• 대한방사선기술학회지:방사선기술과학
• /
• 제29권4호
• /
• pp.267-274
• /
• 2006

초음파영상에서 담낭내의 종양(tumor)과 담석(GB stone)을 확인하기 위하여 환자의 체위(position) 변동에 의한 움직임 유무를 확인하는 것은 매우 중요하다. 보통 간담도계의 초음파 검사는 환자를 바로누운자세(supine)에서 시행되고 있으며 담낭결석은 후방음영(acoustic shadow)을 나타내는 초음파영상의 특성으로 쉽게 구분하고 있으나, 모든 결석이 후방음영을 나타내는 것은 아니므로 체위변동과 같은 방법을 취하여 확인할 수 있는 것이다. 또 개인에 따라 담낭의 모양이나 위치의 다양성을 고려할 때, 담낭내의 결석이나 담니 그리고 종양 등의 다른 병변과 구별진단할 수 있는 영상정보를 제공한다는 것은 매우 중요한 것이다. 담낭내에 다양하게 위치하고 있는 결석에 대하여 환자체위변동(supine, Lt. down decubitus, $30^{\circ} LAO. sitting and hand-knee)에 따른 결석의 이동상태를 영상으로 기록하고 결석과 종양을 쉽고 빠른시간내에 비교적 정확하게 구별할 수 있는 초음파 영상체위를 확인하였다. 담낭경부(neck), 체부(body), 저부(fundus)에 위치하고 있는 한 개 또는 여러 개의 결석이 환자의 Hand-knee 체위에 100%가 이동하여 담낭결석증과 용종(polyp)과 같이 구별을 뚜렷하게 나타낼 수 있었다. 담낭결석의 위치에 따라 결석의 이동은 완전하게 움직이지 않아 종양과 유사한 유형으로 나타났으나 hand-knee 체위에서는 담낭내 결석위치에 관계없이 모두 이동되어 종양성 질환과 쉽게 구분 할 수 있었다. 본 연구를 시행함에 있어 담낭의 종양성 질환과 같이 체위변화에 따라 이동이 없을 경우 hand-knee 체위로 반드시 확인할 필요가 있다고 판단된다.GD값이 가장 높았다. 그러나 target/filter의 조합이 다양하게 바뀐 CM에서는 두께나 glandularity에 따른 AGD의 곡선이 가장 완만하게 증가하였으며, AGD값이 가장 낮았다. 이와 같이 두께와 glandularity가 증가함에 따라 target/filter의 조합이 Mo/Mo에서 Mo/Rh으로 더 증가하면 Rh/Rh으로 바뀌는 것이 AGD의 증가량이 적어 환자의 피폭선량 측면에서 바람직하다. 따라서 유방촬영에서 환자의 피폭선량을 평가하기 위해서는 검출효율 외에도 여러 가지 촬영 변수가 중요한 역할을 한다.었다. (p<0.05) (9) 조사대상주부들은 시판제품의 가장 개선해야 할 점으로 위생성(37.0%), 가격(23.8%), 포장(15.6%), 맛(11.1%), 저장성(10.1%) 및 색(2.4%) 등의 순으로 지적하였고 주부의 거주지에 따라 대도시에 거주할수록 위생성을, 농어촌에 거주할수록 가격을 가장 개선해야 할 점으로 보는 경향이었다. (p<0.05)3.2%는 채소에는 cholesterol이 함유되어 있지 않으므로 채식이 건강에 좋다고 하였다. 또한 질병치료에 유효한 채소는 당근 등 42가지, 질병을 유발시키는 채소는 고사리 등 10종을 지적하였으며 이들은 과학적 증명이 가능하거나 민간요법으로 전해지고 있는 내용이다. 이상과 같이 덕성여자대학교 평생교육원에 다니는 주부의 채소 소비 형태에 대하여 살펴보았는데 가공된 채소반찬과 김치의 구입은 현재까지 일반화되지 않고 있음을 알 수 있으나 김치보다 채소반찬의 구입경험이 더 많은 것으로 나타났다. 본 논문은 덕성여자대학교 평생교육원에 다니는 주부를 대상으로 하였으나 앞으로 다양한 계층의 주부를 대상으로 하여 폭 넓은 채소소비에 관련된 연구가 이루어져야 한다고 사료된다.할 경우 적정 첨가

