• 한국의류산업학회지
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• 제25권3호
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• pp.346-357
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• 2023

The purpose of this study is to develop clothing customized for dealing with patients with severe dementia. Based on the results of previous studies, The research patient clothing was designed to reduce the physical fatigue experienced by caregivers when dressing and undressing patients by changing the position and shape of the split in the patient's clothing. This study used qualitative and quantitative methods to measure the extent to which these modifications improved the ease of dressing and undressing the research patient. The research patient clothing was developed by moving the rear-center zipper to the side and changing the zipper from being half-open to fully open. Muscle energy consumption and fatigue generation were analyzed using EMG signals at the following sites: brachioradialis, biceps, triceps, anterior deltoid, medial deltoid, posterior deltoid, upper trapezius and erector spinae. Results indicated that the modified research patient clothing required less muscle energy and the occurrence of muscle fatigue decreased overall compared to traditional patient clothing. This was supported by the qualitative subjective evaluation, which revealed that dressing and undressing was easier with the modified clothing. In conclusion, repositioning of the back zipper to the side and the fully open slit shape significantly reduced caregiver fatigue when dressing and undressing patients.

• 한국전문물리치료학회지
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• 제27권1호
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• pp.38-44
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• 2020

Background: Posterior shoulder tightness, which is a problem mainly seen in patients with shoulder impingement syndrome, disrupts the scapulohumeral rhythm between the humerus and scapulae. Objects: The aim of this study was to compare the effects of joint mobilization and stretching on shoulder muscle activity and internal rotation range of motion (ROM) of the glenohumeral joint in patients with impingement syndrome with posterior shoulder tightness. Methods: The research subjects included 22 in-patients with impingement syndrome with posterior shoulder tightness. They were randomly divided into two groups: one group (12 patients) was treated with joint mobilization and the other group (10 patients) was treated with stretching for the posterior shoulder tightness. Each treatment was performed five times a week for two weeks, and there were 15 sessions for each treatment. The ROM of the internal rotation and muscle activities of shoulder joint were evaluated pretest and posttest in each group. Electromyography data were collected from the upper, middle, and lower trapezius and serratus anterior during shoulder abduction of 90°, 120°, and 150°. Results: Both the joint mobilization and stretching groups showed significant decreases in muscle activity in the upper, middle, and lower trapezius on the posttest (p < 0.05). There was a significant difference in serratus anterior at 150° (p < 0.05), but there was no significant difference between group in post-hoc analysis (p > 0.025). The internal rotation ROM was significantly increased in the stretching group compared to that in the joint mobilization group (p < 0.025). Conclusion: This study found that both joint mobilization and stretching for posterior shoulder tightness were effective in muscle activity during arm abduction, also in order to increase internal rotation ROM of shoulder joint, stretching was effective in patients with impingement syndrome with posterior tightness.

• 한국융합학회논문지
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• 제11권9호
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• pp.277-285
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• 2020

본 연구는 헤드 마운티드 디스플레이(Head-Mounted Display; HMD) 사용이 건강한 젊은 성인들의 목관절가동범위(CROM)와 목 근육 두께 및 통증에 미치는 영향을 분석하였다. HMD 군(남자 16명, 여자 7명)은 HMD를 착용하고 30분 동안 정해진 영상을 시청하도록 하였다. 대조군(남자 15명, 여자 8명)은 HMD군과 동일한 자세로 HMD 착용없이 30분 동안 앉아있게 하였다. 실험 전·후에 목관절가동범위, 위등세모근과 어깨올림근의 두께와 압력통증역치를 측정하고 대응표본 t검정과 독립 t검정으로 분석하였다. HMD 군의 목관절가동범위와 양쪽 위등세모근과 어깨올림근의 압력통증역치는 사전 검사 보다 유의하게 감소하였고(p<.05), 양쪽 위등세모근의 두께는 유의하게 증가하였고(p<.05). 반면에, 대조군은 목관절가동범위, 근육 두께 및 압력통증역치에서 유의한 차이가 없었다(p>.05). 분석 결과, 장시간 HMD 사용은 목관절가동범위와 압력통증역치를 감소시키고 근육을 비대하게 하여 목과 어깨의 근골격계 질환을 야기할 수 있으므로, 본 연구는 올바른 자세를 유지하며 적절한 시간 동안만 HMD를 사용할 것을 권장한다.

