• 제목/요약/키워드: IkSan

검색결과 121건 처리시간 0.026초

자세조절훈련이 만성 뇌졸중 환자의 균형과 보행 능력에 미치는 영향 (The Effect of Postural Control Training on Balance and Walking Ability in Patients with Chronic Stroke)

  • 방대혁;조혁신
    • 대한물리의학회지
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    • 제12권2호
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    • pp.59-66
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    • 2017
  • PURPOSE: The purpose of this study was to determine the effects of postural control training on balance and walking ability in chronic stroke patients. METHODS: Eighteen chronic stroke patients were allocated equally and randomly to an experimental group (n=9) or a control group (n=9). All participants received 60 minutes of comprehensive rehabilitation treatment, the experimental group additionally received a postural control training for 30 minutes, while the control group additionally performed a treadmill training for 30 minutes. These 30-minute training sessions were held five times per week for three weeks. Balance was assessed using Berg balance scale (BBS) and walking ability (gait speed, cadence, step length, and double limb support) was assessed using the GAITRite system. RESULTS: Improvement on all outcome measures was identified from pre-to-post intervention for both groups (p<.05). Post-intervention, there was a significant between-group difference on measured outcomes (p<.05). The experimental group exhibited greater improvement in the gait speed (p=.01; 95% CI .08-.16), cadence (p=.04; 95% CI .34-4.79), step length (p=.02; 95% CI 1.50-5.17), double limb support period (p=.04; 95% CI -2.18 to -.14), and BBS (p=.01; 95% CI 1.04-6.74) compared to the control group. CONCLUSION: The findings of this study suggest that postural control training may be beneficial for improving balance and walking ability of patients with chronic stroke.

급성 견봉쇄골관절 탈구에서 변형된 Phemister 술식과 C-C sling 술식의 결과 비교 (The Surgical Treatment of Acute Acromioclavicular Joint Dislocation Using C-C Sling Method and Modified Phemister Operation)

  • 전철홍;심대무;정을오;이종명;이병창;김정우
    • Clinics in Shoulder and Elbow
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    • 제9권1호
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    • pp.60-67
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    • 2006
  • Purpose: The purpose of this study was to compare the method of using coraco-clavicular (C-C) sling with modified Phemister operation by postoperative clinical results, radiologic analysis and complications. Materials and Methods: 33 patients of acromioclavicular joint dislocation were included in this study. Thirteen patients were treated with simple C-C sling method and twenty patients were treated with modified Phemister operation. The assesment of clinical and radiological evaluation were performed and the final results were examined by using the Weitzman's classification. Results: In the final result of C-C sling method group, forward elevation $161^{\circ}$, external rotation $70^{\circ}$, internal rotation T8 level, Visual Analogue Scale (VAS) 83.3 points were checked. In modified Phemister operation group, forward elevation $155^{\circ}$, external rotation $67^{\circ}$, internal rotation T6 level, VAS 83.8 points were checked. In coracoclavicular distance of C-C sling method group, pre-operation 12.82 mm and last follow up 8.37 mm were checked. In modified Phemister operation group, pre-operation 12.8 mm and last follow up 7.7 mm were checked. In functional evaluation by the Weitzman criteria, C-C sling group had excellent 8, good 1, fair 1 and modified Phemister group had excellent 13, good 4, fair 3. Conclusion: C-C sling method would be the better than the Modified Phemister operation because of short operation time and smaller skin incision.

