• 대한정형도수물리치료학회지
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• 제20권2호
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• pp.35-42
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• 2014

Background: The purpose of this study was to effect of the manual therapy and pelvic floor muscle exercise interventions in patient with acute lumbar sprain. Based on this, proceed to present an effective physical treatments. Methods: Subject was 55 year old female patient with acute lumbar sprain. Subject was damaged, wash in the morning. Subject was hoping to return to work and Activity daily living (ADL) without pain. I proceed in order screening, evaluation, diagnosis, prognosis, treatment planning and intervention, re-screening. To solving problem, was conducted in parallel to a manual therapy and therapeutic exercise. Results: To investigate changes in body functions and activities was measured, Visual analog scale (VAS) and Oswestry disability index (ODI), changes in posture, maintain in posture, 10m walk test. The improved results were compared before and three weeks after mediation interventions. Conclusions: Frequency manual therapy and pelvic floor muscle exercise is thought to be an efficient way of patients with acute lumbar sprain.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2006년도 심포지엄 논문집 정보 및 제어부문
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• pp.51-53
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• 2006

This paper proposes a portable ECG monitoring system, which integrates uptodate PDA and RF communication technology. The aim of the study is to acquire the subject's biomedical signal without any constraint. It has two types of transmission mode, which are total signal transmission mode and HR(heart rate)/SC(step count) transmission mode. In audition, wireless communication technology uses Zigbee Wireless PAN and can work in low-power mode, which is one of the advantages of ZiBbee communication technology. The developed system is composed of a transmitter and a receiver. The transmitter has three-axial acceleration sensor. ECG amplifier and Zigbee communication controller. In total signal transmission mode, it can send data 50 packets per second whose transmission speed corresponds to 300 ECG samples and 60 acceleration samples. In HR/SG transmission mode, it can calculate heart rate from EEG data with 216 samples per second and step count from acceleration data and send a packet every cardiac cycle. The receiver forwards the received data to PDA, where the data can be stored and displayed. Therefore, the developed device enables to continuous monitoring for Activities of Daily Living(ADL). Also, this method will reduce medical costs in the aged society.

• 한국정밀공학회지
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• 제28권5호
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• pp.599-605
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• 2011

A 3-D rehabilitation robot system is developed. The robot system is for the rehabilitation of upper extremities, especially the shoulder and elbow joints, and has 3-D workspace for occupational therapy to recover physical functions in activities of daily living(ADL). The rehabilitation robot system has 1 DOF in horizontal rotational motion and 2 DOF in vertical rotational motion, where all actuators are set on the ground. Parallelogram linkage mechanisms lower the equivalent inertia of the control elements as well as control forces. Also the mechanisms have high mechanical rigidity for the end effector and the handle. In this paper, a hybrid position/force controller is used for controlling positions and forces simultaneously The controller is tuned according to the robot posture. The active motion modes for rehabilitation program consist of active-resisted motion mode and active-free motion mode. The results of the experiments show that the proposed motion modes provide the intended forces effectively.

• 대한물리치료과학회지
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• 제14권1_4호
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• pp.55-60
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• 2007

The purpose of this case report is to investigate whether an attempt to hold the repeated upright posture under blocking the patient's vision affects the deficits to push away from the paralytic side and the relapse time from down to stand up position without push away in patients with hemiplegia with pusher syndrome. Two hemiplegic patients with pusher syndrome were assessed. The task was performed 4 times per day for 6 weeks. The modified barthel index (MBI) was performed to assess activities of daily living (ADL). For assessing balance, the "balanced sitting" and "sit to stand" are analyzed using by modified motor assessment scale (MMAS). The scale for contraversive pushing (SCP) was used for determination of push away from paralyzed side. MBI, MMAS and SCP were assessed before and after trial of the task. In patient 1, total score of the scale is 0 in sitting posture and standing posture within 3 weeks and 4 weeks, respectively, In patient 2, total score of the scale is 0 in sitting posture and standing posture within 4 weeks and 6 weeks, respectively. These results demonstrated that pusher syndrome was completely resolved in at least 6 weeks. Our findings indicate that this physical therapy seems to be relevant for the hemiplegic patients with pusher syndrome.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2018년도 추계학술발표대회
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• pp.478-479
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• 2018

