• 제목/요약/키워드: lower limb movements

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노인 낙상예방 운동중재 문헌분석 연구 (A Review of Exercise Interventions for Fall Prevention in the Elderly)

  • 구미옥;전미양;김희자;은영
    • 대한간호학회지
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    • 제35권6호
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    • pp.1101-1112
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    • 2005
  • Purpose: This study was done to suggest directions for developing exercise interventions for fall prevention in the elderly in Korea in the future, Method: Twenty five articles for fall prevention exercises were reviewed and analyzed. Result: $84.0\%$ of subjects were older adults age 65 and older living in the community. The most frequently performed interventions were lower limb strength and balance exercises together $43.3\%$, group exercise $70.0\%$, exercise 3 times/week $60.0\%$, 60 min per session $36.7\%$, duration of 12 weeks and 1 year $23.3\%$ each. The most frequently used outcome variables were static balance $84.0\%$, lower limb muscle strength $72.0\%$, dynamic balance $56.0\%$, and falls $56.0\%$. The effect of exercise interventions on fall prevention was inconclusive. Lower limb strength exercises with resistance were effective for increasing muscle strength. Balance exercises with various movements for balance were effective for increasing balance. Conclusion: Exercise interventions for fall prevention is recommended for older adults with risk factors of falling. The desirable type of exercise intervention is lower limb strength and balance exercise together.

일반보행보조기(RGO)와 동력보행보조기(PGO)의 보행시 에너지 소모도 비교 평가 분석 (Comparison of Energy Consumption of Reciprocating Gait Orthosis(RGO) and Powered Gait Orthosis(PGO) during Gait)

  • 강성재;류제청;문무성
    • 한국정밀공학회지
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    • 제25권8호
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    • pp.104-110
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    • 2008
  • The aim of this study ultimately is verifying that PGO gait is more efficient than RGO fur paraplegics because the air muscle assists hip flexion power in heel off movement. The gait characteristics of the paraplegic wearing the PGO or RGO are compared with that of a normal person. PGO with air muscles was used to analyze the walking of patients with lower-limb paralysis, and the results showed that the hip joint flexion and pelvic tilt angle decreased in PGO. In comparison to RGO gait, which is propelled by the movements of the back, PGO uses air muscles, which decreases the movement in the upper limb from a stance phase rate of 79$\pm$4%(RGO) to 68$\pm$8%. The energy consumption rate was 8.65$\pm$3.3 (ml/min/Kg) for RGO, while it decreased to 7.21t2.5(ml/min/Kg) for PGO. The results from this study show that PGO decreases energy consumption while providing support for patients with lower-limb paralysis, and it is helpful in walking for extended times.

근전도기반의 무선 착용형 컴퓨터 인터페이스 개발 (Development of an EMG-based Wireless and Wearable Computer Interlace)

  • 한효녕;최창목;이연주;하성도;김정
    • 한국HCI학회:학술대회논문집
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    • 한국HCI학회 2008년도 학술대회 1부
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    • pp.240-244
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    • 2008
  • 본 논문에서는 근전도 신호 기반의 무선 착용형 컴퓨터 인터페이스를 개발하였다. 밴드 형태의 무선 착용형 단말기는 4 채널 근전도 센서와 붙어있으며, 대역통과 필터 및 차단 필터, 신호증폭기를 이용하여 구별 가능한 근전도 신호를 추출하였다. 얻어진 신호는 무선통신을 통해 컴퓨터로 전송하게 된다. 컴퓨터 인터페이스를 위해 손목 움직임을 사용하였으며, 움직임으로부터 획득된 신호를 다층 인식 신경망을 사용하여 손목 움직임을 인식하게 하였다. 이를 통하여 마우스 커서의 움직임을 제어하고, 마우스 버튼을 클릭하는 동작을 할 수 있으며, 시각 디스플레이 장치에 표시된 핸드폰 자판과 같은 유저 인터페이스를 통해 컴퓨터에 글자를 입력할 수 있게 하였다.