• 한국컴퓨터정보학회논문지
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• 제25권1호
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• pp.125-130
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• 2020

본 연구는 의료기관 사무직 종사자들의 근 경직도에 대한 스트레칭의 효과를 알아보려고 한다. 총 40명의 젊은 여성 대상자들이 자발적으로 이 연구에 참여했다. 대상자들은 스트레칭 군과 대조군에 무작위로 분류하였다. 스트레칭 중재 전, 대상자의 흉쇄유돌근, 상부승모근, 후두하근, 소흉근의 근 경직도를 측정하였다. 그리고 스트레칭을 스트레칭 군에 적용하였다. 중재 후 5분이 지나서 각 근육의 근경직도를 재측정하였다. 스트레칭 군에서 흉쇄유돌근, 상부승모근, 후두하근, 소흉근의 근 경직도는 유의하게 감소하였으며(p<.05), 대조군에서는 중재 전과 후에 유의한 차이가 나타나지 않았다. 따라서 적절한 스트레칭은 의료기관 사무직 종사자의 근 경직도의 증가로 인해 야기될 수 있는 근골격계 질환을 예방하고 감소시킬 것으로 사료된다.

• 대한물리의학회지
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• 제15권3호
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• pp.51-59
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• 2020

PURPOSE: The purpose of this study was to provide clinical basic data to reduce pain and improve function by comparing neck muscle activity and neck alignment using self-stretching and passive stretching exercises for chronic neck pain caused by forward head posture. METHODS: The subjects were divided into 15 subjects assigned to perform self-stretching exercise and 15 subjects assigned to perform passive stretching exercise. The intervention was conducted for a total of 4 weeks. The muscle activity in the neck was measured by surface electromyography (EMG) before intervention, and craniovertebral and cranial rotation angles were measured by X-ray. The 4-week intervention was conducted and the above items re-measured in the same manner and analyzed. RESULTS: Muscle activity within both groups after intervention using self-stretching or passive stretching exercise was significantly different (p < .05)(p < .01). Neck alignment of both groups was significantly different (p < .001)(p < .01). Further, muscle activities of the upper trapezius and splenius capitis muscles showed significant differences (p<.05). Lastly, neck alignment showed statistically significant difference (p < .05). CONCLUSION: Self-stretching exercise activated motor nerves as a posture correction exercise, thereby improving inhibition of muscle activity, muscle contraction delay, and pathological conditions of the muscle. For future research, interventions of self-stretching exercise will be needed for patients with chronic back pain accompanied by forward head posture, and various clinical studies on postural improvement of forward head posture by maintaining a normal muscle tone state are needed.

• Physical Therapy Rehabilitation Science
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• 제9권2호
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• pp.98-104
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• 2020

Objective: The shoulders are a particularly an important body part for elite boxers. The purpose of this study was to investigate the characteristics of the upper trapezius (UT), infraspinatus (IS) muscle tone, pain, and isokinetic muscle function of shoulder movements such as external rotation, internal rotation, protraction, and retraction according to the scapular position of elite boxers of the Korean national team. Design: Cross-sectional study. Methods: Using the double square method, the scapular position was measured and divided into the forward scapular position group (n=8) with a measurement distance of 135 mm or more, and the normal scapular position group (n=10) with a measurement distance of less than 135 mm. Through the numeric rating scale of the subject, the pain value displayed during movement was measured. The muscle tone of the subjects' UT and IS were measured. The isokinetic muscle function of ER, IR, protraction, and retraction were measured using isokinetic exercise equipment. Results: The results of this study showed statistically significant differences when comparing muscle tone of the UT and IS, shoulder pain, isokinetic function of ER and IR, protraction, and retraction according to scapular position (p<0.05). Conclusions: The findings of this study were that shoulder muscle tone, pain, and isokinetic muscle function were affected according to the scapular position of elite boxers. In the future, this information may be a useful indicator when studying the effects of medium and long-term intervention in elite boxers who possess these characteristics.

