• Journal of Korean Society of Neurocognitive Rehabilitation
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• v.10 no.2
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• pp.27-34
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• 2018

The purpose of this study is to investigate the effect of task training for cognitive activation of upper extremity on upper limb function and activities of daily living and to suggest intervention in rehabilitation treatment. From January to February of 2018, nine stroke patients were arbitrated 30 minutes a day, five days a week, for four weeks. For the experimental group, the therapist has induced the group using the linguistic guidance to patients, so they utilize the cognition strategy. The control group conducted active exercises in a range of motion using the instruments and passive exercises in a range of motion to reduce the stiffness of joints and upper limbs. As muscle strengthening exercises, the patients were assigned to work on the biceps muscle of arm, triceps muscle of arm, and deltoid according to the individual patient's muscular strength level. For the experimental group, the MBI was improved by ten points at maximum, and K-AMPS motor skills showed the improvements of 1.0 logit at maximum, and processing skills showed improvements of 0.6 logits at maximum. In MFT, the maximum improvement was by two points. For the control group, MBI was improved by five points at maximum, and 0.2 maximum improvements were shown in K-AMPS' motor skills and 0.3 maximum improvements in processing skills. MFT showed no change. The conclusion is that the challenges to enable training for stroke patients give a positive impact on upper limb function and activities of daily living.

• Proceedings of the Korean Society of Computer Information Conference
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• 2014.01a
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• pp.143-144
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• 2014

본 논문에서는 뇌졸중 환자의 독립적인 재활운동이 가능할 수 있는 시스템을 제안한다. 뇌졸중은 뇌기능의 부분적 또는 전체적으로 급속히 발생한 장애가 상당 기간 이상 지속되는 상태를 의미한다. 이러한 뇌졸중은 상지 운동을 통해 대뇌 운동피질을 활성화하여 재활 할 수 있어, 의학 분야에서는 운동기구를 이용하여 뇌졸중 환자의 재활을 돕고 있다. 하지만 병원이 아닌 가정에서 운동을 하기에는 운동기구에 비용, 작업치료사의 부재와 같은 환경적인 측면으로 무리가 있다. 따라서 본 논문에서는 가정에서 환자가 독립적인 운동을 할 수 있게 MCU와 Android Application을 이용하여 의료진이 환자의 옆에 없더라도 운동이 가능하고 가이드를 제공하는 스마트한 재활운동기기를 개발하였다. 또한 기존의 재활운동기기는 단순히 운동만 할 수 있었다면, 본 연구에서는 Android Application에서 게임을 제공함으로써 보다 즐겁게 운동이 가능하여 재활의지 증가를 기대해볼 수 있다. 뿐만 아니라 환자의 운동 데이터가 실시간으로 저장되어 병원에서 의료진이 환자의 운동 상태를 파악할 수 있도록 구성함으로 써 향후 뇌졸중 환자의 재활연구분야에 도움이 될 것이라 생각한다.

• Therapeutic Science for Rehabilitation
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• v.4 no.1
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• pp.19-28
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• 2015

Introduction : The Understanding of neurological lesion relating to apraxia will help to predict symptoms according to a lesion and to establish a proper treatment and goal. So, This study will explain causes and mechanism of a movement error of ideomotor apraxia through literature review and also will suggest the evidence using in treatment. Body : Ideomotor apraxia may occur a damage of the production part in praxis system, and is common in damage of a cortex rater than damage of a subcortex. According to study with gesture, movement of upper limbs is relate of left parietal lobe but finger movement is relate of frontal lobe. The visual and tactile stimulation through using real objects could guide into proper movement aside from memory of a skilled action. Conclusion : Praxis can occur through diverse neurological processing and various external stimulations can help praxis processing. Therefore, the treatment of ideomotor apraxia need to use this stimulations.

• Journal of the Korea Convergence Society
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• v.8 no.9
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• pp.357-364
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• 2017

The purpose of this study was to investigate the exercise periods changes of the waist stabilization exercise on the inspiratory and expiratory pressure of stroke patients. Thirty-six stroke patients were divided into 17 lumbar stabilization group(LSEG) and 19 general exercise group(GPEG). In both groups, inspiratory and expiratory pressure using a respiratory pressure device was measured over 4 and 8 weeks. At maximal expiratory pressure, LSEG was significantly increased in Before, 4 weeks and 8 weeks according to the period, but there was no significant difference in GPEG in all periods. At maximal inspiratory presusre, there was no significant difference in LSEG between before-4 weeks and 4-8 weeks, but there was a significant increase in Before-8weeks. There was no significant difference in all periods of GPEG group. There was no significant difference in the amount of change between the two groups. In this study, it was found that the lumbar stabilization exercise was effective in improving the expiratory pressure in the stroke patients. If the stroke patient continues to lumbar stabilization exercise, it is also an effective method for inspiratory pressure. Future studies are expected to study individual respiratory muscle measurements after lumbar stabilization exercise.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.35 no.5
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• pp.459-467
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• 2011

Rehabilitation exercises must maintain a patient's interest and permit a quantitative evaluation of the rehabilitation. We have developed a haptic-device system. When users move a grip, the haptic device provides a virtual force that either assists the movement of their arm or working against it. To investigate the functional effect of this system in a rehabilitation program, we used for five subjects with motor-function disorders and measured the grip position, velocity, force exerted on the grip, and EMG activities during a reaching task of one subject. The accuracy of the grip position, velocity and trajectories patterns were similar for all the subjects. The results suggested that the EMG activities were improved by applying the virtual force to the grip. These results can be used for the development of rehabilitation programs and evaluation methods.

