• 대한물리의학회지
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• 제7권4호
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• pp.481-491
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• 2012

PURPOSE: This study find out the effect of improved two point discrimination (TPD), hand function and activities of daily living (ADL) performance through tactile stimulus of upper limb (U/L) in impaired characteristics of stroke METHODS: We selected 26 stroke patients in BMH who has problems with neglect, sensory and motor deficits. Patients were divided into 3 group with neglect group (NG), sensorimotor deficits group (SMG) and motor deficit group (MG). To compare each group we used assessment tools such as two point discrimination on affected side (TPDas) and unaffected side (TPDus), Manual functional test on affected side (MFTas) and unaffected side (MFTus) and Korean version modified barthel index (K-MBI). RESULTS: 1) In the NG, tactile stimulus on U/L was statistically important for TPDas (forearm, index finger tip) also SMG and MDG was statistically important for TPDas. 2) In the NG, SMG, there was statistically important for MFTas, MFTus and in the MG. K-MBI also was statistically importance. Among three group, there was an statistically important difference for TPTus (forearm, thenar, hypothenar), MFTas and MFTus. We analyzed the relationship among TPD, MFT and K-MBI and There was negative relationship between TPD, MFT and There was positive relationship between TPD and K-MBI CONCLUSION: In impaired characteristics of stroke patients, tactile stimulus on U/L influenced on two point discrimination, hand function and ADL's. And we also found relationship among somatosensory, hand function, and ADL performance.

• 한국의류산업학회지
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• 제14권1호
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• pp.136-143
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• 2012

The purpose of this study was to investigate the influence of physical functions of elderly people on their clothing behavior and to provide basic information about manufacturing comfortable apparels for the elderly. A total of 219 people, with ages between 60s and 70s, participated in the survey and in the experiment to correlate their tendency of wearing clothes with the state of their physical functions. About 78.5% of the elderly showed eyesight deterioration in the subjective evaluation. Elders in their 60s raised their arms higher up in overhead reach, and showed shorter distance between middle fingertips in behind back stretch and in back scratch than elders in their 70s. Also, the former stretched farther to the floor in standing trunk flexion, and maintained more steady in one leg stand and in tandem stance than the latter. The narrower the movement range of the upper limb joints was, the more the elderly preferred upper garments with full front opening to those with half or no opening. The more inflexible the upper limbs and waist and the more unbalanced the body was, the more likely the elderly put on pants while sitting on the floor. The time taken to button up the shirt and to put on and take off pants showed a positive correlation with the overhead reach, the behind back stretch, the back scratch and the standing trunk flexion, whereas the former showed a negative correlation with the one leg stand and the tandem stance.

• The Korean Journal of Pain
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• 제12권1호
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• pp.16-20
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• 1999

Background: Tourniquet pain has important impacts on anesthesia. Tourniquet pain and accompanying cardiovascular changes are important factors that make patients in distress during anesthesia. As tourniquet pain may be modified by anesthesia, a study on the changes in the neural functions by tourniquet inflation in normal volunteers is important. Methods: Time-dependent changes in tourniquet pain, heart rate, phantom limb sensation, motor function, pain to pressure on upper extremity of 10 healthy and unpremedied volunteers were measured. Each parameter were measured every 5 minutes starting from 10 minutes before inflation to 15 minutes after deflation of tourniquet. Tourniquet was deflated when the subject felt unbearable pain (score 100 with visual analog scale). Results: Subjects manifested time-dependent pain responses to tourniquet inflation, characterized by increase in VAS, systolic and diastolic blood pressure. Mean duration of tourniquet inflation was 36.4 minutes, volunteers experienced motor paralysis at 27.6 minutes and sensory loss at 33.1 minutes. Pain to pressure decreased over time in both arms. The degree of decrease was greater in the arm on which tourniquet was applied than that in the non-applied arm. Phantom limb sensation occurred in 3 subjects. Conclusions: This study demonstrated dynamic changes in the neural functions during tourniquet inflation period. Tourniquet-induced pain and resultant hypertension occurred in all subjects. Appropriate anesthetic management is needed for the surgery using tourniquet.

