• Title/Summary/Keyword: Manual Function

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Clinical Benefit of Computerized Cognitive Therapy in Patients with Brain Disease : A Systematic Review and Meta-Analysis (뇌질환 환자에서 전산화 인지치료의 임상적 유용성 : 체계적 고찰 및 메타분석)

  • Song, Seungil;Park, Sowon
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.277-289
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    • 2020
  • Purpose : This study aims to confirm the clinical usefulness of computerized cognitive therapy program for patients with brain diseases in Korea and to present basic data that can confirm the effectiveness of computerized cognitive therapy program to experts related to rehabilitation in the future. Methods : A systematic review and meta-analysis research method was used to confirm the clinical effectiveness of computerized cognitive therapy applied to patients with brain diseases in Korea. Based on the national institute of health and medical colleges association (NECA) systematic literature manual and preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines for conducting research through systematic review and meta-analysis methods. Systematic review was PICOST-SD was used to research and select papers. For meta-analysis, the data was input and analyzed separately by literature result using the revman manager 5.3 program and the results were presented visually through tables and forest, funnel plot figure. Results : As a result of comprehensive analysis of the contents of the finally selected literature, it as found that studies on stroke and dementia were mainly conducted. In addition, through the evaluation of the quality of the literature, most of the existing computerized cognitive therapy studies were identified as high-quality studies, but the results were insufficient for randomization and blinding. And through meta-analysis, the clinical effectiveness of computerized cognitive therapy on cognitive function, activities of daily living, and visual perception function of patients with brain disease was found. Conclusion : The research literature that applied computerized cognitive therapy to brain disease subjects was comprehensively analyzed and identified. It is thought that this could be used as basic data on the characteristics of cognitive therapy that should be applied to patients with brain diseases in the future and the usefulness of computerized cognitive therapy program in actual clinical practice.

Acupuncture for Symptomatic Rotator Cuff Disease: A Systematic Review and Meta-Analysis

  • Choi, Seoyoung;Lee, Jisun;Lee, Seunghoon;Yang, Gi Young;Kim, Kun Hyung
    • Journal of Acupuncture Research
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    • v.38 no.1
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    • pp.20-31
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    • 2021
  • The objective was to evaluate the effectiveness and safety of acupuncture for patients with rotator cuff diseases. There were 12 electronic databases and 3 trial registries searched up to November 30th, 2019. All randomized trials were eligible, regardless of language, date of publication, or settings. The primary outcomes were pain, shoulder function, and proportion of improved participants assessed within 12 weeks of randomization of the trial. The Cochrane risk of bias for the studies was assessed. Effects sizes were presented as a risk ratio, mean difference, or standardized mean difference with a 95% confidence intervals. Grading of Recommendations Assessment, Development and Evaluation approach was adopted to rate certainty of evidence. Of the 3,686 records screened, 28 randomized trials (2,216 participants) were included in this review. The types of acupuncture included manual acupuncture, dry needling, electroacupuncture, acupotomy, warm needle acupuncture, and fire needle acupuncture. All of the studies had an unclear or high risk of bias related to more than 1 domain. Significant benefits of acupuncture in terms of pain and shoulder function were observed in all comparisons, however, the proportion of improved participants was not described in 2 comparisons. There was substantial heterogeneity among meta-analyzed trials. No serious harm was observed. For primary outcomes, the overall certainty of evidence was very low. There was very low certainty of evidence for the benefits of acupuncture for patients with rotator cuff diseases. The safety of acupuncture remains unclear due to the incompleteness of reporting. Future well-designed randomized trials with transparent reporting are required.

Effects of Cervical Sensorimotor Control Training on Pain, Function and Psychosocial Status in Patients With Chronic Neck Pain (목뼈 부위 감각운동 조절 훈련이 만성 목 통증 환자의 통증과 기능, 심리사회적 수준에 미치는 영향)

  • Min, In-gi;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.28 no.1
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    • pp.36-46
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    • 2021
  • Background: It is reported that the proprioceptive sensation of patients with neck pain is reduced, and neck sensory-motor control training using visual feedback is reported to be effective. Objects: The purpose of this study is to investigate how sensorimotor control training for the cervical spine affects pain, function, and psychosocial status in patients with chronic cervical pain. Methods: The subjects consisted of 36 adults (male: 15, female: 21) who had experienced cervical spine pain for more than 6 weeks. An exercise program composed of cervical stabilization exercise (10 minutes), electrotherapy (10 minutes), manual therapy (10 minutes), and cervical sensorimotor control training (10 minutes) was implemented for both the experimental and the control groups. The cervical range of motion (CROM) and head repositioning accuracy were assessed using a CROM device. In the experimental group, the subjects wore a laser device on the head to provide visual feedback while following pictures in front of their eyes; whereas, in the control group, the subjects had the same training of following pictures without the laser device. Results: There were no statistically significant differences between the two groups in pain, dysfunction, range of motion, or psychosocial status; however, post-test results showed significant decreases after 2 weeks and 4 weeks compared to baseline (p < 0.01), and after 4 weeks compared to after 2 weeks (p < 0.01). The cervical joint position sense differed significantly between the two groups (p < 0.05). Conclusion: In this study, visual feedback enhanced proprioception in the cervical spine, resulting in improved cervical joint position sense. On the other hand, there were no significant effects on pain, dysfunction, range of motion, or psychosocial status.

