• 대한물리의학회지
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• 제17권4호
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• pp.65-73
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• 2022

PURPOSE: The present research examined the effects of progressive robot-assisted step training on the strength of the lower extremity and gait speed of an individual with stroke through changes between the baseline and the intervention stage (1, 3, 6, 9, and 12 months). METHODS: A single-subject (A-B) design was performed for a chronic stroke patient aged 70 years old. The robot-assisted step training was conducted three times a week during 12 months (40 minutes/session), and the assessment was conducted a total of seven times between the baseline and the intervention (No. 1, 3, 6, 9, and 12 months) to determine the effect of the intervention. RESULTS: As a result of the intervention, the muscle strength at the lower extremity of the paralysis side increased by the greatest extent 12 months after the intervention compared to the baseline, and the gait speed via the 10-meter walk test was increased as well. CONCLUSION: Long-term robot-assisted step training might be an effective intervention for improving the strength of the paretic lower extremity muscles and gait speed in stroke patients with difficulty walking independently. Further studies with sufficient sample sizes and a randomized control group will be needed to evaluate the long-term effects of robotic stepping rehabilitation.

• Clinical and Experimental Pediatrics
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• 제65권3호
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• pp.142-149
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• 2022

Background: Individuals with Down syndrome present with several impairments such as hypotonia, ligament laxity, decreased muscle strength, insufficient muscular cocontraction, inadequate postural control, and disturbed proprioception. These factors are responsible for the developmental challenges faced by children with Down syndrome. These individuals also present with balance dysfunctions. Purpose: This systematic review aims to describe the motor dysfunction and balance impairments in children and adolescents with Down syndrome. Methods: We searched the Scopus, ScienceDirect, MEDLINE, Wiley, and EBSCO databases for observational studies evaluating the motor abilities and balance performance in individuals with Down syndrome. The review was registered on PROSPERO. Results: A total of 1,096 articles were retrieved; after careful screening and scrutinizing against the inclusion and exclusion criteria, 10 articles were included in the review. Overall, the children and adolescents with Down syndrome showed delays and dysfunction in performing various activities such as sitting, pulling to stand, standing, and walking. They also presented with compensatory mechanisms to maintain their equilibrium in static and dynamic activities. Conclusion: The motor development of children with Down syndrome is significantly delayed due to structural differences in the brain. These individuals have inefficient compensatory strategies like increasing step width, increasing frequency of mediolateral center of pressure displacement, decreasing anteroposterior displacement, increasing trunk stiffness, and increasing posterior trunk displacement to maintain equilibrium. Down syndrome presents with interindividual variations; therefore, a thorough evaluation is required before a structured intervention is developed to improve motor and balance dysfunction.

• 대한지역사회영양학회지
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• 제27권4호
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• pp.296-308
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• 2022

Objectives: This study aimed to develop evaluation criteria for the elementary-school-based health promotion program using the RE-AIM framework and to examine their feasibility. Methods: Previous evaluation studies on health interventions for elementary-school students using the RE-AIM framework were reviewed systematically to identify appropriate evaluation criteria. A diet and physical activity intervention based on the transtheoretical model was implemented in a pilot study using the "Happy Me" application. The feasibility of using the RE-AIM framework to evaluate it was examined. Results: The review yielded the following evaluation criteria: "reach," the ratio of participants out of the total target population; "efficacy/effectiveness," the difference in outcomes between the intervention and control groups, or between a pre- and post-test; "adoption," the rate of use of the program and participation in the next stage of the program; "implementation," the progress on the program components; "maintenance," the participants' and teachers' intention to continue using the program. The pilot study reached 76.6% of the targeted population. The intake of sugar-sweetened beverages decreased (P < 0.0001), and the duration of walking increased (P < 0.0001). Other indicators could not be evaluated; therefore, potential indicators were suggested. Conclusions: This study produced feasible evaluation criteria for elementary-school-based health promotion using the RE-AIM framework. Nevertheless, the feasibility needs to be validated with a broader range of studies and long-term interventions.

• 여성건강간호학회지
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• 제28권2호
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• pp.112-122
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• 2022

