• 디지털융복합연구
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• 제10권9호
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• pp.435-441
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• 2012

본 연구는 정상 성인을 대상으로 광범위한 어깨관절 각도의 팔자세 유형에서 여러 가지 손의 쥐기 강도의 차이에 따라 어깨주위근 활성도를 측정하여, 직업과 관련된 어깨 손상을 예방하고 치료하는데 유용한 기초임상자료로 제공하고자 한다. 팔자세의 유형에 따라 다양한 강도로 쥐기를 시행 할 때 어깨 주위 근육의 활성도를 알아보기 위해 모든 대상자들은 MVC를 측정하였고 동일한 자세에서 어깨관절 $0^{\circ}$, $90^{\circ}$, $160^{\circ}$에서 각각 최대 쥐기 강도의 30%, 50%, 70%를 무작위로 실시하여 팔자세의 유형에서 쥐기강도에 따른 앞세모근, 가시위근, 위등세모근, 가시아래근의 %MVC를 구하여 어깨근 활성도를 알아보았다. 팔자세의 유형에 따른 각 집단의 %MVC를 비교하기 위하여 $0^{\circ}$에서 최대 힘의 30%, 50%, 70%로 쥐기를 비교한 결과 앞세모근, 가시위근, 위등세모근, 가시아래근 간의 근활성도에서는 유의한 차이가 나타나지 않았으나, $90^{\circ}$와 $160^{\circ}$에서는 앞세모근, 가시위근, 위등세모근, 가시아래근에서 유의한 차이가 나타났으며(p<.001). 사후검정결과 모든 각도에서 앞세모근과 가시아래근의 근활성도가 높게 나타났으며, 위등세모근의 근활성도는 가장 낮게 나타났다. 다양한 산업현장의 근로 여건 등을 고려하여 과도한 손의 움직임은 안정성과 가동성에 기여를 하는 어깨주위 근육들에 손상을 초래할 수 있다. 본 연구에서는 특히 가시아래근의 경우 팔의 각도가 클수록 그리고 쥐기 힘이 커질수록 근활성도가 증가 하는 양상을 보였다. 이러한 양상은 머리위로 손을 올려 사용하는 작업현장에서의 어깨손상예방과 손상된 근육을 선택적으로 재활하는 측면에서 기초 임상 자료로 활용 될 수 있을 것이다.

• 한국전문물리치료학회지
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• 제26권3호
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• pp.11-22
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• 2019

Background: Sling exercises are frequently used for the rehabilitation process of patients with shoulder joint injuries, but research on the significant frequency intensity and appropriate treatment duration for sling exercises with local vibration stimulation is lacking. Objects: The aim of this study was to investigate the effects of sling exercise with vibration on shoulder range of motion (ROM), muscle strength, pain, and dysfunction in patients with a medical diagnosis of shoulder joint injury. Methods: Twenty-two patients were randomly assigned to the experiment and control groups. Six sling exercises with and without 50 Hz vibrations were applied in the experiment and control groups, respectively. Each exercise consisted of 3 sets of 5 repetitions performed for 6 weeks. The assessment tools used included shoulder joint range of motion, muscle strength, pain level, and shoulder pain and disability index for functional disability. We conducted re-evaluations before and 3 and 6 weeks after intervention. The changes in the measurement variables were analyzed and compared between the two groups. Results: The ROM of the external rotation of the shoulder joint had a significant interaction between the group and the measurement point (F=3.652, p<.05). In both groups, we found a significant increase in external rotation angle between the measurement points (p<.05). The flexor strength of the shoulder joint significant interaction between the group and the measurement point (F=4.247, p<.05). Both the experiment (p<.01) and control groups (p<.05) showed a significant increase in shoulder flexor strength at the measurement points. After 6 weeks of the interventions, both the groups showed significantly improved VAS (p<.01), SPADI (p<.01), and orthopedic tests (p<.01). However, there was no significant difference between the group and the measurement point in terms of the clinical outcomes observed. Conclusion: The sling exercise with local vibration of 50 Hz affected the external rotation of the shoulder range of motion and improved shoulder flexor strength in the patients with shoulder injuries. Therefore, we propose the use of the sling exercise intervention with vibration in the exercise rehabilitation of patients with shoulder joint injuries.