• PNF and Movement
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• 제3권1호
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• pp.1-15
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• 2005

Objective : The purpose of this study was to evaluate the influence of a community based group exercise intervention on motor functional capacity. To evaluate the immediate(post-treatment) effects after 6-weeks exercise program on the group exercise intervention(PNF and Circuit exercise). Methods : Subjects-Included persons with stroke who were living in the community. Thirty-seven subjects were randomly assigned to the PNF, Circuit exercise and control group participated in a repeated measures design that evaluated the subjects with pre-treatment, post-treatment(6 weeks). Functional ability outcome measures assessed the motor assessment scale(MAS) and EMG. Both treatment groups participated in exercise cJass three times a week for 6 weeks. Group programs focused on balance, functional motor capacity and walking ability. The PNF program was modified PNF pattem and techniques with emphasis on functional tasks when possible, as well as stretching of the more affected limb particularly in the more affected shoulder. The Circuit program with subjects completing practice at a selies of work station as well as participating in walking races and relay with other members of the group. Results : Compared with the control group, the treatment group had larger improvements in the motor function ability after 6 weeks treatment and Post-treatment test scores were more significant than the pre-treatment score. 1. Motor function were assessed by using MAS, sit to stand, walking and upper function were assessed pre-treatment versus post-treatment measures revealed a statically significant(p<.05). There were significant differences between the groups. Compared with the control group, the treatment group had larger improvements. 2. In the treatment groups, demonstrated difference in the electromyographic activation of biceps, triceps, quadriceps and tibialis anterior muscles on the paretic side in the response to the reaching arm movement and stepping motion in stance. The difference in muscle activation improvement were not statically significant. Conclusion : The results of this study showed that the PNF and Circuit group exercise intervention can improve motor functional ability. This study suggests that the PNF and Circuit exercise programs is appropriate for community-based group exercise principles. It leads to gain and maintain potential function for disabled persons after stroke in the community.

• 대한정형도수물리치료학회지
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• 제7권2호
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• pp.23-39
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• 2001

Dysfunction of the anterior and dorsal muscles of the trunk have been studied in relation to low back pain of many years. Many muscles of the trunk are capable of contributing to the stabilization and protection of the lumbar spine, recent evidence has suggested that transversus abdominis may be critically involved and has been the focus of rehabilitation. The delay in onset of contraction of trunk muscles associated with movement of the upper or lower limb in patients with low back pain indicates a significant deficit in the automatic motor command for control of disturbance to the spine. The function of transversus abdominis has been largely ignored in the evaluation of spinal stabilization and protection. The most essential stabilizing muscles for the lumbar column are the transversus abdominis and the multifidus. Sling exercise therapy(SET) concept consists of a system of diagnosis and treatment. The system of diagnosis involves testing the muscle's tolerance through progressive loading in open and close kinetic chains. The SET system contains elements such as relaxation, increasing the range of movement, traction, training the stabilizing musculature, sensorimotor exercises, training in open and close kinetic chains, dynamic training of the mobilizing musculature, cardiovasc+ular exercises, group exercise, personal exercise at home. Sensorimotor training is an essential element of the SET concept. The emphasis is on closed kinetic chain exercises on an unstable surface, thereby achieving optimum stimulation of the sensorimotor apparatus.

• 한국운동역학회지
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• 제20권2호
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• pp.197-204
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• 2010

Scapular position and motion are essential for normal upper limb mobility; Further, the posture of patients with thoracic kyphosis is related to shoulder girdle function and disorder. The purpose of this study was to examine the effects of thoracic posture on the shoulder range of motion and on three-dimensional scapular kinematics. Thirty healthy subjects performed right-arm abduction along the frontal plane while standing in both erect and in slouched trunk posture. The scapular position and rotation, and shoulder and thoracic angles were recorded using a motion analysis system. The scapular upward rotation and internal rotation were significantly altered according to postural tatiges; however, scapular tilt was not affected. Shoulder angle was significantly decreased in the slouched posture as c rpared to tatt in the erect posture. Thus, a slouched posture(thoracic kyphosis) significantly affects the shoulder range of motion and scapular kinematics during shoulder abduction in the frontal plane.

• 부모자녀건강학회지
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• 제22권1호
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• pp.10-21
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• 2019

Purpose: This study was carried out to evaluate the efficacy of exercise program on recovery of functional and quality of life in breast cancer patients through systematic literature review and meta-analysis. Methods: The following databases were used to search the literature: RISS, KISS, KMbase, and KoreaMed. Keywords included 'breast cancer', 'mastectomy' 'exercise', 'rehabilitation', 'intervention' and the evaluated articles were published from 2009 to 2018. The statistical was used R program, the effect size of shoulder functionality, grip strength, upper limb, pain and QOL were calculated by random-effects model. Results: 7 RCT studies were meta-analyzed and were evaluated for the risk of bias by the RoB of Cochrane Collaboration; the overall risk of bias was low. The effect sizes of exercise program was flexion (g=1.11), abduction (g=0.97) as indicated by a "large effect size". Conclusion: It is necessary to study the develop and apply a exercise programs to improve the function and quality of life in breast cancer patients.

