• Journal of Korean Neurosurgical Society
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• 제38권5호
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• pp.331-337
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• 2005

Objective : The purpose of this study is to identify correlations between diffusion tensor imaging[DTI] and motor improvement by quantifying and visualizing the corticospinal tract on DTI to predict motor impairment in patients with hypertensive intracerebral hemorrhage[ICH]. Methods : Fifteen normal subjects and 7 patients with hypertensive ICH were examined and the latter were treated surgically. DTI was performed with a 3.0 T MRI. The region of interest[ROI] from the posterior limbs of both internal capsules was measured on a fractional anisotropy[FA] map, and the ratios of ROIs were calculated. Tractography, 3-dimensional DTI was then constructed. Motor impairment was assessed on admission and 2weeks after stroke by the Motricity Index[MI]. The FA ratio, tractography and score on MI were analyzed for correlations. Results : The FA ratio from the initial DTI did not show a linear correlation with motor impairment. However, after 2weeks, patients with high FA ratios showed high degrees of motor recovery, regardless of the initial severity, and patients with low FA ratios showed low recovery rates. Otherwise, a relationship between the amount of hematoma and the degree of motor recovery could not be determined. On tractography, injury of the corticospinal tract could be visualized and estimated 3-dimensionally. Conclusion : FA ratio analysis and tractography constructed from DTI may be useful in understanding corticospinal tract injury and in predicting the recovery from motor impairment in patients.

• Journal of Yeungnam Medical Science
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• 제6권1호
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• pp.171-178
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• 1989

저자들은 영남대학병원에 입원한 52세 남자환자로서 임상소견, 조직소견, 근전도 소견상으로 소세포폐암과 동반된 Eaton-Lambert 증후군으로 진단된 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 한국운동역학회지
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• 제19권2호
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• pp.237-244
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• 2009

본 연구는 처네를 사용하고 보행을 하는 동안 처네의 사용 방법에 따른 족저 압력의 변화와 목, 허리 및 다리 근육의 활성도를 알아 보기 위하여 실시하였으며 이를 위하여 족저 영역별 최고 압력과 근육 활성도를 중심으로 자료를 수집하여 분석하였다. 영아를 양육하고 있는 허리와 다리 및 목의 근골격계 문제가 없는 20명의 건강한 젊은 여성을 대상으로 전방 처네 사용, 후방 처네 사용, 일반 보행을 하는 동안 입각기 발의 영역별 족저 최고 압력과 목, 허리 및 다리 근육의 활성도를 측정하였다. 족저 압력의 측정은 RS-scan system을 이용하였으며, 근육 활성도는 ProComp InfinitiTM를 이용하였다. 처네 사용 방법에 따라 수집된 자료를 일원배치분산분석을 이용하여 분석하였다. 본 연구를 통하여 전방 처네 사용 시 허리 근육의 활성도와 엄지 발가락 영역의 압력이 유의하게 증가한다는 것을 알 수 있었고, 후방 처네 사용 시 목 근육의 활성도와 발허리 영역의 압력이 유의하게 증가하였다. 따라서 본 연구에서는 처네의 사용 방법이 발의 구조와 기능 그리고 근육 활성도에 영향을 미친다는 것을 확인 할 수 있었다.

• 한국운동역학회지
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• 제25권4호
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• pp.383-391
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• 2015

Objective : The purpose of this study was to investigate the effects of dynamic squats with slope-whole body vibration (WBV) on the trunk and lower limb in muscle activities. Method : 9 healthy women (age: $21.1{\pm}0.6years$, height: $160.5{\pm}1.4cm$, body weight: $50.5{\pm}2.4kg$) were recruited for this study. Muscle activities in the trunk and lower limb muscles, including biceps femoris (BF), rectus femoris (RF), rectus abdominum (RA), gastrocnemius (GCM), iliocostalis lumborum (IL) and tibialis anterior (TA), were recorded using an EMG measurement system. The test was performed by conducting dynamic squats with slope-WBV using frequency (10Hz, 50Hz), amplitude (0.5mm), and degree ($0^{\circ}$, $5^{\circ}$). Experimental method consisted of 2-pre-sessions and 1-test-session for 20 seconds. Results : The results showed that the muscle activities of the trunk and low limb muscles increased significantly with the $5^{\circ}$ slope and lower frequency (10Hz) except for in the TA. From this result, we confirmed that the slope and WBV could efficiently affect stimulation, enhancing muscle activities by facilitating neural control trail and muscle chain tightness. Conclusion : Utilizing the slope-WBV device while squatting could give positive effects on muscle activation in the trunk and lower limb muscles and provide neural stimulation, enhancing muscle chain of control subsystem through TVR (tonic vibration reflex).

