• PNF and Movement
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• 제17권3호
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• pp.481-486
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• 2019

Purpose: This study examined the effect of calf muscle fatigue on postural sway according to foot posture (a pes cavus, a normal foot, and a pes planus). Methods: The subjects of this study were 12, 11, and 9 students of U University with a pes cavus, a normal foot, and a pes planus, respectively, according to a Navicular Drop Test. Postural sway was measured with a balance instrument (BioRescue, RM Ingenierie, France) while the subjects stood static on two legs as well as during one-leg standing using the dominant leg in two conditions (with the eyes open and with the eyes closed for 30 seconds). Muscle fatigue was then induced in the calf muscle of the dominant leg, and both muscle fatigue and postural sway were measured using an EMG. To compare the degree of postural sway between the three groups after muscle fatigue was induced, the change values were calculated. The results were analyzed using a Kruskal-Wallis test, and a post-hoc test was conducted using the Bonferroni correction. Results: Significant inter-group differences were detected for postural sway during two-leg standing with the eyes closed and during one-leg standing with the eyes open and with the eyes closed (p<0.05). The post-hoc test showed significant differences between the pes cavus and normal foot groups and between the pes planus and normal foot groups for all three variables (p<0.05). However, no significant difference was detected between the pes cavus and pes planus groups (p>0.05). Conclusion: The results of this study show that the pes cavus and pes planus cause more fatigue and postural sway than a normal foot. Therefore, attention should be paid to changes in balance caused by muscle fatigue.

• The Journal of Korean Physical Therapy
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• 제33권3호
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• pp.136-141
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• 2021

Purpose: Dementia is a disease in which cognitive function declines, leading to deterioration of body functions and activities of daily living. The purpose of this study is to explore the effects of dual-task training, including cognitive tasks, on cognitive and body function and β-amyloid levels in Alzheimer's dementia patients. Methods: 34 inpatients diagnosed with Alzheimer's dementia at a nursing hospital located in South Korea. The patients were randomly divided into a dual-task group (n=16) and a single-task group (n=18). Each group was trained for 30 minutes three times a week for eight weeks. The MMSE-K was used to measure the patients' cognitive function. To assess the patients' static balance ability, their LOS was measured using BioRescue. while dynamic balance was measured using the BBS. The 10MWT were conducted to evaluate the patients' walking ability. Blood analysis was performed to measure levels of β-amyloid. Results: Both groups exhibited statistically significant improvements in gait function after the training (p<0.05). The dual-task group exhibited statistically significant differences in cognitive function, static and dynamic balance function, and β-amyloid levels after training (p<0.05). A significant difference was observed between the two groups (p<0.05). Conclusion: Dual-task training were found to be effective in improving cognitive and bodily functioning and reducing β-amyloid levels in Alzheimer's dementia patients. Thus, this may be suggested as an effective exercise method for the treatment and early prevention of Alzheimer's dementia.

• 대한물리치료과학회지
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• 제29권1호
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• pp.64-72
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• 2022

Background: The purpose of this study is to investigate the effect of wall squat exercise according to the difference in the support surface on the thickness change of external oblique, internal oblique and transverse abdominalis of the trunk muscles and the change in distance of center of pressure when the eyes are opened and closed. Design: Randomized controlled trial. Methods: The subjects were 26 healthy adults, 18 males and 8 females. The composition of each group using the single-blind method was 13 people in the unstable side wall squat exercise group and 13 people in the stable side wall squat exercise group. Experimental measurements were divided into before, 3 weeks, and 6 weeks after the experiment, and changes in muscle thickness and balance were confirmed. Muscle thickness was measured using ultrasinic, and static balance change was measured using Bio-rescue. Results: There were significant differences in the thickness changes of external oblique, internal oblique and transverse abdominalis according to the wall squat exercise method by period and in the interaction between the period and the group (p<0.05). As a result of the post-hoc analysis, there was a significant difference in the change between the two groups in external oblique muscle after 6 weeks. And there was a significant difference in the distance of the pressure center between eyes open and closed eyes (p<0.05). Conclusion: In terms of instability, wall squat exercise was positive for changes in trunk muscle thickness. It suggests the possibility of using it for trunk muscle strengthening training in the future.

• The Journal of Korean Physical Therapy
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• 제34권5호
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• pp.212-217
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• 2022

Purpose: This study sought to investigate the effects of visual cue deprivation balance training by applying head control feedback to the balance function and the fall index in older people. Methods: The study was conducted on 26 older people at the S Hospital in Gyeongsansi. The patients were randomly divided into the experimental groupI (EGI, n=9), the experimental groupII (EGII, n=9), and the control group (CG, n=8). The three groups were trained for 30 minutes three times a week for four weeks. To assess the patients' static balance function, their limits of stability (LOS) was measured using the BioRescue system, (RM Ingenierie, France), composed of a pressure platform that can measure force in diverse ways, a computer, and a monitor. The dynamic balance function was measured using the Berg Balance Scale (BBS). Also, the fall index was measured to evaluate the risk of falling. A paired t-test was performed to compare pre- and post-training performance within the groups. One-way ANOVA was performed for comparing the three groups. A post hoc least significant difference (LSD) test was also performed. Results: The results of the LOS showed a significant difference after training in the EGI and EGII groups (p<0.05). As a result of the difference between the three groups, there was a significant difference after training (p<0.05). The results of the BBS showed a significant difference after training in the EGI group (p<0.05). As a result of the difference between the three groups, there was a significant difference after training (p<0.05). Conclusion: Visual cue deprivation balance training applying head control feedback is effective in improving the dynamic balance function in older people. It is also necessary to constantly maintain the head orientation by feedback and to properly control the head movement.

