• 국제물리치료학회지
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• 제12권2호
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• pp.2338-2344
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• 2021

Background: The therapeutic exercise method using kinesiology taping (KT) has been reported to be effective in activating the suprahyoid muscle in healthy adults. However, its applicability and effectiveness are not known to the physically vulnerable elderly. Objectives: To investigate the effects of kinesiology taping on the activity of suprahyoid muscles in community-dwelling elderly people. Design: Repeated measure design. Methods: We enrolled 23 healthy elderly adults (age range 60-75 years) with no history of neurologic disease. Participants performed five consecutive spontaneous swallowing actions at 5-second intervals under three conditions (KT with 80% stretch, placebo-KT, and non-KT. Activation of the suprahyoid muscles during swallowing in the three conditions was measured using surface electromyography (sEMG). In addition, a 0-10 numerical rating self-report scale was used to evaluate the required effort and the resistance felt during swallowing. Results: KT with 80% stretch were significantly higher in sEMG mean value, peak value, required effort, and resistance felt during swallowing compared to other two conditions (P<.05, all). KT with 80% stretch required the most effort during swallowing and, consequently, has a positive effect on increasing suprahyoid muscle activation. Conclusion: Our results could be taken into consideration in therapeutic exercise method for suprahyoid muscle in dysphagia rehabilitation.

• 국제물리치료학회지
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• 제12권1호
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• pp.2267-2271
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• 2021

Background: Recently, a new home-based dysphagia rehabilitation method using information and communications technology (ICT) has been reported, but clinical evidence is still lacking. Objectives: To investigate the effects of home-based dysphagia rehabilitation using ICT on tongue muscle strength and volume in patients with developed dysphagia after stroke. Design: Randomized controlled trial design. Methods: Twenty patients who developed dysphagia after stroke were enrolled. The experimental group received dysphagia rehabilitation in the form of ICT-based home care. In contrast, the control group received traditional rehabilitation based on swallowing under the supervision of occupational therapists. All interventions were conducted five times a week for four weeks. Results: Both groups showed statistically significant increases in tongue muscle strength and volume after the intervention (P<.05, both). However, there were no significant differences in tongue strength or volume between the two groups after the intervention (P>.05, both). Conclusion: Home-based dysphagia rehabilitation using ICT showed effects similar to those of conventional swallowing rehabilitation in patients who developed dysphagia after stroke. These findings suggest that dysphagia rehabilitation can be conducted at home without the help of a therapist.

• 국제물리치료학회지
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• 제11권4호
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• pp.2203-2211
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• 2020

Background: Backpacks are one of the most widely used accessories in modern society. However, previous studies have shown that carrying a backpack can cause various musculoskeletal problems. Objectives: To investigate the effects of a body-adhesive backpack on craniovertebral angle, sagittal shoulder angle and the muscle fatigue in the upper extremity. Design: Randomized cross-over design. Methods: For this study, 36 healthy university students participated in this study. The experiment was conducted three times using common backpack, and body-adhesive backpack condition. The angles of the cervical spine and shoulder joints of the subjects were calculated without the backpack. Electrodes were placed at upper trapezius, lower trapezius, rectus abdominis and erector spinae to check for muscle fatigue. Subjects carried a backpack and walked on a treadmill for 15 minutes at 4 km/h. The muscle fatigue signal was also measured while walking. After walking, the craniovertebral and sagittal shoulder angles were measured again while subjects carried backpack. Results: As a result of this study, body-adhesive backpack condition showed significant decrease and significant increase in craniovertebral angle and sagittal shoulder angle than common backpack (P<.05). Body-adhesive backpack condition showed significant decrease in upper trapezius, lower trapezius, erector spinae, and rectus abdominis when compared to a common backpack (P<.05). Conclusion: This study suggests that a body-adhesive backpack is more beneficial in correcting body posture than a common backpack.

