• 대한통합의학회지
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• 제5권1호
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• pp.67-74
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• 2017

Purpose : Forward head posture is typical neck disorders occur in all people. And this attitude causes a shortening and weakening of the muscles in the body. It also causes excessive extension acts as a reward. This attitude has to change if the pain occurs around the neck and shoulders, and are subjected to unusual stress. Patients with chronic neck pain associated with forward head posture was found to be the more severe the fall of the respiratory, forward head posture poor quality of much breath. The purpose of this study was to compare the effect of changes in forward head posture and neutral head posture on respiratory. Method : Forty volunteers were participated in study and divided into two groups [forward head posture group (n=20) and neutral head posture group (n=20)]. We measured cervical alignment with global postural system to find out a forward head posture. Respiratory function was measured with a SPIROVIT SP-1 equipment and we found out a forced vital capacity (FVC), forced expiratory volume at one second (FEV1) and FEV1/FVC. A pared t-test was used to determine a statistical significance for the pulmonary function variation and a independent t-test was used to determine a statistical significance in the two groups. Results : In the experimental group, FVC and FEV1 were significantly higher in the artificial neutral head posture than in the forward head posture. In the control group, FVC and FEV1 were significantly higher in the neutral head posture than in the forward head posture. FVC, FEV1, and FEV1/ FVC were significantly higher in the neutral head posture of control group than the artificial neutral head posture of experimental group and higher in the artificial forward head posture of control group than the forward head posture of experimental group. Conclusion : In conclusion, neutral head posture is considered to be an important factor in correct posture and improvement of lung function and continuous study of posture correction program for posture imbalance will be needed.

• 국제물리치료학회지
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• 제10권4호
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• pp.1897-1902
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• 2019

Background: Tension-type headaches, which make up the highest proportion of headaches, are prone to develop into chronic tension-type headaches (CTTH). The characteristic of CTTH in patients is that the active myofascial trigger point (ATrP) which causes pain in the muscles of the back of the head is increased, compared to the normal headache and moves the head position forward. Objective: The aim of this study was to investigate the effects of myofascial release (MFR) and posture correction in effectively improving neck function and sleep quality in the symptoms of CTTH patients. Design: Observer-blind study Methods: To reduce ATrP, MFR was applied and exercise was also applied to correct posture. The subjects of this study were 48 individuals randomly divided into three groups; The MFR group using the MFR technique; The MFR with exercise group subject to both the MFR technique and forward head position correction exercises (MFREx), and the control group. MFR and MFREx groups were given the relevant interventions twice a week for four consecutive weeks, and went through the number ATrPs, range of motion (ROM) of neck, Neck Disability Index (NDI) and the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. A physical therapist, who was fully familiar with the measuring methods of the equipment, was the measurer and not aware of the target's condition was blinded to take measurements only before and after intervention. Results: There was a significant improvement in the ATrP, Neck ROM, NDI and PSQI in the group of patients to whom the MFR technique and MFREx were applied. MFREx was more effective in increasing neck mobility. Conclusions: According to this study, the application of MFR is effective in improving neck movement and sleep quality in chronic tension headache patients.

• 융합신호처리학회논문지
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• 제21권2호
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• pp.80-85
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• 2020

최근 학생 및 사무직 종사자에게서 근골격계 질환의 발병률이 증가하고 있으며, 바른 자세의 유지 및 교정 훈련의 필요성이 요구되고 있으나, 관련 연구는 부족한 현실이다. 기존 연구에서는 의자 방석부분에 멤브레인 센서 또는 압력센서를 배치하여 무게의 편중을 보거나, 사용자를 구속하는 센서를 부착하여 체위 변환을 측정하였다. 본 연구에서는 착용편의성을 고려한 체위 변환 감지 센서 디바이스를 개발하였으며, 측정한 각도를 분석앱을 통해 확인하였다. 앉은 자세에서 체위 변환을 측정하기 위하여 경추 및 척추에 IMU 센서로 구성된 센서 디바이스를 부착한다. 두 개의 센서에서 측정되는 체위의 변화값을 각도로 변환하였으며, 각도값은 실시간으로 분석앱을 통해 보여 진다. 본 연구에서는 체위 변화에 따른 실시간 변화값의 측정 가능성과, 착용편의성, 각도 측정의 경향성을 확인해 보았다. 향후 연구에서는 보다 정밀한 각도의 연산 및 동잡음의 보정을 위한 연구를 진행해야 한다.

