• 제목/요약/키워드: handicap

검색결과 283건 처리시간 0.023초

골프 스윙 시 스탠스에 따른 하지의 역학적 분석 (Biomechanical Analysis of Lower Limb on Stance during Golf Swing)

  • 윤세진;설정덕;우병훈
    • 한국응용과학기술학회지
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    • 제38권2호
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    • pp.532-542
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    • 2021
  • 본 연구의 목적은 골프 스윙 시 3가지 스탠스에서 클럽헤드 스피드와 볼의 정확성을 유지하기 위한 신체 전략을 하지의 운동학적 변인과 지면반력 변인을 통하여 알아보고자 하였다. 연구의 대상은 공식 핸디캡이 2인 남자골프선수 10명으로 하였다. 모든 대상자들은 스탠스 조건(스퀘어, 오픈, 클로즈드)에 따라 어드레스 자세를 유지한 후 스윙을 수행하였다. 3차원 동작분석 시스템과 지면반력기를 이용하여 각 스탠스에 따라 7번 아이언 풀스윙을 수행한 결과를 산출하였다. 연구결과로 신체중심의 변위, 고관절 각변위, 무릎관절 각변위는 차이가 나타나지 않았다. 발목관절 각변위는 어드레스부터 다운스윙까지 왼쪽에서 오픈 스탠스가 저측굴곡이 크게 수행되었고, 오른쪽에서 클로즈드 스탠스에서 저측굴곡이 크게 수행되었다. 지면반력에서 전후, 수직은 차이가 없었지만, 어드레스부터 테이크백까지 왼발은 오른쪽 방향, 오른발은 왼쪽 방향의 힘이 오픈이 클로즈드 스탠스보다 크게 나타났다. 결론적으로 다양한 스탠스에도 불구하고, 임팩트 시 동일한 자세를 유지하는 것이 클럽헤드 스피드와 볼의 방향에 긍정적으로 작용되는 것으로 판단된다.

성향정기산가미방을 중심으로 한 한의약 치료를 통해 단기간에 호전을 보인 전순환계 뇌경색 후 발생한 지남력장애 및 현훈을 주소로 한 환자 1례에 대한 보고 (A Case Report of a Disorientation and Dizziness with Acute Anterior Circulation Region Cerebral Infraction Improved by Korean Medical Treatment: Focusing on Sunghyuangjunggi-san-gamibang (Xingxiang zhengqi san))

  • 추홍민;김광호;이영웅;임현서;신희라;양무학;강건희;박찬종;김철현;성강경;이상관
    • 대한한방내과학회지
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    • 제41권6호
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    • pp.1245-1254
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    • 2020
  • Introduction: The aim of this study was to report the effect of Korean medicine treatments on a stroke patient with acute cerebral infarction. Method: A 63-year-old male with anterior and middle cerebral artery infarction had symptoms of dizziness and disorientation. The patient was treated with Korean medicine therapy, including the herbal medicine "Sunghyuangjunggi-san-gamibang." Treatment progress was assessed using the Korean version of the Modified Barthel Index (K-MBI) and the Korean dizziness handicap inventory (K-DHI). Results: After 14 days of treatment, the K-DHI score decreased from 78 to 7 and the K-MBI score increased from 18 to 24. The patient's main symptoms were improved after the treatment, and no side effects were observed. Conclusion: Korean medicine treatment, including Sunghyuangjunggi-san, might be a recommended therapeutic option for dizziness and disorientation in stroke patients.

상담자 요소가 이명재훈련치료의 효과에 미치는 영향 (The Effect of Different Counselors on Treatment Outcome of Tinnitus Retraining Therapy)

