• 대한한방체열의학회지
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• 제1권1호
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• pp.38-46
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• 2002

1. Objectives Among many symptoms that the climacteric patients complain of, the major subjective symptom is both heat in the upper part and cold in the lower part of the body(e.g foot, knee, and leg). We use DITI as a method to prove the symptoms of climacteric patients such as both heat in the upper part and cold in the lower part of the body, diagnose these symptoms, and follow up the progress of the clinical treatments. 2. Subjects and Methods We compare the subcutaneous heat of the climacteric patients with the symptom of heat in the upper part and cold in the lower part of the body with young women without any specific disease. The age distribution of the experimental group is 28 patients in 40's, and 22 in 50's. The mean age of the experimental group is $48.5{\pm}4.25$. The age distribution of the control group is 17 patients in teen, 26 in 20's, 7 in 30's. The mean age of the control group is $23.31{\pm}6.45$. We measure the subcutaneous heat on the cheeks, upper arms, palms, thighs, knees, dorsum pedis, lower back, hip, upper abdomen, lower abdomen of both groups and analyse the results. 3. Statistical methods All the results are statiscally analysed using student T-test of Microsoft Exel program. Statistically significant value by the analysis of variance procedure is P<0.05. 4. Results 1. The subcutaneous heat of the whole body of the experimental group shows hypothermia compared with control group, and the hypothermic pattern gets severe on the periphery. ${\Delta}T$ between the right and left side of the body in experimental group is larger than that of control group. 2. ${\Delta}T$ between the cheeks and the hypogastric in the experimental group is significantly larger than that of the control group, which shows cold face. 3. ${\Delta}T$ between the upper arms and the palms in the experimental group is significantly larger than that of the control group, which shows cold hand. 4. ${\Delta}T$ between the thighs and the knees in the experimental group is significantly larger than that of the control group, which shows cold knee. 5. ${\Delta}T$ between the thighs and the feet in the experimental group is significantly larger than that of the control group, which shows cold foot. 6. ${\Delta}T$ between the hip and the lower back in the experimental group is significantly larger than that of the control group. That shows the Lower back is warmer than the hip. 7. ${\Delta}T$ between the upper and the lower abdomen in the experimental group is significantly larger than that of the control group, which shows cold hypogastric.

• 전자공학회논문지SC
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• 제41권4호
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• pp.55-62
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• 2004

본 연구에서는 보행 가속도 신호를 측정할 수 있는 휴대용 무선 가속도 측정 시스템을 설계하고 편마비 환자로부터 획득된 데이터를 이용하여 보행 인자 계산과 보행의 규칙성 및 대칭성을 평가할 수 있는 보행 자동분석 알고리즘을 개발하였다. 휴대용 무선 가속도 측정 시스템은 2축 가속도계와 증폭기 및 16㎐ 저역 통과 필터로 구성된 아날로그 신호처리부(가속도 센서부)와 원칩 마이크로프로세서, EEPROM RF 송신부 및 수신부로 구성되어 있다. 보행 분석 알고리즘은 FFT 분석부, 필터 처리부 및 정점 검출부로 구성된다. 알고리즘 개발 및 평가를 위하여 8명의 편마비 환자가 실험군으로 또 다른 8명의 편마비 환자가 대조군으로 참여하였으며, 요추 3∼4번 위치에서 10m 동안의 보행 가속도 신호를 60㎐의 샘플링 주파수로 측정하였다. 보행자동분석 알고리즘에 의해 먼저 보행 구분점을 검출하고 좌우 발을 구분하였으며, 이 정보를 이용하여 보행 인자들을 계산하였다. 비디오 데이터와 보행 가속도 신호를 직접 관찰하여 얻은 정보와 비교하여 알고리즘의 성능을 평가한 결과 보행 구분점이 모두 정확히 검출되었으며 좌우 발 또한 모두 구분되었다. 향후 알고리즘의 신뢰성과 더 많은 보행 인자들을 계산할 수 있도록 성능을 향상시킴으로써 임상에서 편마비 환자의 재활치료 성과를 평가하는데 사용될 수 있을 것이다.

• 대한족부족관절학회지
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• 제20권3호
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• pp.112-115
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• 2016

Purpose: We aimed to investigate the safety zone for Achilles tendon insertion in the posterior aspect of the calcaneus via the use of magnetic resonance imaging (MRI) when planning for insertional Achilles tendinopathy. Materials and Methods: This study included 95 patients. The MRI of midsagittal plane of the ankle joint was used to measure the proximal and distal insertion point for the Achilles tendon in the posterior aspect of the calcaneus. Patients were divided into three groups according to the proportion of the distal insertion point out of the entire calcaneal length: the proximal, middle, and distal insertion groups. Results: The mean proximal and distal insertion points for the Achilles tendon were measured as 1.05 cm (0~2.11 cm) and 2.36 cm (1.60~2.93 cm), respectively. When the posterior aspect of the calcaneus was used as the reference plane, none of the patients was in the proximal insertion group, while 75 and 20 patients were in the middle and distal insertion groups, respectively. The insertion portion was longer in the distal insertion group ($1.47{\pm}0.25cm$) than in the middle insertion group ($1.27{\pm}0.35cm$). Statistically significant differences with respect to the length of the insertion portion were observed between the two groups (p=0.008). Conclusion: Removal of more than 1 cm below the superior margin of the posterior calcaneus may be dangerous. An MRI study on the Achilles tendon of patients without hindfoot deformity or tendinopathy revealed various insertional characteristics. Preoperative MRI evaluation is safer than relying solely on the simple radiological assessment when planning for insertional Achilles tendinopathy.

