• Hip & pelvis
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• 제36권1호
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• pp.12-25
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• 2024

Protrusio acetabuli, or abnormal protrusion of the femoral head into the acetabulum, requires performance of a total hip arthroplasty (THA) for which various reconstruction techniques and outcomes have been described. The aim of this systematic review is to provide a comprehensive analysis of the current evidence, evaluate treatment efficacy, compare surgical techniques, and identify topics for future research along with improving evidence-based decision-making, improving patient outcomes in the management of this condition. A thorough systematic review of the PubMed, Embase, Cochrane Library databases, and Scopus library was conducted, and articles describing techniques of THA for treatment of protrusion acetabuli were extracted. The initial search generated 751 results. After exclusion, 18 articles were included. Of these, eight were prospective studies and 10 were retrospective. Surgery was performed on 783 hips with a mean age of 60 years; 80% of females who mostly had inflammatory arthritis were followed up for 8.86 years (range, 2-15.4 years). Good outcomes have been achieved with THA using uncemented cups with bone graft; however, no conclusion could be drawn with regard to the femoral side. It can be concluded that the concept of restoration of the anatomical hip center of rotation is paramount for good outcome and better survival of the implant is important when using uncemented cups with a bone graft. In addition, screw augmentation for fixation is not recommended unless absolutely necessary. The most common complications were aseptic loosening and heterotopic ossification. While the former required revision, conservative management was administered for the latter.

• 대한정형외과학회지
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• 제56권2호
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• pp.125-133
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• 2021

목적: 고관절 전치환술 후 발생한 장요건 충돌 환자에서 관절경적 장요건 절단술이 유용한 방법인지 알아보기 위하여 임상 결과에 대하여 조사하였다. 대상 및 방법: 2013년 9월부터 2019년 12월까지 고관절 전치환술 후 지속되는 서혜부 통증 및 굴곡 시 통증을 호소하는 18명(19예 고관절)의 환자를 대상으로 하였다. 평균 연령 60세(범위, 50-69세)의 환자들에서 고관절 전치환술 후 증상발현까지는 평균 4개월(범위, 1-9개월)이 소요되었으며, 18명 환자 중 13명에는 직접전방접근법, 5명에는 측방접근법을 통한 고관절 전치환술이 시행되었다. 병력청취, 신체 검사, 혈액검사, 단순 방사선촬영과 컴퓨터 단층촬영을 이용한 영상 검사, 그리고 국소주사치료를 통하여 장요건 충돌을 진단하였다. 이들 모든 환자는 관절경적 처치를 시행받았고, 역동적 신체 검사를 통하여 술장 내에서 충돌이 이루어짐을 확인하였으며, 근육부위까지 도달하도록 관찰된 건 부위 모두에 대하여 건절단술을 시행하였다. 수술 전, 후, 추시기간의 증상 및 통증 정도에 대하여 조사하여 비교하였다. 결과: Western Ontario and McMaster Universities Osteoarthritis Index 점수는 술 전 평균 58.4점(범위, 40-88점)에서 술 후 평균 35.0점(범위, 15-76점)으로 감소하였다. 시각통증등급도 마찬가지로 술 전 평균 4.0 (범위, 2-6)에서 술 후 평균 1.4 (범위, 0-4)로 감소하였다. 16명(88.9%)에서 통증 경감 및 하지거상 시 통증의 호전을 보였으며, 2명에서는 통증 잔존과 술 후 근력 약화를 보였다. 이후 추시기간에서 근력 약화는 호전되었다. 1명의 경우 소전자부에서 장요건 건절단술을 시행하였으나 증상이 지속되었으며, 관절부에서 한 차례 더 건절단술 시행 후 임상증상의 호전을 보였다. 결론: 고관절 전치환술 후 발생한 장요건 충돌에서 고관절 관절경을 이용한 장요건 건절단술은 양호한 임상 결과를 보였다.

• 패션비즈니스
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• 제11권4호
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• pp.135-151
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• 2007

