• Title/Summary/Keyword: 환자자세

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Evaluation of Setup Usefulness of CBCT using Rando Phantom (인체 팬텀(Rando Phantom)을 이용한 CBCT의 Setup 유용성 평가)

  • Jang, Eun-Sung
    • The Journal of the Korea Contents Association
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    • v.11 no.7
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    • pp.234-238
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    • 2011
  • This paper will evaluate the usefulness of 3D target of CBCT by comparing human body's posture and position when simulated treatment is being carried out as well as human phantom posture and position using CBCT which is applying OBI. From the Rando Phantom which is located in the datum point moved in parallel and rotationary direction using CBCT. Then the mean and standard deviation difference on images location difference that are acquired were compared with real the Rando Phantom' moved distance. To make a plan of simulated treatment with the same procedure of real radiation therapy, we are going to setup the Rando Phantom. With an assumption that the position is set in accurate place, we measured the setup errors accroding to the change of the translation and rotation. Tests are repeated 10 times to get the standard deviation of the error values. The variability in couch shift after positioning equivalent to average residual error showed lateral $0.2{\pm}0.2$mm, longitudinal $0.4{\pm}0.3$mm, vertical $-0.4{\pm}0.1$mm. The average rotation erroes target localization after simulated $0.4{\pm}0.2$ mm, $0.3{\pm}0.3$ mm, and $0.3{\pm}0.4$ mm. The detection error by rotation is $0{\sim}0.6^{\circ}$ CBCT 3D/3D matching using the Rando Phantom minimized the errors by realizing accurate matching during simulated treatment and patient caring.

A Study on the Usefulness of Styrofoam Wedge for Wrist True PA and Lateral examination (WRIST TRUE PA와 LATERAL 검사 시 경사보조도구의 유용성 분석)

  • Jeon, Sang-Hyun;Kim, Gab-Jung;Kim, Nak-Sang;Seo, Sun-Youl;Choi, Seon-Wook;Jeon, Min-Cheol
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.53-60
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    • 2020
  • The purpose of this paper is to evaluate the image of the Styrofoam Wedge that can minimize the position change by supporting the wrist during the True PA and lateral examination of the wrist. In 50 people, the gap between the distal radius joint facet and the wrist bone was measured after the wrist True PA and lateral images were obtained using a general examination(vertical), tube angle(vertical:10°, lateral:20°) and Styrofoam Wedge(vertical). When joint spacing was measured in the True PA and lateral images of the wrist, general examination(5.54mm, 9.42mm), tube angle(2.05mm, 5.07mm) and Styrofoam Wedge(1.79mm, 5.46mm) were shown to be small. The smaller the joint spacing, the easier it is to observe that is open. Therefore, True PA and lateral imaging of the wrist Styrofoam Wedge can reduce the distortion of the image and thus acquire images of high diagnostic value. In addition, it may be possible to reduce the deviation caused by the change of patient's position during re-projection.

Effects of Joint Mobilization Techniques on the Joint Receptors (관절 가동운동(mobilization)이 관절 감수기(joint receptors)에 미치는 영향)

  • Kim, Suhn-Yeop
    • Physical Therapy Korea
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    • v.3 no.2
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    • pp.95-105
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    • 1996
  • Type I, II, III are regarded as "true" joint receptors, type IV is considered a class of pain receptor. Type I, II and III mechanoreceptors, via static and dynamic input, signal joint position, intraarticular pressure changes, and the direction, amplitude, and velocity of joint movements. Type I mechanoreceptor subserve both static and dynamic physiologic functions. Type I are found primarily in the stratum fibrosum of the joint capsule and ligaments. Type I receptors have a low threshold for activation and are allow to adapt to changes altering their firing frequency. Type II receptors have a low threshold for activation. These dynamic receptors respond to joint movement. Type II receptors are thus termed rapidly adapting. Type II joint receptors are located at the junction of the synovial membrane and fibrosum of the joint capsule and intraarticular and extraarticular fat pads. Type III receptors have been found in collateral ligaments of the joints of the extremities. Morphologically similar to Golgi tendon organ. These dynamic receptors have a high threshold to stimulation and are slowly adating. Type IV receptors possess free nerve ending that have been found in joint capsule and fat pads. They are not normally active, but respond to extreme mechanical deformation of the joint as well as to direct chemical or mechanical irritation. Small amplitude oscillatory and distraction movements(joint mobilization) techniques are used to stimulate the mechanoreceptors that may inhibit the transmission of nociceptors stimuli at the spinal cord or brain stem levels.

