관절형 및 고정형 플라스틱 단하지 보조기가 편마비환자의 정적${\cdot}$동적 균형에 미치는 효과

임호용,안연준,김영록,박승규,Lim Ho-Yong,Ahn Yeon-Jun,Kim Yeong-Rok,Park Seung-Kyu 대한물리치료학회 2004 대한물리치료학회지 Vol.16 No.3

The purpose of this study was to determine the effect of HPAFO(Hinged Plastic Ankle Foot orthosis) and SPAFO(Solid Plastic Ankle Foot Orthosis) on standing balance and step moving in hemiplegia patients. Twenty hemiplegic patients were either inpatient or outpatient at the Rehabilitation medicine, MokPo J General Hospital and JeonJu J Medical Center from July 15, 2002 to September 15, 2002. Patients were able to ambulate independently for at least 10 meters and to stand independently for at least 10 minutes with balance measurement tool. The static balance and dynamic activity measurement was determined by SAKAI active balancer(Japan) with wearing HPAFO and wearing SPAFO. The static balance and dynamic activity analysis was analyzed by independent t-test. The results were as follows: 1. There were no significant difference in body weight bearing percent between wearing HPAFO and wearing SPAFO(p>0.05). 2. There were significant difference in whole path length between wearing HPAFO and wearing SPAFO(p<0.05). 3. There were significant difference in Effective Value Area between wearing HPAFO and wearing SPAFO(p>0.001). 4. There were significant difference in repeated functional time between wearing HPAFO and wearing SPAFO(p>0.001). 5. There were significant difference in cadence between wearing HPAFO and wearing SPAFO(p>0.001). The result of this study showed that wearing HPAFO and wearing SPAFO gave fair amount of improvement to static standing balance and dynamic movement ability of hemiplegic patients. The comparison result showed significant differences in between HPAFO and SPAHFO. The result of this study had a general limitation due to the restricted number of cases. The future study needs more detailed research and comparison with various variance between these two orthoses.

성인교육 교수자의 교수활동 평가준거 개발 연구

임호용,황청일 한국성인교육학회 2011 Andragogy Today : International Journal of Adult & Vol.14 No.4

This study ultimately aims to improve the quality of adult education by raising education accountability. To this end, the author endeavored to enhance the validity and reliability of the evaluation criteria of teaching activities for adult education teachers. To develop these evaluation criteria, the author formed a Delphi panel consisting of 32 people, and conducted the first, second, and third round of Delphi research with each of the panelists. Following the analysis of the Delphi research, the author found the following outcomes. As for the evaluation criteria of teaching activities for adult education teachers, the research identified four large categories, 21 medium categories, 40 general evaluation criteria, and 19 core evaluation criteria. 이 연구는 성인교육 교수자의 교수활동을 평가할 수 있는 타당도와 신뢰도를 가진 평가준거를 개발하여 활용할 수 있도록 함으로써 성인교육 교수자의 교육적 책무성(accountability)을 증진시켜 성인교육의 질적 수준을 향상시키는데 그 목적이 있다. 이러한 목적 달성을 위한 연구방법으로는 성인교육관련 전문가 32명에게 우편 또는 e-mail을 사용하여 1차부터 3차에 걸친 델파이 조사를 시행하였다. 델파이 결과, 최종 4개의 대영역과 21개의 중영역, 그리고 40개의 일반 평가준거 및 19개의 핵심 평가준거로 성인교육 교수자의 교수활동 평가 영역 및 준거들이 설정되었다. 델파이 패널들에 의해 도출된 성인교육 교수자의 교수활동 평가준거들은 성인교육 교수(teaching)의 계획 단계부터 평가 단계까지의 지침이 된다. 그리고 성인교육 교수자의 교수활동 평가준거를 통해 성인교육 교수자는 자신의 교수활동을 개선하는데 있어 실제적이고 구체적으로 활용할 수 있으며 자신의 교수활동 내용을 체계적으로 분석하고 평가할 수 있다. 결국 이 연구를 통해 제시된 교수활동 평가준거는 성인교육 교수자가 자기평가도구로도 활용하여 성인교육의 질적 수준을 향상시킬 수 있다.

초등학교 5학년 어린이의 족부 건강에 대한 조사 연구

임호용,임진택,Lim, Ho-Yong,Lim, Jin-Taek 대한물리치료과학회 2005 대한물리치료과학회지 Vol.12 No.3

The purpose of this study was to measure the static foot pressure distribution of children between forefoot and rearfoot, and the percentage of static pressure were measured from 1256 normal children in a primary school by the TPScan(Triple Pod Scan) systemCommercial system). The measurement were performed while standing with their comfortable state using the TPScan system. The static pressure distribution between forefoot and rearfoot was analyzed by paired t-test. The results were as follows: 1. The Pes cavus and Pes planus of students was 4.936%. 2. The Pes cavus were 42 children(3.343%) and Pes planus was 20 children(1.592%). 3. The Pes planus were seen in 42 of 1256 children with Grade I in 11 feet (26.2%), Grade II in 24(57.1%), Grade III in 6(57.1%), Grade IV in zero. 4. Pes planus and Pes cavus were significantly difference in foot pressure between forefoot and rearfoot(P<0.05). The future study needs detailed research and comparison with various variance between theses before and after correction.

