• Title/Summary/Keyword: 협응

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Coordinated Intra-Limb Relationships and Control in Gait Development Via the Angle-Angle Diagram (보행 시 연령에 따른 하지 관절 내 운동학적 협응과 제어)

  • Lee, Kyung-Ok
    • Korean Journal of Applied Biomechanics
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    • v.14 no.3
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    • pp.17-35
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    • 2004
  • The purpose of this study is to explain developmental process of gait via angle-angle diagram to understand how coordinated relationships and control change with age. Twenty four female children, from one to five years of age were the test subjects for this study, and their results were compared to a control group consisting of twenty one adult females. The Vicon 370 CCD camera, VCR, video timer, monitor, and audio visual mixer was utilized to graph the gait cycle for all test subjects. Both coordinated Intra-limb relationships, and range of motion and timing according to quadrant were explained through the angle angle diagram. Movement in the sagittal plane showed both coordinated relationships and control earlier than movement in the coronal or transverse plane. In the sagittal plane, hip and Knee coordinated relationships developed first (from one year of age.) Coordinated relationships in the Knee and ankle and hip and ankle developed next, respectively. Both hip and ankle and knee and ankle development were inhibited by the inability of children to completely perform plantar flexion during the swing and initial double limb support phases. Children appeared to compensate for this by extending at their hip joint more than adults during the third phase, final double limb support. In many cases the angle angle diagram for children had a similar shape as adult's angle angle diagram. This shows that children can coordinate their movements at an early age. However, the magnitudes and timing of children's angle angle diagrams still varied greatly from adults, even at five years of age. This indicates that even at this age, children still do not possess full control of their movements.

A Study on Design and Development of a VR-Tangible Interaction Therapy System for Autism Children (VR-Tangible Interaction을 이용한 발달장애 아동의 치료 시스템 디자인 개발 연구)

  • Lee, Hyun-Jin;Suh, Dong-Soo;Choi, Min-Young
    • Archives of design research
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    • v.20 no.3 s.71
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    • pp.215-224
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    • 2007
  • A VR-Tangible Interaction therapy system for autistic children has been designed and implemented. The purpose of this system is to provide a virtual interactive experience for autistic children to check their performances in various tasks and to provide them with the effect of a medical treatment. An interdisciplinary study was deployed by a group of designers, doctors, psychologists and engineers. 14 interaction scenarios were designed and developed. Scenarios include such tasks as to guess a person's feeling by watching his facial expressions, to choose what a person is gazing at, and to pop virtual balloons with a stick. A prototype system was developed and a pilot study made with 11 autistic children. The test showed that autistic children easily understood and enjoyed the virtual environment, and promising theraphy results were also found.

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Effect of Paraspinal Muscle Fatigue on Proprioception and Coordination of the Lower Limb (부척추근의 근피로가 하지의 고유수용성 감각과 협응 능력에 미치는 영향)

  • Park, Min-Chull;Kim, Hyoung-Su;Lee, Sang-Youl;Lee, Myoung-Hee;Goo, Bong-Oh;Yoon, Chang-G
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.4
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    • pp.255-260
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    • 2008
  • Purpose : This study was performed to find out the influence of the change on proprioception and coordination of the lower limb by experimentally induced paraspinal muscle fatigue, Methods : Twelve subjects(6 males, 6 females) with no history low back and lower limbs problem volunteered for this study. Subjects were pre-tested proprioception and coordination using the MR-FSS(Mornitored Rehab Functional Squat System). And then the subjects performed isometric paraspinal muscles contraction for induced muscle fatigue. Muscle fatigue was defined surface EMG(MP 150). After isometric contraction, the subjects were post-tested using the MR-FSS. Results : In comparison of coordination, deviation of concentric coordination was increased(from $0.50{\pm}0.13cm$ to $0.67{\pm}0.21$)(p<0.05) and deviation of eccentric coordination was also increased(from $0.51{\pm}0.15cm$ to $0.70{\pm}0.26cm$)(p<0.05). And deviation movement of proprioceptive test was increased(from $4.98{\pm}1.80cm$ to $5.69{\pm}1.98cm$), but there was no significant different(p>0.05). Conclusion : Fatigue of paraspinal muscles was decreased concentric and eccentric coordination of the lower limb.