액상소결에 의한 $\beta-SiC-TiB_2$ 복합체의 제조와 특성 (Manufacture of $\beta-SiC-TiB_2$ Composites Densified by Liquid-Phase Sintering)

  • 신용덕;주진영;박미림;소병문;임승혁;송준태
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2000년도 추계학술대회 논문집 학회본부 C
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    • pp.479-481
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    • 2000
  • The effect of $Al_{2}O_{3}+Y_{2}O_{3}$ additives on fracture toughness of $\beta-SiC-TiB_2$ composites by hot-pressed sintering were investigated. The f$\beta-SiC-TiB_2$ ceramic composites were hot-presse sintered and annealed by adding 16, 20, 24wt% $Al_{2}O_{3}+Y_{2}O_{3}$(6 : 4wt%) powder as a liquid forming additives at low temperature($1800^{\circ}C$) for 4h. In this microstructures, the relative density is over 95.88% of the theoretical density and the porosity increased with increasing $Al_{2}O_{3}+Y_{2}O_{3}$ contents because of the increasing tendency of pore formation. The fracture toughness showed the highest of $5.88MPa{\cdot}m^{1/2}$ for composites added with 20wt% $Al_{2}O_{3}+Y_{2}O_{3}$ additives at room temperature. The electrical resistivity showed the lowest of $5.22{\times}10^{-4}\Omega{\cdot}cm$ for composite added with 20wt% $Al_{2}O_{3}+Y_{2}O_{3}$ additives at room temperature and is all positive temperature coefficient resistance (PTCR) against temperature up to $700^{\circ}C$.

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놀이를 통한 부모교육 프로그램이 어머니-자녀 관계 증진에 미치는 효과 (The Effectiveness of the Parent Education Program through Play in Improving the Relationships between Mothers and Children)

  • 이영환;나양균
    • 한국가정과학회지
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    • 제5권1호
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    • pp.1-13
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    • 2002
  • The purpose of this study was to verify the effectiveness of the parent education program through play to improve the relationships between mothers and children. The subject of this study consisted of 30 mothers with 4-7 aged child attending S-day-care center located in Ik-San. In order to examine the effectiveness of the parent education program through play, two groups were divided into 15 participants each. The experimental group participated in the parent education program for total 8 sessions(2 sessions per week over the 4 weeks) while the control group didn't. The instrument were 'Maternal Affection & Control Resources Scale developed by Cho, Bok Hee(1991) and 'Teacher-Child relationship Scale' by Pinata & Steinberg. Teacher-Child relationship Scale was modified to be appropriate for use with this program. Parental acceptance level was measured by modified Parental Acceptance Scale (P.P.A.S.) by porter(1954). The data were analyzed by SPSSWIN program. The statistical methods for data analysis were frequency, t-test. paired t-test. The main results of this study were as follows : First, the mothers who participated in the parent education program through play showed improvement in affectionate attitudes than before. Second, the mothers who participated in the parent education program through play have been improved in familiarity and have been decreased in conflict of relationships of mother-child than those who did not participated in. Third, the mothers who participated in parent education program through play improve the recognition on respect to children's emotion, emotional expression right, uniqueness of children's temperament and needs to children's independency and autonomy.

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캄보디아 결혼이주여성 부부의 결혼동기와 한국가정생활 경험 및 지원에 관한 사례연구 (A Study of the Korean Family Life and Marriage Motives, Support, and Experience of Cambodian Marriage Immigrants and their Husbands)

  • 채옥희;한은진;송복희
    • 가족자원경영과 정책
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    • 제16권4호
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    • pp.111-129
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    • 2012
  • This study aims to identify the motives of Cambodian marriage immigrants and their spouses in order to determine the factors that are needed for them to experience a successful marriage and a happy family life in Korea. This study's findings have been achieved through in-depth interviews with 10 married Cambodian female marriage immigrants and nine of the women's husbands. The following factors play a key role. First, the social environment in Cambodia is generally less developed than it is in Korea. Therefore, the immigrants tend to easily adapt to the advanced culture they encounter in Korea. Second, the patriarchal culture in Korea seems to be changing. Thus, Korean females are more respected now than they have been in the past. The Korean mothers-in-law and fathers-in-law appreciate their daughters-in-law and are trying to be more caring rather than treating them with prejudice that, in the past, had been leveled against foreigners. These factors help the Cambodian immigrants adapt to the Korean culture. Third, multicultural family support centers have become the place where these marriage immigrants learn about Korean culture and socialize with other immigrants. The husbands of these women actively participate in marriage counseling and family counseling, and they are also willing to understand the complexity of a multicultural society and the importance of family.

