• 대한치과교정학회지
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• 제51권3호
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• pp.145-156
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• 2021

Objective: The aim of this retrospective study was to assess the midfacial soft tissue changes following maxillary expansion using micro-implant-supported maxillary skeletal expanders (MSEs) in young adults by cone-beam computerized tomography (CBCT) and to evaluate the correlations between hard and soft tissue changes after MSE usage. Methods: Twenty patients (mean age, 22.4 years; range, 17.6-27.1) with maxillary transverse deficiency treated with MSEs were selected. Mean expansion amount was 6.5 mm. CBCT images taken before and after expansion were superimposed to measure the changes in soft and hard tissue landmarks. Statistical analyses were performed using paired t-test and Pearson's correlation analysis on the basis of the normality of data. Results: Average lateral movement of the cheek points was 1.35 mm (right) and 1.08 mm (left), and that of the alar curvature points was 1.03 mm (right) and 1.02 mm (left). Average forward displacement of the cheek points was 0.59 mm (right) and 0.44 mm (left), and that of the alar curvature points was 0.61 mm (right) and 0.77 mm (left) (p < 0.05). Anterior nasal spine (ANS), posterior nasal spine (PNS), and alveolar bone width showed significant increments (p < 0.05). Changes in the cheek and alar curvature points on both sides significantly correlated with hard tissue changes (p < 0.05). Conclusions: Maxillary expansion using MSEs resulted in significant lateral and forward movements of the soft tissues of cheek and alar curvature points on both sides in young adults and correlated with the maxillary suture opening at the ANS and PNS.

• PNF and Movement
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• 제19권1호
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• pp.31-42
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• 2021

Purpose: The purpose of this study was to investigate the effect of visual and auditory feedback combined with theraband exercise in rounded shoulder posture. Methods: There were 43 adults with rounded shoulder posture who had a distance of 2.5 cm or more from the posterolateral of the acromion to the table in the supine position that participated. The participants were randomly divided into four groups: those with visual feedback from the lateral view (visual feedback; VFB, n = 11) provided, those with auditory feedback of praise (auditory feedback; AFB, n = 10) provided, those with visual feedback and auditory feedback (visual auditory feedback; VAFB, n = 11) provided, and those without any feedback (control group; CON, n = 11). Theraband exercise with or without feedback was carried out three times per week for three weeks. To confirm the effect of theraband exercise with visual feedback and auditory feedback on pain, range of motion (ROM), posture, and psychological variables were measured before and after exercise in participants with rounded shoulder posture. Results: The VAFB group showed significant differences in pain, ROM, posture, and psychological variables when compared before and after treatment. However, the differences among the VAFB, VFB, AFB, and CON groups were significant in the ROM of abduction, the New York Posture Rating, and the scapular index. Conclusion: In conclusion, theraband exercise combined with visual feedback from the lateral view and auditory feedback by praise improved rounded shoulder posture. Moreover, auditory feedback was more significant statistically than visual feedback.

• PNF and Movement
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• 제12권3호
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• pp.167-171
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• 2014

Purpose: The purpose of this study was to show the effects of voluntary change of weight bearing on the vastus medialis oblique and the vastus lateralis ratio during squat exercise. Methods: Twenty-four healthy adults were recruited for this study. The subjects performed squat exercise with median weight bearing, lateral weight bearing and non-changed weight bearing. The muscle activities of the vastus medialis oblique and the vastus lateralis were measured during the squat for all three conditions. The measured data were analyzed using one-way ANOVA to investigate the effect of muscle activation on the each condition. The statistical analyses were performed using SPSS ver. 17.0, and a p-value of less than 0.05 was considered significant for all cases. A post-hoc test was performed using Tukey's test. Results: The study showed that the vastus medialis oblique and the vastus lateralis ratio significantly changed according to the voluntary change of weight bearing during a squat. The vastus medialis oblique and the vastus lateralis ratio significantly decreased under the condition of voluntary lateral weight bearing. Conclusion: We suggest squat exercise on median weight bearing to increase the vastus medialis oblique and the vastus lateralis ratio. If your patient has.

• PNF and Movement
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• 제12권3호
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• pp.133-142
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• 2014

Purpose: The purpose of this study was to investigate the effect of balance using ankle strategy during adjusted balance training and muscle training in normal young female adults. Methods: There were eighteen participants. All subjects were randomly assigned to three groups, the control group (n=6), the adjusted balance training group (n=6) and the muscle training group (n=6). Subjects were assessed for each subject by a pretest and a posttest at 1 week, 2 weeks, and 3 weeks, measuring the anterior-posterior limit of stability, trace length and EMG data for the tibialis anterior and lateral gastrocnemius. Results: The anterior-posterior limit of stability significantly increased in the training group (p<0.05). The trace length significantly decreased in the training group (p<0.05). The muscle activity of the tibialis anterior and lateral gastrocnemius also significantly decreased in the training group (p<0.05). Conclusion: We confirmed that both the balance training group and the muscle training group significantly increased the anterior-posterior limit of stability and decreased trace length and muscle activity. Further studies are needed to analyze the long-term effects on subjects resulting from these changes.