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Estimation of Joint Moment and Muscle Force in Lower Extremity During Sit-to-Stand Movement by Inverse Dynamics Analysis and by Electromyography (역동역학해석 및 근전도 신호를 이용한 앉기-서기 동작에서의 하지 관절 모멘트 및 근력 예측)

  • Kim, Yoon-Hyuk;Phuong, Bui Thi Thanh
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.34 no.10
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    • pp.1345-1350
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    • 2010
  • Sit-to-stand movement is a basic movement in daily activities. On the basis of this movement, the biomechanical functions of a person can be evaluated. The study of the joint kinematics, moment, and muscle coordination is necessary to understand the characteristics of the sit-to-stand movement. We have developed a motion-based program for inverse dynamics analysis and the electromyogram-based program for muscle force prediction. The joint kinematics and the kinetic results estimated on the basis of obtained motion data, ground reaction force, and electromyogram signals were compared with those reported in previous studies, and the muscle forces determined by the two methods were compared with each other. The methods and programs developed in this study can be used to understand biomechanics and muscle coordination involved in basic movements in daily activities.

Effect of CLT and Sling Exercise Combined Program on Knee Pain in Patellofemoral Pain Patient: A Single-Subject Study (협응이동훈련과 슬링운동 결합 프로그램이 무릎넙다리통증 환자의 무릎통증 및 기능적 움직임에 미치는 영향: 단일사례 연구)

  • Kim, Seong-hwan;Yu, Seong-hun;Park, Se-jin
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.2
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    • pp.73-81
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    • 2019
  • Background: Patellofemoral pain is one of the common diseases of the musculoskeletal system. Many previous studies have recommended the application of exercise therapy to patellofemoral pain patients for treatment. The purpose of this study was to investigate effect of coordinative locomotor training (CLT) and sling exercise combined program on knee pain and functional movement in patellofemoral pain patient. Methods: In this study, single-subject design (A-B-A') was conducted for 6 weeks. A repeted-measure analysis was conducted to assess results of the anterior knee pain scale (AKPS), Clarke's test (CT), eccentric step down test (ESDT). During the intervention (B), the CLT and sling exercise combined program was conducted three times a week for 4 weeks. Results: From baseline period A to intervention period B, the AKPS, CT, ESDT were improved from 61 to 48 (27%), from 8.33 to 3 (64%), from 7.67 to 3,58 (53%). From baseline period A to baseline period A', the AKPS, CT, ESDT were improved from 70.67 to 48 (47%), from 0.67 to 3 (92%), from 1.33 to 3,58 (83%). Conclusion: Based on the results of this study, we recommend the application of CLT and sling exercise combined program to improve the pain and functional movement in patellofemoral pain patients.

The Effect of Coordinative Locomotor Training on Physical Factors for Falls in the Elderly with Mild Cognitive Impairment (협응이동훈련이 경도인지장애노인의 낙상물리요인에 미치는 영향)

  • Park, Mihee;Lee, Dong-Woo;Jeong, Mo-Beom
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.2
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    • pp.65-73
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    • 2020
  • PURPOSE: This study examined the effects of coordinative locomotor training on the physical factors for falls in the elderly with mild cognitive impairment. METHODS: This study examined thirty subjects diagnosed with mild cognitive impairment by the radiologic findings, history, and physical examination. The subjects were assigned to a control group (n = 15) or experimental group (n = 15, coordinative locomotor training). The experimental group underwent coordinative locomotor training for four weeks, with training sessions two times per week. The control group was given a fall-prevention education for 60 minutes without coordinative locomotor training. To evaluate the physical factors for falls, the lower extremity strength and the Korean version of the Fullerton advanced balance scale and biorescue were measured for balance. These tests were conducted before and after training. RESULTS: Significant differences were observed between the two groups after the four weeks of coordinative locomotor training for the elderly with mild cognitive impairment the experimental group had a greater degree of improvement in the physical factors for falls. CONCLUSION: These findings suggest that coordinative locomotor training may have a functional effect on fall-prevention and the mobility of the elderly with mild cognitive impairment. In addition, it is expected to provide systematic and effective data that can be used as a fall prevention program for the elderly with mild cognitive impairment in each institution.

Effect of Coordinative Locomotor Training on Balance and Plantar Foot Pressure in Scoliosis Patients -A Single Subject Study- (협응이동훈련이 척추 측만증 고객의 족저압과 균형에 미치는 효과 -단일사례연구-)