Rotator cuff repair with or without proximal end detachment for long head of the biceps tendon tenodesis

  • Mardani-Kivi, Mohsen;Asadi, Kamran;Izadi, Amin;Leili, Ehsan Kazemnejad
    • Clinics in Shoulder and Elbow
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    • v.25 no.2
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    • pp.101-105
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    • 2022
  • Background: Rotator cuff tears cause pathologies of the long head of the biceps tendon (LHBT). One of the surgical treatments for such a tear is LHBT tenodesis to the humerus. This study aims to compare simultaneous rotator cuff repair and LHBT tenodesis with or without detachment of the proximal end of the LHBT (PELHBT) from its site of adhesion to the glenoid. Methods: This retrospective study involved patients affected by LHBT pathology with rotator cuff tear. The patients were divided into two groups, with or without PELHBT detachment from the glenoid. Therapeutic outcomes were investigated by evaluation of patient satisfaction, pain based on visual analog scale, shoulder function based on Constant score and simple shoulder test, and biceps muscle strength based on the manual muscle testing grading system before surgery, at 6 months, and at the final visit after surgery. Results: Groups 1 and 2 comprised 23 and 26 patients, respectively, who showed no significant differences in demographic characteristics (p>0.05). Shoulder function, biceps muscle strength, pain, and satisfaction rate improved over time (p<0.05) but were not significantly different between the two groups (p>0.05). No post-surgical complication was found in either group. Conclusions: There was no difference in final outcomes of tenodesis with or without detachment of the PELHBT from the supraglenoid tubercle. Such tendon detachment is not necessary.

A Study of Relationship between Halitosis and Salivary Gland Function (타액선 기능이 구취에 미치는 영향에 관한 연구)

  • 손원영
    • Journal of Oral Medicine and Pain
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    • v.23 no.4
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    • pp.353-359
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    • 1998
  • The purpose of this study is reveal the relationship between halitosis and personal profile. The personal characteristics of halitosis patient were studied by symptom checklist-90- revision(SCL-90-R). 135 halitosis patients, 118 TMD patients(control torup 1) and 90 normal persons(control group 2) were selected for this study at the halitosis clinic or the Department of Oral Diagnosis and Oral Medicine, Kyung Hee Dental Hospital. T-scores were analyzed with Korean manual of SCL-90-R. A t-test was used to evaluate the overall group effect and the values were significant at the 0.05 level. The obstained results were as follows : 1. Mean value of T-scores on 9 basic scales of SCL-90-R in all groups(Halitosis patients, TMD patients and normal) was within normal range. 2. When compared with normal group, TamD patients gorup were significantly higher in sclaes of Somatization (p<0.01), Obsession-Compulsion(p<0.05), Depresison(p<0.05), Anxiety(p<0.01), Hostility(p<0.05). 3. When compared with normal group, halitosis patients group were significantly higher in scales of Somatization(p<0.05), Obsessoin-Compulsion(p<0.05), Interpersonal Sensitivity (p<0.05), Psyhcoticism(p<0.05). This data suggests that psychopathologic trends may be associated with halitosis and can be estimated by SCL-90-R questionnaire.

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Development and Performance Test Results of a Segmented Scissors Type Switch for the Urban Maglev (도시형 자기부상열차 시저스분기기 개발현황과 성능시험결과)

  • Lee, Jong-Min;Park, Doh-Young;Han, Hyung-Suk;Kim, Chang-Hyun
    • Proceedings of the KSR Conference
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    • 2011.10a
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    • pp.3180-3186
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    • 2011
  • A segmented scissors type switch has been developed for the urban transit maglev demonstration line to be commercialized near Incheon International Airport in 2013. Based on the design of the previous segmented 3-way switch, the scissors switch is composed of four segmented 2-way switches up/down and left/right and a turn table in the mid point. The main function of the scissors switch is to change the running direction of the train at end terminals. The developed scissors switch is planned to be installed in front of the 102 station, which has a side platform, of the demonstration line. The total length of the switch is 65m and the distance between the up and down track centerlines is 6m. The 2-way switches and turn table are made of steel box type beams, and have their own driving unit, locking unit, control unit, levitation and propulsion rails, and so on. Installed in the factory, a 100,000-cycle continuous operation test was carried out after manual and automatic test operations. The applicapability of the developed switch was verified through the measurements of the linearity of the track after repetitive operations, the mechanical operation noise, the load of the main driving motor, the safety of the control panel, the natural frequency of the girder, the deformation of the girder, and so on.

