• 제목/요약/키워드: Facilitation

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고유수용성 신경근 촉진법이 만성요통을 가진 노인환자의 체간 안정성과 균형에 미치는 영향 -등장성 수축 결합과 율동적 안정화 기법 적용- (Effects of Proprioceptive Neuromuscular Facilitation on Trunk Stability and Balance in Elderly People With Chronic Low Back Pain ; The Application of Rhythmic Stabilization and Combination of Isotonic)

  • 구봉오;박상목;김애진;김현경;박두진;오광준;이현무;정소진
    • PNF and Movement
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    • 제5권2호
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    • pp.37-46
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    • 2007
  • Purpose : The purpose of this study was to examine the effects of combination of isotonic and rhythmic stabilization in proprioceptive neuromuscular facilitation on trunk stability and balance in elderly people with chronic low back pain. Subjects : Thirty-two elderly people ($73.78{\pm}8.49$ years of age) who had complaints of CLBP were randomly assigned to 2 groups: experimental group and control group. Methods : Subject trained with combination of isotonic and rhythmic stabilization in proprioceptive neuromuscular facilitation for 4weeks with aim of improving trunk stability and balance. Weight distribution, trunk muscle balance, static balance ability and dynamic balance ability were measured before, at the end of training. Results : Data were analyzed using two-way ANOVA. After the exercise programs, there were significant differences in the weight distribution, trunk muscle balance and dynamic balance ability between the experimental and control group. However there was no significant difference in the one leg stance test(p<.05). Conclusion : This study suggest that PNF programs may be appropriate for improving trunk stability and balance in elderly people with CLBP.

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기혼여성간호사의 성차별의식, 직장-가정 갈등과 지원 및 이직의도와의 관계 (The relationship of Gender Discrimination Consciousness, Work-Family Conflict and Facilitation and Turnover Intention of Married Female Hospital Nurses.)

  • 김경희
    • 디지털융복합연구
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    • 제15권7호
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    • pp.425-434
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    • 2017
  • 본 연구는 기혼여성간호사의 성차별의식, 직장-가정 갈등과 지원 및 이직의도와의 관계를 확인하고자 시도되었다. S시 병원에 근무하는 기혼여성간호사 101명을 대상으로 하였다. 본 연구의 대상자인 기혼여성간호사의 성차별의식은 모두 높은 수준으로, 온정적 성차별의식이 적대적 성차별의식보다 높았다. 직장-가정 갈등은 40세 미만, 자녀 1명, 근무경력이 5년 이상 10년 미만 일 때가 높았다. 이직의도는 40세 미만(t=3.66, p<.001), 자녀가 없는 경우(F=5.76, p=.004), 일반간호사와 책임간호사(F=5.86, p=.004)가 유의하게 높았다. 적대적 성차별의식은 가정-직장 방향 갈등과 지원과 상관관계가 있었다. 이직의도는 직장-가정 방향 갈등과 가정-직장 방향 갈등 모두 양(+)의 상관관계를 보였다. 본 연구 결과로 기혼여성간호사들의 성차별의식, 직장-가정 갈등과 지원의 정도와 이직의도를 이해할 수 있으며, 직장-가정 양립을 위한 전략을 개발하기 위한 반복연구가 필요하다.

만성허리통증의 고유수용성신경근촉진법 효과 -국내연구의 메타분석과 체계적 고찰- (Effectiveness of Proprioceptive Neuromuscular Facilitation of Chronic Low Back Pain -A Systematic Review and Meta-analysis of Studies in Korea-)

  • 김범룡;강태우
    • PNF and Movement
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    • 제17권1호
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    • pp.157-166
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    • 2019
  • Purpose: This study compares and examines the effects of proprioceptive neuromuscular facilitation (PNF) on patients with chronic low back pain through systematic literature review and meta-analysis. Methods: Domestic literature was searched with combinations of keywords including "proprioceptive neuromuscular facilitation," "PNF," "back pain," and "low back pain" using the Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS), and Korean Medical Database (KMbase). Six studies (n=148) were finally included in the analysis through a selection and exclusion process. The quality of the studies was evaluated using the PEDro scale. Results: According to the meta-analysis results, the low back pains of the PNF group and the contrast group showed a standardized mean difference (SMD) of 2.21 (95% CI: -3.35, -1.07, p=0.01, $I^2=83%$) after intervention. Thus, the PNF group showed a statistically significant decrease in low back pain compared with the control group. In addition, the SMDs of the Oswestry Disability Index (ODI), lung function, and the Roland and Morris Disability Questionnaire (RMDQ) were -1.34 (95% CI: -1.88, -0.79, p<0.01, $I^2=35%$), 1.14 (95% CI: 0.49, 1.79, p=0.01, $I^2=0%$), and -1.59 (95% CI: -2.56, -0.62, p=0.01, $I^2=46%$), respectively. Thus, the PNF group showed statistically significant differences from the control group. Conclusion: At present, there is some limit to obtaining definite results about effect sizes because there are relatively few randomized controlled experiments that analyze the effects of PNF exercise in patients with chronic low back pain. Therefore, continuous efforts should be made to conduct randomized clinical trials and long-term efficacy studies in the future.