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MTF Evaluation according to change in posture and channel during CT examination for wrist Joint : X-axis and Z-axis changes around Isocenter (손목관절 CT 검사 시 자세 변화와 채널 변경에 따른 MTF 평가 : Isocenter를 중심으로 X-축, Z-축 변화)

  • Seo, Min Jae;Lim, Jong Chon;Jung, Dabin;Han, Dong Kyoon
    • Journal of the Korean Society of Radiology
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    • v.14 no.6
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    • pp.811-817
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    • 2020
  • This study aims to evaluate the Modulation Transfer Function (MTF) according to the change in the number of channels of the CT examination device by changing the posture of the patient to the X-axis and Y-axis in the wrist joint CT examination. Using a CT device and a wrist phantom, the test was performed by moving 0 (matched), 5, 10, and 15 cm in the X-axis around the isocenter, and the Z-axis was rotated by -20° and -40°. For the test, 16, -40 and 64 channels were used to check whether there was a difference for each number of channels. The examined images were compared by measuring the MTF values of the ulna and left and right sides of the radius. In the experiment where the isocenter was moved along the X-axis, the MTF value decreased with an increase in the moving distance, and the MTF value was found to be unaffected by the number of channels. In the experiment in which the wrist joint was rotated by -20° and -40° on the Z-axis, the degree of deviation and MTF were found to be irrelevant. It was not related to the number of channels either. In conclusion, the movement of the wrist along the X-axis should be restrained as much as possible for a wrist joint CT scan, whereas deviation around the Z-axis depending on the environment for the patient would not affect the MTF of the image.

Isokinetic Evaluation of Plantarflexors with Knee Position (슬관절의 자세에 따른 족관절 저측굴곡근의 등속성 근력 평가)

  • Bae Sung-Soo;Lee Hyun-Ok;Lee Keun-Heui
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.145-152
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    • 2000
  • Pcak torque. angle of peak torque occurrence. total work, average power. endurance of the ankle plantar flexors were studied with the knee positioned $0^{\circ}\;and\;90^{\circ}$ flexion. Plantar flexors of 20 students were tested on Cybex 6000 dynamometer. The results were as fallows ; 1. The peak torque values were significantly higher with knee extension than knee $90^{\circ}$ flexion. 2. The angle of peak torque occurrence were earlier with knee extension than knee $90^{\circ}$ flexion, but no significant. 3. The total work were significantly higher with knee extension than knee $90^{\circ}$ flexion. at$30^{\circ}/sec$, but no significant at $90^{\circ}/sec$ 4. The endurance ratio were higher significantly with knee $90^{\circ}$ flex ion than knee extension 5. The mean average power were significantly higher with knee extension than knee $90^{\circ}$ flextion

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Implementation of Gait Analysis System Based on Inertial Sensors (관성센서 기반 보행 분석 시스템 구현)

  • Cho, J.S.;Kang, S.I.;Lee, K.H.;Jang, S.H.;Kim, I.Y.;Lee, J.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.137-144
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    • 2015
  • In this paper, we present an inertial sensor-based gait analysis system to measure and analyze lower-limb movements. We developed an integral AHRS(Attitude Heading Reference System) using a combination of rate gyroscope, accelerometer and magnetometer sensor signals. Several AHRS modules mounted on segments of the patient's body provide the quaternions representing the patient segments's orientation in space. And a method is also proposed for calculating three-dimensional inter-segment joint angle which is an important bio-mechanical measure for a variety of applications related to rehabilitation. To evaluate the performance of our AHRS module, the Vicon motion capture system, which offers millimeter resolution of 3D spatial displacements and orientations, is used as a reference. The evaluation resulted in a RMSE(Root Mean Square Error) of 1.08 and 1.72 degree in yaw and pitch angle. In order to evaluate the performance of our the gait analysis system, we compared the joint angle for the hip, knee and ankle with those provided by Vicon system. The result shows that our system will provide an in-depth insight into the effectiveness, appropriate level of care, and feedback of the rehabilitation process by performing real-time limb or gait analysis during the post-stroke recovery.

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The Study on the Effectiveness of Acupuncture in Stroke Rehabilitation (중풍(中風) 재활(再活)의 침치료(鍼治療) 효과(效果)에 대한 고찰(考察) -최근 RCT(Randomized controlled trial) 논문을 중심으로-)

  • Kim, Eun-jung;Lee, Jae-dong;Kang, Sung-keel
    • Journal of Acupuncture Research
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    • v.22 no.1
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    • pp.211-221
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    • 2005
  • Objective : The aim of this study is to review clinical trials on the effectiveness of acupuncture in stroke rehabilitation. Methods : Computerized literature searches was carried out on three electronic databases, and hand-searching on some chinese medical journals in library of Kyung Hee Medical Center. Results : 1) Sixteen articles of clinical trials were collected and reviewed. Among these articles, randomized controlled trials were achieved in nine articles. 2) In three articles, statically significant results in improvement of mobile abilities, activities of daily life and Quality of life were reported after acupuncture treatment applied as a part of stroke rehabilitation. In three articles no statically significant changes were reported. 3) Among two articles about spasticity, One about the upper limbs and the results showed statically significant improvement of the spasticity after acupuncture treatment as stroke rehabilitation, and the other was about the lower limbs and the results showed no statically significant changes. 4) One article about acupuncture and postural control showed statically significant results suggesting that acupuncture promotes normalization of postural control after stroke.

