• Title/Summary/Keyword: 경수 손상

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Effects of Task-Oriented Training With Functional Electrical Stimulation on Cervical Spinal Cord Injury Patients' Hand Function: A Single-Subject Experimental Design (기능적 전기 자극을 병행한 과제 지향적 훈련이 경수 손상 환자의 손 기능에 미치는 영향: 개별사례 연구)

  • Ko, Seok-Beom;Park, Hae Yean;Kim, Jong-Bae;Kim, Jung-Ran
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.63-77
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    • 2018
  • Objective : The purpose of this study was to investigate the effects of task-oriented training with functional electrical stimulation on hand function in incomplete cervical cord injury. Method : The subjects of the study were 3 adults diagnosed as incomplete cervical cord injury. The design of this study was ABA single-subject research design to compare dominant hand function of before and after intervention and detect individual effects. The experiment consisted of 30sessions, in which baseline process A1 and A2 were implemented 5 sessions each for 10sessions. Intervention B was implemented 20 sessions. The dependent variable was converted to the change of hand function every session, and Canadian Occupational Performance Measure (COPM), Jebsen-Taylor Hand Function Test(JTHFT), Wolf Motor Function Test(WMFT) were selected for outcome measurements. Result analysis was suggested through visual analysis using a graph and comparison of pre, post and follow-up intervention measurements. Results : As a result, the quality and quantity of dominant hand function increased during intervention B compared to the baseline A1 for all subjects. Baseline A2 was also maintained without training. Additionally, JTHFT, WMFT and COPM scores demonstrated improvement and maintain. The follow up JTHFT and WMFT showed increased required time on all subjects and decrease or maintain task performance and satisfaction in COPM. Conclusion : The task-oriented training with function electrical stimulation in this study has been positive effects on hand function and task performance and satisfaction.

경수로 핵연료집합체의 모드해석 및 유동시험 평가

  • 전상윤;김용환;전경락;김재원
    • Proceedings of the Korean Nuclear Society Conference
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    • 1997.05b
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    • pp.46-51
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    • 1997
  • 최근 경수로 핵연료 손상 원인 중의 하나인 연료봉 마모(Fretting Wear)가 지지격자의 스프링력 저하뿐만 아니라 원자로 냉각재 유동에 기인한 집합체 진동(Self-excited Fuel Assembly Vibration)에 의해 유발될 수 있는 것으로 밝혀져 해외 연료공급자들은 새로운 연료개발시 집합체 유동시험을 수행하여 냉각재 유동에 의한 집합체 진동 여부를 확인하고 있다. 본 연구에서는 경수로 핵연료집합체에 대한 모드해석 및 진동시험으로부터 고유진동수 및 진동모드형태를 구하여 모의 집합체 유동시험 결과와 비교 평가하였고 냉각재 유동에 의해 과도한 집합체 진동이 발생됨을 확인하였으며 가연성흡수봉집합체를 삽입한 경우에 대한 유동시험 결과와도 비교하였다. 또한, 이들 집합체의 진동 변위량과 손상 연료의 마모량 분포의 상관성을 비교 평가하였다.

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The Effect of Wind-instrument Centered Music Therapy on Respiration, Oral Motor and Articulation for Patients with Cervical Cord Injury - Case Study - (취주악기를 사용한 음악치료가 경수손상환자의 호흡, 구강운동 및 조음에 미치는 영향 -사례연구-)

  • Kim, Tai youn;Park, Shin ae;Lee, Yong seok
    • 재활복지
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    • v.21 no.1
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    • pp.233-252
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    • 2017
  • The purpose of this study is to investigate the influence on respiration, oral motor and articulation using wind-instrument centered music therapy for patients with cervical cord injury who need continuous train of respiratory muscle. Three patients with cervical cord injury who needed continuous training of respiratory muscle were selected and post data was analyzed. The harmonica using both exhalation and inspiration was selected as an wind-instrument. Each session was taken 30 ~ 40 minutes, once a week from total 6 weeks with small group. Material about every session's work was provided for individual to maintain practice after program. Oral motor and articulation test was done to assess reflecting features of maximal expiratory flow and wind-instrument of factor related breath. Maximal expiratory flow has increased by average 25ml more, articulation has increased by 3.16 points more and the movement of oral motor has increased 11.67 points more than pre-test from the analyzation. In the comparison of the details, the increase of oral motor function was confirmed from scores on the jaw and tongue except for the lips. Based on the results of this study, this study suggests that wind-instrument centered music therapy will be a practical and effective intervention for respiratory rehabilitation in patients with cervical cord injury.

