• 한국전문물리치료학회지
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• 제3권2호
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• pp.36-41
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• 1996

The purpose of this study was to determine whether the biomechanical variables of the walking patterns of the obese children compared with those of normal children would revealing significant differences. Normal(N=25) and obese(N=19) subjects were screened based on a health record which was examined to eliminate any subjects who had any pathological condition related to their gait. Data for a minimum of 5 repeated walking trials were collected using a stop watch and a tape measure. Basic kinematic analyses yielded data based on the following variables : stride length divided by leg length, and cadence divided by leg length. This measurement data was classified by the Obesity Index calculated from by height, weight data. Results showed no significant difference among normal, obese and subjects(p>.05). Difficulties in formulating the experimental condition and poor equipment quality are thought to be reason for the inconclusive results. Future studies might include medical complications such as tibia vara, genu valgum, other diseases caused by obesity.

• 감성과학
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• 제13권1호
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• pp.207-214
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• 2010

본 연구에서는 근전도 신호를 활용하여 정상인의 보행과 관련된 상지와 하지 근육의 신호를 확인하고 저항센서를 이용하여 정상적인 보행 패턴을 확인하였다. 대학생 15명을 대상으로 정지해 있을 때와 평지를 보행할 때, 상지의 4부위(대흉근과 승모근)와 하지의 10부위(대퇴직근, 대퇴이두근, 내측광근, 외측광근, 반막양근, 반건양근, 가자미근, 장비골근, 내비복근과 외비복근)에 전극을 부착하여 근전도를 측정하였다. 저항센서는 양측 발바닥의 8부위에 센서를 부착하여 보행시 발에 가해지는 압력을 측정하였다. 그 결과, 근전도 신호는 정지상태에 비하여 보행 시에 허벅지의 외측광근과 반건양근을 제외하고 모든 근육에서 유의하게 높은 진폭을 가졌다. 또한 보행주기의 두 단계인 입각기와 유각기와 관련된 근육을 확인하였다. 저항 센서의 신호 분석 결과, 평균 보폭 주기 동안 크게 입각기와 유각기의 두 주기와 세부적으로 여덟 단계 - 초기 접지기, 하중 반응기, 중간 입각기, 말기 입각기, 전 유각기, 초기 유각기, 중간 유각기, 말기 유각기 - 의 보행 주기를 확인할 수 있었다.

• 대한물리치료과학회지
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• 제10권1호
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• pp.90-101
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• 2003

Gait analysis can provide a better understanding of how the alignment of the lower limb and foot can contribute to force observed at the knee. Anatomic and mechanical factors that affect loading in the knee pint can contribute to pathologic change seen at the knee in degenerative pint disease and should be considered in treatment plan. The purpose of this study is to present the gait analysis data and to determine whether there is any relationships between alignment of the lower limb, foot progression angle and knee pint moments in elderly healthy women with 3-dimensional motion analyzer. The results were as follows; 1. Cadence showed 114.8 steps/min, gait speed showed 1.05 m/s, time per a stride showed 1.06 sec, time per a step showed 0.53 sec, single-supporting phase was 0.41 sec, double-supporting phase was 0.24 sec, stride length was 1.04 m, Step length was 0.56 m. 2. According to the parameters of kinematics, the maximal knee flexion angle through swing phase showed left $46.82^{\circ}$, right $40.19^{\circ}$ and the maximal knee extension angle showed left $-1.32^{\circ}$, right $2.01^{\circ}$. knee varus showed left $26.90^{\circ}$, right $30.93^{\circ}$. 3. Moment, one of kinetic parameters of knee pint the maximal flexion moment showed left 0.363. Nm/kg, right 0.464 Nm/kg and maximal extension moment showed left 0.389 Nm/kg, right 0.463 Nm/kg. The maximal. adduction moment showed left 0.332 Nm/kg, right 0.379 Nm/kg and the maximal internal rotatory moment showed left 0.13 Nm/kg, right 0.140 Nm/kg. 4. On sagittal plane, the maximal power of knee joint showed left 0.571 J/kg, right 0.629 J/kg. On coronal plane, the maximal power of knee joint showed left 0.11 J/kg, right 0.12 J/kg. On transverse plane, the maximal power of knee joint showed left 0.058 J/kg, right 0.072 J/kg. 5. The subject who had varus alignment of the lower extremity had statistically higher in knee adduction moment in mid stance phase. 6. The subject who had large foot progression angle had statistically lower in knee adduction moment in late stance phase. A relationship was observed between the alignment of the lower extremity and the adduction moment of the knee joint during stance phase. Hence, we need some research to figure, out the change of adduction moment according to the sort of knee joint osteoarthritis and the normal geriatrics as well. And we also require more effective, specific therapeutic program by making use of those background of researches.

