• Title/Summary/Keyword: Physical rehabilitation

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The Effects on the Convergence Vital Capacity and Maximal Voluntary Volume of 20's Normals Proprioceptive Neuromuscular Facilitation Respiration Exercise by Sitting Position (45도 기대어 앉은 자세에서 PNF호흡운동이 20대 정상인의 복합적 폐활량과 최대환기량에 미치는 영향)

  • Kim, Ok-Ki;Park, Seung-Hwan;Seo, Kyo-Chul
    • Journal of the Korea Convergence Society
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    • v.11 no.5
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    • pp.43-49
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    • 2020
  • The purpose of this study was to determine whether PNF respiratory exercise increases the vital capacity and maximal voluntary volume of 20s normal adults by 45° leaning sitting position. Twenty normal adults in their 20s were randomly assigned to an experimental group and control group. Over the course of four weeks, the experimental group participated in PNF respiration exercises by 45° leaning position for 30 minutes three per week. And the control group participated in diaphragm respiration exercises by 45° leaning position for 30 minutes three times per week. Subjects were assessed post-test by measurement of vital capacity, maximal voluntary volume. Our findings show that the experimental group had significant improvements in vital capacity, maximal voluntary volume(p<.05). In this study, the experimental group showed more improvement in pulmonary function, which indicates that the PNF respiratory exercise by 45° leaning sitting position is effective at increasing the pulmonary function of normal adults.

Convergence Effects of Treadmill Training on Plantar Pressure, Lower Limb Muscle Function, and Balance in Chronic Stroke : A Meta-Analysis (만성 뇌졸중 환자의 트레드밀 훈련이 족저압, 하지 근 기능, 균형에 미치는 융복합적 효과 : 메타분석)

  • Choi, Ki-Bok;Cho, Sung-Hyoun
    • Journal of the Korea Convergence Society
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    • v.11 no.5
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    • pp.87-96
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    • 2020
  • The purpose of this study is to evaluate the convergence effectiveness of treadmill training in patients with chronic stroke through a meta-analysis. After searching the literature based on the patients, intervention, comparison, outcome criteria, and study desigan, a total of 22 studies related to "stroke" and "treadmill" were eligible for inclusion. Effect size was calculated using the comprehensive meta-analysis program for the meta-analysis. Based on the forest plot results, the overall effect size of treadmill training was 0.661 (95% confidence interval: 0.456-0.865), which was statistically significant with a medium effect size (p < 0.05). The effects of treadmill training on patients with stroke were separated by dependent variables of interest-plantar pressure (1.147), lower limb muscle function (0.875), and balance (0.664). The effect sizes were evaluated for the subdomains of timed up and go test (0.553), Berg Balance Scale (0.760), and static balance index (0.654) for balance. Therefore, treadmill training can be expected to have a positive impact on improving the quality of life of patients with chronic stroke. This meta-analysis of treadmill training may the lead to an industry paradigm shift toward healthcare convergence of information, communication, and medical technology.

Comparison of Peripheral Blood Flow in Post-Stroke Hemiparetic Patients and Normal Person with Doppler Ultrasonography (도플러 초음파 기기를 이용한 편측 부전마비성 뇌졸중 환자와 정상인의 말초 혈류 비교 연구)

  • Han, Deok-Jin;Bang, Chang-Ho;Kim, Sergey;Bae, Young-Min;Shin, Sae-Ron;Yang, Chung-Yong;Lee, In
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.6
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    • pp.1491-1496
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    • 2009
  • Stroke is usually associated with the cerebral blood flow of the central nervous system. However, studies concerning the effects of neurologic sysmptoms induced from stroke on the peripheral blood flow has not taken place sufficiently. To ascertain the feasibility of a blood flow meter adopting to use doppler ultrasonogrphy, under the prospect that hemiparesis induced from stroke may have effect on the peripheral blood flow, the peripheral blood flow velocity was observed. The control group made up of healthy people without any factors capable of effecting the peripheral blood flow velocity, and patient group which consist of hemiparetic people induced from stroke, were recruited. Volumes of recruitment are 21 persons in the patient group, and 29 persons in the control group, but the final numbers of people are 17 and 21 respectively because of the inconsistancy in the method of the test. The non-invasive method of Doppler effect of Ultrasound was used to measure the blood flow velocity. The blood flow velocity in the peripheral part of left and right fourth fingers:dorsal branches of proper palmar digital artery to dorsum of distal phalanges, was measured in the control group and patient group through Doppler Ultrasound. In comparison of the control group and the patient group, the systolic blood flow velocity from the peripheral part of the upper extremity was lower in the patient group than that of the control group. According to such results, it is concluded that hemiparesis induces the reduction of the peripheral blood flow velocity in the systolic phase.

