• Title/Summary/Keyword: Subjective fatigue

검색결과 288건 처리시간 0.032초

물리치료에 따른 근육의 경도와 탄성도 비교 (Muscle Stiffness and Elasticity Related to Physical Therapeutic Modalities)

  • 김성환;김미은
    • Journal of Oral Medicine and Pain
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    • 제32권3호
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    • pp.319-328
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    • 2007
  • 본 연구는 근육의 경도와 탄성도를 측정하여 교근 피로에 대한 물리치료의 효과를 정량적으로 평가하고자 하였으며, 측두하악장애 치료에 가장 흔히 사용되는 물리치료이면서 작용기전은 서로 다른 세 가지 치료법인 전기침자극치료(EAST), 극초단파(Microwave diathermy), 저수준레이저치료(LLLT)의 효과를 비교하였다. 실험을 위하여 건강한 20대 지원자 10명을 선정하여, 교근의 전부와 하부의 근육 경도와 탄성도를 촉각센서로 측정하였다. 실험적으로 교근 피로를 유발하기 위해 피검자가 VAS (0 to 10) 5 이상의 통증을 느낄 때까지 껌을 씹게 하여 근육 변화를 조사하였으며 치료 없이 15분간의 휴식을 준 다음 다시 검사하여 물리치료 후의 효과 비교를 위한 대조군으로 사용하였다. 하루 간격으로 사흘에 걸쳐 동일한 시간 동안 껌을 씹게 한 다음, 물리치료 한 가지씩을 매일 시행하였으며 3가지 물리치료법의 적용 순서는 무작위로 하였다. 껌 저작 전, 직후, 15분 후, 각각의 물리치료 시행 후에 근육 경도와 탄성도 측정과 함께 피검자들이 느끼는 근육의 피로도를 VAS로 평가 하도록 조사하였다. 실험 결과, 저작측에서만 껌 저작 직후와 15분 후에 근육경도의 증가와 탄성도의 감소가 관찰되었으며 (p<0.05) 비저작측에서는 유의한 차이가 없었으나 VAS는 저작측과 비저작측 모두에서 증가하였다(p<0.05). 껌 저작으로 인해 변화되었던 근육경도와 탄성도는 전기침자극치료나 극초단파 치료 후에 효과적으로 회복되고 VAS가 감소했으나(p<0.05) 저수준레이저 치료 후에는 유의한 변화를 보여주지 않았다. 이상의 결과로 보아, 편측 저작은 저작측 근육의 경도를 증가시키고 탄성도는 감소시키는 반면, 비저작측에서는 변화가 없는 것을 알 수 있다. 또한 전기침자극치료와 극초단파치료는 모두 근육의 경도를 감소시키고 탄성도를 증가시켜 근육의 피로를 감소시키는데 효과적인 치료법인데 반해 저수준레이저치료의 효과는 미약한 것으로 판단된다.

한방 치료로 호전된 지속체위 - 지각어지럼에 대한 증례 1례 (A Case Report of Persistent Postural-Perceptual Dizziness Treated with Korean Medicine)

  • 김민화;허기윤;강희경;남이랑;김마리아;이인;권정남;김소연;윤영주;최준용;한창우;박소정;홍진우
    • 대한한방내과학회지
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    • 제43권4호
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    • pp.769-778
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    • 2022
  • Objectives: The purpose of this study was to report the effectiveness of Korean medicine in the treatment of persistent postural-perceptual dizziness. Methods: A patient with dizziness was treated with Banhabackchulchunma-tang and Gongjin-dan herbal medicines. The severity of symptoms was assessed with a daily visual analog scale (VAS) for dizziness and the frequency of subjective trembling feelings (over 30 minutes). Results: After the treatment, the severity of dizziness was reduced from VAS 5 to VAS 2, and fatigue was improved from VAS 5 to VAS 1. The frequency of subjective trembling feelings was reduced from once every 3-4 days to once every 10 days. Other symptoms, such as dyspepsia, sleep disturbance, and hot flashes, also showed improvement. Conclusion: Treatment with Korean medicine may be an effective option for the treatment of persistent postural-perceptual dizziness.