• 한국운동역학회지
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• 제17권2호
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• pp.167-176
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• 2007

The purpose of this study was to offer suitable model for performing Tippelt motion and data for training Tippelt motion through the quantitative kinematical analysis of Tippelt motion in parallel bars. The results of analysing kinematic variations through three-dimensional reflection analysis of three members of the national team as the objects of the study were shown as follows. 1. It seemed that the shoulder-joints which are stretched as much as possible affects the whole Tippelt motion while one is swinging downward. The time of process of the center of mass for the body reaching to the maximum flection point should be quick and body's moving from the vertical phase to the front direction should be controled as much as possible. 2. While one is swinging upward, the stability of flying motion could be made certain by the control of body's rapid moving to the front direction and stretching shoulder-joints and hip-joint to reverse direction. 3. While one is flying upward, the body should be erected quickly and lessening the angle of the hip-joint affects the elevation of flight. When the powerful counter turn motion is performed, the stable motion could be made. As a result of this study, It seems that sudden fall and the maximum stretch of shoulder-joints is important during performing Tippelt motion in parallel bars. Also, it concludes that the maximum bending of hip-joints at the starting point of upward swing, sudden stretch to the reverse direction of shoulder-joints and hip-joints when one is leaving bars, control of body's moving to the front direction, and lessening the angle of hip-joints at the flying phase is important.

• 한국운동역학회지
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• 제25권3호
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• pp.293-300
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• 2015

Objective : The purpose of this study was to compare the kinematic data of the horizontal rotation movements of shoulder, hip, knee during two-handed backhand drive stroke according to two different ball directions. Methods : The kinematic variables were analyzed such as the joint angles of the lower body, horizontal rotation angles of the shoulder, hip, inter-knee segment, body twist angle and difference in angle of forward swing. Two-handed backhand drive stroke was analyzed through a three-dimensional motion analysis. The collected data were analyzed by a paired t-test, and the statistical significant value was set at ${\alpha}=.05$. Results : The findings of this study were as follows; First, there was no difference in the total angles of lower limb joints from the forward swing position to impact posterior. Second, there was no difference in the horizontal rotation angles of E1 shoulder, hip, and E2 shoulder but the horizontal rotation angles of E1 knee, E2 hip, knee, E3, and E4 shoulder, hip, and knee were different in all events. Third, there was no difference in the body twist angle of the maximum horizontal rotation. In addition, there was no difference in the angle of the body twist by the ball direction in the shoulder-hip, the hip-knee and the shoulder-knee. Conclusion : Horizontal rotation angle determines ball directions.

• 한국운동역학회지
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• 제25권1호
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• pp.57-64
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• 2015

Purpose : The purpose of this study was to analyze setter toss motion kinematically according to toss types. Method : Dependent variables were elapsed time, vertical displacement of the body center, the projected speed of the ball, and differences of the joint angle to the target for four setters positioning. Result : There was no significant difference in the time but the ball contact time was shorter when the toss distance of P3 was longer. There was significant difference in the vertical displacement of COM (p<.05). The vertical displacement of COM showed that the vertical movement gradually decreased when the quick distance was longer. The vertical displacement of COM was difference (p<.05), also there was difference of the ball speed (p<.001) at the Release point(E4). There was significant difference in the knee joint angle at a certain moment among the Release(E4) and Landing point(E5)(p<.05). The hip joint was significant difference among the Apex(E2), Ball Touch(E3), Release(E4), and the Landing point(E5) on the surface(E2, E3, E4 p<.05; E5 p<.005). The shoulder angle was significant difference among the Ball Touch(E3), Release(E4) and the Landing point(E5) on the surface(E3, E4 p<.05; E5 p<.001). The elbow was significant difference in the Apex(E2) (p<.05). The wrist was significant difference in the Release(E4) (p<.05). Conclusion : If we find the clue to expect the direction of the setter's ball, we have to fine the clues in the Apex(E2) that hip join and elbow, Ball Touch(E3) that hip joint and shoulder joint, Release(E4) that wrist, elbow, hip joint, and knee joint.

