• 한국운동역학회지
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• 제19권3호
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• pp.593-601
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• 2009

이 연구의 목적은 20-30대 여성 12명을 대상으로 각기 다른 하이힐 (3cm, 7cm, 9cm) 보행 시 지지 구간에서 하지의 시간 협응성을 관찰하기 위한 것이었다. 이를 위해 영상 분석을 통해 무릎의 굴곡과 경골의 내측 회전, 발의 외반 각을 Euler 방법에 의해 분석하였으며, 이들 움직임이 최대로 일어나는 시간을 관찰해 이들의 일치도를 정성적으로 분석하였고, 또한 최대 경골 내측 회전에 대한 최대 발의 외반 각이 발생하는 시간비율을 분석해 잠재적 상해 발생 부위를 예측하고자 했다. 그 결과 다음과 같은 결론을 얻었다. 하이힐 3cm 보행은 7, 9cm 보행보다 무릎 굴곡, 경골 내측 회전, 발의 외반 최대 발생 시간의 일치도가 높은 것으로 나타났으며, 무릎 최대 굴곡 발생 시간은 하이힐 높이가 증가하면 할수록 일찍 발생하는 경향을 보였다. 반면에 경골의 최대 내측 회전 발생 시간은 하이힐 높이가 증가할수록 늦게 발생하는 특징을 보였다. 보행 시 지지구간에서 경골의 최대 내측 회전 발생 시간에 대한 발의 최대 외반 발생 시간 비는 하이힐 3cm 보행이 전체적으로 1에 수렴하는 특징을 나타났으나, 하이힐 7, 9cm 보행은 1보다 적은 값을 보였다.

• 한국운동역학회지
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• 제19권4호
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• pp.707-717
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• 2009

본 연구의 목적은 여자 창던지기 선수를 대상으로 지지발 착지와 릴리즈 국면 시 우수 집단과 준우수 집단 간의 운동학적 차이를 규명하는데 있다. 이를 위해 국내 여자선수 8명을 대상으로 측정 최고기록이 45m이상인 선수를 우수 집단으로, 45m이하를 준우수 집단으로 구분하였다. 창의 투사속도에 있어서 릴리즈 단계의 수직속도는 집단 간에 통계적인 차이를 보이지 않았지만, 수평속도는 집단 간에 유의한 차이(p<05)가 있는 것으로 나타났고, 릴리즈 순간의 투사각에 있어서 우수 집단은 평균 36.3도를 보였고, 준우수 집단은 평균 42.3도를 보이면서 집단 간에 유의한 차이(p<.05)가 있는 것으로 나타났다. 지지다리 무릎각에 있어서는 힘 발 착지(우수>준우수)와 지지발 착지(우수<준우수) 그리고 완전착지(우수<준우수)에서 집단 간에 유의한 차이(p<.05)가 있는 것으로 나타났지만, 릴리즈 순간에 있어서는 유의한 차이를 보이지 않았다. 어깨각에 있어서도 힘 발 착지에서만 유의한 차이(p<.05)를 보였고, 릴리즈 단계에 있어서는 유의한 차이를 보이지 않았다.

• 대한통합의학회지
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• 제8권3호
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• pp.173-180
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• 2020

Purpose : The aim of this study was to assess the intra- and inter-rater reliability and validity of measurements of head, neck, and pelvis posture using a mobile application in subjects with forward head posture. Methods : Forty-eight volunteers (22 men, 26 women) participated in this study. Two raters independently examined whole body picture images in a lateral standing posture with arms crossed using a CA-Smart Posture Reminder (CA-SPR), and a rater took and calculated posture images twice to assess reliability. We measured five parameters: craniovertebral angle 1 (CVA1), anterior shoulder translation (AST), pelvic tilt (PT), knee angle (KA), and ankle angle (AA) in the subject's sagittal plane using CA-SPR. We examined whole spine X-ray images in the same position to assess validity. We measured four variables in the subjects: CVA2, translation distance (AHT), anterior pelvic plane (APP), and sacral slope (SS). The intra- and inter-rater reliability were calculated using the intraclass correlation coefficient (ICC). Convergent validity was calculated using Pearson's correlation coefficient. Results : The intra-rater reliability (ICC=.889 -.989) and inter-rater reliability (ICC=.800 -.980) were excellent for all variables measured using CA-SPR. The variables measured using CA-SPR and X-ray were significantly positively correlated (r=.623, p<.01). However, the correlation of the variables in the pelvis was not statistically significant. Conclusion : This study shows that a mobile application (CA-SPR) is a useful tool for measuring head and neck posture in subjects with forward head posture. However, further study is needed to measure pelvic variables when using a mobile application.