편마비환자에게 플라스틱 단하지 보조기착용 전${\cdot}$후 선자세 균형과 동적 움직임에 미치는 효과

임호용,박승규,Lim Ho-Yong,Park Seung-kyu 대한물리치료학회 2005 대한물리치료학회지 Vol.17 No.1

Objective: The purpose of this study were to investigate the standing balance, dynamic activity in hemiplegic patients according to the types of ankle-foot orthosis(AFO) and to determine the most effective type of AFO for gait training. Method: A prospective study was performed for 16 patients with hemiplegia who was able to walk independently. Static balance and dynamic activity were compared in two condition : 1) barefoot and SPAFO, 2) barefoot and HPAFO. Static balance and dynamic activity characteristics were evaluated by Active Balance while they were standing with in two condition AFO and barefoot. Results: There were significant difference in standing balance between barefoot and wearing SPAFO and HPAFO(p<0.05). There were significant difference in dynamic activity balance between barefoot and wearing SPAFO and HPAFO(p<0.05). There were significant difference in gait speed between barefoot and wearing SPAFO and HPAFO(p<0.05). Conclusion: This study showed that wearing SPAFO and HPAFO gave fair amount of improvement to balance and gait ability of hemiplegic patients.

자요벨트(자동차 운전자 요통 벨트)가 요부근육과 운전에 미치는 효과

임호용,조병모 한국장애인재활협회 2007 재활복지 Vol.11 No.2

새로운 팔걸이(MTBSDS)가 편마비환자의 견관절 아탈구에 미치는 효과

임호용,송태호,양대중,박승규 대한임상전기생리학회 2004 대한임상전기생리학회지 Vol.2 No.1

편마비환자에게 플라스틱 단하지 보조기착용 전,후 선자세 균형과 동적 움직임에 미치는 효과

임호용 대한물리치료학회 2005 대한물리치료학회지 Vol.17 No.1

실내 생활공간에서 휠체어 리프트 유니트의 사용만족도 및 수행시간에 관한 비교 연구

임호용,이근민 한국지체.중복.건강장애교육학회 2010 지체.중복.건강장애연구 Vol.53 No.4

The present research has placed an emphasis on the comparison of user satisfaction and performance time of the existing wheelchair lifts with that of the wheelchair lifts moving up and down, and horizontally, produced in order to achieve the aim of action performance of physically impaired persons or wheelchair users with paraparesis inferior. The influence of wheelchair lifts on their performance has been excluded depending on the level of impairment; and,in order to increase the consistency of the study, the present research was implemented targeting healthy adults (8 male and 10 female) who had no experience of using a wheelchair. The experimental design of the present study and the production of research wheelchair lifts were completed from January 2009 to October 2009; and, in order for the measurement of user satisfaction and performance time, it was implemented from March1, 2010 to March 31, 2010. As for the experiment tools,a KWL product possessing the wheelchair lifting function, the imported DWL product, and the research wheelchair lifts produced in order for the present experiment were used and the following findings have been obtained by implementing the analysis of the lifting units. Through one-way analysis of variance(one-way ANOVA) based on the satisfaction level of wheelchair lifts, it was found out that there was no statistically significant difference in stability and durability. It was found out that the research wheelchair lifts showed high difference which was statistically significant in the running speed(p<0.001), the lifting speed(p<0.001), functionality (p<0.001), efficiency(p<0.001), convenience(p<0.001), simplicity(p<0.001), and purchase commitments(p<0.001). The research wheelchair lifts showed high average in terms of user satisfaction as well(p<0.001) which was statistically significant; and the results of measuring the performance time showed that there was a statistically significant