• 전자공학회논문지
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• 제53권12호
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• pp.180-190
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• 2016

본 전향적 예비 임상연구를 통하여 이중 체임버 구조를 기반으로 하는 뇌졸중 환자용 컵을 개발하고 임상적으로 유용한지 검증하고자 했다. 체계적 과정을 거쳐 컵을 개발하고, 남녀 동수의 뇌졸중 환자 16명을 대상으로 개발된 컵을 사용하여 이들의 제한된 운동기능을 보완 할 수 있는지 3차원 동작 분석(3-dimensional motion analysis), 표면 근전도 검사(surface electromyography; sEMG), 3차원 체간 움직임 분석(3-dimensional trunk movement analysis)의 운동 형상학적 방법을 통하여 검증하고자 했다. 실험 결과, 이중 체임버 컵(dual chamber based assistive cups; DC) 데이터 그룹에서 플라시보 컵(placebo-cups; PC)의 경우 보다 어깨부위의 ROM(range of motion)이 더 적게 사용되었고, sEMG에서는 상부 승모근, 삼각근, 삼두근에서 근 활성도가 낮게 나타났다. 체간 분석에서 전방, 후방의 방향에서 체간의 개입이 더 적게 관찰되었다.

• 대한한방내과학회지
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• 제43권6호
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• pp.1186-1197
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• 2022

Objectives: A case study about the effectiveness of integrative Korean medicine treatment in a psychogenic tremor patient. Case presentation: A 36-year-old male diagnosed with psychogenic tremor with low back pain underwent 29 days of inpatient treatment and 4 weeks of outpatient treatment. His pattern identification was a psychogenic tremor of the weakness of the heart and gall bladder (SimDamHeoGup) type. The treatments were herbal medicine and acupuncture. He took Cheongshimondam-tang for 29 days and Chunwangbosim-dan for 6 weeks when he had symptoms. He also received acupuncture for 20 minutes twice a day at GB20 (Pungji), L14 (Hapgok), HT4 (Yeongdo), PC6 (Naegwan), HT7 (Sinmun), GB34 (Yangleungcheon), ST36 (Joksamni), SP6 (Sameumgyo), and LR3 (Taechung). After 8 weeks of treatment, the Fahn Tolosa Marin rating (FTM) scale of his tremor, at rest, dropped from Grade 4 on both upper extremities, trunk, and both lower extremities at the time of admission to Grade 2 in both upper extremities and trunk, and Grade 0 in both lower extremities at the time of discharge. His Beck Anxiety Inventory (BAI) score decreased from 38 to 7, and his numerical rating scale (NRS) decreased from 8 to 1 for low back pain and from 9 to 2 for tremor. A follow-up visit to the hospital 2 months after the end of treatment confirmed continued symptom improvements and no significant side effects. Conclusions: This study suggests the possibility of treating psychogenic tremor using only Korean medicine treatments. Further studies with control groups and long-term follow-up are needed.

• 한국운동역학회지
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• 제17권2호
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• pp.11-21
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• 2007

The study was undertaken to present the quantitative materials available in underwater industries, underwater rehabilitation & physical training through comparison & analysis of effects contributing to propulsion of COG by types of fin-kick in underwater activities. For this 3D cinematography was performed for the skilled subjective and conclusions obtained on the basis of analysis of kinematic variables were as follows. In temporal variable the delay in the order of flutter>side>dolphin kick in elapsed time by total & phase resulted in longer sliding phase by larger fin kick of extension & flexion of both leg and thus more contributed in propulsion of COG. than those of the otherwise. In linear variable the contribution ratio to the result of propulsion of COG in both propulsive(mean $35.39{\pm}7.93cm$ in Y axis) and sliding phases(mean $66.36{\pm}11.01cm$ in Y axis)was shown to be order of flutter>dolphin>side fin kick. the maximum velocity of COG in Y direction was showed in both propulsive and sliding phases, and the contribution ratio to the propulsion of COG was in the order of flutter$\geq$dolphin>side fin kick. In angular variable the Significant difference in angle of leg joint by types of fin kick in both leg was showed but no routine order. The Significant difference in angular velocity of leg joint by types of fin kick in both leg was showed in the order of flutter>dolphin$\geq$side fin kick in propulsive but no in sliding phase. The Fluid resistance by tilting angle of trunk in both propulsive and sliding phase was decreased in the order of flutter>dolphin$\geq$side fin kick and tilting angle of trunk of the skilled was smaller than that of the unskilled in difference of maximum mean 7.97degree and minium mean 2.06degree. In summary of the above, It will desirable fin kick type because of more contribution to COG propulsion by the velocity & displacement in Y-axis and less fluid resistance by tilting angle of trunk and larger angular velocity in the case of more delayed in elapsed time of propulsive phase than that of the otherwise.

