• 대한정형도수물리치료학회지
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• 제27권3호
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• pp.99-105
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• 2021

Purpose: This study aims to report on the effect of providing customized visiting exercise, a musculoskeletal intervention method, to the elderly in the community. Methods: In this study, subjective pain was measured to evaluate pain and physical ability of the elderly, and timed up & go (TUG) test and psychological level test were performed for myofascial pain perception symptoms and gait function. Measurements were performed twice before and 4 weeks after treatment. Participants in the exercise group (n=108) performed the spine exercise, whereas those in the spine exercise group (n=108) performed the spine exercise using complex exercise program (3 times/week for 4 weeks). Results: The significant test of visual analogu scale (VAS), pain pressure threshold (PPT), TUG, psychosocial factor according to applying the exercise within groups used T-test. In the result following analysis, there was significance on VAS (p=.000), PPT (p=.000), TUG (p=.000), Psychosocial factor (Depresion; p=.000, Anxiety; p=.000) within group. Conclusion: Then, exercise has benefit on the VAS, PPT, TUG, psychosocial factor in patients with myofacial pain syndrome. So, it may suggest that exercise will be helpful of the pain, gait and psychosocial factor improvement the patients with spine pain.

• 대한통합의학회지
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• 제10권3호
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• pp.73-84
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• 2022

Background : Lymphedema is a progressive disorder characterized by the impairment of lymph flow from tissues to the blood circulation system. This occurs as a result of damage to the lymphatic system. Complex decongestive therapy (CDT) is a multimodal, conservative therapeutic approach that is used for the management of lymphedema. CDT consists of a combination of compression therapy, manual lymphatic drainage, exercise, and skin care. Purpose : This study aimed to provide a review of available physical therapy interventions as well as general care guidelines for patients with lymphedema. Methods : The recommendations and guidelines for physical therapy management, medical management, and general information were reviewed from the following sources: 1) The American Physical Therapy Association, 2) The Norton School of Lymphatic Therapy, and 3) The International Society of Lymphology. This review contains general information, including the medical management and the importance of physical therapy in lymphedema. Physical therapy management should be based on an assessment of the patients' presenting impairments, including based on inclusion or exclusion of physical therapy interventions. This review also outlines a step-by-step approach that starts with disease diagnosis and progression all the way through to rehabilitation as an outpatient. Conclusion : Depending on the patients' journey to recovery and the requirement for rehabilitation, physical therapy interventions should focus on the patients' needs including pain, appearance, physical function and general rehabilitation. We hope that this review will provide information on evidence-based physical therapy and general care to patients with lymphedema.

• Smart Structures and Systems
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• 제31권4호
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• pp.335-349
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• 2023

Bridges constantly undergo deterioration and damage, the most common ones being concrete damage and exposed rebar. Periodic inspection of bridges to identify damages can aid in their quick remediation. Likewise, identifying components can provide context for damage assessment and help gauge a bridge's state of interaction with its surroundings. Current inspection techniques rely on manual site visits, which can be time-consuming and costly. More recently, robotic inspection assisted by autonomous data analytics based on Computer Vision (CV) and Artificial Intelligence (AI) has been viewed as a suitable alternative to manual inspection because of its efficiency and accuracy. To aid research in this avenue, this study performs a comparative assessment of different architectures, loss functions, and ensembling strategies for the autonomous segmentation of bridge components and damages. The experiments lead to several interesting discoveries. Nested Reg-UNet architecture is found to outperform five other state-of-the-art architectures in both damage and component segmentation tasks. The architecture is built by combining a Nested UNet style dense configuration with a pretrained RegNet encoder. In terms of the mean Intersection over Union (mIoU) metric, the Nested Reg-UNet architecture provides an improvement of 2.86% on the damage segmentation task and 1.66% on the component segmentation task compared to the state-of-the-art UNet architecture. Furthermore, it is demonstrated that incorporating the Lovasz-Softmax loss function to counter class imbalance can boost performance by 3.44% in the component segmentation task over the most employed alternative, weighted Cross Entropy (wCE). Finally, weighted softmax ensembling is found to be quite effective when used synchronously with the Nested Reg-UNet architecture by providing mIoU improvement of 0.74% in the component segmentation task and 1.14% in the damage segmentation task over a single-architecture baseline. Overall, the best mIoU of 92.50% for the component segmentation task and 84.19% for the damage segmentation task validate the feasibility of these techniques for autonomous bridge component and damage segmentation using RGB images.