• 대한족부족관절학회지
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• 제2권1호
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• pp.19-29
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• 1998

The characteristics of the patients after the calcaneal fracture that were associated with an unsatisfactory outcome were subtalar incongruity, decreased Bohler angle ratio of the fractured to the normal side, an age of more than fifty years, work involving strenuous labor, and increased time missed from work due to the injury. The purpose of this study was to examine the reliability of measurements of the range of motion of the subtalar joint. To determine reliability, evaluates of the correlatioinship between the degree of the displacement of the subtalar joint and Circle draw test after the calcaneal fracture. Fifty patients who had had fifty five calcaneal fractures were managed with open reduction and internal fixation. The results were reviewed retrospectively, between 4months and three years after the operation, with use of an evaluation system for the subtalar joint and with plain radiographs. At follow up evaluation, the result was assessed on the basis of restoration of anatomy and function of the subtalar joint. We evaluated the subtalar joint with plain films that consist of anteroposterior projection, lateral projection, calcaneal axial view, and Broden's view, and the measurements of the displacement of the subtalar joint surface after the calcaneal fracture. And we evaluated the range of motion of the subtalar joint with Circle draw test for physical evaluation. Circle draw test was evaluated and demonstrated the motion of flexion-supination-adduction and extension-pronation-abduction of the subtalar joint. And there are correlationship between the degree of the displacement and range of motion of the subtalar joint after the calcaneal fracture. The report critically reviews methords used to measure Circle draw test for physical examination of the follow up after the calcaneal fracture.

• 대한한방내과학회지
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• 제45권2호
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• pp.190-198
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• 2024

Introduction: Central pontine myelinolysis (CPM) is a rare neurological disorder marked by symmetric nerve fiber damage, commonly following rapid hyponatremia correction, with no established treatment and a poor prognosis. The condition, often linked to alcoholism, malnutrition, and various diseases, lacks comprehensive studies on its impact on gait. This research aims to quantitatively analyze gait changes in CPM patients receiving both traditional Korean and conventional rehabilitation treatments, addressing a gap in current understanding of CPM management. Case presentation: A 56-year-old male diagnosed with CPM following an initial misdiagnosis underwent combined electoracupuncture and rehabilitative treatment at ○○ university Korean medical center, resulting in significant gait improvements. A treadmill gait analysis system was used to measure changes in key gait parameters at 2-week intervals, and the patient's progress was documented. Conclusions: The quantitative analysis revealed significant gait improvements. Foot rotation decreased from 8.9° to 6.4° (right) and from 11.1° to 7.2° (left); lateral symmetry improved from -7.8 to 0.8; step length increased from 21 cm to 44 cm (right) and from 19 cm to 44 cm (left); and velocity increased from 1.2 m/s to 2.7 m/s. These findings highlight decreased foot rotation and lateral symmetry, along with increased step length and velocity, suggesting a positive outcome of the treatment regimen. Notably, the patient experienced no adverse effects related to the treatments. Despite limitations, including the singe case focus and lack of prior gait-focused CPM research, this case report provides valuable insights into effective CPM management strategies, paving the way for future research in this domain.

• 대한정형도수물리치료학회지
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• 제26권1호
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• pp.19-26
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• 2020

Background: The purpose of this study was compare and analyze the flexibility and dynamic balance in adolescents with idiopathic scoliosis and provide scientific basis for effectively treating idiopathic scoliosis. Methods: The subjects of this study were 20 members of adolescences. To measure the flexibility of the spine, a left buckling instrument was used, and it was measured using a modified sit and reach test. They were randomly divided into core exercise with sling program group (n=10) and general exercise program group (n=10), each consisting 50 minutes each for 4 times per week for 8 weeks. Results: The results of the study are as follows. First, Both groups were increased statistically significantly in spinal flexibility but no significant differences have been found between the two groups after 8 weeks of exercise. Second, Both groups were increased statistically significantly in balance ability of dynamic foot pleasure ratio but no significant differences have been found between the two groups after 8 weeks of exercise. Conclusion: In summarizing the results of this study, sling exercise with core exercise was effective in the decrease of flexibility and stability than general scoliosis exercise in adolescents with idiopathic scoliosis. It is also believed to be applicable to spinal diseases caused by muscular weakness since it is effective in strengthening core muscle strength.

