• Title/Summary/Keyword: Manual Function

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The effect of hip joint strengthening exercise using proprioceptive neuromuscular facilitation on balance, sit to stand and walking ability in a person with traumatic brain injury: a case report

  • Jung, Du Kyo;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.6 no.2
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    • pp.96-104
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    • 2017
  • Objective: The purpose of this study was to investigate the effect of the hip joint strengthening exercises using proprioceptive neuromuscular facilitation (PNF) on the clinical symptoms and the treatment effects in balance, sit to stand, and gait abilities in patients with TBI. Design: A single case study. Methods: A 13-year-old adolescent with quadriplegia and hip joint control impairment participated in this four-week training intervention. The patient, diagnosed with TBI, wastreated with hip joint strengthening exercises using PNF. In the first week, we focused on strengthening the body, relaxing the hip flexors and activating the hip extensor muscles in order to solve the patient's physical function and body structure. From the 2nd and 4th week, we improved the motivation through the task-oriented method, and then weight-bearing training of the right lower extremity was proceeded by kicking a soccor ball with the left lower extremity. The exercises were performed for 4 weeks, 5 days a week, for 60 minutes with the exercise intensity gradually increased according to the subject's physical abilities. Results: As a result of the study, the patient demonstrated improvements in the physical examination, which were evaluated before and after intervention and included the manual muscle test, modified Ashworth scale, sensory assessment, coordination assessment, Berg balance scale, 5-time sit to stand test, and the 10 meters walk test. Conclusions: The results of this case suggest that a hip joint strengthening exercise program using PNF may improve hip control ability, balance, sit to stand and gait ability in a patient with TBI.

Analyzing illustration in health textbooks of middle school in the convergent point of view (융합적 관점의 중학교 보건교과서 삽화분석)

  • Choi, Kyoung-Ho
    • Journal of Digital Convergence
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    • v.14 no.8
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    • pp.461-468
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    • 2016
  • Illustration, which is shown in the textbook for educational purpose is used to explain basic educational theory, rather than carrying meaning itself. It has proper educational value when presented appropriately according to the process of knowledge acquirement. This research organized new analyzing criterion for the frame and content analysis subjected on 4 sanitation textbooks of middle school, moreover looked into actual situation by convergent analysis. This is for political suggestion that is helpful to further textbook development; by understanding improvement point required in reaching educational purpose presented in health education course manual. Results are as following. First, in the aspect of frame, diagrams with proper function to explain principle of health and sanitary activities should be more frequently suggested. Second in the aspect of content, illustrations for simple data providing or for decoration should be reduced while illustrations suggesting experimental results should be added, to reorganize health textbook according to the purpose of health education course.

Effect of kinesio taping on ankle strength, movement and function in patients with common peroneal nerve paralysis (키네지오 테이핑이 온종아리신경 마비를 가진 환자의 발목관절의 근력, 움직임 및 기능에 미치는 영향)

  • Park, Si Eun;Cho, Kyun-Hee;Park, Shin Jun
    • Journal of Industrial Convergence
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    • v.18 no.1
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    • pp.59-64
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    • 2020
  • The effect of kinesio taping in patients with common peroneal nerve paralysis (PNP) have not been investigated. This purpose of this study was to evaluate the effects of kinesio taping on patients with common PNP. Ten subjects who had common PNP were included in this study. Kinesio taping was applied to the ankle joint (direction of dorsiflexion and eversion). The measurements were by manual muscle test (MMT; tibialis anterior, peroneus longus), active ROM (ankle dorsiflexion, eversion), pain (visual analogue scale (VAS), pressure pain threshold (PPT)), and balance (one leg standing). Subjects were assessed at baseline and 8 weeks of intervention. In the results, all subjects showed improvements in MMT, active ROM, Pain and balance at the 8-week. These findings are considered to be effective in applying kinesio taping on ankle joint in common PNP patients.

The Review or Mobilization of the Nervous System (신경계 가동기법에 관한 고찰)

  • Bae Sung-Soo;Park Ji-Won;Kim Sik-Hyun;Lee Han-Sook
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.153-161
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    • 2000
  • Adaptive lengthening or shortening of the nervous system is essential in order for a part of the body to move without restriction or resistance. Up until now, most treatment concepts have focused on normalizing muscle tone and preventing contractures in muscles and joint, but, as Butler and Gifford have brought to the attention of therapists, when a part of the body moves, nerves are required to move as well, so that the integration of nervous system mobilization in treatment is equally important. As the main function of the nervous system is impulse conduction, it is obvious therefore that adaptive lengthening, both centrally and peripherally, is essential in order to accommodate the enormous variety and extent of body movements and postures used in everyday life impeding news conduction. In present day manual therapy, most physical therapist mobilize the nervous system inadvertently. Probably what may make it more difficult is that, for most physical therapist it is a relatively new tissue to contemplate, at least in biomechanical terms, and basic knowledge of structure is generally less than if joints and muscles. The purpose of this study was to introduce the nervous system mobilization to a physical therapist who is primary a clinician and who has concerned in the areas of biomechanics and pathology looking far answers to the clinical Problems.