• Physical Therapy Rehabilitation Science
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• 제5권2호
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• pp.84-88
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• 2016

Objective: Generally, it is known that there is a correlation between excessive calcaneus eversion and a patient with low back pain and it also affects pelvic alignment. However, there are not enough studies that show calcaneal eversion having an effect on the alignment of the trunk. Design: Cross-sectional study. Methods: A 3-dimensional motion analysis system was used to assess the lower limbs, pelvic alignment, and trunk alignment with increased unilateral and bilateral calcaneal eversion in twenty-one subjects. All subjects were asked to maintain a static posture for seven seconds on a wedge three times per posture for measurement and analysis purposes. The wedge used in the process was a lateral wedge with a 10-degree tilt to the lateral direction. To unify all of the subjects' foot position, the front and inner side of the wedge were marked. The height of the tilted wedge's inner side and flat wedge were balanced equally in order to be able to maintain the lateral part of the foot to the same height when producing an increased calcaneal eversion. Results: Comparing the changes in trunk and pelvic alignment in accordance to calcaneal eversion for each posture, there was a significant different in the X and Y-axis for each posture, but not in the Z-axis (p<0.05). Thus, it can be confirmed that calcaneal eversion in the sagittal plane and frontal plane may have and effect on the pelvis and the trunk. Conclusions: Postures with increased bilateral and unilateral calcaneal eversion has an effect on pelvic alignment, but does not cause any changes in trunk alignment.

• 제어로봇시스템학회논문지
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• 제21권6호
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• pp.503-509
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• 2015

In this paper, we designed and tested an ankle joint mechanism for a gait rehabilitation robot. Gait rehabilitation programs are designed to improve the natural leg motion of patients who have lost their walking capabilities by accident or disease. Strengthening the muscles of the lower-limbs and stimulation of the nervous system corresponding to walking helps patients to walk again using gait assistive devices. It is an obvious requirement that the rehabilitation system's motion should be similar to and as natural as the normal gait. However, the system being used for gait rehabilitation does not pay much attention to ankle joints, which play an important role in correct walking as the motion of the ankle should reflect the movement of the center of gravity (COG) of the body. Consequently, we have designed an ankle mechanism that ensures the safety of the patient as well as efficient gait training. Also, even patients with low leg muscle strength are able to operate the ankle joint due to the direct-drive mechanism without a reducer. This safety feature prevents any possible adverse load on the human ankle. The additional degree of freedom for the roll motion achieves a gait pattern which is similar to the normal gait and with a greater degree of comfort.

• 대한물리의학회지
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• 제3권4호
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• pp.255-260
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• 2008

Purpose : This study was performed to find out the influence of the change on proprioception and coordination of the lower limb by experimentally induced paraspinal muscle fatigue, Methods : Twelve subjects(6 males, 6 females) with no history low back and lower limbs problem volunteered for this study. Subjects were pre-tested proprioception and coordination using the MR-FSS(Mornitored Rehab Functional Squat System). And then the subjects performed isometric paraspinal muscles contraction for induced muscle fatigue. Muscle fatigue was defined surface EMG(MP 150). After isometric contraction, the subjects were post-tested using the MR-FSS. Results : In comparison of coordination, deviation of concentric coordination was increased(from $0.50{\pm}0.13cm$ to $0.67{\pm}0.21$)(p<0.05) and deviation of eccentric coordination was also increased(from $0.51{\pm}0.15cm$ to $0.70{\pm}0.26cm$)(p<0.05). And deviation movement of proprioceptive test was increased(from $4.98{\pm}1.80cm$ to $5.69{\pm}1.98cm$), but there was no significant different(p>0.05). Conclusion : Fatigue of paraspinal muscles was decreased concentric and eccentric coordination of the lower limb.

