화재보험관련 보험사기 조사현황 및 효율적 대처방안

장상훈,Jang, Sang-Hun 한국화재보험협회 2009 防災와 保險 Vol.132 No.-

고유수용성감각운동이 성인의 균형능력에 미치는 효과

장상훈,이진,Jang, Sang-Hun,Lee, Jin 대한물리치료과학회 2017 대한물리치료과학회지 Vol.24 No.2

Background: To determine the effect of proprioceptive exercise(PE) on muscle activation and balance of healthy subjects. Methods: 20 subjects were randomly assigned to proprioceptive exercise(PE, n=10) and general exercise group(GE, n=10). To measure muscle activation of the lower limb and balance. For evaluation of muscle activation(Tibialis anterior, Gastrocnemius lateral and medial head), the Electromyogram was used, and balance was measured using the one-leg standing test, OLST. Results: Tibialis anterior(TA), Gastrocnemius medial head(GM) and Gastrocnemius lateral head(GL) muscle activations were significantly (p<0.05) improved in PE group and GE group. and significantly difference between groups(p<0.05). Regarding balance, eye open and close OLST were significantly (p<0.05) increased in PE group and GE group. and significantly difference between groups(p<0.05). Conclusion: Proprioceptive exercise can improve muscle activation of the lowe limb and balance in subjects.

강제 양압식 호흡훈련이 기관절개관을 삽입한 뇌졸중 환자의 호흡재활에 미치는 효과

장상훈(Jang, Sang-Hun),이연섭(Lee, Yeon-Seop),김진상(Kim, Jin-Sang) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.7

본 연구는 강제 양압식 호흡훈련이 기관절개관을 삽입한 뇌졸중 환자의 호흡능력 및 기침능력에 미치는 효 과에 대하여 알아보고자 실시하였다. 연구대상은 기관절개관을 삽입한 뇌졸중 환자 10명으로 하였으며, 대상자는 강 제 양압식 호흡훈련을 20분씩 주 5회 8주간 실시하였다. 훈련 전, 훈련 4주 후 그리고 8주 후 대상자의 노력성 폐활 량, 1초간 노력성 호기량, 노력성 폐활량비 그리고 도수 보조 최대 기침유량을 측정하였으며 기간에 따른 호흡능력과 기침능력을 알아보고자 반복측정 분산분석법을 이용하였다. 연구 결과 훈련기간에 따라 대상자의 노력성 폐활량, 1초 간 노력성 호기량, 도수 보조 최대 기침유량은 유의하게 증가하였다. 따라서 강제 양압식 호흡훈련은 기관절개관을 삽입한 뇌졸중 환자의 호흡능력 및 기침능력을 증진시켜 기관절개관을 제거하는데 유용한 훈련방법이라 할 수 있다. The purpose of this study was to investigate the efficacy of mechanical in-exsufflator (MI-E) with on pulmonary rehabilitation in stroke patients with trachostomy tube. Methods: We studied ten stroke patients who had neither history nor radiologic finding of pulmonary disease. The pulmonary function was evaluated by measuring forced vital capacity (FVC), forced expiratory volume at one second (FEV1) and forced expiratory ratio (FEV1/FVC) The capacity of cough was evaluated by measuring manual assisted peak cough flow (MPCF). Data were analyzed statistically using repeated ANOVA test. Results:The results were as follows : 1) There are significant improvement of FVC and FEV1 according to training period (p<.05). 2) There are significant improvement of MPCF according to training period (p<.05). Conclusion:These results suggest that MI-E training can be used as an effective therapeutic modality for improvement of pulmonary function and capacity of cough in stroke patients with tracheostomy.

The Effects of Home Based Exercise Program on Balance Recovery in a Post-Stroke Population

장상훈,정병옥,방현수,Jang, Sang-Hun,Bang, Hyun-Soo,Jung, Byeong-Ok The Society of Digital Policy and Management 2014 디지털융복합연구 Vol.12 No.7

