies are required to elucidate the mechanisms responsible for these associations, and intervention studies are warranted.

• 대한안전경영과학회지
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• 제4권2호
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• pp.11-22
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• 2002

In this study, an asymmetric lifting posture prediction model was developed, which was a three-dimensional model with 12 links and 23 degrees of freedom open kinematic chains. Although previous researchers have proposed biomechanical, psychophysical, or physiological measures as cost functions, for solving redundancy, they lack in accuracy in predicting actual lifting postures and most of them are confined to the two-dimensional model. To develop an asymmetric lifting posture prediction model, we used the resolved motion method for accurately simulating the lifting motion in a reasonable time. Furthermore, in solving the redundant problem of the human posture prediction, a moment weighted Joint Range Availability (JRA) was used as a cost function in order to consider dynamic lifting. However, it is known that the moment weighted JRA as a cost function predicted the lower extremity and L5/S1 joint motions better than the upper extremities, while the constant weighted JRA as a cost function predicted the latter better than the former. To compensate for this, we proposed a hybrid moment weighted JRA as a new cost function with moment weighted for only the lower extremity. In order to validate the proposed cost function, the predicted and real lifting postures for various lifting conditions were compared by using the root mean square(RMS) error. This hybrid JRA reduced RMS more than the previous cost functions. Therefore, it is concluded that the cost function of a hybrid moment weighted JRA can be used to predict three-dimensional lifting postures. To compare with the predicted trajectories and the real lifting movements, graphical validations were performed. The results also showed that the hybrid moment weighted cost function model was found to have generated the postures more similar to the real movements.

• 한국직업건강간호학회지
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• 제7권2호
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• pp.130-135
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• 1998

To investigate the working characteristics of the workers by place of duty, a study was carried out among 591 male workers aged 20-55 employed in an automobile industry in Korea. Workers participated to this study were divided into low back pain(LBP) and control group, according to the self-reports by written questionnaires. Work factors and complaint rates of low back pain were compared to the work places. The results were as follows ; 1) The complaint rates of low back pain were 49.2%(292 men) as a whole, 58.6%(34 men) in Production Control Department I, 50.2%(120 men) in Stamping Tool Department, 46.9%(138 men) in Bus Department. 2) Lifting and earring work of individual workers were directly associated with low back pain. Frequency of lifting and carring work is higher in the Final Body Section(Production Dept. I) and Body I Section(Bus Dept.). 3) LBP group were more frequently involved in working in awkward position(Quality Control Section of Stamping Tool Dept.), bending(Body I Section of Bus Dept.) and twisting posture(Sash Section and Body I Section of Bus Dept.). 4 )Workers exposed to vibration during working shows the higher complaint rate of low back pain.

• 대한산업공학회지
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• 제31권4호
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• pp.289-296
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• 2005

This study aims to measure maximum holding times(MHTs) of symmetric and asymmetric whole body postures, and to compare three representative observational methods including OWAS, RULA, REBA, based on the MHTs. An experiment was conducted for obtaining the MHTs, in which hand position was used as experimental variable, and the MHT and subjective discomfort rating as dependent variables. The hand position was defined by the percentage of the shoulder height(%SH), the percentage of the arm reach(%AR) and rotation angle(R). The results showed that three independent variables of %SH, %AR and R significantly affected on the MHTs at ${\alpha}$=0.01, and that the MHTs were negatively linearly related to the discomfort scores of Borg CR10. It was also revealed that OWAS and REBA were less sensitive to postural stress than RULA. In addition, OWAS and REBA underestimated postural load of given postures compared to RULA. Therefore, it is recommended that among the three observational methods investigated in this study, RULA be used for a more precise evaluation of postural load.

• 대한산업공학회지
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• 제24권2호
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• pp.167-173
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• 1998

Many workers like welders work in squatting postures with the object on the ground during an entire work shift. It is suspected that such prolonged squatting without any supporting stool would gradually cause musculoskeletal injuries to workers. This study is to examine the physical stress caused by the prolonged squatting and to recommend a safe work/rest schedule for a welding task with squatting posture based on the lab experiments. In this study, 8 healthy student subjects participated in the experiment. They maintained a squatting work posture for 16 minutes with 4 different stool height conditions: no stool; 10cm height; 15cm height; and 20cm height. Every 2 minutes, the discomfort was subjectively assessed with the magnitude estimation method for the whole body, lower back, upper leg and lower leg. Based on discomfort ratings, we found that a 10cm height stool relieved the workload most. Discomfort rating results also indicated that a 20cm height stool showed the highest workload, and the there were no difference in workload between a 15cm height stool and no stool. We recommend to use low height stools and to maintain such working postures no longer than 6 minutes for prolonged squatting tasks.

