• 제목/요약/키워드: 슬관절 각도

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Effects of Angle and Direction of Maximal Isometric Contraction of Non-Hemiparetic Knee on Electromyographic Activity of Hemiparetic Quadriceps Femoris in Patients With Stroke (뇌졸중 환자의 비마비측 슬관절 등척성 수축시 각도와 운동 방향이 마비측 대퇴사두근 활성도에 미치는 영향)

  • Ki, Kyong-Il;Kim, Suhn-Yeop;Oh, Duck-Won;Choi, Jong-Duk;Kim, Kyung-Hwan
    • Physical Therapy Korea
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    • v.17 no.2
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    • pp.1-9
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    • 2010
  • To develop effective training methods for strengthening a weakened quadriceps femoris muscle in hemiplegic patients, we examined the effects of maximal isometric contraction of the nonparalyzed knee joint on the electromyographic activities of the paralytic muscle. An electromyogram (EMG) was used to record the electromyographic activities of the paralytic quadriceps femoris muscle in 27 hemiplegic patients. The maximal isometric contraction was measured for each subject to normalize the electromyographic activities. The maximal isometric extension and flexion exercises were randomly conducted when the knee joint angles of the nonparalyzed knees were $0^{\circ}$, $45^{\circ}$, and $90^{\circ}$. The patients were encouraged to maintain maximal isometric contractions in both knee joints during each measurement, and three measurements were taken. A one-minute rest interval was given between each measurement to minimize the effects of muscle fatigue. An average from the three values was taken as being the root mean square of the EMG and was recorded as being the maximal isometric contraction. The electromyographic activity obtained for each measurement was expressed as a percentage of the reference voluntary contraction, which was determined using the values obtained during the maximal isometric contraction. The results of this study are summarized as follows: First, when the knee joint angle of the nonparalyzed knee was $0^{\circ}$, the electromyographic activities of the paralytic medial aspect of rectus femoris were related to measurement by a maximal isometric flexion exercise than by an extension exercise (p<.05). Second, when the knee joint angle of the nonparalyzed knee was $90^{\circ}$, the electromyographic activities of the paralytic lateral aspect of rectus femoris were related to measurement by a maximal isometric flexion exercise than by an extension exercise (p<.05). The results show that myoelectrical activities of paralytic quardriceps were not related to measurement angles and exercise directions of the nonparalized knee joint. Studies on various indirect intervention to improve muscular strength of patients with nervous system disorders of the weakened muscle should be constantly conducted.

The Correlation Analysis through the Contact Stress and the Curvature Radius according to Flexion Angle for the Design of Unicompartment Knee Replacement (반치환 슬관절의 설계 평가를 위한 굴곡각도에 따른 곡률반경과 접촉응력의 상관도 분석)

  • Lee, YongKyung;Yoo, OuiSik;Kim, JaeWon;Lim, Dohyung;Jung, TaeGon;Kim, JungSung
    • Journal of Biomedical Engineering Research
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    • v.37 no.6
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    • pp.215-221
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    • 2016
  • Conformity between the femoral component and tibial insert within the knee replacement may be measured in frontal or sagittal view, and shows differences in the curvature radius of the femoral component depending on the flexion angle, i.e., curvature radius has a complex effect on contact stress. Therefore, it is essential to confirm how the curvature radius effects contact stress, and provide an important variable to reduce contact stress. This study correlated contact stress with curvature radius measured in frontal and the sagittal views and confirmed the effect of curvature radius for assessment of the Newly Designed Unicompartment Knee Replacement (NDUKR). Finite element models were constructed for NDUKR and $Zimmer^{(R)}$ Unicompartment High Flex Knee Replacement system (ZUKR), incorporating the curvature radius as measured in either frontal or sagittal view. The femoral component had 1200N of compressive load applied approximately 1.65xbody weight. Contact stress was predicted at flexion angles $0^{\circ}C$, $30^{\circ}C$, $60^{\circ}C$, $90^{\circ}C$ and $120^{\circ}C$, for NDUKR: 42, 47.7, 47.7, 51.2, and 54.1 MPa, and ZUKR: 41.2, 49.5, 53.2, 54.3, and 57.4 MPa, respectively. Correlation analysis showed the influence of curvature radius measured from the sagittal view was larger than for frontal view.

