• 대한물리의학회지
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• 제11권3호
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• pp.133-139
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• 2016

PURPOSE: The purpose of this study is to examine the impact of balance training on a three-dimensional balance trainer that provides the up-and-down vertical movement of the knee joint and left-and-right horizontal movement, along with visual feedback on the functional ability of children with spastic cerebral palsy (CPs). METHODS: 8 CPs participated in this study. The experiment was implemented for 40 minutes, three times a week for a total of six weeks. The subjects received general physiotherapy for 15 minutes in each session focused on balance and walking, as based on the neuro-developmental treatment theory. Balance training was performed for 20 minutes on a three-dimensional balance trainer where knee joint movement providing visual feedback is applied. The evaluations were conducted before and after the test, and posture sway was measured using 10 Meter Walking Test (10MWT), Timed Up & Go Test (TUG), and the Good Balance System to evaluate the functional ability and balance of the subjects RESULTS: 10MWT was not statistically significant (p>.05). On the contrary, TUG and postural sway indicate static balance showed a statistically significant decrease (p<.05). In a static balance test using the Good Balance System, the average moving speed statistically significantly decreased in the AP and ML directions (p<.05), and the mean velocity moment also significantly decreased (p<.05). CONCLUSION: These findings suggested that balance training using the three-dimensional balance trainer, with the features of visual feedback and up-and-down knee joint movement effects on increasing dynamic and static balance.

• 대한물리의학회지
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• 제9권4호
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• pp.363-373
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• 2014

PURPOSE: The purpose of this study was of scale using auditory biofeedback training and kinging training on walking speed and weight bearing ratio in patients hemiplegia with stroke to determine of the effects of such training would be maintained even after stopping the intervention. METHODS: The 30 subject were classified into three groups : 12 times, 3 times a week receiving the control, the experimental group scale using auditory and kicking training for 4 weeks. In addition, all subjects in the control group and experimental groups received the same general exercise treatment 12 times, 3 times a week for 4 weeks, and underwent follow-up tests. The significance of differences between the control group and the experimental groups was analysis by repeated-ANOVA, Interaction time and groups was analysis by repeated-ANOVA. In case where there were differences, post-hot tests were conducted using repeated measure ANOVA. RESULTS: There were significant differences in 10 m walking speed and weight bearing ratio between the control group and experimental group after the performance of the scale using auditory training and kicking training. Scale using auditory biofeedback training 4 weeks was more effective than kicking training. After 8 weeks weight bearing ratio maintained on scale using auditory training. CONCLUSION: These finding suggest that the scale using auditory biofeedback training and kicking training has positive effects on hemiplegia with stroke.

• 한국의류산업학회지
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• 제18권3호
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• pp.289-300
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• 2016

This study surveys children's costumes and games from the 11 Genre paintings by Junkeun Kim in the book "Korean Games(Stewart Culin 1858-1929)". The character of the general dress-costumes, games and the culture of life from the late $19^{th}$ century in genre painting of Junkeun Kim are as follows. The study results on the games are as follow. The boy's games are kite-flying, spinning tops, playing shuttlecock with the feet, blindman's buff, yut("Four-Stick Game"). Girl's games are seesaw with board, blindman's buff, marbles. Combined games are mount shoulder, sledge, tightrope walking for men with boy. The strengthen one's body type were seesaw with board, tightrope walking, the compete score type were playing shuttlecock with the feet, marbles and the multi complex type were yut("Four-Stick Game"), kite-flying. Through genre painting in the $19^{th}$ century we know a boy's 'Jeogori 'and 'Ba-ji' were similar to a modern man's and boy's 'Hanbok' with a traditional method of wearing. We believe that the originality of a traditional costume was an unchangeable characteristic. Girl's 'Jeogori' and 'Chi-ma' changed in length and width, and method of wearing; however, the basic shape did not change. The analysis for artist's genre painting which was ordered by a foreigner and the late of $19^{th}$ century's children's costume and game of life culture is useful to match the counters and show how to wear a modern Korean costume used to understand the 'Hanbok' and establish a costume of life.

