• 제목/요약/키워드: POSTURE STABILITY

검색결과 211건 처리시간 0.025초

요통의 요골반부 안정화(lumbo-pelvic stabilization) 접근법 (Lumbo-pelvic stabilization approach for lower back dysfunction)

  • 김선엽
    • 대한정형도수물리치료학회지
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    • 제4권1호
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    • pp.7-20
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    • 1998
  • Activity of the trunk muscles is essential for maintaining stability of the lumbar spine because of the unstable structure of that portion of the spine. The central nervous system deals with stabilization of the spine by contraction of the abdominal and multifidus muscles in anticipations of reactive forces produced by limb movement. Recent evidence indicates that the lumbar multifidus muscle and transversus abdominis muscle may be involved in controlling spinal stability. Stabilization training in neutral spine is an integrated approach of education in proper posture and body mechanics along with exercise to improve strength, flexibility, muscular and cardiovascular endurance, and coordination of movement.

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퍼지 알고리즘을 이용한 불규칙한 지면에서 보행하는 휴머노이드 로봇의 실시간 보행 안정성 구현 (Walking Algorithm for Real-Time Stability of a Humanoid Robot Using Fuzzy Algorithm Under Uneven Terrain)

  • 조형래;김진걸
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2006년 학술대회 논문집 정보 및 제어부문
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    • pp.205-207
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    • 2006
  • Since a humanoid robot inherently suffers from instability and always risks tipping itself over, or topping to the ground, it is necessary to ensure high stability and reliability of walk. An unexpected ground condition is one of the principal factors of instability. This paper proposes a walk stabilization method consisting of a Fuzzy algorithm and geometry under uneven terrain. The ground reaction forces that are measured by the FSR sensors on the sole are used to check the ground condition and the robot posture. The effectiveness of proposed method is verified by computer simulations.

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CORE 안정성 훈련이 뇌졸중 환자의 자세조절, 균형 및 상지기능에 미치는 효과 (The Effects of Core Stability on Postural Control, Balance and Upper Motor Function in Patients with Stroke)

  • 이병희;김성렬;이종수
    • 한방재활의학과학회지
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    • 제19권3호
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    • pp.69-80
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    • 2009
  • Objectives : The purpose of this study was to evaluate the effects of core stability training on postural control and balance of hemiplegia patients who are difficult to control posture due to stroke. Methods : Subjects of the study were consisted of 25 adult hemiplegia patients(experimental 12, control 13) who were receiving rehabilitation therapy in hospital. Its group had a core stability training program by a physical therapists for 40 minutes, five times a week for nine-week period. Measurements of postural assessment scale for stroke(PASS), berg balance scale(BBS) and manual function test(MFT) were evaluated at initial presentation(pretest) and after completion of the each therapy program(posttest). Independent t-test and paired t-test was utilized to detect the mean difference between the groups. Results : Firstly, the result of PASS showed that postural control was significantly increased after the completion of core stability training(p<.01). Secondly, the result of BBS showed that balance control was significantly increased after the completion of core stability training(p<.01) and general physical therapy(p<.01). Lastly, the result of MFT showed that upper extremity's motor function was significantly increased after the completion of core stability training(p<.001). Conclusions : This study showed that core stability training is an effective treatment strategy on postural control, balance and upper extremity's motor function.

예측 제어기를 이용한 2바퀴 로봇의 실시간 균형제어 (Real Time Balancing Control of 2 Wheel Robot Using a Predictive Controller)

