• 한국운동역학회지
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• 제24권1호
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• pp.35-42
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• 2014

Tendon elasticity is an important factor affecting muscle function and thus human movements. It has been reported that the mechanical properties of tendon are adaptable to external loading condition. Based on the adaptability of muscle and tendon to external loading conditions, one can assume that there might be an optimum ratio between muscle strength and tendon stiffness. The present study aimed to investigate whether there is correlation between plantar flexor muscle strength and stiffness of the achilles tendon (AT). Twenty two male subjects (age: $23.2{\pm}1.5yrs$, height: $175.5{\pm}6.2cm$, weight: $75.4{\pm}9.8kg$) performed maximum voluntary isometric plantarflexion on a custom-built dynamometer and muscle-tendon junction of the medial gastrocnemius muscle was simultaneously monitored using a real-time ultrasound imaging machine. The averages of muscle force and tendon stiffness were $366.38{\pm}79.37N$, $35.34{\pm}10.42N/mm$, respectively. Significant positive correlation was observed between muscle strength and tendon stiffness (r=0.8507), indicating that the muscle force is proportional to tendon stiffness. The results might have been used in computational modeling and criterion of training progress level in the fields of training and rehabilitation.

• 한국전문물리치료학회지
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• 제13권4호
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• pp.30-38
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• 2006

This study was to investigate the influence of cooling on muscle force and viscoelastic properties of tendon structures in themedial gastrocnemius (MG) muscle. The subject was instructed to gradually increase force (10% MVC step) from a relaxed state to MVC within 3 s. At this time, it was measured by an ultrasonographic probe was attached and that an electrode was attached to monitor EMG. The F values at 50 100% of MVC were significantly greater under the cold condition than under the non-cold condition (p<.05). The ${\Delta}F/{\Delta}L$ values at 80~100% of MVC were significantly higher under the cold condition than under the non-cold condition (p<.05). The elongation under the non-cold condition had a tendency to be greater than that under the cold condition. The results suggest that cooling results in an increase in the stiffness of tendon structures with a reduction of muscle force and elongation.

• Clinics in Shoulder and Elbow
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• 제17권3호
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• pp.107-113
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• 2014

Background: Sonoelastography (SE) is a new technique that can assess differences in tissue stiffness, the purpose of this study was to evaluate the ability of SE to assess the long head of biceps tendon alteration. Methods: Forty shoulders of 36 consecutively registered patients with clinical symptoms and conventional ultrasonography findings of biceps tendinitis or tendinosis, and 40 asymptomatic shoulders of 20 healthy volunteers were assessed with SE. Transverse and longitudinal images of long head of biceps tendon were obtained using SE. SE images were performed by one orthopedic surgeon and evaluated by two orthopedic surgeons using an experimentally proven color grading system. Results: The transverse images of SE showed a sensitivity of 87.5%, a specificity of 95.0% and a accuracy of 91.3%, the longitudinal images of SE showed a sensitivity of 92.5%, a specificity of 90.0% and a accuracy of 91.3%. Inter-observer reliability of SE was in 'almost perfect agreement' with a weighted kappa coefficient of 0.83. Conclusions: SE is valuable in the detection of the intratendinous and peritendinous alterations of biceps tendon, and has excellent accuracy and excellent correlation with conventional ultrasound findings.

• 한국운동역학회지
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• 제25권2호
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• pp.175-182
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• 2015

Objective : The purpose of this study was to investigate difference in fascicle behavior of the medial gastrocnemius during the locomotion with varying intensities, such as gait and one-legged and two-legged vertical jumping. Methods : Six subjects (3 males and 3 females; age: $27.2{\pm}1.6yrs.$, body mass: $62.8{\pm}9.8kg$, height: $169.6{\pm}8.5cm$) performed normal gait (G) at preferred speed and maximum vertical jumping with one (OJ) and two (TJ) legs. While subjects were performing the given tasks, the hip, knee and ankle joint motion and ground reaction force was monitored using a 8-infrared camera motion analysis system with two forceplates. Simultaneously, electromyography of the triceps surae muscles, and the fascicle length of the medial gastrocnemius were recorded using a real-time ultrasound imaging machine. Results : Comparing to gait, the kinematic and kinetic parameters of TJ and OJ were found to be significantly different. Along with those parameters, change in the medial gastrocnemius (MG) muscle-tendon complex (MTC) length ($50.57{\pm}6.20mm$ for TJ and $44.14{\pm}5.39mm$ for OJ) and changes in the fascicle length of the MG ($18.97{\pm}3.58mm$ for TJ and $20.31{\pm}4.59mm$ for OJ) were observed. Although the total excursion of the MTC and the MG fascicle length during the two types of jump were not significantly different, however the pattern of length changes were found to be different. For TJ, the fascicle length maintained isometric longer during the propulsive phase than OJ. Conclusion : One-legged and two-legged vertical jumping use different muscle-tendon interaction strategies.

