• The Journal of Korean Physical Therapy
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• 제27권5호
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• pp.325-331
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• 2015

Purpose: This study attempts to understand the effect of stabilization exercise of biofeedback scapular on muscle activity and functional evaluation of the upper extremity in stroke patients. Methods: Patients were divided into two groups; a biofeedback scapular stabilization exercise group comprised of 8 patients and a task-oriented training group including another 8 patients, and 30-minute exercise was performed 5 times a week for 8 weeks. Electromyogram was used to measure muscular activity of lower trapezius, deltoid middle, and serratus anterior. Fugl-Meyer Assessment and Manual Function Test were used to evaluate functions of the muscles mentioned. Results: Significant difference was observed in the comparison group before and after exercise in muscular activity of lower trapezius, deltoid middle, and serratus anterior, Fugl-Meyer Assessment, and Manual Function Test. Conclusion: Therefore, we could see that biofeedback scapular stabilization exercise is more effective than task-oriented training in facilitating muscle activation and functional capacity of upper limb.

• 한국전문물리치료학회지
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• 제17권3호
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• pp.11-19
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• 2010

The purpose of the study was to determine the effects of balance training with 'TETRAX' system, a balance training and assessment tool, on balance and mobility in acute hemiplegic patients. Nineteen matched subjects were assigned randomly into either an experimental group or a control group. An experimental group with 10 subjects received balance training with 'TETRAX' exercise program and conventional physical therapy interventions 5 times per week during 4 weeks. A control group with 9 subjects received conventional physical therapy interventions 5 times per week during 4 weeks. Outcome measures were taken before and after 4 weeks of interventions using the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), gait speed, and the fall down index. Results indicated that both exercise groups improved significantly in STREAM, BBS, and gait speed (p<.05). The experimental group had a little improvement than the control group. Both exercise groups did not show statistical significance in fall down index (p<.05). Following 4 weeks of intervention, except gait speed there was no statistically significant difference between two groups. However, these findings suggest that conventional physical therapy interventions with visual feedback training could be effective on improving balance and mobility than conventional physical therapy alone in acute hemiplegic patients.

• 한국조경학회지
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• 제27권5호
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• pp.138-149
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• 2000

The purpose of this study is to evaluate Suwon stream naturalness Index(S.N.I). and tofind out stats, problems and opportunities of the Suwon stream by assessment standard. Assessment standard is mainly based on physical structure of stream environment. the purpose evaluating sectors and elements are physical form and structure restoration of stream. To find out assessment standard of stream naturalness index, conceptual frame of assessment standard has been established, for which four sections, for example, longitudinal section, lateral section, stream bottom structure and water environment, have been selected. Overall stream naturalness index of the Suwon stream has been distributed at 3rd to 4th grade, and 3.3 of assessment index and mode were 3rd grade respectively. stream naturalness index of each section was as follows: Longitudinal section accounted for 3.7in average to be 4th grade, lateral section did 3.8 to be 4th grade, and water environment did 2.4 to be 2nd grade. Analysis of assessment outcome of stream naturalness index has checked status, problems and opportunities of corresponding stream. Assessment of stream naturalness index of the study provides useful information for restoration of close-to-nature stream, and furthermore has its meaning in checking problems and opportunities of Suwon stream.

• 대한정형도수물리치료학회지
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• 제15권2호
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• pp.88-92
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• 2009

Purpose: The purpose of this study was to evaluate the effects of exercise on functional status in stroke patients. The understanding of the course of recovery after stroke and factors affecting outcomes are important in planning and evaluation of stroke rehabilitation. Methods: To predict the outcom of stroke patient, we measured in the beginnig of rehabilitation, on 36 patients. The variables were gender, age, duration of rehabilitation treatment, motor assessment scale(MAS). Results: The patient age in 50-59 years was 41.7%. The stroke left side motor weakness were found 55.6%. The duration of rehabilitation treatment in 2-3 months was 50.0%. In the difference 24.63 for motor assessment scale after a rehabilitation treatment had significantly higher than 10.86 for motor assessment scale at initial. Gender by motor assessment scale after a rehabilitation treatment was 25.7 in male and 23.2 in female(P<0.05). Past history by motor assessment scale after a rehabilitation treatment was 26.7 in hypertension, 24.6 in cardiac disorder and 21.8 in diabetes mellitus(P<0.05). Conclusion: The subjective symptoms of motor assessment scale after a rehabilitation treatment was significantly associated with gender.

