• Journal of The Korean Society of Integrative Medicine
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• v.7 no.2
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• pp.19-29
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• 2019

Purpose : To determine whether an advanced rehabilitation therapy combined with conventional rehabilitation therapy consisting of sensorimotor exercises that would be superior to a usual treadmill training in gait ability and fall risk in subacute stroke patients. Methods : Thirty subjects randomly assigned to either multi-sensorimotor training group (n=19) or treadmill training group (n=18). Both groups first performed conventional physical therapy for 30 min, after which the multi-sensorimotor training group performed multi-sensorimotor training for 30 min, and the treadmill training group performed treadmill gait training for 30 min. Both groups performed the therapeutic interventions 5 days per week for 8 weeks. Gait ability was evaluated using the GAITRite system and Fall risk was measured using the Biodex Balance system before intervention and after 8 weeks. Results : There were no intergroup differences between demographic and clinical characteristics at baseline (p>.05). Both groups showed a significant improvement in gait ability (p<.05) and Fall risk (p<.05). In particular, the multi-sensorimotor training group showed more significant differences in gait velocity (p=.05), step length (p=.01) and stride length (p=.014) than the treadmill training group. Conclusion : The multi-sensorimotor training program performed on multiple types of sensory input had beneficial effect on gait ability. A large-scale randomized controlled study is needed to prove the effect of this training.

• Journal of the Korean Society of Physical Medicine
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• v.8 no.4
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• pp.549-558
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• 2013

PURPOSE: This study is designed as a retrospective study, and identified the clinical usability of Sit to Stand (STS) test for predicting of fall incidence in stroke patients who experienced a fall within 1 year. METHODS: Between July 2011 and November 2012, 69 inpatients with stroke in K rehabilitation hospital were participated under voluntarily signing the informed consent form. STS test and 10m walk test (10MWT) were used to assess the muscle strength of lower-extremity and walking velocity, respectively. Also, we tested dynamic balance and motor function of lower-extremity in affected-side using with the Berg balance scale (BBS) and the Fugl-Meyer assessment of lower extremity (FM-L/E). METHODS: There were significant differences between subjects with fall-experienced group and without subjects without fall-experienced group in STS test, 10MWT, BBS scores and FM-L/E. STS test significantly showed a negative correlation between 10MWT (r=-.657), BBS (r=-.512), and FM-L/E (r=-.563). And, 10MWT have a influence on the performance of STS test (the capacity of explanation = 20%). The cut-off value of STS performance predicting falls experience is ${\geq}14.36$ seconds (sensitivity=76%; specificity=79%, area under curve=.785). According to logistic regression analysis of falls experience, subjects ${\geq}14.36$ s showed that 4.164 times (odd ratio) increased in falls than subjects < 14.36 s in STS test. CONCLUSION: This study demonstrated that STS test may be a useful tool predicting and measuring falls in patients with stroke. Further study will be needed to elucidate the kinematic analysis of STS test and the relationship between physical activity level and falls in stroke patients.

• The Journal of the Korea Contents Association
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• v.13 no.3
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• pp.109-118
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• 2013

The purpose of this study was to determine the effects of line dance programme on the balance ability during walking to reveal the exercise intervention for fall prevention. A 12-week line dance programme was applied to 18 elderly females who aged more than 65 years in the community. Balance ability during walking was evaluated by the range of center of pressure(cop), the velocity of cop, and free torque that calculated on the basis of ground reaction force data. The range and velocity of cop in the anterio-posterior were significantly reduced after performing(p<.01, p<.05, respectively), but change in those of cop in the medio-lateral and free torque were not found. It was demonstrates that 12-week line dance programme allows more effective in anterio-posterior stability of walking. It was suggested that the effect of fall prevention exercise should be studied more associate with fall frequency as future study.

• The Journal of the Korea Contents Association
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• v.14 no.9
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• pp.120-130
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• 2014

The purpose of this study was to evaluate the effects of line dance activity on the balance factors during static standing to reveal the exercise intervention for fall prevention. A 15-week line dance programme was applied to 16 elderly females who aged more than 65 years in the community. Balance ability during static standing was evaluated by the range of center of pressure(cop), the velocity of cop, and sway area that calculated on the basis of ground reaction force data, forces, and moments. The range and velocity of cop in the anterio-posterior were significantly reduced after line dance(p<.01, p<.05, respectively), but change in those of cop in the medio-lateral was not found. It was demonstrated that 16-week line dance activities allow more effective in anterio-posterior stability and sway area of static standing. It was suggested that the effect of fall prevention exercise should be studied more associate with fall from vestibular and sensory system as future study.

