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실내 승마운동이 고령자의 기초체력 및 ADL 기능에 미치는 효과
김의령,강승록,유창호,문동안,박상용,권대규,Kim, E.R.,Kang, S.R.,Yu, C.H.,Moon, D.A.,Park, S.Y.,Kwon, T.K. 대한의용생체공학회 2013 의공학회지 Vol.34 No.4
The purpose of this study was to verify exercise effect of horse riding exercise according to estimate basal physical fitness and activities of daily living(ADL) function in the aged. Participants were nineteen peoples who have no impediment of activity. They performed horse riding exercise using SRider(Neipplus, Co., Korea) at sixty minutes a day. Exercise has progressed three days a week for eight weeks. We measured trunk flexion, sit up, whole body reaction, leg strength and maximal oxygen uptake as basal physical fitness. Also three meter gait, single stance with eyes opened and single stance with eyes closed as ADL function were estimated once a month. The result of legs strength and whole body reaction showed the higher significantly than before the exercise. Moreover, the result of three meter walking ability only increased significantly among the ADL function. This means that horse riding exercise might be activated continuous muscular contraction with maintained tonus of muscle. We thought that continuous movement of horse riding could be lead to isometric muscle contraction in lower limbs. Our study found that horse riding exercise could improve lower strengths and muscle reaction for exercise effect. Also we suggested that horse riding exercise could be adapted to exercise methods that could provide rehabilitation and treatment enough for the aged or disabled person.
실내용 승마운동기기를 이용한 운동 프로토콜별 20대 여성의 요추 근기능 평가
김의령(U. R. Kim),강승록(S. R. Kang),정구영(G. Y. Jeong),문동안(D. A. Moon),권대규(T. K. Kwon) 한국재활복지공학회 2012 한국재활복지공학회 학술대회논문집 Vol.2012 No.11
The purpose of this study was to estimate the effect of horse riding exercise. Twenty female subjects exercised horse riding using SRIDER. Subjects exercised 30 min a day each mode, three days per week for 4 weeks in a constant temperature and humidity environment. We measured lumbar joint torque using the BIODEX System3 to estimating improvements in muscle strength and reaction. The results of muscle strengthening and muscular reaction showed that peak lumbar joint torque in whole body mode and abdomen mode were higher than the other modes. This mode of horseback riding movement would be stimulated sensory and motor nerves mostly, which improved muscle reaction. Also continuous movement of those modes of horseback riding can reduce muscle tonus and relax stiff muscles. We found that whole body exercise and abdomen exercise could be most improved muscle strength efficiently for muscle strength, and muscular reaction.
실내 승마운동이 대사증후군 요인을 가진 20대 성인들의 요추 근력 및 근반응성에 미치는 효과
김의령(Ui-Ryeong Kim),강승록(Seung-Rok Kang),문동안(Dong-Ahn Moon),권대규(Tae-Kyu Kwon) 대한기계학회 2013 대한기계학회 춘추학술대회 Vol.2013 No.12
The purpose of this research was to investigate muscular strength and reactivity in 20<SUP>th</SUP> aged people who have metabolic syndrome risk factors according to indoor horse riding exercise. Participants were twenty eight peoples who have bigger BMI than 24 index. They performed horse riding exercise using SRIDER(Neipplus, Co., Korea) at thirty minutes a day provided mode. Exercise has progressed three day a week for eight weeks. We measured muscular strength and muscle reaction of lumbar joint using the BIODEX System3. The result of average power increased after exercise. Also the result of acceleration time decreased too. This means that indoor horse riding exercise would be activated continuous muscular contraction with maintained tonus of muscle. We thought that continuous movement of horse riding could be lead to muscle contraction. Our study found that indoor horse riding exercise could improve muscular strength and muscular endurance. Also we suggested that indoor horse riding exercise could be provide another physiology of human body.
표준화 환자에 대한 학생 평가와 환자의사관계 점수와의 관계
한의령,김선,정은경 연세대학교 의과대학 2019 의학교육논단 Vol.21 No.3
When standardized patients (SPs) are used for educational purposes, the authenticity of role play and the quality of feedback are essential requirements of SPs. This study was conducted to investigate medical students’ assessment of SPs and to identify the components of SPs’ performance that were most strongly correlated with patient–physician interaction score. One hundred and forty-two fourth-year medical students were asked to complete the Maastricht Assessment of Simulated Patients (MaSP) at the end of a clinical performance examination. SPs evaluated the patient–physician interactions using a 4-point Likert scale (1=poor to 4=excellent). Medical students’ assessment of SPs using the MaSP was positively correlated with patient–physician interactions (r=0.325, p<0.01). Items addressing the authenticity of role play (e.g., “SPs appear authentic,” “SPs might be real patients,” and “SPs answer questions in a natural manner”) were closely correlated with patient–physician interactions (p<0.001, p=0.027, and p=0.017, respectively). These results showed that the MaSP appears to be a useful instrument for evaluating SPs’ performance and that the authenticity of SPs’ performance was positively correlated with medical students’ interactions. In order to improve patient–physician interactions, medical students should be given opportunities to practice their skills with SPs who have been trained to portray patients with a specific condition in a realistic way.