수부는 일상생활동작(ADL, activities of daily living)을 위한 중요 부위로 손상이나 장애가 있는 경우 재활치료를 통해 과제수행능력을 향상시킨다. 그러나 치료 과정은 주관적으로 진행되어 정확한 치료 성과를 위한 객관적 지표가 필요하다. 본 논문에서는 실제 수부 움직임을 추적할 수 있는 동작인식 장비인 립모션 컨트롤러와 Unity3D로 가상공간 상에서 구현된 Box&Block Test를 이용하여 수부 움직임에 대한 객관적인 데이터를 얻었다. 기존 Box&Block Test와 제안한 모션인식과 추적에 의한 수지손상 환자용 진단 및 치료시스템의 성능을 T검정 수행한 결과 통계적으로 유의미한 차이가 없음을 보였으며 수부 움직임의 정량적인 데이터를 통해 정확한 치료성과 판단의 가능성을 확인하였다.

• PNF and Movement
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• 제9권1호
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• pp.31-38
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• 2011

Purpose : Sit-to-stand (STS) is one of the important activities of daily living (ADL) and each of its parameters is used frequently. This study aimed to examine the influence of different seat height on performance time and floor reaction force strength during an STS movement. Methods : Fifteen young-adult male subjects participated in this study. The subjects were divided into three groups based on lower leg length. Subjects performed an STS movement twice from chairs at height adjusted by the lower leg length of each subject. To examine the influence of the chair seat height, ground reaction forces during a STS performed with 3 chair heights adjusted to each subjects lower leg length were compared. Results : Vertical ground reaction force and time during an STS movement were measured to evaluate. Parameters regarding ground reaction force were selected for analyses. Significant differences were found in ground reaction force at G1 was greater than G2 and G3. Conclusion : The STS movement achievement strategy differed since chair seat height changes relatively by the difference in lower leg length. When conducting the ability to achieve STS movement rating test, chair seat height considering each subject's lower leg length may be needed.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2005년도 학술대회 논문집 정보 및 제어부문
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• pp.41-43
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• 2005

PDA-based monitoring is used to acquire continuously the patient's vital signs, including electrocardiography, activity, heart rate and $SpO_2$. In this paper, A biomedical signal acquisition device was designed using 3-axial MEMS accelerometer and 1-ch ECG amplifier, to have the function of monitoring activity and electrocardiography. The proposed system is composed of transmitter and receiver. Through the Zigbee communication, subject's biosignals can be transmitted in real-time to receiver, and transmitted data confirmed using PDA. The packet size used in this device was set not to exceed a maximum payload size of 116 byte. One packet consists of two segments. The transmission speed was 21 packet per second, 420 ECG samples per second, and 42 acceleration samples per second. The proposed method can be used to develop Activities of Daily Living(ADL} monitoring devices for the elderly or movement impaired people and enables patients to be monitored without any constraints. Also, this method will reduce medical costs in the aged society.

• 로봇학회논문지
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• 제19권2호
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• pp.203-212
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• 2024

Simultaneous motion is essential in the activities of daily living (ADL). For motion intention recognition, surface electromyogram (sEMG) and corresponding motion label is necessary. However, this process is time-consuming and it may increase the burden of the user. Therefore, we propose a simultaneous motion recognition framework using data augmentation based on muscle activation model. The model consists of multiple point sources to be optimized while the number of point sources and their initial parameters are automatically determined. From the experimental results, it is shown that the framework has generated the data which are similar to the real one. This aspect is quantified with the following two metrics: structural similarity index measure (SSIM) and mean squared error (MSE). Furthermore, with k-nearest neighbor (k-NN) or support vector machine (SVM), the classification accuracy is also enhanced with the proposed framework. From these results, it can be concluded that the generalization property of the training data is enhanced and the classification accuracy is increased accordingly. We expect that this framework reduces the burden of the user from the excessive and time-consuming data acquisition.

• 정신신체의학
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• 제11권1호
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• pp.25-35
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• 2003

