• The Journal of Korean Physical Therapy
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• v.13 no.3
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• pp.643-651
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• 2001

Osteoarthritis(OA) is a widespread, slowly developing disease with a high prevalence rate increasing with age. The most common big joints involved in OA is the knee, where the disease particulary strikes, causing difficulties in rising from a chair. climbing stairs, kneeling. standing, and walking. The primary complaints of these patients include pain, stiffness. instability, and loss of function. The purpose of this study was to assess the impact of self-reported symptoms and limited flexion, and limited extension on functional impairment in patients with knee osteoarthritis. In the data collection, a total of 206 who had visited the physiotherapy unit at six different departments of orthopedics were interviewed in K City from June to September, 2000. The results of the study summarized are as fellows: 1. There was a significant difference among different degree group of limited flexion(p<0.05). A group difference was demonstrated between <5 ${\sim}$ 15 and 16 > (F=16.21, p<0.05). In the relationship between the degree of limited flexion and the level of functional impairment, the h igher the range of limited flexion, the lower the level of functional impairment. 2. In the relationship between the degree of limited extension and the level of functional impairment, a group difference was revealed between the non-limitation group and the <10 and 11 < However, no significant difference was noted between 11 ${\sim}$ 20 and 21 >(F= 13.37, p<0.05). In conclusion, finding above suggest that functional impairment is closely correlated with limited tlexion and extenion

• Journal of rehabilitation welfare engineering & assistive technology
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• v.9 no.1
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• pp.73-80
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• 2015

In this paper, we propose the robotic arm control method based on upper extremity electromyogram for lower upper extremity amputation patient. The muscle activity of the forearm flexor, forearm extensor and biceps was analyzed to utilize distribution of muscle activity to a specific position in order to the control input. This control input is converted into a control command for controlling the robotic arm through the algorithm. For the experiment and verify the proposed method, 5DoF robotic arm control system was constructed with 1 channel EMG Module and PC applications through the interworking with each module to perform a three-channel EMG analysis. For accuracy and performance evaluation of control, Experiments were performed with robotic arms moving objects. As a result of experiments which after training for 10 hours by middle 20's man, Validity of the proposed method was evaluated based an average accuracy of 92.5%.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.9 no.4
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• pp.319-329
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• 2015

The purpose of this paper is to analyze lower extremities pattern of daily activities and walking on the treadmill with passive body support system. The experiments will be used for basic research of developing active harness system. The experimental procedure has been validated on 5 healthy male subjects and we measured foot pressure and 8 section of lower limb muscles activities. The EMG results of ADL indicate that there have specific muscle activity patterns followed by each activities. The vastus lateralis muscle activities were highly seems on the activities that requires flection and extension of knee joint. The foot pressure value of stair descent activity was the highest due to the fact that it is come down to the direction of gravity. The results with the passive body weight support percentages show that the EMG and foot pressure values were declined according to increasement of the body weight support percentages. Therefore the body weight support system could apply gait rehabilitation system for various patients by changing the percentages of the body weight support.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.6 no.1
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• pp.59-65
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• 2012

In this study, muscle fatigue of biceps and triceps during isometric exercise depending on concentric contraction and eccentric contraction was evaluated using EMG. 12 healthy male volunteers was performed concentric exercise and eccentric exercise by maximum flection and extension of elbow joint. Integrated EMG (IEMG) in time domain and mean power frequency (MNF) in frequency domain were calculated. MNF of the biceps and triceps was decreased, whereas IEMG was increased during concentric contraction and eccentric contraction. But muscle fatigue index appeared higher at region of stretched muscle length. in this result, muscle fatigue occurs at both biceps and triceps muscle during concentric and eccentric exercise, and muscle fatigue was affected by muscle contraction and extension.

• The Journal of Korean Physical Therapy
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• v.13 no.1
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• pp.19-31
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• 2001

The twenty one individuals with total knee replacement who were admitted to Kang-Dong Hospital for comprehensive physical therapy were studied in order to demonstrate the effectiveness of an isokinetic test program using the Cybex 6000 machine. The subjects were divided into three groups with the isometric exercise group receiving isometric exercise. the isokinetic eccentric exercise group, and isokinetic eccentric exorcise group receiving isokinetic exercise(eccentric. concentric) to knee flexors and extensors muscles for a six weeks period using the Cybex 6000. The results were follow :1 . The peak torque was increased significantly in the flexors and extensors of the isokinetic conccentric exorcise among three groups(p<.05). 2. The progress of peak torque was increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups(p<.05). 3. The total work was more increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups(p<.05). 4. The progress of total work was more increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups(p<;.05). 5. The ratio of endurance was not increased significantly in all three groups. 6. The extensors in the peak torque was likely to recover rapidly than the flexors. 7.The average R.O.M in the pre-exercise and post-exercise was not different significantly in all three groups. According to the above results, In the muscle strength recovery for total knee replacement patients, isokinetic concentric exercise group was significantly greater than the isokinetic eccentric and isometric exercise groups after a six weeks training.

