습관적인 편측지지가 요통환자의 측만각과 장골능 높이에 미치는 영향

조운수,김용남,정진규 대한임상전기생리학회 2007 대한임상전기생리학회지 Vol.5 No.2

노인의 무릎관절 전치환술에서 보행분석 비교

조운수,황태연,김상영 대한임상전기생리학회 2012 대한임상전기생리학회지 Vol.10 No.2

Immediate Effects of Thoracic Spine Foam Rolling and Vibration Foam Rolling on Pain and Range of Motion in Patients with Chronic Neck Pain

조운수,박치복,정호진,김병근 국제물리치료연구학회 2022 Journal of International Academy of Physical Ther Vol.13 No.3

Background: The application of exercise therapy and manual therapy to the thoracic spine is a widely used method of treating neck pain. Nevertheless, studies on the application of foam rollers and vibrating foam rollers to patients with neck pain are lacking. Objectives: To investigated the immediate effects of thoracic spine foam rolling and vibration foam rolling on pain and range of motion (ROM) in patients with chronic neck pain. Design: Randomized crossover trials. Methods: 24 patients with chronic neck pain participated in the study. The study subjects measured pain and ROM. Subjects were divided into vibration foam roller group, foam roller group, and control group. Results: Pain was not significantly different between and within groups (P<.05). There was a significant difference in flexion, extension, left rotation, and right rotation ROM in the vibration foam roller group after intervention (P<.05). There was a significant difference in flexion and extension ROM in the foam roller group after intervention (P<.05). There was a significantly greater increased extension ROM in vibration foam roller and foam roller groups compared with the control group (P<.0167). Conclusion: Thoracic spine foam rolling and vibration foam rolling improve ROM when treating patients with chronic neck pain. Therefore, it is recommended to use it in combination with other treatments.

미세전류치료와 초음파치료가 슬관절전치환술 후 통증경감과 기능회복에 미치는 영향

조운수,김용남,김용성,황태연,진희경,Cho, Woon-Su,Kim, Yong-Nam,Kim, Yong-Seong,Hwang, Tae-Yeon,Jin, Hee-Kyung 대한물리치료학회 2012 대한물리치료학회지 Vol.24 No.2

Purpose: The purpose of this study was to investigate pain relief and functional recovery after total knee replacement. Methods: The treatment was performed by dividing individuals into a control group ($n_1=5$), ultrasound treatment group ($n_2=5$), and micro-current treatment group ($n_3=5$). The control group applied the hot pack for 15 minutes, Transcutaneous Electrical Nerve Stimulation (TENS) for 15 minutes, and Continuous Passive Movement (CPM) for 40 minutes. The ultrasound therapy group applied the frequency of 1 MHz, intensity of 1.0 $W/cm^2$ for five minutes following the same treatment as the control group. The micro-current therapy group applied the intensity of 25 ${\mu}A$, and pulsation frequency 5 pps for 15 minutes following the same treatment as the control group. After treatment, Visual Analogue Scale (VAS), Korean Western Ontario and McMaster Universities Arthritis Index (K-WOMAC), Berg Balance Scale (BBS), Range of Movement (ROM) and wound length was measured. Results: VAS showed significant effect in the control group and micro-current therapy group during the treatment period. According to the treatment of K-WOMACK, BBS, ROM, and Healing wounds showed main effects between groups. Conclusion: According to the results of this study, data showed improvement of pain relief, wound healing effects, and range of motion recovery. Thus, these selected treatments were effective after total knee replacement. In other words, electrical treatment continues to influence pain relief and functional recovery after total knee replacement.

탄력밴드를 이용한 협응이동훈련이 초등학교 야구선수의 균형 및 유연성에 미치는 영향

조운수,박세주,최아영 한국융합학회 2019 한국융합학회논문지 Vol.10 No.7

The purpose of this study was to investigate the effects of coordinative locomotor training wit on balance and flexibility of elementary school baseball players. A sample of 30 subjects were recruited for this study. Coordinative locomotor training group(n=15) with elastic band and coordinative locomotor training group(n=15) were six times a week for four. For evaluation of balance, Biorescue was used and for evaluation of sit-and-reach. The results were as follows: there were significant differences in balance and flexibility accoording to time. From the results, elastic band in coordinative locomotor training is expected to be an effective intervention for elementary school baseball players. 본 연구는 초등학교 야구선수의 균형 및 유연성에 대한 협응이동훈련이 미치는 영향을 알아보는데 목적이 있다. 연구를 위해 30명의 초등학교 야구선수를 대상자로 모집하여 실시하였다. 탄력밴드를 이용한 CLT군 (n=15)과 일반적인 CLT군 (n=15)을 4주 동안 주 6회 훈련을 실시하였다. 균형을 평가하기 위해 균형측정기(Biorescue)을 사용하였고, 유연성 평가를 위해 좌전굴을 사용하였다. 연구 결과, 균형은 탄력밴드를 이용한 CLT군에서 실험 전보다 실험 후에 유의한 차이가 있었다. 유연성은 탄력밴드를 이용한 CLT군에서 실험 전보다 실험 후에 유의한 차이가 있었다. 그 결과, 탄력밴드를 이용한 협응이동훈련이 초등학교 야구선수의 균형 및 유연성을 향상시키는 효과적인 훈련방법이 될 수 있을 거라 기대된다.

