Background: The scapulo-thoracic musculatures including serratus anterior (SA), upper trapezius and lower trapezius can provide shoulder stability and functional shoulder movement. Objects: The muscle activities of upper and lower SA were compared during three different scapular protraction exercises in healthy individuals in sitting position. Methods: Twenty-five healthy subjects were participated. Electromyography device was used to measure muscle activity of upper and lower SA and trapezius muscles. Each subject was asked to perform three different scapular protraction exercises (scapular protraction [SP], SP with self-resistance [SPSR], SPSR with hand-exerciser [SPSRH]) in random order. One-way repeated measures analysis of the variance and a Bonferroni post hoc test were used. Results: The muscle activity of lower SA muscle was significantly different among three conditions (SP vs. SPSR vs. SPSRH) (p < 0.01). The lower SA muscle activity was significantly greater during SPSRH compared to SP and SPSR, which required joint stability more than SP and SPSR (p < 0.01). Conclusion: SPSRH exercise can be recommended to facilitate the muscle activity of lower SA. In addition, the intramuscular variation in the upper and lower SA during scapular protraction exercise is required to consider the effective rehabilitation.

Background: Studies suggest that induced emotional changes can affect the sensory-motor system involved in the practice of muscle activity and movement in physical aspects. Previous studies have shown focused on effects just feedback on muscle activity associated with emotions but rarely have focused induced emotional change on gross motor function such as muscle activity. Objects: The purpose of this study was to compare biceps activity and emotion that before and after viewing a video was induced positive or negative emotion. Methods: The study enrolled 34 healthy male and female who scored at normal points on the Center for Epidermiological Studies-Depression Scale. The study measured over two weeks, showing subjects pleasant and sad videos one by one in a week. We performed to measure the biceps brachii activity which is maximal voluntary isometric contraction (MVIC) and the visual analog mood scale (VAMS) scores before and after one week. The significance level was set to α = 0.05. Results: There was no significant difference in muscle activity of the biceps brachii before and after each video was viewed (p > 0.05). However, the visual analogue mood scale showed an increase in VAMS after viewing each video (p < 0.05). Conclusion: We figured out induced emotional changes are cause actual emotional changes but there are no differences in muscle activity. In this research, watching the video with a short time looks like insufficient to change muscle activity. Nevertheless, there might be different when we check various muscles with sufficient time for viewing the video. Further study is needed to measure a variety of muscles with more time for viewing the video.

Background: Lateral epicondylitis (LE) is the most common chronic musculoskeletal conditions of the upper extremity with pain and wrist extension disability. The tendon which is most affected is the extensor carpi radialis brevis (ECRB). Previous study evaluated the effect of taping technique on patient with LE, but no study investigated the changes of electromyography (EMG) on ECRB when using dynamic taping (DT) technique. Objects: The aim of this study was to investigate the effect of DT technique using dynamic tape on muscle activity of ECRB during wrist isometric extension, isotonic extension and flexion. Methods: Twenty-one healthy subjects volunteered to participate in this study. Subjects were instructed to perform wrist isometric extension, isotonic extension and flexion without and with DT on origin area of ECRB. Wrist isometric extension was performed at 75%, 50% and 25% (%maximal voluntary contraction force), respectively, based on maximum contraction force. Isotonic extension and flexion test used dumbbell. EMG data was collected from ECRB. Results: EMG of ECRB were statistically significant decrease in wrist isotonic extension after DT (p < 0.05). Significant increase in wrist isometric extension during 25% and 50% force task (p < 0.05). Conclusion: This study applied DT technique to suppress the wrist extensor muscles in 21 healthy adults in their twenties. Change in muscle activity was compared in the ECRB muscle during wrist isometric extension, isotonic extension and flexion task. Based on the results of this study, the DT technique applied to the wrist and forearm area can reduce the load on the wrist extensors when the wrist performs various movements during daily life movements or repetitive tasks, and by using these effects, excessive stress is applied to tennis elbow patients.

