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Anticipatory Postural Adjustment in Selected Trunk Muscles Associated With Voluntary Arm and Leg Movement in the Persons With Stoke (뇌졸중 환자에서 수의적인 상·하지 움직임 시 선택적인 체간 근육의 선행적 자세조절)

  • Jung, Kyoung-Sim;Jung, Yi-Jung
    • Physical Therapy Korea
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    • v.16 no.2
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    • pp.1-8
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    • 2009
  • Anticipatory postural adjustments is an example of the ability of the central nervous system to predict the consequence of the mechanical effect of movement on posture and helps minimize a forth coming disturbance. The aim of this study was to evaluate the sequence of activation of the trunk muscles during the performance of hip and shoulder movement and to determine the relationship between anticipatory activity and subjects' motor and functional status in subjects with hemiplegia post stroke. Twenty-four poststroke hemiparetic patients enrolled in this study. Electromyographic activity of the lumbar erector spinae, latissimus dorsi, and of the obliquus internus muscles was recorded bilaterally during flexion of both arm and from the rectus abdominis, obliquus externus, and obliquus internus muscles during flexion of both hip. Onset latencies of trunk muscles were partially delayed in the subjects with hemiplegia post stroke (p<.05). With upper limb flexion, the onset of erector spinae muscle and latissimus dorsi muscle activity preceded the onset of deltoid on both side respectively (p<.05). A similar sequence of activation occurred with lower limb flexion. Also the onset of external oblique muscle and rectus abdominis muscle activity preceded the onset of rectus femoris muscle on both side (p<.05). Major impairments in the activity of trunk muscles in hemiparetic subjects were manifested in delayed onset between activation of pertinent muscular pairs. These problems were associated with motor and functional deficits and warrant specific consideration during physical rehabilitation of post stroke hemiparetic patients.

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The Effect of Visual Bio-feedback Training on Balance and Postural Control in Stroke Patients (시지각 바이오피드백 훈련이 뇌졸중 환자의 균형 및 자세조절에 미치는 영향)

  • Lim, Soo-Jeong;Lee, Jong-Soo;Kim, Na-Ra;Kim, Seong-Sik;Lee, Byoung-Hee
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.1
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    • pp.137-148
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    • 2011
  • Objectives : This study was to investigate the visual bio-feedback training for 5 weeks on balance and postural control for patients with stroke. Methods : The 26 subjects were randomly selected from the patients of the E hospital in the S city who met the study conditions. They were divided into a visual bio-feedback training group of 13 patients and a self-resistance exercise group of 13 patients. The visual bio-feedback training group received visual bio-feedback and general physiotherapy for five weeks and the self-resistance exercise group received cycling and general physiotherapy for the same period. The subjects were measured and compared for stability index, weight distribution index, fall down index, functional reach test and timed up and go test before and after the program. Results : The visual bio-feedback training group showed significant changes after the experiment in stability index, weight distribution index, functional reach test and timed up and go test(p<0.05), and the self-resistance exercise group also showed significant differences(p<0.05). The changes between prior to and after the experiment show that the visual bio-feedback training group had more significant effects than the self-resistance exercise group(p<0.05). Conclusions : The visual bio-feedback training for five weeks had effects in the improvement of the balance and posture control of stroke patients. Based on these results, more effective training programs should be developed and propagated.

The Effect of Abdominal Muscle Contraction Using Waist Circumference Change Sensors on Trunk Muscle Endurance and Postural Control in Healthcare Workers (허리둘레 변화 감지기를 이용한 복부수축이 보건의료 종사자의 몸통 근지구력과 자세조절에 미치는 효과)

  • Yu, Geun-Soo;Kim, Chang-Beom;Cho, In-Ho
    • PNF and Movement
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    • v.17 no.3
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    • pp.451-461
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    • 2019
  • Purpose: This study identified the effect of abdominal muscle contraction using changes in waist circumference for healthcare workers with back pain due to inadequate posture during working hours. Methods: In this study, we provided educational training focused on posture alignment and utilized waist circumference change sensors to induce the contraction of abdominal muscles as a method to address low back pain in healthcare workers. All 32 participants received the same training and then were assigned to two groups: wearing the keeping core band (CB) and not wearing the keeping core band (NCB). For the CB group, the waist circumference change sensor was applied for 6 weeks during working hours. Wilcoxon's signed-ranks test and paired t-tests were used to compare the differences between the groups. All statistical significance levels were set to α=0.05. Results: Trunk muscle endurance increased significantly in the CB group. There was no significant difference in stability index to evaluate static postural control, but active hip abduction tests, which evaluate dynamic postural control, showed significant decrease in the CB group. Conclusion: These results suggest that the induction of abdominal contraction using the waist circumference change sensor may improve the trunk muscle endurance and the postural control ability of the hip and pelvis of healthcare workers.

