고유수용성 조절과 시각적 피드백이 만성 편마비 환자의 안정성 한계에 미치는 영향

황병용,Hwang, Byong-Yong 대한물리치료학회 2007 대한물리치료학회지 Vol.19 No.6

Purpose: Hemiplegic patients usually present with difficulties in maintaining their balance. Balance retraining is a major component of a rehabilitation program for patients with neurological impairments. This study compared the effects of prorpioceptive exercise and visual feedback program on the limits of stability (LOS) in chronic hemiplegia patients. Methods: Thirty subjects (mean age $57.0{\pm}9.8$) were recruited. The subjects were divided into a proprioceptive group and a visual group. The subjects for the proprioceptive group participated in the proprioceptive exercise program for 4 weeks, and the visual group were treated with visual feedback training using a Balance Master. Results: At the 4 week follow-up test, the LOS in the proprioceptive group improved significantly in all directions (p<0.05). However, improvement was only observed in the forward direction in the visual feedback group. Therefore, the proprioceptive control approach improves the LOS in chronic hemiplegia patients. Conclusion: These results suggest that compared with physical therapy alone using a proprioceptive control approach to hemiplegia, there was no additional benefit of visual feedback training, such as Balance Master, when administrated in combination with other physical therapy interventions.

지역사회중심재활사업을 위한 기초 조사

황병용 대한물리치료학회 1999 대한물리치료학회지 Vol.11 No.2

The purpose of this study was to obtain basic information about the state of the physically disabled due to neurological impairments in order to provide precise data for planning and evaluating the Community Based Rehabilitation in Uiwang. The results were 1) the total number of registered disabled adults with cerebral vascular accident in this city consulted was 80 and the prevalence rate was 1.05% of total disabled persons, 2) under 100 of the score of activity of daily living(ADL) with the subjects was 41.2% as Functional Independence Measure(FIM), and 3) under 20 of the score of motor ability with the subjects was 45.1% as Motor Assessment Scale(MAS). This results show that rehabilitation program for community based rehabilitation(CBR) should set up for each level of motor ability and ADL.

고유수용성 신경근촉진법의 기초적 이론

황병용,Hwang, Byeong-Yong 대한물리치료사협회 1990 대한물리치료사협회지 Vol.11 No.2

가정방문 물리치료가 뇌졸중 환자의 운동기능과 일상생활동작 수행에 미치는 영향

황병용,이은주,한상덕,Hwang Byong-Yong,Lee Eun-Ju,Han Sang-Duk 대한물리치료학회 2003 대한물리치료학회지 Vol.15 No.4

The purpose of this study was to determine the effects of home visiting physical therapy on the motor function and ADL in the person with chronic stroke. In this study, 50 individuals, lining in Ui-wang city, were chosen by Ui-wang city public health center and the home visiting physical therapy was performed once a week for 8 weeks and scored the MAS, the FIM and the MBI before and after. The results of this study were as follows. (1) The items with the highest score among subscales of the MAS was 'Sitting', the FIM was 'Comprehension', and the MBI was 'Ambulation' and the lowest were the MAS was 'Hand activities', the FIM was 'Bathing', and the MBI was 'Bathing self' respectively. (2) After 8 weeks home visiting physical therapy, average total score of MAS, FIM and MBI were 23.32, 89.00, and 61.72 and MAS and MBI a significant increment(p<0.05) but not FIM. Results shown here indicates that the home visiting physical therapy can result in changed the motor function and the ADL in the person with chronic stroke. Also, the results of this study can provide a reference for the successful therapeutic program in the persons with chronic stroke.