The Effects of the Thoracic Mobilization Exercise Using Kaltenborn on the Convergence Pulmonary Function of 20's Normals (칼텐본을 접목한 흉추가동운동이 20대 대학생의 복합적 폐활량에 미치는 영향)

  • Seo, Kyo-Chul;Jang, Young-Chang;Kim, Dae-Rong;Park, Seung-Hwan
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.51-57
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    • 2020
  • The purpose of this study was to examine the effects of a thoracic mobilization exercise using the Kaltenborn on the convergence lung function. The study was conducted on 20 university students in their 20s over a four-week period. The 20 subjects were randomly selective assigned to a Kaltenborn thoracic mobilization exercise group and diaphragm exercise control group. The experimental group performed a Kaltenborn thoracic mobilization exercise for 30 minutes. The control group performed a diaphragmatic breathing exercise for 30 minutes. Each exercise program was performed three times a week for four weeks. When comparing the breathing capacity of the experimental and controls before and after the experiment, the experimental group showed significant changes in TV, IRV. In testing the differences between the experimental and controls in their changes after the experiment, TV, IRV showed a significant change. Based on the results of this study, a thoracic mobilization exercise using the Kaltenborn thoracic mobilization exercise may have positively affected the extrementals lung function. Therefore, if a thoracic mobilization exercise using the Kaltenborn is combined with a respiratory exercise program in the future, it will likely become a more effective treatment technique.

Predictors of Serious Bacterial and Viral Infections among Neonates with Fever (신생아 발열 환자에서 중증 감염의 예측 인자)

  • Choi, Ui-Yoon;Lee, Jung-Soo;Lee, Jung-Hyun
    • Neonatal Medicine
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    • v.15 no.1
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    • pp.61-66
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    • 2008
  • Purpose : The purpose of this study was to describe the epidemiologic features of febrile illnesses in newborns and to predict the risk of serious infections in this population. Methods : A retrospective study was conducted on 123 full-term infants <30 days of age with an axillary temperature >38$^{\circ}C$ who were hospitalized between 2000 and 2006. Neonates with prenatal risk factors, congenital anomalies, antibiotic administration prior to admission to the hospital, or suspected hospital-acquired infections were excluded. We evaluated the symptoms, physical examination findings, laboratory data, and clinical course between the high- and low-risk groups for serious infections. Results : The high-risk group included 30 infants with the following diagnoses in order of frequency: aseptic meningitis, urinary tract infection, bacterial meningitis, infectious enteritis, sepsis concomitant with disseminated intravascular coagulopathy, bacteremia, pneumonia, cellulitis, and omphalitis. Leukocytosis and thrombocytopenia were statistically different between the two groups. Factors, such as moaning signs, seizures, body temperature, and pulse rate were statistically significant. Conclusion : Unlike previous studies, we included newborns with clinical bacterial infections and aseptic meningitis as the high-risk group. Leukocytosis, thrombocytopenia, moaning signs, seizures, and changes in vital signs were considered useful predictors for identifying febrile neonates at high-risk for serious infections in spite of a difference in the definition of serious infection.

