• 대한통합의학회지
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• 제11권4호
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• pp.269-279
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• 2023

Purpose : The most effective intervention for flat foot is strengthening exercises for the intrinsic and extrinsic of the foot. Additionally, visual feedback is necessary for movement accuracy. However, the effectiveness of the intervention when combined with visual feedback was not revealed. To confirm this, the research was to investigate the effect of visual feedback and a complex exercise program on navicular bone height, plantar pressure, and lower extremity alignment. Methods : The twenty eight adult men and women with flat foot were randomly assigned to group 1 (n=14) and group2 (n=14), group1 performed complex exercises with visual feedback, and group 2 performed only complex exercises. Both groups performed a 40 minute compound exercise program three times a week. Navicular drop test, plantar pressure test, and lower extremity alignment test were performed equally in both group. Results : As a result of comparing the change in navicular height within the group according to the intervention, both groups showed a significant difference before and after the exercise (p>.05). There was not significant difference comparing the difference between the groups in the navicular height (p>.05). Comparing the change in plantar pressure within groups, there was not significant difference in the change in plantar pressure in both groups (p>.05). Coparing the difference before and after exercise between groups, there was not significant plantar pressure (p>.05). Comparing the change in leg alignment within the group, there was a significant difference in the change in ankle before and after exercise in group 1 (p<.05), but there was not significant difference in group 2. There was not significant difference in pelvic tilt and knee tilt before and after exercise in both groups (p>.05). Comparing the before and after exercise difference between groups, there were not significant in all variables of leg alignment (p>.05). Conclusion : The results of this study showed that complex exercise applied to patients with flat foot were effective in increasing the height of the navicular bone and ankle angle, but there was no effect due to visual feedback.

• 한국운동역학회지
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• 제12권1호
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• pp.205-219
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• 2002

This research seeks to identify the plantar pressure distribution graph and change in force in connection with effective golf drive strokes and thus to help ordinary golfers have appropriate understanding on the moving of the center of weight and learn desirable drive swing movements. To this end, we conducted surveys on five excellent golfers to analyze the plantar pressure applied when performing golf drive strokes, and suggested dynamic variables quantitatively. 1) Our research presents the desire movements as follows. For the time change in connection with the whole movement, as a golfer raises the club head horizontally low above ground from the address to the top swing, he makes a semicircle using the left elbow joint and shaft and slowly turns his body, thus lengthening the time. And, as the golfer twists the right waist from the middle swing to the impact with the head taking address movement, and does a quick movement, thus shortening the time. 2) For the change in pressure distribution by phase, to strike a strong shot with his weight imposed from the middle swing to the impact, a golfer uses centrifugal force, fixes his left foot, and makes impact. This showed greater pressure distribution on the left sole than on the right sole. 3) For the force distribution graph by phase, the force in the sole from the address to halfway swing movements is distributed to the left foot with 46% and to the right foot with 54%. And, with the starting of down swing, as the weight shifts to the left foot, the force is distributed to the left sole with 58%. Thus, during the impact and follow through movements, it is desirable for a golfer to allow his left foot to take the weight with the right foot balancing the body. 4) The maximum pressure distribution and average of the maximum force in connection with the whole movement changed as the left (foot) and right (foot) supported opposing force, and the maximum pressure distribution also showed much greater on the left sole.

• 대한물리의학회지
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• 제17권2호
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• pp.53-62
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• 2022

PURPOSE: This study was conducted to investigate the effect of a real-time pressure feedback provided during gait training on the weight weight distribution of the inner part of mid-foot in paralyzed side and gait function in stroke patients. METHODS: A total of 24 patients with hemiplegic stroke in a rehabilitation hospital were randomly assigned to the experimental and control group. All participants (n = 24) performed 15 min of comprehensive rehabilitation therapy 5 times a week for a period of 4 weeks. Additionally, the experimental group and control group underwent gait training with a real time feedback and general gait training, respectively, for 15 min five times a week for 4 weeks. Weight distribution and gait function were measured before and after the 4-week training. RESULTS: Significant increases in the weight distribution (WD), stance time (ST) and step length (SL) of the paralyzed side, and a significant decrease in the 10 m walking test (10 MWT) observed after training in the two groups (p < .05). The experimental group showed larger changes in the all variables than the control group (WD, +10.5 kg vs. +8.8 kg, p < .05; ST, 12.8 s vs. 4.9 s, p < .05; SL, 4.9 cm vs. 1.7 cm, p < .05; 10 MWT, -3.5 s vs. -1.0 s, p < .05, respectively). CONCLUSION: Gait training with a real-time feedback might be effective in improving the normalization of weight bearing of the paralyzed lower extremity and gait function of stroke patients, and be considered to be a more effective gait training for improving the abilities than the general gait training.

