• 대한물리치료과학회지
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• 제9권2호
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• pp.123-131
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• 2002

The purpose of this study is to compare Ultra Sound(U-S), Silver Spike Point(SSP) and Electro-Acupuncture(E-A) with each other and to objectively analyze their concrete validities and their effects on the deactivation of trigger points in patients with myofascial pain syndrome, and to provide basic necessary principles for clinical therapists. Sixty patients were randomly distributed into three groups of twenty persons each and the U-S, the SSP and the E-A were applied to each group respectively. Tree pain evaluation methods of VAS(Visual Analogue Scale), Electrical Stimulation Scale and Pressure Algometer were adopted to measure the effectiveness of each therapy. The results were as follows: The U-S and E-A groups demonstrated statistically significant decrease on the VAS. The pain thresholds by Electrical Stimulation Scale method was increased for all the groups of U-S, SSP and E-A with no statistical significance. however, Pressure Algometer method was found to increase the pain thresholds for both SSP and E-A groups with statistically significance. Statistically significant improvement was found for all the groups together after the administration of the U-S, the SSP and the E-A. From the above results, three methods of U-S, SSP and E-A are found to be effective tools for the deactivation of trigger points in patients with upper trapezius muscle of Myofascial Pain Syndrome. The E-A method was found to be the most effective among three methods.

• The Journal of Korean Physical Therapy
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• 제30권6호
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• pp.234-238
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• 2018

Purpose: Aim of this study was to investigate whether there are ipsilateral motor deficits for visuospatial accuracy and fine movements by making a comparison between stroke patients and healthy subjects. We examined whether ipsilateral motor deficits are influenced by the level of functional movements and muscle strength of the upper and lower extremities of the affected side. Methods: Thirty post-stroke subjects and 20 normal aged matched subjects were recruited. Outcome measures for less-affected side were the tracking task and nine-hole pegboard test. Fugl-Meyer test and motricity index were applied for the measurement of functional movements and muscle strength of affected side. Results: Tracking task and nine-hole pegboard test was significantly different between control and experimental group. In terms of accuracy index according to tracking, the experimental group showed a lower accuracy index in the MCP joint than the control group. However, there were no significant difference relation between the level of motor function of the affected side and the motor deficit level of ipsilateral side. Conclusion: Ipsilateral motor deficits may have significant clinical implications. It needs to be noted that although many patients, families, and medical staff are focused only on motor deficits of the affected side, motor deficits of the sound side can cause difficulties in daily living movements requiring delicate movements. In addition, there was no significant correlation between the level of motor function of the affected side and motor deficits of the sound side.

• 대한통합의학회지
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• 제8권4호
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• pp.291-305
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• 2020

Purpose : The duration of speech segments reflects children's speech motor development. The purpose of this study was to determine whether segmental sound and word duration varies by age among preschool children. Methods : A total of 60 children aged 4~5 years participated in this study. Participants took the picture-naming test to produce single-word speech data. The duration of the consonant at the initial position of the word and the final position of the word, the voice onset time of plosive, the duration of the vowel following the initial consonant, and the duration of the word were measured. Results : As age increased, the duration of the initial consonant, the duration of the word, and the voice onset time decreased significantly. The main effects of age, manner of articulation, and place of articulation on the duration of the initial consonant were significant. The duration of consonants in the nasal sound and plosives and the duration of bilabial and alveolar sound differed significantly between groups. The main effects of age and vocal type on voice onset time were significant. The main effect of age on the duration of the consonant in the final position of word and on the duration of the vowel were not statistically significant. Conclusion : The results of this study showed that the duration of segmental sound and the word were associated with speech development between 4 and 5 years old. Accordingly, duration of the segmental sound and the word may serve as an acoustic cue as they reflect speech development and speech motor control maturity.

