• 한국운동역학회지
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• 제18권1호
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• pp.117-127
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• 2008

본 연구는 개발된 태권도화에 따른 태권도 돌려차기와 몸돌려 후려차기시 기계적 마찰력과 태권도 수행력에 대하여 연구하는데 목적이 있다. 본 연구를 위하여 A.F.T.S.(Automated Footwear Testing System)과 태권도 수행력 테스트를 실시하였으며 착화감에 대한 설문을 조사하였다. 본 실험의 결과 태권도화 종류에 따라 기계적 마찰력은 유의한 차이를 보였으며, 돌려차기시 최대 자유모멘트의 통계 결과값은 p=.011 이었고, 최대 족저압에 있어서 타입 A 태권도화와 타입 B 태권도화도 사이에 있어 유의한 차이를 보였다. 착화감 설문 결과 5가지 항목에 있어 타입 A와 타입 B 태권도 사이에 있어 유의한 차이를 보였지만 타입 B와 타입 C 태권도화에 있어서는 모든 항목에서 유의한 차이를 보이지 않았다. 태권도화별 기계적 마찰력에서 유의한 차이를 보인 반면 수행력에 있어서는 영향을 미치지 못하는 것으로 판단되며, 설문 결과와 수행력 사이에 있어서도 관계가 없는 것으로 나타났다. 본 연구를 통하여 임상 실험 결과와 기계적 마찰력 정도가 태권도 수행에 영향을 주는지 여부와 훈련 시 부상 방지 및 수행력을 향상시키는 태권도화의 생체역학적 설계 및 현 개발 시제품에 대한 후속제품개발에 도움을 주고자 한다.

• 대한물리의학회지
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• 제12권1호
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• pp.9-14
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• 2017

PURPOSE: To evaluate the effect of weight shift training with Hula Hoop on weight shift change and gait in stroke patients. METHODS: Ten stroke patients were enrolled in this study, and randomly divided into 2 groups. The study group underwent weight shift training with Hula Hoop, while the control group received general physical therapy that included weight shift training. All the studies were performed over a period of 4 weeks. Before and after the intervention, plantar pressure and performance in the 10 m walk test (10MWT) were assessed. Wilcoxon signed ranks test was used to compare the change from before to after the intervention in each group. The differences between the study and control groups were analyzed by using the Mann-Whitney test. RESULTS: After 4 weeks of intervention, the change in weight shift and performance in the 10MWT from before to after the experiment showed no statistical significance (p>.05). In addition, the comparison between the groups showed no significance in terms of weight-shift change, and performance in the 10MWT (p>.05). CONCLUSION: Although the difference was not statistically significant, the degree of improvement was similar to that attained with the conventional exercise treatment related to weight- shift training. During the course of the treatment, the patients received feedback through repeated training by themselves. Weight-shift training with Hula Hoop would be effective in improving the walking ability and weight-shifting on the paralyzed side of stroke patients. In the future, the effectiveness of this training would need to be validated.

• 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.

• 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.

• 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.

• 대한물리의학회지
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• 제10권1호
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• pp.63-69
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• 2015

PURPOSE: Low-intensity exercise with transient restriction of blood flow to muscle could be an alternative rehabilitation method which avoids the problems associated with conventional high-intensity exercise. However, the mechanism of low-intensity exercise with transient restriction of blood flow is not clearly known. Thus, the purpose of this study was to investigate the mechanism of improvement of muscular function after low-intensity exercise with transient restriction of blood flow using H-reflex analysis. METHODS: Twenty one healthy young adults with no medical history of neurological or musculoskeletal disorder voluntarily participated in this study. The ${\alpha}$-motor neuron excitability of the triceps surae was assessed using the H-reflex. The amplitude of the M-wave and H-reflex were measured across three conditions: rest, after low-intensity exercise without restriction of blood flow and after low-intensity exercise with restriction of blood flow. The subjects performed low-intensity ankle plantar flexion exercise at their own pace for one minute without or with transient restriction of blood flow achieved by a sphygmomanometer cuff on popliteal fossa at a pressure of 120mm of mercury(120 mmHg). RESULTS: No significant changes of the excitability of the ${\alpha}$-motor neuron were obtained across three different conditions. CONCLUSION: This study found that low-intensity exercise with transient restriction of blood flow did not influence to ${\alpha}$-motor neuron excitability of the triceps surae. From the results, I could come to the conclusion that further study will be required.

• 한국전문물리치료학회지
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• 제29권2호
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• pp.124-130
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• 2022

Background: During postural control, older adults are more dependent on proprioception than are young adults. Ankle proprioception, which plays an important role in maintaining postural balance, decreases with age. Published studies are insufficient to establish a significant age difference in postural sway resulting from the known age-related decrease in ankle proprioception and do not examine various detailed test conditions. Objects: The present study aimed to compare ankle proprioception between older and younger groups along dimensions of position vs. force proprioception and dorsiflexion vs. plantarflexion. The present study also aimed to compare postural sway between young and older women during quiet standing under two sensory conditions. Methods: We recruited seven young women aged 21-24 and seven older women aged 60-63. Ankle proprioception was assessed as the accuracy of the joint position sense (JPS) and the force sense (FS). Postural sway was assessed using center-of-pressure measurements recorded during quiet standing under two sensory positions: eyes open and eyes closed with head tilted back. Results: Older women had lower JPS in dorsiflexion and lower FS in plantarflexion than did younger women. We found no significant age differences in JPS in plantarflexion or in FS in dorsiflexion. We observed a main effect of group on postural sway in two sway parameters out of three. We observed significant differences in JPS with dorsiflexion, and in FS with plantarflexion. Conclusion: Proprioception for ankle plantar flexor decreased more significantly with aging than did that for ankle dorsiflexor, accounting for the impaired postural balance observed in older women.