• 한국운동역학회지
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• 제16권2호
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• pp.85-95
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• 2006

The purpose of this study of which 10 University students in their twenties are the objects was to examine the causal differences of kinematic and electromyography during power walking and normal gait. We came to the following conclusions. 1) It took less time to stance phase, swing phase and whole gait time during power walking compared with normal gait. 2) During power walking, the step length and step length and lower limb length are longer than that of normal gait. 3) During power walking, ankle joint angle became more plantar flexed at LIC and RTO, knee joint angle become more flexed, so did hip joint angle at LIC and RTO. Besides during power walking the shoulder joint angle movement was bigger and elbow joint angle was more flexed as the trait of power walking. 4) During power walking, through out the phase the muscle activity of all muscle was higher expecially the muscle activity of Biceps brachii, gastrocnemius medialis, gastrocnemius lateralis, Soleus was higher. Therefore during power walking, one's scope of activity and muscle activity is relatively higher than those of normal gait, so power walking helps one strengthen muscular power and energy metabolism. This will be useful information for those who are interested in diet and well-being.

• 대한물리치료과학회지
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• 제31권1호
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• pp.33-45
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• 2024

Background: This study aimed to investigate the effect of elastic band-resistive exercise using audio-visual medium on pain, proprioception, and motor function in adults with chronic neck and shoulder pain. Design: One group pretest-posttest follow-up experimental design. Method: Twenty adult women with neck and shoulder pain voluntarily participated in this study. Elastic band-resistive exercise using audio-visual medium including cervical flexion and extension, shoulder external rotation, and scapular retraction-protraction motions was conducted 5 times a week for 3 weeks. The Numerical Rating Scale, pressure threshold tool, CROM goniometer, and Image J software were used to assess subjective pain level, tenderness threshold (pain), joint position sense error (proprioception), joint range of motion, and postural alignment (motor function), respectively. Result:: The pain intensity and threshold and joint position sense error showed significant decreases after the intervention, whereas the joint range of motion angle revealed significant increases. The postural alignment including forward head posture and rounded shoulder revealed significant improvements after the intervention. Conclusions: Therefore, we suggest that elastic band-resistive exercise through audio-visual medium would be helpful in preventing and managing pain and physical dysfunction in individuals with chronic neck and shoulder pain, and then it would support the development of health management-related online education content.

• 대한물리의학회지
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• 제13권4호
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• pp.149-162
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• 2018

PURPOSE: The aim of this study was to investigate the effect of scapular dynamic taping on pain, disability, upper body posture, and range of motion (ROM) in the postoperative shoulder. METHODS: Twenty-two patients who underwent acromioplasty and rotator cuff repair surgery volunteered for this study. The subjects were randomly divided into an experimental group (EG, n=11) and a control group (CG, n=11). For the EG, exercise therapy, manual therapy, and scapular dynamic taping were applied for 6 weeks; for the CG, only exercise therapy and manual therapy were applied for 6 weeks. Shoulder pain, disability, upper body posture, and ROM were evaluated at baseline, after 3 weeks of intervention, and after 6 weeks of intervention. Assessment tools included quadruple visual analog scale (QVAS) for level of pain; shoulder pain and disability index (SPADI) for functional disability level; forward head angle (FHA), forward shoulder angle (FSA), and pectoralis minor index (PMI) for upper body posture; and ROM testing. RESULTS: Significant differences were observed between the EG and CG in SPADI total scores; internal rotation and external rotation ROM of the glenohumeral joint ; FSA ; and PMI. All groups showed statistically significant improvement in QVAS; SPADI; flexion; abduction; external rotation and internal rotation ROM of the glenohumeral joint; FSA; and PMI. CONCLUSION: These results suggest that, for patients who have undergone acromioplasty and rotator cuff repair surgery, the addition of scapular dynamic taping during therapy is effective for improvement of shoulder disability level, ROM, and upper body posture.

