• 한국운동역학회지
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• 제12권2호
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• pp.1-16
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• 2002

본 연구의 목적은 다운증후군 보행에 영향을 주는 근력 훈련이 성장기에 있는 다운증후군 아동의 지면반력의 변화에 미치는 효과를 살펴보는 것이다. 본 연구의 대상자는 삼염색체 다운증후군을 가진 남자 아동(11세~13세) 8명이며, 근력훈련 전에 지면반력 변인(수직력, 전후력, 좌우력, 총압력중심)을 측정하였으며 근력훈련 후에도 동일한 방법으로 지면반력 변인을 측정하였다. 지면반력 변인의 측정은 2대의 AMTI 지면반력기를 사용하였으며, 초당 100Hz로 데이터를 수집하여 분석하였다. 근력 훈련은 하지 근육 강화 훈련 4종목(스쿼트, 레그 컬, 레그 익스텐션, 토 레이즈)과 복근 및 척추기립근 강화 훈련 2종목(하이퍼 익스텐션, 윗몸 일으키기)으로 구성하여 8주간 주당 3회, 1회 운동 시 10~15RM${\times}$3세트로 점증부하 원리에 의거하여 실시하였다. 본 연구를 통한 결론은 다음과 같다. 근력 훈련 전후의 수직력, 전후력, 좌우력의 변화패턴은 다운증후군 아동별로 다양하게 나타났으며, 근력훈련으로 정상인과 비슷한 패턴으로 향상되었다. 또한, 훈련 전 후의 총압력중심의 이동궤적은 연구대상자별로 다양한 이동궤적이 나타나서 명확한 설명을 하기가 어려우며, 이에 대한 보다 종합적인 후속 연구가 필요할 것으로 사료된다. 본 연구를 통하여 다운증후군 아동들의 보행의 운동역학적 기전의 이해와 운동학적 결과의 해석을 돕고 향후 병적 보행의 평가에 대한 기초자료를 제시할 수 있을 것으로 사료된다.

• 한국운동역학회지
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• 제20권1호
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• pp.91-99
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• 2010

The purpose of this study was to the kinetic variables effects from the use of arch support inserts on low-arched people. We selected 10 people for the research and separated them into 2 groups, 5 people for the normal arched group and 5 people for the low arched group. Each group wear shoes which have a 3 step convertible arch support (level 0, level 2, level 5) and we measured their foot pressure and 3D motion analysis data. As a result, we found that the mean pressure at the heel of the low arched group was decreased when using the arch supports. The arch support induced the correct grounding area for the foot and dispersion of foot pressure. 3D motion analysis found that as the height of the arch support was increased, the movement of the Y-axis(inversion-eversion) was increased to relieve the shock to the heel. The arch support insert limited the range of motion(ROM) of the Z-axis(abduction-adduction) of the low arched person's ankle joint and prevented ankle injury caused by the excessive eversion when walking. Low arched people are seen to be easily tired due to the ineffective shock absorption of the knees and abnormal walking motion. In order to improve the problems, a 3 step convertible arch support(level 5) insert would improve the low-arched people's walking ability. In other words, the low arched people should be expected to walk as well as normal arched people when they wear shoes with the arch support insert.

• 한국전문물리치료학회지
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• 제27권4호
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• pp.227-232
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• 2020

Background: Hallux valgus (HV) is a foot deformity developed by mediolateral deviation of the first metatarsophalangeal joint. Although various foot-toe orthoses were used to correct the HV angle, verification of the effects of kinetics variables such as ground reaction force (GRF) through three-dimensional (3D) gait analysis according to the various type of orthoses for HV is insufficient. Objects: This study aimed to investigate the effect of soft and hard types of foot and toe orthoses to correct HV deformity on the GRF in individuals with HV using 3D motion analysis system during walking. Methods: Twenty-six subjects participated in the experiment. Participants had HV angle of more than 15° in both feet. Two force platforms were used to obtain 3D GRF data for both feet and a 3D motion capture system with six infrared cameras was used to measure exact stance phase point such as heel strike or toe off period. Total walk trials of each participant were 8 to 10, the walkway length was 6 m. Two-way repeated measures ANOVA was used to determine the effects of each orthosis condition on the various GRF values. Results: The late anteroposterior maximal force and a first vertical peak force of the GRF showed that the hard type orthosis condition significantly increased GRF compared to the other orthosis conditions (p < 0.05). Conclusion: There were significant effects in GRF values when wearing the hard type foot orthosis. However, the hard type foot orthosis was uncomfortable to wear during walking. Therefore, it is necessary to develop a new foot-toe orthosis that can compensate for these disadvantages.