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Effect of acupuncture at TE4, SP3 and TE4+SP3 in hyperglycemia rats induced by streptozotocin (태백 ${\cdot}$ 양지 자침이 streptozocin에 의해 유발된 고혈당 백서에 미치는 영향)

  • Na, Chang-Su;Youn, Dae-Hwan;Cho, Myung-Rae;Lee, Kang-Ouk
    • Korean Journal of Acupuncture
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    • v.24 no.1
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    • pp.95-111
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    • 2007
  • Objectives : This research ws performed to investigate the effect of manual acupuncture at TE4, SP3 and TE4+SP3 on body weight, blood glucose, BUN, creatinine, lipid metabolism, liver function and morphological change of hepatic tissue in hyperglycemia rats. Methods : Experimenal groups were divided into hyperglycemia group(Control group), hyperglycemia and acupuncture therapy group at SP3, hyperglycemia and acupuncture therapy group at TE4, hyperglycemia and acupuncture therapy group at TE4+SP3 , once per 2 days during 5 weeks. Results : Body weight was decreased significantly in TE4 group of fifth week compared with Control group. Blood glucose was decreased significantly in SP3 group compared with control group. Creatinine was decreased significantly in TE4 and TE4+SP3 group compared with control group. Total cholesterol was decreased significantly in TE4+SP3 group compared with control group. Triglyceride was decreased significantly in TE4 gorup compared with control group. In the morphological change of hepatic cell, TE4 and SP3 group were showed he rough endoplasmic reticulum forms aggregates of parallel, flattened cisternae scattered randomly throughout the cytoplasm compared with control gruop. Conclusions : Acupuncture at TE4 can manage hyperglycemia by controlling body weight, and lipid metabolism in hyperglycemia rats induced by streptozotocin.

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Development and Testing of Day Care Program for Demented Elders (주간보호센터 중심의 재가 치매노인을 위한 프로그램의 개발 및 효과 검증 연구)

  • Lim, Young-Mi;Jeong, Bok-Hee
    • Journal of Korean Public Health Nursing
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    • v.19 no.2
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    • pp.371-381
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    • 2005
  • Purpose: The purpose of the study was to develop the day care program for the demented elders and to determine the effects of multiple activity therapies on the physical, emotional, cognitive, social function and physiological indicators of dementia elders in day care center. Method: A total of 13 elders with mild dementia in the data care center were participated. Manual and guideline of data care program was developed. Data care program was composed of movement/exercise, foot massage, music therapy, horticultural therapy, and art therapy. Data care program was performed by trained intervener for 32 weeks. Instruments were physical functioning such as hand grip strength., vital capacity, chiar stand test, sit and reach test, one leg standing, Berg' Balance scale, 6m Walk Velocity, stair climb, ADL, GDS-K, MMSE-K, Integrative Social Functioning Scale, cortisol, Ig A and Ig G. These were measured at the baseline, 16-week, and 32-week post-intervention by the trained nurses. Data were analyzed as Wilcoxon signed rank test. Results: For Hand grip, balance, and vital capacity, there was a significant difference between baseline and 16-week post-intervention(p<.05). For one leg standing, 6m velocity, there was a significant difference between 16-week post-intervention and 32-week post-intervention(p<.05). For Stair climb, there was a significant difference between baseline and 32-week post-intervention(p<.05). For depression and social functioning, there was no significant difference among baseline, 16-week, and 32-week post-intervention. For cognitive functioning, there was a significant difference between baseline and 32-week post intervention(p<.05). There was a significant difference of cortisol, and Ig G between baseline and 32-week post-intervention(p<.05). Conclusion: It would appear that physical fitness, functional performance, ADL, depression, social and cognitive functioning, and physiological indicator of community dwelling elders with dementia can be improved through day care program using multiple stimuli.

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A Study on the Performance of the Human Service Organizations : An Analysis from the Perspective of Quality of Output (사회복지서비스 기관의 조직성과에 관한 연구 : 서울시 지역사회복지관의 질 산출(quality output)을 중심으로)