  • Kim, Jin-Cheol;Kim, Tae-Yoon;Lee, Jeong-A
    • PNF and Movement
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    • v.15 no.3
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    • pp.227-236
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of coordinative locomotor training (CLT) on the foot pressure and balance of patients with scoliosis. Methods: This was a single-case A-B-A study involving two patients with scoliosis. The study was designed to perform repeated measurements as follows: 5 times at baseline (A), 10 times during intervention (B), and 5 times after intervention (A). The study period was 5 weeks, and the CLT program was divided into warm up, CLT program, and cool down stages, at 50 min per stage. For the primary outcome measure, Gait View AFA-50 was used to determine the foot pressure and balance ability. For the secondary outcome measure, the SRS-22 questionnaire was used to assess the quality of life of the patients with scoliosis. Descriptive statistics and visual analysis using graphs were used to compare the rates of change. Results: The results of this study showed that the foot pressure and balance ability of the two subjects improved during the intervention period and remained improved even during the baseline period. However, their quality of life did not change after the intervention. Conclusion: CLT may have a positive effect on foot pressure and balance ability in patients with scoliosis. Also, this body function improvement may have positive effects on the performance of daily activities which employ the upright position.

Reorganization of Motor Network and the Effect of Cross Education Derived From Unilateral Coordination Training (편측 협응훈련에 의한 운동신경망의 재조직 및 교차훈련의 효과 -사례연구-)

  • Park, Ji-Won;Kim, Jong-Man;Seo, Jeong-Hwan;Kim, Yun-Hee
    • Physical Therapy Korea
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    • v.9 no.3
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    • pp.67-76
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    • 2002
  • We report the reorganization of motor network resulted from intensive unilateral coordination training and the effect of cross education on the untrained side in patient with traumatic brain injury using functional magnetic resonance imaging (fMRI). A 22 year-old male patient who had suffered from diffuse axonal injury for 58 months showed coordination deficit in the left hand at initial examination. Intensive motor training including complex finger movements and coordination activities using a metronome was introduced to the patient 4 hours per day for a week. FMRI was performed on a 3T ISOL Forte scanner. All functional images were analyzed using SPM-99 software. Hand function was improved after training not only in the trained left hand, but also in the untrained right hand. There was no activation in the right primary motor area (M1) during left hand movement before training whereas robust activation of left M1 was demonstrated by the right hand movement. Profuse activation of bilateral prefrontal lobes was seen during both hand movements before training. After training of left hand, right M1 became prominently activated during the left hand motion. The activation of bilateral prefrontal lobes disappeared after training not only for the left hand movement but also for the right, which clearly demonstrated the effect of cross education. This case report demonstrated the learning-dependent reorganization of the M1 and the effect of cross education.

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Quantitative Analysis for the Effect of Sensory Information on the Motor (감각정보의 차이가 운동에 미치는 영향에 대한 정량적 분석)

  • 홍철운;심해영;박찬희;김남균
    • Journal of Biomedical Engineering Research
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    • v.23 no.2
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    • pp.165-170
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    • 2002
  • The aim of this study was to analyze the effect of different sensory information on the motor function which is resulted from visual stimuli. Particularly, it was focused on the effect of complementary color stimuli on reaction time. Twenty volunteers(10 men & 10 women), between the age of 20 and 25 yearn participated in this experiment. Experiments were carried out in a light & sound-attenuated chamber, and the overall system consisted of a PC. interface card. LEDs. key board switch, and display panel. Although many measurements of sensory-motor integration has been studied the quantitative analysis of sensory-motor integration has not been developed well. Quantitative analyses were performed to investigate the effect of the different sensory information on the arm motor system in the point of view sensory-motor integration. The result showed that the reaction time for visual stimuli of complementary colors was faster than that under same color environments : and, in same color environments and the reaction speed was varied inversely with respect to the magnitude of the light wavelength.

The Temporal Coordination of the Lower Extremity by Increasing High-heel Height during Walking (보행 시 하이힐 굽 높이 증가에 따른 하지의 시간 협응성)

  • Ryu, Ji-Seon
    • Korean Journal of Applied Biomechanics
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    • v.19 no.3
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    • pp.593-601
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    • 2009
  • The goal of this study was to investigate the lower extremity's coordination determined by temporal relations with increasing high-heel (3, 7, 9cm) while walking on a treadmill. Twelve healthy women who walked on a treadmill under three conditionswearing 3cm high-heel shoes, 7cm, and 9cm-while kinematic data were collected using a six-cameras (240Hz) Qualisys ProReflex System. From these data, knee flexion, tibia internal rotation, and foot eversion were calculated in Euler technique and found the time for occurring the maximum angle of these movements. The maximum angle of these movements occurred almost simultaneously in 3cm high-heel walking, but not in 7cm and 9cm. The ratio of time for maximum angle of the foot eversion to tibia internal rotation converged to 1 in 3cm high-heel walking, but were less than 1 in 7cm and 9cm. In conclusion, it was indicated that 3cm high-heel walking had better the lower extremity's coordination compared with 7, 9cm high-heel walking.