• The Journal of Korean Physical Therapy
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• 제10권2호
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• pp.195-200
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• 1998

도인술은 경락과 경혈에 자극에 의한 체조법과 호흡법을 결합하여 기혈의 순환을 활발하게 하고 사기의 배설을 촉진시키므로 근육, 건, 인대의 탄력성과 활력성을 증강하고 관절의 활액 분비와 관절 주위의 순환을 촉진하고 경락을 통해 전신을 조정해 준다.(신준식, 1995). 내$\cdot$외관적 질환, 부인과 질환을 예방하고 치료하는 운동요법 중에 요통과 견괄절 질환에 대해서만 몇 가지 행법만 소개하므로 모든 질병을 치료보다 예방적인 측면으로 건강증진, 치료목적, 근 이완, 피로 회복의 효과를 달성할 수 있다. 도인법은 확고하게 과학적으로 증명된 것은 아니지만 질병 치료와 건강 증진 목적으로 현재까지 시행하고 있으므로 한방 물리치료의 한 분야이므로 좀 더 효과적이고 발전에 많은 활용하기 위하여 제한하는 바이다.

• Journal of Korean Neurosurgical Society
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• 제65권2호
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• pp.307-314
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• 2022

Objective : The percutaneous thread transection technique is a surgical dissecting method using a dissecting thread inserted through a needle under ultrasound guidance without skin incision. As the new dissecting threads were developed domestically, this cadaver study was conducted to compare the effectiveness and safety between the new threads (ultra V sswire and smartwire-01) and a pre-existing commercial dissecting thread (loop & shear) by demonstrating a modified looped thread cubital tunnel release. Methods : The percutaneous cubital tunnel release procedure was performed on 29 fresh cadaveric upper extremities. The pre-existing commercial thread was used in 5 upper extremities. The two newly developed threads were used in 24 upper extremities. Two practitioners performed the procedures separately. After the modified looped thread cubital release, anatomical and histological analyses were performed by a blinded anatomist. The presence of the dissected cubital tunnel and damaged adjacent soft tissue was assessed. Results : Out of the 29 cadaveric upper extremities, 27 specimens showed complete dissection of the Osborne ligament and the proximal fascia of the flexor carpi ulnaris muscle. One specimen was incompletely dissected in each of the ultra V sswire and smartwire-01 groups. There were no injuries of adjacent structures including the ulnar nerve, ulnar artery, medial antebrachial cutaneous nerve, or flexor tendon with either the commercial thread or the newly developed threads. The anatomical analysis revealed clear and sharp incisional margins of the cubital tunnel in the Smartwire-01 and loop & shear groups. All three kinds of threads maintained proper linear elasticity for easy handling during the procedure. The smartwire-01 provided higher visibility in ultrasound than the other threads. Conclusion : The newly developed threads were effective and safe for use in the thread cubital tunnel release procedure.

• 콘크리트학회논문집
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• 제14권4호
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• pp.521-529
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• 2002

콘크리트의 크리프와 건조수축에 의한 장기변형의 일부가 구속되는 합성단면에 대해 콘크리트에 발생되는 잔류응력과 이로 인한 콘크리트 단면에 선압축력의 손실을 계산하기 위해 콘크리트 장기변형의 구속계수가 유도되었으며, 선압축력의 손실률을 계산하기 위한 식을 제안하였다. 제안된 구속계수는 재령수정 유효탄성계수가 적용된 환산단면특성으로부터 계산되며, 복잡한 형태의 합성단면에 대해서도 쉽게 적용될 수 있다. 기존 설계기준에서 콘크리트의 장기변형과 관련된 조항을 검토하기 위해서 도로설계편람의 일반 합성단면에 대해 이 구속계수와 선압축력의 손실 계산식이 적용되었다. 부정정력과 신축이음량의 계산에 적용되는 건조수축변형률 $150 ~ 200$\times$10^{-6}$ 은 장기변형의 구속정도가 적은 경우에 과소 계산될 수 있으며, 잔류응력의 계산에 는 적용되는 $180$\times$10^{-6}$ 은 비정상적으로 작은 값이다. 이 논문에서 적용된 PSC 합성단면에 대한 도로교 설계기준의 손실률 16.3%는 ACI 209에 대해서는 안전측으로 계산되었으나 Eurocode 2에 대해서는 안전을 보장할 수 없었다. 강합성 단면의 콘크리트 바닥판에 일반 보강철근의 긴장에 의해 선압축력이 도입되면 철근비의 증가로 긴장에 의한 경우보다 상당히 큰 손실이 발생되었으며, 강재거더의 구속에 의해 긴장된 보강재 선인장력의 손실은 감소한 반면에, 콘크리트 선압축력의 손실은 증가하였다.