흉골 자기공명영상 검사 시 호흡 등 환자 움직임에 의한 인공물 발생을 최소화하는 것은 어렵다. 하지만 자기공명영 상 검사는 타 영상 검사와 비교해 흉골 병변을 발견하는 데 있어 진단적 가치가 높은 장점이 있다. 따라서 본 연구에 서는 환자의 검사 자세 및 딥러닝 기법을 통해 최적의 검사 방법을 도출하고자 한다. 자세 별 영상 변화를 확인하기 위해 바로 누운 자세, 엎드린 자세, 유방 코일을 사용한 엎드린 자세로 진행하였으며, 고식적 기법의 영상과 Deep Resolve Boost(DRB) 기법을 적용한 영상을 비교 관찰하였다. 모든 대상에게 같은 조건으로 각 영상을 2회씩 획득 한 후 전반적인 영상 품질을 기준으로 정성적으로 평가하였고, DRB의 적용 여부에 따른 신호 대 잡음비의 변화 정도를 정량적으로 평가하여 개선 정도를 산출하였다. 정성적 평가에서 DRB 적용 여부와 무관하게 엎드린 자세, 유방 코일을 사용한 엎드린 자세, 바로 누운 자세 순으로 높은 점수를 얻었으며, DRB를 적용한 영상이 고식적 기법 의 영상보다 높은 점수를 얻었다. 또한 정량적 평가를 통해 유방 코일을 사용한 엎드린 자세, 엎드린 자세, 바로 누운 자세 순으로 높은 개선 정도를 확인하였다. 본 연구를 통해 흉골 검사 시 DRB 기법을 적용하는 것은 영상의 질을 높이는 방법임을 확인하였다. DRB를 적용하지 못하는 환경에서는 될 수 있으면 엎드린 자세를 적용하는 것을 권고하며, DRB를 적용할 수 있는 환경에서는 환자 측 인자를 고려하여 엎드린 자세와 유방 코일을 사용한 엎드린 자세를 모두 적용할 수 있다.

복부 MRI 검사에서 높은 수준의 병렬기법을 적용 시 영상의 질을 떨어뜨리는 둘러겹침인공물을 빈번히 생성한다. 이것 은 구조물이 겹쳐서 나타나는 현상으로 복부 인체 구조상 양쪽 팔이 맞닿아 있어서 FOV를 벗어난 양쪽 팔이 영상의 반대 방향 인공물을 발생하는 문제를 초래한다. 이러한 제한점으로 복부 MRI 검사에서는 두경부 및 근골격 검사 부위와 비교하 여 낮은 수준의 병렬기법을 적용하여 검사 시간을 증가시키는 문제가 있다. 이에 본 연구에서는 팔을 위로 올리는 자세를 활용하여 환자의 간단한 자세의 변화를 통하여 병렬기법을 극대화하여 검사 시간을 최소화하면서 영상의 인공물을 제거하 는 데 목적을 두었다. T2, T1 강조 영상을 관상면으로 획득하였다. 연구의 재현성을 높이기 위하여 작은 팬텀을 나란히 놓고(팔 내리는 자세), 한번은 작은 팬텀을 제거하고 영상을 (팔 올리는 자세) 각각 병렬기법인 SENSE 가속인자를 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0까지 10번씩 획득한 후 영상의 불균일도를 측정하였다. 팬텀으로 확인하기 어려운 인체 부위 의 영상을 확인하기 위하여 정상인 자원자 1명을 대상으로 팬텀 연구와 같은 매개변수 조건으로 영상을 획득하였다. SENSE 가속인자가 높아질수록 팔을 올리는 자세에서 영상의 불균일도가 낮게 측정이 되었고 통계학적으로 유의하게 나타 났다. 본 연구는 간단한 자세 변화만으로 병렬기법을 극대화하며 영상획득 시간 단축 및 인공물을 개선방안을 제시하는 데 의의가 있다.

