• 한국운동역학회지
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• 제26권4호
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• pp.397-405
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• 2016

Objective: Pilates is a low/mid-intensity exercise that can be easily performed by elderly individuals as it is an individual body-oriented exercise. It is also a cardio workout that can be performed anywhere to develop strength and flexibility. Therefore, we investigated the effects of 8 week Pilates program on the balancing ability of elderly individuals. Method: The research participants were selected from elderly residents in B city. Ten individuals voluntarily signed an agreement to undergo free measurements as well as to participate in the workout program. (Height: $157.1{\pm}11.9cm$, Weight: $61.7{\pm}8.0kg$). The Pilates exercise was performed 60 minutes a day, three times a week for a total of eight weeks. The measurement variables used to test balance were the vestibular test, 5 m habitual and maximum walk test and 3 m tandem walk test. A series of paired t-test were conducted using IBM SPSS Statistics 23.0 to analyze all the research data collected in order to determine the balance ability of the participants before and after the Pilates program. Additionally, the statistically significant level for all analysis was set to ${\alpha}=.05$. Results: In the vestibular test, some meaningful changes were observed in the length envelope area (ENV) while standing on one foot, but there were no significant differences in the ENV, rectangle(REC), root mean square, and total length. Results also revealed that statistically significant differences existed in the 5 m habitual and maximum walk test, as well as the 3 m tandem walk test. Conclusion: To summarize the findings, the 8 week Pilates program employed in this study significantly improved the dynamic balance of the elderly participants. Thus, elderly individuals that frequent perform Pilates are expected to enjoy positive benefits such as increased balance and fewer falling accidents.

• 한국임상수의학회지
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• 제25권6호
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• pp.529-532
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• 2008

The object of this study was to evaluate the durations from onset of neurological sign until surgery and regaining of the deep pain perception (DPP) after decompression as prognostic indicators for the outcome of decompression surgery in dogs with thoracolumbar intervertebral disc disease (IVDD). The compression lesions in the thoracolumbar vertebrae were localized by plain radiograph, computed tomography and neurological examination in 28 dogs with hindlimb paralysis. The follow up was carried out for 6 months after laminectomy. During the follow up, regaining DPP and walking ability were evaluated. Improvement to normal or paretic gait after surgery was judged as success of the surgical treatment.The success rate of surgical treatment was 70 % (7 out of 10 dogs) when surgical intervention was carried out within 24 hours but 38.9 % (7 out of 18) over 24 hours (P<0.05). The success rate of surgical treatment was 87.5 % (14 out of 16 dogs) when DDP was regained within 5 weeks after surgery but there was 0 % (0 out of 12 dogs) when DDP was not regained within 5 weeks after surgery (P<0.05). Other parameters such as compression rate in CT scan and laminectomy methods did not related with the success of the surgery. These results suggested that the time of surgery after onset and duration of regaining of DPP after decompression were useful parameter to predict the success of surgical treatment for thoracolumbar disc herniation in dogs.

• 한국임상수의학회지
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• 제30권2호
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• pp.119-122
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• 2013

암컷, 9개월, 2.2 kg의 단모종 고양이가 2주간의 심한 변비 증상을 주증으로 내원하였다. 보호자 보고에서 증상 발생 4개월 전 골반 골절이 있었음을 확인 하였다. 신체 검사에서 이급후중 및 오른쪽 고관절의 운동 제한을 확인 하였고, 직장 검사에서 양측 관골구의 내측 돌출과 치골의 배측 변위를 동반한 골반 강 협착을 확인할 수 있었다. 방사선 검사에서 확장 된 대장과 골반 강의 비정상적 구조를 동반한 골반 강 협착을 확인 하였다. 배변 유연제와 관장을 이용한 보존적 치료를 실시하였으나 심한 변비 증상이 개선 되지 않았다. 장골, 좌골, 치골, 관골구의 부분 절골술을 실시 하였다. 수술 후 방사선 검사와 직장검사에서 확장 된 골반 강을 확인 할 수 있었다. 수술 후 배변 유연제(5 ml, PO, q12h; Duphalac$^{(R)}$)를 2주간 투약 하였고 그 후 2주간은 2.5 ml 용량으로 투여 하였다. 수술 후 따뜻한 물을 이용한 관장을 2회 실시 하였다. 수술 후 14일 째 검사에서 배변과 보행에 문제가 없음을 확인 하였고 5개월 째 검사에서 심한 배변과 오른쪽 뒷다리 파행 증상이 관찰 되지 않았다.

