• 대한의용생체공학회:의공학회지
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• 제31권3호
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• pp.217-226
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• 2010

The lower limb orthosis with a pneumatic rubber actuator, which is intended for the assistance and the enhancement of muscular activities of lower limbs was developed in this study. Compared to other knee extension assistive devices being developed by other researchers, our device is designed especially for the elderly people and intended only for slight assistance so that the subjects can keep their muscular strength. For the effectiveness of system, muscular activities of major muscles in lower limbs during sit-to-stand (STS) and squat motion were measured and analyzed. Subjects were performed the STS and squat motion with and without lower limb orthosis. We made comparison muscular activities between with and without lower limb orthosis. Lower limb orthosis was controlled using muscular stiffness force feedback that is controlled by muscular activities of the measured muscle from force sensor. For analysis of muscular activities, electromyography of the subjects was measured during STS and squat motion, and these were measured using MP 150(BIOPAC Systems, Inc.). Muscles of interest were rectus femoris(RF), vastus lateralis(VL), vastus medialis(VM) and vastus intermedius(VI) muscles in lower limbs of the right side. A biodex dynamometer was used to measure the maximal concentric isokinetic strength of the knee extensors of wearing and not wearing orthosis on right side. The test were performed using the concentric isokinetic mode of test with the velocity set at 60°/s for muscles around the knee joints. The experimental result showed that muscular activities in lower limbs wearing orthosis using muscular stiffness force of a vastus medialis muscle was reduced and knee extension torque of an knee joint wearing lower limb orthosis was increased. With this, we confirmed the effectiveness of the developed lower limb orthosis.

• 한국융합학회논문지
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• 제13권5호
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• pp.287-294
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• 2022

본 연구는 스포츠 현장에서 부상예방으로 많이 사용되고 있는 탄력 테이핑을 슬관절 굴곡과 신전에 적용하여 근력, 근파워, 근지구력에 미치는 영향을 검증하기 위해 진행하였다. 연구 대상자는 슬관절의 굴곡과 신전 운동에 이상이 없는 남자 대학생 10명으로 하였다. 측정방법은 등속성근기능측정 장비를 활용하여 슬관절 굴근과 신근에 키네시오 테이핑을 적용 전, 후로 각속도 60°/sec 5회, 180°/sec 5회, 240°/sec 25회를 측정하였다. 연구결과는 슬관절 신전 시 키네시오 테이핑 적용 전보다 후에 우측 각속도 180°/sec에서 Average Power가 유의하게 증가하였다(p=.010). 슬관절 굴곡 시 키네시오 테이핑 적용 전보다 후에 우측 각속도 180°/sec에서 Average Power가 유의하게 증가하였다(p=.016). 또한 각속도 240°/sec에서는 Total Work Done에서 좌(p=.002), 우(p=.002) 모두 유의하게 증가하였다. 대퇴직근과 대퇴이두근에 키네시오 테이핑 적용이 슬관절 운동 시 근파워과 근지구력을 향상시키는 보조적인 영향이 긍정적으로 나타났다.

• 대한정형도수물리치료학회지
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• 제25권2호
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• pp.39-46
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• 2019

Background: Ground repulsion or impact on the ground during daily activities, sports, or occupational activities may cause injury to the knee when walking. Non-elastic taping is effective in treating these problems in previous studies. Non-elastic taping strengthens the structure of the soft tissues of the injured knee joint to maintain constant tension, improves muscle rearrangement and function, and improves proprioception. Based on previous studies, we intended to see the therapeutic changes of non-elastic taping in patients with patellofemoral joint pain syndrome. Methods: The non-elastic taping application method was applied to the patient three times for five hours for one week. Non-elastic taping was applied to the patellar tendon with little space above the skin segment of the patellar femur, with both sides fixed by taping. Muscle strength and gait change were evaluated with non-elastc taping. Results: The knee flexion, extension strength and gait evaluation of the knee joint with inelastic taping showed significant differences after treatment. There was a significant difference in the comparison between the two groups after the treatment method was applied (p<.05). Conclusion: As a result, this study confirms that the non-elastic taping method applied for the treatment of patellar femoral joint pain syndrome is effective in the treatment.