본 연구에서는 큰 침하량과 동적트림을 가지는 선박에 대하여 전산유체역학(CFD)을 기반으로 하여 효율적인 저항성능 추정 방 법을 제시하였다. 본 방법에서 효율적이라 함은 점성 유동해석 이전에 비 점성 유동해석의 침하량과 동적트림 결과를 이용하여 선박의 큰 자세를 설정하고 DFBI(Dynamic Fluid Body Interaction) 방법에 의한 점성 유동해석을 수행한 것이다. 본 방법을 방법I로 명하였다. 방법I 는 해석 전에 큰 자세를 설정함으로 인해 중첩격자(Overset Mesh) 기법을 사용하지 않는 단순한 격자시스템(Fig. 3 참고)을 사용하면 된다. 이로 인해 방법I는 계산시간 단축 및 계산의 정도를 높일 수 있는 장점이 있다. 점성 유동해석은 상용 CFD 코드인 STAR-CCM+를 사용하 였다. 방법I의 첫 번째 점성 유동해석 결과는 최종 수렴된 결과와 비교하였을 때 저항 값에서 최대 1 % 내에서 차이를 보임을 확인 하였다. 중첩격자가 아닌 단순 격자시스템에 의한 STAR-CCM+에서 제공하는 DFBI 기법을 활용하여 계산단계 별로 변화된 자세에 대하여 매번 격자를 변경하여 수렴된 결과를 도출하였다. 본 방법을 방법II로 명하였다. 방법II의 저항 값과 비교하였을 때 방법I은 선속에 따라 0.03 % ~ 0.6 %의 차이를 보였다. 방법I의 결과는 수조모형시험과의 비교를 통해서 정성적 그리고 정량적으로 타당함을 확인하였다.

Background: A forward head posture (FHP) is one of the most common types of poor head posture in patients with neck disorder. A prolonged FHP might increase pressure on the posterior cranio-cervical structure and exhibit reduced performance on a cranio-cervical flexion test (CCFT). CCFT is included to activate deep cervical flexor muscles and inhibit excessive activation of superficial cervical flexor muscles. Therefore, the selective activation of deep cervical flexors is needed for effective exercise for FHP. Objects: The purpose of this study was to compare muscle thickness between longus colli (Lco) and sternocleidomastoid (SCM) using ultrasonography in subjects with FHP depending on head support. Methods: This was a cross-sectional, case-control research design study. The ultrasonographic images of Lco and SCM were taken in 17 subjects with FHP during the 5 phases of the CCFT with and without a head support. Towel was used for supporting head to make the neutral head position in supine. Changes in muscle thickness during the test were calculated to infer muscle activation. Data were analyzed using repeated measures of two-way analysis of variance with the significance level of .05. Results: When subjects performed the CCFT with head support, there was a significant difference in muscle thickness of Lco and SCM (p<.05). According to a post hoc paired t-test, change of thickness of Lco was greater at all phases, and change of thickness of SCM muscle was less at phase 4 and 5 in condition with head support (p<.01) compared to condition without head support (p<.01). Conclusion: The result of this study suggest that applying head support for neutral head position during CCFT could be a useful method for activating Lco muscle without excessive activation of SCM muscle.

The purpose of this study was to evaluate the changes in the electromyographic (EMG) activity of the trunk and the lower limb muscles during quiet standing on an unstable surface while wearing low-heeled shoes (3 ㎝), high-heeled shoes (7 ㎝) and without footwear (0 ㎝) in 20 young healthy women. The subjects stood on an unstable surface for 30 seconds. We examined the differences in the EMG data of the erector spinae, rectus abdominis, biceps femoris, rectus femoris, tibialis anterior, and the gastrocnemius medialis muscle. A one-way repeated analysis of variance was used to compare the effects of shoe heel height on the EMG activity with the level of significance set at α=.05. The EMG activity of the erector spinae and the rectus femoris were significantly increased (p<.05) in the subjects who wore elevated heel height, while the tibialis anterior and the gastrocnemius medialis were significantly decreased (p<.05). However, the rectus abdominis and the biceps femoris exhibited no significant difference among the three conditions. The above results indicate that wearing high-heeled shoes may change the postural strategy. The findings of this study suggest that excessive heel height could contribute to an increased fall risk during quiet standing.

The purpose of this study was to develop a shirt pattern that enhances the functionality of golf swing motions. The pattern was made with 3D body surface shape data that changed according to dynamic golf postures. The data were collected from the golf swing motions. The 3D body surface data in golf swing postures piled up on the 3D surface data in a static posture. The results showed that the surface shape data changed more in the address, back swing, and finish postures than the other swing postures. The experimental pattern was developed with 3D surface scan data in those three golf swing motions. The pattern had raglan sleeves and the front-bodied piece was divided into two pieces with a princess line, which comes from armscye line of the address posture. The back bodice piece was divided into three pieces with a yoke line and a back princess line. The yoke line was made by back shoulder shape in the back swing posture. The level of comfort of the experimental garment and commercial golf shirts was evaluated by 38 women golfers. The experimental garment pattern was evaluated to be more comfortable in golf swing postures than commercial golf shirts.

