• Journal of the Korean Society of Physical Medicine
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• v.11 no.1
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• pp.133-140
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• 2016

PURPOSE: This study's aim was to investigate the effects of an action observational training in subactue stroke patients with moderate impairment. METHODS: 22 participants (men=13, women=9) with hemiparesis were randomly assigned to action observation training group or task-oriented training group. Patients in both group underwent a patient-specific multidisciplinary rehabilitation program. Participants in the action observation group (mean age, $62.78{\pm}9.85$) were asked to watch the video scene, in the knowledge that they would then attempt to perform the same movement task after watching. The control group (mean age, $61.49{\pm}8.64$) practiced the same tasks, without watching the video. To evaluate upper limb function, the upper extremity part of the Fugl-Meyer Assessment upper extremity and the Box and Block Test were used. The modified Barthel index was used to assess ADLs, and the modified Ashworth scale were used to assess spasticity in the upper extremity. RESULTS: The action observational training group exhibited greater changes in the Fugl-Meyer assessment upper extremity (P<0.05; 95% CI, 0.929 - 6.403), the Box and Block test (P<0.05; 95% CI, 0.086 - 5.913), and the modified Barthel index (P<0.01; 95% CI, 2.483 - 12.627) between groups. And the modified Ashworth scale (P>0.05; 95% CI, -0.402 to 0.624) did not show significantly different between groups. CONCLUSION: These findings suggest that action observational training may be more helpful to improve upper-extremity function than physical training only in subactue patients with moderate impairment after stroke.

• Journal of Korea Game Society
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• v.13 no.1
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• pp.19-30
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• 2013

This paper proposes a serious game for rehabilitation training targeting old persons and patients for rehabilitation. The serious game suggested for rehabilitation training provides the whole body movement recognition-based interface using the 3D depth camera. When the user stands before the camera, it distinguishes the user from the background and then recognizes the user's whole body with 15 joints. By analyzing the changes of location and direction of each joint, it recognizes gestures needed for the game. The game contents consist of the games for upper limb training, lower limb training, whole body training, and balance training, and it was realized in both 2D and 3D games. The system suggested in this article works robustly even with the environmental changes using the 3D depth camera. Even with no separate device, the game recognizes the gestures only using the whole body movement, and this enhances the effect of rehabilitation.

• The Journal of Korean Physical Therapy
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• v.26 no.6
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• pp.449-452
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• 2014

Purpose: The purpose of this study was to analyze the coordination between trunk flexion and lower limb extension contributing to vertical propulsion during sit-to-stand (STS) at different chair heights in the elderly. Methods: Ten elderly subjects were asked to stand up at their natural speed from different chair heights : (1) $90^{\circ}$ knee flexion; (2) $100^{\circ}$ knee flexion; (3) $110^{\circ}$ knee flexion; and (4) $120^{\circ}$ knee flexion. A standard chair without a backrest or armrests was used in this study. To remove inertial effects of upper limb movements, subjects were asked to stand up from a chair with their arms crossed at the chest. Mean of results of three trials were used in the analysis at different knee flexion angles. Distances moved by the shoulder for compensatory trunk movement was recorded by motion analysis and vertical force was recorded under foot using force plates. Distances moved by the shoulder and vertical ground reaction force measurements were analyzed using repeated ANOVA. Results: Distances moved by the shoulder significantly decreased with higher chair (p<0.05). Vertical forces were not significant difference on chair heights (p>0.05), but results of pairwise comparisons for vertical force revealed significant difference between $90^{\circ}$ knee flexion and $120^{\circ}$ knee flexion (p<0.05). Conclusion: Trunk movement is probably used as a compensatory mechanism at low chair heights to increase lift-off from sitting by the elderly.

