• 제목/요약/키워드: facilitation of response

검색결과 60건 처리시간 0.02초

고유수용성신경근촉진법의 스케이터와 스프린터 통합패턴이 몸통근육의 근활성도와 근수축 개시에 미치는 영향 (Effects of Skater and Sprinter Combined Pattern in PNF on Muscle Contraction Onset Time and Muscle Activation of Trunk Muscle)

  • 김윤환;이형수
    • 정형스포츠물리치료학회지
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    • 제14권2호
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    • pp.55-64
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    • 2018
  • Purpose : The purpose of this study was to investigate the effect of the sprinter and skater combined patterns on muscle contraction onset time and muscle activation of body stabilizing muscles. Method : Our study included young and healthy men in their 20s. The participants used the sprinter and skater combined patterns of the proprioceptive neuromuscular facilitation (PNF) methods to measure muscle activation and muscle contraction onset time of the trunk muscles. To measure muscle contraction onset time and muscle activation, electrodes were attached to the rectus abdominis (RA), external oblique (EO), internal oblique (IO), and erector spinalis (ES) regions. Significant differences were identified using a paired t-test and a one-way analysis of variance (ANOVA) analysis. Result : In the sprinter combined pattern, the muscle with the fastest onset time of contraction was the RES, and that with the slowest was the RRA (p<.001). In the skater combined pattern, the muscle with the fastest onset time of contraction was the LES, and that with the slowest was the LRA (p<.001). In the sprinter combined pattern, the REO and LIO presented medium muscle contraction onset times (p<.001). In the skater combined pattern, the LEO and RIO presented medium muscle contraction onset times (p<.001). Conclusions: Based on these results, these patterns could be used as exercise methods for the elderly with delayed proactive response speeds of the body stabilization methods due to imbalances in body stabilizing muscles or limbs movement.

회전근개 파열 환자의 옷입고 벗기 향상을 위해 ICF Tool을 적용한 PNF 중재전략 : 증례보고 (A PNF Intervention Strategy with ICF Tool Applied for Improvement of Dressing in a Patient with Rotator Cuff Syndrome : A Case Report)

  • 김진철;이정아
    • 대한물리의학회지
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    • 제13권3호
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    • pp.49-60
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    • 2018
  • PURPOSE: This study was conducted to investigate the intervention effect obtained by applying an ICF tool to improve the dressing in a patient with rotator cuff syndrome to schematize the problems and approaching with PNF to solve the problems. METHODS: The subject of this study was a 44-year-old patient who underwent surgery after complete right rotator cuff tear. To treat his symptoms, the processes of clinical practice were implemented in the order of examination, assessment, diagnosis, prognosis, intervention, and outcome. During examination, patient information was collected using the ICF core set. In the assessment, the problems were schematized, and an ICF assessment sheet was used to identify the interaction of the problems. The diagnosis was made by clearly describing the causal relationship derived from the assessment in ICF terms. To solve the problems, the intervention was given in the order of indirect, direct, and task based on the philosophy of PNF. To evaluate the outcome, the differences before and after the intervention were compared. Additionally, the comparison for the ICF qualifier is presented with the ICF evaluation display. RESULTS: The results of the study showed clinical advantages in shoulder strength, eccentric control, range of motion, scapular stability, and shoulder pain. Overall, our patient with rotator cuff syndrome showed improvement in dressing and undressing activity in response to the PNF strategy. CONCLUSION: Application of the PNF intervention strategy after complete rotator cuff tear would have a positive effect on patient upper extremity function.