An Empirical Study on Trade Facilitation by the Korean Government's Single Window System

  • Cheolkyu Maeng
    • Journal of Korea Trade
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    • 제27권1호
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    • pp.101-118
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    • 2023
  • Purpose - Korea became a trillion-dollar trading country in 2011. With the exponential increase in Korea's trade volume over the past decades, trade-related administrative burdens per capita for Korea Customs became enormous, for which the government established the Single Window, a trade-facilitating system, in 2004 to enhance the efficiency of customs-clearing procedures for traders. This paper focuses on finding whether the Korean Single Window system affects the country's trade facilitation positively through an empirical methodology. Design/methodology - To find empirical evidence that Single Window affects trade facilitation for the customs-clearing procedure, this study assumes that a time-efficient environment enables the handling of the increase in trade volume, under which four independent variables related to import customs-clearing procedures and two dependent variables to import were adopted for empirical analysis. The import customs procedures are classified into four steps from port entry to declaration acceptance. To understand the relationship between variables, scattered plots and correlation coefficients were calculated. Eight hypotheses were set and underwent simple linear regression. The data for analysis were collected by Korea Customs, and were about the lead time of import, the volume of imports in million USD, and the number of import declarations reported to customs offices on a monthly basis from 2005 to 2013. Findings - Six of the eight hypotheses showed the statistically significant result that lead time in the import customs-clearing procedure positively affects the number of import declaration reports and import volume. Specifically, Hypothesis 1, Hypothesis 2, and Hypothesis 3 strongly support the assumption lead time in import customs declaration has an inverse relationship with the number of import declarations, which means that the shorter the import lead time, the more import declaration increases. Research Limitations/Implications - With limited data accessibility to the government's custom-sclearing procedures, only the import lead time for customs clearance were adopted as independent variables. This paper, however, successfully found that the Single Window system contributed to trade facilitation. Originality/value - This study found that the time-saving Single Window system of Korea Customs enables itself to manage an exponentially-increasing trade volume by creating a trade-facilitating environment for customs personnel and traders, which may be a unique implication found through quantitative methodology.

고유수용성 신경근 촉진법에 의하 Sport 장해 환자의 치료 (Treatment for Sport Disability by Proprioceptive Neuromuscular Facilitation Technique)

  • 김태윤
    • 대한물리치료과학회지
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    • 제3권4호
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    • pp.189-196
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    • 1996
  • The purpose of this review are that what is the concept of sport P. N. F and to give the information about proprioceptive neuromuscular facilitation technique when the sport physical therapy will be needed in field. Technique of proprioceptive neuromuscular facilitation are methods of placing specific demands in order to secure a desired response. Greatest emphasis was placed on the application of optimal resistance throughout the range of motion, using many combinations of motions which were related to primitive patterns and employment of postural and righting reflexes. The treatment after sport injury patient is required that two component actions of muscles as well as permitting action to occur at two or more joint. The effect of P. N. F and of sprot P. N. F are reviewed. Implications for treatment of sport disability are suggested.

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고유수용성신경근촉진법 운동이 골다공증 환자의 골밀도, 균형 및 하지 근력에 미치는 효과 (The Effects of Proprioceptive Neuromuscular Facilitation Exercise on the BMD, Balance and Lower Muscular Strength in Patients with Osteoporosis)

  • 이동규;김용남
    • The Journal of Korean Physical Therapy
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    • 제24권5호
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    • pp.313-318
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    • 2012
  • Purpose: This study examined the effects of an exercise program involving the Proprioceptive Neuromuscular Facilitation (PNF) lower-extremity patterns on the Bone Mineral Density (BMD), balance and lower muscular strength in patients with osteoporosis. Methods: The participants were allocated randomly to 2 groups: experimental group and control group. To evaluate the effects of exercise, the subjects were evaluated using the BMD and Time Up & Go Test and One Leg Stance Test for balance, and the Sit To Stand for lower muscular strength. Results: After the 8 week study, the experimental group showed a significant difference in all items compared to the control groups. Conclusion: These results suggest that a PNF exercise program is effective in patients with osteoporosis. Furthermore, an exercise program involving these patterns can be used in a follow-up program for patients with osteoporosis. Overall, more study will be needed to develop and apply more efficient exercise programs for such patients.