• 한국산학기술학회논문지
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• 제17권10호
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• pp.562-568
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• 2016

본 연구의 목적은 가상현실과 로봇보조재활치료를 이용하여 뇌졸중 후 푸셔 증후군에 대한 치료적인 효과를 조사하고자 하기 위함이다. 총 10명의 뇌졸중 후 푸셔 증후군을 보이는 환자가 모집되었다. 환자는 각각 5 명씩 로봇보조재활치료와 대조군으로 배정되었다. 실험군은 로봇보조재활치료와 일반적인 재활치료를 함께 받았으며, 대조군은 하루 2회 일반적인 재활치료를 받았다. 중재 시간은 30분간 진행되었으며, 주 5회, 4주간 시행하였다. 치료 전후 변화는 Scale for contraversive pushing (SCP), Berg balance scale (BBS), falling index (FI), Timed up and go test (TUG)을 이용하여 측정하였다. 4 주간의 중재 치료 후 로봇보조재활치료 군에서 SCP (p=0.046), BBS (p=0.046), FI (p=0.038), TUG (p=0.038)은 대조군에 비하여 유의하게 향상되었다. 또한 SCP와 BBS (p=0.024), FI (p=0.039), TUG (p=0.030)는 유의한 상관관계가 관찰되었다. 결과적으로 가상현실을 이용한 로봇보조재활치료는 일반적인 재활치료에 비하여 뇌졸중 후 푸셔 증후군을 회복하는데 더 도움이 되었으며, 푸셔 증후군의 회복은 균형과 보행기능의 향상과 관련이 있었다.

• Journal of Korean Neurosurgical Society
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• 제60권5호
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• pp.597-603
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• 2017

Objective : Several surgical methods have been reported for treatment of ossification of the posterior longitudinal ligament (OPLL) in the thoracic spine. Despite rapid innovation of instruments and techniques for spinal surgery, the postoperative outcomes are not always favorable. This article reports a minimally invasive anterior decompression technique without instrumented fusion, which was modified from the conventional procedure. The authors present 2 cases of huge beak-type OPLL. Patients underwent minimally invasive anterior decompression without fusion. This method created a space on the ventral side of the OPLL without violating global thoracic spinal stability. Via this space, the OPLL and anterior lateral side of the dural sac can be seen and manipulated directly. Then, total removal of the OPLL was accomplished. No orthosis was needed. In this article, we share our key technique and concepts for treatment of huge thoracic OPLL. Methods : Case 1. 51-year-old female was referred to our hospital with right lower limb radiating pain and paresis. Thoracic OPLL at T6-7 had been identified at our hospital, and conservative treatment had been tried without success. Case 2. This 54-year-old female with a 6-month history of progressive gait disturbance and bilateral lower extremity radiating pain (right>left) was admitted to our institute. She also had hypoesthesia in both lower legs. Her symptoms had been gradually progressing. Computed tomography scans showed massive OPLL at the T9-10 level. Magnetic resonance imaging of the thoracolumbar spine demonstrated ventral bony masses with severe anterior compression of the spinal cord at the same level. Results : We used this surgical method in 2 patients with a huge beaked-type OPLL in the thoracic level. Complete removal of the OPLL via anterior decompression without instrumented fusion was accomplished. The 1st case had no intraoperative or postoperative complications, and the 2nd case had 1 intraoperative complication (dural tear) and no postoperative complications. There were no residual symptoms of the lower extremities. Conclusion : This surgical technique allows the surgeon to safely and effectively perform minimally invasive anterior decompression without instrumented fusion via a transthoracic approach for thoracic OPLL. It can be applied at the mid and lower level of the thoracic spine and could become a standard procedure for treatment of huge beak-type thoracic OPLL.

