• The Journal of Korean Physical Therapy
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• 제34권5호
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• pp.218-223
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• 2022

Purpose: This study sought to identify the effects of an insole applied for the flexible flat-foot condition on dynamic balance and ankle muscle activities during the Y-balance test (YBT). Methods: Thirteen flexible flat-footed adults and an equal number of normal-footed adults were enrolled. The dynamic balance of the subjects was measured using the YBT, which is a reach test. While they were reaching forward with their foot, the percentage maximum voluntary isometric contraction (MVIC) of the tibialis anterior, peroneus longus and medial and lateral gastrocnemius were measured and analyzed. The flat-footed group then applied the ready-made insoles and underwent the YBT again. A comparison of the distance and muscle activity was conducted using YBT, not only between the flat-footed and control group, but also between the flat-footed group before and after the application of the insole. Results: Between the groups, the anterior reach distance in the flat-footed group was significantly lower, but there were no significant differences observed in the posteromedial and posterolateral directions. With the insole, the reach distance of the flat-footed group was significantly increased in the anterior and posterolateral direction compared to the control group. With the insole, the lateral gastrocnemius activity significantly decreased compared to trials without the insole in the flat-footed group, but there were no significant differences in the other muscles. Conclusion: The insole for flat-footed subjects can maintain the medial arch of the foot, and it may help enhance functional and mechanical dynamic balance in people with flat feet.

• PNF and Movement
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• 제20권2호
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• pp.179-187
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• 2022

Purpose: The purpose of this study was to determine the asymmetrical difference between the use of leg muscles on the surgical and non-surgical sides during initial lower extremity ergometer exercise after unilateral knee arthroplasty. Methods: Twelve elderly patients diagnosed with degenerative arthritis of the knee and who underwent unilateral arthroplasty were included in this study. The leg length of each subject was taken into account when setting the application distance of the lower extremity ergometer. The same pedal resistance, strength, and speed were used for all the subjects. The total angle of use of the ergometer (360°) was analyzed by dividing it into an extension section and a flexion section. Using a surface electromyography system, the activities of the muscles of the surgical and non-surgical sides were converted into maximal voluntary isometric contraction (MVIC) and analyzed using the paired t-test. Results: When the activities of the muscles on the surgical and non-surgical sides were compared, it was found that the rectus femoris and biceps femoris had significant differences in the flexion and extension sections (p < .05), and that the tibialis anterior significantly differed in the flexion section (p < .05). There was no significant difference in the extension section of the tibialis anterior muscle, or in the flexion and extension sections of the gastrocnemius (p >.05). Conclusion: The results of this study confirm that the rectus femoris, tibialis anterior, biceps femoris, and gastrocnemius on the surgical side act in an opposite manner to those on the non-surgical side during pedaling in the same section.

• PNF and Movement
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• 제7권3호
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• pp.17-27
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• 2009

The purpose of this study was to investigate the effect of close kinetic chain(CKC) and open kinetic chain(OKC) posion on proprioceptive neuromuscular facilitation applied to the unilateral upper extremity on the muscle activation of lower extremity. All subjects were randomly assigned to two groups: open kinetic chain group(n=5),closed kinetic chain group(n=5). All participants were PNF patterns applied on the unilateral upper extremity in all subjects were the kinetic chain(CKC) and open kinetic chain(OKC) posion on flexion/abduction/external rotation. The hold and approximation techniques for the irradiation were applied to end range. All measurements for each subject took the following tests: pre-test, post - test in 4weeks, post-testin 8weeks. EMG data was collected from the vastus medialis, tibialis anterior, biceps femoris, and gastrocnemius muscle of both lower extreamity using surface EMG system, Each EMG value in individual muscle was normalized for maximal voluntary contraction. The data were analyzed using Two-way analysis of variance(ANOVA) with repeated measures to determine the statistical significances. The results of this study are summarized as follows. First, during for close kinetic chain(CKC) and open kinetic chain(OKC) posion on PNF pattern application, all of the %MVIC values of close kinetic chain and open kinetic chain posion increased sign ificantly compared(p<0.05). Second, The close kinetic chain(CKC) and open kinetic chain(OKC) posion on PNF pattern application was significantly increased with in the intervention period(p<.05). Third, there was a no significant open kinetic chain posion on PNF pattern application of sing muscle group with in the intervention period.(p<0.05) there was a significant close kinetic chain posion on PNF pattern application of sing muscle group with with in the intervention period(p<0.05). Forth, interaction of the exercise position and muscle was also significant. Post-hoc tests revealed that the activation levels of vastus medialis muscle and tibialis anterior muscle was higher in the closed kinetic chain position(p<.05). that the activation levels of vastus medialis and gastrocnemius muscle was higher in the open kinetic chain position(p<.05). In conclusion, it was found that the application of PNF patterns to the unilateral upper extremity effect on the muscle activation of lower extremity and both open kinetic chain exercise and closed kinetic chain exercise was significantly increased muscle activity. Further studies are needed to analyzed long term effects and subjects resulting from these changed.

