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기능적인 저항훈련이 운동이상형 뇌성마비 아동의 대동작과 균형능력에 미치는 영향 : 단일사례설계 (Effects of Functional Resistance Training on Gross Motor and Balance Abilities in Children with Dyskinetic Cerebral Palsy : Single Case Design)

  • 권해연
    • 대한통합의학회지
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    • 제4권3호
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    • pp.109-119
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    • 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.

Effects of task-oriented training for Gross Motor Function Measure, balance and gait function in persons with cerebral palsy

  • Han, Hyun-Kyung;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • 제5권1호
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    • pp.9-14
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    • 2016
  • Objective: This study was to investigate the effects of Task-oriented training for Gross Motor Function Measure (GMFM), gait and balance function in cerebral palsy. Design: Randomized controlled trials. Methods: Twenty four subjects were recruited by means of a convenience sampling from Kangseo-Gu G rehabilitation center. Subjects were 24 inpatients and were randomly divided into a task-oriented training group and a conventional group. Twelve patients were experimental group who executed the task-oriented training (5 times/wk) for 4 weeks. The task-oriented program mainly focused on the capabilities of independent walking, with the angle of inclination set at 0 degrees and walking at a self-selected comfortable speed. In addition, balance training included the one-legged standing with weight-shifting and task-oriented training. Twelve patients were control group who executed only general conventional therapy (5 times/wk) for 4 weeks. All subjects were evaluated about the motor function, gait and balance function. Subjects have conducted the measured variables, GMFM, GAITRite, PDM Multifunction Force Measuring Plate after treatment. Results: There was statistically significant increase of Gross Motor Function Measure scores of the experimental group and control group after 4 weeks (p<.05). There was statistically significant increase of gait and balance function of the experimental group after 4 weeks of task-oriented training (p<.05). The experimental group showed a significantly improvement in GMFM, gait, and balance compared to the control group (p<0.05). Conclusions: This study proved that task-oriented training after stroke can improve Gross Motor Function Measure, gait and balance. Thus this study can suggest that task-oriented training for gross motor function, gait and balance be effective on the cerebral palsy.

형개련교탕(荊芥連翹湯) 추출물(抽出物)의 SD Rats에서 28일 경구(經口) 반복투여 독성시험 (28days Repeat Oral Dose Toxicity Test of 'Hyeonggaeyeongyotang' extract in SD Rats)

  • 안현주;황순이;이종록;김상찬;지선영
    • 대한한의학방제학회지
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    • 제16권1호
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    • pp.147-168
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    • 2008
  • HYTE (Hyeonggaeyeongyotang Extract), a polyherbal formula has been used as folk medicine, 28days repeat oral dose toxicity was tested in SD rats according to KFDA Guideline[2005-60]. Methods : In this study, mortality, clinical signs, body weight and gains, food and water consumption, ophthalmologic observation, urinalysis, hematology, serum biochemistry, gross findings, organ weight and histopathological observations were conducted during 28days of dosing periods. Results: 1. No HYTE treatment-related mortalities and clinical signs were detected in all dosing levels tested in male and female rats during the whole experimental periods. 2. No HYTE treatment-related changes on body weight, gains and food consumption were detected in all dosing levels tested in male and female rats during the whole experimental periods except for 2000mg/kg-dosing female groups in which significantly increase of body weight, gains, food and water consumption were detected compared to that of vehicle control in some points. 3. No HYTE treatment-related changes on ophthalmologic examination were detected in all dosing levels tested in male and female rats. 4. No HYTE treatment-related changes on urinalysis were detected in all dosing levels tested in male and female rats except for 2000mg/kg-dosing female groups in which, significantly increase of urine volume and related decrease on the urine specific gravity were detected as secondary effects of increase on the water consumptions not HYTE treatment-related toxicological signs. 5. No HYTE treatment-related changes on hematology were detected in all dosing levels tested in male and female rats except for increases in the total WBC count and lymphocytes of 2000mg/kg-dosing male and female groups with decrease of large unstained cells as pharmacological effects of immune enhancements not HYTE treatment-related toxicological signs. 6. No HYTE treatment-related changes on serum biochemistry were detected in all dosing levels tested in male and female rats. 7. No HYTE treatment-related changes on gross findings, organ weight and histopathology were detected in all dosing levels tested in male and female rats except for 2000mg/kg-dosing male and female groups in which, spleen and thymus organ weights, hypertrophy at gross observation and hyperpalsia of lymphoid cells and follicles at histopathological observation in spleen and thymus were detected as pharmacological effects of immune enhancements not HYTE treatment-related toxicological signs. Conclusions : Based on these results, the NOAEL and MTD of HYTE in SD rats were considered as over 2000mg/kg, respectively at 28days repeat oral dose toxicity test because most of these findings were considered as results of pharmacological effects of immune enhancements not HYTE treatment-related toxicological signs or secondary effects.

