• 대한감각통합치료학회지
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• 제21권3호
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• pp.79-102
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• 2023

목적 : 자폐 스펙트럼 장애(Autistic Spectrum Disorders, 이하 ASD)는 비전형적 감각 적응, 의사소통 문제, 상동 행동 등이 특징인 발달 장애로 섭식장애가 흔하게 동반된다. ASD 아동의 섭식장애는 감각, 구강운동, 행동, 인지, 사회성 등 다양한 원인으로 발생하며 주요 증상으로는 까다로운 먹기, 선택적 먹기, 음식 거부, 새로운 음식 거부, 음식 다양성 제한, 음식 혐오 등 다양하다. 또한 건강 및 영양 섭취 문제, 섭식 발달, 섭식 관련 사회성, 가족과 보호자의 스트레스 등 다양한 문제가 동반되기도 한다. ASD 아동의 섭식장애는 출생 후부터 나타날 수 있으며 일반적으로 진단이 이루어지는 3세 이전에 발생하기 때문에 적절한 중재 제공 전 공백이 발생할 수 있다. 보통 섭식장애 증상은 연령이 증가할수록 감소되는 경향이 있으나 증상 자체는 남아 있는 경우가 많아서 조기 평가 및 중재, 지속적인 확인이 필요하다. 본 연구에서는 ASD 아동의 섭식장애 특성과 영향을 주는 요인, 중재법에 대한 일반적인 내용을 문헌 고찰을 통해 확인하였다. 결론 : ASD 아동의 섭식장애 중재로는 감각 기반 중재와 행동 기반 중재가 일반적이다. 감각 기반 중재는 음식 민감성, 행동 기반 중재는 음식 선택성에 효과적인 방법이다. 또한 ASD 아동의 섭식장애 증상이 다양한 만큼 감각 및 행동 기반 중재를 기본으로 놀이와 참여, 구강운동, 식이와 일상생활까지 포함된 종합적인 접근이 필요하다. 그러나 아직 ASD 아동의 섭식장애 중재를 위한 적절한 평가와 중재 프로토콜 및 가이드라인이 부족한 상황으로 보다 체계적인 이해를 바탕으로 한 복합적인 접근이 필요하다. 작업치료사 등 연하재활 전문가는 종합적인 이해를 바탕으로 ASD 아동의 섭식장애 해결을 위한 적절한 평가 및 중재를 제공해야 할 것이다.

• 한국전문물리치료학회지
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• 제25권2호
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• pp.53-61
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• 2018

Background: Stroke patients show abnormal walking patterns due to brain injury. In order to have the desired walking pattern, appropriate stimulation is required to activate the central pattern generator. For this reason, our study performed treadmill ambulatory training with rhythmic auditory stimulation. However we did not consider the influence of visual feedback. Objects: The purpose of this study was to compare the gait abilities in chronic stroke patients following either treadmill walking training with rhythmic auditory stimulation and visual feedback (TRASVF) or treadmill walking training with rhythmic auditory stimulation (TRAS) alone. Methods: Twenty-one stroke patients were divided into two groups: A TRASVF group (10 subjects) and a TRAS group (11 subjects). They received 30 minutes of neuro-developmental therapy (NDT) and walking training for 30 minutes, five times a week for three weeks. Temporal and spatial gait parameters were measured before and after the training period. The Biodex gait trainer treadmill system measured gait parameters. Results: After the training periods, the TRASVF group showed a significant improvement in walking speed, the step length of the affected limb, and time on each foot of the affected limb when compared to the TRAS group (p<.05). Conclusion: The results of this study showed that the treadmill walking training with rhythmic auditory stimulation and visual feedback improved individual gait ability more than the treadmill walking training with rhythmic auditory stimulation alone. Therefore, visual feedback should be considered along with rhythmic auditory stimulation training.

• 구강회복응용과학지
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• 제33권2호
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• pp.143-153
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• 2017

치아 외상에 따른 흔한 합병증 중 하나는 치아 유착이다. 성인과 달리 성장기 아동에서 유착이 나타날 경우 유착치가 인접 치조골의 성장을 방해하여 치조골의 발육 부전과 이에 따른 개방 교합을 야기한다. 그러나 저위된 유착치를 단순 발치할 경우, 성장 완료 시까지 치조제의 상당한 소실을 유발하여 향후 심미적인 보철물을 수복하기가 어려워진다. 본 증례에서는 성장기에 상악 전치의 유착이 발생한 환자에서 단일 치아 골절단술 후 치조골 신장술과 치관 절제술을 시행하여 상악 전치부의 유착치를 심미적으로 결과를 얻었으므로 소개하고자 한다.