• PNF and Movement
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• 제20권2호
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• pp.253-262
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• 2022

Purpose: The aim of this study was to identify the effects of performing the half squat exercise with Kinesio taping (HSEKT) on trunk and lower extremity muscle activity and balance ability in general university students. Methods: The 32 participants were randomly assigned to either the HSEKT group (half squats with Kinesio taping) or the control group (half squats with sham Kinesio taping). Both groups performed half squats with either Kinesio taping (HSEKT group) or sham Kinesio taping (control group) for 30 min/day, 3 times/week for 6 weeks. The Noraxon mini direct transmission system (DTS) electromyography (EMG) system was used to evaluate trunk and lower extremity muscle activity. BioRescue equipment was used to measure the movement area of the center of pressure with eyes open and eyes closed. The muscle activity of the trunk and lower extremities and the balance ability of all participants were measured before and after the intervention. An independent t-test was used to statistically analyze the pre- and post-intervention EMG and balance ability results. Results: The trunk and lower extremity muscle activity was found to have significantly improved in the HSEKT group and the control group after the intervention (p < 0.05). Also, the balance ability of the HSEKT group differed significantly after 6 weeks of training compared to that of the control group (p < 0.05). Conclusion: The findings of this study show that performing half squats with Kinesio taping had a positive effect on trunk and lower extremity muscle activity and balance ability in general university students.

• 대한통합의학회지
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• 제11권3호
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• pp.127-135
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• 2023

Purpose : This study was performed to evaluate the effects of magnetic therapy (MT) on pain threshold, blood flow, and balance in patients with knee osteoarthritis. Methods : A single-blind, randomized controlled trial (RCT) was conducted with 30 patient with knee osteoarthritis. They were randomly allocated 2 groups; magnetic therapy group (MTG; n=15) and placebo magnetic therapy group (PG; n=15). The MTG group received 30 minutes magnetic therapy and 20 minute conservative physical therapy (Hotpack, ICT), magnetic therapy was conducted in magnetic therapy device (OM-100, NUGA, Korea). In the placebo magnetic group received 30 minutes placebo magnetic therapy and 20 minute conservative physical therapy. Each group performed 50 minutes a day 3 times a week for 8 weeks. The primary outcome pressure pain threshold test, blood flow, balance ability were measured by a pressure threshold meter (Commander algometer, JTECH medical, USA), laser dofler image (Moor LDI2-IR, Moor instruments, USA), balance measurement system (BioRescue, Marseille, France). The measurement were performed before and after the 8 weeks intervention period. Results : Both groups demonstrated significant improvement of outcome in pain threshold, blood flow, and balance ability during intervention period. magnetic therapy group revealed significant differences in pain threshold, blood flow, and balance as compared to the placebo magnetic therapy group groups (p<.05). Our results showed that magnetic therapy was more effective than placebo therapy on pain threshold, blood flow, and balance in patients with knee osteoarthritis. Conclusion : Our findings indicate that magnetic therapy can improve pain threshold, blood flow, and Balance, highlight the benefits of magnetic therapy. This study will be able to be used as an intervention data for recovering pain threshold, blood flow, and balance in patients with knee osteoarthritis.

• 대한통합의학회지
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• 제11권2호
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• pp.221-230
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• 2023

Purpose : This study was performed to evaluate the effects of virtual reality combined robot assist gait training (VRG) on improvement of balance and respiratory function in chronic stroke patients. Methods : A single-blind, randomized controlled trial (RCT) was conducted with 35 chronic stroke patients. They were randomly allocated 2 groups; VRG group (n=18) and conservative treatment group (CG; n=17). The VRG group received 30 minutes robot assisted gait training combined virtual reality training, robot assisted gait training was conducted in parallel using a virtual reality device (2 sessions of 15 minutes in a 3D-recorded walking environment and 15 minutes in a downtown walking environment). In the conservative treatment group, neurodevelopmental therapy and exercise therapy were performed according to the function of stroke patients. Each group performed 30 minutes a day 3 times a week for 8 weeks. The primary outcome balance and respiratory function were measured by a balance measurement system (BioRescue, Marseille, France), Berg balance scale, functional reach test for balance, Spirometry (Cosmed Micro Quark, Cosmed, Italy) for respiratory function Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV₁), and maximum expiratory volume (PEF) were measured according to the protocol. The measurement were performed before and after the 8 weeks intervention period. Results : Both groups demonstrated significant improvement of outcome in balance and respiratory function during intervention period. VRG revealed significant differences in balance and respiratory function as compared to the CG groups (p<.05). Our results showed that VRG was more effective on balance and respiratory function in patients with chronic stroke. Conclusion : Our findings indicate that VRG can improve balance and respiratory function, highlight the benefits of VRG. This study will be able to be used as an intervention data for recovering balance and respiratory function in chronic stroke patients.

