• Title/Summary/Keyword: 재활기법

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The Effects of Stabilizing Reversal and Rhythmic Stabilization in Proprioceptive NeuromuscularFacilitation Techniques on the Static Balance in Normal Female Adult (고유수용성신경근촉진법의 안정적 반전과 율동적 안정화 기법이 정상 성인 여성의 정적 균형에 미치는 영향)

  • Shin, Jae-Wook;Lee, Seung-Min;Kim, Jwa-Jun
    • PNF and Movement
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    • v.13 no.3
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    • pp.119-125
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    • 2015
  • Purpose: The current study seeks to examine the effects of stabilizing reversal(SR) and rhythmic stabilization(RS) in proprioceptive neuromuscular facilitation (PNF) techniques on static balance in normal female adults. Methods: Subjects included 20 healthy women in their 20s. They were randomly divided into SR and RS groups. To assess static balance before and after PNF intervention, the good balance system was used to measure the interior and exterior center of pressure (COP) movement distance, front and rear COP movement distance before and after the intervention, and velocity moment. Results: Interior and exterior COP movement distance, front and rear COP movement distance, and velocity moment decreased in the SR group, but no statistically significant differences were observed. In the RS group, the interior and exterior COP movement distance declined without any significant difference, while the front and rear COP movement distance and velocity moment significantly decreased. The interior and exterior COP movement distance, front and rear COP movement distance, and velocity moment declined more in the RS group than in the SR group. Conclusion: The findings of the current study indicate that the RS technique is more effective than the SR technique for improving the balance ability of healthy female adults. The results of this study can thus be utilized in the selection of effective interventions for improving the balance ability of healthy female adults.

The effect of Abdominal Drawing-in Maneuver on Chronic Low Back Pin in Office Workers on Lumbar Dysfunction and Balance Ability (사무직 근로자의 만성요통에 대한 복부 드로잉-인 기법이 요부 기능장애와 균형 능력에 미치는 효과)

  • Song, Hyun-seung;Jeong, Yong-sik;Kim, Yoon-hwan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.3
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    • pp.79-87
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    • 2021
  • Objective: To compare the effects of lumbar dysfunction and balance when office workers with chronic back pain performed the abdominal drawing-in maneuver. Methods: A total of 16 office workers with chronic low back pain were included in this study. The participants were randomly divided into two groups: the general and abdominal drawing-in maneuver groups. The intervention was applied for 6 weeks, 3 times a week, 70 min per day. Participants in the general exercise group(n=8) performed the general physical therapy and lumbar flexibility exercise, whereas those in the abdominal drawing-in maneuver group(n=8) performed the general physical therapy and lumbar stabilization exercise using abdominal drawing-in maneuver(3 times/week for 6 weeks). All tests, were the Korean Oswestry disability index (KODI) and balance ability, were completed pre and post-intervention. Results: Significant improvements in the KODI and balance ability test were observed in the abdominal drawing-in exercise group (p<.05), whereas no significant changes (p>.05) were observed in the general exercise group. Conclusion: This study revealed that abdominal drawing-in maneuver can effectively improve the lumbar dysfunction and balance ability of office workers with chronic back pain.

근전도신호를 이용한 노약자/장애인용 재활 보조시스템의 인터페이스기법

  • 장영건;신철규;이은실;권장우;홍승홍
    • Proceedings of the ESK Conference
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    • 1997.04a
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    • pp.107-113
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    • 1997
  • In this paper, an interfacing method to control rehabilitation assitance system with bio-signal is proposed. Controlling with EMG signals method has certain advantage on signal-collecting, but has some drawbacks in the function resolution of EMG signals because data-processing process is not efficient. To improve function-resolution and to increase the efficiency of EMG signal interfacing with rehabilitation assistance system, Multi-layer Perception which is highly effective with static signal and hidden-Markov model for dynamic signal resolving are fused together. In proposed method. The direction and average speed of the rehabilitation assitance system are controlled by the trajectory control and estimation of the moving direction result from the fused model. From the experiment, proposed GMM and 2-level MLP hybrid-classifier yielded 8.6% perception-error rate, improving function resolution. New acceleration control method constructed with 3 nested linear filter produced continuous acceleration paths without the information of destination point. Thus, the mass output caused by non- continuous acceleration-deceleration was eliminated. In the simulation, the necessary calculation, in the case of multiplication, was reduced by 11.54%.