• 대한정형도수물리치료학회지
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• 제28권1호
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• pp.29-38
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• 2022

Background: Task-oriented training on an unstable support surface is an effective intervention for improving the ankle joint stability and muscle strength in patients with ankle instability. This study examined the effects of balance training on an unstable support surface in patients with ankle sprains with ankle instability. Methods: Forty-four patients with ankle sprains participated in this study. Screening tests were performed and assigned to an experimental group, who performed task-oriented training on an unstable support surface (n=22), and a control group, who performed task-oriented training on a support surface (n=22) using a randomization program. All interventions were applied 3 times per week for 4 weeks. The numeric rating scale (NRS), cumberland ankle instability tool (CAIT), balance ability, muscle activity, and muscle thickness were compared to evaluate the effects of the intervention. Results: Both groups showed significant differences in the NRS, CAIT, balance ability, and muscle activity between before and after the intervention (p<.05). In addition, there were significant differences in balance ability, muscle activity, and muscle thickness between the experimental and control groups (p<.05). Conclusion: Task-oriented training on an unstable support surface is an effective intervention for improving the balance ability, muscle activity, and muscle thickness during contraction.

• 대한정형도수물리치료학회지
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• 제29권3호
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• pp.73-84
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• 2023

Background: This study aimed to compare pressure pain thresholds (PPTs) in the vertebral segments between patients with chronic lower back pain (CLBP) and healthy participants without back pain and to determine the correlation between vertebral bone-segment PPT and pain level, lower back pain dysfunction, and psychological status in patients with CLBP. Methods: The subjects of this study were 23 healthy adults and 23 adults with CLBP. PPT was measured in 23 spinal bone segments using a PPT device, and the CLBP group was subjected to a pain level test (NRS) and a psychological test using the Korean version of the pain catastrophizing scale (KPCS). The functional level was assessed using the Korean version of the Oswestry disability index (KODI). Results: PPTs of the spinal sclerotomes were significantly lower in patients with CLBP than in healthy participants. In the CLBP group, the composite score of lumbar PPTs showed a high correlation with the composite scores for all segments, but not with the pain level (NRS), KPCS score, and spinal sclerotome PPT. Moreover, PPT in the sacral sclerotomes showed a significant negative correlation coefficient with function, with a KODI score of -.462 (p<.01). Conclusion: In this study, PPTs in all spinal segments in patients with CLBP was significantly lower than that in healthy subjects. The PPTs of the lumbar region was significantly correlated with the PPTs of other spinal regions. Through this study, it was found that there were changes in PPTs in CLBP patients not only in the lumbar region but also in other spinal regions. This information should be considered during clinical treatment of patients with low back pain.

• 대한추나의학회지
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• 제6권1호
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• pp.157-167
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• 2005

후종인대 골화증의 수술적 단계 이전의 환자에 대한 보존적 치료는 대증적 치료가 주가 되어 왔다. 본 증례에서는 침구요법, 부항요법, 한약물요법, 한방 이학요법, 추나요법을 시행한 후종인대 골화증 환자에서 시각적 상사척도의 각 치료기간별 감소 및 경추부 가동역의 증가와 더불어 JOA Score의 향상, OPLL의 임상적 등급이 호전되는 치료 효과를 나타내게 되었다. 향후 본 질환에 대하여 보다 심도있는 한의학적 연구가 진행된다면 후종인대 골화증의 보존적 치료에 있어서 한방요법이 뚜렷한 역할을 하리라 기대하며 보다 많은 증례와 더불어 본 질환에 대한 평가의 기준 및 한방적 치료의 지침에 대한 연구가 진행되어야 한다.

• 한국건설관리학회논문집
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• 제6권1호
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• pp.99-108
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• 2005

건설분야 전자매뉴얼은 기존에 서술적 문서형태로 작성되어온 시공법, 유지관리절차 등에 관련된 시방규정, 지침서들이 시각화를 위한 멀티 미디어 기능과 통합연계정보 제공기능을 갖는 전자적 형태로 구성된 것을 의미한다. 이러한 전자적 개념의 건설전자매뉴얼은 지침 규정의 전자화는 물론이고, 공사관리자의 이해도 증진을 위해 해당 규정에 관련된 3D동영상 화면과 가상현실, 시공이력사진 정보들을 연계해서 제공해 주는 종합 정보시스템 개념을 갖고 있다. 현재 시방정보, 관련법규 등의 건설분야 각종 지침들은 전자화를 위한 표준적 인 규칙 이 없이 일반적 인 문서형 태로 작성되고 있으므로, 관련정보의 체계적인 축적 및 공유가 어렵고 효과적 인 시설물의 시공 및 유지관리에 장애요인이 되고 있다. 본 연구에서는 기존 건설분야 정보화 체계와 비교하여 전자매뉴얼의 필요성과 타 분야 전자매뉴얼대비 건설전자매뉴얼의 특성을 분석하여 건설분야에 적합한 구성전략을 제시함으로써, 건설분야 전자매뉴얼의 활용도를 인식시키는데 연구목적이 있다. 이를 위하여 본 연구에서는 유지관리업무 전자매뉴얼 시안을 포함하는 시설물 재해관리용 전자매뉴얼의 적용성을 가상적으로 구성하여 검증하고 있다.

