• 대한물리의학회지
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• 제18권1호
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• pp.99-110
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• 2023

PURPOSE: This study was conducted to suggest a way to easily understand and utilize the International Classification of Functioning, Disability and Health (ICF) or Korean Standard Classification of Functioning, Disability and Health (KCF), a common and standard language related to health information. METHODS: The tools used by physical therapists to evaluate the functioning of neurological patients were collected from 10 domestic hospitals. By applying the ICF linking rule, two experts compared, analyzed, and linked the concepts in the items of the collected tools and the ICF/KCF codes. The frequency of use of the selected tool, the matching rate of the liking results of two experts, and the number of the codes linked were treated as descriptive statistics and the code set was presented as a list. RESULTS: The berg balance scale, trunk impairment scale, timed up and go test, functional ambulation category, 6 Minute walk test, manual muscle test, and range of motion measurements were the most commonly used tools for evaluating the functioning. The total number of items of the seven tools was 33, and the codes linked to the ICF/KCF were 69. Twenty-two codes were mapped, excluding duplicate codes. Ten codes in the body function, 11 codes in the activity, and one code in the environmental factor were included. CONCLUSION: The information on the development process of the code set will increase the understanding of ICF/KCF and the developed code set can conveniently be used for collecting patients' functioning information.

• 한국전문물리치료학회지
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• 제30권2호
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• pp.144-151
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• 2023

Background: The gluteus maximus (GM) muscle comprise the lumbo-pelvic complex and is an important stabilizing muscle during leg extension. In patients with low back pain (LBP) with weakness of the GM, spine leads to compensatory muscle activities such as instantaneous increase of the erector spinae (ES) muscle activity. Four-point kneeling arm and leg lift (FKALL) is most common types of lumbopelvic and GM muscles strengthening exercise. We assumed that altered hip position during FKALL may increase thoraco-lumbar stabilizer like GM activity more effectively method. Objects: The purpose of this study was investigated that effects of the three exercise postures on the right-sided GM, internal oblique (IO), external oblique (EO), and multifidus (MF) muscle activities and pelvic kinematic during FKALL. Methods: Twenty eight healthy individuals participated in this study. The exercises were performed three conditions of FKALL (pure FKALL, FKALL with 120° hip flexion of the supporting leg, FKALL with 30° hip abduction of the lifted leg). Participants performed FKALL exercises three times each condition, and motion sensor used to measure pelvic tilt and rotation angle. Results: This study demonstrated that no significant change in pelvic angle during hip movement in the FKALL (p > 0.05). However, the MF and GM muscle activities in FKALL with hip flexion and hip abduction is greater than pure FKALL position (p < 0.001). Conclusion: Our finding suggests that change the posture of the hip joint to facilitate GM muscle activation during trunk stabilization exercises such as the FKALL.

• 한국전문물리치료학회지
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• 제23권2호
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• pp.57-66
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• 2016

Background: For the treatment of forward head posture (FHP) and forward shoulder posture, methods for strengthening scapular retractors and deep cervical flexors and stretching pectoralis and upper cervical extensors are generally used. No study has yet assessed whether suboccipital release (SR) followed by cranio-cervical flexion exercise (CCFE) (SR-CCFE) will result in a positive change in the shoulders and neck, showing a "downstream" effect. Objects: The purpose of this study was to investigate the immediate effects of SR-CCFE on craniovertebral angle (CVA), shoulder abduction range of motion (ROM), shoulder pain, and muscle activities of upper trapezius (UT), lower trapezius (LT), and serratus anterior (SA) and LT/UT and SA/UT muscle activity ratios during maximal shoulder abduction in subjects with FHP. Methods: In total, 19 subjects (7 males, 12 females) with FHP were recruited. The subject performed the fifth phase of CCFE immediately after receiving SR. CVA, shoulder abduction ROM, shoulder pain, muscle activities of UT, LT, and SA, and LT/UT and SA/UT muscle activity ratios during maximal shoulder abduction were measured immediately after SR-CCFE. A paired t-test and Wilcoxon signed-rank test were used to determine the significance of differences in scores between pre- and post-intervention in the same group. Results: The CVA (p<.001) and shoulder abduction ROM (p<.001) were increased significantly post-versus pre-intervention. Shoulder pain was decreased significantly (p<.001), and LT (p<.05) and SA (p<.05) muscle activities were increased significantly post- versus pre-intervention. The LT/UT muscle activity ratio was increased significantly post- versus pre-intervention (p<.05). However, there was no significant change in UT muscle activity and SA/UT muscle activity ratio between pre- and post-intervention (p>.05). Conclusion: SR-CCFE was an effective intervention to improve FHP and induce downstream effect from the neck to the trunk and shoulders in subjects with FHP.

