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The Effects of Proprioceptive Neuromuscular Facilitation on Gait Ability in Hemiplegic Patients (고유수용성신경근촉진법이 편마비 환자의 보행능력에 미치는 영향)

  • Hwang, In-Kul;Han, Mi-Ran;Son, Kyung-Hyun;Lim, Jae-Heon;Lee, Moon-Kyu
    • PNF and Movement
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    • v.7 no.1
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    • pp.1-8
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    • 2009
  • Purpose : The aim of this study was to determine the effect of Proprioceptive Neuromuscular Facilitation (PNF) on gait ability in hemiplegic patients. Method : The subjects of this study were 11 hemiplegic patients. Each subject was taken PNF exercise with 3 times per week for 4 weeks. Pre- and post-intervention change in gait ability were measured using an 6m walking test, stride length, and step length. The data were analyzed using the paired t-test. Results : The results of this study showed significantly improvement in 6m walking test, stride length, and step length after intervention. Conclusion : These results suggest that the PNF coordination exercise is an effective way of improving gait ability for hemiplegic patients.

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Effects of Footwear and Workload on Static Body Balance of Farmers (농업인의 작업화 유형과 작업 부하가 정적 자세균형에 미치는 영향)

  • Park, Sung Ha
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.43 no.2
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    • pp.39-47
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    • 2020
  • Postural stability can reduce the likelihood of critical slip and fall accidents in workplaces. The present study aimed to analyze the effect of shoes type on the ability of postural control during quiet standing. The effect of workload on the body balance was also of primary concern. Thirteen healthy male undergraduate students participated voluntarily in the experimental study. Standing on a force plate with wearing slippers, sports shoes, or safety shoes, two-axis coordinate on subjects' center of pressures (COP) was obtained in the two levels, rest and workload. For the workload level, subjects performed treadmill exercise to reach the predetermined level of physical workload. By converting the position coordinates of COPs, the postural sway length in both anterior-posterior (AP) axis and medio-lateral (ML) axis was assessed. ANOVA results showed that, in AP direction, wearing slippers significantly increased the postural sway length compared to wearing sports shoes or safety shoes. No significant difference in the mean sway length in AP axis was observed between sports shoes and safety shoes. In ML direction, both the workload and the shoes type did not significantly affect the mean length of postural sway. However, the postural sway length increased marginally with the slippers especially during the workload condition. This study explains wearing slippers may interfere with the ability of postural control during quiet standing. Physical workload decreases the ability of postural stability further.

Correlation between Respiratory Muscle Strength and Pulmonary Function with Respiratory Muscle Length Increase in Healthy Adults

  • Lee, Kyeongbong
    • Physical Therapy Rehabilitation Science
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    • v.10 no.4
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    • pp.398-405
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    • 2021
  • Objective: The interest of clinicians is increasing due to the newly established medical insurance for pulmonary rehabilitation. Improvement of respiratory muscle strength and pulmonary function is an important factor in pulmonary rehabilitation, and this study aims to investigate the correlation between changes in respiratory muscle contraction thickness that can affect respiratory muscle strength and pulmonary function. Design: Cross-sectional observational study. Methods: Thirty-one subjects (male=13, female=18) participated in this study. The respiratory muscle strength was measured by dividing it into inspiratory/forced expiratory muscles, and the pulmonary function was measured by forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and FEV1/FVC. To evaluate the respiratory muscle length increase, in resting and concentric contraction thickness of diaphragm, external/internal oblique, transverse abdominis, and rectus abdominis were measured by using ultrasonography. Results: Inspiratory muscle strength showed a significant correlation with the length increase of the inspiratory muscle (r=0.368~0.521, p<0.05), and forced expiratory muscle strength showed a significant correlation with length increase of forced expiratory muscle (r=0.356~0.455, p<0.05). However, pulmonary function was not correlated with the length increase of the respiratory muscle. Conclusions: In this study, a correlation between respiratory muscle strength and respiratory muscle length increase was confirmed, but no correlation with the pulmonary function was found. It is considered that the respiratory muscle strength can be improved by increasing the respiratory muscle thickness through appropriate respiratory muscle training.

