• 제목/요약/키워드: Low effective index

검색결과 540건 처리시간 0.028초

Alternation of Topical Heat and Cold for Chronic Low Back Pain : A Randomized Controlled Pilot Trial

  • Choi, Young Doo;Jo, Su Jeong;Jung, Chan Yung;Kim, Kap Sung;Lee, Seung Deok
    • Journal of Acupuncture Research
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    • 제33권2호
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    • pp.77-87
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    • 2016
  • Objectives : This is a pilot study for a large randomized controlled trial to investigate the efficacy and safety of a newly developed contrast therapy device-- alternating topical heat and cold -- for patients with chronic low back pain. The main objective of this study is to confirm the feasibility of the study design. Methods : The design was a randomized, 2-arm, parallel-group, single-blind, placebo controlled trial. Patients in each group received real or sham contrast therapy in an acupuncture point 10 times over four weeks. The primary outcome measure was pain intensity on a 100-mm visual analogue scale (VAS). The secondary outcomes were back-related dysfunction based on the Oswestry Disability Index (ODI), the Roland-Morris disability questionnaire (RMDQ), and range of motion of lumbar spine based on the modified Schober test (mSchober test), Finger-to-Floor distance (FTF distance), and Finger-to-Thigh distraction (FTT distraction). Results : A total of 30 subjects with chronic low back pain were randomly assigned to a contrast therapy group (n=15) or a sham group (n=15). A repeated-measures analysis of variance showed statistically significant group time interaction for VAS, RMDQ, mSchober test and FTF distance (p<0.05). The treatment group showed significant improvement in pain intensity and functional disability as compared to the sham group. Conclusion : Contrast therapy may be an effective and safe treatment for chronic low back pain.

요추부 불안정성을 가진 요통환자의 복부 드로우-인 기법과 복부 확장 기법을 이용한 체간안정화운동의 효과 비교 (Comparison of the Effects of Abdominal Draw-In and Expansion Maneuvers on Trunk Stabilization in Patients With Low Back Pain and Lumbar Spine Instability)

  • 이호준;김선엽
    • 한국전문물리치료학회지
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    • 제22권1호
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    • pp.37-48
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    • 2015
  • This study aimed to investigate the effect of the abdominal drawing-in maneuver (ADIM) and abdominal expansion maneuver (AEM) on trunk stabilization, as well as trunk muscle activities and differences in quadruple visual analogue scale, Korean Oswestry Disability Index, and Fear Avoidance Beliefs Questionnaire scores, in patients with chronic low back pain and lumbar spine instability. To increase intra-abdominal pressure during the trunk stabilization exercise, the technique of pushing the abdomen out using diaphragmatic abdominal breathing suggested by Pavel Koral was used, which we termed the AEM. Fifty patients who tested positive on more than three of the five lumbar spine instability tests were separated from 138 patients with chronic low back pain of these patients, 16 were placed in the control group (trunk stabilization exercise), 17 were placed in the ADIM group (trunk stabilization exercise with ADIM), and 17 were placed in the AEM group (trunk stabilization exercise with AEM). Each group participated in the study for 30 minutes three times weekly for 4 weeks. Surface electromyography was used to measure the trunk muscle activities during the kneeling forward and supine bridging positions, and one-way repeated analysis of variance was used to determine the statistical significance of the trunk muscle activities in the rectus abdominis, internal oblique (IO), erector spinae, and multifidus (MF) muscles. The ADIM and AEM groups showed relatively larger improvements in psychosocial and functional disability level than control group. There were significant changes among the three groups, those from the measured values of the AEM group was significantly higher than the other two groups in changes in IO and MF trunk muscle activities (p<.05). This finding demonstrates that trunk stabilization exercises with AEM is more effective than ADIM for increasing trunk deep muscle activity of chronic low back pain patients with lumbar spine instability.

교통사고 후 발생한 요통에 대한 봉약침 치료의 효과 (Effect of Bee-venom Acupuncture on Low Back Pain by Traffic Accidents)

  • 이재훈;김준수;양기영;한상엽;이재영;황은미
    • 척추신경추나의학회지
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    • 제6권2호
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    • pp.61-70
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    • 2011
  • Objectives : The purpose of this study was to investigate the effect of Bee-venom acupuncture on low back pain by traffic accidents. Methods : We included 34 patients with low back pain caused by TA for this study. The experimental group was treated by usual therapy plus Bee-venom acupuncture therapy, the control group was treated by usual therapy such as acupunture therapy and herbal medicine therapy. Oswestry Disability Index(ODI) and Visual Analog Scale(VAS) were evaluated at 4 week from baseline for the treatment effect in the both group. Results : After the subjects being treated by Bee-venom or general acupuncture therapy. It was detected that the scores of ODI and VAS in both groups decreased at the 4 week from baseline. There was significant difference between both groups in the VAS. However, there was no significant difference between both groups in the ODI. Conclusions : The results suggested that bee-venom acupuncture was effective on low back pain by traffic accidents.

