• 한국전문물리치료학회지
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• 제17권3호
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• pp.20-30
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• 2010

This study examined whether any changes by mental task types on postural control in chronic stroke persons. Sixteen chronic stroke persons (mean age=53.75 yr) and sixteen age-and gender-matched healthy controls (mean age=54.44 yr) took part in this study. Participants randomly performed three different tasks on the stable and unstable surfaces. The no mental task was to stand while holding a 100 g weight in each hand, the arithmetic task (mental task) was to perform a silent 1-backwards counting while standing and holding a 100 g weight in each hand, and the simple task (mental task) was to stand and hold with both hands a tray (200 g) on which a glass filled with water has been placed. Sway path and sway velocity of the center of pressure (COP) were measured to assess standing postural control by task performance using the force platform. According to the results, in stroke group, total sway path and total sway velocity of COP was significantly decreased during arithmetic and simple task compared to no mental task on the stable surface (p<.05), and sway path (anteroposterior AP, mediolateral ML) of COP, total and sway velocity (AP, ML, total) of COP was significantly decreased during arithmetic and simple task compared to no mental task on the unstable surface (p<.05). Especially, sway path (AP, total) of COP and sway velocity (AP, ML, total) of COP was significantly decreased under the simple task when compared to the arithmetic task on the unstable surface (p<.05). In healthy control group, sway path (AP, ML, total) of COP and sway velocity (AP, ML, total) of COP was significantly decreased during arithmetic and simple task compared to no mental task on the stable and unstable surface (p<.05), and sway path (AP, total) of COP and sway velocity (AP, ML, total) of COP was significantly decreased under the simple task when compared to the arithmetic task on the unstable surface (p<.05). In conclusion, the findings of this study showed that arithmetic and simple task improved standing postural control for chronic stroke patients and the type of arithmetic and simple tasks were critical factor that reduced standing postural sway in dual-task conditions. Future research should determine whether dual-task conditions, including simple task, would be effective as a training program for standing postural control of stroke patients.

• 한국콘텐츠학회논문지
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• 제12권3호
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• pp.222-232
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• 2012

본 연구는 슬관절 전치환술을 시행하고 난 후 3주 이내의 환자 24명에게 과제 지향 훈련과 체중 이동 훈련이 정적 균형과 동적 균형에 어떠한 영향을 미치는지 알아보기 위해서 실시하였다. 대상자는 과제 지향 훈련군(실험군) 12명과 체중 이동 훈련군(대조군) 12명을 2그룹으로 무작위 배정하였다. 각 군의 운동 효과를 알아보기 위하여 Gaitview 시스템과 기능적 팔 뻗기 검사를 통해 정적 균형을 측정하였고, Balance 시스템을 이용하여 동적 균형을 측정하였다. 통계 분석은 실험 전과 후의 차이를 알아보기 위하여 대응표본 t검정을 실시하였고, 그룹 간 차이를 알아보기 위하여 독립표본 t검정을 실시하였다. 그 결과 과제 지향 훈련군이 체중 이동 훈련군에 비해 정적, 동적 균형 능력에 유의한 차이를 보였다(p<0.05). 따라서 이번 연구 결과를 통해 슬관절 전치환술을 시행한 조기 환자들에게 과제 지향 훈련이 균형 능력에 효과적이라는 것을 알 수 있었다.

• 디자인학연구
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• 제12권3호
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• pp.227-234
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• 1999

본 논문은 디자인 프로젝트 관리의 리엔지니어링으로서 프로젝트의 기획, 조직, 일정, 그리고 제어하는 통합적인 어플리케이션 소프트웨어 개발의 기초모델을 설정하고, 이를 토대로 프로젝트 관리 시스템의 연구/개발을 목표로 삼고 있다. 프로젝트의 성과, 소요기간, 소요예산, 그리고 소요자원 등을 관리하는 과정이 프로젝트 매니지먼트 기술의 근간을 이루는 것으로, 디자인 프로젝트 상의 수많은 정보를 적시에 효율적으로 처리함으로써 프로젝트를 성공으로 이끌 수 있게 된다. 한편, 디자인프로젝트의 관리를 집단의사결정에 의해 처리함으로써 신뢰도와 합리성의 제고는 물론, 이를 통한 사기앙양이 기대된다. 따라서, 여기에서 야기되는 의사집합의 곤란, 시간손실, 구성원의 갈등 등의 프로젝트 관리에서 비롯되는 부수적인 문제도 전자의 기본적인 관리요소와 함께 통합하여 디자인 프로젝트 관리 시스템(DPMS)을 연구/개발하였다. DPMS 시스템은 디자인 프로젝트의 선정과 디자인 프로젝트의 기획/실행관리/ 평가로 주요 모듈을 설정함으로써 프로젝트 매니저는 해당 프로젝트 과업(Task)과 활동(Activity)에 대한 팀의 운용을 융통성 있게 관리할 수 있게 된다. 이와 더불어 프로젝트 관리를 On-Line DBMS 시스템 환경 상에 운용되도록 하여 정보의 재생산성, 운용의 동시성, 그리고 보안성 등을 도모하였다.