• 한국운동역학회지
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• 제18권2호
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• pp.95-104
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• 2008

본 연구는 남자 중학교 초보피험자들을 대상으로 태권도 돌려차기 동작의 숙련정도에 따른 운동학적 협응과 제어과정을 살펴보는 데 목적을 두었다. 이용된 변인은 최대합성직선속도와 각도 대 각도 도면이었다. 분석결과, 연습후기로 갈수록 인접한 분절간의 운동량 전이가 잘 이루어져 각 분절의 최대합성직선속도가 증가하였으며 무릎관절 최대굴곡 시까지는 엉덩관절과 무릎관절이 동형동조 협응형태로 변해갔으며, 최대굴곡 후 타격 시까지는 모든 숙련 단계에 있어서 이형동조 협응패턴을 나타내었다. 발목관절은 무릎관절 최대굴곡 시까지 배측굴곡 상태에서 저측굴곡으로 변했으며, 최대굴곡 후 타격시점까지는 발목관절은 고정시키고, 무릎관절은 신전시키는 자유도 고정 제어기전을 나타내었다.

• 한국운동역학회지
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• 제21권5호
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• pp.603-610
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• 2011

The long jump motions of 8 finalists in the women's long jump at the IAAF World Championships, Daegu 2011 were analyzed, and the kinematic characteristics of their techniques were investigated. The kinematic characteristics of the long jump motion of the 8 finalists were as follows. In the run-up phase, the length of the 2 stride was $108{\pm}6.92%$ that of the 3 stride. The length of the 1 stride was $91{\pm}5.78%$ that of the 2 stride. The change in the height of the center of gravity was $0.07{\pm}0.03$ m. The maximum velocity during the run-up phase was $9.44{\pm}0.13$ m at the 1 stride. In the take-off phase, the horizontal velocity, vertical velocity, reduction in horizontal velocity were $7.80{\pm}0.15$ m/s, $2.96{\pm}0.14$ m/s, and $1.64{\pm}0.19$ m/s, respectively. The minimum knee angle and take-off angle were $151{\pm}8.89^{\circ}$ and $20.7{\pm}1.03^{\circ}$, respectively. In the flight phase, the flight time and maximum height of the center of gravity were $0.78{\pm}0.03$ s, and $1.60{\pm}0.05$ m, respectively. In the landing phase, the landing length was $0.50{\pm}0.07$ m. The trunk angle, knee angle, and hip angle were $74{\pm}18.75^{\circ}$, $131{\pm}10.45^{\circ}$, and $82{\pm}9.03^{\circ}$, respectively. The kinematic characteristics of the motion of a good long jump were as follows. The reduction in the horizontal velocity in the take-off phase was minimized, and the maximum velocity of the run-up was maintained. The vertical velocity in the take-off phase was increased using a rapidly extended knee and high center of gravity.

• 한국체육학회지인문사회과학편
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• 제55권6호
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• pp.749-757
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• 2016

이 연구의 목적은 요가의 한발서기자세를 수련 후 신체안정화에 어떠한 영향을 미치는지를 규명하는 것이다. 요가수련 경험이 없는 20대 여성 13명을 대상으로 24개월간 수련 전·후의 3D동작분석과 근육 생체 신호를 측정하였고 분석 결과는 다음과 같다. 첫째, 댄서포즈에서 왼쪽 무릎의 y축과 오른쪽 발목의 x축, 그리고 트리포즈에서 오른쪽 발목의 x축, 왼쪽 발목 y축의 관절 움직임 범위가 작아지며 통계적으로 유의한 차이를 보였다(p<.05). 둘째, 몸통과 골반의 정렬각은 댄서포즈와 트리포즈 모두에서 유의한 차이가 없었다. 셋째, 질량중심 이동거리는 트리포즈의 Y, Z방향에서 작아지며 유의한 차이를 보였다(p<.05). 넷째, 트리포즈 동작에서 양쪽 척추기립근, 복직근 및 왼쪽 대퇴사두근의 근활성도가 커지면서 유의한 통계적 차이를 보였다(p<.05). 이러한 결과는 요가 훈련이 특히 발목과 질량중심 움직임을 작게하고, 코어근육을 강화시켜 안정적 자세를 만드는데 중요한 역할을 한다고 할 수 있다. 결론적으로 요가 훈련은 자세 안정화에 효과가 있으며, 자세교정에 영향을 미친다고 할 수 있다. 추후 요가훈련을 통해 자세안정화를 볼 수 있는 정렬각의 변인을 통해 얻을 수 있는 정보에 대한 연구가 더 필요할 것으로 사료된다.

