• 제목/요약/키워드: Standing

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정적 서기와 쪼그려 앉았다 서기 동작에서 고령자남녀의 자세 동요 비교 (Comparison of Postural Sway in the Elderly Males and Females during Quiet Standing and Squat-and-Stand Movement)

  • 김지원;김다혜;문기욱;엄광문;남정숙;김요한;홍정화;박병규
    • 전기학회논문지
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    • 제57권11호
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    • pp.2131-2137
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    • 2008
  • In this paper, COP (center of pressure) during quiet standing and squat-and-stand movement was analyzed to compare the postural control of young and elderly subjects with special interest in the elderly females who were reported to have higher fall rate than the elderly males. Subjects include the young subjects (10 males: $21.8{\pm}2.6yrs$, 10 females: $20.4{\pm}0.3yrs$) and the elderly subjects (8 males: $75.5{\pm}4yrs$, 8 females: $72.3{\pm}3.5yrs$). Analysis parameters were the mean of the distance between the instantaneous COP and the average COP (COP distance) and the mean of the COP movement velocity (COP velocity) in both AP (anterio-posterior) and ML (media-lateral) directions. During quiet standing, the COP distance in ML direction of elderly females was significantly greater than that of elderly males and the COP velocity of elderly females in both ML and AP direction were significantly greater than those of all the other groups. During squat and stand movement, the COP distance of elderly females was not significantly different with that of the elderly males. However, the COP velocity of elderly females was significantly greater than that of all the other groups. The large lateral weight shift (COP distance) of elderly females during quiet standing may explain their greater fall rate. However, this does not apply to squat-and stand movement. In contrast, COP velocity results show that the elderly females' COP is rapidly trembling compared to that of elderly males during both quiet standing and squat and-stand movement. This results suggest that rapid trembling or postural sway may reflect the reduced postural control ability and the risk of falling.

Can Right-Handed Surgeons Insert Upper Thoracic Pedicle Screws in much Comfortable Position? Right-Handedness Problem on the Left Side

  • Akyoldas, Goktug;Senturk, Salim;Yaman, Onur;Ozdemir, Nail;Acaroglu, Emre
    • Journal of Korean Neurosurgical Society
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    • 제61권5호
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    • pp.568-573
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    • 2018
  • Objective : Thoracic pedicles have special and specific properties. In particular, upper thoracic pedicles are positioned in craniocaudal plane. Therefore, manipulation of thoracic pedicle screws on the left side is difficult for right-handed surgeons. We recommend a new position to insert thoracic pedicle screw that will be much comfortable for spine surgeons. Methods : We retrospectively reviewed 33 patients who underwent upper thoracic pedicle screw instrumentation. In 15 patients, a total of 110 thoracic pedicle screws were inserted to the upper thoracic spine (T1-6) with classical position (anesthesiologist and monitor were placed near to patient's head. Surgeons were standing classically near to patient's body while patients were lying in prone position). In 18 patients, a total of 88 thoracic pedicle screws were inserted to the upper thoracic spine with the new standing position-surgeons stand by the head of the patient and the anesthesia monitor laterally and under patient's belt level. All the operations performed by the same senior spine surgeons with the help of C-arm. Postoperative computed tomography scans were obtained to assess the screw placement. The screw malposition and pedicle wall violations were divided and evaluated separately. Cortical penetration were measured and graded at either : 1-2 mm penetration, 2-4 mm penetration and >4 mm penetration. Results : Total 198 screws were inserted with two different standing positions. Of 198 screws 110 were in the classical positioning group and 88 were in the new positioning group. Incorrect screw placement was found in 33 screws (16.6%). The difference between total screw malposition by both standing positions were found to be statistically significant (p=0.011). The difference between total pedicle wall violations by both standing positions were found to be statistically significant (p=0.003). Conclusion : Right-handedness is a problem during the upper thoracic pedicle screw placement on the left side. Changing the surgeon's position standing near to patient's head could provide a much comfortable position to orient the craniocaudal plane of the thoracic pedicles.

