• 제목/요약/키워드: FOOT PRESSURE

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안정판과 불안정판에서 자세 균형 조절에 대한 진동자극의 영향 (Effects of Vibratory Stimulus on Postural Balance Control during Standing on a Stable and an Unstable Support)

  • 유미;은혜인;김동욱;권대규;김남균
    • 대한의용생체공학회:의공학회지
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    • 제28권5호
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    • pp.647-656
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    • 2007
  • The purpose of this study was to analyze the effects of vibratory stimulus as somatosensory inputs on the postural control in human standing. To study these effects, the center of pressure(COP) was observed while subjects were standing on a stable and an unstable support with co-stimulated mechanical vibrations to flexor ankle muscles(tibialis anterior tendon, achilles tendon) and two plantar zones on both foot. The COP sway measurement was repeated twice in four conditions: (1) with visual cue and vibration, (2) without visual cue and vibration, (3) with visual cue and without vibration, (4) without visual cue and with vibration. The calculated parameters were the COP sway area and the distance, the median frequency and the spectral energy of COP sway in three intervals $0.1{\sim}0.3,\;0.3{\sim}1,\;1{\sim}3Hz$. The results showed that vibratory stimulus affect postural stability. The reduction rate of the COP sway with vibratory stimulus were higher on the unstable support because the effect of postural stability increases when afferent nervous flow is more activated by vibration on unstable support. If unclear visual or vibratory information is received, one type of information is compared with the other type of sensory information. Then the input balance between visual and vibratory information is corrected to maintain postural stability. These findings are important for the rehabilitation system of postural balance control and the use of vibratory information.

압력 중심 및 지면반력 이동 패턴에 의한 두 가지의 다른 골프 스윙 스타일 분류 (Categorization of two different swing styles using weight transfer patterns of golf swing)

  • 임영태
    • 한국운동역학회지
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    • 제14권2호
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    • pp.179-186
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    • 2004
  • 본 연구의 목적은 숙련된 골프선수들의 골프 스윙동작 시 상이한 무게중심 변환 형태가 존재하는지 그리고 만약 이 상이한 무게중심 변환 형태가 존재한다면 어떤 형태로 나타나는지를 알아보고자 하였다. 본 실험을 위해 13명의 남자 대학 엘리트 골프 선수들을 대상으로 드라이버를 이용한 스윙을 실시하게 하였다. 수직 지면 반력과 압력중심 이동 패턴을 측정하기 위해 지면반력기 2대와 스윙 동작 시 critical event 설정을 위해 1대의 고감도 비디오 카메라를 사용하였다. 또한 스윙 결과로 나타나는 비거리, 클럽헤드 속도를 측정하기 위해 스윙 분석기를 이용하였다. 피험자 간 상호 비교를 위해 측정된 수직 지면반력 성분은 몸무게를 이용하여 표준화하였고 압력중심은 어드레스시의 압력중심을 원점으로 재 계산하였다. 또한 임팩트 시 측정된 좌우 수직 지면반력 성분을 이용하여 두 가지의 상이한 스윙 스타일로 구분하였다. 연구결과 8명(62%)의 피험자에게서 좌측 수직력 성분이 상대적으로 높은 전족(FFS) 스타일임이 밝혀졌고 5명(38%)은 그 반대인 리버스(RFS) 스타일임이 밝혀졌다. 이 전족 스타일은 대부분의 골퍼들이 선호하고 또 그렇게 하여야만 한다고 믿고 있는 스윙방식이다. 이와 반대인 리버스 스타일은 코치들이 금기시 하는 스윙의 형태로서 초보자, 즉 비숙련 자에게만 나타나는 전형적인 스윙형태라고 인지되고 있다. 하지만 이 두 가지 스윙 스타일이 초보자가 아닌 숙련된 골프 선수들에게서도 실제 존재한다는 것이 본 실험 결과로 나타났다. 평균 압력중심 이동 패턴은 전후축 방향의 경우 RFS 스타일 그룹이 RFS 스타일 그룹에 비해 압력중심 이동이 크게 나타났고 좌우축의 경우에도 RFS 그룹이 FFS 그룹에 비해 압력중심 이동이 크게 나타났다. 특히 임팩트 시 압력중심의 위치가 FFS 그룹은 전족 근처에 있는 반면 RFS 그룹은 후족(rear foot)에 위치하여 두 스윙 스타일의 차이점을 분명하게 보여주었다. 따라서 비록 이 RFS 스타일이 대부분의 코칭 이론과는 상반되는 무게중심 이동 패턴을 보여주었지만 이 스윙 스타일이 잘못된 것이 아닌 실제 존재하는 하나의 스윙 스타일로 인식하여 스윙 지도 시 이에 알맞은 적절한 교습법을 마련해야 할 것이다.