• 부모자녀건강학회지
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• 제7권2호
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• pp.168-181
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• 2004

Purpose: The purpose of this study was to identified patterns of studies and to analyze the nursing research related to the massage intervention in Korea and to improve direction of nursing research in massage intervention in Korea. Methods: The research studies related to the massage were selected from the Korean Nurses Academic Society Journal and dissertation which were conducted experimental research design the last 7 years in Korea. The total numbers of the studies were 58. Result: The study subjects were post operational state in 34.5%, healthy adult in 17.2% studies. The others dealt with infant, cancer, dementia, hypertension, preterm neonates, elderly. Types of massage were whole body in 31.1%, foot in 22.6%, hand in 17.2%, back in 13.8% studies. And Meridian massage in 17.2%. Length of massage was below 5 minutes in 17.2%, 6~10 minutes in 29.4% and 11~20 minutes in 32.8% studies. Frequency of massage was only 1 time in 25.9%, 2~5 times in 31.1% studies. Massage produced psychological and physiological effects. Positive psychologic effects were anxiety relief, pain relief, mood enhancement and fatigue relief. Positive physiologic effects on body systems were blood pressure, heart rate, edema, skin temperature, immune system, blood glucose, excretion, PMS syndrome and growth and development. Conclusion: As a result, effects of massage were almost positive. Therefore massage is useful alternative nursing intervention. But more attention research is needed to identify the objectivity instrument to measure and repeat research.

• 대한물리의학회지
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• 제12권4호
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• pp.83-92
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• 2017

PURPOSE: The purpose of this study was to investigate the effect of the elastic band and stretching exercise program on ankle joint maximal voluntary isometric contraction (MVIC) and plantar pressure in high-heel wearing women in their 20s. METHODS: Twenty women in their twenties were randomly assigned to the experimental group (n=10) and the control group (n=10). The experimental group (n=10) performed the elastic band exercise program, while the control group (n=10) performed the stretching exercise program. Both exercise programs were performed three times a week for a total of four weeks. The BTE Primus RS was used in order to measure the ankle joint MVIC during dorsiflexion, plantar flexion, inversion, and eversion. Maximum pressure ($N/cm^2$), average pressure ($N/cm^2$) were measured using the Pedoscan. SPSS v. 21.0 software was used for all statistical analyses in this study. RESULTS: The measurement of the ankle joint's MVIC revealed that in inversion, a significant change in both feet was seen in both the experimental and control groups. In eversion, there was a significant change in both feet only in the experimental group. In terms of the rest of the results, no significant changes were visible. With regard to the plantar pressure, no significant results were seen for either foot in the comparison between or within the groups. CONCLUSION: Exercise program using elastic band and exercise program using stretching were effective on MVIC of ankle joint muscles, although it had no effect on changes of plantar pressure.

• 한국자동차공학회논문집
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• 제17권4호
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• pp.1-9
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• 2009

A simplified model of seat-human body is presented to analyze vibrations of human body on a seat of vehicle. The theoretical model having seven degrees-of-freedom is composed of the inter-connected masses, springs and dampers. Until now, evaluation of ride comfort has been usually performed only through vehicle tests. This study aims to complement shortcomings of conventional vehicle tests in evaluation of ride comfort by using the theoretical model. The acceleration values of the human body are obtained from frequency response functions of the theoretical model. Thereafter, Ride and SEAT indexes are acquired by considering response characteristics of the human body for the 12 axes that are presented in BS 6841. A vehicle test is carried out to measure the acceleration values for the three parts of the human body such as upper body, hip and foot. Ride and SEAT indexes of the vehicle test are also obtained by considering the response characteristics of the human body, of which results are compared with the values from the theoretical model. It is found that the theoretical results are in good agreement with the experimental results.

• 한국산학기술학회논문지
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• 제13권3호
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• pp.1153-1160
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• 2012

본 연구는 뇌졸중 환자의 보행수행을 저하시키는 발목 등쪽 굽힘근의 약화에 대해 발목 근력 강화 훈련과 정적 근육 신장 훈련을 이용하여 등쪽 굽힘을 시행한 훈련이 뇌졸중 환자의 족저압 및 보행에 미치는 영향을 알아보고자 하였다. 연구는 편마비 뇌졸중 환자 36명을 대상으로 뇌졸중 환자의 보행변수인 10m 걷기를 측정하고, 발바닥의 각 영역별 최대 족저압의 측정은 F-scan system을 사용하여 자료를 수집하여 연구하였다. 본 연구에서 각 훈련 전과 훈련 후의 보행의 변화 연구에서 발목 근력 강화 훈련군과 정적 근육 신장 훈련군은 10m 보행속도검사에서 보행속도가 감소하여 뇌졸중 환자의 보행에 좋은 영향을 미친다고 할 수 있겠다. 뇌졸중 환자 발의 압력측정에서 발목 근력 강화 훈련군 에서는 다른 그룹에 비해서 무지부, 족지부, 제1중족골두에서 최대 족저압이 증가 하였다.