• 재활복지
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• v.14 no.3
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• pp.225-256
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• 2010

This study aims to provide the basic data of the rehabilitation program for the schoolchild with intellectual disability by designing new framework of the features of postural control for the schoolchild with intellectual disability. For this, the study investigated what sensations the schoolchild are using to maintain posture by selectively or synthetically applying vision, vestibular sensation and somato-sensation, and how the coordinative sensory system of the schoolchild is responding to any sway referenced sensory stimulus. The study intended to prove the limitation of motor system in estimating the postural stability by providing the cognitive motor task, and provided the features of postural control of the schoolchild with intellectual disability by measuring the onset times and orders of muscle contraction of neuron-muscle when there is a postural control taking place due to the exterior disturbance. Furthermore, by comparatively analyzing the difference between the normal schoolchild and the intellectually disabled schoolchild, this study provided an optimal direction for treatment planning when the rehabilitation program is applied in the postural control ability training program for the schoolchild with intellectual disability. Taking gender and age into consideration, 52 schoolchild including 26 normal schoolchild and 26 intellectually disabled schoolchild were selected. To measure the features of postural control, CTSIB test, and postural control strategy test were conducted. The result of experiment is as followed. First, the schoolchild with intellectual disability showed different feature in using sensory system to control posture. The normal schoolchild tended to depend on somato-sensory or vision, and showed a stable postural control toward a sway referenced stimulus on somato-sensory system. The schoolchild with intellectual disability tended to use somato-sensory or vision, and showed a very instable postural control toward a sway referenced vision or a sway referenced stimulus on somato-sensory system. In sensory analysis, the schoolchild with intellectual disability showed lower level of proficiency in somato-sensation percentile, vision percentile and vestibular sensation percentile compare to the normal schoolchild. Second, as for the onset times and orders of muscle contraction for strategies of postural control when there is an exterior physical stimulus, the schoolchild with intellectual disability showed a relatively delayed onset time of muscle control, and it was specially greater when the perturbation is from backward. As for the onset orders of muscle contraction, it started from muscles near coax then moved to the muscles near ankle joint, and the numbers and kinds of muscles involved were greater than the normal schoolchild. The normal schoolchild showed a fast muscle contracting reaction from every direction after the perturbation stimulus, and the contraction started from the muscles near the ankle joint and expanded to the muscles near coax. From the results of the experiments, the special feature of the postural control of the schoolchild with intellectual disability is that they have a higher dependence on vision in sensory system, and there was no appropriate integration of swayed sensation observed in upper level of central nerve system. In the motor system, the onset time of muscle contraction for postural control was delayed, and it proceeded in reversed order of the normal schoolchild. Therefore, when use the clinical physical therapy to improve the postural control ability, various sensations should be provided and should train the schoolchild to efficiently use the provided sensations and use the sensory experience recorded in upper level of central nerve system to improve postural control ability. At the same time, a treatment program that can improve the processing ability of central nerve system through meaningful activities with organizing and planning adapting reaction should be provided. Also, a proprioceptive motor control training program that can induce faster muscle contraction reaction and more efficient onset orders from muscularskeletal system is need to be provided as well.

• Journal of Astronomy and Space Sciences
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• v.16 no.2
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• pp.265-272
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• 1999

A thrusters modulation method is suggested for spacecraft attitude control with asymmetric configured thrusters during orbit adjustment maneuvers. Attitude is controlled by thrusters off-modulation during orbit maneuvers. Usual control method for symmetric configured thrusters cam not be applied for asymmetric configured thrusters. Disturbance induced from thrusters asymmetricity shall be compensated during pulsing. In this paper, a thrusters control method using null solution is suggested, which is shown working well without inducing disturbance.

• Proceedings of the Korea Information Processing Society Conference
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• 2016.04a
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• pp.868-870
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• 2016

균형 조절 능력 저하를 진단하고 치료하기 위해서는 자세 조절 능력을 객관적으로 평가하는 것이 매우 중요하다. 임상에서 사용하는 자세검사기는 고감도 압력센서를 사용하기 때문에 종래의 임상적 검사보다 객관적이고 정량적으로 자세 불안정성을 평가할 수 있다. 하지만 일반적으로 사용하는 자세검사기는 차지하는 공간이 크고 비싼 가격 때문에 소규모 병원이나 개인이 사용하기에는 어려움이 있다. 이에 본 논문에서는 키넥트와 위 밸런스 보드에서 획득한 정보를 이용하여 자세 불안정성을 평가하는 저비용 자세검사 시스템을 제안한다. 본 논문에서 제안한 자세검사 시스템을 실제 임상 환경에 적용한다면 간편하고 정량적으로 자세 조절 능력을 평가할 수 있는 환경을 제공할 수 있을 것이다.