  • 강진구
    • 한국컴퓨터정보학회논문지
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    • 제19권3호
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    • pp.11-16
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    • 2014
  • 본 논문은 예측제어기를 이용하여 2휠 로봇의 실시간 균형을 유지할 수 있는 자세 제어에 대해 연구하였다. 또한 역방향 진자 제어는 로봇이 진행하는 동안 균형을 유지하기 위하여 도입되었다. 본 논문에서 구현에 사용한 프로세서는 dsPIC30F4013 임베디드 프로세서이며 자체 균형 알고리즘을 설계하고 구현 하는 것이다. 본 연구에서 ARS는 2축의 자이로 각(roll, pitch)과 3축의 가속도계 값(x, y, z)값으로 자세를 계산하도록 하였다. 따라서 본 연구에서는 외란에 대한 자세의 불균형을 극복하기 위한 예측제어기를 제안했으며 이를 원격 시스템의 제어문제에 도입하여 2바퀴 로봇의 선형 제어기와 예측제어기를 결합한 시스템의 시뮬레이션을 수행하였다. 또한 강인한 특성을 실현하기 위해 목표 필터루프를 설계하고 강인도-안정성을 만족하는 제어기를 설계하므로 제어시스템의 안정성을 향상시키고 시스템의 성능의 저하를 최소화함을 확인하였다.

가상환경에서의 HMD사용이 인체에 미치는 영향에 관한 연구 (The Study on an Using Effect of Head Mounted Display to the Body in Virtual Environments)

  • 이창민;정진희
    • 한국멀티미디어학회논문지
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    • 제3권4호
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    • pp.389-398
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    • 2000
  • 본 연구에서는 PDS시스템 -HMD와 기타 VDU-이 가상환경에서 인체에 어떠한 영향을 미치는가를 조사하였다. 연구에 관련된 실험은 HMD나 VDU를 착용하고 한시간 정도의 3차원 게임을 한 결과를 분석하였다. 정량적인 측정 및 분석 도구로는 SSQ와 RSSQ, 실험전후의 자세 테스트, 그리고 시각 테스트가 실행되었다. 실험 결과는 피 실험자간의 개인적 차이는 있지만 자세 안정성 테스트 결과와 SSQ 와 RSSQ TS 간의 관계가 크다는 것을 알 수 있었다. HMD의 SSQ, RSSQ 의 TS는 VDU의 TS 보다 1.5배 높았고, 특히 넓은 시야를 가진 MRG 3C의 TS는 SS를 일으킬 가능성이 2배나 많았다. 시뮬레이터의 통제 정도에 따른 Sickness 정도를 조사하기 위하여 수동적 환경과 능동적 환경에서 실험한 결과 PDS간 유의성은 보이지 않았으며 같은 환경의 반복적인 경험을 통하여 sickness유발 가능성이 감소할 것이라는 가정도 유의성이 크지 않았다. 방향감각 상실 증상군과 안구운동 불편 증상군의 TS가 높게 나타났으며 또한 RSSQ를 통하여 긴장/당황증상군의 TS도 높게 나타났다. 이는 가상환경에 노출시 개인적 두려움도 sickness 가능성을 유발하고 있다고 유추할 수 있었다.

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Sequential Method for setting Surgical Treatment Objective STO수립을 위한 순차적 방법 (SEQUENTIAL METHOD FOR SETTING SURGICAL TREATMENT OBJECTIVES)

  • 최병택
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제28권6호
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    • pp.440-455
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    • 2002
  • The final goal for an orthognathic surgery is a functional and esthetic achievement based on occlusion theory. All the dental treatment should be done with the occlusion in mind, though, they tend to be ignored with no good reason. We cannot think of occlusion without temporomandibular joint because it is the first clue to define an occlusion. As normal occlusion comes from the central tendency of distribution of population, we can get it by examining the population that closely meet the criteria of ideal occlusion. To perform proper occlusal function and to maintain the stability after treatment, the case must be finished in normal occlusion closer to ideal one. Our aim is to achieve the ideal occlusal scheme like the mutually protected occlusion with the best masticatory efficiency and the stability. The facial esthetics are influened by culture, race and the time in which human live. While the occlusal function rarely changes as time goes by, esthetics tend to do from one country to another. Orthodontists and maxillofacial surgeons should have solid sets of treatment goals to achieve the best facial esthetics and the ideal occlusion dictated by the joint. Doing orthognathic surgery, two factors aforementioned should be taken into account to establish the Surgical Treatment Objectives(STO). The doctors who are planning orthognathic surgery need to have a very logical and systematic thought process to make STO. The author examined 28 selected beautiful Korean female adults with normal skeleton with normal occlusion and analyzed the hard and the soft tissue relationship into five parts : dentomaxillary relationship, intermaxillary relationship, posture to hard tissue relationship, facial balance, and posture to soft tissue relationship. This study presents a sequential flow of diagnosis and treatment planning especially for surgical patients and it also can be applied to the nonsurgical patients.