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함라마을 부농주거의 건축특성 연구 (The Study on the Architectural Characteristics of the Wealthy Farmhouses in Ham-Ra)

  • 유은미;홍승재
    • 한국주거학회논문집
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    • 제17권6호
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    • pp.99-108
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    • 2006
  • Ham-ra is a village that belongs to Ham-yuel Ri, Ik-san city and also known as the village where 4 millionaire modem age rich farmer households are residing in the center of the village. Originally, central point of the village was Gaeksa and Hyanggyo that is in Suodong, but early 1900s, rich farmers found new Places beside Suodong and built large-scale houses and around it, houses of tenant and commercial places were formed and became the new center of the village. Therefore, Ham-ra village shows well about the changes of the traditional village in the end of Chosun Dynasty aspect that of existent village space according to rich farmer's growth. Especially, the large scaled Korean traditional houses which were built newly in the year between 1917 to 1939 shows main road and Natural stream surrounding the village which are not found in any other village. 3 rich farmers (Lee Bae-won, Jo Hae-young, Kim An-gyun house) and Lee Jib-cheon's houses built a large scaled Sarang-chae and An-chae to compete and to show off there wealth. This residing imitated High-classe house yet accommodated social changes and through a voluntary experiment, is expressing modernity of Han-ok very well. Similarity and creativity in residing form appears well in buildings similar time and village. This research analyzed space composition change of the village and characteristic of Architecture who appear at modern process of typical farmer houses which make a strong resolution to Ham-ra hereupon.

아동기 외로움 관련변인 연구 (A study on the loneliness of childhood and related variables)

  • 김성해;송순
    • 가정과삶의질연구
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    • 제19권6호
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    • pp.77-93
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    • 2001
  • The purpose of this study is investigated on the loneliness of childhood and related variables. 400 boys and girls were sampled far this study that they are elementary school 5th 6th located in IK-San, Kim-Je city. Survey was conducted by self-reported questionnaires and 380 questionnaires were finally used for the data analysis. The data analysis with SPSS Computer program were frequency, percentage, mean, 7- 1est, one-way ANOVA with Duncan's Multiple Range test and Multiple Regression Analysis. The results of this study can be summarized as follows : 1. Significant difference was founded in children's loneliness according to father's education, father's job mother's education, school grade, name satisfaction, body satisfaction, siblings, close relation friend number, family harmony, parent's love- acceptable. 2. Significant difference was founded in children's loneliness according to peer status degree (popular isolation aggression). Higher popular children was perceived lower in loneliness than lower popular children. Higher isolation children was perceived higher in loneliness than lower isolation. Higher aggression children was perceived higher in loneliness than lower aggressive in loneliness. 3. In the result of multiple regression analysis the influence on the loneliness be presented as follows in order of importance , peer status of isolation degree popular degree mother's job of self business, parent's love-acceptable, friends number. The result the above study indicates that peer status family harmony, parent's love- acceptable, child's psychological environmental variables influences on the loneliness but essential variables are influences peer status on the loneliness.

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고유수용성신경근촉진법을 이용한 저항보행훈련이 만성뇌졸중환자의 보행과 균형능력에 미치는 영향 (The Effects of Resistant Gait Training with Proprioceptive Neuromuscular Facilitation on the Walking and Balancing Abilities of Chronic Stroke Patients)

