• 한국운동역학회지
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• 제30권3호
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• pp.217-223
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• 2020

Objective: The purpose of this study was to analyze the effect of postural sway on the kinematic variables of the putter head during golf putting and to provide information to the importance of postural sway control in the putting stroke for novice golfers. Method: The center of pressure (CoP) and Kinematics variables of the putter head were calculated during 2 m flat golf putting using 8 motion capture cameras (250 Hz) and 2 force plate (1,000 Hz). SPSS 24.0 was used to perform Pearson's correlation coefficient and simple regression analysis, and the statistically significance level was set to .05. Results: As a result of analyzing the correlation between CoP variables and the putter head rotation angle, the CoP moving length, CoP moving range (ML direction), and CoP moving velocity (ML direction) showed a positive correlation with the putter head rotation angle (yaw axis) and were statistically significant. Conclusion: Therefore, In order to perform the accurate putting stroke maintaining the ball's directionality, it is determined that it is important to control posture sway in the ML directions by minimizing the movement and velocity of the CoP.

• 대한의용생체공학회:의공학회지
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• 제30권3호
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• pp.255-262
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• 2009

The present study analyzed the association between postural control and electrical stimulation by measuring body sway when use the electrical stimulations were applied to different stimulation zones in lower limbs. The subjects were 14 young adults and were, tested for two different visual condition: eyes open and eyes closed. The experiments were also performed in two different stance case: one legged stance and two legged stance while electrical stimulations were applied concurrently or individually to tibialis anterior and triceps surae. Postural responses were assessed by analyzing COP sway path, sum of COP sway measured by a forceplate. The results showed that the direction of the COP shift changed in accordance with the direction of stimulation and showed sensory adaptation as the experiment progressed for two legged stance case. For one legged stance case, concurrent electrical stimulation both sides of muscles was found to be effective for enhancement of postural balance control.

• PNF and Movement
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• 제8권3호
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• pp.39-47
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• 2010

Purpose : The purpose of this study was to investigate the correlations between clinical balance scales and Balance Performance Monitor parameters in patient with adolescent idiopathic scoliosis (AIS). Methods : Twenty AIS subjects (age, $14.26{\pm}1.93yrs$; height, $160.56{\pm}7.98cm$; weight, $47.54{\pm}6.94kg$)were participated in this study. Postural sway(mean balance, sway angle, sway area, sway path, maximal sway velocity) were were evaluated by balance performance monitor. Measurements for clinical balance scales were Functional reach test (both side), the Lateral reach test (both side) and One leg standing test (both legs). Results : The results were as follows. There were positive strong correlation between major curve direction and left-right sway angle, sway path, maximal sway velocity. There were negative strong correlation between the functional reach and left-right sway angle, sway area, sway path, maximal sway velocity. And the lateral reach were also showed negative strong correlation parameters of balance performance monitor. One leg standing were negatively correlated with left-right sway angle, sway path, maximal sway velocity. Conclusion : The clinical balance scales will be useful tools for balance measurements, and basic tools for clinical setting for patient with AIS.

• 대한물리치료과학회지
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• 제30권1호
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• pp.52-61
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• 2023

Background: The purpose of this study was to investigate the immediate effects of ankle elastic and non-elastic taping on postural balance and gait ability in subject with stroke. Design: Cross-sectional study Methods: Twenty-seven subjects with stroke participated in this study. The subjects performed to stand quietly for 30s on the balance platform and walking test with three different ankle taping conditions. The sway length, sway area and sway velocity of center of gravity (COG) displacement was measured to assess the postural balance and the timed up and go test, 10m walking test, 6 minutes walking test was measured to assess the gait ability. Repeated measured ANOVA was used to compare the postural balance parameters and gait ability according to three different ankle taping conditions. Results: Postural balance with non-elastic ankle taping was significantly improved compared to no ankle taping and elastic ankle taping condition(p<0.05). On the other hand, gait ability with elastic ankle taping was significantly increased compared to no ankle taping and non-elastic ankle taping condition(p<0.05). Conclusion: These findings suggest that an elastic ankle taping could effect to improve the gait ability, whereas a non-elastic ankle taping could effect to improve the postural balance in subject with stroke.

