• 대한정형도수물리치료학회지
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• 제27권1호
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• pp.63-73
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• 2021

Background: This study was conducted to investigate the effects of pressure belt during proprioceptive neuromuscular facilitation sprinter pattern training using a Thera-band on leg muscle strength and gait in stroke patients with stroke. Methods: Nine patients with stroke underwent training five times a week for four weeks, and changes in the muscle strength and walking ability of the paralyzed leg before and after training were measured. Muscle strength was measured using a Digital muscle tester, and walking ability was measured using a G-WAKER and the timed up and go (TUG) test. Results: Results showed that the quadriceps, hamstring, tibialis anterior, gastrocnemius, cadence, stride length, and stance phase significantly increased (p<.05). The swing phase, gait cycle duration, and TUG test results significantly decreased (p<.05). Conclusion: This study demonstrated that a pressure belt is a very useful tool for improving muscle strength and walking ability in patients with stroke.

• 대한인간공학회:학술대회논문집
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• 대한인간공학회 1993년도 춘계학술대회논문집
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• pp.1-9
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• 1993

A human gait study is required for the biomechanical design of running shoes. A tow-dimensional dynamic model was developed in order to analyze lower extremity kinematics and loadings at the right ankle, knee, and hip joints. The dynamic model consists of three segments, the upper leg, the lower leg, and the foot. Each segment was assumed to be a rigid body with one or two frictionless hinge joints. The lower extremity motion was assumed to be planar in the sagittal plane. A young male subject was involved in the gait test and his anthropometric data were measured for the calculation of segement mass and moment of inertia. The experimental data were obtained from three trials of walking at 1.2m/s. The foot-floor reaction data were measured from a Kistler force plate. The kinematic data were acquired using a three-dimensional motion measurement system (Expert Vision) with six markers, five of which were placed on the right lower extremity segments and the rest one was attached to the force plate. Based on the model and experimental data for the stance phase of the right foot, the calculated vertical forces reached up to 492, 540, and 561 N at the hip, knee, ankle joints, respectively. The flexion-extension moments reached up to 155, 119, and 33 Nm in magnitude at the corresponding joints.

• 대한물리치료과학회지
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• 제11권3호
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• pp.28-37
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• 2004

Background: Lumbar joint dysfunction is reported to be the main cause of lower back pain (LBP). The purpose of this study was to evaluate the effect of joint dysfunction on the postural balance of the lower hack and pelvis in different normal activities such as walking or stair management. Also it was studied whether the status of LBP (intensity and duration of LBP, length of treatment) contributes to die pelvic height difference (PHD) in various postures. Subjects: 28 patients with LBP and 32 normal adult volunteers, 60 years of age or younger, who came to the Community Health Center and orthopedic clinics in Incheon, South Korea. Methods: In order to determine the accuracy of the manual angulometer method in measuring the PHD, it was compared to the pelvic x-ray method in selected subjects. In the manual angulometer method, the arm of the angulometer was placed on the top of both iliac crests. The PHD was measured in static upright stance, then one-legged stance, on the affected leg or unaffected leg each time. Information regarding the disease status was obtained through interviews. Visual assessment scale was used to grade the intensity of LBP. Data analysis was performed using SPSS 10.0/PC program. Homogeneity between the two groups was tested by 2-test and t-test. To compare the PHD of the subgroups, we used t-test, F-test and two-way ANOVA. Relationships among dependent variables were analyzed by Pearson correlation analysis. Conclusion: In patients with LBP, lumbar joint dysfunction causes lumbar and pelvic postural asymmetry during normal activities.

• 대한간호학회지
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• 제30권5호
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• pp.1318-1332
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• 2000

The purpose of this study was to determine the effect of walk training on leg strength, flexibility, postural stability, balance and gait in home bound elderly women. Eighteen elderly women of the experimental group aged between 70 and 90 years image who have normal vision, hearing and Romberg test. They participated in the 12 week walk training. The subjects of the experimental group practiced walk training 3 times a week for during 12 weeks. During the 40 minute workout, the subjects practiced 5 minutes of warming-up exercises, 30 minutes of conditioning exercises and 10 minutes of a cool-down exercise. The intensity for the conditioning phase was determined by subject' heart rates, which ranged from 60% to 70% of age-adjusted maximum heart rates. The body composition, leg strength, flexibility, postural stability, balance and gait were measured prior to and after the experimental treatment. The body fat, lean body mass, leg strength (ankle dorsiflexor, plantarflexor, inversor and eversir, knee flexor, extensior), flexibility (range of motion of ankle dorsiflexion, plantarflexion, inversion and eversion), and postural stability of the experimental group were significantly greater than those of the control group. Duration of standing on the right foot and that of standing on the left foot of the experimental group was greater than that of the control group. Total balance scores of the experimental group were significantly higher than those of the control group. Among 13 items for balance, the scores of experimental group in balance with eyes closes, turning balance, sternal nudge, neck turning, one leg standing balance and back extension were higher than those of the control group. Total scores of gait of the experimental group were significantly higher than those of the control group following the walking training. Scores of experimental group in step height, step length and walk stance while walking among 9 items for gait were significantly higher than those of the control group. The results suggest that walk training can improve physical fitness for prevention in home bound elderly women.

