• Journal of the Korean Society of Physical Medicine
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• v.3 no.2
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• pp.135-144
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• 2008

Purpose : The purpose of this study was to identify the effect of body weight support treadmill training (BWSTT) and parallel bar gait training(P-bar) on gait and balance ability of subacute stroke patients. The subjects were consisted of 27 patients with subacute stroke, and they were randomly devided into two groups which were BWSTT group and P-bar group. Method : The timed up and go(TUG), 10m gait speed were used to measure gait speed, Bergs balance scale(BBS) was used to measure dynamic balance ability, and balance performance monitor(BPM) was used to measure sway area, sway path, max velocity. Result : 1. The TUG and 10m gait speed of BWSTT group and P-bar group were significantly decreased (p<.05). The TUG and 10m gait speed were different significantly between BWSTT group and P-bar group(p<.05). 2. The BBS and sway area of BWSTT group and P-bar group were significantly decreased (p<.05). The BBS and sway area were not different significantly between BWSTT group and P-bar group(p>.05). 3. The sway path and max velocity of BWSTT group and P-bar group were significantly decreased (p<.05). The sway path and max velocity were not different significantly between BWSTI group and P-bar group(p>.05). Conclusion : The outcomes suggest that patient with subacute stroke can improve their gait and balance through body weight support treadmill training.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.2
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• pp.129-136
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• 2020

PURPOSE: This study aimed to determine the most effective feedback condition for static balance in elderly subjects. METHODS: Thirty-eight elderly subjects (12 men and 26 women with a mean age of 77.21 years) participated in this study. They each completed a questionnaire on their general characteristics, excluding personal identification codes. The static balance ability of the participants was evaluated using a Wii Balance Board and the Balancia program (version 2.0). The following three feedback conditions were considered: condition 1 (tactile feedback), condition 2 (visual feedback), and condition 3 (no feedback). One-way repeated-measures analysis of variance was used for the comparisons according to sway length and sway velocity. The statistical significance level was set to α = .05 for all variables. RESULTS: Significant differences in the sway length and sway velocity were observed between the three conditions (p < .05). Significant differences in the sway length were noted in the order of conditions 1, 2, and 3 (p < .05), and significant differences in the sway velocity in the order of conditions 3, 2, and 1 (p < .05). CONCLUSION: Significant differences in static balance ability were observed between the three conditions. In this study, tactile feedback was found to be the most effective feedback for balance training. Owing to aging and impairment of the senses, such as that observed in the tactile receptors, visual receptors, and proprioceptors, it is recommended that elderly subjects participate in balance training.

• The Journal of Korean Physical Therapy
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• v.23 no.5
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• pp.1-5
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• 2011

Purpose: This study was designed to investigate the changes of postural sway and muscle activation while standing upright and performing a dual task. Methods: Nine healthy adults were recruited and provided their written informed consent. They performed a balance task with and without a cognitive task on a force flatform (Good balance, Metitur Ltd., Filand). Postural sway was measured as medio-lateral and anterior-posterior distance and the velocity of the center of pressure and muscle activations of the ankle dorsi- and plantar-muscle was measured. The recruits completed three trials and the data was analyzed by a paired t-test. Results: There were significant differences in the medio-lateral and anterior-posterior distance and the velocity of the center of pressure, and significant increases in the muscle activities of the tibialis anterior. Conclusion: These findings revealed that performing a dual task increases postural sway and muscle activation of the ankle when simultaneously maintaining balance and performing another cognitive task. Future studies should focus on balance training with a dual task for patients.

• Korean Journal of Applied Biomechanics
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• v.30 no.3
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• pp.217-223
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• 2020

Objective: The purpose of this study was to analyze the effect of postural sway on the kinematic variables of the putter head during golf putting and to provide information to the importance of postural sway control in the putting stroke for novice golfers. Method: The center of pressure (CoP) and Kinematics variables of the putter head were calculated during 2 m flat golf putting using 8 motion capture cameras (250 Hz) and 2 force plate (1,000 Hz). SPSS 24.0 was used to perform Pearson's correlation coefficient and simple regression analysis, and the statistically significance level was set to .05. Results: As a result of analyzing the correlation between CoP variables and the putter head rotation angle, the CoP moving length, CoP moving range (ML direction), and CoP moving velocity (ML direction) showed a positive correlation with the putter head rotation angle (yaw axis) and were statistically significant. Conclusion: Therefore, In order to perform the accurate putting stroke maintaining the ball's directionality, it is determined that it is important to control posture sway in the ML directions by minimizing the movement and velocity of the CoP.

