• 운동영양학회지
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• 제25권2호
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• pp.20-25
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• 2021

[Purpose] The aim of this review was to discuss the effects of vitamin D on physical performance and musculoskeletal injuries in athletes and provide information on the field applications of vitamin D. [Methods] A systematic review was conducted to identify studies on vitamin D in athletes that assessed serum vitamin D levels, vitamin D and physical performance, vitamin D and musculoskeletal injuries, and practical guidelines for supplementation of vitamin D. [Results] Several studies reported that a high proportion of athletes had vitamin D insufficiency or deficiency. Low serum levels of vitamin D in athletes were more pronounced in winter than in other seasons, and indoor athletes had lower serum vitamin D levels than outdoor athletes. Low vitamin D levels have been demonstrated to have negative effects on muscle strength, power, and endurance; increase stress fractures and other musculoskeletal injuries; and affect acute muscle injuries and inflammation following high-intensity exercises. Therefore, periodic assessment and monitoring of vitamin D levels are necessary in athletes; the recommended serum level of 25(OH)D is > 32 ng/mL and the preferred level is > 40 ng/mL (-1). In those with low levels of vitamin D, exposure to sunlight and an improved diet or supplements may be helpful. Particularly, 2000-6000 IU of supplemental vitamin D3 can be consumed daily. [Conclusion] Vitamin D is a potential nutritional factor that can significantly affect physical performance and musculoskeletal injuries in athletes. The importance and role of vitamin D in athletes should be emphasized, and the current levels of vitamin D should be assessed. Therefore, it is essential to periodically evaluate and monitor serum vitamin D levels in athletes.

• 대한인간공학회지
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• 제31권6호
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• pp.749-756
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• 2012

Objective: This study was performed to investigate the prevalence of musculoskeletal disorders of traditional Korean instrument player using a variety of traditional classical instruments: Gayageum, Geomungo, Ajaeng, Haegeum, Daegeum, Piri and Samul instruments. Background: A large percentage of instrument players have suffered from the musculoskeletal pain of each body parts. However, there is no research on the prevalence of musculoskeletal disorders of traditional Korean musical instrument players. Method: Through the focus group interview, a questionnaire to investigate musculoskeletal disorders was developed. The questionnaire consisted of four parts: demographic factors, performance factors, musculoskeletal disorders symptoms, musculoskeletal disorder experience. For the survey, 118 expert players participated. The data from the survey were analyzed by correlation analysis and chi-square analysis. Results: The symptoms of musculoskeletal disorders and the severe pain from musculoskeletal disorders were observed at neck, shoulder, back and knee. The musculoskeletal experience was statistically related to the factor of body height in Gayageum and Geomungo. In addition, the musculoskeletal experience in Geomungo was related to age and career. However, the musculoskeletal experience in Ajaeng and Haegeum was only related to the factor of hobby. The musculoskeletal experience in Daegeum and Piri was related to stretching. In addition, there was a statistical significance between the musculoskeletal experience and sex in Daegum. In Samul instruments, the statistical significance was observed at age, BMI, career and stretching. Conclusion: The symptoms of playing-related musculoskeletal disorders of traditional Korean musical players were prevalently observed at neck, shoulder, back and knee. In addition, these symptoms were related to the various demographic factors such as age, body height, BMI, career, sex, hobby and stretching. Application: The results of this study can be used as the preliminary data for preventing the musculoskeletal injuries of traditional Korean musical instrument players.

• 한국병원경영학회지
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• 제25권3호
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• pp.53-66
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• 2020

This study is aimed at investigated and compared the differences in the affect of hospital specialization according to hospital size using claims data of the Health Insurance and Review Assessment National Inpatient Sample in 2018 for diseases of the musculoskeletal system and connective tissue. To this end, we used multivariate hierarchical linear models(a.k.a., multi-level models) using two-tier data from 106,599 patients discharged after diseases of the musculoskeletal system and connective tissue from 734 hospitals. Multivariate results indicate that patients who were discharged with diseases of the musculoskeletal system and connective tissue from specialized hospitals with 200 beds or less stayed shorter and paid less inpatient charge than those who were discharged from less specialized hospitals. But for hospitals with 201-300 beds, no positive impact relationship was found between hospital specialization and operational performance. This finding may be limited evidence that the affect of a hospital's specialization strategy may vary depending on the size of the hospital. We discussed several managerial and health policy implications below.