• 디지털융복합연구
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• 제17권3호
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• pp.463-471
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• 2019

본 연구는 무릎 근력의 불균형이 백 스쿼트 시 인체 움직임의 제한 요인으로 작용하는지를 확인하는 것에 목적이 있다. 백 스쿼트 유경험자로 최근 2년간 부상이 없는 서울시 소재 S대학교 학생 8명을 연구 대상자로 선정하였다. Cybex 770으로 무릎관절의 등속성 근력을 측정한 후, 동측 주작용근과 대항근의 근력 불균형 정도와 좌 우 같은 근 군의 결손율에 따라 그룹을 나눈 후, 개인별 몸무게의 25%, 50%, 100%, 125%의 중량과 같은 바벨을 백 스쿼트로 들게 하였다. 무릎 굽힘 각도, 신체중심의 수직 변위, V-COP의 측정 구간 내 평균 위치로부터 매 순간 V-COP 까지의 거리 합 변인들에 대한 집단별 차이를 검증하기 위해 독립표본 T 검정을 실시하였다. 125%BW 조건에서 무릎관절 근력의 동측 불균형은 쭈그려 앉는 자세의 제한 요인으로, 좌 우측 폄 근력의 불균형은 평형성 유지의 제한 요인으로 작용하였다. 근력의 불균형이 인체 움직임의 제한 요인으로 작용할 수 있음을 확인하였으므로, 차후 임상에서는 근력 불균형에 대한 검사법과 함께 교정 및 재활 운동 방법 또한 발전시켜 나갈 필요가 있다.

• PNF and Movement
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• 제21권1호
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• pp.139-146
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• 2023

Purpose: The aim of this study is to provide basic information to create an efficient training program to improve shoulder stability and function in patients with injuries and in patients having undergone surgery of the supraspinatus and infraspinatus muscles, which have a relatively high incidence of injury in shoulder joint disease. Further, independent activities of the supraspinatus and infraspinatus muscles were investigated according to forearm rotation and the neutral and lateral rotation postures. Methods: The activities of the supraspinatus and infraspinatus muscles were measured using surface electromyography in 22 healthy adults in Busan, and isokinetic muscle strength measurement equipment was used to measure muscle strength during shoulder lateral rotation. The subjects performed lateral rotation of the shoulder in three different forearm postures (neutral, supine, prone) to measure shoulder muscle activity and lateral rotation strength. Results: The independent activity ratio (% Isolation) of the supraspinatus and infraspinatus muscles during lateral rotation of the shoulder joint demonstrated a significant difference (p<0.05) according to the change in forearm posture. Conclusion: The supraspinatus muscle showed independent activity ranging from highest to lowest in the order of pronation, neutral, and supination of the forearm, while the independent activity of the infraspinatus muscle ranged from highest to lowest in the order of neutral, supination, and pronation of the forearm. Therefore, the most active forearm positions for the supraspinatus and infraspinatus muscles are pronation and neutral, respectively.

• 한국산학기술학회논문지
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• 제18권10호
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• pp.480-489
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• 2017

