• 한국전문물리치료학회지
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• 제7권2호
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• pp.1-19
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• 2000

Decreased equilibrium in standing and walking is a common problem associated with hemiparesis secondary to cerebral vascular accident. In patients with hemiplegia, postural sway is increased and often displaced laterally over the non-affected leg, reflecting asymmetry in lower extremity weight bearing during standing balance. Human balance is a complex motor control task, requiring integration of sensory information, neural processing, and biomechanical factors. Limits of stability (LOS) is a one of the biomechanical factors. The purposes of this study were to establish the influence of asymmetrical weight-bearing on the LOS of independent ambulatory hemiparetic patients. The subjects of this study were 29 hemiparetic patients (18 males, 11 females) being treated as admitted or out patients at Young-Nam University Hospital and Taegu Catholic University Hospital, all of whom agreed to participate in the study. Participants were asked to lean and displace their center of gravity (COG) as far as possible in directions to the sides and front of the body. The LOS and weight-bearing ratio were measured with a Balance Performance Monitor (BPM) Dataprint Software Version 5.3. In order to assure the statistical significance of the results, the independent t-test and a Pearson's correlation were applied at the .05 and .01 level of significance. The results of this study were as follows: 1) There were statistically significant differences in anteroposterior LOS according to the cause of brain demage (p<.01). 2) There were statistically significant differences in mediolateral LOS according to the hemiparetic side (p<.05). 3) There were statistically significant differences in anteroposterior and mediolateral LOS according to the brain operation (p<.01). 4) The mediolateral LOS significantly correlated with weight-bearing ratio (p<.01).

• 한국실내디자인학회논문집
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• 제23권6호
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• pp.22-32
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• 2014

Development of digital technology, which is individualizing and differentiating the world, makes time and space facilitate multi-layering in the contemporary society. It gives a large influence on the contemporary architecture that inducing the visual and spatial experience. Also, It generates new images through the skin of architecture, which implies the contingent and fluid characteristics. These phenomenon show that various parameters are working on the architectural skin simultaneously. Such complexity make the structure of open space and diversity that are homogenized and synchronized. Like this, the architectural skin implies 'multiplicity': qualitative difference which is enable to change and create new images. This characteristic generates instant images changing variously and semantics constantly by the function of skin as a filter. Also, the architectural skin integrates or relocates of relationships between the various information and elements appearing in contemporary society in order to escape the customary relationship between internal and external. Furthermore, the inside and outside of the mixture as a collection of sense has been recognized as one image. This image of mixture consists of one unified continuous integration and extend the meaning of a fluid interface not just surface of the building. The skin of the contemporary architecture is very technical, so its meaning and role is expanded as a complex that exchange interaction. This means that the skin itself has functional elements of the integrated multiple skin to assist. Also it can form a multi-layered relationship and act as a wide range of interfaces depending on the perception of the observer. Therefore the multiplicity of the architectural skin indicates the importance as a boundary that generate images of new life through the sensory perception and implicit force. And it shows potential as the intermediary to try to communicate.

• 한방안이비인후피부과학회지
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• 제13권2호
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• pp.200-210
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• 2000

objective to ascertain whether the concept of the therapeutic side is associated with changes in the blind sport mapping that represents the brain function. design Physiological blind spot maps were used as an integer of brain activity before and after acupuncture needling on the meridian point Hapkok(合谷) and Techung(太衝) in the unilateral side decided by double-blind controlled study(20 subjects). setting outpatient clinic participants: adult volunteers intervention twenty subjects were divided into two comparative groups and underwent specific acupuncture therapy on the unilateral side. Blinded examiners obtained reproducible pre and post-acupuncture cortical maps, which were subjected to statistical analysis. main outcome measures Brain activity was demonstrated by reproducible circumferential measurements of cortical hemispheric blind spot maps before and after acupuncture on the unilateral side. in case of acupuncture needling on the ipsilateral side of an enlarged side of bilnd spot, there were reduction of blind spot in 7 cases of 10 subjects, and enlargement in 3 cases. in case of acupuncture needling on the contralateral side of the enlarged side of blind spot, there were enlargement of blind spot in 6 cases of 10 subjects, and reduction in 4 cases. results the significant changes in the blind spots before and after acupuncture were observed Acupuncture needlings on the ipsilateral or contralateral side of an enlarged cortical map were associated with the concept of the therapeutic side traditionally accepted in the oriental medical society. Acupuncture needling on the ipsilateral side of an enlarged blind spot map is associated with the reduction of map, and increaed contralateral cortical activity. Acupuncture needling on the side opposite an enlarged blind spot map is associated with the enlargement of map, and decreased cortical activity. conclusion Reproducible maps of cortical responses can be used to measure the neurological consequences of acupuncture needling. Acupuncture can affect the somatic sensory informations that reach to the contralateral thalamus, and so affect thalamic integration. we found that acupuncture therapy may be associated with an increase or a decrease in brain function depending on the side of acupuncture needling. thus, the traditional concept of the contralateral therapeutic theory in acupuncture approach has the clinical significance in the view of brain function.

