• 대한정형도수물리치료학회지
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• 제23권2호
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• pp.45-49
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• 2017

Background: The purpose of this study was to investigate the effect of structured cryotherapy on edema of patients who had a total knee arthroplasty (TKA). Methods: The subjects were 58 patients who were diagnosed with osteoarthritis and had total knee arthroplasty in D hospital. In total, 29 people were in the leg elevation cryotherapy group (LECTG), 29 people were in the control group (CTG). After TKA, the patients' swelling on post operation days (POD) 3 were checked. After the post OP checking, LECTG was treated with cryotherapy with leg elevation for 12 days but CTG was cryo therapy with sit on chair. Results: Swelling show significant difference within the group (p<.05), but did not show signigicant difference between groups (p>.05). Conclusions: Base on the results, it was found the cryo therapy of $-78^{\circ}C$ improved swelling after TKA. Accordingly, it is thought that cryo therapy of $-78^{\circ}C$ has positive effect on swelling in the process of recovery after operation. but It did not approve that the leg elevation was even more effective. For this study, the reserch developed to enhance the effectiveness of the cryotherapy, would make it possible to apply to an effective cryotherapy posture.

• 한국의류학회지
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• 제27권5호
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• pp.485-495
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• 2003

This study was to compare and analyze the clothing pressure according to arms movements of 4 brands jacket for middle-aged women group by measuring clothing pressure of each brand. The results were as follows: 1. According to the analysis of jackets of 4 brands, in general, jacket C had the largest ease amount. while jacket A had a large ease amount in waist, hip areas compared with bust area. Also jacket B had a small ease amount in bust, waist areas and jacket D had a small ease amount in hip areas. Therefore the ease amount is different between each brand, each size even though jacket designs are similar. 2. It was found that clothing pressure was affected by arm movements than jackets. Since this study was limited to the arm movement for motion variation, it was recognized that a significant difference among each jacket and each movement at shoulder, waist parts existed with relation to this motion. 3. Parts showing a significant difference among each size were bust point, abdomen point, center back point of abdomen level, angulus superior scapulae point and center back point of waist level. Also clothing pressure of size B91 was bigger than size B88 except Center back point of waist level. 4. Clothing pressure in shoulder point, front armpit point, back armpit point, upper arm point areas increased as the angle of the arms movement increased. Also, individual variation of clothing pressure in front armpit point, back armpit point, armpit point and upper arm point was large, and clothing pressure in abdomen point was high in M5(sitting posture).

• 한국전문물리치료학회지
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• 제26권2호
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• pp.1-7
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• 2019

Background: In previous studies, changes in postural alignment were found when the slope was changed during walking. Downhill walking straightens the trunk by shifting the line of gravity backward. Objects: This study investigated the effect of the downhill treadmill walking exercise (DTWE) on thoracic angle and thoracic erector spinae (TES) activation in subjects with thoracic kyphosis. Methods: A total of 20 subjects with thoracic kyphosis were recruited for this study. All the subjects performed the DTWE for 30 minutes. A surface EMG and 3D motion capture system were used to measure TES activation and thoracic angle before and after the DTWE. Paired t-tests were used to confirm the effect of the DTWE (p<.05). Results: Both the thoracic angle and TES activation had significantly increased after the DTWE compared to the baseline (p<.05). An increase in the thoracic angle indicates a decrease in kyphosis. Conclusion: The DTWE is effective for thoracic kyphosis patients as it decreases their kyphotic posture and increases the TES activation. Future longitudinal studies are required to investigate the long-term effects of the DTWE.

