Purpose : To evaluate the effect of global scaling analysis on brain activation for sensory and motor functional MR imaging study. Materials and methods : Four normal subjects without abnormal neurological history were included. Arm extension-flexion movement was used for motor function and 1KHz pure tone stimulation was used for auditory function. Functional magnetic resonance imaging was performed at 3T MRI (GE, Milwaukee, USA) using BOLD-EPI technique and SPM2 was employed for data analysis. On data analysis, the brain activation images were obtained with and without global scaling by fixing other parameters such as motion correction and realignment. Results : The difference in brain activation between no scaling and global scaling was not large in case of right upper extremity movement (p<0.000001). For auditory test, brain activation with global scaling showed larger activation than that of without global scaling (p<0.05). Conclusion : A caution must be taken into account when analyzing functional imaging data with global scaling especially for functional study of small local BOLD signal change.
Journal of The Korean Society of Integrative Medicine
/
v.4
no.3
/
pp.109-119
/
2016
Purpose : The purpose of this research is to find clinical effects of functional resistance training using weighted vest on gross motor and balance abilities of children with dyskinetic cerebral palsy. Methods : This study selects 3 subjects for 8~12 years old who were diagnosed with children with dyskinetic cerebral palsy. The Design is ABA design of single-subject research design. Baseline(A) and TypeII Baseline(A : 12weeks) phases were received with NDT treatment, Intervention(B : 12weeks) phase provided with 40 minute functional resistance training using weighted vest in a session twice a week. In order to analyze the measure results of gross motor function and performance, balance abilities in children dyskinetic cerebral palsy during baseline, intervention and typeII baseline phase. Result : A statistically significant differences in the total GMFM including walking/running/jumping during baseline, intervention, typeII baseline, but no significant differences in the lying/rolling, sitting, crawling/kneeling and standing. A statistically significant differences in the total GMPM including dissociated movement, coordination, weight shift, stability during baseline, intervention, typeII baseline, but no significant differences in the body alignment domains. A statistically significant differences in the length and surface area ellipse of center of pressure during baseline, intervention, typeII baseline. Conclusion : The intervention method to facilitate multi-joint and closed kinematic chain movement equipped weighted vest applied functional resistance training on children with dyskinetic cerebral palsy effectively improve on gross motor function and performance, balance abilities.
Journal of The Korean Society of Integrative Medicine
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v.8
no.1
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pp.101-111
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2020
Purpose : The purpose of this study was to identify the comparison of the effects of manual therapy combined with exercise on range of motion (ROM), muscle strength, and functional performance in adolescent baseball players with internal impingement syndrome of the shoulder. Methods : The subjects were 30 patients diagnosed with impingement syndrome of the shoulder. Thirty subjects are randomly assigned to each 3 different groups; Group 1. (exercise group), Group 2. (exercise+mobilization; EMOB group), Group 3. (exercise+mobilization with movement; EMWM group). The interventions were performed three times a week for 4 weeks. The main outcome measures were goniometer, Biodex dynamometer, and Korean Kerlan Jobe shoulder-elbow (K-KJOC) scores. The ROM (external and internal rotation), muscle strength (external and internal rotation: 60 °/sec., 180 °/sec.), and functional performance were compared among the groups. Results : No significant difference was observed among the groups in the range of external rotation of the shoulder before and after the intervention, but the range of internal and total rotation was significantly increased in Group 2, 3 compared to Groups 1. Muscle strength of external and internal rotation (60 °/sec., 180 °/sec.) was not significantly different among Group 1, 2, 3, and functional performance was significantly increased in Group 2, 3 compared to Group 1. However, there was no significant difference between Group 2 and Group 3 in all measurements. Conclusion : An intervention with manual therapy such as EMOB and EMWM was more effective than exercise alone for rapid recovery from shoulder injury and improvement in functional performance. However, further efforts are needed to identify effects of specific interventions with manual therapy.
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.
Journal of the Korea Academia-Industrial cooperation Society
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v.13
no.7
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pp.3057-3064
/
2012
In this study, we have tried to identify the relationship between the patient's health belief and the implementation of functional movement rehabilitation and ability to perform ADL in stroke patient, and have done this study to use this as evidence in treating stroke patients in clinical trials by providing a basis data of stroke patients' successful rehabilitation program. We targeted stroke patients who were diagnosed with stroke and are hospitalized in D hospital in J City, Jeollabuk-do, South Korea. More over, we distributed a total of 150 questionnaires to patients who understand the purpose of the research and agreed to participate. We were able to collect 132questionnaires at the end. However, 11 had insufficient data so we only analyzed and evaluated 121 of the said questionnaires. We did frequency analysis to understand the general characteristics by using SPSS for Windows(ver.12.0) program and we used Pearson's Correlation Coefficient and regression analysis to know the relationship between the patient's health beliefs and the implementation of rehabilitation and ability to perform ADL in stroke patients. The results of this study shows that patients with higher perceived sensitivity, perceived benefit and perceived severity equates to an implementation of the rehabilitation better, however patients with a lower perceived disability equates an implementation of functional movement rehabilitation better than those with a higher perceived disability.
Journal of the Korea Society of Computer and Information
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v.27
no.5
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pp.215-224
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2022
The purpose of this study is to analyze how it affects functional movement and dynamic balance applying Czech get up exercise based on the principle of motor development of child for office worker women in 30s and 40s. Through random allocation, an Czech get up exercise group(n=15) and a control group(n=14) were formed to apply exercise for 12 weeks, 3 times a week, and 60 minutes a day, and the control group maintained daily life at the same period. As a result of the study, showed that Deep squat(p<.05), Hurdle step(p<.01), In-line lunge(p<.05), Trunk stability push-up(p<.001), Rotary stability (p<.01), Total score(p<.001), were significantly in the Czech get up Group, and Dynamic Balance of Lower Extremity(p<.001), Right Dynamic Balance of Lower Extremity(p<.001) were also significantly in the Czech get up Group. In conclusion, it is thought that Czech get up exercise based on the principle of motor development of child will have a positive effect on the functional movement and dynamic balance in office women, thereby increasing work efficiency as well as healthy life.