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The Effect of Backward Pedaling Ergometer Training on Ankle ROM, Lower Extremities Strength, Foot Pressure in Hemiplegia (역방향 에르고미터 훈련이 편마비 환자의 족관절 가동범위와 하지 근력 및 족저압에 미치는 영향)

  • Ha, Mi-Seon;Kim, Eun-Jung;Kim, Myeong-Hee;Oh, Tae-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.3
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    • pp.467-477
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    • 2013
  • PURPOSE: The purpose of this study was to identify the effects of backward pedaling ergometer training on ankle ROM, lower extremities strength, foot pressure in hemiplegia. METHODS: The subjects consisted of control group(n=10) and experimental group(n=10), subjects were trained 5 times a week for 2 weeks each group. Control group were trained forward, experimental group were trained backward pedaling with physical therapy in both groups. Each group measured ankle joint ROM with DUALER IQ and ankle and knee joint flexor and extensor muscle strength by Manual Muscle Test System and foot pressure by Gait view system. RESULTS: The result of this study between pre and post test that experimental group had statistically significantly differences in ankle joint range of motion and lower extremities strength. But foot pressure had not statistically significant differences. There was not significantly difference of variation between groups. CONCLUSION: Therefore these results mean that backward and forward pedaling ergometer training effected an improvement of lower extremities function in hemiplegia.

Design of LED Dimming Lighting System using Ultrasonic Sensor (초음파 센서를 이용한 LED 디밍 시스템조명 설계)

  • Yang, Woo Seok;Kim, Hye myeong;Cho, Young seek;Park, Dae Hee
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.29 no.1
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    • pp.31-36
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    • 2015
  • In this paper, an LED lighting system that is capable of automatic or maunal dimming control using a ultrasonic sensor and Bluetooth wireless communication technology is presented. The LED lighting system consists of a ultrasonic sensor, microcontroller unit, Bluetooth wireless communication, LED driver, and LED light source. By using the implemented LED lighting system sample, it is shown that the automatic and manual dimming control is realized. By using the ultrasonic sensor, the LED lighting is automatically brighter or dimmer depending on the distance between the sensor and an object. When using a smartphone that includes Bluetooth wireless communication function, one can not only manually control the brightness of the LED lighting from level 1 to 10, but also monitor the distance between the sensor and object on the smartphone.

Assessment of Image Registration for Pressure-Sensitive Paint (Pressure Sensitive Paint를 이용한 압력장 측정기술의 이미지 등록에 관한 연구)

  • Chang, Young-Ki;Park, Sang-Hyun;Sung, Hyung-Jin
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.28 no.3
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    • pp.271-280
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    • 2004
  • Assessment of image registration for Pressure Sensitive Paint (PSP) was performed. A 16 bit camera and LED lamp were used with Uni-FIB paint (ISSI). Because of model displacement and deformation at 'wind-on' condition, a large error of the intensity ratio was induced between 'wind-on' and' wind-off images. To correct the error, many kinds of image registrations were tested. At first, control points were marked on the model surface to find the coefficients of polynomial transform functions between the 'wind-off' 'wind-on' images. The 2nd-order polynomial function was sufficient for representing the model displacement and deformation. An automatic detection scheme was introduced to find the exact coordinates of the control points. The present automatic detection algorithm showed more accurate and user-friendly than the manual detection algorithm. Since the coordinates of transformed pixel were not integer, five interpolation methods were applied to get the exact pixel intensity after transforming the 'wind-on' image. Among these methods, the cubic convolution interpolation scheme gave the best result.

The Proposal of Segmentation Algorithm for the Applying Breast Ultrasound Image to CAD (유방 초음파 영상의 CAD 적용을 위한 Segmentation 알고리즘 제안)

  • Koo, Lock-Jo;Jung, In-Sung;Bea, Jea-Ho;Choi, Sung-Wook;Park, Hee-Boong;Wang, Gi-Nam
    • IE interfaces
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    • v.21 no.4
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    • pp.394-402
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    • 2008
  • The objective of this paper is to design segmentation algorithm for applying the breast ultrasound image to CAD(Computer Aided Diagnosis). This study is conducted after understanding limits, used algorithm and demands of CAD system by interviewing with a medical doctor and analyzing related works based on a general CAD framework that is consisted of five step-establishment of plan, analysis of needs, design, implementation and test & maintenance. Detection function of CAD is accomplished by Canny algorithm and arithmetic operations for segmentation. In addition to, long computing time is solved by extracting ROI (Region Of Interests) and applying segmentation technical methods based morphology algorithm. Overall course of study is conducted by verification of medical doctor. And validity and verification are satisfied by medical doctor's confirmation. Moreover, manual segmentation of related works, restrictions on the number of tumor and dependency of image resolution etc. was solved. This study is utilized as a support system aided doctors' subjective diagnosis even though a lot of future studies is needed for entire application of CAD system.