이행이론을 기반으로 한 폐경이행모형 (A menopausal transition model based on transition theory)

  • 김지순;안숙희
    • 여성건강간호학회지
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    • 제28권3호
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    • pp.210-221
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    • 2022
  • Purpose: The purpose of this study was to construct a hypothetical model based on Meleis and colleagues' Transition Theory and a literature review to explain women's menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between variables. Methods: With a correlational survey design, middle-aged Korean women aged 40 to 64 years who had experienced menopausal symptoms were recruited and filled out a self-administered study questionnaire. Measures included menopausal symptoms, resilience, social support, menopause management, menopause adaptation, and quality of life. The data were analyzed using SPSS 24.0 and AMOS 24.0. Results: The model fit indices were considered acceptable: 𝛘2/degree of freedom=2.93, standardized root mean residual=.07, comparative fit index=.90, and parsimonious normed fit index=.73. All eight direct-effect paths-from menopausal symptoms to support and adaptation, from support to adaptation and resilience, from resilience to adaptation and management, from management to quality of life, and from adaptation to quality of life-were significant. The explanatory power of the menopause transition model was 63.6%. Conclusion: Women who experience menopausal symptoms may be able to maintain and improve their quality of life if menopause management and menopause adaptation are successful through resilience and social support. Future research is needed to confirm whether strengthening facilitation as a nursing intervention strategy may promote healthy response patterns.

KPNFA 운영 및 발전 방향 모색을 위한 설문조사 연구 (A Survey of Operation and Development Direction in KPNFA)

  • 임재헌;나은진;이문규
    • PNF and Movement
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    • 제16권3호
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    • pp.377-388
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    • 2018
  • Purpose: The purpose of this study was to survey the operation and development direction in KPNFA. Method: The participants of this study consisted of physical therapists who had a KPNFA membership. The satisfaction levels for each item (KPNFA impression, educational programs, and clinical application) were measured using a 5-point Likert scale. The survey was performed during June and July 2018. The total questionnaire was comprised of 648 samples. For the data analysis, descriptive statistics and Spearman correlation analysis were used to compare the general characteristics and all items. Results: In the questionnaire, the impression of KPNFA was 69.21, the instructor specialization in the educational programs was 74.22, and helpful interventions for clinical application scored 74.96. KPNFA's image is competitive; friendly items scored the highest, and operation suitability and communication scored the lowest. The most important factor of the educational program was the quality of the instructors. The most helpful item was the education intervention program. The nervous system was applied to the patient with the highest response. The age of subjects showed a significant positive correlation with KPNFA impression, KPNFA branch impression, and branch problem solving. The work duration of subjects showed a significant negative correlation with instructor specialization. A regular member duration of subjects showed a negative correlation with teaching method, instructor specialization. Conclusions: The KPNFA survey was performed for the first time. In the future, this data will be utilized as the basis for KPNFA policy.

만성 뇌졸중 환자에 대한 PNF 집단 운동프로그램의 효과 (Efficacy of PNF Group Exercise Program in Chronic Stroke)

  • 김수민;배성수
    • PNF and Movement
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    • 제3권1호
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    • pp.1-15
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    • 2005
  • Objective : The purpose of this study was to evaluate the influence of a community based group exercise intervention on motor functional capacity. To evaluate the immediate(post-treatment) effects after 6-weeks exercise program on the group exercise intervention(PNF and Circuit exercise). Methods : Subjects-Included persons with stroke who were living in the community. Thirty-seven subjects were randomly assigned to the PNF, Circuit exercise and control group participated in a repeated measures design that evaluated the subjects with pre-treatment, post-treatment(6 weeks). Functional ability outcome measures assessed the motor assessment scale(MAS) and EMG. Both treatment groups participated in exercise cJass three times a week for 6 weeks. Group programs focused on balance, functional motor capacity and walking ability. The PNF program was modified PNF pattem and techniques with emphasis on functional tasks when possible, as well as stretching of the more affected limb particularly in the more affected shoulder. The Circuit program with subjects completing practice at a selies of work station as well as participating in walking races and relay with other members of the group. Results : Compared with the control group, the treatment group had larger improvements in the motor function ability after 6 weeks treatment and Post-treatment test scores were more significant than the pre-treatment score. 1. Motor function were assessed by using MAS, sit to stand, walking and upper function were assessed pre-treatment versus post-treatment measures revealed a statically significant(p<.05). There were significant differences between the groups. Compared with the control group, the treatment group had larger improvements. 2. In the treatment groups, demonstrated difference in the electromyographic activation of biceps, triceps, quadriceps and tibialis anterior muscles on the paretic side in the response to the reaching arm movement and stepping motion in stance. The difference in muscle activation improvement were not statically significant. Conclusion : The results of this study showed that the PNF and Circuit group exercise intervention can improve motor functional ability. This study suggests that the PNF and Circuit exercise programs is appropriate for community-based group exercise principles. It leads to gain and maintain potential function for disabled persons after stroke in the community.

