• 한국운동역학회지
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• 제20권4호
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• pp.469-477
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• 2010

The purpose of this study was to evaluate the effects of insole-equipped ankle-foot-orthoses (AFO) on gait. 10 healthy males who had no history of injury in the lower extremity participated in this study as the subjects. The foot of each subject was first scanned, and the insole fit to the plantar was made using BDI-PCO(Pedcad Gmbh, Germany). The subject then was made to walk on a treadmill under four experimental conditions: 1) normal walking, 2) walking wearing AFO, 3) walking wearing AFO equipped with the insole, 4) walking wearing pneumatic-ankle-foot-orthosis (pAFO) equipped with the insole. During walking, foot pressure data such as maximum force, contacting area, peak pressure, and mean pressure was collected using Pedar-X system (Novel Gmbh, Germany) and EMG activity of lower limb muscles such as gastrocnemius medial head, gastrocnemius lateral head, and soleus was recorded using MP150 EMG module (BIOPAC System Inc., USA). Collected data was then analyzed using paired t-test in order to investigate the effects of the insole. As a result of the analysis, when insole was equipped, overall contacting area was increased while both the highest peak pressure and the mean pressure were significantly decreased, and EMG activity of the lower limb muscles was decreased. On the contrary, the cases of wearing AFO showed the decreased contacting area and the increased pressures. Therefore, the AFO equipped with a proper insole fit well to the foot can help comfortable walking by spreading the pressure over the entire plantar.

• 대한골관절종양학회지
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• 제7권4호
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• pp.139-143
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• 2001

목적 : 근위 경골 종양의 광범위 절제술에 따른 재건술은 적절한 연부 조직의 피복(cover age), 슬관절 신전 장치(knee extensor apparatus), 특히 슬개건의 견고한 재부착이 어려워 슬관절의 기능적 결과가 만족스럽지 않은 것으로 알려져 있는바, 근위 경골의 골육종으로 광범위 절제 후 종양 대치물 삽입으로 사지 구제술을 시행 받은 환자에서 기능을 평가하고 문제점을 분석하기 위하여 본 연구를 시행하였다. 대상 및 방법 : 1992년 4월부터 1998년 10월까지 경골 근위부의 골육종으로 확진된 후 종양 대치물을 이용한 사지 구제술을 시술 받은 11명을 대상으로 하였다. 남자가 6명, 여자가 5명이었으며, 환자의 나이는 15세에서 65세로 평균 23.7세였다. 추시 기간은 최단 1년에서 최장 4년 6개월로, 평균 2년 5개월이었다. 최종 기능평가는 1993년 국제 사지 보존 회의(International Symposium On Limb Salvage; ISOLS)에서 수정 보완한 방법을 이용하여 동통, 기능(functional activity), 환자의 정서적 만족도(emotional acceptance), 보조기 사용여부(use of external support), 보행 능력(walking ability), 그리고 보행 상태(gait)등 여섯 가지로 나누어 평가하였다. 각각의 요소를 최하 0점에서 최고 5점으로 하고 그 중간을 정도에 따라 1, 2, 3, 4점으로 점수화하여 정상 기능에 대한 백분율(% )로 표시하여 분석하였다. 결과 : 기능 평가 성적은 정상 기능에 대해 최고 86.7%에서 최저 53.3%로 평균 68.3%를 나타냈으며, 세부적으로 보면 동통이 82.5%, 기능이 62.5%, 정서적 만족도가 67.5%, 보조기 사용여부는 77.5%, 보행능력은 62.5%, 보행상태는 57.5%였다. 슬관절의 평균 운동범위는 신전 5도, 굴곡 85도였으며, 5례에서 최소 5도, 최고 15도, 평균 10도의 신전 제한(extension lag)을 보였다. 합병증으로는 2명에서 수술 후 감염 소견을 보였으며 1명은 항생제 치료로 호전되었으나 다른 1명은 종양 구조물 제거 후 관절고정술로 전환이 필요하였다. 결론 : 경골 근위부의 골육종 환자에서 광범위 절제 후 종양 대치물 삽입에 의한 사지구제술의 기능 평가 성적은 감염이 합병되지 않은 경우에는 전반적으로 양호하였으나, 동통 소실, 보조기 사용여부에 비해 슬관절의 부분 강직 및 extension lag로 인해 기능, 정서적 만족도, 보행등에서 덜 만족스러웠다. 임상적으로 더 만족스러운 결과를 얻기 위해 수술 후 대퇴사두근 강화 운동 및 굴곡 운동 등의 적극적인 재활 치료가 필요한 것으로 생각된다.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.6040-6045
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• 2012