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A study on the lip shape recognition method for the disabled (장애인의 입 모양 인식기법에 관한 연구)

  • 한성현;권오상;이응혁;홍승홍
    • Proceedings of the IEEK Conference
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    • 1998.06a
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    • pp.585-588
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    • 1998
  • 현재의 언어자동인식은 목소리의 음성 정보와 얼굴영상의 화상정보를 병행처리하여 초기의 음성 정보만을 처리한 경우보다 높은 인식률을 가져왔다. 이러한 연구는 언어의 인식에서 뿐만 아니라, 신체가 부자연스러운 장애니에게는 간단한 의미 전달의 수단이나 각종 재활보조기기의 제어 등에도 매우 유용하게 활용될 수 있다. 음성정보처리를 배제한 영상정보처리 면에서, 본 논문의 대상이 되는 장애인은 신체의 부자연스러움으로 인해 처리되는 얼굴의 영상이 정상인과 같은 바른 자세가 되지 못하고, 기울어진다든지 틀어져서 기존의 방법들로는 정상인보다 현저히 낮은 입모양의 인식률을 보인다. 본 논문에서는 기존의 방법들과는 달리 청색 표식을 이용한 색상불할법과 라벨링을 통해 입 모양을 인식하는 방법을 제안하였으며, 이는 장애인과 같은 기울어진 얼굴영상에 대해서도 정상인과 같은 입 모양 인식률을 나타내었다.

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A Study on the Force Reflection Joystick Method or controlling Rehabilitation Assisting System (재활 보조 시스템 제어를 위한 힘 반향 조이스틱 기법에 관한 연구)

  • Hong, J.P.;Lee, E.H.;Kim, B.S.;Kim, S.H.;Hong, S.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.507-510
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    • 1997
  • In this paper, we proposed force reflection method using joystick or controlling rehabilitation assisting mobile robot. We defined reflected orce equation as two terms. One is distance between mobile robot and obstacle, the other is speed of rehabilitation assisting robot. And we found the each gain value which guarantees stable navigation of robot. And we experimented simulation with simulation program supporting virtual 2-D map. Through the experiments, we confirmed force reflection algorithm is efficient when controlling rehabilitation assisting robot.

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Oral-Motor Facilitation Technique (OMFT): Part I-Theoretical Base and Basic Concept (구강운동촉진기술: 1 부-이론적 배경과 기초 요소)

  • Min, Kyoung Chul;Seo, Sang Min;Woo, Hee-soon
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.37-52
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    • 2021
  • Introduction : Oral motor function is basic function of sensory exploration, feeding, and communication, that develops from the fetal stage to childhood. Problems with oral motor function result in difficulty within handling food in the oral cavity, decreased swallowing and feeding skills, difficulty with communication, and problems with oral hygiene. To treat these symptoms, oral motor therapy is provided for normalizing sensory adaptation in the oral cavity, and increasing postural control, oral movement and oral motor function. Discussion : The oral motor facilitation technique (OMFT) was developed for increasing general and integrated oral motor function based on the following: 1) understanding orofacial muscular physiology; 2) a comprehensive approach to sensory·adaptation·behavior·cognition; 3) sensorimotor stimulation by a manual approach; 4) motor control and motor learning theory. The OMFT is a new evidence-based treatment protocol, for children and adults with neuromuscular and oral motor problems. Conclusion : The goal of this article is to provide a theoretical background for OMFT development and the basic concept for the clinical application of OMFT. We hope that this article will help oral motor therapy experts to provide effective therapy in a more professional way.

Heterogeneous Sensor Coordinate System Calibration Technique for AR Whole Body Interaction (AR 전신 상호작용을 위한 이종 센서 간 좌표계 보정 기법)

  • Hangkee Kim;Daehwan Kim;Dongchun Lee;Kisuk Lee;Nakhoon Baek
    • KIPS Transactions on Software and Data Engineering
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    • v.12 no.7
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    • pp.315-324
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    • 2023
  • A simple and accurate whole body rehabilitation interaction technology using immersive digital content is needed for elderly patients with steadily increasing age-related diseases. In this study, we introduce whole-body interaction technology using HoloLens and Kinect for this purpose. To achieve this, we propose three coordinate transformation methods: mesh feature point-based transformation, AR marker-based transformation, and body recognition-based transformation. The mesh feature point-based transformation aligns the coordinate system by designating three feature points on the spatial mesh and using a transform matrix. This method requires manual work and has lower usability, but has relatively high accuracy of 8.5mm. The AR marker-based method uses AR and QR markers recognized by HoloLens and Kinect simultaneously to achieve a compliant accuracy of 11.2mm. The body recognition-based transformation aligns the coordinate system by using the position of the head or HMD recognized by both devices and the position of both hands or controllers. This method has lower accuracy, but does not require additional tools or manual work, making it more user-friendly. Additionally, we reduced the error by more than 10% using RANSAC as a post-processing technique. These three methods can be selectively applied depending on the usability and accuracy required for the content. In this study, we validated this technology by applying it to the "Thunder Punch" and rehabilitation therapy content.