• 한국간호교육학회지
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• 제9권1호
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• pp.155-162
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• 2003

The comparative study of the administration policy that the government and the local self-governing body have enforced to a handicapped child and the family, was made in South Korea and Japan. As data, I utilized brochures distributed to a handicapped child's guardian in the government publication, health center, and hospital of both countries and the homepage that each organization manages. With the investigation of (1) the handicapped child's present condition, population and entering-school situation, (2) the organization which can consult about a juvenile entering-school problem, (3) the public service with which the parents of handicapped child, or a handicapped child are provided and (4) the feedback surveys of (3)’s services, the followings were proved. In (1), the handicapped child's population and their school attendance are not be specified by the South Korea side. In (2), a private consultation organization is mainly opened and be hard to say that use is simple from the little of a kind. In (3), there is almost nothing than rehabilitation education as the administration policy, which is universally held for the handicapped child. Besides they cannot receive freely the education. In (4), it became clear not to carry out. The improvement from the direction of both hard and soft aspects - the institution of basic education for the handicapped child who lives in all areas and the equal opportunity to all children - is called for urgently.

• 한국산업보건학회지
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• 제18권2호
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• pp.122-132
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• 2008

The purpose of this study is to present the basic materials of a developmental counterplan by assessing prevalence of musculoskeletal symptoms and characteristics of work-related ergonomic risk factors. The prevalence of musculoskeletal symptoms of 64 vineyard workers was investigated by using a self-reported questionnaire. And the vineyard workers' tasks were also collected and analyzed during 9-month period by observing and videotaping methods to identify the ergonomic risk factors. The prevalence rate of musculoskeletal symptoms of female(84.4%) was much higher than that of male(62.5%) and a total prevalence rate was 73.4%. There was no different prevalence of musculoskeletal symptoms between age over 60 years and under 60 years. The prevalence rates of musculoskeletal complaints for each body part were 48.4%, 42.2%, and 35.9% for the wrist, legs/knee, and shoulder, respectively. In postural risk analysis, 7 works(REBA score) represented the high risk tasks such as delivering harvest boxed(12), picking cluster(11) and so on. The main works(exposure score) were orderly ranked as picking cluster(1590), pruning branch(388), and cluster thinning(327). The risk factors of vineyard work were identified as follows: shoulder flexion(${\geq}45^{\circ}$), wrist Flex./Ext.(${\geq}15^{\circ}$), hand force(power/pinch-grip), and prolonged standing(${\geq}4hr$). The engineering solutions including an improvement of hand tools, working process, and working environment should be applied to the high risky tasks in order to resolve the ergonomic problems. The administrative solutions such as improving a distribution of resting time, an exercise cure, an early recognition of symptoms and rehabilitation might be another solution for reducing musculoskeletal symptoms in vineyard workers.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제6권1호
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• pp.109-115
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• 1995

2세 10개월된 중증 정신지체아동의 이미증 치료에서 지시따르기 훈련을 통한 장난감 놀이지도(DRO)와 이미증 제재수단으로 얼굴가리개(Facial Screening)가 사용되었다. 이 아동의 이미증은 주로 손가락 빨기, 장난감 입에 넣고 빨기, 주위의 물건에 닥치는 대로 입을 대고 빠는 형태이다 빠는 행위의 발생은 장난감 놀이지도 전에는 15분 당 평균 18.6회였으나, 놀이지도 기간에는 평균 5.4회, 얼굴가리개를 통해 빠는 행위를 제재한 치료기간에는 평균 2.3회로 감소되어, 얼굴가리개의 사용이 이 아동의 이미증 치료에 큰 효과를 보였다. 이 아동은 이미증 이외에 구토행위를 보였는데, 본 연구에서는 구토행위를 치료하지 않았으나, 놀이지도 및 이미증 치료기간 동안 구토행위가 저절로 감소된 현상을 보인 것은 기존 연구에서 밝혀진 바와 같이 한 행동의 치료가 다른 문제행동의 감소에 영향을 줄 수 있음을 증명하고 있다.