Background: The flexion-relaxation phenomenon (FRP) refers to a sudden onset of activity in the erector spinae muscles that recedes or fades during full forward flexion of the trunk. Lumbar spine and hip flexion are associated with many daily physical activities that also impact trunk flexion. Shorter hamstring muscles result in a reduction of pelvic mobility that eventually culminates in low back pain (LBP). Many studies have explored the FRP in relation to LBP. However, few studies have investigated the influence of hamstring muscle length on the FRP in relation to the erector spinae muscles during trunk flexion. Objects: This study aimed to investigate the influence of hamstring muscle length on the FRP in relation to the erector spinae muscles during trunk flexion. Methods: Thirty subjects were divided into three groups according to hamstring length measured through an active knee extension test. The 30 participants consisted of 10 subjects who had a popliteal angle of 20˚ or less (Group 1), 10 subjects who had a popliteal angle of 21˚–39˚ (Group 2), and 10 subjects who had a popliteal angle of 40˚ or more (Group 3). A one-way analysis of variance was used to compare the difference in muscle activity of the erector spinae muscles during trunk flexion. Results: The subjects with a shorter hamstring length had significantly higher muscle activity in their erector spinae muscles during trunk flexion and full trunk flexion (p < 0.05). The subjects with a shorter hamstring length also had a significantly higher flexion-relaxation ratio (p < 0.05). Conclusion: The results of this study demonstrate that differences in hamstring muscle length can influence the FRP in relation to the erector spinae muscles. This finding suggests that the shortening of the hamstring might be associated with LBP.

Background: The characteristics of lateral epicondylitis (LE) are muscle strength weakness and increased common extensor tendon (CET) thickness. Ultrasonography has recently been used to evaluate tendinopathy. Diamond taping (DT) is commonly used to manage patients with LE. However, no previous studies have investigated the effects of DT on CET thickness. Objects: The aim of this study was to investigate the effects of DT applied around the lateral elbow on CET thickness, grip strength, and wrist extension force in healthy subjects. Methods: The subjects were 26 adults (13 male) in their twenties. First, the CET thickness was measured at rest. The CET thickness was measured by using ultrasonography at two points. The subjects were then instructed to perform maximal grip activities or maximal wrist extension activities before and after DT around the lateral elbow. The DT technique was applied using non-elastic tape. While the subjects performed maximal grip activities, the investigator measured the maximum grip strength (MGS) and CET thickness. Likewise, while the subjects performed maximal wrist extension activities, the investigator measured the maximum wrist extension force (MWEF) and CET thickness. Results: The MGS showed a statistically significant improvement after DT taping application in men (p < 0.05). The MWEF showed a statistically significant improvement after DT application in male (p < 0.01) and female (p < 0.05). When performing the activities, the CET thickness increased compared to that at rest. However, CET thickness didn’t show a statistically significant improvement before and after DT. Conclusion: This study shows that DT applied around the lateral elbow is effective in improving MGS and MWEF. However, it does not affect CET thickness.

목적 : 본 연구는 스마트 글러브를 이용한 가상현실 기반의 상지재활훈련이 뇌졸중 환자의 상지기능, 상지의 근 활성도, 일상생활 활동과 삶의 질에 미치는 효과를 분석하고자 한다. 연구방법 : 선착순 무작위 대조 실험연구 방식으로 연구를 진행하였다. 의료연구협의회 지표(medical research council scale), 한국판 간이정신상태검사(Korean version of Mini-Mental State Examination; MMSE-K)로 대상자를 선별하여 뇌졸중 환자 31명을 무작위로 스마트 글러브를 이용한 가상현실 기반의 상지재활훈련군과 일반적 작업치료군으로 나눈 뒤, 주 5회 하루 30분씩 총 25회기 동안 실험을 진행하였다. 중재 전ᆞ후 비교 분석을 하기 위해서 뇌졸중 상지 기능평가(Manual Function Test; MFT), 표면 근전도 검사(Surface Electromyography; EMG), 한국판 수정된 바델지수(Korean version of Modified Barthel Index; K-MBI), 뇌졸중 영향 척도 3.0(Stroke Impact Scale 3.0; SIS)을 사용하였다. 결과 : 첫째, 실험군과 대조군에서 상지의 기능향상(MFT)이 있었고, 실험군에서 위팔노근의 근 활성도에 유 의한 향상이 있었다. 둘째, 일상생활활동에서는 실험군과 대조군에서 유의한 향상을 보였다. 셋째, 삶의 질 에서는 실험군에서 유의한 향상이 있었다. 결론 : 스마트 글러브를 이용한 가상현실 기반 상지재활훈련은 뇌졸중 환자의 상지기능, 근 활성도, 일상생활 활동과 삶의 질을 향상하는 효과적인 작업치료 방법이다.