Operative treatment for Proximal Humeral Fracture (상완골 근위부 골절의 수술적 요법)

  • Park Jin-Young;Park Hee-Gon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.168-175
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    • 2003
  • Fracture about proximal humerus may be classified as the articular segment or the anatomical neck, the greater tuberosity, the lesser tuberosity, and the shaft or surgical neck. Now, usually used, Neer's classification is based on the number of segments displaced, over 1cm of displaced or more than 45 degrees of angulation , rather than the number of fracture line . Absolute indication of a operative treatment a open fracture, the fracture with vascular injury or nerve injury , and unreductable fracture-dislocation . Inversely, the case that are severe osteoporosis, and eldly patient who can't be operated by strong internal fixation is better than arthroplasty used by primary prosthetic replacement and early rehabilitation program than open reduction and internal fixation. The operator make a decision for the patient who should be taken the open reduction and internal fixation, because it's different that anatomical morphology, bone density, condition of patient. The operator decide operation procedure. For example, percutaneous pinning, open reduction, plate & screws, wire tension bands combined with some intramedullary device are operation procedure that operator can decide . The poor health condition for other health problem, fracture with unstable vital sign and severe osteoporosis , are the relative contraindication. The stable fracture without dislocation is not the operative indication . The radiologic film of the prokimal humerus before the operation can not predict for fracture evaluation. It's necessary to good radiologic film for evaluation of fracture form. The trauma serise is better than the other radiologic film for evaluation. The accessary radiologic exam is able to help for evaluation of bone fragment and anatomy. The CT can be helpful in evaluating these injury, especially if the extract fracture type cannot be determined from plain roenterogram of the proximal humerus, bone of humerus head. If the dislocation is severe anatomically , we could consider to do three dimentional remodelling. The MRI doing for observing of bony morphology before the operation is not better than CT If we were suspicious of vascular injury, we could consider the angiography.

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Effect of Abdominal Draw In Maneuver in Sitting Position (앉은자세에서 실시하는 복부드로우인기법의 효과)

  • Kim, Seon-Chil;Kim, Shin-Gyun;Kim, Chang-sook
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.3
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    • pp.207-214
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    • 2017
  • The problem of trunk stability is a major factor in back pain.. Abdominal draw in maneuver(ADIM), One of the trunk stabilization exercises to relieve lumbar instability, is a method of inducing selective contraction of the transverse abdominis associated with anticipatory posture control among the abdominal stabilization muscles. ADIM is usually performed with a visual feedback by applying a pressure biofeedback unit(PBU) under the lumbar at the supine position, which is not functional compared to the sitting position. This study was conducted to investigate the effect of ADIM applied in supine and sitting position on 31 healthy men and women. In each posture, muscle activity was measured by rectal abdominis (RA), external oblique (EO), transverse abdominis (TrA)/internal obilique (IO) and erector spinae (ES) using wireless EMG. In the result, there was no significant difference between RA and EO between the two postures and there was a significant difference between TrA / IO and ES. In both postures, the activity of TrA/IO was higher than that of RA, and the effect of ADIM was shown to be the same, whereas TrA/IO and ES showed higher activity in sitting position. This means that the activity of the muscles involved in the postural stability and lumbar stability is increased further in the sitting position. Therefore, ADIM in sitting, which can be applied more easily in daily life, is useful for improving lumbar stability.

A Preliminary Study on Family Function Components Affecting Individual Health and Disease: A Delphi Study (개인의 건강과 질병에 영향을 미치는 가족기능 구성요소에 관한 사전연구: 델파이 연구)

  • Kim, Ah-Ram;Jeong, Seong-Woo;Jeong, Jiin;Kim, Jung-Ran
    • Therapeutic Science for Rehabilitation
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    • v.10 no.3
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    • pp.83-96
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    • 2021
  • Objective : This study aimed to determine Korea-type family function factors that affect individual growth and social activities, and examine check the appropriate contents and domestic culture components based on the McMaster model, a family function evaluation tool, through the Delphi technique. Methods : The Delphi technique was applied to 12 expert panels in fields related to family function. The period lasted 9 weeks, from May to June 2020. The Delphi survey was conducted twice. In the first survey, the domestic culture and appropriate contents of the McMaster model were selected and localized, and expert' opinions about the components were collected using closed and open-ended questions. In the second survey, the fitness and importance of the components were investigated. Results : As a result of the first Delphi investigation, 18 items were deleted from the 53 items presented. After adding 11 items and excluding any overlapping items, a total of 40 items were selected. Subsequently, sentences that were difficult to understand were revised to familiar vocabulary. A second survey was constructed, with an example sentence. In the second Delphi investigation, 33 items were selected. The average content validity ratio for the final selected component was 0.76, and the stability was 0.28. Conclusion : Family function and the factors influencing domestic family function identified though this study can be used to conduct family function evaluations and interventions in clinical sites or relevant research studies.