• PNF and Movement
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• 제18권1호
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• pp.1-10
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• 2020

Purpose: This study was conducted to examine the effects of a PNF intervention using elastic bands on edema, range of motion (ROM), and pain in post-mastectomy patients with upper limb lymphedema, according to their hand grip type. Methods: The subjects were 14 female patients who were at Stage II lymphedema after undergoing mastectomy for Stage II breast cancer. They were randomly divided into an experimental group (n =7) and a control group (n = 7). Both groups participated in a treatment program four times (one time under the therapist's instructions and three times as self-exercise) a week for 4 weeks. Both groups repeated an upper limb PNF pattern exercise for 30 min using elastic bands after receiving a manual lymph drainage treatment for 1 hour. Here, subjects in the experimental group performed the PNF exercise with an open-hand grip by putting their hands into the loops of elastic bands and keeping their fingers spread out. Subjects in the control group performed the PNF exercise with a closed-hand grip by holding the loops of elastic bands with their fingers. In both groups, the subjects' edema, ROM, and pain levels were measured before the intervention and 2, 3 and 4 weeks after the intervention. Results: As a result of the experiment, both groups demonstrated edema reductions, ROM increases, and pain reductions in four areas of the upper limbs. Notably, the experimental group exhibited larger ROM increases in flexion, extension, and abduction as well as greater edema and pain reductions than the control group. In particular, the most significant effects were found in the elbow of the four upper limb areas for edema reductions and in extension for ROM increases. Conclusion: The present study indicates that exercise therapy-based approaches using elastic bands in post-mastectomy patients with upper limb lymphedema can have different effects depending on the type of hand grip (open or closed), which is the body's most distal part. Therefore, these approaches should be based on the conditions of the distal parts of the patient's body for their effective applications in clinical practice.

• 한국운동역학회지
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• 제15권1호
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• pp.143-153
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• 2005

J.Y. CHOI,S. J. KIM, E. L. LEE. Change of plantar pressure Distribution of Open Stance during Forehand Strke in Tennis. Korean Journal of Sport Biomechanics, Vol. 15, No. 1, PP. 143-153, 2005. Recently among several tennis techniques forehand stroke has been greatly changed in the aspect of spin, grip and stance. The most fundamental factor among the three factors is the stance which consists of open, square and close stance and it is very important to know the patterns of plantar pressure distribution for the better understanding of forehand stroke. Therefore, the purpose of this study was to investigate the change of plantar pressure distribution in open stance during forehand stroke in tennis. Three high school tennis players were recruited for the study and required to perform forehand stroke five consecutive trials in the condition of open stance. The forehand strokes were filmed with two digital video cameras and measured with pedar system for plantar pressure. The plantar regions under the foot were divided into 3 regions, which were forefoot, midfoot, and rear foot. In conclusion, The plantar pressure of open stance during forehand stroke was distributed more largely to the right foot. The plantar pressure of open stance during forehand stroke was distributed more weight loads on forefoot of right than heel of right

• Journal of Korean Neurosurgical Society
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• 제29권3호
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• pp.372-378
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• 2000

The carpal tunnel syndrome is one of the most common entrapment neuropathy. Surgical treatments consist of conventional open technique, alternative technique using retinaculatome, and endoscopic surgery. This study compares the outcomes of surgical treatment of carpal tunnel syndrome following conventional versus endoscopic release. The authors reviewed 56 cases of 33 patients with carpal tunnel syndrome treated surgically in our institute from January 1991 to May 1998. The follow-up evaluation was possible in 36 cases of 20 patients who had conventional release and in 11 cases of 7 patients with endoscopic release. The following parameters were evaluated for comparison : improvement of symptom, return to normal work, recovery of strength of grip and pinch, rate of complication, follow-up electrophysiologic finding. Compared with open decompression, the group of endoscopic decompression needed significantly less time to go back to work(p<0.001). Also strength of grip and pinch improved faster in the group of endoscopic decompression as well, compared with open decompression(p<0.05). These results indicate that endoscopic procedure is an excellent, minimally invasive method to treat carpal tunnel syndrome, performed by surgeons who are fully aware of the anatomy.

• Archives of Plastic Surgery
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• 제46권4호
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• pp.350-358
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• 2019

Background Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy with a high morbidity and healthcare-related costs. Currently there is no consensus about the best treatment option. The purpose of this prospective cohort study conducted at a single institution was to evaluate the clinical outcomes and patient satisfaction following a mini-open carpal tunnel release for idiopathic CTS. Methods A total of 72 patients (53 female and 19 male patients; mean age, $57.8{\pm}15.3$ years; range, 24-94 years) had a mini-open carpal tunnel release performed by a single senior surgeon between June 2015 and June 2016. The patients were evaluated preoperatively, and at 3 and 12 months post-intervention. At every follow-up, the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ) and visual analogue scale (VAS) scores for pain and satisfaction were completed. Digital sensibility (using Semmes-Weinstein monofilaments) was assessed and pinch and grip strengths were measured. Results Statistically significant and clinically relevant improvement was found in terms of digital sensibility, grip and pinch strength (except for 2-point pinch), BCTSQ scores and pain scores. The complication rate was minimal, and no major complications occurred. Two patients experienced recurrence. The availability of follow-up records (including patient-reported outcomes, BCTSQ and VAS scores, and the complication rate) at 1-year post-intervention varied between 69% and 74% (50-53 patients) depending on which parameter was assessed. Patient satisfaction was high (mean, $80.9{\pm}26.0$; range, 0-100). Conclusions This study demonstrates that mini-incision carpal tunnel release is clinically effective in the short and long term.

