• Journal of Korean Academy of Nursing Administration
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• v.8 no.4
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• pp.575-583
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• 2002

Purpose : The purpose of this study was examine the effects of Self-Development training on the Self-Identity for head nurses. Methods : The sample consisted of 24 head nurses in one university hospital in Seoul. The subjects were divided into two groups for the training. Self-Development training was developed by the researcher for during 4 sessions in two weeks that is, 2 hours a day/ 2 times a weeks / two weeks / each group. Self-Development training program consists of identification of self-development elements, self-identification I, self-identification II, and human relationship. Two-weeks before and 4-weeks after the training, subjects completed the questionnaires. Analysis was done by SPSS PC 10.0 for percentile, mean, standard deviation, paired t-test and correlation. Results : The results of this study showed that the Self-Identity had not significant differences before and after Self-Development Training. When compared 5 subscales, self-assertiveness is significant difference, and goal-directedness has the lowest score before and after training. 11(46%) of head nurses mean scores at the 4 weeks after training were slight higher. Conclusion: On the basis of the finding, the researcher makes the following conclusion. This study is one step towards understanding the impact of Self-Identity for the head nurses. It would be beneficial to replicate this study with larger, more diverse samples.

• The Journal of Korean Physical Therapy
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• v.17 no.3
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• pp.429-440
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• 2005

The purpose of this study was to compare the effects of knee joint position sense following local and general load protocols in 25 healthy male subjects. Proprioception of the knee joint was evaluated by measuring absolute angular errors at matching angles before, after and between 2 different types of load protocols. Proprioception tests(on the dominant knee) were performed in which proprioception of the passivepassive reproduced and active-active reproduced knee position was measured. Local load was provided with maximum isokinetic knee extension-flexion on the isokinetic dynamometer(Cybex), and general load was 10 minutes running on a treadmill. Peak torque(knee extension and flexion) and heart rate(beats per minute) was evaluated as an indicator of local and general fatigue during load protocols. The results were as follows: 1. For pasive-pasive reproduced knee position test, significant difference in absolute angular errors after general load protocol was detected compared with that before general load protocol(P<.05), significant difference in absolute angular errors after local load protocol was detected compared with that before local load protocol(P<.05). However, no significant difference in absolute angular errors of general load protocol was detected compared with that of local load protocol (P>.05), no significant difference in absolute angular errors of local load protocol was detected compared with that of general load protocol(P>.05). 2. For active-active reproduced knee position test, significant difference in absolute angular errors after general load protocol was detected compared with that before general load protocol(P<.05), significant difference in absolute angular errors after local load protocol was detected compared with that before local load protocol (P<.05). Also, significant difference in absolute angular errors of general load protocol was detected compared with that of local load protocol(P<.05), significant difference in absolute angular errors of local load protocol was detected compared with that of general load protocol(P<.05). 3. A significant decrease of peak torque of knee extensors and flexors was seen after local load, although heart rate was significantly increased(P<.05). No significant change of peak torque of knee extensors and flexors was seen after general load(P>.05), although heart rate was also significantly increased(P<.05). The previous study revealed that knee proprioception is significantly altered when the muscle mechanoreceptors are dysfunctional due to muscle fatigue, although the joint mechanoreceptors have no significantly effect on knee proprioception when the presence of knee muscle fatigue. However, the results of this study are different from those of the previous study in that muscle weakness of the knee could not be seen after general load. This study shows that general load may diminish motor control by the central nervous system. Proprioceptional decline without muscle weakness of knee after general load suggests a change in the proprioceptional pathway without influence from muscle mechanoreceptors.

• Asian-Australasian Journal of Animal Sciences
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• v.20 no.11
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• pp.1677-1683
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• 2007

Physiological changes in thoroughbred racehorses during the race were investigated by measuring concentrations of metabolites and exercise-related hormones before and after a race. The conversion point from anaerobic to aerobic exercise during the race was estimated subsequently. Blood samples were taken from the jugular vein of 53 thoroughbreds at different times -three h before and 45 min after- for measuring the concentrations of glucose, non-esterified fatty acids (NEFA), lactate, uric acid, ammonia, insulin, adrenocorticotrophin (ACTH) and cortisol according to the race distance. In accordance with the race distance, each metabolite increased in concentration compared with the level before the race. The level of glucose, in particular, increased from $56.18{\pm}3.20$ mg/dl before the race to $148.82{\pm}8.82$ mg/dl after the race for horses that raced 1,400 m, showing a significant increase of 165% (p<0.001). The concentration of NEFA rose from $76.77{\pm}5.59$ uEq/L to $335.85{\pm}35.39$ uEq/L, up 337% (p<0.01) after a 1,400 m race. Exercise-related hormones also showed similar changes. The level of insulin dropped the most in horses that raced 1,400 m, by 42%, from $0.97{\pm}0.18$ to $0.56{\pm}0.05\;{\mu}g/L$ (p<0.5); however, ACTH and cortisol jumped significantly at 1,800 m, from $20.17{\pm}2.12$ to $551.45{\pm}91.33$ pg/ml (p<0.5) and $1.13{\pm}0.16$ to $5.66{\pm}0.45\;{\mu}g/dl$ (p<0.01), respectively, representing the highest increase. Therefore, based on the changes in glucose, NEFA and insulin levels before and after the race, it was concluded that the race distance of 1,400 m represents the point where racehorses make a conversion from anaerobic to aerobic exercise.