보바스치료 개념에 의한 뇌졸중 재활운동

황병용 대한운동사협회 2003 대한운동사협회 운동사대회자료집 Vol.2003 No.-

시나리오 기반 미래원전산업의 환경변화 전망 및 수출전략 도출

황병용,최한림,이용석 기술경영경제학회 2012 Journal of Technology Innovation Vol.20 No.3

본 연구에서는 시나리오 기반의 전략적 미래예측을 통하여 2030년경 우리나라의 원전산업 분야를 정성적으로 분석하였다. 구체적으로 STEEP맵 작성과 네트워크 분석(Network Analysis)을 활용하여 다차원적인 관점에서 미래원전산업 분야 환경변화 영향요인간의 관계성을 규명하였다. 이어 시나리오 기법을 활용하여 미래원전산업의 핵심 불확실성 요인(Key Uncertainty Factor: KUF)을 중심으로 예상 가능한 3가지의 전략적 시나리오 (Optimistic, Business as usual, Pessimistic)를 생성하고, 해외 원전수출을 위해 정부가 시급히 추진해야 될 시나리오별 공통전략과 최대위험회피 전략도 함께 제시하였다. 본 연구결과를 통해 에너지 가격, 세계 경기 동향, 원전기술 경쟁력, 원전 마케팅 능력 등이 미래 원전산업 분야의 핵심 불확실성 요인으로 작용함을 알 수 있었다. 또한, 실효성 있는 2 기술혁신연구 20권 3호 미래원전 산업의 수출전략 마련을 위해서는‘원전 안전 등 기술력 확보’,‘원전 인력 확보’,‘우라늄 등 안정적 자원 확보’및‘원전 수용성 증대’등에 관한 전략 추진이 중요 정책과제로 상정되어야 함을 제안 하였다. 끝으로 이러한 연구결과에 따른 시사점과 연구의 한계에 대하여 논의하였다.

The Concepts of Bobath Approach for Adult Hemiplegia

황병용 용인대학교 1997 용인대학교 논문집 Vol.13 No.-

A Study on Characteristics of Patients with Physical Therapy Services in Seoul Metropolitan Government Gangbuk-gu Community Health Center

황병용,이상호,정상미,문제강 대한신경치료학회 2015 신경치료 Vol.19 No.1

Purpose This study aimed to examine general characteristics and traits of treatment areas by age of 273 patients who received physical therapy services in seoul metropolitan government gangbuk-gu community health center. Methods This study was based on records and computational data on 273 patients who received physical therapy services in seoul metropolitan government gangbuk-gu community health center from January 2 to December 31, 2013. Results The results are as follows: Regarding general characteristics of the subjects, the rate of females was higher at 66.7% than that of males at 33.3%. As for age, the rate of those in their 70 was highest at 39.5% and regarding disease name, the rate of those who had degenerative arthritis(DA) was highest at 91.2%. The rate of those who were exempted from medical fees was 76.9% and the rate of those who were not classified disabled was 83.5%. The rate of those whose treatment time was 45 minutes was 93.8%. The lumbar area was the area most treated by physical therapy; The rate of those who received physical therapy to the lumbar area was 26.7% in th their 70s or older, 9.9% in those aged between 60 and 69, and 9.5% in those aged under 60. There were no statistically significant differences in treated areas according to age (p> 0.05). Conclusion Through this study, efforts to improve physical therapy services for the elderly with chronic DA who are 60 or older accounting for a majority of physical therapy service users in community service centers and to enhance users' satisfaction by applying detailed rehabilitation exercise programs for frequently treated areas in all age groups are needed.

편마비 환자의 안정성 한계와 신체 요동의 특성

황병용 용인대학교 자연과학연구소 2002 自然科學硏究所論文誌 Vol.7 No.1

The purpose of this study was to determine differences between limits of stability(LOS) and body sway(BS) of the hemiplegic patients and of the healthy subjects. The subjects were 18 hemiplegic patients and age-matched 18 healthy men. LOS of the sagittal and coronal plane, and modified CTSIB were measured using Balance Master. The span of LOS of the hemiplegic patients was significantly shorter than that of the healthy subjects. In all four measurement conditions of the modified CTSIB, the hemiparetic patients had larger sways than the control subjects. Patients' sway on the paretic side was larger than on the nonparetic side, whereas no side differences were detected in the control subjects. Results suggests that a rehabilitation program for balance and walking considers the characteristics of LOS and body sway in the patients with hemiplegia.

보행에서 Central Pattern Generator의 이해 : Understanding the Central Pattern Generator in Human Gait

황병용,김중휘 용인대학교 자연과학연구소 2001 自然科學硏究所論文誌 Vol.6 No.1

An essential feature of human gait is the ability to move from one place to another. The gait, rhythmic and alternating movements of the two legs, is automatic and less cognitive neuronal activity. A central pattern generator(CPG) is a neuronal network capable of generating a rhythmic pattern of motor activity in the absence of phasic sensory input from peripheral receptors. CPG have been identified and analyzed in more than 50 rhythmic motor systems, including those controlling such diverse behaviors as walking, swimming, feeding, respiration, and flying. The basic pattern produced by a CPG is usually modified by sensory information from peripheral receptors and signals from other regions of the central nervous system.