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Toward the Successful Implementation of Problem-Based Learning at the University Level

  • CHANG, Kyungwon
    • Educational Technology International
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    • 제7권2호
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    • pp.93-106
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    • 2006
  • The knowledge-based society increasingly demands professionals possessing essential knowledge, and the ability to use this knowledge effectively in their work settings. In response to the requirement for these professionals, PBL is a promising educational method. This paper suggests an educational development program for faculty to implement problem-based learning(PBL). To implement PBL at the higher educational level, there is a need for a systemic approach. First, a well-designed educational plan for PBL is necessary. Before implementing PBL, both the instructor and the students should be prepared. Faculty members should be well informed on the characteristics of PBL, effective tutoring or facilitation skills, and how to design problems reflecting features of their own academic subject areas. Students also have to know the characteristics of PBL. Both of these groups need to be trained through workshops rather than through lectures. Second, a phase of design and implementation of PBL is necessary. PBL methods may seem to be intuitive and even unstructured because a problem is, in nature, unstructured and authentic. However, a closer look at PBL reveals that it is complex, carefully designed, and highly structured activity. Therefore, if it is poorly and incompletely designed, PBL can be a frustrating and exhausting experience for students and faculty members. Well-designed PBL can be an exhilarating and rewarding experience for both of them. Third, a phase of sharing PBL experiences is important: faculty members who have implemented PBL are required to share their experiences to help others enhance tutoring skills, and acquire practical information of students, contents, and what happened during PBL, and to develop PBL model in a specific domain. Based on the developed PBL model in a specific domain, PBL can be expanded and stabilized at the university level.

민간 아카이브 활성화의 의미와 과제 마을공동체 아카이브를 중심으로 (A Study on the Meaning and Tasks of Vitalizing Private Archives : Focused on Maeul-community Archives)

  • 손동유
    • 기록학연구
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    • 제65호
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    • pp.89-108
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    • 2020
  • 기록관리법이 처음 제정된 후 20여년이 지난 지금 기록관리 환경은 많이 바뀌었다. 전자기록환경의 도래, 대통령기록관리의 중요성, 민간기록물관리의 중요성 등은 2006년 기록관리법을 전면 개정하는 직접적인 배경이 되었다. 전자기록관리분야와 대통령기록관리 분야는 과제와 한계가 있지만 꾸준히 발전해 오고 있다. 그러나 민간분야의 아카이빙 활동이 활발해지고 있는 양상에 비해 정책과 제도의 변화는 크게 이루어지지 않고 있다. 이러한 상황에서 마을공동체 아카이빙의 전국적 움직임은 기록관리계의 대응을 주문하고 있다. 한 사회는 민간영역과 공공영역의 서로 협력하고 건강한 견제관계를 이룰 때 발전하게 된다. 아카이빙 분야에 있어서도 관민의 협력을 통해 사회전반에 걸쳐 활발한 아카이빙이 이루어져야 할 것이다.