• 재활복지공학회논문지
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• 제11권3호
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• pp.271-277
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• 2017

본 연구에서는 사용자의 자세에 따라 실시간으로 제공되는 진동모터에 의해서 촉각 피드백이 구현되는 골반교정 및 자세균형능력 증진을 위한 균형의자(balance chair)를 개발하고 그 유효성을 평가하고자 하였다. 이를 위해 MC Nylon을 이용하여 몸체을 제작하고 사용자 인터페이스를 위한 터치 TFT와 아두이노를 사용한 주 제어모듈, 사용자 자세판별을 위한 9축 가속센서, 촉각피드백을 위한 진동모듈을 내장하고 사용자의 편안한 착석감을 위한 쿠션으로 외부를 둘러싼 균형의자 시제품을 제작하였다. 제작된 시제품을 이용한 자세균형 훈련시스템의 유효성을 확인하기 위해 여성 피험자 10명을 대상으로 척추움직임의 주요근육인 좌우 요장늑근에 대한 근활성도(%MVIC)를 측정하였고 자세균형능력 평가장비인 Spine Balance 3D를 이용하여 훈련 전후의 균형능력을 측정하였다. 균형의자를 통한 운동 및 자세균형 유지 시 진동을 통한 피드백 방법에 의해 사용자의 좌우 요장늑근이 균형적으로 활성화되고 또한 이를 통한 훈련 전후 균형능력이 증진되는 결과를 얻었다. 향후 본 연구는 다양한 자세균형 제품 개발에 기초 연구로 활용 가능하다고 사료된다.

• 한국산학기술학회논문지
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• 제13권6호
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• pp.2632-2640
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• 2012

본 연구의 목적은 지연성근통증에 대한 내측 비복근 초음파 영상의 측정도구로서의 가능성에 대해 알아보고자 함에 있다. 본 연구는 2011년 4월 21일부터 4월30일까지 실시되었다. 평소 규칙적인 운동을 하지 않으며, 최근 외상의 경험, 근골격계 질환, 심혈관계 질환이 없고 약물을 복용하지 않는 35명의 건강한 성인이 참여하였다. 대상자들은 5시간의 등반을 통해 지연성근통증을 유발하였으며, 지연성근통증 전과 지연성근통증 후 24, 48, 72시에 통증(visual analogue scale :VAS), 혈중 크레아틴 키나아제(creatine kinase: CK) 활성도, 족저 굴곡근의 최대근수축력(maximal voluntary isometric contraction: MVlC)을 측정하였고, 이 측정값과 초음파로 측정한 내측 비복근의 우상각을 비교하였다. 연구의 결과는 다음과 같다. 통증지표, 혈중 크레아틴 키나아제 활성도, 족저 굴곡근 최대등척성근수축력에 측정시기에 따른 유의한 차이가 발생하였으며(p<0.05), 내측 비복근 우상각에서도 측정시기에 따른 유의한 차이가 발생하였다(p<0.05). 또한 변수 간 측정시기에 따른 변화의 흐름이 일치하는 것을 확인하였다. 본 연구를 통해 초음파 검사를 통한 내측 비복근 우상각의 시간경과에 따른 변화 측정이 지연성근통증을 감지하는 새로운 측정방법으로 사용될 수 있을 것이라 생각한다.

• 한국인터넷방송통신학회논문지
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• 제19권1호
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• pp.265-277
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• 2019

본 연구의 목적은 내반슬을 가진 사람에게 무릎의 근전도와 Q-Angle에 탄성 밴드 운동과 런지의 효과를 비교하는 것이다. 연구대상자는 18명의 내반슬을 가진 평범하고 건강한 사람들로 이루어져 있다. 대상자는 탄력 밴드 그룹(인원=9, 남자6명과 여자3명, 나이 : $22.55{\pm}2.05$ 세, 신장 : $169.8{\pm}6.07cm$, 체중 : $66.44{\pm}9.83kg$)과 런지 그룹(인원=9, 남자 7명과 여자 2명, 나이 : $23.88{\pm}1.37$ 세, 신장 : $173.66{\pm}6.72cm$, 체중 : $67.22{\pm}13.30kg$)으로 두 그룹으로 무작위로 나뉘었다. 탄력 밴드운동과 런지는 매주 4 주 동안 실시되었다. 양측 무릎의 Q각이 탄성 밴드 그룹과 런지 그룹에서 실험 전후에 차이를 보이는 결과가 나타났다. 결론 : 결과적으로 두 군에서 두 무릎사이의 거리가 현저하게 감소되었다. 이러한 결과는 탄성 밴드 운동과 런지가 내반슬 변형을 완화 시키는데 효과적인 방법임을 나타내었다.