• 제목/요약/키워드: Upper limbs

검색결과 295건 처리시간 0.027초

신체의 부위별 피복이 체온조절 및 주곤적인 감각에 미치는 영향(I) (Effects of Covering Parts of Body with Garments on Human Thermoregulation and Sensation)

  • 이종민;이순원
    • 한국의류학회지
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    • 제18권2호
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    • pp.273-282
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    • 1994
  • The physiological significances of the upper and lower body on thermoregulation and sensation were studied in this paper. Experiments were carried out on 4 females in a climatic chamber conditioned at 1) $25^{\circ}C\rightarrow35^{\circ}C\rightarrow25^{\circ}C$, 2) $25^{\circ}C\rightarrow15^{\circ}C\rightarrow25^{\circ}C$, both with 50% R.H., covering the upper body (U) or lower body (L) with garments. 1. When the upper or lower body is covered or exposured respectively, the mean skin tempterature of upper body is higher than that of lower body. And upper body is more easily influenced by the environmental temperature than lower body. It means the skin temperatures of the upper body change faster than those of the lower body following the environmental changes. 2. In U and L, the skin temperatures of the upper limbs (thighs, upper arms) are lower than those of the peripherals (hands, feet). 3. Warm sensations and skin temperatures of the upper body showed high correlation and it was the case with cold sensations and skin temperatures of the lower body. 4. In high temperature condition $(25^{\circ}C\rightarrow35^{\circ}C\rightarrow25^{\circ}C)$, mean skill temperature and rectal temperature in L were lower than in U. This lower rectal temperature in L is probably due to the insulation of the lower body with garments that promotes the heat radiation only in the high temperature environment.

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ICF를 적용한 뇌졸중 환자의 문서 기록과 중재 전략의 실례 (A case report of the intervention strategy & documentation in a patient with post stroke applied a International Classification of Functioning, Disability and Health)

  • 이선의;김태윤
    • PNF and Movement
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    • 제8권2호
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    • pp.57-67
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    • 2010
  • Background and Purpose : Many Physical therapist are inclined to communicate less effectively each other because they hardly use the standard terminology. The purposes of this case report are (1) to apply ICF-based documentation in evaluation (2) to submit the strategy of intervention process to improve the ability of walking short distance of the client who has post-stroke. Description : The client was 44-years-old man with hemiplegia who was in 1 month post-stroke problems were diagnosed while applying the ICF core set. The goals agreed with client were independently walking short distance, stairs and obstacles. To come up with the intervention strategy, hypothesis was set and 4 weeks of intervention was carried out after proposing the short goal and detailed purpose. Outcome : The client's performance in walking short distance and confidence were increased after impairment focused intervention, that are improved in walking velocity, endurance, supporting ability in lower limbs, rhythmical movement in upper limbs and the coordination of both limbs. Activities focused intervention also enhanced the ability in climbing steps and walking around obstacles. Conclusion : The decided hypothesis and goal that are to solve the problems the client faced were remarkably meaningful.

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뇌성마비 아동의 구강운동 기능 특성 및 치료방법에 관한 고찰 (Consideration for therapy method and oral motor function character of children with cerebral palsy)

  • 임형원
    • 대한물리치료과학회지
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    • 제13권2호
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    • pp.121-127
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    • 2006
  • Consideration for therapy method and oral motor function character of children with cerebral palsy. Therapists who treat for feeding disorder children owing the regression of oral motor function are necessary to gain knowledge about dysfunction of sensing, perception and cognition with baffling to eat and inhibition of primitive reflex, oral anatomy and function, and motor control (trunk, head, positioning of the upper limbs and the lower limbs and muscle tone). Oral motor function program is a comprehensive rehabilitation program which requires systematized enforcement and collaborated attempts to physiotherapists, occupational therapists, speech therapists, psychotherapists. Especially, physical therapists are not accustomed to oral motor program, hoping to provide diffusely and apply new therapy approach method for many areas (bell's palsy, respiratory failure, speech articulation). It will comprise to study owing to holistic approach with clinic.