Effects of Spinal Stabilization Exercises Using Visual Feedback on Gross Motor Function and Balance in Children with Cerebral Palsy

  • Kim, So Hee;Kim, Tae Ho;Hwang, Hyun Chul
    • The Journal of Korean Physical Therapy
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    • 제31권5호
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    • pp.279-285
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    • 2019
  • Purpose: This study examined the effects of spinal stabilization exercises using visual feedback on the gross motor function and balance of the sitting posture in children with cerebral palsy. Methods: The subjects were 18 children with cerebral palsy aged 8-15 years in the I-III stages of the Gross Motor Function Classification System. The subjects were divided into an experimental group (n=9) and control group (n=9). The experimental group was treated with 30 minutes of neurodevelopmental treatment and 20 minutes of spinal stabilization exercises using visual feedback. The control group was treated with 30 minutes of neurodevelopmental treatment and 20 minutes of spinal stabilization exercises without visual feedback. Both groups participated in the experiment twice a week for eight weeks. The Gross Motor Function Measurement was performed to evaluate the changes between pre- and the post-intervention in gross motor function. The Seated Limit of Stability Surface Area was measured to evaluate the changes in trunk balance. Results: Both experimental and control groups showed a significant increase in the gross motor function and trunk balance (p<0.05). The experimental group showed a significant increase in gross motor function compared to the control group (p<0.05). The experimental group showed a significant increase in the dynamic trunk balance in all directions when measuring the Seated Limit of Stability Surface Area (p<0.05). Conclusion: Spinal stabilization exercises using visual feedback for the neurodevelopmental treatment of children with cerebral palsy can improve their gross motor function and trunk balance when in a sitting posture more effectively.

엎드린 교각운동 자세에서 견갑골 전인 운동 시 익상 유무에 따른 다리 들기 차이가 체간근의 근 활성도에 미치는 영향 (The Effect of Legs Difference on The Trunk Muscle Activities With and Without Winging Scapular During Scapular Protraction in Prone-Bridge Position)

  • 김희곤;황병준;김종우
    • 대한정형도수물리치료학회지
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    • 제24권2호
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    • pp.29-36
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    • 2018
  • Background: The purpose of this study was to investigate the effect of leg lift difference on serratus and upper trapezius when exercising in a scapula in a prone position, a typical waist stabilization exercise for subjects with a winged scapula. Method: Twenty normal adults and 20 subjects with winged scapula participated in the experiment. The surface EMG recordings were obtained from external oblique muscle and internal oblique muscle during scapula protraction exercise. The presence or absence of winging of the shoulder bone was measured using an electronic digital caliper for the distance the medial border of the scapula is lifted to the rear. In prostrate pier movement posture in both groups, both legs supporting, dominant leg lifting, and non-dominant leg lifting including the scapula protraction were conducted respectively. Results: In the results of comparison between the two groups, the dominant external oblique muscle and the non-dominant internal oblique muscle tended to increase according to the difference of the leg lifting of normal people. In the winged scapula group, internal oblique muscle showed increased muscle activity more than external oblique muscle. Conclusion: It was most effective to exercise with lifting the same position leg for strengthening the same external oblique muscle, and the opposite internal oblique muscle. Also, it is effective to exercise in prone pier movement posture for trunk stability. In addition, internal oblique muscle shows increased muscle activity in subjects with winged scapula. Therefore, appropriate adjustment of external oblique muscle and internal oblique muscle may have a positive effect on scapula dysfunction for trunk stability.

