• 대한통합의학회지
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• 제10권4호
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• pp.1-9
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• 2022

Purpose : The purpose of this research is to propose a more efficient exercising method by measuring and comparing the movement of center of pressure (COP) while hemiplegic stroke patients perform kneeling squat exercise and squat exercise. Methods : 17 hemiplegic stroke patients were instructed to perform kneeling squat exercises and squat exercises, and the research was designed as a cross-over study. For data collection, a pressure distribution measurement platform (PDM) was used to measure the movement area, length, speed, and distance from the center of the X-axis of center of pressure. The data was then analyzed through a paired t-test. Results : Kneeling squat exercises have been found to have a significantly smaller center of pressure movement area compared to that of squat exercise(p<.001), and the center of pressure movement length of kneeing squat exercise has also been found to be relatively shorter (p<.001). Moreover, kneeling squat exercises have been found to have a significantly slower center of pressure movement speed than squat exercise (p<.001), and kneeing squat exercise center of pressure movement distance from the center of the X-axis has been found to be significantly small (p<.001). Conclusion : Kneeling squat exercises have significantly decreased amounts of center of pressure movement area, distance, and speed compared to squat exercises. Also, the center of pressure movement distance from the center of the X-axis was relatively closer. This result seems to derive from patients performing their motions with wide base surfaces while being refrained from using unstable ankle joints during kneeing squat exercise. Therefore, it can be concluded that kneeing squat exercises show relatively balanced center of pressure movements between the paralyzed and non-paralyzed sides because kneeling squats show smaller shakes in the center of pressure.

• 한국운동역학회지
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• 제22권3호
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• pp.261-268
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• 2012

The purpose of this study was to qualitatively analyze pressure intensity and the center of pressure(COP) trajectory according to shoe type. Subjects were ten first-year female university students. The EMED-AT 25/D(Novel, Germany) was used to measure pressure intensity and COP trajectory. The COP Excursion Index(CPEI) was used for within subject test design. Independent variables were bare feet and six types of shoes. Dependent variables were center of pressure trajectory and pressure intensity. Barefeet and five toed shoes had a similar pressure intensity and COP trajectory. COP trajectory for all other shoe types showed a medial wobble at the heel. Pressure intensity for all other shoe types was related to the structure of the shoes. In conclusion, different shoe types can not only affect gait, but they can also influence foot deformities, pain, and dysfunction.

• 중환자간호학회지
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• 제14권3호
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• pp.26-36
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• 2021

Purpose : This study aimed to present the incidence of pressure ulcers and identify different associated factors according to the time of occurrence of pressure ulcers in intensive care unit (ICU) patients. Methods : The participants were 313 patients who reported pressure ulcers among 2,908 patients in ICUs at a large tertiary hospital in Gyeonggi-do. Among them, 220 patients (70.3%) had a pressure ulcer before admission, and 93 patients (29.7%) reported newly developed pressure ulcers after admission to the ICU. Data were collected between August 2018 and April 2019. Along with the time of occurrence and characteristics of pressure ulcers, diverse associated factors were gathered through electronic medical records. Data were analyzed using descriptive statistics, independent t-tests, and 𝑥²-tests. Results : Different risk factors associated with pressure ulcers in ICU patients according to the time of occurrence were main diagnosis, score of acute physiology and chronic health evaluation, score of Richmond agitation sedation scale, level of consciousness, administered sedatives, use of a ventilator, insertion of a feeding tube, and the duration of fasting period. Conclusion : Based on the results of this study, healthcare providers, especially ICU nurses, should try to detect early signs and symptoms of pressure ulcers, taking into account the derived factors associated with pressure ulcers in ICU patients. Practical intervention programs and strategies considering the factors associated with pressure ulcers must be developed to prevent and alleviate such ulcers in ICU patients in the future.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2002년도 추계학술대회 논문집
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• pp.1070-1073
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• 2002