• 대한물리의학회지
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• 제19권2호
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• pp.55-64
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• 2024

PURPOSE: This study evaluated the effects of robot-assisted gait training combined with virtual reality training on balance and gait ability in stroke patients. METHODS: Thirty-one stroke patients were allocated randomly into one of two groups: robot-assisted gait training combined virtual reality training group (RGVR group; n = 16) and control group (n = 15). The RGVR group received 30 minutes of robot-assisted gait training combined with virtual reality training. Robot-assisted gait training was conducted in parallel using a virtual reality device. In the Control group, neurodevelopmental therapy was performed according to the function of chronic stroke patients. Both groups underwent training for 30 minutes, three times per week for eight weeks. The balance assessment system (BioRescue, Marseille, France), BBS, and TUG were used to evaluate the balance ability. The OptoGait (Microgate Srl, Bolzano, Italy) and 10 mWT were measured to evaluate the gait ability. The measurements were performed before and after the eight-week intervention period. RESULTS: Both groups showed significant improvement in their balance and gait ability during the intervention. RGVR showed significant differences in balance and gait ability compared to the control group groups (p < .05). These results showed that RGVR was more effective on balance and gait ability in patients with chronic stroke. CONCLUSION: RGVR can improve balance and gait ability, highlighting the benefits of RGVR. This study provides intervention data for recovering the balance and gait ability of chronic stroke patients.

• 과학기술학연구
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• 제12권1호
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• pp.185-207
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• 2012

황우석 사태 이후 한국의 국가는 줄기세포 연구를 장려하고 시험관 아기 산업을 장려하겠다는 입장과 "글로벌 스탠다드"에 부합하는 윤리적 규제를 도입하겠다는, 많은 경우 서로 모순될 수밖에 없는 입장을 표명하여 왔다. 줄기세포 연구에 대한 윤리적 규제가 점점 강화되면서 인간배아세포 연구가 위축되면서, 연구 공동체와 바이오산업, 임상의사와 환자, 그리고 국가 자체를 위기로부터 구원해줄 대안으로 떠오른 것은 체세포 줄기세포였다. 그러나 한국 생명공학기술에 대한 연구들은 주로 배아줄기세포에 초점을 맞추고 있으며, 조혈줄기세포나 지방유래줄기세포와 같은 체세포 줄기세포에 대한 연구에는 상대적으로 관심이 적은 것으로 보인다. 배아줄기세포가 흔히 실험적이고 윤리적으로 논란거리로 여겨지는 반면에, 조혈모 혹은 간엽줄기세포와 체세포 줄기세포는 별다른 공적인 논의 없이 대중들의 일상 속으로 들어와 있다. 한국의 많은 일반인들은 조혈모 줄기세포 치료를 통해 백혈병으로부터 생명을 구한 환자들의 사례에 이미 익숙한가 하면, 다른 한편에서 지방유래줄기세포 치료를 선전하는 의사들의 수가 늘고 있고, 지방유래줄기세포의 개념을 활용하여 만든 화장품이 소비자들의 주목을 받고 있기도 한 현실이 이미 진행되고 있다. 이러한 맥락에서, 본 논문은 배아줄기세포나 국가 정책이나 연구 규제에만 집중되어 시장을 놓치고 있는 윤리적 논의는 한국에서 줄기세포 기술의 정치의 전모를 다루기에 한계가 크다는 사실을 주장하고자 한다.

• 융합정보논문지
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• 제8권1호
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• pp.131-138
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• 2018

본 연구는 완전 몰입형 가상현실 장비의 사용으로 발생하는 사이버 멀미로 인해 야기된 동적균형의 변화가 낙상을 일으키는지 알아보고자 하였다. 연구의 취지를 이해하고 자발적으로 참여에 동의한 균형감각이 정상인 20대 성인남녀 39명을 대상으로 VR착용 전과 후의 멀미지수, 심박수를 측정하고 Biorescue의 안정성 한계 검사를 실시하였다. 가상현실 체험을 위한 도구로 Samsung gear VR을 이용하였고, To the Homeland 라는 게임을 20분간 실시하였다. VR착용 후 동적균형훈련이 약간 감소하였으나 통계적으로 유의한 차이는 없었다. VR착용 전과 후의 멀미변화는 멀미설문조사를 통해 통계적으로 유의한 차이가 있음을 알 수 있었다. 심박수 변화는 Pulse Oximeter을 이용하여 심박수 증가를 보여 통계적으로 유의한 차이가 있었다. 일반인을 대상으로 완전 몰입형 가상현실 체험은 멀미가 유발되나 동적균형문제에는 다소 영향을 미치지 못하였다. 그렇기 때문에 VR 착용으로 인한 사이버멀미는 균형감소와 낙상을 유발시키지 않는다.