• 한국운동역학회지
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• 제18권1호
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• pp.159-168
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• 2008

본 연구는 피겨스케이팅의 여자국가대표 선수 4명으로부터 고난도 스핀기술인 FSS과 FCS동작을 분석하였다. 이를 위하여 자세유형에 따른 스핀동작 간 족저압력변인 접지면적(CA), 최대힘(MF), 최대압력(PP) 그리고 인체무게중심(COG)에 의한 발바닥 9개 영역을 중심으로 압력변화를 고찰하였다. 본 회전구간에서 두 스핀기술 간 접지면적이 17.2%의 차이로 스핀축이 한 곳에 보다 잘 집중된 경우는 FCS인것으로 나타났다. 최대힘에서 FSS는 97%BW, FCS는 143%BW로서 20% 높았으며, 최대압력 또한 FCS가 FSS보다 20% 높은 수치를 보였다. 이러한 결과는 인체무게중심선과 압력중심점과의 상호관계로부터 FSS의 압력중심점이 인체무게중심선보다 발바닥 후면, 반대로 FCS는 발바닥 앞면에 위치하는 자세패턴에 의한 기능적 차이로 분석되었다. 위의 결과로부터 FCS가 상대적으로 FSS보다 스핀기술 시 높은 인체중심과 하지말단을 이용한 큰 회전반경으로부터 스핀속도를 보다 잘 통제하는 운동구조로 고찰되었다.

• 한국융합학회논문지
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• 제11권5호
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• pp.87-96
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• 2020

만성 뇌졸중 환자를 대상으로 메타분석 기법을 활용하여 트레드밀 훈련의 융복합적 효과성을 평가하고자 한다. PICOS 기준에 의거하여 문헌을 검색한 후 총 22편의 국내 '뇌졸중', '트레드밀' 관련 연구물을 선정하였다. 메타분석을 위해 CMA 프로그램을 이용하여 효과크기를 산출하였으며, 국내 트레드밀 훈련의 전체 효과크기는 0.661(95%CI: 0.456~0.865)로 중간크기로 유의한 차이가 있었다(p<.05). 트레드밀 훈련의 효과를 족저압(1.147), 하지 근 기능(0.875), 균형(0.664)으로 나누어 효과크기를 비교한 결과, 족저압의 효과크기가 가장 크게 나타났다. 추가로 균형은 하위항목들을 나누어 분석하였고, 균형은 TUG(0.553), BBS(0.760), 정적균형지수(0.654)의 효과크기가 나타났다. 따라서 트레드밀 훈련이 만성 뇌졸중 환자의 삶의 질 향상에 긍정적인 영향을 제공한다. 트레드밀 훈련에 대한 메타분석 연구는 정보, 통신 및 의료기술의 헬스케어 융합을 향한 업계 패러다임의 전환으로 이어질 수 있을 것이다.

• 한국운동역학회지
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• 제23권3호
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• pp.235-243
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• 2013

The purpose of this study was to analyse scientific according to period of rehabilitation training of ACL patients. ACL patients seven subjects participated in this study. Gait (1.58 m/sec) analysis was performed by using a 3-D Cinematography, a Zebris system and a electromyograph system. The data were analyzed by paired t-test. The joint angles were recorded from the ankle, knee, hip joints. Peak max dorsi-flexion and peak max plantar-flexion identified significant differences (p<0.05). Another angles were no significant difference. Vertical force (Fz) and max pressure variables improved 6 month RTP better than 3 month RTP. EMG were collected from 4 muscles (rectus femoris, biceps femoris, gastrocnemius, tibialis anterior) with surface electrides in gait system. EMG signals were rectified and smoothed data. EMG signas were no significant difference but they also improved 6 month RTP better than 3 month RTP. More research is necessary to determine exactly what constitutes optimal rehabilitation training period for ACL patients.

