• Physical Therapy Rehabilitation Science
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• 제5권2호
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• pp.63-69
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• 2016

Objective: To evaluate the effects of sit-to-stand (STS) imagery group training (IGT) on STS movement and balance performance for chronic hemiparetic stroke. Design: Randomized controlled trial. Methods: A total of 30 people with chronic hemiparetic stroke (15 for STS-IGT group and 15 for control) were recruited in this study. The STS-IGT group participated in a videotape-based STS-IGT for 30 minutes a day, five days a week for six weeks, while the control group watched a documentary on television for the same period. The STS-IGT focused on a five-stage protocol. Specifically, external imagery was used during the four phases of the STS movement from the seat of the chair to standing up. All of the participants also participated in a regular rehabilitation program. STS movement and balance performance were assessed using three clinical measures. Results: After training, time to perform the 5-repetition STS test significantly increased in the STS-IGT group (change value, $4.0{\pm}2.0$ sec) compared with the control group (change value, $0.9{\pm}0.7$ sec) (p<0.05). There was a greater improvement in Berg balance scale scores in the STS-IGT group (change value, $0.2{\pm}4.1$ points) compared with the control group (change value, $0.3{\pm}0.9$ points) (p<0.05). There was a greater improvement in Timed Up and Go scores in the STS-IGT group (change value, $2.6{\pm}1.5$ sec) compared with the control group (change value, $0.9{\pm}1.0$ sec) (p<0.05). Conclusions: STS-IGT can be considered as a useful option for restoration of STS movement and balance performance for individuals with chronic hemiparetic stroke who are unable to fully participate in physical activities.

• Physical Therapy Rehabilitation Science
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• 제7권4호
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• pp.179-185
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• 2018

Objective: The purpose of this study was to analyze and compare vertical ground reaction forces during sit to stand (STS) and gait between female elderly and young individuals using the Wii Balance Board (WBB). Design: Cross-sectional study. Methods: Fifty-one female elderly people (age: $75.18{\pm}4.60years$), and 13 young people (age: $29.85{\pm}3.69years$) performed the five times STS test and gait respectively on the WBB. We analyzed time (s), vertical peak (%), integral summation (Int_SUM, %), and counter variables (%) in STS and 1st peak (body weight, BW%), 2nd peak (BW%), peak minimum (BW%), time (second), center of pressure (COP) path length (mm), and Int_SUM (BW%) in gait. The independent t-test was used to assess for differences in STS, gait ability, and general characteristics between the female elderly group and young adults group. With the first and last trials excluded, the mean value was obtained from the middle three of the five trials. Results: During STS, Int_SUM and time of young adults were significantly less than of the female elderly subjects. There were no significant differences in peak and counter variables. In gait, all variables (1st peak, 2nd peak, min, time, COP_path, and Int_SUM) showed significant differences between groups (p<0.05). This study demonstrated that the validity of vertical ground reaction forces occurring during STS and gait was significant in female elderly and young adults. Conclusions: Based on the measurement of vertical ground reaction forces in STS and gait using the WBB, it is possible to clinically improve the quality of geriatric physical therapy. Further studies are necessary to examine concurrent validity of elderly patients who have undergone total hip or knee replacement.

• 한국컴퓨터정보학회논문지
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• 제26권4호
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• pp.133-142
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• 2021

본 연구의 목적은 여성노인을 대상으로 모던댄스, 아쿠아로빅, 복합운동 프로그램을 실시한 후 신체조성과 신체기능체력에 대한 변화 비교하여 여성노인에게 가장 적합한 운동이 무엇인지를 살펴보고자 실시되었다. 연구의 대상자는 J도에 거주하는 노인여성 47명을 대상으로 MDG(n=13) AEG(n=11), CEG(n=11), CG(n=12)을 무작위로 집단을 모집하여 12주간 주3회 1시간씩 운동을 실시하였다. 이 연구의 결과 통제그룹에 비해 grip strength, chair stand, arm curl, 2 minute step, 244cm up and go에서 유의한 차이를 보였으며, Back scratch는 MDG와 CEG에서만 운동 후 유의하게 감소하였으나 Chair sit and reach에서는 변화가 보이지 않았다. 본 연구결과 운동그룹 중 모던댄스(MDG)가 운동 후 가장 많은 신체기능체력이 향상된 것으로 나타났으며, 노인들에게 유연성과 관절의 가동성을 증진 시킬 수 있는 추가적인 운동프로그램이 필요하다. 또한 자신의 흥미에 맞는 운동을 자발적으로 참여하여 지속성 있게 하는 것이 중요할 것으로 생각된다.