• 대한물리치료과학회지
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• 제11권3호
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• pp.14-27
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• 2004

This study approaches the effects of Balance Training on excercise performance and the prevention from the injuries caused by excercise. The subjects of the Balance Training program are female exercise beginners and the research period covers 8 weeks from January 10 to March 7, 2003. The research objects are 19 female golf beginners in 30s to 40s, who live in Seoul or Seongnam in Gyeonggi province and have played golf less than 6 months. The programs of the Balance Training and exercise performance were conducted to an 11 experimental group among the 19 research objects at the same time, and only the exercise performance program was applied to an 8 control group for 8 weeks. Before and after 8 weeks' application of the research programs to each group, the research subjects were examined, especially the components of their bodies, the balance and the performance capability were measured both before and after the test. The frequency of injuries by exercise was measured after the test, and the difference of the frequency was compared with the frequency before exercise. First, the experimental group, in a measurement of balance, showed that SN, MB, SAr and SAg of static balance decreased in a situation of MEO, MEC, GEO, GEC, TBEO, TBO, FHEO, FEO(p <0.05), but the control group increased. Second, the analysis on the change of exercise performance indicated better improvement in distance, ball speed, and accuracy of the experimental group than the control group(p<0.05). Third, the experience of injuries showed that there were 2 injuries in the experimental group and 11 injuries in the control group. The injured parts were 2 cases in the hands and fingers of the experimental group, and 1 case in the shoulder, 4 in the elbows, 4 in the hands and fingers and 2 in the lumber of the control group. From the above-mentioned results, it is recognized that the Balance Training program improved the exercise performance of female golf beginners and had good effects on the prevention from injuries. Accordingly, if this program is applied to sports-beginners, it will contribute to the improvement of the public health.

• 감성과학
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• 제7권1호
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• pp.1-7
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• 2004

본 연구는 CAVE 시스템과 Arm-Master를 이용해 가상 제품의 프로토타이프를 평가할 때 효과가 있을지에 대한 실험적 검증을 하는 것을 목표로 하였다. 이를 위해 CAVE 시스템 상에 가상의 냉장고를 포함한 가상 주방을 모델링하였다. 실험에는 6명의 남자, 6명의 여자 피실험자들이 참여했는데, 3가지 서로 다른 형태의 냉장고 도어 그립과 가상 냉장고 도어를 열고 닫기 위한 힘의 크기 2개에 의한 조합인 6가지 실험조건에 대해 물건을 냉장고에 넣고 꺼내는 작업을 수행하도록 했다. 각 실험이 끝나면 피실험자들은 도어 개폐의 용이성, 도어 조작시의 힘과 실제 힘과의 유사성, 전반적인 현실감에 대한 평가 설문에 응답하도록 했다. 실험 결과 평균치를 기준으로 통계적으로 유의한 차이는 아니나 수직형의 도어 그립이 개폐용이성 등에서 상대적으로 좋은 평가를 받았다. 또한 힘의 크기에 있어서 피실험자들은 5N을 15N에 비해 좋은 평가를 하였다. 그러나 예상 외로 성별 간에 통계적으로 유의한 차이가 나타났는데, 이는 여자들의 경우 Arm-Master를 조작하는 데 더 큰 어려움을 겪었기 때문으로 풀이된다. 앞으로도 기술적 측면에서 Arm-Master가 더욱 개선되어야만 디자인 평가 과정에 효과적으로 사용될 수 있을 것으로 생각된다.

• Biomolecules & Therapeutics
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• 제15권3호
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• pp.175-181
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• 2007

Zizyphi Spinosi Semen (ZSS), a traditional Chinese folk medicine, has been used for treatment of insomnia and anxiety. This experiment was performed to investigate the anxiolytic-like effect of methanol extract of ZSS (MEZSS) in mice by using the experimental paradigms of anxiety and compared with that of a known anxiolytic, diazepam. In the elevated plus-maze test, it showed that MEZSS (100 mg/kg, p.o.) and diazepam (2.0 mg/kg, p.o.) increased the percentage of time spent on the open arms and the number of open arms entries. MEZSS (50, 100 and 200 mg/kg, p.o.) and diazepam (0.5 mg/kg, p.o.) significantly increased the number of head dips compared with that of control group in the hole-board test. However, MEZSS has no effect on decreasing the locomotor activity, while diazepam (2.0 mg/kg, p.o.) significantly inhibited locomotor activity. MEZSS did not decrease the strength force in the grip strength test, either. In addition, GABAergic involvements were also investigated to understand the possible mechanisms. $GABA_{A}$ receptors subunits and glutamic acid decarboxylase (GAD) were not over expressed, compared with that of the saline group. We also found that MEZSS did not increase chloride influx in cultured cerebellar granule cells. It is concluded that MEZSS might have anxiolytic-like effects, but these effects might not be mediated by GABAergic transmission.