• 한국생활과학회지
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• 제6권2호
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• pp.145-155
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• 1997

The purpose of this study is to analyze the body type of children's, especially torso, and to provide the fundamental data for children's clothing construction which can reflect the characteristics of their bodies. The subjects for photographic measurements are 308 elementary school children aged from 6 to 8 living in Seoul and urban area. Anthropometric measurements were performed indirectly from the pictures of subjects. The data were analyzed statistically using SPSSWIN. The results obtained from this study are as follows: 1. Through one-way ANOVA, items for heights, breaths, weight reveals the significant differences according to ages and genders. 2. Through Pearson correlation, it turns out that there are high correlation between any items of heights, but there is no correlation for item of shoulder inclination with any other items. 3. Through factor analysis of principal component model, six factors were extracted which covers 83.6% of the whole information. The first factor represents the items of heights which relates with linearity. The second factor describes the items of breaths, depths, and weight in relation with laterality. The third factor were gathered with depths of front and back in relation with posture of side, which proves as important one to characterize the children's torso. The other factors represents the items of posture of neck, depths in neck, shoulder inclination, respectively. 4. Through one-way ANOVA in factor by group, and Scheffe multi comparison test for each group, the factor 1 that is related with linearity reveals the significant differences according to ages and genders.

• 대한인간공학회지
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• 제25권4호
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• pp.145-151
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• 2006

The objective of this study is to investigate the perceived discomfort for postures combined with shoulder flexion/extension and elbow flexion, and external load. 12 healthy male undergraduate and graduate students participated in this experiment. Experimental variables were the shoulder flexion/extension angle(-20°, 0°, 45°, 90°, 135°), the elbow flexion angle (0°, 45°, 120°), and the external load(0, 1.5Kg, 3Kg) as independent variables and a whole body perceived discomfort using Borg's CR10 as a dependent variable. The subjects maintained the given posture for 60 seconds and then rated the perceived discomfort. The ANOVA results showed that all main factors and two-way interactions were statistically significant at α=0.05. As a result of regression analysis to examine the effect of external load on the perceived discomfort, the perceived discomfort linearly increased as the level of external load increased. Then, the effect of external load on the perceived discomfort was quantitatively classified into three levels based on the result of regression analysis.

• 한국의상디자인학회지
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• 제13권4호
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• pp.79-91
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• 2011

This study divided school age by considering a change in the stage of body growth by age in elementary schoolgirls with the use of body scan data, and considered by comparing body size characteristics by school age. Elementary schoolgirls' body shape cannot be divided clearly. However, ages 7-10 were bound into the same group for the majority of girth, width, and thickness items. 7-8 years old, 9-10 years old, and 11-12 years old were bound into the same group in most items except ages 9 and 10 for the height item. Thus, significant difference was indicated between groups. Accordingly, this study divided the school age into three periods such as early stage(ages 7-8), middle stage(ages 9-10), and late stage(ages 11-12) in consideration of the stages for elementary schoolgirls' body-shape growth. As a result of analyzing body size according to division of school age, the higher school age leads to continuous growth. The notable growth was indicated especially in the middle stage and late stage. Examining centering on typical items related to the clothing construction, there was notable increase in waist thickness and hip thickness between early and middle stages and in height, weight, breast girth, waist circumference, back length, breast width, and waist width between middle and late stages. On the other hand, hip circumference, hip width, breast thickness, and length between shoulder edges were indicated to grow relatively and evenly among early, middle, and late stages. The lateral form was shown a clear difference in the forms of early, middle, and late stages in height and length of the whole body shape and in side thickness. The early and middle stages belong to body shape that abdomen is projected to be curved. The late stage showed right body shape which is straight and stable form in posture.