• Physical Therapy Korea
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• v.4 no.1
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• pp.20-29
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• 1997

The purpose of this study was to determine the effects of pelvic and lower extremity exercise on the gait in 25 patients(11 men, 14 women) with hemiplegia. Their mean age was 65.2 years and the mean post-onset duration was 8.7 months. Each participant received a total of 15 sessions of PNF(five times per week), and each session lasted 40 minutes and consisted of 2 procedures(20 minutes each). The first procedure was pelvic anterior elevation and posterior depression pattern. And the second procedure was lower extremity flexion-adduction with knee flexion pattern. Results showed significant progressive improvement in gait speed and cadence after each 5 session period(5th, 10th, 15th session) compared with pre-treatment data(P<0.05). Furthermore improvements were noted in stride length.

• Journal of Korean Physical Therapy Science
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• v.1 no.2
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• pp.345-353
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• 1994

Shoulder pain is probably the most frequent complication of hemiplegia. Many of the factors contributing to the occurrence of shoulder pain in hemiplegia have shown that the lesions of the rotator cuff tendon or the tendon of the long head of the biceps brachii, the reflex sympathetic dystrophy syndrome, shoulder-hand syndrome, subluxation and rupture of the rotator cuff. Subluxation has been measured by finger breadths, X-Ray, Radiological measure and jig device. The propose of this study decribes the sourse of shoulder pain with hemiplegia, method for subluxation measure and treatment of. hemiplegic shoulder pain.

• Proceedings of the Korean Society for Emotion and Sensibility Conference
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• 1999.11a
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• pp.202-207
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• 1999

응시위치 추적이란 현재 모니터 상에 사용자가 응시하고 있는 지점을 카메라로부터 얻은 영상정보로부터 파악해 내는 것을 말한다. 응시위치 추적을 이용하여 현재 사용자가 모니터 상에 바라보고 있는 응시위치점을 시각적으로 표시해 줌으로써 한쪽 면을 잘 인지하지 못하는 장애인들에 대한 진단 및 재활치료를 도울 수 있는 시스템을 개발하였다. 이와 같은 이와같은 시스템은 사용자가 관심있어할 만한 상황을 컴퓨터 시뮬레이션을 통해 가상적으로 만들고 그 안에 있는 물체들을 사용자가 고개움직임을 이용하여 움직일 수 있게 함으로써 사용자로 하여금 강한 동기력을 유발할 수 있으며 또한 편측 시각 무시에 대한 보다 정량적 인 진단을 가능하게 하며 기존의 작업치료사의 도움을 받아야 했던 것에서 탈피할 수 있으므로 인력 소모를 줄일 수 있는 등의 잇점이 있다.

• Journal of Biomedical Engineering Research
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• v.27 no.5
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• pp.260-266
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• 2006

Due to damaged vertebrae nerves, serious disease and aging, patients who have to lie down for long period of time need to exercise to maintain up-right standing position and recover their paralytic leg. This study describes a development of an intellectual tilt table which can provide a patient with rehabilitating condition. This can be possible by measuring and displaying the hee bent angle and pressure for each foot during exercise in real time. It is expected that the patient's exercising effect can increase by monitoring these two values during exercise.

• PNF and Movement
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• v.11 no.2
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• pp.119-126
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• 2013

Purpose : The neurologically impaired patients have sensory, motor, cognition, perception problems which cause reduction of body schema, balance control and postural control provoke disfunction. The purpose of this case report was to evaluate effects on gait&balance upon improvement of postural control for left hemiplegia. Methods : This study has performed single subject design from March to April 2013 for 6 weeks. The subject of this study was a 67years old female patient with left hemiplegia. Timed Up and Go (TUG) test and Functional Reach (FR) test were used as evaluation tool. The subject was treated 5 times a week for 30 minutes each. Results : The result is that the walking velocity was decreased, the ability of gait was improved than before the training. The length of FR was increased from 8.33cm to 22.67cm. Conclusion : According to the results, the treatment improves subject's ability of walking in this study.