• Physical Therapy Rehabilitation Science
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• 제10권2호
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• pp.225-234
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• 2021

Objective: We aimed to identify the effects of proprioceptive neuromuscular facilitation (PNF) stretching on pain, hip range of motion, and functional disability in patients with chronic low back pain. Design: Randomized controlled trial Methods: In total, 45 patients with chronic low back pain were randomly divided into a conventional stretching group (n=22) and a PNF stretching group (n=23). Both interventions were performed three times per week for 6 weeks. Assessments were made using the visual analog scale, Flexion-Abduction-External Rotation test, modified Thomas test, prone hip extension test, and Oswestry disability index before and after the 6-week intervention period. We conducted a paired t-test to compare the within-group findings before and after the intervention. An independent t-test was used to compare the between-group differences. The statistical significance level was set at α=0.05, for all variables. Results: Both groups showed significant improvements in pain, hip range of motion, and functional disability after the intervention (p<0.05). A significant difference was observed in pain, hip range of motion, and functional disability in patients belonging to the PNF stretching group (p<0.05). Conclusions: This study provides evidence that the application of PNF stretching can effectively reduce pain and improve hip range of motion and functional disability in patients with chronic low back pain.

• 대한물리치료과학회지
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• 제28권3호
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• pp.1-10
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• 2021

Background: The purpose of this study is to investigate the effect of the online team project based learning on problem-solving, cooperative self-efficacy, and cooperative self-regulation of college students. Design: Single group pre-post design. Methods: The online team project based learning was conducted for a total of 92 college students for 8 weeks. A survey was conducted on problem-solving ability, cooperative self-efficacy, and cooperative self-regulation. In the online team project-based class, two projects were performed. It consists of video lectures and real-time video conferencing. Through the real-time video conference, the project was carried out based on discussion among learners and feedback was provided. Results: There was a significant difference in the change in problem-solving ability compared to before learning (p<0.05). As a result of the evaluation of cooperative self-efficacy, there was a significant difference (p<0.05). There was a significant differences in cooperative self-regulation compared to before learning (p<0.05). Conclusion: The online team project-based learning are effective in improving learners' problem-solving ability, cooperative self-efficacy, and cooperative self-regulation.

• 임상간호연구
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• 제16권1호
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• pp.83-93
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• 2010

Purpose: This study identified effects of laughter therapy administered to mastectomy patients as an adaptive coping mechanism. Methods: The study design was a non-synchronized design with a non-equivalent control group. Participants were 40 patients admitted to S hospital in Busan from July 1 to October 10, 2008. The laughter therapy was provided to the experimental group for 20 minutes, four times per week for 2 weeks in each patient's room. Results: The experimental and control groups showed significant differences in Mood (t=-2.314, p=.032), and Stress (t=-2.535 p=.020). Pain and serum cortisol in the experimental and control groups did not show any significant difference. Conclusion: Based on the findings the laughter therapy has significant effects on mastectomy patients' mood and stress.

• 한국간호교육학회지
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• 제11권1호
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• pp.30-38
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• 2005

Purpose: The purpose of this study was to testify effects of Balance Taping Therapy on the pain and range of motion of the knee joint in the female elderly with degenerative knee arthritis. Method: The research design was one group pretest-posttest design. The data were collected from November 15 to December 25, 2004. The subjects were 23 female elderly with degenerative knee arthritis who were registered at one public health center in Busan. Balance Taping Therapy was conducted twice a week for 5 weeks. The data were analyzed such as the number, percentage, paired t-test, Kolmogorov-Smirnov test using SPSS 10.0 WIN Program. Result: The pain in the female elderly with degenerative knee arthritis significantly decreased from 8.82 to 6.04 after Balance Taping Therapy(t=16.781, p=0.001). The knee flexion joint range of motion in the female elderly with degenerative knee arthritis significantly increased from 119.73 to 123.13 after Balance Taping Therapy (t=-6.003, p=0.001). The knee extention joint range of motion statistically significantly increased from 112.74 to 117.83 after Balance Taping Therapy(t=-8.940, p=0.001). Conclusion: Balance Taping Therapy proved an effective nursing intervention in decreasing pain and increasing the range of motion of the knee joint in the female elderly with degenerative knee arthritis.

