• 한국전문물리치료학회지
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• 제30권2호
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• pp.144-151
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• 2023

Background: The gluteus maximus (GM) muscle comprise the lumbo-pelvic complex and is an important stabilizing muscle during leg extension. In patients with low back pain (LBP) with weakness of the GM, spine leads to compensatory muscle activities such as instantaneous increase of the erector spinae (ES) muscle activity. Four-point kneeling arm and leg lift (FKALL) is most common types of lumbopelvic and GM muscles strengthening exercise. We assumed that altered hip position during FKALL may increase thoraco-lumbar stabilizer like GM activity more effectively method. Objects: The purpose of this study was investigated that effects of the three exercise postures on the right-sided GM, internal oblique (IO), external oblique (EO), and multifidus (MF) muscle activities and pelvic kinematic during FKALL. Methods: Twenty eight healthy individuals participated in this study. The exercises were performed three conditions of FKALL (pure FKALL, FKALL with 120° hip flexion of the supporting leg, FKALL with 30° hip abduction of the lifted leg). Participants performed FKALL exercises three times each condition, and motion sensor used to measure pelvic tilt and rotation angle. Results: This study demonstrated that no significant change in pelvic angle during hip movement in the FKALL (p > 0.05). However, the MF and GM muscle activities in FKALL with hip flexion and hip abduction is greater than pure FKALL position (p < 0.001). Conclusion: Our finding suggests that change the posture of the hip joint to facilitate GM muscle activation during trunk stabilization exercises such as the FKALL.

• Steel and Composite Structures
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• 제46권3호
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• pp.367-383
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• 2023

In this investigation, an improved integral trigonometric shear deformation theory is employed to examine the vibrational behavior of the functionally graded (FG) sandwich plates resting on visco-Pasternak foundations. The studied structure is modelled with only four unknowns' variables displacements functions. The simplicity of the developed model being in the reduced number of variables which was made with the help of the use of the indeterminate integral in the formulation. The current kinematic takes into consideration the shear deformation effect and does not require any shear correction factors as used in the first shear deformation theory. The equations of motion are determined from Hamilton's principle with including the effect of the reaction of the visco-Pasternak's foundation. A Galerkin technique is proposed to solve the differentials governing equations, which enables one to obtain the semi-analytical solutions of natural frequencies for various clamped and simply supported FG sandwich plates resting on visco-Pasternak foundations. The validity of proposed model is checked with others solutions found in the literature. Parametric studies are performed to illustrate the impact of various parameters as plate dimension, layer thickness ratio, inhomogeneity index, damping coefficient, vibrational mode and elastic foundation on the vibrational behavior of the FG sandwich plates.

• Geomechanics and Engineering
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• 제31권1호
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• pp.99-112
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• 2022

The present study examines the natural frequencies (NFs) of perfect/imperfect functionally graded sandwich beams (P/IP-FGSBs), which are composed of a porous core constructed of functionally graded materials (FGMs) and a homogenous isotropic metal and ceramic face sheets resting on elastic foundations. To accomplish this, the material properties of the FGSBs are assumed to vary continuously along the thickness direction as a function of the volume fraction of constituents expressed by the modified rule of the mixture, which includes porosity volume fraction represented using four distinct types of porosity distribution models. Additionally, to characterize the reaction of the two-parameter elastic foundation to the Perfect/Imperfect (P/IP) FGSBs, the medium is assumed to be linear, homogeneous, and isotropic, and it is described using the Winkler-Pasternak model. Furthermore, the kinematic relationship of the P/IP-FGSBs resting on the Winkler-Pasternak elastic foundations (WPEFs) is described using trigonometric shear deformation theory (TrSDT), and the equations of motion are constructed using Hamilton's principle. A closed-form solution is developed for the free vibration analysis of P/IP-FGSBs resting on the WPEFs under four distinct boundary conditions (BCs). To validate the new formulation, extensive comparisons with existing data are made. A detailed investigation is carried out for the effects of the foundation coefficients, mode numbers (MNs), porosity volume fraction, power-law index, span to depth ratio, porosity distribution patterns (PDPs), skin core skin thickness ratios (SCSTR), and BCs on the values of the NFs of the P/IP-FGSBs.

