• 제목/요약/키워드: Lower-limb

검색결과 908건 처리시간 0.022초

치위생학과 스케일링 실습수업이 상지 근골격계에 미치는 영향 (Repercussions to the musculoskeletal system of the Upper Limb caused by scaling training exercise)

  • 노효련;유자혜;이민영
    • The Journal of Korean Physical Therapy
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    • 제20권3호
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    • pp.45-51
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    • 2008
  • Purpose: We evaluated the physical stress and pain to the musculoskeletal system of a dental practitioner when engaging in a dental scaling training exercise to prevent the development of musculoskeletal injuries. Methods: The 18 female (average age: 21$\pm$1 years) subjects were voluntarily picked from a group of juniors who have completed a one-and-a-half year training course that includes training exercises on the dentiform and on live subjects (other trainees). The test is done by measuring pain, activity, grip strength, and finger dexterity for each subject's hand and wrist. Before the test all subjects were confirmed to be right-handed and were informed of the study and its objective. Measuring was done before and after each subject performed dental scaling for one hour using the scaler and the curet. Results: Pain levels increased for both hand and shoulders, but hand pain was often greater than shoulder pain. Grip strength significantly declined in the right hand but not the left. For joint mobility, the flexion and the extension for the shoulder joint did not change; but the range of motion for both wrist joints significantly increased. For the dexterity test, both hands showed increased dexterity after the exercise. Conclusion: Dental scaling can affect the shoulders and wrists/hands. Therefore, a musculoskeletal injury prevention program for dental practitioners, which may include encouraging them to assume correct body posture when at work, must be sought. This study evaluated only the shoulders, wrists, and hands; but future studies should include areas such as the cervical area, the back, and the lower limbs.

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Characteristics of Four SPE Classes According to Onset Timing and Proton Acceleration Patterns

  • Kim, Roksoon;Cho, Kyungsuk;Lee, Jeongwoo;Bong, Suchan;Park, Youngdeuk
    • 천문학회보
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    • 제40권1호
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    • pp.63.3-64
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    • 2015
  • In our previous work (Kim et al., 2015), we suggested a new classification scheme, which categorizes the SPEs into four groups based on association with flare or CME inferred from onset timings as well as proton acceleration patterns using multienergy observations. In this study, we have tried to find whether there are any typical characteristics of associated events and acceleration sites in each group using 42 SPEs from 1997 to 2012. We find: (i) if the proton acceleration starts from a lower energy, a SPE has a higher chance to be a strong event (>5000pfu) even if the associated flare and CME are not so strong. The only difference between the SPEs associated with flare and CME is the location of the acceleration site. For the former, the sites are very low (~1Rs) and close to the western limb, while the latter has a relatively higher and wider acceleration sites. (ii) When the proton acceleration starts from the higher energy, a SPE tends to be a relatively weak event (<1000pfu), in spite of its associated CME is relatively stronger than previous group. (iii) The SPEs categorized by the simultaneous proton acceleration in whole energy range within 10 minutes, tend to show the weakest proton flux in spite of strong related eruptions. Their acceleration heights are very close to the locations of type II radio bursts. Based on those results, we suggest that the different characteristics of the four groups are mainly due to the different mechanisms governing the acceleration pattern and interval, and different condition such as the acceleration location.

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장애인이 거주하는 주택의 욕실 개조에 관한 연구 - 인천시 욕실 개조 사례 17개를 중심으로 - (A Study on the Remodeling of Residential Bathrooms for the Disabled - Based on 17 cases of residential bathroom remodeling in Incheon City -)

  • 소준영
    • 한국실내디자인학회논문집
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    • 제21권1호
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    • pp.258-268
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    • 2012
  • The bathroom is a space where humans fulfil certain daily needs, but for the disabled, it can be the most difficult space to use and may even be a cause of accidents and a source of danger. Previous studies on the bathroom have mostly proposed an ideal model of bathroom, but the majority of disabled people live in small homes of about $50m^2$ in size. As their bathrooms are usually very small, and existing houses have various structural limitations, more research should be conducted on the remodeling of residential bathrooms. This study analyzed a number of remodeling items in bathrooms, all of which were listed in previous studies. Based on 17 cases of residential bathroom remodeling in the homes of disabled people residing in Incheon in 2009, this study analyzed several remodeling items required according to the subject's characteristics, such as a lifestyle, gender, and family composition; and proposed the following remodeling requirements and improvement measures for ambulatory-disabled persons and sedentary-disabled people. First, as ambulatory-disabled people have lower-limb impairments, they required bathroom remodeling designed to improve their mobility in the bathroom. These subjects desired the installation of grab bars, as well as the elimination of floor level differences, the installation of non-slip flooring, a counter-top, a sink stand, and a shower holder whose height can be adjusted. Second, sedentary-disabled people move around in a sitting or crawling position, so many of them asked to eliminate floor level differences and vertically-installed bathroom furnishings. Basically, both people with ambulatory disabilities and people with non-ambulatory impairments requested the elimination of floor level differences and the installation of non-slip flooring and grab bars for the toilet and bathtub. They also asked for the heights of sinks, faucets, mirrors, shower holders, and cabinets to be adjusted to suit their needs.

