http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
노인에서 임상적 균형평가 지수들의 유용성 : 힘판을 이용한 균형평가와의 상관관계
우영근,황수진,이우형,Woo, Young-Keun,Hwang, Su-Jin,Lee, Woo-Hyung 대한고유수용성신경근촉진법학회 2010 PNF and Movement Vol.8 No.1
Purpose : The purpose of this study was to investigate the usefulness of clinical balance tests through the correlation of balance evaluation using by forceplate in elderly. Methods : Thirty nine healthy elderly subjects (14 males, 25 females) participated in the study. The subjects were evaluated with clinical balance tests [(Berg balance scale (BBS), Functional reach test (FRT), Tinetti's performance oriented mobility assessment (POMA), and one leg standing (OLS)]. Static balance evaluation was assessed by using forceplate. Center of pressure (COP) parameters were obtained using it as total path distance, total sway area, X mean frequency and Y mean frequency for 20 seconds in the following conditions: (1) comfortable standing with eyes opened and closed, (2) uncomfortable standing with eyes opened and closed. After static balance evaluation tested, dynamic balance evaluation was assessed. COP parameters were error distance and area during sine curve trace. COP parameters were movement time, error distance, and maintained time in the circle during COP movement task. Results : Clinical balance tests showed statistically significant correlation between static and dynamic balance evaluations. Among the clinical balance tests, the BBS, POMA, and OLS showed significant correlation with to assess the balance ability of elderly in clinical setting both evaluations. Conclusion : Clinical balance tests can be recommended in clinical setting because of low costs and simplicity.
파킨슨병 환자에서 낙상군과 비낙상군에 대한 버그균형검사의 타당도
조규행,우영근,황수진,Cho, Gyu-Hang,Woo, Young-Keun,Hwang, Su-Jin 대한고유수용성신경근촉진법학회 2011 PNF and Movement Vol.9 No.3
Purpose : The purpose of this study was to evaluate the criterion-related validity of the Berg balance test between fallers and non-fallers in individuals with Parkinson's disease. Methods : Thirty-one patients were recruited for this study. Their initial diagnosis had been made on average $30.1{\pm}10.1$ years earlier. Score of Berg balance test showed significant correlations with indicators of motor functioning and daily living capacity. Berg balance test score was inversely associated with the unified Parkinson's disease rating scale-motor score, and Schwab and England activities of daily living rating scale. Results : In all 3 correlations, lower scores on the Berg balance test correlated with higher unified Parkinson's disease rating scale-motor scores. Results support the criterion-related validity of the Berg balance test. Conclusion : Our research results agree with other published research in suggesting that the Berg balance test may be used as a screening tool and ongoing assessment tool for patients with Parkinson's disease.
지연성 근육통 유발 후 유지-이완 기법이 통증과 관절가동범위에 미치는 영향
김지선,우영근,기경일,Kim, Ji-Seon,Woo, Young-Keun,Ki, Kyong-Il 대한고유수용성신경근촉진법학회 2016 PNF and Movement Vol.14 No.1
Purpose: The purpose of the present study was to compare the effects of both general hold-relax techniques and hold-relax techniques using pumping on pain due to delayed muscle pain and on the range of motion (ROM) of joints. Methods: Thirty-nine young adult males and females were randomly assigned either to a hold-relax technique application group of 20 subjects or to a group of 19 subjects with hold-relax techniques applied using a pumping application. Tenderness thresholds, the ROM of joints, and pain intensities were measured on the biceps of the nondominant arm of the subjects in both groups before exercises were performed to induce delayed muscle pain. Tenderness thresholds were again measured 24hours, 48hours, and 72 hours after inducing delayed muscle pain. The relevant intervention methods were applied to the two groups after conducting the measurement at 48hours. As a statistical analysis method, repeated measure ANOVAs were conducted to examine the tenderness thresholds, ROMs of elbow joints, and pain intensities in the individual groups at the time points. Results: At 48 hours and 72 hours after application of the interventions, the general hold-relax technique application group showed greater changes in the tenderness thresholds, the ROMs of elbow joints, and the pain intensities than did the group applying hold-relax techniques using a pumping application (p>0.05). Conclusion: Based on the results of the present study, the application of hold-relax techniques is thought to have beneficial effects on pain resulting from delayed muscle pain and on limited ROMs of joints.
