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The Effects of Foot and Knee Position on Electromyographic Activity of the Vastus Medialis and Vastus Lateralis for Hemiplegic Patients (발과 무릎관절 위치가 편마비 환자의 안쪽넓은근과 가쪽넓은근 근활성도에 미치는 영향)

  • Jang, Jun-Hyeok;Kim, Kyung-Hwan;Kim, Tae-Ho;Han, Dong-Wook
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.21-28
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    • 2010
  • Purpose: The purpose of this study was to evaluate the electromyographic (EMG) activity of vastus medialis oblique (VMO) and vastus lateralis (VL) muscles on foot position and knee angle for hemiplegia patients. Methods: Ten stroke subjects (10 males) participated in the study. Subjects were all right-hemiplegic patients. All subjects did $0^{\circ},\;20^{\circ}$ and $40^{\circ}$ knee flexion while maintaining the foot in a neutral position, or at $30^{\circ}$ adduction or at $30^{\circ}$ abduction. Surface EMG data were collected for VMO and VL muscles on the non-hemiplegic side and hemiplegic side. Collected data were analyzed using two-way ANOVA. Results: VMO and VL activities for the non-hemiplegic and the hemiplegic sides were highest for $40^{\circ}$ knee flexion while maintaining the three foot positions. There were no significant differences in EMG activity of the VMO and VL muscles with different foot positions. There were significant differences between VMO and VL activity for knee flexion angle while maintaining the foot in neutral (p<0.05), at $30^{\circ}$ adduction (p<0.05), or at $30^{\circ}$ abduction (p<0.05). Conclusion: Foot position does not influence VMO and VL activities. But, knee flexion exercise in a closed chain can increase VMO and VL muscle activity for hemiplegic patients. In particular, VMO and VL activities for both the non-hemi side and the hemi side were highest for $40^{\circ}$ knee flexion.

The Effect of Visual & Cognitive Information of Landing Height on Landing Strategy during Drop Landing (드롭랜딩 시 낙하높이에 대한 시각 및 인지 정보가 착지 전략에 미치는 영향)

  • Eun, Seon-Deok;Yang, Jong-Hyun;Kim, Yong-Woon;Kang, Myeong-Soo;Kwak, Chang-Soo
    • Korean Journal of Applied Biomechanics
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    • v.22 no.4
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    • pp.405-411
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    • 2012
  • The purpose of this study was to determine the effects of landing height information on landing strategy during a drop landing. Ten healthy male subjects(age: $22.1{\pm}1.9year$, height: $178.4{\pm}7.8cm$, mass: $75.3{\pm}9.4kg$) participated in this study. Each participant was asked to jump with both legs off a 40 cm high box on one of the three plates with different thickness (0 cm, 13 cm, 26 cm). In the first condition, subjects were given both cognitive and visual information about the jumping heights. In the second, they were given only cognitive information without visual one, and in the third, no information about the height was provided to subjects. (Only the data collected from the 40 cm height landing were analyzed and reported in the present study.) The results showed that landing strategies during a double-leg drop landing from 40 cm height were not significantly affected by visual and cognitive information blockages. Also, there were no statistically significant differences in landing strategies between the three conditions even though the mean differences attained in this study seemed to warrant further studies investigating the relationship between landing strategies and cognitive information.

Comparison of Two pMDIs in Adult Asthmatics: A Randomized Double-Blind Double-Dummy Clinical Trial

