• PNF and Movement
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• 제9권1호
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• pp.31-38
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• 2011

Purpose : Sit-to-stand (STS) is one of the important activities of daily living (ADL) and each of its parameters is used frequently. This study aimed to examine the influence of different seat height on performance time and floor reaction force strength during an STS movement. Methods : Fifteen young-adult male subjects participated in this study. The subjects were divided into three groups based on lower leg length. Subjects performed an STS movement twice from chairs at height adjusted by the lower leg length of each subject. To examine the influence of the chair seat height, ground reaction forces during a STS performed with 3 chair heights adjusted to each subjects lower leg length were compared. Results : Vertical ground reaction force and time during an STS movement were measured to evaluate. Parameters regarding ground reaction force were selected for analyses. Significant differences were found in ground reaction force at G1 was greater than G2 and G3. Conclusion : The STS movement achievement strategy differed since chair seat height changes relatively by the difference in lower leg length. When conducting the ability to achieve STS movement rating test, chair seat height considering each subject's lower leg length may be needed.

• The Journal of Korean Physical Therapy
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• 제26권6호
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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.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2013년도 춘계학술대회 논문집
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• pp.1515-1516
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• 2013

• 한국전문물리치료학회지
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• 제25권2호
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• pp.1-12
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• 2018

Background: It is very difficult for hemiplegic patients to effectively perform the sit-to-stand (STS) movements independently because of several factors. Moreover, the analysis of STS motion in hemiplegic patients has been thus far confined to only muscle strength evaluation with little information available on structural and environmental factors of varying chair height and foot conditions. Objects: This study aimed to analyze the change in biomechanical factors (ground reaction force, center of mass displacement, and the angle and moment of joints) of the joints in the lower extremities with varying chair height and foot conditions in hemiplegic patients while they performed the STS movements. Methods: Nine hemiplegic patients voluntarily participated in this study. Their STS movements was analyzed in a total of nine sessions (one set of three consecutive sessions) with varying chair height and foot conditions. The biomechanical factors of the joints in the lower extremities were measured during the movements. Ground reaction force was measured using a force plate; and the other abovementioned parameters were measured using an infra-red camera. Two-way repeated analysis of variance was performed to determine the changes in biomechanical factors in the lower extremities with varying chair height and foot conditions. Results: No interaction was found between chair height and foot conditions (p>.05). All measured variables with varying chair height showed a significant difference (p<.05). Maximum joint flexion angle, maximum joint moment, and the displacement of the center of mass in foot conditions showed a significant difference (p<.05); however the maximum ground reaction force did not show a significant difference (p>.05). Conclusion: The findings suggest that hemiplegic patients can more stably and efficiently perform the STS movement with increased chair height and while they are bare-foot.

• 대한기계학회논문집B
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• 제39권6호
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• pp.535-540
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• 2015

등판이 기울어지는 사무용 의자에서 등판 회전축 위치를 인체의 엉덩관절에 일치시키면 인체와 등판이 일체화되어 기울어짐으로써 사용성을 향상시킬 수 있다. 그러나 등판 힌지가 외부로 돌출되지 않도록 하기 위해 적용되는 핀인슬롯 조인트에서 기구적인 마찰이 발생해 등을 기울이고 세우는 동안 사용자에 영향을 줄 것으로 예상된다. 본 연구에서는 마찰 정도가 다른 조인트 부품으로서 슬라이더, 롤러 그리고 베어링 세 가지 유형을 적용하고, 등판 기울임 시 대비 복귀 시의 반발력 비율을 측정하였다. 실험 결과 베어링, 롤러, 슬라이더를 적용한 경우 등판 반발력 비율은$[{\pm}SD]$은 각각 $59.7[{\pm}10.3]%$, $47.2[{\pm}13.6]%$, $30.3[{\pm}18.1]%$로 나타나 베어링을 적용할 경우 마찰이 가장 작았다. 그러나 각 부품들은 생산단가 측면에서 차이를 보이기 때문에 부품 선정 시 마찰감소 성능뿐만 아니라 사용자의 주관적인 만족도를 함께 고려할 수 있음을 제시하였다.

