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The effect of taping therapy on hemiplegic gait (테이핑 요법이 편마비 환자의 보행에 미치는 영향)

  • Lee, Ilsuk;Lim, Hyungmoon;Choi, Sanho;Oh, Jaegun;Lee, Sangkwan;Sung, Kang-keyng
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.49-60
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    • 2013
  • ■ Objectives The aim of this study is to analyze the change of gait pattern by the taping therapy in a hemiplegic patient. ■ Methods We conducted the taping therapy for 7 days to affected ankle joint of hemiplegic patient and analyzed the change of gait pattern using Treadmill Gait analysis equipment(Zebris Co.Ltd FDM-T) ■ Results In terms of affected side, cadence, total double support, step length and stance phase decreased, while swing phase and step time increased by taping therapy. In terms of unaffected side, step length increased by taping therapy. Center of pressure intersection point moved to posterior and affected side in cyclogram pattern. ■ Conclusion Taping therapy to affected ankle joint of hemiplegic patient would be advantages to gait improvement in hemiplegic patients.

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Change of gait pattern of a patient with ataxic gait by cerebellar infarction (소뇌 경색 환자의 임상양상에 따른 보행의 변화)

  • Hong, Haejin;Choi, Sanho;Lee, Ilsuk;Oh, Jaegun;Sung, Kang-keyng;Lee, Sangkwan
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.31-39
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    • 2013
  • ■ Objectives The goal of this pilot study is to observe the change of gait pattern according to the clinical status in a patient with ataxic gait by cerebellar infarction. ■ Methods We measured the spatiotemporal gait parameters of a patient with ataxic gait four times, in which, first, the patient was not able to walk independently, second, able to walk independently, third, unable to walk independently by general tremor, and, last, able to walk independently after disappearing of general tremor. ■ Results When a patient with cerebellar ataxic gait was able to walk independently and the cerebellar tremor was disappeared, the change of gait pattern was that step and stride length decreased and total double support and stance phase increased. ■ Conclusion When different clinical characteristics were improved, the change of gait showed same pattern.

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Change of gait pattern of a patient with cerebral stroke by peroneal nerve stimulation therapy (뇌졸중 환자의 비골신경 자극에 따른 보행 양상의 변화)

  • Choi, Sanho;Lee, Ilsuk;Hong, Haejin;Oh, Jaegun;Sung, Kang-keyng;Lee, Sangkwan
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.61-70
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    • 2013
  • ■ Objectives The goal of this pilot study is to observe the change of gait pattern in a patient after peroneal nerve electrical stimulation(PNST). ■ Methods We analyzed the gait pattern of stroke patient using treadmill gait analysis system before and after PNST for seven weeks. The PNST was carried out for 20minutes every day except Sunday. In addition, the measurement was carried out every Saturday. At the fifth week, the PNST was not carried out to confirm whether the effect of PNST was disappeared immediately when PNST was not applied. ■ Results After PNST, while heel contact time and heel max force increased and forefoot and midfoot max force decreased, the gait parameters such as cadence, velocity, swing phase, stance phase, total double support, step length, stride length, step time, stride time and forefoot contact time, were not changed. ■ Conclusion Gait of a patient with cerebral stroke was changed positively after PNST.

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The change of gait pattern according to different walking speeds in a patient with Parkinson disease (파킨슨환자의 보행 속도에 따른 보행 양상 변화)

  • Oh, Jaegun;Park, Kee-eon;Jung, Byongjun;Lee, Ilsuk;Choi, Sanho;Lee, Sangkwan;Sung, Kang-keyng
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.14 no.1
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    • pp.90-101
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    • 2013
  • ■ Objectives The goal of this study was to observe the gait patterns from a patient with Parkinson disease under three different walking speeds. ■ Methods The patient walked on a treadmill and we measured gait parameters using a treadmill gait analysis system for 2 minutes. The Parkinson patients walked under three different conditions, first, at the preferred walking speed, second, at slower speed than the preferred walking speed, and, third, at faster speed than the preferred walking speed. ■ Results In terms of temporal gait parameters, as speed of treadmill increased, stance phase and total double support decreased, and swing phase increased. In terms of spatial parameters, as speed of treadmill increased, step and stride length increased. In terms of kinetic parameters, max pressure increased as speed of treadmill increased. ■ Conclusion According to different walking speeds, some gait parameters of spatiotemporal and kinetic was changed.

