• 한국산학기술학회논문지
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• 제14권6호
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• pp.2767-2772
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• 2013

균형은 일상생활의 기본적인 요소이며 균형능력의 평가는 무게중심의 측정으로 한다. 본 연구에서는 뇌졸중 환자를 대상으로 균형 능력을 평가하기 위한 Balancia 프로그램의 신뢰도와 타당도를 측정하고자 하였다. COP의 측정을 위한 장비로는 Wii Balance Board를 이용하였다. 연구는 39명의 뇌졸중 환자들 대상으로 하였다. 신뢰도 검사는 동요거리, 동요속도, area95% 결과값의 검사자간 신뢰도와 검사자내 신뢰도를 실시하였다. 검사자내 신뢰도는 검사-재검사의 방법으로 급간내 상관계수를 측정하여 ICC .793-.939로 높은 신뢰도를 보였고, 검사자간 신뢰도에서도 ICC .791-.955로 높은 신뢰도를 보였다. 타당도는 Accusway와 비교하여 ICC .851-.955로 매우 높은 일치도를 보였다. 따라서 본 연구를 통해 Balancia 프로그램이 뇌졸중 환자의 균형 능력을 평가하는데 높은 신뢰도와 타당도를 가진 프로그램으로 입증되었다.

• 한국콘텐츠학회논문지
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• 제13권3호
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• pp.109-118
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• 2013

이 연구는 여성 노인들에게 적용한 라인 댄스 운동 프로그램이 보행 시 균형 능력에 미치는 영향을 규명하여 낙상 예방을 위한 운동 중재 방안을 규명하고자 했다. 이를 위해 65세 이상 18명을 12주간의 라인댄스 운동 프로그램을 적용했다. 균형성 판단 요인을 산출하기 위해 보행 시 지면반력 자료를 수집해 이를 기반으로 압력중심 변동 폭, 압력 중심 속도, 자유 토크를 이용했다. 연구 결과 라인 댄스 운동 프로그램 후 보행 시 전후 압력 중심의 변화 범위(p<.01)와 압력 중심의 전후 평균 속도(p<.05)는 유의한 감소를 보였으나, 좌우 방향의 압력중심 범위와 속도, 자유 토크는 유의한 변화를 보이지 않았다. 본 연구의 결과를 고려할 때 라인댄스 12주 운동 프로그램 적용은 보행 시 노인의 동적 균형성 능력 증진에 일부 효과적인 것으로 나타났으며, 향후 본 연구와 관련해 실제 낙상 빈도 등과 관련시켜 운동 효과를 살펴보는 연구들이 수행되어야 할 것이다.

• 한국융합학회논문지
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• 제9권5호
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• pp.239-246
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• 2018

본 연구에서는 양궁 슈팅 시 양발의 균형성과 상지 분절 및 관절의 운동학적 분석을 실시하여 점수에 따른 차이를 비교분석 하였다. K대학교 엘리트 양궁선수 9명을 피험자로 선정하였으며, 70 m 거리에서 122 cm 표적지에 각각 3발씩 5엔드를 반복 측정하였다. 7대의 적외선 카메라(Qualisys, sweden)와 2대의 지면반력기(Kistler, Switerland)를 사용하여 상지 분절 및 관절의 움직임과 힘의 작용점(center of pressure [COP])를 산출하였다. 연구결과 양궁 선수가 8점을 쐈을 때, 9-10점을 쐈을 때보다 드로잉 암(drawing-arm)의 팔굽관절 운동범위와 왼발의 좌우 COP 범위가 크게 나타났다(p<.05). 양궁 경기에서 고득점을 유지하기 위해서는 지속적인 균형성이 요구되며, 특히 슈팅하는 순간 활을 지지하는 왼발의 균형성이 중요한 요인으로 작용한다. 또한 활을 지지하는 드로잉 암의 팔굽관절 움직임을 최소화하는 것이 안정적인 슈팅에 도움이 될 것이다.

