• 한국포장학회지
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• 제19권1호
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• pp.43-50
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• 2013

국내산 제올라이트 분말소재를 가공하여 개발한 두께 $30{\mu}m$의 필름에 산 및 결로방지 처리한 후 마스터뱃치하여 생산한 기능성 MA필름(FMA)의 사과의 선도유지 효과를 알아보고자 '후지' 사과를 20개씩 포장하여 온도 $15^{\circ}C$, 상대습도 67%의 항온 항습실에 150일 동안 저장하였고 저장 후 50, 90, 120 및 150일에 기호도, 중량, Vitamin C, 당도, 산도, 기체조성을 비교 분석하였다. 대조구용 필름으로 기존 유통 중인 LLDPE필름을 L이라 하였고, 1 N HCl용액으로 처리한 제올라이트 소재로 생산한 포장구에 수분응축처리를 한 필름은 개발포장구 CA라 하였다. 품질유지가 가능한 기간은 대조구 L이 130일, 개발포장구 CA는 170일로 나타나 40일 정도 품질유지기간이 대조구보다 길게 나타남을 확인했다. 저장 150일 후 중량 감소는 대조구 L은 0.4%였고 개발포장구 CA는 1.0%의 중량감소가 일어났다. Vitamin C 함량은 초기 5.24 mg/100g F.W.에서 저장 150일 후 대조구 L은 2.09였고 개발포장구 CA는 2.94 mg/100g F.W.을 나타냈는데 개발포장구가 대조구보다 Vitamin C 잔존량이 높게 나타났다. 당도는 저장 150일 후 비슷하게 유지되었으며 산도는 개발포장구에서 더 높게 유지되고 있었으며 에틸렌 가스의 경우 대조구 L은 192.2 ppm였고 개발포장구 CA는 165.6 ppm으로 조사되었다. 개발포장재와 대조구간의 포장재내 가스농도차가 저장 90일후는 21.0 ppm 저장 150일 후는 44.3 ppm으로 나타났다. 이상의 결과에서 개발한 MA 저장용 필름을 사과의 선도유지용 포장재로 활용할 수 있음을 입증하였다. 또한 수분응축현상이 생기지 않도록 수분응축억제 처리했을 때 사과의 상품성에는 도움이 될 수도 있으나 신선도 유지에 큰 영향은 없는 것으로 보여진다.

• 대한물리의학회지
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• 제14권4호
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• pp.115-123
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• 2019

PURPOSE: This study compared the scores of the Mini-Mental State Examination-Korean version (MMSE-K) and Korean version Montreal Cognitive Assessment (K-MOCA), which assess cognitive function, the Fugl- Meyer Upper-Extremity Assessment (FMA), which assess the upper extremity function; and Modified Barthel Index (MBI), which that assesses activities of daily living among patients receiving inpatient treatment following a diagnosis of stroke to determine the correlations among MMSE-K, K-MOCA, FMA, and MBI. METHODS: The study assessed the cognitive function using the MMSE-K and K-MOCA, upper extremity function using FMA, and activities of daily living using MBI. The data were analyzed using Pearson's correlation analysis and multiple regression analysis. RESULTS: An analysis of the differences in the MMSE-K, K-MOCA, MBI, and FMA scores according to the affected side, revealed differences in the, K-MOCA scores according to the affected side, where patients with right hemiplegia showed better cognitive function (p <.05). Correlation analysis among MMSE-K, K-MOCA, FMA, and MBI Showed significant correlations (p <.05). The results indicate that those with higher cognitive and upper extremity functions had higher performance of activities of daily living. CONCLUSION: The cognitive and upper extremity functions were correlated with the activities of daily living in stroke patients. Accordingly, applying physical therapy with a focus on improving the cognitive function and training activities of daily living could assist in the functional recovery of stroke patients significantly.