The Study of Compare to Clinical Applied versus Theoretical Fitness on Axillary Crutch (임상에서 적용되는 목발과 이론적 적합성에 대한 비교 연구)

  • Ahn, Duck-Hyun;Kim, Keun-Jo
    • Journal of Korean Physical Therapy Science
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    • v.3 no.4
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    • pp.113-120
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    • 1996
  • The purpose of this study was to comparison clinical applied versus theoretical fitness on axillary crutch in human stance phase. Ideal crutch length is defined as the length of the crutch, including accessories, obtained during stance when the crutch tip is 15 cm(about 6inch) lateral and 15 cm(about 6 inch) anterior to the fifth toe and the axillary pad is 5 cm(about 2 inch) below the axillay fold. The participations(volunteers) were 71 inpatients(53 men and 18 women) who have orthopedic and neurological impairment on unilateral and/or bilateral lower extrimities, and mean age was 31.4 year old. Prior to participation, each subject informed the procedures of experiment from researcher and assistant researcher. This measured for axillary crutch using each of the following aspects : (1) length of actual using crutch, (2) length of axillary fold after modified(77% of actual height), (3) angle of elbow flexion after modified(77% of actual height). In order to determine the statistical significance of result, t-test were applied at the 0.05 level of significance. The result were as follows ; 1. There was significant difference between actual crutch and ideal crutch length(77% of actual height)(p<0.05). 2. There was significant difference of length of axillary fold between actual and ideal crutch (77% of actual height)(p<0.05). 3. There was significant difference of angle of elbow flexion between actual and ideal crutch(77% of actual height)(p<0.05).

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The Effect of Incidence of Ankle Sprains on Both Leg Length Inequalities and Range of Motion of Ankle Joint in 20's Female University Students (20대 여대생의 양다리길이차이 및 발목관절가동범위가 발목 염좌 발생률에 미치는 영향)

  • Park, Jong-Hang;Jeong, Yeon-Woo;Kim, Tae-won
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.1
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    • pp.29-35
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    • 2015
  • Background: The purpose of this study was conducted to investigate the effect of incidence of ankle sprains on both leg length inequalities and range of motion of ankle joint in 20's female university students. Methods: 20's female university students were targeting 32 people attending K university in Gwangju. Both leg length inequality was measured using a tape measure, ranges of motion of ankles was measured using a goniometer. Results: The ankle sprain incidence was quite high, with 56.25% (n=18) for the right ankle, 34.38% (n=11) for the left ankle, and 9.38% (n=3) for both. As for the difference between the ankle sprain incidence and both leg length, the average value of the right leg was $83.08{\pm}3.69$, the average value of the left leg was $84.28{\pm}3.27$, making the right leg shorter than the left by 1.2cm with a higher incidence and showing a positive statistical correlation between the two (p<.05). Also showed that there was a negative statistical correlation between ankle sprain incidences and the inversion range of motion spread of the right ankle (p<.05). Conclusion: The incidence of ankle sprains was higher for the larger the difference between both leg length inequality. In addition, the smaller the inversion range of motion spread of the right ankle, the higher the incidence of ankle sprains. Therefore, The evidence suggests that the incidence of ankle sprains can be reduced by recommending stability and efficient exercises that take into consideration the both leg length as well as the ranges of motion of ankle joints.

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Mechanical Properties of Bamboo-reinforced Boards Manufactured with Phyllostachys bambusoides Growing in Damyang District (I) -- Physical Properties of Bamboo Strand Board -- (담양산 왕대를 이용한 대나무 강화 복합보드의 제조 및 역학적 특성 평가 (I) - 대나무 스트랜드 보드의 물리적 특성 -)

  • 소원택;박병대
    • Journal of Korea Foresty Energy
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    • v.22 no.2
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    • pp.26-35
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    • 2003
  • Bamboo strand board (BSB) was made with Phyllostachys banbusoides growing in Damyang district. Physical and mechanical properties of this BSB were summarized as follows; The specific gravity of BSB was 0.63∼0.79. Specific gravity decreased slightly with the thickness and length of BSB. Moisture content of BSB manufactured was 5.8∼6.9%. The absorption ate of BSB (42∼48%) did not show any relationship with the thickness and length of BSB. The thickness swelling rate of BSB was 13.9∼17.0%, relatively higher than any other panel products. Thickness swelling rate increased with the thickness of BSB, showing the strand thickness influenced much more on the rate of thickness swelling of BSB than the length of strand. The 3-point bending strength of BSB was 98∼126kgf/$\textrm{cm}^2$. Bending strength of showed the tendency of increase with the increased length of BSB, but with the decreased thickness. In particular, the length of BSB showed more effect on the increase of bending strength of BSB than the thickness of BSB. The compression strength perpendicular to BSB surface was 411 ∼ 465 kgf/$\textrm{cm}^2$, and the optimal length of strand for the 1mm- and 2mm-thickness of strand was 40mm and 60mm, respectively. Compression strength paralleled to BSD was 160∼221kgf/$\textrm{cm}^2$ and the optimal length of strand for the 2mm-thickness of strand appeared to be 60mm. The present work showed that appearance, physical and mechanical strength of BSB appeared quite positive in terms of board qualities, suggesting that bamboo would be appropriate for the production of board materials. In addition, our work showed that the crucial factor for determining the mechanical characteristics of BSB was the dimension of strand.