The biomechanical interaction between the stump and the prosthetic socket is critically important to achieve close-to-normal ambulation. Many investigators suggested that the pressure changes during gait of transfemoral amputees are closely related to the prosthetic alignment, the socket shape, the stump size, and the residual muscle activity. The effects of the prosthetic alignment, the socket shape, and the stump size on the interface pressure were investigated previously. However, there is no report how the residual muscle activities in the transfemoral stump affect the socket interface pressure characteristics during gait. Since designs of socket fur lower limb amputees need to consider the socket interface pressure characteristics, the interface pressure patterns by the residual muscle activities during gait should be investigated. In this study, myoelectric signals (MES) and socket interface pressure in residual limb of transfemoral amputees were measured during the stance and swing phases of gait. For the purpose, specially designed quadrilateral sockets that MES electrodes could be instrumented were fabricated. A total of two transfemoral amputees were participated in the experiments. The measured temporal MES amplitude and interface pressure in knee flexor (biceps femoris) and extensor (rectus femoris) had significant correlations (P ＜ 0.05). Based on the test results, It was suggested that the residual muscle activity of transfemoral amputees stump is an important factor affecting socket pressure changes during walk.

• 대한인간공학회지
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• 제36권5호
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• pp.395-409
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• 2017

Objective: The purpose of this study was to optimize the number and positions of foot pressure sensors using the reliability analysis of the center of pressure (COP) in smart shoes. Background: Foot pressure can be different according to foot region, and it is important which region of the foot pressure needs to be measured. Method: Thirty adults (age: $20.5{\pm}1.8years$, body weight: $71.4{\pm}6.5kg$, height: $1.76{\pm}0.04m$) participated in this study. The foot pressure data were collected using the insole of Pedar-X system (Novel GmbH, USA) with a sampling frequency of 100Hz during 1.3m/s speed walking on the treadmill (Instrumented treadmill, Bertec, USA). The intraclass correlation coefficients (ICC) were calculated between the COP positions using 4, 5, 6, 7, 8, and 99 sensors, while one-way repeated measure ANOVA was performed between the standard deviation (SD) of the COP positions. Results: The medio-lateral (M/L) COP position using 99 sensors was positively correlated with the M/L COP positions using 6, 7, and 8 sensors; however, it was not correlated with the M/L COP positions using 4 and 5 sensors during landing phase (1~4%) (p<.05). The antero-posterior (A/P) COP position using 99 sensors was positively correlated with the A/P COP positions using 4, 5, 6, 7, and 8 sensors (p<.05). The SD of the COP position using 99 sensors was smaller than the SD of the M/L COP positions using 4, 5, 6, 7, and 8 sensors (p<.05). Conclusion: Based on our findings, it is desirable to arrange at least 6 sensors in smart shoes. Application: The study of optimizing the number and positions of foot pressure sensors would contribute to developing more effective smart shoes using foot pressure technology.

• 대한통합의학회지
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• 제11권1호
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• pp.13-20
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• 2023

Purpose : The purpose of this study is to compare the balance ability between subjects with chronic ankle instability and normal people and the center of pressure displacement during the sit to stand and stand to sit. Methods : The subjects of this study were 63 who met the inclusion criteria and were classified into normal group (n=33) and chronic ankle instability group (n=30). The displacement of the center of pressure during sit to stand and stand to sit was measured. And the limit of stability and Y-balance tests were performed to measure the balance ability. Independent t-test was conducted to compare center of pressure displacement and balance ability between groups, and pearson correlation was conducted to analyze the correlation between the center of pressure displacement and balance ability. Results : In the case of the center of pressure displacement, there was a significant difference between the two groups during sit to stand and stand to sit. In the case of balance, both limit of stability and Y-balance test showed significant differences between the two groups. At the time of sit to stand, the center of pressure displacement showed a significant correlation with balance abilities, and at the time of stand to sit, the center of pressure displacement showed a significant correlation with Y-balance test. Conclusion : Chronic ankle instability shows that there is a lot of sway in the body due to compensation to replace the decrease in ankle joint range of motion when performing sit to stand and stand to sit due to sensory input damage such as decrease in ankle range of motion and decrease in ankle proprioception. Chronic ankle instability is expected to have a negative effect on our daily lives in life. The results of this study will serve as the basis for the dynamic approach to objective evaluation, treatment, and prevention of chronic ankle instability.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2006년도 춘계학술대회 논문집
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• pp.645-646
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• 2006