• 대한통합의학회지
• /
• 제7권4호
• /
• pp.33-41
• /
• 2019

Purpose : The muscle strength of iliopsoas (IL) was measured commonly in sitting position with hip and knee flexed 90°. However, there is no study to determine the muscle strength of IL in various test positions. Therefore, the purpose of this study was to compare the muscle strength of IL and muscle activity of rectus femoris (RF) according to test position and knee flexion angle. Methods : Twenty healthy subjects were participated for this study. The muscle strength of IL and muscle activity of RF were measured by hand-held dynamometer and surface electromyography during maximum voluntary isometric contraction (MVIC) of IL, respectively. The muscle strength of IL and muscle activity of RF was measured in 4 conditions as follows; 1) knee flexion angles 90 ° in supine, 2) 130 ° in supine position, 3) 90 ° in sitting, 4) 130 ° in sitting. Each condition were performed randomly by three repetitions. Results : The muscle strength of the IL was the main effect on the test position and knee flexion angle (p<.05), and the muscle activity of RF was the main effect only on the knee flexion angle (p<.05). There was also no interaction between the factors (p>.05). In supine position, the muscle strength of IL in knee flexion 130 ° was significantly less than that in knee flexion 90 ° (p<.0125). In knee flexion 90 °, the muscle strength of IL in supine position was significantly greater than that in sitting position (p<.0125). The muscle activity of RF in knee flexion 130 ° was significantly less than that in knee flexion 90 ° in supine and sitting positions (p<.0125). Conclusion : When the muscle strength of IL was measured in clinic and sports fields, the supine position with knee flexion 130 ° was recommended to prevent the muscle activation of RF and to maintain the trunk stability.

• 대한물리의학회지
• /
• 제15권3호
• /
• pp.127-133
• /
• 2020

PURPOSE: The study examined the relationship between the knee function score and knee strength and muscular endurance of an elite female handball athletes according to their position in the team. METHODS: Thirty handball athletes participated on the study: 12 front positions, 12 back positions, and five goalkeepers. The knee function score consisted of symptoms, pain, daily activity, sports and recreation, and quality of life. In addition, CSMI (Cybex, USA) was used to measure the strength and muscular endurance of the knee. The muscular strength and muscular endurance were measured at an angular velocity of 60°/s and 180°/s, respectively. RESULTS: The overall items of the knee function score showed a significant difference (p = .017), and goalkeepers had significantly higher scores than the back positions. In addition, significant differences were observed in all five items depending on the position (p ≤ .05). On the other hand, both the flexor and extensor muscles of the knee strength and muscular endurance were not significant. Moreover, there was no correlation between the knee function score and the knee strength and muscle endurance. CONCLUSION: Elite female handball athletes have different knee functions score depending on their position in the team, but the, strength and muscular endurance of the knee were similar for each position. Furthermore, the knee function score showed no correlateion with the strength and muscular endurance of the knee.

• 한국의류학회지
• /
• 제22권2호
• /
• pp.257-266
• /
• 1998

This study was conducted to examine the changes of the mechanical properties of the position in jean slacks during the wear, previously used for the wearing test, which were subjected to repeated tensile-shearing deformation using a simulated fatigue tester has been investigated and compared, by calculating both mechanical properties and hand value(HV) of these fabrics with KES-F system and the by obtaining the THV through these calculated properties. The results are as follows. 1. The fatigue phenomenon of mechanical properties was the LT, 2H B, 2HBS, MMD, SMD, RC values increased, elasticity values of tensile, bending and shearing properties, such as B, G and compression properties LC, WC were reduced. It was shown, then, that those fabrics lost their elasticity and became flexible and soft with the increase of fatigue. 2. The hand value and THV; except anterior knee from all part of KOSHI, NUMERI, FUKURAMI was decreased. 3. The fatigue phenomenon of hand value was different on the position of clothing; on the position of hip, rate of B, G smaller than other parts and KOSHI was decreased, on the part of anterior thigh was FUKURAMI was increased, on the anterior knee RC, NUMERI, THV was increased, on the posterior knee was 2HB, 2HG, 2HGS showed increasedgreater than any other part and on the hem of back, MMD was increased, but NUMERI was decreased. 4. The changing process of mechanical properties in the simulation testing by the fatigue tester has similar tendency to that of the wearing tester. It is concluded that this testing method is useful to predict the fatigue phenomena of fabrics caused by wearing.