• 한국운동역학회지
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• 제21권4호
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• pp.405-410
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• 2011

The purpose of this study was to compare the differences in kinematic variables and grip forces among professionals(PG), amateurs(AG), and novice group(NG) during golf putting. The participants consisted of 3 groups based on their playing ability: 8 professional golfers (handicap<5), 8 amateurs (handicap<18) and 8 novice. Each subject attempted 2.1m putts from the hole. 3D motion analysis system(Motion analysis Corp., USA) with 6 high speed cameras and grip force measurement system(Kim et al., 2007) were used to acquired kinematic and force data, respectively. To compare differences among groups, joint angles of upper limbs, trajectory and smoothness by jerk cost function(JC) of putter head and grip forces were used in this study. Results showed that there were significant differences among groups in most of variables such as joint angles, trajectory & smoothness of putter head, and distribution of grip force in both hands. In brief, we confirmed that putting stroke in PG was more accurate and smooth than that in other groups, especially NG, due to their well-controlled upper limbs and keeping grip forces constant in both hands. It can be concluded that due to skilled levels, fundamental differences of putting movement could be identified and these differences might be helpful for improving one's putting skills.

• 재활치료과학
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• 제7권4호
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• pp.79-91
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• 2018

목적 : 본 연구에서는 상지 로봇 치료가 아급성기 뇌졸중 환자의 상지기능에 단기적으로 미치는 영향을 알아보는 것이었다. 연구방법 : 본 연구는 뇌졸중 편마비 진단을 받고 1회 1시간씩 상지 로봇 치료와 과제 지향적 훈련(task-oriented training)를 받았던 환자 20명의 의무기록을 이용한 후향적 연구로서, 중재 전/후의 3차원 동작분석검사 결과 값을 토대로 두 중재간의 변화량을 비교 하였다. 결과 분석은 기술 통계와 대응표본 t검정을 사용하여 결과 값을 파악 하였다. 결과 : 연구 결과 상지 로봇 치료를 한 경우 팔 뻗기를 하는 동안 팔굽관절 움직임의 순발력, 효율성, 부드러움에서 향상을 보였으며, 과제 지향적 훈련(task-oriented training)과 비교 하였을 때 팔굽관절의 부드러움에서 유의한 차이를 보였다(p<.05). 결론 : 단기적 상지 로봇 치료는 아급성기 뇌졸중 환자의 팔뻗기 시 팔굽관절 움직임에 효과를 보였으며, 추후 장기적인 연구를 통해 상지 기능의 움직임 개선에 대한 효과 입증이 필요하다.

• 재활치료과학
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• 제6권1호
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• pp.35-43
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• 2017

목적 : 양측성 상지 활동의 대칭적, 비대칭적 양측성 상지훈련이 상지기능회복에 미치는 영향을 알아보고자 하였다. 연구방법 : 원주에 소재한 ${\bigcirc}{\bigcirc}$병원의 연구 뇌졸중 환자 15명을 무작위로 대칭적 움직임훈련 그룹과 비대칭적 움직임 훈련 그룹으로 나누었다. 중재는 하루 30분, 주5회, 4주 동안, 총 20회기를 받았다. 결과 : 양측 상지의 실제 사용량은 대칭적 움직임 훈련은 건측, 환측 모두 유의한 변화를 보였으며, 비대칭 움직임 훈련도 환측에서 유의한 변화를 보였다. 또한 환측에서 그룹 간 유의한 변화차이가 있었다. 두 훈련 그룹 모두 수행도와 만족도, 상지기능 변화는 그룹 내 유의미한 변화가 있었지만 그룹 간 차이는 없었다. 결론 : 대칭적 움직임 훈련은 비대칭 움직임 훈련보다 대칭적 움직임은 비대칭적 움직임 보다 운동수행에서의 향상을 보였지만, 보다 명확한 차이를 얻기 위해서는 fMRI와 같은 뇌신경학적 평가도구를 사용하는 것이 필요할 것이라 판단되며, 보다 명확한 훈련 프로토콜이 필요하고, 보다 많은 뇌졸중 환자를 대상으로 한 후속연구의 필요성이 제시된다.