• 제목/요약/키워드: 균형 훈련

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종아리근육 키네시오 테이핑을 병행한 발뒤꿈치 들기 훈련이 만성 뇌졸중 환자의 강직 및 균형능력에 미치는 영향 (Effects of Heel-raise-lower with Kinesio Taping of Triceps Surae on Spasticity and Balance Ability in Patients with Chronic Stroke)

  • 김경훈
    • PNF and Movement
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    • 제21권2호
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    • pp.213-222
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    • 2023
  • Purpose: The purpose of this study was to investigate the effects of heel-raise-lower with Kinesio Taping (HKT) on spasticity and balance ability in patients with chronic strokes. Methods: The participants were divided randomly into the HKT group and heel-raise-lower with sham (control group), with 38 participants assigned to each group. Both groups received heel-raise-lower lifting 100 times, 5 times/week for 4 weeks. The HKT group applied Kinesio Taping to the calf muscles. The control group applied Kinesio Taping transversely to the ankle joint and tibialis anterior muscle. The composite spasticity score was used to evaluate the ankle plantar flexors. The center of pressure with the eyes open and closed and limited stability was measured using BioRescue equipment. Both groups evaluated spasticity and balance ability before the experiment and after 4 weeks. Statistical methods before and after working around spasticity and balance ability were independent t-tests. Results: After training, spasticity showed significant improvement in the HKT group and in the control group (p < 0.05). Similarly, balance ability was significantly more improved in the HKT group after 4 weeks of training compared to the control group (p < 0.05). Conclusion: We confirmed the effects of heel-raise-lower with Kinesio Taping (HKT) on spasticity and balance ability in patients with chronic strokes.

인지과제를 결합한 장애물 보행훈련이 뇌졸중 환자의 균형과 보행능력 및 일상생활동작에 미치는 효과 -단일사례연구- (Effect of Obstacle Walking Training Combined with Cognitive Tasks on Balance, Gait, and Activities of Daily Living in Patients with Stroke: A Single Case Study)

  • 송민정;김범룡
    • PNF and Movement
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    • 제21권1호
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    • pp.11-18
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    • 2023
  • Purpose: This study aims to compare the effects of obstacle walking training combined with cognitive tasks on balance, gait, and activities of daily living in patients with stroke. Methods: A single-subject design was used, where one stroke patient participated. Obstacle walking training combined with cognitive tasks was performed for 1 hour per day for a total of 10 times during the intervention phase. The subjects were measured five times in the baseline phase, 10 times in the intervention phase, and five times in the follow-up phase. The outcome measurements included the Berg balance scale (BBS), the 10-meter walk test (10 MWT), and the Korean modified Barthel index (K-MBI). Results: In this study, the results showed that the 10 MWT scores during the intervention period improved and that this improvement remained, even during the post-period. In addition, BBS and K-MBI values for stroke patients increased significantly after training. Conclusion: The results of this study revealed that obstacle walking training combined with cognitive task training may be helpful to improve balance, gait, and activities of daily living in stroke patients. Therefore, obstacle walking training combined with cognitive tasks is recommended for stroke patients.

내측 사두거근 및 햄스트링근 강화 훈련이 동적 균형 능력에 미치는 영향 (The Effect of Strength Training Targeting Medial Quadriceps and Hamstrings on Dynamic Balance )

  • Jiyoung Jeong;Choongsoo S. Shin
    • 한국운동역학회지
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    • 제33권2호
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    • pp.45-51
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    • 2023
  • Objective: The aim of this study was to examine the effect of strength training targeting medial quadriceps/hamstrings and non-targeting strength training on dynamic balance. Method: A total of 51 healthy subjects were randomly assigned to control, targeting strength training, or non-targeting training groups. To measure the dynamic balance, the star excursion balance test (SEBT) was performed before and after training. The SEBT parameters were compared using repeated measures ANOVA, and post-hoc paired t test at a significance level of 0.05. Results: Greater anterior (p= .011), anteromedial (p= .001), medial (p< .001), lateral (p< .001), and anterolateral (p= .001) reach distances were found between pre- and post-training in the strength training targeting medial thigh muscles group. Only greater lateral reach distance was found after non-targeting strength training (p= .029). In addition, no differences were found for any SEBT scores in the control group. Conclusion: Strength training targeting medial quadriceps and hamstrings can improve the dynamic balance, thereby it positively affected in lower extremity injury risk, whereas non-targeting strength training rarely changes the dynamic balance.