  • 방대혁;봉순녕
    • PNF and Movement
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    • 제15권1호
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    • pp.57-65
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of resistant gait training with proprioceptive neuromuscular facilitation (PNF) on the walking and balancing abilities of chronic stroke patients. Methods: Twelve chronic stroke patients were randomly assigned to either a control group (n = 6) that underwent treadmill gait training or an experimental group (n = 6) that underwent resistant gait training using PNF. The interventions were performed five times per week for four weeks. Gait variables were measured using a GAITRite system (CIR System Inc, Clifton, NJ, USA) to examine changes in walking ability; the Berg balance scale (BBS) was used to measure changes in balance; and the activity-specific balance confidence scale (ABC) was measured to examine changes in confidence about balance. A Wilcoxon signed-rank test was used to examine intragroup differences before and after the interventions, and a Mann-Whitney U-test was used for intergroup comparisons of the effects of the interventions. All statistical significance levels were set to ${\alpha}=0.05$. Results: Both the experimental group and the control group showed significant intragroup improvement in walking speed, the number of steps per minute, stride length, double support time, balance, and confidence about balance after the interventions (p < 0.05). In intergroup comparisons after the interventions, the experimental group showed significant improvements over the control group in walking speed, the number of steps per minute, stride length, balance, and confidence about balance (p < 0.05). No significant difference in double support time was seen in the intergroup comparison after training (p > 0.05). Conclusion: This study applied resistant gait training using PNF to chronic stroke patients, and the results showed significant improvements in the patients' walking and balancing abilities. Therefore, resistant gait training using PNF is thought to be applicable as an intervention method for chronic stroke patients.

섬유근육통의 한방치료 증례보고 1례 (A Case Report of Fibromyalgia Improved by Korean Medical Treatment)

  • 문연주;추홍민;신혜령;이준영;권소현;김철현;송봉근;원진희;백동기
    • 대한한방내과학회지
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    • 제40권2호
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    • pp.192-200
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    • 2019
  • Introduction: The aim of this study is to report the effect of traditional Korean medical treatment on fibromyalgia. Case presentation: A patient with fibromyalgia was treated with acupuncture, pharmacopuncture (Bee venom, Hwangryunhaedok-tang), cupping therapy, moxibustion therapy and herbal medicine for 37 days. To reduce the patient's symptoms, we provided herbal medicine three times a day, as well as acupuncture, pharmacopuncture, cupping therapy and moxibustion therapy once a day for 37 days. To evaluate the results of this treatment, we used the Numeral Rating Scale (NRS), Score of Sleeping Quality (SSQ) and Fibromyalgia Impact Questionnaire (FIQ). After treatment, the patient showed that pain was reduced, the score of NRS was improved, FIQ improved from 91 to 69 and SSQ improved from 3 to 1. No adverse reaction was noted. Conclusion: According to the result, traditional Korean medical treatment can be effective and safe for the treatment of fibromyalgia.

고유수용성촉진법의 목 패턴이 만성 뇌졸중 환자의 균형과 보행 능력에 미치는 영향 (The Effect of Neck Pattern of PNF on Balance and Walking Ability in Patients with Chronic Stroke)

  • 방대혁;송명수
    • PNF and Movement
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    • 제17권1호
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    • pp.47-56
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    • 2019
  • Purpose: This study investigated the effects of neck pattern of proprioceptive neuromuscular facilitation (PNF) on balance and walking ability in patients with chronic stroke. Methods: Fourteen participants with chronic stroke were randomly assigned to vestibular rehabilitation and then divided into two groups: the neck pattern group or treadmill group. Each group underwent 20 sessions (20 minutes/day, five days/week, for four weeks). Patients were assessed with the Berg balance scale (BBS) and gait parameters (gait speed, cadence, step length, and double-limb support period) using a GAITRite system. Results: Vestibular rehabilitation for the neck pattern group and the treadmill group showed significant intragroup improvement on the BBS and in terms of gait speed, cadence, step length, and double-limb support period (p < 0.05). Vestibular rehabilitation was more effective for the neck pattern group than for the treadmill group in terms of the BBS (p = 0.00; 95% CI, 1.49-5.94), gait speed (p = 0.01; 95% CI, 0.05-0.16), cadence (p = 0.02; 95% CI, 0.54-4.99), and step length (p = 0.00, 95% CI, 1.55-4.62). Conclusion: This study used the neck pattern of PNF for vestibular rehabilitation in patients with chronic stroke. The results showed significant improvement in the patients' balance and walking ability. Therefore, the neck pattern of PNF for vestibular stimulation may be more effective than treadmill training to improve balance and walking ability in patients with chronic stroke.