• Journal of the Korean Society of Physical Medicine
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• v.3 no.1
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• pp.1-9
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• 2008

Purpose : The purpose of this study is to assess the effects of ice immersion to the ankle, foot on vertical jump, isokinetic exercise. Methods : Thirty volunteers from universal students who had not sustained an injury to the lower extremity within the past 6 months were randomly assigned to either an experimental or control group. Subjects in the experimental group performed vertical jump and isokinetic exercise before and after the application of a 15-minute ice immersion($50-55^{\circ}F$) to the ankle and foot. Subjects in the control group performed vertical jump and isokinetic exercise before and after the application of a 15-minute resting. Results : Shuttle run was not significantly decreased after than before the application of a 15-minute ice immersion($50-55^{\circ}F$) to the ankle and foot(p<0.05). Vertical jump was significantly decreased after than before the application of a 15-minute ice immersion($50-55^{\circ}F$) to the ankle and foot(p<0.05). Speed $60^{\circ}$ of peak torque was significantly decreased after than before the application of a 15-minute ice immersion($50-55^{\circ}F$) to the ankle and foot(p<0.05). Speed $120^{\circ}$ of peak torque was significantly decreased after than before the application of a 15-minute ice immersion($50-55^{\circ}F$) to the ankle and foot(p<0.05). Conclusion : we think because the ice immersion decrease active, physical therapist should carefully consider the consequence of cold therapy to increase active.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.2
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• pp.49-57
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• 2019

Purpose: This study aimed to investigate the application of temperature to balance the training by observing the effect of sensory changes in the foot sole area on dynamic equilibrium ability through change in the sole temperature. Methods: Participants (n=49), who were selected as a certain standard, applied cold and hot packs for ten minutes at two-week intervals, and the laboratory's internal temperature was maintained at $25^{\circ}C$. The subjects were measured before and after the cold and hot applications in the stable condition with bare feet. Before each experiment applied the cold and hot packs, the balance ability of the ordinary temperature was measured once by conducting a limit of stability test using Biorescue, and the changes in balance ability were observed by measuring once after applying the temperature to the foot sole by means of the ice pack and the hot pack. Results: The results of the dynamic balance test, both before and after the temperature application, were compared, and it was confirmed that the moving area before and after cold application decreased significantly, and the moving area before and after application was not significantly different. The mean of pre-post area differences was found to have decreased at a statistically significant rate in the forward, backward, rightward, leftward, and total areas for the group that received the cold application compared to the group that received the hot application. Conclusion: These findings showed that cold application to the foot sole decreased dynamic balance. There was no significant difference in the dynamic balance ability both before and after the hot application to the foot sole, so it is difficult to conclude that the hot application affected dynamic balance.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.28 no.2
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• pp.96-99
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• 2017

Background and Objectives : The management of Reinke's edema includes usually medical treatment and voice therapy. Laryngomicrosurgery (LMS) is also necessary, especially to improve airway obstruction. However, voice outcome after LMS has not been determined well. The aim of this study was to evaluate effectiveness of LMS for Reinke's edema and analyze the voice outcomes after LMS. Materials and Methods : Twenty-five patients with Reinke's edema who underwent LMS from September 2007 to December 2016 were enrolled in this study. We analyzed reflux finding score (RFS), reflux symptom index (RSI), and acoustic parameters before and after surgery. Results : Male was 15 (60%) and female was 10 (40%), and mean age was 49.6 years. Preoperative mean value of RFS decreased significantly up to 3 months after LMS ($18.3{\pm}2.2$ and $10.0{\pm}2.2$ at preoperative and 3 months postoperatively, respectively). The mean value of Jitter decreased significantly before and after surgery ($2.71{\pm}2.81%$ and $1.06{\pm}1.21%$ before and after LMS, p=0.041). The mean value of Shimmer also decreased significantly before and after surgery ($7.97{\pm}3.63%$ and $4.83{\pm}1.85%$, respectively, p=0.006). Conclusion : LMS is effective in the treatment of Reinke's edema. It results in favorable acoustic outcomes and laryngoscopic findings in properly selected patients.