• 대한간호학회지
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• 제27권3호
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• pp.550-562
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• 1997

Since patients with strokes occupy a high priority among patients for home nursing, the development of guidelines for such nursing is required and the needs of these patients should be reflected in the guidelines. Therefore, this study was done to identify the content and levels of home nursing for patients with strokes and to utilize the data in developing the most effective home nursing guidelines for these patients. The level of A, D. L. and the ability to control upper extremities were measured, and through a questionnaire. the needs for home nursing and related variables were also evaluated. The subjects for the study were 121 patients, 58 inpatients and 63 home care patients who had had a Stroke. Data collection was done from September 1996 to January 1997. The collected data were analyzed utilizing SPSS /PC, and the results are as follows : 1. Home nursing need of inpatients The priority order of home nursing needs for inpatients was : "Training in emergency treatments and how to cope with a stroke"(2.28+1.06), next, "Explanation of diets as limited or recommended", and last, "Nursing care for sleeping Problems". 2. Home nursing need home of patients The priority order of home nursing needs for home patients was : "Care for the paralyzed side" (2, 89+.34), next, "Maintenance of right posture and how to change position" (2.87+.34), and last, "Counseling on sex". 3. Comparison of the levels of home nursing needs between in patients and home patients The results of analyses of home nursing needs according to causes were grouped into seven categories : and t-tests of the seven categories showed significant differences between the two groups in all categories, that is, the level of home nursing needs were significantly higher for home patients than for inpatients in all categories of home nursing. 4. Level of home nursing needs by characteristics The variables that have affected the level of home nursing needs for these patients were sex, profession, level of education, accompanying diseases, paralyzed position. A.D.L. levels and ability levels in coordinating upper extremities. There variables, displayed a reverse correlation with the level of home nursing needs, and the degree of correlation was high. In conclusion, the above results, show there were differences in the priority order of home nursing needs between inpatients and home patients : but the content of home nursing needs wanted by these patients was similar. Meanwhile, the levels of demand for home nursing was exceptionally higher on the part of home patients than inpatients. Although it is realized that nursing guidelines for home nursing needs in all items need to be developed, there is also a necessity to guidelines in accordance with priority orders, and with consideration of the factors that affect the level of home nursing needs. of the factors that affect the level of home nursing needs.

• 대한약리학회지
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• 제21권2호
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• pp.90-98
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• 1985

새앙쥐 강제수영 실험에서 부동자세 시간의 단축은 향주도성 행동의 항진이라는 본능적 충동의 유발이라는 가정 아래 중추 noradrenaline neuron에 있어서 ${\alpha}_1$- 및 ${\alpha}_2$-adrenoceptor의 역할과 관련지어 이 실험을 행하였고 다음과 같은 결론을 얻었다. 1. 새앙쥐를 이용한 강제수영 실험에서 부동자세 시간은 clonidine 및 guanabenz 등과 같은 ${\alpha}_2$-agonists에 의하여 용량에 의존하여 단축되었다. B-HT 933 및 oxymetazoline은 용량에 의존하지 않으나 단축시켰다. xylazine에의하여는 오히려 증가되었다. 2.${\alpha}_1$-Agonists 인 cirazoline, amidephrine 및 methoxamine은 부동자세 시간에 일관성 있는 영향을 미치지 아니하였다. 3. Clonidine과guanabenz에 의한 부동자세 시간의 단축은 ${\alpha}_2$-antagonists, yohimbine, idazoxan 및 phentolamine 전처치로 봉쇄되었으나 ${\alpha}_1$-antagonists, prazosin 및 corynanthine에 의하여는 영향을 받지 아니하였다. 4, d-Amphetamine 투여시 부동자세 시간은 용량에 비례하여 단축되었고, 이러한 단축효과는 yohimbine에 의하여는 길항되었으나 prazosin에 의하여는 영향을 받지 아니하였다. 5. ${\alpha}$-methyl-p-tyrosine 이나 reserpine 또는 두 약물을 동시에 전처치 하였을때 clonidine에 의한 부동자세 시간의 단축은 영향을 받지 아니하였다. 6. Desipramine 및 imipramine 같은 항우울제를 장기처치 또는 장기간 저기충격 요법을 가한 새앙쥐에서도 clonidine의 효과는 영향을 받지 아니하였다. 이상의 결과로 보아 새앙쥐의 강제수영 실험에서의 부동자세 시간의 변동은 중추내 noradrenergic neuron의 postsynaptic ${\alpha}_2$-adrenoceptor와 밀접한 관련이 있다고 시사되며 이러한 ${\alpha}_2$-agonists에 의하여 항진되는 escape-directed behavior는 자기보호를 위한 일종의 충동의 유발로 인한 행동으로 사료된다.