• 대한통합의학회지
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• 제5권4호
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• pp.1-9
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• 2017

Purpose : This study was conducted among 195 adults in their 20s. To analyze the impact of the slope types of the scapulae on the plantar surface of the foot, the average pressure (AP), the maximum pressure (MP), the average of local distribution values, and the average movement of the center of pressure (COP) of the different slope types of the scapulae were compared. Method : The anterior-posterior slopes of the scapulae were measured by comparing the slopes of the left and right sides of the scapulae based on the differences in the height and the slope of the coracoid process and the angulus inferior scapulae. Those whose left side of the scapulae had an anterior slope were categorized as type 1, and those whose right side of the scapulae had an anterior slope, as type 2. The average plantar pressure, the center of plantar pressure, the maximum plantar pressure, and local distribution values were analyzed using a plantar pressure analyzer of the FSA. Result : In terms of the AP of the left and right feet, there was no statistically significant difference both in types 1 and 2 on the left and right feet. The comparison results of the MP and the average of local distribution values of the two slope types of the scapulae showed that there was no statistically significant difference on the X-axis both in types 1 and 2 on the left and right feet, but that there was a large statistically significant difference on the Y-axis both in types 1 and 2. That is, the MP of the right foot of the left anterior slope type was located more on the hindfoot than that of the right anterior slope type, and the MP of the left foot of the left anterior slope type was located more on the hindfoot than that of right anterior slope type. Conclusion : This study can be used as fundamental data to predict differences in the location and size of the COP and changes in plantar pressure distribution depending on the slope types of the scapulae, and control the distribution for therapeutic purposes.

• Physical Therapy Rehabilitation Science
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• 제10권3호
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• pp.270-277
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• 2021

Objective: The purpose of this study is to compare the effect of static balance, lower extremity function, and gait ability between a lower extremity restrain robot gait training and a general robot gait training in subacute stroke subjects. Design: Two-group pretest-posttest design. Methods: A total of 12 subacute stroke patients were randomly divided into an Experimental group (n=6) and a control group (n=6). Both groups were performed for four weeks, three times a week, for 20 minutes. To compare the Static balance function, the center of pressure (COP) path-length and COP velocity were measured. The Fugl-Meyer assessment lower extremity (FMA-LE) were evaluated to compare the Lower Extremity function. 2D Dartfish Program and 10 Meter Walking Test (10 MWT) on Gait ability were evaluated to compare the gait function. Results: In the intra-group comparison, Experimental groups showed significant improvement in COP path-length, velocity, Lower Extremity Function, 10 MWT, Cadence, by comparing the parameters before and after the intervention (p<0.05). Comparison of the amount of change between groups revealed significant improvement for parameters in the COP path-length, velocity, Lower extremity function, 10 MWT by comparing the parameters before and after the intervention (p<0.01). Conclusions: The Experimental group showed enhanced efficacy for variables such as COP path-length, velocity, Lower extremity function, 10 MWT as compared to the control group.

• 국제물리치료학회지
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• 제9권4호
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• pp.1676-1682
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• 2018

The purpose of this study was to investigate the short-term effects of lumbar rotational mobilization under the single-leg standing (SLS) position. Fifteen healthy individuals were recruited, and randomized to agroup of trunk rotational exercise (TRE) and lumbar rotational mobilization (LRM). Trunk twist rotational exercise was performed to the TRE group, and mobilization was applied to the LRM group on the lumbar spine. Velocity of the center of pressure (VCOP) and center of pressure (COP) for each participant were measured through SLS. COPs were not significantly increased or decreased after treatment in both groups. VCOPs also did not change considerably except on the right side when the eye was closed. There was no significant difference between COPs and VCOPs in two groups. This study suggests that trunk rotation exercise and lumbar rotation mobilization would have similar effects on balance ability.

• 대한물리의학회지
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• 제9권3호
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• pp.315-324
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• 2014

PURPOSE: This study aimed to determine the correlation of weight bearing ability at the affected side with balance and gait abilities for the development of pressure biofeedback based equipment to stroke patients. METHODS: This study included 35 patients with stroke patient. The tests were conducted to determine the weight bearing ratio while pushing a step forward the affected side, static balance ability using the total length of COP(Center of pressure), sway velocity of COP, COP velocity at the X and Y axis. Functional reaching test (FRT), berg balance scale (BBS) were used to assess the dynamic balance ability and timed up and go test (TUG), 10m walk test (10mWT) were used assess the gait ability respectively. In order to determine the correlation between measured variables, bivariate correlation analysis was conducted. RESULTS: A significant correlation of the weight bearing ratio were shown with COP total length and velocity(r=-.34), Y-axis velocity(r=-.39), FRT(r=.42), BBS(r=.54), TUG (r=-.39), and 10m walking test (r=-.42). CONCLUSION: This study result showed that as patients with stroke had more weight bearing ratio at the affected side, not only their static and dynamic balance abilities increased more but also functional gait ability improved more. These results mean that, to improve stroke patients' static, dynamic balance ability and gait ability, weight bearing training with the affected side foot placed one step forward necessary for gaits are important.