• 한국전문물리치료학회지
• /
• 제29권2호
• /
• pp.117-123
• /
• 2022

Background: Push-up are effective exercises for shoulder stability. Previous studies have documented the effects of support plane and hand position and width on muscle activities during a push-up. Objects: This study aimed to investigate the changes in muscle activities in the upper extremity when performing the standard and the knee-flexed push-up with different hand shapes. Methods: A total of twenty-six healthy males participated in this study. Three different hand shapes (finger abduction, finger adduction, and fists) and two types of push-up posture (standard and knee-flexed push-up) were set as the independent variables. Electrograms were used to measure the muscle activity of the upper trapezius (UT), triceps brachii (TB), pectoralis major (PM), and serratus anterior (SA). Each participant performed the randomly assigned push-up to the sound of the metronome. The mixed-effect linear regression model was used to detect the changes in muscle activities after changing the hand shape and push-up posture. Statistical significance was set at α = 0.05. Results: The UT muscle activity was statistically significantly higher when performing push-up with fists than finger abduction (p = 0.035) or finger adduction (p = 0.044). During the standard push-up, the muscle activity in all muscles was that the push-up with fists showed the highest muscle activity compared to the finger abduction (p < 0.01) and finger adduction (p < 0.01). Regardless of the shape of the hand, UT had the lowest muscle activity compared to other muscles (p < 0.001). In contrast, the SA muscle had the highest muscle activity among four muscles during the standard push-up. Conclusion: Based on the results of this study, we suggest hand shape is related to the difficulty level of push-up either in the standard or the knee-flexed push-up, especially in the push-up with fists. In addition, knee push-up can be recommended as shoulder muscle-strengthening exercises for individuals with low shoulder muscle strength.

• 한국전문물리치료학회지
• /
• 제3권3호
• /
• pp.32-43
• /
• 1996

The purpose of this case study was to introduce functional electrical stimulation(FES) for paraplegic patients. FES provides the ability to rise from sitting to standing, maintenance of a standing position, and the ability to walk with a reciprocal gait. Six channels of electrical stimulation are sufficient for synthesis of a simple reciprocal gait pattern in these patients. During the double-stance phase, knee extensor muscles of both knees are stimulated, providing sufficient support for the body. Only one knee extensor muscle group is excited during the single-stance phase. The swing phase of the contralateral lower extremity is accomplished by eliciting the synergic flexor muscle response through electrical stimulation of afferent nerves. The transition from the double-stance phase to the swing phase is controlled by two hand switches used by the therapist or built into the handles of the walking frame for using by the patient. A twenty-five years old male was with a T9/T9 spinal cord injury due to a traffic accident and admitted to Yonsei Rehabilitation Hospital for comprehensive treatment. After 30 days of training using the Parastep(R) he was able to stand for 10 minutes. After 43 days, he was able to walk and at discharged he could walk for 100 meters.

• 대한정형외과학회지
• /
• 제53권6호
• /
• pp.478-489
• /
• 2018

슬관절의 골관절염 환자에서 슬관절 전치환술은 통증 경감 및 기능 회복에 도움이 되는 치료법으로 많이 시행되고 있다. 최근 수술 술기 및 과학 기술의 발달로 인하여 내비게이션 장치를 이용하여 슬관절 전치환술 후 하지 정렬과 치환물의 위치 및 정렬을 호전시키려는 노력이 지속적으로 이루어지고 있다. 이러한 내비게이션 장치를 이용할 경우 수술 중에 신전, 굴곡 시 내외측 간격, 하지 및 치환물의 정렬에 대하여 실시간 추적이 가능하다는 장점이 있다. 하지만 고식적인 방법에 비해 추적기 사용에 따른 추가적 절개로 인한 감염 및 골절 등의 합병증 발생 가능성이 있고 수술 시간이 길어지는 단점 및 비용 부담 등이 지적되어 왔다. 지금까지 많은 연구들이 진행되어 왔으나 임상적 효용성에 대해서는 아직까지 논란이 있다. 하지만 많은 연구들에서 관상면 상에서 역학적 축 내, 외반 $3^{\circ}$이내의 정렬 빈도를 높여주는 것으로 보고되고 있다. 이번 종설에서는 내비게이션 장치를 이용한 슬관절 전치환술의 수술 방법 및 수술 시 주의사항, 최근 연구들의 임상적 결과 및 방사선적 결과, 내비게이션 장치의 유용성과 최근 동향에 대하여 기술하고자 한다.