• Physical Therapy Rehabilitation Science
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• 제2권2호
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• pp.70-74
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• 2013

Objective: The aim of this study was to determine the impact of the application of whole body vibration training (WBV) on the balance ability of patients with an American Spinal Injury Association (ASIA) type C or D spinal cord injury. Design: Randomized controlled trial. Methods: Twelve patients with spinal cord injury were enrolled in this study. The participants were randomized to an experimental group (n=6) or control group (n=6). The subjects in the experimental group received WBV exercise and the control group received the sham exercise without vibration. The vibrations were adjusted vertically to the patient at a 30 Hz frequency and 3 mm amplitude. The whole body vibration lasted for 16 minutes in total including 5-minutes warm-up and cool-down at the beginning and end of the program, respectively. The static sitting balance ability was assessed by measuring the postural sway while sitting on the force plate with the eyes opened or closed. Postural sway length was measured for 30 seconds with a self-selected comfortable position. Results: In the static balance test, the anterio-posterior, medio-lateral, and total postural sway length with the eyes open and closed was improved significantly before and after the intervention in the experimental group (p<0.05). The experimental group showed significantly more improvement than the control group (p<0.05). Conclusions: Our results demonstrated that WBV training has a positive effect on improving static sitting balance and enhanced control of postural sway in patients with an ASIA-C or D type spinal cord injury.

• 한국전문물리치료학회지
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• 제23권1호
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• pp.87-93
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• 2016

Background: Posture balance control is the ability to maintain the body's center of gravity in the minimal postural sway state on a supportive surface. This ability is obtained through a complicated process of sensing the movements of the human body through sensory organs and then integrating the information into the central nervous system and reacting to the musculoskeletal system and the support action of the musculoskeletal system. Motor function, including coordination, motor, and vision, vestibular sense, and sensory function, including proprioception, should act in an integrated way. However, more than half of stroke patients have motor, sensory, cognitive, and emotional disorders for a long time. Motor and sensory disorders cause the greatest difficulty in postural control among stroke patients. Objects: The purpose of this study is to determine the effect of visual and somatosensory information on postural sway in stroke patients and carrying out a kinematic analysis using a tri-axial accelerometer and a quantitative assessment. Methods: Thirty-four subjects posed four stance condition was accepted various sensory information for counterbalance. This experiment referred to the computerized dynamic posturography assessments and was redesigned four condition blocking visual and somatosensory information. To measure the postural sway of the subjects' trunk, a wireless tri-axial accelerometer was used by signal vector magnitude value. Ony-way measure analysis of variance was performed among four condition. Results: There were significant differences when somatosensory information input blocked (p<.05). Conclusion: The sensory significantly affecting the balance ability of stroke patients is somatosensory, and the amount of actual movement of the trunk could be objectively compared and analyzed through quantitative figures using a tri-axial accelerometer for balance ability.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2013년도 춘계학술대회 논문집
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• pp.1513-1514
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• 2013

• 대한의용생체공학회:의공학회지
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• 제28권5호
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• pp.628-635
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• 2007

