• 대한물리치료과학회지
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• 제16권4호
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• pp.67-74
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• 2009

Background: This study had been carried out with 20 elderly subjects as its object for about one month from November 3, 2008 to December 14, 2008 in order to observe the effect of Underwater Treadmill on the elderly's walking and balance ability. Methods: Subjects were assigned either experimental group (n=10) or the control group (n=10), experimental group received Underwater Treadmill program (30 min per course, 3days a week for 6weeks). Subjects were assessed for muscle power (Nicolas Manual Muscle Test), balance (Functional Reach Test), gait ability (Time Up and Go, 10M walking test) before experiments and after experiments. Results: The results of this study were as follows; 1. After underwater treadmill exercise, the change of isometric contraction indicated a beneficial increase on lower extremity muscle power of experimental group and functional test of balance function; FRT, TUG indicated beneficial difference between groups. 2. beneficial difference between groups in walking speed of hourly index change of walking function. 3. between muscle power and balance, gait ability, we could find out there's high correlation ship between lower extremity muscle power increasing and balance and gait ability of the elderly. Conclusion: Aerobic exercise using underwater treadmill effects on muscle power strengthening of the elderly, and because of this, increase of lower extremity muscle power is very helpful not only to improvement of balance ability, but also to improvement of gait ability, so it will be used as a physical therapy program on clinic and used as an exercise program for protecting the elderly from falling down very well.

• PNF and Movement
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• 제17권1호
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• pp.47-56
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• 2019

Purpose: This study investigated the effects of neck pattern of proprioceptive neuromuscular facilitation (PNF) on balance and walking ability in patients with chronic stroke. Methods: Fourteen participants with chronic stroke were randomly assigned to vestibular rehabilitation and then divided into two groups: the neck pattern group or treadmill group. Each group underwent 20 sessions (20 minutes/day, five days/week, for four weeks). Patients were assessed with the Berg balance scale (BBS) and gait parameters (gait speed, cadence, step length, and double-limb support period) using a GAITRite system. Results: Vestibular rehabilitation for the neck pattern group and the treadmill group showed significant intragroup improvement on the BBS and in terms of gait speed, cadence, step length, and double-limb support period (p < 0.05). Vestibular rehabilitation was more effective for the neck pattern group than for the treadmill group in terms of the BBS (p = 0.00; 95% CI, 1.49-5.94), gait speed (p = 0.01; 95% CI, 0.05-0.16), cadence (p = 0.02; 95% CI, 0.54-4.99), and step length (p = 0.00, 95% CI, 1.55-4.62). Conclusion: This study used the neck pattern of PNF for vestibular rehabilitation in patients with chronic stroke. The results showed significant improvement in the patients' balance and walking ability. Therefore, the neck pattern of PNF for vestibular stimulation may be more effective than treadmill training to improve balance and walking ability in patients with chronic stroke.

• Journal of Acupuncture Research
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• 제40권3호
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• pp.281-292
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• 2023

This study presents the cases of a 67-year-old female with an isolated left sacral fracture and a 69-year-old female with fractures in sacrum 1, 2, and the left pubic bone. Both patients exhibited marked improvement following integrative Korean medicine treatment, encompassing acupuncture, acupotomy, pharmacopuncture, herbal medicine, moxibustion, and cupping therapy. The treatment's efficacy was assessed using the numerical rating scale (NRS) scores, range of motion (ROM) in the lumbar spine, and alterations in gait and walking distance. Case 1 demonstrated an enhanced ROM and achieved independent walking after 29 days of treatment. Case 2 improved in both ROM and NRS score and could walk independently after 49 days of treatment. Significantly, radiological images showed notable changes in both cases following treatments. The study indicates that integrative Korean medicine treatment could provide clinical advantages to individuals suffering from sacral fractures.

