• Title/Summary/Keyword: Wilcoxon Signed Rank Test

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The Effect of A-Shi Point Acupuncture on the Post-stroke Hand Edema (뇌졸중 후 수부 부종에 대한 아시혈 침치료의 효과)

  • Cho, Hong Seok;Bang, Chan Hyuck;Lee, Kyung Yun;Lee, Sang Wook
    • Journal of Acupuncture Research
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    • v.31 no.3
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    • pp.1-6
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    • 2014
  • Objectives : The purpose of this study is to evaluate the effect of A-Shi point acupuncture on the post-stroke hand edema. Methods : The subjects in this study were 8 patiens with post-stroke hand edema. The patients were treated with acupuncture on A-Shi point in hand. We treated them once a day, 7 days. The effectiveness was assessed by hand volumeter and mesuring tape. And Wilcoxon signed rank test was performed to evaluate the effect. Results : A significant change was observed after 7 times acupuncture treatment. Both volume and circumference of hand were decreased after treatment. Conclusions : This study suggests that A-Shi point acupuncture is effective for reducing post-stroke hand edema, although further study would be necessary.

Immediate Effect of Kinesiology Taping on Gait Function in Stroke Patients with Foot Drop

  • Kim, Jinuk
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.2
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    • pp.2060-2064
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    • 2020
  • Background: Recently, the kinesiology taping (KT) method was reported to be effective in improving walking ability in foot drop patients after stroke, but the clinical basis is still unclear. Objectives: The KT method was compared with ankle-foot orthotics (AFO) to investigate gait ability in foot drop patients after stroke. Design: Crossover study design. Methods: In this study, 11 stroke patients with foot drop participated. Walking ability of all subjects for both conditions (KT and AFO) was measured using the GAITRite system. The order of application of the two conditions was determined randomly by drawing lots. Wilcoxon signed-rank test was used to compare walking ability between the two conditions. The level of statistical significance was set at P<.05. Results: There were no significant differences between the KT and AFO methods in terms of velocity, cadence, step length, and stride length (P>.05, all). Conclusion: This study recommends KT as an alternative to the AFO, since KT provides evidence of preventing of foot drops and improving gait ability in stroke patient.

Comparison of crown designs of different dental occupational groups, using CAD-CAM (CAD-CAM을 이용하여 디자인한 금관의 치과 직업군에 따른 형태 비교)

  • Kim, TaeHyeon;Kim, Jong-Eun;Lee, Ah-Reum;Park, Young-Bum
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.234-238
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    • 2016
  • Purpose: Increasing use of computer aided design-computer aided manufacturing (CAD-CAM) system and number of design software made design of restoration easy and quick. Outcome of restoration has been dependent on dental technician's wax up proficiency, dentists can design restoration for themselves now. This study aims to investigate the outcome of restoration designs, according to handling skill of CAD-CAM design tool. Materials and methods: A patient's mandibular right 1st molar was prepared. After taking impression, stone model was made, scanned the stone model with 3 shape intra-oral scanner, stereolithography (STL) file was extracted. With 3shape dental designer, one dental technician with more than 5 years work experience (designer 0) and three dental technicians with less than 2years work experience (designer 1, 2, 3-group DT) and 4 1st year residents (designer 4, 5, 6, 7-group RT) designed gold crown on the same STL file. Designed crown's MD (mesio-distal) and BL (bucco-lingual) diameter, height of crown, inter-cuspal distance, number of occlusal contact points were compared. Statistical analysis was carried out, test of normality within each group, using independent t-test. Number of contact points were compared, using Wilcoxon signed-rank test. Results: There was no significant difference between group DT and group RT. Number of contact points also resulted in no significant difference. Conclusion: The outcome of each designed crowns showed no statistical differences, in values which can be expressed as numbers. Subjective factors were different. With increasing proficiency in handling designing software, fabrication of restorations according to each designer's occlusal concept can be made easy.