• 한국운동역학회지
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• 제16권2호
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• pp.145-151
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• 2006

A large interindividual variability and some abnormally kinematic patterns at the lower extremity were the main features of the gait in children with Down syndrome. The purposes of this study were to investigate the gait asymmetry and biomechanical difference between dominant leg and non dominant leg in children with Down syndrome. Seven boys with Down Syndrome(age: $120{\pm}0.9yrs$, weight $34.4{\pm}8.4kg$, leg length: $68.7{\pm}5.0cm$) participated in this study. A 10.0 m ${\times}$ 1.3 m walkway with a firm dark surface was built and used for data collection. Three-dimensional motion analyses were performed to obtain the joint angles and range of motions. The vertical ground reaction forces(%BW) and impulses($%BW{\cdot}s$) were measured by two force plates embedded in the walkway. Asymmetry indices between the legs were computed for all variables. After decision the dominant leg and the non dominant leg with max hip abduction angle, paired samples t-test was employed for selected kinematic and ground reaction force variables to analyze the differences between the dominant leg and the non dominant leg. The max hip abduction angle during the swing phase showed most asymmetry, while the knee flexion angle at initial contact showed most symmetry in walking and running. The dominant leg showed more excessive abduction of hip in the swing phase and more flat-footed contact than the non dominant leg. Vertical peak force in running showed more larger than those of in walking, however, vertical impulse showed more small than walking due to decrease of support time. In conclusion, the foot of dominant leg contact more carefully than those of non dominant leg. And also, there are no significant difference between the dominant leg and the non dominant leg in kinematic variables and ground reaction force due to large interindividual variability.

• 한국운동역학회지
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• 제17권1호
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• pp.111-119
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• 2007

The purpose of this study was to investigate muscle activity and gait pattern in lower limb depending on the outsole of heel rockers. Fifteen healthy men volunteered for this experiment. Each subject performed totally three trails with two pairs of different heel rocker shoes and a pair of normal running shoes at speed of 1.33m/s for 1 minute during walking on a treadmill. Kinematic data gathered in 100Hz was recorded and analyzed by using the 3D motion capture system to measure the trunk tilt and joint angle of the right lower limb. And the lower extremity muscle activities were simultaneously recorded in 1000Hz and assessed by using EMG. The statistical analysis was the one-way ANOVA with the repeated measures to compare among the three kinds of shoes. The level of statistical significance for all tests was 0.05. Joint angle of lower limb was showed statistically significant different in MST(hip joint), LHS(ankle joint), and RTO(knee and ankle joint). Muscle activity of rectus femoris and biceps femoris was statistically increased in both heel rocker shoes during gait cycle on treadmill. The maximum peak time of tibialis anterior in the negative heel rocker showed the delay of approximately 23.8%time than normal shoes. Gait pattern variability of the negative heel rocker was increased in the first half of the stance phase and the variability of the positive heel rocker was increased in the terminal stance phase. In Conclusion, stability was decreased in between joints of lower limb on positive heel rocker than negative heel rocker. This study found that there were different joint angle, muscle activity, gait pattern and coordinate system of the lower limb in each kind of shoes. These unstability affected the lower extremity and the whole body. A further study has to be continued with study of rehabilitation and exercise for a long-term.

• 한국CDE학회논문집
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• 제18권6호
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• pp.385-398
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• 2013

Opening wedge high tibial osteotomy (OWHTO) is widely used to treat unicompartmental osteoarthritis of the knee caused by degenerative deformations of the anatomical axes of the leg. However, since it is difficult to accurately plan the surgical degrees of adjustment such as coronal correction angle and tibial posterior slope angle to align the axes before the actual procedure, a number of studies have proposed analytical models to solve this problem. While previous analytical models for OWHTO were limited to specific cases, this study proposes an analytical osteotomy model (AOM) and a surgical planning system (SPS) that are suitable for a wide range of tibial morphologies and tibia conditions. The validity and generality of the model were verified in a total of 60 OWHTO cases. Results of the test showed that, as predicted, surgical degrees are affected quite significantly by tibia shape and slope of the resected surface. Comparison of the required surgical degrees and the degrees estimated from virtual surgery simulations using AOM showed a very small average difference of $0.118^{\circ}$. SPS, based on AOM, allows the operating surgeon to easily calculate surgical parameters needed to treat a patient.