• Journal of Physiology & Pathology in Korean Medicine
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• v.26 no.4
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• pp.557-565
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• 2012

The purpose of this study was to examine the effect of acupuncture on trunk flexors compared with trunk extensors in patients with chronic low back pain. The experimental group was treated with acupuncture on trunk flexors. The control group was treated with acupuncture on trunk extensors. Acupuncture treatment was performed 12 sessions over the course of 6 weeks. Volunteers who satisfied the requirements were enrolled in the study. Chronic low back pain was evaluated based on the VAS for bothersomeness, VAS for pain intensity at every treatment and 8, 12 and 24 weeks after starting the treatments, and ODI, SF-36 and BDI before and after treatments and 8, 12 and 24 weeks after starting the treatments. The VAS score for bothersomeness significantly decreased after treatment for up to 24 weeks after starting the treatments in both group (p<0.05). The VAS score for bothersomeness in the experimental group decreased more rapidly than that of the control group with statistical significance (p<0.05). The VAS score for pain intensity, ODI, SF-36 and BDI significantly improved after treatment for up to 24 weeks after starting the treatments in both group (p<0.05). The VAS score for pain intensity, ODI, SF-36 and BDI in the experimental group showed more rapid improvement than those of the control group. But, there were no statistical significances. Treating trunk flexors using acupuncture was more effective in decreasing the degree of bothersomeness caused by chronic low back pain than treating trunk extensors with acupuncture. There is a need to perform further studies.

• Journal of Institute of Control, Robotics and Systems
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• v.16 no.10
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• pp.948-956
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• 2010

The purpose of this study was to test the effectiveness of a prototype KAFO (Knee-Ankle-Foot Orthosis) powered by two artificial pneumatic muscles during walking. We had previously built powered AFO (Ankle-Foot Orthosis) and KO (Knee Orthosis) and used it effectively in studies on assistance of plantaflexion and knee extension motion. Extending the previous study to a KAFO presented additional challenges related to the assistance of gait motion for rehabilitation training. Five healthy males were performed gait motion on treadmill wearing KAFO equipped with artificial pneumatic muscles to power ankle plantaflexion and knee extension. Subjects walked on treadmill at 1.5 km/h under four conditions without extensive practice: 1) without wearing KAFO, 2) wearing KAFO with artificial muscles turned off, 3) wearing KAFO powered only in plantaflexion under feedforward control, and 4) wearing KAFO powered both in plantaflexion and knee extension under feedforward control. We collected surface electromyography, foot pressure and kinematics of ankle and knee joint. The experimental result showed that a muscular strength of wearing KAFO powered plnatarfexion and knee extension under feedforward control was measured to be lower due to pneumatic assistance and foot pressure of wearing KAFO powered plnatarfexion and knee extension under feedforward control was measured to be greater due to power assistance. In the result of motion analysis, the ankle angle of powered KAFO in terminal stance phase was found a peak value toward plantaflexion and there were difference of maximum knee flexion range among condition 2, 3 and 4 in mid-swing phase. The current orthosis design provided plantaflexion torque of ankle jonit in terminal stance phase and knee extension torque of knee joint in mid-swing phase.

• Journal of the Korean Arthroscopy Society
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• v.7 no.1
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• pp.92-95
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• 2003

A 34-year-old man with ACL total rupture due to slip down injury, had received ACL reconstruction using autogenous hamstrings tendon with cross-pin femoral fixation. Postoperative course was as usual. But postoperative 3 months later, he complained posterolateral knee pain, recurrent effusion and mild instability. He was managed repeatitive aspiration and nonsteroid antiinflammatory drugs but was failed to relieve symptoms & signs. In CT scans, perforation of posteromedial femoral cortex of lateral femoral condyle was found. In second look arthroscopy, two pieces of broken femoral cross pin were found in between tibiofemoral Joint which was badly injured cartilage. We considered malposition of pins was the main cause of failure. We propose that femoral tunnel must be made more acute angle and femoral cross-pin guide must be positioned more external rotation 10-20 degree than transepicondylar axis made confirm the cross-pin tunnel position in order to avoid posterior cortex perforation and early failure.

• The Journal of the Korea Contents Association
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• v.11 no.11
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• pp.213-220
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• 2011

The purpose of the study was to evaluate the effects of sling exercise program on muscle activity and cervical spine curvature of person with forward head posture. The subjects, 25 students, were divided into two groups. This experiment was intended to examine the muscle activity and cervical spine curvature while the subjects had performed the exercises to do for 2 times/week and 4 weeks. The factors of FHP were measured cranial vertical angle, cranial rotation angle, muscular activity and cervical spine curvature. Cervical spine curvature measured craniovertical, craniocervical, cervicohorizontal and upper cervical angle. Collected data were statistically analyzed by SPSS 10.0. After experiment for 4 weeks period, results were as following: Both group was significant difference of the results according to the CVA. Exercise group are more effective to increase muscle activity (p<.05), but cervical spine curvature was no significant difference. This result, we could find out there was a significant correlation between sling exercise and muscle activity, CVA and CRA.

• Korean Journal of Applied Biomechanics
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• v.19 no.4
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• pp.689-696
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• 2009

This study was conducted to examine the effects of the lumbar stabilization exercise (LSE) on fall prevention in elderly females (n = 21) by measuring changes in the isometric strength, multifidus, transverse abdominis muscle thickness, and posture stability index. The strength of isometric contraction was measured by the 3-D Pegasus system ; the thickness of the multifidus and transverse abdominis were measured by using Sonoace 6000C, and the posture stability index was measured using a computerized Biodex Balance System SD apparatus analysis. These results lead us to the conclusion that flexion and extension, left rotation on strength of isometric contraction, and thickness of the transverse abdominis (when released) statically increased. Overall, the anterior/posterior and medial/lateral elements in the posture stability index statically decreased, Consequently, the LSE should the prevent falls in elderly females.