COVID-19 판데믹 시기에 보건계열대학생의 스마트기기 사용시간, 눈건강 실태, 눈건강 의식 간의 관계 (During the COVID-19 pandemic, Relationship between smart device usage time, eye health status, and eye health awareness among health college students)

  • 윤현경;김소영;박민지;박지은;전혜진
    • 문화기술의 융합
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    • 제8권2호
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    • pp.187-195
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    • 2022
  • 본 연구는 보건 계열 대학생을 대상으로 COVID-19 판데믹 시기 스마트기기 사용시간, 눈 건강 실태, 눈 건강 의식 간의 관계를 확인하기 위해 시행되었다. 연구 참여자는 보견계열 대학생 188명을 대상으로 하였고, 자료 분석은 SPSS 26.0 프로그램을 이용하여 기술적 통계, indepent t-test, Chi-square test, one-way ANOVA, Pearson's correlation coefficients를 이용하였다. 연구결과 대상자의 눈 피로도 점수의 평균은 15.23±13.71점이었으며, 건성안 자각증상 점수는 21.87±12.02점이었고, 눈 건강관리 의식 점수는 3.48±1.09점으로 나타났다. 스마트폰을 일평균 2시간 이상 사용하는 집단에서 눈 관리의식과 건성안 증상(r=.152, p=.005)과 안구피로도와 건상안 증상(r=.650, p<.001)은 통계적으로 유의한 정적상관관계를 나타냈다. 본 연구결과를 통하여 대학생의 스마트기기 사용으로 인한 눈 건강 예방을 위한 방안 모색이 필요하며 눈 건강에 미치는 영향요인을 확인하기 위한 반복 연구가 필요하다.

수도권과 비수도권 청소년들의 정신건강 특성이 음주, 흡연에 미치는 영향 (The Influence of Mental Health Characteristics upon Drinking and Smoking in Adolescents of Capital Area and Non-capital Area)

  • 김환희
    • 한국엔터테인먼트산업학회논문지
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    • 제15권5호
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    • pp.175-188
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    • 2021
  • 본 연구는 2019년 청소년건강행태조사 자료를 이용하여 비수도권과 수도권 청소년들의 정신건강이 평생 음주, 평생 흡연경험에 미치는 영향을 파악해 보고자 하였다. 연구대상은 중학교 400개교, 고등학교 400개교 총 800개교의 60,100명의 대상자 가운데 조사에 참여한 전체 청소년 57,303명을 대상으로 하였으며, 이 중 중학생이 29,384명, 고등학생이 27,919명으로 선정하였다. 연구결과 비수도권의 경우, 평생 음주, 평생 흡연 경험에 유의한 영향을 미치는 정신 건강은 주관적 건강인지, 스트레스인지, 피로회복정도, 슬픔과 절망감 경험, 자살생각, 자살계획, 자살시도가 유의한 것으로 나타났다. 수도권의 경우, 평생 음주, 평생 흡연 경험에 유의한 영향을 미치는 정신 건강은 스트레스인지, 피로회복정도, 슬픔과 절망감 경험, 자살생각, 자살시도는 유의한 것으로 나타났다. 이러한 결과를 바탕으로 청소년들의 음주문제가 정신건강 특성에 영향을 미치는 것으로 보아 수도권과 비수도권 청소년들의 지역별 정신 건강요인을 고려한 방향설정과 교육프로그램의 재평가를 통해 보다 효과적인 청소년들의 음주예방을 위한 중재 및 교육프로그램 개발을 위한 노력이 필요하다.

치과보철치료를 요하는 환자에서의 수면질과 스트레스 반응 평가 (Evaluation of sleep quality and stress response in patients requiring dental prosthetic treatment)

  • 전혜미;정경화;최나래;송재민;이소현;김소연
    • 대한치과보철학회지
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    • 제59권2호
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    • pp.181-189
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    • 2021
  • 목적: 치아를 상실하여 치료를 받기 위해 내원하는 보철과 환자를 대상으로 처음 내원할 당시 스트레스에 대한 반응과 수면의 상태가 어떤지 살펴보고자 하였다. 대상 및 방법: 2018년부터 2년간 부산대학교병원 보철과에 신환으로 접수한 236명의 성인 환자(남자 94명, 여자 142명, 24 - 86세)를 대상으로 검사 및 상담, 설문조사를 시행하였다. 잔존치 수, 무치악 여부, 저작 가능 여부, 향후 보철치료 방향을 기록하였으며, 시각화 아날로그형 척도(Visual analogue scale, VAS), 스트레스 반응 척도(Stress reponse inventory, SRI) 및 불면증 심각도 지수(Insomnia severity index, ISI)를 도구로 사용하여 환자의 주관적 구내불편감, 스트레스 반응, 수면 상태를 측정하였다. 결과: 전체 보철과 신환에서 SRI 의 7개 항목 중 '피로'가 유의하게 높은 평균값을 나타냈고 '공격성'이 유의하게 낮은 값을 보였다 (P < .001). 무치악자와 완전유치악자는 VAS로 측정한 구내 불편감 값에 유의한 차이가 있었다 (P = .004). 20개 미만의 치아가 잔존한 경우, 스스로 저작이 불가능한 경우, 가철성 보철물을 치료계획을 잡게 되는 환자의 경우는 그 반대의 경우에 비하여 VAS 값, SRI 중 '우울'과 '피로' 값이 유의하게 높게 드러났다 (P < .05). VAS 수치가 심각에 해당하는 환자의 경우 심각에 해당하지 않는 환자에 비하여 SRI 항목 중 '긴장', '신체화', '우울', '피로', '좌절'의 값이 유의하게 높았다 (P < .05). 임상적 불면증은 전체 환자 중 11.4%에서 나타났고, 여자가 남자보다 수면의 질이 유의하게 낮았다 (P = .044). 불면증을 가진 사람은 정상수면자에 비해 VAS값과 7가지 모든 SRI 항목에 대해 유의하게 높은 점수가 나타났다 (P < .05). 결론: 보철 신환에서 스트레스에 대한 반응 검사(SRI)를 시행하였을 때 7가지 스트레스 반응 항목 중 '피로' 항목이 높게 나타났으며, 잔존치 수와 저작 기능으로 나타나는 구강 상태, 불면증 유무는 주관적 구내불편감, 스트레스 반응 항목 및 정도에 영향을 주었다.