Effect of fludrocortisone in cervical spinal cord injury patients with orthostatic hypotension - randomized controlled trial (경수부 척수손상 환자의 기립성 저혈압에서 플루드로코티손의 효과 - 무작위 대조군 연구)

  • Lee, Do-Hee;Joo, Min-Cheol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.108-115
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    • 2021
  • The purpose of this study was to investigate the therapeutic effect of fludrocortisone in patients suffering from cervical spinal cord injury (SCI) with orthostatic hypotension (OH). Twenty-six patients with cervical SCI diagnosed with OH through a head-up tilt test were randomly assigned, and they were given either conservative treatment or additional fludrocortisone treatment. Fludrocortisone was administered for 2 weeks, increasing from 0.1 mg to 0.2 mg week . Blood pressure (BP), heart rate (HR), and blood parameters were measured at the beginning and after 2 weeks. After 2 weeks of treatment, there was a significant increase in the baseline BP of the treatment groups (p<.05). When analyzing the drop ratio, there was a tendency for a lower orthostatic BP drop in the treatment groups. Mild adverse events were reported in 7.69% of the treatment groups. Fludrocortisone exhibited therapeutic effects such as preventing cardiovascular complications and continuing rehabilitation through increased baseline BP and reduced OH, and can therefore be considered as a treatment option for OH in patients with SCI.

Effects of the Inspiratory Muscle Strengthening Training on the Respiratory Functions and the Quality of Life in Patients with Cervical Spinal Cord Injury Patients (들숨근 훈련이 경수손상환자의 호흡기능 및 삶의 질에 미치는 영향)

  • Shim, Yu-Jin;Moon, Ok-Kon;Choi, Wan-Suk;Kim, Bo-Kyung
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.11
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    • pp.1785-1792
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    • 2013
  • For patients suffering from spinal cord injuries, both of the possibility of having complications with the respiratory system and the related fatal rate are still high, while pneumonia is the most important cause of these fatalities. This research was carried out to find out what effects does a breathing exercise have on the respiratory functions and the improvement in the quality of life. The study was carried out for male patients suffering cervical spinal cord injuries for the purpose of inspiratory muscle strengthening. The objects of the study were 17 non-smoking-at-present male patients with C4 to C6 cervical spinal cord injuries. They had practiced inspiratory muscle strengthening training for three times a week for six weeks. The quality of life and the dyspnea (breathing difficulty) were self-measured before and after the training. As a result, the change in respiratory function was only significantly reduced (p<0.01) within the chronic group. In terms of the changes in the quality of life, the sub-acute group has only seen a significant improvement (p<0.05) for the VT(vitality), while the chronic group has seen significant improvements(p<0.05, p<0.01) in: GH(general health); BP(back pain); and VT(vitality). In this research, the inspiratory muscle strengthening has reduced the dyspnea (breathing difficulties) and improved the quality of life.

Experience of Discharge from Rehabilitation Facility (경수완전손상환자의 재활병동생활 경험 - 퇴원을 중심으로 -)

  • Yee, Oon-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.14 no.1
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    • pp.13-23
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    • 2011
  • Purpose: The purpose of this study was to explore and describe the essence of hospital life concerning discharge from rehabilitation facility as defined by clients with complete quadriplegia. Method: This was a qualitative research using Giorgi's descriptive phenomenology. Four participants with complete quadriplegia were participated. Results: The lived experience of discharge from rehabilitation facility among clients with complete quadriplegia was structured by 10 components and was defined as a life event which those patients felt fears and worries to leave the therapeutic environment and to return to their community with various changes due to their disability. During their hospital stay, the patients with quadriplegia were concerning to prepare proper living conditions and their health conditions so that they could keep their life independent and worthy. They also cherished a hope for cure for their cervical injury even at the moment of discharge. Conclusion: This study suggests developing a discharge program which relieves the clients' emotional burden for discharge from inpatient rehabilitation facility and helps them to take an active role in preparing for returning to their daily life.

Methamphetamine abuse and memory loss (메스암페타민 중독환자의 기억손상)

  • Moon, Mi-Jung;Do, Kyung-Soo;Kim, Dae-Jin
    • Proceedings of the Korean Society for Cognitive Science Conference
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    • 2005.05a
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    • pp.182-185
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    • 2005
  • 메스암페타민 중독환자의 기억 손상을 알아보기 위해 19명의 중독환자와 18명의 정상인을 대상으로 언어기억과 시각 기억을 검사하였다. 언어기억에서는 유의한 차이가 나타나지 않았으나, 시각 기억에서는 유의한 차이가 나타났다. 이 결과는 시각 기억과제에서 계획과 같은 집행기능이 더 요구되었기 때문으로 해석되었다.

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