12주간의 불안정성 신발 착용이 직립 자세 및 보행역학에 미치는 영향 (Effects of 12-week Wearing of the Unstable Shoes on the Standing Posture and Gait Mechanics)

  • 박기란;안송이;이기광
    • 한국운동역학회지
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    • 제16권3호
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    • pp.165-172
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    • 2006
  • The purpose of this study was to determine effects of 12-week wearing of unstable shoe on the standing posture and gait mechanics. Nine healthy men were asked to wear the unstable shoes for 12-week and walk for 30 minute everyday. Their standing posture and gait mechanics were measured before and after treatment. Standing posture was measured for each side(anterior, posterior, lateral) for standing position. And gait analysis was measured joint angle of a right lower limb between first right heel contact and second right heel contact. Kinematic data were collected using video camera at 30 frame per seconds. Statistical analysis was paired t-test(p<.05) to compare before training with after that. A head tilt angle was significantly decreased for posterior side(p<.05). The angle of between center of line and surface was significantly decreased at midstance and take off during walking(p<.05). Ankle dorsiflexion significantly increased at heel contact2(p<.05) and ankle plantarflexion significantly increased at midstance and midswing(p<.05). The increase of ankle dorsiflexion showed that our results consisted with previous study. In conclusion, there was not large significant difference in static standing posture but joint angle of lower limb represented many changes with increasing of ankle motion during walking. These were of benefit to body by increasing leg muscle activity but it was necessary for man having a ankle problem to consider. Further studies concerning optimum outsole angle of unstable shoes are necessary.

전시작전통제권 전환에 관한 정책흐름 및 전문가집단 위상변동모형 사례분석 (PSECF (Policy Streams & Expert Group Standing Change Framework) for Wartime Operational Control Transition)

  • 박상중;고찬
    • 디지털융복합연구
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    • 제12권7호
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    • pp.37-47
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    • 2014
  • 이 연구는 박상중 고찬이 제안한 '정책흐름 및 전문가집단 위상변동모형'(Policy Stream and Expert Group Standing Change Framework, 이후 PSECF)을 활용하여 참여정부의 전시작전통제권(이후 전작권) 결정을 분석하는 것이다. 전작권 전환 결정과정에서 노무현 전 대통령과 진보성향의 국가안전보장회의(National Security Committee, 이후 NSC)의 강력한 의지는 정책개발과정의 주요 동인으로 작동하였으며, 국방부 및 합참 등 군사전문가집단의 의견은 정책에 수동적이라는 이유로 철저하게 배제되었다. 전문가집단의 위상변동 측면에서 볼 때 전작권 전환 결정이후 8개월 만에 보수성향의 정부가 출범하게 됨으로써 참여정부에서 전작권 전환을 주도한 NSC는 위상이 약화된 반면에 국방부 및 합참과 같은 보수진영은 그 위상이 향상되었다. 결론적으로 참여정부의 전작권 전환에 관한 이 연구는 상위 수준의 국가정책을 설명하는 정책도구로서 PSECF의 적용가능성을 제고하였다는데 의의가 있다.

건강인의 한발 서기 시 다양한 감각 자극이 압력 중심점 이동 면적과 속도에 미치는 영향 (Effects of Various Sensory Stimulation on Surface Area and Velocity of Center of Pressure During One Leg Standing in Healthy Adults)

  • 김가현;탁지연;임학현;정희선;우영근
    • 한국전문물리치료학회지
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    • 제22권3호
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    • pp.41-49
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    • 2015
  • This study aimed to evaluate the surface area and velocity of center of pressure (COP) during one leg standing by stimulating the sensory system in normal adults. Thirty subjects were enrolled in this study. Subjects were asked to stand on one leg during testing conditions. Testing conditions included 6 different sensory stimulations as follows: eyes opened, eyes closed, eyes opened with vibrator, eyes opened with head-mounted display (HMD), eyes opened with vibrator and HMD, and eyes closed with vibrator. During each testing condition, the surface area and velocity of center of pressure were measured. There were significant differences in the mean surface area and the mean velocity of COP between the "eyes opened" condition and the other five testing conditions (p<.05). However, in the comparison between the "eyes closed" and "eyes opened with HMD" conditions, there were no significant differences in the tested parameters. This study shows that closing eyes or keeping eyes opened while using HMD to experience virtual reality has the same effect on one leg standing balance. This finding should be considered in the evaluation or intervention of balance, especially one leg standing balance and balance while standing with a small base of support.