• 한국보건간호학회지
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• 제7권1호
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• pp.81-97
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• 1993

This study was carried out to analyze the factors of the perieved symptoms of fatigue of the industrial workers, to examine the inter-relatisnship of the above factors with their general charactenstics and the environments of working area for the examination of their health status and the effective health management of them. This study was undertaken from December 1 to December 20, 1990. The subjets were 495 workers who had worked at the Industrial complex located in Chonbuk Province. The result of this study were as follows: 1. The worker's percieved symptoms of fatigue were classified to the following seven factors; A) Musculo-Skeletal Symptoms, B) Neuro-Psychial Symptoms, C) Optical Symptoms, D) Heart Symptoms, E) Head Symptoms, F) Respiratory Symptoms, G) Genital Symptoms 2. Analysis of the inter-relationship of their percieved symptoms of fatigue with general characteristics; 1) The difference of distribution to their percieved symptoms of fatigue according to sexuality was significant; Female were higher than Male $(p{\leqq}0.001$, p<0.005) 2) The difference of distribution to their percieved symptoms of fatigue according to age was significant; Age group under 24 years of age were higher than the other's group (p<0.001). 3) The difference of distribution to their percieved symptoms of fatigue according to the level of education was significant; Workers who stand on a low intellectual were higher than workers on a high intellectual level. 4) The difference of distribution to their percieved symptoms of fatigue for a week was the highest when worked at sunday. 5) The difference of distribution to their percieved symptoms of fatigue for seasons was high at spring. 3. Analysis of the inter-relationship of their percieved symptoms of fatigue with the environments of working area. 1) The difference of distribution of their percieved symptoms of fatigue according to the working department was significant; Production workers were higher than office workers. 2) The difference of distribution of their percieved symptoms of fatigue related with working posture was significant; Sitting: Musculo-Skeletal symptoms (p<0.05), Optical symptoms (p<0.005) 3) The more dissatisfied with their's own duty they were, the higher became the distribution of their percieved symptoms of fatigue (p<0.001. p<0.005, p<0.05) 4) The more dissatisfied with their working condition they were, the higher became the degree of their percieved symptoms of fatigue (p<0.001. P<0.05) 5) The difference of distribution of their percieved symptoms of fatigue according to kinds of job was significant: Workers who has handled heavy materials were higher than who had not handled $(p{\leqq}0.001$, p<0.05). Workers who has handled chemical materials: Optical, symptoms $(p{\leqq}0.001)$. Workers who has handled dusty materials: Respiratory symptoms (p<0.01) 6) The environment of working area was significantly affected to the distribution of their percieved symptoms of fatigue: Workers complains of a illumination problem; Optical symptoms (p<0.005), Heart symptoms (p<0.005) Workers complains of a ventilation problem: Heart symptoms (p<0.05), Optical symptoms, Heart symptoms (p<0.01) Musculo-skeletal symptoms ($p{\leqq}0.001$)

• 대한의용생체공학회:의공학회지
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• 제27권5호
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• pp.210-217
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• 2006