호흡 훈련이 사격선수의 균형, 폐기능, 사격점수에 미치는 영향 (Effects of breathing training on balance, lung function, and shooting scores in shooters)

  • 방환복;이영석;이양진
    • 대한물리치료과학회지
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    • 제30권4호
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    • pp.54-62
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    • 2023
  • Background: The purpose of this study was to investigate the effects of breathing training on the balance ability, lung capacity, and shooting score of shooting athletes. Design: Randomized controlled trial. Methods: Twenty shooters were randomly assigned to the experimental group and the control group. Both the experimental group and the control group performed trunk stabilization exercise, and the experimental group received breathing training during exercise. Balance ability, lung capacity, and shooting score were measured before and after the intervention. Results: There was a significant difference in the forced expiratory volume at one second(FEV1), forced vital capacity(FVC) before and after intervention in the experimental group. In the comparison between the two groups, there was a significant difference in FVC between the control group and the control experimental group. Conclusion: The application of breathing training was effective in improving the lung capacity of shooters.

앞정강근의 키네지오 테이핑을 병행한 인지이중과제 훈련이 뇌졸중 환자의 균형 및 보행능력에 미치는 영향 (Effects of Kinesio Taping of Tibialis Anterior Combined with Cognitive Dual-Task Training on Balance and Gait Ability in Post-Stroke Patients)

  • 최재용;김경훈
    • 대한물리의학회지
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    • 제19권2호
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    • pp.65-73
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    • 2024
  • PURPOSE: This study examined the effects of kinesio taping of tibialis anterior combined with cognitive dual-task training on balance and gait ability in post-stroke patients. METHODS: This study was a single-blinded, randomized control design. Thirty post-stroke patients were allocated randomly to two groups: 1) kinesio taping of tibialis anterior combined with cognitive dual-task training (KTCDT group, n = 15) and cognitive dual-task training (Control group, n = 15). Both groups were given training for 30 minutes, five days a week for four weeks. The Berg balance test and timed up-and-go test were used to measure the balance ability. GaitRite was used to analyze the gait ability. RESULTS: Both groups showed significant improvements in balance and gait ability. The KTCDT group showed significantly greater improvement in balance ability after four weeks than the control group (p < .05). In addition, the KTCDT group showed significantly greater improvement in gait ability after four weeks compared to the control group (p < .05). CONCLUSION: Kinesio taping of the tibialis anterior combined with cognitive dual-task training effectively improves the balance and gait abilities in post-stroke patients.

지도학습 기반 암상 분류 시 클래스 간 자료 불균형을 고려한 평가지표 개발 (Development of Evaluation Metrics that Consider Data Imbalance between Classes in Facies Classification)

  • 김도완;최준환;변중무
    • 지구물리와물리탐사
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    • 제23권3호
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    • pp.131-140
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    • 2020
  • 머신러닝을 이용한 분류 모델 훈련에서 학습자료의 양과 질은 학습한 모델의 성능을 좌우하므로 학습자료 생성이 매우 중요한 역할을 한다. 그러나 자료 생성에 높은 비용이 들어 이상적인 학습자료 생성이 어려울 때에는 클래스 간 자료 불균형 문제가 발생한다. 만약 학습자료로 사용될 탐사자료가 클래스 간 불균형하게 얻어지면, 클래스 별로 균형있는 학습이 이루어지기 힘들다. 따라서 데이터가 상대적으로 적은 클래스는 재현율이 현저히 떨어지게 된다. 그 뿐만 아니라 정확도와 정밀도 등의 평가지표들에 대한 신뢰도가 떨어지게 된다. 따라서 이 연구에서는 두 단계에 걸쳐 자료 불균형 문제를 해소하고자 하였다. 첫 번째로 기존의 정확도와 정밀도를 개선하여 자료 불균형을 고려할 수 있는 새로운 평가지표로 가중정확도와 가중정밀도를 고안하였다. 다음으로 클래스 간의 가중정밀도와 재현율의 균형을 맞추어 주도록 오버샘플링을 수행하였다. 개발한 알고리듬을 물리검층 자료를 이용한 암상 및 공극유체 규명 문제에 적용함으로써 검증하였다. 그 결과 다수 클래스와 소수 클래스들 간의 불균형이 상당 부분 완화되었고, 클래스 간의 경계를 보다 명확하게 확인할 수 있었다.