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Quantitative Evaluation of Image Quality using Automatic Exposure Control (AEC 사용 유무에 따른 영상의 화질평가)

  • Kim, Gwang-ho;Yoo, Gwan-ju;Kang, Ji-won;Ko, Bong-joo;Kim, Kyoun-lan;Kim, Min-hee;Yoon, Young-woo;Ye, Soo-young;Choi, Seok-yoon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2015.10a
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    • pp.86-89
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    • 2015
  • Quantitative Evaluation of Image Quality using Automatic Exposure Control This it leads, the relationship of control and image between of photographing condition, DR proper use method proposing. Chest phantom acquires Chest PA images which it follows in conditional change, Image evaluation factor (SNR (Signal to Noise Ratio), CNR (Contrast to Noise Ratio), PSNR (Peak Signal to Ratio), RMS (Root Mean Square)). It excepted RMS price, SNR, CNR, PSNR the case which uses AEC it came out being high The fact that the quality of image is better there was a case which does not use AEC. but Price it was slight. Image qualitative it was deficient in AEC use presence. Through this, the overall situation and most efficient use of radiation workers is better suited. But Passive AEC use would be appropriate for use rather than proactive AEC.

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Effects of Joint Mobilization Techniques on the Joint Receptors (관절 가동운동이 관절 감수기에 미치는 영향)

  • Kim, Suhn-Yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.2 no.1
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    • pp.9-19
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    • 1996
  • Type I, II, III are regarded as "true" joint receptors, type IV is considered a class of pain receptor. Type I, II and III mechanoreceptors, via static and dynamic input, signal joint position, intraarticular pressure changes, and the direction, amplitude, and velocity of joint movements. Type I mechanoreceptor subserve both static and dynamic physiologic functions. Type I are found primarily in the stratum fibrosum of the joint capsule and ligaments. Type I receptors have a low threshold for activation and are allow to adapt to changes altering their firing frequency. Type II receptors have a low threshold for activation. These dynamic receptors respond to joint movement. Type II receptors are thus termed rapidly adapting. Type II joint receptors are located at the junction of the synovial membrane and fibrosum of the joint capsule and intraarticular and extraarticular fat pads. Type III receptors have been found in collateral ligaments of the joints of the extremities. Morphologically similar to Golgi tendon organ. These dynamic receptors have a high threshold to stimulation and are slowly adating. Type IV receptors possess free nerve ending that have been found in joint capsule and fat pads. They are not normally active, but respond to extreme mechanical deformation of the joint as well as to direct chemical or mechanical irritation. Small amplitude oscillatory and distraction movements(joint mobilization) techniques are used to stimulate the mechanoreceptors that may inhibit the transmission of nociceptors stimuli at the spinal cord or brain stem levels.

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Effects of Game-based Postural Vertical Training on Pusher Behavior, Postural Control, and Activity of Daily Living in Patients With Acute Stroke: A Pilot Study (게임 기반의 자세수직 훈련이 급성 뇌졸중 환자의 밀기행동, 자세조절, 그리고 일상생활동작에 미치는 영향: 사전연구)

  • An, Chang-man;Roh, Jung-suk;Kim, Tack-hoon;Choi, Houng-sik;Choi, Kyu-hwan;Kim, Gyoung-mo
    • Physical Therapy Korea
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    • v.26 no.3
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    • pp.57-66
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    • 2019
  • Background: Visual and somatosensory integration processing is needed to reduce pusher behavior (PB) and improve postural control in hemiplegic patients with acute stroke. Objects: This study aimed to investigate the effects of game-based postural vertical training (GPVT) on PB, postural control, and activity daily living (ADL) in acute stroke patients. Methods: Fourteen participants with acute stroke (<2 months post-stroke) who had PB according to the Burke lateropulsion scale (BLS) (score>2) were randomly divided into the GPVT group ($n_1=7$) and conventional postural vertical training (CPVT) group ($n_2=7$). The GPVT group performed game-based postural vertical training using a whole-body tilt apparatus. while the CPVT group performed conventional postural vertical training to reduce PB (30 minutes/session, 2 times/day, 5 days/week for 3 consecutive weeks). The BLS was evaluated to assess the severity of PB. And each subject's postural control ability and ADL level were assessed using the postural assessment scale for stroke (PASS), balance posture ratio (BPR), and Korean-modified Barthel index (K-MBI). Outcomes were measured pre- and post-intervention. Results: Comparison of the pre- and post-intervention assessment results showed that both interventions led to the following significant changes: decreased severity of PB scores and increased PASS, BPR, and K-MBI scores (p<.05). In particular, statistical analysis between the two groups, the BLS score was significantly decreased in the GPVT group (p<.05). And PASS, BPR, and K-MBI scores were significantly improved in the GPVT group than in the CPVT group (p<.01, respectively). Conclusion: This study demonstrated that GPVT lessened PB severity and improved postural control ability and ADL levels in acute stroke patients.