• 대한중풍순환신경학회지
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• 제10권1호
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• pp.47-53
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• 2009

Objectives : This study was aim to investigate the relationship between NIHSS and distribution of pattern identification in stroke patients. Methods : 1471 participants from the patients hospitalized for stroke within 4 weeks from April 2007 to August 2009 were included. They were grouped according to the NIHSS score; group 1 for the participants whose NIHSS were less than six, group 2 for seven to fifteen, and group 3 for over than sixteen. And the patients were re-divided into two groups according to their post-onset interval. The difference of distribution of five pattern identification for each group were investigated. And five pattern identification were re-analyzed according to the deficiency-excess pattern identification. K-W test was used for statistical synthesis, and the result was regarded as significant one, if its p-value was below 0.05. Results : Dampness-phelegm pattern was the most frequent out of five patterns in total participants as well as all the subgroups. In group 3 with more serious neurological deficit, larger proportion of patients in early acute stage was diagnosed as excess pattern including Fire-Heat pattern. On the other side the proportion of Deficiency of Qi and Yin was larger in late convalescent stage of group 3 than in other groups. But nothing was statistically significant. Conclusions : Further study including patients with more variant classification with follow-up evaluation is needed to reflect the real characteristics of stroke population.

• 대한한방내과학회지
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• 제26권2호
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• pp.353-359
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• 2005

Objectives: Dysphagia is a common in stroke patients. Dysphagia often affects the rehabilitation of stroke patients by increasing the risk of nutritional deficits and aspiration pneumonia. Despite the proliferation of physical therapies including swallowing training, much controversy remains regarding the application and benefit of them. Therefore, in this study, the clinical effect of moxibustion at Chonjung(CV17, Shanzhong) on post-stroke dysphagia were assessed using Swallowing Provocation Test(SPT). Methods: Dysphagia subjects were selected by Dysphagia Screening Test. Swallowing function was tested by Swallowing Provocation Test(sec). Direct moxibustion was applied to the acupoint, Chonjung, five times and Swallowing Provocation Test was performed before and after 30 minute. The Latency Time of Swallowing Reflex (LTSR) was checked by SPT. To find factors related with improving swallowing function, Cold-Heat and Excess-Deficiency Diagnosis were considered. Results: A total of 42 patient were included, but two of them were excluded due to severe coughing. Overall, the swallowing reflex improved significantly. In subgroup analysis on brain lesion, non-brain stem lesion patients significantly improved. Moxibustion was more effective in the cold group than in the heat group, but there were no differences between the Excess and the Deficiency groups. Conclusions: The result of this clinical study suggest that moxibustion at Chonjung(CV17, Shanzhong) is an effective treatment for the dysphagia patients after stroke, especially in non-brain stem lesion and the cold diagnosed patients.

• PNF and Movement
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• 제8권3호
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• pp.49-54
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• 2010

Pupose : This study aimed to examine the Influence of stregthening for Transverse abdominis and resistive breathing exercise to use PNF on fulmonary functions and static sitting posture in adult stroke patient. Methods : Left hemi-plegic patient was masured pulmonary function test and analyzed sitting posture of alignment at pre intervention and post-intervention in 4weeks. Results : The pulmonary functions was increased and changed good alignment of trunk on sitting position after treatments. Conclusion : We were found that stregthening for Transverse abdominis and resistive breathing exercise to use PNF could improve pulmonary functions and sitting posture for stroke patient.

• 한국운동역학회지
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• 제15권2호
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• pp.113-117
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• 2005

As a preliminary study of finding the relationship between the force at the grip and the success rate during putting stroke, the putting grip sensor system using FSR sensors was developed. The system consisted of the hardware which had the sensor part with 8 sensors per putting glove and data acquisition part as well as the software which had the real-time monitoring program and the offline post-processing program. After experiments with elite-golfer using this system, it is possible to suggest the proper force ranges at the grip during putting stroke.