복횡근 강화운동이 체간 신전-굴곡 시 척추 분절 운동에 미치는 영향 (Effects of Transversus Abdominal Muscle Stabilization Exercise to Spinal Segment Motion on Trunk Flexion-Extension)

  • 김선엽;백인협
    • 한국전문물리치료학회지
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    • 제10권1호
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    • pp.63-76
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    • 2003
  • This research was performed to compare spinal segment motion angle between low back pain (LBP) group and painless group during trunk flexion-extension and to investigate the effect of transversus abdominis strengthening exercise on spinal segment motion angle in LBP group. Nine subjects with LBP and ten subjects without LBP participated. Transversus abdominis strengthening exercise was performed in LBP group for three weeks, and spinal segment motion angles were compared before and after the exercise performance. Spinal segment motion angles were measured both in sitting and standing position. Results were as followed: 1) Subjects' average age was 24.79 years, height was 167.84 cm, and weight was 59.95 kg. 2) Spinal segment motion angle of T10/l1 was significantly higher in LBP group compared with painless group (p<.05) in sitting position during trunk flexion-extension. 3) In sitting position, whereas entire lumbar segment motion angles were lower in LBP group compared with painless group (p<.05), angle of L4/5 was higher in LBP group compared with painless group (p<.05). 4) There was no significant difference in thoracic segment motion angle in standing position. 5) After three weeks of transversus abdominis strengthening exercise, thoracic segment motion angle increased both in sitting and standing position (p<.05). 6) In painless group, there was no significant difference in entire spinal segment motion angles in sitting and standing position (p>.05). When spinal segment motion angles were compared between sitting and standing position, there were slight differences. In sitting position, there was no difference in spinal segment motion angle between LBP group and painless group while hip joint motion angle and sacral inclination angle of LBP group was lower than those of painless group (p<.05). In standing position, lumbar segment motion angle was significantly lower in LBP group than that of painless group. Transversus abdominis strengthening exercise influenced thoracic segment motion angle more significantly than lumbar segment motion angle.

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혈액투석 환자에서 다리교차의 기립성 저혈압 감소 효과 (The Effect of Leg Crossing on Reducing Orthostatic Hypotension in Hemodialysis Patients)

  • 김시숙;최경숙;원삼순;김인영
    • 근관절건강학회지
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    • 제22권3호
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    • pp.160-166
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    • 2015
  • Purpose: The purpose of this study is to examine the effect of leg crossing on reducing orthostatic hypotension and orthostatic hypotension symptoms in hemodialysis patients. Methods: A one-group pretest-posttest design was used. A total of 40 post-hemodialysis adult patients were enrolled, excluding the case of intradialysis hypotension, unbalance of standing with leg crossing, adding antihypertensive medications. Blood pressure (BP) and heart rate (HR) were measured in supine and standing positions. After a week, BP and HR were measured in supine and standing with leg crossing position. Orthostatic hypotension symptoms were also measured by self-reported structured questionnaire in standing without leg crossing and with leg crossing position. Results: We found out that systolic blood pressure, diastolic blood pressure, and mean arterial pressure increased significantly in standing with crossing leg position applied (p=.006, p=.001, p=.006). However, presences of orthostatic hypotension symptoms were not significantly decreased in standing with leg crossing position (p=.500, p=.318, p=.306, p=.241, p=.356, p=.500, p=.241, p=.308). Conclusion: This study shows that leg crossing is effective for reducing orthostatic hypotension without additional cost or instruments. Leg crossing as one of the preventive interventions to reduce orthostatic hypotension is easier and simpler to be implemented in hemodialysis patients.

정상 초음파장의 간섭에 의한 메탄/공기 예혼합화염의 구조 변이 (Structural Variation of Methane/Air Premixed Flame Caused by the Intervention of Ultrasonic Standing-wave)

  • 서항석;이상신;김정수
    • 한국추진공학회지
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    • 제15권6호
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    • pp.1-6
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    • 2011
  • 본 연구에서는 정상초음파장의 간섭에 의해 야기되는 예혼합화염의 구조 변이를 규명하기 위한 실험 결과를 제시한다. 화염전파를 관찰하기 위해 슐리렌 기법을 이용하였으며, 초기압력 및 연소챔버 개방 유무에 따른 화염선단의 형태 및 화염 전파속도를 고찰하였다. 정상초음파장에 의한 화염선단의 찌그러짐이 관찰되었고, 초음파장의 특성이 변하지 않는 한 그 수직방향으로의 위치는 일정하였다. 정상초음파의 영향을 받은 화염은 전파할수록 구조적 변화가 심해졌으며, 전파속도 또한 증가하였다. 반사파와 정상초음파의 영향으로 연꽃모양의 화염(lotus flame)이 형성되는 사실을 발견할 수 있었다.