혈류를 제한한 운동은 가압벨트를 사용해 사지의 윗부분을 적당한 정도로 압박한 상태에서 트레이닝을 실시하며 인체의 다양한 생리적 기능에 영향을 미치는 것으로 알려져 있다. 이 연구의 목적은 만성질환의 발병 위험성이 높은 비만여성을 대상으로, 낮은 강도의 혈류를 제한한 걷기운동이 신체조성 및 성장호르몬, 근손상지표에 어떠한 영향을 미치는 지를 구명하고자 한다. 연구대상자는 BMI $25kg/m^2$와 체지방률 30% 이상의 직장 비만여성 11명으로 하였으며 혈류제한은 공압방식의 탄성벨트를 양쪽의 대퇴부위에 착용하고 압력을 조절하였다. 걷기프로그램은 트레드밀을 이용하여 실시하였으며(4주, 주 3일, 1일 2회), 2분 걷기와 1분 휴식으로 구성하여 총 5세트 반복하였고(4km/h, 5%) 대응표본 t-test를 실시하였다. 4주간의 혈류를 제한한 걷기운동 후, 체중과 신체질량지수, 체지방량이 유의하게 감소하였으며(p<.05), 우측의 대퇴둘레 또한 유의하게 감소되었다(p<.05). 혈중 염증지표의 농도변화에서 IL-6는 4주간의 혈류를 제한한 걷기운동 후, 유의하게 증가되었으며(p<.05), 통계적 유의수준에는 도달하지 못하였지만 TNF-${\alpha}$는 증가하는 경향을, CRP는 감소하는 경향을 보였다. 등속성 근기능의 변화에서 $60^{\circ}/sec$의 좌 우측 신전력(좌, p<.001; 우, p<.05)과 좌측의 굴곡력(p<.001)이 유의하게 증가되었으며 $180^{\circ}/sec$의 좌측 신전력에서 유의하게 증가되었다(p<.001). 이상의 결과로부터 4주간의 혈류를 제한한 걷기운동이 비만 중년여성의 체중 및 체지방량 감소와 근 기능 향상, 혈중 염증지표 농도의 변화에 긍정적인 효과가 있는 것으로 사료되며, 이는 짧은 운동시간에도 불구하고 장시간의 운동 효과를 얻을 수 있음을 검증한 것과 동시에 각종 만성성인질환 및 대사성 질환의 원인인 비만을 예방하고 치료하는데 효과가 있는 것으로 생각된다.

• 한국운동역학회지
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• 제26권4호
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• pp.421-426
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• 2016

Objective: The purpose of this study was to investigate how different levels of compression exerted on the femoral region (known as the power zone) by coated fabric influences the activation and anaerobic capacity of the rectus femoris. Method: Three different levels of compression on the rectus femoris of the participants, namely 0% (normal condition), 9% (downsize), and 18% (downsize), were tested. The material of the fabric used in this study was nonfunctional polyurethane. Surface electromyography test was used to investigate the activation of the rectus femoris, while the isokinetic test (Cybex, $60^{\circ}/sec$) and Wingate test were used to investigate the maximum anaerobic power. Results: The different compression levels (0%, 9%, and 18%) did not improve the strength and anaerobic capacity of the knee extensor. However, knee flexor interfered with activation of the biceps femoris, which is an agonist for flexion, during 18% compression. Conclusion: Compression garments might improve the stretch shortening cycle effect at the time of eccentric contraction and during transition from eccentric to concentric contraction. Therefore, future studies are required to further investigate these findings.

• 한국체육학회지인문사회과학편
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• 제54권1호
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• pp.535-544
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• 2015

이 연구는 노인 여성에 대한 저항성 훈련 시 혈류제한(blood flow restriction)을 적용할 경우 저강도 운동을 통해서도 하지의 근력과 근육량을 효과적으로 향상시킬 수 있는지를 검증하기 위해 수행되었다. 총 16명의 노인 여성(연령 70.9±4.6)을 저강도 운동 집단(30% 1 RM, n=8)과 고강도 운동 집단(75% 1 RM, n=8)으로 구분하였다. 두 그룹 모두 우측 하지는 대퇴 근위부에 혈류제한용 커프(cuff)를 착용한 상태에서, 좌측 하지는 혈류제한 장치 없이 동일한 운동을 수행한 후 트레이닝 전·후의 근육량과 근력 변화를 분석하였다. 저항성 운동 프로그램은 leg press, leg extension, leg curl을 12회 반복으로 3세트씩 총 10주간 주 2회 실시하였다. 자기공명영상분석기(MRI)로 근 횡단면적(CSA)과 근육량을 산출하였으며, 체성분 변화는 이중에너지 방사흡수 계측기(DEXA), 근력 평가는 등속성 운동 장비(HUMAC Norm)를 이용하였다. 연구를 통해 10주간의 저항성 훈련 후 혈류제한을 적용한 상태에서 고강도 운동을 수행한 집단의 대퇴사두근 근횡단면적(15.2%, p<.001)과 근육량(13.8%, p<.001)이 증가하였으며 이러한 긍정적 변화는 혈류제한 상태에서 저강도로 운동한 집단의 횡단면적(9.8%, p<.001)과 근육량(6.9%, p<.001) 변화에서도 확인할 수 있었다. 한편, 근력은 운동 수행만으로도 향상되었으나 혈류를 제한할 경우 향상도가 더 높은 경향을 보였다. 따라서 이 연구는 혈류제한을 적용할 경우 저항성 운동을 저강도로 수행하더라도 노인 여성의 근 비대와 근력 증가에 효과적으로 작용할 가능성을 시사한다.