• 한국실내디자인학회논문집
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• 제20권4호
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• pp.29-36
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• 2011

This study aims to be the useful resources for selecting play therapy facility in the future by analysis of used colors in the play therapy facility as the subsequent studies of the thesis of KIID in 2010, titled 'Study on the planning factors of case study for children's play therapy center'. As research method of this study, the overall understanding about play therapy facility was improved through theoretical considerations, and it was about the Moon-Spencer's theory of color harmony which will be used for the framework of case study. In Section 3, the field trips at 6 facilities were conducted as the case research and the data research through website was conducted for case study. Moon-Spencer's theory of color harmony used the Munsell's color Order System, so after measuring CMYK value of the picture for the case research through photo shop, the color, brightness and saturation were measured through Munsell Conversion program. The following three kinds of features were drawn by research of the harmony and disharmony of used colors for the cases after substituting the theory of color harmony through the measured color. brightness, and saturation. First. series Y and YR were used mainly for warm image as the concept of play therapy room. Second, the various colors were used for comfortable image like home. But the various patterns were used by mixing for the therapy room F, so it gives confusing impression. Third, series YR and achromatic color as the color of wood were used unavoidably for using materials of manufactured goods.

• Journal of Radiation Protection and Research
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• 제47권1호
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• pp.50-57
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• 2022

Background: There are several proton therapy facilities in operation or planned in Taiwan, and these facilities are anticipated to not only treat cancer but also provide beam services to the industry or academia. The simplified approach based on the Monte Carlo-based data sets (source terms and attenuation lengths) with the point-source line-of-sight approximation is friendly in the design stage of the proton therapy facilities because it is intuitive and easy to use. The purpose of this study is to expand the Monte Carlo-based data sets to allow the simplified approach to cover the application of proton beams more widely. Materials and Methods: In this work, the MCNP6 Monte Carlo code was used in three simulations to achieve the purpose, including the neutron yield calculation, Monte Carlo-based data sets generation, and dose assessment in simple cases to demonstrate the effectiveness of the generated data sets. Results and Discussion: The consistent comparison of the simplified approach and Monte Carlo simulation results show the effectiveness and advantage of applying the data set to a quick shielding design and conservative dose assessment for proton therapy facilities. Conclusion: This study has expanded the existing Monte Carlo-based data set to allow the simplified approach method to be used for dose assessment or shielding design for beam services in proton therapy facilities. It should be noted that the default model of the MCNP6 is no longer the Bertini model but the CEM (cascade-exciton model), therefore, the results of the simplified approach will be more conservative when it was used to do the double confirmation of the final shielding design.

• 한국융합학회논문지
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• 제10권8호
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• pp.121-128
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• 2019

의료 서비스는 환자 뿐 만 아니라 의료 행위의 주체인 의료진에게도 제공되어야 한다. 이 연구는 에스노그라피를 통해, 의료 행위를 수행하는 의료인들의 행태를 살펴보고 처치를 위한 물리적인 의료 행위 중 가장 많은 빈도로 수행하는 행위를 도출하였다. 특히, 심층 인터뷰를 통해 의료인의 침습 의료 행위 시, 인지하는 행위의 중요성과 수행과정의 니즈를 도출하였다. 이를 바탕으로 의료진의 신속한 물리적 의료 행위와 환자와의 관계를 위한 심리적 의료 행위를 포함하는 4가지의 경험적 가치 요소를 정의하였다. 정맥 수액 요법용 의료 소모품 키트 디자인 제안과 함께 디자인 프로토타입을 제작하여, 디자인 요소를 검증하였다. 의료 소모품의 키트화는 처치 전체 과정에 있어 준비 및 폐기 과정을 간소화함으로 업무의 효율성을 높힐 수 있다.