• 대한기계학회논문집B
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• 제35권11호
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• pp.1243-1248
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• 2011

본 연구에서는 한국인 표준체형과 유사한 사람의 의료 영상 자료를 이용하여 인체 골격계 모델을 만들었다. 이를 동역학 해석 상용 소프웨트어인 $RecurDyn^{TM}$에 탑재시켜 인체 시뮬레이션 모듈을 개발하였고, 노인의 보행 동작해석을 통해 모델을 검증하여 보행기(elderly walker) 사용 유무에 따른 앉기-서기 및 보행을 분석하였다. 노인이 보행기를 사용하였을 때 앉기-서기 동작 시 하지관절 기구학의 변화는 미비하였고, 보행 시 각 관절의 가동범위가 조금 줄었고 동작시간이 상당히 길어졌다. 또한 근전도 해석결과 일부 발목 주변 근육들과 햄스트링 근육에서 근활성치가 줄거나 활성시간이 줄었다. 이러한 변화는 보행기를 통해 보행할 때 하지의 기여도가 감소했기 때문이라고 생각되었다. 본 연구를 통해 얻어진 시뮬레이션 기술은 여러 가지의 생체역학 연구에 널리 활용될 것으로 생각된다.

• PNF and Movement
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• 제16권3호
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• pp.317-332
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• 2018

Purpose: Patients with tibial fractures can have functional problems with balance and gait, as well as lower extremity muscle weakness. This case report aimed to describe the effect of hip joint strengthening exercises using proprioceptive neuromuscular facilitation (PNF) on balance and gait and lower limb function in a patient with tibia fracture. Methods: One patient diagnosed with tibial fracture was treated for seven weeks with the basic procedure, pattern, and technique of PNF for a hip joint strengthening exercise. Results: The results of pre- and post-intervention treatment showed improvements in physical function and structure in the clinical tests, including the manual strength test; the modified Ashworth scale; sensory evaluation; balance, sit-to-stand, and gait performance; and evaluation of lower limb function. Conclusion: Based on the results of this study, it is suggested that the use of theory-based proprioceptive neuromuscular stimulation for hip joint strengthening exercises positively affects patients' functional improvement in tibial fracture patients, and this may be used as a therapeutic exercise method for those with orthopedic problems in the lower extremities. One limitation of this study was that it was performed on only one tibia fracture patient, which makes it difficult to extend the treatment effects to all patients with this condition.

• 한국전문물리치료학회지
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• 제13권3호
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• pp.41-48
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• 2006

This study investigated therapeutic effects of pelvic tilt exercise (PTE) on weight bearing and body sway during sit-to-stand (STS) on 18 hemiplegic patients who had visited the Hanyang University Seoul Hospital and Injae University Sanggyebek Hospital physiotherapy rooms. The study compared the patients with 18 normal adults. The subjects were sampled out from those who could get up independently, maintain a standing posture more than 10 seconds, understand the movements of this study and have no difficulty in performing the tasks. By executing STS in a natural way with habitual movements before and after PTE, the weight bearing was measured by using Mediance II. In order to compare the difference of weight distribution, weight bearing and body sway on affected and nonaffected sides during STS before and after PTE, the Wilcoxon Signed Ranks Test was used. The statistical significance level was based on p<.05. The results revealed that the difference of weight distribution in the hemiplegic group was significantly decreased (p<.05), whereas there was no significant difference in the healthy group (p>.05). Weight bearing loaded on the affected side was $42.53{\pm}7.65%$ and $44.20{\pm}6.32%$, respectively, in the hemiplegic group during STS before and after PTE. Weight bearing during STS after PTE is increased significantly, as compared with weight bearing before PTE (p<.05). Body sway in the hemiplegic group was significantly decreased (p<.05). As mentioned, PTE proved to be effective for improvement in weight bearing on the affected side during STS of hemiplegic patients.

• Physical Therapy Rehabilitation Science
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• 제7권2호
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• pp.54-60
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• 2018

Objective: Persons with chronic stroke fall more often than healthy elderly individuals. The Timed Up and Go test (TUG) is used as a fall prediction tool, but only provides a result for the total measurement time. This study aimed to determine the optimal cut-off values for each of the 6 components of the TUG. Design: Retrospective study. Methods: Thirty persons with chronic stroke participated in the study. TUG evaluation was performed using a wearable miniaturized inertial sensor. Sensitivity, specificity, and predictive values were calculated using the Receiver Operating Characteristic (ROC) curve analysis for the measured values in each section. Optimal values for fall risk classification were determined. Logistic regression analysis was used to investigate the risk of future falls based on TUG. Results: The cut-off values of the 6 sections of the TUG were determined, as follows: sit-to-stand >2.00 seconds (p<0.05), forward gait >4.68 seconds (p<0.05), mid-turn >3.82 seconds (p<0.05), return gait >4.81 seconds (p<0.05), end-turn >2.95 seconds (p<0.05), and stand-to-sit >2.13 seconds (p<0.05). The risk of falling increased by 2.278 times when the mid-turn value was >3.82 seconds (p<0.05). Conclusions: The risk of falls increased by 2.28 times when the value of the mid-turn interval exceeded 3.82 seconds. Therefore, when interpreting TUG results, the predictive accuracy for falls will be higher when the measurement time for each section is analyzed, together with the total time for TUG.