• 디지털융복합연구
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• 제13권2호
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• pp.381-391
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• 2015

본 연구는 장애인 재활을 위해 최신 공학기술과 재활프로그램을 융합한 가상현실 기술의 효과에 관련된 연구동향을 분석한 문헌연구이다. 2000~2014년에 발표된 국내 논문 60편을 대상으로 P.I.C.O방법을 준용하여 분석한 결과, 주로 성인 노인 뇌졸중 환자를 대상으로 가상현실을 적용한 장애인 재활 프로그램 관련 연구가 많았으며, 가상현실 구현을 위해 투사형 시스템이 자주 사용되었다. 중재효과 확인을 위한 종속변수로는 균형, 상지기능, 보행이 주로 사용되었고 이를 ICF의 구성요소로 재해석하여 도출한 연구주제로는 이동이 가장 많았다. 반면 교육, 직업, 여가 등 참여영역을 다룬 연구는 매우 적었다. 향후 장애인의 실생활에 유용한 가상현실 중재를 위해서는 사회적 관점에 초점을 두어야하며, 동시에 가상현실 기술의 개발 시에도 적용방법과 비용 측면에서 용이한 접근을 염두에 두고 공학기술과 재활서비스가 융합되어야 할 것이다.

• 대한정형도수물리치료학회지
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• 제17권2호
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• pp.19-24
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• 2011

Background: The elderly are likely to fall due to physical and mental atrophies, and experiencing falls may result in fear of falls and lack of self-confidence, which also leads to hesitation to physical activities and changes in walk and balance, the major variables in independent daily life. Methods: In three senior citizen centers located in D city, 22 elderly women aged 65 or older were chosen, and they filled in the questionnaire which included their agreement to voluntarily participate in the survey and medical histories. As to whether they had falls experience, the medical history items in the questionnaire asked them if they had falling down or falls once a year, twice for the three years. The objects were divided to NFE (non-falls experience) and FE (falls experience). Results: 1. As to walking abilities, significant difference was found between NFE and FE regarding walk width, stepping with two feet, and stride length while there was no significant different in terms of cadence. 2. As to balancing abilities, was significant difference between NFE and FE in terms of the physical body center area. As to the sit-to-stand, tandom gait test, no significant difference was found, and neither in the timed up and go test. Conclusions: The elderly with falls experience has inferior walking and balancing abilities to those without falls experience, and thus they are more exposed to the risks of falls.

• 한국전문물리치료학회지
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• 제20권4호
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• pp.55-64
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• 2013

The first purpose was to identify the plantar pressure distributions (peak pressure, pressure integral time, and contact area) during level walking, and stair ascent and descent in asymptomatic flexible flatfoot (AFF). The second purpose was to investigate whether peak pressure data during level walking could be used to predict peak pressure during stair walking by identifying correlations between the peak pressures of level walking and stair walking. Twenty young adult subjects (8 males and 12 females, age $21.0{\pm}1.7$ years) with AFF were recruited. A distance greater than 10 mm in a navicular drop test was defined as flexible flatfoot. Each subject performed at least 10 steps during level walking, and stair ascent and descent. The plantar pressure distribution was measured in nine foot regions using a pressure measurement system. A two-way repeated analysis of variance was conducted to examine the differences in the three dependent variables with two within-subject factors (activity type and foot region). Linear regression analysis was conducted to predict peak pressure during stair walking using the peak pressure in the metatarsal regions during level walking. Significant interaction effects were observed between activity type and foot region for peak pressure (F=9.508, p<.001), pressure time integral (F=5.912, p=.003), and contact area (F=15.510, p<.001). The regression equations predicting peak pressure during stair walking accounted for variance in the range of 25.7% and 65.8%. The findings indicate that plantar pressures in AFF were influenced by both activity type and foot region. Furthermore the findings suggest that peak pressure data during level walking could be used to predict the peak pressure data during stair walking. These data collected for AFF can be useful for evaluating gait patterns and for predicting pressure data of flexible flatfoot subjects who have difficulty performing activities such as stair walking. Further studies should investigate plantar pressure distribution during various functional activities in symptomatic flexible flatfoot, and consider other predictors for regression analysis.