  • Kang, Chul-Hee;Chung, Moo-Sung
    • Korean Journal of Social Welfare
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    • v.49
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    • pp.343-378
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    • 2002
  • This study examines the organizational performance of human service organizations from the quality output perspective. Using the 2001 evaluation data about 89 community welfare centers in Seoul, this study attempts to identify the levels of the performance of human service organizations in Korea. This study also attempts to identify the factors that predict performance of human service organizations measured in terms of client satisfaction and experts' evaluation about the functioning of each center. Results are as follows: (1) when pooling 866 clients' satisfaction level into satisfaction score about each center, the average of client satisfaction about the centers is 3.42 at 4 points scale. (2) 41.6% of the community welfare centers is evaluated as "highly qualified" in its overall operation and functioning by the professional evaluation team, (3) the employee reward system(+), practice based on the program guideline manual(+), the portion of the government support grant in its budget(-), the overall employee salary level(-), the level of acquirement of program grants from external sources (-) are the predictors in explaining clients' satisfaction level, and (4) the level of professional expertise of the executive director(+), the level of professional supervision of middle managers(+), the employee reward system(+), the program need assessment(+), the level of client information system(+), the portion of government support grant(-), the overall employee salary level(-) are the predictors for "being highly qualified" in its overall operation and function of each center. Through the empirical analysis, this study provides valuable knowledge about organizational performance of community welfare centers from the quality output perspective. Finally, this study discusses implications for more effective and efficient organizational performance of community welfare centers in Korea.

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A Study on Integrity of the 2007 Revised Environment Curriculum for Middle Schools by using Social Network Analysis: Focusing on Sustainable Development Education (사회 연결망 분석을 활용한 2007 개정 중학교 환경 교육 과정의 통합성 분석: 지속가능발전교육의 측면에서)

  • Kang, Woon-Sun
    • Hwankyungkyoyuk
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    • v.23 no.2
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    • pp.46-64
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    • 2010
  • The purpose of this study is to analyze how the contents of education for sustainable development are reflected in the middle school environment curriculum revised in 2007, and to propose how to integrate content for improving sustainable development education. For this, I analyzed the 2007 Revised Environment Curriculum for Middle Schools by using social network analysis which is the useful methodology to understand the relations of contents. Social Network analysis is a useful tool to excavate the forms of structure or relationship and to explain the characteristics of the system that arise through relationships or to explain the units composing the system. When sustainable development education was examined from 3 points of view, it included environmental sustainability, economical sustainability, and social sustainability. I used the 2007 Revised Environment Curriculum for Middle Schools and manual of curriculum for analysis. The results are 1) The biodiversity conservation and energy efficiency have taken most important positions. 2) In case of economical sustainability pillar, sustainable production had been emphasized. 3) In the case of the social sustainability pillar, health improvement are considered significant. 4) The efforts of trying to approach sustainable development education as an integrated curriculum is week. Integrated themes based on the results were developed. Five main themes were the energy and climate change, water resource and environmental pollution, sustainable village and sustainable food production, sustainable city and sustainable production, sustainable tourism and biodiversity. I hope these could function as theme of integrated-content. Based on the results of study, I propose joint researches on scope of sustainable development for environmental education.

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Development of a High Pressure Turbine Bypass System Pressure Control Model for Power Plant Simulator (발전소 시뮬레이터를 위한 고압 터빈 바이패스 압력 제어 모델 개발)

  • Byun, Seung-Hyun;Lee, Joo-Hyun;Lim, Ick-Hun
    • Journal of the Korea Society for Simulation
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    • v.20 no.4
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    • pp.49-58
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    • 2011
  • It is required that a developed control system should be verified using simulator in terms of functionality and reliability prior to application to a power plant that is a very critical facility in the industry. In this paper, the control model for turbine bypass system was developed for power plant simulator. In order to develop the control model for turbine bypass system, the tool that can be used to implement turbine bypass control logic was developed based on the turbine bypass control system manual. The developed tool was merged into the simulator development environment. The functionality of the developed tool was verified via the simulation based on the each function block specification. The HP turbine bypass pressure control logic was implemented using the developed tool and was integrated with process models and other control models such as boiler control model, turbine control model and boiler feed water pump turbine control model for 500 MW korean standard type fossil power plant. Finally, the validity of the developed control model was shown via simulation result under the integrated simulation environment.

Full mouth rehabilitation for a Parkinson's diseases patient with chronic periodontitis: a case report (만성 치주염을 동반한 파킨슨병 환자의 전악 보철 수복 증례)

  • Koh, Eun-Sol;Kim, Jong-Jin;Baik, Jin;Cha, Hyun-Suk;Lee, Joo-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.4
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    • pp.228-234
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    • 2019
  • Parkinson's disease is a neurological disorder characterized by tremor, bradykinesia, akinesia, postural instability, and muscular rigidity, which is caused by the depletion of neurotransmitters such as dopamine. Cooperative dental treatment is more challenging because of tremor of Parkinson's disease. In this case, a 47-year-old Parkinson's disease patient with chronic periodontitis was treated with full-mouth rehabilitation using conventional fixed prostheses and implant fixed partial denture, which attained satisfactory outcomes functionally and esthetically. Short term periodic follow-ups will be needed with consideration for the characteristics of Parkinson's disease such as decreased manual dexterity.