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뇌성마비 아동의 대동작 수행평가(GMPM)와 아동용 균형척도(PBS) 사이의 상관성 연구 (The study on Correlation between Gross Motor Performance Measure and Pediatric Balance Scale in Children with Cerebral palsy)

  • 김효원;안소윤
    • 대한물리치료과학회지
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    • 제22권2호
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    • pp.1-10
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    • 2015
  • Background : This study verified a correlation between gross motor performance measure (GMPM) and pediatric balance scale (PBS) for children, which are most widely used for assessment of children with cerebral palsy. Methods : The study subjects are 20 children aged between five and 13 who were diagnosed with cerebral palsy. Their mean age was $8.15{\pm}2.96years$ and consists of 15 males and 5 females. The subjects were divided into three groups according to muscle tone and motility disorders and then GMPM and PBS were assessed. In the assessment items in the GMPM, alignment, coordination, dissociated movement, stability, and weight shift were measured. The PBS consists of sitting to standing, standing to sitting, moving between chairs, standing without using hands, standing with one foot, turning 360 degrees, turning to look behind, retrieving object from floor, and reaching forward with outstretched arm while standing. A correlation of the collected data was analyzed using SPSS 18.0 for windows. Results : From Significant correlations were shown between items of GMPM and PBS as well as total scores of GMPM and PBS. Among them, coordination and weight transfer in the GMPM items had a high correlation with the PBS. In addition, the higher the GMPM total score was, the higher the PBS score was. Conclusion : This study result showed a significant correlation between GMPM and PBS, and this relation can be used to pediatric physical examination.

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질소시비량이 단옥수수의 질소흡수, 수량 및 조수입에 미치는 영향 (Nitrogen Uptake, Yield and Gross Income of Sweet Corn as Affected by Nitrogen)

  • 이석순;최상집
    • 한국작물학회지
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    • 제35권1호
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    • pp.83-89
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    • 1990
  • 단옥수수의 수량을 상품성 있는 이삭수, 이삭무게, 이삭 크기별 시장가격을 적용한 조수입으로 평가하였을 때 이들 수량평가방법의 결과를 비교하기 위하여 단옥수수 품종 Golden Cross Bantam 70을 질소시비량(0, 5, 10, 15, 20kg/10a)을 달리하여 0.03mm 투명 P.E. film 피복하에서 재배하였다. 출아후 30일과 44일에 초장과 분벽수를 조사하였고, 이삭조사는 출사후 25일에 수확하여 포엽을 제거한 후 이삭의 수, 크기, 무게를 조사하고 무게별 이삭수, 10a당 상품성 있는 이삭수, 이삭무게, 조수입을 조사하였다. 1. 초장, 간장, 착수고, 분벽수는 질소시비량이 많을수록 증가하고 출사기는 1-2일 빨랐다. 2. 수확기의 주간 엽면적지수는 1.5-1.9이었으며, 질소시비량이 많을수록 증가하였다. 3. 이삭의 질소함유율은 지비량간에 차이가 없었으나 경엽의 질소함유율과 총질소흡수량은 질소시비량이 많을수록 증가하였다. 그러나 질소이용율은 질소시비량이 많을수록 감소하였다. 4. 상품성있는 이삭은 도매시장가격에 따라 상품(포엽 제거한 무게 150g, 포엽 포함한 무게 350g이상)과 중품(포엽 제거한 무게 100-150g, 포엽 포함한 무게 180-230g)으로 분류하였다. 가격은 출하시기, 상품의 품질 및 년차에 따라 현저히 달랐다. 5. 상품성있는 이삭이 평균 길이, 굵기, 무게는 질소시비량간에 차이가 없었다. 6. 포엽을 제거한 이삭무게가 150g 이상인 상품비율과 10a당 100g 이상의 상품성있는 이삭수, 이삭무게, 크기별 가격과 이삭수를 고려한 조수입은 질소시비량이 많을수록 증가하였다. 7. 10a당 상품성있는 이삭수, 이삭무게, 크기별 가격과 이삭수를 고려하여 계산한 조수입간에는 고도로 유의한 정의 상관이 있었다. 그러나 질소시비량이 많을 때 상품성있는 이삭수와 무게로 수량을 평가하면 조수입보다 다소 과소평가되었다. 8. 이삭을 수확한 후 경엽의 건물수량은 740-963kg/10a으로 질소시비량이 많을수록 증가하였으며, 건물함량은 20.8-24.5%이었다. 9. 흑조위축병은 11.8-15.0% 리병되었으나 질소시비량간에는 차이가 없었다.