• 대한의용생체공학회:의공학회지
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• 제34권4호
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• pp.197-203
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• 2013

The purpose of this study was to analyze the asymmetry of the reaction forces on lower limbs between dominant and nondominant sides during sit-to-stand movement in normal subjects. Fourteen normal subjects ($22.6{\pm}2.3yrs$, all men) participated in this study. To measure the reaction forces during sit-to-stand movement, two force plates were mounted on the ground and one dual top force plate was mounted on a chair. Five events(movement onset, max thigh reaction force, transition, max hip angle, seat off) were determined from the reaction force and joint angle trajectories. For each of thigh, foot, and total reaction forces, two-way ANOVA was performed with the events and sides as factors. Also investigated was the leg asymmetry expressed as the ratio of the reaction forces of dominant and nondominant sides. The significance of asymmetry was investigated and two-way ANOVA was performed with the events and body parts(foot, thigh and total) as factors. Thigh reaction force and total reaction force showed interaction of events and leg sides(p < 0.01). Post-hoc comparisons showed they were different between sides at the latter stage(transition, max hip angle, and seat off events) (p < 0.01). Asymmetry was also significant at the latter stage(transition, max hip angle, and seat off events) (p < 0.01). Interaction of events and body parts on asymmetry was significant(p < 0.01) and asymmetry was greater in thigh reaction forces than total and foot reaction forces at the events of the latter stage(p < 0.01). The results suggest that asymmetry exist in normal subject and should be fully considered when investigating sit-to-stand strategy of patients.

• 대한물리의학회지
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• 제17권4호
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• pp.45-52
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• 2022

PURPOSE: This study examined the center of pressure (COP) and ground reaction force (GRF) characteristics during each task-oriented sit-to-stand in stroke patients. METHODS: Twenty stroke subjects were included in this study. The task consisted of sit-to-stand (SS), sit-to-stand for reaching (SR), and sit-to-stand for walking (SW). The response time, COP, and GRF were measured during each task. The COP and GRF data were obtained using a two-force plate. The force plates were placed on a chair (below the buttock) and floor (below the feet). RESULTS: Significant differences were observed between SS (1.48 ± .48 s) and SR (2.09 ± 0.82 s) and between SS and SW (2.27 ± .72 s) in the preparatory phase time during each sit-to-stand exercise (p = .002) and showed significant differences between SS (13.90 ± 6.44 cm) and SW (34.62 ± 39.38 cm) and between SR (16.14 ± 8.04 cm) and SW in the mediolateral COP range during each sit-to-stand exercise (p = .013). CONCLUSION: These findings suggest that more complex task-oriented sit-to-stand exercise requires a high-level motor programming process than a simple sit-to-stand task. Therefore, a variety of tasks-oriented sit-to-stand exercises will be useful training to achieve better ADL ability for stroke patients.

• 대한의용생체공학회:의공학회지
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• 제32권1호
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• pp.7-14
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• 2011

This study suggested an optimized algorithm for detecting the loss of balance(LOB) in the seated position. And the sensitivity analysis was performed in order to identify the role of each design variable in the algorithm. The LOB algorithm consisted of data processing of measured signals, an internal model of the central nervous system and a control error anomaly(CEA) detector. This study optimized design variables of a CEA detector to obtain improved values of the success rate(SR) of detecting the LOB and the margin time(MT) provided for preventing the falling. Nine healthy adult volunteers were involved in the experiments. All the subjects were asked to balance their body in a predescribed seated posture with the rear legs of a four-legged wooden chair. The ground reaction force from the right leg was measured from the force plate while the accelerations of the chair and the head were measured from a couple of piezoelectric accelerometers. The measured data were processed to predict the LOB using a detection algorithm. Variables S2, h2 and hd are related to the detector: S2 represents a data selecting window, h2 a time shift and hd an operating period of the LOB detection algorithm. S2 was varied from 0.1 to 10 sec with an increment of 0.1 sec, and both h2 and hd were varied from 0.01 to 1.0 sec with an increment of 0.01 sec. It was found that the SR and MT were increased by up to 9.7% and 0.497 sec comparing with the previously published case when the values of S2, h2 and hd were set to 4.5, 0.3 and 0.2 sec, respectively. Also the results of sensitivity analysis showed that S2 and h2 had considerable influence on the SR while these variables were not so sensitive to the MT.