• 한국운동역학회지
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• 제14권2호
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• pp.85-103
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• 2004

This study was conducted to determine what effects would the midsole hardness of running shoes have on shoe flex angle and maximum propulsive force. Furthermore, the relationship between the shoes flex angle and maximum propulsive force was elucidated in order to provide basic data for developing running shoes to improve sports performances and prevent injuries. The subjects employed in the study were 10 college students majoring in physical education who did not have lower limbs injuries for the last one year and whose running pattern was rearfoot strike pattern of normal foot. The shoes used in this study had 3different hardness, shore A 40(soft), 50(medium) and 60(hard). The subjects were asked to run at a speed of $4{\pm}0.08m/sec$, and their movements were videotaped with 2 S-VHS video-cameras and measured with a force platform. And the following results were obtained after analyzing and comparing the variables. 1. Although the minimum angle of shoes flex angle was estimated to appear at SFA4, it appeared at SFA2 except in those shoes with the hardness of 40. 2. The minimum angle of shoes flex angle was $145.1^{\circ}$ with barefoot. Among the shoes with different hardness, it was the smallest when the hardness was 50 at $149.9^{\circ}$. The time to the minimum angle was 70.7% of the total ground contact time. 3. Maximum propulsive force according to midsole hardness was the largest when the hardness was 50 at $1913.9{\pm}184.3N$. There was a low correlation between maximum propulsive force and shoes flex angle.

• 대한소아치과학회지
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• 제31권1호
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• pp.120-125
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• 2004

Cornelia de Lange Syndrome은 이형성적 특징들에 의해 특징 지워지는 증후군으로서 정확히 알려지지 않은 원인을 가진 이상증이다. 이 증후군은 이형성적 임상증상에 의거하여 진단되기 때문에 염색체 검사, 유전자 검사 등의 진단 목적의 다른 검사들은 유효하지 않다고 할 수 있다. 임상증상으로는 전반적 발육 장애 정신지체, 외소증 다모증(hypertrichosis), 갈매기 모양의 눈썹(confluent eye brows), 낮은 헤어라인, 낮고 평평한 코, 위로 들린 코끝, 사지 기형, 발가락의 합지증(webbing), 심장기형, 위식도 역류 질환, 청력 이상, 그리고 안 질환 등이 나타나며 구강관련 증상으로는 왜소악 치아 맹출 지연, 구순 구개열, 높은 구개궁, 얇은 상순, 그리고 처진 구각 등이 나타난다. 본 증례에서는 전북대학교병원 소아치과에 치아 우식증을 주소로 내원한 Cornelia do Lange Syndrome을 가진 3세 및 4세 여환의 치료 예를 보고하는 바이다.

• 대한한방내과학회지
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• 제25권3호
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• pp.559-568
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• 2004

Diagnosis of Raynaud's phenomenon is primarily based on clinical symptoms. Cold stress test(CST) done by DITI(Digital Infrared Thermographic Image) can be helpful for objective diagnosis. The cold stress test was performed three times by DITI; the first after 15 minutes of rest, the second right after one minute of soaking in $20^{\circ}C$ water, the third ten minutes after immersion. For a clear diagnosis, the temperature of the finger tips must be low, or the thermal difference between the metacarpophalangeal joints and the fingertips must be large. Also the evaluation of treatment depends on decrease of thermal gradient between the metacarpophalangeal joints and the finger tips after CST. In oriental medicine Raynaud's phenomenon can be categorized by coldness of the limbs or numbness. Numbness was diagnosed as depression of Ki and Chiljehyangbuhwan(Qizhixiangfuwan) was prescribed. Positive results were observed, not only in follow up CST, but also Visual Analogue Scale after treatment.