• 한국운동역학회지
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• 제27권3호
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• pp.181-187
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• 2017

Objective: The aim of the study was to compare & analyze on the variations of ground reaction force during ascending and descending of bus stair. Method: Simulated wooden stair of bus (raiser: 37.66 cm, width: 109 cm, tread: 29 cm) and GRF system (AMTI-OR-7/ AMTI., USA) was set up within experimental room. Adult female (n=8) performed ascending & descending of simulated bus stair, and variables analyzed consisted of TT (transfer-time), PVF (peak vertical force), LR (loading rate), DR (decay rate), CV (coefficient of variation) and AI (asymmetry index). Sample data from GRF cut off at 1,000 Hz. Results: TT showed shortest variation at phase 1 during descending, but longest variation at phase 1 during ascending of stair. PVF19 (Fz2, 100%) showed large pattern during descending than that of ascending, but rather showed small pattern during ascending of stair in case of PVF2 (Fz4). LR showed larger pattern during descending than that of ascending, but rather during ascending of stair in case of DR. Variation of CV (%) did not show difference between LR and DR, but showed higher possible occurrence of variation during descending of stair. Also AI (%) showed higher index during ascending than that of descending of stair. Conclusion: Because introduction of lowered bus stair has various realistic problems, if lined up at designated bus stopage exactly, rather can solve problems of inconvenience, reduce impulsive force and secure a stability of COG during ascending & descending of stair.

• 대한물리의학회지
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• 제6권2호
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• pp.135-143
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• 2011

Purpose: The purpose of this study was to investigate onset timing of vastus medialis oblique(VMO) relative to vastus lateralis(VL) the VMO/VL electromyographic(EMG) ratio according to heel height Methods: A repeated measures design was used. Fifteen healthy female college students with no known knee musculoskeletal dysfunction were recruited this study. They carried out a standardised stair acent activity under 4 conditions; barefoot, and with heel height of 1, 3, 7 cm. Muscle activity was measured by surface EMG (Myosystem 1400A, Noraxon Inc., U.S.A). Data were analysed using $1{\times}4$ repeated measures ANOVA. Results: Onset timing differed with heel height(p<.05). However, the VMO/VL EMG ratio was not significantly difference between conditions. Conclusion: We found that 7 cm heel height delayed in VMO onset compared with 3 cm heel height during stair ascent, but no change in the relative EMG intensity of VMO and VL as measured by th VMO/VL ratio. The findings indicate that high-heeled shoes may have disadvantages in knee stability because of delayed onset of VMO. Due to a lack of knee joint stability, wearing of high heeled shoes should be avoided.

• 한국전문물리치료학회지
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• 제16권3호
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• pp.24-31
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• 2009

This study aimed to investigate the effect of differing heel heights on the electromyographic (EMG) activity in vastus medialis (VM) and vastus lateralis (VL) during stair ascending and descending activities. A total of 26 healthy women volunteered to perform stair-ascending and stair-descending tasks with 3 heel heights: barefoot, 3 cm, and 7 cm. The EMG activities of the VM and VL were recorded during the tasks. During the stair ascending and descending tasks, the EMG activities of both VM and VL significantly changed with differing the heel heights (p<.05). Moreover, the EMG activities of VM and VL during the stair ascending task were significantly higher than the corresponding values during the stair-descending task (p<.05). However, there were no significant differences between the VM:VL EMG ratios for the 3 heel heights (p>.05). The VM:VL EMG ratios between the 2 tasks differed significantly in the 7 cm high heel condition (p<.05). Despite an increase in the EMG activities in both VM and VL during stair ascending and descending tasks, there was no change in the relative EMG intensities of VM and VL, which was measured by calculating the VM:VL ratio this result indicates that no VM:VL imbalances were elicited. The relative EMG intensities of VM and VL during stair descent were lower than the corresponding values during the ascent, suggesting that VM and VL may show an imbalance in the eccentric activation during the weight-acceptance phase. This study provides useful information that will facilitate future research on how heel height affects muscle activity around the knee joint.