• 대한임상전기생리학회지
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• 제3권1호
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• pp.1-12
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• 2005

This study aimed at examining the maximal isometric contraction caused by voluntary exercise and at comparing its aspects of decrease and restoration in their different repeated application, as to the quadriceps muscles of thigh in the subjects composed of patients with spastic hemiplegia and normal adults. Using isokinetic exercise analyser(Biodex Medical Systems Inc., Biodex System 3PRO, U.S.A.), experiment was conducted as to the normal group composed of fifteen adults and the patient group composed of fifteen patients with spastic hemiplegia. As to each group, MVIC(maximal voluntary isometric contraction) of the quadriceps muscle of thigh caused by voluntary exercise and the aspects of decrease and restoration of the isometric contraction were examined with the method to induce isometric exercise, and their SDI(strength decrement index) and SRI(strength recovery index) were also calculated. The results can be summarized as follows: 1. As for decrease of maximal isometric contraction, both groups showed slow decrease in voluntary exercise, but the normal group showed rapid decrease later phase. 2. As for SDI, no significant differences could be observed in comparison between groups. 3. As for restoration of maximal isometric contraction, both groups showed slow restoration in voluntary exercise, but the normal group showed rapid restoration early phase. 4. As for SRI, comparison between groups showed significant differences in voluntary exercise. These results lead us to the conclusions that spastic muscle is characterized by slow decrease and restoration of MVIC in comparison with normal muscle in voluntary exercise.

• 한국전문물리치료학회지
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• 제22권2호
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• pp.1-10
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• 2015

The common features of walking in patients with stroke include decreased gait velocity and increased asymmetrical gait pattern. The purpose of this study was to identify important factors related to impairments in gait velocity and asymmetry in chronic stroke patients. The subjects were 30 independently ambulating subjects with chronic stroke. The subjects' impairments were examined, including the isokinetic peak torque of knee extensors, knee flexors, ankle plantarflexors, and ankle dorsiflexors. Passive and active ranges of motion (ROM) of the ankle joint, ankle plantarflexor spasticity, joint position senses of the knee and ankle joint, and balance were examined together. In addition, gait velocity and temporal and spatial asymmetry were evaluated with subjects walking at their comfortable speed. Pearson correlations and multiple regressions were used to measure the relationships between impairments and gait speed and impairments and asymmetry. Regression analyses revealed that ankle passive ROM and peak torque of knee flexors were important factors for gait velocity ($R^2=.41$), while ankle passive ROM was the most important determinant for temporal asymmetry ($R^2=.35$). In addition, knee extensor peak torque was the most significant factor for gait spatial asymmetry ($R^2=.17$). Limitation in ankle passive ROM and weakness of the knee flexor were major contributors to slow gait velocity. Moreover, limited passive ROM in the ankle influenced the level of temporal gait asymmetry in chronic stroke patients. Our findings suggest that stroke rehabilitation programs aiming to improve gait velocity and temporal asymmetry should include stretching exercise for the ankle joint.