• 한국운동역학회지
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• 제28권1호
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• pp.45-54
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• 2018

Objective: The purpose of this study was to investigate the effect of foot strengthening exercise program and functional insoles on joint angle and plantar pressure in elderly women. Thirteen elderly women who were enrolled in a university senior citizens academy of a metropolitan city in 2017 were divided into two groups: exercise group with functional insole (n=7) and exercise group without functional insole (n=6). Method: Three-dimensional motion analysis and Pedar-X were performed to compute the joint angle and the foot plantar pressure, respectively. Two-way repeated measure ANOVA was conducted to compare dependent variables within and between groups. The significance level was set at ${\alpha}=.05$. Results: The range of motion (ROM) of the ankle, knee, and hip joints in the exercise group with functional insole increased significantly more than the exercise group without functional insole. In both the experimental group and the comparison group, the maximum foot plantar pressure and the mean foot plantar pressure were decreased, but the comparison group without functional insole showed more decrease. Since the experimental group demonstrated greater pressure than the comparison group in the contact area (forefoot, midfoot), it was distributed over a greater area. Conclusion: The results of this study suggest that participation in foot strengthening exercises and using a functional insole has more positive effects than foot strengthening exercises alone on the joint angle and plantar pressure in elderly women. Increased foot plantar pressure led to an increased contact area (forefoot, midfoot) for distribution of the foot plantar pressure, but the effect of reducing the maximum and average plantar pressures was incomplete. However, wearing functional insoles along with exercise, could help in improving the stability of the joints, by increasing the range of motion, and could help the elderly in movement of the muscles more effectively, leading to an improvement in gait function.

• 생명과학회지
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• 제21권9호
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• pp.1336-1345
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• 2011

본 연구에서는 국내외 실버화와 일반적인 운동화에 대한 1차 운동기능학적 분석을 통하여 노인에게 가장 적합한 신발을 정하고 2차 운동생리학적 실험을 통해 체지방률변화, 운동강도에 따른 대사량의 변화 그리고 에너지 소비량의 변화를 분석하였다. 본 연구의 대상으로는 특별한 질병을 가지고 있지 않은 남자 어른들 20명을 대상으로 하였으며, 평균나이는 $62.78{\pm}4.32$세, 신장은 $170.89{\pm}3.56cm$ 그리고 몸무게는 $75.12{\pm}8.76kg$이었다. 실험 전 실험에 대한 충분한 설명을 하고 동의서를 받은 후 데이터를 수집하였다. 본 연구를 위하여 운동 기능학적 실험과 운동 생리학적 실험을 수행하였으며, 본 연구결과 걷기나 달리기 시 최초 발 뒤꿈치 접촉 시 발이 회내(pronation)되는 정도와 최대 회내가 되는 정도를 알아 본 결과 걷기속도가 가장 빠르게 나온 B형의 신발이 회내값($-2.3{\pm}1.05^{\circ}$)이 가장 크게 나타났으며 일반걷기용 신발에서 가장 작은 값($-1.5{\pm}0.49^{\circ}$)을 보여주고 있다. 또한 노인들의 일상생활에서 착용하는 건강증진용 신발을 대상으로 운동 생리학적 부분을 살펴보면 체지방율의 변화는 모든 그룹에서 감소는 하였으나, 통계적으로 유의한 차이가 나타나지 않았는데, 이는 체지방율의 변화를 가져오기 위해서 일시적인 운동이 아닌 규칙적이고 장기적인 운동이 필요할 것으로 사료되어지며, 노인들이 건강증진용 기능화를 장기적으로 착용하여 운동할 경우 체 지방율에 긍정적인 영향을 미칠 것으로 사료되어진다.

