• Journal of the Korean Society of Physical Medicine
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• v.17 no.4
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• pp.45-52
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• 2022

PURPOSE: This study examined the center of pressure (COP) and ground reaction force (GRF) characteristics during each task-oriented sit-to-stand in stroke patients. METHODS: Twenty stroke subjects were included in this study. The task consisted of sit-to-stand (SS), sit-to-stand for reaching (SR), and sit-to-stand for walking (SW). The response time, COP, and GRF were measured during each task. The COP and GRF data were obtained using a two-force plate. The force plates were placed on a chair (below the buttock) and floor (below the feet). RESULTS: Significant differences were observed between SS (1.48 ± .48 s) and SR (2.09 ± 0.82 s) and between SS and SW (2.27 ± .72 s) in the preparatory phase time during each sit-to-stand exercise (p = .002) and showed significant differences between SS (13.90 ± 6.44 cm) and SW (34.62 ± 39.38 cm) and between SR (16.14 ± 8.04 cm) and SW in the mediolateral COP range during each sit-to-stand exercise (p = .013). CONCLUSION: These findings suggest that more complex task-oriented sit-to-stand exercise requires a high-level motor programming process than a simple sit-to-stand task. Therefore, a variety of tasks-oriented sit-to-stand exercises will be useful training to achieve better ADL ability for stroke patients.

• Physical Therapy Korea
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• v.11 no.2
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• pp.35-45
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• 2004

The purpose of this study was to investigate the correlation and characteristics between electromyographic (EMG) activities of lower leg muscles and the posturographic assessment of static balance control in normal adults. Twenty-four young, healthy adults(12 males, 12 females) participated in the study. Center of pressure (COP) parameters were obtained using force platform as total path distance, total sway area, X mean frequency and Y mean frequency for 20 seconds in the following conditions: (1) comfortable standing with eyes opened or closed, (2) uncomfortable standing (feet together) with eyes opened or closed, (3) virtual moving surround delivered using Head mount display (HMD) with four different moving patterns. The virtual moving patterns consisted of close-far, superior-inferior tilting (pitch), right-left tilting (roll), and horizontal rotation (yaw) movements. Surface electromyographic activites were recorded on the tibialis anterior, peroneus longus, medial and lateral heads of gastrocnemius muscles under each condition. Correlation between the posturographic measures and EMG activities were evaluated. Total path distance and total sway area of COP were significantly increased during uncomfortable standing. EMG activity of tibialis anterior was significantly more during uncomfortable standing and virtual moving surround stimulation than during comfortable standing. Total path distance and sway area of COP during comfortable standing with closed eyes showed significant positive correlation with the EMG activities of the lateral head of gastrocnemius muscle. Total path distances and total sway area of COP during muscle. Total path distances and total sway area of COP during presentation of virtual moving surround also had significant positive correlations with EMG activities of the lateral head of gastrocnemius muscle under close-far movement.

• Journal of International Academy of Physical Therapy Research
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• v.1 no.2
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• pp.176-184
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• 2010

This study was to investigate the effects of upper and lower limb composing patterns of PNF(proprioceptive neuromuscular facilitation) on the static balance ability by 20 subjects for 6 weeks. This study was measured left one leg standing and right one leg standing with closed eyes on Good Balance system. These results led us to the conclusion that the mean speed of X, Y direction, COP(center of Pressure) velocity moment showed a statistical decrease when applying post-exercise. The above results from this study indicated that upper and lower limb composing patterns of PNF exercise has improved the static balance ability. As a result, this study showed that upper and lower limb composing patterns exercise improve the ability of balance in young adults. Based on this study, it may be applied to old people.

• Proceedings of the Korean Operations and Management Science Society Conference
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• 2006.05a
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• pp.208-213
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• 2006

경사진 안창은 안창의 경사로 발의 자세를 교정함으로써 하지 통증을 완화시키는 데 사용되는 보조치료기구로 내측 경사진 안창(MWI: medially wedged insole)과 외측 경사진 안창(LWI: laterlly wedged insole)으로 나뉜다. 본 연구는 내/외측 경사진 안창이 족부압력에 미치는 영향을 정량적으로 분석하고자 한다. 분석변수는 압력중심(COP: center of pressure)의 궤적 변화, 발바닥 내 세 개 구획에 상대적으로 작용하는 수직 힘(RVF: relative vertical force) 그리고 여덟 개 해부학적 지점의 압력이다. 경사진 안창의 경사조건은 내/외측 각각 $5^{\circ},\;8^{\circ},\;15^{\circ}$이며, 경사가 없는 안창을 포함해 총 일곱 가지 안창이 실험에 사용되었다. 실험참여자로는 20대 성인 남성 10명이 참여하였다. 실험결과 앞발 누름기에서 MWI와 LWI는 모두 COP를 내측으로 이동시키고 외측 압력을 감소시켰다. 뒤축 접지기에서 MWI는 COP를 내측으로 이동 시키고 내측압력을 증가시키는 반면, LWI는 COP를 외측으로 이동시키고 외측압력을 증가시켰다. 그리고 RVF 분석결과 MWI와 LWI는 모두 앞발 부위 힘의 크기를 감소시켰고, LWI만이 발 뒤축 부위 힘의 크기를 증가시켰다.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2013.05a
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• pp.1399-1400
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• 2013