• 제어로봇시스템학회:학술대회논문집
• /
• 제어로봇시스템학회 2003년도 ICCAS
• /
• pp.215-219
• /
• 2003

In this paper, we generate a trajectory minimized the energy gait of a biped robot for walking a staircase using genetic algorithms and apply to the computed torque controller for the stable dynamic biped locomotion. In the saggital plane, a 6 degree of freedom biped robot that model consists of seven links is used. In order to minimize the total energy efficiency, the Real-Coded Genetic Algorithm (RCGA) is used. Operators of genetic algorithms are composed of a reproduction, crossover and mutation. In order to approximate the walking gait, the each joint angle is defined as a 4-th order polynomial of which coefficients are chromosomes. Constraints are divided into equality and inequality. Firstly, equality constraints consist of position conditions at the end of stride period and each joint angle and angular velocity condition for periodic walking. On the other hand, inequality constraints include the knee joint conditions, the zero moment point conditions for the x-direction and the tip conditions of swing leg during the period of a stride for walking a staircase.

• 한국운동역학회지
• /
• 제16권4호
• /
• pp.39-47
• /
• 2006

This study long jump action to each situation on a chessboard and section of sight disabled person and normal person through third dimension reflex analysis mechanical special quality because do comparative analysis sight disabled person's exercise ability and technology structure of action that run understand. As can do better without danger of injury map and training of exercise item that action that run is included, do offer of pabulum by purpose. Through this study, conclusion is as following. 1. Sight disabled persons' long jump average recording (121.84cm) showing normal persons' average recording (259.27cm) and much differences, show that motion of body is not big to Touch-down from Ready action. 2. Each phase body center composition(r) average speed displayed result that it is more meaning more than Each phase time required. 3. Began in line carriage without body back stretching in 1 situation on Event one are sight disabled persons. Was expose that do not bend enough knee and ankle than normal person in Event two. Was expose that body is not drooped for surface of land in Event three, and knee and ankle were expose that do not unfold easily than normal person. Was expose that do not bend enough on Touch-down knee by relation that can not grasp position of the floor in Event four. 4. When taking off, the average of horizontal speed of body center are 1.80m/sec for blind people and 3.53m/sec for the normal. In this connection, the study shows that the difference of horizontal speed between the blind and the normal is bigger than difference of vertical speed, which are 1.56m/sec for the blind and 1.98m/sec for the normal. Also, composite speed also shows us big difference between 2.41m/sec of the blind and 4.07m/sec of the normal. The speed body center of take-off was expose that average adjuster are big width of deceleration than average - beginning disabled person's average by 2.23m/sec - 1.71m/sec in the vertical speed. 5. If examine change of high and low for z Sign of right hand, change of high and low showed as is small than normal person is sight obstacle, and all hand movements are small and was expose that do not use enough reaction of body as well as in ready action.

• 한국엔터테인먼트산업학회논문지
• /
• 제14권4호
• /
• pp.365-370
• /
• 2020

본 연구의 목적은 라이프케어 증진을 위한 슬링교각운동 시 슬링스트렙의 위치에 따라 다리에서 발생되는 부하량을 정확히 측정하는 것이다. 이를 위해 신체 건강한 20대 남자대학생 10명이 본 실험에 참여하였다. 바로 누운 자세에서 양쪽 무릎과, 발목에 슬링스트렙을 걸고 교각운동을 실시할 때 무릎과 발목에 전달되는 부하량을 측정하였다. 연구 결과 양쪽 무릎을 지지한 상태에서의 슬링교각운동이 양쪽 발목을 지지한 상태에서의 슬링교각운동에서보다 아래로 누르는 부하량이 통계학적으로 더 크게 발생하는 것을 확인할 수 있었다. 반면 양쪽 무릎간, 양쪽 발목간 부하량은 통계적으로 유의한 차이가 나타나지 않았다(p>.05). 본 연구결과는 슬링교각운동 시 다리에 걸리는 부하를 객관적으로 측정하였다는데 의의가 있으며, 슬링운동 시 운동강도 설정에 도움이 될 것으로 사료된다.