목 주위 근육 통증 여부에 따른 스마트폰 사용이 근 피로도와 통증, 목뼈운동범위에 미치는 영향
소윤지 ( Yoon Jie So ),우영근 ( Young Keun Woo ) 한국전문물리치료학회 2014 한국전문물리치료학회지 Vol.21 No.3
The purpose of this study was to investigate the effects of smartphone use on muscle fatigue and tenderness in the cervical erector spinae (CES) and the upper trapezius (UT) and on the cervical range of motion among subjects with and without neck muscle pain. The subjects were 30 smartphone users in their 20 s who -were assigned to either an experimental group with neck muscle pain or a control group without neck muscle pain. Muscle fatigue and tenderness in the CES and the UT as well as the subjects’ cervical range of motion were measured before and after 20-min smartphone sessions in a sitting position. In a between-group comparison of muscle fatigue, the experimental group showed a significantly greater decrease in median frequency in the CES and the right UT after smartphone use (p<.05). Regarding the assessment of muscle tenderness after smartphone use, the experimental groupshowed a statistically significant decrease in the pressure-pain threshold (PPT) in all muscles (p<.05), whereas the control group showed a significantly decreased PPT in the right CES and the UT (p<.05). The assessment of the cervical range of motion revealed a statistically significant reduction in the cervical flexion-extension and left lateral flexion in the experimental group (p<.05) after smartphone use. However, there was no significant change in the cervical range of motion in the control group (p>.05) after smartphone use. When compared with the control group, the experimental group demonstratedgreater changes in cervical extension, lateral flexion, and rotation, except for cervical flexion (p<.05). In conclusion, when smartphone users have pre-existing neck muscle pain, the use of a smartphone further increased muscle fatigue and tenderness in the neck and reduced PPT and the cervical range of motion.
불안정지지면에서 일어서기 동작훈련이 뇌졸중 환자의 균형능력에 미치는 영향
박진 ( Jin Park ),우영근 ( Young Keun Woo ),박소연 ( So Yeon Park ) 한국전문물리치료학회 2013 한국전문물리치료학회지 Vol.20 No.3
본 연구는 뇌졸중 환자 19명(실험군 10명, 대조군 9명)을 대상으로 불안정지지면에서의 일어서기 훈련군과안정지지면에서의 일어서기 훈련군으로 나누어 주 3회씩 4주간 실시한 후 훈련 전과 훈련 후의 균형과 슬관절 신전근의 근력을 측정하고 이를 토대로 임상적 기능 능력에 미치는 영향을 분석하였다. 이를 위하여 정적 균형 검사와 7-item BBS-3P, FTSST, 슬관절 신전근근력 검사를 각각 실시하였다. 이에 대한 연구 결과는 다음과 같다. 첫째, 정적 균형 검사 결과 훈련 전에 비해 훈련 후에 불안정지지면에서의 훈련군에서 마비측 전방의 체중분포가 증가하였으며, 안정지지면에서의 훈련군에서는 대칭적 체중분포와 비마비측 후방의 체중분포가 증가하였다(p<.05). 둘째, 동적 균형 검사 도구인 7-item BBS-3P 결과 훈련전에 비해 훈련 후에 불안정지지면에서의 훈련군만 균형능력이 향상되었다(p<.05). 셋째, 기능적 균형 검사 도구인 FTSST 결과 훈련 전에 비해 훈련 후에 불안정 지지면에서의 훈련군만 균형능력이 향상되었다(p<.05). 넷째, 슬관절 신전근 근력 검사 결과 훈련 전에 비해훈련 후에 불안정지지면에서의 훈련군, 안정지지면에서의 훈련군 모두 마비측의 슬관절 신전근의 근력이 향상 되었다(p<.05). 이상의 결과로 판단할 때, 뇌졸중 환자에게 일어서기 훈련 시 안정지지면 군에 비해 불안정지지면을 제공한 실험군에서 정적 및 동적 균형 능력이 향상되었고, 슬관절의 신전근 근력 역시 향상되었다. 