  • Nam, Tae-Hyun;Kang, Sung-Yoon;Lee, Sang Min;Kim, Tae-Bum;Lee, Sang Pyo
    • Tuberculosis and Respiratory Diseases
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    • v.85 no.1
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    • pp.25-36
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    • 2022
  • Background: Only a few studies directly compared the therapeutic efficacy and safety of two pressurized metered-dose inhalers (pMDIs) in asthma. We analyzed the asthma treatment outcomes, safety, and patient preferences using formoterol/beclomethasone (FORM/BDP), a pMDI with extra-fine particles, compared with formoterol/budesonide (FORM/BUD), another pMDI with non-extra-fine particles. Methods: In this randomized, double-blind, double-dummy parallel group study, 40 adult asthmatics were randomized to FORM/BDP group (n=18; active FORM/BDP and placebo FORM/BUD) or FORM/BUD group (n=22; active FORM/BUD and placebo FORM/BDP). During the two visits (baseline and end of 8-week treatment), subjects were asked to answer questionnaires including asthma control test (ACT), asthma control questionnaires (ACQ), and Quality of Life Questionnaire for Adult Korean Asthmatics (QLQAKA). Lung function, compliance with inhaler, and inhaler-handling skills were also assessed. Results: Ten subjects in the FORM/BDP group and 14 in the FORM/BUD group completed follow-up visits. ACT, ACQ, QLQAKA (a primary outcome), and adverse events did not differ between two groups. We found that the increase in forced expiratory volume in 1 second/forced vital capacity and forced expiratory flow at 25% to 75% of the pulmonary volume in the FORM/BDP group was higher than in the FORM/BUD group. Regarding preference, subjects responded that the flume velocity of FORM/BDP was higher, but more adequate than that of FORM/BUD. They also answered that FORM/BDP reached the trachea and bronchus and irritated them significantly more than FORM/BUD. Conclusion: The use of pMDI with extra-fine particles may relieve small airway obstruction more than the one with non-extra-fine particles despite no significant differences in overall treatment outcomes. Some asthmatics have a misconception about the adequacy of high flume velocity of pMDIs.

A Clinical Study on the Repeatability and Reproducibility of Ryodoraku Score (양도락의 반복성, 재현성에 관한 임상적 연구)

  • Cha, Jae-Hoon;Kim, Yoon-Bum;Shin, Yoon-Jin;Kim, Jin-Myoung
    • The Journal of Korean Medicine
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    • v.30 no.1
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    • pp.76-82
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    • 2009
  • Objectives: Ryodoraku diagnosis has been used frequently since Nakatani invented it in 1950. There are many papers about how to use Ryodoraku diagnosis in many diseases, but there are no studies about the repeatability and reproducibility of the Ryodoraku score. The aim of this study was to investigate the repeatability and reproducibility of the Ryodoraku score. Materials and Methods: There were four examiners who trained for more than a month, and the number of subjects was twenty. Each of the examiners made Ryodoraku diagnosis for ten subjects three times. We analyzed data by SPSS, used Friedman test, Wilcoxon signer rank test and Spearman correlation test. Results: 1. There was no significant difference between first, second, and third Ryodoraku score by Friedman test in examiners A, B, C, and D, so there was repeatability. 2. There was very high correlation on first, second, third Ryodoraku score by Spearman correlation test in examiners A, B, C, and 0, so there was repeatability. 3. There was high ICC among Ryodoraku score by examiners B, C, and D, so there was reproducibility. 4. After observing four examiners' Ryodoraku diagnoses, we could see the discord of measure points, the amount of hydration before examination, the amount of pressure, examination time, or positions of subjects diagnosed with Ryodoraku incorrectly. Conclusion: There is repeatability and reproducibility of Ryodoraku diagnosis. However, it is still important that one examiner carry out the diagnosis if possible. When there are two or more examiners, they should train extensively and follow manuals.

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The Clinical Effect of Manipulation of Acupuncture to Shen-Men and Nei-Kuan on Blood Pressure of Normal Male Subjects