Background: Lateral epicondylitis (LE) is the most common chronic musculoskeletal pain condition of the upper extremities. LE is often related to forceful grip activities that require isometric contraction of the wrist extensors. A previous study evaluated the effect of the diamond taping technique on grip strength and pain; however, there has been no report on the change in the electromyography (EMG) findings of wrist extensors. Objects: The aim of this study was to investigate the effect of diamond taping technique, using a rigid tape, on the EMG activities of the extensor carpi radialis (ECR) during grip activities. Methods: Twenty-four healthy subjects (mean age = 21.50 ± 2.76 years) volunteered to participate in this study. The subjects were instructed to perform forceful grip activities with and without diamond-type taping on the origin area of the ECR. Grip strength tests were performed at 100%, 75%, 50%, and 25% for maximal isometric contraction force. EMG data were collected from the ECR. Repeated measure analysis of variance was used to analyze the effect of grip force and taping (with and without). Statistical significance levels were set at α = 0.05. Comparison of the results with and without taping at different grip force were analyzed using independent t-test. Statistical significance levels were set at α = 0.01. Results: Statistically significant association was observed between the taping application and forceful grip activity as revealed by the EMG data of the ECR (p < 0.05). EMG of the ECR significantly reduced for all muscle strength levels (p < 0.01) after taping. Conclusion: This study shows an impressive effect of the diamond taping technique, using rigid tape, on wrist extensors during grip activities. Decreasing muscle activity via this taping approach could be utilized to enhance pain-free grip force and reduce pain in patients with LE. Our study suggested that this taping technique could be considered as an effective management strategy of LE.

Background: For performing various movements well, cooperation between the muscles around the scapula and shoulder has been emphasized. Taping has been widely used clinically as a helpful adjunct to other physiotherapy methods for shoulder pathology and dysfunction treatment. Previous studies have evaluated the effect of taping techniques using dynamic tapes on shoulder function and pain. However, no study investigated the electromyographic (EMG) changes in the shoulder muscles. Objects: This study aimed to investigate the effect of the upper limb offload taping technique using a dynamic tape on EMG activities of the upper trapezius (UT), lower trapezius, serratus anterior (SA), and middle deltoid (MD) muscles during scaption plane elevation. Methods: A total of 26 healthy subjects (19.85 ± 6.40 years, male = 20) volunteered to participate in this study. The subjects were instructed to perform scaption elevation with and without dynamic taping on the shoulder. Shoulder elevation strength tests were performed at 100%, 75%, 50%, and 25%, for the maximal isometric contraction force. Results: There were statistically significant interaction effects between the taping application and shoulder scaption elevation force in EMG activities in the UT (p < 0.05) and MD (p < 0.05). EMG activities in the UT showed significant increases in 50%RVC (reference voluntary contraction, p < 0.05) and 25%RVC (p < 0.01). Furthermore, the EMG activity of the SA significantly increased in 50%RVC (p < 0.01) and 25%RVC (p < 0.01) after dynamic taping. For the MD, the EMG activity level significantly decreased in 100%RVC (p < 0.05). Conclusion: These results indicated that upper limb offload dynamic taping application affects the muscle activities of some shoulder muscles depending on different scaption elevation strength levels. Therefore, we suggest that the upper limb offload dynamic taping can be applied to the shoulders when patients need middle deltoid inhibition or upper trapezius facilitation, such as patients with shoulder impingement syndrome.