Inter-Rater Reliability of the Modified Ashworth Scale of Spasticity (경련성 (spasticity) 평가를 위한 Modified Ashworth Scale의 측정자간 신뢰도)

  • Yi, Chung-Hwi;Current, Marion E.
    • Physical Therapy Korea
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    • v.1 no.1
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    • pp.1-9
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    • 1994
  • This study was performed to determine the inter-rater reliability of manual tests of elbow, knee flexor, and ankle dorsiflexor muscle spasticity graded on the Modified Ashworth Scale. Two raters each independently graded the spasticity of 32 patients with intracranial lesions after moving the paretic limb passively through the available range of motion. The patients were asked to simultaneously squeeze therapeutic putty with their non-paretic hand for reinforcement. The ratings were compared by the Wilcoxon matched pairs signed-rank test and by the Kendall's coefficient of rank(tau) correlation. There was singificant correlation between two raters for spasticity at the elbow, knee flexor, and ankle dorsiflexor. The correlations of the two raters ranged from .6746 to .9308. The highest correlation was for the elbow with reinforcement and the lowest was for the knee without reinforcement. Poorer correlation was evident in the knee joint. The positive results of this study encourage the continued use of manual tests of muscle spasticity, using the Modified Ashworth Scale.

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The Effect of an Alcohol Education Program on Behavior Related Drinking by the Elderly with Drinking Problems (알코올 교육 프로그램이 음주문제를 가진 노인의 음주관련 지식과 행동에 미치는 효과)

  • Oh, Suk-Hee;Sun, Jung-Joo
    • Journal of Korean Public Health Nursing
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    • v.23 no.1
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    • pp.17-26
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    • 2009
  • Purpose: In this study, the effects of an alcohol education program for elderly persons with drinking problems and the effects of knowledge of the behavior associated with alcohol use by elderly individuals with drinking problems were evaluated. Method: A single-group repeated study was conducted to evaluate 19 elderly individuals with drinking problems who used the G-city Elderly Welfare Center, with more than eight points in AUDIT results. The changes in drinking knowledge and alcohol behavior following an alcohol education program were evaluated. The effectiveness of the program was analyzed by a Wilcoxon signed rank test. and the relationship between drinking knowledge and changes in alcohol behavior was measured by Spearman's rank correlation coefficient. Results: The results indicated that drinking knowledge after conducting education increased significantly(Z=-3.826, p<.001), and that this increased knowledge resulted in significant changes in alcohol behavior(Z=-3.830, p<.001). There was a significantly positive relationship between drinking knowledge and changes in alcohol behavior(r=.464, p=0.013). Conclusion: Alcohol education programs effectively educate the elderly with drinking problems regarding alcohol, which influences their alcohol behavior.

Effect of repeated learning for two dental CAD software programs (두 종의 치과용 캐드 소프트웨어에 대한 반복학습의 효과)

  • Son, KeunBaDa;Lee, Wan-Sun;Lee, Kyu-Bok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.2
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    • pp.88-96
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    • 2017
  • Purpose: The purpose of this study is to assess the relationship between the time spent designing custom abutments and repeated learning using dental implant computer aided design (CAD) software. Materials and Methods: The design of customized abutments was performed four stages using the 3DS CAD software and the EXO CAD software, and measured repeatedly three times by each stage. Learning effect by repetition was presented with the learning curve, and the significance of the reduction in the total time and the time at each stage spent on designing was evaluated using the Friedman test and the Wilcoxon signed rank test. The difference in the design time between groups was analyzed using the repeated measure two-way ANOVA. Statistical analysis was performed using the SPSS statistics software (P < 0.05). Results: Repeated learning of the customized abutment design displayed a significant difference according to the number of repetition and the stage (P < 0.001). The difference in the time spent designing was found to be significant (P < 0.001), and that between the CAD software programs was also significant (P = 0.006). Conclusion: Repeated learning of CAD software shortened the time spent designing. While less design time on average was spent with the 3DS CAD than with the EXO CAD, the EXO CAD showed better results in terms of learning rate according to learning effect.

Effects of a Workbook Program on the Perceived Stress Level, Maternal Role Confidence and Breast Feeding Practice of Mothers of Premature Infants (워크북 프로그램이 미숙아어머니의 스트레스, 모성역할 자신감, 모유수유 실천에 미치는 효과)

  • Jang Yung-sook
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.419-427
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    • 2005
  • Purpose: The purpose of this study was to identify the effects of a workbook program on percieved stress levels, maternal role confidence and breastfeeding practices of mothers of premature infants. Method: This study employed a quasi-experimental non-equivalent pre-and-post test to compare the two groups. Data was collected from 32 subjects from March 10. to September 5, 2003 at an NICU located in S. city. In the sample, fifteen mothers were in the experimental group and seventeen were in the control group. A workbook program was provided twice during a period from two-three days after the baby's admission to one week after the first intervention. The instruments used were the PSS and self confidence scale. Data was analyzed by means of frequency, SD, $x^2-test$, Fisher's exact test, Mann-Whitney test, and the Wilcoxon signed rank test. Result: There was a significant difference in perceived stress levels between the experimental and control group (U=2.366, p=.018). There was not a significant difference in maternal role confidence between the two groups (U=1.002, p=.316). There was a significant difference in breastfeeding practice between the two groups ($x^2=4.910$, p=.035). Conclusion: It is concluded that a program using a workbook has a positive effect on decreasing the perceived stress level and increasing breastfeeding practice.

