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Psychophysical Discomfort Evaluation of Complex Trunk Postures (복합적인 몸통 자세의 심물리학적 불편도 평가)

  • Lee, In-Seok;Ryu, Hyung-Gon;Chung, Min-K.;Kee, Do-Hyung
    • Journal of Korean Institute of Industrial Engineers
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    • v.27 no.4
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    • pp.413-423
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    • 2001
  • Low back disorders (LBDs) are one of the most common and costly work-related musculoskeletal disorders. One of the major possible risk factors of LBDs is to work with static and awkward trunk postures, especially in a complex trunk posture involving flexion, twisting and lateral bending simultaneously. This study is to examine the effect of complex trunk postures on the postural stresses using a psychophysical method. Twelve healthy male students participated in an experiment, in which 29 different trunk postures were evaluated using the magnitude estimation method. The results showed that subjective discomfort significantly increased as the levels of trunk flexion, lateral bending and rotation increased. Significant interaction effects were found between rotation and lateral bending or flexion when the severe lateral bending or rotation were assumed, indicating that simultaneous occurrence of trunk flexion, lateral bending and rotation increases discomfort ratings synergistically. A postural workload evaluation scheme of trunk postures was proposed based on the angular deviation levels from the neutral position. Each trunk posture was assigned numerical stress index depending upon its discomfort rating, which was defined as the ratio of discomfort of a posture to that of its neutral posture. Four qualitative action categories for the stress index were also provided in order to enable practitioners to apply corrective actions appropriately. The proposed scheme is expected to be applied to several field areas for evaluating trunk postural stresses.

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A Study on Correlation between Power of Trunk Flexors, Extensors and Lumbar Lordotic Angle in Normal Adults (정상 성인에서 체간 굴근, 신근의 근력과 요추 전만각의 상관관계에 관한 연구)

  • Choi, Bo-Mi;Yi, Jeong-Min;Kim, Hyun-Soo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.7 no.2
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    • pp.39-52
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    • 2012
  • Objectives : The purpose of this study was to investigate the correlation between lumbar lordotic angle and the power of trunk flexors, extensors in normal adults Methods : 34 normal participants participated in this study. Their lumbar lordotic angle(L1-S1 Cobb's angle and L1-L5 cobb's angle) was measured by x-ray taken on lateral direction, erect cross-arm position. And muscle power of trunk flexors and extensors of each participant measured using Cybex HUMAC NORM. Results : 1. The average of L1-S1 Cobb's angle was $47.21{\pm}8.88^{\circ}$ and the average of L1-L5 Cobb's angle was $36.32{\pm}9.62^{\circ}$(Table IV). 2. The average ratio of trunk flexors/extensors was $6.44{\pm}19.31%$(Table V). The average power of the trunk flexors was $165.18{\pm}55.05$(Newton-Meter/kg), and the power of trunk extensors was $257.18{\pm}85.53$ (Newton-Meter/kg)(Table VI). 3. Lumbar lordotic angle has no relation to the ratio of trunk flexors/extensors(Table VII, Fig. 4). 4. Lumbar lordotic angle has no relation to both the power of the trunk flexors and extensors(Table VIII, Fig. 5, Fig. 6). Conclusions : These results suggest that the lumbar lordotic angle measured by radiograph could not evaluate the power and ratio of trunk flexors, extensors.

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The Effects of Trunk Control Ability on Balance, Gait, and Functional Performance Ability in Patients With Stroke (뇌졸중 환자의 체간 조절 수준이 균형과 보행 및 기능적 수행 능력에 미치는 영향)

