• 대한간호학회지
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• 제35권1호
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• pp.87-94
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• 2005

Purpose: The purpose of this research was to provide basic data in the control of depression found in patients with fibromyalgia by analysing the main factors that affect them. Method: The subjects were 207 out-patients in three university medical centers diagnosed with fibromyalgia according to the conditions by American College of Rheumatology (1990). Depression was measured by the CES-D Scale. Dependant variables, such as stress and anxiety were measured by the VAS Scale and physical activity was measured using 10(4-point-scale) questions developed by the researcher. The number of tender points was converted to scores based on the criteria of the ACR(1990) and of Yunus. Self-efficacy was measured by the Self-Efficacy Scale developed by Lorig et al. (1989) for arthritis patients. Result: The main factors that affect depression of patients with fibromyalgia were self-efficacy, anxiety, physical activity, tender points fatigue, and family support, which explained 49% of the depression. Conclusion: It has been confirmed that the regression equation model of this research may serve as a predictor of depression in patients with fibromyalgia.

• 대한물리치료과학회지
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• 제2권1호
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• pp.413-422
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• 1995

The trigger point phenomenon is an extremely common syndrome in physical therapy room. The symptoms created by these syndromes may be interpreted as originating in discogneic disease, nerve entrapment syndromes, viscerosomatic pain, and certain myalgic pain of unknown etiology. Injuries, viral or bacterial infections, immobilization, psychogenic stress, and other environment factors can preciptate and perpetuate these syndromes, which may occur in any of the voluntary muscles of the human body and thus lead to a multitude of myofascial pain syndromes. Obviously symptomatic treatment can meet with only partial success. Knowledge of the trigger point phenomenon will aid the diagnostician in understanding otherwise in explicable symptom. The trigger point are $2{\sim}5mm$ in diameter, hyperirritable palpable taut in a tissue, when compressed, is locally tender, if sufficiently hypersensitive, give rise to referred pain and tenderness, and sometimes to referred automatic phenomena and distortion of proprioception. The treatment of myofascial trigger point pain syndrome is not difficult once the source of the problem has been determined. Where as many modalities may be used, two of the most effective are spray-and stretch and TP injection. These can be followed by deep massage, specific, manual resistive exercise, and an exercise program which the patient can follow at home. The goal of management is to inactivate the TPs and to restore shortened and stretch resistent muscles to their full range of motion. The purpose of this case study was to know about the pathophysiologic mechanism of the trigger point and will enable to physical therapist to direct his treatment to the real source of trouble.

• The Korean Journal of Pain
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• 제25권3호
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• pp.173-182
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• 2012

Background: Fibromyalgia (FM) is characterized by chronic widespread pain with a low pain threshold. The aim of this study was to compare two criteria for the diagnosis and assessment of FM and to analyze the correlation and agreement between the 1990 and 2010 American College of Rheumatology (ACR) preliminary diagnostic criteria for FM. Methods: We studied 98 patients who had already been diagnosed as having FM using the 1990 criteria or 2010 preliminary criteria. Tender point examination, FM impact questionnaire (FIQ) and pain visual analog scale (VAS) were obtained. According to the preliminary criteria, FM was quantified as WPI (widespread pain index) and the SS scale (symptom severity) and the two criteria were compared. Results: Among 98 patients, 78.6% of the patients were diagnosed with the 1990 ACR criteria and 93.9% of the patients were diagnosed with the ACR preliminary diagnostic criteria, and there was also significant agreement between the two criteria (P < 0.01). There was a correlation with the WPI and the tender point, with the SS and the FIQ, and with the sum of the WPI and SS and the FIQ. Conclusions: The ACR preliminary diagnostic criteria for FM were in agreement with the 1990 ACR criteria during the disease course. The preliminary criteria were the more sensitive method than the 1990 criteria. In addition, the 2010 criteria might have advantages since it is easy to assess the physical and psychological symptoms and can be quantified. Therefore, the ACR preliminary diagnostic criteria for FM could be used more conveniently for clinical diagnosis and follow up evaluation after starting management of FM.

• 디지털융복합연구
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• 제16권3호
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• pp.457-468
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• 2018

본 연구는 섬유근통증후군환자를 대상으로 요가자조관리프로그램을 실시하여 대상자의 건강상태와 우울에 미치는 효과를 규명하고자 시도하였다. 연구에 참여한 대상자는 G시에 소재한 일개 대학병원에서 섬유근통증후군으로 진단받은 환자이다. 참여자 수는 총 43명으로, 실험군 21명과 대조군 22명이다. 실험군에게는 8주간 주 2회 총 16회의 요가자조관리프로그램을 요가센터에서 실시하였고, 가정에서도 시행 할 수 있도록 개발한 요가DVD와 사진자료, 교육용 책자를 제공하였다. 대조군에게는 중재 없이 사전검사와 사후검사를 실시하였다. 자료의 분석은 SPSS 18.0 Program을 이용하였다. 연구의 결과, 실험군이 대조군보다 유의미하게 건강 상태(압통점, 섬유근통증후군영향척도)가 향상되었고, 우울은 감소하여 섬유근통증후군 환자의 중재전략에 효과가 있음을 확인하였다.