• 대한의용생체공학회:의공학회지
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• 제41권2호
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• pp.84-93
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• 2020

Despite of a lot of studies about proprioception tests, there are little study results to investigate the relationship between the functional movement and proprioception level. In this study, we tried to perform quantitative analysis for the effect of ankle joint proprioception level on the one leg standing postural control ability. Nine healthy people volunteered for this study. Force and position aspects of proprioception were evaluated using the electromyography system (EMG) and mobile clinometer application, respectively. The center of pressure (COP) trajectories, measured by a pressure mat sensor, were used for quantitative analysis of balance for each subject. We computed indices and errors of force and position aspects of proprioception from the EMG and ankle angle. Mean velocity of total and anterior-posterior direction (Vm and Vm_ap), root mean squared distance in anterior-posterior direction (RDap), travel length (L), and area (A) of COP trajectories were also calculated as indices of postural control ability of subjects. Two aspects of proprioception showed the low correlation from each other as previous studies. However, the EMG error of gastrocnemius lateral activation showed a high correlation coefficient with COP variables such as Vm (ρ=0.817, p=0.007), Vm_ap (ρ=0.883, p=0.002), RDap (ρ=0.854, p=0.003), L (ρ=0.817, 0.007) and A (ρ=0.700, p=0.036). Within our knowledge, this is almost the first study that investigated the relationship between proprioception level and functional movement. These study results could support that the ankle joint proprioception facilitation exercise would have positive effects on functional balance rehabilitation interventions.

• 대한인간공학회지
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• 제25권3호
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• pp.1-15
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• 2006

Loss of postural balance can possibly lead to increased risk of slips and falls in work places. Present study was performed to investigate the effects of noisy environments on postural stability during standing. It is known that a sound is characterized by the frequency and pressure level of the sound. Therefore, effects of the frequency and pressure level on postural stability were of primary concern. Ten male subjects participated in the experiment. Subject's center of pressure(COP) position was collected on a force plate while they were exposed to different frequency and pressure levels of the sound. Measured COP was then converted into the length of postural sway path in both anterior-posterior(AP) and medio-lateral(ML) axis. Results showed that the length of sway path in AP axis was significantly affected by the frequency of sound. The length of sway path was lowest at frequency level of 2000Hz and increased below and above this frequency range. The sound pressure level, however, did not significantly affect the postural sway length in both AP and ML axis. The results imply that industrial workers in noisy environments should be aware that their abilities of postural balance can be disturbed significantly.

• 한국전문물리치료학회지
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• 제12권1호
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• pp.11-21
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• 2005

The purpose of this study was to investigate how COP displacement of a hemiplegic foot in stance phase during gait is related to clinical balance measures and the recovery stage in hemiplegic stroke patients. Twenty-eight functionally ambulant hemiplegic patients who had suffered from strokes and thirty age-matched healthy subjects participated in this study. COP parameters were calculated. Clinical balance was measured using the Functional Reach Test (FRT) and Timed Up and Go Test (TUGT). The recovery stage, proprioception, and clonus of the ankles or lower extremities were also measured for physical impairment status. The COPx max-displacement in the medial-lateral side of the stroke patients was significantly longer than that of the normal group (p=.038). The COPy max-displacement in the anterior-posterior side of the stroke patients was significantly shorter than that of normal group (p<.001). Significant differences in the COPx and COPy displacement asymmetry index were found between the two groups (p<.01). The FRT was correlated with the COPx displacement (r=.552) and COPy displacement (r=.765). The TUGT was correlated with the COPy displacement (r=-.588) only. The recovery stage of the lower extremities was correlated with COPy displacement (r=.438). The results of the study indicate that the characteristic of COP displacement in hemiplegic feet in stance phase during gait is related to balance ability and recovery in stroke patients. COP parameters acquired by the mapping of foot pressure in stance phase during gait will provide additional useful clinical information. This information can be used by clinicians to assess objectively the pathologic gait with other diseases and to evaluate the therapeutic effects on gait in stroke patients.