• Physical Therapy Rehabilitation Science
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• 제7권1호
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• pp.41-47
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• 2018

Objective: To investigate the effect of performing three different toe touch (TT) task condition on the activities of four different muscles using surface electromyography (sEMG) in healthy young adults. Design: Cross-sectional study. Methods: A total of 20 healthy young adults (6 males, 14 females) voluntarily participated in this study. All subject randomly performed three different TT task conditions as follows: general toe-touch (GTT) task, one side toe touch (TT) task during weight bearing, and one side foward toe touch (FTT) task during weight bearing. The muscle activities of erector spinae (ES), gluteus maximus (GM), hamstring (HAM), tibialis anterior (TA) muscles during the TT task were measured using sEMG. Subject performed each of the three conditions three time in random order and mean values were obtained. Results: With the trunk flexion period, the TT and FTT showed significantly greater muscle activity in the GM, HAM and TA compared to the GTT task (p<0.05). The TT position showed significantly greater HAM muscle activity than the GTT position. The dominant and nondominant ES muscle activity was significantly greater in the FTT compared to the GTT position (p<0.05). The dominant GM, HAM, and TA was significantly greater in the TT and FTT compared to the GTT position (p<0.05). Although the dominant ES was significantly greater in the TT and FTT compared to the GTT position (p<0.05), the dominant GM muscle activity was signifcantly greater in the TT compared with the GTT position (p<0.05). Conclusions: These findings may be applicable within the clinical field for selective trunk and lower extremity muscle activation and basic biomechanics purpose.

• 아동학회지
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• 제34권1호
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• pp.21-34
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• 2013

The purposes of this study were (1) to investigate the differences in the level of children's knowledge and reasoning skills due to the sloping phenomenon according to their ages and the types of tasks they were asked to perform, and (2) to investigate whether children's prior knowledge is changed to post knowledge through their reasoning. A total of 120 subjects, forty from each of the age groups 4, 6 and 8 were selected for the study. The major findings are presented below : 8-year old children showed higher levels of prior knowledge than 6-year old children. The prior knowledge level of the "size" task was higher than that of the "weight" task. 6-and 8-year old children showed higher levels of reasoning than 4-year old children. The reasoning level of the "size" task was higher than that of the "weight" task. 6-and 8-year old children showed higher levels of post knowledge than 4-year old children. However, there was no difference in children's post knowledge according to task difference. Through the different types of reasoning involved in the children's performances of the two tasks, changes in the prior knowledge of the sloping phenomenon were observed among all age groups.

• 대한물리의학회지
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• 제13권4호
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• pp.51-58
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• 2018

PURPOSE: This study was conducted to determine if the Harrison hip score (HHS), a tool for assessing hip joint function, and the Burg balance scale (BBS), a general balance assessment tool, actually reflect the balance ability of total hip arthroplasty (THA) patients 3 months after surgery. In addition, this study investigated the initial weight distribution strategy for bilateral lower extremity after THA surgery to understand the balance of THA patients. METHODS: Fourteen 3-month THA patients performed static dual standing and sit-to-stand (STS) tasks. Ground reaction forces on each leg were collected to calculate the weight distribution symmetricity (SWD), and the HHS, functional HHS (f-HHS), and BBS were evaluated. Correlation analyses between SWD and the HHS (also f-HHS) and BBS were then applied to the THA patients. RESULTS: The correlations between functional evaluation tools (HHS, f-HHS, BBS) and SWD were weak strength for the static balance task, but moderate for the dynamic STS task. Among the evaluation tools used in the present study, f-HHS was most useful for evaluation of dynamic balance ability. CONCLUSION: The results suggest that use of HHS, f-HHS, and BBS as functional evaluation tools does not provide meaningful information regarding balance ability, but that they are useful for evaluating dynamic balance ability of THA patients. The dynamic balance ability at 3 months after THA seems to be under development.

• 한국엔터테인먼트산업학회논문지
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• 제14권3호
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• pp.455-462
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• 2020

본 연구의 목적은 과제 지향적 활동을 뇌졸중 환자에게 중재 시 마비측 체중이동에 어떠한 영향이 있는지 알아보고자 진행하였다. 이를 위해 2019년 9월부터 12월까지 경기도 소재 S병원에서 재활치료를 받는 뇌졸중 환자 33명을 무작위 할당 후 실험그룹과 대조그룹으로 나누었다. 실험그룹 17명은 과제 지향적 활동을 제공하였으며, 대조그룹 16명은 일반적 작업치료를 주 3회, 회당 35분씩, 총 4주간 동안 진행하였다. 신체 좌·우측의 체중이동은 MTD balance system으로 평가하였으며, 중재 전 초기평가와 4주 중재 후 재평가를 실시하였다. 두 그룹의 중재 전·후 평가와 그룹 간 중재 전·후 평가를 실시하여 변화량을 비교 분석하였고 다음과 같은 결과를 얻었다. 그룹 내 중재 전·후 평가 시 마비측으로 체중이동은 실험그룹과 대조그룹 모두 마비측으로 체중이동의 향상을 보였다. 그룹 간 중재 전·후 평가에서 실험그룹이 대조그룹에 마비측으로 체중이동이 통계적으로 유의한 향상을 보였다. 추후 보완된 연구를 통해서 뇌졸중 환자 치료 시 과제 지향적 활동이 마비측으로 체중이동을 증진하는 데 유용하게 적용될 수 있을 것이라 생각된다.