본 연구에서는 다종의 센서 데이터 및 시간 정보를 융합 활용하여 횡단보도 내에서 보행자의 안전 보행을 보조하는 시스템에 대한 설계와 시스템 성능 검증을 통한 안전 보행 보조를 지원하고자 한다. 따라서 설계한 보행자 안전 보조 시스템의 기본 동작 시나리오에 대한 연구 수행 및 시스템 동작을 위한 퍼지 제어를 수행하였고 더불어 환경 인식 및 시간 정보를 적극 활용하기 위하여 각 센서 데이터 처리를 위하여 미디언 필터링을 포함한 필터 처리를 적극 활용하였고, 이를 바탕으로 시간 정보를 첨부하여 최종적인 시스템 동작 알고리즘을 완성하였다. 추가적으로 활용하고 있는 센서들의 측정값은 기본적으로 불확실성을 내포하고 있기에 센서 결과 데이터를 융합하여 최소한의 신뢰성을 부여하고자 하였으며, 이를 간단한 실험 장비를 이용하여 검증하였다.

• 한국전문물리치료학회지
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• 제20권4호
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• pp.55-64
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• 2013

The first purpose was to identify the plantar pressure distributions (peak pressure, pressure integral time, and contact area) during level walking, and stair ascent and descent in asymptomatic flexible flatfoot (AFF). The second purpose was to investigate whether peak pressure data during level walking could be used to predict peak pressure during stair walking by identifying correlations between the peak pressures of level walking and stair walking. Twenty young adult subjects (8 males and 12 females, age $21.0{\pm}1.7$ years) with AFF were recruited. A distance greater than 10 mm in a navicular drop test was defined as flexible flatfoot. Each subject performed at least 10 steps during level walking, and stair ascent and descent. The plantar pressure distribution was measured in nine foot regions using a pressure measurement system. A two-way repeated analysis of variance was conducted to examine the differences in the three dependent variables with two within-subject factors (activity type and foot region). Linear regression analysis was conducted to predict peak pressure during stair walking using the peak pressure in the metatarsal regions during level walking. Significant interaction effects were observed between activity type and foot region for peak pressure (F=9.508, p<.001), pressure time integral (F=5.912, p=.003), and contact area (F=15.510, p<.001). The regression equations predicting peak pressure during stair walking accounted for variance in the range of 25.7% and 65.8%. The findings indicate that plantar pressures in AFF were influenced by both activity type and foot region. Furthermore the findings suggest that peak pressure data during level walking could be used to predict the peak pressure data during stair walking. These data collected for AFF can be useful for evaluating gait patterns and for predicting pressure data of flexible flatfoot subjects who have difficulty performing activities such as stair walking. Further studies should investigate plantar pressure distribution during various functional activities in symptomatic flexible flatfoot, and consider other predictors for regression analysis.