  • 김우진;공지선;박소영;정기환;김래형;여상원;박시내
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • 제60권5호
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    • pp.209-214
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    • 2017
  • Background and Objectives Tinnitus retraining therapy (TRT) is one of the most effective treatment modalities of tinnitus based on the neurophysiological model proposed by Jastreboff and Hazell. This study was performed to evaluate the effect of counselor factor on treatment outcomes of TRT. Subjects and Method The total of 78 patients who had TRT from three different counselors in a tinnitus clinic of tertiary referral center from Jan 2015 to Dec 2015 were included in this study. Their medical records were retrospectively reviewed to evaluate the therapeutic response to TRT. Results Among 78 patients who were followed-up for more than 6 months, 47, 20, and 11 patients were treated by counselors A, B, C (all ENT specialists), respectively. Counselor A had 15-year-experience of TRT counseling, whereas counselor B and C were well trained but beginners of TRT counseling. Initial clinical characteristics including Tinnitus Handicap Inventory (THI) and tinnitus Visual Analogue Scale (VAS) scores of the patients among three groups were not significantly different. Treatment responses evaluated via THI and most of the tinnitus VAS scores after at least 6 months after TRT were significantly improved in all three groups (p<0.05) with no significant difference between the senior (A) and junior (B, C) group. Conclusion TRT seems to be an effective treatment modality of tinnitus even in this short term follow-up study. Treatment outcomes of TRT may not depend on the counselors once they are well trained and follow the same protocol.

어지럼증을 주소로 하는 전하소뇌동맥경색 환자에 대한 한방치료 증례보고 1례 (Korean Medicine Treatment for Anterior Inferior Cerebellar Artery Infarction: A Case Report)

  • 신주은;강지윤;양지혜;원서영;유호룡;김윤식;설인찬
    • 대한한방내과학회지
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    • 제43권2호
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    • pp.166-174
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    • 2022
  • Objective: The aim of this study is to report the effectiveness of Korean medicine for a patient with dizziness following anterior inferior cerebellar artery infarction. Methods: The patient was treated with traditional Korean methods including acupuncture, herbal therapy, moxibustion, and vestibular rehabilitation exercise during an admission period of seven days. The patient's dizziness was assessed using a numeric rating scale (NRS) and the Korean Dizziness Handicap Inventory (K-DHI), Korean Activities-specific Balance Confidence (K-ABC), Korean Vestibular Disorders Activities of Daily Living (K-VADL), the modified Rankin scale (mRS), and the Korean version of the Modified Barthel Index (K-MBI). Results: After seven days of combined treatment with traditional methods and vestibular rehabilitation, the patient's dizziness was reduced from NRS 6-7 to NRS 2. In addition, K-DHI decreased from 84 to 22; K-ABC improved from 52% to 78.125%; K-VADL reduced from 175 to 37; the mRS score changed from 4 to 1; and the K-MBI score increased from 86 to 98. No adverse events were observed during treatment. Conclusion: This study suggests that combined therapy of Korean medicine and vestibular rehabilitation can be effective treatment for anterior inferior cerebellar artery infarction patients.

후두 미세수술 중 병변 내 스테로이드 주입이 음성에 미치는 효과 분석 (Analysis of the Effect of Intralesional Steroid Injection on the Voice During Laryngeal Microsurgery)

  • 박재선;강현석;이인범;진성민;이상혁
    • 대한후두음성언어의학회지
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    • 제33권3호
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    • pp.166-171
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    • 2022
  • Background and Objectives Vocal fold (VF) scar is known to be the most common cause of dysphonia after laryngeal microsurgery (LMS). Steroids reduce postoperative scar formation by inhibiting inflammation and collagen deposition. However, the clinical evidence of whether steroids are helpful in reducing VF scar formation after LMS is still lacking. The purpose of this study is to determine whether intralesional VF steroid injection after LMS helps to reduce postoperative scar formation and voice quality. Materials and Method This study was conducted on 80 patients who underwent LMS for VF polyp, Reinke's edema, and leukoplakia. Among them, 40 patients who underwent VF steroid injection after LMS were set as the injection group, and patients who had similar sex, age, and lesion size and who underwent LMS alone were set as the control group. In each group, stroboscopy, multi-dimensional voice program, Aerophone II, and voice handicap index (VHI) were performed before and 1 month after surgery, and the results were statistically analyzed. Results There were no statistically significant differences in the distribution of sex, age, symptom duration, occupation and smoking status between each group. Both groups consisted of VF polyp (n=21), Reinke's edema (n=11), and leukoplakia (n=9). On stroboscopy, the lesion disappeared after surgery, and the amplitude and mucosal wave were symmetrical on both sides of the VFs in all patients. Acoustic parameters and VHI significantly improved after surgery in all patients. However, there was no significant difference between the injection and control group in most of the results. Conclusion There was no significant difference in the results of stroboscopy, acoustic, aerodynamic, and subjective evaluation before and after surgery in the injection group and the control group.