• 한국게임학회 논문지
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• 제9권4호
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• pp.45-56
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• 2009

유아의 감성, 인지 발달을 위해서는 시각, 청각, 그리고 촉각 등의 감각통합이 필요하다. ICT의 발전 덕택에 유아는 학습과정 중에 다양한 감각을 사용할 수 있는 더 많은 기회를 갖게 되었다. 그러나, ICT 교육법은 단지 시청각에 중점을 두고 있어 통합인지가 부족하며, 이러한 사실은 ICT가 왜 주교보재로 사용될 수 없는지를 보여준다. 따라서 본 연구에서는 컴퓨터 퍼즐게임을 이용한 wUbi-Pen(촉각펜)의 인지 효과를 평가하였다. 실험 결과, wUbi-Pen을 이용해 햅틱 퍼즐 놀이를 한 경우 햅틱 기능이 없는 펜을 이용해서 퍼즐 놀이를 한 경우보다 K-WPPSI의 5개 동작성 평가 중 모양 맞추기, 미로, 빠진 곳 찾기 등 3개 영역에서 유의미한 차이를 보였다. 이러한 결과는 ICT 교재의 개발에 있어 촉각 기능의 필요성을 제시하고, 더 나아가 인지에 관련된 다양한 증상에 효과적인 교보재로 사용될 수 있음을 보여준다.

• 재활치료과학
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• 제7권3호
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• pp.9-21
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• 2018

목적 : 본 연구는 국외 학술지를 대상으로 체계적인 문헌고찰을 통해 자폐스펙트럼장애(autism spectrum disorder, ASD)아동들을 대상으로 사용되는 조기 중재 방법의 효과를 확인하는 것이었다. 연구방법 : 2017년 12월 이전까지의 국외 학술지에 게재된 논문을 Pubmed를 통하여 검색하였다. 주요 검색어로는 'autism', 'autism spectrum disorder', 'ASD', 'high function autism', 'high function ASD', 'Asperger syndrome', 'pervasive developmental disorder', 'PDDNOS', 'intervention'과 'early intervention'를 사용하였다. 최초 검색된 논문은 724편이었으나 포함 및 배제기준을 적용하여 최종 10편의 연구가 선정되었다. 결과 : 자폐스펙트럼장애 아동의 조기 중재는 10편의 선정된 연구 중에서 8편의 연구가 응용행동분석에 기초한 중재 프로그램을 적용하였고, 다른 2편의 연구들은 감각 통합적 접근과 테크놀로지에 기반을 둔 중재접근을 사용하였다. 대부분의 연구가 조기 중재로 의사소통기술과 사회적 상호작용기술, 지능, 적응 행동의 증가, 동시집중력의 향상과 같은 긍정적인 효과를 보고하였다. 결론 : 본 연구는 자폐스펙트럼장애 아동의 조기 중재에 대한 근거를 제시하며, 향후 국내 연구에서 효과적인 조기 중재에 대한 효과를 확인하는 연구가 필요할 것으로 사료된다.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2007년도 추계학술대회논문집
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• pp.1177-1182
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• 2007

This study aims at identifying the effect of preferred visual and auditory stimuli on the road traffic noise perception through the series of psychoacoustic experiments. The first experiment was designed to find the addition effect of a sound reproducing system in a square where lay adjacent to roads with road traffic noise, provide appropriate music corresponding to the varying conditions of weather in the given space. In result, it was found that the rating around the square improved toward more positive adjectives. The second experiment was designed to assess the visual effect of twelve roadsides with different landscapes on the road traffic noise perception. As a result, approx. 3 to 5 dB(A) of psychological reduction was seen in places where natural landscape was preferred, compared to the others, although the noise levels were similar. The third experiment was designed to evaluate the effect of visual screen from adjacent roads on road traffic noise perception by means of ME method in a laboratory. In result, the effect of psychological reduction was observed at 65dB(A) or lower. Especially, complete screening from adjacent roads led to 5 to 10% of loudness reduction effect, compared to non-screening cases. Finally, the fourth experiment was designed to evaluate the effect of visual and auditory information with ME method and 7-point SD rating scale in a laboratory. In result, up to 10% of loudness reduction and about 2dB(A) of noise perceptional reduction were seen at 65dB(A) or lower.