Study on Lower Extremities Activities Pattern of ADL and Treadmill Gait According to Harness Body-Weight Support Percentages (일상생활 동작 및 하네스 체중지지율에 따른 트레드밀 보행 시 하지 패턴에 관한 연구)

  • Song, S.M.;Yu, C.H.;Kim, K.;Kim, J.J.;Song, W.K.;Hong, C.U.;Kwon, T.K.
    • 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.

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Analysis of Lower Extremity Muscle Activation According to Squat Type during Whole-Body Vibration (전신진동 운동 시 스쿼트 형태에 따른 하지근육의 근활성 효과 분석)

  • Lee, Dae-Yeon
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.371-376
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    • 2018
  • The purpose of this study is to clarify the effects of whole-body vibration and to provide scientific basis for effective exercise by analyzing the differences in lower extremity muscle activation according to squat position during whole body vibration. In this study, muscle activation during whole-body vibration was measured in 10 healthy males in their 20s with no orthopedic conditions during standing posture, deep squat, half squat, and heel raise squat. Muscle activation was compared by measuring the root mean square (RMS) with electromyography electrodes attached to lateral gastrocnemius, tibialis anterior, vastus lateralis, and biceps femoris. The vibration intensity was applied in combinations of the volumes of 50 and 80 and the frequencies of 10, 25, and 40 Hz in each posture. The results showed that there were differences in muscle activations of external gastrocnemius, tibialis anterior, and vastus lateralis among the position(p<.05). The heal raise squat was found to have a high muscle activation effect.

Professional Nursing Quality Assurance (전문직 간호의 질적보장)

  • Kim, Hea-Sook
    • Journal of Korean Academy of Nursing
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    • v.22 no.2
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    • pp.248-259
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    • 1992
  • 질적 보장은 전문직 종사자에 의하여 수혜받는 대상자를 보호하기 위하여 전적으로 필요한 프로그램이다. 이러한 질적보장을 통하여 전문직의 자율성과 책임을 튼튼히 할 수 있는 의무는 전문직 종사자 모두의 관심사가 되어야 한다. 미국에 있어서 질적 간호에 대한 관심은 이제 새로운 이유가 아니다. Beyers(1988)는 건강체계 지도자 사이에 가장 중요한 문제로 강조하는 것이 수혜자의 이용의 용이성(Access), 숫가(Cost) 그리고 질적인 제공(Quality)이 라고 피력 하였다. 미국 건강사업 평가자와 조정자(Regulator)들은 질(Quality)을 위한 자율적인 프로그램에 많은 에너지를 투입하여 전반적인 건강사업 즉 의료계의 질보장, 더 나아가서는 간호의 질을 향상 시키기 위한 많은 프로그램을 분석 연구한다. 이 논문은 간호에 있어서 질적 보장을 위한 내용으로 주요점은 질적 보장에 사용되는 용어, 역사적 배경, 질적 보장을 강조하는 이유, 질적 보장제도의 개발, 질 사정(euali assessment)과 질적 보장에 있어서 간호 전문직 개입을 차례대로 설명하였다. 구미의 경우 1970년대부터 간호직에 있어서는 질적보장제도개발에 우선순위를 두게되어 미 간호협회에서는 Professional Standards Review Organizations (PSRO)에 근거하여 간호실무를 위한 표준을 내어놓았다. 질적보장을 위한 평가방법으로 구조, 과정, 결과 그리고 수혜자가 간호계획을 세우는데 사정에 참여하는 방법 등 4가지를 간략하게 설명하였다. 질적 보장을 향상시키기 위해서는 전문직과 공공의료기간이 서로 협동체가 되어 중추역할을 해야함을 강조하고 이렇게 서로 협력하므로써만이 비로서 우리의 목적을 성취할 수 있다고 생각된다.구 등이 이용된다. $^{166}$ Ho, $^{198}$ Au, $^{32}$P, $^{90}$ Y, $^{169}$ Er, $^{186}$ Rc, $^{131}$ I, $^{211}$ At 등 의 방사성 핵종의 교질, 미소구 또는 단세포군 항체표지 형태로 직접 종양내 또는 공동이나 체강에 투여하는 치료법이 있다. 류마치스 관절염의 슬관절에 $^{165}$ Dy colloid를 주사하는 $^{166}$ Ho-MAA도 활발히 이용되고 있다. and computed groundwater levels. 본 논문에서는 가파른 산사면에서 산사태의 발생을 예측하기 위한 수문학적 인 지하수 흐름 모델을 개발하였다. 이 모델은 물리적인 개념에 기본하였으며, Lumped-parameter를 이용하였다. 개발된 지하수 흐름 모델은 두 모델을 조합하여 구성되어 있으며, 비포화대 흐름을 위해서는 수정된 abcd 모델을, 포화대 흐름에 대해서는 시간 지체 효과를 고려할 수 있는 선형 저수지 모델을 이용하였다. 지하수 흐름 모델은 토층의 두께, 산사면의 경사각, 포화투수계수, 잠재 증발산 량과 같은 불확실한 상수들과 a, b, c, 그리고 K와 같은 자유모델변수들을 가진다. 자유모델변수들은 유입-유출 자료들로부터 평가할 수 있으며, 이를 위해서 본 논문에서는 Gauss-Newton 방법을 이용한 Bard 알고리즘을 사용하였다. 서울 구로구 시흥동 산사태 발생 지역의 산사면에 대하여 개발된 모델을 적용하여 예제 해석을 수행함으로써, 지하수 흐름 모델이 산사태 발생