• 한국임상수의학회지
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• 제29권6호
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• pp.502-505
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• 2012

8개월령, 3.5 kg의 중성화하지 않은 토이 푸들이 왼쪽 다리의 체중 부중을 하지 않는 파행으로 내원하였다. 방사선 검사에서, 왼쪽 경골 근위부의 Salter-Harris II 형 성장판 골절과 비골 골절이 발견되었다. 교차핀, 긴장철사와 경첩 관절경유 외고정을 통해 근위 경골의 성장판 골절을 정복 하였다. 수술 후 1주째까지 경첩관절경유 외고정의 관절가동변위를 $25^{\circ}$, 수술 후 2주째까지 $70^{\circ}$ 까지 증가 시켰으며 수술 후 3주째 경첩 관절경유 외고정을 제거하였다. 수술 후 6주차에 골절은 합병증 없이 성공적으로 치유되었고 환자는 정상보행을 회복하였다. 수술 후 7개월째 환자는 정상적으로 보행을 하였으며, 반대쪽 정상다리와 비교하였을 때 관절의 가동범위는 동일 하였다. 본 증례는 근위 경골의 성장판 골절이 있는 미성숙견에서 교차핀, 긴장철사 및 경첩 관절경유 외고정을 이용하여 성공적으로 치료한 사례이다. 이러한 방법은 수술 후 골절정복의 안정성 및 조기 관절운동을 통한 정상 관절범위의 회복에 유용하게 사용 될 수 있을 거라 사료된다.

• 한국운동역학회지
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• 제22권1호
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• pp.113-121
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• 2012

The purpose of this study was to evaluate the effects of forefoot rocker shoes equipped with a metatarsal bar on lower extremity muscle activity and plantar pressure distribution. Ten healthy women in the age of twenties were participated in this study as the subjects. All subjects walked on a treadmill(Gait Trainer, BIODEX, USA) wearing normal shoes and metatarsal bar shoes, during which the plantar pressure distribution and muscle activity were measured. Using Pedar-X system(Novel Gmbh, Germany), the plantar pressure was measured for six regions of the foot: forefoot, midfoot, rearfoot, 1st metatarsal, 2-3th metatarsal, and 4-5th metatarsal, and for each sub-region, 4 features such as maximum force, contact area, peak pressure, and mean pressure were analyzed based on the plantar pressure. EMG(Electromyography) activity was measured by attaching surface electrodes to the rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius medial head, and magnitude of muscle contraction was analyzed in IEMG(Integrated EMG) value. The results show that the maximum force, contact area, peak pressure, and mean pressure in the midfoot all increased while maximum force, peak pressure, contact area, mean pressure in the 1st metatarsal and 2-3th metatarsal all decreased when wearing functional shoes. Also, muscle activities in the four muscles were all decreased when wearing the functional shoes. This paper suggests that forfoot rocker shoes equipped with a metatarsal bar can help disperse the high pressure and absorb the shock to the foot as well as give positive influence on gait pattern and postural stability by reducing muscle fatigue during walking.

• 한국전문물리치료학회지
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• 제13권4호
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• pp.79-86
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• 2006

The purpose of the current experiment was to describe interlimb coordination when swing limb conditions are being manipulated by constraining step length or by adding a 5 or 10 pound weight to the swing limb distally. Subjects were asked to begin walking with the right limb to land on the primary target (normal step length) that is 10 cm in diameter. However, if, during movement, the light was illuminated, then the subject had to step on one of the secondary targets (long and short step length). These three step length conditions were repeated while wearing a 5 pound ankle weight and then when wearing a 10 pound ankle weight. Ground reaction force (GRF) data indicated that there were changes in the forces and slopes of the swing and stance Fx GRFs. Long stepping subjects had to increase the propulsive force required to increase step length. Consequently, swing and stance toe-off greatly increased in the long step length condition. Short step length subjects had to adequately adjust step length, which decreased the speed of gait initiation. Loading the swing limb decreased the force and slope of the swing limb. Swing and stance toe-off was longest for the long step length condition, but there was a small difference of temporal events between no weight and weight condition. It appears that subjects modulated GRFs and temporal events differently to achieve the peak acceleration force of the swing and stance limb in response to different tasks. The findings from the current study provide preliminary data, which can be used to further investigate how we modulate forces during voluntary movement from a quiet stance. This information may be important if we are to use this or a similar task to evaluate gait patterns of the elderly and patient populations.