• Korean Journal of Acupuncture
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• 제20권1호
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• pp.71-90
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• 2003

The shoulder is the most flexible joint in human body, so many people suffer from the shoulder pain. In order to improve medical care about shoulder muscle disease, Myofascial Pain Syndrome(M.P.S) is compared with the oriental medical theory. The findings of this study are as follows; 1. Myofascial Pain Syndrome(M.P.S) is the sensory, motor, and autonomic symptoms caused by myofascial trigger points. For the objectivity of the oriental medical theory, practical application is necessary. 2. The meridian and meridian-muscle of the shoulder is su-sam-yang(手三陽), su-sam-um(手三陰). Meridian-muscle theory is similar to anatomical muscle and myofascia. 3. There is similarity in the trigger point and Ashi(阿是)-point, taut band and palpable tender-point(硬結), referred pain and Hangki(行氣). In this study, myofacial pain syndrome is similar to the oriental medical theory. If myofacial pain syndrome is applicated in treatment, the cure of shoulder pain and objectivity of the oriental medical theory is improved.

• 한국인터넷방송통신학회논문지
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• 제23권6호
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• pp.69-74
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• 2023

이 논문에서는 일차원과 이차원에서 불규칙한 점 집합에서의 웨이브렛을 구현하고 분석하는 기법이 기술되었다. 특히 우리는 부분할 방법과 계산에 집중하였다. 부분할은 선과 망사를 연속적인 분할 동작의 부드러운 곡선이나 곡선의 표면으로 간략화시키는 기법을 의미한다. 웨이브렛 구조를 특이한 환경에 일반화시키는 열쇠는 일반화된 부분할을 사용하는 것이다. 첫 번째 일반화 구조는 이미 부분할과 연결되었는데 그것은 이차 일반화 웨이브렛 구현에 보다 더 중요하게 되었다. 부분할 구조는 빠른 알고리즘을 제공하여주고, 자연적인 다해상도 구조를 만들어 주어 우리가 추구하려는 기본의 스케일 함수와 웨이브렛을 제공하여 준다.

• The Korean Journal of Pain
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• 제3권2호
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• pp.150-159
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• 1990

The patient with muscle contraction headache usually have one or more specific trigger points. These trigger points have been treated with various treatment modalities including "stretch and spray" and regional infiltration with local anesthetics with or without corticosteroids. I treated 36 patients with muscle contraction headache with regional infiltration of local anesthetics and steroid into trigger points and the results were as follows 1) The diagnosis of muscle contraction headache was possible by confirming specific trigger points by palpation. 2) Patients relieved rapidly from headache by regional infiltration of local anesthetics and steroid into the tender point. 3) Single injection was effective in relieving headache. But the curability of the single injection could not be assessed because of difficulty in follow-up study. 4) Active trigger points could be occasionally inactive, which also made difficult in assessing the effectiveness of the treatment.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2008년도 하계종합학술대회
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• pp.1017-1018
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• 2008

In this paper, we propose a method that makes use of neighborhood relationship in 2D spectrogram of separated sources toward the generalization of the binary mask in Degenerate Unmixing Estimation Technique (DUET). A new generalized mask can be consist of five to ten mask. According to the new mask, the original power of the spectrogram in each frequency-time point is assigned. The result showed a smooth and tender wave-form, indicating a high speech separation performance compared to the original method.

• 대한물리치료과학회지
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• 제9권1호
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• pp.123-128
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• 2002

Objectives: The objective of this study was to investigate factor analysis of low back pain patients. Methods: The data were collected from hospital located in Daegu. Observation was made on 40 low back pain patients and factor analysis study was also performed in terms of their abnormal physical findings. Results: The low back pain patients occupied 20% of all clinical patients in male group and 20% in female group. The occurrence of acute low back pain in the first factor tended to be higher among in male group than among in female group. While it was significantly higher muscle weakness of the back in female group. The most prevailing abnormal finding among low back pain patients in the first factor were tender point on the back, While it was significantly lower Decreased tendon reflex in both sexes Conclusions: The factor pattern of abnormal physical findings in low back pain patients was much different between male and female patients, suggesting the different pattern of etiology. Although low back pain is one of the most common symptoms causing limitation activity, as yet there is no known specific effective treatment.

• Korean Journal of Acupuncture
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• 제22권4호
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• pp.175-185
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• 2005

Objective : The skill of locating acupoints accurately is an essential part of acupuncture treatment. Bone-scale has been used as a basic coordinates to locate acupoints and has been considered as an important factor of locating acupoints. This study was designed to stress the impotance of QieXunMenAn, which means pressing and rubbing softly the surface around the part pointed with proportional method, in locating acupoints. Methods and results : All expressions related with QieXunMenAn, among the descriptions of acupoint locations in ${\ulcorner}Zhenjiudacheng{\lrcorner}$, were investigated. The activity of QieXunMenAn has been regarded as an important method of locating acupoints since Neijing. QieXunMenAn means pressing and rubbing softly the surface around the part pointed with proportional method. It is a process of locating acupoint in detail by finger-sensation after locating the point with proportional method. Xianzhang, Dongmaiyingshou, and Wanwanzhong have been used to describe how to locate acupuncture-point through QieXunMenAn procedure. Xianzhong means a small depression or a pit on the surface of the body. Wanwanzhong describes that it feels very soft and tender. Descriptions related with QieXunMenAn procedures were found in around 87% of acupoint locations, thus stressing out its procedure. Conclusions : Bone-scale and QieXunMenAn do not mean different methods but the procedures that should be both performed every time when we locate most of the acupoints. Until recently, QieXunMenAn has been paid less attention that it should be. OieXunMenAn as well as bone-scale may be necessary to help locate acupoints accurately.