옥외광고물 설치를 고려한 복합상업건물 입면개선 - 창원시 일반상업지구를 중심으로 - (The Facade Improvement of Complexed Commercial Building Considering Open Signboard - Focused on Commercial district in Chnagwon -)

  • 유진상;서유석
    • 디자인학연구
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    • 제20권3호
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    • pp.191-202
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    • 2007
  • 최근 들어 옥외광고물에 대한 행정적 규제나 방침이 적용되고 있고 광고물 자체의 디자인이 향상되고 있으나 건축물 유형과 관련한 현실적인 옥외광고물의 상관성 연구는 부족한 실정이다. 그러므로 양자간의 정량적 상관성 분석을 통하여 도심 가로변 복합상업건축물의 디자인 시 옥외광고물의 패턴과 량을 미리 고려하여 입면을 개선하는 방법을 제시해보고자 한다. 매스계획 시에는 첫째, 전면공지형이 바로인접형 보다 옥외광고물 밀도를 낮추는 수단이 된다. 둘째, 전면적이 유사하면 높이차이가 있어도 광고물 수에는 변화가 없는 것으로 밝혀져 4층 이상 건물의 가로형광고물도 허가 시 총량을 제어하는 방안이 도입될 필요성이 제기되었다. 셋째, 동일레벨보다 상승진입형으로 가로와 접하는 건물 옥외광고물의 밀도가 더 낮으므로 입면계획 시 이를 반영하되 가로특성별로 입면레벨 제어가 필요하다. 넷째, 스팬드럴이나 베란다 세장비를 옥외광고물 부착이 어려운 형태로 줄이고 매스 측면모서리에 돌출세로형광고물의 위치를 미리 배려하는 것이 유리하다. 다섯째, 중층부에는 세로형 돌출옥외광고물을, 중 고충부는 광고물이 작은 단위로 분산되지 않도록 큰 면적을 할애해야한다. 입면계획 시에는 첫째, 수직형보다 수평형 벽면과 횡연창이 많으므로 건물의 스팬드럴 위치와 폭을 일정하게 유지하면 이후 정렬된 광고물 설치를 기대할 수 있다. 둘째, 불규칙형 벽면형태가 단일주조형에 비해 오히려 광고물 총량 제어에 유리하다. 셋째, 횡연창이 광고물 총량을 가장 제어하기 힘들며, 복합창의 경우 횡연+종연창 복합형의 광고물이 격자+횡연창이나 격자+전면창에 비해 상대적으로 많으므로 이를 입면계획에 반영해야 한다. 넷째, 전면창복합형>격자창복합형>횡연창 복합형 순으로 광고물 제어에 유리하다. 그러므로 복합상업건축물 입면계획 시 일방적인 수평요소의 반복은 지양할 필요가 있다. 모서리계획 시에는, 첫째, 2개 이상의 가로와 접하는 건물의 경우 모서리부 광고 효과가 지배적이며 대부분 곡선돌출형이 사용되고 있었다. 그러므로 모서리 저층부를 필로티로 계획하여 보행흐름을 원활하게 하고 대신 입면을 투명하게 하여 간접광고(내부전시) 효과를 유도하는 것이 좋다. 특히 원형모서리는 건물 특화 성격이 강하므로 불가피할 경우 소형 액센트 광고 위치를 미리 벽면으로 할애하는 것이 경관 및 입면계획에 유리한 것으로 분석되었다.