• The Journal of Korean Physical Therapy
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• 제27권2호
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• pp.112-117
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• 2015

Purpose: The purpose of this study was to examine the effects of a task-specific obstacle crossing rehabilitation program on functional gait ability in patients with cerebellar ataxia. Overall, we sought to provide ataxia-specific locomotor rehabilitation guidelines for use in clinical practice based on quantitative evidence using relevant analysis of gait kinematics including valid clinical tests. Methods: Patients with cerebellar disease (n=13) participated in obstacle crossing training focusing on maintenance of dynamic balance and posture, stable transferring of body weight, and production of coordinated limb movements for 8 weeks, 2 times per week, 90 minutes per session. Throughout the training of body weight transfer, the instructions emphasized conscious perception and control of the center of body stability, trunk and limb alignment, and stepping kinematics during the practice of each walking phase. Results: According to the results, compared with pre-training data, foot clearance, pre-&post-obstacle distance, delay time, and total obstacle crossing time were increased after intervention. In addition, body COM measures indicated that body sway and movement variability, therefore posture stability during obstacle crossing, showed improvement after training. Based on these results, body sway was reduced and stepping pattern became more consistent during obstacle crossing gait after participation in patients with cerebellar ataxia. Conclusion: Findings of this study suggest that task-relevant obstacle crossing training may have a beneficial effect on recovery of functional gait ability in patients with cerebellar disease.

• 한국전문물리치료학회지
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• 제11권3호
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• pp.59-70
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• 2004

The purpose of this study was to propose a task-related circuits program for stroke patients and to test the difference in functional improvements between patients undergoing conventional physical therapy and those participating in a task-related circuits exercise program. The subjects were 10 stroke in-patients of the Korea National Rehabilitation Center in Seoul. We measured the following variables: Motor Assessment Scale (MAS), Berg Balance Scale (BBS), Tone Assessment Scale (TAS), speed of gait, rate of step, physiological costs index, age, weight, height, site of lesion, onset day and whether the subject participated in an exercise program. Collected data were statistically analyzed by SPSS 10.0/PC using descriptive statistics, Mann-Whitney U test, Wilcoxon rank sum test and Spearman's correlation. The results of the experiment were as follows: (1) In the pre-test and post-test for function, there was not a statistical significance between the group partaking in a task-related circuits program and the group of conventional physical therapy (p>.05). (2) In the MAS, BBS and speed of gait test, the group undergoing conventional physical therapy showed a statistical significance (p<.05). (3) In the MAS, BBS, speed of gait, PCI, TAS (passive, associated reaction, TAS total score), the group of task-related circuits program showed a statistical significance (p<.05). As a result, the group participating in a task-related circuits program had a more functional improvement than the group participating in conventional physical therapy. Therefore, an intervention recommended for a stroke patient would be a task-related circuits program consisting of a longer session of each task for a more improved functional recovery.

• 한국시뮬레이션학회논문지
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• 제27권2호
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• pp.71-81
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• 2018

조선소의 지게차는 작업 특성상 무거운 물건을 상/하차하거나 이송하는 작업이 빈번하다. 작업은 동적이며 시간대별로 생성 비율이 다르다. 특히 오전과 오후 업무시간 직후에 작업 발생 비율이 높은 경향을 보인다. 이러한 상/하차 작업과 이송작업의 무게는 매번 다르며, 활용되는 지게차 역시 작업 가능한 허용무게의 제약이 있다. 본 연구에서는 지게차의 원활한 운영을 위해 최소 비용할당을 사용한 최근린 배차 규칙 알고리즘을 제안한다. 제시된 알고리즘은 다양한 종류의 지게차와 다수의 작업을 동시에 고려하여 배차를 결정하며, 지게차 종류에 따른 작업 불가능을 고려하기 위해 가상 지게차와 가상 작업을 생성하는 방법을 제안한다. 그리고 차량의 상태를 고려하여 체계적으로 지게차를 선택하는 방법도 함께 제시한다. 성능지표는 평균 공차이동거리와 평균 작업대기시간으로 한다. 성능비교를 위해 조선소의 지게차 운영방식을 모델링한 우선순위 규칙을 비교 대상으로 한다. 시뮬레이션을 통해 제시한 알고리즘의 우수성을 확인한다.