뇌졸중 환자의 균형능력 회복을 위한 가정운동프로그램 효과 (The Effects of Home Based Exercise Program on Balance Recovery in a Post-Stroke Population)

  • 장상훈;정병옥;방현수
    • 디지털융복합연구
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    • 제12권7호
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    • pp.297-304
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    • 2014
  • 본 연구는 가정운동프로그램이 뇌졸중 환자의 균형능력회복에 미치는 효과를 알아보기 위하여 실시하였다. 본 연구는 2013년 9월에서 2013년 12월까지 실시하였으며, 대상자는 총 20명으로 일반적인 통원 물리치료를 실시한 조군 10명, 일반적인 통원 물리치료를 실시하고 추가적으로 가정운동프로그램을 실시한 운동군 10명으로 나누어 배정하였다. 가정운동프로그램은 신경계 물리치료사가 대상자 집을 방문하여 8주동안 주 2회씩 매회 30분간 시행하였으며 체중이동훈련, 지구력훈련, 운동재훈련, 감각재훈련, 하지운동으로 구성되었다. 균형능력을 평가하기 위하여 Biorescu를 이용하여 족저압, 안정성한계, 동요속도를 측정하였고 임상적인 측정방법 중 하나인 기능적 팔뻗기 검사를 실시하였다. 연구결과 대조군과 운동군은 안정성한계, 동요속도, 기능적 팔뻗기 검사에서 유의한 차이가 나타났다. 본 연구는 가정운동프로그램이 뇌졸중 환자의 균형회복을 회복하는데 효과적인 치료전략 중 하나라는 것을 나타낸다.

의식조사를 통한 이용자 중심의 도시공원 조성방안 연구 - 잔디·녹지공간을 중심으로 - (A Study on the User-driven Urban Park Development Plan Awareness Survey - Focusing on Lawns·Grass Area -)

  • 서정영;성현찬
    • 한국환경복원기술학회지
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    • 제12권2호
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    • pp.61-72
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    • 2009
  • This study aims to analyze the current situation of and issues in the structure of urban neighborhood parks and park facility installation in cities in Gyeonggi-do. Then, based on its findings, plans to improve the space structure of the parks were examined and suggested to raise the city environment improvement function and green area base function of urban parks and fully satisfy users' needs for pleasant rest, recreation and cultural activities. The findings showed that, within parks, the area of grass where access was restricted reached about 24.4% in average. In other words, only 75.6% of total park area could be freely used by park visitors. As for an improvement plan, the grass area where access is limited may be converted into a gras area that can be freely used to raise the park use area, which currently stands only at 75.6%, to 100%. The result of cross analysis through Chi-Square Test regarding lawn use as well as regarding (dis)agreement with reduction of lawn, based on the investigation of cognition, showed a significant agreement of park users with reduction of green areas. Therefore it is considered that lawn space must be reduced according the result of the analysis, to set up plans for facility space that would meet the desires of users. The analysis of user behaviors revealed that many of them used square spaces and walks; therefore it is considered that re-structuring of space is necessary according to local characteristics. This study also made some policy suggestion. urban parks must be a base of city green areas to counter climate changes. When developing a park creation plan, a user demand survey must be conducted in advance. In addition. grass construction methods should be improved to tolerate foot pressure.

Comparison of Skiing Time and Vertical Ground Reaction Force between the Short Turn and Basic Parallel Turn during Alpine Skiing

  • Kim, Jin-Hae;Kim, Joo-Nyeon
    • 한국운동역학회지
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    • 제27권4호
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    • pp.257-262
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    • 2017
  • Objective: This study aimed to investigate the differences in skiing time and vertical ground reaction force (vGRF) between the basic parallel turn and short turn. Method: Eleven alpine ski instructors (age: $28.73{\pm}4.29yrs$, height: $172.36{\pm}6.30cm$, body mass: $71.45{\pm}9.16kg$, career: $11.09{\pm}2.70yrs$) participated in this study. Each skier was asked to perform a basic parallel turn and short turn on a $16^{\circ}$ groomed slope. A foot pressure measurement system was used to measure the skiing time and vGRF under the three plantar regions (forefoot, midfoot, rearfoot). Results: Skiing time decreased significantly in all three phases during the short turn (p<.05). In the initiation phase, the vGRF showed a greater decrease on the midfoot and rearfoot during the short turn (p<.05). In the steering phase 1, the vGRF showed a greater increase on the forefoot and decreased on the midfoot during the short turn (p<.05). In the steering phase 2, the vGRF showed a greater increase on the forefoot and rearfoot during the short turn (p<.05). Conclusion: Our findings proved that the skiing time and vGRF changed during the short turn. Consequently, we suggest that recreational skiers should decrease the skiing time of the steering phase compared to that of the initiation phase and increase the vGRF on the forefoot and rearfoot in the steering phase.