• 대한물리의학회지
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• 제14권4호
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• pp.63-70
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• 2019

PURPOSE: This study examined the effects of bilateral ankle dorsiflexors-strengthening exercise on the paralytic tibialis anterior activity, balance ability, and gait function of patients with chronic stroke. METHODS: Nineteen patients with chronic stroke were assigned randomly to the experimental and control groups. All participants received general physical therapy for 60-minutes per session, five times a week, for 6 weeks. In addition, the experimental group (n = 9) performed bilateral ankle dorsiflexion muscle-strengthening training three times a week, 30 minutes per session, for six weeks. The control group (n=10) performed the paraplegic ankle dorsiflexion muscle- strengthening training in the same manner. Before and after the intervention, the paralytic tibialis anterior muscle activity, timed up and go test (TUG), and 10m walking test (10 MWT) were performed. RESULTS: Both groups showed significant improvement in the post-intervention muscle activity of the paralytic tibialis anterior, TUG, and 10MWT compared to that before the intervention (p<.05), but the differences between the two groups were not significant (p >.05). CONCLUSION: Bilateral ankle dorsiflexors strengthening exercise is an effective cross-training method to improve the muscle activity of the paraplegic tibialis anterior, balance ability, and walking function in chronic stroke patients.

• 국제물리치료학회지
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• 제3권1호
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• pp.370-377
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• 2012

This study examines the effects of different environments on the application of hemiplegia patients circuit balance training. Group 1 performed circuit balance training without any auditory intervention Group 2 performed training in noiseless environments and Group 3 performed training in white noise environments. First, among lower extremity muscular strength evaluation items, maximum activity time(MAT) was not significantly different(p>.05). Maximum muscle strength(MMS) increased significantly in Group 3(p<.01), there was no significant difference in MMS among the groups. Average muscle strength(AMS) indexes also significantly increased in Group 3(p<.01), there was no significant difference in AMS among the groups. Second, among balancing ability evaluation items, Berg's balance scale(BBS) scores significantly increased in all groups(p<.05), BBS scores were significantly difference among the groups. Based on the results, Group 1, 2 and Group 1, 3 showed significant increases (p<.05). Functional reach test(FRT) values significantly increased in Group 2, 3(p<.05), and there was no significant difference in FRT values among the groups. Timed up and go(TUG) test values significantly decreased in Group 2, 3(p<.05), and there was no significant difference in TUG test values among the groups. Third, among walking speed evaluation items, the time required to walk 10m significantly decreased in all groups(p<.05), and there was no significant difference in the values among the groups. Average walking speeds showed significant increases in Group 1, 3(p<.05), and there was no significant difference in the values among the groups. Based on the results of this study, noise environments should be improved by either considering auditory interventions and noiseless environments, or by ensuring that white noise environments facilitate the enhancement of balancing ability.

• Physical Therapy Rehabilitation Science
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• 제5권1호
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• pp.9-14
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• 2016

Objective: This study was to investigate the effects of Task-oriented training for Gross Motor Function Measure (GMFM), gait and balance function in cerebral palsy. Design: Randomized controlled trials. Methods: Twenty four subjects were recruited by means of a convenience sampling from Kangseo-Gu G rehabilitation center. Subjects were 24 inpatients and were randomly divided into a task-oriented training group and a conventional group. Twelve patients were experimental group who executed the task-oriented training (5 times/wk) for 4 weeks. The task-oriented program mainly focused on the capabilities of independent walking, with the angle of inclination set at 0 degrees and walking at a self-selected comfortable speed. In addition, balance training included the one-legged standing with weight-shifting and task-oriented training. Twelve patients were control group who executed only general conventional therapy (5 times/wk) for 4 weeks. All subjects were evaluated about the motor function, gait and balance function. Subjects have conducted the measured variables, GMFM, GAITRite, PDM Multifunction Force Measuring Plate after treatment. Results: There was statistically significant increase of Gross Motor Function Measure scores of the experimental group and control group after 4 weeks (p<.05). There was statistically significant increase of gait and balance function of the experimental group after 4 weeks of task-oriented training (p<.05). The experimental group showed a significantly improvement in GMFM, gait, and balance compared to the control group (p<0.05). Conclusions: This study proved that task-oriented training after stroke can improve Gross Motor Function Measure, gait and balance. Thus this study can suggest that task-oriented training for gross motor function, gait and balance be effective on the cerebral palsy.