본 연구는 L-arginine 섭취가 고강도 훈련 프로그램에 따른 카누선수의 근 손상 지표, 피로 물질 및 경기력 향상에 미치는 영향을 확인하는데 목적이 있다. 이를 위해 고등학교 카누 선수 7명을 대상으 로 고강도 훈련 프로그램을 적용하였으며, 고강도 훈련 프로그램은 주 2회의 유산소 운동(화, 목), 주 3회 의무산소 운동(월, 수, 금) 그리고 주 5회의 유연성 운동을 실시하였다. 고강도 훈련 프로그램을 진행하는 6주 과정 중에 처음 2주는 약물섭취(L-arginine or 위약)를 실시하고 다음 2주는 wash out, 그리고 마지막 2주도 약물섭취(L-arginine or 위약)를 실시하였다. 모든 연구대상자들이 L-arginine 섭취(시험군)와 위약 그룹(대조군)으로 배정되는 교차설계로 디자인하였다. L-arginine은 하루 총 3g으로 섭취하였다. 채혈을 통해 L-arginine 섭취에 따른 근 손상 지표, 피로 지표, 항산화력을 확인하였으며, 혈관내피세포기능 분석을 위해 FMD, 그리고 카누 에르고미터를 활용하여 카누 경기력을 분석하였다. 본 연구결과 L-arginine 섭 취에 따른 Ammonia, IP, CK의 수준의 직접적인 효과는 나타나지 않았으며, LDH의 수준은 L-arginine 섭취로 인해 PLA 그룹보다 ARG 그룹에서 더 감소하는 것으로 나타났다. L-arginine 섭취에 따른 Total NO, d-ROMs, BAP, 그리고 FMD의 수준도 통계적으로 유의한 차이는 없는 것으로 나타났다. 마지막으로 카누 경기력 향상을 확인하기 위해 실시한 500M 카누 에르고미터 결과에서 총시간, 스트록 거리, 평균 속도 분석에서 L-arginine의 운동수행능력 향상의 직접적인 효과는 나타나지 않았다. 하지만 L-arginine 섭취로 인해 근손상 지표, 피로 지표, 항산화력, FMD, 그리고 카누 경기력 수준이 개선되는 경향은 나타 났다. 따라서 L-arginine 섭취의 잠재적인 운동능력 향상 보조제 효과에 대한 추가적인 연구가 필요할 것으로 생각된다.

Winged scapular (WS) causes muscle imbalance with abnormal patterns when moving the arm. In particular, the over-activation of the upper trapezius (UT) and decrease in activity of the lower trapezius (LT) and serratus anterior (SA) produce abnormal scapulohumeral rhythm. Therefore, the SA requires special attention in all shoulder rehabilitation programs. In fact, many previous studies have been devoted to the SA muscle strength training needed for WS correction. Objects: The purpose of this study was to investigate the effect of shoulder girdle muscle and ratio according to the angle of shoulder abduction and external weight in supine position. Methods: Twenty three WS patients participated in this experiment. They performed scapular protraction exercise in supine position with the weights of 0 ㎏, 1 ㎏, 1.5 ㎏, and 2 ㎏ at shoulder abduction angles of 0˚, 30˚, 60˚, and 90˚. The angle and weight applications were randomized. Surface electromyography (EMG) was used to collect the EMG data of the SA, pectoralis major (PM), and UT during the exercise. The ratio of PM/SA and UT/SA was confirmed. Two-way repeated analyses of variance were used to determine the statistical significance of SA, PM, and UT and the ratios of PM/SA and UT/SA. Results: There was a significant difference in SA according to angle (p<.05). Significant differences were also identified depending on the angle and weight (p<.05). The angle of abduction at 0˚, 30˚ and weight of 2 ㎏ showed the highest SA activity. However, there was no significant difference between PM and UT (p>.05). There was a significant difference between PM/SA and UT/SA in ratio of muscle activity according to angle (p<.05). Significant differences were found at PM/SA angles of 30˚, 60˚ and 90˚ (p<.05). For UT/SA, significant difference was only observed at 90˚ (p<.05). Conclusion: Based on the results of this study, in order to strengthen the SA, it was found to be most effective to use 1 and 1.5 ㎏ weights with abduction angles of 0˚ and 30˚ at shoulder protraction in supine position.

