자세조절과 균형에 관한 고찰

채정병,김병조,배성수,Chae, Jung-Byung,Kim, Byung-Jo,Bae, Sung-Soo 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.2

It is important to maintain good habitual posture in daily life. Abnormal body aligament is provoked by excessive tension of bad posture. And these symptom is connected with other disorder of the body like back pain, cervical pain and shoulder pain through inaccurate body mechanism in daily life. This study was searched to figure out effects of factor that how to balance good posture and normal posture. And the other purpose of this study was to make new calculate device for analysis of effective posture in clinic.

몸통 안정화 근육과 보행요소의 상관관계

채정병,정주현 대한고유수용성신경근촉진법학회 2019 PNF and Movement Vol.17 No.1

Purpose: This study aimed to investigate the correlation between trunk stabilization muscle activation and the parameters of gait analysis in healthy individuals. Methods: Thirty healthy adults (15 male, 15 female) with no history of lower back pain (LBP) or current musculoskeletal and neurological injuries were studied. Trunk stabilization muscle activation (e.g., external oblique, internal oblique, transverse abdominis, erector spinae) were assessed using surface electromyography. To analyze gait, we measured temporal parameters (e.g., gait velocity, single support phase, double support phase, swing phase, and stance phase) and a spatial parameter (e.g., H-H base of support). Results: A statistically significant correlation was found between the internal oblique, transverse abdominis, and erector spinae muscle activity and gait velocity, single support phase, double support phase, swing phase, and stance phase. No statistically significant correlation was found between the external oblique muscle activity and the gait velocity, single support phase, double support phase, swing phase, and stance phase. No statistically significant correlation was found between the external oblique, internal oblique, transverse abdominis, and erector spinae muscle activity and the spatial parameter. Conclusion: This study demonstrated that a relationship exists between trunk stabilization muscle activation and temporal parameter (i.e., gait velocity, single support phase, double support phase, swing phase, and stance phase) during gait analysis. Therefore, the trunk’s stabilizer muscles play an important role in the gait of healthy individuals.

기능적 팔 뻗기 시 근 활성에 관한 연구

채정병,Chae, Jung-Byung 대한고유수용성신경근촉진법학회 2013 PNF and Movement Vol.11 No.1

Purpose : This study was assessed muscle activity and onset time in trunk and upper extremity on functional reaching. Methods : The participant was 18 female(young 10, old 8). As functional reaching, we collection data by using EMG(MP150) on transverse abdominis, external oblique, erector spinae, deltoid middle and serratus anterior. Results : 1) In functional reaching, transverse abdominis, external oblique, erector spinae and deltoid middle muscle activity was augmented on old female(p>.05). Serratus anterior was augmented on young female(p>.05). 2) In functional reaching, transverse abdominis and erector spinae muscle onset time is significantly faster old female than young female(p<.05). External oblique and serratus anterior muscle onset time is faster old female than young female(p>.05). 3) As increase of age muscle activity of external oblique was more increased that we found .511 a coefficient correlation and onset time more faster on transverse abdominis and erector spinae were each -.492 and -.554 coefficient correlation. Conclusion : The muscle activity and onset time was difference in functional reaching according to ageing and task context. It is necessary concentration and attention to old female than young female. Therefore, these results suggest that importance of anticipatory postural control and selective strategy of postural control.

임신 말기 임산부의 호흡패턴에 관한 연구

채정병,박래준,배지혜,김광호,신성희,이화진,이희정,임미정,장은정,Chae, Jung-Byung,Park, Rae-Joon,Bae, Ji-Hye,Kim, Gwang-Ho,Shin, Sung-Hee,Lee, Hwa-Jin,Lee, Hee-Jeung,Lim, Mi-Jung,Jang, Eun-Jung 대한물리치료학회 2005 대한물리치료학회지 Vol.17 No.4