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The Effect of Regional Financial Inclusion Level on Financial Cooperatives' Management Indicators (지역 금융포용 수준이 새마을금고의 경영지표에 미치는 영향)

  • Sang-Yong Yun;Jin-Hee KIM;Soon-Hong Park
    • Asia-Pacific Journal of Business
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    • v.13 no.4
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    • pp.91-107
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    • 2022
  • Purpose - This study quantitatively examines the level of financial inclusion of a microfinance institution in each region and how this is changing recently, and examines the level of financial inclusion by region and various financial characteristic factors related to it. It was empirically verified what kind of significant impact actually has on the institution's major management performance indicators (stability, profitability, efficiency, and public interest). Design/methodology/approach - It was confirmed that the institution's financial inclusion index declined rapidly after 2015 as a whole, although there were some differences by region depending on regional characteristics. However, considering the fact that the number of branches per 100,000 adult population is steadily increasing nationwide, it was found that, contrary to what is known, the simple decrease in the number of branches of the institution was not the main cause. Findings - The analysis results of this study show that the institution's efforts for financial inclusion have a positive impact on profitability, stability, efficiency, and public interest, and that the institution pursues profitability, efficiency, stability, and public interest. showed that some trade-offs exist. In other words, overall, it was analyzed that profitability of the institution has a positive effect on efficiency, and efficiency has a positive effect on stability and public interest. Research implications or Originality - Since the institution's efforts to improve its profitability do not have a negative impact on its stability and public interest, it is judged that it is important to take a strategic stance, so excessive loan supply that exceeds the scope of the institution's own control needs to be avoided as much as possible. More detailed financial supply strategies and business management capabilities that enhance the asset soundness and management efficiency of safes need to be demonstrated.

Effects of a Real-time Plantar Pressure Feedback during Gait Training on the Weight Distribution of the Paralyzed Side and Gait Function in Stroke Patients

  • Kim, Tae-Wu;Cha, Yong-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.2
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    • pp.53-62
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    • 2022
  • PURPOSE: This study was conducted to investigate the effect of a real-time pressure feedback provided during gait training on the weight weight distribution of the inner part of mid-foot in paralyzed side and gait function in stroke patients. METHODS: A total of 24 patients with hemiplegic stroke in a rehabilitation hospital were randomly assigned to the experimental and control group. All participants (n = 24) performed 15 min of comprehensive rehabilitation therapy 5 times a week for a period of 4 weeks. Additionally, the experimental group and control group underwent gait training with a real time feedback and general gait training, respectively, for 15 min five times a week for 4 weeks. Weight distribution and gait function were measured before and after the 4-week training. RESULTS: Significant increases in the weight distribution (WD), stance time (ST) and step length (SL) of the paralyzed side, and a significant decrease in the 10 m walking test (10 MWT) observed after training in the two groups (p < .05). The experimental group showed larger changes in the all variables than the control group (WD, +10.5 kg vs. +8.8 kg, p < .05; ST, 12.8 s vs. 4.9 s, p < .05; SL, 4.9 cm vs. 1.7 cm, p < .05; 10 MWT, -3.5 s vs. -1.0 s, p < .05, respectively). CONCLUSION: Gait training with a real-time feedback might be effective in improving the normalization of weight bearing of the paralyzed lower extremity and gait function of stroke patients, and be considered to be a more effective gait training for improving the abilities than the general gait training.

The Effects of Robot Assisted Gait Training on Kinematic Factors of the Stroke Patients (로봇보조 보행훈련이 뇌졸중 환자의 운동학적 요인에 미치는 효과)

  • Kim, Sung-Chul;Kim, Mi-Kyong;Yang, Dae-Jung
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.1
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    • pp.91-99
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    • 2022
  • Purpose : The goal of this study is to examine the effect of robot assisted gait training (RAGT) on the kinematic factors (temporospatial gait parameters, gait cycle ratio, and gait line length) of gait in stroke patients. Methods : The subjects of this study were 24 stroke patients selected by inclusion criteria. Participants were randomly allocated to two groups: robot assisted gait training (n=11) and general neurological physical therapy group (n=11). In the robot-assisted gait training group, robot-assisted gait training was mediated for 30 minutes a day in addition to general neurological physical therapy. The general neurological physical therapy group was mediated by general neurological physical therapy for 30 minutes a day in addition to general neurological physical therapy. The number of interventions was 5 times a week for 5 weeks. In order to compare the kinematic factors of walking between the two groups, gait analysis was performed before and after 5 weeks of training using the Zebris gait analysis system. Results : As a result of the gait analysis of the two groups, there were significant differences in temporospatial gait variables (step length, stride length, step width, step time, stride time), gait cycle ratio (swing phase, stance phase) and gait line length. However, there was no significant difference in the cadence (temporospatial gait parameters) in the robot assisted gait training group compared to general neurological physical therapy group. Conclusion : It is considered to be a useful treatment for stroke patients to promote the recovery of gait function in stroke patients. Based on the results of this study, continuous robot assisted gait training treatment is considered to have a positive effect on gait ability, the goal of stroke rehabilitation. In the future, additional studies should be conducted on many subjects of stroke patients, the kinematic factors of the legs according to the severity of stroke and treatment period, and the effect of gait training.