  • Hong, Jin-Woo;Lee, Jun-Woo;Park, Seong-Uk;Moon, Sang-Kwan;Ko, Chang-Nam;Cho, Ki-Ho;Kim, Young-Suk;Bae, Hyung-Sup;Jung, Woo-Sang
    • The Journal of Korean Medicine
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    • v.27 no.4
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    • pp.57-61
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    • 2006
  • Objectives : With an assumption of traditional oriental medical theory, to evaluate the effect of tonification/sedation manipulative acupuncture on blood pressure in male normotensives. Methods : This study was a randomized cross-over trial. We enrolled healthy male normotensive subjects, and assigned them randomly to group A or group B. Group A received acupuncture therapy on Shen-Men (He-7) and Nei-Kuan (EH-6) with tonification-manipulation, while group B received it with sedation-manipulation. Blood pressure was assessed every ten minutes for 2 hours. After 3 days of washout period, the subjects were crossed over to the other manipulation, and the same procedures were performed. Results : We observed that blood pressure stimulated by the sedation-manipulation had a tendency to decrease compared to that by the tonification-manipulation. Conclusions : We suggest the sedation manipulation has more synergic effect with the inhibitory effects of Shen-Men and Nei-Kuan on the sympathetic nervous system than the tonification-manipulation.

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The Effect of Aquatic Exercise Applied PNF Patterns on Body Composition and Balance Performance in Stroke Patients (PNF 패턴을 응용한 수중운동이 뇌졸중 장애인의 신체조성과 균형수행력에 미치는 영향)

  • Song, Ju-Min;Kim, Soo-Min
    • PNF and Movement
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    • v.6 no.2
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    • pp.1-10
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    • 2008
  • Purpose : The purpose of this study was to investigate the effect of aquatic exercise applied PNF patterns on body composition and balance performance in people who have had a stroke. Methods : Forteen candidates who have all experienced a stroke were participating in a community based rehabilitation program, have been included in this study. The program was conducted three times weekly, 1 hour per session, for 10 consecutive weeks. Subjects were tested with body composition and 5 items of Berg's balance test at pre-training and post-training. Total balance indexes in 3 conditions were measured by K.A.T. 3000. The aquatic exercise applied PNF patterns was consisted of PNF patterns and various aquatic activities. Results : After ten weekends of aquatic exercise training, there were not significant difference in body composition(p>.05) except of muscular weight of affected lower extremity(p<.05). But edema index increased more than pre-training (p<.05). Subjects showed significant difference in Berg's balance test results except of 2 items of Berg's balance test (p<.05). Total balance index score when subjects opened their eyes and didn't hold the handle was decreased less than pre-training(p<.05). Conclusion : The results of this study showed that intervention of this aquatic exercise program applied PNF patterns could increase edema index and muscular weight of affected lower extremity and improve the balance performance in people who have had a stroke.

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Characteristics of the Compensation for Gait of the Induced Knee Stiffness in Normal Subjects (정상인 보행에서 무릎관절의 유도된 강직에 따른 신체 보상 특성)

  • Woo, Byung-Hoon
    • Korean Journal of Applied Biomechanics
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    • v.23 no.4
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    • pp.357-367
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    • 2013
  • The purposes of this study were investigated physical compensation for gait on induced knee stiffness in normal subjects. Ten subjects were participated in the experiment(age: $26.0{\pm}6.3$ yrs, height: $175.5{\pm}5.3$ cm, weight: $69.1{\pm}6.1$ kg). The study method adopted 3D analysis with five cameras and ground reaction force with two force-plate. Induced knee stiffness level were classified as gait pattern on ROM of knee(free level, $30^{\circ}$ restriction level, fix level). The results were as follows; In angular displacement of hip joint, left hip joint was the more extended in mid-stance on induced right knee stiffness. In angular displacement of knee joint, there was no physical compensation on induced right knee stiffness, but free knee level gait was more flexed in swing phase of right knee joint. In angular displacement of ankle joint, right ankle joint was the more dorsiflexed on induced right knee stiffness, and $30^{\circ}$ restriction level and fix level gait were less plantarflexed in TO2. In trunk tilt, free and $30^{\circ}$ restriction level gait was more backward tilt on induced right knee stiffness. In ROM of each joint, right knee joint was more larger and trunk tilt was more lower on induced right knee stiffness. In GRF, Fx was more bigger lateral force in free and $30^{\circ}$ restriction level gait, and was more bigger medial force in fix level gait. Fy was more bigger propulsion force in free level gait, and was was more bigger braking force in $30^{\circ}$ restriction level gait. Left braking force in $30^{\circ}$ restriction level gait was more bigger. Fz was no significant.