• 건강소식
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• v.36 no.10
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• pp.44-45
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• 2012

어깨통증은 매우 흔한 질병이지만 원인과 증상이 다양해 잘못된 진단과 처치로 적당한 치료시기를 놓치기 쉽다. 파스를 붙이는 것에서부터 물리치료, 운동요법 등 병원을 찾기 전 환자 스스로 해볼 만한 여러 대안이 많다는 점도 이런 이유 중 하나다. 어깨통증은 간단한 방법으로 치료되거나 자연스레 낫기도 한다. 하지만 통증이 너무 오래 동안 지속되거나 악화되면 반드시 어깨를 전문으로 보는 병원을 찾아 진단을 받는 게 중요하다.

• Journal of Korean Orthopaedic Sports Medicine
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• v.9 no.1
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• pp.16-21
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• 2010

The prevalence of overuse syndrome in the lower extremity including chronic compartment syndrome and stress fracture is increasing with popularity of sports activities. Chronic compartment syndrome is defined as elevation of the interstitial pressure during exertional activities in a closed osseofascial compartment that results in microvascular compromise and operative procedures can be necessary if conservative treatments fail. Stress fracture can be classified as fatigue and insufficiency fracture; stress fracture occurs by repeated strain under abnormal conditions from the patient's activity whereas insufficiency fracture does by those from a process intrinsic to the bone. Most stress fractures occur in the lower extremity, most commonly in the tibial region. Fatigue fractures begin in athletes with the change in their training programs. The radiographic findings are usually diagnostic or at least strongly suggestive and MRI has proven to be a beneficial diagnostic tool for difficult diagnostic cases. Fatigue fractures are treated with a decrease in activity, but surgical procedure may be necessary in those in anterior cortex of the tibial diaphysis.

• The Journal of Korean Academy of Sensory Integration
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• v.7 no.2
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• pp.1-12
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• 2009

Objective : The purpose of this study is to find out whether group approach of sensory integration (SI) enhances sensory processing, fine motor function, and social skill for the children with sensory integration disorders. Method : Three children with problems related in sensory integration had got received 21 intervention sessions. We evaluated children with sensory profile(SP), social maturity test, Korean-developmental test of visual perception(K-DTVP), Bruininks-Oseretsky Test of Motor Proficiency(BOTMP) before-and after intervention. The statistical significance of data is tested by the Wilcoxon matched-pair signed rank test. Results : All data of post-intervention did not show any statistically significant differences; SP, social maturity test, K-DTVP, BOTMP. Conclusions : This study is to verify the effect of group SI intervention on sensory processing, fine motor function, and social skill for children with sensory integration disabilities. The results were not statistically significant. However, the average score after SI intervention has been improved in the section of fine motor and social skill comparing to that of pre-intervention period. It would have positive impact for children with sensory integration disabilities. It is needed to study with the larger number of target children and more often treatment session are suggested. The confounding variables also should be controlled in the further study.

• Journal of Oral Medicine and Pain
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• v.31 no.2
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• pp.177-183
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• 2006

The management of refractory pain and limitation of mouth opening in the temporomandibular joint (TMJ) is both challenging and controversial. Arthrocentesis is a simple technique and it can be used instead of more invasive surgical procedures for patients who failed to conventional conservative treatments. The patients in this case report had complained persistent severe pain and restricted mandibular movement of TMJ, although they had been treated with conservative therapy, e.g., stabilization splint therapy, behavioral therapy, physical therapy, pharmacological therapy. Therefore we employed arthrocentesis for these patients, and they showed significant reduction of pain and improvement of mandibular movement after repetitive arthrocentesis. We recommend arthrocentesis as an effective, minimally invasive technique for patients with continuing severe pain and restricted mobility in the TMJ that is unresponsive to conservative management.

• The Monthly Diabetes
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• s.144
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• pp.82-83
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• 2001

평소에 철저한 혈당관리, 고혈압 치료, 운동을 위시한 체중감량, 술, 담배절제, 과식, 짠 음식, 기름진 음식을 주의 및 관리해야 한다. 요즘은 치료 및 예방에 대한 정보는 각종 매체를 통하여 많이 알려져 있고 또 환자들 스스로 알고 있으나 그것을 실천하지 않는 것이 문제이다. 본인들 스스로 해야 할 운동, 식사요법, 금연을 철저히 실행에 옮겨야 한다. 물론 고혈압, 고지혈증, 당뇨병 조절을 위한 약재를 필요시 담당의사의 지시에 따라 잘 복용해야 하며 심장 합병증을 위시한 각종 합병증에 대한 정기적인 검사가 필요하다.