• Hip & pelvis
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• 제34권2호
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• pp.79-86
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• 2022

Purpose: The purpose of this study was to determine whether the direct anterior approach (DAA) can be applied to hemiarthroplasty for treatment of unstable femoral intertrochanteric fractures in elderly patients. Materials and Methods: We conducted a retrospective review of 34 cases (34 patients) who underwent bipolar hemiarthroplasty using a DAA from February 2019 to April 2020. The mean age of the patients was 82.68 years (range, 67-95 years). A cementless distal fixation hip system was used in all cases. Operation time, total amount of blood loss, intraoperative and postoperative fractures, infections, and reoperations were measured. The patients performed weight-bearing walking as tolerated immediately after surgery. Measurement of migration of the greater trochanter (GT) and progressive subsidence of the femoral stem was performed using follow-up radiographs. Results: The mean operative time was 83.50 minutes (range, 60-120 minutes). The mean amount of bleeding was 263.53 mL (range, 112-464 mL). Walking started a mean of 3.03 days (range, 3-4 days) after surgery. There was no case of progressive migration of the GT more than 5 mm even though it was not fixed. There were no cases of infection, dislocation, or reoperation. Conclusion: Bipolar hemiarthroplasty using the DAA for treatment of unstable femoral intertrochanteric fractures could be considered a useful option that provides many advantages in elderly patients.

• 한국조경학회지
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• 제52권1호
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• pp.87-100
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• 2024

본 연구는 도시민의 가로환경 이용을 매개로 하여 주거지역 가로환경 질이 도시민의 정신 건강에 미치는 영향을 밝히고자 하였다. 영과잉 음이항 회귀모형을 통해 보행 활동과 가로환경이 도시민의 우울 증세에 미치는 영향을 확인하였다. 연구 범위는 2017년 대한민국 서울특별시로 한정하였으며, 우울 유병 증세를 종속 변수, 가로환경 변수 및 보행 변수, 개인 특성을 독립 변수로 이용하였다. 나아가, 가로 녹지와 보행 빈도의 상호작용 효과를 살펴, 녹지에서 걷는 행위가 정신 건강에 미치는 상승효과를 분석하였다. 연구 결과, 가로 녹지 면적 비율이 높을수록 우울증세가 나타나지 않았다. 보행 빈도가 높을수록 우울 증세가 나타나지 않거나, 우울 증세가 존재할 경우에도 약하게 나타났다. 또한, 가로 녹지에서의 보행 빈도가 늘어날수록 우울 증세가 약하게 나타나는 상호작용 효과를 확인하였다. 시각적 복잡성은 낮을수록 우울 증세가 나타나지 않았다. 본 연구는 도시민의 정신 건강 문제를 지역사회차원에서 다루는 데에 기여하며, 가로 녹지와 보행 빈도의 시너지 효과를 발견함으로써 주거지역 가로 녹지 환경이 도시민 정신 건강 증진에 미치는 중요성을 강조하였다.

• 한국임상수의학회지
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• 제16권1호
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• pp.230-234
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• 1999

Canine medial patellar luxation can cause hindlimb lameness in toy breeds and surgical operation needs when the lameness does not improve or worsen. In this study, the 2 dogs that showed postoperative non-weight bearing lameness were treated with electroacupuncture (EA) and the effects of postoperative EA were examined. Xue Hai (Sea of Blood), Du Bi (calf's nose, 2 acupoint), Zu San Li (leg 3 miles) acupoints were used in acupuncture. Xue Hai acupoint was connected to positive pole and Zu San Li was negative for 20 min with 2~5 volt, 5~30 Hz in EA. In case 1, EA were performed eight times for 26 days after 29th postoperative day and walking was improved from 6th EA. In case 2, EA were conducted five times for 17 day after 26th postoperative day and walking was improved from 4th EA. It may be possible to improve walking by EA treatment in the dogs that show post-operative non-weight bearing lameness, but the relationship between the effects of EA and the injury of stifle joint should be inspected.