본 연구에서는 비침습적으로 압력 맥파를 검출하는 토노메트리 방식의 맥파 측정 장비인 SphygmoCor(AtCor, Australia)를 사용하여 측정자세에 따라 맥파를 측정하였다. 측정 결과를 통해 선 자세, 앉은 자세, 누운 자세에 따른 맥파의 분석 지표들의 변화를 분석하였다. 또한 측정된 데이터를 저혈압군, 정상혈압군, 고혈압군으로 구분하여 혈압군에 따른 맥파의 비교를 수행하였다. 그 결과 자세에 따른 요골동맥의 파형에서 유의차를 보인 분석지표는 맥파의 진폭에 해당되는 압력 보다 주요 피크가 발생되는 시간에서 나타났다. 맥압의 경우 맥파증대계수(AI)나 중심동맥압과 요골동맥압의 비율과 같이 맥압 간의 비율이 자세에 따른 변별력이 있었다. 사후검정에 따라 각 자세별로 상호 간에 모두 유의한 차이를 보인 분석지표는 주파(PT1)와 반사파(PT2)의 시간, 심박출지속시간(ED), 심박수(HR)로 나타났다. 혈압군에 대한 비교에서 대부분 맥파의 시간에 해당되는 지표보다 주요 피크의 진폭에 해당되는 맥파의 압력을 나타내는 지표가 혈압군에 따른 유의차를 보였다.

It is important to find the effective position for cough and sputum clearance in respiratory physical therapy. The purpose of this study was to compare the changes in peak expiratory flow (PEF), forced expiratory volume in 1 second (FEV1), and peak cough flow (PCF) related to functional level and measurement position in patients with Duchenne muscular dystrophy. Twenty one subjects were classified into three functional levels, and measurements was undertaken in three different measurement positions (upright sitting, 45˚ reclining and supine). Vitalograph PEF/FEV DIARY was used to measure PEF and FEV1, and Ferraris Pocket Peak was used to measure PCF. Mixed two-way analysis of variance and Bonferroni post-hoc test were used for statistical analysis. The results of the study were as follows: 1) Significant main effects for measurement position were found. 2) PEF was the highest in upright sitting, followed by 45˚ reclining, and supine in order. 3)FEV1 in upright sitting and 45˚ reclining were significantly greater compared with that in supine. 4) PCF in upright sitting and 45˚ reclining were significantly greater compared with that in supine. 5) No significant main effects for functional level were found in PEF, FEV1, and PCF. 6) No significant functional level by measurement position interactions were found in PEF, FEV1, and PCF. Therefore, it is concluded that upright sitting and 45˚ degree reclining positions are recommended for effective cough and sputum clearance.

The purpose of this study was to investigate the effects postural changes on respiratory muscles and acoustic parameters of the children with spastic cerebral palsy. Nine children with spastic cerebral palsy who required assistance when walking were selected. The ages of the children ranged from 6 to 9 years old. The phonation of the sustained vowel /a/ and the voice qualities of each child such as fundamental frequency(F0; Hz), pitch variation (Jitter; %), amplitude variation (Shimmer; %) and noise to harmonic ratio (NHR) were analyzed by Multi-Dimensional Voice Program (MDVP). The muscle activity of three major respiratory muscles: pectoralis major muscle, upper trapezius muscle and rectus abdorminalis muscle, were measured by examining the root mean square (RMS) of the surface EMG to investigate the impact of changes in the adjusted sitting posture of each subject. However, the RMS of pectoralis major muscle showed a significant differences (p<.05). Secondly, there were no significant differences in , Jitter and Shimmer between pre and post posture change, but there was a significant difference in NHR (p<.05). The data were collected in each individual; once prior and once after the sitting posture change. The data were analyzed by Wilcoxon signed ranks-test using SPSS version 14.0 for Windows. The findings of this study were as follows; Firstly, the RMS of upper trapezius and rectus abdorminalis muscle were not significant different between pre and post sitting posture changes. From the result, it is concluded that changes in the adjusted sitting posture decreases the abnormal respiratory patterns in the children with spastic cerebral palsy which is characterized by the hyperactivity of the respiratory muscles in breathing. Also, there is increased on the voice qualities in children with spastic cerebral palsy.

This study was aimed to understand the effects of perturbed floor surface on human postural stability while standing. Ten subjects were asked to stand quietly on the surface with two angles of inclination (0° and 5°), two contamination conditions(dry and

This study was designed to identify the effect of various decline boards and postures of lower extremities on surface electromyographic (EMG) activity of knee muscles during isometric single-leg decline squat exercises. The subjects were twenty young male adults who had not experienced any knee injury and their Q-angles were within a normal range. They were asked to perform single-leg decline squat exercises in five various conditions. The EMG activities of the gluteus maximus (GM), vastus lateralis (VL), vastus medialis (VMO), tibialis anterior (TA), and gastrocnemius (GCM) muscles were recorded in five various single-leg decline squat exercises by surface electrodes and normalized by maximal voluntary isometric contraction (MVIC) values. The normalized EMG activity levels were compared using one-way ANOVA with repeated measures. The results of this study were as follows: 1) Exercises 2 and 4 produced significantly greater EMG activity of VMO than did exercise 1 (<.05/10), 2) The VMO/VL ratio of EMG activity of exercise 4 was the highest, producing a significantly greater ratio than exercise 1 (<.05/10). These results show that single-leg lateral oblique decline squat exercise is the best exercise for selective strengthening of VMO, and the posture of the contralateral leg does also affect strengthening of VMO, but we'll need to research patellofemoral joint compression for clinical application of single-leg lateral oblique decline squat exercises.