Effects of Psychomotorik and Sensory Integration on the Motor Skills of Children with Development Disabilities (심리운동과 감각통합치료가 발달장애유아의 운동기술에 미치는 영향)

  • Kim, Il Myeong
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.647-654
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    • 2018
  • This study was designed to compare the effects of individual sensory integration treatments on the improvement of motor skills and group psychomotorik activities that produce a wide range of interactions with peers. The research targets two 4-year-old children, who are currently in the main building, and 40 minutes of psychomotorik and sensory integration treatment were applied to them twice a week from April 2017 to January 2018. The study method used assessment tools such as B-O test, DeGangi-Berk Test of Sensory Integration (TSI), and MOT4-6 respectively. The results of the study showed that programs in both areas had positive effects on motor skills, with significantly improved performance in balance and postural control, in particular.

Patient Position Verification and Corrective Evaluation Using Cone Beam Computed Tomography (CBCT) in Intensity.modulated Radiation Therapy (세기조절방사선치료 시 콘빔CT (CBCT)를 이용한 환자자세 검증 및 보정평가)

  • Do, Gyeong-Min;Jeong, Deok-Yang;Kim, Young-Bum
    • The Journal of Korean Society for Radiation Therapy
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    • v.21 no.2
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    • pp.83-88
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    • 2009
  • Purpose: Cone beam computed tomography (CBCT) using an on board imager (OBI) can check the movement and setup error in patient position and target volume by comparing with the image of computer simulation treatment in real.time during patient treatment. Thus, this study purposed to check the change and movement of patient position and target volume using CBCT in IMRT and calculate difference from the treatment plan, and then to correct the position using an automated match system and to test the accuracy of position correction using an electronic portal imaging device (EPID) and examine the usefulness of CBCT in IMRT and the accuracy of the automatic match system. Materials and Methods: The subjects of this study were 3 head and neck patients and 1 pelvis patient sampled from IMRT patients treated in our hospital. In order to investigate the movement of treatment position and resultant displacement of irradiated volume, we took CBCT using OBI mounted on the linear accelerator. Before each IMRT treatment, we took CBCT and checked difference from the treatment plan by coordinate by comparing it with the image of CT simulation. Then, we made correction through the automatic match system of 3D/3D match to match the treatment plan, and verified and evaluated using electronic portal imaging device. Results: When CBCT was compared with the image of CT simulation before treatment, the average difference by coordinate in the head and neck was 0.99 mm vertically, 1.14 mm longitudinally, 4.91 mm laterally, and 1.07o in the rotational direction, showing somewhat insignificant differences by part. In testing after correction, when the image from the electronic portal imaging device was compared with DRR image, it was found that correction had been made accurately with error less than 0.5 mm. Conclusion: By comparing a CBCT image before treatment with a 3D image reconstructed into a volume instead of a 2D image for the patient's setup error and change in the position of the organs and the target, we could measure and correct the change of position and target volume and treat more accurately, and could calculate and compare the errors. The results of this study show that CBCT was useful to deliver accurate treatment according to the treatment plan and to increase the reproducibility of repeated treatment, and satisfactory results were obtained. Accuracy enhanced through CBCT is highly required in IMRT, in which the shape of the target volume is complex and the change of dose distribution is radical. In addition, further research is required on the criteria for match focus by treatment site and treatment purpose.

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The Study on Risk Factors Analysis and Improvement of VDT Syndrome in Nuclear Medicine (핵의학과 Video Display Terminals Syndrome 유해 요인 조사 및 개선에 관한 연구)

