둥근어깨 자세 대상자에게 가슴가동운동, 자가 스트레칭, 테이핑 적용 자가 스트레칭이 폐기능 및 근 긴장도에 미치는 영향

이현수,권신,박윤하,이원빈,신성은,전민준,고준혁,김지혜 임상인체동작과학회 2024 임상인체동작과학회지 Vol.28 No.3

Purpose This study aimed to investigate the effects of different exercise modalities on lung function and muscle tone in individuals with rounded shoulders. Methods Thirty healthy adults with rounded shoulders participated in the study .Each group is as follows. Thoracic mobilization exercise with TheraBand’s and foam rollers, stretching alone, and stretching combined with taping. Pulmonary function and muscle tone were measured three times pre and post intervention, and the average value was used. Results All three exercise groups showed improvements in lung function and reductions in muscle tone. Consequently, no significant differences were observed among the three groups. Conclusion Despite observing positive trends in lung function and muscle tone across all exercise modalities, the lack of statistical significance suggests that none of the three approaches provided a clear advantage. Future research should explore alternative methodologies and personalized exercise regimens to further elucidate the effects of taping during stretching and optimize therapeutic outcomes.

Applicable Effects of 3D-Printed Customized Orthoses and a Rehabilitation Program in Patients with Degenerative Knee Osteoarthritis in the Gangwon Region

양병일,Jeong Jung Woo,Jeong Jae Hoon,Park Shin Kyu,Ma Sung Ryong 임상인체동작과학회 2025 임상인체동작과학회지 Vol.29 No.2

Purpose The purpose of this study was to develop and apply 3D printerbased customized orthotic devices (3DPCO) that reflect the individual biomechanical characteristics of patients with degenerative knee osteoarthritis (DKO). Methods In this study, 14 patients clinically diagnosed with degenerative knee osteoarthritis participated. The study was divided into two groups to compare the functional changes between an experimental group that received a 3D printerbased customized orthosis with osteoarthritis rehabilitation exercises and a control group that performed only osteoarthritis rehabilitation exercises. Both groups underwent training for 40 minutes per day, five times a week, over a 12week period. Results In the withingroup comparison of the research group, the Rearfoot Angle (RFA), which evaluates calcaneal alignment, decreased from 12.71 ± 4.03° before the intervention to 8.57 ± 2.23°, but this change was not statistically significant (p > 0.05). However, the Relative Arch Height, which quantifies the medial longitudinal arch (MLA), increased significantly from 3.35 ± 0.72 mm to 3.78 ± 0.73 mm (p < 0.05). Conclusion The present study confirmed that a 3D printerbased customized orthosis for patients with degenerative osteoarthritis can serve as an effective intervention method by improving the alignment of the ankle and foot and alleviating the pathological mechanism of the knee joint.

Factors Influencing Physical Activity in Korean Older Adults

Lee Do Youn 임상인체동작과학회 2025 임상인체동작과학회지 Vol.29 No.2

Purpose This study aimed to analyze the factors influencing physical activity levels among older adults in Korea. The study classified physical activity into low physical activity (LPA) and moderatetovigorous physical activity (MVPA) and investigated the key determinants affecting MVPA participation. Methods A total of 1,804 participants aged 65 years or older were included. Sociodemographic characteristics, health status, and behavioral factors were examined, and complex sample logistic regression analysis was performed to identify significant predictors of MVPA. Results The results indicated that older age was significantly associated with a lower likelihood of engaging in MVPA (OR=0.930, p=.023). Males were significantly more likely to participate in MVPA compared to females (OR=4.364, p=.001). Additionally, participants who perceived their health status as good were more likely to engage in MVPA than those who rated their health as fair (OR=1.760, p=.039). Conclusion These findings emphasize the need for tailored interventions to promote physical activity among older adults, particularly strategies addressing agerelated declines, gender differences, and perceptions of health status.