넘어진 노인과 넘어지지 않는 노인의 균형과 보행비교 (Comparison of Balance and Gait Between Fallers and Non-Fallers in Elderly)

  • 김현숙;권오윤;이현주
    • 한국전문물리치료학회지
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    • 제9권1호
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    • pp.1-15
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    • 2002
  • The purpose of this study was to compare the balance and gait between fallers and non-fallers in elderly. A brief questionnaire was used to obtain the fall history. Twenty-seven women subjects were evaluated in this study. Eleven subjects and a mean age of 84.5 years (SD=4.6) were designated as the faller group. Sixteen subjects and a mean age of 80.3 years (SD=5.3) were designated as the non-faller group. The fall-related factors (mental status, balance, range of motion and muscle strength of lower extremity, sensation of foot, and cadence, walking velocity, stride length) were compared between faller group and non-faller group and measured. The results showed that faller group had significantly less range of motion of the hip flexion and knee extension, and strength of the knee extensor and ankle dorsiflexor and plantar flexor than non-faller group. The scores of the Functional reach test and One leg standing were significantly less in faller group than in non-faller group. Faller group showed less walking velocity and stride length compared to non-faller group. However, there was no significant difference in cadence during comfortable waking and fast walking between two groups. There were no significant differences in pressure, position sensory between two groups. These results suggest that exercise for improving the flexibility, muscle strength of the lower extremity and balance may be useful strategies to prevent fall in elderly. Further studies are needed to identify which specific factors are related to fall in the elderly population.

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주민참여에 의한 마을마당설계 -서울 동작구 사당동 양지공원- (Community Participatory Neighborhood Park Design -In the Case of Yangi Park in Sadang-dong, Seoul-)

  • 김성균
    • 한국조경학회지
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    • 제29권3호
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    • pp.61-69
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    • 2001
  • This paper presents a case of community participatory neighborhood park design. The site, Yangji park, is located in Sandang-dong, Dongjak-gu, Seoul and the area is about 1,870m. Neighborhood park is defined as an outdoor space which is close to people´s home and is considered to be their own, because of the residents´ collective responsibility, family association, and frequent shared use. It is a place for pleasant rest area for community, sharing a sense of nature and retaining a sense of tradition and culture which is disappearing in a city. It is related to the daily life of the people near the site and becomes a place to let the community increase dialogue and understanding between people. On the other hand, participatory design is a design in which people participate in the design process. Thus people can understand the project well, present their opinions better, and reconcile conflicts between the different interests of people. This design applied a community participatory design method to design a neighborhood park. The major strategies for participatory design were ´workshop´, ´card game´, ´walking site´, ´interview´, and ´questionnaire´. Eight workshops were performed for the participation design. The major spaces and facilities elected by participants were the ´main entrance plaza´, ´entrance symbol space´, ´children´s ´playground´, ´multipurpose sport ground´, ´grass land´, ´foot-pressure area´, ´spaces symbolizing a rock mountain and an old well´, ´space for youth´, ´a pavilion´, etc. From this selection, design concept alternatives were generated by participants. The aster plan was developed from these design alternatives with the help of landscape architects. It was revised by ist visits and community discussions. People were also involved in the construction process and left their own works, such as hand prints, on the site. After construction, residents continued to maintain the park by themselves. As a result, It was found that participatory design was very effective for people´s satisfaction and sustainable park management. By involving people more in the process they developed a sense of community, a sense of ownership, and attachment to the place. In conclusion, it is suggested that we need to develop an effective people´s participation method to Korean society.