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사춘기 여성들의 월경경험 (Menstrual Experience of Adolescent Girls)

  • 정현숙
    • 대한간호학회지
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    • 제26권2호
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    • pp.257-270
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    • 1996
  • Studies on menstruation have focused only on menstruation itself and menstrual disorders. The menstruating girls or women have been neglected. So, the purpose of this study was to understand menstrual experience of adolescent girls in their perspective and build a theory on it, The specific purpose of this study were to find initial reaction of the girls, their strategies to adapt to menstruation. consequences of their efforts, influencing factor, and patterns of experience. The subjects of this study were eleven adolescent girls who experienced menarche three months to twenty-six months before the interview time. They were selected purposively. Their ages were in range of twelve and sixteen. One of them was a elementary school girl, three high school girls, and seven middle school girls. Two girls were handicapped because of cerebral palsy. All of them had some knowledge about menstrual physiology and hygiene during menstruation. Data were collected from September, 1994 to July, 1995. Data collection & analysis were done according to the grounded theory methodology by Strauss & Corbin(1990). Data collecting method was the long interviews and observation. Each interview took from 1 hour to 2 hours. Interview were tape-recorded and transcribed later by author. Data were analyzed immediately after interviews. Based on the results of previous interview, next interview were planned until gathered data reached the saturation point. Results were as follows. One hundred and six concepts were found. Those concepts were grouped into twenty eight categories and then fourteen higher categories. Twenty eight categories were as follows. “want to hide”, “bewildered”, “sense of burden”, “sense of heterogeneity”. “gladness”. “sense of superiority”, “negative empathy”, “positive empathy”, “limited hygenic control”, “sense of timing”, “lack of knowledge”, “lack of support”, “advance knowledge”, “informational support”, “emotional support”, “endurance”, “prayer”, “disclosing”, “avoidance”, “diversion”, “sense of powerlessness”, “discovery of sex identity”, “sense of maturation”, “sense of stability”, “acceptance of menstruation ”. fourteen higher categories were as follows. “negative feeling”, “posive feeling”, “exchange of feeling”, “limited hygenic control”, “sense of timing”, “accumulated experience”, “dysmenorrhea”, “level of knowledge”, “need for support”, “perceived support”, “sharing of feeling”, “self-control”, “passive acceptance”, “active acceptance”. The core category was “emotional shaking”, which consisted of “positive feeling” and “negative feeling”. “Emotional shaking”comes up to every adolescent girls experiencing menarche, independently of any contextual conditions, and its dimension has two directions : positive one and negative one. Its influencing factors were time of menarche, advance knowledge, support from the significant persons, expression and self-regulation. Even if they showed different process of adaptation to menstruation, general process of adaptation were as follows : 1. stage of emotional shaking 2. stage of acceptance 3. stage of internalization of the menstrual experience. Seven patterns existed on the process of adaptation to menstruation after menarche. Those are as follows. 1. If girls thought their menarche came too early and they had not much knowledge on menstruation, they had a kind of negative feeling. If they did not get enough support and dysmenorrhea superimposed, they came to accept menstruation passively. 2. If girls had menarche too early. they had negative feeling, even though they had enough advance knowledge. But support helped them accept menstruation easily. 3. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge on menstruation. But by experiencing subsequent menstruations and disclosing feeling, they began to accept menstruation. 4. If girls had menarche too lately and they had enough advance knowledge on menstruation. they had positive feeling. If dysmenorrhea superimposed later, their feeling turned in to negative one. But they came to accept menstruation positively by disclosing feeling and getting support. 5. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge on menstruation. In addition to this. if dysmenorrhes superimposed while they did not get enough support, they felt powerless and came to accept menstruation passively. 6. If girls had menarche too early and did not get enough advance knowledge, they had negative feeling. But disclosing feeling and support made them get sense of homogeneity and began to accept menstruation. 7. If girls had handicap, they had negative feeling, even though they had enough advance knowledge and menarche was late. But Menarche made them get feel sexual identity. Their limited hygenic control and negative empathy from their mothers made them accept menstruation passively. To let adolescent girls take their menstrual experience as a part of their lives forming a positive sense of feminine identity, it needs qualified teaching and, support and deep concern of the significant others. Nurses including school nurses should try to develop an educational program, which include menstrual physiology. hygiene during menstrual period, meaning of menstruation and impact of menstruation on the development of female sexual identity.