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The Effect of Bobath and Conventional Method in Gate of Adult Hemiplegic Patients (보바스치료와 일반적치료가 성인 편마비 환자의 보행능력에 미치는 영향)

  • Lee, Keun-Heui;Kim, Hyoung-Su;Han, Dong-Wook;Kim, Byung-Jo
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.4
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    • pp.277-284
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    • 2008
  • Purpose : The purpose of this study was to identify the influence of Bobath and conventional method has an effect on gait of adult hemiplegic patients. Methods : The data were collected by each 15 adult stroke patients. The treatment was based on Bobath and conventional approach. Temporal and spatial parameters of gait were analysed for using the computerized GAITRite system. Results : The gait step (p<.05), gait velocity (p<.05), cadence (p<.05) and step length (p<.05) was significantly different with the Bobath method. The Gait step (p<.05) and gait velocity (p<.05) was significantly different with the conventional method. But the cadence and step length was not significantly increased in the conventional method. Conclusion : The Bobath method is more useful to improve the gait in hemiplegic patients than conventional method.

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Effects of Material Position on Postural Stability during Manual Material Handling Tasks (인력물자취급작업시 작업 대상물의 위치가 신체자세동요에 미치는 영향)

  • Park, Jae-Gyu;Park, Seong-Ha
    • Journal of the Ergonomics Society of Korea
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    • v.23 no.4
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    • pp.1-8
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    • 2004
  • The objective of this study is to identify the effects of material position and physical fatigue on postural stability. Ten male subjects participated in this study. After bicycling exercises, their centers of pressure (COPs) were measured under four material handling positions and four excercise levels. The measured COPs were then utilized to calculate postural sway length in each experimental condition. Subjects' postural stability was quantified using the sway length. Results showed that the effect of different material handling position was significant on the postural sway length in both the posterior-anterior axis and the medio-lateral axis. Results also showed that the postural sway length was increased as physical fatigue accumulated, significantly in subject's posterior-anterior axis. The results imply that bearing a material on the back or front with both hands appeared to cause least sway length and instability.

The Effect of External-rotation Reducing Exercise on the Gait of Patient with Hemiplegia (편마비 환자의 보행에 대한 외회전 감소운동의 효과)

  • Kim, Ah-Ram;Park, Cheol-Ju;Ryu, In-Jeong;Choi, Jeong-Wook;Hyun, Ju-Hyup;Cho, Nam-Jung;Yoo, Byung-Kook;Jeong, Jong-Hee;Lee, Ho-Jun
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.6 no.1
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    • pp.69-79
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    • 2008
  • In this paper, the effects of the external-rotation exercise on the gait of hemiplegia was investigated. 26 patients with hemiplegia due to cerebrovascular accident participated in this study. Subjects were randomly assigned to experimental group(n=12) and control one(n=14). 12 subjects of the experimental group were received the external rotation reducing exercise on the mat with seating and supine posture after the general therapeutic exercise for hemiplegia. 14 subjects of the control group were received only general therapeutic exercise. The effects of external rotation reducing exercise were evaluated by measurements of gait velocity, cadence, stride length, step length and foot angle using ink-foot prints. The collected data were analyzed statistically based on Wilcoxon, Mann-Whitney and correlation analysis. After treatment of three weeks, it turned out that external rotation reducing exercise has the significant effect on foot angle(p<0.01). However the exercise has no statistically significant direct effect on the gait velocity, cadence, stride length and step length.

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Effect of craniovertebral angle on length difference of backpack strap (배낭 가방의 끈 길이 차이가 머리척추각도에 미치는 영향)

  • Lee, Ji-Eun;Kang, Dae-Han;Park, So-Hyeon;Lee, Yu-Jin;Yun, Seul-Gi
    • Journal of Korean Physical Therapy Science
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    • v.22 no.2
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    • pp.29-36
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    • 2015
  • Purpose : the purpose of the study was to investigate the effect of craniovertebral angle on bag strap length change method : this study is aimed at twenties healthy adult for 30 persons (male-8, female-22) research participant attach marks on tragus and cervical7 participant did not carry bag in First test. thereafter we take a picture mark point and measure the angle. immediately the second experiment was designed to carry back on participant's iliac crest and to walk freely for five minutes. afterward, we take a picture mark point and measure the angle. last experiment was performed after five minutes break. participants carried back on 10cm below participant's iliac crest and third experiment was performed the same way. results : Increase the length of the bag, craniovertebral angle is reduced and there is a significant difference between the three experiments.(p=.000) conclusion : when hold the back too long, Cervical spine cause temporary head forward posture. so carry on bag short.

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