• Journal of the Korean Orthopaedic Association
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• v.54 no.1
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• pp.1-8
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• 2019

Globally, the elderly population is increasing rapidly, which means that the number of deformity correction operations for elderly spine deformity patient has increased. On the other hand, for aged patients with deformity correction operation, preoperative considerations to reduce the complications and predict a good clinical outcome are not completely understood. First, medical comorbidity needs to be evaluated preoperatively with the Cumulative Illness Rating Scale for Geriatrics or the Charlson Comorbidity Index scores. Medical comorbidities are associated with the postoperative complication rate. Managing these comorbidities preoperatively decreases the complications after a spine deformity correction operation. Second, bone densitometry need to be checked for osteoporosis. Many surgical techniques have been introduced to prevent the complications associated with posterior instrumentation for osteoporosis patients. The preoperative use of an osteogenesis inducing agent - teriparatide was also reported to reduce the complication rate. Third, total body sagittal alignment need to be considered. Many elderly spine deformity patients accompanied degenerative changes and deformities at their lower extremities. In addition, a compensation mechanism induces the deformed posture of the lower extremities. Recently, some authors introduced a parameter including total body sagittal alignment, which can predict the clinical outcome better than previous parameters limited to the spine or pelvis. As a result, total body sagittal alignment needs to be considered for elderly spine deformity patients after a deformity correction operation. In conclusion, for elderly spine deformity patients, medical comorbidities and osteoporosis need to be evaluated and managed preoperatively to reduce the complication rate. In addition, total body sagittal alignment needs to be considered, which is associated with better clinical outcomes than the previous parameters limited to the spine or pelvis.

• Journal of Digital Convergence
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• v.16 no.11
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• pp.543-551
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• 2018

This study investigated the effects of corrective exercise and TECAR on cervical alignment, pain threshold, and pain in forward head posture patients. The subject includes 30 forward head posture patients. In the intervention methods, the experimental group combined corrective exercise and TECAR treatment. Only the corrective exercise was applied to the control group. Assessments were made on cervico vertebra angle (CV angle), pain pressure threshold (PPT) and neck disability index (NDI) visual analog scale (VAS). The intervention was conducted six times a week for two weeks. Both groups showed significant differences in CV angle, PPT, NDI, and VAS. Also, PPT, NDI, and VAS excluding CV angle were significantly improved in the study group compared to the control group. These results suggest that the intervention method that combines corrective exercise and TECAR treatment has a more positive effect on pain and ADL ability of forward head posture patient.

• Journal of the Korean Applied Science and Technology
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• v.37 no.6
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• pp.1556-1566
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• 2020

The purpose of this study was to investigate the effect of Nurida-Ball exercise on isokinetic muscle function, spinal alignment, and dynamic balance capacity in middle-aged men. All middle-aged men(n=16) were divided into 2 groups: Ball exercise(BE, n=8) and control(CON, n=8) group. BE group performed the Nurida-Ball exercise(30 min/day, 3 days/week, 8 weeks) and isokinetic knee and trunk muscle function, spinal alignment, and dynamic balance capacity were measured. All of the measured variables calculated the mean and standard deviation and verified normality using the Shapiro-Wilk test. The independent t-test method and the Paired t-test method were then analyzed to identify differences between groups. This study found that isokinetic knee and trunk muscle function was significantly strengthened in the BE compared with CON group by increasing peak torque(PT) of right and left knee extension(60°/sec, p<0.01, respectively), average power(AP) of right and left knee extension(60°/sec, p<0.05, p<0.01, respectively), and PT of right knee flexion(180°/sec, p<0.05) and AP of right knee extension(180°/sec, p<0.05). In the change of isokinetic trunk muscle function, only PT of trunk extension(180°/sec) was increased in the BE compared with the CON group(p<0.05). In addition, Nurida-ball exercise can improve the spinal alignment by reducing the trunk inclination(p<0.05) in the BE compared with the CON group. Finally, dynamic balance capacity was also enhanced in the BE compared with the CON group by decreasing the score of overall balance index(OBI, p<0.01) and Antero-posterior balance index(p<0.05) in the Stage-6, and OBI(p<0.05) in the Stage-1. This result demonstrated that Nurida-ball exercise may improve spinal alignment, dynamic balance capacity, and isokinetic muscle function, which might be an effective way for the improvement of health-related fitness in middle-aged men.

• Journal of Convergence for Information Technology
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• v.9 no.8
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• pp.243-247
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• 2019

The purpose of this study was to determine the effect of climbing exercise program on the spinal alignment and balance ability of students in 20's. The subjects of this study were 30 university students. Experimental group was performed climbing program combined with upper and lower extremity pattern for three times per week, during six weeks. A Self-efficacy questionnaire was used assess the self-confidence, individdual confidence, or belifes in specific tasks. The results of comparison of variations in each group showed that there was a significant difference in the training group(p<0.05). Climbing exercise program combined with upper and lower extremity pattern is effective for improvement of the self-efficay. So, these study results will be useful as reference date for improvement of the self-efficay.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.2
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• pp.962-969
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• 2014