• 대한간호학회지
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• 제36권2호
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• pp.341-352
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• 2006

Purpose: This study was conducted to develop & to determine the effect of an tailored falls prevention exercise for older adults. Method: Subjects consisted of 59 older adults (experimental group : 29, control group : 30) living at nursing homes. Experimental group participated in tailored falls prevention exercise for 16 weeks(3 times a week, 50 min every session). Data were collected before the exercise, 16 weeks & 24 weeks after the beginning of exercise. Results: 1) the experimental group significantly improved the muscle strength of hip extensor & flexor, knee extensor & flexor, ankle dorsiflexor, & plantar flexor compared to the control group. 2) the experimental group significantly decreased the mean time for 10 times chair stand. 3) the experimental group significantly increased the standing time on one leg and the number of heel raise for 30 seconds compared to the control group. In addition more older adults in the experimental group completed the tandem stance & semi-tandem stance for 10 seconds than the control group. 4) The experimental group significantly decreased the mean time of 6m walk and the fall frequency compared to the control group. Conclusions: This results suggest that tailored falls prevention exercise for older adults can improve muscle strength, static & dynamic balance and decrease the fall frequency of older adults.

• 대한정형도수물리치료학회지
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• 제18권1호
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• pp.11-17
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• 2012

Background: This study was conducted to examine the effect of application of trampolin training elderly women by position sense of knee joint and balance. Methods: Ten subjects with elderly women were randomly assigned to trampolin training group (n=5) or control group (n=5). Experimental group received for 15 minutes three times during 4 weeks. Outcomes was made using One-Leg Stance Test, Time Up and Go Test and position sense of knee joint. Assessment was before training and one week, two week, three week after training. Results: Applied to the trampolin training group showed significant differences in all tests and for the interaction between time and group (p<.05). Conclusions: Those results indicate that trampolin training is effective in elderly women to promoting a position sense of knee joint and balance ability.

• The Journal of Korean Physical Therapy
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• 제24권5호
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• pp.313-318
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• 2012

Purpose: This study examined the effects of an exercise program involving the Proprioceptive Neuromuscular Facilitation (PNF) lower-extremity patterns on the Bone Mineral Density (BMD), balance and lower muscular strength in patients with osteoporosis. Methods: The participants were allocated randomly to 2 groups: experimental group and control group. To evaluate the effects of exercise, the subjects were evaluated using the BMD and Time Up & Go Test and One Leg Stance Test for balance, and the Sit To Stand for lower muscular strength. Results: After the 8 week study, the experimental group showed a significant difference in all items compared to the control groups. Conclusion: These results suggest that a PNF exercise program is effective in patients with osteoporosis. Furthermore, an exercise program involving these patterns can be used in a follow-up program for patients with osteoporosis. Overall, more study will be needed to develop and apply more efficient exercise programs for such patients.

• 한국체육학회지인문사회과학편
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• 제58권6호
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• pp.449-459
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• 2019