고유수용성 신경근 촉진법에 의한 편마비 환자의 보행 및 계단 오르기 변화 (Change of walking and stair up in hemiplegia by Proprioceptive Neuromuscular Facilitation techniques)

  • 김대경
    • The Journal of Korean Physical Therapy
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    • 제11권3호
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    • pp.57-64
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    • 1999
  • The purpose of this study is to evaluate the effects of the lower extremities patterns in proprioceptive neuromuscular facilitation to the gait and stair up of the hemiplegic stroke patient. the patient was taken lower extremities patterns in porprioceptive neuromuscular facilitation with 5 times per week for 8 weeks. The results were as followings ; 1. The walking times was decreased from 78 seconds to 39 seconds at 20m, 2. The stride length was increased from 48.3cm to 93.3cm. 3. The step length was increassed from 25.2cm to 47.2cm. 4. The stair up was increased from 3.2cm to 15.5cm.

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고유수용성 신경근 촉진법의 치료 접근 전략 (A Stratege of Treatment Approach in the Proprioceptive Neuromuscular Facilitation)

  • 배성수;최인수;김상수
    • PNF and Movement
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    • 제2권1호
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    • pp.49-57
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    • 2004
  • Objective : The purpose of this study was conducted to find treatment approach, functional test process with proprioceptive neuromuscular facilitation(PNF). Method : This is a literature study with books, seminar note and book for PNF international course. Result : Suggest of the functional test with functional level and structural level treatment approaching with hypotheses and problem list from the functional test and provide how, what, where for the treatment with the level. Conclusion : Treatment plan and approach has changed from disease to structure function, performance, participation the life, relationship with environment factors of human being. For the treatment approach need the functional test and functional goal.

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H-반사 촉진의 소실: 길랑-바레 증후군의 초기 이상과 중추신경 침범의 증거로써의 의미 (Loss of Facilitation in H-reflex: Implication as an Initial Abnormality and an Evidence of Central Nervous Involvement in Guillian-Bare Syndrome)

  • 성정준;이윤정;홍윤호;정영민;이광우
    • Annals of Clinical Neurophysiology
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    • 제4권2호
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    • pp.119-124
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    • 2002
  • Background : Guillain-$Barr{\acute{e}}$ syndrome(GBS) is a neurologically emergent condition, leading to respiratory insufficiency without an early and appropriate treatment. Thus, the treatment of GBS requires early diagnosis but it is difficult due to the low sensitivity of laboratory tools in the initial stage. Hoffman reflex (H-reflex) and its facilitation by Jendrassik maneuver (JM) are sensitive tools evaluating the central circuit of motor system on the spinal cord level. The aim of this study is to test whether the change of H-reflex and F-wave under the JM is able to detect the early stage of GBS and whether GBS involves the central nervous system (CNS). Material and Methods : All 7 GBS patients who showed normal or nearly normal nerve conduction study were included. The facilitation of H-reflex and changes of F-wave were calculated by measuring the percent difference of H-reflex or F-wave amplitude under JM compared to basal H-reflex of F-wave amplitude. The changes of F-wave and H-reflex in the GBS patients were compared with them of 8 healthy controls. Results : The F-wave amplitudes of both healthy controls and GBS patients did not changed under the influence of JM ($102.4{\pm}24.9%$, $108.7{\pm}29.0%$ respectively). However, the facilitation of H-wave by JM in the GBS patients was absent ($98.8{\pm}5.8%$), even though the H-reflex amplitude I the healthy controls increased under the influence of JM ($124.8{\pm}12.1%$). Conclusions : The loss of H-reflex facilitation in GBS implies that this phenomenon might be the most early change detected in the electrophysiological study and support the early diagnosis, and that GBS might include lesion in the spinal motor CNS.

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어린이도서관의 이용자편익과 이용자특성간의 상호관계에 관한 연구 (Study on Mutual Relation Between the User Benefit and the User's Characteristics in the Children's Library)

  • 강미희;홍현진
    • 한국도서관정보학회지
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    • 제43권1호
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    • pp.261-285
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    • 2012
  • 이 연구의 목적은 이용자편익기준의 이론적 타당성을 확인하고, 이용자편익기준과 어린이발달영역과의 상호관계를 검증함으로써, 이용자편익기준이 어린이도서관의 이용자편익기준으로 적용될 수 있음을 확인하는 것이다. 이 목적을 위해 이 연구는 전국 어린이도서관 이용자 247명을 대상으로 자료를 수집하였으며, 구조방정식모형으로 분석하였다. 분석결과는 다음과 같다. 첫째, 신체발달-행동의 용이성, 정서발달-생리적 유지성, 인지발달-지각적 유지성, 사회성발달-사회적 용이성의 대응관계는 적합하였다. 둘째, 편의성, 안전성, 다양성은 행동의 용이성, 자존감, 쾌적성, 편안함은 생리적 유지성, 심미감, 역동성, 융통성은 지각적 유지성, 휴식성, 소통성, 영역성은 사회적 용이성의 측정지표로 타당하였다. 셋째, 신체발달을 선호할수록 행동의 용이성을, 정서발달을 선호할수록 생리적 유지성을, 인지발달을 선호할수록 지각적 유지성을, 사회성 발달을 선호할수록 사회적 용이성을 선호하였다.