Pressure-induced decubitus is a serious disease among the elderly people. Interface pressure occluding vascular perfusion is known to be a cause of decubitus. Therefore, it is essential to quantify the relationship between vascular perfusion and interface pressure among the elderly people. Nine elderly normal people ($57.8{\pm}5.6\;years,\;63.3{\pm}7.0kg,\;1.68{\pm}0.05m$) were participated. Pressure was applied on the ischial tuberosity in the sitting posture from 0mmHg to 135mmHg as capillary vascular perfusion was recorded. The average interface pressure to occlude vascular perfusion under the ischial tuberosity is 120mmHg. Vascular perfusion values at the capillary occlusion is often lower than 60% of the vascular perfusion at 15mmHg. Higher sampling number is required to have more accurate results.

• 대한의용생체공학회:의공학회지
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• 제37권1호
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• pp.39-45
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• 2016

A pressure measurement system was developed to verify magnitude and position of transferred pressure on the body surface during the intermittent pneumatic compression (IPC) which is one of the most well-known methods for the prevention of deep vein thrombosis (DVT). Eighty force sensing resistors (FSR) were arranged on a mannequin leg and a hardware controller sensed, digitized, and transferred pressure data every second while IPC was being applied. Finally, sensed pressure data were color coded and visualized on the 3D model with lab-developed software. The pressure data were also saved to files for further analysis. Using this measurement system, the changing pattern of pressure was measured on the mannequin leg by changing both chamber pressure and cuff tightness. As a result, net pressure transferred onto the body surface is dependent on chamber pressure and cuff tightness. Under the same chamber pressure, the tighter a cuff was worn, the wider compressed area was and the shorter compression cycle was. Also transferred pressure was proportional to both chamber pressure and cuff tightness.

• Clinical Pain
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• 제19권2호
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• pp.70-79
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• 2020

Objective: We evaluated the efficacy of a newly-developed spinal orthoses (V-LSO) by comparing the stabilizing effect, abdominal pressure, and comfort of 3 different semirigid LSOs (classic LSO, V-LSO, and Cybertech^®) during various body movements. Method: Thirty healthy volunteers (23~47 years, 24 males, 6 females) were selected. A dual inclinometer measured the range of motion (ROM) while the participants performed flexion/extension and lateral flexion of the lumbar spine with 3 LSOs. The LSO's pressure on the abdominal surface was measured using 9 pressure sensors while lying, sitting, standing, flexion/extension, lateral flexion, axial rotation, and lifting a box. Comfort and subjective immobilization were analyzed by a questionnaire. Results: V-LSO had a statistically significant effect on flexion over Cybertech^®. No significant differences were noted during extension and lateral flexion between the 3 LSOs. The abdominal pressure showed no significant differences while supine. While sitting, standing, and lifting a box, the mean abdominal pressure for V-LSO were significantly higher than those for Cybertech^®. During lumbar flexion, the mean abdominal pressures for classic LSO and V-LSO were significantly higher than that of Cybertech^®. For extension, lateral flexion and axial rotation, the abdominal pressure for V-LSO was significantly higher than those of classic LSO and Cybertech^®. In the subjective analysis, V-LSO and Cybertech^® scored best for comfort. Conclusion: The V-LSO and Cybertech^® were more comfortable than the classic LSO, and hence, may have improved compliance with decreased discomfort. V-LSO may be superior to the other LSOs in restricting lumbar movement and increasing intraabdominal pressure.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1997년도 춘계학술대회
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• pp.249-252
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• 1997

A study on static and dynamic socket pressure distributions on a trans-femoral amputee with a suction socket was performed in order to assess an optimal socket fitting and function. Even for the amputee's static neutral position, pressure concentrations were observed in the lateral, medial, and posterior planes of the socket. During free walking, a significant movement of pressure concentration areas was observed. Large socket pressure was observed in the lateral, medial-anterior and posterior walls during mid-stance or push-off period. Socket pressure measurement will be one of the good tool to determine the optimal socket-limb interface.