• 생명과학회지
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• 제20권4호
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• pp.496-502
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• 2010

산성 식염수 쥐모델은 사람의 섬유근통에 근접한 모델로 제시되고 있다. 포도씨에서 얻은 oligomeric proanthocyanidin complexes (OPC)는 항산화제로 알려져 있다. 저자들은 산성 식염수 모델에서 통증 역치에 대한 OPC의 효과를 연구했다. 좌측 장딴지 근육에 pH 4.0의 산성 식염수 $100\;{\mu}l$를 0일과 5일에 주사했다. 대조군은 pH 7.2의 생리 식염수를 같은 스케줄로 주사했다. 산성 식염수 그룹 10마리를 다시 두 그룹으로 나누어 한 그룹은 멸균 식염수, 다른 한 그룹은 OPC 300 mg/kg를 복강 내 주사했다. 복강 내 주사 한시간 후 다시 통각에 대한 역치를 조사했다. 0일에 비해 7일에서 산성 식염수 모델은 기계적 과통각을 나타냈다(p<0.05). OPC 300 mg/kg를 복강내 주사한 그룹에서 강력한 항통각 효과를 나타냈다(주사측 발바닥, p=0.001; 반대측 발바닥, p=0.002). 면역조직화학 염색상 복강내 식염수를 처치한 대조군에 비해 OPC 처치군에서 대뇌의 M1 및 M2 영역에서 산-감지 이온 통로3의 발현이 감소되었다(p<0.05). 사람의 섬유근통에서 OPC 치료의 효과를 보기 위한 연구가 향후 필요할 것으로 생각된다.

• 한국산학기술학회논문지
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• 제13권11호
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• pp.5211-5217
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• 2012

본 연구는 발강화 훈련이 유연성 편평발이 동반된 엄지발가락가쪽휨증을 가진 젊은 성인의 엄지발가락가쪽 휨증을 향상하는지에 대하여 평가하였다. 대상자는 총 28명으로 발강화 훈련군(14명)과 대조군(14명)으로 무작위로 나누었다. 8주 훈련 동안 두 군 모두 I.D.W를 착용하였다. 실험군은 발강화 훈련을 8주 동안 주 3회 1회당 20분씩 발강화 훈련을 받았다. 발의 구조와 최대 압력은 엄지발가락 가 쪽 휨 각도, 발허리 뼈의 각도, 발배뼈 높이 변화, 엄지발가락 압력, 2~5번째 발가락 압력, 첫 번째 발 허리뼈 압력, 두 번째 발 허리뼈 압력, 세 번째 발 허리뼈 압력, 네 번째 발허리 뼈 압력, 다섯 번째 발허리 뼈 압력, 중간 발 압력, 안쪽 발뒤꿈치 압력, 바깥쪽 발뒤꿈치 압력에 의하여 평가되었다. 발강화 훈련을 한 군에서 엄지발가락 가 쪽 휨 각도, 1~2 발허리뼈의 각도, 엄지발가락 압력, 첫번째 발 허리뼈 압력, 두 번째 발 허리뼈 압력, 세 번째 발 허리뼈 압력, 중간 발에서 구조와 압력이 유의하게 향상되었다. 본 연구의 결과에서 발 강화 훈련은 유연성 편평발을 동반한 가쪽발가락휨증을 가진 환자에게 유용하고 적절한 훈련으로 제안할 수 있을 것이다.

• 동의생리병리학회지
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• 제20권2호
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• pp.365-371
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• 2006

Bee Venom aqua-acupuncture (BVA) simultaneously exerts pharmacological effects of biologically active compounds, existed in the whole bee venom, and medicinal effect of the stimulation of acupuncture points. BVA has been considered as a promising therapeutic method for treating various chronic diseases, mainly accompanying severe pain and inflammation. As a painless injection device, jet injectors have been commercially marketed for various clinical applications including insulin injection and vaccination. Among them, a pressure-driven jet injector system could be used for intradermal delivery of a variety of drugs. The aim of this study was to investigate the analgesic effects of the BVA using a needle-free injector (Biojector $2000^{\circledR}$, Bioject Inc., OR, USA), compared to the conventional BV aqua-acupuncture using a typical syringe. Adult Sprague-Dawley rats were injected with bee venom $(0.08mg/kg,\;50{\mu}l)$ using Biojector $2000^{\circledR}$ (BVA-B) or a syringe (BVA-5) into the Zusanli (ST36) acupoint, 30 minutes before plantar injection of 2% formalin. It was found that BVA-B-, or BVA-5-treated rats, compared to controls, exhibited significantly less licking behavior during the late phase in the rat formalin test, when compared to controls. During early phase, however, those effects were not significant but substantial. The analgesic effect of BVA-B was also compatible with that of the conventional BVA-5. In the immunohistochemical studies, BVA-B significantly suppressed the expression of formalin-evoked c-fos, a biomarker of neuronal activity, in the lumbar dorsal horn of the spinal cord. These results indicated that BVA-B waseffective in the modulation of pain in the rat formalin test, compared to BVA-5. Taken together, the needle-free jet injector system could be substituted for the conventional aqua- acupuncture with the advantage of little pain.