• 한국전문물리치료학회지
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• 제12권1호
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• pp.1-10
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• 2005

The purpose of this study was to verify the most effective spinal stabilization exercises program by comparing the activities of muscles contributing to spinal stabilization during four types of exercises using a sling and a mat. Twenty healthy males were recruited and each subjects performed four types of exercises. Exercise 1 was performed in a quadruped position with the subjects lifting the left arm and the opposite leg on the mat. Exercise 2 was performed in a prone position while holding a sling with the right hand and the left knee was fully extended while lifting the left arm and right leg. Exercise 3 was performed in quadruped position while holding a sling with one the right hand and lifting the opposite arm and leg. In exercise 4, subjects were instructed to maintain a balance push-up position while holding slings with both hands in 10 cm forward reaching with extended elbows. Electromyographic(EMG) activities were recorded from the multifidus, external oblique, internal oblique, abdominal rectus, and erector spinalis muscles during the exercises. The EMG amplitude of each muscle was normalized to the amplitude in the maximal voluntary isometric contraction (MVIC) of each muscle. Repeated ANOVA and Bonferroni's tests were used to compare the differences in the muscle activity according to the types of exercise. The EMG amplitudes of all the muscles were significantly different according to the types of exercises (p<.05). The highest EMG activities of each muscle was as follow; multifidus was 73.38%MVIC in exercise 3, the erector spinalis was 40.03%MVIC in exercise 3, the external oblique was 135.88%MVIC in exercise 4, the internal oblique was 128.60%MVIC in exercise 4, and the rectus abdominalis was 95.24%MVIC in Exercise 4. The types of exercises showed a significant difference in composition rate of EMG amplitudes of each muscle (p<.05). EMG composition rate of the multifidus was high in exercise 1 and 3. However, EMG composition rates of the external oblique, internal oblique, and the rectus abdominals were high in exercise 2 and 4. These results showed differences in EMG activities of muscles contributing to trunk stabilization during different therapeutic exercises. Therefore, the type of exercise should be carefully selected to effectively strengthen a specific trunk stabilizer.

• 한국전문물리치료학회지
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• 제3권3호
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• pp.44-58
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• 1996

The purpose of this study was to compare and evaluate various hand functions in the most common position (chair sitting, standing, floor sitting) used by cerebral palsied children with spastic diplegia. The results, analysed statistically, could be useful in suggesting treatment strategy for the improvement of hand function in such patient. For this study, 27 children mild or moderate spastic diplegia were chosen. They were patients of the Rehabilitation Hospital, Yonsei University Medical Center. Both dominant and nondominant hands were tested by the Box and Block Test. Bilateral hand function was tested by bead striding and card sorting activities. Collected data was analysed using univariate correlation analysis and MANOVA. Results were as follows: 1) In chair sitting there was a significant positive correlation between dominant hand scores in the Bloc and Box Test and chronological age, gestation period, and time of treatment initiation. In bilateral hand function, card sorting scores correlated positively with time of treatment initiation. 2) In standing, there was a significantly positive correlation between dominant hand scores in the Block and Box Test and time of treatment initiation. 3) In floor sitting, there was a significantly positive correlation between the dominance hand scores in the Block and Box Test and the tine of treatment initiation. Bead stringing, a bilateral hand activity, correlated positively with gestation period and birth weight but negatively with the postnatal incubation period. 4) That score of children who walked showed no significant difference in any of the three postures. 5) Highest test scores in children who could nat walk were in the Box and Block Test for nondominant hand in bead stringing for bilateral hand function. There scores occurred with the children in thee chair sitting posture. The results showed that, in order to improve hand function in children with spastic diplegia, it is necessary to maintain a well supported upright trunk posture with variations allowed for relevance to the chosen position of thee improvements hand activity being performed.