  • Kim, Jung-Soo;Kim, Seung-Jeong;Lee, Hong-Jae;Kim, Jin-Eui;Kim, Hyun-Joo;Han, In-Im;Joo, Yung-Soo
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.1
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    • pp.61-66
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    • 2010
  • Purpose: Recently, Department of Nuclear Medicine have an interest in Video Display Terminals (VDT) syndrome including musculoskeletal disorders, ophthalmologic disorders, trouble of electromagnetic waves and stress disorders occur to VDT workers as the growing number of users and rapid pace of service period supply in large amount. This study research on the actual condition for VDT syndrome in Nuclear Medicine, Seoul National University Hospital (SNUH), discover the problem and draw a plan of upcoming improvement. The aim of this study establish awareness about VDT syndrome and is to prevent for it in the long run. Materials and Methods: Department of Nuclear Medicine, SNUH is composed Principle part, Pediatric part and PET center. We estimated risk factors visit in each part directly. Estimation method use "Check list for VDT work" of Wonjin working environment health laboratory and check list is condition of VDT work, condition of work tables, condition of chairs, condition of keyboards, condition of monitors, working position, character of health management and other working environment. Analysis result is verified in Department of Occupational and Environment, Hallym University Sacred Heard Hospital. Results: As a result of analysis, VDT condition of Department of Nuclear Medicine, SNUH is rule good. In case of work tables, recent of things are suitable to users upon the ergonomical planning, but 15% of existing work tables are below the standard value. In case of chairs are suitable, but 5% of theirs lost optimum capacity become superannuated. The keyboards are suitable for 98% of standard value. In case of monitors, angle control of screen is possible of all, but positioning control is impossible for 38%. In case of working position, 10% is fixed positioning for long time and some of the items researched unsuitable things for standard. At health management point, needed capable of improvement. Also, other working condition as lighting, temperature, noise and ventilation, discovered the problem, but is sufficient to advice value. Conclusion: VDT syndrome is occurrences of possibility continuously, come economical expensive about improvement, is inherent in various causes and originate without your knowledge. So, there is need systematic management system. In Nuclear Medicine, VDT syndrome make it better that constant interest and effort as improvement of ergonomical working environment, improvement of working procedure, regular exercise and steady stretching, and can be prevented fairly. This promote physical and mental condition of worker in top form in comfortable working environment, so this is judged by enlargement of operations efficiency and rising of satisfaction ratings of the inside client.

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Effects of core training on abdominal muscle strength, sagent lump, Y-balance and equilibrium sensory control in freestyle skiers (코어 훈련이 프리스타일 스키 선수들의 배근력, 서전트 점프, Y-자 검사 및 평형감각 조절 능력에 미치는 효과)

  • Jung, Chul;Park, Woo-Young
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.2
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    • pp.608-617
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    • 2021
  • The purpose of this study was to investigate the effects of 8 weeks of core training on the abdominal muscle strength, sargent lumps, Y-balance and equilibrium freestyle skiers'. Fourteen freestyle players were randomly assigned to the exercise group(Ex)(n=7) and control groups(Con)(n=7). Ex undertook a 8-week training program that included exercises for the Bench, Sideway bench, and Nordic hamstring whereas Con performed their usual activities. Muscular fitness were significant effect observed, but there was no difference between groups. The Y-balance test was effective in the front left, and the left and right left posteromedial showed significantly differences between the groups. In the total score, the Ex decreased to 7.5cm in the left and right difference and 1.66cm in the post, but the control group increased from 3.73cm in the pre-test to 7.01cm in the post-test. In the Equilibrium test, there was significant result in condition(C) in C2, C5, and C6. In conclusion, the 8-week core training was found to have a beneficial effect on the postural control in freestyle skiers'.

Design by improvement of main parts of garlic planter (7조식 직립마늘파종기 배종율 개선 설계 및 제작)

  • Lee, Choong Ho;Ha, Jong Woo;Jang, Ji Un;Lee, In Beom;Kim, Hyun Gyung
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2017.04a
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    • pp.86-86
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    • 2017
  • 마늘파종기는 파종기구동부와 파종후 파종홀의 복토역할을 하는 파종기롤러, 지면과의 마찰을 통해 바퀴의 회전토크가 발생하며 발생된 토크는 파종기 내부 동력으로 전달되어 전체 파종시스템(배종, 호퍼캠, 파종부)을 동작 시키는 기능을 수행하는 파종바퀴, 마늘종구를 한알씩 집어올려 중간이송컵으로 이송하는 자세교정컵이 포함된 배종부와 자세교정컵에서 낙하된 마늘종구를 땅속으로 파종하는 파종장치로 구성된다. 배종율 95%, 2립 배종률 5% 성능을 확보할 수 있는 기술이 개발될 경우 세계적으로도 독보적인 기술 우위를 확보할 수 있다. 이와 같은 기본적인 기능을 구현할 수 있는 컨셉모델에 대한 설계를 수행하여 시제품개발 전 기구해석과 구조해석 등을 위한 기본설계를 수행하였다. 배종율 95% 이상을 확보하기 위해서는 기존의 현장경험의 의한 설계 방식으로는 한계가 있기 때문에 시뮬레이션 및 분석 개발이 필요한데, 프레임은 고정밀 마늘종구 배종부 장착을 위한 기본 구조물로써 작동시 동력을 얻기 위한 바퀴와 연계가 되도록 설계되었으며, 호퍼는 배종 수행을 위해 마늘을 저장해 두는 통으로써 배종부와 연결된다. 배종부의 배종판이 회전함에 따라서 배종판의 홈이 호퍼 내로 들어갔다 나오면서 마늘을 집게되며, 동력 전달부는 배종판을 회전시켜주고, 회전 속도 조절을 가능하게 한다. 파종부는 배종부에서 중간컵을 통해 하나씩 공급해준 마늘을 땅에 심는 부분으로서. 프레임의 바퀴 회전과 연동되어 회전하고 설계하였다. 배종판에서 중간컵으로 이송된 마늘을 파종부의 파종컵에 받아 회전하면서 땅속에 파종컵이 묻히면 파종컵이 열리면서 땅속에 마늘을 심는 원리이다. 조간조정은 7조식의 경우 초기설치시 고정되도록 설계되었으며 농촌진흥청 기계화 표준재배안에 따라 의성마늘 기준 $14{\times}14cm$(조간${\times}$주간)를 기준으로 개발하였다. 조간조정은 기계가 설치되면 조정하기 어려우므로 14cm로 설계하였으며, 주간조정은 원형배종장치의 구동기어부의 속도비로 간격을 조정할 수 있도록 기어장치를 설계하였다. 주간조정은 13에서 18cm의 범위에서 작동하도록 설계되었으며, 필요에 따라 간격조절이 가능함. 마늘은 그 크기가 다르고, 형상도 다르기 때문에 종자에 따른 개별적인 파종기술들이 개발되어야하기 때문에 개발 기간이 오래 걸리고, 수익에 비하여 개발비가 과다하게 요구되는 실정인데 축적된 시뮬레이션 툴을 이용한 파종기 분석 기술을 확보할 경우 다른 파종기의 연구 개발에도 크게 도움이 될 것으로 기대되며, 생육측정 실험과 동역학 해석 툴 RecurDyn을 통해 파종기의 기구학적 분석을 통한 설계반영 인자를 도출할 계획이다.