  • An, Seung-Heon;Chung, Yi-Jung;Park, Sei-Yeon
    • Physical Therapy Korea
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    • v.17 no.2
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    • pp.33-42
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    • 2010
  • The aim of this study was to investigate correlations of the Trunk Control Test (TCT), Postural Assessment Scale for Stroke (PASS-TC), and Trunk Impairment Scale (TIS) and to compare the TCT, PASS-TC, TIS and its subscales in relation to balance, gait and functional performance ability after stroke. Sixty-two stroke patients attending a rehabilitation program participated in the study. Trunk control was measured with the use of TCT, PASS-TC, TIS balance (Berg Balance scale; BSS), gait ability (10 m walk test), functional performance ability (Tuned Up and Go Test TUG) and the mobility part of the Modified Barthel index (MBI), Fugl Meyer-Upper/Lower Extremity ($FM-U{\cdot}L/E$), The scatter-plot (correlation coefficient) was composed for the total scores of the TCT, PASS-TC, and TIS. The multiple regression analysis was performed to evaluate the impact of trunk control on balance, gait, and functional performance ability. Twenty eight participants (45.2%) and twenty participants (32.3%) obtained the maximum score on the TCT and PASS-TC respectively; no subject reached the maximum score on the Trunk Impairment Scale. There were significant correlations between the TIS and TCT (r=.38, p<.01), PASS-TC (r=.30, p<.05), TCT and PASS-TC (r=.59, p<.01). Stepwise multiple regression analysis showed that the BBS score (${\beta}=.420{\sim}.832$) had slightly more power in predicting trunk control than the $FM-U{\cdot}L/E$. TIS-dynamic sitting balance, TUG and the MBI-mobility part. This study 치early indicates that trunk control is still impaired in stroke patients. Measures of trunk control were significantly related with values of balance, gait and functional performance ability. The results imply that management of trunk rehabilitation after stroke should be emphasized.

Assessments of Isometric Trunk Extension Strength in Post Stroke Hemiplegic Patients (편마비 환자의 등척성 체간 신전 근력 평가)

  • Kim, Jae-Sook;Lee, Dae-Hee;Kim, Sang-Beom;Kwak, Hyun;Kim, Jin-Sang
    • Physical Therapy Korea
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    • v.14 no.1
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    • pp.21-27
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    • 2007
  • The purpose of this study was to evaluate isometric trunk extension strength in hemiplegic patients, and to compare that with normal subjects to find a correlation between trunk extension strength and the functional independent degree in hemiplegic patients. Fifteen hemiplegic male patients (mean age $55.2{\pm}10.2$ years) and twenty-five healthy male subjects (mean age $54.6{\pm}10.3$ years) completed isometric trunk extension. Strength was measured at 0, 12, 24, 36, 48, 60, and 72 degrees of trunk flexion. The functional independent degree was assessed by Functional Independence Measure (FIM). Mean isometric trunk extension strength was 91.2 ft-lbs, 120.7 ft-lbs, 142.3 ft-lbs, 156.4 ft-lbs, 173.5 ft-lbs, 184.1 ft-lbs, and 195.3 ft-lbs in the hemiplegic patients group, and 135.6 ft-lbs, 175.6 ft-lbs, 204.4 ft-lbs, 221.9 ft-lbs, 231.2 ft-lbs, 246.8 ft-lbs, and 259.7 ft-lbs in the normal subjects group. The values of isometric trunk extension strength had a descending linear correlation pattern from trunk flexion angle to extension angle. Trunk extension strength in hemiplegic patients was significantly lower than that of normal subjects (p<.05) but did not correlate with the FIM total score (p>.05). Therefore, the isometric trunk extension strength in hemiplegic patients was lower than that of normal subjects and did not correlate with the functional independent degree.