• 한국ITS학회 논문지
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• 제17권5호
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• pp.1-13
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• 2018

세그웨이를 시작으로 다양한 형태의 퍼스널 모빌리티(PM)가 판매 및 이용되고 있다. PM이 갖춘 편의성으로 인해 급격히 보급되고 있으며, 이와 함께 안전사고도 급증하고 있는 추세이다. 이와 같은 추세에 발맞추어 PM과 관련된 다양한 연구 및 제도가 마련되고 있다. 그러나 안전도 향상을 위한 방안으로는 제품 자체의 기능적 인증분야로 한정되어 있으며, 탑승자의 주행 안전성에 대한 평가기준 및 지표 마련은 이루어진 바 없다. 본 논문에서는 PM의 주행 안전성 평가에 적용 가능한 지표를 검토하였으며, 도출된 지표를 이용하여 3종의 PM과 보행에 대해 안전성 평가를 수행하여 결과를 제시하였다. 타 분야에서 활용되고 있는 지표 중 최종 선정한 지표는 COG(Center of the gravity)와 SM(Stability Metric)이다. COG는 무게중심이 중력 방향에서 벗어난 정도를 평가하는 지표이며 SM은 PM이 움직일 때 발생되는 힘을 내부의 힘, 각운동량, 지면반발력으로 보고 정규화한 값으로 움직이지 않을 때는 0이 되며 음의 값은 전복됨을 의미하므로 PM의 주행안전성 평가에 활용 가능하다. COG의 경우 평균값과 분산값을 기준으로 안전도를 평가하여 결론을 제시하였다. 3종의 PM 중 Scooter의 경우 탑승형태를 입식과 좌식으로 구분하여 시행하였으며, 그 결과 COG의 움직임으로 평가하였을 경우 wheel chair가 평균 6.54mm로 가장 안전하며 kickboard가 가장 불안전한 것으로 분석되었다. SM분석 결과, wheel chair가 가장 안전하며, 좌식 탑승의 형태가 입식보다 안전한 것으로 평가되었다. 이와 같은 분석 방법을 이용하여 향후 보다 다양한 제품군에 대한 주행안전성 평가가 필요할 것으로 판단되며, 운전자 중심 뿐만 아니라 기기 자체에 대한 주행안전성 평가가 함께 이루어져야 할 것이다.

• 한국운동역학회지
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• 제16권2호
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• pp.121-134
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• 2006

The purpose of this study was to analyze the effect of different types of rehabilitation training program on the kinetic and kinematic parameters during sit-to-stand movement(STS) in chronic stroke patients. Two groups of hemiparetic patients, experimental and control, participated in the study. The experimental group participated in a 10-week training program (three sessions/wk, $1{\sim}1.5\;hr/session$) consisting of a warm-up, aerobic exercises, lower extremity strengthening. and a cool-down. The control group participated in an aerobic exercise. Three dimensional kinematic analysis and force platform; were used to analyze the duration of STS, lower extremity angle, and weight bearing ability. The experimental group which had more strength of lower extremity displayed decrease in duration of STS. However, the control group showed increases in duration during sit-to-stand movement. The control group flexed their trunk more than the group did Therefore, it took more time to extend their trunk during STS. The duration in sit-to-stand was affected by the strength of lower extremity and the angle of trunk movement. The angles of ankle and knee joint had an influenced on duration of STS. The post experimental group performed with their feet near the front leg of the chair during sit-to-stand, therefore the duration was decreased. The repetitive sit-to-stand movements as a resistance exercise was effective to hemiparetic patients in learning mechanism of sit-to-stand. The control group showed decreased differences in the vertical ground reaction forces between paretic and non-paretic limbs. Their training program included strengthening exercise that may help improving weight bearing ability. The control group showed increases in the center of pressure in the anteroposterior and mediolateral displacement. This means that the stability of movement was low in the control group. Their training program which combined aerobic and strengthening exercises that are more effective to improve the stability of movement.