• 한국운동역학회지
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• 제18권1호
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• pp.169-178
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• 2008

본 연구는 계단 보행 중 연속적인 두 스텝의 3차원적 지면반력 파라미터를 제공하고, 계단의 너비에 따른 지면 반력 파라미터의 차이 및 비대칭성과 일관성을 규명하는데 있다. 10명의 성인 대상자가 본 실험에 참여하였으며, 각 10번의 평지, 상향 및 하향보행을 3가지의 다른 너비의 계단에서 실시하였다. 본 연구를 수행한 결과 다음과 같은 결론을 얻었다. 첫째, 계단의 너비는 대부분의 지면반력 파라미터들의 패턴이나 일관성, 비대칭지수에 영향을 미치지 않았다. 둘째, 평지 보행과 계단보행은 지면반력 파라미터의 패턴에서 큰 차이를 보였다. 평지보행과 상향보행은 Fz1, Fz2, 그리고 Fz3로 구성되는 "M" 형태를 보인 반면에 하향보행에서는 Fz2가 거의 없고 큰 Fz1과 작은 Fz3로 구성된 패턴을 보였다. 또한 계단 보행은 평지보행과 매우 다른 전 후 지면반력 패턴을 보였다. 즉 상향보행은 Fy1이 존재하지 않는 패턴을, 하향보행은 Fy2가 존재하나 매우 작은 크기를 보였다. 셋째, 계단보행의 수직 지면반력 파라미터들은 적용가능한 일관성 지수 및 비대칭 지수를 나타내었다.

• The Journal of Korean Physical Therapy
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• 제30권1호
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• pp.14-22
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• 2018

Purpose: This study examined the effects of the lower limb alignment on the pelvis, hip, and knee kinematics in people with genu varum during stair walking. Methods: Forty subjects were enrolled in this study. People who had intercondylar distance ${\geq}4cm$ were classified in the genu varum group, and people who had intercondylar distance <4cm and intermalleolar distance <4cm were placed in the control group. 3D motion analysis was used to collect the pelvis, hip, and knee kinematic data while subjects were walking stairs with three steps. Results: During stair ascent, the genu varum group had decreased pelvic lateral tilt and hip adduction at the early stance phase and decreased pelvic lateral tilt at the swing phase compared to the control group. At the same time, they had decreased minimal hip adduction ROM at the early stance and decreased maximum pelvic lateral tilt ROM and minimum hip rotation ROM at the swing phase. During stair descent, the genu varum group had decreased pelvic lateral tilt at the early stance and decreased pelvic lateral tilt and pelvic rotation at the swing phase. In addition, they had decreased pelvic frontal ROM during single limb support and increased knee sagittal ROM during the whole gait cycle. Conclusion: This study suggests that a genu varum deformity could affect the pelvis, hip and knee kinematics. In addition, the biomechanical risk factors that could result in the articular impairments by the excessive loads from lower limb malalignment were identified.

• PNF and Movement
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• 제20권2호
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• pp.189-201
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• 2022

Purpose: The purpose of this study was to investigate the effect of McConnell taping and Kinesio taping on pain and lower extremity joint angles when patients with patellofemoral pain syndrome (PFPS) ascend stairs. Methods: Fifty young adults who were experiencing anterior knee pain due to PFPS were selected as participants. Then, 25 patients were randomly assigned to the McConnell taping group and 25 to the Kinesio taping group. Pain and lower extremity joint angle were measured while ascending stairs before and after the intervention. A paired t-test was performed to evaluate the amount of change in the parameter values after the intervention within the groups, and an independent t-test was used to compare the results of the groups. Results: In the within-group comparisons, a statistically significant difference was found in both groups between the anterior knee pain scale scores recorded before and after the intervention (p < 0.05). A statistically significant difference was also found between the groups (p < 0.05). Comparison of the lower extremity joint angles at initial contact, loading response, terminal stance, and pre-swing within the groups showed that there were statistically significant differences in the hip, knee flexion, abduction, lateral rotation, and dorsiflexion angles in both the McConnell and Kinesio taping groups (p < 0.05). There was also a statistically significant difference in all angles between the groups during the following events (p < 0.05): (1) at initial contact, (2) at loading response (except hip flexion angle), (3) at terminal stance (except hip flexion and lateral rotation angles), and (4) at pre-swing (except hip, knee abduction, and inversion angles). Conclusion: McConnell taping and Kinesio taping both effectively improved the occurrence of knee pain and the lower extremity joint angles during stair ascent in patients with PFPS. However, McConnell taping had a significant impact on pain reduction and lower extremity joint angles compared to Kinesio taping.

