• 대한통합의학회지
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• 제9권4호
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• pp.191-200
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• 2021

Purpose : Chronic ankle instability can lead to problems in balance and gait due to weakness of the ankle muscles and decreased proprioceptive sensation. Balance training that stimulates proprioceptors is necessary to improve ankle stability. We aimed to compare the effects of unstable support balance exercises using whole body sonic vibration and an aero-step (TOGU) on proprioception and balance in individuals with unilateral functional ankle instability. Methods : Thirty-six participants with unilateral functional ankle instability were randomly recruited and divided into two groups (group 1 = sonic whole body vibration, group 2= TOGU). Individuals in each group participated in training for 5 weeks, 40 minutes per session, 5 times per week, and performed weight-bearing exercises in five postures on different unstable support surfaces. Proprioception was measured by digital inclinometer (Dualer IQ), and balance was measured by force platform (Biodex balance system). Results : Significant differences were observed in proprioception before and after intervention within both group (p<.05). Significant differences were also observed in the balance index before and after intervention within both groups (p<.05). Conclusion : As a result of this study, it is suggested that for individuals with ankle instability, unstable support surface training using a whole body sonic vibrator and TOGU can have a positive effects on proprioception and balance ability.

• 한국운동역학회지
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• 제17권4호
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• pp.99-106
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• 2007

The gait instability in the elderly has been associated with age-related deterioration in physical strength and reducing the potential for elderly falls requires regular exercise. In 2005, National Center for Injury Prevention and Control(NCIPC) reported that most elderly falls occur during activities in daily living(ADL). To better reveal biomechanic mechanisms underlying age-related degeneration in gait stability, and to enhance the assessment of falls risk, an accurate quantification of a person's balance maintenance during locomotion is needed. Instantaneous orientation of the line connecting COP and COM can characterize whole body position with respect to the supporting foot during gait and the angle between this line and the vertical line passing through the COP known as a good assessment to detect the elderly gait instability. Therefore the purpose of this study was to investigate a 6-month walking exercise effects in reducing elderly fall risk factors by using COP-COM inclination angles. Twenty-two community-dwelling elderly participated this study. The participants performed a walking exercise(3 times/week, 1 hour/visit) for 6 months. Laboratory kinematics during walking was assessed at months 0, 3 and 6. Significant increased in gait velocity was found among periods(p=.011, $1.25{\pm}.03$, $1.32{\pm}.03$, and $1.39{\pm}.04\;m/s$ in 0-, 3-, and 6-month, respectively). Also, significant differences in anterior and posteriror inclination angles were found among the periods(p<.05; posterior inclination angles: $12.8{\pm}2.2$, $11.0{\pm}2.9$, & $10.9{\pm}1.9$; anterior inclination angles: $13.7{\pm}1.7$, $14.6{\pm}3.2$, & $1.46{\pm}.21$ in 0month, 3month, & 6month, respectively). These findings provide evidence of significant reduced fall risk factors of community-living older adults associated with a systematic walking program.

• 대한의용생체공학회:의공학회지
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• 제24권4호
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• pp.309-318
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• 2003

본 연구는 현재 산업용으로 널리 사용되고 있는 수직 다관절 6자유도 로봇을 의료용 목적으로 적용하기 위해 수행하였다. 이미 산업용으로 제안되어 검증된 로봇을 사용한다면 비용, 시간적인 면에서 상당한 잇점이 있다. 따라서 본 논문에서는 산업용으로 제안된 로봇을 의료 목적으로 사용하여 연구하였다. 본 시스템은 뇌졸중 환자와 같이 한쪽 팔을 다친 사람들을 위해 제안하였다. 한쪽 팔이 비정상이고 다른 팔이 정상인 환자를 대상으로 정상인 팔의 움직임을 획득하여 마비되거나 정상으로 움직이기 어려운 팔을 운동시키도록 마스터-슬레이브 시스템을 구성하였다. 또한 팔꿈치와 어깨의 기구학을 해석하기 위하여 기존의 인체에 관한 연구 결과를 적용하였다. 또한 슬레이브 로봇에 힘 센서를 부착하여 환자의 재활 정도를 측정할 수 있도록 하였으며, 위험 상황에 대비함으로써 슬레이브 로봇의 안전성을 높였다. 이러한 시스템으로 인해 물리치료사의 도움 없이 환자 혼자 운동이 가능하도록 시스템을 구성하였다. 제안된 시스템과 제어 알고리즘은 실험과 시뮬레이션을 통하여 타당성을 검증하였다.

• The Journal of Korean Physical Therapy
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• 제26권4호
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• pp.226-233
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• 2014

Purpose: This study was conducted in order to investigate the exercise limit that may occur depending on changes in postural alignment by examining the significance of postural alignment changes, foot pressure, and balance of patients with stroke. Methods: In this study, 50 patients diagnosed with a stroke were selected as subjects. Imbalance of postural alignment of the trunk, pelvic tilt of trunk rotation of the body, angle of kyphotic curving of the thoracic, and angle of lordotic curving of the lumbar vertebra were measured. Foot pressure was examined by measuring average pressure and weight bearing. Balance was examined by measuring the center of pressure and limit of stability. Results: The significance of postural alignment, foot pressure, and weight bearing of the non-paretic side was examined. In addition, the significance between postural alignment and balance was examined. Conclusion: It is thought that limits of foot pressure and balance in the standing position can be caused by postural alignment. Thus, both a therapeutic intervention program and postural alignment training should be provided together in order to improve the function of patients with stroke.