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동작 적합성에 따른 Slacks Pattern 설계에 관한 연구 (Part I) (A study on the slacks pattern making according to the Movement-Fitness (Part I))

  • 박영득
    • 대한가정학회지
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    • 제34권2호
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    • pp.43-55
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    • 1996
  • The purpose of this study was to investigate the slacks pattern making on the movement-fitness of the knee region. The experimental items were divided into the lower limb movement (M1~M5) and slacks pattern designs (4 : basic pattern, in-pleats, side-pleats, seam-line increase). This study was done by clothing pressure test, sensory evaluation test and the difference shape-transformation of wearing-slacks. The summarized finding resulted from experiments and investigation are suggested as follows ; First, the clothing pressure test showed that the order of clothing pressure in the movement was the rabbit leap movement (M3), the sit on knees (M4), the nobleman sitting (M5), the sit on chair (M2) from the highest to the lowest. In the comparison of clothing pressure tested by blocks of lower-limb, center front knee region shows the highest of 300g/cm2. In it by constructional methods, the clothing pressure of in-pleats, side-pleats methods shows lower than basic pattern, hem-line increase methods. Also in comparison of the two methods, in-pleats method shows lower than side-pleats method. Second, by the sensory evaluation test based on the lower-limb movements and constructional methods of slacks, it was found that the functional factor score of the rabbit leap movement was also the waist, hip, knee region was the lowest in all blocks. And in the comparison of constructional methods, in-pleats method was the highest in all methods. Third, in consideration of the difference in the shape-transformation of wearing-slacks on the movement-fitness, pleats pattern design methods showed that the ratio of shape-transformation was lower than basic on seam-line increase methods. But the difference of the side-pleats and in-pleats methods was litle. According to these investigation, the slacks pattern making caused by movement-fitness on the knee region, in-pleats design method was the functional slacks pattern.

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승마 속보 시 미숙련자에게 적용한 하지장 비율 74.04% 등자길이 피팅의 기승자세 효과 (The Effects of the Stirrup Length Fitted to the Rider's Lower Limb Length on the Riding Posture for Less Skilled Riders during Trot in Equestrian)

  • 현승현;류재청
    • 한국운동역학회지
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    • 제25권3호
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    • pp.335-342
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    • 2015
  • Objective : The purposes of this study was to analyze the effects of the stirrup length fitted to the rider's lower limb length and it's impact on less skilled riders during trot in equestrian events. Methods : Participants selected as subjects consisted of less skilled riders(n=5, mean age: $40.02{\pm}10.75yrs$, mean heights: $169.77{\pm}2.08cm$, mean body weights: $67.65{\pm}7.76kg$, lower limb lengths: $97.26{\pm}2.35cm$, mean horse heights: $164.00{\pm}5.74cm$ with 2 type of stirrups lengths(lower limb ratio 74.04%, and 79.18%) during trot. The variables analyzed consisted of the displacement for Y axis and Z axis(head, and center of mass[COM]) with asymmetric index, trunk front-rear angle(consistency index), lower limb joint(Right hip, knee, and ankle), and average vertical forces of horse rider during 1 stride in trot. The 4 camcorder(HDR-HC7/HDV 1080i, Spony Corp, Japan) was used to capture horse riding motion at a rate of 60 frames/sec. Raw data was collected from Kwon3D XP motion analysis package ver 4.0 program(Visol, Korea) during trot. Results : The movements and asymmetric index didn't show significant difference at head and COM, Also, 74.04% stirrups lengths in trunk tilting angle showed significant difference with higher consistency than that of 79.18% stirrups lengths. Hip and knee joint angle showed significant difference with more extended posture than that of 74.04% stirrups lengths during trot. Ankle angle of 79.18% stirrups length showed more plantarflexion than that of 74.04% stirrups lengths. Average vertical force of rider showed significant difference with higher force at 79.18% stirrups lengths than that of 74.04% stirrups lengths during stance phase. Conclusion : When considering the above, 74.04% stirrups length could be effective in impulse reduction with consistent posture in rather less skilled horse riders.