• The Journal of Korean Physical Therapy
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• v.17 no.4
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• pp.537-557
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• 2005

The purpose of this study was to investigate the effect of pelvic traction and muscle energy technique(MET) for hemiplegic patients on static standing balance. The scale for static standing balance is measured by using mean balance(%), frequence(Hz), sway area($mm^2$), sway path(mm), max sway velocity(mm/s), ant/post sway angle($^{\circ}$), lateral sway angle($^{\circ}$), sway number, change of pelvic height is measured in relation to the height of ASIS and PSIS. The subjects of this study were thirty hemiplegic patients: 15men and 15 women, with an average ages of 50.80 years. The thirty subjects were divided into 3 group of 10 at random ; ten subjects had pelvic traction after bobath therapy (the pelvic traction group), ten subjects had muscle energy technique after bobath therapy (the MET group), and ten subjects had only bobath therapy (the control group). Static standing balance was measured using BPM (balance performance monitor; data print software version 5.3), pelvic height was measured using height measuring with an adjustable horizontal arm. In order to assure the statistical significant of the result, an one-way ANOVA, the paired t-test, and a person's correlation were applied at the.05 level of significance. The results of this study were as follows: 1) The change in pelvic height were statistically significant between the pelvic traction group, the MET group and the control group on pre-treatment and post-treatment(p<.05). 2) The change in affected and non-affected on weight bearing were not statistically significant between the pelvic traction group, the MET group and the control group on pre-treatment and post-treatment(p>.05). 3) The change in frequency were statistically significant between the MET group, the control group and the pelvic traction group on pre-treatment and post-treatment(p<.05). 4) The change in sway area were statistically significant between the MET group, the control group and the pelvic traction group on pre-treatment and post-treatment(p<.05). 5) The change in sway pa1h were statistically significant between the pelvic traction group, the MET group and the control group on pre-treatment and post-treatment(p<.05). 6) The change in max sway velocity were statistically significant between the pelvic traction group, the MET group and the control group on pre-treatment and post-treatment(p<.05). 7) The change in ant/post sway angle were statistically significant between the pelvic traction group, the MET group and the control group on pre-treatment and post-treatment(p<.05). 8) The change in lateral sway angle were statistically significant between the pelvic traction group, the MET group and the control group on pre-treatment and post-treatment(p<.05). 9) The change in sway number were statistically significant between the pelvic traction group, the MET group and the control group on pre-treatment and post-treatment(p<.05). In conclusion, there was a difference between the experimental group and the control group. In the future, we have to study continuously about pelvic traction and muscle energy technique in hemiplegic patients.

• 제어로봇시스템학회:학술대회논문집
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• 2004.08a
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• pp.1365-1370
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• 2004

In this paper, a novel anti-sway control system that uses an inclinometer as a sway sensor is investigated. The inclinometer, when compared with a vision system, is very cheap, durable, and its maintenance is easy. However, it gives almost the same performance. Various observers for estimating the angular velocity of the load and the trolley velocity are presented. A state feedback controller with an integrator is designed. After a time-scale analysis, a 1/4-size pilot crane of the rail-mounted quayside crane is constructed. The performance of the proposed control system was verified with a real rubber-tired gantry crane at a container terminal as well as with the pilot crane constructed. Experimental results are provided.