횡축 4정점 체중부하 감소기법 이용한 하지 근력불균형 개선에 미치는 효과
강승록(S. R. Kang),김의령(U. R. Kim),정호춘(H. C. Jeong),권대규(T. K. Kwon) 한국재활복지공학회 2013 재활복지공학회논문지 Vol.7 No.2
본 연구는 이중 벨트 트레드밀을 이용하여 좌우 독립적 보행 시 횡축 체중부하 감소 유무에 따른 하지근력불균형 개선효과에 대해 고찰하고자 한다. 피험자들은 하지의 좌우 근력차이가 20% 이상인 자 20명이며 체중부하 감소 유무에 따라 각각 10명씩 그룹으로 나누었다. 실험은 보행운동을 격일로 40분씩 주 3회, 총 4주간 진행되었으며 2주마다 등속성 관절토크 검사를 실시하여 고관절, 슬관절 및 족관절의 최대근력과 평균일률을 평가하였다. 실험 결과, 고관절에서 가장 큰 하지의 좌우 최대근력 불균형 개선효과(12.51%)를 보였으며 슬관절에서는 근반응성 개선효과(10.66%)가 크게 나타났다. 체중부하 감소방법은 하지의 근력불균형 개선효과에 긍정적인 결과를 기대할 수 있다고 사료된다. In this paper, we were to investigate effect of correction to muscle imbalance in lower limbs according to reduction of weight bearing methods of four point of horizontal shaft using two-belt treadmill. Participants were divided to two group according to each ten peoples who have difference of muscle function in left and right legs over 20%. Experiment progressed forty minutes a day three days a week, total four weeks and we estimated the maximal peak torque and average power for testing joint torque in hip, knee and ankle. The results showed that the correction effect of muscle imbalance to the maximal muscle strength was the most effective in hip joint. Also in knee joint, correction effect of muscular reaction was the most effective too. We thought that reduction of weight bearing methods could be positive effect to correct muscle imbalance in lower limbs.
실내용 승마운동기를 이용한 젊은 성인남녀의 유연성 및 근기능 분석
강승록(S. R. Kang),김의령(U. R. Kim),정구영(G. Y. Jeong),문동안(D. A. Moon),권대규(T. K. Kwon) 한국재활복지공학회 2013 재활복지공학회논문지 Vol.7 No.1
본 연구에서는 실내용 승마운동기를 이용하여 승마운동이 젊은 성인남녀의 기초체력, 유연성 및 근기능 증진에 미치는 효과를 정량적으로 평가하고자 하였다. 피험자들은 신체 건강한 20대 남성 10명과 여성 10명을 대상으로 실시하였다. 운동은 방향별 15분씩, 총 45분을 수행하였으며 매주 3일씩 총 4주간 진행하였다. 또한 증진효과를 알아보기 위하여 피험자들에 대한 기초체력, 유연성 및 근기능 평가를 실시하였다. 실험결과, 운동 4주 후 피험자들의 기초체력, 유연성 및 근기능 능력이 모두 유의하게 증가하는 경향을 나타냈다. 이는 승마운동 시 3차원적이며 지속적인 움직임이 복부와 요추의 길항근에 원심성 운동효과를 유도하였으며 또한 유연한 움직임은 근반응성을 향상시켰다. 승마운동기는 전신운동효과에 매우 긍정적이며, 향후 고령자 및 장애인에게 효과가 있다고 판단된다. The purpose of this study was to investigate the analysis on exercise effect of basic physical fitness, flexibility and muscle function using electric horseback riding machine. Subjects were ten males and ten females who were 20th aged young adults. They exercised every 45-min a day. Horse riding exercise has progressed 3-days a week till 4-weeks. We measured contents of basic physical fitness, flexibility and joint torque in lumbar. The results showed that contents of human body effect were higher than before exercise. We thought that stimulated by 3-D movement in horseback riding exercise instrument could be activated joints and muscles with the unused generally This continuous movement could reduce tonus of muscle and relax stiff muscles. horseback riding have significant effect with whole body exercise, also it could provide efficient exercise for the elder and disabled person.