• 대한인간공학회지
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• 제30권1호
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• pp.275-283
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• 2011

The purpose of this study is to investigate the performance status of the ligal examination of risk factors of musculoskeletal disorders(MSDs). The study was based on in-depth interviews with the persons in charge of the examination in 63 sampled companies, which are various in location, type of industry and size. The interviews were carried out based on detail questions as well as a predefined checklist. The main findings are as follows: 1) More than half of the companies did not properly comply with the laws in performing the examination of MSDs risk factors; 2) In about 60% of the companies, the examination has been carried out by their own persons; 3) 38% of the companies conducting the survey of musculoskeletal symptoms did not diagnosed musculoskeletal symptoms based on the survey; 4) Most companies performed the prevention activities for MSDs such as education/training, stretching, etc.; 5) It was revealed that the 11 high-risk tasks were not considered to be properly defined by the people in the industries, which results in some difficulties such as ambiguity in defining the 11 tasks and unit tasks; 6) The period of the examination of risk factors, classification of periodic and occupational examinations and legalization of employers' obligation for preventing MSDs are considered to be acceptable or desirable, while it was pointed out that regulations for the method of the risk assessment and the person who in charge of the examination need to be modified.

• Physical Therapy Rehabilitation Science
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• 제12권3호
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• pp.222-228
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• 2023

Objective: Training-related injuries and attrition put an additional burden on police and military institutions. Preventing and minimizing musculoskeletal injuries is the primary concern of the Abu Dhabi Police. Therefore, this study aimed to evaluate the correlation between functional movement screen, lower-limb strength, Y-balance test, grip strength and vertical jump and the incidence of musculoskeletal injuries among Abu Dhabi police recruits. Design: Observational analytical study. Methods: An observational study was conducted on 400 male police recruits of Abu Dhabi Police Academy. Physical performance was assessed before the 16-weeks basic police training. Spearman's correlation evaluated the correlation between the performance parameters and the outcome measures and logistic regression predicted the risk factors associated with musculoskeletal injuries. Results: 149 (34.4%) participants reported at least one injury during the basic police training. Comparison between injured and non-injured participants showed significant difference in mean right Y-balance, back-leg-chest dynamometer, and vertical jump (p=0.02, p=0.02, and p=0.04, respectively). Spearman's correlation showed a significant negative correlation between risk of injury and back-leg-chest dynamometer and right Y balance (ρ= -0.11, p=0.03). Logistic regression showed that back-leg-chest dynamometer and right Y balance were significant predictors of injury (p =.036 and p=0.037; Odds ratio=0.96; 95% CI (0.92, 0.99) and Odds ratio=0.99; 95% CI (0.98,0.99). Conclusions: Our findings suggest functional movement screen and grip strength may not independently predict injury rates, balance and lower-limb strength needs to be considered in injury prevention strategies to reduce musculoskeletal injuries.

• 대한정형도수물리치료학회지
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• 제28권3호
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• pp.21-32
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• 2022

Background: Instrument players are exposed to occupational musculoskeletal symptoms due to constant movement and strain to meet the needs of their audience. This can cause dissonance between the player and the instrument and can cause medical problems in the musculoskeletal system such as pain, tendinitis, muscle spasms, and joint hyperextension from overuse of body parts. Objective: The purpose of this study is to comparatively analyze the characteristics and occurrence of musculoskeletal symptoms in professional and student players, and to find out the awareness of the need for health care professionals and special exercise programs for orchestra players. Methods: The subjects were professional orchestral musicians 191 from the three symphony orchestras and music students 209 from the four universities volunteered to participate in this study; 393 subjects (98.25%) completed the questionnaire. symptom prevalence and related factors of playing-related musculoskeletal disorders (PRMDs) were surveyed with a self-administered questionnaire. Standardized Nordic Questionnaire was complemented by adding a visual-among scale and used to diagnose PRMD. Results: High prevalence of musculoskeletal complaints in both professional musicians (85.30%) and student musicians (82.30%). Professional musicians and student musicians also suffered the highest problem in shoulder and neck complaints. Significant differences were found between groups that recognized of necessity for specialized health professionals, professional organizations, and special programs for musicians. Conclusions: Professional musicians and student musicians, like orchestra players, are already exposed to overuse syndrome. However, student musicians lack awareness of the risk of injury compared to orchestra players. We suggest that an appropriate treatment management program for the prevention and early treatment of musculoskeletal system damage should be provided to performers at an early stage.