This study is human body measurement of 200 adult males in their 20s by both direct and indirect methods in order to reveal the representative male upper body types. Composition factors of body types were classified while the combination of direct-indirect measurement values was chosen. The following are the findings: 1) The analysis of direct-indirect measurement statistics showed the following results: 173.80cm (height), 69.87kg (weight), 95.58cm (chest girth), $24.67^{\circ}$ (right shoulder angle), and $9.34^{\circ}$ (shoulder width angle). 2) The factor analysis of the body types by direct measurement produced 5 factors: 1 (front length of upper body), 2 (front length of upper body), 3 (back length of upper body), 4 (circumference of upper body), and 5 (shoulders length). These factors accounted for 90.08%. Also, the cluster analysis of factor scores led to 3 types: 1 (33%, short, comparatively wide shoulders and full in the hips), 2 (25.1%, well-developed upper body in tall, inversed triangle), 3 (41%, average height, short upper body). 3) The body-type factor analysis by indirect measurement resulted in 6 factors with the explanation of 83.24%: 1 (rear upper bady thickness), 2 (front upper body width), 3 (front chest thickness), 4 (left-right shoulder angle), 5 (front width of protrusion distance in chest and shoulders), and 6 (neck's front-rear side angle).In addition, the cluster analysis of factor scores brought about 4 types: 1 (15%, well-developed front chest, beardless waist), 2 (23.5%, flat chest, with shoulder, drooping shoulders, strait neck), 3 (39%, with shoulder, curved back), and 4 (22.5%, narrow and thin, curved waist). 4) Among the 118 subjects (75%), 58 subjects commonly appearing in indirect measurement values group and direct measurement values group were chosen the representative body type group according to asterisk indexes. They had the highest frequency in direct type 3 and indirect type 3, whose combination represented the physical characteristics of the representative body types.

• 한국전문물리치료학회지
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• 제10권3호
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• pp.29-40
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• 2003

The purpose of this study was to compare the muscle activity during a push-up on a suspension sling and a fixed support at the same level. Tests were performed on 15 male subjects. Electromyography using a surface EMG recorded the activity of the triceps, pectoralis major, and internal and external oblique muscles during each push-up. EMG activity was recorded at 0, 45, and 90 degrees of elbow flexion in the push-up position on a suspension sling or a fixed support at the same height above the floor (30 cm). The testing order was selected randomly. The subjects were asked to maintain the push-up position with straight knees, hips, and trunk for 5 seconds at each elbow angle. The mean root mean square (RMS) of EMG activity was calculated. EMG activity was normalized using the maximum voluntary isometric contractιn elicited using a manual muscle testing technique. Two-factor repeated measures analysis of variance (ANOVA) was used to compare the average RMS value of EMG activity for each condition. The EMG activity for the pectoralis major, and internal and external oblique muscles during a push-up on a sling was significantly higher than on a fixed support at all angles of elbow flexion (p<.01). There were significant differences in the EMG activity of the pectoralis major and triceps brachii muscles at difference angles of elbow flexion (p<.05). The pectoralis major muscle had the highest EMG activity at 90 degrees of elbow flexion on both the sling and fixed support. The triceps brachii muscle had the highest EMG activity at 45 degrees of elbow flexion on both the sling and fixed support. The internal and external oblique muscles had the highest EMG activity at 0 degrees of elbow flexion, although the difference with angle of flexion was not significant. These results suggest that to improve proximal and trunk stability and muscle strength, push-ups are more useful when performed on a suspension sling than On a fixed support.

• 패션비즈니스
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• 제14권1호
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• pp.11-26
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• 2010

This study was carried out using personal measurement for female college students who have a great interest in fashion at 20-24 age, and examined somatotype character. As a means of a character type test, the grades were laid by using MBTI which proved to be objective, and relativity between character types was laid by conducting correlation analysis. The conclusions which can be drawn from this study are as followed. 1. In 4 preference index, which was classified by MBTI, Sensing(S) type was the highest of 17.27% at the average and 68.5% at the distribution rate each. The average of Extraversion(E) type was 14.56% and it's distribution rate was 64.5%. Index of types were : Intuition(N) 12.49%, Introversion(I) 11.75%, Perceiving(P) 12.50%. Average distribution rate of each types were : N 31.5%, I 35.5%, P 40.3%. And average of Sensing(S) type was the lowest, 11.09%. Like American Students, the subjects of this study showed higher in the E type than in the I type. The distribution rate of 16 character types of MBTI were : ESTJ 18.5%, ESFP 13.7%, ISTJ and ESFJ 9.7%. But INTP and INFP were low, 2.4% and 0.8%. 2. Average sizes of subjects for this study were : height 160.49cm, weight 51.83kg, bust 83.22cm, waist 65.49cm, hips 90.70cm. As compared with measurement of women at 20-24 age of Size Korea(2004), the subjects of this study showed less, about 0.2-5cm in height, 0.2-2cm in circumference except in waist, and 0.5-3.6cm in length. 3. After examining the relativity between personal measurement categories of the subjects and character type through the MBTI, Extraversion(E) type showed inverse correlation in stature, height, biacromial breadth, and subcutaneous fat thickness of posterior iliospinale. Contrary to the E type, the Introversion(I) type showed positive correlation. Sensing(S) type showed inverse correlation only in biacromial breadth, Intuition(N) type showed positive correlation in most categories including height, width and the subcutaneous fat thickness. Thinking(T) type showed positive correlation in bust point-bust point, chest depth and hip width. Feeling(F) type, on the other hand, showed inverse correlation. The Judging(J) type showed inverse correlation in stature, height, length and the parts of chest. In contrast, Perceiving(P) type showed positive correlation in other categories including biacromial breadth, same as the J type.