• 대한통합의학회지
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• 제9권1호
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• pp.123-131
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• 2021

Purpose : The time spent using smart devices is constantly increasing, particularly in recent times. Using smart devices for a long time with an incorrect posture may lead to cerebral palsy (CP), instability, and abnormal muscle tone. Therefore, we aimed to investigate the relationships among cervical instability, deep neck flexor (DNF) activity, range of motion (ROM), and muscle tonus. Methods : Fifty subjects with CP participated in this study, and they were physiotherapists at W Hospital in Daejeon. Those who voluntarily participated in the research were selected as candidates who fulfilled the selection criteria. According to an instability test, 25 subjects were assigned to the instability and control groups. All subjects first underwent the instability test to be allocated to the appropriate group. Those in the instability group tested positive on the instability test. The Neck Disability Index (NDI), ROM, muscle tone, and DNF activity were measured to evaluate their relationships. The DNF strength and endurance were measured using a cranio-cervical flexion test. The upper trapezius (UT), sternocleidomastoid (SCM), and suboccipital (SO) muscle tones were measured using a contact soft tissue tone measuring instrument. The statistical significance level was set to .05. Results : There were significant differences in the flexion, extension, and rotation of the cervical ROM (CROM) between the two groups (p<.05). The SCM, UT, and SO muscle tones were significantly different between the two groups (p<.05). The DNF strength and endurance showed a significant difference between the two groups (p<.05). Conclusion : We found that there were significant increases in the CROM and muscle tone and decrease in the DNF strength and endurance in the instability group. This indicated that cervical instability is affected by the DNF strength and endurance. We may recommend DNF exercises in cases of cervical instability in clinical environments.

• 대한물리치료과학회지
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• 제2권1호
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• pp.393-404
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• 1995

The purpose of this review was to examine the clinical characteristics of patients who had a diagnosis of Myofascial Pain Syndrome(MPS). Myofascial pain is a painful condition of skeletal muscle characterized by the presence of one or more trigger points. A trigger point(TrP) is a focus of hyperirritability in a tissues. Of the patients with MPS, 21(44.7 %) were male and 26(55.3 %) were female. The mean duration of MPS was 9.6 months for males and 11.3 months for females. Trigger points with associated referred patterns of pain were found in muscles of the post neck(trapezius, infrasupinatus) and in quadratus lumborum muscle. Patients reported increased fatigue(87.2 %), tingling sensation(66.0 %), numbness(66.0 %), tension(55.3 %), anxiety(44.7 %), headache (59.6 %), pilomotor activation(59.6 %).

• 한방안이비인후피부과학회지
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• 제14권2호
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• pp.295-302
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• 2001

Trigeminal neuralgia has a specific property which burning pain emerges suddenly and spasmodically. The following pain continuously emerges during 20 seconds or 30 seconds and then the pain disappears. This process of the pain emerges repeatedly. Trigeminal neuralgia was called Myuntong(麵痛). We experienced a patient who had Trigeminal neuralgia for five years. she was successfully treated by the herb-medication, accupunture and negative. The medication taken by the patient were Seunghyungsan(升荊散) and Jowyuseung chengtang(謂胃升淸湯) and so on. The accupunture was mainly done at mainly done G-14(陽白), S-2(瀉白), G-3(上關), S-36(足三里), LI-4(합閤穀) and so on. The negative was done sternocleidomastoid muscle, trapezius and Masseter muscle.

• Journal of Oral Medicine and Pain
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• 제45권4호
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• pp.120-123
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• 2020

The causes of tongue pain and discomfort include systemic disease, malnutrition, mental illness, fungal infection, and neuropathy. Three postmenopausal women reported burning sensations and stiffness of the tongue for various periods, from one month to four years. There were no objective etiological factors to cause the tongue pain and discomfort. Muscular tenderness upon palpation of masticatory muscles, sternocleidomastoid, trapezius, and tongue were observed. Physical therapy approaches such as moist hot pack, ultrasound, and myomonitor were performed on three patients with tongue pain, just as for temporomandibular joint disease. Additional botulinum toxin injection therapy was applied to one patient who displayed a clenching habit. All three patients showed a marked improvement in their tongue symptoms after the muscle relaxation and botulinum toxin injection therapy.