• 대한정형도수물리치료학회지
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• 제19권1호
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• pp.49-54
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• 2013

Background: The purposed of this study is to examine the static and dynamic plantar foot pressure in chronic low back pain patients and normal adults. Methods: The subjects were divided into a group of 30 patients with chronic low back pain and a control group of 30 healthy persons. While static posture and dynamic posture at comfortable walking speeds, the low back pain group and the control group measured their plantar foot pressure and the trajectory of their center of pressure (COP) using the Matscan(R) system. Independent t-tests were measured to compare differences in plantar foot pressure characteristics between the left side and right side of the low back pain group and the control group. Results: In the comparison of differences in plantar foot pressure characteristics between the left side and right side of the low back pain group and the control group, the anteroposterior (AP) displacement of COP showed significant differences (p<.05). Although the low back pain group and the control group did not show any significant differences in leg length, weight distribution, mediolateral (ML) displacement of COP, static contract area, dynamic contract areas (p>.05), increases in the contract area values were shown in the hind foot in general. Conclusion: In this study, it was shown that patients with chronic low back pain were walking with short AP displacement of the COP as a compensatory action to avoid pain.

• 한국산학기술학회논문지
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• 제14권10호
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• pp.5274-5280
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• 2013

본 연구의 목적은 활성화되어 있는 천안 종합버스터미널 상업지역과 침체된 천안역 상업지역의 도심환경 인식 차이에 대한 분석을 통하여 천안역 상업지역의 이용자 만족도에 영향을 미치는 도심 환경요소를 찾는데 있다. 요인분석을 통하여 도심환경 요소들은 보행환경의 쾌적성, 상업 업무시설이용의 용이성, 도심환경의 쾌적성, 대중교통 접근성, 거리디자인(상징성) 등으로 분류되었다. 천안역 상업지역의 만족도에 상대적으로 크게 영향을 미치는 도심환경요인은 보행환경의 쾌적성과 상업 업무시설이용의 편리성인 2개 요인들인 것으로 분석되었다. 따라서 향후 천안역 상업지역의 활성화를 위한 사업시행 시 보행환경이 쾌적하게 유지될 수 있도록 개선이 필요하며, 상업 업무시설인 은행이나 복합쇼핑몰 등을 효과적으로 배치할 수 있는 방안을 찾을 필요가 있다.

• 한국재난정보학회 논문집
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• 제10권2호
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• pp.312-318
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• 2014

최근의 건축구조물은 대형화되어 가고, 경량화와 유연화에 따라 진동에 의한 사용성 문제가 제기되고 있다. 일반적으로 RC슬래브의 경우 강성이 우수하여 진동에 대해 비교적 사용성이 우수한 것으로 알려져 있으나, 최근에 시공되고 있는 초고층 아파트의 경우 슬래브가 경량화 되어가고 장스팬을 갖게 되어 이에 대한 사용성의 검토가 요구되고 있는 실정이다. 본 연구에서는 기초적인 연구로 RC슬래브에 대하여 진동에 의한 사용성을 검토하여 보았다. 실험에 사용된 구조물은 충남 천안에 위치한 지하1층 지상5층 규모의 구조물이며 교사로 사용되고 있는 구조물이다. 실험은 모래주머니에 의한 충격하중으로 감쇠율과 구조물의 고유진동수를 측정해 보았으며 가속도센서를 이용하여 1인보행, 2인보행, 1인뛸때의 사용성을 검토해 보았다.

• Physical Therapy Rehabilitation Science
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• 제10권3호
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• pp.356-366
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• 2021

Objective: This study aimed to compare gait ability through gait evaluations in indoor and outdoor environments according to the general characteristics and walking ability of stroke patients. Design: Crossed-sectional study. Methods: The subjects of this study were 57 hospitalized stroke patients.The study subjects were asked to select an indoor environment and an outdoor environment in random order, and the Timed Up and Go Test (TUG), 10-Meter Walk Test (10MWT), Figure-Eight Walk Test (F8WT) and the Functional Gait Assessment (FGA) were used to assess each environment. Results: The TUG, 10MWT, F8WT time and number of steps, and FGA showed a significant decrease in gait ability in the outdoor environment compared to the indoor environment (p<0.05). Although the TUG, 10MWT, and the time required for the F8WT were statistically higher in the outdoor compared to the indoor environment at points 2, 3, and 4, but not 5 of the functional ambulatory category (FAC), significant increases in the number of steps of the F8WT were found in the outdoor compared to the indoor environment for only points 2 and 3 of the FAC (p<0.05). In the FAC 3 and 4, there was a statistically significant decrease in the outdoor compared to the indoor environment only in the FGA (p<0.05). Conclusions: Therefore, it has been shown that the gait ability of stroke patients is reduced in the outdoor environment compared to the gait ability in the indoor environment.