The Examination of Reliability of Lower Limb Joint Angles with Free Software ImageJ

  • Kim, Heung Youl
    • 대한인간공학회지
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    • 제34권6호
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    • pp.583-595
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    • 2015
  • Objective: The purpose of this study was to determine the reliability of lower limb joint angles computed with the software ImageJ during jumping movements. Background: Kinematics is the study of bodies in motion without regard to the forces or torques that may produce the motion. The most common method for collecting motion data uses an imaging and motion-caption system to record the 2D or 3D coordinates of markers attached to a moving object, followed by manual or automatic digitizing software. Above all, passive optical motion capture systems (e.g. Vicon system) have been regarded as the gold standards for collecting motion data. On the other hand, ImageJ is used widely for an image analysis as free software, and can collect the 2D coordinates of markers. Although much research has been carried out into the utilizations of the ImageJ software, little is known about their reliability. Method: Seven healthy female students participated as the subject in this study. Seventeen reflective markers were attached on the right and left lower limbs to measure two and three-dimensional joint angular motions. Jump performance was recorded by ten-vicon camera systems (250Hz) and one digital video camera (240Hz). The joint angles of the ankle and knee joints were calculated using 2D (ImageJ) and 3D (Vicon-MX) motion data, respectively. Results: Pearson's correlation coefficients between the two methods were calculated, and significance tests were conducted (${\alpha}=1%$). Correlation coefficients between the two were over 0.98. In Vicon-MX and ImageJ, there is no systematic error by examination of the validity using the Bland-Altman method, and all data are in the 95% limits of agreement. Conclusion: In this study, correlation coefficients are generally high, and the regression line is near the identical line. Therefore, it is considered that motion analysis using ImageJ is a useful tool for evaluation of human movements in various research areas. Application: This result can be utilized as a practical tool to analyze human performance in various fields.

무릎 관절 근육 피로와 과체중이 착지 시 하지 관절의 각변위와 모멘트에 미치는 영향 (Effects of Knee Joint Muscle Fatigue and Overweight on the Angular Displacement and Moment of the Lower Limb Joints during Landing)

  • 김태현;염창홍
    • 한국운동역학회지
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    • 제23권1호
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    • pp.63-76
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    • 2013
  • The purpose of this study was to investigate the effects of knee joint muscle fatigue and overweight on the angular displacement and moments of the lower limb joints during landing. Written informed consent forms, which were approved by the human subject research and review committee at Dong-A University, were provided to all subjects. The subjects who participated in this study were divided into 2 groups: a normal weight group and an overweight group, consisting of 15 young women each. The knee joint muscle fatigue during landing was found to increase the dynamic stability by minimizing the movements of the coronal and horizontal planes and maintaining a more neutral position to protect the knee. The effect of body weight during landing was better in the normal weight group than in the overweight group, with the lower limbs performing their shock-absorbing function in an efficient manner through increased sagittal movement. Therefore, accumulated fatigue of knee joint muscles or overweight may be highly correlated with the increase in the incidence of injury during landing after jumping, descending stairs, and downhill walking.

한쪽 상지의 D2 패턴 운동동안 반대측 상지, 하지 및 체간 근육의 활성도에 미치는 영향 (The Effects of Contralateral Upper and Lower Limb and Trunk Muscle Activation During Ipsilateral Upper Limb D2 Pattern Exercise)

  • 이승민;이상열
    • PNF and Movement
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    • 제16권1호
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    • pp.151-159
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    • 2018
  • Purpose: The aim of this study was to examine the activation of the contralateral upper and lower extremities and trunk muscle during ipsilateral upper extremity diagonal isokinetic exercise. Methods: Twenty-one healthy male subjects with no history of shoulder injury undertook ipsilateral diagonal isokinetic exercise at 60, 120, and $180^{\circ}/sec$, utilizing a standard Biodex protocol. Muscle activation amplitudes were measured in the upper trapezius, pectoralis major, biceps brachii, rectus abdominis, external oblique, rectus femoris, adductor longus, and biceps femoris muscles using electromyography. A one-way analysis of variance and paired t-tests were conducted, and the data were analyzed using SPSS, version 21.0. Results: The results revealed no statistically significant interaction between motion and angular velocity and no statistically significant contralateral muscle activation according to angular velocity (p>0.05). However, they revealed statistically significant contralateral muscle activation according to motion (p<0.05). Conclusion: These results suggest that the movements involved in contralateral upper extremity diagonal isokinetic exercise can enhance muscle strength in patients affected by stroke, fracture, burns, or arthritis.