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Wheel Chair를 사용하는 하지 마비자의 하체 체표면 변화에 관한 연구 (Body Surface Changes of the Lower Limb for the Disabled Person using Wheel Chair)

  • 이영숙;서정아
    • 대한인간공학회:학술대회논문집
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    • 대한인간공학회 1992년도 추계학술대회논문집
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    • pp.63-67
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    • 1992
  • 인간이 역사를 이루며 살아오면서 피복은 인간의 생활 수단으로서 빠뜨릴 수 없는 존재가 되었다. 사외 생활을 하면서 인간은 자신을 보호하고 남에게 자신의 이미지를 전달하고 자신의 욕구를 표출하면서 만족시키는데 있어 의복은 가장 중요한 역활을 하고 있고 인간 역시 그러한 것들을 의복에 의존하고 있는 것이다. 그러나 정상인을 위한 의복만 취급되어지는 시장에서 신체장애자들은 정상인보다도 더 세심하게 기능들이 고려된 의복이 필요함에도 불구하고 의복의 기능들을 생각하면서 의복을 선택할 수가 없다. 이러한 사앙들이 대두되면서 현대에 들어 신체 장애자 의복에 있어서 불편함을 없애고 보다 적합한 의복을 만들기 위한 연구가 진행되었다. 신체 장애자의 의복 연구는 Ward가 이 부분에 관심을 표명한 이후 임상 의사들에 의해 연구가 이루어지기 시작했다. 우리나라에서도 1976년 심성식의 한국 신체 장애자의 의복에 관한 연구를 기점으로 이 분야의 관심도가 높아지고 있으나 아직까지는 전반적으로 부족한 실정이다. 특히 위생적인 분야에서는 자료가 매우 부족하다. 이에 본 연구에서는 휠체어를 사용하는 하지 마비자의 체표 면을 떠서 기성복 패턴과 비교를 통해 보다 편안한 바지 패턴을 제시하고, 여름철에 많이 사용하는 직물로 바지를 제작하고 착용시킨후 인체 생리 반응을 분석하여 여름철에 쾌적한 바지를 알아 보았다. 이 연구를 통해 일반인과는 생활 자세가 다른 휠체어를 사용하는 하지 마비자와 일반인이 입는 기성복 바지를 착용 했을 때 생기는 불합리한 요소들을 고려하여 미적이고 기능적 및 위생적인 측면에서 신체 장애자에게 보다 적합한 바지를 제작하기 위한 기초 자료를 제공하고자 한다.값은 $f^{m}$ (p-1)-1 이다. (n=2m)이 많고 흡연 등의 만성 자극 요인이 있으며 술후 음성 호전에 걸리는 기간이 길어 보다 복합적인 측면에서 치료에 임하여야 할 것으로 사료된다. with such configuration.trap with 2.88[eV] deep of injected space charge from the chathode in the crystaline regions. The origin of ${\alpha}$$_2$ peak was regarded as the detrapping process of ions trapped with 0.9[eV] deep originated from impurity-ion remained in the specimen during production process of the material, in the crystalline regions. The origin of ${\beta}$ peak was concluded to be due to the depolarization process of "C=0"dipole with the activation energy of 0.75[eV] in the amorphous regions. The origin of ${\gamma}$ peak was responsible to the process combined with the depolarization of "CH$_3$", chain segment, with the activation

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Traumatic Peripheral Arterial Injury with Open Repair: A 10-Year Single-Institutional Analysis