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마사지요법이 저체중아의 성장, 생리적 변화 및 모.영아 상호작용에 미치는 효과 (Effects of the Massage Therapy on Weight, Stress Hormone and Mother - Infant Interaction)

  • 김미예;김선희
    • 부모자녀건강학회지
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    • 제3권1호
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    • pp.1-14
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    • 2000
  • The Low Birth Weight infant birth rate in this country is a little more than 15 percent and is being increased. The survival rate of Low Birth Weight infant is over 90 percent and recently the rate runs is getting. However, because of the high risk of Low Birth Weight infant for handicap in growth, a preventive nursing intervention program for Low Birth Weight infant and their mother is considered to be necessary. Touch and massage, thus sensory stimulation has been considered to be important ensuring a normal growth of Low Birth Weight infant During the past decades sensory stimulation program has been used for premature and Low Birth Weight infants. Recently a study on the sensory stimulation for Low Birth Weight infants has bee n done in this country. Mother and infant relationship has a great influence on child's development. Especially, mother and infant interaction during one year after birth plays important role in child's social. affective and cognitive developments. But in the study of Low Birth Weight infants, the mother and infant interaction has been rare yet. However, there was no study effectiveness of the sensory stimulation on mother and infant interaction. In this respect, this study based on the importance of the nursing intervention, is intended to measure the effectiveness of the massage therapy in the aspects of weight, daily feeding amount, cortisolurine stress hormone and mother and infant interactions. This study has been conducted on the nonequivalent control group pretestposttest design in quasi experimental basis and Low Birth Weight infants from NICU of two Medical University Hospitals located in Taegu Metropolitan were selected in experimental group of 21 infants and control group of 20 infants. Data has been collected from May 1, 1999 to September 5, 2000. For the experimental group Field's sensory stimulation(tactile and kinesthetic stimulation) was applied 2 times a day for 10 days(10:00 - 11:00 hours in the morning and 19:00 - 20:00 in the afternoon) by nurse and mother. The electronic indicator scale (Cas Co. Korea) was used to measure infant's body weight. To determine urine cortisol concentration level under stress, rad immuno assay method was used. And to determine mother and infant interactions during feeding, tools developed by Kim Mi-Ye (1999) were used. Collected data were analyzed with SAS program using x-test, t-test, paired t-test and repeated measures ANOVA. Findings were as follows : 1. For the daily mean weight gain, the experimental group showed little higher than the control group, even though, there was no Statistically significant differences between two groups. 2. For the amount of daily mean feeding, the experimental group showed little higher than the control group, while there was no Statistically significant differences between two groups. 3. The level of wine cortisol concentration was increased in both groups, while no Statistical significance was shown between the two groups. 4. Mothers in experimental group were more likely to have higher mean scores in mother and infant interaction during feeding than mothers in the control group. Statistical significance was shown between the two groups(t= 5.78, P=.001). In conclusion, the massage therapy in this study showed with regard to even though through there was no statistically significance in the weight gain and urine stress hormone concentration. there was Statistical significantly higher in the mother and infant interaction during feeding. Based on the result of this study, it is considered that the massage therapy should be applied clinical practice and home to help a developmental growth and interaction of Low Birth Weight infants and mothers during the period of recovery.

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백서 정중구개봉합 확대후의 CGRP 면역반응 신경섬유의 변화 (Changes in CGRP-immunoreactive Nerve Fibers during Expansion of Midpalatal Suture of the Rat)

