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The Effect of Exercise Therapy on Pain, Muscle Function and Radiological Evaluation in a Female Youth Golf Player with Low Back Pain: Case Report (치료적 운동이 허리통증을 가진 여자 청소년 골프선수의 통증, 근기능 및 방사선학적 평가에 미치는 영향: 증례보고)

  • Lee, Ho-Seong
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.1-9
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    • 2018
  • PURPOSE: The purpose of this study was to determine the effect of exercise therapy on low back pain (LBP), the function of paraspinal and abdominis muscles, and the sacrohorizontal angle as seen on the radiographs of the lumbar spine in a young female golf player with LBP. METHODS: This case report describes an 11-year-old female golfer who presented with LBP. The exercise therapy program comprised lumbar joint mobilization, lumbar spine flexion distraction, abdominal bridge, plank, side plank, and single-leg extensions from a 4-point kneeling position for 40 min/day; this was done twice a week for 8-weeks. LBP [visual analog scale (VAS) and Oswestry disability index (ODI)] and function of paraspinal and abdominis muscles [Ito test, curl-up test, $90^{\circ}$ stop test, squat test, opened eye one leg stance test (OEOL), and closed eye one leg stance test (CEOL)] were measured before and after 4 and 8 weeks of exercise therapy. The radiographs were analyzed for the lumbar Cobb's angle and sacrohorizontal angle before and after 8 weeks of exercise therapy. RESULTS: After 4 and/or 8 weeks of exercise therapy, VAS and ODI scores decreased; results for the Ito test, curl-up test, $90^{\circ}$ stop test, squat test, and OEOL and CEOL of muscle function improved; and the lumbar Cobb's angle and sacrohorizontal angle improved. CONCLUSION: These results suggest that exercise therapy improves LBP, muscle function, and radiographic parameters associated with LBP in young golf players. These findings have clinical implications for exercise therapy in young female golf players who have LBP.

Effects of Ankle Joint Taping on Postural Balance Control in Stroke Patients

  • Kim, Yang Rae;Kim, Jae Ic;Kim, Yong Youn;Kang, Kwon Young;Kim, Bo Kyoung;Park, Joo Hyun;An, Ho Jung;Min, Kyung Ok
    • Journal of International Academy of Physical Therapy Research
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    • v.3 no.2
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    • pp.446-452
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    • 2012
  • This study aims to examine the effects of taping of the ankle joint on the static and dynamic balance and gait ability of stroke patients. Twenty-six stroke patients receiving physical therapy at a hospital located in Gyeonggi-do were divided equally into a group that had taping in physical therapy and an ordinary physical therapy group. They exercised for 30 minutes each, 3 times per week for 8 weeks from June to August 2011. Romberg's eye open and eye closed tests, limits of stability(LOS), forward and back test, timed up and go test(TUG) and 10-meter gait velocity test were performed to evaluate static balance, dynamic balance, and gait ability, respectively, prior to and 8 weeks after the intervention. Differences within each group in relation to the lapse of time were compared by a paired t-test. Differences between the two groups were compared by an independent t-test. Regarding comparison of differences within each group, all tests resulted in significant changes in both groups after the intervention (p<.05). Comparison of differences between the two groups showed that taping in the physical therapy group had significantly better test results than the ordinary physical therapy group in all measured items(p<.05). The after effects of ankle taping on stroke patients are more efficient and effective than ordinary physical therapy alone in improving balance and gait ability.

Upper eyelid platinum weight placement for the treatment of paralytic lagophthalmos: A new plane between the inner septum and the levator aponeurosis

  • Oh, Tae Suk;Min, Kyunghyun;Song, Sin Young;Choi, Jong Woo;Koh, Kyung Suk
    • Archives of Plastic Surgery
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    • v.45 no.3
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    • pp.222-228
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    • 2018
  • Background The most common surgical treatment for paralytic lagophthalmos is the placement of a weight implant in the upper eyelid; however, this technique confers the risks of implant visibility, implant extrusion, and entropion. In this study, we present a new technique of placing platinum weight implants between the levator aponeurosis and inner septum to decrease such complications. Methods A total of 37 patients with paralytic lagophthalmos were treated between March 2014 and January 2017 with platinum weight placement (mean follow-up, 520.1 days). After dissecting through the orbicularis oculi muscle, the tarsal plate and levator aponeurosis were exposed. The platinum weights (1.0-1.4 g) were fixed to the upper margin of the tarsal plate and placed underneath the orbital septum. Results Five patients could partially close their eye after surgery. The average distance between the upper eyelid and the lower eyelid when the eyes were closed was 1.12 mm. The rest of the patients were able to close their eye completely. Three patients patient developed allergic conjunctivitis after platinum weight insertion, which was managed with medication. None of the patients complained of discomfort in the upper eyelid after surgery. Visibility or extrusion of the implant were observed in three patients. Conclusions Postseptal weight placement is a safe and reproducible method in both primary and secondary upper eyelid surgery for patients with paralytic lagophthalmos. It is a feasible method for preventing implant visibility, implant exposure, and entropion. Moreover, platinum is a better implant material than gold because of its smaller size and greater thinness.