• Journal of Korean Biological Nursing Science
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• 제25권3호
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• pp.215-227
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• 2023

Purpose: The aim of this study was to develop a mobile app-based musculoskeletal exercise program (AMSEP) for operating room (OR) nurses and evaluate its effects on self-efficacy, the flexibility of the shoulders, lower back, and legs, and musculoskeletal symptoms and fatigue. Methods: The AMSEP was developed based on the information-motivation-behavioral skill model. In total, 48 OR nurses were recruited at a university hospital in Korea and divided into an experimental group (n=24) and a control group (n=24), matched for career experience in the OR. The experimental group participated in the AMSEP, while the control group received a booklet regarding musculoskeletal exercise. Results: The experimental group showed significant increases in self-efficacy (t = -2.77, p = .008) and flexibility of the right shoulder (t = -4.08, p < .001), left shoulder (t = -3.28, p = .002), lower back (t = -3.75, p < .001), and legs (t = -3.96, p < .001) compared to the control group. Musculoskeletal symptoms (t = 2.75, p = .008), and fatigue (Z = -1.98, p = .048) significantly decreased in the experimental group compared to the control group. Conclusion: Our findings indicate that the AMSEP for OR nurses provided information on the prevention of musculoskeletal disorders and methods of exercise, as well as an opportunity for continued exercise performance through self-management. The AMSEP was easily accessible and effective in increasing self-efficacy and flexibility and reducing musculoskeletal symptoms and fatigue.

• 대한인간공학회지
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• 제24권3호
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• pp.43-52
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• 2005

A two-dimensional posture measurement system was developed to evaluate the risks of work-related musculoskeletal disorders(MSDs) easily on various conditions of work. The posture measurement system is an essential tool to analyze the workload for preventing work-related musculoskeletal disorders. Although several posture measurement systems have been developed for workload assessment, some restrictions in industry still exist because of its difficulty on measuring work postures. In this study, an image recognition algorithm was developed based on a neural network method to measure work posture. Each joint angle of human body was automatically measured from the recognized images through the algorithm, and the measurement system makes it possible to evaluate the risks of work-related musculoskeletal disorders easily on various working conditions. The validation test on upper body postures was carried out to examine the accuracy of the measured joint angle data from the system, and the results showed good measuring performance for each joint angle. The differences between the joint angles measured directly and the angles measured by posture measurement software were not statistically significant. It is expected that the result help to properly estimate physical workload and can be used as a postural analysis system to evaluate the risk of work-related musculoskeletal disorders in industry.

• 한국전문물리치료학회지
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• 제9권2호
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• pp.19-32
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• 2002

The purpose of this paper is to provide the reader with a pertinent information and research trends of biomechanics in wheelchair propulsion. Biomechanical studies for wheelchair propulsion mainly focus on the most suitable propulsion performance and methods for preventing upper extremity injuries. Recent issues have concentrated on wheelchair propulsion style and cycle mainly because of the high prevalence of repetitive strain injuries in the upper extremely such as shoulder impingement and carpel tunnel syndrome. Optimizing wheelchair propulsion performances as well as medical reflections are presented throughout the review. Information on the underlying musculoskeletal mechanisms of wheelchair propulsion has been introduced through a combination of data collection under experimental conditions and a more fundamental mathematical modelling approach. Through a synchronized analysis of the movement pattern and muscular activity pattern, insight has been gained in the wheelchair propulsion dynamics of people with a different level of disability (various level of physical activity and functional potential). Through mathematical modelling simulation, and optimization (minimizing injury and maximizing performance), underlying musculoskeletal mechanisms during Wheelchair propulsion is investigated.

• Journal of Mechanical Science and Technology
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• 제17권7호
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• pp.1011-1015
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• 2003

The objectives of this work focus on the differences in responses of paired tendons from different anatomical locations. Tendon specimens were obtained from the hindlimbs of canines and frozen to -70$^{\circ}C$. After being thawed, specimens were mounted in the immersion bath, preloaded to 0.13N, and then subjected to 3% or 4% of the initial length at a strain rate of 5%/sec. It was found that the mechanical responses of anatomically paired tendons were nearly the same within each pair but different between pairs of tendons from different anatomical locations. Although flexor tendons had much larger cross-sectional area than the others, such as peroneus or extensor tendons, the stiffness of the flexor tendons were much lower than the others throughout their stress-strain responses. The nature and causes of these differences in the stiffness are not fully known. However, it is clear that differences in the mechanical response of tendons and other connective tissues are significant to the musculoskeletal performance.