• PNF and Movement
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• 제22권1호
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• pp.113-128
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• 2024

Purpose: This study aimed to investigate the effects of eccentric training applied to the calf muscles on muscle tone, muscle strength, and gait variables in patients with chronic stroke. Methods: Twenty-two participants were divided into experimental (n=12; eccentric training) and control (n=10; static stretching and stretching board) groups. The participants completed 30-minute physical therapy sessions five times a week for three weeks. Calf muscle tone, muscle strength, and gait variables were measured using MyotonPRO, a hand-held dynamometer, and Optogait, respectively, before and after each intervention. Results: Two-way analysis of variance (ANOVA) indicated a significant interaction effect between measurement points and groups in frequency, stiffness, and decrement of the lateral gastrocnemius, medial gastrocnemius, and soleus muscles (p<.05). Paired t-tests showed that the experimental group exhibited significantly decreased frequency and stiffness scores for the lateral gastrocnemius, medial gastrocnemius, and soleus muscles (p<.05), as well as significantly increased decrement and muscle strength scores, gait speed, step length, and stride length (p<.05). Conclusion: The application of eccentric training to the calf effectively reduced muscle tone, increased muscle strength, and improved the gait speed, step length, and stride length of patients with chronic stroke.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.38.1-38.10
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• 2016

Background: The aims of this study are to evaluate the lip morphology and change of lip commissure after mandibular setback surgery (MSS) for class III patients and analyze association between the amount of mandibular setback and change of lip morphology. Methods: The samples consisted of 14 class III patients treated with MSS using bilateral sagittal split ramus osteotomy. Lateral cephalogram and cone-beam CT were taken before and about 6 months after MSS. Changes in landmarks and variables were measured with 3D software program $Ondemand^{TM}$. Paired and independent t tests were performed for statistical analysis. Results: Landmarks in the mouth corner (cheilion, Ch) moved backward and downward (p < .005, p < .01). However, cheilion width was not statistically significantly changed. Landmark in labrale superius (Ls) was not altered significantly. Upper lip prominence angle (ChRt-Ls-$ChLt^{\circ}$) became acute. Landmarks in stomion (Stm), labrale inferius (Li) moved backward (p < .005, p < .001). Lower lip prominence angle (ChRt-Li-$ChLt^{\circ}$) became obtuse (p < .001). Height of the upper and lower lips was not altered significantly. Length of the upper lip vermilion was increased (p =< 0.01), and length of the lower lip vermilion was decreased (p < .05). Lip area on frontal view was not statistically significantly changed, but the upper lip area on lateral view was increased and change of the lower lip area decreased (p > .05, p < .005). On lateral view, upper lip prominent point (UP) moved downward and stomion moved backward and upward and the angle of Ls-UP-Stm ($^{\circ}$) was decreased. Lower lip prominent point (LP) moved backward and downward, and the angle of Stm-LP-Li ($^{\circ}$) was increased. Li moved backward. Finally, landmarks in the lower incisor tip (L1) moved backward and upward, but stomion moved downward. After surgery, lower incisor tip (L1) was positioned more superiorly than stomion (p < .05). There were significant associations between horizontal soft tissue and corresponding hard tissue. The posterior movement of L1 was related to statistically significantly about backward and downward movement of cheilion. Conclusions: The lip morphology of patients with dento-skeletal class III malocclusion shows a significant improvement after orthognathic surgery. Three-dimensional lip morphology changes in class III patients after MSS exhibited that cheilion moved backward and downward, upper lip projection angle became acute, lower lip projection angle became obtuse, change of upper lip area on lateral view was increased, change of lower lip area decreased, and morphology of lower lip was protruding. L1 was concerned with the lip tissue change in statistically significant way.

• 대한치과교정학회지
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• 제32권1호통권90호
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• pp.9-18
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• 2002