20대 남녀별 구르기 형태의 분석 (Description of Rolling Movement Between the Gender in the Twenties)

  • 권미지;배성수;전제균
    • The Journal of Korean Physical Therapy
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    • 제6권1호
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    • pp.133-145
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    • 1994
  • The purpose of this study were 1) to describe the rolling movements of the twenties, 2) to identify developmental sequences of three body regions and 3) to evaluate the influence gender might have on the movement patterns used for rolling. Fifty males(mean 23.2 years of age) and fifty females(mean 21.1 years of age) performed the 10 trials of rolling from a supine to a prone position while being videotaped. Individual videotaped trials were classified using the described categories for upper extremity, lower extremity and head-trunk component. The most common combination of movement patterns described. The results of this study were as follows : 1. Only $16\%$ of males and $12\%$ of females demonstrated a same combination of movements during rolling. 2. Gender differences were found in the incidence of movement patterns of each body region. 3. This study determined if head-trunk anion might develop in advance of limb action. 4. This study determined if upper extremity action might develop in advance of lower extremity action. The variability of adults' rolling movement provides physical therapists with numeous movement combinations that might be used when teaching patterns to rolling.

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상지 부하감소 다이나믹 테이핑 기법이 정상인의 어깨 올림 시 어깨뼈 주위근의 근활성도에 미치는 영향 (The Effectiveness of Upper Limb Offload Dynamic Taping Technique on Scapular Muscles Activation During Elevation in Healthy Subjects)

  • 황천종;김선엽
    • 한국전문물리치료학회지
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    • 제27권2호
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    • pp.93-101
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    • 2020
  • Background: For performing various movements well, cooperation between the muscles around the scapula and shoulder has been emphasized. Taping has been widely used clinically as a helpful adjunct to other physiotherapy methods for shoulder pathology and dysfunction treatment. Previous studies have evaluated the effect of taping techniques using dynamic tapes on shoulder function and pain. However, no study investigated the electromyographic (EMG) changes in the shoulder muscles. Objects: This study aimed to investigate the effect of the upper limb offload taping technique using a dynamic tape on EMG activities of the upper trapezius (UT), lower trapezius, serratus anterior (SA), and middle deltoid (MD) muscles during scaption plane elevation. Methods: A total of 26 healthy subjects (19.85 ± 6.40 years, male = 20) volunteered to participate in this study. The subjects were instructed to perform scaption elevation with and without dynamic taping on the shoulder. Shoulder elevation strength tests were performed at 100%, 75%, 50%, and 25%, for the maximal isometric contraction force. Results: There were statistically significant interaction effects between the taping application and shoulder scaption elevation force in EMG activities in the UT (p < 0.05) and MD (p < 0.05). EMG activities in the UT showed significant increases in 50%RVC (reference voluntary contraction, p < 0.05) and 25%RVC (p < 0.01). Furthermore, the EMG activity of the SA significantly increased in 50%RVC (p < 0.01) and 25%RVC (p < 0.01) after dynamic taping. For the MD, the EMG activity level significantly decreased in 100%RVC (p < 0.05). Conclusion: These results indicated that upper limb offload dynamic taping application affects the muscle activities of some shoulder muscles depending on different scaption elevation strength levels. Therefore, we suggest that the upper limb offload dynamic taping can be applied to the shoulders when patients need middle deltoid inhibition or upper trapezius facilitation, such as patients with shoulder impingement syndrome.