This study investigated the patterns and correlations of spinopelvic alignments in in middle school and high schools students of Gyeongnam areas in Korea using rasterstereography. Sixty-one subjects were recruited from May to October 2013, the average age of subjects was $16.40{\pm}2.20$ years. In the present results, PSIS ratio was statistically different between the sexes(male $21.15{\pm}2.40$%, female $23.41{\pm}3.28$%)(p<.01) and lordotic angle was statistically different between the sexes(male $33.44{\pm}8.46^{\circ}$, female $38.96{\pm}8.11^{\circ}$)(p<.001), but other parameters were not statistically different between the sexes. However, we verified that lordotic angle was significant correlation separately with pelvic tilt(r=.348), kyphotic angle(r=.609). Surface rotation was significant correlation separately with kyphotic angle(r=-.278), lordotic angle(r=-.256), trunk inclination(r=.493). These finding could be used as basic data research to confirm normal pattern of spinopelvic alignment and balance in health adolescents, and might help understand adolescents with structure problem in spine and pelvis.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.12
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• pp.224-229
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• 2019

This study was undertaken to provide correct posture guidance and reference material for sports injury and injury prevention programs, by analyzing body alignment and plantar pressure distribution in high school baseball players. Totally, 32 subjects were enrolled for the study. Body alignment was measured from the trunk imbalance, kyphotic angle, lordotic angle, pelvic tilt, and pelvic torsion. Foot pressure was measured from the left maximum pressure, right maximum pressure, left weight, and right weight. The mean and standard deviation of the measured factors were calculated and tabulated, and the correlation between body alignment and foot pressure distribution was analyzed using Pearson's correlation analysis. All statistical significance levels were set at 0.05. Body alignment and foot pressure distribution show a positive correlation between the lordotic angle of lumbar spine and the left maximum pressure. There was no correlation between trunk imbalance, kyphotic angle, lordotic angle, pelvic tilt, pelvic torsion, and the left·right weight distribution and the left·right maximum pressure of each foot. Results of this study determined that the increase of the lordotic angle of lumbar spine results in more force on one side of the foot, thereby increasing the maximum pressure. We believe our data could be a reference for exercise programs on physical alignment and plantar pressure distribution of athletes.

• Journal of Digital Convergence
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• v.13 no.1
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• pp.331-339
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• 2015

The purpose of this study is to evaluate utility of rotating adjustment using Xsight spine tracking system in 3D DOF location adjusting method, to minimize error between 6D DOF and 3D DOF in fiducial tracking system. In this study, the result of 6D DOF target location error is $0.124{\pm}0.058mm$, using fiducial inside tumor 3D DOF $0.673{\pm}0.142mm$, outside tumor $1.126{\pm}0.253mm$, apply with Xsight spine tracking system 3D DOF $0.542{\pm}0.103mm$. As the experiment shows, it was demonstrated that rotating adjustment through Xsight spine tracking system is valuable in case of treatment in 3D DOF location error that makes increasing accuracy and dose distribution each approximately 48% and 3%. In accordance with result of this study is useful rotation.

• The Journal of the Korea Contents Association
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• v.22 no.3
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• pp.576-585
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• 2022

In determining the cause of dysmenorrhea, it is necessary to investigate postural alignment and balance. The purpose of this study is to compare and analyze whether there is a difference in posture alignment and foot pressure balance according to the dysmenorrhea degree. The subjects were twenty female students in their 20s, who had pain caused by dysmenorrhea. According to the degree of dysmenorrhea, the subjects were divided into mild and severe groups. In the results, there was a significant difference only in shoulder height asymmetry angle between the mild and severe groups (p<0.05), and there was no significant difference in pelvic and knee joint alignment. In the correlation analysis, there was a significant positive correlation between the dysmenorrhea score (MDQ) and shoulder height asymmetry angle was found. These results indicate that dysmenorrhea symptom and asymmetric alignment of shoulder are related. To analyze these factors, further research will need to investigate the correlation between dysmenorrhea and spinal alignment.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.3
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• pp.181-188
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• 2019

Purpose: This study was performed to determine the effects of a gluteus maximus strengthening exercise on both spinal alignment and dynamic balance in subjects with kyphosis. Methods: We measured the kyphosis angle of 150 subjects and selected those whose kyphosis angle was > $50^{\circ}$. The participants included 10 male and 12 female college students. After a gluteus maximus strengthening exercise was applied, the subjects were measured by the formetric 4D and Biorescue systems. The collected data were analyzed by a paired t-test with the SPSS (Ver. 21) program for spinal alignment and dynamic balance comparisons both before and after the gluteus maximus strengthening exercise was completed. Results: The results regarding spinal alignment showed statistically significant decreases in pelvic tilt, kyphotic angle, and lordotic angle after the intervention (p < .05). However, trunk imbalance, pelvic torsion, surface rotation, and lateral deviation were not significantly different after the exercise. The results of the dynamic balance showed statistically significant increases in limits of stability after the exercise (p < .05). Conclusion: The above results suggest that the implemented gluteus maximus strengthening exercise may be effective for spinal alignment and dynamic balance in subjects with kyphosis.

• Journal of the Korea Society of Computer and Information
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• v.25 no.8
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• pp.145-150
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• 2020

Forward head posture is one of the most recognized types of poor head and neck alignment. Poor head and neck alignment posture is a major contributor to compromised balance and neck pain, due to abnormal joint position sense and proprioception. Kinesio taping is an intervention method used clinically for the management of pain. Kinesio taping may produce its effects through pain reduction, stimulation of blood circulation, induction of muscle relaxation which provides correction of joint position, and providing stability to the muscles and joints without limiting the range of motion. Many studies have proved that kinesio taping has positive effects on the reduction of pain and improves alignment, on the other hand, some studies have not found. Kinesio taping may provide immediate pain relief and improved alignment following the application, but there is insufficient evidence to support sustained relief beyond that time and they recommended future studies to examine the benefits of kinesio taping as this would have a greater value in clinical practice. Therefore, this study is to investigate the effects of kinesio taping on the alignment of head posture and dynamic balance ability in people with forward head posture.