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봉입체 근염 : 임상과 전기생리학 소견 (Inclusion Body Myositis : Clinical Features and Electrophysiological Findings)

  • 김광국
    • Annals of Clinical Neurophysiology
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    • 제8권1호
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    • pp.16-22
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    • 2006
  • Sporadic inclusion body myositis (s-IBM) is an aquired slowly progressive inflammatory myopathy with unknown etiology. Although light microscopic abnormalities and characteristic histopathology on muscle biopsy distinguishes from other inflammatory myopathies, vacuolated muscle fibers, intracellular amyloid deposits or tubulofilaments in electromicroscopic findings are not definite in some patients. This review shows the prominently involved muscles in s-IBM and specific or nonspecific electrophysiologic manifestations from reported data for helping the diagnosis of definite-or probable-IBM patients. In lower limbs, the quadriceps is predominantly involved, as is iliopsoas, and tibialis anterior is common. In the upper limbs, the greatest weakness is in forearm finger flexors. Finger extensors, biceps and triceps also are moderately to prominently involved. The majority of patients demonstrate polyphasic MUAPs that are short in duration. An additional striking feature is the concomitant documentation of long-duration, large-amplitude, polyphasic MUAPs. In spite of the frequent mixed myopathic-neurogenic electromyographic findings of IBM, just like that of chronic myositis, asymmetric, slowly progressive weakness of flexor digitorum profundus or quadriceps femoris muscles after age of 50 is very necessary condition for the diagnosis of IBM.

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개에서 발생한 척추골 골수염 증례 (Lumbar Vertebral Osteomyelitis in a Dog)

  • 이민수;정미애;정순욱;박희명;김휘율;엄기동
    • 한국임상수의학회지
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    • 제25권1호
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    • pp.64-66
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    • 2008
  • A castrated male, 9-year-old Yorkshire terrier was presented with a depression and bilateral hind limbs lameness. On physical examinations, upper motor neuron signs and stiffness of the hind limbs, back pain and progressive paresis were identified. Marked periosteal new bone formations and lysis include the first lumbar vertebra to the sacrum, bilateral iliums acetabulums and bilateral femoral heads were observed in survey radiographs. After death with septicemia suspected, renal infarction and the 5th vertebral osteomyelitis include pelvic periostitis were diagnosed in histological examination.

어업인의 건강 문제 및 업무 연관성 특성 분석 (Analysis of Health Problems and Work-Relatedness of Fishermen)

  • 정이훈
    • 한국안전학회지
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    • 제38권6호
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    • pp.16-25
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    • 2023
  • This study investigated health problems and work-relatedness for fishermen. In total, 121 fishermen (103 males and 18 females) were extracted from the data of the 6th Korean Working Conditions Survey. Two groups (Symptomatic and Asymptomatic) were statistically compared in terms of health problems and exposure to hazards. The most common health problems identified for fishermen were muscular pain in the shoulder, neck, and upper limbs (73.6%), backache (71.1%), muscular pain in the lower limbs (58.7%), overall fatigue (33.9%), headaches or eyestrain (22.3%), and anxiety (8.3%). These health problems were found to be related to the working conditions of the fishermen (low temperatures, tiring or painful postures, stance, sitting position, repetitive hand or arm placement, and the experience of stress). This study's findings may help us better understand the characteristics of the health problems and work-relatedness of fishermen and could be helpful for improving fishermen's overall health and safety.

Electromyographic Analysis of Lower Extremity Lateral Stabilizer During Upper Extremity Elevation Movements

  • Jung, Ho-Bal
    • 국제물리치료학회지
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    • 제1권2호
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    • pp.185-191
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    • 2010
  • Background: This study investigated effective posture for gluteus medius rehabilitation training and effects of isometric muscle activity by electrophysiology through EMG while performing dynamic isotonic behavior of weight placed differently on upper limbs. Method: 16 healthy male subjects 20 to 29 years of age volunteered for the study. Lateral stabilizer right gluteus medius activity was assessed using EMG while the right lower extremity maintains single limb support, and the left upper extremity elevation movement maintains 5 seconds without load, 1RM to 1 repetition, 5RM to 5 times, 10RM to 10 times, 5RM and 10RM maintain 5sec. Results: Comparison of the mean value of EMG data showed a statistically more significant difference in upper extremity elevation movement on opposite upper extremity added weight than one that was not added on a single limb weight bearing posture(p>.05). Weight supported side gluteus medius activity for 1RM, 5RM, 10RM weight difference and movement repetition did not differ(p>.05). Comparison in maximum value showed statistically significant differences in not adding weight on upper limb elevation exercise and 1RM, 5RM, 10RM repeated behavior. Elevation behavior and repetition appeared over 70% of MVIC. Conclusion: Unilateral weight bearing stance added weight in the opposite upper limb elevation movement was an indirect exercise to effectively stimulate gluteus medius activity. Applying various added weight will have effective exercise on the early stages of rehabilitation because activity gluteus medius did not differ through added weight.