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Petrochmical study on the Volcanic Rocks Related to Depth to the Benioff Zone and Crustal Thickness in the Kyongsang Basin, Korea: A Review (경상분지 화산암류의 지화학적 연구. 섭입대(베니오프대)의 깊이와 지각의 두께)

  • Jong Gyu Sung
    • Economic and Environmental Geology
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    • v.32 no.4
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    • pp.323-337
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    • 1999
  • Late Cretaceous to early Tertiary volcanic rocks in the Kyongsang basin exhibit high-K calc-alkaline characteristics, and originated from the magmatism related genetically to subduction of Kula-Pacific plate. They represent HFSE depletion and LlLE enrichment characteristics as shown by magmas related to subduction. Early studies on the depth of magma generation has been estimated as 180-230 km based on K-h relation should be reevaluated, because the depth of peridotite partial melting with 0.4 wt. % water is 80-120 km at subduction zone, and subducting slab in premature arc can melted even lower than 70 km. Moreover the increase of potassium contents depends on either contamination of crustal material and fluids of subducting slab or low degree of partial melting. If the inclination of subduction zone is 30 degrees and the depth to the Benioff zone is 180-230 km, the calculated distance between the volcanic zone and trench axis would be 310-400 km. It is unlikely because the distance between the Kyongsang basin and trench during late Cretaceous to early Tertiary is closer than this value and not comparable with generally-accepted models in subduction zone magmatism. $K_{55}$ of the volcanics in the Kyongsang basin is 0.3-2.3 wt.% and the average indicate that the depth ranges between 80-170 km on the diagram of Marsh, Carmichael (1974). Fractionation from garnet lherzolite, assumed the depth of 180-230km, is not consistent with the REE patterns of the volcanoes in the Kyongsang basin. Futhermore, the range of depth suggested by many workers, who studied magmatism related to subduction, imply shallower than this depth. Crustal thickness calculated by the content of CaO and $Na_2O$ is about 30 km and about 35 km, respectively. Paleo-crustal thickness during late Cretaceous to early Tertiary times in the Kyongsang basin inferred about 30 km calculated by La/Sm versus LaJYb data, which is also supported by many previous studies.

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Sports Biomechanical Analysis of Physical Movements on the Basis of the Patterns of the Ready Poses (준비동작의 형태 변화에 따른 신체 움직임의 운동역학적 분석)