• 한국전문물리치료학회지
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• 제18권2호
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• pp.52-59
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• 2011

The purpose of this study was to examine the relationship of the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), and the Modified Barthel Index (MBI) in the acute stroke care setting. Twenty patients with their first stroke were evaluated using STREAM, BBS, and MBI initially and at 4 weeks. The data was analyzed using the independent t-test, paired t-test, and the Pearson product moment correlation analysis. The scores on the STREAM were strongly associated with the scores on both the BBS and MBI (with Pearson correlation coefficients ranging from .88 to .95), and there was significant improvement between the initial scores and those obtained four weeks later for STREAM, BBS, and MBI (p=.001, p=.001, p<.001). The results suggest that STREAM may be able to reflect functional recovery and to assess voluntary movement in patients who have suffered an acute stroke.

• Journal of the Korean Data and Information Science Society
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• 제21권4호
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• pp.641-650
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• 2010

본 연구는 퇴행성 슬관절염 여성 30명을 대상으로 물리치료와 멀리건 도수치료를 병용하여 4주간 실시한 후 운동전, 2주 후, 그리고 4주 후에 통증과 근 기능평가 측정에 미치는 효과에 대해 알아보기 위해 실시하였다. 본 연구의 측정은 시각적 상사 척도 검사, 근력 검사, 근 기능 검사, 그리고 협응력/균형감을 검사하였다. 반복측정자료 분산분석 결과, 물리치료와 멀리건 도수치료를 병용한 실험군에서 중재기간에 따라 효과적 이었으며, 시간과 그룹 간 상호작용도 있었다. 퇴행성 슬관절염의 통증과 근 기능평가를 개선시키기 위해 물리치료와 멀리건 도수치료 병용 시 효과적이란 것을 검증하였다.

• 디지털콘텐츠학회 논문지
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• 제13권3호
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• pp.335-342
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• 2012

이 연구의 목적은 지체 뇌병변장애인의 컴퓨터 접근성 향상을 도모하기 위하여 국내 최초 컴퓨터 접근 평가 시스템을 구현하는 것이다. 본 논문에 소개된 한국판 컴퓨터 접근 평가 시스템인 K-CAAS(Korea-Computer Access Assessment System) 소프트웨어는 클릭, 드래그, 메뉴 선택, 스캔, 스위치로 이루어진 다섯 가지 유형의 평가 기능을 가진다. 각각의 평가 기능 테스트는 사용자 개개인의 특성에 따라 구성 설정을 초급, 중급, 고급, 개별적으로 설정 할 수 있으며, 모든 테스트는 사용자의 수준 설정에 따라 기본 값을 가지고 사용자의 능력과 목표에 따라 난이도를 선택 및 조절할 수 있다. 테스트 시에 사용자의 훈련을 위해 임의로 선택할 수 있고, 사용자의 테스트 결과를 추적할 수 있다. 따라서, K-CAAS는 컴퓨터 접근성 평가, 뿐만 아니라 장애인의 컴퓨터 사용 능력 향상을 위한 재활 프로그램으로 사용이 가능하며 본 시스템을 통하여 향후 장애인의 컴퓨터 접근성이 향상되어 장애인이 스스로 컴퓨터 기능을 능숙하게 사용 할 수 있을 것을 기대한다.