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Changes in the Cervical and Lumber Flexion-Relaxation Ratio, Range of Motion, Pressure Pain Threshold, and Perceived Comfort Following the Wearing of a Trunk Brace during Smartphone Watching (스마트폰 시청 시 몸통 교정기 착용에 따른 목, 허리 굽힘-이완 비율, 관절가동범위, 압통, 착용감 변화)

  • Park, Jin-Seong;Park, Du-Jin
    • PNF and Movement
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    • v.19 no.3
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    • pp.413-422
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    • 2021
  • Purpose: This study was conducted to investigate changes in the cervical and lumbar flexion-relaxation ratio, range of motion, pressure pain threshold, and perceived comfort following the wearing of a trunk brace during smartphone watching. Methods: To calculate the number of subjects for this study, an analysis with G*Power was performed at a statistical power of 0.8, an effect size of 0.5, and a significance level of 0.05, based on the results of a preliminary experiment on five subjects. In total, 27 adult men and women were recruited who had been informed of the study's purpose and process and had agreed to participate. All subjects watched content on a smartphone for 20 minutes in the same posture and conditions while wearing and not wearing a trunk brace, and then their cervical and lumbar flexion-relaxation ratio, range of motion, pressure pain threshold, and perceived comfort were measured. Results: Compared to the non-wearing of a trunk brace, the wearing of a trunk brace resulted in a statistically significant smaller decline in cervical extension and right-side cervical rotation (p<0.05). When the subjects wore a trunk brace, their right- and left-side cervical and right-side lumbar pressure pain statistically significantly improved when compared to not wearing a trunk brace (p<0.05). They also perceived a significantly lowered level of comfort 20 minutes after wearing a trunk brace compared to immediately after wearing it (p<0.05). Conclusion: The trunk brace was effective in reducing declines in right-side cervical rotation and the occurrence of left- and right-side cervical and right-side lumbar pressure pain. The findings indicate the need to improve the perceived comfort of trunk braces.

Effects of Core Stability Exercise on Strength, Activation of Trunk Muscles and Pulmonary Function in a Guillain-Barre Syndrome Patient: Case Report (코어 안정화 운동이 길랭바래증후군 환자의 몸통 근력, 근활성도 및 폐기능에 미치는 영향: 증례보고)

  • Eum, Young-Bae;Yoo, Kyung-Tae;Lee, Yun-Hwan;Lee, Ho-Seong
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.1
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    • pp.111-121
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    • 2021
  • PURPOSE: This study examined the effects of core stability exercise on the strength, activation of the trunk muscle, and pulmonary function in a Guillain-Barre syndrome (GBS) patient. METHODS: A 38-year-old male with GBS was enrolled in the study. A core stability exercise program was implemented for four weeks with a duration of 30 min/day and a frequency of three days/week. The program consisted of abdominal crunch, Swiss ball crunch, bicycle crunch, medicine ball sit-up with a toss, medicine ball rotational chest pass, raised upper body and lower body, and dead bug. Measurements of the strength of the trunk muscle (trunk flexion and hip flexion), activation of trunk muscles (rectus femoris; RA, external oblique abdominal; EOA, internal oblique abdominal; IOA, erector spinae; ES), and pulmonary function (forced expiratory capacity; FVC, forced expiratory volume at one second; FEV1) were taken before and after four weeks of core stability exercise. RESULTS: The strength of trunk muscles increased in the trunk and hip flexion after four weeks of core stability exercise, respectively, compared to the baseline levels. Activation of the trunk muscles increased in RA, EOA, and IOA after four weeks of core stability exercise compared to baseline levels, but decreased in ES after four weeks of core stability exercise compared to the baseline levels. The pulmonary function increased in FVC and FEV1 after four weeks of core stability exercise compared to the baseline levels. CONCLUSION: These results suggest that core stability exercise improves strength, Activation of the trunk muscle, And pulmonary function in patients with GBS.

Classification of Side Somatotype of the Trunk by Analysing Photographic Data (사진자료에 의한 여성 상반신 측면체형 분류)

  • Jung, Myong-Seok
    • Korean Journal of Human Ecology
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    • v.12 no.5
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    • pp.767-776
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    • 2003
  • The purpose of this study was to classify side somatotypes of the trunk by analysing photographic data. Then their distribution according to the age groups was studied. The subjects were 315 females of 18 to 49 year-old. Thirty one photographic measurements were taken to each subject. The factors affecting the side somatotype of the trunk were obtained by principal component analysis, vertical size, posterior/anterior depth and neck posture. The side somatotypes of the trunk were classified into 4 types and their differences were shown by analysing photographic data. The side silhouettes of 4 types were compared with balanced type. By suggesting the canonical discriminant function with the unstandardized canonical coefficient, individual somatotype of the trunk could be discriminated from the photographic data of anterior neck height, anterior waist height, posterior waist depth, buttock height, and anterior depth at the level of back protrusion. The frequency distribution of the side somatotypes of the trunk according to the age groups could be applied for clothing construction and the rate of clothing production.