진동을 이용한 몸통 근력 운동이 몸통근 두께와 균형에 미치는 영향

조운수 ( Woon-su Cho ),박치복 ( Chi-bok Park ),임재헌 ( Jae-heon Lim ) 대한물리의학회 2017 대한물리의학회지 Vol.12 No.2

PURPOSE: The aim of this study was to verify the effect of trunk strengthening exercise using oscillation by comparing trunk muscle thickness, as well as balance of healthy adults during exercises performed with an oscillatory device and non-oscillatory device. METHODS: Twenty-two participants were randomly assigned to one of two groups: the trunk strengthening exercise using oscillation (TSEO) group (n=11) or the trunk strengthening exercise using non-oscillation (TSEN) group (n=11). Subjects in all groups performed the exercises three days per week for 6 weeks. All subjects performed four types of exercises: pull over, seated twist, power push, and diagonal power plank. Trunk muscle thickness of the rectus abdominis (RA), internal oblique (IO), external oblique (EO), transverse abdominis (TrA), and multifidus (MT) were measured with an ultrasonography. The balance ability were evaluated using the Romberg test with eyes open, eyes closed, one-leg standing test (OLST), and limits of stability (LOS). All tests were performed before the intervention, as well as after 6 weeks and 8 weeks of exercises. RESULTS: There was a significant difference of RA, IO, TrA, and MT according to the main effect of the time (p<.05). There was a significant difference of IO and LOS according to interaction effect between the time and group (p<.05). CONCLUSION: As intended, the cyclic forces induced by the oscillating device did increase trunk muscle thickness. However, the effect was limited and significant only for the IO muscle. Combining trunk strengthening exercise with oscillation appears to be more effective in improving dynamic balance.

승마시뮬레이터 훈련과 평류안뜰자극이 자세균형능력과 고유수용성감각에 미치는 영향

조운수 ( Woon Su Cho ),김용남 ( Young Nam Kim ),박장성 ( Jang Sung Park ),진희경 ( Hee Kyung Jin ) 한국전문물리치료학회 2012 한국전문물리치료학회지 Vol.19 No.2

The purpose of this study is to examine the influence of a horse riding simulator and galvanic vestibular stimulation on improving the ability to balance posture and proprioception. Thirty healthy adults participated and were randomly assigned to a horse riding simulator group (nl=10), galvanic vestibular stimulation (GVS) group (n2=10), control group (n3=10). Experiment groups were trained 3 times per week over 6 weeks. The ability to balance posture was measured by force plate and proprioception was measured by Joint position sense. The following results were obtained. the changes of balance index were significant interaction in each group in accordance with the experiment time in 0, 3 and 6 weeks (p<.05). All groups showed the most decreasing pattern compared with the control group. But was not statistically significant. Proprioception was significant interaction in each group in accordance with the experiment time (p<.05). All groups showed the most decreasing pattern compared with the control group. The above results indicated that the 6 weeks horse riding simulator and galvanic vestibular stimulation training demonstrated positive effects in the ability to balance posture and proprioception. These results suggest that the horse riding simulator and galvanic vestibular stimulation training could be therapeutic intervention that can improve balance and postural control.

전신진동운동이 뇌졸중 환자의 균형 및 보행 능력에 미치는 효과: 메타분석

조운수(Woon-Su Cho),박세주(Se-Ju Park),현지웅(Ji-Woong Hyun) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.5