• 한국게임학회 논문지
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• 제8권4호
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• pp.65-73
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• 2008

본 논문에서는 발달장애 아동의 교육 및 치료에 있어서 감각, 인지훈련을 효과적으로 할 수 있는 에듀테인먼트 플랫폼을 제시한다. 이를 위해 임베디드 하드웨어를 개발하고 여기서 재생할 콘텐츠를 제작하기 위한 저작도구, 학습 결과를 확인할 수 있는 관리도구, 학습 상황을 실시간으로 모니터링하는 도구를 개발하였다. 발달장애 아동의 특성을 관찰 분석하여 개발한 하드웨어는 주의집중을 위한 감각훈련을 집중적으로 할 수 있도록 시각, 청각, 촉각 등의 자극을 제공한다. 이와 함께 개발한 소프트웨어는 특수교사 이외의 비전문가도 쉽게 교육용 콘텐츠를 만들고 학습 현장이외에서도 학습상황을 볼 수 있도록 하는 기능을 제공한다. 또한, 학습한 결과를 다음 학습단계로 적용할 수 있도록 이를 보관하고 살펴 볼 수 있는 기능도 제공한다. 이를 통해 시간, 장소의 제한 없이 효과적으로 반복 학습을 수행이 가능하다. 개발한 플랫폼을 직접 교육현장에 적용해봄으로써 주의집중과 학습 능력을 높이는데 효과가 있음을 알 수 있었다.

• 한국전문물리치료학회지
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• 제6권3호
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• pp.11-21
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• 1999

Human balance is maintained through a complex process involving sensory detection of body motions, integration of sensorimotor information within the central nervous system, and execution of appropriate musculoskeletal responses. The basic task of balance is to position the body center of gravity (COG) over some portion of the support base. When the COG extends beyond the base of support, the person has exceeded the limits of stability (LOS). At this point, a step or stumble is required to prevent a fall. Automatic postural responses operate to keep the COG over the base of support. They are a set of functionally organized, long-loop responses that act to keep the body in a state of equilibrium. There are four commonly identified automatic postural responses, or strategies. These are ankle strategy, hip strategy, suspensory (knee) strategy, and stepping strategy. Thus, the purpose of this study was to evaluate the LOS using various knee strategies. Forty subjects participated in this study. The subjects were comprised of 20 males and 20 females who were without neurologic, orthopaedic or balance performance impairments. The LOS was measured with a Balance Performance Monitor (BPM) Dataprint Software Version 5.3. The results of this study were as follows: 1) Knee joint angle which is to increase stability of standing balance with using knee strategy was at mid-range. 2) There were statistically significant differences in anteroposterior LOSs according to the knee strategy. 3) There were no statistically significant differences in mediolateral LOSs according to the knee strategy. 4) There were statistically significant differences of anteroposterior LOSs with using knee strategy according to gender. 5) There were no statistically significant differences in mediolateral LOSs with using knee strategy according to gender.

• 셀메드
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• 제2권1호
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• pp.10.1-10.6
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• 2012

Acupuncture works by stimulating peripheral sensory nerves and their endings causing an increase in cutaneous blood flow and microcirculation, as well as release of neurotransmitters, neuropeptides, and hormones. SP6 Patch is a nanoscale nontransdermal device that mildly stimulates Stomach 36 (zusanli) and other acupuncture points. As stimulation of these points has been indicated to have an effect on hypothalamic function, it is of great research interest to investigate the effect of SP6 Patch on the physiology of organs that are affected by hypothalamic regulation. Bioelectrical tissue impedance data indicative of cellular physiologic organ function, using an Electro Interstitial Scan (EIS) system, were acquired from hypothalamus, pancreas, liver, intestines, kidneys, thyroid and adrenal glands in 10 (1 male, 9 females) volunteers while wearing the SP6 Patch daily for 1 week. EIS testing was performed at baseline with no patch, 30 min after wearing the patch, and after wearing the patch 12 h/day for 1 week. Subjects were instructed to keep well hydrated during the study period. All subjects served as their own control. The hypothesis was: The SP6 Patch worn 12 h/day on the Stomach 36 acupuncture point for 1 week, may significantly improve cellular physiologic functional status of different organs measured by EIS. All tested organs achieved significant improvement in their functional physiologic status after wearing the SP6 Pach 12 h/day for 1 week compared to baseline with an overall average statistical power > 89%. Based upon these results the hypothesis was accepted as true.

• 대한정형도수물리치료학회지
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• 제9권2호
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• pp.25-45
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• 2003

Sling exercise treatment(S-E-T) is a therapeutic exercise based on scientific studies for the purpose of treating musculoskeletal or neurological disorders thereby improving strength, endurance, and skills for sensory-motor integration. Exercise resistance and intensity can be modified in various ways by changing the length of rope, patient position, therapist's manual resistance, and using elastic rope. The therapist can also progress to successively higher levels of exercise resistance and intensity by changing the position of the hanging point: the subject of this article. In brief, there are three axial components in S-E-T; hanging point, motor axis, and suspension point. The hanging point can be changed in several ways in relation to the joint; axial, superior, inferior, medial, and posterior hanging points. The position of the hanging point affects the amount of load on agonist and antagonist muscles as well as on the range of motion. To create an advanced exercise program, selection of hanging point can be two-dimensional such as superior-lateral or anterior-medial. Therapists, therefore, can freely but carefully select the best hanging point based on the purpose of the exercise and their level of knowledge in S-E-T.