Effect of the increased sympathetic outflow on the changes of muscle tone and central nervous system excitability in chronic stroke patients (만성 편마비 환자에 대한 교감신경 활동 강화가 근 긴장도와 중추신경흥분성 변화에 미치는 영향)

  • Kang, Byeong-Kil;Nam, Ki-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.5019-5026
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    • 2011
  • The purpose of this study was to investigate the effect of the increased sympathetic outflow on the changes of muscle tone and central nervous system excitability in the chronic stroke patients. This study was conducted from October 12th 2009 to December 4th 2009. 30 patients with chronic hemiplegia for at least 6 months were participated. Before and during the mental arithmetic, static handgrip and post-handgrip ischemia tasks, the central nervous system action potentials and global synkinesis level were compared. The central nerve action potentials were measured with H/Mmax ratio and V/Mmax ratio. To obtain global synkinesis level, surface electromyography data were digitized, processed to root mean square. In our study, The global synkinesis level during knee flexion and extension was decreased in the mental arithmetic and in the post-handgrip ischemia task(p<.05) but not in the grip task. Also, V/Mmax ratio was decreased all in the three task(p<.05). In conclusion, we know that the central nervous system excitability and the muscle tone in chronic hemiplegic patients were decreased by the increased sympathetic outflow.

Assessment of Risk of Exposure to Chemicals in the Analysis Centers of Organizations for measuring the Working Environment, using CHARM (CHARM을 이용한 작업환경측정기관 분석실의 화학물질노출 위험성 평가 연구)

  • Park, Hyun-A;Choi, Seo-Yeon;Woo, In-Sung;Rie, Dong-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.660-668
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    • 2017
  • In this study, we conducted an assessment of the risks posed by the noxious chemicals often handled at the analysis centers of organizations involved in Work Environment Measurement (WEM) using the Chemical Hazard Risk Management (CHARM) system. For this purpose, six organizations involved in WEM located in Seoul and Gyeonggi, which conducted the risk assessment, were selected and, as a result, 29 materials were selected as chemical substances presenting a risk of exposure. In terms of their physical properties, there were 16 liquid and 10 solid materials, and for the special management materials (CMR), the findings were as follows: 'Carcinogenic' 1A - 11 and 1B - 1 (2 - 8); 'Mutagenic' 1A - 4 and 1B - 3 (2 - 8); and 'Repro-toxic' 1A - 0 and 1B - 1 (2 - 6). In the risk estimation, 30.4%, 66.1% and 3.6% of the materials presented 'low', 'average' and 'high' risks, respectively. In addition, two of these six institutions had materials presenting a 'high' risk. This study is significant in that the risk assessment was conducted using CHARM, a chemical substance assessment tool. It is expected that the results will be utilized as the basic data for safety assessment, the establishment of a plan for emergency measures and drawing up a safety management manual, and the institutional and legal management of accidents and risks in the analysis centers of organizations involved in WEM and the management of chemicals by drawing attention to the risks involved.

Study of Polymer Rapid Setting Cement Concrete Using Electric Arc Furnace Oxidizing Slag Aggregate (전기로(電氣爐) 산화(酸化)슬래그 잔골재를 이용한 폴리머 속경성(速硬性) 시멘트 콘크리트 기초물성(基礎物性) 연구(硏究))

  • Jung, Won-Kyong;Gill, Yong-Soo;Kang, Seung-Hee
    • Resources Recycling
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    • v.21 no.1
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    • pp.30-40
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    • 2012
  • Electric arc furnace slag is made in ironworks during steel refining, it is been increasing chemical and physical resistibility using ageing method of unstable state of melting steel slag for using concrete's fine aggregates. Which is been changing stable molecular structure of aggregates, it restrains moving of ion and molecule. In Korea, KS F 4571 has been prepared for using the electric arc furnace oxidizing slag to concrete aggregates(EFS). In this study, Electric arc furnace oxidizing slag is used in the PRCC(Polymer Rapid setting Cement Concrete) which is applied a bridge pavement of rehabilitation, largely. The results showed that the increment of compressive strength development by 10- 20%. The flexural strength of EFS-Con increased greatly as the electric arc furnace oxidizing slag changed. The compressive strength and flexural strength developed enough for opening the overlayed EFS-Con to the traffic after 4 hours of EFS-Con placement. The permeability of EFS-Con was evaluated as negligible due to its very low charge passed. Thus, EFS-Con could be used at repairing or overlaying the concrete at fast-track job sites.