• 한국운동역학회지
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• 제12권2호
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• pp.51-63
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• 2002

본 연구는 200m 경기의 곡선주로에서 직선주로 진입 시 나타나는 운동학적 특성을 파악하기 위해 실시하였다. 이를 위해 단거리 육상선수 4명을 대상으로 실시하였으며 곡선주로에서 직선주로로 연결되는 구간 10m를 설정하여 비디오 카메라로 촬영하였다. 공간의 좌표를 이미알고 있는 통제점 틀을 사용하여 분석구간을 모두 포함할수있도록 설치하였으며 대상자 별로 5번씩 실시하여 이중 가장 좋은 기록을 보인 동작을 실제 분석하였다. 10m 구간에서 대상자들은 평균 4.5${\pm}$0.41번의 보폭을 보이는 것으로 나타났으며, 소요시간은 1.42${\pm}$0.04sec.를 보였다. 평균보폭의 신장비는 1.25${\pm}$0.20%를 보였으며, 평균속도는 7.06${\pm}$0.19m/s를 보였다. 곡선주로에서 직선주로로 연결되는 구간에서 인체중심변위는 곡선의 안쪽 코스를 따라 이동하고 있었으며 외측(오른쪽)에 위치하는 다리의 변위가 내측(왼쪽)에 위치하는 다리의 변위보다 크게 나타났다. 좌우측 손분절 속도에서 내측에 위치하는 왼손의 속도보다는 외측에 위치하는 오른손의 속도가 다소 빠르게 나타났는데, 곡선주로에서는 외측에 위치하는 팔의 속도를 크게하여 질주방향으로 나아가는 것으로 나타났다. 어깨관절각도는 상완이 전측에 위치할 때 보다는 후측에 위치할 때가 보다 큰 각도를 보이고 있었으며 몸통측면각도는 곡선주로의 외측에 위치하는 오른발이 이지할 때 보다는 내측에 위치하는 왼발이 이지할 때 더 작은 값을 보이고 있었으며 직선주로에 근접할수록 몸통 측면각도가 작아지는 것으로 나타났다. 몸통회전각은 외측에 위치하는 오른발이 지지할 때 몸통을 전방으로 회전시켜 나아가는 것으로 나타났다.

• The Journal of Korean Physical Therapy
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• 제9권1호
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• pp.127-145
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• 1997

The purpose of this study wa9 to analyse the gait patterns of two female children with hemiplegic cerebral palsy by using the three-dimensional video motion analysis technique. Case 1 has mild spastic hemiplegia on the right side while Case 3 has moderate spastic hemiplegia on the left side. A group of 10, normal female children of the same age(7-8 years old) were selected as the control group for comparison. Time and distance variables as well as the Center of Mass displacement, and the pelvic and joint motions in three anatomical planes were analysed for this purpose. The following observations were made through the analysis : Case 1 revealed an asymmetrical gait pattern in which the step length of the unaffected side was shorter than that of the affected side, which wan a result of the effort to minimize loading on the affected leg by shortening the swing phase of the unaffected leg. Case 1 scored similar phase ratios, cadence and walking velocity to the normal group. A slight posterior tilt of the pelvis was observed throughout the gait cycle. Less hip and knee flexion than the normal group was observed, and demonstrated hyperextension of the knee in the terminal stance phase. The main problem in case 1 originated from the insufficient dorsiflexion of the affected foot during the swing phase. Therefore, Case 1 has difficulty with foot clearance in the swing phase. Usually, this is compensated for by using exessive hip abduction and medial rotation in conjuction with trunk elevation as well as increased vortical displacement of the center of mass. Case 1 revealed a foot-flat initial contact pattern. Case 2 was characterized by a consistent retraction ef the affected aide of the body througout the gait cycle, As a result, an asymmetrical gait pattern with increased stance phase ratios of the unaffected side was observed. In spite of this the step lengths of both sieds were similar. Case 2 scored lower cadence and walking speed than the normal group with lower gait stability. The main problem in Case 2 originated from an excessive plantaflexion of the affected foot which, in turn, rebutted in high hip and knee flexion. Hyperextension of the knee was observed at mid-stance, and execessive anterior tilt of the pelvis throughout the gait cycle was noticed. A gait pattern with high hip abduction and medial circumduction was maintained for the stability in the stance phase and foot clearance in the swing phase. Case 2 revealed a forefoot-contact initial contact pattern.