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전열침을 적용한 산후 요통환자 치험 3례 (Three cases of postpartum low back pain patients treated by heating-conduction acupuncture therapy)

  • 임광묵;위대용;고연석;이은희;반지혜;이아영
    • 척추신경추나의학회지
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    • 제7권1호
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    • pp.49-57
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    • 2012
  • 전열침요법을 출산 후 장요인대 등 천장관절 부위의 인대 손상으로 인한 산후 요통을 호소하는 환자에 적용하여 호전된 3례를 통하여 전열침요법이 인대 손상으로 인한 산후 요통 환자 치료에 유효한 효과를 나타냄을 알 수 있었다. 이상의 결과로 미루어 전열침요법을 인대 손상으로 인한 산후 질환에 적용하면 양호한 임상 결과를 가져올 것으로 기대되며, 향후 더 많은 연구가 필요할 것으로 생각된다.

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3차원 요부안정화 운동이 20대 요통환자의 통증과 동적 및 정적 균형능력 향상에 미치는 효과 (The Effects of 3-Dimensional Lumbar Stabilization Exercise have an effect on the improvement of pain and static or dynamic balance ability in 20's age group with Low Back Pain)

  • 김규용;안창식;김성수
    • 대한물리의학회지
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    • 제6권2호
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    • pp.235-246
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    • 2011
  • Purpose: The aim of this study is to compare and assess the effects of lumbar stabilization exercise on the balance ability of young college studets with low back pain after having performed spinal stabilization exercise by using 3-dimensional air-balance system and gym ball. Methods: The subjects of this study were 34 low back patients in their early twenties. They were divided into two groups: 3-dimensional lumbar stabilization exercise group(N=17) and gym ball lumbar stabilization exercise group(N=17). The period of the intervention was for five weeks. VAS(Visual Analogue Scale) for pain test, ODI(Oswestry Disability Index) for ADL limitation test, Tetrax system for static balance test, and Air-balance system 3D for dynamic balance test were used as evaluation tools for this study. Results: Pain showed significant decrease in both groups after having performed the experiment, but ADL limitation of the groups did not show any remarkable difference between before and after the experiment. Dynamic balance ability in the 8-directional angle comparison test significantly increased in all directions except for the backward, left-backward, and right-backward directions. As for dynamic balance ability in the 8-directional postural test, 3D exercise group showed statistically significant reduction in every direction while gym ball exercise group did not(p<.05). However, when it comes to static balance ability in the weight distribution and stability test, there was not significantly change between pre and post test in both groups. Conclusion: This study shows 3-dimensional lumbar stabilization exercise is more effective in the lumbar stabilization of coordinated movement than gym ball exercise, which may imply that 3D air-balance system can be used for the therapeutic treatment of body imbalance for patients with low back pain.

산후 골반통에 추나 수기 요법의 효과에 대한 문헌 고찰 (A Literature Review on the Effects of Chuna Manipulation for Postpartum Pelvic Pain and Low Back Pain)

  • 이미주;손성세;황덕상;이진무;장준복;이창훈
    • 대한한방부인과학회지
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    • 제32권4호
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    • pp.14-24
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    • 2019
  • Objectives: The purpose of this review is to assess the effects of Chuna manipulation for postpartum pelvic pain and low back pain. Methods: To investigate the effects of Chuna manipulation for postpartum pelvic pain and low back pain, we searched the seven database (Korean Obstetrics and Gynecology, Oasis, National Digital Science Library, Pubmed, Cochrane Library, Embase, China National Knowledge Infrastructure) and manually checked related clinical trials up to May, 2019. Results: Seven studies were included in this review. Chuna and other manipulation (Osteopathy and Tuina) were effective in relieving postpartum pelvic pain and improving Oswestry Disability Index. Conclusion: This review suggests Chuna manipulation produces clinically relevant benefits for postpartum women with pelvic pain and low back pain. Further research may change estimates of effect, and larger, high-quality randomized controlled trials with robust comparison groups are recommended.

Glass Frit을 이용한 염료감응 태양전지의 광 특성 연구 (Effect of Glass Frit in $TiO_2$ Electrode for DSSCs)

  • 김종우;전재승;김동선;황성진;김형순
    • 한국신재생에너지학회:학술대회논문집
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    • 한국신재생에너지학회 2010년도 춘계학술대회 초록집
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    • pp.75.1-75.1
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    • 2010
  • Dye sensitized solar cells(DSSCs) have been extensively studied due to their various advantages such as low production cost, colorful design, and eco-friendly process. Long optical path length is one of the most effective method to improve light harvest efficiency for DSSCs. Multi-layered $TiO_2$ nano-structured film with scattering layer has been studied to generate scattering effect by many researchers. It was expected that the difference of refractive index between $TiO_2$ particles and glass frit would generate the light scattering effect and provide the long optical path length. Therefore, to enhance the scattering effect, the frits of $Bi_2O_3-B_2O_3$-ZnO glass system that has the different refractive index were added to $TiO_2$ pastes in this study. First of all, the absorbance and haze factor of $TiO_2$ electrode with dyes and the refractive index of glass frit and $TiO_2$ were measured, respectively. To study the effect of frits, the efficiencies of DSSCs added glass frit and without glass frit were compared. Our results showed slightly higher efficiency with the different absorbance and haze factor of $TiO_2$ and glass frit. It was considered that the light scattering effect would be improved with adding frits to $TiO_2$ paste. Our preliminary studies will be useful for increasing efficiency of DSSCs.