Comparison of Electroencephalographic Changes during Mental Practice and Action Observation in Subjects with Forward Head Posture (상상연습과 동작관찰 동안 전방머리자세의 대뇌겉질 활성도 비교)

  • Yang, Hoesong;Kang, Hyojeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.3
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    • pp.171-180
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    • 2019
  • Purpose : The purpose of this study was to investigate the difference in motor cortical excitability during mental practice and action observation in subjects with forward head posture. Methods : This study was performed in two groups, a forward head posture group (n=17) and a normal posture group (n=17). Electroencephalography (EEG) was conducted to investigate cerebral cortex activity, and six electrodes were attached to Fp1, Fp2, C1, C2, C3, and C4 to measure the relative alpha power, relative beta power, relative gamma power, and mu rhythms. The subjects were requested to perform the four different conditions, which were eye opening, eye closing, mental practice, and action observation for 300 seconds. Results : The results showed that the relative alpha waves showed a significant difference between the normal and forward head posture groups in the C1, C2, C3, and C4 regions with the eyes open (p<.05). The relative beta waves also showed a significant difference between the two groups in the Fp1 and Fp2 regions during action observation (p<.05). The relative gamma waves were significantly different between the normal and forward head posture groups in the Fp1 and Fp2 regions during action observation (p<.05) in C1, C2, and C3 with eyes closed (p<.05) and in C1, C2, C3, and C4 with eyes open (p<.05). Conclusion : The results of this study showed that EEG change in the forward head posture group was different from that in the normal control group in action observation rather than in mental practice. Therefore, we are expected to provide a neurophysiological basis for applying action observation to motor skill learning during exercise for correcting forward head posture.

Quantitative Electroencephalogram Markers for Predicting Cerebral Amyloid Pathology in Non-Demented Older Individuals With Depression: A Preliminary Study (비치매 노인 우울증 환자에서 대뇌 아밀로이드 병리 예측을 위한 정량화 뇌파 지표: 예비연구)

  • Park, Seon Young;Chae, Soohyun;Park, Jinsick;Lee, Dong Young;Park, Jee Eun
    • Sleep Medicine and Psychophysiology
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    • v.28 no.2
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    • pp.78-85
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    • 2021
  • Objectives: When elderly patients show depressive symptoms, discrimination between depressive disorder and prodromal phase of Alzheimer's disease is important. We tested whether a quantitative electroencephalogram (qEEG) marker was associated with cerebral amyloid-β (Aβ) deposition in older adults with depression. Methods: Non-demented older individuals (≥ 55years) diagnosed with depression were included in the analyses (n = 63; 76.2% female; mean age ± standard deviation 73.7 ± 6.87 years). The participants were divided into Aβ+ (n = 32) and Aβ- (n = 31) groups based on amyloid PET assessment. EEG was recorded during the 7min eye-closed (EC) phase and 3min eye-open (EO) phase, and all EEG data were analyzed using Fourier transform spectral analysis. We tested interaction effects among Aβ positivity, condition (EC vs. EO), laterality (left, midline, or right), and polarity (frontal, central, or posterior) for EEG alpha band power. Then, the EC-to-EO alpha reactivity index (ARI) was examined as a neurophysiological marker for predicting Aβ+ in depressed older adults. Results: The mean power spectral density of the alpha band in EO phase showed a significant difference between the Aβ+ and Aβ- groups (F = 6.258, p = 0.015). A significant 3-way interaction was observed among Aβ positivity, condition, and laterality on alpha-band power after adjusting for age, sex, educational years, global cognitive function, medication use, and white matter hyperintensities on MRI (F = 3.720, p = 0.030). However, post-hoc analyses showed no significant difference in ARI according to Aβ status in any regions of interest. Conclusion: Among older adults with depression, increased power in EO phase alpha band was associated with Aβ positivity. However, EC-to-EO ARI was not confirmed as a predictor for Aβ+ in depressed older individuals. Future studies with larger samples are needed to confirm our results.

Horner's Syndrome: A Rare Complication of Tube Thoracostomy - A case report - (폐쇄식 흉강삽관술 후 발생한 호너 증후군 - 치험 1예 -)

  • Choi, Jae-Woong;Kim, Joo-Hyun;Yoo, Byung-Su;Kang, Chang-Hyun;Kim, Young-Tae
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.816-819
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    • 2010
  • We report one case of Horner's syndrome, a rare complication of closed thoracostomy. A 17 year-old girl with a second attack of left side primary spontaneous pneumothorax visited an emergency room. After closed tube thoracostomy, she was admitted to a general ward for elective video-assisted thoracosopic bullectomy, which was delayed due to incidental right side acute otitis media. On the third day of admission, she presented with pain and discomfort in the left eye. Further examination revealed left side ptosis and miosis and led to a diagnosis of Homer's syndrome. The chest tube was pulled back 2 to 3 cm for repositioning. After two days she underwent video-assisted thoracoscopic bullectomy and mechanical pleurodesis and was discharged at postoperative day 7. Symptoms and signs of Homer's syndrome gradually resolved, and she had fully recovered at the 2 month postoperative outpatient follow-up.