Effects of Trunk Stabilization Based on the Bobath Concept on Balance in a Patient with Cerebellar Stroke: A Single-Case Study

Lee Dae Hee,Cha Dong Hyun,전혜주 임상인체동작과학회 2025 임상인체동작과학회지 Vol.29 No.2

Purpose The purpose of this singlecase study was to investigate the effects of trunk stabilization based on the Bobath concept on balance in a patient with cerebellar stroke. The intervention aimed to improve postural control by enhancing trunk stability and extensor muscle activation, which are essential components of the Bobath approach to neurorehabilitation. Methods A 76yearold female patient with cerebellar stroke participated in this case study. The intervention consisted of five sessions over a threeweek period, with each session lasting approximately one hour. The treatment included targeted therapeutic approaches designed to enhance trunk stability and extensor muscle activation Results Following the intervention, notable improvements were observed in the patient's postural alignment while standing against gravity. The Trunk Impairment Scale (TIS) score increased by 3 points, the Berg Balance Scale (BBS) score increased by 10 points, and the Functional Reach Test (FRT) showed a 10 cm improvement. Conclusion A threeweek intervention applying Bobathbased trunk stabilization techniques led to measurable improvements in balance in a patient with cerebellar stroke. These findings support the potential effectiveness of the Bobath concept in enhancing trunk control and balance safety in individuals with cerebellar dysfunction.

The Effects of Stair Gait Training on Heart Rate Variability, Respiratory and Balance in Right Hemisphere Stroke Patients: Pilot study

Na Soo Lim,Lee Jeong Uk,이원덕 임상인체동작과학회 2025 임상인체동작과학회지 Vol.29 No.2

Purpose This study aimed to investigate the effect of stair gait training on heart rate variability, respiratory and balance in Stroke Patients. Methods This study was a pilot study consisting of 10 patients diagnosed with stroke who met the inclusion criteria. They were randomly assigned into two groups: 5 in the study group and 5 in the control group. The study group performed stair walking training, while the control group engaged in traditional physical therapy training. Both groups participated in these exercises three times a week for 30 minutes each session, over a total of eight weeks. Dependent variable measures based on the intervention included spirometry (Pony FX) for respiratory function, heart rate variability monitor (Polar H10) for autonomic nervous system evaluation, and the Berg Balance Scale (BBS) for balance. Results There were no significant differences between the study group and the control group in HRV and BBS, but there was a significant difference in respiratory function between the two groups. Conclusion Stair walking training may have beneficial effects on heart rate variability, respiratory function, and balance in patients with right hemisphere stroke.

Effects of Wearable Robot-assisted Gait Training with Maximum Step Length on Respiratory Function, Balance and Gait in Stroke Patients

Park Ju Ho,Choi Yu Sik,Lim Woo Suk,Ji Mun Hwan,Lee Ju Young 임상인체동작과학회 2025 임상인체동작과학회지 Vol.29 No.2

Purpose This study aimed to investigate the impact of wearable robotassisted gait training with maximum step length on improving the respiratory function, balance and gait in hemiplegia with CVA (stroke) patients. Methods 36 participants were consisted of patients who had experienced a stroke within the past year and agreed to participate in this study. The study group (n1 = 18), in addition to receiving standard neurological treatment, underwent wearable robotassisted gait training with maximum step length. The intervention was conducted for four weeks, three times a week, 30 minutes per day. The control group (n2 = 18) received treadmill gait training with traditional neurological treatment. Both groups were evaluated using the forced vital capacity (FVC), forced expiratory volume in one second (FEV1), postural stability test (PST), berg balance scale (BBS), trunk impairment scale (TIS), timed up & go test (TUG) and 10 meter walk test (10MWT) pre and post the intervention. Results The results showed a significant improvement in FEV1/FVC(%), TIS, TUG, 10MWT in the study group. Conclusion Based on the study's findings, wearable robotassisted gait training with maximum step length can be considered effective in enhancing the respiratory function, balance and gait in stroke patients.

