• Physical Therapy Korea
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• v.6 no.4
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• pp.22-29
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• 1999

본 연구는 건강인에 있어서 발의 세 가지 조건하에서 경사침대를 세울 때 완전히 섰다고 인지하는 각도를 측정하여 스폰지가 고유수용성 감각 변화에 미치는 효과를 알아보는 것이다. 34명의 지원자(남자 15명, 여자 19명)를 대상으로 하였다. 대상자의 연령 범위는 20세에서 31세(평균 $21.4{\pm}2.3$세)이었다. 실험 대상자는 3일에 걸쳐 무작위 방법에 의한 세 가지 조건 중 하루에 한 가지씩 실험하였다. 실험 과정은 6단계로 나뉘었다. 실험 기구는 전동 경사침대를 이용하였으며 맨발로, 낮은 스폰지 혹은 높은 스폰지위에 맨발로 경사침대를 세울 때 '정지'하는 각도를 측정하였다. 연구자 외에 2명의 보조 연구자가(기록자 2, 경사침대 조정자 1) 참여하였다. 맨발, 낮은 스폰지, 높은 스폰지 순으로 경사침대의 평균 각도가 높았으며 통계학적으로 유의한 차이를 보였다. 맨발과 낮은 스폰지, 맨발과 높은 스폰지, 그리고 낮은 스폰지와 높은 스폰지 사이에서 통계학적으로 유의한 차이를 보였다. 성별에 따른 차이는 없었다. 체중이나 키에 따른 차이도 없었다. 본 연구의 결과로 미루어볼 때, 스폰지가 완전히 섰다고 인지하는 고유수용성 감각을 둔화시켰음을 보였다. 앞으로의 환자치료에 있어서 고유수용성 감각 촉진을 위한 치료 프로그램이 필요하며, 환자를 대상으로 한 임상연구가 필요하다고 사료된다.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2008.06a
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• pp.899-900
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• 2008

• Journal of the Korean Society for Precision Engineering
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• v.28 no.12
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• pp.1425-1433
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• 2011

We investigated an early rehabilitation training system that increase the intensity of patient rehabilitation training to shorten the time it takes for patients to progress to a secondary rehabilitation training stage by allowing patients incapable of self-ambulation. It consisted of tilting bed, unstable platform using strong springs and training program for lower limb rehabilitation. We performed experimental study on the muscular activities of tibialis anterior(TA), soleus(SO), gastrocnemius(GA) in the lower extremities during training of straight line, circle, quardrangle pattern during tilting angle of $30^{\circ}$, $60^{\circ}$. The muscle activities were higher during tilting angle of $30^{\circ}$ than $60^{\circ}$. In straight line pattern, the muscle activities were higher by SO, GA and TA during medio-lateral direction, however, by TA, SO and GA during anterio-posterior direction. In circle and quardrangle pattern, the muscle activities were higher by TA, SO and GA during clockwise and counterclockwise direction. The results indicate that the early rehabilitation training system could be applied to improve the lower extremity muscular strength for elderly and patients, especially, stroke.

• Proceedings of the KOSOMBE Conference
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• v.1996 no.11
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• pp.107-110
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• 1996

We proposed a new system for the postural balance rehabilitation training. For the purpose, we used the virtual hiking system using virtual reality technology. We evaluated the system by measuring the parameters such as path deviation, path deviation velocity, cycling time, and head movement. From our results, we verified the usefulness of virtual reality technology in rehabilitation. Our results showed that this system was effective postural balance rehabilitation training device and might be useful as the clinical equipment.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2004.10a
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• pp.944-947
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• 2004

The purpose of this study was to identify the characteristics of muscular power by COP(center of pressure) training according to the angle variation of tilting bed. We changed the angles of tilting bed(up-down direction 0$^{\circ}$, 15$^{\circ}$, 30$^{\circ}$, 45$^{\circ}$ and right-left direction -15$^{\circ}$, 0$^{\circ}$, +15$^{\circ}$) for the correlation between angles and muscular power. And we measured EMG(electormyography) of lower limbs muscle(rectus femoris, biceps femoris, and gastrocnemius, tibialisa anterior) during COP training. COP training was divided by the COP trace training(in all direction) and sine wave trace training(vertical and horizontal direction). As the result, we obtained the improvement effect of COP training and we showed that electromyography(EMG) variations of lower limbs muscle on the angle variations of tilting bed were investigated.