• 대한간호학회지
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• 제46권1호
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• pp.39-49
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• 2016

Purpose: This study was done to develop a postural-stability patient transfer technique for care helpers in nursing homes and to evaluate its effectiveness. Methods: Four types of patient transfer techniques (Lifting towards the head board of the bed, turning to the lateral position, sitting upright on the bed, transferring from wheel chair to bed) were practiced in accordance with the following three methods; Care helpers habitually used transfer methods (Method 1), patient transfer methods according to care helper standard textbooks (Method 2), and a method developed by the author ensuring postural-stability (Method 3). The care helpers' muscle activity and four joint angles were measured. The collected data were analyzed using the program SPSS Statistic 21.0. To differentiate the muscle activity and joint angle, the Friedman test was executed and the post-hoc analysis was conducted using the Wilcoxon Signed Rank test. Results: Muscle activity was significantly lower during Method 3 compared to Methods 1 and 2. In addition, the joint angle was significantly lower for the knee and shoulder joint angle while performing Method 3 compared to Methods 1 and 2. Discussion: Findings indicate that using postural-stability patient transfer techniques can contribute to the prevention of musculoskeletal disease which care helpers suffer from due to physically demanding patient care in nursing homes.

• 한국운동역학회지
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• 제13권2호
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• pp.101-114
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• 2003

The purpose of this study was to examine the major kinematicak variance to Increase the club head velocity during the driver swing two PGA prp-golfers utilizing 3-dimensional Image analyzing linear velocity of the club-head during the impact quantiatively. To achive these purpose, two high speed camera in 120 field/s and one high-speed camera in 500 field/s were used in this study. The program made by Younghoo Kwon(1944) was used to analysis the digitalization of reference point, digitalization of joint venter, synchronization, calculation of 3-Dimensional coordinate by DLT method, and smoothing. Through this study, the conclusions are as follow. 1. During the drivel swing, in the percentile of the total time, two pro-golfer showed 0.925, 0.929 second from adress to top-swing, 0.236, 0.929 second from top-swing to impact. 2. During the driver swing, in the displacement of the center of the body, two pro-golfer showed 45.3, 45.23% from adress, 44.3, 44.24% front impact. 3. In the velocity variance, The maximum club-head velocity two pro-golfer showed 43.36, 43.24m/s respectively the down swing. The ball velocity showed 63.12, 63.06m/s. 4. In the rotational angle of the shoulder joint. two pro-golfer showed $-13.5,-13.53^{\circ}$, during the back swing respectively. Two subject adressed opening status og upper body. 5. In the rotational angle of the right knee angle showed $156.3,154.7^{\circ}$ from the adress.

• 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.

• 한국전문물리치료학회지
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• 제26권1호
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• pp.75-83
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• 2019

Background: A tight iliotibial band (ITB) may lead to lateral patellar maltracking, compression, and tilt, and dominant vatus lateralis (VL) muscle activation relative to vastus medialis oblique (VMO) can laterally displace the patella, which leads to anterior knee pain. Therefore, an effective management technique is needed to stabilize the patella in individuals with tight ITB. Increased stability during the modified Thomas test has the potential to decrease compensatory motion and thus to selectively stretch the ITB. Objects: The purpose of this study was to determine the effects of ITB stretching in the modified Thomas test position on ITB flexibility, patellar translation, and muscle activities of the VMO and VL during quadreceps-setting (QS) exercise in individuals with tight ITB. Methods: Twenty-one subjects with tight ITB were recruited. Digital inclinometer was used to measure the hip adduction angle during the modified Ober test. Universal goniometer was used to measure the hip abduction angle during the modified Thomas test. Ultrasonography was used to measure the patella-condylar distance. Electromyography was performed to collect data of muscle activities. Paired t-test was used to determine the statistical significance between pretest and posttest. Results: The range of hip adduction in modified Ober test increased (p=.04) and the range of hip abduction in the modified Thomas test decreased after ITB stretching (p<.01). There was no difference between lateral patellar translation (p=.18). VMO muscle activity significantly increased after ITB stretching during QS (p<.01). VL muscle activity had no difference after stretching. Conclusion: The ITB stretching in the modified Thomas test position can be suggested as a management method for improving ITB flexibility and VMO muscle activity in individuals with tight ITB.