• Proceedings of the KOSOMBE Conference
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• v.1995 no.11
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• pp.63-67
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• 1995

신체 자세균형의 안정도를 반영하는 압력중심(COP)을 계측하기 위해 정삼각형 모양의 평형판 시스템을 설계, 제작하였고 그 유용성을 평가하였다. 재질로는 강도와 가공성이 뛰어난 듀랄루민을 사용하였고 압력중심(COP)의 위치를 계측하는 힘센 서로는 공업용 로드셀 3개를 사용하였다. COP신호를 검출하는 전자회로를 제작하여 실험한 결과 평형판의 COP 위치측정 오차는 2% 미만이었다. 시스템의 임상응용가능성을 평가하기 위하여 정상인 10명과 이학적 평가가 정상인 환자 4명을 대상으로 임상실험을 수행하였다. 자세안정도를 반영할 척도로써 COP신호의 표준편차($SD_x,\;SD_y,\;SD_r$)를 설정하여 자세가 불안정해짐에 따라, 그리고 시각의 영향이 배제됨에 따라 이 값들이 증가하는 것을 관찰하였다. 또한 환자의 경우에는 정상인과 현저한 차이를 보였다. 즉, 본 평형판시스템이 자세안정도를 정량적이고 예민하게 계측할 수 있음을 확인하였고 임상적 실용성을 검증하였다.

• Korean Journal of Applied Biomechanics
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• v.20 no.4
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• pp.479-486
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• 2010

The purpose of this study was to determine the effects of high-heeled shoe on the quiet standing and gait balance. Twenty women (mean height: $161.6{\pm}3.3\;cm$, mean body mass: $53.8{\pm}6.3\;kg$, mean age: $23.8{\pm}2.7$ yrs..) who were without history or complain of lower limb pain took part in this study. They were asked to stand quietly on a force platform for 30 sec and walk on it at their preferred walking speed (mean speed $3.14{\pm}0.5\;km/hr$.) with wearing three different high-heeled shoe, 3, 7, 9 cm high for collecting data. Data were randomly recorded to collect two trials for quiet standing and five trials for walking The parameters to have been analyzed for comparison between three conditions of the height of high-heeled shoe were COP(Center of Pressure) range, COP velocity, sway area, and free moment on the static balance and COP range, COP velocity, and free moment on the dynamic balance. In this study, high-heel height affected on the COP range and velocity in the ante-posterior direction during walking, dynamic balance, but didn't affect on the quiet standing, static balance.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.31 no.11
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• pp.1115-1123
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• 2007

The foot plays an important role in supporting the body and keeping body balance. An abnormal walking habit breaks the balance of the human body as well as the function of the foot. The foot orthotics which is designed to consider biomechanics effectively distributes the load of the human body on the sole of the foot. In this paper, gait analysis was performed for three male subjects wearing the orthotics. In this study, three male subjects were selected. The experimental apparatus consists of a plantar pressure analysis system and digital EMG system. The gait characteristics are simulated by ADAMS/LifeMOD. The COP (Center of Pressure), EMG and ground reaction force were investigated. As a result of gait analysis, the path of COP was improved and muscle activities were decreased with orthotics on the abnormal walking subjects.

• The Journal of the Korea institute of electronic communication sciences
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• v.9 no.11
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• pp.1283-1290
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• 2014

This study was conducted to apply microcurrents of $500{\mu}A$ effective for ATP generation to leg muscles to which delayed onset muscle soreness (DOMS) had been induced in order to examine whether the microcurrent stimulation was effective for gait improvement. Forty subjects were randomly assigned to an experimental group of 20 subjects and a placebo group of 20 subjects. Microcurrents were applied immediately after inducing DOMS and 24 hours and 48 hours thereafter and changes in the center of pressure (COP), cadence, and affected stance phases were measured. According to the results of the measurement, changes in the COP, cadence, and affected stance phases at 48 hours after the induction of DOMS were statistically significant compared to the values before the induction. The COP of the experimental group became statistically significantly lower and the ratio of affected stance phases of the experimental group became statistically significantly higher compared to the placebo group at 48 hours after the induction of DOMS. Therefore, $500{\mu}A$ microcurrents showed effects for gait improvement by promoting the recovery and healing of damaged muscles.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.6
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• pp.2767-2772
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• 2013

Balance is the foundation for all active daily livings. Evaluation of balance has been conducted to measure postural sway of center of pressure(COP). The purpose of this study is to introduce the Balancia and to examine the validity and inter-, intra-reliability for measure of balance with stroke patients. COP was measured by Wii balance board. The subjects Participated in this study were 39 stroke patients. Intra- and inter-reliability was examined using intraclass correlation coefficient(ICC) with 95% confidence interval. In the result of intra- and inter-reliability, all COP parameters of postural sway showed high to very high reliability with ICC=.793-.939 and ICC=.791-.955. Validity was determined by correlation with Accusway force plate. There were high validity with ICC=.851-.955 between tools. According to these results, the Balancia showed high validity and reliability. It is a useful clinical tool for evaluating balance in stroke patients.