Effect of kinesio taping on ankle strength, movement and function in patients with common peroneal nerve paralysis (키네지오 테이핑이 온종아리신경 마비를 가진 환자의 발목관절의 근력, 움직임 및 기능에 미치는 영향)

  • Park, Si Eun;Cho, Kyun-Hee;Park, Shin Jun
    • Journal of Industrial Convergence
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    • v.18 no.1
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    • pp.59-64
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    • 2020
  • The effect of kinesio taping in patients with common peroneal nerve paralysis (PNP) have not been investigated. This purpose of this study was to evaluate the effects of kinesio taping on patients with common PNP. Ten subjects who had common PNP were included in this study. Kinesio taping was applied to the ankle joint (direction of dorsiflexion and eversion). The measurements were by manual muscle test (MMT; tibialis anterior, peroneus longus), active ROM (ankle dorsiflexion, eversion), pain (visual analogue scale (VAS), pressure pain threshold (PPT)), and balance (one leg standing). Subjects were assessed at baseline and 8 weeks of intervention. In the results, all subjects showed improvements in MMT, active ROM, Pain and balance at the 8-week. These findings are considered to be effective in applying kinesio taping on ankle joint in common PNP patients.

Characteristics for Gait of the Induced Equinus in Normal Subjects (정상인에서 유도된 첨족에 따른 신체 보행의 특성)

  • Woo, Byung-Hoon
    • Korean Journal of Applied Biomechanics
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    • v.24 no.4
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    • pp.435-443
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    • 2014
  • The purposes of this study was to investigate the physical compensation for gait on induced equinus in normal subjects. Ten subjects were participate in the experiment (age: $23.8{\pm}2.8yrs$, height: $177.3{\pm}4.3cm$, weight: $70.8{\pm}4.6kg$). The study method adopted 3D analysis with six cameras and ground reaction force with two force-plate. Induced equinus were classify as gait pattern on unilateral and bilateral equinus. The results were as follows; In displacement of COM, medio-lateral and anterior-posterior COM were no significant, but in vertical COM, unilateral equinus gait was higher than bilateral equinus gait. In displacement hip joint, left hip joint was more extended in FC1 and FC2 during unilateral equinus gait. In displacement knee joint, left knee joint was more extended in FC2, right knee joint was more extended in all event during unilateral equinus gait. In trunk tilt, unilateral equinus gait was more forward tilt in TO1 and TO2. ROM of each joint was no significant. In Displacement of pelvic tilt angle, X axis of unilateral equinus gait was more increase than bilateral equinus gait at FC2, TO2 and MS2. Y axis of unilateral equinus gait was more increase than bilateral equinus gait at MS1, FC2 and MS2. Z axis was no significant in both equinus gait. In GRF, right Fx and Fy were no significant in both equinus gait, Fz was more bigger vertical force in bilateral equinus gait. Left Fx was more bigger internal force in unilateral equinus gait, Fy and Fz were no significant in both equinus gait.

An Acoustical Study of English Word Stress Produced by Americans and Koreans

  • Yang, Byung-Gon
    • Speech Sciences
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    • v.9 no.1
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    • pp.77-88
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    • 2002
  • Acoustical correlates of stress can be classified as duration, intensity and fundamental frequency. This study examined the acoustical differences in the first two syllables of stressed English words produced by ten American and Korean speakers. The Korean subjects scored very high on the TOEFL. They read at a normal speed a fable from which the acoustical parameters of eight words were analyzed. In order to make the data comparison meaningful, each parameter was collected at 100 dynamic time points proportional to the total duration of the two syllables. Then the ratio of the parameter sum of the first rime to that of the second rime was calculated to determine the relative prominence of the syllables. Results showed that the durations of the first two syllables were almost comparable between the Americans and Koreans. However, statistically significant differences showed up in the diphthong pronunciations and in the words with the second syllable stressed. Also, remarkably high r-squared values were found between pairs of the three acoustical parameters, which suggests that either one or a combination of two or more parameters may account for the prominence of a syllable within a word.

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