• 대한치과보철학회지
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• 제24권1호
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• pp.141-150
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• 1986

This study conducted 2 types of occlusal splint therapy to eliminate clicking sound. 15 patients who had clicking on their joints were selected, and divided, at random, into 3 groups. In the first group, 4 persons put on stabilization splint and in the second group, 6 persons put on anterior repositioning splint which had made condyle to protrude 3mm, and in the last group, 5 persons put on anterior repositioning splint which had made condyle to protrude 6mm. Patients who wore anterior repositioning splint were instructed to use the splint for all days. The evaluation of clicking was measured by occlusal soundscope. The clicking was converted to aucostic signal by the attached microphone, instead of vibrating sensor The in-put aucostic signal on the occlusal soundscope made it possible to observe the experiment's result. Anterior repositioning splint was produced in the centric occlusion state, when the model was mounted to articulator and inserted two pieces of 3mm and 6mm resin blocks each into the rear wall of articulator fossa. The observation of the patients who wore three different splints for 3 weeks has reached the following conclusions: 1. Stabilization splint produced no effect in eliminating the clicking sound. 2. Anterior repositioning splint therapy with 3mm condylar protrusion produced significant improvement in eliminating the clicking sound. 3. The 6mm protruded anterior repositioning splint caused pain on affected TMJ area as well as the clicking on unaffected joint.

• 대한한의학원전학회지
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• 제21권4호
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• pp.225-232
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• 2008

The purpose of this study is to introduce the music therapy as one of the 17 kinds of oriental medicine music therapy and investigate the record in the literature. The spleen is an organ that has the function of digestion, absorption, and supply of nutrition. Damp, anxiety, and improper diet can cause deficiency syndrome of the spleen. The symptoms of deficiency of the spleen are poor appetite, abdominal distension, borborygmus, water-grain dysentery, dyspepsia, and lack of strength in limbs. CV12, CV6, S36, B20, B21, and Sp4 are can be used as acupuncture points that are a great help to the patients who suffer from deficiency of the spleen. This study describes the theory of invigorating the spleen music therapy that has a good possibility as a new method of oriental medical treatment and present the acupuncture points that can be used with invigorating the spleen music therapy. The tone of the spleen is Gung(宮) and the sound of the spleen is related to a song. The music therapy of invigorating the spleen includes beating Earth-Gi(地氣) rhythm with Cheonnyeonmanse, stimulating Spleen Meridian and Stomach Meridian with Gayaguem sanjo jungjungmori, and acupuncture with "Le Cygne" of Camille Saint-Saens.

• 한국융합학회논문지
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• 제9권6호
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• pp.125-132
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• 2018

본 연구는 단어 및 자발화 평가를 통해 학령전 아동의 말소리 산출 특성과 평가 관련 양상을 살펴보고자 하였다. 이를 위해 3-5세 일반아동 72명(연령별 각각 24명)을 대상으로 아동용발음검사(APAC)를 실시하고, 연령과 성별에 따른 자음정확도와 명료도의 차이, 자음정확도와 명료도 간 상관관계, 자음 위치 및 조음 방법에 따른 말소리 오류 패턴을 분석하였다. 연구 결과, 자음정확도와 명료도는 연령에 따라 증가하였으나 성별에 따른 차이는 없었고, 상관관계는 5세 집단에서 통계적으로 유의했으며, 말소리 오류 패턴 또한 두 평가에서 다르게 나타났다. 본 연구 결과는 아동의 말소리 산출이 언어단위에 따라 다르게 나타나기에, 이들의 말소리 능력을 적절히 파악하려면 단어뿐 아니라 자발화 평가가 병행되어야 함을 보여주었다. 이는 단어에 대한 자음정확도만으로 언어장애 등급을 판정하는 현재 기준에 대한 재검토와 추가적인 연구가 필요함을 시사한다.