• 한국응용과학기술학회지
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• 제35권2호
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• pp.502-508
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• 2018

코팅, 발수 및 접착특성이 우수한 불소함유 아크릴계 공중합체를 설계, 제조하였다. 공중합체용 모노머로 methyl methacrylate(MMA), 2,2,2-trifluoroethyl acrylate(FMA) 그리고 2-hydroxyethyl methacrylate(HEMA)를 사용하여 괴상 중합 및 유화 중합으로 반응하여 > 95 %이상 고수율로 공중합체를 제조하였다. $^1H-NMR$로 화학구조를 확인하였고 DSC와 DMA로 물성분석을 한 결과, FMA의 함량이 5 %에서 10 %로 증가함에 따라 유리전이온도는 $3^{\circ}C$ 감소하였으며 HEMA의 경우에는 감소폭이 $2{\sim}8^{\circ}C$로 나타났다. Instron 및 TGA를 이용한 분석에서는 FMA 혹은 HEMA 함량이 10 % 증가함에 따라 괴상 및 유화 중합체 모두에서 인장강도는 29 MPa에서 22 MPa로 감소하였고 Td는 $200^{\circ}C$에서 $180^{\circ}C$로 감소하는 경향을 나타내었다. 접촉각은 친수성인 HEMA의 함량이 증가함에 따라 상대적으로 감소하였다.

• 대한소아치과학회지
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• 제42권2호
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• pp.126-135
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• 2015

본 연구의 목적은 3급 부정교합 환자에서 facemask 치료 시 수직적 골격 양상에 따른 치료 효과를 비교하고, 구내 장치로서 bonded expander의 고정원을 평가하는 것이다. Facemask 치료를 받은 20명의 환자를 대상으로 FMA를 기준으로 두 군으로 분류하였고(HV군; FMA > $27^{\circ}$, AV군; $23^{\circ}$ < FMA < $27^{\circ}$), 치료 전과 후 측모두부방사선사진을 촬영하여 계측치를 비교하였다. 치료 후 두 군 모두 상악의 전방이동 및 하악의 후하방 회전이 관찰되었고, 두 군간에 유의한 차이는 없었다. 두 군 모두 수직적 골격 계측치가 증가하였고, FMA의 증가량은 HV군이 AV군에 비해 유의하게 크게 관찰되었다. 고정원 소실로서 상악구치의 근심이동 및 상악 전치의 전방경사가 관찰되었고, 두 군간에 유의한 차이는 없었다. 결론적으로 수직적 골격 양상에 따라 상악의 전방이동 및 고정원 소실면에서는 유의한 차이가 없었으나, HV군에서 수직적 성장 경향이 더 증가하였다.

• 대한화학회지
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• 제55권4호
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• pp.723-728
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• 2011

• 재활치료과학
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• 제3권1호
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• pp.39-45
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• 2014

목적 : 본 연구의 목적은 말초신경병증인 Guillain-Barre Syndrome 환자에게 근전도 유발 신경근 전기자극을 적용한 사례 연구를 통해 치료의 효과를 알아보는데 있다. 연구방법 : FMA와 JTHFT 결과 특히 손목과 손 기능이 저하되어있는 Guillain-Barre syndrome 환자에게 4주간, 하루 1회, 좌우 각각 30분씩, 손가락 폄근(extensor digitorum communis)에 근전도 유발 신경근 전기자극을 적용하였다. 결과 : 4주간 실시한 결과 FMA의 wrist, hand 에서 개선을 보였고, JTHFT의 일부 개선을 보였다. 결론 : 근전도 유발 신경근전기자극치료를 말초신경계 병증인 Guillain-Barre Syndrome 환자에게 적용하였을 때 적절한 치료 효과를 나타내었다.

• 대한물리의학회지
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• 제1권1호
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• pp.1-12
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• 2006

Purpose : The purpose of this study was to investigate the effect of electromechanical gait trainer therapy in stroke patients. The gait trainer was designed to provide nonambulatory subjects the repetitive practice of a gait-like movement without overstraining therapist. To simulate normal gait, discrete stance and swing phase, lasting 60% and 40% of the gait cycle respectively, and the control of the movement of the centre of mass were required. Methods : This preliminary study investigated during 8 weeks therapy on the gait trainer could improve gait ability in 5 subacute and chronic hemiparetic stroke patients. Gait ability(time up & go [TUG], comfortable and maximal gait speed and functional ambulation category[FAC]), functional movement of lower extremity(Fugl-Meyer Assessment [FMA] and composite spasticity score [CSS]) and sensory of lower extremity(Fugl-Meyer Assessment sensory [FMA-s])were the measured. Results : TUG, comfortable and maximal gait speed and FMA were improved significantly. Although FAC, FMA-s and CSS were improved, there were not statistically significant. Conclusion : Therefore, the gait trainer enabled affected patients the repetitive practice of a gait-like movement, which is important for the restoration of walking ability.