  • Cho, Hoseong;Huh, Up;Lee, Chung Won;Song, Seunghwan;Kim, Seon Hee;Chung, Sung Woon
    • Journal of Chest Surgery
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    • 제53권5호
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    • pp.291-296
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    • 2020
  • Background: We report our 10-year experience with traumatic peripheral arterial injury repair at an urban level I trauma center. Methods: Between January 2007 and December 2016, 28 adult trauma patients presented with traumatic peripheral arterial injuries. Data were retrospectively collected on demographic characteristics, the mechanism of injury, the type of vascular injury, and physiological status on initial assessment. The analysis also included the Mangled Extremity Severity Score (MESS), Injury Severity Score, surgical procedures, and outcome variables including limb salvage, hospital stay, intensive care unit stay, and postoperative vascular complications. Results: Four (14.3%) patients required amputation due to failed revascularization. MESS significantly differed between patients with blunt and penetrating trauma (8.2±2.2 vs. 5.8±1.3, respectively; p=0.005). The amputation rate was not significantly different between patients with blunt and penetrating trauma (20% vs. 0%, respectively; p=0.295). The overall mortality rate was 3.6% (1 patient). Conclusion: Blunt trauma was associated with higher MESS than penetrating trauma, and amputation was more frequent. In particular, patients with blunt trauma had significantly higher MESS than patients with penetrating trauma (8.2±2.2 vs. 5.8±1.3, respectively; p=0.005), and amputation was performed when revascularization failed in cases of blunt trauma of the lower extremity. Therefore, particular care is needed in making treatment decisions for patients with peripheral arterial injuries caused by blunt trauma.

RECK Gene Promoter rs10814325 Polymorphism in Egyptian Patients with Hepatocellular Carcinoma on Top of Chronic Hepatitis C Viral Infection

  • Fakhry, Amal Bahgat;Ahmed, Asmaa Ismail;AbdelAlim, Mahmoud Abdo;Ramadan, Dalia Ibrahim
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권5호
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    • pp.2383-2388
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    • 2016
  • Background: The reversion-inducing-cysteine-rich protein with Kazal motifs (RECK) gene is a novel transformation suppressor gene linked to several malignancies. Objective: To analyze any association between RECK gene rs10814325 single-nucleotide polymorphism (SNP) and HCC susceptibility with various clinicopathological and laboratory data. Materials and Methods: RECK gene rs10814325 SNP was estimated, using real-time PCR, in 30 HCC patients on top of HCV infection, 30 HCV related cirrhotic patients and 30 healthy controls. Results: No special pattern of association could be detected on comparing the RECK gene rs10814325 genotypes(P=0.5), or alleles(P=0.49) among the studied groups. HCC patients with TT genotype had younger age (mean of $54.1{\pm}6.0$ years vs $60.6{\pm}10.2$ years for TC/CC genotypes, P=0.035). Abdominal distension was significantly greater in TT genotype patients (75% vs 30%for TC/CC genotypes, P=0.045). The TT genotype was present in 75% of patients with lymph node metastasis. Serum GGT levels were higher in TT genotype patients [80 (48.5-134.8) IU/L vs 40 (33-87.5) IU/L for TC/CCgenotypes], and lower limb edema was observed in 60% for TT vs 20% for TC/CCgenotypes, but both just failed to reach significance (p=0.05 and p=0.06 respectively). Conclusions: RECK gene rs10814325 T>C could not be considered a risk factor for HCC development on top of HCV, but may be related to the disease progression and metastasis.

한방여성의학 영역에서 진단 도구로 적외선 체열 검사(Digital Infrared Thermal Imaging, DITI)를 활용한 국내 연구 동향 분석 (A Review of the Domestic Study Trends on Obstetrics & Gynecological Diseases by Using Digital Infrared Thermal Imaging as a Diagnosis Instrument)

  • 임지영;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제33권3호
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    • pp.80-94
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    • 2020
  • Objectives: The purpose of this review is to analyze the domestic study trends of clinical use of Digital Infrared Thermal Imaging (DITI) as a diagnosis instrument on obstetrics and gynecological diseases in Korean literature. Methods: We searched for clinical studies using DITI in the journal of Korean obstetrics & gynecology, National Digital Science Library, Research Information Sharing Service, Korean Medical Database up to May 2020. After searching studies, we selected studies and analyzed according to disease. Results: 18 clinical studies were published in two kinds of academic journals. There were 4 studies about dysmenorrhea and menopausal symptoms, 2 studies about postpartum disease and hypercryalgesia, 1 study about amenorrhea, premenstrual syndrome, leukorrhea, infertility, polycystic ovary syndrome and hot flush. Conception vessel was frequently used for DITI measurement, followed by stomach meridian. The temperatures of abdomen (CV4, CV12), face (HN3), upper and lower limb (PC8, LU4, LR3, ST32) were commonly measured. Conclusions: This study shows that DITI could be one of effective diagnosis instrument for obstetrics and gynecological diseases. More well-designed clinical studies using DITI will be needed.