Effects of Pelvic Mobility Exercise Combined with Dynamic Taping on Lumboscaral Angle and Pelvic Tilt in Patients with Low Back Pain

Kim Taek Gyu,Lee Sang Ho,Chang Woo Nam 임상인체동작과학회 2025 임상인체동작과학회지 Vol.29 No.2

Purpose The purpose of this study was to evaluate the effects of pelvic mobilization exercises combined with dynamic taping on range of motion, pain in patients with lower back pain. Methods Patients with lower back pain who met the selection criteria were assigned to the study group (n=15) and the control group (n=15). Each group performed pelvic mobilization exercises combined with taping for 30 minutes a day, three times a week, for four weeks. The Visual Analog Scale (VAS), digital inclinometer were used to measure variable changes between pre, mid, and post intervention during observation. Results The intervention group showed statistically significant differences in the control group at least one point in time on the following measures. There were significant differences in Standing with knee flexion posture Lumbosacral angle (p<0.05), Pelvic Range of motion (p<0.001), and Visual Analog Scale scores (p<0.001). Conclusion Pelvic mobility exercise combined with taping positively affected Pelvic range of motion and pain in patients with low back pain.

The Effects of Elastic Band-Assisted Treadmill Training on Leg Strength and Balance in Patients with Stroke

Jung Da Eun,An Kwang Bin,Chang Woo Nam 임상인체동작과학회 2025 임상인체동작과학회지 Vol.29 No.2

Purpose This study was conducted to investigate the effects of elastic bandassisted treadmill training on leg muscle strength and balance ability in stroke patients. Methods The subjects were 30 patients diagnosed with stroke, and they were randomly assigned to the study group and the control group. The study group performed elastic bandassisted treadmill training for 30 minutes once a day, 5 times a week, for a total of 4 weeks. The study group performed elastic bandassisted treadmill training, and the control group performed general treadmill training. The leg muscle strength test was used to evaluate muscle strength. The Berg Balance Scale(BBS) and Plantar Pressure Test(PPT) were used to evaluate balance. Results After the intervention, the study group showed significant muscle strength improvements in both the paretic and nonparetic sides compared to the control group (p<.05). There were significant increases in muscle strength in the paretic side hip flexors, hip extensors, hip abductors, knee flexors, knee extensors, dorsiflexors, and plantar flexors on the paretic side, as well as in the same muscle groups on the nonparetic side. There were significant improvements in the total score and dynamic balance items of the BBS(p<.05). There were significant increases in the pressure area and pressure print on the paretic side, as well as a significant decrease in the pressure print on the nonparetic side, indicating improved balance in weight distribution(p<.05). Conclusion That elastic bandassisted treadmill training was an effective intervention for improving leg muscle strength and balance in stroke patients. Purpose This study was conducted to investigate the effects of elastic bandassisted treadmill training on leg muscle strength and balance ability in stroke patients. Methods The subjects were 30 patients diagnosed with stroke, and they were randomly assigned to the study group and the control group. The study group performed elastic bandassisted treadmill training for 30 minutes once a day, 5 times a week, for a total of 4 weeks. The study group performed elastic bandassisted treadmill training, and the control group performed general treadmill training. The leg muscle strength test was used to evaluate muscle strength. The Berg Balance Scale(BBS) and Plantar Pressure Test(PPT) were used to evaluate balance. Results After the intervention, the study group showed significant muscle strength improvements in both the paretic and nonparetic sides compared to the control group (p<.05). There were significant increases in muscle strength in the paretic side hip flexors, hip extensors, hip abductors, knee flexors, knee extensors, dorsiflexors, and plantar flexors on the paretic side, as well as in the same muscle groups on the nonparetic side. There were significant improvements in the total score and dynamic balance items of the BBS(p<.05). There were significant increases in the pressure area and pressure print on the paretic side, as well as a significant decrease in the pressure print on the nonparetic side, indicating improved balance in weight distribution(p<.05). Conclusion That elastic bandassisted treadmill training was an effective intervention for improving leg muscle strength and balance in stroke patients