• 한국운동역학회지
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• 제12권2호
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• pp.77-90
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• 2002

본 연구는 4년 이상의 경력을 가진 스포츠 에어로빅스 대표선수 4명을 대상으로 Straddle jump to push up 동작의 운동학적 분석을 통해 점프와 착지 동작에 대한 정확한 동작을 이해하고 나아가 지도자의 효율적인 지도에 필요한 정확한 동작의 진단과 평가에 도움을 주며, 그 기초자료를 제공하는 데 목적이 있다. 비디오 카메라 2대를 사용하여 촬영하였고, 카메라의 속도는 60frame/sec.로 하였으며, 분석을 위한 운동학적 변인들은 신체중심 높이의 변위, 좌 우 어깨관절 각 변위, 좌 우 주관절 각 변위, 좌 우 고관절 각 변위, 좌 우 슬관절 각 변위, 좌 우 발끝의 속도이며, 각각 개인별 3회씩 수행하여 다음과 같은 결론을 얻었다. 국면별 신체중심 높이의 변위는 event 1, 4, 5($79.05{\pm}9.07,\;46.41{\pm}3.65,\;18.66{\pm}0.54cm$)에서 낮은 신체중심의 높이를 나타냈으며, event 2, 3($120.80{\pm}6.13,\;148.12{\pm}9.19cm$)에서는 높은 신체중심 높이를 나타냈다. 이상을 종합해 볼 때 스포츠 에어로빅스의 Straddle Jump to Push up 동작, 즉 점프동작은 파워를 나타내는 중요한 동작이므로 충분한 유연성과 순발력이 무엇보다도 중요한 요인이라는 결론을 얻었으며, 단순한 근육의 강화가 아닌 특정 파워와 힘의 발달, 각각의 신체분절들의 효율적인 통합이 이루어지도록 훈련시키는 것이 중요하다고 사료된다.

• 한국운동역학회지
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• 제16권1호
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• pp.151-158
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• 2006

The purpose of this study was to find out the kinematical characteristics of arm's basic position in ballet. In order to achieve the purpose of the study, 3D cinematographic analysis was conducted with a ballerina who might performed the perfect arm's basic position. According to the results of this study, it was appeared that the shoulder kept about 78%-82%, the elbow kept about 62%-96%, the wrist kept 52%-109%, and finger kept 48%-110% with the height. Also, movement was formed with $21^{\circ}-77^{\circ}$ of the upper arm angle, $106^{\circ}-164^{\circ}$ of the elbow, $125^{\circ}-140^{\circ}$ of the wrist, and $83^{\circ}-160^{\circ}$ of the shoulder. The left-right ratio of the total arm angle was 98% in the first, second, and third position, and 100% in the forth position. The angle of arm gradient was remained $-68^{\circ}$ in the first position, $-27^{\circ}$ in the second position, $73^{\circ}$ in the third position, and $-11^{\circ}$ in the forth position. Based on the results mentioned above, balance and symmetry of both arms was an important factor in those four positions. Although it is impossible to maintain the position like robot, it may be a good performance if a certain level of extent was remained With respect to this point of view, it may be a good position if the difference between right and left arm in each joint can be remained within 2%. Angle also was an important factor that if the difference in total angle can be remained within 2% it may be an excellent position, there was difference of right and left based on the joint though. Therefore, practice and instruction to make a perfect symmetry as much as possible were needed Also, it would be a good movement if position and angle of joint within 2% difference of right and left arm can be remained In turn, because ballet is movement with expression of the body, beauty of the body and balance of the movement have to be harmonized for beautiful performance. Therefore, it would be a meaningful future study considering the body condition and movement of ballerina to define the beauty.