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Development of Design Technology of Korean Style Air-Inflated Double-Layer Plastic Greenhouse (한국형 공기주입 이중피복 플라스틱온실의 설계기술 개발)

  • Lee, Hyun-Woo;Sim, Sang-Youn;Nam, Hyo-Seok;Nam, Sang-Woon;Kim, Young-Shik
    • Journal of Bio-Environment Control
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    • v.18 no.3
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    • pp.185-191
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    • 2009
  • The construction of experimental greenhouses, operating test, and analysis on variation of different environment factors were conducted to provide fundamental data for design of Korean style air-inflated double-layer plastic greenhouse. The development of technology of attaching plastic to the structure and fasteners to be able to keep airtight was required in order to maintain proper static pressure in air space of double layer coverings. The insulation effect of air inflated greenhouse was better than conventional type. The temperature of arch type roof was greater about $2^{\circ}C$ than peach type roof in air inflated greenhouse. It was recommended that the plastic should be attached at the edges without clearance length in order to ease installation and raise airtightness of double layer coverings. The transmittance of arch type roof was greater than peach type in air inflated one span greenhouse. The transmittance of air inflated greenhouse was greater than conventional type due to frame ratio and distance between double layers in three span greenhouse. The condensation occurred on conventional type greenhouse was more than air inflated type. It was required to examine for a long time in order to analyze it quantitatively.

The Effects of the Sensory Integration Intervention Focused on Combined Both Individual Therapy and Group Therapy for Sensory Integration Ability and Occupational Performance Abilities in Children With Somatodyspraxia: Case Study (체성실행장애 아동을 위한 개별치료와 그룹치료를 병행한 감각통합치료가 감각통합능력 및 작업수행능력에 미치는 효과: 개별 실험 연구)

  • Cho, Hye-Jin;Bong, Young-Soon;Lee, Ji-Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.11 no.2
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    • pp.13-26
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    • 2013
  • Objective : The purpose of the study was to investigate The effects of the sensory integration intervention focused on combined both individual therapy and group therapy for sensory integration ability and occupational performance abilities in children with somatodyspraxia. Methods : Once in a total of 12 weeks, baseline period of four sessions and twenty-four session intervention period, research process had combined individual therapy and group therapy for sensory integration therapy. The Design is ABA design of single-subject research design. For a comparison of each-side of the operation performance change in therapy for children, through the assessment Baseline at four sessions and reassessment at two sessions after intervention, the Occupational performance ability change was measured. During intervention period, Process changed the Sensory Integration ability was measured through the Goal Attainment Scale (GAS). Results : The Sensory Integration Ability combined Individual therapy and Group therapy have effect about improvement of the Sensory Integration ability and the Occupational performance ability for children with Somatodyspraxia. Conclusion : Henceforth, subject will undergo systematized experimental design, and when dependent variable such as Sensory Integration ability and the Occupational performance was measured, effect-measuring study needs through using reliable tools.

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