당뇨병 환자의 건강기능식품에 대한 이용 실태 및 주관적인 인식에 관한 조사 (A Study on Status and Subjective Recognition of Functional Foods Among Diabetic Patients)

  • 박영미;손정민;장학철
    • 대한영양사협회학술지
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    • 제11권2호
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    • pp.216-222
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    • 2005
  • In Korea, there are many kinds of functional foods to manage diabetes, however, they have not been evaluated or investigated systematically. The purpose of this study was to investigate the status of recognition and intake of functional foods among diabetic patients. The study subjects were 307 patients(male 135, female 172), who diagnosed with type 2 diabetes at Seoul National University of Bundang Hospital. Questionnaire survey was done from July to October, 2004 for the characteristics of patients and factors related to the use of functional foods. The mean age of the subjects was 64$\pm$10.2 years, and the mean duration of disease was 9.5$\pm$8.90 years. Approximately 49.8% of the subjects had experience to use functional foods at least once in past. Total number of functional foods used were 56 types. Red ginseng was used most frequently(27.9%), then followed by Silkworm powder(13.6%), Vitamin supplements(10.4%), Mulberry tree(7.1%), Cordyceps sinensis(6.8%) and Ginseng(4.2%). Functional foods were introduced by their friends.relatives(38.4%), family(29.1%), internet(13.9%), and the mass media(10.6%). Among respondents, 94.7% took functional foods with conventional diet therapies(diet, exercise and medication). The purpose of functional food use was to control blood glucose level(49.0%), to relieve fatigue and improve stamina(19.9%), to treat and prevent a disease(17.2%) and to help blood circulation(7.9%). Upon the question of further recommendation of functional foods to others, 74.8% of the subjects answered negative response. However, 12.6% of the subjects showed the further intention of using new product. Therefore, to guide the appropriate use of functional foods for diabetic patients, diabetic educator should provide the knowledge of the efficacy of functional foods and the desirable guidelines.

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Effects of sleep-inducing juice on sleep quality and heart rate variability in adults with disturbed sleep

  • Kim, Choun-sub;Kim, Maengkyu;Kim, Min-ju;Jung, Hyeyoung
    • Nutrition Research and Practice
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    • 제14권6호
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    • pp.606-620
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    • 2020
  • BACKGROUND/OBJECTIVES: Although some juices affect subjective sleep quality, there is a lack of information on the effect of a specific juice on objective sleep quality and heart rate variability (HRV) during sleep; thus the present study investigated whether a blended juice made from natural extracts influenced sleep quality and HRV during sleep in adults with disturbed sleep. SUBJECTS/METHODS: A randomized, crossover study was conducted on twenty-five adults (15/10, female/male) complaining of difficulty initiating or maintaining nighttime sleep (Pittsburgh sleep quality index [PSQI] ≥ 5). During feeding sessions (FS), subjects received sleep-inducing juice made of natural ingredients (250 mL/trial) twice a day for 8 weeks or non-FS (N-FS) for 8 weeks while maintaining normal activities. Sleep quality and parameters were recorded via wearable actigraph for 7 consecutive days, and PSQI scores were assessed before and after the intervention. HRV was also monitored at rest and during sleep. RESULTS: After receiving the sleep-inducing juice intervention (FS), PSQI scores were significantly decreased (P < 0.001) and correlated with a significant decline in fatigue severity scale and visual analogue scale levels (P < 0.05; both). HRV indices of vagal activity were significantly improved during FS (P < 0.05), and no significant differences in N-FS were observed. Sleep efficiency and total sleep time increased significantly (P < 0.05) and sleep latency, total counts, sleep fragmentation index, and movement index, decreased significantly (P < 0.05, all 4) during FS, with no significant differences-observed during N-FS. CONCLUSIONS: This study results demonstrated that an 8-week course of sleep-inducing juice has led to improve sleep quality, suggesting an enhanced cardiac vagal tone during sleep. Thus, it could be a well-tolerated option for adults with disturbed sleep.