Tests of ventilatory function including pulmonary diffusing capacity were made in 18, the last period pregnant women and 20 non pregnant women. During the study was from May 22 to June 4, the subject of study refered 38 women (20 student and the staff of Physical Therapy at Masan college and 18 women who were examined at Masan OO obstetrics Hospital). All the studied subjects had no clinical abnormalities of the cardiorespiratory system. Mean FVC and FEV1.0 were significantly decreased in the last pregnant women compare with that of non pregnant women. All the Other Measurements were not differ from those of non pregnant women. The results of this study were as follows. l. Pregnancy was associated with decrease in mean FVC and FEVl.0, Which at the last period pregnant women were $2.70{\pm}0.58{\iota},\;2.31{\pm}0.53{\iota}$ below the non pregnant women mean $3.03{\pm}0.33,\;2.64{\pm}0.44{\iota}$ : Both changes were statistically significant.(P<0.05) 2. The mean VC, which at the last period pregnant women was $3.15{\pm}0.45{\iota}$ below the non pregnant women mean $3.28{\pm}0.33{\iota}$ and the mean IC $2.21{\pm}0.53{\iota}$ below the non pregnant women mean $2.22{\pm}0.54{\iota}$, but the difference were not statistically significant. 3. The mean ERV, IRV were not statistically significant between non pregnant women and pregnant women. 4. The mean TV were not statistically significant between non pregnant women and pregnant women. 5. The mean FEVl.0(G) were not statistically significant between non pregnant women and pregnant women.

자세변화에 따른 PNF 다리패턴 적용이 반대측 볼기근과 배가로근에 미치는 영향: 예비 연구

채정병,정주현,정다은,Chae, Jung-Byung,Jung, Ju-Hyeon,Jung, Da-Eun 대한고유수용성신경근촉진법학회 2022 PNF and Movement Vol.20 No.2

Purpose: The purpose of this study was to confirm that the activation of the contralateral muscles changes according to posture after applying the proprioceptive neuromuscular facilitation leg pattern. Methods: Ten healthy adults (four males and six females) with no history of current musculoskeletal/neurological injuries were recruited for this study. Abdominal muscle (transverse abdominis) and hip joint muscle (gluteus maximus and gluteus medius) activation was assessed using surface electromyography (Ultium EMG, Noraxon Inc., USA). We evaluated muscle activation during the application of the PNF leg pattern. The data were analyzed using the SPSS version 21.0 program. Results: The results were found to be statistically significantly different in the 90/90 supine posture and sitting posture for the gluteus maximus (p < 0.05). The results were found to be not statistically significantly different for the transverse abdominis according to posture (p > 0.05). The results were found to be not statistically significantly different for the gluteus medius according to posture (p > 0.05). Conclusion: Application of the PNF leg pattern resulted in a significant change in the muscle activation of the contralateral segment according to posture, and the 90/90 supine posture induced high muscle activation of the gluteus maximus. In addition, the activation of the transverse abdominis was high in all three postures.

편마비 환자에서 건측 수부의 적극적 미세 운동 제공을 통한 기능적 독립성의 증가에 관한 연구

채정병,Chae, Jung-Byung 대한물리치료과학회 1999 대한물리치료과학회지 Vol.6 No.4

This study is designed to evaluate the effects of aggressive fine motor exercise of unaffected hand in the hemiplegic patients. The 36 hemiplegic patients were classified into two groups: The experimental 18, who were treated by aggressive fine motor exercise in unaffected hand and the control, 18, who were treated by conventional exercise program. We evaluate the effects of aggressive fine motor exercise by Functional Independence Measure(FIM) and Jebsen Hand Function Test(JHFT) after 6 weeks program. After exercise program, the experimental group showed score change from $43.05{\pm}15.68$ to $58.05{\pm}17.12$ in FIM score and from $24.12{\pm}22.03$ to $55.44{\pm}21.50$ in Jebsen, and the control showed score change from $51.11{\pm}22.61$ to $57.50{\pm}23.66$ in FIM score and from $40.88{\pm}21.17$ to $52.77{\pm}19.42$ in Jebsen. The experimental group had significantly higher score in FIM and JHFT than that of the control group. The aggressive fine motor exercise is beneficial in unaffected hand in the hemiplegic patients.