Many types of interspinous distraction devices (IDDs) have been recently developed as an alternative surgical treatment to laminectomy and fusion with pedicle screws for the treatment of the lumbar spinal stenosis (LSS). They are intended to keep the lumbar spine in a slightly flexed posture to relieve pain caused by narrowing of the spinal canal and vertebral foramen. However, their biomechanical efficacies are not well known. In this study, we evaluated the kinematic behaviors and changes in intradiscal pressure (IDP) of the porcine lumbar spine implanted with IDD. For kinematics analysis, five porcine lumbar spines (L2-L6) were used and the IDD was inserted at L4-L5. Three markers (${\phi}{\le}0.8mm$) were attached on each vertebra to define a rigid body motion for stereophotogrammetric assessment of the spinal motion in 3-D. A moment of 7.5Nm in flexion-extension, lateral bending, and axial rotation were imparted with a compressive force of 700N. Then, IDD was implanted at L3-L4. IDPs were measured using pressure transducer under compression (700N) and additional extension moment (700N+7.5Nm). In kinematic behaviors, insertion of IDD resulted in statistically significant decrease 42.8% at the implanted level in extension. There were considerable changes in ROM at the adjacent levels, but statistically insignificant. In other motions, there were no significant changes in ROM as well regardless of levels. IDPs at the surgical level (L3-L4) under compression and extension moment decreased by 12.9% and 18.8% respectively after surgery (p<0.05). At the superiorly adjacent levels, IDPs increased by 19.4% and 12.9% under compression and extension, respectively (p<0.05). Corresponding changes at the inferiorly adjacent levels were 29.4% and 6.9%, but they were statistically insignificant (p>0.05). The magnitude of pressure changes due to IDD, both at the operated and adjacent levels, were far less than the previously reported values with conventional fusion techniques. Our experimental results demonstrated the IDDs can be very effective in limiting the extension motion that may cause narrowing of the spinal canal and vertebral foramens while maintaining kinematic behaviors and disc pressures at the adjacent levels.

• 한국컴퓨터그래픽스학회논문지
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• 제20권1호
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• pp.1-11
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• 2014

뇌성마비에서 나타나는 하지 변형은 정상 보행 및 자세 유지에 어려움을 준다. 이를 교정하기 위해 임상의는 변형 정도를 측정하여 교정 절골술 계획을 수립하고 계획된 정도만큼 절골술을 시행한다. 그러나 절골술 시행 후 원래 계획보다 더 적거나 더 많이 교정되는 상황이나 의도치 않았던 변형이 발견되는 상황이 종종 발생한다. 이러한 문제 상황들이 발생하는 이유는 절골술 계획수립 시, 기존의 방법이 하지골의 정확한 형태학적 정보를 반영하기 어렵고 하지골을 절골하여 회전 시키는 정도에 따라 최종 결과가 어떻게 나오는지 사전에 예측하는 것이 쉽지 않으며 효과적인 교정 결과를 얻을 수 있는 절골술 방법, 회전각도 등 다양한 입력 조건의 최적 조합을 찾기가 어렵기 때문이다. 본 논문은 이를 해결하기 위해 컴퓨터 그래픽스 분야의 정기구학, 역기구학 및 최적화 기법을 하지 교정 절골술에 적용하여 임상의가 최적의 절골술 계획을 수립할 수 있도록 하는 방법을 제안한다. 하지 골의 3차원 메쉬 모델을 입력으로 받아 이를 분석하여 하지 특징점을 추출하고 임상지표를 자동으로 계산하여 변형 정도를 파악하는 방법, 하지 골을 대상으로 하는 5가지 교정 절골술의 시뮬레이션을 통해 그 결과를 사전에 예측할 수 있는 방법 그리고 비선형 최적화 문제로 변환하여 최적 교정 절골술 계획을 자동으로 수립하는 방법을 제안한다. 이를 통해 하지 골 교정 절골술과 관련된 거의 모든 경우의 수를 사전에 확인해 볼 수 있어서 종래의 방법보다 훨씬 쉽고 효율적으로 절골술을 계획하고 실행할 수 있을 것이다.