일반적으로 치조성 양악전돌증의 치료는 환자의 나이나 골격 부조화의 원인, 심도 등에 따라 다른데, 환자의 성장이 이미 완료되고 골격적 부조화의 점도가 심하지 않은 경우에는 치아의 이동만으로 문제를 해소하는 교정적인 절충치료를 행하게 되며 심미성의 증진을 위해서는 소구치, 특히 제1소구치 발치가 적절한 선택일 수 있다. 제1소구치의 발치 후 전치부의 En Masse 견인시 이용되고 있는 double keyhole loop(이하 DKHL로 약함)에는 4개의 루프가 있어 발치 공간 폐쇄시 견치 치관의 원심경사를 조절하고 구치 치관이 근심측으로 경사되는 것을 막아 교합평면의 굴곡을 방지하는 효과가 있는 한편 견치의 회전을 조절할 수 있도록 설계되어 있다. 이 연구는 I급 치조성 양악전돌증 및 II급 1류 부정교합이 있는 성인환자를 대상으로 상, 하악 6전치를 후방이동시킴으로써 연조직의 변화를 가져와 심미적으로 좋은 치료의 결과를 얻기 위해 상악 제1소구치를 발거하여 DKHL에 의해 치료가 완료된 환자의 측모두부방사선사진에서 치료 전, 후의 골격적인 변화와 치아치조영역의 변화를 알아보기 위해 시행되었고, 다음의 결론을 얻었다. 1. DKHL에 의한 치료 전, 후의 골격적인 변화는 SNB의 감소경향(0.49 ${\pm}$ 0.87$^{\circ}$ , p<0.05)과 PTFH의 증가경향(0.50 ${\pm}$ 0.8 mn, p<0.05)을 제외하고는 통계적으로 유의한 변화를 나타내지 않았고 주된 변화는 치아치조영역에서 일어났다. 2. 치료 후 치아치조영역에서는 절치간각을 제외한 모든 계측항목에서 통계적으로 유의할 만한 감소를 보였다. 3. 상하순의 돌출도 모두 유의성 있는 감소를 나타내었다. 4. 상악 전치의 치관은 통계적으로 유의할 만한 후방이동(7.08 ${\pm}$ 2.14 mm, p<0.01)을 보였고, 상악 전치의 치근에서는 통계적으로 유의할 만한 수직고경의 감소(2.38 ${\pm}$ 1.15 mm, p<0.01)를 보였다. 5. 상악 구치의 치관, 치근 모두에서 통계적으로 유의할 만한 전방이동(2.48 ${\pm}$ 0.99 mm, 2.05 ${\pm}$ 0.91 mm,p<0.01)을 보였다.

• 한국항만학회지
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• 제13권1호
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• pp.155-166
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• 1999

The construction of the coastal structures and reclamation work causes the circulation reduced in the semi-closed inner water area and the unbalanced sediment budget of beach results in an alteration of beach topography. Among the various fluid motions in the nearshore zone water particle motion due to wave and wave-induced currents are the most responsible for sediment movement. Therefore it is needed to predict the effect of the environmental change because of development and so the prediction of wave transformation dose. The purpose of this study is to introduce the relation between waves wave-induced currents and sediment movement. In this study we will show numerical method using energy conservation equation involving reflection diffraction and reflection and the surfzone energy dissipation term due to wave breaking is included in the basic equation. For the wave-induced current the momentum equation was combined with radiation stresses lateral mixing and friction Various information is required in the prediction of wave-induced current depending on the prediction tool. We can predict changes in wave-induced current from the distribution of wave especially near the wave breaking zone. To evaluate these quantities we have to know the local condition of waves mean sea level and so on. The results from the wave field and wave-induced current field deformation models are used as input data of the sediment transport and bottom change model. Numerical model were established by a finite difference method then were applied to the development plan of the eastern Pusan coastal zone Yeonhwa-ri and Daebyun fishing port. We represented the result with 2-D graphics and made comparison between before and after development.

• 한국의류산업학회지
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• 제22권3호
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• pp.368-377
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• 2020

This study provided basic data to develop functional and fitness cycling wear for cyclists. We analyzed the domestic and overseas cycling wear brand patterns for tops and tights as well as compared pads attached to tights. The results were as follows. The tops of the cycling wear were designed with cutting lines in the lateral or yoke in the back to reflect cycling posture. It is necessary to study if there is a difference in the air resistance or fitness of the athlete. The sleeve hem band affected by arm movement during cycling, proper sewing and band pressure are also important. The tights have a brand that does not insert a band in front of the waist in consideration of the cyclist's breathing. It should take into account methods of constructing a proper garment pressure that does not interfere with cycling. Analyzing the cycling pad indicated that the three-dimensional shape and size of the pad show many differences for each brand, indicating a difference in cycling movement suitability. In addition, many of the cutting lines should account for the productive aspects because of the high consumption of the fabric in order to design a pattern considering the cycling posture.

• 대한의용생체공학회:의공학회지
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• 제41권2호
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• pp.84-93
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• 2020

Despite of a lot of studies about proprioception tests, there are little study results to investigate the relationship between the functional movement and proprioception level. In this study, we tried to perform quantitative analysis for the effect of ankle joint proprioception level on the one leg standing postural control ability. Nine healthy people volunteered for this study. Force and position aspects of proprioception were evaluated using the electromyography system (EMG) and mobile clinometer application, respectively. The center of pressure (COP) trajectories, measured by a pressure mat sensor, were used for quantitative analysis of balance for each subject. We computed indices and errors of force and position aspects of proprioception from the EMG and ankle angle. Mean velocity of total and anterior-posterior direction (Vm and Vm_ap), root mean squared distance in anterior-posterior direction (RDap), travel length (L), and area (A) of COP trajectories were also calculated as indices of postural control ability of subjects. Two aspects of proprioception showed the low correlation from each other as previous studies. However, the EMG error of gastrocnemius lateral activation showed a high correlation coefficient with COP variables such as Vm (ρ=0.817, p=0.007), Vm_ap (ρ=0.883, p=0.002), RDap (ρ=0.854, p=0.003), L (ρ=0.817, 0.007) and A (ρ=0.700, p=0.036). Within our knowledge, this is almost the first study that investigated the relationship between proprioception level and functional movement. These study results could support that the ankle joint proprioception facilitation exercise would have positive effects on functional balance rehabilitation interventions.