정지신호과제의 수행에 따른 보행정지 시 다리 근전도 및 지면반발력 비교 (Comparison of Lower Extremity Electromyography and Ground Reaction Force during Gait Termination according to the Performance of the Stop Signal Task)

  • 구동균;권중원
    • PNF and Movement
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    • 제20권1호
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    • pp.135-145
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    • 2022
  • Purpose: The purpose of this study was to investigate the association between cognitive and motor inhibition by comparing muscle activity and ground reaction force during unplanned gait termination according to reaction time measured through the stop-signal task. Methods: Sixteen young adults performed a stop-signal task and an unplanned gait termination separately. The subjects were divided into fast and slow groups based on their stop-signal reaction time (SSRT), as measured by the stop-signal task. Electromyography (EMG) and ground reaction force (GRF) were compared between the groups during unplanned gait termination. The data for gait termination were divided into three phases (Phase 1 to 3). The Mann-Whitney U test was used to compare spatiotemporal gait parameters and EMG and GRF data between groups. Results: The slow group had significantly higher activity of the tibialis anterior in Phase 2 and Phase 3 than the fast group (p <0.05). In Phase 1, the fast group had significantly shorter time to peak amplitude (TPA) of the soleus than the slow group (p <0.05). In Phase 2, the TPA of the tibialis anterior was significantly lower in the fast group than the slow group (p <0.05). In Phase 3, there was no significant difference in the GRF between the two groups (p >0.05). There were no significant difference between the two groups in the spatiotemporal gait parameters (p >0.05). Conclusion: Compared to the slow group, the fast group with cognitive inhibition suppressed muscle activity for unplanned gait termination. The association between SSRT and unplanned gait termination shows that a participant's ability to suppress an incipient finger response is relevant to their ability to construct a corrective gait pattern in a choice-demanding environment.

공공데이터포털 이용 활성화를 위한 SNS 운용현황 및 개선방안 (SNS Operation Status Analysis and Improvement Plan for Facilitating of Use of Open Data Portal)

  • 황성욱;정예용;김수정;오효정
    • 정보관리학회지
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    • 제37권2호
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    • pp.23-45
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    • 2020
  • 최근 '코로나19'라는 초유의 재난 사태를 맞이하여 대한민국 정부의 투명한 정보 공개를 통한 적극적 대응에 전 세계가 주목하고 있다. 이렇듯 공공데이터 개방은 특정 정보에 대한 국민의 인지도와 접근성을 높임으로써 다양한 사회적, 경제적 가치를 상승시키는 데 필수적이다. 본 연구는 정부차원에서 주도적으로 수집하고 공개하고 있는 공공데이터포털의 이용 활성화를 위해 각국에서 운영하고 있는 SNS 현황과 그에 따른 개선방안을 제안하고자 한다. 이를 위해 국내·외 공공데이터포털 SNS 운용현황을 살펴보고, 그 중 선진 사례 3국(인도, 미국, 한국)의 서비스를 선정하여 계량 분석, 피드백 분석, 시계열 분석, 정보유형 분석을 실시하였다. 분석결과를 통해 정보유형 및 이용요구를 파악하고 시사점을 도출하여 공공데이터 이용 활성화를 위한 구체적인 개선방안을 제언하였다.

포스트 코로나 시대 ICT 기반 비대면 재난심리회복지원 서비스 촉진 방안 고찰 (Facilitation plan for non-face-to-face disaster psychological recovery support service based on ICT in the post-corona era)

  • 이정화;김희철
    • 한국정보통신학회논문지
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    • 제26권3호
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    • pp.463-468
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    • 2022
  • COVID-19는 감염병 차원의 재난이 아닌 복합재난으로 기존 재난 대응 관리방식으로는 대응이 어렵다. 이에 따라 '코로나 블루'와 같은 심리적 스트레스와 트라우마를 경험하는 것이 새로운 사회문제로 떠올랐다. 본 연구는 디지털 경제로의 전환이 가속화됨에 따라 ICT 기술을 활용한 비대면 상담 서비스 변화와 기업들의 화상, AI, VR등의 적용사례를 살펴봤다. 이를 바탕으로 ICT기술을 활용한 보다 효율적인 상담 시스템 구축과 상담 서비스의 개발로 재난 후 국민의 심리적 회복과 삶의 질이 향상될 수 있도록 재난심리회복지원 서비스에 관해 고찰해 보았다.