전신진동자극을 동반한 점진적 균형훈련 프로그램이 무릎뼈 관절염 환자의 무릎관절 통증과 기능장애 수준, 심리사회적 수준 그리고 균형능력에 미치는 효과 (Effects of Progressive Balance Training Exercise Programs with Whole Body Vibration on Pain, Function, Psychosocial Status, and Balance in Patients with Knee Osteoarthritis )

  • 윤상우;김선엽
    • 대한물리의학회지
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    • 제19권1호
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    • pp.81-94
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    • 2024
  • PURPOSE: This study aimed to investigate the effect of a progressive balance training program with whole-body vibration stimulation on knee joint pain, dysfunction, psychosocial status, and balance ability in individuals aged ≥ 65 years with knee osteoarthritis. METHODS: A total of 40 individuals aged ≥ 65 years with osteoarthritis of the knees participated in the study. Using a randomization program, participants were assigned to an experimental group (n = 20) or a control group (n = 20). Both groups were assigned a knee strength training program, and a progressive balance training program with whole-body vibration stimulation was assigned to the experimental group. All interventions were conducted three times a week for four weeks. Participants were evaluated for the following: pain (numeric rating scale, NRS), knee dysfunction (Korean version of the Western Ontario and McMaster Universities Arthritis Index, K-WOMAC), fall efficacy (Korean Version Falls Efficacy Scale, K-FES), quality of life (Euro Quality of life 5 Dimension, EQ-5D), and advanced balance scale score (Fullerton advanced balance scale, FAB) before and after the intervention, and the effects of the intervention were compared accordingly between groups. RESULTS: Both groups showed significant differences in the results of the NRS, K-WOMAC, K-FES, and EQ-5D assessments before and after the intervention, and there was a significant difference in the amount of change between the two groups (p < .05). There was a significant improvement in FAB in all but items FAB 8 and FAB 9 after the intervention in the experimental group. In the control group, there was a significant improvement in FAB 1, FAB 2, FAB 7, and FAB total after the intervention (p < .05). In addition, there was a significant difference in the amount of change between the two groups in all items except FAB 8 and FAB 9 (p < .05). CONCLUSION: The progressive balance training program with whole body vibration stimulation is an effective intervention method with clinical significance in improving knee joint pain, knee disability index, psychosocial level, and balance ability in adults aged ≥ 65 with osteoarthritis of the knees.

영상 데이터 특징 커버리지 기반 딥러닝 모델 검증 기법 (Deep Learning Model Validation Method Based on Image Data Feature Coverage)