• Journal of the Korean Orthopaedic Association
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• v.54 no.3
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• pp.244-253
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• 2019

Purpose: Total hip arthroplasty was performed using a direct anterior approach (DAA) on an ordinary operation table and a short femoral stem. The clinical radiographic results were evaluated by a comparison with those performed using the modified hardinge (anterolateral approach, ALA) method. Materials and Methods: From January 2013 to November 2015, 102 patients who underwent total hip arthroplasty using DAA (DAA group) and the same number of patients using ALA (ALA group), both performed by a single surgeon, were compared and analyzed retrospectively. The operation time and amounts of bleeding were compared, and the improvement in post-operative pain, ambulatory capacity and functional recovery of the hip joint were checked. The location of insertion of the acetabular cup and femoral stem were evaluated radiologically, and the complications that occurred in the two groups were investigated. Results: The amount of bleeding was significantly smaller in the DAA group (p=0.018). Up to 3 weeks postoperatively, recovery of hip muscle strength was significantly higher in the DAA group (flexion/extension strength p=0.023, abduction strength p=0.031). The Harris hip score was significantly better in the DAA group for up to 3 months (p<0.001) and the Koval score showed significantly better results in the DAA group up to 6 weeks (p≤0.001). The visual analogue scale score improvement was significantly higher in the DAA group by day 7 (p=0.035). The inclination angle (p<0.001) and anteversion angle (p<0.001) of the acetabular cup were located in the safe zone of the DAA group more than in the ALA group, and there was no statistically significant difference in the position of the femur stem and leg length difference. During surgery, two cases of greater trochanter fracture occurred in the DAA group (p=0.155). Conclusion: The DAA performed in the ordinary operation table using a short femoral stem showed post-operative early functional recovery. Because a simple to use fluoroscope was used during surgery with an anatomical position familiar to the surgeon, it is considered to be useful for the insertion of implants into the desired position and for an approach that is useful for the prevention of leg length differences.

• Fire Science and Engineering
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• v.34 no.4
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• pp.52-58
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• 2020

The number of medical welfare facilities caring for the elderly with paralysis and dementia has been increasing rapidly because of the change in the way of supporting the elderly, stemming from an increase in the number of the elderly and working couples. These medical welfare facilities are usually installed all over the city and are gradually becoming high-rise. Few inmates are capable of making their own decisions in case of fire at night and when there are no escape routes such as ramps for evacuation, leading to massive casualties. This study aimed to identify problems in evacuation in the medical welfare facilities for the elderly in Goyang city. This city has the largest number of medical welfare facilities for the elderly per unit area. The following strategies could aid in better evacuation: secure ramps or bed escape elevators; the bedrooms of the inmates should have one-hour fire resistance; the stairs should have the structure of an enclosed stairway; the necessary apparatus for evacuation, such as an escape chute, should be installed; and, to conclude, a business agreement with neighboring agencies to help inmates escape during the fire. The state should implement necessary measures to protect the lives and property of the people. Rapid implementation of this proposal is necessary for the evacuation safety of an increasing number of medical welfare facilities for the elderly.

• Progress in Medical Physics
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• v.9 no.2
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• pp.77-88
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• 1998

Wedge shaped isodoses are desired in a number of clinical situations. Hard wedge filters have provided nominal angled isodoses with dosimetric consequences of beam hardening, increased peripheral dosing, nonidealized gradients at deep depths along with the practical consequendes of filter handling and placement problems. Dynamic wedging uses a combination of a moving collimator and changing monitor dose to achieve angled isodoses. The segmented treatment tables(STT) that monitor unit setting by every distance of moving collimator, was induced by numerical formular. The characteristics of dynamic wedge by STT compared with real dosimetry. Methods and Materials : The accelerator CLINAC 2100C/D at Yonsei Cancer Center has two photon energies (6MV and 10MV), currently with dynamic wedge angles of 15$^{\circ}$, 30$^{\circ}$, 45$^{\circ}$ and 60$^{\circ}$. The segmented treatment tables(STT) that drive the collimator in concert with a changing monitor unit are unique for field sizes ranging from 4.0cm to 20.0cm in 0.5cm steps. Transmission wedge factors were measured for each STT with an standard ion chamber. Isodose profiles, isodose curves, percentage depth dose for dynamic wedge filters were measured with film dosimetry. Dynamic wedge angle by STT was well coincident with film dosimetry. Percent depth doses were found to be closer to open field but more shallow than hard wedge filter. The wedge transmission factor were decreased by increased the wedge angle and more higher than hard wedge filters. Dynamic wedging probided more consistent gradients across the field compared with hard wedge filters. Dynamic wedging has practical and dosimetric advantages over hard filters for rapid setup and keeping from table collisions. Dynamic wedge filters are positive replacement for hard filters and introduction of dynamic conformal radiotherapy and intensity modulation radiotherapy in a future.