• 한국운동역학회지
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• 제15권3호
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• pp.95-104
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• 2005

To know the proper setup posture for the various clubs, changes of setup variables according to the change of golf club length was investigated. Swing motions of three male low handicappers including a professional were taken using two high-speed videocameras. Four clubs iron 7, iron 5, iron 3 and driver (wood 1) were selected for this experiment. Three dimensional motion analysis techniques were used to get the kinematical variables. Mathcad and Kwon3D motion analysis program were used to analyze the position, distance and angle data in three dimensions. The variables divided into three categories 1) position and width of anterior-posterior direction 2) position and width of lateral direction 3) angles and evaluated based on the theories of many good golf teachers. Major findings of this study were as follows. 1.The stance (distance between ankle joints) was increased as the length of the club increased but the increasing width was not large. It ranges from 5cm to 10cm and professional player showed small changes. 2. Forward lean angle of trunk was decreased (more erected) as the length of the club increased. It ranges from 30 degrees for iron7 to 25 degrees for driver. 3. Angle between horizontal and right shoulder were increased as the length of the club increased. It ranges from 10 degrees to 20 degrees and professional player showed small changes. 4. Anterior-posterior position of the shoulders were located in front of the foot for all clubs and the difference between the shoulder and knee position was decreased as the length of the club increased. 5. Anterior-posterior position of grip (hand) was located almost beneath the shoulders (2.5cm front) for iron7, but it increased to 10cm for the driver. This grip adjustment makes the height of the posture increased only 5cm from iron7 to driver. 6. Lateral position of grip located at 5cm left for the face of iron7, but it located at the right side (behind) for the face of driver. 7. Lateral position of the ball located at the 40%(15cm) of stance from left ankle for iron7 and located at the 10% (5cm) of stance for driver. 8. Head always located at the right side of the stance and the midpoint of the eyes located at the 37% of stance from the right ankle for all clubs. This means that the axis of swing always maintained consistently for all clubs. 9. Left foot opened to the target for all subject and clubs. The maximum open angle was 25 degrees. Overall result shows that the changes of the setup variables vary only small ranges from iron7 to driver. Paradoxically it could be concluded that the failure of swing result from the excessive changes of setup not from the incorrect changes. These findings will be useful for evaluating the setup motion of golf swing and helpful to most golfers.

• 한국운동역학회지
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• 제17권1호
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• pp.53-60
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• 2007

Recently tennis techniques has been changed in stance patterns. Stance is consist of square stance, open stance and semi-open stance. The purpose of this study was to analyze the kinematics variables of racket head velocity during forehand stroke by stance patterns. Eight high school tennis players were chosen for the study who use semi western grip right-handed person more than career 7 years. They performed horizontal swing and vertical swing that it was done each five consecutive trial in the condition of square, open and semi-open stance. The results showed that racket head velocity significant difference was not observed in stance types between swings at impact. Y and Z components of racket head velocity for horizontal and vertical swing at second prior to impact and at impact were that y components velocity was faster horizontal swing than vertical swing and z components velocity was later horizontal swing than vertical swing. Statistically significant variable to racket head velocity and Pearson's correlation were drawn as follows. 1. Z components of racket head velocity in square stance was significant correlation by right knee joint. 2. Y components of racket head velocity in semiopen stance was significant correlation by left hip joint. 3. Y components of racket head velocity in open stance was significant correlation by left ankle joint.

• 한국운동역학회지
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• 제15권2호
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• pp.185-196
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• 2005

Recently among several tennis techniques forehand stroke has been greatly changed in the aspect of spin, grip and stance. The most fundamental factor among the three factors is the stance which consists of open, square and closed stance and it is very important to know the patterns of plantar pressure distribution for the better understanding of forehand stroke. Therefore, the purpose of this study was to investigate the change of plantar pressure distribution according to close, square and open stance patterns during forehand stroke in tennis. Three high school tennis players were recruited for the study and required to perform forehand stroke five consecutive trials in the condition of open, square and close stance. The forehand strokes were filmed with two digital video cameras and measured with pedar system for plantar pressure. The plantar regions under the foot were divided into 3 regions, which were forefoot, midfoot, and rear foot.. In conclusion, the first hypothesis, "The plantar pressure of close stance during forehand stroke would be distributed more largely to the left foot.", was rejected and the result showed that The plantar pressure of close stance during forehand stroke was distributed transferring from right foot to left foot similar to square stance. The second hypothesis, "The plantar pressure of square stance during forehand stroke would be distributed transferring from right foot to left foot." was accepted. The third hypothesis, "The plantar pressure of open stance during forehand stroke would be distributed more largely to the right foot.", was accepted.