• Journal of the Korea Convergence Society
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• v.9 no.5
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• pp.239-246
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• 2018

In this study, we analyzed the balance of the both legs and the kinematic analysis of the upper limb segments and joints during archery shooting and compared the differences according to the scores. 9 K-university elite archery athletes participated. Each archer was asked to shoot 3-shots and 5-ends on a 122 cm target at a distance of 70 m. Seven infrared cameras (Qualisys, sweden) and two force plates (Kistler, Switerland) were used to calculate the upper limb segments and joint movements and the center of pressure (COP). When the archers shot 8 points, range of motion of elbow joint angle on drawing-arm and mediolateral COP range of motion on the left foot were larger than when 9-10 points were shot (p<.05). In order to maintain a high score in the archery game, constant balance is required, and the balance of the left foot supporting the bow during the shooting is an important factor. In addition, minimizing elbow joint movement of the drawing-arm supporting the bow will help stabilized shooting.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.35 no.5
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• pp.459-467
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• 2011

Rehabilitation exercises must maintain a patient's interest and permit a quantitative evaluation of the rehabilitation. We have developed a haptic-device system. When users move a grip, the haptic device provides a virtual force that either assists the movement of their arm or working against it. To investigate the functional effect of this system in a rehabilitation program, we used for five subjects with motor-function disorders and measured the grip position, velocity, force exerted on the grip, and EMG activities during a reaching task of one subject. The accuracy of the grip position, velocity and trajectories patterns were similar for all the subjects. The results suggested that the EMG activities were improved by applying the virtual force to the grip. These results can be used for the development of rehabilitation programs and evaluation methods.

• The Journal of Korean Academy of Sensory Integration
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• v.16 no.2
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• pp.64-74
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• 2018

Objective : The purpose of this study is to examine the effects of therapeutic interventions on upper extremity function of children with cerebral palsy using systematic review methods and to suggest intervention trends in Korea. Methods : The subjects of the study were the researches published in the Korean Journal since 2008. Total 12 studies were selected through Korean research database engine such as DBpia, Scholar, KSDC, KISS and RISS for the systematic review. Key words were 'cerebral palsy', 'upper extremity function' and 'hand function'. The results of this study were analyzed by qualitative level and methodological quality level of evidence, and the results of each study were analyzed according to the PICO approach, that is Patient, Intervention, Comparison and Outcome. Results : For the level of evidence, Grade IV and V were most frequent. In terms of methodological quality, majority of the studies showed 'Fair' level. The subjects were the children with hemiplegia, and Single-subjects designs and case studies were frequent experimental design. Constraint-induced movement therapy (CIMT) was most frequently conducted among the intervention studies, and Jebsen-Taylor Hand Function Test was most frequently used evaluation tool. Eleven studies showed that the upper limb functions were significantly improved or were positively effective. Conclusion : Various intervention methods have been implemented to improve the upper limb functions of children with cerebral palsy. In the future, studies on intervention methods based on the type of paralysis and studies with high quality of evidence should be conducted in Korea.

• Journal of the Korean Society of Clothing and Textiles
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• v.15 no.2 s.38
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• pp.127-138
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• 1991

The aim of the present stud)r has been to obtain new and additional data allolwing a better design of sports garments as well as a better choice among some materiales, through measure-ment of body surface changes in the upper trunk in movement, measurement on the effects of local heating on other parts of the body and measurement of the thermal resistance of 6 types of materials applied on a manikin. In the first experiment, the upper trunk was divided in 32 Parts, the surface of which was measured by the tape method for two upper limb positions: extension at $90^{\circ}$ and $180^{\circ}$. In the second experiment, skin temperature, local thermal sensations and whole body thermal sensation were measured every 5 minutes during 40 minutes. The four areas of the shoulder, abdomen, hande and feet were heated with the hot pack at $50^{\circ}C$. In the third experiment, the regional thermal resistance of the various materials selected, in two different cases of clothing ease, have been measured by using a thermal manikin. Resultes of experiments were: 1. Extensions cause the upper front part of the trunk surface to lengthen vertically while the back tends to stretch in width. 2. Skin temperatures of the upper limbs are influenced by the abdomen and shoulder boatings. The correlation between the whole body thermal sensation and the upper trunk thermal sensation is significantly asserted. 3. Ceramic and aluminium coated materiales offer the most effective thermal resistance; ease in clothing increases the thermal resistance at the breast and the abdomen as well as the clo value of the materials.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.7 no.2
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• pp.23-39
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• 2001