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외측 쐐기 깔창이 골관절염 환자의 내반슬에 미치는 영향에 관한 고찰 (A Review of Effects of Osteoarthritic Patient with a Varus Deformity of the Knee on Laterally Wedged Insole)

  • 이상용;신형수;배정수
    • 대한정형도수물리치료학회지
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    • 제11권1호
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    • pp.65-73
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    • 2005
  • Osteoarthritis has been considered a disease of the elderly because it is uncommon before the age of 40 years and is seen in approximately 80% of United States citizens older than 65 years. general population on kuri city in korea revealed that prevalence of knee osteoarthritis is 10.2%, increasing with age. High level of physical activity in men and age, post-menopause and obesity in women can be risk factor. Osteoarthritis is no evidence that a acquired process initiated much earlier in life through mechanical, metabolic, genetic, or other origins. A high tibial osteotomy alters static lower extremity alignment thereby decreasing medial compartment loading. As well, conservative treatment strategies, such as knee braces and valgus heel wedges, affect lover limb mechanics and attempt to reduce medial compartment loading. It was hypothesized that valgus heel wedges and modified orthoses would shift the center of pressure laterally on the foot during level walking, reducing the moment arm of the adduction moment in the frontal plane, thereby resulting in a decrease in the knee adduction moment. In the 1980s, the effect of wearing a laterally wedged insole on osteoarthritic patients with a varus deformity of the knee was firsted, and since then, kinematic and kinetic analyses concerning this condition have mainly focused on a static standing position. Since the early 1990s, the beneficial effect of wearing a laterally wedged insole to treat osteoarthritis of the knee has also been reported in dynamic conditions, but these studies did not answer the question of the kinematic and kinetic mechanisms that resulted in the reduced symptoms in patents with knee osteoarthritis. therefore, the effect of wearing laterally wedged insole has not been sufficiently studied.

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무릎 관절염 환자에 대한 관절가동술과 탄력 테이핑 융복합 적용이 즉각적인 기립 균형에 미치는 영향 (The impact of joint mobilization with an elastic taping on immediate standing balance in patients with knee osteoarthritis.)

  • 박신준;김동대
    • 한국융합학회논문지
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    • 제8권7호
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    • pp.295-304
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    • 2017
  • 본 연구의 목적은 관절가동술과 탄력테이핑을 무릎 관절염 환자에게 적용하여 기립균형에 미치는 즉각적인 영향을 알아보고자 한다. 무릎 관절염 환자 30명은 테이핑군, 관절가동술군, 관절가동술과 탄력테이핑 융합 적용군으로 10명씩 나누어 무작위 배치되었다. 기립균형능력 평가는 발바닥 압력 측정기를 이용하였고, 눈 뜬 상태와 눈 감은 상태에서 자세 동요, 이동거리, 평균속도를 평가하였다. 중재 직후 세 군 모두 눈 감은 상태에서 자세 동요에 유의한 개선이 있었고, 융합 적용군은 이동거리, 평균속도에서도 유의한 개선을 보였다. 하지만 세 군간 기립균형 능력에서는 유의한 차이는 없었다. 관절가동술과 테이핑 모두 눈 감은 상태에서 기립균형에 효과적인 방법이었고, 두 중재방법을 융합했을 때 다양한 균형 변수에 효과적인 것을 확인할 수 있었다. 따라서 무릎 관절염 환자에게 두 중재방법을 융합하여 적용할 것을 권고한다.

한방간호 연구동향 분석 (Research Trend of Oriental Nursing in Korea)

  • 이향련;조결자;강현숙;신혜숙
    • 동서간호학연구지
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    • 제8권1호
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    • pp.27-40
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    • 2003
  • Purpose: The Purpose of this study was to analyze the trends of research related with oriental nursing. Method: 124 articles about oriental nursing from 1990 to July 2003 were analyzed according to the articles' characteristics, sources by publication period, research design, nursing intervention effect of experimental study and concept, and content of literature review. Result: 1. The number of studies related with oriental nursing has progressively increased by year from 1990, and that of articles was the highest during the period between 1995 to 1999. 2. The majority of research design were survey and correlational studies, and most of them were published in the before 2000. But experimental design were used in the after 2000. 3. Nursing intervention used in the experimental design were Dan Jeon Breathing, Qigong, Yoga, Guided Imagery, Aroma therapy, San-Yin-Jiao(SP-6) Pressure, Percutaneous Electrical Nerve Stimulation, Massage(Meridian Point, hand, foot, etc.) Chuna- Bed Exercise Program. Diet for Sasang Constitution etc. 4. The key concept of literature review articles is ki(energy), oriental nursing, health promotion, oriental medicine management of illness etc. Conclusion: The summary of the above results shows a tendency that the study has increased by year. Especially, experimental study proved affirmative effect. Besides in the literature review, inquiry of theories and practical perspective, which is necessary for the establishment of oriental nursing was introduced. However, for the establishment of oriental nursing, more experimental and qualitative studies are to be required.

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