  • 임창남;박예슬;이정원
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제10권9호
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    • pp.375-384
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    • 2021
  • 딥러닝 기법은 영상 처리 분야에서 높은 성능을 입증 받아 다양한 분야에서 적용되고 있다. 이러한 딥러닝 모델의 검증에 가장 널리 사용되는 방법으로는 홀드아웃 검증 방법, k-겹 교차 검증 방법, 부트스트랩 방법 등이 있다. 이러한 기존의 기법들은 데이터 셋을 분할하는 과정에서 클래스 간의 비율에 대한 균형을 고려하지만, 같은 클래스 내에서도 존재하는 다양한 특징들의 비율은 고려하지 않고 있다. 이러한 특징들을 고려하지 않을 경우, 일부 특징에 편향된 검증 결과를 얻게 될 수 있다. 따라서 본 논문에서는 기존 검증 방법들을 개선하여 영상 분류를 위한 데이터 특징 커버리지 기반의 딥러닝 모델 검증 기법을 제안한다. 제안하는 기법은 딥러닝 모델의 학습과 검증을 위한 훈련 데이터 셋과 평가 데이터 셋이 전체 데이터 셋의 특징을 얼마나 반영하고 있는지 수치로 측정할 수 있는 데이터 특징 커버리지를 제안한다. 이러한 방식은 전체 데이터 셋의 특징을 모두 포함하도록 커버리지를 보장하여 데이터 셋을 분할할 수 있고, 모델의 평가 결과를 생성한 특징 군집 단위로 분석할 수 있다. 검증결과, 훈련 데이터 셋의 데이터 특징 커버리지가 낮아질 경우, 모델이 특정 특징에 편향되게 학습하여 모델의 성능이 낮아지며, Fashion-MNIST의 경우 정확도가 8.9%까지 차이나는 것을 확인하였다.

가상 운동 훈련 프로그램(Wii fit)이 여성노인들의 균형증진에 미치는 영향 (The effect of virtual exercise training program on the balance increase of women elderly)

  • 최재원;정현애;김은비;류애리;박소영;조경미;오미희
    • PNF and Movement
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    • 제8권3호
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    • pp.1-8
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    • 2010
  • Purpose : The purpose of this study was to investigate the effects of virtual exercise training programs on the improvement of balance in the elderly women. Methods: The subjects were fifteen female citizens, 67 years of age or older living in G city, the subjects were randomly divided into groups; Virtual exercise training group(n=9), control group (n=6). After treatment measured balance by Berg Balance scale test and One-leg stand test during virtual exercise training program at pre-intervention and post-intervention. Results : The results of this study were as follows : Virtual Exercise Training Program (Wii fit) after applying the Berg balance test scores and One-Legged Stance Test, the evaluation results showed significant results(p<05). Conclusion : Virtual exercise training programs can be used to improve the balance of the elderly, as it has been shown to increase Berg balance test and one-leg stand results conducted after virtual training programs. Virtual Exercise Programs(Wii fit) were applied to demonstrate the effecting the balance of the elderly to promote more research on the impact of the ADL survey.

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트레드밀 측방보행 훈련 동안 시각차단이 뇌졸중 환자의 균형 및 보행에 미치는 영향 (Effects of Visual Cue Deprivation During Sideways Treadmill Training on Balance and Walking in Stroke Patients)

  • 김태우;김용욱
    • 한국전문물리치료학회지
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    • 제21권1호
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    • pp.20-28
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    • 2014
  • The purpose of this study was to investigate the effects of visual cue deprivation during sideways treadmill training in individuals with stroke. Twenty-eight stroke patients were divided into two groups, and each group participated in a sideways treadmill training session for 20 minutes, three times per week for 4 weeks. The eyes close group (15 subjects) performed this treadmill training with visual cue deprivation, while the eyes open group (13 subjects) performed it without visual cue deprivation. Gait function was measured in both groups before and after the training sessions with the Biodex Gait Trainer 2, which determined walking speed, distance, step length, and time on each foot. Balance was measured before and after each training period in both groups using the Five-Times Sit-to-Stand Test (FTSST), the Timed Up and Go test (TUG), and the seven-item Berg Balance Scale-3P (7-item BBS-3P). The eyes close group showed significantly improved gait function, walking speed, distance, step length, and time on each foot after training (p<.05). The eyes close group showed improved balance ability, FTSST, TUG, and 7-item BBS-3P test after training (p<.05). The findings indicated that sideways treadmill training with visual cue deprivation positively affects gait ability of stroke patients. Therefore, sideways treadmill training with visual cue deprivation may be useful for the recovery of gait ability of stroke patients.