• Journal of The Korean Society of Integrative Medicine
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• v.2 no.1
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• pp.23-34
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• 2014

연구목적 : 본 연구의 목적은 8주간의 점진적인 속도증진 훈련이 뇌졸중환자의 족저압, 보행주기, 보행대칭성에 어떠한 영향을 주는지 알아보는 것이다. 연구방법 : 연구에 참여한 대상자들은 뇌졸중으로 진단 받고 N병원에 입원한 편마비환자 20명(실험군 10명, 대조군 10명)을 대상으로 하였다. 이들은 모두 물리치료와 작업치료를 받았고, 실험군은 주3회, 8주간의 트레드밀 보행훈련를 받았고, 대조군은 받지 않았다. 실험전, 후에 F-scan을 이용하여 보행주기, 보행대칭성을 검사하였다. 연구결과 : 8주 후, 보행주기는 실험군의 양하지지지기 I II, 단하지지지기에서 모두 유의하게 증가하였으나, 대조군에서는 양하지지지기 II, 단하지지지기에서 유의하게 증가하였다. 유각기는 실험군과 대조군 모두 유의하지는 않았다. 보행대칭성은 입각기 대칭성에서 대조군과 비교하여 실험군에서 유의하게 증가하였으나, 유각기 대칭성은 실험군과 대조군 모두 유의하지 않았다. 결론 : 뇌졸중 환자에 있어 보행훈련은 보행주기과 보행대칭성과 를 개선시키며, 특히 점진적인 속도 증진훈련은 양하지지지기, 단하지지지기, 입각기 보행대칭성에 효과적인 방법으로 사용될 수 있을 것으로 보인다.

• The Journal of the Korea Contents Association
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• v.20 no.6
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• pp.114-123
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• 2020

The purpose of this study was to determine the effect of lower extremity strengthening program on balance, gait and upper limb function in patients with stroke. This study was a hospital-based with Central nerve system lesion patients, randomized controlled trial with a blinded assessor. Twenty four hemiparetic stroke patients were divided into two groups: a Lower extremity strengthening program group (LESPG)(n=12) and a Treadmill training group (TTG)(n=12). The LESPG performed a Lower extremity strengthening program on the affected side. The TTG exercised on a treadmill for 30 minutes a day. Assessment tools included the Timed Up and Go test (TUG), the Functional Gait Assessment (FGA) and the Manual Function Test (MFT). There was a significant difference in TUG, FGA, and MFT scores between the two groups in the LESPG for the balance, gait, and upper limb function than for the TTG(p<.01). Results of the present study indicated that the effect of lower extremity strengthening program for 4 weeks had an effect on balance, gait and upper limb function of hemiplegic patients after stroke.

• The Journal of Korean Physical Therapy
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• v.14 no.4
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• pp.1-19
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• 2002

The purpose of this study is to identify influence that eye movement have an effect on postural control and balance performance by plegia side of the impaired patients of central nervous system. Subjects are patients with the impairment of central nervous system and experimental and control groups are forty people and thirty people seperatively, Total subjects were selected to seventy persons, but twelve persons of experimental group quit during the experimental periods and eight persons of control group did not measure after exercise. Therefore, twenty eight persons of experimental group and twenty two persons of control group were selected in this study and experimental group peformed eye movement for eight weeks according to the exercise program of this study. The measurement of dependent variable is right static balance, left static balance, bilateral static balance, and bilateral dynamic balance before exercise and after eighth week of exercise, examiner again measured and analyzed the results. The results were as follows: 1. As the result of comparing balance performance ability after test of the experimental and control group with right hemiplegia and control group, all of static balance performance ability of right side (p < 0.01), static balance performance ability of left side (p < 0.01), static balance performance ability of bilateral side(p < 0.01), dynamic balance performance ability of bilateral side(p < 0.05) of experimental group were statistically greater improved than those of the control group. 2. As the result of comparing balance performance ability after test of the experimental and control group with left hemiplegia and control group, all of static balance performance ability of right side (p < 0.01), static balance performance ability of left side (p < 0.01), static balance performance ability of bilateral side(p < 0.05), dynamic balance performance ability of bilateral side(p < 0.05) of experimental group were statistically greater improved than those of the control group.

