• Journal of Physiology & Pathology in Korean Medicine
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• v.30 no.5
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• pp.355-359
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• 2016

This study is to investigate the effect of the level of Korean medical intervention (KMI) on the recovery of activity of daily living (ADL) and the motor function in patients with stroke. A total of 43 stroke patients were recruited. The participants were divided into two groups, the basic Korean medical intervention (BKM) and the comprehensive Korean medical intervention (CKM) group. The patients in BKM group were treated with the basic acupuncture and the consultation of Korean medicine doctors. The treatments of CKM group patients included the comprehensive herbal medical therapies in addition to the treatments of BKM group. The western rehabilitation therapies were performed in all participants with KMI. The functional outcomes using modified Barthel Index of Korean version (K-MBI) and Fugl-Meyer assessment (FMA) were analyzed before and after the treatment between two groups. Significant differences between the BKM and the CKM group were demonstrated in both K-MBI and FMA (p<0.05). There were significant relationships between the level of the KMI and K-MBI/FMA (p<0.05). In conclusion, the comprehensive KMI was more effective to improve the ADL and motor function in patients with the stroke east-west integrative medical care.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.31 no.2
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• pp.143-148
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• 2009

Introduction: To correct abnormal occlusal plane by orthognathic surgery, we need to have clear criteria for therapeutic occlusal plane. Authors introduced the concept of individualized ideal occlusal plane(Y-plane), which is determined by the size and form of the mandible, and the ideal incisor tip considering upper and lower lip. Authors studied the following to verify if the actual occlusal plane of the patients with optimal jaw relationship corresponds with the individualized ideal occlusal plane. Patients: We reviewed 44 patients who have normal occlusion visitied in the Dept. of orthodontics, Pundang CHA hospital. Methods: We evaluated if there are agreement between individualized ideal occlusal plane(Y plane) and occlusal plane of actual patients. And we confirmed if tested group has a normal face by measuring FABA, FMA, AB-LOP. Results: There were no significant differences of FABA, FMA, AB-LOP, Mo-Y plane between male and female. FABA, FMA and AB-LOP were included in the normal value. Average distance of Mo-Y plane was $0.75{\pm}0.78mm$. Conclusion: Individualized ideal occlusal plane may be applied to orthognathic surgery.

• Physical Therapy Korea
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• v.18 no.4
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• pp.11-18
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• 2011

The aim of this study was to analyze the relationship between physical impairments and daily activities on the basis of the outcome measurements in stroke patients. Seventy-six stroke patients participated in this study. Two physical therapists evaluated 3 clinical common measurements, i.e., the Fugl-Meyer Assessment (FMA), the Berg Balance Scale (BBS), and the Functional Independence Measure (FIM). Multiple regression analysis was used, as the dependent variables were the BBS and FIM; the independent variables were post-stroke duration, FMA of Upper Extremity (FMU), and FMA of Lower Extremity (FML). In the regression equation of the BBS, the coefficient of determination ($R^2$) was .383, and the FML was found to be the most important variable for determining the BBS score. In the regression equation of the FIM, $R^2$ was .531, and the FML was found to be the most important variable for determining the FIM. These results suggest that there is a need to determine the function of activities on the basis of the physical impairments of stroke patients. More variable measurement tools on the levels of body function and structure, as well as activity limitations are required.

• PNF and Movement
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• v.16 no.3
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• pp.495-503
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• 2018

Purpose: This study analyzes the predictive power of upper extremity activity and the activities of daily living in patients with stroke using an easy-to-use evaluation tool. Methods: The Fugl-Meyer assessment (FMA) of the upper extremity and action research arm test (ARAT) are performed, and the Korean modified Barthel index (K-MBI) is measured. The predictive power of the upper extremity activity level and the daily activity level are analyzed using regression analysis. The statistical significance level is 0.05. Results: The coefficient of determination, R2, for predicting the ARAT using FMA was high at 0.88, but the regression equation for predicting the K-MBI using the FMA and ARAT did not show a statistically significant difference. Conclusion: The assessment of the upper extremity should be performed at the activity level, as well as the impairment level. The assessment for predicting the activities of daily living should be carried out for each level of the international classification of functioning (ICF), disability, and health, which can be linked to daily life, in addition to the assessment of the upper arm. Future research should conduct more diverse analyses using the ICF assessment tools at various levels.

• Journal of Digital Convergence
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• v.11 no.8
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• pp.235-242
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• 2013

This study aimed to evaluate the effectiveness of imagery training on upper limb function and activities of daily living in subacute stroke patients. This study included 16 voluntary participants with subacute stroke. Subjects were randomly assigned to either experimental or control group, with 8 in each group. Imagery training group performed imagery training during 30 minutes and then task-oriented training 30 minutes a day, 5 times a week for 4 weeks. Control group performed task-oriented training during 30 minutes during a day, 5 times a week for 4 weeks. Assessments were made using the Wolf Motor Function Test (WMFT) and Fugl-Meyer motor function assessment (FMA) to evaluate the changes of upper function. And modified Barthel Index (MBI) was measured to evaluate the activities of daily living. The results showed that imagery training group was more significant increase than control group in WMFT, FMA, and MBI (p<.05). Small to huge effect sizes of 1.59, 2.02, 0.37 were observed for WMFT, FMA, and MBI, respectively. This study indicated that imagery training may be helpful in improving the upper limb function and activities of daily living for subacute stroke patients, and support the clinical feasibility of the imagery training.