자동 미세침이 말초성 안면마비 환자의 증상 정도 및 안전성에 미치는 영향에 대한 임상 관찰 (Clinical Observation of Effect on Severity of Symptoms and Safety of Auto-microneedle Therapy in Patients with Peripheral Facial Paralysis)

  • 이웅인;권유정;김현호;유제혁;김경욱;강중원;이상훈
    • Journal of Acupuncture Research
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    • 제29권4호
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    • pp.35-42
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    • 2012
  • Objectives : This study was to observe clinical application of auto-microneedle therapy system (AMTS) in patients with peripheral facial paralysis. Methods : 27 peripheral facial paralysis patients were observed after taking AMTS at Facial Palsy Center, Kyung Hee University Oriental Medicine Hospital from March 1, 2011 to January 9, 2012. We assessed the symptoms of facial paralysis with Yanagihara unweighted grading system, Sunnybrook facial grading system(SBGS) and facial disability index(FDI), and observed adverse events and total safety of the treatment. Results : The scores of facial palsy scales increased after AMTS in Yanagihara grading system and Sunnybrook facial grading system. AMTS-related adverse events were mild pain(5.9%) and fatigue(3.5%), which needed no extra treatment. The total safety evaluation was between 'safe' and 'nearly safe' level. There were no other serious adverse events. In addition, patients were satisfied with subjective improvement including facial tingling and numbness. Conclusions : AMTS can be applied as an adjunctive treatment for patients with peripheral facial paralysis due to its safety and clinical usefulness. It is easier to stimulate wide skin area in a short time. Further clinical research is required to investigate the effectiveness of ATMS in a more rigorous RCTs.

공기주입형 쿠션 베스트 개발 (Development of an Air Cushion Vest)

  • 손수민;최혜선
    • 한국의류학회지
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    • 제36권2호
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    • pp.179-193
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    • 2012
  • The development of modern transportation technology has required many people in spaces (such as vehicle seats, airports, and train stations) for long periods. The public seats provided in these places are manufactured in a standard size; however, fatigue sets in if the seats are unsuitable for the person's physical size. For this reason, this study developed an air cushion vest that would enhance the comfort of vehicle seats. Passengers in vehicles, trains, airplanes, and buses were observed and surveyed to understand the demand for seat comfort. Our analysis found that the greatest source of discomfort was involuntary nodding of the head while asleep and discomfort around the waist area. For this reason, the air cushion vest was designed to support the head and the waist. The neck cushion of this vest was designed to strengthen head support to counter forward nodding because existing commercial neck cushions had no support for forward nodding. For the waist cushion, at lumbar and below-lumbar parts were chosen as the key parts to be supported, the cushion was designed to contain air at those parts. To cover the embedded waist cushion, the vest was designed to be long. The closure was constructed with zippers from the neck to waistline, and with invisible snaps from the waistline to the hemline so that the wearer could open them easily while seated. A subjective comfort evaluation was conducted to verify the effectiveness of the developed vest. In the test, the developed cushions received a better evaluation than cushions currently available on the market. The volume of the vest could be adjusted by the inflow and outflow of air. It was proven that the vest was effective in terms of comfort and portability. This shows that the developed vest could enhance passenger comfort while sitting on vehicle seats.

자동차 부품에 대한 다축 진동내구 시험방법 (Multi-axial Vibration Testing Methodology of Vehicle Component)

  • 김찬중;배철용;이동원;권성진;이봉현;나병철
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2007년도 추계학술대회논문집
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    • pp.297-302
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    • 2007
  • Vibrating test of vehicle component can be possible in lab-based simulators instead of field testing owing to the development of technology in control algorithm as well as computational process. Currently, Multi-Axial Simulation Table(MAST) is recommended as a vibrating equipment, which excites a target component for 3-directional translation and rotation motion simultaneously and hence, vibrational condition can be fully approximated to that of real road test. But, the vibration-free performance of target component is not guaranteed with MAST system, which is only simulator subjective to the operator. Rather, the reliability of multi-axial vibration test is dependent on the quality of input profile which should cover the required severity of vibrating condition on target component. In this paper, multi-axial vibration testing methodology of vehicle component is presented here, from data acquisition of vehicle accelerations to the obtaining the input profile of MAST using severe data at proving ground. To compare the severity of vibration condition, between real road test and proving ground one, energy principle of equivalent damage is proposed to calculate energy matrices of acceleration data and then, it is determined the optimal combination of special events on proving ground which is equivalent to real road test at the aspects of vibration fatigue using sequential searching optimal algorithm. To explain the vibration methodology clearly, seat and door component of vehicle are selected as a example.

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