The present study was designed to investigate the effect of home based exercise program on balance recovery of stroke patients. In total, 20 participants were assigned to a control group(n=10) or exercise group(n=10) between September 2013 and December 2013. In addition to existing physiotherapy, the exercise group received home based exercise program consisting of weight transfer, training endurance, mobility, sensory retraining, lower limb exercise for 30 minutes, 2 times a week, for 8 weeks, every time for 30 minutes. Balance ability was assessed by measuring foot pressure(FP), limit of stability(LOS) and velocity sway(VS) by using Biorescue and by using the functional reaching test(FRT). To compare the improvement level of each group's balance ability, examination of independent sample T was done. Significant differences between control group and exercise group in LOS, VS of affect side and FRT were observed. This study showed that home based exercise program application was effective strategy on balance recovery in a post stroke population. 본 연구는 가정운동프로그램이 뇌졸중 환자의 균형능력회복에 미치는 효과를 알아보기 위하여 실시하였다. 본 연구는 2013년 9월에서 2013년 12월까지 실시하였으며, 대상자는 총 20명으로 일반적인 통원 물리치료를 실시한 조군 10명, 일반적인 통원 물리치료를 실시하고 추가적으로 가정운동프로그램을 실시한 운동군 10명으로 나누어 배정하였다. 가정운동프로그램은 신경계 물리치료사가 대상자 집을 방문하여 8주동안 주 2회씩 매회 30분간 시행하였으며 체중이동훈련, 지구력훈련, 운동재훈련, 감각재훈련, 하지운동으로 구성되었다. 균형능력을 평가하기 위하여 Biorescu를 이용하여 족저압, 안정성한계, 동요속도를 측정하였고 임상적인 측정방법 중 하나인 기능적 팔뻗기 검사를 실시하였다. 연구결과 대조군과 운동군은 안정성한계, 동요속도, 기능적 팔뻗기 검사에서 유의한 차이가 나타났다. 본 연구는 가정운동프로그램이 뇌졸중 환자의 균형회복을 회복하는데 효과적인 치료전략 중 하나라는 것을 나타낸다.

최저임금 근로자의 일자리 선택 결정요인 분석

석상훈 ( Sang Hun Seok ),장선구 ( Sun Ku Jang ),최옥금 ( Ok Geum Choi ) 한국사회보장학회 2006 社會 保障 硏究 Vol.22 No.3

자세에 따른 골반경사운동이 편마비 환자의 발 접촉양상에 미치는 효과

장상훈 ( Sang Hun Jang ),박수진 ( Soo Jin Park ),김민희 ( Min Hee Kim ),김중휘 ( Joong Hwi Kim ),김진상 ( Jin Sang Kim ) 대한물리의학회 2010 대한물리의학회지 Vol.5 No.3

Purpose:The purpose of this study was to investigate the effect of pelvic tilt exercise with changing the body position on foot contact pattern in the hemiplegic patients. Methods:Thirty seven hemiplegic patients were randomly divided 3 groups; control group (CG), sitting exercise group (SIEG) and standing exercise group (STEG). F-mat system and F-scan system were used for the measurement of foot contact pattern of hemiplegic side in walking.. Data were analyzed statistically using paired t-test and one-way ANOVA. Results:The results were as follows:1) Contact area of CG and SIEG were not significant difference in walking. Contact area of STEG was significant increased in walking. 2) Anteroposterior distance of COP of SIEG and STEG were significant increased in walking. Conclusion:These results suggest that pelvic tilt exercise in sitting and standing position are effective in the improvement of Anteroposterior distance of COP and gait stability are increased in only standing position.

불안정한 면에서의 체간 훈련이 뇌졸중 환자의 비례추진력에 미치는 영향

장상훈,안지현,김진상,Jang, Sang-Hun,Ann, Ji-Hyeson,Kim, Jin-Sang 대한물리치료학회 2012 대한물리치료학회지 Vol.24 No.2

Purpose: The present study was designed to investigate the effect of trunk control training on the labile surface on relative impulse and balance in stroke patients. Methods: A total of 21 participants were assigned to an experimental group (n=11) or a control group (n=10). In addition to conventional therapy, the experimental group received trunk control training on the swiss ball; 20 minutes, 4 times a week, for 8 weeks. Balance ability was evaluated by FRT (functional reaching test) and TUG (time up and go). In addition relative impulse in 6 areas of the foot (hallux, 1st metatarsal head, 2~3 metatasal head, 4~5 metatasal head, mid foot and heel) were measured using the F-scan system to evaluate locomotion ability during gait. Results: Significant differences in the relative impulse were observed in the areas of the 2~3 metatasal head during gait after exercise in both the control group and experimental group (p<0.05). Also, a significant increase was seen in the hallux after exercise in the experimental group (p<0.05), but no such significant increase was seen in the control group (p>0.05). Significant differences were observed in FRT and TUG in the experimental group but no such significant increase was observed in the control group (p>0.05). Conclusion: These results suggest that trunk control training on labile surface improves the balance in stroke patients and has a positive effect on locomotion ability.