Effects of Augmented Reality (AR)-Based Progressive Resistance Exercise on Balance and Physical Self-Efficacy Scale in Elderly Women with Sarcopenia

Yoon Sung- yeuk,Park Jin Hee,Hong Ji Woo,Kim Dong Wook,Choi Bu Hyun,Park Gun Hee,Lee Hee Chan,고준혁,김정선,이원덕,Kim Ji Hye 임상인체동작과학회 2025 임상인체동작과학회지 Vol.29 No.2

Purpose This study aimed to investigate the effects of augmented reality (AR)based resistance exercise on balance and physical selfefficacy in elderly women with sarcopenia. Methods Ten women aged 65 years or older with sarcopenia were randomly assigned to either an ARbased resistance exercise group (AREG, n = 5) or a general resistance exercise group (GREG, n = 5). Both groups participated in 50minute exercise sessions, three times per week, for four weeks. Outcome measures included the Functional Reach Test (FRT), Timed Up and Go (TUG), OneLegged Stand Test (OLS), and the Physical SelfEfficacy Scale (PSES). Results Four weeks of ARbased resistance training resulted in significant improvements in balance and physical selfefficacy among sarcopenic older women. Compared to conventional resistance exercise, ARbased training demonstrated superior outcomes in FRT, OLS, and PSES. Although TUG results were not statistically significant, the trend favored ARbased training. These findings suggest that real time visualauditory feedback and interactive task execution may enhance postural control and psychological confidence. ARbased exercise appears to be a feasible and potentially superior intervention for improving balancerelated outcomes in this highrisk population. Further research is needed to confirm longterm effects and transferability to gait and fall prevention. Conclusion Despite improvements in balance and selfefficacy after four weeks of augmented realitybased resistance training in elderly women with sarcopenia, significant differences emerged only in oneleg standing and selfefficacy, favoring the AR group. No betweengroup differences were found in functional reach or timed up and go. These findings suggest that AR training may enhance static balance and psychological outcomes. Future studies should explore longterm and personalized AR interventions to maximize rehabilitation benefits in this population.

Effects of the Spencer Technique Combined with Injection Therapy on Pain and Range of Motion in Middle-aged Patients with Adhesive Capsulitis

백창윤,Hyeong-Dong Kim,Yu-Sik Choi,Jung-Hoon Ahn 임상인체동작과학회 2025 임상인체동작과학회지 Vol.29 No.3

Purpose This study evaluated the effects of the Spencer technique combined with injection therapy (STIT) on pain, range of motion (ROM), and function in patients with adhesive capsulitis. Methods This study was designed as a nonrandomized, prospective comparative study involving patients with adhesive capsulitis (frozen shoulder) (n = 30). Participants were allocated to either the STIT group (n = 15; mean age: 52.47 ± 3.98) or the control group (n = 15; mean age: 49.40 ± 6.43). Both groups received injection therapy over a period of 3 weeks. In addition, the STIT group received the Spencer technique twice weekly for 3 weeks. Assessments were performed at baseline and after the 3week intervention period using ROM, numeric rating scale (NRS), and Shoulder Pain and Disability Index (SPADI). Results Withingroup analyses (paired t test) showed significant improvements in ROM, NRS, and SPADI in both groups (p < 0.001). Analysis of covariance, adjusting for baseline scores, revealed significantly greater improvements in ROM and greater reductions in pain and disability in the STIT group compared with controls (p < 0.001). Conclusion The findings of this preliminary study suggest that STIT results in significantly greater improvements in shoulder ROM, pain reduction, and functional outcomes compared to injection therapy alone, even within a short term, 3week intervention period. These results indicate that the Spencer technique may serve as an effective adjunct to injection therapy for enhancing clinical outcomes in patients with adhesive capsulitis, even over a short intervention period