Purpose: The prevalence of osteoporosis in postmenopausal women is increasing, and diabetes patients have decreased bone density. Their health-related quality of life (HRQoL) is diminished by the resultant physical dysfunction and depression. The purpose of this study was to identify factors influencing HRQoL in postmenopausal women with diabetes and osteoporosis. Methods: This was a secondary data analysis of the Seventh Korea Health and Nutrition Examination Survey (2016-2018), which utilized a complex, multistage probability sample design. The participants in the study were 237 women with diabetes and osteoporosis. To evaluate the factors that influenced HRQoL, a complex-samples general linear model was constructed, and the Bonferroni correction was performed. Results: In this sample of women aged 45 to 80 years (mean±standard deviation, 71.12±7.21 years), the average HRQoL score was 0.83±0.18 out of 1.0. Factors influencing HRQoL were age (70s: t=-3.74, p<.001; 80s: t=-3.42, p=.001), walking for exercise more than 5 days a week (t=-2.83, p=.005), cerebrovascular disease (t=-8.33, p<.001), osteoarthritis (t=-2.04, p=.014), hypertension (t=2.03, p=.044), higher perceived stress (t=-2.17, p=.032), poor glycemic control (t=3.40, p=.001), waist circumference (t=-2.76, p=.007), sitting time per day (t=-2.10, p=.038), and a longer postmenopausal period (t=3.09, p=.002). Conclusion: In order to improve the HRQoL of postmenopausal women with osteoporosis and diabetes, it is necessary to implement intervention strategies that enable the effective management of chronic diseases, while preventing the complications of diabetes and minimizing stress through physical activity.

• Nutrition Research and Practice
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• 제17권2호
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• pp.297-306
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• 2023

BACKGROUND/OBJECTIVES: The prevalence of diabetes has continued to increase globally. Changes in eating habits, lack of exercise, increased stress, and aging are major contributors. Glycemic control is the key strategy of diabetes management. The purpose of this study was to analyze the utilization of nutrition labels and related factors among patients with diabetes. MATERIALS/METHODS: Data from the 7th Korea National Health and Nutrition Examination Survey were used. General, health-related, diabetes-related characteristics from 1,587 adults with diabetes history were included. Nutrition label utilization was assessed with awareness and use of nutrition labels and effects on food choice. For statistical analyses, chi-square test and multiple logistic regression analysis were performed. RESULTS: The prevalence of awareness, use, and effects of nutrition labels on food choice among diabetic patients were 48.8%, 11.4%, and 9.6%, respectively. High monthly income, walking frequency, family history of diabetes, younger age at diagnosis, and shorter duration of diabetes were associated with higher nutrition label awareness. Nutrition label use and effect on food choice were higher in women, those with high monthly income, those diagnosed at younger than 45 yrs, those with diabetes for less than 10 yrs, those with meal therapy, or patients who had undergone a fundus examination. CONCLUSIONS: Nutrition label utilization status was low in Korean patients with diabetes. Strategies are needed to promote nutrition label use as a diet management tool for patients with diabetes.

• 디자인융복합연구
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• 제17권3호
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• pp.55-70
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• 2018

이 연구는 하지장애인의 보행보조를 위한 목발 디자인의 가이드라인을 개발하고 그것을 적용한 사례에 관한 장기 프로젝트의 후반부에 해당한다. 다학제적 융합연구를 통하여 목발보행에 관한 객관적인 결과를 도출하고 이를 토대로 현실적인 대안을 제시하고자 한 이 연구의 구체적인 목표는 목발을 이용한 보행 특성에 부합하고 산업 측면에서 활용성이 높은 양산형 목발의 디자인 개발과 프로토타입 제작에 있다. 연구의 결과로 개발된 혁신적인 목발인 토고(TOGO)는 (1)목발 팁과 겨드랑이 받침대의 형태 및 구조 개선을 통해 목발이 지면과의 접촉으로 발생하는 충격의 전달 최소화, (2) 보행 중 사용자의 신체에 합리적으로 대응하는 인체공학적 구조, (3)알루미늄 압출 성형에 의한 프레임 제작과 구조 개선으로 목발을 사용하지 않을 경우 휴대성·이동성을 위한 쉽고 빠른 목발의 길이 조절, (4)보행 중 안전상 위험요소 최소화 및 (5)사용자가 자존감을 지킬 수 있게 충분히 매력적인 형태 등이 특징이다. 연구 성과로 도출된 새로운 목발은 특허 출원이 완료되었으며, 현재 대량생산 환경에서 발생할 수 있는 잠재적인 문제 검토에 이어 양산을 위한 기업 탐색과 실용화 방안을 모색하고 있다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2021년도 추계학술대회
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• pp.35-40
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• 2021

대부분의 비즈니스에서는 고객의 움직임에 대한 의미 있는 정보를 얻어낼 수 있는 유동인구 계측 데이터가 매우 중요하게 작용한다. 슈퍼마켓의 경우, 손님들의 수에 따라 계산대 수를 늘리거나 줄일 수 있다. 스마트 빌딩 또한, 각 객실의 수용 인원에 따라 냉난방 시스템을 제어하는 스마트 컨트롤러 같이 다양하게 적용될 수 있다. 카메라 기반 유동인구 계측 시스템과 같이 첨단 기술을 활용하여 보다 정확한 결과를 얻을 수도 있지만, 가격이 비싸고, 현장 설치가 어려우며, 사생활 침해의 문제가 발생하기도 한다. 본 논문에서는 특정 통로 혹은 IR 적외선 센서가 설치된 출입구의 유동인구 계측 방법을 제시한다. 나아가, 사람과 다른 물체를 구분하여 인식하는 방법을 제시하는데, 해당 솔루션은 저렴하고, 설치가 간편하며, 무엇보다 실시간 계측이 가능하다. 우리의 유동인구 계측 솔루션은 약 95%의 정확도를 보이고 있다.