기능에서 신체분절의 협응과 기여

채정병,Chae, Jung-Byung 대한고유수용성신경근촉진법학회 2017 PNF and Movement Vol.15 No.1

Purpose: This study investigated the coordination and contribution of body segments during functioning. Methods: The relevant literature related to body segments and function were reviewed. Results: Efficient control of function is considered with regard to a participant's ability to perform a sequence of movements in body segments, which progresses from the head to the arm, trunk, pelvis, and leg segments. Each segment performs a specific role, which environment explorer using visual information for the head, reaching and grasping for the arms, a stabilizer for the trunk, and the distribution of COM in the pelvis and leg. Conclusion: During any of the movements, the momentum generated by the proximal segments is transferred to the adjacent distal segments in an appropriate sequence. In assessing function for clinical intervention strategies, the segment coordination, segment sequence, transfer of the center of body mass, asymmetrical ratio, muscle activity, and compensatory strategies should be considered.

무릎 전치환술 환자의 통증과 심리적 안녕에 관한 연구

채정병,정주현 대한고유수용성신경근촉진법학회 2020 PNF and Movement Vol.18 No.2

Purpose: The study investigated pain and falls as psychological factors in Total Knee Replacement patients and examined the relationship between these factors. Methods: Ninety-six total knee replacement patients aged 69.31±7.01 (male: 21, female: 75) participated in the study. Post- surgery pain was assessed on a visual analog scale, and fall risk scores were evaluated on fall fear and fall efficacy scales. Other psychological factors assessed included national anxiety and trail anxiety, fear prevention, Beck depression score, and psychological health measures. The data were analyzed using SPSS version 22.0. Results: A statistically significant correlation was found between pain before surgery and FES fall fear score before surgery (p < 0.05). A statistically significant correlation was found between pain after surgery and PWBS fall fear score after surgery (p < 0.05). A statistically significant correlation was found between state anxiety and PWBS, Trail anxiety (p < 0.05). A statistically significant correlation was also found between trail anxiety and BDI, PWBS (p < 0.05). State anxiety and fear avoidance before surgery were found to affect trail anxiety, and pain before surgery and fall fear score before surgery were found to affect FES. In addition, PWBS was found to affect BDI. Conclusion: The study confirms that increased pain in Total Knee Replacement patients can be a risk factor for falls. In addition, fall fears increase fear avoidance and cause psychological deterioration. This suggests that efforts should be made to reduce pain and to manage psychological factors.

요실금 환자의 물리치료에 관한 연구

채정병 대한물리치료학회 2000 대한물리치료학회지 Vol.12 No.2

The 30 percent or more women who have urinary incontinence have some problem in contraction of perineal muscles. In fact, to increase the strength of perineal muscles, voluntary muscle contraction is more effective than electrical contraction. Electrical stimulation or bio feedback therapy is safe and effective therapy for patients who have complex urinary incontinence, because these therapies can solve the problems of the voluntary perineal muscle contraction these therapies can help women to know to contract the perineal muscles effectively. The combined therapy ie. Electrical stimulation and bio feedback therapy with pelvic muscle training program or bladder drill can be considered as good treatment method. Pelvic floor muscle exercise is importance to make patient itself participate by making to be interested about exercise and by tacking motivations at therapy to themselves.

주의⋅집중훈련 프로그램의 두 가지 과제수행에 따른 뇌파 변화

채정병 대한고유수용성신경근촉진법학회 2014 PNF and Movement Vol.12 No.2

Purpose: The purpose of this study was to investigate changes in EEG through attention. Concentration training and performing tasks are important factors in the improvement of motor learning ability. Methods: In the experiment, 22 healthy people were divided into two groups: the trail making test (TMT) group and the computerized neurocognitive function test (CNT) group. A one-way Neuro Harmony M test to see whether there was a significant difference among the groups. Results: The TMT group showed a significant increase in wave, wave sequence, and wave sequence; however, there were no significant differences in SMR wave, SMR wave sequence, and wave. The CNT group showed increases in wave, wave sequence, SMR wave, SMR wave sequence, and wave sequence; however, there was no significant difference in wave. In EEGs before and after two performance tasks were changed, there were significant differences in wave, SMR wave, SMR wave sequence; however, there were no significant differences in wave sequence, wave, and wave sequence. Conclusion: Attention training and concentration training offer feedback and repetition for constant stimulus and response. Moreover, attention training and concentration training can contribute to new studies and motivation by developing fast sensory and motor skills through acceptable visual and auditory stimulation. .