  • 김보경;박국필;경희문;권오원;성재현
    • 대한치과교정학회지
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    • 제29권1호
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    • pp.73-81
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    • 1999
  • 측방확대장치에 의한 정중구개봉합부의 확대시 교정력은 구개부의 신경요소들에 변화를 일으키면서 동통을 유발하게 되고 구개봉합부가 확대되고 그것이 유지되는 동안에 기계적 자극에 의한 구개부신경섬유의 반응성에 변화를 일으킬 것으로 생각된다. 본 연구에서는 백서 정중구개봉합부의 CGRP 면역반응 신경섬유의 교정력 적용시간에 따른 형태학적인 반응성, 밀도, 분포변화등을 관찰하고 그와 연관된 CGRP의 기능을 알아보고자 250gm내외의 Sprague-Dawley 웅성백서 상악전치에 200gm의 치아이개력이 가해지도록 활성화시킨 helical spring을 삽입하여 정상대조군과 장치 장착후 경과시간에 따라 1일, 4일, 7일, 14일 경과군으로 나누어 정중구개봉합부를 확대후 희생시켜 면역조직화학법으로 염색하여 관찰하였다. ${\cdot}$ 대조군에서 정중구개봉합부 결합조직의 CGRP 면역양성 신경섬유는 거의 관찰되지 않았다. ${\cdot}$1일군에서는 대조군에 비해 CGRP면역반응 신경섬유가 현저한 증가를 보였으며 주로 혈관 주위에 염주알 모양의 가는 신경섬유가 관찰되었다. ${\cdot}$ 4일군에서는 CGRP면역반응 신경섬유가 대조군에 비해서는 현저한 증가를 보였으나 1일군에 비해서는 크게 증가하지 않았으며 혈관의 크기가 훨씬 확장되어 관찰되었다. ${\cdot}$ 7일군에서는 특징적으로 조골양세포가 새로이 형성된 골변연을 따라 줄지어 배열되는 독특한 양상이 관찰되었고 신경섬유의 수는 4일군에 비하여 감소하고 혈관의 직경도 감소되었다. ${\cdot}$14일군에서는 CGRP면역반응 신경섬유가 7일군과 유사한 분포를 보였으며 확대에 의한 골변연의 불규칙성도 대체로 감소되었다. CGRP면역반응 신경섬유는 정중구개봉합의 확대시 초기에 일어나는 신경원성 염증반응에 주로 관련되어 증식되는 것으로 생각된다.

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학교폭력 피해 청소년의 정신의학적 후유증에 관한 사례 연구 (A CASE-ANALYSIS OF THE PSYCHIATRIC SEQUELAE IN ADOLESCENTS VICTIMIZED BY SCHOOL VIOLENCE)

  • 육기환;이호분;노경선;송동호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제8권2호
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    • pp.232-241
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    • 1997
  • 학교폭력의 피해를 입은 경우, 물리적인 측면보다는 정신적인 문제가 더 클 수 있다. 폭력을 당한 이후에 공포심, 우울감, 분노감, 자존심의 저하, 자살, 그리고 만성적으로는 인격장애등이 나타날 수 있다. 학교폭력과 연관하여 사회심리적인 위험요인을 조사하고, 동시에 폭력에 노출된 후에 나타나는 정신의학적 후유증을 알아보는 일은 학교폭력 예방과 해결에 주요한 임상자료를 제공하기 때문에 학교폭력의 실태조사만큼이나 중요하다. 1995년 9월부터 1997년 5월 사이에 학교폭력의 피해를 입고 정신과에 내원한 청소년 환자 13명을 대상으로하여 임상자료와 사회심리적 배경을 조사하였다. 임상자료는 폭력의 정도와 동기, 기간과 방법, 폭력후의 정신과적 증세, 심리검사 소견 및 치료경과 등을 포함하였고, 사회인구학적 자료는 대상들의 성장과정과 가족적 특성, 그리고 학교생활과 교우관계였다. 13명의 전체대상 중 8명은 만성적인 정신장애를 겪은 반면, 5명은 $1{\sim}3$개월동안 불안, 우울, 및 자살기도등의 일시적인 정신과적 증상을 겪은 후에 학교와 가정생활에 복귀할 수 있었다. 만성 정신장애를 보인 8사례 중, 4명은 폭력을 경험한 후에 $3{\sim}6$개월 이상 외상후 스트레스장애 및 우울장애를 나타냈으며, 다른 4명은 폭력으로 인한 정신적 충격을 일정기간 겪은 후 피해에 대한 강한 보상심리 또는 가해자에 대한 동일시 등에 의하여 공격적인 행동장애 내지 폭력가해 사례가 되었다. 만성적 정신장애를 보인 사례들은 일시적인 급성스트레스장애를 나타낸 사례에 비하여 신체적 학대와 정서적 학대, 신체적인 약점이나 질환, 자아기능의 결손, 가족적 지지체계의 결핍 등을 특징적으로 보였다. 결론적으로 학교폭력 피해사례들의 임상적 자료들을 분석한 결과, 심각하고 만성적인 정신장애가 나타난 한편, 임상적으로 유의한 위험요인들이 존재하고 있었으며 이들 중 일부가 가해 사례로 전환되었음을 알 수 있었다.

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