• 한국정보과학회논문지:소프트웨어및응용
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• 제30권11호
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• pp.1092-1101
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• 2003

대부분의 3차원 캐릭터 애니메이션에서는 모션 캡쳐 장비를 통해서 포착된 동작 데이타를 이용하여 다양한 지형상에서 캐릭터가 걷는 동작을 표현한다. 이러한 동작 포착 데이타는 실제 사람과 같이 움직이는 동작들을 자연스럽게 표현할 수 있으나, 만약 다양한 지형에 대한 움직이는 동작이 표현할 경우, 지형의 유형에 따라 모든 동작을 캡쳐하여야 하고, 얻어진 동작 데이타를 다른 유형의 캐릭터에 적용할 경우 동작 데이타를 다시 얻거나 기존 동작 데이타를 재편집해야 하는 어려움이 있다. 따라서 본 연구에서는 적은 매개변수들을 사용하여 평지면, 경사면, 계단면 그리고 굴곡면 등 다양한 지형에서의 적응적인 걷는 동작을 생성하기 위한 방법과 골반과 이동하는 다리의 움직임 제적을 산출하는 방법을 제안한다. 이 방법에서는 캐릭터의 신장이나 걷는 속도, 걸음폭 등의 매개변수들을 조절하여 다양한 걸음걸이를 생성할 수 있으며 역운동학(Inverse Kinematics) 개념을 적용하여 관절들의 위치나 각도를 산출하고 관절의 이동 궤적을 계산하기 위해 큐빅 스플라인 곡선을 활용한다.

• Perspectives in Nursing Science
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• 제5권1호
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• pp.33-43
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• 2008

Objective: This study explored the reuse of data captured into an electronic nursing record system using the International Classification for Nursing Practice to support nursing research of inpatient's falls. Methods: Risk factors relevant to inpatients falls ;n an acute setting were identified from the literature review. Four risk assessment tools and two risk identification studies were selected. To examine the availability of coded data in an electronic nursing record system for the identified fall fisk factors, we reviewed 11.319 hospital-day records of 118 patients who were reported by the self-report system. Results: We identified 24 fall risk factors of five categories from the literature review, which were used to identify the standard nursing statements addressing fall risks. One hundred thirty five nursing statements were searched from the hospital's nursing data dictionary of statements and were matched with 14 fall fisk factors. Using the 135 statements. we found that mental status, catheter of drip in situ, abnormal gait, insomnia, surgical procedure. and dizziness/vertigo appeared frequently in the nursing records of inpatients with fall s. Also we found 6 risk factors more through the record review. Conclusion: The electronic records would be a good research source for inpatients' falls. Specifically international classification for nursing practice based nursing record system has the potential for promoting clinical researches.

• 한국운동역학회지
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• 제25권1호
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• pp.103-111
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• 2015

Objective : The purpose of this study was to evaluate the effect for running shoes with resilience of midsole on biomechanical properties. Methods : 10 healthy males who had no history of injury in the lower extremity with an average age of 26.5 year(SD=1.84), height of 172.22 cm(SD=4.44) and weight of 67.51 kg(SD=6.17) participated in this study. All subjects ran on the treadmill wearing three different running shoes. Foot pressure data was collected using Pedar-X system(Novel Gmbh, Germany) operating at 100 Hz. Surface EMG signals for biceps femoris, rectus femoris, vastus lateralis, medial lateralis, tibialis anterior, medial gastrocnemius, soleus and peroneus longus were acquired at 1000 Hz using Bignoli 8 System(Delsys Inc., USA). To normalize the difference of the magnitude of muscle contractions, it was expressed as a percentage relative to the maximum voluntary contraction (MVC). The impact resilience of the midsole data was collected using Fastcam SA5 system(Photron Inc., USA). Collected data was analyzed using One-way ANOVA in order to investigate the effects of each running shoes. Results : TPU midsole was significantly wider in contact area than EVA, TPE midsole in midfoot and higher in EMG activity than EVA midsole at biceps femoris. TPE midsole was significantly wider in contact area than EVA midsole in rearfoot and higher in peak pressure than EVA midsole in forefoot. EVA midsole was significantly higher in EMG activity than TPU midsole at tibia anterior. In medial resilience of midsoles, TPE midsole was significantly higher than EVA, TPU midsole. Conclusion : TPU midsole can reduce the load on the midfoot effectively and activate tibialis anterior, biceps femoris to give help to running.