• 대한물리의학회지
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• 제12권2호
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• pp.129-136
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• 2017

PURPOSE: The purpose of this study was to compare the gait of elderly patients with and without dementia to investigate the possibility of an ambulation assessment test as a diagnostic tool for dementia. METHODS: A total of 96 subjects were included with 60 participants without dementia (control group) and 36 patients with dementia (dementia group). To compare the walking ability of the two groups, a 4-m walking test (4MWT) and Groningen Meander Walking Test (GMWT) were conducted. The GMWT is graded by amount of time in seconds and by number of oversteps outside the track. Mann-Whitney U test was used to compare the gait between the groups and the area under the curve (AUC) with Received Operating Characteristic (ROC) curve was analyzed. Statistical significance was considered at a p<.05, with a 95% confidence interval. RESULTS: There were statistically significant differences (p<.05) between the dementia group and the control group for the 4MWT, GMWTSEC, and GMWTSTEP scores. The AUC was .95 for 4MWT, .92 for GMWTSEC, and .96 for GMWTSTEP with the 95% confidence interval. The cut-off values of the ROC curve were 1.03m/s for 4MWT, 10.8 second for GMWTSEC, and 3.75 steps for GMSTEP. CONCLUSION: In our study, we investigated the utility of ambulatory assessment tools to predict dementia. The results of this study suggest that the 4MWT and the GMWT used in this study are appropriate assessment tools for dementia prediction.

• Nuclear Engineering and Technology
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• 제54권6호
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• pp.2135-2146
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• 2022

A nuclear energy facility is one of the most critical facilities to be safely protected during and after operation because the physical destruction of its barriers by an external attack could release radioactivity into the environment and can cause harmful effects. The barrier walls of nuclear energy facilities should be sufficiently robust to protect essential facilities from external attack or sabotage. Physical protection system (PPS) vulnerability assessment of a typical small nuclear research reactor was carried out by simulating an external attack with a tri-nitro toluene (TNT) shaped charge and results are presented. The reinforced concrete (RC) barrier wall of the research reactor located at a distance of 50 m from a TNT-shaped charge was the target of external attack. For the purpose of the impact assessment of the RC barrier wall, a finite element method (FEM) is utilized to simulate the destruction condition. The study results showed that a hole-size of diameter 342 mm at the front side and 364 mm at the back side was created on the RC barrier wall as a result of a 143.35 kg TNT-shaped charge. This aperture would be large enough to let at least one person can pass through at a time. For the purpose of the PPS vulnerability assessment, an Estimate of Adversary Sequence Interruption (EASI) model was used, which enabled the determination of most vulnerable path to the target with a probability of interruption equal to 0.43. The study showed that the RC barrier wall is vulnerable to a TNT-shaped charge impact, which could in turn reduce the effectiveness of the PPS.

• The Journal of Korean Physical Therapy
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• 제21권1호
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• pp.41-48
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• 2009

Purpose: The examine the Reliability and Validity of the modified Emory Functional Ambulation Profile (mEFAP), Tinetti. Gait (TG), Timed Up & Go Tes t (TUG), Comfortable Gait Speed (CGS), Berg Balance Scale (BBS) in assessing gait function and balance in elderly person. Methods: The 45 community-dwelling subjects were participated in this study. Reliability was determined by intra-class correlation coefficient (ICC$_{3,1}$), Bland and Altman method (Standard Error of Measurement (SEM), Smallest Real Difference (SRD)). Results: Validity was examined by correlation the mEFAP, TG, TUG, CGS, BBS. The intra-rater reliability were High (ICC$_{3,1}$ : mEFAP=0.95, TG=0.96, TUG=0.94, CGS=0.96, BBS=0.92) and Absolute reliability were excellent (SEM: mEFAP=1.90, TG=0.21, TUG=0.28 CGS=0.25, BBS=0.52), (SRD: mEFAP=5.26, TG=0.58, TUG=0.77, CGS=0.69, BBS=1.44). There were significant correlations between assessment tool (r=.0.58$\sim$0.78, p<0.01) indicating good validity. Our results provide strong evidence that the assessment tool has good reliability, validity for assessing elderly person undergoing rehabilitation. Conclusion: The gait assessment tool is a useful scale for measuring walking function and recovery in elderly person.