• Physical Therapy Rehabilitation Science
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• 제13권1호
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• pp.8-17
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• 2024

Objective: This study aims to explore the relationship between isokinetic strength training and the enhancement of physical function in older adults. It also evaluates the effectiveness of isokinetic strength training equipment. Method: This study randomly divided twenty healthy adults into two groups.The experimental group engaged in isokinetic strength training for 30 minutes, three times a week, over a four-week period. In contrast, the control group did not participate in any exercise regimen. We assessed several outcome measures including physical functions (sit-to-stand test, flexibility, Timed Up and Go test), grip strength, balance, thigh circumference, the Korean version of the Patient Health Questionnaire-9 (PHQ-9), and the Korean version of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Additionally, the experimental group's self-perceived improvement in lower limb condition was evaluated using the Global Rating of Change (GROC) scale. Results: The experimental group showed significant improvements compared to the control group in various aspects: reduced sit-to-stand test duration (7.00±2.05 seconds), increased flexibility (4.69±3.90 cm), improved grip strength (1.54±1.74 kg), increased thigh circumference (left: 1.29±1.19 cm, right: 1.19±1.27 cm), enhanced Timed Up and Go test performance (-1.47±0.86 seconds), better balance (eyes open stance: -8.08±4.03 cm, eyes closed stance: -0.27±0.13 cm/s), and a decrease in depression severity (-0.15±1.51 points). Furthermore, significant increases were observed in the experimental group's maximal isokinetic strength at 90°/s for both flexion (19.62±7.03 Nm) and extension (19.60±14.65 Nm) over the study period. Conclusion: The findings suggest that isokinetic strength training equipment can significantly enhance physical functions in seniors when incorporated into an exercise regimen.

• 한국임상보건과학회지
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• 제5권4호
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• pp.991-997
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• 2017

Purpose. The purpose of this study was to muscle properties analysis of SCM(sternocleidomastoid) Muscle according to posture type when using smartphone. Methods. This study was conducted on 73 college students who are using smartphone. Subjects were analyzed myotonPRO to confirm, prone posture group, stand posture group, drop head above $45^{\circ}$in sit posture on a chair group and drop head below $45^{\circ}$in sit posture on a chair group were measured SCM muscle. The myotonPRO were measured one measurer, total 3 times. Comparative analysis of the each groups were investigated of SCM muscle properties. Results. We found that Frequency, Stiffness, Creep and Relaxation were appeared difference in each posture. F index was increased at drop head below $45^{\circ}$group than stand posture group. S index was increased at drop head above $45^{\circ}$group than prone posture group. C index was decreased at drop head below $45^{\circ}$group and drop head above $45^{\circ}$group than prone posture group. R index was decreased at drop head above $45^{\circ}$group than prone posture group. Conclusions. The muscle properties were appeared difference in each posture of SCM muscle using smartphone.

• 한국엔터테인먼트산업학회논문지
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• 제13권8호
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• pp.367-375
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• 2019

본 연구는 여성고령자들의 비만도와 신체활동수준에 따른 신체구성요인 및 노인체력수준 차이 비교를 통하여 여성고령자의 건강증진생활과 여성노인들에게 효과적인 건강증진프로그램을 제안하고자 실시하여 다음과 같은 결론을 얻었다. 1. 비만도 분류에 따른 신체구성요인은 혈압 고, 노인체력에서는 의자에서 일어섰다 앉기, 아령 들기, 2분제자리 걷기, 2.4m 왕복걷기에서 시기와 그룹 간에 상호작용 효과가 있는 것으로 나타났다. 또한 비만도수준이 높을수록 노인체력의 의자에서 일어섰다 앉기, 아령들기, 2분 제자리걷기의 체력이 감소하는 것으로 나타났다. 2. 신체활동수준에 따른 신체구성요인은 혈압 고, 노인체력에서는 의자에서 일어섰다 앉기, 아령 들기, 의자앉아 앞으로 굽히기, 2분 제자리걷기, 2.4m 왕복 긷기에서 시기와 그룹 간에 상호작용 효과가 있는 것으로 나타났다. 또한 신체활동량이 많을수록 노인 체력의 의자에서 일어섰다 앉기, 아령들기, 2분 제자리걷기, 의자앉아 앞으로 굽히기, 2.4m 왕복걷기의 체력이 증가하는 것으로 나타났다. 이상의 결과를 종합해 보면 건강증진프로그램 참여는 노인여성들의 건강과 관련된 신체구성요인과 노인체력에 긍정적 효과가 있는 것으로 나타났다.