• 전기학회논문지
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• 제65권9호
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• pp.1557-1563
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• 2016

According to recent studies, poor sitting posture of the spine has been shown to lead to a variety of spinal disorders. For this reason, it is important to measure the sitting posture. We proposed a strategy for classification of sitting posture using machine learning. We retrieved acceleration data from single tri-axial accelerometer attached on the back of the subject's neck in 5-types of sitting posture. 6 subjects without any spinal disorder were participated in this experiment. Acceleration data were transformed to the feature vectors of principle component analysis. Support vector machine (SVM) and K-means clustering were used to classify sitting posture with the transformed feature vectors. To evaluate performance, we calculated the correct rate for each classification strategy. Although the correct rate of SVM in sitting back arch was lower than that of K-means clustering by 2.0%, SVM's correct rate was higher by 1.3%, 5.2%, 16.6%, 7.1% in a normal posture, sitting front arch, sitting cross-legged, sitting leaning right, respectively. In conclusion, the overall correction rates were 94.5% and 88.84% in SVM and K-means clustering respectively, which means that SVM have more advantage than K-means method for classification of sitting posture.

• 대한물리의학회지
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• 제11권4호
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• pp.19-26
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• 2016

PURPOSE: The purpose of this study was to compare the effect of correction on posture parameters between a horse riding simulator exercise and a conventional exercise occurring in an open linear chain linking the head to the pelvis in the sagittal plane of young adults with a forward head posture. METHODS: In this study, 30 subjects were randomly divided into two groups of 15 subjects each, were assigned to the horse riding simulator exercise or the neck exercise group and they performed exercise 30 minutes per each round two times a week for six weeks. To determine the subjects' forward head posture, the three angles and three distances were measured. RESULTS: The forward head angle and head distance results showed a significant change between pre and post intervention in both group. The horizontal distance between acromion and tragus results showed a significant change between pre and post intervention in neck exercise group (CG), but no significant change in horse riding simulator exercise group (EG). The averages of each measured values of EG and CG before and after were compared, but there are no significant different between groups. CONCLUSION: Although the effects of the horse riding exercise were lower than those elicited by the neck exercise, the results demonstrated that the horse riding simulator exercise improved posture alignment for subjects with forward head posture. Therefore, the horse riding simulator exercise can constitute an appropriate alternative exercise for subjects with forward head posture.

• 전자공학회논문지
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• 제52권6호
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• pp.117-125
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• 2015

앉아있는 시간이 긴 현대인들에게 바른 자세를 유지하도록 하는 것은 중요하다. 자세 교정을 위한 치료는 많은 시간과 비용이 소요되며, 전문의의 지속적인 관찰이 필요하다. 그러므로 사용자 스스로 자신의 자세를 판단하고 교정하기 위한 시스템이 필요하다. 본 논문에서는 사용자의 자세 데이터를 취득하여 취득된 자세가 정상자세인지 비정상자세인지 판단한다. 사용자의 자세 데이터 취득을 위해 관성 센서를 이용한 4개 관절 기반 모션캡쳐 시스템을 제안한다. 이 시스템을 통해 대상자의 자세 데이터를 취득하고, 취득한 데이터를 기반으로 특징을 추출하여 DB를 구축한다. 구축한 DB를 K-means 클러스터링 알고리즘을 이용하여 자세 학습을 수행한 후, 정상자세와 비정상자세를 분류한다. 관절의 회전각도, 위치정보, 분석정보를 이용하여 자세분류를 수행한 결과, 정상자세 판단 성공률은 99.79%로 나타났다. 이 결과로 미루어 4개 관절에 대한 특징을 이용하여 사용자의 자세를 판단 가능하며, 향후 척추질환 예방 시스템에 적용하여 사용자의 자세를 교정하는 데 도움을 줄 수 있을 것으로 판단된다.

• 대한정형도수물리치료학회지
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• 제25권1호
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• pp.29-36
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• 2019