• Journal of Oral Medicine and Pain
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• 제21권1호
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• pp.67-78
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• 1996

This study was performed to compare the TMJ sounds by means of vibration-related items by Sonopak such as integral, high integral, above 300/(0-300) ratio, peak amplitude, peak frequency and median frequency before and after occlusa1 splint therapy as well as counselling, physical modalities. For this study 22 patients with craniomandibular disorders (CMDs) were selected and examined by routine diagnostic procedure for CMDs including Transcranial and Panoramic radiographs and were classified into 3 CMDs subgroups : disc displacement with reduction, disc displacement without reduction, and degenerative joint disease. Visual analogue scale (VAS) about joint sound was recorded during treatment period and VAS treatment index (VAS Ti) was calculated from the VAS data and treatment duration. The author evaluated and compared treatment results by several parmeters such as symptom duration, timing of joint sound, parafunctional habits, trauma, and diagnostic classification. The obtained results were as follows : 1. Before the treatment, the highest value of peak amplitude was observed in disc displacement with reduction group and value of median frequency was highest in degenerative joint disease group. In addition the highest values of peak frequency and ratio ware observed in degenerative joint disease group, though they were not significant. Furthermore the lowest value of high integral was observed in disc displacement without reduction group and though it was not significant, value of integral was lowest in that group. 2. Among 3CMDs subgroups disc displacement with reduction group showed the significantly decreased value of high integral and degenerative joint disease group had the significantly decreased value of integral after conservative treatment including occlusal splint therapy. Conclusively conservative treatment including occlusal splint therapy vay be effective in the treatment of CMDs including TMJ sound. 3. Fair prognosis for conservative treatment was observed in acute group under 6 months than chronic group, 6 months over in symptom duration but there was no statistical difference. The result for conservative treatment was observed slightly poor in subjects with bruxism, clenching, unilateral chewing habit and trauma history but there were no statistical differences.

• The Journal of Korean Physical Therapy
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• 제15권4호
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• pp.372-383
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• 2003

The purpose of this study was to assess of cane use on the hemiplegic gait of strock patients in temporal and spatial variables. Subjects were thirteen including 8 men and 5 women. They could walk independently without cane, To compare the effect of walking with and without a cane, temporal and spatial variables was measured using GAITRite. Cane walking demonstrated increased stance time on the affected side, and swing time, step length on the sound side were increased, and base of support was decreased. In conclusion, hemiplegic gait pattern of strock patients were improved with cane than those not using a cane.

• Clinical and Experimental Pediatrics
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• 제50권10호
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• pp.938-947
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• 2007

Many dialysis modalities such as peritoneal dialysis (PD), hemodialysis (HD) and continuous hemofiltration or hemodialysis (CRRT) are available for the management of pediatric patients with acute renal failure (ARF). PD is a relatively simple, inexpensive modality and can be used in hemodynamically unstable patients. But, it may not be the optimal therapy for patients with severe volume overload or life threatening hyperkalemia. HD is the preferred modality for the treatment of severe volume overload, severe hyperkalemia, but it needs vascular access. Improvements in the HD equipment have allowed HD to be performend in small children. Recents technological improvements in CRRT therapies have enabled pediatric patients who are less stable to be treated. CRRT is becoming the preferred method of acute therapy in pediatric intensive care units. A sound knowledge of the underlying principles of dialysis and awareness of recent technological advancements in differnet dialysis modalities will hopefully result in improved management of children with ARF.

• Journal of Acupuncture Research
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• 제19권1호
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• pp.76-83
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• 2002

Forteen cases were observed among the Temporomandibular Disorder who were outpatients at the Department of Acupuncture & Moxibustion Oriental Medical Hospital, Dae Jeon University. Objective : To improve the therapeutic rate of Temporomandibular Disorder by treatment of acupuncture, chiropractic therapy and exercise therapy. Methods : Forteen outpatients suffering from Temporomandibular Disorder were treated by acupuncture, chiropractic therapy and exercise therapy. Acupuncture therapy was taken on Waiguan(TE5,外關), Zulingi(G41, 足臨泣), Sidu(TE9, 四瀆), Yanglingquan(G34, 陽陸泉), Qiuxu(G40, 丘墟), Xiaguan(S7, 下關). Chiropractic therapy was taken, when the subluxation of outpatients's Cervical spine was observed. Results : The syndrome of TMD, that is the Pain, the movement disorder and the click sound, was disappeared by 2~3 times acupuncture, chiropractic and exercise therapy.