연구목적: 파킨슨병 환자에서 다양한 정신증상이 동반되는 것으로 보고되고 있으며, 특히 우울증상의 동반율이 매우 높다고 보고되고 있다. 특히 파킨슨병은 완치가 어렵고, 치료의 초점이 질병의 진행 억제나 증상의 완화에 있기 때문에 파킨슨병 환자에서의 우울증상에 대한 관심과 치료는 중요하다. 본 연구는 통원치료 중인 파킨슨병 환자들을 대상으로 파킨슨병 관련 임상요인들과 우울증상 사이의 관련성을 조사하는데 목적이 있다. 연구대상 및 방법: 일 대학교병원 신경과 파킨슨병 클리닉에서 특발성 파킨슨병으로 진단 받고 치료중인 환자들 중 본 연구에 참여하기로 동의한 118명의 환자를 대상으로 하였다. 일반적인 인구통계학적 자료, 파킨슨병 관련 자료[발병연령, 치료약물 용량, 임상양상, Hoehn과 Yahr의 단계(Hoehn and Yahr stage, H&Y stage), 일상생활 평가척도(Modified Schwab and England Activities of Daily Living, ADL)], 파킨슨병 환자의 삶의 질 설문지(Parkinson's Disease quality of Life questionnaire, PDQL), 스필버그 상태/특성 불안척도, 간이정신 검사 등을 조사하였고, 우울증상의 평가는 Beck 우울척도(Beck Depression Inventory, BDI)를 이용하였다. 결 과: 대상군의 평균 연령은 $60.4\pm7.1$세(범위:34-73세)였고, 남성이 56명(47.5%), 여성이 62명(52.5%)이었다. 대상군은 BDI 점수에 따라 비우울군 39명(33.1%), 경도 우울군 15명(12.7%), 중등도 우울군 16명(13.6%), 중증 우울군 48명(40.7%)으로 분류되었다. 파킨슨병 환자의 우울증상은 H & Y stage(r=0.34, p<0.001) 및 파킨슨병 증상의 정도(r=0.35, p<0.001), 스필버그 특성 불안 척도(TAI)(r=0.33, p<0.001)와 양의 상관관계가 있었고, 교육정도(r=-0.34, p<0.001), ADL(r=-0.37, p<0.001), PDQL(r=-0.69, p<0.001)과 음의 상관관계를 보였다. 본 연구에서 사용한 검사도구 중 우울증을 예측하는데 가장 의미있는 척도는 PDQL(p<0.005)이었다. 결 론: Beck 우울척도를 이용한 평가에 의하면 본 연구 대상 환자 118명 중 79명(67%)이 주관적인 우울증상을 호소하고 있었다. 본 연구 결과는 파킨슨병 증상이 심할수록, 그리고 H & Y stage가 높을수록 우울증상이 심각함을 보여준다. 또한 BDI 점수가 높을수록 일상생활에서의 활동에 제한이 많으며, 삶의 질이 저하되어 있음을 시사한다. 따라서 본 연구결과는 파킨슨병 환자의 신체증상에 대한 치료 이외 우울증상에 대한 정신의학적 관심과 치료가 중요함을 뒷받침한다.

• Asian Journal for Public Opinion Research
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• 제5권3호
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• pp.228-249
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• 2018

In 2015, the population of elderly people in Thailand was 16% of the total population and is predicted to be over 20% by 2021 and nearly 28% by 2031. The increase of the elderly population in Thailand has also increased the proportion of dependent elderly people, and caring for them poses many challenges for both families and the government. This descriptive method research aimed to survey the health status of dependent older people in the rural community of Lampang province in northern Thailand. The participants consisted of 62 older people and 62 primary family caregivers from Hong Ha Health Promoting Hospital, Lampang, Thailand (totaling 124 people). The researchers assessed the health status of older people and their activities of daily living (ADL). In addition, researchers assessed the health status and stress of caregivers. All the participants were interviewed about their experiences with caregiving. The results showed that most of the older respondents were female with an average age of 78.15 years. Based on the ADL assessment, 50 of the 62 older persons were homebound while the rest were bedridden. The majority of older people had chronic or long-term conditions that required hospitalization from time to time. Their frequent health problems included oral disorders such as tooth decay or caries/gum disease/no teeth, reduced sight, psychological disorders, knee pain and risk of falling, low BMI, risk of malnutrition, and urinary leakage and incontinence (58.06%, 66.13%, 62.90%, 70.97%, 38.71%, 66.13%, and 37.10%, respectively). Usual care provided by the family members included personal hygiene care, food preparation and feeding, medication management, housekeeping and organizing necessary equipment, supply of needed equipment, prevention of falls, helping with travel for medical checkups and treatment, and providing companionship. Families experienced shortages of medical supplies, daily use equipment, lack of employment, inadequate income, and difficulty accessing health care services due to lack of transportation. Some caregivers experienced caregiving stress related to a lack of social interactions as well as routine caregiving activities. Families need different types of support in order to promote the well-being of older people and caregivers. This highlights the need for a community participation model for the care of older people in order to reflect sustainable long-term outcomes.