• The korean journal of orthodontics
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• v.32 no.1 s.90
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• pp.33-42
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• 2002

This study was performed to compare the pattern of dentoalveolar characteristics in different vertical and anteroposterior skeletal types in skeletal Class III malocclusion. The samples selected for this study were consisted of 60 subjects(29 males and 31 females, mean age; 19.7 years) in Class III group, 43 subjects(14males and 29 females, mean age : 20.5 years) in normal group. The findings of this study were as follows : 1. The IMPA of the Class III group was smaller than that of the Class I group(p<0.01). 2. In the Class III groups, SNB and NtoPog had negative correlation with IMPA(p<0.01). The SNB and NtoPog had correlations with SNU1, FHU1 and PalU1(p<0.01) in the male samples, and in the female samples, the SNB and NtoPog had correlations with SNU1(p<0.01). 3. In the Class III male samples, SNMP, FMA, PalMP had negative correlation with IMPA(p<0.01). SNMP, FMA, PalMP had not significant correlation with SNU1, FHU1, PalU1. In the Class III female samples, FMA, PalMP had negative correlation with IMPA(p<0.01). 4. In the high angle group of Class III samples, SNU1, IMPA is smaller than that of low angle group of Class III samples(p<0.05).

• Journal of Industrial Technology
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• v.24 no.A
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• pp.205-214
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• 2004

Static reliability models are introduced to analyze the armor stability of rubble-mound breakwaters. Contrasted to the deterministic model, reliability models can estimate the probability of failure directly and calculate the influence of each design variables quantitatively. Thus, it can be possible to design armor units of the rubble-mound breakwaters rationally. In this study FMA(First-order Mean-value Approach), FDA(First-order Design-value Approach) and AFDA(Approximate Full Distribution Approach) of Level II approach of static reliability methods are used to analyze the armor stability of rubble mound breakwaters. The limitations and applications of each approach are studied straight-forwardly.

• The korean journal of orthodontics
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• v.13 no.1
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• pp.83-94
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• 1983

For the better orthodontic diagnosis, case analysis, and treatment plan, the author studied the cephalometric analysis of 365 Korean with normal occlusion occording to the Steiner and Tweed analysis. The subjects consisted of 162 males and 203 females from 7 to 19 years with normal occlusion and were divided into three groups according to the Hellman's dental age. The results were obtained as follows: 1. The Ideal Acceptable Compromises were determined after measurement of male and female average by the Steiner analysis in Hellman's dental age III B, IV A, IV C group. 2. The Holdaway ration were 6.5:1.0 in Group I, 6.5:1.5 in Group II, 6.5:1.5 in Group III. 3. The Tweed's triangle were $FMA\;27^{\circ}\;FMIA\;58^{\circ}\;IMPA\;95^{\circ}$ in Group I and II, $FMA\;27^{\circ}\;FMIA\;62^{\circ}\;IMPA\;95^{\circ}$ in Group III.

• Proceedings of the Korean Information Science Society Conference
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• 2002.10d
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• pp.700-702
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• 2002

원자력발전소 1차계통 주요기기와 2차계통 주요기기들에 대한 가동 중 검사시 발견된 결함은 ASME Sec. XI, IWB와 IWC에 근거하여 허용여부를 결정한다. 이때, 결함 크기가 허용기준을 초과하는 경우에는, 기기의 안전성 확보를 위해 ASME Sec. XI에 규정된 절차에 따라 파괴역학분석(Fracture Mechanics Analysis: FMA)을 수행하고, 그 결과에 따라 운전중지 후 보수 또는 계속운전의 판단을 한다. 따라서, 원자력발전소 주요기기에 대한 FMA기술은 안전성평가의 핵심이 되는 부분이다. 원자력발전소의 안전성평가에는 결함의 형상 정보, 환경 정보, 재료 물성치, 응력 데이터 등 방대한 양의 데이터가 필요할 뿐 아니라 파괴역학적 분석절차도 매우 복잡하여 전문가도 많은 시간과 노력이 요구된다. 이러한 문제점을 해결하고자 일부 평가절차를 컴퓨터 프로그램화하여 효율적인 안전성평가가 이루어지도록 노력하고 있다. 본 논문에서는 파괴역학적 분석에 필요한 응력 데이터를 관리하는 응력 데이터베이스를 구축하고, 응력확대계수계산 프로그램(KEVA)과 결함허용여부를 결정하는 프로그램(Acceptance Standard)과 결함성장률 계산 프로그램(FLEVA)을 Web 기반으로 개발하고 구현결과를 소개한다.

• The Journal of Korean Physical Therapy
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• v.20 no.3
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• pp.9-18
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• 2008

Purpose: We determined the effect of global synkinesis(GS) on gait ability, muscle contraction, and central neuron action potentials in post-stroke hemiplegic subjects. Methods: Thirty hemiplegia patients were evaluated for walking ability, muscle contraction, central neuron action potential, and comparing differences between the H-GS(high-global synkinesis) group and L-GS(low-global synkinesis) group. To obtain the GS level, surface electromyography(EMG) data were digitized and processed to root mean square(RMS). Walking ability was tested with a modified motor assessment scale(MMAS), a 10 m walking test, timed up and go(TUG) test, and a Fugl-Meyer assessment(FMA). Muscle contraction ability was measured as maximal isometric contraction(MIC) peak, MIC slope, and MIC ramp up using mechanomyography(MMG). Central neuron action potential was measured as the H/Mmax ratio or V/Mmax ratio using EMG. The data were analyzed with t-tests to determine the statistical significance. Results: MMAS(p<0.01), 10 m walking velocity(p<0.01), TUG(p<0.01), FMA-HKA(Hip, Knee, Ankle)(p<0.05), FMA-coordination(p<0.05), MIC peak (p<0.05), MIC slope(p<0.01), and MIC ramp up(p<0.05) were significantly different between H-GS and L-GS, as was the V/Mmax ratio(p<0.05), but H/Mmax was not. Conclusion: Lower GS levels indicated better walking ability and motor function. Therefore, intervention programs should consider GS levels in gait training of chronic hemiplegia.