• 한국정보통신학회논문지
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• 제12권11호
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• pp.2105-2110
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• 2008

일반인의 건강상태를 모니터하는 간편 착용 임베디드 장치가 홈 헬tm케어의 용이한 해법으로 소개되어지고 있다. 본 논문에서는 매일 일상 활동을 검사하고 활동성을 분류하는 방법을 보여주고 있다. 노약자나 장애인에 대한 일상 모니터링은 일반적인 건강상태 뿐 만아니라 넘어지거나 도움이 필요한 상황 등 비상시에 경보를 알려주게 된다. 이 같은 위기 상황에서 적시의 도움은 생명 손실을 줄여줄 수 있다. 본 연구에서는 3축 가속도계를 탑재한 흥부 착용센서로부터 수신되는 데이터를 분석하고 어떤 특징 값들이 인체활동분류에서 중요하게 되는가를 알려줄 수 있음을 보여주었다. 주성분 분석법은 특징 세트를 수정하거나 동일 정보에 대한 크기를 줄이는데 유용하다. 마지막으로, 신경 분류기법이 정확도 분류를 분석하기 위해 적용되었다. 넘어짐에 대해서 는 86%의 측정 정확도를 얻을 수 있었고, 일일 생활 활동에 대한 전체 활동성 분류 정확도는 94%를 얻을 수 있었다.

• 대한한방내과학회지
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• 제42권5호
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• pp.833-845
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• 2021

Parkinson's syndrome is a degenerative brain disease that presents characteristic motor symptoms of tremor, rigidity, and gait disturbance. In addition to these motor symptoms, Parkinson's syndrome also presents non-motor symptoms (NMSs) such as sleep disturbance and cognitive decline. NMSs reduce patient's quality of life and psychosocial functioning and cause economic burden on the patient, so appropriate evaluation and treatment are required. Lewy body dementia is one of the several diseases belonging to Parkinson's syndrome. Its symptoms such as cognitive function, memory impairment, and hallucinations occur with Parkinsonism. Although drug therapy is being used with drug treatment to treat non-motor symptoms, it has limitations such as side effects, which stimulated interest in other complementary treatment methods such as oriental medicine treatment, dance, and yoga. The patient in this case complained of tremor in the right upper extremity, muscle hypertension and pain, and persistent vision, memory, and cognitive decline. The patient was diagnosed with probable Lewy body dementia. The patient was hospitalized for 4 months and received acupuncture and herbal medicines. After treatment, the patient's NMS scale scores decreased from 90 to 63, and the Unified Parkinson's Disease Rating Scale scores (summed I, II, and III) decreased from 17 points to 8 points. The Beck Depression Inventory score decreased from 22 points to 13 points. In addition, the patient's subjective evaluation revealed improvement. In this case, a patient diagnosed with probable Lewy body dementia who did not respond to the standard treatment and did not want to take medications showed improvement in not only motor symptoms but also NMSs after integrative Korean medicine treatment.

• 한국정보전자통신기술학회논문지
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• 제12권2호
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• pp.170-177
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• 2019

본 논문에서는 4족복 보행 로봇의 주행 안정성을 개선하기 위한 3가지 이론을 제시한다. 첫 번째는 Minimum-Jerk Trajectory를 이용하여 다리궤적을 최적화 시킨다. 두 번째는 본 논문에서 새롭게 제시한 사인파와 기존의 방식인 LSM을 Jerk값에 근거하여 비교한다. 셋째는 ADAMS-MATLAB co-simulation을 이용하여 반복적인 로봇 시뮬레이션을 통해 스웨이의 최적 보폭을 계산한다. 위의 과정을 통해 로봇의 보행 개선점을 기존의 이론과 비교하여 나타내었다. 첫 번째로 정 보행시 몸체와 타원형태의 다리 끝의 움직임에 Minimum-Jerk trajectory를 사용하여 다리궤적이 급격하게 변하는 지점의 평균 기울기를 최소 1.2에서 최대 2.9까지 감소시켜 지면에 다리 끝점이 도달할 때 충격을 최소화하여 안정성을 증가 하였다. 두 번째로 기존 LSM(Longitudinal Stability Margin)기법과 본 논문에서 제시한 사인파형 Sway를 사용하여 비교한 결과 평균 Jerk를 Z축에서 0.019, X축에서 0.457, Y축에서 0.02, 3D는 0.479 만큼 감소 시켰다. 특히 X축 Jerk는 크게 감소 하였다. 셋째로 로봇이 최소 Jerk 값으로 보행하기 위한 최적의 보폭의 길이를 상기 분석을 통해 도출하였으며 그 결과 20cm보폭 길이가 가장 안정적이었다.