• 한국운동역학회지
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• 제15권3호
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• pp.161-173
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• 2005

Recently among several tennis techniques forehand stroke has been greatly changed in the aspect of spin, grip and stance. The most fundamental factor among the three factors is the stance which consists of open, square and closed stance. The purpose of this study was to investigate the relations between the segments of the body, the three dimensional anatomical angle according to open stance patterns during forehand stroke in tennis. For the movement analysis three dimensional cinematographical method(APAS) was used and for the calculation of the kinematic variables a self developed program was used with the LabVlEW 6.1 graphical programming(Johnson, 1999) program. By using Eular's equations the three dimensional anatomical Cardan angles of the joint and racket head angle were defined 1. In three dimensional maximum linear velocity of racket head the X axis showed $11.41{\pm}5.27m/s$ at impact, not the Y axis(horizontal direction) and the z axis(vertical direction) maximum linear velocity of racket head did not show at impact but after impact this will resulted influence upon hitting ball It could be suggest that Y axis velocity of racket head influence on ball direction and z axis velocity influence on ball spin after impact. the stance distance between right foot and left foot was mean $74.2{\pm}11.2m$. 2. The three dimensional anatomical angular displacement of shoulder joint showed most important role in forehand stroke. and is followed by wrist joints, in addition the movement of elbow joints showed least to the stroke. The three dimensional anatomical angular displacement of racket increased flexion/abduction angle until the impact. after impact, The angular displacement of racket changed motion direction as extension/adduction. 3. The three dimensional anatomical angular displacement of trunk in flexion-extension showed extension all around the forehand stroke. The angular displacement of trunk in adduction-abduction showed abduction at the backswing top and adduction around impact. while there is no significant internal-external rotation 4. The three dimensional anatomical angular displacement of hip joint and knee joint increased extension angle after minimum of knee joint angle in the forehand stroke, The three dimensional anatomical angular displacement of ankle joint showed plantar flexion, internal rotation and eversion in forehand stroke. it could be suggest that the plantar pressure of open stance during forehand stroke would be distributed more largely to the fore foot. and lateral side.

• 한국운동역학회지
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• 제18권1호
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• pp.117-127
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• 2008

본 연구는 개발된 태권도화에 따른 태권도 돌려차기와 몸돌려 후려차기시 기계적 마찰력과 태권도 수행력에 대하여 연구하는데 목적이 있다. 본 연구를 위하여 A.F.T.S.(Automated Footwear Testing System)과 태권도 수행력 테스트를 실시하였으며 착화감에 대한 설문을 조사하였다. 본 실험의 결과 태권도화 종류에 따라 기계적 마찰력은 유의한 차이를 보였으며, 돌려차기시 최대 자유모멘트의 통계 결과값은 p=.011 이었고, 최대 족저압에 있어서 타입 A 태권도화와 타입 B 태권도화도 사이에 있어 유의한 차이를 보였다. 착화감 설문 결과 5가지 항목에 있어 타입 A와 타입 B 태권도 사이에 있어 유의한 차이를 보였지만 타입 B와 타입 C 태권도화에 있어서는 모든 항목에서 유의한 차이를 보이지 않았다. 태권도화별 기계적 마찰력에서 유의한 차이를 보인 반면 수행력에 있어서는 영향을 미치지 못하는 것으로 판단되며, 설문 결과와 수행력 사이에 있어서도 관계가 없는 것으로 나타났다. 본 연구를 통하여 임상 실험 결과와 기계적 마찰력 정도가 태권도 수행에 영향을 주는지 여부와 훈련 시 부상 방지 및 수행력을 향상시키는 태권도화의 생체역학적 설계 및 현 개발 시제품에 대한 후속제품개발에 도움을 주고자 한다.