기독교에서 평신도란 사제나 목사가 아닌 사람을 말한다. 천주교에서 는 교황, 주교, 사제, 부제로 이어지는 성직계급과 평신도로 구분되어있으며, 개신교에서는 목사, 전도사와 평신도로 구분된 상태를 유지되고 있다. 천주교는 제2차 바티칸 공의회 이후 평신도에 대한 시각이 달라져 평신도가 성직자의 하위에 있는 것이 아니라는 입장이다. 현대 개신교 에서도 교회에서 평신도의 역할이 중요함을 강조하는 입장에 있다. 그러나 이처럼 달라진 시각에도 불구하고 아직 한국의 기독교 사회에서 성직자와 평신도의 관계는 적어도 교회 안에서는 평등한 위치에 있지는 않다. 본 논문에서 거론할 평신도 운동은 성직자가 주축이 된 운동이 아니라 평신도가 주축이 된 운동을 말하려고 한다. 평신도 운동의 기존 연구 성과들을 살펴보면 평신도 운동의 역사적 전개나 현재의 활동에 초점을 맞춘 연구보다는 천주교와 개신교 모두 평신도의 역할의 중요성에 대한 연구와 그것에 맞추어 어떻게 평신도를 교육시키고 활용할 것인가에 초점이 맞추어져 있다. 이러한 경향은 일 반 연구논문은 물론이고 학위논문에서도 거의 예외가 아니었다. 이 글은 평신도 운동들 가운데 주요한 것들을 중심으로 소개하고 평신도 운동에서의 특징과 그 전망을 고찰해보는 방향으로 전개할 것이다. 결국 이 글은 앞으로 관련 연구를 위한, 그리고 평신도 운동과 사회변동과의 관계를 파악하기 위한 기본적인 성격을 지닌다고 할 수 있다. 기독교에서 인식하는 평신도 운동의 목적은 천주교나 개신교 모두 선교의 중요성이다. 종교로서 선교가 중요한 것은 사실이나, 가장 시급한 것은 내적 개혁이라고 본다. 이러한 입장을 외면한다면 교라는 이름으로 진행되는 운동이 빛을 잃게 될 것이다. 그러므로 평신도 운동의 본 질은 자기반성 운동이고 기독교 본연의 모습을 찾아보는 운동이다.