• 한국운동역학회지
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• 제12권2호
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• pp.131-142
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• 2002

본 연구의 목적은 유도 경력이 2년(2~3단) 이상인 유단자 5명을 대상으로 전방낙법 동작시 3차원 영상 분석법을 이용하여 운동학적 변인의 특성을 규명하는데 그 목적이 있다. 운동학적 변인은 시간 거리 변인들이었으며, 각 변인별 평균치와 표준편차를 구하여 유도 전방낙법 동작의 운동학적 변인을 분석한 결과 다음과 같은 결론을 얻었다. 전방낙법 동작시 손목각은 낙법직전자세에서 낙법자세까지는 신전되었고, 낙법자세에서 낙법직후자세까지는 굴곡되는 패턴을 보였으며 손목의 좌 우각은 변위차이를 보였다. 팔꿈치각은 준비자세에서 낙법직후자세까지 굴곡되는 패턴이었고, 발목각은 준비자세에서 반동자세까지는 굴곡되었으며 점핑자세에서 변환자세까지 신전, 낙법직전자세와 낙법직후자세에서는 굴곡 패턴이었다. 매트와 어깨와의 거리(높이)는 낙법직전자세에서 32.2cm, 낙법자세에서는 18.3cm, 낙법직후자세에서는 20.5cm 이었다. 매트와 엉덩이와의 거리(높이)는 낙법직전자세에서 48.0cm, 낙법자세에서는 23.4cm, 낙법직후자세에서 30.6cm이었다.

• 한국콘텐츠학회논문지
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• 제14권2호
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• pp.430-441
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• 2014

본 연구는 간호대학생의 근골격계 질환에 대한 지식 및 태도, 그리고 잘못된 생활습관자세의 정도를 확인하고 그 관계를 규명하기 위한 목적으로 시행된 서술적 조사연구이다. 본 연구는 2013년 9월 2일부터 17일까지 구조화된 질문지를 이용하여 진행되었으며, 수집된 간호대학생 272명의 자료는 t-test, one-way ANOVA, Pearson's correlation coefficient 등을 통해 분석되었다. 연구 결과는 다음과 같다. 첫째, 점수가능범위 1~5점 중 근골격계 질환에 대한 지식은 2.75점, 근골격계 질환에 대한 태도는 3.24, 잘못된 생활습관자세는 3.21점으로 나타났으며, 잘못된 생활습관자세 중 소파에 눕는 자세, 가방을 한쪽 어깨에 메는 자세, 다리를 꼬아서 앉는 자세가 다른 자세들에 비해 높은 점수를 나타냈다. 둘째, 잘못된 생활습관자세 중 옆으로 누워서 자는 자세, 허리를 구부리고 물건을 드는 자세, 의자에 등을 붙이지 않고 엉덩이를 걸치고 앉는 자세만이 근골격계 질환에 대한 지식 및 태도와 유의한 음의 상관관계를 나타냈다. 본 연구 결과가 간호대학생들의 잘못된 생활습관자세 교정의 필요성에 대한 이해를 높이고, 이들의 근골격계 건강증진을 위한 프로그램 개발 시 지식 및 태도 측면을 강화시킬 수 있는 중재 전략의 기초자료로서 활용될 수 있기를 기대한다.

• Journal of Yeungnam Medical Science
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• 제11권2호
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• pp.284-292
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• 1994

1992년 12월부터 1994년 6월까지 영남대학교 의과대학 부속병원 정형외과에 내원한 대퇴골두무혈성 괴사 환자 28명, 31 고관절에 대해 시행한 경전자간 회전 절골술의 결과는 다음과 같다. 1. 대상 환자는 한명을 제외하고는 모두 남자였으며, 평균 연령은 44.3세로 삼, 사십대가 대부분이었다. 2. 무혈성 괴사의 원인은 과다한 음주에 의한 것이 18례로 가장 많았고, 괴사의 정도는 Ficat와 Arlet의 분류에 의하면 II a가 16례로 가장 많았다. 3. 절골술 후 고정 방법으로는 screw가 15례, DHS가 16례였고, 고정 방법에 따른 대퇴경간각의 변화로는, screw를 사용한 경우는 술전에 비해 내반고 되는 경향을 보였고, DHS를 사용한 경우는 외반고 되는 경향을 보였다. 4. 술전 대퇴골두 측면 방사선 사진에서 측정한 대퇴골두 전체 관절면에 대한 건전한 관절면의 비는 1/3이하가 8례, 1/3 이상이 23례(74%)이었다. 5. 술후 고관절의 전후면 방사선 사진에서 측정한 비구의 체중 부하면에 대한 전위된 건전한 대퇴골두의 관절면 비는 36% 이상이 24례(78%), 21-35%가 6례, 20% 이하가 1례였다.