Development and Application of a Health Promotion Program for Marriage Immigrant Women (여성결혼이민자를 위한 건강증진 프로그램 개발 및 적용)

  • Seo, In Ju;Park, Jeong Sook
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.198-210
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    • 2015
  • Purpose: This study was to develop a health promotion program for marriage immigrant women and to evaluate its efficacy. Methods: The health promotion program was comprised of eight 100-minute weekly sessions. Each session included understanding of health responsibility, nutrition, physical activity, interpersonal relations, stress management, and self actualization. The research was conducted under the principles of nonequivalent control group pretest-post test design. The outcome variables were health promoting behavior, health status, acculturation, self efficacy, and perceived barrier. The participants were 15 immigrant women in the experimental group and 16 in the control group. Data was analyzed using ${\chi}^2$ test, Fisher's exact test, Mann Whitney U-test and Wilcoxon signed rank test. Results: There was a significant improvement in health promoting behaviors (U=-3.08, p=.002), left shoulder flexibility (U=-3.02, p=.003), right shoulder flexibility (U=-3.02, p=.003), low back flexibility (U=-3.37, p=.001), social health status (U=-3.38 p=.001) and subjective health status (U=-2.17 p=.030) in the experimental group compared to the control group. Conclusion: The health promotion program for marriage immigrant women was an effective intervention for improving health promoting behavior, physical health status, social health, and subjective health status. Therefore, the developed health promotion program needs to be applied to married immigrant women in other kinds nursing care settings in future research.

Differences in Vaccination Status and Awareness between Influenza and Pneumococcal Vaccinations in the Elderly (일 지역 노인의 인플루엔자와 폐구균 예방접종 실태 및 인지도 차이비교)

  • Park, Seungmi;Choi, Jeong Sil
    • Journal of muscle and joint health
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    • v.20 no.2
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    • pp.122-130
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    • 2013
  • Purpose: The purpose of this study was to investigate differences in vaccination status and awareness between influenza and pneumococcal vaccinations in the elderly. Methods: This cross-sectional study was used with a questionnaire. Data were collected from 107 older people over 65 years registered at one community center in December, 2012. The data were analysed with Chi-square, Fisher's exact-test, Wilcoxon Signed rank sum test, Mann-Whitney U test, and Kruskall-Wallis test. Results: There were significant differences in the experiences of vaccination and reason for unvaccination by vaccine types. The mean scores for awareness of vaccination were 1.81 (range 0~3) in influenza and 1.50 in pneumococcus (range 0~3). There was a significant difference in awareness by vaccine types (Z=6.12, p<.001). There was a positive association between influenza and pneumococcal vaccination awareness (rho=.236, p=.014). Conclusion: This study showed different vaccination status and awareness in vaccine types. It is necessary to consider vaccination status and awareness by vaccine types of the target population in the education program related to vaccination.

The Effect of Action Observational Training on Arm Function in People With Stroke (동작관찰훈련이 뇌졸중 환자의 상지 기능에 미치는 영향)

  • Lee, Moon-Kyu;Kim, Jong-Man
    • Physical Therapy Korea
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    • v.18 no.2
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    • pp.27-34
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    • 2011
  • The aim of this study was to determine the effect of action-observation training on arm function in people with stroke. Fourteen chronic stroke patients participated in action-observation training. Initially, they were asked to watch video that illustrated arm actions used in daily activities; this was followed by repetitive practice of the observed actions for 3 times a week for 3 weeks. Each training session lasted 30 min. All subject participated 12 training session on 9 consecutive training days. For the evaluation of the clinical status of standard functional scales, Wolf motor function test was carried out at before and after the training and at 2 weeks after the training. Friedman test and Wilcoxon signed rank test was used to analyze the results of the clinical test. There was a significant improvement in the upper arm functions after the 3-week action-observation training, as compared to that before training. The improvement was sustained even at two weeks after the training. This result suggest that action observation training has a positive additional impact on recovery of stroke-induced motor dysfunctions through the action observation-action execution matching system, which includes in the mirror neuron system.