• 문화기술의 융합
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• 제10권1호
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• pp.465-470
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• 2024

주방 상부장은 수납공간이 넓고 작업 공간 활용도가 높다는 장점으로 인해 널리 사용되고 있지만 높은 곳에 설치되어 있어 고령자나 장애인이 접근하기 어려운 단점이 있다. 따라서 본 논문에서는 기존 상부장의 기능을 유지하면서 더욱 쉽고 안전하게 사용할 수 있도록 개별 층의 높이가 조절되는 새로운 방식의 상부장 구조를 제안한다. 효율적인 주방 공간 활용을 위한 상부장 설치 범위와 신체적 약자들이 접근할 수 있는 최대 높이를 고려하여 상부장 필요 하강 범위를 설정하였으며 선택한 개별 층이 최적의 경로를 따라 안전하게 하강할 수 있도록 기구설계 과정을 통해 적절한 복합 링크기구 형상과 치수 및 링크 구동 방법을 선정하였다. 또한, 모터 및 소프트웨어를 추가하여 간단한 버튼 조작으로 사용자가 원하는 높이로 내려올 수 있게 하였으며 실제 제작을 통해 제시된 승강형 링크기구의 안정성 및 높이 조절 성능을 검증하였다.

• 한국전문물리치료학회지
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• 제20권1호
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• pp.64-73
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• 2013

The purposes of this study were to develop a new orthosis controlling ankle and knee joint motion during the gait cycle and to identify the effects of the newly designed orthosis on gait kinematics and tempospatial parameters, including coordination of the extremities in stroke patients. Fifteen individuals who had sustained a stroke, onset was 16 months, participated in this study. Before application of the measurement equipment the subjects were accustomed to walking on the ankle-foot orthosis (AFO) or stance control knee with knee flexion assisted-oil damper ankle-foot orthosis (SCKAFO) for 5 minutes. Fifteen patients were investigated for 45 days with a 3-day interval between sessions. Measurements were walking in fifteen stroke with hemiparesis on the 3D motion analysis system. Comparison of AFO and SCKAFO are gait pattern. The difference between the AFO and SCKAFO conditions was significant in the gait velocity, step length of the right affected side, stance time of both legs, step-length asymmetry ratio, single-support-time asymmetry ratio, ${\phi}$-thigh angle and ${\phi}$-shank angle in the mid swing (p<.001). Using a SCKAFO in stroke patients has shown similar to normal walking speeds can be attained for walking efficiency and is therefore desirable. In this study, the support time of the affected leg with the SCKAFO was longer than with the AFO and the asymmetry ratio of single support time decreased by more than with the AFO. This indicates that the SCKAFO was effective for improving gait symmetry, single-support-time symmetry. This may be due to the decrease of gait asymmetry. Thus, the newly designed SCKAFO may be useful for promoting gait performance by improving the coordination of the extremity and decreasing gait asymmetry in chronic stroke patients.

• 한국운동역학회지
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• 제25권2호
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• pp.175-182
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• 2015

Objective : The purpose of this study was to investigate difference in fascicle behavior of the medial gastrocnemius during the locomotion with varying intensities, such as gait and one-legged and two-legged vertical jumping. Methods : Six subjects (3 males and 3 females; age: $27.2{\pm}1.6yrs.$, body mass: $62.8{\pm}9.8kg$, height: $169.6{\pm}8.5cm$) performed normal gait (G) at preferred speed and maximum vertical jumping with one (OJ) and two (TJ) legs. While subjects were performing the given tasks, the hip, knee and ankle joint motion and ground reaction force was monitored using a 8-infrared camera motion analysis system with two forceplates. Simultaneously, electromyography of the triceps surae muscles, and the fascicle length of the medial gastrocnemius were recorded using a real-time ultrasound imaging machine. Results : Comparing to gait, the kinematic and kinetic parameters of TJ and OJ were found to be significantly different. Along with those parameters, change in the medial gastrocnemius (MG) muscle-tendon complex (MTC) length ($50.57{\pm}6.20mm$ for TJ and $44.14{\pm}5.39mm$ for OJ) and changes in the fascicle length of the MG ($18.97{\pm}3.58mm$ for TJ and $20.31{\pm}4.59mm$ for OJ) were observed. Although the total excursion of the MTC and the MG fascicle length during the two types of jump were not significantly different, however the pattern of length changes were found to be different. For TJ, the fascicle length maintained isometric longer during the propulsive phase than OJ. Conclusion : One-legged and two-legged vertical jumping use different muscle-tendon interaction strategies.