Dysfunction of the anterior and dorsal muscles of the trunk have been studied in relation to low back pain of many years. Many muscles of the trunk are capable of contributing to the stabilization and protection of the lumbar spine, recent evidence has suggested that transversus abdominis may be critically involved and has been the focus of rehabilitation. The delay in onset of contraction of trunk muscles associated with movement of the upper or lower limb in patients with low back pain indicates a significant deficit in the automatic motor command for control of disturbance to the spine. The function of transversus abdominis has been largely ignored in the evaluation of spinal stabilization and protection. The most essential stabilizing muscles for the lumbar column are the transversus abdominis and the multifidus. Sling exercise therapy(SET) concept consists of a system of diagnosis and treatment. The system of diagnosis involves testing the muscle's tolerance through progressive loading in open and close kinetic chains. The SET system contains elements such as relaxation, increasing the range of movement, traction, training the stabilizing musculature, sensorimotor exercises, training in open and close kinetic chains, dynamic training of the mobilizing musculature, cardiovasc+ular exercises, group exercise, personal exercise at home. Sensorimotor training is an essential element of the SET concept. The emphasis is on closed kinetic chain exercises on an unstable surface, thereby achieving optimum stimulation of the sensorimotor apparatus.

• Journal of Biomedical Engineering Research
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• v.32 no.1
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• pp.1-6
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• 2011

An active training system has been developed to assist the upper extremity function in patients with spasticity. We also evaluated the performance of the developed assistive system in five normal subjects and one hemiplegic patient. The maximum voluntary contraction (MVC) tests for biceps brachii and triceps brachii were performed and the relationship between linear enveloped EMG signal and the elbow joint torque was found. In order to implement an active training, our system was designed to allow isokinetic movement only when the subject generates elbow joint motion larger than the pre-fixed threshold level. The proposed EMG-feedback control method could provide active exercises, resulting in better rehabilitation protocol for spastic patients.

• Proceedings of the KIEE Conference
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• 2001.11c
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• pp.461-464
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• 2001

본 연구에서는 생체 임피던스를 이용하여 3채널 상지(upper arm) 운동 분석 시스템을 제작하였다. 각 채널은 상지의 외전(supination)과 내전(pronation), 팔꿈치(elbow)의 폄과 굽힘, 손목(wrist)의 평과 굽힘에 따른 각 관절의 임피던스 변화를 얻을 수 있도록 설계되었다. 상체 임피던스는 전극의 부착위치에 의존하므로 정밀한 감지를 위해 상지 운동에 대한 임피던스의 변화와 각도계(goniometer)의 각도 변화와의 상관관계를 통하여 상관 관계가 높고, 변화량이 가장 크고 다른 관절의 움직임에 따른 영향이 최소인 곳을 찾아 이를 최적의 전극 위치로 정하였다. 그리고, 선정된 최적의 전극 위치에서 임피던스 변화를 얻어 상지 운동을 분석해 보았다. 최적의 전극 위치에서 손목과 팔꿈치의 각도 변화와 임피던스 변화의 상관 계수는 각각 0.94, -0.97로 아주 높은 상관 관계를 보였다. 또한 이전의 다른 연구에서 임피던스 방법으로 구현해 본적이 없는 팔의 회전(rotation)도 분석이 가능하였다. 이 시스템은 피검자의 동작에 거의 제한을 주지 않고, 가벼우며, 장시간 측정이 용이할 뿐만 아니라 시스템 구성이 영상 분석기에 비해서 단순하다는 장점을 가지고 있다. 본 연구에서 제안하는 방법은 재활과 생체역학, 로봇의 원격 제어, 그리고 가상 현실에서의 동작 구현 등에 활용 할 수 있을 것으로 사료된다.