Altered scapular kinematics in the scapular joint is commonly believed to be a factor contributing to trunk posture. The purpose of this study was to analyze the muscle activity with several changes of the shoulder angle. Tests were performed on 10 male subjects by repeated measures. Each subject was measured while sitting in both erect and slouched trunk positions. In each sitting posture, a three-dimensional motion analysis measurement was used to measure thoracic angle and shoulder abduction angle. Measurements were taken with the shoulder abdcution angle at , , , , , and . By using surface Electromyography (EMG) electrodes, we recorded the activity of the upper trapezius, middle trapezius, lower trapezius, middle deltoid, and serratus anterior muscle while the subject held a 4 kg weight at each angle. The mean of root mean square (RMS) of EMG activity was calculated. The middle trapezius, lower trapezius, and middle deltoid muscle activity showed significantly higher results but serratus anterior muscle activity showed significantly lower results (p<.05). With the shoulder angle increased, the muscle activity was also significantly increased (p<.05). In conclusion, the thoracic spine posture significantly affects the scapular muscle during scapular plane abduction, and the slouched posture is associated with increased trapezius muscle activity and with decreased serratus anterior muscle activity.

The purpose of this study was to analyze the effects of three different pelvic tilts on sit-to-stand ativities and to suggest a new therapeutic approach for movement reeducation in patients who have difficulty with sit-to-stand activities. The three different pelvic tilts were: (1) comfortable pelvic tilt sit-to-stand (CPT STS), (2) posterior pelvic tilt sit-to-stand (PPT STS) and (3) anterior pelvic tilt sit-to-stand (APT STS). To analyze the kinematic component of STS, a motion analysis system (Zebris) was applied to the ankle, knee, hip joint, and thigh-off area. Also, to determine the onset time of muscle contraction, surface electrodes were placed to the rectus femoris muscle (RF), the vastus lateralis muscle (VL), the biceps femoris muscle (BF), the tibialis anterior muscle (TA), the gastrocnemius muscle (GCM), and the soleus muscle (SOL). One-way repeated ANOVA was used for the statistical analysis. First, significant differences were found in kinematic variables for the hip, knee, ankle joint, and thigh-off among the three activities. Second, there was significant difference in muscle activation pattern in TA. VL. and BF among three activities. In conclusion, the findings of this study suggest the following evaluative and therapeutic approach for STS activity: (1) Changes in knee and ankle joints should be prioritized and recruitment order differences in VL and RF can be generated to accomplish abnormal STS activity. (2) APT STS can be introduced for movement efficiency and functional advantage when abnormal STS is treated.

The purpose of this study was to analyze the effects of three different pelvic tilts on a sit-to-stand (STS) and to suggest a new assessment approach based on biomechanical analysis. The three difrent pelvic tilts were: (1) comfortable pelvic tilt sit-to-stand (CPT STS), (2) posterior pelvic tilt sit-to-stand (PPT STS) and (3) anterior pelvic tilt sit-to-stand (APT STS). To determine the onset time of muscle contraction surface electrodes were applied to the rectus femoris muscle (RF), vastus lateralis muscle (VL), biceps femoris muscle (BF), tibialis anterior muscle (TA), gastrocnemius muscle (GCM), and soleus muscle (SOL). The ICC was used for functional linkage analysis. The findings of this study were as follows. First, significant differences were found in kinematic variables and in muscle activation pattern among the three activities. Second, the results of functional integrated analysis revealed that recruited muscle activation patterns changed when the thigh-off was viewed as a reference point. Third, there were independent functional units between the thigh-off and the VL and between the thigh-off and the RF in the functional linkage analysis. The VL and RF acted as prime mover muscles, and more postural adjustment muscle recruitment was required as the demand of postural muscle control increased (PPT STS, APT STS, and CPT STS in order). In conclusion, the findings of this study suggest the following evaluative and therapeutic approach for STS activity. APT STS can be introduced for movement efficiency and functional advantage when abnormal STS is treated. However, excessive APT would change the muscle activation patterns of BF and SOL and require additional postural muscle control to cause abnormal control patterns.