• 대한지역사회작업치료학회지
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• 제4권1호
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• pp.23-31
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• 2014

목적 : 본 연구는 정상 성인을 대상으로 일상생활활동 수행하는 동안 기존의 삼차원동작분석 장비와 가속도계에서 발생하는 변수를 동시에 측정하여, 기존의 삼차원동작분석 장비와 가속도계에서 측정된 값의 상관관계를 파악하고 가속도계의 활용 가능성을 제시하고자 하였다. 연구방법 : 성인 20명(남자 10명, 여자 10명)을 대상으로 전화하기, 물 마시기, 세수하기, 숟가락 사용하기를 수행하는 동안 피트미터(Model Fitmeter, Fit.Life, Korea)와 CMS-70P(Zebris Medizintechnik Gmbh, Germany)를 사용하여, 손목 관절과 팔꿉 관절에서 단일벡터크기(Signal Vector Magnitude: SVM) 합과 관절가동범위를 측정하였다. 결과 : 전화하기, 물 마시기, 세수하기, 숟가락 사용하기 수행 시 손목과 팔꿈치에서 발생하는 관절가동범위와 단일벡터크기 합은 과제에 따라 유의한 차이가 있었다(p<.001; p<.001; p<.001; p<.001). 관절가동범위와 단일벡터크기 합은 손목에서는 유의한 상관관계를 보이지 않았으나(p>.05), 팔꿈치에서는 유의한 상관관계를 보였다(p<.01; p<.001; p<.01; p<.05). 손목과 팔꿈치에서 발생하는 단일벡터크기 합의 차이는 전화하기와 세수하기는 손목과 팔꿈치에서 유의한 차이를 보였으나(p<.001; p<.05), 물 마시기와 숟가락 사용하기는 손목과 팔꿈치에서 유의한 차이를 보이지 않았다(p>.05; p>.05). 결론 : 가속도계는 일상생활활동의 역학적 변수를 측정할 때 유용하게 사용할 수 있을 것으로 생각되며, 손목보다는 팔꿈치에서 가속도계가 삼차원동작분석 장비의 기능을 대체할 수 있을 것으로 사료된다.

• Journal of Korean Neurosurgical Society
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• 제46권6호
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• pp.532-537
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• 2009

Objective : Recently, motion preservation has come to the forefront of emerging technologies in spine surgery. This is the important background information of the emergence of cervical arthroplasty as an alternative to arthrodesis that offers the promise of restoring normal spinal movement and reduces a kinematic strain on adjacent segments. The study was designed to evaluate early surgical outcome and radiological effects of $Bryan^{(R)}$ cervical disc prosthesis. Methods : The authors retrospectively reviewed radiographic and clinical outcomes in 52 patients who received the $Bryan^{(R)}$ Cervical Disc prosthesis, for whom follow-up data were available. Static and dynamic radiographs were measured by computer to determine the angles formed by the endplates of the natural disc preoperatively, those formed by the shells of the implanted prosthesis, the angle of functional spine unit (FSU), and the C2-7 Cobb angle. The range of motion (ROM) was also determined radiographically, whereas clinical outcomes were assessed using Odom's criteria, visual analogue pain scale (VAS) and neck disability index (NDI). Results : A total of 71 $Bryan^{(R)}$ disc were placed in 52 patients. A single-level procedure was performed in 36 patients, a two-level procedure in 13 patients, and a three-level procedure in 3. Radiographic and clinical assessments were made preoperatively. Mean follow-up duration was 29.2 months, ranging from 6 to 36 months. All of the patients were satisfied with the surgical results by Odom's criteria, and showed significant improvement by VAS and NDI score (p < 0.05). The postoperative ROM of the implanted level was preserved without significant difference from preoperative ROM of the operated level (p < 0.05). 97% of patients with a preoperative lordotic sagittal orientation of the FSU were able to maintain lordosis. The overall sagittal alignment of the cervical spine was preserved in 88.5% of cases at the final follow up. Interestingly, preoperatively kyphotic FSU resulted in lordotic FSU in 70% of patients during the late follow up, and preoperatively kyphotic overall cervical alignment resulted in lordosis in 66.6% of the patients postoperatively. Conclusion : Arthroplasty using the $Bryan^{(R)}$ disc seemed to be safe and provided encouraging clinical and radiologic outcome in our study. Although the early results are promising, this is a relatively new approach, therefore long-term follow up studies are required to prove its efficacy and its ability to prevent adjacent segment disease.