• 대한한방부인과학회지
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• 제21권1호
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• pp.257-266
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• 2008

Purpose: These experiments were undertaken to evaluate the effect of Onpoeum on ovarian functions and differential gene expressions related with cell viabilities caspase-3, MAPK and MPG in female mice. Methods: We administered the Onpoeum to 6-week-old female ICR mice for 4, 8, or 12 days. With different concentration of Onpoeum, the female mice were injected PMSG and hCG for ovarian hyperstimulation. The mice divided into 3 different groups for each experiment. We chose the Caspase-3 for cell apoptosis, MAPK and MPG genes for cell viability and DNA repair. Results: In case of 4, 8, 12 day of Onpoeum, we were examined the mean number of total ovulated oocytes and the number of morphologically normal oocytes. We were also examined the embryonic developmental competence in vitro. In addition we were examined the differential expression of cell apoptosis, viability and DNA repair related genes, Caspase-3, MAPK and MPG according to concentration and duration of Onpoeum. From these results showed that the administration of Onpoeum played a role of prevention of cell apoptosis and DNA damages and also increased cell proliferation resulted in ovarian functions. Conclusions: It is suggested that the medication of Onpoeum may have beneficial effect on reproductive functions of female mice via prevention of cell apoptosis and DNA damaging and promotion of cell proliferation.

• 대한물리의학회지
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• 제12권1호
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• pp.25-33
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• 2017

PURPOSE: The initiation of the trunk muscles in stroke patients is delayed because the muscles involved in reach arm are activated earlier than the trunk muscles. The objective of this study was to examine the effects of mobility, balance, and trunk control ability through selective trunk exercise (STE) in patients with chronic stroke. METHODS: A randomized pre-test and post-test control group design was initially used, with subjects randomly assigned to the STE group (n=15) and a control group (n=14). All groups underwent physical therapy based on the neuro-developmental therapy (NDT) for 30 minutes a day, five times per week for four weeks. Additionally, the STE group did the trunk exercise for 30 minutes a day, three times per week for four weeks. The timed up and go test (TUG), Berg balance scale (BBS), and trunk impairment scale (TIS) were used for assessment. RESULTS: The scores of the TUG, BBS, dynamic sitting balance subscale, and coordination subscale of TIS improved significantly in both groups but the improvement was more pronounced in the STE group (p<.05). This study showed a large effect on the scores of the TIS coordination subscale (d=.93) (p<.05), TIS dynamic balance subscale (d=.81) (p<.05), TUG (d=.75) (p<.05), and BBS (d=.73) (p<.05). CONCLUSION: The combined STE and NDT program showed improvements in measures of mobility, balance, and trunk control in chronic stroke patients. These results suggest that STE should be considered to be included in the treatment program for patients with chronic stroke.

• 대한정형외과스포츠의학회지
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• 제7권2호
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• pp.67-74
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• 2008

반복적으로 던지는 동작은 주관절에 심한 기계적인 스트레스를 주며, 주된 기전은 외반력이며 그 결과 내측 인장력과 외측 압박력, 후방부의 충돌현상이 발생한다. 성장기나 청년기에 지속적인 스트레스는 주관절에 해부학적 변화를 유발할 수 있다는 위험성을 운동선수와 가족, 코치들은 반드시 잘 이해하고 있어야 한다. 스포츠와 관련된 주관절 손상을 막기 위하여 적절한 운동법 교육, 워밍업, 의학적 전문 지식, 보호 장구 등이 필요하다. 또한 손상 예방과 재활은 적절한 투구 동작, 근력 강화, 견갑골에 대한 조절, 관절 운동 범위의 적절한 유지가 필수적이다.

• 한국전문물리치료학회지
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• 제20권3호
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• pp.1-8
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• 2013

The purpose of this study was to determine the effectiveness of sit-to-stand training on unstable surfaces in individuals with stroke. Nineteen subjects with chronic stroke were divided into two groups: an experimental group (10 subjects) and a control group (9 subjects). They received 30 minutes of Neuro-developmental therapy (NDT) treatment, and sit-to-stand exercise for 15 minutes three times a week for four weeks. During the sit-to-stand training, the experimental group performed on an unstable AIREX balance pad, but the control group performed on a stable surface. Balance ability and weight-bearing distribution during quiet standing were measured before and after training period using the 7-item Berg balance scale-3P (BBS-3P) and the Five-times-sit-to-stand test (FTSST). In addition, the muscle strength of the knee extensor was evaluated before and after the training period. The results were as follows: 1) The weight-bearing distribution forward of the affected leg, increased significantly in the experimental group after the four-week intervention (p<.05), 2) The 7-item BBS-3P and FTSST increased significantly in the experimental group after the four-week intervention (p<.05), 3) The knee extensor muscle strength in both groups increased significantly after the four-week intervention (p<.05). In conclusion, the results of this study did not show that the sit-to-stand training on an unstable surface was more effective than on a stable surface. However, the results suggested that sit-to-stand training is effective in the balance training of stroke patients.