• 한국운동역학회지
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• 제12권1호
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• pp.15-30
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• 2002

The purpose of this study was analyzed the effect of kinematical and kinetical factors of lower extremity of form change in the cause of growth an unborn child during in pregnancy. Three pregnant women were selected from pregnant 24 weeks as subjects. Each subjects were required to walk with usual walking speed. Cinematographic and GRF data were collected during walking, and the kinematical and kinetical variables were calculated using Kwon3d. Based on the results of the study, the following conclusions were drawn : 1. Step width and Step length The change of form during the period of pregnancy was not statistically found significant in the step width and the step length. 2. Angle of lower extremity 1) The change of form during the period of pregnancy was not statistically found significant in the hip angle at right heel contact, mid stance, but it was statistically found significant in the hip angle at toe off on p<.05. 2) The change of form during the period of pregnancy was not statistically found significant in the knee angle at right heel contact, mid stance, but it was statistically found significant in the knee angle at toe off on p<.05. 3) The change of form during the period of pregnancy was not statistically found significant in the ankle angle at right heel contact, mid stance, but it was statistically found significant in the ankle angle at toe off on p<.05. 3. Ground reaction force 1) The change of form during the period of pregnancy was statistically found significant in medial-lateral force(Fx) on p<.001. 2) The change of form during the period of pregnancy was not statistically found significant in post-anterior force(Fy). 3) The change of form during the period of pregnancy was statistically found significant in impulse force and minimum peak of vertical reaction force on p<.001, p<.01 but it was not statistically found significant in second maximum force.

• 영재교육연구
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• 제5권2호
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• pp.139-156
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• 1995

The purpose of the study is to examine the effects of Gifted Education Isnstitute of Korea (GEIK) programs for gifted children especially in the areas of reasoning skills and creativity, thereby proving the effectiveness of the program. The subjects are 136 (103 boys and 33 girls) fourth, fifth, and sixth grade gifted children, who have participated in GEIK programs for more than six moths. They were stratified by the length of participation in GEIK programs. Ninety four children have participated for more than one year. Forty-two children have participated for less than one year. Both groups are rather homogeneous in IQ scores and school achievement levels at the time of enterance into GEIK programs. Both a Group Assessment of Logical Thinking (GAIT) and a Creativity test were used for the study on reasoning skills and creativity. GALT, developed by V. Roadranka, R. H. Yeany and M. J. Padilla in 1983, consists of 12 questions. It is classified into six subscales: conservation, proportional reasoning, controlling variables, provability reasoning, correlational reasoning, and combinatorial reasoning. The reliability of this test is .85. This test recommends to classify the stages of child development as follows according to the total test score. 0-4 point: Concrete Stage, 5-7 points: Transitional Stage, and 8 and above points: Formal stage. The Creativity Test was developed by Y. Lee and W. Chung (1971). It consists of four components: fluency, flexibility, originality, and openness. Only both fluency and openness were used in this study. In order to analyze data, T-Test, Intercorrelational Analyses, ANOVA, and Nultiple Regression were used. Followings are the results deduced from the above analoyses of the data. First, 43.48% of the subjects were on Concrete Stage, 36.78% were on the Transitional Stage, and 19.86% were on the Formal Stage in the developmental level classified by Piaget. Second, the students who have participated in GEIK programs more than one year acquired significantly higher score in GALT than the students who have participated in GEIK programs less than one year. Third, boys showed higher score in GALT than girls did. Fourth, there were statistically significant intercorrelations between six subscales of GALT. Fifth, the students who have participated in GEIK programs more than one year acquired significantly higher score in openness of creativity test than the students who have participated in GEIK programs less than one year. There were no significant differences in openness of creativity test between boys and girls. Sixth, the students who have participated in GEIK programs more than one year acquired significantly higher score in fluency of creativity test than the students who have participated in GEIK programs less than one year. Girls showed higher score in fluency of creativity test than boys did. Seventh, the students who acquired higher score in GALT showed higher score in both openness and fluency of creativity test. Followings are the conclusions deduced form the above results. First, the developmental level of reasoning skills of the fourth grade students participationg in GEIK programs is the same as that of 7th grade of normal Korean students and the same as those of 10th grade of U.S.A. and Philipoine students. Second, the GEIK programs are effective in improving reasoning skills. Third, the GEIK programs are effective in improving creativity. Fouth, reasoning skills and creativity can be improved by well planned programs. In conclusion, this study suggests that beyond reasoning skills and creativity, other areas such as areas in science skills, mathmatical skills, or verbal skills, etc., should be studied in the future.