Journal of the Korea Society of Computer and Information
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v.27
no.6
/
pp.157-165
/
2022
The purpose of this study was to determine whether unstable surface core exercise is more effective than stable surface core exercise on improving functional movement and balance and reducing pain in sedentary female workers with backpain. Participants were randomly assigned to an unstable surface core exercise(UEG; n=10) or a stable surface core exercise(SEG; n=10) group. They participated in the given exercise for 8 weeks. FMS, Y-Balance and VAS were measured before and after the participation in exercise, which were subjected to a repeated-measures ANOVA. In the case of a significant interaction between time and group, paired sample t-tests were conducted for a post hoc analysis within each subject group. Results indicated that FMS of the UEG had a significant effect on HS (p<.01), ASLR (p<.05) and TS(p<.001), but not for other variables. YBT did not show a significant effect for any variable (AT, PL, PM, TS), although the main effect of time was significant in both subject groups. VAS had a significant effect only in the UEG(p<.001). Our findings indicate that compared to SEG, UEG is more effective for improving functional movement and reducing pain, but not for improving balance, in sedentary female workers with backpain.
The author performed this study for investigation of the magnitude of mandibular positional change caused by joint sound during mandibular opening and closing movement. There have been many studies stated mandibular border movement or other functional movement, and there also have been many studies reported clicking sound related to mandibular movement speed, trajectory and clinicl course of temporomandibular disorders(TMDs), but there have not been so many studies stated spatial mandibular position accompanied by joint sound. For this study 46 TM joint from the patients with TMDs were used and they were compared by character and occuring phase of the joint sound. Synchronized data which were amplitude and frequency of joint sound and amount of mandibular positional change were collected through sonopak and BioEGN rotate of Biopak system, respectively. Mandibular position was analyzed for translational and rotational movement change between before and after joint sound. The obtained data were processed with SAS program and summary of this paper were as follows : 1. Mean value of the amount of translational movement in whole joints were 6.0mm in vertical direction, 3.3mm in anteroposterior direction and 0.8mm in lateral direction between before and after joint sound. 2. Mean value of the amount of translational movement in clicking joinnts showed slightly increased tendency than in popping joints. 3. The amount of mandibular change in translational movement during closing phase were more than during opening phase. 4. The amount of mandibular rotational change in whole joints were $1.1^{\circ}$, 1.0mm in frontal plane and $0.9^{\circ}$, and 0.8mm in horizontal plane. 5. The amount of rotational movement were more in clicking joints than in popping joints and were more during closing phase than during opening phase, but statistically significance were showed only in frontal plane.
The purpose of this study was to clarify the effect of clasp design on abutment tooth adjacent to a distal extension base under the influence by the location of functional loading. The RPI clasp, the Akers clasp and the combination clasp were selected for evaluation. Tests were performed at 10Kg, 20Kg, 30Kg loads on the buccal, central, lingual, mesial and distal positions of loading platform of each mandibular distal extension partial denture. The laser reflexion method was used for three dimensional measurement of abutment movement, which is possible to measure precisely without contact. The movement in the mesiodistal(X), buccolingual(Y), and occlusoapical(Z) directions and the rotational movement(R) were measured, and in addition, the total movement (SV) as expressed by the three dimensional summation vector independent of direction was calculated. The data were analyzed using Student t-test, p<.05. The following results were obtained from this study; 1. Clasp design did not generally affect the direction of abutment tooth movement except the movement in an undesirable occlusal direction in case of the Akers clasp and the combination clasp. 2. The greater the load on the prosthesis, the greater was the abutment tooth movement, and the direction of abutment tooth movement was affected by positional loading. 3. Each prosthesis was dislodged from the test base under the small amount of load in the distal load position, and the buccal loading showed the greatest abutment tooth movement under the maximum load. 4. RPI clasp was evaluated as the most favorable design.
The mandibular movement during mastication has been studied, however there is still much controversy, therefore the purpose of this study was to establish the fundamental data in order to provide the functional occlusion and information in prosthodontic treatment, and the diagnosis of temporomandibular joint disorder. The author analyzed the characteristics of the border and masticatory movements using the Mandibular Kinesiograph. The value, direction, deviation angulation of the border and masticatory movements were studied on the sagittal and frontal planes in 24 male subjects age of 22-28 without orofacial problems. The obtained results were as follows: 1. The values of border movement on the sagittal plane were an average of $25.81{\pm}5.14mm$ in vertical component and $24.37{\pm}3.76mm$ in ant-post component, and the posterior terminal hinge movement, $9.31{\pm}3.62mm$ in vertical component and $7.59{\pm}2.65mm$ in ant-post. component. 2. The distribution range of the masticatory movement within the border movement was an average of $19.2{\pm}12.81%$ of maximum ant-post, values and $55.5{\pm}16.1%$ of maximum values of border movement, and the movement path, for the most part, was directed to posterior deviation and ranged from 0.98 to 12.00mm, on an average of $5.15{\pm}3.49mm$. 3. On the frontal plane, a number of left and right deviation in 24 subjects was same, however, the right deviation was an average of $2.51{\pm}1.67mm$ compared with the left deviation. 4. On the frontal plane, the point of maximum lateral deviation was an average of $49.7{\pm}11.0%$ of maximum opening values. 5. The angulation between the terminal hinge movement path and the masticatory path was an average of $24.00{\pm}4.65$.
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