• 한국전문물리치료학회지
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• 제11권3호
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• pp.51-58
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• 2004

The purpose of this study was to compare the postural muscle activity during wearing a lead apron with and without applying waist belt at working posture. Ten healthy male subjects were recruited for this study. Electromyography using a surface EMG recorded the activity of the splenius capitis, trapezius, and erector spinae. EMG activity was recorded at quiet standing, 45 degrees of neck flexion, 45 degrees of neck flexion with 15 degrees of trunk flexion. The testing order was selected randomly. The subjects were asked to maintain the each posture for 3 minutes. The mean root mean square (RMS) of EMG activity was calculated. EMG activity was normalized using the maximum voluntary isometric contraction (MVIC) elicited using a manual muscle testing technique. Two-factor repeated measures analysis of variance (ANOVA) was used to compare the average RMS value of EMG activity for each condition. The EMG activity of trapezius muscle was significantly decreased with applying waist belt (p<.05). The muscle activity of splenius capitis and erector spinae showed significant difference according to postures (p<.05). These results suggest that applying waist belt during wearing a lead apron will be useful to prevent shoulder pain.

• 재활복지공학회논문지
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• 제9권4호
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• pp.301-308
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• 2015

본 연구는 정상 성인 20명을 대상으로 복부 안정화에 영향을 미치는 노르딕 워킹과 파워 워킹을 2주간 집중 시행한 후, 복부중심 근육(배속빗근, 배바깥빗근, 배가로근)의 활성도 및 두께, 그리고 복부 피하지방의 두께 변화를 비교하였다. 연구 결과, 근전도를 이용한 배속빗근과 배바깥빗근의 근활성값은 노르딕 워킹과 파워 워킹군 모두에서 훈련 후 높게 나타났으며, 특히 노르딕 워킹 훈련군의 경우 파워 워킹 훈련군에 비해 통계학적으로 유의하게 높은 근활성도의 변화를 보였다. 초음파를 이용한 배가로근과 배속빗근, 배바깥빗근의 두께는 노르딕 워킹 훈련군과 파워 워킹 훈련군 모두에서 통계학적으로 유의한 증가를 나타내었으나 군간 변화 차이는 없었다. 노르딕 워킹은 스틱을 이용하여 균형 안정감을 제공하며 상지와 하지의 큰 움직임을 통해 복부 안정화를 유도하는 효과적인 훈련방법으로써 다양한 재활운동의 형태로 적용하기에 유용할 것으로 여겨진다.

• Physical Therapy Rehabilitation Science
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• 제9권3호
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• pp.201-208
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• 2020