본 연구는 뇌졸중 환자에게 전신진동운동을 시행한 선행 연구들을 종합하고 분석하여 전신진동운동이 뇌졸중 환자의 균형 및 보행 능력에 얼마나 효과적인지를 메타분석을 통해 알아보고자 하였다. 문헌 검색을 위한 전자 데이터베이스는 국회도서관, 한국교육학술정보(RISS), 한국학술정보(KISS) 및 누리미디어(DBPIA)를 사용하였다. 2010년 1월 - 2020년 8월까지 뇌졸중 환자에게 적용한 전신진동운동 선행연구를 조사하였다. 연구의 질 평가는 RCT(Randomized Controls Trials) 연구는 Cochrane group이 개발한 Risk of bias 2(RoB2) 도구를 사용하였다. 개별 연구들의 효과크기를 산출하기 위해 R version 4.0.3 프로그램을 이용하였다. 연구 결과는 전체 효과크기는 0.40으로 나타났으며 전신진동운동이 뇌졸중 환자의 균형 및 보행에 중간 정도의 효과가 있다는 것을 확인하였고, 균형의 효과크기는 0.44, 보행의 효과크기는 0.36으로 나타나 긍정적인 영향을 주는 것으로 확인되었다. 이와 같은 결과를 통해 뇌졸중 환자에게 전신진동운동이 효과적인 중재임을 알 수 있었으며, 더욱 다양한 연구가 필요할 것으로 생각한다. This study was a meta-analysis of previous studies that subjected stroke patients to the whole-body vibration exercise, in an attempt to evaluate the effectiveness of such exercise in improving their balance and walking ability. The electronic databases used for literature search were the National Assembly Library, Korean Educational Academic Information (RISS), Korean Academic Information (KISS), and Nuri Media (DBPIA). We also investigated a prior study of the whole-body vibration exercise applied to stroke patients from January 2010 to August 2020. In assessing the quality of the study, the RCT (randomized controls trials) study used the risk of bias 2 (RoB2) tool developed by the Cochrane group. Meta-analysis was performed using R software for statistical computing version 4.0.3. The results of the study confirmed that the overall effect size was 0.40, and the whole-body vibration exercise used had a moderate effect on the balance and gait of stroke patients, the effect size of balance was 0.44, and the effect size of gait was 0.36, showing a positive effect. These results indicated that the whole-body vibration exercise is an effective intervention for stroke patients, and further research is needed.

Effects of Mechanical Horseback Riding Exercise on Static Balance of Patient with Chronic Stroke

Woon-Soo Cho(조운수),Sung-Hyoun Cho(조성현) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.3

본 연구의 목적은 승마기구 운동이 만성 뇌졸중 환자의 정적균형 능력에 어떠한 영향을 미치는지 알아보는 것이다. 연구대상자는 뇌졸중 진단을 받은 환자 30명으로서 승마기구 운동군과 대조군으로 무작위 분류하였다. 대조군은 운동치료를 하루에 1회씩 받았으며, 실험군은 하루 1회의 운동치료 외에 별도의 시간에 승마기구 운동을 받았다. 승마기구 운동은 6주 동안 주 3회, 회당 20분씩 실시하였다. 집단 간 비교를 위해 independent t-test를 실시하였고, 집단 내 기간별 비교를 위해 paired t-test를 실시하여 분석하였다. 본 연구의 결과, 운동 후 승마기구 운동군의 눈 감고 선 자세에서는 균형에 유의한 차이가 있었으나, 승마기구 운동군과 대조군의 그룹간 비교에서는 유의한 차이가 나타나지 않았다. 앞으로 승마기구 운동이 뇌졸중 환자의 기능에 어떠한 영향을 미치는지 알아보는 다양한 임상적 연구가 필요할 것으로 생각된다 The purpose of this study is to evaluate the effect of horse-riding simulator exercise on the static balance of chronic stroke patients. The study’s sample included 30 stroke patients who were randomly classified into an experiment group and a control group. Both the experiment and control groups received therapeutic exercise one time per day, but the experiment group also received twenty minutes of horse-riding simulator exercise three times per week for six weeks. To compare the groups, an independent t-test was performed, and to compare each period, a paired t-test was conducted and its result was analyzed. The result of this study, moving distance under standing position with eyes closed, showed significant difference in horse-riding simulator exercise group after exercise. But, there was no significant difference between horse-riding simulator exercise group and control group. Further, various clinical studies focusing on effects of horseback riding exercise on function of stroke patients are needed.

8주간의 외발자전거 운동이 대학생의 거북목 자세에 미치는 영향

박치복,조운수,최아영 대한스포츠물리치료학회 2017 정형스포츠물리치료학회지 Vol.13 No.2

This study aimed to determine the effect of unicycle exercise on the turtle neck posture in university students. The subjects of this study were university students in their 20s. The experimental group was composed of 19 subjects; and the control group, 15 subjects. The experimental group performed unicycle exercise three times per week for 8 weeks. For evaluation of the turtle neck posture, the craniovertebral angle (CVA) and cranial rotation angle (CRA) were measured. The CVA showed a significant increase over time (p < .05) between the experimental and control groups (p < .05), and interaction between time and group (p < .05). The results showed a significant increase in CRA in the experimental group as compared with the control group (p < .05). Unicycle exercise is an effective alternative method for correction of turtle neck posture.