Background: This study was conducted to investigate the effect of leg lift difference on the serratus anterior muscle and the upper trapezius muscle when a subject with winged scapula performs a scapula protraction exercise in a four-leg crawling posture. Method: Twenty normal adults and 20 subjects with winged scapula participated in the experiment. Surface EMG recordings were collected from serratus anterior muscle and back trapezius muscle during scapula protraction exercises. Scapular winging is measured with the lifting distance of scapula retraction to the back using an electronic digital caliper. In two groups of four-leg crawling posture, the two legs support, the dominant leg lifting, and the non-dominant leg lifting, including the scapula protraction, were performed. To examine the difference between groups in the variance analysis, the Bonferroni correction was used (significance level ${\alpha}=.017$). Statistical significance level ${\alpha}$ was .05. Results: There was a significant difference in serratus anterior muscle and upper trapezius muscle during push-up plus exercise in leg lifting in four-leg crawling posture, but there were no significant differences in muscle activity between serratus anterior muscle and upper trapezius muscle, and there was no significant difference according to the presence or absence of scapular winging. Conclusion: For the shoulder stability of the ipsilateral side with the serratus anterior muscle, the leg-lifting posture is effective in the four-leg crawling, and also when a subject with winged scapula chooses an exercise, lifting the ipsilateral side of leg with scapula protraction exercises at the same time may have a positive effect on scapula dysfunction.

• 대한통합의학회지
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• 제9권3호
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• pp.193-201
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• 2021

Purpose : The purpose of this study was to compare the effect of pelvic exercise on the CVA and spinal curve in adults with forward head posture compared to the group using only neck exercise when pelvic exercise was performed in parallel with conventional neck exercise. Methods : GPS 400 and Formetric were used to identify craniovertebral angle (CVA), thoracic kyphosis, lumbar lordosis, and pelvic torsion and were measured by an experienced research manager. Forward head posture (FHP) was selected for people whose angle between the line connecting the ear ball and the seventh cervical spine and the horizontal line is 50 degrees or less. The 30 selected students were randomly divided into 15 experimental groups and 15 control groups. Mackenzie exercise and sling exercise were performed for neck exercise in both the experimental group and the control group, and pelvic exercise using a Swiss ball was additionally performed in the experimental group. All data collected in this study were analyzed using SPSS statistics 21.0. Cervical vetebral angle (CVA), thoracic kyphosis, lumbar lordosis, and pelvic torsion were compared at 0 weeks, 3 weeks, and 6 weeks for each measurement factor using ANOVA with repeated measures. For the statistical significance test, the significance level of α was set to .05. Results : The changes of pelvic torsion, thoracic kyphosis and CVA due to pelvic exercise using Swiss Ball and neck exercise were changed over time, but lumbar lordosis were not changed. And there were no significant differences among the groups. Conclusion : In conclusion, the pelvic correction exercise is considered to be an effective exercise for correcting the FHP and requires regular pelvic correction exercises. We expect the results to be used in clinical trials.

• The Journal of Korean Physical Therapy
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• 제33권2호
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• pp.76-83
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• 2021

Purpose: This study examined the effects of applying the Pilates reformer exercise to 17 adult women on the alignment of the standing posture. Methods: The subjects performed a Pilates reformer exercise for 60 minutes a day, three times a week, for a total of eight weeks. The Pilates reformer exercise consisted of five types: 1) lower and lift, 2) hundred, 3) plow, 4) airplane, and 5) twist. The standing posture alignment in the sagittal and frontal planes was measured using exbody 9100MOMI musculoskeletal analysis equipment. Results: A comparison of before and after the exercise using paired t-test revealed a significant decrease in the difference between the horizontal inclination and the vertical height that approached zero after the intervention in the frontal plane of anterior and posterior standing postures (p<0.05), and the lateral standing posture in the sagittal plane. In addition, the difference between the horizontal inclination and the vertical height decreased and approached zero after the intervention (p<0.05). Conclusion: The Pilates reformer exercise had a positive effect on the alignment of the standing posture.

• 한국콘텐츠학회논문지
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• 제20권7호
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• pp.47-55
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• 2020

스마트 기기 사용의 증가와 함께 현대인들의 거북목 증후군 발병률이 증가했다. 거북목 증후군은 목의 앞 근육이 길어지고, 위쪽 근육이 짧아져 몸통에 비해 머리가 앞으로 나와 있는 자세이며, 수술이나 약물치료보다 평소의 자세 습관을 고치는 방법이 효과적이다. 따라서 본 논문에서는 실시간으로 거북목 증후군을 유발할 수 있는 자세를 감지하고 경고하는 시스템을 제안한다. 올바른 자세와 거북목 자세의 이미지 데이터들을 수집하여 합성곱 신경망기반의 학습모델을 만든다. 웹캠만을 이용하여 카메라에 들어오는 앉은 자세를 학습모델로 실시간 검증하고, 거북목 자세일 경우 경고음을 발생하여 바른 자세를 앉도록 유도한다. 이 시스템은 평소 자세 습관을 교정하도록 유도하여 거북목증후군을 치료하고 목 디스크와 같은 더 심각한 질병을 예방할 수 있다.