• 한국체육학회지인문사회과학편
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• v.58 no.6
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• pp.449-459
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• 2019

The purpose of this study is to identify how postural mechanics affects postural control on balance and stability by using frequency analysis technique from the kinematic data acquired during the one leg standing posture. For this purpose, the experimental group consisted of two groups, the normal group (n=6) and the national Gymnastics group (n=6). Displacement data of CoP were analyzed by frequency analysis of rambling (RM) and trembling (TR) by FFT signal processing. As a results, there was a significant difference in evaluating the stabilization index between the two groups with the eyes open and closed one leg stnading (p <.05). The cause of the difference was found to be the output of the maximum amplitude of RM (f1) and TR (f2) (p <.05). In particular, in the low frequency RM of 8-9 Hz, which is a natural frequency of signal wave involved in postural feedback feedback, the main frequency appeared to be performs the exercise mechanism of stable brain posture control. And in the high frequency TM of 120-135 Hz, it is considered that the adaptation of the reflective muscle response is minimized to minimize posture shaking. In conclusion, this study provides evidence for the intrinsic main frequencies according to the postural control ability which affects the CNS in one leg standing.

• The Journal of Korean Physical Therapy
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• v.11 no.3
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• pp.71-79
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• 1999

본 연구의 목적은 균형 훈련이 중추신경계 손상자들의 자세 조절 및 중추감각신경전도로에 미치는 영향을 규명하는데 있다. 연구대상자는 중추신경계 손상자로써 실험군 10명, 통제군 10명 등 총 20명을 선정하였으며, 실험군은 본 연구의 훈련 프로그램에 따라 12주간 force platform을 이용하여 균형훈련을 실시토록하였다. 자세조절 변인의 측정은 운동처치 전, 처치 후 8주 및 12주 후에 대상자들의 동적 및 정적 자세에서의 흔들림을 Dynamic Balance System을 이용하여 측정하였고, 체성감각 유발전위의 말초신경 근위부 유발전위$(N_9)$ 잠복기, 척수 유발전위$(N_{13})$ 잠복기, 뇌 유발전위 $(N_{20})$ 잠복기는 Neurotec을 이용하여 측정 분석한 결과 다음과 같은 결론을 얻었다. 1. 정적 자세 조절 요인의 경우, 좌우 흔들림과 전후 흔들림은 실험군에서 8주 후부터 유의하게 (p<.05) 감소하였고, 실험군이 통제군에 비해 운동처치 8주 및 12주 후에 각각 유의하게(P<.05, P<.01) 흔들림이 감소하였다. 2. 전후 이동면과 전후 기울기면에서 동적 자세 조절의 변화는 전후 이동면에서 좌우 흔들림과 전후 흔들림은 실험군에서 8주 후부터 유의하게 (P<.05) 감소하였으며, 실험군이 통제군에 비해 운동처치 8주 및 12주 후에 각각 유의하게 (P<.05, p<.01) 흔들림이 감소하였다. 3. 체성감각 유발전위의 잠복기 변화는 실험군과 통제군에 있어서 말초신경 근위부 유발전위$(N_9)$ 잠복기와 척수 유발전위$(N_{13})$ 잠복기가 다소 증가하였으나 유의한 차이는 나타나지 않았으며, 실험군에 있어서 뇌 유발전위 $(N_{20})$ 잠복기는 8주 후부터 유의하게 (P<.05) 증가하였다. 이상의 결과를 종합해 볼 때, 12주의 균형 훈련은 자세 조절에 있어서 전후와 좌우의 흔들림을 감소시킴으로써 정적인 상태나 동적인 상태에서의 자세 안정성을 증가시킬 수 있음을 시사하고 있다. 이는 자세 조절에 필요한 항중력근의 긴장성 수축을 유발시킬 뿐만 아니라 근육 긴장분포를 조절할 수 있다는 것으로 신경근 조절 기능의 향상을 의미하는 것으로 사료된다. 또한 뇌 유발전위 $(N_{20})$ 잠복기의 증가는 중추신경계의 감각기능의 신경학적 회복을 의미하는 것으로 중추신경계의 감각 운동통합에도 영향을 미쳐 운동기능의 향상을 기대할 수 이을 것으로 사료된다.

• The Journal of Korean Academy of Sensory Integration
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• v.14 no.2
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• pp.46-57
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• 2016

Objective : The purpose of this study is to prove the effects of exercise intervention on postural control of children with cerebral palsy in Korea by systematic review. Methods : Total 18 studies were selected through Korean research database engine such as DBpia, KISS and RISS for the systematic review in this study. Key words used were 'cerebral palsy', 'postural control' and 'balance' and publication time period was limited only after October 2006 in the research selection. All the selected studies were reviewed in terms of quality level of evidence and methodological quality level, and then the results were analyzed with Patient, Intervention, Comparison, Outcome (PICO). Results : For the level of evidence, it is found that 8 studies show Grade I, 5 studies show Grade III, and 2 studies show Grade V. In terms of Methodological quality, majority of the studies showed 'Fare' level. Majority of target population of the studies was children with spastic diplegia. Most research design of the studies were randomized controlled trials. The results in several suited showed that the postural control exercise used in Korea has positive impact on improvement of motor and balance ability. Conclusion : Impact of the exercise intervention used in Korea for postural control of children with cerebral palsy has been evidenced in this study. It is proposed that further research need to be done considering several types of cerebral palsy.