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다층구조를 갖는 다공질규소층의 제작과 이의 물성 (The study of the fabrication and physical properties of porous silicon multilayers)

  • 김영유;전종현;류성주;이영섭;이기원;최봉수
    • 한국결정성장학회지
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    • 제9권6호
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    • pp.597-600
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    • 1999
  • 단결정규소 웨이퍼를 15% HF-에탄올 용액에서 양극 산화시켜 다공질규소를 얻는 과정에서 전류밀도와 에칭시간에 따라 굴절률이 주기적으로 변하는 다층의 다공질규소층(porous silicon multilayers)을 구현하였다. 그리고 다층의 다공질규소층(I), 다공질규소 발광층, 또 다른 다층의 다공질규소층(II)의 순으로 구성된 porous silicon microcavity(PSM)를 제작하고 그 물성을 조사하였다. PSM 상하에 위치한 다층의 다공질규소층의 단면을 AFM(Atomic Force Microscope)으로 조사한 결과 고굴 절률과 저굴절률이 주기적으로 교차하는 층이 균일하게 형성되었으며, 중앙의 다공질규소 발광층도 균일하게 나타났다. 다층의 다공질규소층 및 다공질규소 발광층의 두께를 각각 실효파장의 1/4배 및 2배가 되도록 하였을 때 특정파장의 필터로 쓰일 수 있는 브래그 반사경(Bragg reflector)의 특성이 나타났다. 또한 PSM의 발광 스펙트럼은 그 반치폭이 현저히 감소하고 발광의 세기가 크게 증가되는 경향을 보였다.

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채색 분리 기반의 색 변환 기법 (Color Transfer Method Based on Separation of Saturation)

  • 곽정민;김재협;문영식
    • 전자공학회논문지CI
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    • 제45권3호
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    • pp.149-159
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    • 2008
  • 참조 영상을 이용하여 영상의 분위기를 전환하고자 할 때, 영상의 분위기에 영향을 주는 요소 중 하나인 색을 이용하여 영상이 가지는 분위기를 변환한다. 색을 변환할 때, 국부적인 색상의 특징을 반영하기 위해 입력 영상의 화소에 대하여 색인을 하는데 낮은 채도 상에서는 색상의 식별력 저하로 인해 부적절한 색인의 색상 항목으로 색인이 되는 문제가 발생한다. 따라서 본 논문에서는 유채색과 무채색을 분리하여 처리함으로써, 낮은 채도 상에서의 잘못된 색인이 일어나지 않도록 제한하는 기법을 제안한다. 제안하는 기법은 채도의 문턱치를 이용하여 유채색과 무채색을 구분하는 단계, 구분된 화소들을 실린드리컬 거리(Cylindrical metric)를 이용하여 11가지 색상 항목(Index color)으로 색인을 하는 단계, 각 색상 항목의 우선순위 결정하고 평균과 표준편차를 구하는 단계, 마지막으로 Lab 색 공간에서 색을 변환하고 영상의 잡음과 의사 윤곽선(pseudo-contour)을 제거하기 위한 후처리 단계의 4단계로 구성된다. 실험결과를 통해 제안하는 기법은 낮은 채도 상에서도 유채색과 무채색이 잘 분리되어 색인이 되었으며 원본 영상의 색이 참조 영상의 색으로 자연스럽게 변환된 결과를 얻을 수 있음을 확인하였다.

An Analysis on Health-Related Difference according to Socio-economic Class in Our Country

  • Lee, Kyung-Soo;Lim, Gyeong-Tae;Chung, Hee-Tae
    • 한국임상보건과학회지
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    • 제1권3호
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    • pp.49-61
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    • 2013
  • Purpose. The purpose of this study is to analyze difference in quality of life related to health according to our country's social stratification. Methods. This study had analytical subjects as 7,992 adults(4,557 men, 3,435 women), who are included in a variable by social stratification among 15,691 people in the age group of 20~69 years old as examinees, based on the 4th Korea National Health and Nutrition Examination Survey. Results. This study obtained the following results. First, seeing the score of health-related life quality by social stratification, namely, the distribution of EQ-5D index, the new middle class(class II) was the highest(men with 0.966 point, women with 0.955 point). The agricultural self-employed class(class V) was indicated to be the lowest(men with 0.918 point, women with 0.866 point). In general, the more belonging to low social stratification led to having shown the lower aspect in EQ-5D index value. Second, as for the results of the hierarchical regression analysis, the factors of contributing to difference by social stratification in health-related quality of life were chronic disease, job stress, education, and income level in both men and women. The health behavior was grasped to be a factor of contributing only to women. Conclusions. To reduce difference in health-related quality of life according to social stratification in the future, the continuous investment is needed for supporting socially high-quality education and economic stability. The sphere of health will need to be given priority to the prevention of chronic disease and the development in effective management policy for the lower classes.

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