We studied the effect of vibratory stimulations of different leg muscles, tibialis anterior(TA) and triceps surae(TS), and plantar zones in ten healthy subjects during 1) quiet standing, 2) forward lean of body, 3) backward lean of body, 4) right lean of body, and 5) left lean of body. The experiments were performed on the force platform. The effect of vibration were measured by monitoring the area of COP(Center of pressure) sway. The subjects wore a vibratory stimulation system on foot and ankles and were given the instruction not to resist against the applied perturbations. The results show that all vibratory stimulations to lower limb muscles and plantar zones reduced the COP sway area. This reduction of the COP sway area occurred also in partial vibratory stimulations during quiet standing. In forward lean of body, vibratory stimulations to TA reduced the COP sway area. During backward lean of body, vibratory stimulations to TS reduced the COP sway area. When the subject was tilted right, vibratory stimulations to left plantar zone reduced the COP sway area. During left lean of body, vibratory stimulations to right plantar zone reduced the COP sway area. Thus, the influence of vibratory stimulations to leg muscle and plantar zones differed significantly depending on the lean of body. We suggest that the vibration stimuli from leg muscles and plantar zones could be selectively used to help maintaining postural balance stable.

• 대한의용생체공학회:의공학회지
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• 제28권5호
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• pp.647-656
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• 2007

The purpose of this study was to analyze the effects of vibratory stimulus as somatosensory inputs on the postural control in human standing. To study these effects, the center of pressure(COP) was observed while subjects were standing on a stable and an unstable support with co-stimulated mechanical vibrations to flexor ankle muscles(tibialis anterior tendon, achilles tendon) and two plantar zones on both foot. The COP sway measurement was repeated twice in four conditions: (1) with visual cue and vibration, (2) without visual cue and vibration, (3) with visual cue and without vibration, (4) without visual cue and with vibration. The calculated parameters were the COP sway area and the distance, the median frequency and the spectral energy of COP sway in three intervals $0.1{\sim}0.3,\;0.3{\sim}1,\;1{\sim}3Hz$. The results showed that vibratory stimulus affect postural stability. The reduction rate of the COP sway with vibratory stimulus were higher on the unstable support because the effect of postural stability increases when afferent nervous flow is more activated by vibration on unstable support. If unclear visual or vibratory information is received, one type of information is compared with the other type of sensory information. Then the input balance between visual and vibratory information is corrected to maintain postural stability. These findings are important for the rehabilitation system of postural balance control and the use of vibratory information.

• 한국산학기술학회논문지
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• 제14권3호
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• pp.1207-1212
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• 2013

본 연구는 자세 동요의 감소를 목적으로 경피신경전기자극을 각각 다른 방법으로 적용하였을 때 가장 효과가 큰 방법을 알아보고자 실시하였다. 비복근에 경피신경전기자극을 적용하여 압력중심점의 이동으로 자세동요의 감소를 알아보았다. 24명의 참가자들은 힘판 위에 서있는 동안 경피신경전기자극을 전기자극 없이, 고빈도-고강도, 고빈도-저강도, 저빈도-고강도, 저빈도-저강도로 각각 30초간 적용하고 측정하였다. 5가지 적용방법을 무작위 순서로 눈을 뜬 상태에서 적용하였고, 힘판에서 나타나는 압력중심점의 이동거리와 속도를 측정하였다. 그 결과 경피신경전기자극을 실시한 군이 미적용군에 비해 자세동요가 통계적으로 유의하게 작아 경피신경전기자극이 동요의 감소에 효과가 있었다(p<.05). 적용 빈도에 따른 비교에서는 저빈도보다 고빈도에서 자세동요가 감소하는 경향을 보였고, 경피신경자극의 강도별 비교에서는 저강도를 적용한 경우가 고강도의 경우보다 통계적으로 유의한 감소를 보였다(p<.05). 이와같은 결과를 통해 자세동요를 감소시키기 위한 목적으로 경피신경전기자극을 이용하였을 때 고빈도(100Hz)-저강도(감각수준)에서 가장 큰 효과가 있었다(p<.05). 본 연구를 통해 경피신경전기자극이 자세동요를 감소시켜 균형능력을 향상시킴을 알 수 있었고, 고빈도-저강도의 적용이 가장 효과가 큰 방법임을 알 수 있었다. 이와같은 결과는 향후 균형능력이 감소된 환자들의 자세동요 감소를 위한 중재 방법으로 효과적으로 적용될 것으로 기대한다.