• 한국운동역학회지
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• 제17권2호
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• pp.1-9
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• 2007

Walking is not only an essential component of the human mobility, but also is a good exercise. Inability to walk freely can reduce an individual's quality of life and independence substantially. Being a relatively low impact activity, walking is particularly good for the elderly and research has shown that regular walking in the elderly reduces the chance of fall-related injuries and mental diseases as well. In spite of the documented benefits of regular walking, it is still difficult to walk without the aid of assistive devices for the frail elderly who have lower extremity problems. Assistive walking devices(AWD), such as crutches, canes, hiking-poles, T-Poles and walkers, are often prescribed to the elderly to make their walking be safe and efficient. Many researchers have demonstrated the effects of AWDs such as reducing lower extremity loading, improved dynamic/gait stability, yet, no study has been done for gait pattern when the elderly gait with AWDs. Therefore, the purpose of this study was to examine whether T-Poles, one of the AWDs, change the elderly gait pattern. Eight community-dwelling female elderly participated in this study. Laboratory kinematics during walking with T-Poles(PW) and with out T-Poles(NPW) was assessed. PW showed significant increase in step width, stride length, gait velocity and decrease in swing time. No significances were found in lower body joint angles but meaningful trend and pattern were found. Maybe the reason was due to the participants. Our participants were healthy enough so that the effect of T-Poles was minimum. PW also showed typical gait phases which are no single support phase during a gait cycle. It indicates that walking with T-Poles may guarantee safe and confident walking to the frail elderly.

• 한국운동역학회지
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• 제22권3호
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• pp.285-293
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• 2012

The aim of this study is to identify the appropriate movement for maintaining postural balance during Front Kick and Turning Side Kick motions. To do so, ten Taekwondo athletes: five skilled players(S, body mass: $65.0{\pm}5.8kg$, height: $172.3{\pm}3.7cm$, age: $20.0{\pm}1.2yrs$, career: $9.0{\pm}1.9yrs$) and five less-skilled players(LS, body mass: $67.1{\pm}5.5kg$, height: $173.2{\pm}5.1cm$, age: $19.4{\pm}1.7yrs$, career: $9.6{\pm}1.7yrs$) participated in this study. A three-dimensional motion analysis was performed on the participants using eight infrared cameras and two force plate(sampling frequency of 200 Hz and 2000 Hz for S and LS players, respectively). The participants' motions were divided into: a front-kick phase(P1) and a turning-side-kick phase(P2). For P2(p<.05), the range and root mean square(RMS) of the ground reaction torque and the M-L mean velocity of COP were greater for LS than for S; similarly, for P2(p<.05), the M-L range, A-P range, and velocity of the COP were greater for LS than for S. Further, the M-L range and maximum velocity of the COP was greater for failure than for success(p<.05). The femoral biceps muscle for bending the knee joint was significantly stronger in S than in LS(p<.05). It is expected that these results will be useful in developing a training program for improving the balance and stability of Taekwondo poomsae athletes and improve their front-kick and turning-side-kick motions.

• 한국운동역학회지
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• 제12권2호
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• pp.33-49
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• 2002

본 연구는 골프스윙 시 체형별로 나타나는 운동학적 요인을 분석하여 비교함으로써 체형별 골프지도를 위한 기초자료를 제공하는데 있다. 이를 위해 현재 남자 프로골프선수 9명을 대상으로 각자의 체중과 신장 그리고 상완둘레등을 고려하여 외배엽, 내배엽, 중배엽으로 체형을 나누었다. 각자의 골프스윙동작을 비디오 카메라로 촬영하여 스윙동작을 8개의 구간으로 나누어 분석하였으며 다음과 같이 결론에 도달하였다. 골프스윙 소요시간은 내배엽형이 가장 길었으며 다음으로 중배엽형, 마지막으로 외배엽형이 가장 짧은 스윙시간을 보이고 있었다. 좌우이동변위가 가장 크게 나타나는 체형은 중배엽형이었으며, 다음으로는 내배엽형, 그리고 외배엽형이 가장 작게 움직이는 것으로 나타났다. 내배엽형은 임팩트 시 상하변위가 상승쪽으로 향하고 있었으며 내배엽형과 중배엽형은 임팩트 시 거의 일정한 높이를 유지하여 안정감을 높이는 것으로 나타났다. 상체회전각도와 골반회전각도는 임팩트 시 외배엽형의 상체와 골반이 미리 돌아가는 형태를 취하고 있어 내배엽과 중배엽형에 비해 다소 다른 특징을 보이고 있었다. 이러한 스윙에 대한 체형별 운동학적 특징을 이론을 제시함에 있어 보다 근본적인 힘의 이동을 알아야 할 필요가 있다. 따라서, 차후 연구에서는 지면반력을 이용하여 압력중심점(COP)의 분석이 함께 이루어져야 할 것으로 판단된다.