• The Journal of Korean Physical Therapy
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• v.33 no.3
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• pp.168-177
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• 2021

Purpose: This study applies the ICF to identify the patient's body function, structure, and participation, evaluates the patient's environmental factors and individual factors, and is a high level of movement to return to the society of patients with multiple ligament injury of the knee joint. Methods: Progressive strength training and ROM exercise were performed 30 minutes a day, 5 times a week for 6 weeks. The evaluation was performed by examining the ROM, length, MMT, instability, dynamic balance, pain and depression. Results: The ROM of the knee joint was improved from 110° to 135° after intervention, and the knee flexion length decreased from 69 cm to 45 cm. Knee flexor is Good after intervention from Poor-, and knee extensor is Good+ after intervention from Poor, and the plantar flexor of the ankle joint improved from Poor- before intervention to Good after intervention and dorsi-flexor of the ankle joint improve to Good from Poor. Pain index was moderate before and after the intervention, with a score of 3, 2 after the intervention, and when maintaining the sitting cross-legged, the before intervention score was 7 to 4 after the intervention. Conclusion: The patient's posture of sitting cross-legged was maintained from 30 seconds before intervention to 14 minutes after intervention. These results were able to set the hypothesis design, intervention method and goal that the multifaceted approach of environment and individual factors as well as body function and structure area, activity and participation area using ICF checklists, it is helped the patient to return to daily life.

• The Journal of Korean Physical Therapy
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• v.16 no.2
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• pp.116-127
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• 2004

The purpose of this study was to determine the effect of shoe lift of the affected limb in subjects with hemiplegia. The subjects of this study were 18 post-stroke hemiplegics. For the study, insole of the paretic side was lifted 10 mm higher, and static weight bearing was measured before and after the lift application. For the measurement of carry-over effect of lift, we got data of those three items prior to and 3 weeks after lift application and 3 days after removal of the lift. Static weight bearing was significantly increased both just after and continuous application of lift for 3 weeks than before. According to this study, lift applied to the shoe of the paretic limb was effective in inducing static weight bearing in the paretic limb. This study suggests that symmetry, induced by shoe lift applied to the paretic limb, could help correct abnormal posture that would be caused in standing and prevent development of abnormal muscle tone in subjects with hemiplegia caused by unilateral stroke.

• Journal of Korean Society of Forest Science
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• v.101 no.2
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• pp.297-304
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• 2012

The objective of this study was to estimate the changes of stand structure before and after applying the three different silvicultural treatments such as selection cutting system, two-storied system, and shelterwood system. This study has been conducted in the natural deciduous forests in Pyungchang of Gangwon Province, Korea. Three permanent sampling plots of 0.09 ha were established in the forests and the three silvicultural treatments were applied in 2008. For this study, some tree variables were measured in each stand before and after the silvicultural treatments were applied. With these data, stand attributes were estimated in each stand before and after the silvicultural treatments. In this study, four stand structure indices were used to analyze the differences among structures of stands managed by three different silvicultural treatments. Contagion index, DBH-difference index, height-difference index, and mingling index were estimated and compared to analyze the differences of stand structures among the stands before and after silvicultural treatments. Duncan's multiple range test and t-test were then employed to statistically analyze the difference of stand structure among the stands. The results revealed that all of the stand structure indices seem to be increased after applying the silvicultural treatments. There are significant differences in the stand structure indices between before and after silvicultural treatments for each stand. According to the evaluation of stand structure indices, it was confirmed that spatial structure of the stands was improved by applying the silvicultural treatments. For attaining the specific goal of each stand types acquired by different silvicultural treatments, the frequencies and amounts of additional practices should be decided based on the changes of stand structure as time passed.

• Journal of Convergence for Information Technology
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• v.10 no.9
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• pp.200-205
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• 2020

This study investigates the effects of instrument-assisted soft mobilization (IASTM) and manual myofascial release (MFR) on the muscle activity of the biceps brachii. This study was conducted on 10 men and women in their 20s, and all subjects participated in the experiment for 3 days and measured muscle activity of the upper forearm muscles. On the first day, the muscle activity value was measured before the intervention, and the remaining two days were measured for muscle activity after the intervention of each manual therapy in a random order. All muscle activity values were compared and analyzed through the dependent t test and the independent t test. The before and after comparison of muscle activity values before and after each intervention was verified by performing the dependent t test and comparing the values of muscle activity between groups between each intervention after intervention by performing an independent t test. According to the results of this study, both interventions significantly increased muscle activity of the biceps brachii before and after intervention, and there was no significant difference in muscle activity values between groups after intervention. Therefore, both manual therapy (IASTM, MFR) are thought to be effective in improving neuromuscular control ability.