• 한국운동역학회지
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• 제24권2호
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• pp.167-172
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• 2014

The purpose of this study was to investigate walking standard time and joint powers of the lower extremities on the changes of illuminations in the elderly women. Ten older women ($70.90{\pm}3.28$ years, $154.70{\pm}3.47$ cm, $53.80{\pm}5.39$ kg) with normal vision and no gait disabilities participated in this study. All the experiments were performed on a level walkway from low to high lighting (six conditions). A 3-dimensional motion capturing system, force-plate, and EMG were used to acquire and analyze walking motion, force, and muscle activity data; the sampling frequency was 100 Hz, 1000 Hz and 1000 Hz respectively. To test the differences on walking standard time and joint powers of the lower extremities between the six lighting conditions, one-way repeated ANOVAs were evaluated. The following results were drawn: First, mean standard time was about 1.3 sec/stride, and velocities were smaller with lighting increasing except 100 Lx. Second, the joint power patterns of ankle and knee were not consistent, but only hip joint power was a greatest in 6 Lx and a smallest in 400 Lx. Third, standard times(100 Lx<300 Lx, 400 Lx) were statistically significant, and hip joint max powers (100 Lx>others) were also statistically significant. But ankle and knee joint max power were not statistically significant. These results showed that standard times from low to high lighting were not consistent, and hip joint of 100 Lx has a greatest rotational torque. We suggested that gait strategies of them as to changing illuminations were not consistent and findings may represent a lack of adaptability in the elderly women.

• 한국융합학회논문지
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• 제10권5호
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• pp.79-84
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• 2019

20대 무용전공자들을 대상으로 트레드밀 보행운동이 유산소 운동능력에 미치는 영향을 알아보고자 하였다. 20대 한국무용 전공자 10명과 일반 여대생 10명을 대상으로 트레드밀 보행운동을 실시하였다. 측정은 실험 전과 후에 심박수 회복율, 최대산소섭취량, 최대환기량, 젖산 회복율을 측정하였다. 이렇게 얻어진 자료는 SPSS win 16.0을 이용하여 분석하였다. 실험 후 유산소 운동능력의 변화를 비교해 보면 대조군보다 실험군에서 심박수 회복율과 젖산 회복율에서 유의한 증진의 효과가 나타났으며, 최대환기량과 최대산소섭취량에서는 유의하게 증가하지 않았다. 실험전후 집단 간 검증에는 심박수 회복율에서 유의한 수준으로 높게 나타났다. 한국무용 전공자의 트레드밀 훈련을 통해 유산소성 운동능력을 증진시켜 기초체력의 향상에 도움이 줄 수 있으며 과학적인 운동처방의 근거가 되는 기초자료를 제시하는데 많은 도움이 될 것으로 사료된다.

• The Journal of Korean Physical Therapy
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• 제31권2호
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• pp.129-133
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• 2019

Purpose: This study aimed to investigate effect of ankle instability on peripheral muscle activation among female ballet dancers to provide information on the development of prevention programs for ankle injury rehabilitation. Methods: 32 female ballet dancers were randomly divided into two groups: experience ankle sprain group (n=16, age, $20.7{\pm}0.8years$, BMI $18.6{\pm}1.2kg/m2$) and non-experience ankle sprain group (n=16, $age=21.0{\pm}0.8years$, BMI $19.6{\pm}2.0kg/m2$). Activation of the peroneus longus, tibialis anterior muscle, and gastrocnemius during vertical landing, half pointe, and gait between the two groups were measured. Body composition analyzer was used to examine skeletal muscle mass and body fat mass. Results: A total of 32 patients were included. In the experience ankle sprain group (n=16: left sprain 14, right sprain 2), average ankle sprain injury occurred 7.5 months before the study. The average age of the dancers in the experience ankle sprain group and non-experience ankle sprain group was $20.7{\pm}0.8$ and $21.0{\pm}0.8years$, major period was $64.5{\pm}23.8$ and $71.6{\pm}25.8months$, BMI was $18.6{\pm}1.2$ and $19.5{\pm}2.0kg/m2$, respectively. No significant differences were found on body composition between the two groups (p>0.05). The experience ankle sprain group showed significantly lower tibialis anterior and peroneus longus muscle activation (p<0.5), while gastrocnemius muscle activation appeared to be significantly higher (p<0.05) during landing, half pointe, and normal gait. Conclusion: Ankle sprain can cause a decline in peripheral muscle activation and coordination, which increased the risk for repetitive ankle sprain in the future. Moreover, ankle peripheral muscle selective strength training, coordination program development, and application need to be considered to prevent ankle sprain.

• 한국임상수의학회지
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• 제15권2호
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• pp.255-262
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• 1998

Lateral laminectomy was performed far spinal decompression in 7 thoracolumbar disc herniated dogs. These dogs showed upper motor neurologic signs including kyphosisi urinary dysfunction, and paraplegia or paralysis in hindlimbs. The lesions were evaluated with myelographic findings and predominated in $T_{12}-T_{13}, T_{13}-L_{1} and L_{1}-L_{2}$ discs. Five dogs which were operated within 48 hours after the onset of paraplegia were recovered from kyphosis and sustained the normal gait and walkings furthermore normal urination and defecation were presented within 3 days of postoperation. One dog was expired with steroid induced intestinal bleeding. The other dog operated on 96 hours after the onset of paraplegia was not recovered from neurologic deficits. Spinal decompression technique was considered to be useful method fur improving neurological problems resulted firom thoracolumbar disc herniation, if dogs are operated on early stage of the onset of paraplegia.