• 생명과학회지
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• 제16권5호
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• pp.773-779
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• 2006

단축범위 무릎인공관절 수술자와 다축범위 무릎인공관절 수술자를 대상으로 앉았다 일어나는 동안 운동학적 및 운동역학적 요인들을 비교분석한 결과는 다음과 같다. 앉았다 일어나는 동작은 다축범위 수술자 집단이 단축범위 수술자 집단보다 0.19초(p= 0.033) 빠르게 나타났다. 최대상체 굴곡각도는 다축범위 수술자 집단이 단축범위 수술자집단 보다 $10^{\circ}(p=0.014)$정도 크게 나타났다. 상체굴곡 각속도는 다축범위 수술자 집단이 단축범위 수술자 집단보다 $7^{\Omega}{\cdot}S^{-1}$(p= 0.058)빠르게 나타났다. 단축범위 수술자 집단과 다축범위 수술자 집단의 ADD와 ABD의 차이는 거의 없었다. 대퇴사두근의 근전도분석은 내측광근은 무릎굴곡각 $60^{\Omega}-15^{\Omega}$(p＜0.05)에서 단축범위 수술자 집단 근전도 값이 다축범위 수술자집단 근전도값 보다 작게 나타났다. 외측광근은 무릎굴곡각 $60^{\Omega}-45^{\Omega}$(p＜0.05)에서 단축범위 수술자 집단 근전도 값이 다축범위 수술자집단 근전도값 보다 작게 나타났다. 대퇴직근의 값은 무릎굴곡각 $60^{\Omega}-30^{\Omega}$(p<0.05)에서 단축범위 수술자 집단 근전도 값이 다축범위 수술자집단 근전도값 보다 작게 나타났다. 대퇴이두근의 값은 무릎굴곡각 $75^{\Omega}-15^{\Omega}$(p＜0.05)에서 단축범위 수술자 집단 근전도 값이 다축범위 수술자집단 근전도값 보다 작게 나타났다.

• 한국운동역학회지
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• 제17권1호
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• pp.165-174
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• 2007

The subject of this study was male apparatus gymnastics athlete who had scored high points doing basket with 1/2 turn on parallel bars. Then 3D motion analysis were used to calculate & analyse kinematic variables of Basket with 1/2 turn to Handstand. 1. The total average time spent for Basket with 1/2 turn took $2.16{\pm}.08sec$, at the downward upward phase took $.58{\pm}0.00sec$, $.23{\pm}.00sec$, at flight phase took $.28{\pm}.01sec$, at connected area phase took $.72{\pm}0.21sec$, at rotation area phase took $.35{\pm}.14sec$. To have a successful performance, there should be faster speed and velocity to rotate at the downward upward phase, then the upward velocity and height must be used adequately. Moreover, the speed must be faster at the flight connect phase to stabilize Center of Mass(CM) for the body, and must secure more time at the rotation area to have more stable performance. 2. After handstand on parallel bars while moving CM to right hand side, and It must be performed with big and magnificent performance with putting both hand's center to far away from the parallel bars. 3. Furthermore, CM must be moved fast from downwards to right hand side, and CM must be moved fast in vertical movement at upward and flight phase to avoid CM from moving back and forth, and left and right. 4. At downwards, the subject must rotate as bis as possible using hip-joint as wide as possible and at upwards, must put his body to vertical to have stable performance. While rotating or turning, it is better to do with bigger shoulder angle and have to make sure that trunk angle must be not scattered. To perform better and more positive in basket with 1/2 turn on parallel bars, the centrifugal force must be used big and fast at downward, and at upward and flight phase, downward movement must change to vertical movement as soon as possible while turning movement must happen at handstand position. Time spent must be shorten at connected area to stabilize CM and turning must be natural as possible while securing the necessary time of movement to well-balanced. Also, the body must be vertically closed from the ground.