Darkness at the Heart of Anti-Imperialism: Racism in Conrad's Heart of Darkness (반제국주의 속의 어둠 -『암흑의 핵심』에 나타난 인종주의)

  • Shin, Moonsu
    • Journal of English Language & Literature
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    • v.55 no.1
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    • pp.61-82
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    • 2009
  • This paper aims to reexamine the issue of racism in Conrad's Heart of Darkness, especially in the light of Chinua Achebe's critique of the novella as a racist text entrenched with European prejudices of Africa and its people in his 1975 speech at the University of Massachusetts titled "An Image of Africa." While the novella's indictment of imperial exploitation has been noted from an early stage of its critical reception, its racism had hardly been discussed until Chinua Achebe posed it. Achebe offers the canonized status of the text as a modernist classic, "the most commonly prescribed novel in twentieth-century literature courses," as one reason for its obvious manifestations of racism being glossed over. One may add that Conrad's militant denunciation of imperialist enterprises as "a sordid farce," his seemingly radical stance against imperialism, serves as ideological constraints upon his readers, blinding them to its immanent racism. A closer look at the novella's attack on imperialism turns out to be contradictory, for it also shows such liberal-humanist ideas as the civilizing mission, the work ethic, and the superiority of civilized man, all of which served to prop up European imperialism at the end of the nineteenth century. This ideological contradiction also accounts for Conrad's racist attitude, which is betrayed in his portrayal of Africans as obscure, primitive. Euro-American imperialism has frequently justified itself by recourse to racism, but racism has not always been allied with imperialism. Some staunch racists such as Robert Knox and Arthur de Gobineau went against imperialism, and Conrad proves one of such cases whose critique of imperialism is voiced in ways that can be characterized as racist.

Dilemma of the global news channel, a media diplomatic subject (미디어 외교의 주체, 글로벌 뉴스 채널의 딜레마)

  • Jin, Minjung
    • Analyses & Alternatives
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    • v.1 no.2
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    • pp.13-30
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    • 2017
  • Referred to as a 'media war,' there is a fierce competition for media discourse between different countries. Twenty four hour global news channels like Al Jazeera, France 24, RT, NHK World, China's CCTV and teleSUR emerged to offer their own perspectives and stance in the global society, and to face the monopolization and distorted information created by the hegemony of English news channels which have swayed international public opinions for a long time. As a tool of public diplomacy, the media's role in determining the image of the nation and winning the 'Hearts and Minds' of the international community is decisive, but it cannot be said that they all have a similar influence or play a positive role in media diplomacy. A global news channel, which is both a media diplomatic subject and a journalism organization, can be in the position of acting as a public relations organization or a propaganda agency for the government depending on the regime's attitude because most of global news channels receive support from the government. Sometimes it is difficult for these media to implement quality journalism because of financial difficulties. Media discourse also has limitations in that it is dependent upon changes in foreign policy of its own government. This study examines the current status of global news channels, the dilemma these channels are facing, and suggests some potential directions that can be taken by global news channels in order to become more effective. It is becoming increasingly important for all nations to respond to distorted information about their own countries, to appropriately identify various issues and changes in the international community and to convey their views and positions to the international community. For now, there is a lack of awareness about the importance of media diplomacy in Korea: There are many English-language media, but as yet no global news channel which could have an influence on the international stage. However, there seems to be some understanding about the need for the media to present the Korean alternative discourse to the senseless dependency on Western media. We hope that this study will be an opportunity to think in depth about the attitude of the Korean global media, whether existing global media or new global news channels, in order to help them become more effective in media diplomacy.

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Difference in the Static Postural Control according to the Subjective Visual Vertical Deviation and Head Orientations

  • Sang Soo Lee;Sang Seok Yeo
    • The Journal of Korean Physical Therapy
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    • v.35 no.5
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    • pp.156-161
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    • 2023
  • Purpose: This study examined the effects of subjective visual vertical perception and head orientation on static balance control. Methods: The subjects were 25 young and healthy adults. The vertical perception was measured using a subjective visual vertical (SVV), and the Center of pressure (COP) parameter was analyzed by continuously measuring the movement of the COP to determine the changes in static postural control. The group was divided based on a deviation of 3° in SVV (11 of SVV≥3°, 14 of SVV<3°) and measured with different head orientations: front, up, down, left, and right in the upright and tandem positions, respectively. Results: In the upright position, the SVV≥3° group had significantly larger values for all COP parameters (Sway length, Surface, Delta X, Delta Y, and Average speed) compared to the SVV<3° group (p<0.05). In the tandem stance, only the Ellipse Surface value was significantly larger among the COP parameters in the group with SVV≥3° compared to the group with SVV<3°(p<0.05). In contrast, the other COP parameters were not significantly different (p>0.05). The effects of static balance control on the head orientation were not statistically significant (p>0.05), and the interactions between the subjective vertical perception and head orientation were not significant (p>0.05). Conclusion: These results suggest that pathological deviations in SVV are associated with impaired static balance performance. This study can provide a therapeutic rationale for using visuospatial cognitive feedback training to improve the static balance.