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발목관절에서 힘과 위치 측면의 고유수용성감각 수준이 균형능력에 미치는 영향
이재선,황선홍,Ree, Jae Sun,Hwang, Seonhong 대한의용생체공학회 2020 의공학회지 Vol.41 No.2
Despite of a lot of studies about proprioception tests, there are little study results to investigate the relationship between the functional movement and proprioception level. In this study, we tried to perform quantitative analysis for the effect of ankle joint proprioception level on the one leg standing postural control ability. Nine healthy people volunteered for this study. Force and position aspects of proprioception were evaluated using the electromyography system (EMG) and mobile clinometer application, respectively. The center of pressure (COP) trajectories, measured by a pressure mat sensor, were used for quantitative analysis of balance for each subject. We computed indices and errors of force and position aspects of proprioception from the EMG and ankle angle. Mean velocity of total and anterior-posterior direction (Vm and Vm_ap), root mean squared distance in anterior-posterior direction (RDap), travel length (L), and area (A) of COP trajectories were also calculated as indices of postural control ability of subjects. Two aspects of proprioception showed the low correlation from each other as previous studies. However, the EMG error of gastrocnemius lateral activation showed a high correlation coefficient with COP variables such as Vm (ρ=0.817, p=0.007), Vm_ap (ρ=0.883, p=0.002), RDap (ρ=0.854, p=0.003), L (ρ=0.817, 0.007) and A (ρ=0.700, p=0.036). Within our knowledge, this is almost the first study that investigated the relationship between proprioception level and functional movement. These study results could support that the ankle joint proprioception facilitation exercise would have positive effects on functional balance rehabilitation interventions.
외부 하중이 어깨관절의 능동적 재위치 검사 결과에 미치는 영향
황지선(Jisun Hwang ),황선홍(Seonhong Hwang) 한국전문물리치료학회 2018 한국전문물리치료학회지 Vol.25 No.2
Background: There are insufficient objective or quantitative evidence for the better intervention to improve proprioception particularly for the application of external load. There are conflicting opinions whether the external load is effective for proprioception improvement or not. Objects: The purpose of this study was to investigate effects of external load on proprioception of shoulder joint quantitatively using 3D motion capture system. Methods: Nine healthy adults joined for this study. They were asked to perform scapular plane abduction motion with attaching reflective markers on the trunk and upper limb. The 3D positions of finger marker, while they performed the same task with and without external load, were recorded and analyzed. Results: All participants showed decreased variable errors in the vertical direction when the external load was applied (p<.02). Even though other directions (y, z) and absolute errors increased, they did not have statistical significances. Conclusion: Based on this study results, the external load application would be effective for shoulder joint position sense improvement.
가속도 주파수분석 방법을 이용한 스마트폰 기반 정적균형평가
황지선(Jisun Hwang),황선홍(Seonhong Hwang) 한국전문물리치료학회 2018 한국전문물리치료학회지 Vol.25 No.3
Background: At present time, smartphones have become very popular and powerful devices, and smartphone applications with the good validity have been designed to assess human balance ability. Objects: The purpose of this study is to evaluate the feasibility of smartphone acceleration in the assessment of postural control ability for six different conditions. Methods: Twenty healthy college-aged individuals volunteered. Static balance ability was measured twice with one-day interval using smartphone application and 3D motion capture system under the six different conditions. Results: Dominant frequencies for each test condition did not show significant differences except for two conditions. The intra-rater correlation coefficient between the first and second tests showed high correlations in six conditions(r>.70, p<.05). Smartphone acceleration and the acceleration calculated from the 3D marker position data showed high correlation coefficient(r>.80, p<.001). Conclusion: Acceleration recorded from a smartphone could be useful assessment variables for balance test in the clinical field.
원통형 물체 쥐기 시 건강한 성인과 척수마비 환자의 최대 손가락 끝 힘 분포 비교
황지선(Jisun Hwang),이재선(Jae Sun Ree),황선홍(Seonhong Hwang) 한국전문물리치료학회 2022 한국전문물리치료학회지 Vol.29 No.1
Background: It is known that hand strength and fingertip force are used as an indicator of muscle strength and are also highly related to the various chronic symptoms and even lifes-pan. To use the individual fingertip force (IFF) as a quantitative index for clinical evaluation, the IFF should be measured and analyzed with various variables from various subjects, such as the normal range of fingertip force and the difference in its distribution by disease. Objects: We tried to measure and analyze the mean maximum IFF distribution during grasp-ing a cylindrical object in healthy adults and patients with spinal cord injury (SCI). Methods: Five Force-sensitive resistor (FSR) sensors were attached to the fingertips of 24 healthy people and 13 patients with SCI. They were asked to grip the object three times for five seconds with their maximum effort. Results: The mean maximum IFF of the healthy adult group’s thumb, index, and middle fin-ger was similar statistically and showed relatively larger than IFF of the ring and small finger. It is a 3-point pinch grip pattern. All fingertip forces of patients with SCI decreased by more than 50% to the healthy group, and their IFF of the middle finger was relatively the largest among the five fingertip forces. The cervical level injured SCI patients showed significantly decreased IFFs compared to thoracic level injured SCI patients. Conclusion: We expect that this study results would be helpful for rehabilitation diagnosis and therapy goal decision with robust further study.