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편측 뇌손상 환자에서 동측 상지의 근위부 및 원위부의 운동 결함에 관한 분석 (Ipsilesional Movement Deficit of Proximal & Distal Upper Extremity in Patients With Unilateral Brain Damage)

  • 권용현;최진호;신화경;배대석
    • 한국전문물리치료학회지
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    • 제12권1호
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    • pp.71-79
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    • 2005
  • The purpose of this study was to analyze the presence of ipsilesional movement deficit, with segmental performance in each proximal or distal upper extremity. The visuoperceptual complex task of the ipsilesional upper extremity was investigated in patients with unilateral brain damage and a control group of healthy sex-age-matched controls. Tracking movements were tested in the proximal and distal upper extremities. Movements were measured by the accuracy index, which was normalized to each subject's own range of motion and took into account any differences between subjects in the excursion of the tracking target. The findings revealed that stroke patients experienced difficulties with tracking movement of both proximal and distal segments in the upper extremities on the so-called "non-affected side", irrespectively of the extent of patient's age, time since onset, or severity of contralateral upper extremity. Therefore, the unilateral brain damage affected ipsilateral motor function of the proximal and distal upper limbs in the performance of complex motor tasks, requiring central processing and the higher order cognitive function in the integrity of both hemispheres.

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향기요법이 상하지 수술 환자의 수술 전 불안에 미치는 효과 (The Effect of Aroma Inhalation Method on the Preoperative Anxiety among Patients with Upper and Lower Limbs Surgery)

  • 신승화;이은주;곽미경
    • 문화기술의 융합
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    • 제4권2호
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    • pp.171-178
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    • 2018
  • 본 연구는 근골격계 수술을 앞두고 있는 환자를 대상으로 라벤더를 이용한 향기흡입이 수술전 불안 감소에 미치는 효과를 규명하기 위해 시행되었다. 연구설계는 비동등성 대조군 전-후 설계의 유사실험연구(Quasi-experimental design)이다. 연구의 대상은 척추마취나 부분마취로 근골격계 수술을 받는 대상자 60명으로 실험군 30명 대조군 30명이었다. 연구도구는 활력징후 중 혈압과 맥박, 수술 전 불안 자가평가 도구 APAIS(Amsterdam preoperative anxiety information scale)이다. 자료분석은 PASW(SPSS)20.0을 이용하여 실험군과 대조군간의 동질성 검증을 t-test, $x^2$검증, Fisher's exact test, paird t-test를 이용하여 분석하였다. 연구결과에서 라벤더 향기흡입이 근골격계 수술환자의 수술전 불안을 감소시키고, 향기요법 시행 후에 수축기 혈압과 이완기 혈압의 유의미한 감소를 보이는 결과를 나타냈다. 이러한 결과는 수술을 앞둔 환자에게 비약물적 중재를 통해 불안의 감소 및 혈압과 맥박을 안정화시키기 위한 간호전략으로 향기요법을 사용할 수 있을 것이라 사료된다.

한국여성의 체표면적에 관한 연구(제1보) -체포면적 및 그의 안분비율에 대하여- (A Study on the Body Surface Area of Korean Women (Part I) Body Surface Area and It's Rational Rate)

  • 임순;차옥선
    • 한국의류학회지
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    • 제12권3호
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    • pp.277-284
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    • 1988
  • The purpose of study was to measure to body Surface area and the rational rate of Korean adult's women. The subjects are 20 years old to 49 years old women (Their bust width ranges from 74.5 to 101.5 cm, the height from 144.6 to 163.3 cm, the weight from 44.2 to 74.0 kg, Rohrer Index from 1. 02 to 1. 89). As the experimental method, both the gypsum method, by which the shape of body can be copied as it is, and weighing method, from which planed body surface area can be measured with consistant thickness of polypropylene film used. The results were obtained as follows. 1. After dividing the Korean adult's women into four groups (single and married women in their twenties, those in their thirties, those in their fourties). The change of body surface area was reviewed in accordance with age groups. No great difference among age group was showed in whole body surface area. 2. average value of body surface area is 1, 514m^2 and the part of trunk shows the biggest difference to the age groups. 3. After dividing the middle of body into two groups, the relation of symmetry of each parts is reviewed with difference in body surface area. The results shows that the part of head & neck and lower limbs are symmetrical. The part of trunk and upper limbs are unsymmetrical. 4. Regional rates of each part of whole body surface area are follows. head $4.98\%$, each-lobes $0.46\%$, neck $2.01\%$, face$2.48\%$, upper trunk $19.64\%$, lower trunk $13.91\%$, upper armpits $1.76\%$, lower armpits $12.52\%$, hands $4.64\%$, thighs $18.89\%$, lower legs$13.10\%$, feet $6.01\%$.

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