• 한국운동역학회지
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• 제19권3호
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• pp.467-479
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• 2009

제주마를 이용한 경속보(rising trot)시 숙련정도에 따라 2보폭동안 기승자세를 비교 분석하여 교육과정에 응용 할 수 있는 정량적 자료를 제시한다. 참여한 피험자는 총 10명(숙련군: 5명, 미숙련군: 5명)이었고, 실험 및 분석 방법은 3차원 영상분석(Kwon3D Motion Analysis System)을 하였고, 분석변인은 국면 및 이벤트별 시간, 선 및 각운동변인이었다. 숙련군이 미숙련군에 비해 상대적으로 지지기보다 공중국면의 소요시간 비율이 더 많았고, 국면경과에 따라 더 적은 상하운동범위 속에서, 전후 및 좌우속도에서 더 일관된 속도를 유지하였고, 상하방향에서 말의 보조와 동조를 이루면서 일관된 주기를 이루면서 반동운동이 이루어졌다. 숙련군이 미숙련군에 비해 상대적으로 팔꿈치에서 더 많은 굴곡 및 국면경과에 따라 어깨의 더 많은 후방신전자세를 취하였다. 고관절과 무릎은 더 많은 전방굴곡자세를 취한 반면 발목의 경우 모두 저측굴곡의 자세를 유지하였다. 동체는 수직축에 대해 후방신전자세인 반면 미숙련군은 전방굴곡자세를 유지하였다. 즉 미숙련군의 경우 숙련군에 비해 다소 경속보에서 보조의 경과에 따라 불안한 자세를 취한 것으로 사료된다.

• 한국운동역학회지
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• 제19권1호
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• pp.77-85
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• 2009

본 연구는 배드민턴 드라이브 동작의 원리와 현상을 이해함은 물론 운동 시 정확한 동작을 유도하여 상해예방 및 기술향상을 기할 수 있도록 기초자료를 제공하고자 하였다. 라헤드의 이동변위는 모든 연구대상자들에게서 비슷한 패턴으로 나타났지만 다소 차이가 나타난 이유로는 신장, 상완과 전완의 길이, 스윙괘적의 개인적인 성향의 등 외부적인 요인에 의한 결과로 사료된다. 국면별 상지관절의 각도를 살펴보면 어깨 관절, 팔꿈치 관절, 손목 관절의 각도는 드라이브 동작을 수행함에 있어 서로 유기적인 관계로 얽혀 있으며 근위에서 원위로 힘의 전달을 한다는 분절 순서이론도 뒷받침하고 있다. 상지관절의 각속도는 연구대상자 모두에서 임팩트 이후 팔로우스루 동작에서도 크게 나타났는데 이는 배드민턴과 같은 라운동에서 팔로우스루의 중요도를 나타내는 것을 의미한다. 이 팔로우스루 동작은 자세의 안정성 유지, 동작의 자세교정, 관절의 상해예방이라는 측면에서 라운동 시 중요요소로 작용하고 있음을 보여주고 있다. 종합해보면 분절의 순서이론에 따른 스윙이 이루어져야 효율적인 동작을 할 수가 있을 것으로 판단된다.