자세조절능력에 따른 뇌-척수 신경 반응기전의 역학적 해석 (Studies in Biomechanical Properties on Brain-spinal Cord Response Mechanism by Human Posture Control Ability)

  • 유경석
    • 한국체육학회지인문사회과학편
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    • 제58권6호
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    • pp.449-459
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    • 2019
  • 이 연구의 목적은 외발서기 동작 시 취득한 운동역학데이터로부터 주파수분석의 기법을 통하여 인체 운동명령신호가 어떻게 자세조절 과정에 영향을 미치는지를 규명하는 자세역학의 토대연구이다. 이를 위하여 체조경력 10년 이상의 운동신경이 우수한 국가대표상비군(n=6)과 일반인(n=6)을 대상으로 발바닥 압력중심점(CoP)의 궤적데이터를 FFT신호처리기법에 의한 저주파대역Rambling (RM)과 고주파대역 Trembling (TR)의 주파수분석을 탐색하였다. 본 연구결과에 따르면 눈뜨고 외발서기와 눈감고 외발서기 동작을 중심으로 두 집단 간 자세조절능력의 안정화지수 평가에서 독립표본 t검증에서 유의한 차이가 나타났으며(p<.05), 이러한 차이는 저주파대역 RM의 주요주파수 f1과 고주파대역 TR의 주요 주파수 f2의 최대진폭의 출력 차이로 밝혀졌다(p<.05). 특히 자세송환피드백에 관여하는 고유주파수인 저주파수대역에서는 주요주파수가 8-9 Hz 대역에서 뇌지시 하 안정적 자세조절의 운동기전을 행하는 운동명령으로 확인하였으며, 120-135 Hz의 고주파수대역에서는 자세 흔들림을 최소화하기 위한 반사적 근반응의 적응성을 보이는 것으로 연구되었다. 자세조절의 중추신경계 운동조절에 관여하는 고유주파수와 최대진폭에서 유의한 차이가 발견됨으로서 외발서기 시 발바닥 압력조절에 의한 신호파형의 운동명령이 자세조절에 영향을 미치는 것으로 해석되었다.

Effects of Verbal Cue for Scapular Depression During Scapular Posterior Tilt Exercise on Scapular Muscle Activities and Clavicular Tilt Angle in Subjects With Rounded Shoulder Posture and Upper Trapezius Myofascial Pain

  • Choi, Sil-ah;Cynn, Heon-seock;Shin, A-reum;Kim, Da-eun
    • 한국전문물리치료학회지
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    • 제24권3호
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    • pp.30-39
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    • 2017
  • Background: Scapular posterior tilt (SPT) is important in the prevention of abnormal scapular movement and pain during elevation of the arm. However, previous studies have overlooked increased upper trapezius (UT) muscle activity interrupting the normal force couple of scapular motion and compensation of levator scapulae (LS) muscle activated simultaneously with UT during SPT exercise. Objects: The purpose of this study was to compare the effects of modified SPT with depression exercise versus SPT exercise on serratus anterior (SA), lower trapezius (LT), UT, and LS muscle activities and the clavicular tilt angle, in subjects with rounded shoulder posture (RSP) and myofascial pain in the UT muscle region. Methods: Eighteen subjects with RSP were recruited and randomly allocated to 2 groups; 9 in the SPT group and 9 in the SPT with depression group. All subjects met the specific RSP criteria and had myofascial pain of UT region. Depending on the allocated group, subjects performed the assigned SPT exercise and EMG data were recorded during the each exercise. Clavicular tilt angle was defined as the angle between the line joining the medial and lateral end of the clavicle and a horizontal line. Results: The SA muscle activity was significantly greater in SPT with depression than with SPT exercise (p<.05). The UT, LS muscle activity and the clavicular tilt angle was significantly lower in SPT with depression than with SPT exercise (p<.05). Conclusion: These findings were insightful because the potential risk of pain from overactivation of the UT and LS was considered, in contrast with SPT exercise. SPT with depression exercise can be implemented as an effective method to facilitate scapular muscle activity for stability and to prevent myofascial pain in the neck and shoulder.