• 한국전문물리치료학회지
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• 제12권1호
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• pp.91-99
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• 2005

We assessed whether the use of a symmetrical upper limb motion trainer in daily repetitive training for a 6-week period reduced spasticity and improved motor function in three chronic hemiparetic patients. Upper limb motor impairment and disability were measured by the Fugl-Meyer Assessment (FMA), Modified Ashworth Scale (MAS) and Manual Muscle Test (MMT), respectively. The electromyography (EMG) of the affected hand was recorded during isometric wrist flexion and extension. In all patients, FMA and MMT scores were significantly improved after the 6-week training. However, MAS scores of the affected wrist spasticity did not change considerably. Onset and Offset delays in muscle contraction significantly decreased in the affected wrist. The co-contraction ratio of flexor and extensor muscles significantly increased after the 6-week training. Onset and offset delays of the muscle contraction and co-contraction ratio correlated significantly with the patients' FMA. This study showed that repetitive, symmetric movement training can improve upper limb motor functions and abilities in chronic hemiparetic patients. Also, the EMG assessment of motor response is likely to provide insights into mechanisms and treatment strategies for motor recovery in chronic hemiparetic patients.

• Physical Therapy Rehabilitation Science
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• 제11권2호
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• pp.181-188
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• 2022

Objective: The purpose of this study to investigate the correlations among the motor function, balance, and gait velocity and the strength that could explain the variation of gait velocity of chronic stroke survivors. Design: This was a cross-sectional cohort study. Methods: Thirty hemiplegic stroke survivors hospitalized in an inpatient rehabilitation center were participated. The muscle tone of ankle plantarflexor and muscle strength of ankle dorsiflexor were measured respectively with modified Ashworth scale (MAS) and hand-held dynamometer. And the motor recovery and function with Fugl-Meyer assessment (FMA), balance with Berg balance scale (BBS) and timed up and go (TUG) test were measured. Gait velocity was measured with GAITRite. The correlation among motor function, muscle tone, muscle strength, balance, and gait were analyzed. In addition, the strength of the relationship between the response (gait velocity) and the explanatory variables was analyzed. Results: The gait velocity had positive correlations with FMA, muscle strength, and BBS, and negative correlation with MAS and TUG. Regression analysis showed that TUG (𝛽=-0.829) was a major explanatory variable for gait velocity. Conclusions: Our results suggest that gait velocity had correlations with muscle strength, MAS, FMA, BBS, and TUG. The tests and measurements affecting the variation of gait velocity the greatest were TUG, followed by FMA, BBS, muscle strength, and MAS. This study shows that TUG would be a possible assessment tool to determine the variation of gait velocity in stroke rehabilitation.

• 대한통합의학회지
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• 제8권3호
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• pp.143-151
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• 2020

Purpose: This study aimed to investigate the effect of single-leg stance training according to different support surfaces on walking speed and balance in patients with chronic hemiplegia. Methods: Twenty-two patients with chronic stroke were randomly categorized into an experimental group (11 patients) and a control group (11 patients). In the experimental group, single-leg stance training was performed on an unstable surface after 50 min of general physical therapy. In the control group, single-leg stance training was performed on a stable surface after 50 min of general physical therapy. All participants performed five sets of single-leg stance exercises per minute and rested for 3 min. The intervention was performed 5 times a week for 4 weeks, and each patient was evaluated using the Berg Balance Scale (BBS), Fugl-Meyer Assessment Scale (FMA), and difference in walking speed between the first and last day of the intervention. Results: Compared to baseline measurements, both study groups showed significant increases in FMA, BBS, and walking speed (p<.05) after the intervention. However, there was no statistically significant difference (p>.05) between the experimental and control groups. However, in the experimental group, the increases in FMA, BBS, and walking speed were 3.36 %, 9.50 %, and 7.71 %, respectively. In the control group, the increases in FMA, BBS, and walking speed were 2.39 %, 6.65 %, and 7.64 %. Conclusion: Single-leg stance training on different support surfaces could help improve walking ability and balance in patients with chronic hemiplegia.