따라서 뇌졸중환자에게 균형능력과 슬관절 신전근력 향상을 목적으로 재활 임상현장에서 일어서기 동작 훈련이 도움을 줄 수 있을 것이라 생각한다. The purpose of this study was to determine the effectiveness of sit-to-stand training on unstable surfaces in individuals with stroke. Nineteen subjects with chronic stroke were divided into two groups: an experimental group (10 subjects) and a control group (9 subjects). They received 30 minutes of Neuro-developmental therapy (NDT) treatment, and sit-to-stand exercise for 15 minutes three times a week for four weeks. During the sit-to-stand training, the experimental group performed on an unstable AIREX balance pad, but the control group performed on a stable surface. Balance ability and weight-bearing distribution during quiet standing were measured before and after training period using the 7-item Berg balance scale-3P (BBS-3P) and the Five-times-sit-to-stand test (FTSST). In addition, the muscle strength of the knee extensor was evaluated before and after the training period. The results were as follows: 1) The weight-bearing distribution forward of the affected leg, increased significantly in the experimental group after the four-week intervention (p<.05), 2) The 7-item BBS-3P and FTSST increased significantly in the experimental group after the four-week intervention (p<.05), 3) The knee extensor muscle strength in both groups increased significantly after the four-week intervention (p<.05). In conclusion, the results of this study did not show that the sit-to-stand training on an unstable surface was more effective than on a stable surface. However, the results suggested that sit-to-stand training is effective in the balance training of stroke patients.
경사트레드밀에서 후방보행 훈련이 뇌졸중 환자의 보행에 미치는 영향
오용섭 ( Yong Seop Oh ),우영근 ( Young Keun Woo ) 한국전문물리치료학회 2016 한국전문물리치료학회지 Vol.23 No.3
Background: Gait problems appear in most stroke patients. Commonly, stroke patients show the typical abnormal gait patterns, such as circumduction, genu recurvatum, and spastic paretic stiff legged gait. An inclined treadmill gait exercise is good for gait problems of stroke patients. In addition, the backward walking training has been recommended in order to improve the component of the movement for the forward walking. Objects: The purpose of this study to investigated the effects of backward walking with inclined treadmill training on the gait in chronic stroke patients. Methods: A total of 30 volunteers were randomly allocated to two groups that walked on an inclined treadmill: the experimental group (n1=15), which walked backward, and the control group (n2=15), which walked forward. To measure the improvement of the patients’ gait, a Figure of Eight Walking Test (F8W), Four Square Step Test (FSST), and Functional Gait Assessment (FGA) were performed. We also measured spatio-temporal gait variables, including gait speed, cadence, stride length, and single limb support using a three-axial wireless accelerometer. The measurements were taken before and after the experiment. The Wilcoxon signed-rank test was used to compare both groups before and after the interventions. The Mann-Whitney U test was used for the comparisons after the interventions. The statistical significance was set at α=.05. Results: Before and after experiment, all dependent variables were significantly different between the two groups (p<.05). As compared to the control group, the experimental group showed more significant improvements in F8W, FSST, speed, cadence, stride length, and single limb support (p<.05); however, FGA in this group was not significantly different from the control (p>.05). Conclusion: Our results suggest that backward walking on an inclined treadmill is more effective for improving the gait of stroke patients than forward walking.