• Journal of The Korean Society of Integrative Medicine
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• v.8 no.3
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• pp.143-151
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• 2020

Purpose: This study aimed to investigate the effect of single-leg stance training according to different support surfaces on walking speed and balance in patients with chronic hemiplegia. Methods: Twenty-two patients with chronic stroke were randomly categorized into an experimental group (11 patients) and a control group (11 patients). In the experimental group, single-leg stance training was performed on an unstable surface after 50 min of general physical therapy. In the control group, single-leg stance training was performed on a stable surface after 50 min of general physical therapy. All participants performed five sets of single-leg stance exercises per minute and rested for 3 min. The intervention was performed 5 times a week for 4 weeks, and each patient was evaluated using the Berg Balance Scale (BBS), Fugl-Meyer Assessment Scale (FMA), and difference in walking speed between the first and last day of the intervention. Results: Compared to baseline measurements, both study groups showed significant increases in FMA, BBS, and walking speed (p<.05) after the intervention. However, there was no statistically significant difference (p>.05) between the experimental and control groups. However, in the experimental group, the increases in FMA, BBS, and walking speed were 3.36 %, 9.50 %, and 7.71 %, respectively. In the control group, the increases in FMA, BBS, and walking speed were 2.39 %, 6.65 %, and 7.64 %. Conclusion: Single-leg stance training on different support surfaces could help improve walking ability and balance in patients with chronic hemiplegia.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.9 no.2
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• pp.13-23
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• 2003

본 연구의 목적은 손 기능에 문제가 있는 환자들을 중심으로 splint의 효과를 알아보기 위한 기초조사로써 2명의 환자를 제주 한마음병원(Case1, 2)에서 2001년 6월부터 11월까지 조사하였다. 2명의 환자는 다음과 같다. i) 사례 1 : 뇌성마비 아동(4세, 남, 오른손)으로 한쪽 손목과 엄지손가락에 강직으로 인하여 잡기 기능에 제한이 있는 편마비 아동이다. ii) 사례 2 : 전기화상(56세, 남, 왼손)으로 4-5번째 손가락의 M.P joint와 I.P joint에 관절운동 제한으로 완전하게 주먹을 질 수가 없다. 연구를 위하여 손 기능의 평가는 표준화가 되어있는 Jebsen-hand function test, Total passive Motion(TPM)을 사용하였으며, 환자들의 만족도를 알아보기 위해서는 Canadian Occupational Performance Measure(COPM)을 사용하였다. i) 사례 1 : 두 가지 splint를 적용하였다. 즉 낮 동안에는 splint 1, 밤 동안에는 splint 2를 6시간 이상 착용하도록 하였으며 작업치료는 시행하지 않았다. ii) 사례 2 : 이 환자에게는 작업치료가 끝나는 동시에 splint. 3을 6시간 이상 착용하도록 하였으며, M.P joint와 I.P joint의 관절 변화를 조절하도록 특별히 고안된 splint를 적용하였다. 그 결과 사례 1의 Jebsen-hand function test시 초기에는 측정을 할 수가 없었으나, splint착용 후 크고 가벼운 물건 옮기기(44.15), 크고 무거운 물건 옮기기(42.66), 적목쌓기(44.63), 먹기 흉내내기(54.47) 등에서 처음 동작만 도와주면 측정이 가능할 수 있도록 진전을 보였다(그래프1), 사진(착용 전과 착용 후). 사례 2의 경우 Jebsen-hand function test의 적목쌓기와 먹기 흉내기가 가장 높았으며, 글씨 쓰기가 가능했다. 손의 관절가동 변화에서도 splint 착용전의 측정치와 착용 후 관절 가동 범위의 변화 폭이 약 $30_{\circ}$이를 보여주었다(그래프 2), (그래프3). 결론적으로 손 기능 회복에 직접적인 재활 치료뿐만 아니라, 치료 후에도 splint를 착용하여 가정에서도 계속적인 치료가 될 수 있도록 하는 것이 손의 기능회복에 도움이 됨을 알 수 있었다. 그러므로 각 환자의 문제점을 파악하여 적절한 splint를 제작해 줄 필요가 있다고 사료된다. 이 기초조사를 시작으로 하여 더 많은 환자들을 대상으로 splint가 손 기능 회복에 어떠한 영향을 미치는지 그 효과에 대하여 계속적인 연구가 필요할 것이다.