• PNF and Movement
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• 제21권1호
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• pp.107-117
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• 2023

Purpose: The aim of this study is to compare the immediate effects of weight-assisting methods on vastus medialis oblique (VMO) and vastus lateralis (VL) muscle activation, on the VMO/VL muscle activation ratio, and on muscle onset time in healthy subjects when ascending stairs. Methods: Healthy participants were randomly assigned to the belt group (n = 11), hand group (n = 11), and control group (n = 11). In the belt group, a belt was wrapped around the sacrum and pulled forward with both hands, moving the center of weight forward, while ascending stairs. The hand group grasped the hips with both hands and climbed stairs, assisting their weight from the rear and moving the center of weight backward, and the control group climbed the stairs without any intervention. Results: Muscle activation of the VMO decreased significantly after the intervention in the belt and hand groups, and activation of the VL muscle in both groups showed a greater decrease than that of the VMO muscle. Further, the VMO/VL muscle activation ratio increased significantly, with an improvement shown in the order of the belt group, hand group, and control group, while muscle onset time also improved in the order of the belt group, hand group, and control group. Conclusion: The belt group demonstrated the greatest effect across all dependent variables, confirming that in clinical practice, these two weight-assisting methods are more effective interventions during stair ascent for patients with knee joint instability, pain, and imbalance than no assistance.

• 생명과학회지
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• 제19권10호
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• pp.1368-1373
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• 2009

본 연구는 미국 유타주에 거주하는 10-15세 어린이와 청소년들의 허리둘레가 electronic pedometer (전자 보수계)의 타당성과 신뢰성에 미치는 영향을 분석하기 위하여 비만집단 10명(HWC, BMI $28.91\pm3.07$)과 일반집단 10명 (LWC, BMI $18.05\pm1.55$)으로 총 20명(14 Hispanic and 6 Caucasian)의 어린이와 청소년들을 대상으로 실시하였다. Electronic pedometer 의 신뢰성을 측정하기 위하여 각 어린이는 Yamax SW-701 electronic pedometer 를 허리에 차고 15계단 오르기와 15계단 내리기를 3 sets 실시한 결과, HWC 집단이 LWC 집단보다 더 많은 보수를 기록했으나 오르기와 내르기 시행의 주 효과는 유의한 차이가 없었고, 또 두 집단간의 상호작용에도 유의한 차이가 없었다. 보수를 측정하여 pedometer의 타당성에 허리둘레가 미치는 영향을 분석하기 위하여 각자의 보행 속도에 따라 400 m를 걷게 한 결과 주 효과는 두 집단 간에 유의한 차이가 있었으나 counting technique (hand-counted vs. pedometer counted)의 주 효과는 유의한 차이가 없었으며, 또 400 m 걷기의 시기와 group별 시기의 상호작용도 유의한 차이가 없었다. 이러한 결과는 pedometer가 walking steps 측정에 HWC 집단과 LWC 집단에 동일하게 타당도가 있음을 나타내고 있다. 추후의 연구에서는 어린이들의 walking speed, pedometer tilt angle, leg length, 및 stride length 등을 고려한 연구가 필요하다고 사료된다.