Chick embryo를 이용한 식품 잔류 농약의 기형성 연구 (Teratogenicity of Food Residual Organophosphate in the Developing Chick Embryo)

  • 임윤규;최재준;이민웅;이영순
    • 한국식품위생안전성학회지
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    • 제5권4호
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    • pp.171-178
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    • 1990
  • 계태아를 이용하여 현재 국내에서 사용하고 있는 농약중 Azinphos-methyl 과 Carbaryl를 대상으로 기형 유무가 있는지 확인하기 위하여 실험하였다. Azinphos-methyl 고 Carbaryl을 Corn oil를 용매로 사용하여 혈관분포가 왕성히 일어날 때 기실로 투여하여 다음과 같은 결론을 얻었다. 1. Azinphos-methyl 투여군은 고농도 투여군에서 체중, 체장, 전지·후지의 길이, 발톱길이가 용매 대조군과 무처치 대조군에 비해 유의성있는 감소를 보였으며, 저농도와 중농도 투여군에서도 무처치 대조군과 유의성 있는 감소를 보였다. 이는 Azinphos-methyl이 계태아의 성장에 영향이 있음을 알 수 있었다. 2. Azinphos-methyl은 용량별 폐사율이 각 18%, 29%, 41%로 나타난 계태아의 폐사율을 증가시키는 것으로 나타났으나 기형은 없었다. 3. Carbaryl 투여군에서는 체중, 체장 및 전 ·후지의 길이에 있어서 고농도로 투여한 군에서는 무처치 대조군 및 용매 대조군에 비해 유의성있는 감소를 보였으며, 체장 및 발톱길이는 저농도 및 고농도 투여군 모두 무처치 대조군에 비해 유의성있는 감소를 나타냈다. 4. Carbaryl 투여군은 폐사율이 용량별로 26%, 50%로 나타나 계태아의 폐사율을 증가시키는 것으로 나타났으며 경도의 피모 발육부전과 부리이상이 나타났다.

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MR 회전형 브레이크를 이용한 하지 근력 증진용 헬스 자전거 개발 (Development of a Health Bicycle for Improving the Muscle Strength of Lower Limb using MR Rotary Brake)

  • 윤영일;권대규;김동욱;김정자;김남균
    • 대한의용생체공학회:의공학회지
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    • 제28권6호
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    • pp.832-839
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    • 2007
  • In this study, a new bicycle system was developed to improve muscular strength using the Magneto-Rheological(MR) rotary brake. The friction load of the MR rotary brake is adjusted according to muscle strength of the subjects. The characteristic of muscular strength was studied with various friction loads of MR rotary brake. The friction load was occurred with the current, applied to the MR. rotary brake. Experiments was composed of several cycling trials for various friction loads. In training programs involving muscle improvement, it is necessary to confirm muscle activity and fatigue. To measure the muscle activity and fatigue, EMG signals of rectus femoris (RF), biceps femoris (BF), tensor fasciae latae (TFL), vastus lateralis (VL), vastus medialis (VAS), gastrocnemius (GAS), tibialis anterior (TA) and soleus (SOL) muscles were collected with surface electromyography and analyzed into time and frequency domain. The experimental results showed that the muscle activity according to the applied current to the MR rotary brake was significantly different. The more the current was applied, the higher value of the integrated EMG (IEMG) was obtained. Especially, the magnitude of IEMG of the RF, BF, TFL and VL varied in direct proportion to the current. However, there was not significant in the median frequency as the cycling time continue.

Effects of Deltoid Inhibition Taping on the Surface Electromyographic Activity of Shoulder Girdle Muscles During Upper Limb Elevation in Healthy Shoulders

  • Kim, Suhn-Yeop;Oh, Duck-Won;Kim, Taek-Yean;Nam, Soo-Jin;Yoo, Hwan-Suk
    • 한국전문물리치료학회지
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    • 제15권4호
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    • pp.34-42
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    • 2008
  • This study aimed to examine whether McConnell taping for deltoid inhibition affects the Electromyographic (EMG) activity of shoulder girdle muscles during arm elevation. Ten young healthy men were randomly assigned to an experimental and control groups of five men each. For the experimental group, we performed taping for deltoid inhibition on the skin over anterior and posterior deltoids with non-elastic specific tape, and sham-taping with non-elastic under-tape for the control group. Surface EMG measurements were performed three times (before, during and after the tapings) at upper and lower trapezius, mid-deltoid, and serratus anterior muscles while elevating dominant aim with loading and unloading conditions. In deltoid inhibition taping group, there were significant differences in EMG activity of mid-deltoid (p<.05) and serratus anterior (p<.05) muscles during arm elevation with loading. During arm elevation without loading, the EMG activity was significantly decreased for MD in the McConnell taping group (p<.05). The findings indicate that deltoid inhibition taping can modify the activation patterns in shoulder girdle muscles as well as in deltoid muscle. in clinical setting. it may be effectively used for the management of patients with shoulder dysfunction.

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