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Halliwick 10 Point Program의 운동학습과정
서삼기,김태열,황태연,Seo, Sam-Ki,Kim, Tae-Youl,Hwang, Tae-Yeun 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.1
The Halliwick concept was developed by James McMillan over 50 years ago, and began as a method for teaching swimming to children with physical disables. After that the Halliwcik concept was developed as a specific strategy(called the Ten-Point Program) for teaching swimming to children with disabilities. Soon after the changes in the physical and emotional behavior were attributed to a unique teaching/learning philosophy and a psycho-sensory-motor learning program that is enhanced by hydrodynamics. Recognizing the therapeutic effects of the Ten-Pont Program adapted the program as a therapeutic intervention called Water Specific Therapy or the Logic Approach to Therapy in Water.
수온이 뇌성마비 환자의 상지 경련근의 표재 온도와 근 활동전위에 미치는 영향
서삼기,이정우,한동욱,Seo Sam-Ki,Lee Jeong-Woo,Han Dong-Wook 대한물리치료학회 2003 대한물리치료학회지 Vol.15 No.4
The purpose of this study was to describe the alteration of muscle action potential of spastic upper extremity in a patient with cerebral palsy by the water temperature. We used seven patients with cerebral palsy. Participants classified according to each group in $29^{\circ}C,\;35^{\circ}C$ by the water temperature. All subjects participated 2 session, which at least 1 week between session. The test was measured continuously pre test, post-test by thermometer and surface EMG. The following results were obtained; 1. In changes of surface temperature, wrist flexor and extensor were significantly decreased in $29^{\circ}C$ (p<0.001) group but were significantly increased $35^{\circ}C$ group(p<0.01). 2. In changes of surface temperature, wrist flexor and extensor were significantly differenced between $29^{\circ}C$ and $35^{\circ}C$ group(p<0.001). 3. In changes of muscle action potential, wrist extension antagonist were significantly increased in $29^{\circ}C$ group(p<0.05). 4. In changes of muscle action potential, wrist flexion agonist were more significantly increased in $29^{\circ}C$ group(p<0.01). 5. In changes of muscle action potential, wrist extension antagonist were significantly differenced between $29^{\circ}C$ and $35^{\circ}C$ group(p<0.05). These results lead us to the conclusion that changes of muscle action potential of spastic upper extremity in a patient with cerebral palsy were influenced by the water temperature. Therefore, a further direction of this study will be to provide more evidence that a moderate water temperature have an effect on muscle tone in a patient with cerebral palsy.
외이전기자극이 슬관절질환 노인의 통증과 보행 및 균형에 미치는 영향
서삼기,조운수,이정우,김용남,정진규,황태연,Seo, Sam-Ki,Cho, Woon-Su,Lee, Jeong-Woo,Kim, Yong-Nam,Jung, Jin-Kyue,Hwang, Tae-Yeun 대한물리치료학회 2008 대한물리치료학회지 Vol.20 No.2
Purpose: This study examined the application of electric stimulation to the auricle acupoint (frequency 2 Hz, stimulation level: noxious) with 30 elderly people over 65 years that received treatment in a rural hospital to determine the influence of pain, gait and balance in the aged with knee joint disease. Methods: The subjects were divided into three groups; the degenerative joint diseases (DJD) group (1 male, 9 females), the total knee replacement (TKR) group (1 male, 9 females) and the control group (1 male, 9 females). Auricualr electrical stimulation (AES) was applied with low frequency, high intensity transcutaneous electrical nerve stimulation for 10 seconds per each point. Results: 1. For the change of pain according to AES, there was interaction in the resting period (p<0.001) and gait (p<0.001) and pain of the DJD group and TKR group was decreased. 2. The range of motion (ROM) of the knee joint showed a significant difference in interaction for each group of elderly people (p<0.001) and the ROM for the DJD group and TKR group of elderly people was increased. 3. In the analysis of gait speed changes, there was a significant difference in interaction for each group of elderly people (p<0.001) and for gait speed in the DJD group and TKR group of elderly people. 4. It was found in the change of static balance that there was a significant difference in interaction for each group of elderly people (p<0.01) and balance capacity in the DJD group and TKR group of elderly people was increased. Conclusion: The aged with knee joint disease have pain, and a decreased function of gait and balance. AES was an excellent treatment for control of pain, and an excellent treatment to enhanced joint functions. AES was useful for improving gait and balance due to decreased pain.
서삼기,Seo, Sam-Ki 대한물리치료학회 2007 대한물리치료학회지 Vol.19 No.2
Purpose: The purpose of this study were to analyze ultrasonography on both sides of gastrocnemius medialis of stroke patient. Methods: In fourteen subjects with stroke, the gastrocnemius medialis(GM) muscle were scanned with ultrasonography at the muscle belly at rest at ankle angles of 0 degree (neutral position) and it were measured with ultrasonography on both sides of the leg. Muscle architecture (thickness, pennation angle, fascicle length, density, white area index) was examined using real-time B-mode ultrasonography with 7.5MHz linear-array prob. Results: Thickness of non-paratic side was significantly thicker than paratic side. Pennation angle of non-paratic side was significantly larger than paratic side. Fascicle length of non-para tic side was significantly smaller than paratic side. Density of non-paratic side was significantly smaller than paratic side. White area index of non-paranc side was significantly smaller than paratic side. Conclusion: This study showed that stroke have influenced on mechanical properties and quality properties of skeletal muscle architecture.
정상인의 자세와 시각 교란에 따른 정적 균형능력의 변화
서삼기,김수현,김태열,Seo, Sam-Ki,Kim, Soo-Hyun,Kim, Tae-Youl 대한물리치료학회 2009 대한물리치료학회지 Vol.21 No.4
Purpose: This study examined the difference in the static balance ability according to the visual cues and postural tasks in normal subjects. Methods: Thirty participants (12 male, 18 female; mean age $24.63\pm1.43$ years) stood barefoot on a force platform in a one-legged stance, tandem Romberg stance and tandem Romberg with neck extension stance with a visual cue open and closes. The static balance was assessed by the center of pressure (CoP), surface electromyography root mean square (RMS) of the leg muscles according to the stance position. Results: In the CoP tests, the difference in the unit path length and circumference area was affected by the visual cue according to the stance posture (p<0.01). In the RMS tests, the difference in the tibialis anterior and medial gastrocnemius muscle was affected by visual cue in accordance with the stance posture (p<0.01). Conclusion: The visual cue and postural task affect the balance ability in normal subjects. Therefore, this study provides clinical evidence that the balance and postural control can be improved. Therapeutic intervention, such as an obstacle course, and a lower leg muscle performance program with a change in the base of support can affect the balance and postural control.