고리, 월성, 울진과 영광 연안해역에서 식물플랑크톤 군집의 생태학적 특성 Ⅲ. 우점종 분포와 환경요인들 (Ecological Characteristics of Phytoplankton Communities in the Coastal Waters of Gori, Wolseong, Uljin and Younggwang Ⅲ. Distribution of Dominant Species and Environmental Variables)

  • 강연식;최중기;엄희문
    • ALGAE
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    • 제18권1호
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    • pp.29-47
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    • 2003
  • In order to investigate the distribution of dominant phytoplankton species in the coastal waters of Gori, Wolseong, Uljin and Younggwang, the standing crops of dominant species were studied during 1992-1996 and the relationships between standing crops and environmental variables were analyzed.The standing crops of diatom Skeletonema costatum, Thalassiosira decipiens, Chaetoceros debilis, Pseudo-nitzchia seriata, Paralia sulcata and dinoflgaellate Prorocentrum triestinum were on average from 16,373 to 118,549 cellso$l^{-1}$, from 11,180 to 210,313 cellso$l^{-1}$, from 23,341 to 55,889 cellso$l^{-1}$, from 6,784 to 15,766 cellso$l^{-1}$, from 342 to 41,596 cellso$l^{-1}$ and from 4,828 to 22,397 cellso$l^{-1}$ in the four study areas, respectively. The standing crops of Skeletonema costatum, Thalassiosira decipiens and Paralia sulcata were higher in Younggwang, while Chaetoceros debilis, Pseudo-nitzschia seriata and Prorocentrum triestinum were higher in Wolseong than other areas. The standing crops of silicoflgaellate Distephanus speculum were from 157 to 4,239 cellso$l^{-1}$ in the four study areas, showing an tendency increasing in Uljin. The abundance rates of Skeletonema costatum, Thalassiosira decipiens and Chaetoceros debilis were from 7.04 to 15.74%, from 6.95 to 33.69% and from 5.17 to 13.88% in the four study areas, respectivelyThe results of correlation coefficient between standing crops of dominant species and environmental variables show that phosphates were related with the distribution of dominant species in Gori, Uljin and Younggwang, while nitrogen compounds affected the distribution of dominant species in Wolseong. In addition, salinity and temperature affected the distribution of dominant species in Wolseong and Younggwang, respectively.

대청호의 수질과 식물플랑크톤 현존량 (Water Quality and Phytoplankton Standing Crops in the Daechung Reservoir)

  • 이진환;오희목;맹주선
    • 환경생물
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    • 제18권3호
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    • pp.355-365
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    • 2000
  • 본 연구는 1998년 5월부터 11월까지 대청호의 2개 정점 표ㆍ중ㆍ저층에서 수질과 일차생산을 나타내는 식물플랑크톤 현존량과의 관계를 규명하기 위하여 물리ㆍ화학적 환경요인(수온, 용존산소량, pH, 투명도, 총질소, 질산염, 아질산염, 암모니아, 총인, 인산염, 용존총인, 총유기탄소, 부유물질), 식물플랑크톤 현존량, chlorophyll-a의 농도를 조사하였다. 영양염류(아질산염, 질산염, 암모니아 및 인산염)가 과거에 비하여 증가되었으며, 총질소, 총인,chlorophyll-a 및 투명도는 부영양화의 기준치를 초과하여 대청호의 수질은 심한 부영양화 수역으로 판명되었다. 식물플랑크톤 현존량은 7월과 8월의 정점 1을 제외하고 년중 대발생을 유지하고 있었으며, 봄철 대발생은 아질산염, 질산염 및 인산염의 영향이 큰 것으로 판명되었다. Chlorophyll-a의 농도는 식물플랑크톤 현존량의 월별 변동과 대부분 같은 경향으로 변화하였다. 여름철에 높은 부유물질은 장마기의 강우에 따른 것으로 판단되며, 특히 8월의 많은 종속영양 세균수는 높은 수온과 장마시 주변 수역으로부터 유입된 각종 유기영양염류의 유입에 따른 대량증식으로 추정된다.

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