• Physical Therapy Rehabilitation Science
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• v.8 no.1
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• pp.32-39
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• 2019

Objective: The aim of this study is to investigate the effects of whole body vibratory stimulation on muscle strength, balance, and fall efficacy among super-aged women. Design: Randomized controlled trial. Methods: Twenty-eight super-aged women over 80 years of age were assigned to either the experimental group (n=14) and control group (n=14). The experimental group received an exercise program that used the whole body vibratory stimulation with a frequency of 30 Hz and amplitude of 3 mm, and the control group received an exercise program without vibratory stimulation. Intervention was provided for 4 weeks, 3 sessions per week, and 30 minutes per session. In order to measure lower extremity muscle strength the 30-second chair stand test (CST) was used. The Berg Balance Scale (BBS) was used to measure dynamic balance. Static balance was measured by tracking the path length, velocity, and area of the center of pressure (CoP). The Falls Efficacy Scale (FES) was used to measure the subjects' fear of falling. Results: Both the experimental and control group demonstrated statistically significant increase in muscle strength, dynamic balance, and fall efficacy (p<0.05). Only the experimental group showed significant improvements in static balance before and after the intervention (p<0.05). The experimental group showed significantly greater improvements in CST, BBS, and CoP (path length, velocity) than control group (p<0.05). Conclusions: Whole body vibratory stimulation exercise is shown to be a safe and appropriate physical therapy intervention method to enhance muscle strength, balance, and fall efficacy of super-aged women.

• Proceedings of the KAIS Fall Conference
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• 2003.06a
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• pp.288-290
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• 2003

Artificial heart is divided by pulsation flow type and continuous flow type according to blood circulation pattern. Axial flow blood pump is a kind of continuous flow type artificial heart. Axial flow blood pump would be different pump performance according to impeller's shape and rotating velocity. Pump performance be able to compare by flow rate according to differential pressure and Impeller's rotating velocity. It confirms Impeller model of better efficiency according to compare Pump performance of axial flow blood pump using CFD with actual experiment result.

• Proceedings of the Korea Water Resources Association Conference
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• 2005.05b
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• pp.1138-1142
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• 2005

The tidal river is a river affected by tide, which causes the water level to rise and fall two times everyday periodically. The local velocity across the river could be very fast because of the cross-sectional characteristics of the river even though it's not a rainy season. Therefore extreme local scour could take place around hydraulic structures such as piers and caissons due to backward flow velocity. For the construction of pier foundation of Ilsan-bridge In the Han River, the field observations were performed to get the velocity and water level. The numerical analysis was performed by HEC-RAS(UNET). The relationship between measured maximum velocity and calculated mean velocity is achieved, which is used to estimate the velocity and water level as the construction is proceeding. Countermeasures for scour were designed with the results of the hydraulic analysis to avoid potential damage during construction work. According to the results of monitoring, the velocity increase after temporary road embankment was negligible, from which it is considered that the degradation of main channel compensated for the constriction of cross-section by embankment.

• Journal of Korea Water Resources Association
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• v.30 no.1
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• pp.3-13
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• 1997

Modifications of Prandtl's mixing length theory were used to obtain a power velocity distribution in which the coefficient and exponent are variable over a range from 1/4 to 1/7. A simple suspended-sediment concentration distribution was developed which can be associated with this modified velocity distribution. Using nominal values of ${\beta}$=1.0, $\kappa$=0.4 and visual accumulation tube values of fall velocity, the comparison between theory and field measurements by the USGS on the Rio Grande is fair. Doubling the value of the exponent results in a good comparison. Further research is needed to be able to better choose ${\beta}$, $\kappa$, and fall velocity values, but such research will not be able to account for the effects of large-scale turbulence and secondary flows. In a pragmatic sense, a special set of fairly detailed measurements can establish coefficients and exponents for any gaging site.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.21 no.1
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• pp.1-4
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• 2015

Background: This study was conducted in order to see if muscle strength is different according to fall experience in female elders by comparing their muscle strength of waist and knee, which is one of factors inducing fall. Method: For this study, 22 female elders aged over 65 sampled from senior centers in D City were surveyed on their fall experiences using a questionnaire asking clinical history. Then, 8 elders with fall experience (FE) and another 8 without (NFE) were selected and participated in the research. Isokinetic muscle strength was measured with isokinetic equipment BIODEX SYSTEM 3 PRO, and the peak torque was obtained from the highest of 9 measurements at angular velocity $60^{\circ}/sec$ according to the method recommended in the manual. Measured items were waist flexion and extension, and knee flexion and extension. Results: The FE group showed higher extensor and flexor muscle strength of the waist, but the difference was not significant (p<.05). In addition, no difference was observed in extensor muscle strength of the knee (p<.05). In flexor muscle strength, however, the FE group was significantly higher than the NFE group (p<.05). Conclusion: The application of regular exercise programs for improving muscle strength, endurance, etc. to those with fall experience will be effective in preventing falls among them.

• Korean Journal of Applied Biomechanics
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• v.20 no.3
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• pp.319-325
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• 2010

The purpose of this research was to investigate the differences in the ski carving turn motion according to level of expertise. The posture and movement of 6 skiers nearby the fall-line was evaluated with a biomechanical approach focusing the rotational mechanics. The slope was at an angle of $9^{\circ}$ and the following variables were measured and calculated: tangential velocity, change of COM height after passing fall-line, width between feet, angle between upper body and thigh, trunk angle, average radius of curvature and average centripetal force. The expert skiers minimized their center of mass height movement and maintained the width of between their feet after the passing the fall-line in comparison with the beginners and intermediate skiers. The experts restrained themselves from pushing their upper body downward after the turn to maximize the centripetal force. The experts in comparison with the beginners and intermediate skiers during the turn didn't have to reduce their radius of curvature to maintain a high centripetal force. It was concluded, that the most important factor affecting the centripetal force, was for the beginners and intermediate skiers, to minimize their movement while using the appropriate amount of edging.