• 대한의용생체공학회:의공학회지
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• 제9권1호
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• pp.109-116
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• 1988

In this paper, principles of impedance tenchinque and relationship between stroke volume and impedance change were theoretically explained. An impedance cardiograph was designed and constructed. Its reproducibility was verified by experiment. Until now, the peak point of dZ/dt waveform, first derivative of impedance change(${\Delta}$Z) , has been detected by software technique requiring considerable time to process. However in this paper its peak point was found using hardware for saving processing time. Useful cardiac parameters such as stroke volume and contractility of cardiac muscle were measured noninvasively. The reproducibility of the instrument was measured to be better(less than 10%) than that of clinical standard method such as thermodilution (more than 30%). Hence impedance cardiography was found to be better techique for monitoring stroke volume and myocardial contractility for pre and post operation, and pharmacological studies.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1988년도 전기.전자공학 학술대회 논문집
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• pp.727-730
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• 1988

In this paper, cardiac parameters and relationship between stroke volume and impedance change were explained, and an impedance cardiograph was designed and constructed, and its accuracy was verified by experiment. Useful cardiac parameters such as stroke volume and contractility of cardiac muscle were measured noninvasively. The reproducibility of the instrument was measured to be better(less than 10%) than that of clinical standard method such as thermodilution. Hence impedance cardiography was found to be better technique for monitoring stroke volume and contractility of patients for pre and post operation, and pharmacological studies.

• Journal of Information Processing Systems
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• 제10권1호
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• pp.55-68
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• 2014

Automatic segmentation of foreground text from the background in degraded document images is very much essential for the smooth reading of the document content and recognition tasks by machine. In this paper, we present a novel approach to the binarization of degraded document images. The proposed method uses a new local contrast feature extracted based on the stroke width of text. First, a pre-processing method is carried out for noise removal. Text boundary detection is then performed on the image constructed from the contrast feature. Then local estimation follows to extract text from the background. Finally, a refinement procedure is applied to the binarized image as a post-processing step to improve the quality of the final results. Experiments and comparisons of extracting text from degraded handwriting and machine-printed document image against some well-known binarization algorithms demonstrate the effectiveness of the proposed method.

• 대한의용생체공학회:의공학회지
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• 제29권1호
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• pp.8-16
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• 2008

The aim of this study was to evaluate the motor recovery in 4 chronic hemiparetic patients with Fugl-Meyer (FM) and EMG characteristics before and after the training program. The training was performed at 1hr/day, 5days/week during 6 weeks in 4 chronic stroke patients. Electromyographic activities of the affected hand were recorded during isometric wrist flexion/ extension movements. In all patients, FM was significantly improved after the 6-week training. Onset/offset delay of muscle contraction significantly decreased in the affected wrist after the training. The co-contraction ratio of flexor/extensor muscles decreased significantly. Also, onset/offset delay of muscle contraction and co-contraction ratio correlates significantly with upper limb motor impairment and motor recovery. This EMG technique allows an objective evaluation of changes in muscle activity in post-stroke patients, providing easily measurable, quantitative indices of muscle characteristics.

• 대한한의학방제학회지
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• 제23권2호
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• pp.261-269
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• 2015

Objectives : The purpose of this case reports is to report the possibility of Post-CVA voiding dysfunction treated with Gamidaejihwang-tangaggam(加味大地黃湯加減). Methods : Three patients with Post-CVA voiding dysfunction were treated by Gamidaejihwang-tanggagam. Effect of treatment is assessed as Bladder Function Parity. Results and conclusions : Bladder function parity score improved, in three case. Additional research is needed on the effects of Gamidaejihwang-tanggagam for a Post-CVA Voiding disfunction.

• 대한물리의학회지
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• 제9권4호
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• pp.399-406
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• 2014

PURPOSE: The purpose of this study was to examine the effects of respiratory muscle training on respiratory function, respiratory muscle strength, and cough capacity in stroke patients. METHODS: This study used a nonequivalent control group pre-post test design. We recruited thirty-four stroke patients(16male, 18female), who were assigned to intervention (n=17), or control (n=17) groups. Both groups participated in a conventional stroke rehabilitation program, with the intervention groups also receiving respiratory muscle training 20 minutes a day, three times a week, for 4 weeks. Respiratory function (forced vital capacity) and respiratory muscle strength (maximal inspiratory pressure, maximal expiratory pressure) were assessed by spirometry. Cough capacity (peak expiratory flow) was assessed using a peak flow meter. The collected data were analyzed by independent and paired t-tests. RESULTS: The intervention group showed a significant increase in the forced vital capacity (FVC), maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP) and peak expiratory flow (PEF) at the end of the program, while the control group showed no significant changes. CONCLUSION: This study showed that respiratory muscle training increased respiratory function, respiratory muscle strength, and cough capacity in stroke patients and prevented a decrease in cough capacity. These findings suggest that respiratory muscle training effect on respiratory function, respiratory muscle strength and cough capacity for rehabilitation in patients with stroke.