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THE FEEDING AND ECONOMIC VALUE OF MAIZE COB MEAL FOR BROILER CHICKENS

  • Ochetim, S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제6권3호
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    • pp.367-371
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    • 1993
  • The feeding value of maize cob meal was investigated in a trial involving one hundred and forty Arbor Acre day-old chicks raised to eight weeks of age. The maize cob meal which contained 32.5% fibre, 2.5% protein and had a gross energy value of 2,550 kcal/kg, was incorporated into the experimental diets at either 0, 2.9, 5.8, 11.6 or 23.2% level. All diets were formulated to contain 3,200 kcal/kg of metabolizable energy and approximately 22% protein by varying the proportions of maize and whole cooked soyabean meal in the diets. The inclusion of maize cob meal up to 11.6% in the diet did not significantly (p>0.05) affect body weight gains, feed consumption and utilization, as well as carcass yield and dressing percentage. However, at the 23.2% level of maize cob meal inclusion, body weight gains, feed utilization and carcass yields were significantly (p<0.05) reduced. The use of maize cob meal reduced feed cost for raising birds and either maintained or improved gross profit returns with up to 11.6% level of inclusion in the diet. It was concluded that maize cob meal can be included up to 11.6% in the diet of broiler chickens provided dietary energy concentration is maintained at 3,200 kcal of metabolisable energy per kilogramme of feed by using high energy density feed ingredient such as boiled whole seed soyabean meal.

트레드밀에서 뒤로걷기 훈련이 경직성 양하지 뇌성마비 아동의 보행에 미치는 영향: 사전 연구 (The Effectiveness of Backward Gait Training on the Treadmill in Children With Spastic Diplegic Cerebral Palsy: A Pilot Study)

  • 김성경;류영욱;김원호
    • 한국전문물리치료학회지
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    • 제19권3호
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    • pp.81-90
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    • 2012
  • The aim of the current study was to assess the effectiveness of backward gait training on the treadmill in patients with spastic diplegic cerebral palsy (CP). Twelve patients with spastic diplegic CP participated in the study. An 8-week course of backward gait training was administered to the subjects for 3 days per week. Pre-intervention and post-intervention assessments of temporal-spatial gait parameters, the symmetry of the bilateral lower extremity weight bearing, and gross motor function were analyzed using motion analysis system, force plate, and Gross Motor Function Measurement (GMFM). There were significant improvements (p<.05) in the measures of both step length and right stance phase time. Joint kinematics showed increase in right hip abduction in initial contact and terminal swing, right hip external rotation and knee flexion in mid-swing, left ankle dorsiflexion in initial contact and terminal swing (p<.05). The symmetry of the bilateral lower extremity weight bearing and GMFM also significantly increased (p<.05). These findings indicate that backward gait training using a treadmill is beneficial for patients with spastic diplegic CP.

The Chemoprotective Effect of Fermented Rice Bran on Doxorubicin Induced Toxicity in the Rat

  • Lee, Keyong Ho;Rhee, Ki-Hyeong;Cho, Choa Hyung
    • Natural Product Sciences
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    • 제20권1호
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    • pp.29-32
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    • 2014
  • In the present study, we examined the chemoprotective effects of different rice bran, which are produced by fermentation or not, on doxorubicin induced rat model, and detected the change of components of rice bran. Rats receiving fermented rice bran of 100 mg/kg by oral plus doxorubicin 10 mg/kg had greater weight gain as +24% than that observed with doxorubicin alone. In case of the treatment of non-fermented rice bran of 100 mg/kg by oral with doxorubicin of 10 mg/kg, fermented rice bran showed a -1.3% decrease in body weight. 100 mg/kg fermented rice bran decreased the incidence to 30%, and non-fermented rice bran decreased the incidence to 50%. In lethality, the rate of death of doxorubicin was 60%. 100 mg/kg fermented rice bran decreased to 10% in death rate and non-fermented rice bran to 30%. In gross gastrointestinal pathology, doxorubicin showed the gross gastrointestinal mucosal pathology in 70% of treated rats, fermented rice bran decreased to 40% and non-fermented rice bran to 50%. In the change of constituent, xylose concentration of fermented rice bran was detected to 59.33 mg/g while its concentration of non-fermented rice bran was 11.12 mg/g.