• 융합정보논문지
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• 제8권6호
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• pp.59-66
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• 2018

보행 시 지면에 대한 수직력에 대한 전단력의 비율, 즉 보행자가 사용한 마찰계수(UCOF)는 미끄러짐 발생 가능성 있는 시점을 식별하는데 사용된다. 신발보행은 신발창 두께와 경도, 뒤꿈치 모양, 밑창 문양 등의 신발 디자인이 사용마찰계수를 변화시킬 것이다. 본 연구에서는 보행 시 신발 착용 유무에 따른 사용마찰계수(UCOF) 차이를 분석하기 위해 성인남녀 21명(여자 10명, 남자 11명, 나이: $25.2{\pm}2.3yrs$, 키: $165.6{\pm}7.2cm$, 몸무게: $62.2{\pm}7.8kg$)을 대상으로 보행속도, 지면반력, 사용마찰계수(UCOF) 최대 시점, CoP-CoM-수직선 각도의 차이를 알아보고, 사용마찰계수(UCOF)와의 상관관계를 분석하였다. 그 결과, 첫째, 보행 시 신발 착용으로 인해 체중수용기(제동기)의 더 이른 시점에 사용마찰계수가 최대치에 도달하고, 또 그 크기도 증가한다. 둘째, CoP-CoM의 Tangent 값과 사용마찰계수(UCOF1)와의 상관관계는 오른발 제동 초기시점(UCOF1_h)보다 추진 후기에 발생하는 왼발(다음발) 착지시점(UCOF2_h)에서 더 높은 상관관계를 보여, 제동기 보다는 추진기(다음 발 제동기)와의 연관성을 시사한다.

• 한국임상수의학회지
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• 제36권1호
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• pp.53-61
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• 2019

Total hip arthroplasty (THA) is a successful surgical treatment for both patients with chronical lameness and dogs who are nonresponsive to medical treatments, providing excellent joint function for returning dogs to the normal gait in 80% to 98% of hip dysplasia (HD) patients. The THA surgical implant system manufactured by BioMedtrix and Kyon are today widely accepted. When comparing the BioMedtrix biological fixation (BFX) system to the BioMedtrix cemented fixation (CFX) system, the many advantages of BFX, which include longer potential implant life, decreased risk of postoperative or later infection, and better implant stability, become evident. However, BFX implies a greater risk of femoral fracture during reaming and requires a more precise surgical technique to achieve good implant fit, given the press-fit nature of cementless THA. The purposes of this study are to both describe the mistakes and complications during stem implantation for beginner surgeons with both the BFX and the CFX systems and to document the initial result of 12 implantations in canine cadavers. Given the detailed evaluations of 3 specialists, who are Diplomate American College of Veterinary Surgeons (DACVS), only 3 of 11 stems were appropriately sized. Specifically, 6 stems were anteverted rather than being retroverted; further, although 7 stems were coaxial with the femoral long axis in the frontal plane, the other stems were in the varus at the frontal plane, with the proximal medial stem adjacent to the medial femoral cortex. Moderate angulation from the cranial to the caudal directions was found in 4 cases in the sagittal plane. Additionally, 1 case of femoral fissure and 1 case of perforated femoral cortex were reported. It is not easy for surgeons performing cementless THA for the first time to achieve a good result, even though they completed an educational course about it and given that catastrophic complications often occurred during early surgical clinical cases. Therefore, ex-vivo studies are sincerely required to get an expertise by rehearsing the preparation of the femoral envelop in isolated bones. Further studies should be conducted to achieve both highly accurate implant size and correct orientation during the preoperative planning. Additionally, surgeons' learning curve should be examined in future investigations.