difference in single measurement(p<0.001), double measurement(p<0.001) and average performance time(p<0.001) which showed that the performance time of the research wheelchair lifts were effective in comparison to other wheelchair lifts. In addition, it was found out that they showed high negative correlation in stability(r=-.476, r=-.352), which is the factor of user satisfaction in terms of weight and height; they showed a high correlation in the running speed(r=.537), the lifting speed(r=.670), functionality(r=.378),efficiency(r=.539), convenience(r=.626), simplicity(r=.529), and purchase commitments (r=.660) in terms of user satisfaction factors based on performance time. In order to predict the explanatory power that user satisfaction factors have on performance time, the relative importance and predictability was found out by implementing the multiple regression analysis. As a result, the explanatory power,that user satisfaction factor an independent variable used to explain the performance time, appeared to be 71.2%. It appeared to show high explanatory power of 24.5% in stability, 22.7% in efficiency, and 37.6% in convenience at performance time. Based on the findings above, the research wheelchair lifts that were produced and developed in this study are regarded to perform the role of assistive equipment so that the physically impaired persons and wheelchair users can perform actions in villages and daily living space. Henceforth, by applying it to physically impaired persons who actually use wheelchairs, it is judged to be applied as a useful foundation for the development of wheelchair lifts through a more accurate prediction of the functionality and stability of the wheelchair lifts applied in this study. Henceforth, it is thought to be applied effectively as a basic material that can contribute to increasing the improvement of wheelchair users’life. 본 연구는 하지마비 장애인 또는 휠체어 사용자들이 일상 생활공간에서 행위 수행을 위한목적을 달성하기 위하여 상하‧ 수평 이동을 할 수 있는 휠체어 리프트 유니트를 제작하여 기존에 사용되고 있는 휠체어 리프트와의 사용만족도 및 수행시간의 비교에 연구 중점을 두었다. 장애 정도에 따라 휠체어 리프트의 수행에 미치는 영향을 배제하고, 연구의 일관성을높이기 위해 휠체어 사용 경험이 없는 건강한 성인 남녀(male=8, female=10)를 대상으로 본연구를 실시하였다. 본 연구의 실험 설계 및 연구용 휠체어 리프트 유니트의 제작은 2009년 1월∼2009년 10월까지 완료하였으며, 사용만족도 및 수행시간 측정을 위해 2010년 3월 1일에서 2010년 3월31일까지 실시하였다. 실험 도구는 휠체어 리프트 기능을 갖춘 KWL 제품과 수입된 DWL 제품을 본 실험을 위해 제작된 연구용 휠체어 리프트 유니트(RWL)와 비교하여 다음과 같은 결과를 얻었다. 휠체어 리프트의 사용만족도에 따른 일원배치분산분석을 통해 안정성과 내구성에서는 통계적으로 유의한 차이가 없는 것으로 나타났으나, 리프트속도(p<0.001), 기능성(p<0.001),효율성(p<0.001), 편리성(p<0.001), 간편성(p<0.001), 구입의사(p<0.001)에서 연구용 휠체어 리프트 유니트에서 통계적으로 유의하게 높은 차이를 보이고 있는 것으로 나타났다. 수행시간을 측정한 결과, 통계적으로 유의한 차이를 보여, 연구용 휠체어 리프트의 수행시간이 휠체어 리프트에 비해 효과적인 것으로 나타났다. 또한 체중과 신장에서 사용만족도 요인인 안정성에서 높은 부적상관(r=-.476, r=-.352)을 보였으며, 수행시간에 따른 사용만족도 요인에서는 주행속도(r=.537), 리프트속도(r=.670), 기능적(r=.378), 효율성(r=.539),편리성(r=.626), 간편성(r=.529), 구입의사(r=.660)에서 높은 상관을 보였다. 사용만족도요인이 수행시간에 미치는 설명력을 예측하기 위해 다중회귀분석을 실시하여 상대적인 중요도 및 예측력을 파악한 결과, 독립변수인 사용만족도가 수행시간을 설명하는 설명력이71.2%로 나타났으며, 안정감에서 24.5%, 효율성에서 22.7%, 편리성에서 수행시간에 37.6%의높은 설명력을 보이고 있는 것으로 나타났다. 위의 결과를 기초로 본 연구에서 제작‧개발된 연구용 휠체어 리프트 유니트는 장애인 및휠체어 사용자들이 도서 및 일상 생활공간에서 행위 수행을 효과적으로 할 수 있는 보조도구로서의 역할을 수행할 것으로 생각되며, 향후 실제 휠체어 사용 장애인에게 기능성과 안전성에 대한 보다 정확한 연구가 필요하며, 이와 같은 연구는 개발에 유용한 지표로 활용될수 있을 것으로 판단된다. 본 연구는 향후 휠체어 사용 장애인의 재활보조기기의 개발과 삶의 질 향상을 위한 기초자료로 사용될 수 있을 것이라 생각된다.

관절형 및 고정형 플라스틱 단하지 보조기가 편마비환자의 정적,동적 균형에 미치는 효과

임호용,장인수,방요순,안연준,김영록,박승규 대한물리치료학회 2004 대한물리치료학회지 Vol.16 No.3

대학 교양수업에서 교수자 발문행동에 대한 분석연구

임호용 ( Ho Yong Lim ),황청일 ( Chung Il Hwang ) 경희대학교 교육발전연구원(구 교육문제연구소) 2010 慶熙大學校 敎育問題硏究所 論文集 Vol.26 No.2