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Recruitment Patterns of Lumbar Extensor and Hip Extensors in Trunk Flexion and Extension (체간 굴곡과 신전 시에 요부 신근과 고관절 신근의 동원패턴)

  • Lee, Hyun-Ok;Gu, Bong-Oh
    • The Journal of Korean Physical Therapy
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    • v.21 no.1
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    • pp.57-63
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    • 2009
  • Purpose: We determined the recruitment pattern of lumbar elector spinalis, gluteus maxims, inner and outer hamstring muscle during trunk flexion and extension. Methods: Thirty healthy subjects(male; 15, female; 15) without low back pain and other problems in lower extremities participated in this study. To measure the recruitment pattern, the onset times of electromyographic activity of the muscles were recorded during trunk flexion and return(extension) to standing position. Results: The medial and lateral hamstring muscle was activated first, next elector spinalis, the last, gluteus maximus in trunk flexion. In trunk extension to standing position, the order of recruitment was similar to trunk flexion although the frequency is different. There were different between male and female in flexion and extension movement. Conclusion: The recruitment order of lumbar extensor and hip extensors in trunk flexion and extension will provide database in evaluation and intervention of lower back pain and lumbo.pelvic rhythm disorder.

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Noise Estimation in a Passenger Compartment and Trunk Coupled System by Using the Vibro-Acoustic Reciprocity (진동-음향 상반성을 이용한 차실-트렁크 연성계의 소음평가)

  • 이진우;이장무;김석현;박동철
    • Transactions of the Korean Society of Automotive Engineers
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    • v.9 no.6
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    • pp.178-185
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    • 2001
  • This paper describes the correlation between the interior noise and the trunk wall vibration. Using the vibro-acoustic reciprocity, effect of the trunk wall vibration on the compartment noise is investigated on a medium size car. In the low frequency range, vehicle interior noise is dominated by several acoustic modes of the passenger compartment and the vibration modes of the surrounding shell parts. Especially, vibration of the trunk wall radiates sound and it is transferred through holes on the package tray into the passenger compartment. This paper experimentally reveals that sound can be well produced at some particular vibration modes of the trunk lid and it strongly influences the compartment noise through package tray holes. Contributions of the trunk walls to the interior noise are estimated by measuring the acoustic-structural transfer function, based on the vibro-acoustical reciprocity theorem.

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Effect of Trunk and Upper Arm Angle on Lifting Capacity

  • Chang, Seong Rok
    • International Journal of Safety
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    • v.10 no.1
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    • pp.32-35
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    • 2011
  • Lifting capacity and difficulty of task are influenced by body posture. In RULA and REBA, the body was divided into segments which formed two groups, A and B. Group A includes the upper and lower arm and wrist while group B includes the neck, trunk and legs. This ensures that whole body posture is recorded so that any awkward or constrained posture of the legs, trunk or neck which might influence the posture of the upper limb. This study aimed to measure MVC (maximum voluntary contraction) and subjective judgment in psychophysical method (Borg's scale) according to trunk and upper arm angle and to analyze results statistically. The results of this study were that lifting capacity was more influenced by interaction of body posture rather than angles of each part, and MVC variation according to trunk and upper arms angles should different patterns. This means that we consider the interaction of trunk angles and upper arm angles when we access risk factors of the postures. This survey would be also the basic data to evaluate difficulty of lifting tasks according to body postures ergonomically.

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