• 보건교육건강증진학회지
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• 제22권4호
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• pp.245-256
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• 2005

The purpose of this study is to research the situation and related knowledge and behavior of Korean beauty artists on their musculoskeletal disorders and the factors on them. It was researched by questionnaire from March 1 to May 31, 2003, and the subjects were 984 of beauty artists who were working as hair designers, skin care specialists, and make-up artists over 1 year in big cities including Seoul, Daegu, Busan and Gwangju. The analyzation was done by frequency, percentage, $x^2-test$, t-test. The results can be summarized as follows; 1. As for their degree of pain according to part of their body, the highest was shoulder as 88.3%, and next were neck(cervical region) as 83.2%, waist as 77.6%, and wrist(hand) as 71.8%, in order. 2. The level of knowledge on the muscloskeletal disorder was 65.6 points on the basis 100points. As for their level of protective behavior and knowledge on the disorders of musculoskeletal system according to their educational experience, the higher educational level they had the higher knowledge level they showed, as 42.6% of 'high', 30.4% of 'medium', and 27.0% of low; and as for degree of performing the protective behavior, they showed the higher protective behavior level when they had the higher educational level. 3. As for their level of knowledge on disorders of musculoskeletal system according to their general uniqueness as beauty artists, they showed statistical significance on the field of their marriage status, educational degree, specialized field, and numbers of customers they manage; and as for the degree of their protective behavior, they showed statistical significance in the field of age, marriage status, specialized field, and rank in their jobs. 4. The level of protecting behavior on the muscloskeletal disorder was 57.4 points on the basis 100points. As for their degree of pain on each part of their body according to their protective behavior and knowledge on musculoskeletal system, it had statistical significance on their elbows and hips, and the less pain they showed when the higher knowledge they had; it had statistical significance on their neck(cervical region), shoulders, backs, waists, knees and ankles(feet) according their protective behavior, and the less pain they showed when the higher level of protective behavior they did.

• 대한의료기공학회지
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• 제11권1호
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• pp.236-261
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• 2009

'Jeom-hyeol-gigong(點穴氣功)' gives a drill, Gi(氣) as a place to jam. This pathogen(邪氣) is removed. Given the low places and supplement it energy to flow up the well is the cure. This is an internal organ and muscular Gi allows a natural flow. Blood, one that moves and guides Gi is Gi I still feel that it makes any blood, making you feel good in life is flowing with vitality. Gi driving our whole body, while supplying vital energy and blood circulation, helping to defend the body is functioning. 'Jeom-hyeol-gigong' principle of Gi where the blockages to flow naturally energy is to let the flow. Aura of the voluntary and proactive action will be to have healthy bodies. Gi as a whole-body blood circulation leading to the cells in each tissue to supply energy and nutrients to every cell as the original principles of free activities that will maximize your life. Gi to prevent the three causes Internal causes: 5 greed and 7 emotions External causes: climate, food, pathogens, stress, etc. The internal nor the external causes: internal and external factors that cause the complex elements, incorrect position of the bone caused by an imbalance Heart disease will be police officers and raise their resistance to disease than the body, what jung-gi(正氣) have to develop. Beneficial to human body's resistance to raise the jung-gi people young-gi(營氣) and wi-gi(衛氣) should be enhanced. If the form is perfectly possible, Gi cycle itself should not have to breathe. Abdominal diagnosis 'bok-su-ap-an-beop(伏手壓按法)', 'sam-ji-tam-an-beop(三指探按法)' hands are like this, which outlined five viscera in order to understand the problem, the lower side of the clavicle (lung), the pit of stomach (Heart), both the lower ribs (liver), navel below (kidney) can be diagnosed at such areas. In each area of the skin, abdominal muscle tension, aching, or pressing a fuss about, beating the ruling of the state and the problem is a clue. And mo-hyeol(募穴) and certain Acupressure group, the chest, back, belly, so that scattered around each' book 'of the problem can be found. This is also the target of such a diagnosis, such as shape, color of skin, muscle Mostly the scope of the pitch in the cervical spine is broad across the hips. sugi(手氣) method that 'an method(按法) and 'ma method(摩法), bak method(拍法) is.