한국의 재가불자의 활동은 근대 형성되기 시작되었다. 계기는 한국에 진출한 일본불교의 포교활동과 외부에서 유입된 타종교의 견제가 주된 목적이었다. 대한제국은 일본불교를 견제하기 위해 동대문 밖 안양암에 종교회를 두었다. 중앙에 임원을 두고 지방 각 도의 조직을 관장하였다. 그러나 관리서가 1904년 1월 폐지되면서 근대적인 재가불교운동도 막을 내렸다. 근대 불교계에서 자발적인 재가불교운동이 일어난 것은 1910년 전후 한 무렵이다. 사찰을 중심으로 타종교인 예수교에 대한 대항, 불교진흥과 공부를 위한 목적, 그리고 지역불교 발전을 위한 목적이었다. 이런 활동은 재가불교의 힘을 성장시켰고 그 역량이 사회활동에 이르게 되었다. 이 가운데 불교부인회는 어려운 환자나 걸인 그리고 어려운 재난을 당한 이재민들을 위한 자선사업을 전개하여 많은 호응을 얻었다. 한국 현대불교에서 재가불교운동이 시작된 것은 1960년대이다. 처음 에는 종단과 관련되지 않고 모임이 결성되어 독자적인 활동을 벌였다. 그 후 1962년 4월 통합종단 이 설립되고 신행단체를 육성하면서 전국 신도회, 대한불교청년회, 그리고 대학생불교연합회 등 종단관련 재가불 교운동이 본격화 되었다. 이런 재가불교운동은 한국 현대불교의 중요한 역할을 하였고, 80년대 민중불교를 태동시키는데 가교 역할을 하였다. 1980년대 재가불교운동은 80년 사원화 운동, 1983년 전국청년불교 도연합대회, 그리고 1985년 재가와 승가의 연합인 민중불교운동연합으로 이어지면서 불교의 자주화와 반독재민주화운동으로 전개되었다. 젊은 불자들에 의해 공권력에 의존하는 한국불교의 모습을 척결하고 사회 현실에 대한 비판과 불교계의 개혁과 반성을 지향하는 운동이 일어나게 된 것이다. 1990년대는 재가자만의 독자적인 불교운동이 형성된 시대였다. 불교의 내적 문제만이 아니라 우리 사회가 직면한 문제 해결에 적극적인 관심을 보였다. 그리고 종단에 대한 비판적 역할도 잊지 않았다.

Background: In previous studies, changes in postural alignment were found when the slope was changed during walking. Downhill walking straightens the trunk by shifting the line of gravity backward. Objects: This study investigated the effect of the downhill treadmill walking exercise (DTWE) on thoracic angle and thoracic erector spinae (TES) activation in subjects with thoracic kyphosis. Methods: A total of 20 subjects with thoracic kyphosis were recruited for this study. All the subjects performed the DTWE for 30 minutes. A surface EMG and 3D motion capture system were used to measure TES activation and thoracic angle before and after the DTWE. Paired t-tests were used to confirm the effect of the DTWE (p<.05). Results: Both the thoracic angle and TES activation had significantly increased after the DTWE compared to the baseline (p<.05). An increase in the thoracic angle indicates a decrease in kyphosis. Conclusion: The DTWE is effective for thoracic kyphosis patients as it decreases their kyphotic posture and increases the TES activation. Future longitudinal studies are required to investigate the long-term effects of the DTWE.

Background: Temporomandibular disorder (TMD) is characterized by pain and limited range of motion in the jaw. TMD patients generally prefer to chew on the unaffected or less-affected side, and this tendency often results in asymmetries in masseter muscle thickness and range of mandibular motion. Objects: The purpose of this study was to compare the asymmetries in masseter muscle thickness and range of mandibular motion in subjects with and without temporomandibular disorders. Methods: Thirty-nine subjects were divided into two groups: A TMD group (n1=19) and a control group (n2=20). The jaw opening range and laterotrusion were measured using a digital vernier caliper. The masseter muscle thickness was examined in both the resting state and the maximal clenching state using ultrasonography. The absolute asymmetry indices calculated based on the laterotrusion and masseter muscle thickness of the respective right and left sides. A two-way ANOVA and a Mann-Whitney U test were used for statistical analysis. Results: No significant different was found in the masseter muscle thickness between the TMD and control group. A significant difference was found in the absolute asymmetry indices of mandibular laterotrusion between the TMD and control groups (p<.05). Furthermore, the ranges of jaw opening were significantly different between males and females (p<.05). The absolute asymmetry index values of masseter muscle thickness at rest and during maximal clenching were also significantly different between males and females (p<.05). Conclusion: These results demonstrated that the subjects with TMD had a larger degree of asymmetry in laterotrusion than those without TMD. Therefore, a physiotherapy program needs to be designed to restore normal laterotrusion capacities for TMD subjects. These results also showed that female subjects had greater absolute asymmetry indices in masseter muscle thickness than male subjects. Therefore, more training is needed to promote bilaterally balanced chewing among women.