Objective: This study aimed to identify the effects of performing shoulder and hip abduction during the V-sit exercise on abdominal muscle activity. Design: Cross-sectional study. Methods: Thirty healthy adults volunteered for this experiment. The participants randomly performed 6 types of V-sit exercises, including V-sit alone (hip 0°, shoulder 0°), V-sit with hip abduction 0° and shoulder abduction 15°, V-sit with hip abduction 0° and shoulder abduction 30°, V-sit with hip abduction 15° and shoulder abduction 0°, V-sit with shoulder and hip abduction 15°, and V-sit with shoulder abduction 30° and hip abduction 15°. EMG data were recorded from the rectus abdominis (RA), external oblique (EO), and internal oblique (IO) muscles of both sides. All abdominal EMG data during the six types of V-sit exercises were measured for 5 seconds, three times, and recorded for the middle 3 seconds excluding the 1 second at the start and end. Results: V-sit with shoulder abduction 30° resulted in significantly greater muscle activity of both RA, EO compared to shoulder abduction 0°, shoulder abduction 15° (p<0.05) and V-sit with shoulder abduction 15° showed significantly greater muscle activation of the RA compared with shoulder abduction 0° (p<0.05). The muscle activity of both EO and IO in the V-sit with hip abduction 15° was significantly greater than hip abduction 0° in all shoulder conditions (p<0.05). Conclusions: Greater angles of shoulder and hip abduction produced more abdominal muscle activity increases during the V-sit exercises. Shoulder abduction affected the RA, EO muscle activation and hip abduction affected the EO, IO muscle activation. This study showed that shoulder and hip abduction during V-sit exercises enabled effective activation of the trunk muscles.

• Physical Therapy Rehabilitation Science
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• 제6권2호
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• pp.77-82
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• 2017

Objective: Swimming and water-based exercise (WE) programs can provide vigorous physical activity in a fun and a motivating environment. The properties of water, may make it easier for children with cerebral palsy (CP) to move and to participate in an WE program. The aims of this study was to evaluate the effect of WEs on postural control in children with spastic CP. Design: Quasi-experimental design (one group pretest-posttest design). Methods: Twenty preschoolers with spastic CP participated in this study. Prior to the application, sufficient warm-up training was performed to allow the subjects to adapt to the water. Afterwards, three different types of underwater leg exercises for the flexor, extensor, and adductor/abductor of muscles of the lower limb were performed. The WE program lasted during 8 weeks, with one-40 minute sessions per week (8 training session). The usual care was performed during the training session. The Korean-trunk control measurement scale (K-TCMS) and weight distribution variability (difference of both Fz) were measured before and after training session. Results: According to the results, the K-TCMS scores of the three sub-levels, including static sitting, dynamic sitting, and dynamic reaching, was significantly increased after the training session (p<0.05). Also, the weight distribution variability was significantly decreased after 8 weeks (p<0.05). Conclusions: We suggest that WEs may improve the postural control ability in children with spastic CP. Furthermore, we support the need for additional research on the effect of WE on gait or activity of daily living performance with a control group included.

• Physical Therapy Rehabilitation Science
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• 제6권2호
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• pp.65-70
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• 2017

Objective: The purpose of this study was to examine the intertester reliability and validity of four nonradiologic measurements of thoracic spine rotation in healthy adults. Design: Descriptive laboratory study. Methods: This study was conducted on 20 male and 20 female university students aged between 19 and 26. To measure thoracic rotation, a goniometer, a bubble inclinometer, a dual inclinometer, and a smartphone application-clinometer were used. The measurement was performed twice for each device and the same measurement was performed by two examiners. The measurements were performed in the lumbar locked position. The arm in the direction of rotation was taken back and placed onto the back of the lumbar region. With right and left trunk rotation, the head was rotated together but remained in the center line so that the axial rotation was maintained. Both examiners performed the measuring procedures and directly handled the measuring instrument. All measurement results were recorded by the recorder. Results: The range of motion (ROM) of thoracic rotation in lumbar locked position for all four devices was 47 degrees. The intra-rater reliability estimates ranged from 0.738 to 0.906 (p<0.05). The inter-rater reliability estimates ranged from 0.736 to 0.853 (p<0.05). The goniometer, bubble inclinometer, dual inclinometer, and smartphone clinometer showed high validity (p<0.05). This result indicates that all four devices may be used by the same examiner and by other examiners obtaining follow-up measurement. Conclusions: The use of the goniometer, bubble inclinometer, dual inclinometer, and smartphone clinometer for measurements in the lumbar locked posture are reliable and valid nonradiologic measures of thoracic rotational ROM in healthy adults.