이 연구의 목적은 외발서기 동작 시 취득한 운동역학데이터로부터 주파수분석의 기법을 통하여 인체 운동명령신호가 어떻게 자세조절 과정에 영향을 미치는지를 규명하는 자세역학의 토대연구이다. 이를 위하여 체조경력 10년 이상의 운동신경이 우수한 국가대표상비군(n=6)과 일반인(n=6)을 대상으로 발바닥 압력중심점(CoP)의 궤적데이터를 FFT신호처리기법에 의한 저주파대역Rambling (RM)과 고주파대역 Trembling (TR)의 주파수분석을 탐색하였다. 본 연구결과에 따르면 눈뜨고 외발서기와 눈감고 외발서기 동작을 중심으로 두 집단 간 자세조절능력의 안정화지수 평가에서 독립표본 t검증에서 유의한 차이가 나타났으며(p<.05), 이러한 차이는 저주파대역 RM의 주요주파수 f1과 고주파대역 TR의 주요 주파수 f2의 최대진폭의 출력 차이로 밝혀졌다(p<.05). 특히 자세송환피드백에 관여하는 고유주파수인 저주파수대역에서는 주요주파수가 8-9 Hz 대역에서 뇌지시 하 안정적 자세조절의 운동기전을 행하는 운동명령으로 확인하였으며, 120-135 Hz의 고주파수대역에서는 자세 흔들림을 최소화하기 위한 반사적 근반응의 적응성을 보이는 것으로 연구되었다. 자세조절의 중추신경계 운동조절에 관여하는 고유주파수와 최대진폭에서 유의한 차이가 발견됨으로서 외발서기 시 발바닥 압력조절에 의한 신호파형의 운동명령이 자세조절에 영향을 미치는 것으로 해석되었다.

• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.517-525
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• 2022

Objective: The rehabilitation protocols for functional recovery have been emphasized after total knee arthroplasty, and Pilates is in the spotlight as a safe and easily modified exercise method. The purpose of this study was to investigate the effects of mat Pilates exercise on lower extremity function, postural balance, and walking in the individuals with total knee arthroplasty. Design: One group pretest-posttest design. Methods: Eighteen older women with unilateral total knee arthroplasty was recruited in the study. The subjects were evaluated on lower extremity function, postural balance, and walking before and after mat Pilates exercise. All subject performed one hour mat Pilates exercise, 3 times a week for 8 weeks. Mat Pilates exercises were focused on core stability and lower extremity strengthening and, more dynamic movements were added to increase the difficulty of movements every two weeks. The lower extremity function was measured using the Western Ontario and McMaster Osteoarthritis Index (WOMAC), knee joint position sense, and five times sit-to-stand test. Postural balance was assessed by single leg stance test, functional reach test, and timed up and go test. Walking was measured by OptoGait system to temporospatial parameter. Results: The lower extremity function, postural balance, and walking were significantly improved after mat Pilates exercise, except for five times sit-to-stand test (p<0.05). Conclusions: This study demonstrated that the mat Pilates exercise was a useful method to improve lower extremity function, postural balance, and walking in the older women with unilateral total knee arthroplasty.

• 한국엔터테인먼트산업학회논문지
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• 제13권4호
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• pp.369-375
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• 2019

본 연구는 테라테인먼트 테이핑과 발바닥 운동이 대학생의 평발 개선에 미치는 영향을 알아보았다. 발배뼈 하강 검사를 통해 유연성 평발 테이핑군(13명), 유연성 평발 발바닥 운동군(14명), 강직성평발 테이핑군(12명), 강직성 평발 발바닥 운동군(13명)으로 나누었다. 테라테인먼트 테이핑과 발바닥 운동을 1시간 적용 후, 발배뼈의 높이 변화, 균형 능력, 자세 안정성을 평가하였다. 발배뼈 높이 변화는 중재 전-후의 높이를 측정하고, 균형 능력은 timed up & go test를 측정하였으며, 자세 안정성 평가는 어깨넓이 두발지지, 두발모음 자세, 발뒤꿈치-발끝서기 자세에서 안정성 한계를 평가하였다. 본 연구의 연구결과, 발배뼈 높이 변화에서 유연성 평발 테이핑군의 왼발과 오른발, 유연성 평발 운동군의 오른발, 강직성 평발 태이핑군의 오른발에서 중재 전-후 비교에서 통계학적으로 유의한 차이가 있었으며(p<0.5), 균형 능력 평가에서는 군간과 군내의 중재 전-후 비교에서 통계학적으로 유의한 차이는 없었다. 자세 안정성 평가에서는 유연성 평발 운동군과 강직성 평발 테이핑군의 중재 전-후 비교에서 발뒤꿈치- 발끝서기 자세에서 통계학적으로 유의한 차이가 있었으며(p<0.5), 중재 후 비교에서 유연성 평발 운동군이 강직성 평발 운동군에 비해 발뒤꿈치-발끝서기 자세에서 통계학적으로 유의한 차이가 있었다(p<0.5). 본 연구결과를 통해 테라테인먼트 테이핑과 발바닥 운동이 대학생의 평발 개선에 유의한 영향을 주는 것을 알 수 있었다. 따라서 평발의 개선을 위해 테라테인먼트 테이핑과 발바닥 운동의 적용을 권장한다.