• PNF and Movement
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• 제21권1호
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• pp.119-128
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• 2023

Purpose: Obstacle crossing training is being used to improve the walking ability of stroke patients, but studies on which method is more effective when performing obstacle crossing training with an unaffected limb lead (OCT-ULL) and an affected limb lead (OCT-ALL) are not well known. As such, this study aims to compare the intervention effects of obstacle crossing training using unaffected limb leads (OCT-ULL) and obstacle crossing training using affected limb leads (OCT-ALL). Methods: In total, 25 patients with chronic stroke were studied and assigned randomly to the obstacle crossing training with unaffected limb leads (OCT-ULL) group or the obstacle crossing training with affected limb leads (OCT-ALL) group. A lower extremity strength test, balance and gait test, and fall efficacy test were conducted as preliminary tests, and all patients participated in the intervention for 30 minutes a day, five days a week for four weeks, and the same preliminary tests were conducted post-intervention. Results: Compared with the OCT-ALL group, the OCT-ULL group showed a significant improvement in the strength of the affected hip abductor muscle and in balance and gait, as well as in fall efficacy (p<.05). Conclusion: This study suggested that applying the OCT-ULL training method in the obstacle crossing training of stroke patients is more effective for improving balance and gait functions than OCT-ALL.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2007년도 춘계학술대회A
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• pp.933-938
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• 2007

These days, up-to-date humanoid robots are continuously developed. Among them, Qrio, Asimo[1,2] are famous for its unique walking technology and natural movement. These robots could show manufacturers' technological improvement and leave a good impression to the customer. In accordance with global trends, Samsung is also producing humanoid robot. The humanoid robot, however, could walk like a human compared to the industrial robot fixed in the factory. This feature could cause another dynamic effect while walking. In this paper, the robot's feet were examined to find out parameters that affect stability of the humanoid robot's feet. With the sensitivity analysis, the optimization procedure in design of experiments finds the most suitable performance of robot. Maximum deflection of the frame upon various cases was minimized, and rubber coefficients for shock absorption were optimized.

• 대한한방부인과학회지
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• 제27권4호
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• pp.141-149
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• 2014

Objectives: The purpose of this study is to report the effects of herbal medicine and acupuncture on ovarian hyperstimulation syndrome (OHSS). Methods: A patient who had OHSS with edema and pain of left leg as chief complaints was treated by herbal medicne and acupuncture for 11days. We evaluated the results of treatment by change of symptoms, circumference of left leg, Visual Analogue Scale about left leg pain and walking time. Results: After treatment, symptoms of OHSS were almost improved. Circumference and pain of left leg were reduced and walking time was incresed after treatment. Conclusions: This study suggests that Korean medicine mainly herbal medicine and acupuncture is effective on OHSS.

• 한국엔터테인먼트산업학회논문지
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• 제14권5호
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• pp.267-276
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• 2020

본 연구는 제7기 국민건강영양조사의 원시자료를 이용하여, 65세 이상의 골관절염 노인 104명을 대상으로 3가지 신체활동 즉 걷기, 근력운동, 유산소 활동에 대한 각각의 실천율과, 일반적 특성에 따른 신체활동 실천율의 차이와 신체활동이 스트레스 및 삶의 질에 미치는 영향을 알아보고자 하였다. 연구 결과 여성이 남성에 비해 근력운동 실천율 낮았으며, 주관적 건강상태가 좋을수록 걷기와 유산소 활동 실천율이 높게 나타났다. 스트레스에서는 스트레스를 느끼는 군이 스트레스가 전혀 없다는 군에 비해 걷기와 유산소 활동 실천율이 높은 것으로 나타났으며, 스트레스를 조금 느낀다고 한 군이 3일 이상 걷기를 가장 많이 실천하였다. 건강관련 삶의 질(EQ-5D)에서 운동능력은 신체활동을 실천하지 않는 군에 비해 걷기, 근력운동, 유산소 활동을 실천하는 군이 운동능력이 좋았으며, 자기 관리에서는 걷기, 유산소 활동을 실천하는 군이 자기 관리에 문제가 없었고, 일상활동은 걷기, 근력운동을 실천하는 군이 일상활동 수준도 높게 나타났다. 통증/불편 영역에서는 걷기를 실천하는 군이 통증/불편감이 적게 나타났으며, 불안/우울 영역에서는 걷기 실천하는 군이 불안/우울이 적게 나타났다. 결론적으로 골관절염 노인의 삶의 질을 높이고, 스트레스를 관리하기 위해서는 신체활동 수준을 높이려는 적극적인 노력이 필요하며, 특히 여성 골관절염 노인의 신체활동의 중요성에 대한 인식개선이 우선적으로 강조되어야 한다고 본다.