• 대한안전경영과학회지
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• 제11권2호
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• pp.103-110
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• 2009

The purpose of this study is to suggest a proper tread of stairs using kinematic factors and moments of the lower-limb joints in the stair decent with the 3 different treads with boimechanical method in ergonomics. 9 subjects (body masses; $59.41{\pm}7.49$, $64.03{\pm}6.65$, $67.26:{\pm}7.58$, heights; $160.50{\pm}6.35$ ages; $31.22{\pm}2.99$; parity; $1.67{\pm}0.71$) participated in three experiments that were divided by physiological symptoms (the early (0-15 weeks), middle (16-27 weeks) and last (18-39 weeks). and they walked at self-selected pace on 4 staircases 3 trials. As extending the pregnancy period, cadence was shorter but cycle time were longer more and more. As extending treads of stair decent during pregnancy, speed, stride lengths and cycle time were increased. As extending the treads of stair decent, hip and ankle moments increased but knee moments decreased in sagittal plane. There were increasing or decreasing of moments by means of treads. These changes may account for relation between the treads of stair and moments in pregnant women. The main changes of pregnant women were joint moments and kinematic factors during pregnancy period because pregnancy makes them physical changes. It is possible that joints have connection with compensation each other to maximize stability and to control gait motion. In conclusion, we suggest that the tread of stair is longer than 26cm tread. and exercise programs to improve muscle activity were necessary where joint moments were small.

• 한국컴퓨터정보학회논문지
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• 제16권1호
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• pp.117-124
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• 2011

본 논문은 생체 센서 시스템(bio-physical sensor system)을 이용하여 홈 네트워크 시스템을 구성하고, 생체 신호가 전달되도록 생체 신호 원격용 네트워크를 구현하였다. 측정 시스템의 구성조건은 시각(Vision), 체성감각(Somatosensory), 전정기관(Vestibular), 중추신경계통(CNS)의 변위점에서 평가하고, 맥박(Heart Rate), 체온(Temperature), 체중(Weight)을 기본 측정항목에 사용하였다. 주파수 변동에 따른 0.01 단위로 측정하여 평균값을 가지고 기준치에 비교하여 설정환경을 구성하고 측정값을 결정하였다. 생체 신호는 신체의 균형조절기능인 신경생리학적 감각처리 및 운동 출력기전으로 시각, 체성감각, 전정기관, 중추신경계통, 체질량지수(BMI)의 신체적 감각 기관의 수용체들 간의 운동에 대한 균형과 자세를 통한 기준으로 정상적인 균형 조절 상태와 균형의 크기 형태로 구분하고, 건강의 상태를 확인하도록 의미를 부여하였다. 본 연구의 결과로 제안한 홈 네트워크를 통해 헬스 센터 및 건강관리 중앙 시스템에 단말기를 통하여 전송됨으로 전문가을 통한 건강 관리시스템이 진행되는 결과를 얻을 수 있고, 다양한 신체적 파라메타를 통한 원격네트워크 모니터링 기능의 관리시스템이 형성 될 것으로 추론 할 수 있다.

• 한국운동역학회지
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• 제17권1호
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• pp.111-119
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• 2007

The purpose of this study was to investigate muscle activity and gait pattern in lower limb depending on the outsole of heel rockers. Fifteen healthy men volunteered for this experiment. Each subject performed totally three trails with two pairs of different heel rocker shoes and a pair of normal running shoes at speed of 1.33m/s for 1 minute during walking on a treadmill. Kinematic data gathered in 100Hz was recorded and analyzed by using the 3D motion capture system to measure the trunk tilt and joint angle of the right lower limb. And the lower extremity muscle activities were simultaneously recorded in 1000Hz and assessed by using EMG. The statistical analysis was the one-way ANOVA with the repeated measures to compare among the three kinds of shoes. The level of statistical significance for all tests was 0.05. Joint angle of lower limb was showed statistically significant different in MST(hip joint), LHS(ankle joint), and RTO(knee and ankle joint). Muscle activity of rectus femoris and biceps femoris was statistically increased in both heel rocker shoes during gait cycle on treadmill. The maximum peak time of tibialis anterior in the negative heel rocker showed the delay of approximately 23.8%time than normal shoes. Gait pattern variability of the negative heel rocker was increased in the first half of the stance phase and the variability of the positive heel rocker was increased in the terminal stance phase. In Conclusion, stability was decreased in between joints of lower limb on positive heel rocker than negative heel rocker. This study found that there were different joint angle, muscle activity, gait pattern and coordinate system of the lower limb in each kind of shoes. These unstability affected the lower extremity and the whole body. A further study has to be continued with study of rehabilitation and exercise for a long-term.