• Journal of Digital Convergence
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• v.11 no.12
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• pp.487-494
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• 2013

The purpose of this study was to determine the effect of mechanical horseback riding training on trunk control, balance function in stroke patients. 15 stroke patients were recruited for this study. The subjects were randomly assigned to two groups: experimental(n=7) and control(n=8). All subjects received a routine physical therapy. The mechanical horseback riding training was for 30 min in the case of the EG subjects. This study was carried out approximately 8 weeks from March 4 to May 3. The assessment tools of this study involved the trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test. The measurements were recorded before the intervention and after the intervention. In the cases of the EG subjects and CG subjects, the variables measured after the intervention significantly differed from trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test before the intervention (p<.05). Also, there were significant differences in trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test at post test between the 2 groups (p<.05). The findings indicate that mechanical horseback riding training exerts a positive effect on trunk control, balance function in stroke patients. Further studies are required to generalize the result of this study.

• Science of Emotion and Sensibility
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• v.2 no.1
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• pp.95-103
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• 1999

침대에서의 체압분포는 수면 안락감에 중요한 영향을 미치는 요인중의 하나로 고려되어져 왔다. 체압분포는 사람의 몸무게에 의하여 침대와 누운사람 사이의 접촉면에서 발생하는 압력의 분포를 말한다. 안락한 체압분포 패턴을 결정하기 위하여 사용자가 침대 8부분의 높이를 조절할 수 있는 가변침대를 사용하였다. 체압분포 측정은 각 수면자세(바로 누운 자세, 옆으로 누운 자세, 엎드린 자세)에서 가변침대의 초기상태와 피실험자가 편안한 체압분포 패턴을 유지하도록 높이를 조절한 상태에서 이루어졌다. 본 연구에서는 각 수면자세에서 체압비와 선호하는 체압비의 특징을 알아보았다. 본 연구의 결과를 요약하면 다음과 같다. - 각 수면자세에서 엉덩이 부분의 체압비가 가장 높았으며, 바로 누운 자세는 40% 이상의 체압비가 엉덩이에 집중한다. - 각 수면자세에서 전체적으로 머리와 다리의 높이가 다른 부분보다 높은 것을 선호하는 경향을 나타난다. - 바로 누운 자세에서는 유추를 기준으로 신체가 W형이 되도록 머리, 요추, 대퇴부분의 높이를 올리는 것을 선호한다. - 엎드린 자세는 머리와 다리부분의 높이를 증가시킴으로써 신체이 곡선이 U형이 되도록 하는 것을 선호한다.

• The Journal of the Korea Contents Association
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• v.12 no.3
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• pp.25-33
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• 2012

In this study, we analyzed the effects of game-based visual feedback training on postural balance control in young adults. We provided postural balance training for four weeks in fifth minute a day and three days a week using training system of postural balance based forceplate. We evaluated the ability of postural balance using balance SD(Biodex, medicalscience Inc., USA) for the validation of game contents based visual feedback training program. The results showed that postural stability and limits of stability were improved significantly before and after the training(p<0.05). Our study indicates that postural balance training of visual feedback based game could be adapted for improving postural balance. Also, for application of this game-based visual feedback training in older adults, we could develope of various game contents for disease types and conduct quantitative analysis and data collection of postural balance in the aged.

• The Journal of Korean Academy of Sensory Integration
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• v.11 no.2
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• pp.1-11
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• 2013

Objective : The purpose of this study is to verify the effect of sensory integrative intervention on postural control and occupational performance (play) of the preschool child with postural disorder. Methods : Subject of this study was a 5 years and 8 month old boy. The subject underwent a sensory integration (SI) treatment which was part of the SI clinic course administered by the Korean Sensory Integration Society, in 2012. The treatment goal and treatment plan had established based on the evaluation results. Treatment was done with 11 sessions, the treatment activities and the adaptive responses of the subject were measured as outcome of the SI treatment. The goal of sessions were measured as Goal Attainment Scale, and re-evaluation was done on December in 2012. Results : During SI treatment, the subject was improved the stability of proximal body parts so that maintained Supine-Flexion Posture more than 20 seconds. He also showed increased attention span continuously about 1 activity on physical play. Conclusion : According to the results of this study, it was verified that sensory integrative intervention has positive effective on postural control and occupational performance (play) of the preschooler with postural disorder.