• 한국산학기술학회논문지
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• 제19권3호
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• pp.638-647
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• 2018

우리는 현존하는 북한의 위협과 미래에 예상되는 잠재적 위협에 대비해야 한다. 이를 위해 우리는 자원을 효율적으로 활용하여 전쟁에서 승리할 수 있는 군사력 건설에 노력하여야 한다. 무기체계는 획득단계에서 소요군에서 요구한 작전운용성능(ROC)의 지속성을 기본으로 전투준비태세를 유지하고 작전지속지원능력을 보장할 수 있어야 한다. 이를 달성하기 위해서는 무기체계 획득에서 경제적이고 효율적인 창정비를 수행할 수 있도록 소요제안에서부터 창정비요소를 개발하는 과정의 정립이 중요하다. 경제적이고 효율적인 창정비를 수행하기 위한 창정비 요소를 개발하는 과정은 첫째, 소요제안에서부터 창정비 필요성을 검토하여 개략적인 창정비요소가 포함되어야 한다. 소요제기서를 토대로 장기소요결정을 통하여 선행연구에서 창정비요소 개발개념을 발전시켜야 하겠다. 둘째, 체계개발 단계에서 창정비요소를 개발할 수 있는 최초의 문서인 창정비 개발계획안을 작성하여야 한다. 창정비개발계획안은 입증시험과 확증시험을 통한 검증이 필요하다. 셋째, 체계개발 이후 검증된 창정비개발계획안에 따라 적시에 각 군의 군수사령부에서는 창정비 방침(안)과 창정비 요소개발 중기 소요제기(안)을 작성하여 보고되어야 한다. 또한 체계개발 시 검증된 창정비개발계획안은 창정비요소가 개발완료 될 시점까지 구체화되고 최신화 되어져야 한다. 창정비요소를 개발하는 과정의 정립은 적의 위협이 존재하고 자원이 부족한 우리의 현실에서 경제적이고 효율적인 군사력을 건설하는데 기여할 것이다.

• 동국한의학연구소논문집
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• 제3권
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• pp.237-267
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• 1994

The purpose of this study is the approach to I.I.C.P. centered on the meaning of consciousness disorder and the pathological aspect of Kwul (Jose consciousness ; faint, fall into a coma). The meaning of consciousness disorder and apoplexy is evidently involved the definition of Kwul. 1. It is found that the etymological interpretation on Kwul which the energy rises back to go through blocked space and the meaning interpretation of regarding Kwul as apoplexy with medical viewpoint, are related with consciousness disorder and motor disturbance in IICP in the aspect of the rise of Kwul and the abnormal rising of vital energy and blood, In addtion, the overall of meaning of Kwul is showed in table <1-1> by reference to doctors of many generations, 2. The pathology of Kwul includes abnormal rising, sthenia-syndrome in the upper part and asthenia in the lower, the origin of Kwul, the lower, looking like Yin by too sthenic Yang and looking like Yang by too sthenic Yin. The headache, vomiting, papilledema, paralysis of nervi craniales, coma, blood pressure rising, tachycardia by I.I.C.P can be regarded as a conception of trouble of vital energy, sthenia-syndrome of Kwul. The pulse pressure, brachycardia, bradypnea can be regarded as the conception of looking like Yin by too sthenic Yang. 3. In the emergency of Kwul, the abnormal ternimal reversion of the Kwulyin channel, Kuyang channel, and three Yins are related with the phenomenon in I.I.C.P. It is considered that the reverse movement of materials, I.I.C.P. can be closely observed by giving meaning on the meridian of Kwul in Somunkwulron. And the content of phrases of Naelyung which includes consciousness disorder refered in the chapter of Kwul, is compared with I.I.C.P. 4. The followings should be considered; examination of optic symptom and abnormal posture in cerebral herniation ; understanding and working out counterplans of factors and symptoms of consciousness disorder by the observation of vital sign, check of general stages, neurologic inverstigation, clinical diagnosis, and subsidiary diagnosis; application of morphological change of opinion; addtion of the conception of demonstration centered on Yunkyung, Samyinkwulruk, asthenia and thenia of healthy energy in oriental medicine. 5. The similarity of Kwul and I.I.C.P. can be found from etiology and pathotenic factor. The similarity is clearly found by investigation of etiology, pathotenic factor, symptoms and thrapy of Kwul, disease symptom ar.d other symptoms.