열린사슬운동과 닫힌사슬운동이 큰가슴근과 위팔세갈래근의 근활성도에 미치는 영향

김주오,장상훈,Kim, Ju-O,Jang, Sang-Hun 대한물리치료과학회 2018 대한물리치료과학회지 Vol.25 No.1

Background: The purpose of this study was to investigate the effect of open and close kinetic chain exercise on the muscle activity of pectoralis major and triceps. Method: Twenty healthy male college students were assessed three times over two weeks. The participants were randomly assigned to OKCE(Open Kinetic Chain Exercise) and CKCE(Close Kinetic Chain Exercise). On the first day, the 7th day and the last day, The MP(mean power) and PT(peak torque) of the PM(pectoralis major) and TR(triceps) during the exercise were measured with an electromyography device and the study was compared. Result: In the present study, it was found that Statistical analysis of the measured values at the end of experimental period revealed statistically significant differences in the MP and PT values of TR and PM. Conclusion: These findings suggest that CKCE and OKCE may be an effective physical therapy intervention for strengthening muscular activity in patients with low activity in the upper limb, including normal subjects, although it is not suitable for effective exercise by selecting either CKCE or OKCE.

Effects of the moment arm length of backpacks on balance and walking while carrying a backpack

Tae-Sung In(인태성),Sang-Hun Jang(장상훈) 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.12

백팩은 한쪽 어깨에 매는 가방에 비해 척추에 대칭적으로 무게분산이 가능하지만, 무게중심이 뒤쪽으로 이동하게 하여, 체간이 전방굴곡되는 자세 변형을 야기한다. 본 연구는 모멘트팔의 길이차이에 따른 가방 착용 시 균형과 보행에 미치는 영향에 대해 확인하였다. 정형외과적 손상 및 신경학적 손상이 없는 정상 성인 30명을 대상으로 하였다. 대상자는 1) 백팩 미 착용, 2) 일반적인 백팩, 3) 모멘트 길이를 감소시킨 백팩의 3가지 조건에서 각각 균형 및 보행을 측정하였다. 자세동요면적과 속도에서 백팩 미착용과, 일반적인 백팩, 특수 백팩의 3가지 조건에 따른 유의한 차이가 있었으나, 백팩의 모멘트팔의 길이에 따른 유의한 차이는 없었다. 양하지 지지기와 보행속도는 백팩 미착용과, 일반적인 백팩, 특수백팩의 3가지 조건에서 유의한 차이가 있었으며, 양하지 지지기에서만 백팩의 모멘트팔의 길이에 따른 유의한 차이가 있었다. 본 연구의 결과를 통해 백팩 착용시 모멘트팔의 길이 변화가 보행에 도움이 될 수 있었다. The present study investigated the effects of the moment arm length on balance and walking when carrying a backpack. In total, 30 normal adults without orthopedic and neurological injuries were assessed. For each subject, balance and gait were measured under three conditions: 1) the no backpack condition, 2) the general backpack condition, and 3) the decreased length of moment arm backpack condition. There were significant differences in the center of the pressure area and velocity between the three conditions, whereas there was no significant difference in the center of the pressure area and velocity according to the moment arm length. There were significant differences in double limb support time and walking velocity under the three conditions, and there was a significant difference only in double limb support time according to the moment arm length. The results of the present study showed that a change in the length of the moment arm can be helpful for walking when carrying a backpack.

브로거 운동을 병행한 산전운동프로그램이 임산부의 허리 통증 및 균형에 미치는 영향 단일 사례 연구

김선민,장상훈,Kim, Sun Min,Jang, Sang Hun 대한물리치료과학회 2021 대한물리치료과학회지 Vol.28 No.1

Background: The purpose of this study was to effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women. Design: A Single-Subject Study. Methods: This study was applied to 28 weeks of pregnant women who complained of low back pain for a total of 4 weeks. A total of 10 prenatal exercise programs in this study consists of sessions, and each session was applied with a Bruger exercise for 1 minute before the start. For the fatigue and safety of pregnant women, a break for 1 minute was provided for each session and was conducted under the supervision of the therapist The visual analogue scale (VAS), Oswestry disability index (ODI), and static balance (BT-4) were measured to evaluate the pregnant women's low back pain and balance ability before and after the intervention Results: The change in back pain after the intervention was VAS 5 before the intervention, but the VAS gradually decreased at 4 weeks after the intervention. Reduced to VAS 2 after 4 weeks of intervention. The Oswestry Disability Index (ODI) was 54%, which was at the level of severe disability, but the dysfunction index gradually decreased 4 weeks after intervention, reaching 19% in 4 weeks, and there were no problems with daily life. As for the static balance ability, the sway area and the sway distance values gradually decreased after the intervention in both the eyes open and closed state, showing an improvement in the static balance ability of pregnant women after the intervention than before the intervention. Conclusion: The prenatal exercise program combined with Brugger's exercise was effective to improve low back pain and static balance in pregnant women. The result of this study may helpful as basic data for obstetric physical therapy.