• 디자인학연구
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• 제14권2호
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• pp.95-105
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• 2001

인간의 발 형태와 보행특성은 보행습관과 질병에 의해 변형되어진다. 특히, 노인의 발은 장단기의 신발 착용이나 퇴행성관절염으로 인해 심한 발의 변형이 나타나, 청 장년층과는 발의 형태나 유형이 다르다. 그러므로 노인신발 설계 및 화형개발을 하기 위해서는 노인발의 정확한 인체 측정치와 발 형태분석 및 유형분류가 필요한 실정이다. 그럼에도 불구하고 노인신발 제작에 노인 발의 인체 측정치의 부재로, 청·장년충의 형을 그대로 사용하고 있는 것이 업계의 현실이다. 본 연구에서는 과학적 노인신발 제작을 위하여 발의 49개 인체 측정부위를 남녀노인 총 252명을 대상으로 하여 측정하였고, 발 너비 대 길이지수와 족선각을 이용하여 형태 및 유형 을 분류, 분석하였다. 연구결과 노인의 발은 젊은 청년에 비하여 가늘고 긴, 즉 세장화 경향을 보인다. 이는 고령 남성보다도 여성에게 더 두드러진다. 본 연구는 노인신발 설계를 위해 화형개발에 필요한 자료를 제공하고, 인간공학적 노인신발을 디자인하는데 활용되리라 생각된다.

• 대한물리치료과학회지
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• 제9권1호
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• pp.25-36
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• 2002

Objectives: This study was conducted to find out risk factors related to elderly hip fracture, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. Methods: The data were collected from 199 cases hospitalized in 4 university hospitals in Pusan from January, 1996 to December, 1998, 193 healthy controls who visited elderly facilities in Pusan. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed for 2-test and multiple logistic regression. The risk factors were shown with odds ratios and their 95% confidence intervals. Results: In univariate analysis, the odds ratio of hip fracture risk was estimated to be 1.9 for the elderly aged 75 years as compare with those aging less than 65 years; 42 for those with job as compared with those without job; 3.3 for those with more than 6 children as compared with those with one or two children. For the variables related to physical characteristics, small height (p=0.015), light weight (p=0.000), and low BMI (p=0.014) were risk factors for elderly hip fracture. Sane variables related to health, such as previous history of illness (OR=3.3.), abnormal blood pressure (OR=1.6), previous fracture history (OR=22), lower limbs weakness (OR=12.1) and gait disturbance (OR=42.6), were significantly associated with the risk of hip fracture. In multiple logistic regression, risk factors for hip fracture were age, having job, lower limb weakness and previous history of illness. The adjusted odds ratios of hip fracture risk among the elderly were age (OR=1.1), having jobs (OR=11.7), weak lower limb (OR=10.8) and previous history of illnesses (OR=3.3), respectively. Conclusion: This study suggests that the plan for improving the daily living environment for the elderly systematically should be implemented to avoid the chances of fall, and that programs encouraging to practice regular exercise for physical activity and to promote health of the elderly should be developed.

• 한국전문물리치료학회지
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• 제12권4호
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• pp.1-6
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• 2005

Community-based group exercise programs for people with chronic stroke are relatively uncommon in Korea. In addition, it is currently not known whether a community-based group exercise program is effective or not. The purpose of this study was to evaluate an 8 week community-based functional exercise program for its effects on balance performance and occupational performance in persons with chronic stroke. Twenty-five community-dwelling individuals with stroke participated in this program. Outcome of the program was assessed by the Berg Balance Scale and the Canadian Occupational Performance Measure (COPM). The functional exercise program lasted for eight weeks, with a 1-hour program twice per week and it consisted of mobility, stability, balance, functional strength, and gait training. The subjects were trained by one physical therapist but were under one-to-one supervision from students. The data of sixteen individuals who scored more than 24 on the Mini-Mental State Examination (MMSE) were analyzed. There was a significant effect both in terms of the COPM Performance Score & the Satisfaction Score (p=.002) and with the Berg Balance Score (p=.001). It was found that a short-term community-based exercise program could improve both performance of activities and balance. Further, all subjects reported that they were satisfied with this program.