EEG Analysis of Learning Attitude Change of Female College Student on e-Learning (여대생의 이러닝 학습태도 변화에 따른 뇌파 분석)

  • Jang, Jae-Kyung;Kim, Ho-Sung
    • The Journal of the Korea Contents Association
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    • v.11 no.4
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    • pp.42-50
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    • 2011
  • Using EEG, human physiological signal, as part of research which investigates the state of student learning and provides appropriate feedback to maximize learning efficiency, the relationship of learning attitude and analysis of EEG for female college student is presented. We study the reaction of learner's EEG using the concentration level extracted from the EEG power spectrum when students learn at various learning attitude. The experiment was conducted for the concentrating on learning and, as a control group, erratic attitude and closed eyes state. The attitude of concentrated Learning shows high concentration index and low relaxation index, where as the erratic attitude, such as eye movement and clicking, shows high level of attention index and noisy wave ratio. Especially, the state of closed eyes shows the ratio of alpha and theta wave under 1. This is distinct with open eyes cases.

Effects of Tai Chi on Balance and Muscle Activity of Ankle Joints with USN sensor in Elderly People (태극권이 노인의 균형과 센서 USN을 이용한 발목관절 근활성도에 미치는 영향)

  • Kang, Jeong-Il;Kwon, Hye-Min
    • The Journal of the Korea institute of electronic communication sciences
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    • v.10 no.3
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    • pp.425-431
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    • 2015
  • The objective of this study was to effect of Tai Chi on balance and muscle activity of ankle joints with USN sensor in elderly people. Thirty six elderly participated and randomly assigned to a experimental group with Tai Chi and control group. The experimental group trained using a Tai Chi through 3 times per a week over 6 weeks. For all subjects, their balance such as functional reach test and one leg stance test, the change of muscle activity of ankle joints with USN sensor wireless-electromyogram during leg closed stance with eye closed were measured, and the results were as followed. The results were of a signigicant changes to the balance in group and between group as well. Comparison of muscle activity left tibialis anterior and left gastrocnemius in group, there were significant difference. Comparison of muscle activity right tibialis anterior and right gastrocnemius in group, there were significant difference. Comparison of muscle activity between groups, there was significant difference. Additional results indicated that, elderly people who received Tai Chi in one study, improve balance control and muscle activity ankle joint. so it is anticipated that improvement in clinical utilization for the elderly who's gait ability and balance ability reduced.

Implementation of Drowsy Prevention System Using Arduino and YOLO (아두이노와 YOLO를 이용한 졸음 방지 시스템 구현)

  • Lee, Hyun-Ae;Shin, Seong-Yoon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.25 no.7
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    • pp.917-922
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    • 2021
  • In modern society, deaths and property damage due to drowsiness occur every year enormously. Methods to reduce such damage are being studied a lot in all walks of life, and research on preventing drowsy driving is particularly active in automobiles. In this paper, as an Arduino-based water gun firing system that learns open and closed eyes using YOLO, we propose a drowsy prevention system that fires a water gun when the duration of the closed eye exceeds a certain time. This system can be applied and used in various fields, but especially when applied to a car, it is not necessary to purchase expensive specifications and if you pay a little attention, you can reduce accidents caused by drowsy driving by 100% at a very low cost. In addition, it can be said that it is an independent system that overcomes different specifications for each company.

Effect of 4 Weeks of Pilates Exercise in Women using Light LED EMG Feedback System on Posture and Balance; Randomized Controlled Trial

  • Jeong Eun Youn;Dae-Sung Park
    • Physical Therapy Rehabilitation Science
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    • v.12 no.3
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    • pp.214-221
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    • 2023
  • Objective: This study aimed to assess the impact of using the LED light electromyographyfeedback system (EMG-light) during Pilates exercises in women to maintain consistent muscle contraction in the abdominal external oblique muscles and reduce muscle contraction in the upper trapezius muscles. This study compared Pilates training using the EMG-light with Pilates training only in healthy women for 4 weeks. Design: This study was conducted as a cross-sectional study. Methods: A total of 17 healthy women were divided into an experimental group (n=9) and a control group (n=8). Both groups performed Pilates exercises as assigned, twice per week for four weeks, with each session lasting fifty minutes. The experimental group were used the EMG-light feedback system during pilates exercise while the control group did not use EMG-light. We used cervical vertebral angle (CVA), shoulder tilt angle to evaluate neck posture and standing balance with closed eye for 30s before and after exercise. Results: The control group exhibited a significant change in CVA (p<0.05). Both groups showed significant changes in shoulder tilt, center of pressure (COP) path-length, and COP velocity during eyes-closed conditions (p<0.05). However, there were significant differences between the experimental and control groups in terms of CVA, shoulder tilt, COP path-length, and COP velocity. Conclusions: This study demonstrated that Pilates exercises had positive effects on shoulder posture and balance. The use of EMG-light provided real-time visual feedback on muscle contraction during Pilates exercise. However, the experimental group did not show significant improvements compared to the control group, which performed Pilates exercises without feedback.