• Journal of Korean Physical Therapy Science
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• v.17 no.3_4
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• pp.51-58
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• 2010

Purpose: The purpose of this study was to examine changes of postural sway between the normal group and treatment group of same people through COP movements. Methods: Fifty men with no history of sensory, neurological and orthopedic disorders were participated in this study. Participants were tested on single limb balance during 30 seconds on EMED system with bared foot. Each of them performed two methods and 5 trials totally each method: (1) non-treated group (2) treated group(with big toe flexion limitation). Data on the moving length, average velocity, instantaneous maximum velocity, mediolateral(x axis) maximum velocity, and anteroposterior(y axis) maximum velocity of COP were measured in single limb standing position. Results: The moving length and average velocity of COP were significant difference between normal and treatment group(p<0.05). On correlation of parameters, the faster average velocity of COP, the higher moving length, instantaneous maximum velocity, mediolateral maximum velocity, and anteroposterior maximum velocity of COP increase. The more Instantaneous maximum velocity of COP, the faster is anteroposterior maximum velocity of COP. Conclusions: Limitation of big toe flexors function affected single limb balance of the normal.

• Bulletin of the Society of Naval Architects of Korea
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• v.19 no.1
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• pp.3-14
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• 1982

In this paper, the sway added mass of a rectangular cylinder in a restricted water is considered by applying Hamilton's principle as the frequency tends to zero. The present method is an extension of Isshiki's method proposed in 1978. In the present method, it is assumed that the fluid velocity distribution in each subdomain of the fluid can be represented by higher order polynomials while Isshiki assumed linear velocity distribution. The fluid flow is assumed as a rotational motion in the present analysis. However, the results obtained from the present method show good agreement with Bai's numerical results for the case of large clearances between a canal wall and a cylinder. From Kelvin's minimum energy theorem, we can see that the value of sway added mass obtained from the present method approaches the upper bound. The approximate formula obtained in the present study takes a simple form which consists of the dimensions of the canal and the cylinder. The present formulae are derived for the cases of a rectangular cylinder swaying at the center of a narrow or wide canal relative to a cylinder, at off-center location in a canal, and in the restricted water with a single wall. From the results of numerical calculation, it is concluded that the sway added mass in restricted waters is more affected by water depth than clearance between a wall and a cylinder.

• Journal of the Korean Society of Physical Medicine
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• v.9 no.3
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• pp.255-262
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• 2014

PURPOSE: This study was to investigate the effectiveness of TENS on balance in stroke patients by analyzing some components such as foot pressure, limit of stability and velocity sway after providing somatosensroy input using TENS. METHODS: Twenty five subjects participated and were randomly divided into two groups, TENS group (n=13) and control group (n=12) by the computer program. Interventions were given to subjects 5 days a week for four weeks. TENS group were treated with TENS for 60 minutes in addition to the conventional therapy which included 30-minute exercise and rehabilitation ergometer training for 15 minutes. Control group performed only conventional therapy. TENS was applied on the skin of soleus, tibialis anterior, tensor fascia latae and vastus medialis in affected side. Foot pressure, limit of stability and velocity sway for balance test were measured using Biorescue. RESULTS: TENS group was significantly increased limit of stability and foot pressure in affected side more than control group. And in eye closed condition, TENS group was significantly decreased velocity sway more than control group. CONCLUSION: The application of TENS is effective to improve the somatosensory input of affected side and to increase the motor function and balance ability.

• The Journal of Korean Physical Therapy
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• v.25 no.3
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• pp.136-142
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• 2013

Purpose: The application of transcutaneous electrical nerve stimulation (TENS) is beneficial for joint movements, inhibition of spasticity, and the improvement of walking ability in patients with chronic hemiplegia. This study aimed to identify the effect of the application of TENS to the knee extensor on the affected side with respect to postural-sway distance and velocity during the sit-to stand movement. Methods: We included 19 patients with post-stroke hemiplegia in this study. They underwent measurements during the sit-to stand movement on a force plate with 5 different stimulation dosages applied over 7 s:No TENS, high-frequency and high intensity TENS, high-frequency and low intensity TENS, low-frequency and high intensity TENS, and low-frequency and low intensity TENS The 5 different condition were administered in random order. Results: The group that received TENS application exhibited a significant decrease in path length and average velocity of center of pressure (COP) displacement compared with the group that did not receive TENS application. TENS dosage at low frequency (3Hz) and high intensity yielded a significant decrease in path length, average velocity, mediolateral distance and anteroposterior distance of COP displacement (p<0.05). Conclusion: Our results demonstrated the effectiveness of the application of low-frequency TENS on STS performance. These findings provide useful information on the application of TENS for the reduction of postural sway during the sit-to-stand movement after stroke.