  • Lee, Joong-Sook
    • Korean Journal of Applied Biomechanics
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    • v.12 no.2
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    • pp.179-195
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    • 2002
  • The purpose of this research is to provide a proper model by analyzing the sports biomechanical of physical movements on the basis of the two patterns(open-stance and cross-stance) at the ready-to-start pose. The subjects for this study are composed of five male handball players from P university and five female shooting players from S university. Three-way moving actions at start(right, left, and forward) are recorded with two high-speed video cameras and measured with two Force platforms and a EMG system. Three-dimensional action analyzer, GRF system, and Whole body reaction movement system are used to figure out the moving mechanisms at the start pose. The analytic results of the moving mechanism at the start pose were as follows. 1. Through examining the three-way moving actions at start, I have found the cross-stance pose is better for the moving speed of body weight balance than the open-stance one. 175 degree of knee joint angle at "take-off" and 172 degree of hip joint angle were best for the start pose. 2. The Support time and GRF data shows that the quickest center of gravity shift was occurred when cross-stanced male subjects started to move toward his lefthand side. The quickest male's average supporting time of left and right foot is 0.19${\pm}$0.07 sec., 0.26${\pm}$0.06sec. respectively. The supporting time difference between two feet is 0.07sec. 3. Through analyzing GRF of moving actions at start pose, I have concluded that more than 1550N are overloaded on one foot at the open-stance start, and the overloaded force may cause physical injury. However, at the cross-stance pose, The GRF are properly dispersed on both feet, and maximum 1350N are loaded on one foot.

The Effect of Cyclic Load on Different Femoral Fixation Techniques in Anterior Cruciate Ligament Reconstruction (전방십자인대 재건시 이식건의 대퇴골측 고정에 대한 주기성인장부하의 효과)

  • Song Eun-Kyoo;Kim Jong Seok
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.1
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    • pp.28-36
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    • 2003
  • Purpose: To determine and to compare the effects of cyclic loading on the fixation strength of different femoral fixation methods in ACL reconstruction. Materials and Methods: Biomechanical test using an Instron(R) machine (Model No.5569. Mass, U.S.A) were carried out to compare the pull out strength of six different femoral fixation techniques after a cyclic loading in 72 Yorkshire pig knees. The graft-bone complex was cyclically loaded between 30N and 150N at 50 mm/min rate for 1000 cycles and maximal tensile testing was performed. A preload of 30N was applied to the graft along the axis of the tunnel 15 minutes. ANOVA and the Duncan multiple comparison test was used for the statistical analysis. Results: The mean maximum tensile strength of femoral fixation before and after the cyclic loading test were 1003.4$\pm$145N and 601.1$\pm$154N in hamstring-LA screw(R) group, 595.5$\pm$104N and 360.7$\pm$56N in hamstring-Bioscrew(R) group, 1431.7$\pm$135N and 710.7$\pm$114N in hamstring-Semifix(R) group, 603.6$\pm$54N and 459.1$\pm$46N in hamstring-Endobutton(R) fixation group, 1067.4$\pm$145 and 601.8$\pm$134N in the BPTB-Titanium interference screw group, and 987.1$\pm$168N and 588.7$\pm$124N in the BPTB-Bioscrew(R) group. And these data illustrated that cyclic loading reduces the maximum tensile strength by 40 $\%$, 39 $\%$, 50 $\%$, 24 $\%$, 44 $\%$, 40 $\%$ respectively. Conclusions: With the results of these experiments it should be emphasized that rehabilitation exercises after anterior cruciate ligament reconstruction should be executed with precaution as the repetitive flexion and extension of the knee would compromise the maximum tensile strength of the graft tendon.

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Socioeconomic Determinants of Suicide Rate in Korea (경제적 양극화와 자살의 상관성: 1997년 외환위기를 전후하여)

  • Eun, Ki-Soo
    • Korea journal of population studies
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    • v.28 no.2
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    • pp.97-129
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    • 2005
  • Korean society recently witnesses a rapid lllcrease of suicide across all ages. In particular, suicide in old ages jumps up ill a very unexpected way. Furthermore, the order of suicide in the cause of death across all ages is becoming higher and higher in Korea. This study provides details of suicide that occurs in Korean society with the comparison to that of Japan at the descriptive level. It is not well known why suicide in Korean surges recently. Several previous research show the possibility that surging suicide is closely related to the worsened economic conditions especially since the economic crisis in 1997. They adopt economic growth, unemployment rate, income distribution, household finance index as economic indicators in their research. This study also adopts those indicators and conducts a correlation analysis in two periods, 1990-1997 and 1998-2004. It is found that there is no correlation between economic indicators and suicide in the period of 1990-1997. On the other hand, there is a very strong correlation between income distribution and suicide in the period of 1998-2004. Other economic indicators except income distribution does not have any significant correlation with suicide. This finding suggests that currently increasing suicide in Korea may be a result of economic polarization, which has been worsened since the economic crisis in 1997.