• 한국콘텐츠학회논문지
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• 제22권5호
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• pp.435-445
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• 2022

본 연구의 목적은 알레르기 비염 환자의 정신건강에 영향을 미치는 요인을 파악하여 연구대상자의 정신건강 증진을 위한 정책 마련의 기초자료를 제시하고자 한다. 분석 자료는 질병관리청의 국민건강영양조사 자료를 사용하였고, 성인이면서 알레르기 비염 환자 881명을 최종 분석에 사용하였다. SPSS 26을 이용하여 빈도분석, 교차분석, 로지스틱 회귀분석을 실시하였다. 연구결과, 스트레스 인지율에 영향을 미치는 요인으로 연령이 낮을수록, 교육수준이 높을수록, 통증/불편을 느낄수록, 불안/우울을 느낄수록, 주관적 건강인지 수준이 낮을수록, 1주일간 걷기를 하지 않았을 때 영향을 미쳤다. 우울증에 영향을 미치는 요인으로는 의료급여일수록, 일상 활동에 지장이 있을 경우, 불안/우울이 있을 경우 영향을 미쳤다. 이는 알레르기 비염 환자의 정신건강 증진을 위해 스트레스와 우울증에 영향을 미치는 요인을 관리하고 해결하는 방안을 모색한다면 효율적으로 대상자의 정신건강 상태 증진을 기대할 수 있을 것이다.

• 한국운동역학회지
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• 제33권2호
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• pp.62-72
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• 2023

Objective: Although balance training has been used as an effective ankle injury rehabilitation program to restore neuromuscular deficits in patients with chronic ankle instability, it is not effectively used in terms of motor learning. Attentional focusing can be an effective method for improving ankle kinematics to prevent recurrent ankle injuries. This study aimed to 1) evaluate the effects of attentional focus, including internal and external focus, and 2) determine a more effective focusing method for patients with chronic ankle instability to learn balance tasks. Method: Twenty-four patients with chronic ankle instability were randomly assigned to three groups (external focus, internal focus, and no feedback) and underwent four weeks of progressive balance training. The three-dimensional ankle kinematics of each patient were measured before and after training as the main outcomes. Ensemble curve analysis, discrete point analysis, and post hoc pairwise comparisons were performed to identify interactions between groups and time. Results: The results showed that (1) the external focus group was more dorsiflexed and everted than the internal focus group; (2) the external focus group was more dorsiflexed than the no feedback group; and (3) the no feedback group was more dorsiflexed than the internal focus group. Conclusion: Because dorsiflexion and eversion are ankle motions that oppose the mechanism of lateral ankle sprain, using the external focus method during balance training may be more effective in modifying these motions, thereby reducing the risk of ankle sprain.

• 대한의생명과학회지
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• 제29권4호
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• pp.263-273
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• 2023

This study aimed to investigate effect of scalp acupuncture (SA) and repetitive transcranial magnetic stimulation (rTMS) intervention on neuromotor function in photothrombotic cerebral infarction (PCI) rat model. Sixty male SD rats were used. PCI was induced on M1 cortex of right frontal lobe. SA was performed at the Qianding (GV21), Xuanli (GB6) acupoints of ipsilesional M1. Low-frequency rTMS was delivered to contralesional M1. All rats were randomly divided into 4 groups: group A, normal (n, 15); group B, PCI without any stimulation intervention (n, 15); group C, PCI with SA (n, 15); group D, PCI with rTMS (n, 15). Rota-rod test and Ladder rung walking test (LWT) were done weekly for 8 weeks after PCI. SA or rTMS was started from post-PCI 4^th day as protocol for 8 weeks. H/E stain and IHC were done. Western blot and qRT-PCR study were performed for MAP2 and BDNF from ipsilesional M1 peri-infarction tissue. Brain MRI study was conducted to quantify the volume of cerebral infarction. As a result, left forelimb and hindlimb function significantly improved more in group C and D than control group, with expressed more BDNF and MAP2. And brain MRI showed focal infarction of right M1 after PCI, and infarction volume progressively decreased in group C and D than group B from post-PCI 5^th to 8^th week. SA or rTMS was more effective than no intervention group on neuromotor function of PCI rat model. The functional recovery was associated with stimulation intervention-related neurogenesis.