• 농업과학연구
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• 제38권1호
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• pp.11-16
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• 2011

In this study, we report the generation and analysis of a total of 1,211 expressed sequence tags (ESTs) from Pinus koraiensis. A cDNA library was generated from the young leaf tissue and a total of 1,211 cDNA were partially sequenced. EST and unigene sequence quality were determined by computational filtering, manual review, and BLAST analyses. In all, 857 ESTs were acquired after the removal of the vector sequence and filtering over a minimum length 50 nucleotides. A total of 411 unigene, consisting of 89 contigs and 322 singletons, was identified after assembling. Also, we identified 77 new microsatellite-containing sequences from the unigenes and classified the structure according to their repeat unit. According to homology search with BLASTX against the NCBI database, 63.1% of ESTs were homologous with known function and 22.2% of ESTs were matched with putative or unknown function. The remaining 14.6% of ESTs showed no significant similarity to any protein sequences found in the public database. Gene ontology (GO) classification showed that the most abundant GO terms were transport, nucleotide binding, plastid, in terms biological process, molecular function and cellular component, respectively. The sequence data will be used to characterize potential roles of new genes in Pinus and provided for the useful tools as a genetic resource.

• 재활간호학회지
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• 제10권2호
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• pp.108-115
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• 2007

Purpose: This study was to investigate the effects of respiratory rehabilitation training on the respiratory functions of hospitalized cervical spinal cord injury patients. Methods: One group pre and post test design was used. Subjects were 20 cervical spinal cord injury inpatients of the national rehabilitation center. Training program consisted of air cumulation training, manual assisted coughing training, and abdominal breathing. Trained rehabilitation nurse implemented 20 minutes program twice a day for 4 weeks. Respiratory function was measured as peak coughing flow rate, and perceived respiratory difficulty after activity on wheel chair for 30 minutes and during speaking and singing. Perceived respiratory difficulty was measured with modified Borg scale. Also content analysis was done with the result of open ended question about subjective feeling about training. All variables were measured 3 times before, 2weeks and 4 weeks after the program. Results: Peak coughing flow rate significantly improved after compared to before training. Also all three perceived respiratory difficulty variables decreased significantly after training. In the content analysis, 'it's easier to cough up phlegm' was the most frequent answered subjective feeling. 'Sound at speaking and coughing became louder', 'respiratory volume increased', and 'comfortable chest feeling' were frequent answered subjective feeling, in order. Conclusion: Although it is preliminary since no control group, respiratory rehabilitation training was found to be effective to improve respiratory function in terms of peak coughing flow rate, perceived respiratory difficulty, and subjective feeling. It is necessary further systemic research to investigate the effects of respiratory rehabilitation training.

• 한국시뮬레이션학회논문지
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• 제16권1호
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• pp.21-29
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• 2007

본 연구에서는 경동맥 B-모드 초음파영상에서 내막-중막 두께(IMT : Intima-Media Thickness)의 자동측정을 위해 다이나믹 프로그래밍(dynamic programming)을 이용하여 내막과 중막의 경계선을 자동 추출하는 알고리즘을 제안하고 실험결과를 보여준다. 혈관 인터페이스의 픽셀 값과 기울기 등의 영상특징과 연속성의 기하학적 특징을 고려한 평가항(cost term)들을 포함하는 평가함수(cost function)를 계산하여 그 값이 최소가 되는 최적의 위치를 결정하기 위해 다이나믹 프로그래밍 방법을 적용하였다. 또한 스페클(speckle), 드랍아웃(dropout)과 같은 잡음과 약한 에지로 인한 거친 추출 결과에 대해 B-spline을 적용하여 더욱 부드러운 경계선을 유지하도록 함으로써 경계선의 연속성을 향상시켰다. 제안한 방법은 다중영상특징(multiple image features)을 고려함으로써 일반적인 에지 알고리즘보다 더욱 정확하고 재생산 가능한 경계선을 추출하였고 수동측정 시 발생하는 측정자 내, 측정자 간의 추출결과 변이성과 비효율성의 문제점을 해결하여 편리한 자동측정이 가능하게 한다.