Population Policy and Population Quality(Report 1. General Review on the Problems of Mental and Physical Handicaps) (인구정책과 인구자질향상을 위한 연구(제 1 보 심신장애자 발생억제대책))

  • Kim, Jong-Kun;Huh, Jung
    • Korea journal of population studies
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    • v.3 no.1
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    • pp.5-41
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    • 1979
  • Vast volumes of studies of the medical and public health aspects of fertility and family planning have been published by the various institutes of health related research and university scholars in Korea. None of them, however, have dealed with the population problems associated with biologically and mentally handicapped people. It must be emphasized that the purpose of Korea's population policy should be to improve the quality of the population rather than to decrease its rate of increase. In this spirit, the first report of this study is to identify problems related with mentally and physically less fitted population, and to attempt to offer the possible solutions to the health planners and policy-makers. Several nation-wide surveys of the handicapped people in Korea have been compared. Each survey shows a wide range of difference in the prevalence of the handicaps(see Table 13). In this study, the data on the handicaps are collected by two independent system ; one by the nation-wide survey and the other by the reporting system existing at the Seoul National University Demonstration Health Project. The Chandrasekar-Deming technique was used to estimate the total number of handicaps. The estimates are summarized in the tables 8, 9 and 10. Estimate of total number of handicapped people in Korea is 601, 400 with the prevalence rate of 16.1 per thousand persons. Even if taking a number of conditions which may result in a biased estimate of the total number of the handicaps into consideration, the proportion of handicapped people in Korea has increased in the past two decade as the result of the rapid decline in fertility and childhood mortality, which consequently prolonged life expectancy of persons with congenital or acquired impediment. An increase in the proportion of handicapped people will eventually bring about serious problems of social welfare, medical care, and population qualities from various aspects including eugenics. To tackle the problem, there must be an increased emphasis on the prevention of handicaps from the government and private sector. Based on the amount and quality of data, and from the practical point of view, this study prepared a set of recommendations for the government to strengthen its programs of the preventive activities during the prenatal period and early childhood, early finding from routine examinations, and proper social and medical rehabilitation.

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The Effects of Diet Methods on Blood Lipid Profiles and Metabolic Risk Factors in Obese Female College Students (다이어트 방법이 비만여대생들의 혈중지질성분 및 대사성위험요인에 미치는 영향)

  • Woo, Jinhee;Park, Sungchul
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.4
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    • pp.1145-1155
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    • 2018
  • The purpose of this study was to investigate the effect of dietary restriction(DG), aerobic exercise(EG), dietary restriction with aerobic exercise(DEG) on weight, improvement of obesity, blood lipid profiles and metabolic risk factors of obese female college students. Experiments was conducted 5 times a week for 8 weeks. DG spent 300kcal/day, and EG used 300kcal/day to run, DEG each consumed 150kcal/day limits. As s result, in case of body composition, weight(p<.011) and BMI(p<.008) were decreased in DG group, and weight(p<.044, p<.017), body fat(p<.047, p<.018), BMI(p<.03, p<.008), body fat%(p<.036, p<.015) and WHR(p<.049, p<.027) were decreased in EG and DEG groups. In case of blood lipid profiles's change, there are some differences on TC(p<.006), TG(p<.047) according to the time. In DG:HDL-C(p<.028), in EG:TG(p<.038), in DEG:TC(p<.014), LDL-C(p<.007) have decreased. In case of metabolic risk factor's change, there are some differences on FBG(p<.001), insulin(p<.004), HOMA-IR(p<.001), leptin(p<.000), adiponectin(p<.038), resistin(p<.010) according to time. In DG:HOMA-IR(p<.035) and leptin(p<.007), EG:FBG(p<.043) and leptin(p<.003), DEG:FBG(p<.014), insulin(p<.005), HOMA-IR(p<.005), leptin(p<.016), and resistin(p<.040) have decreased. In conclusion, combined treatment of eating restriction with aerobic exercise was the most effective way to improvement of weight, blood lipid profiles and metabolic risk factors in obese female college students rather than respectively alone treatment.