• PNF and Movement
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• 제16권2호
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• pp.259-266
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• 2018

Purpose: This study aimed to compare balance ability according to the immersion level of virtual reality-based training for the balance enhancement of the elderly. Methods: This study included 48 elderly people aged 65 years and older (male 16, female 32). According to the immersion level of applied virtual reality training, 16, 17, and 15 persons were randomly assigned to full immersion, semi-immersion, and control groups. The subjects who were assigned to the full immersion group and semi-immersion group received virtual reality training for 6 weeks at 20 min at a time, 3 times per week. The control group received no intervention. Balance ability was evaluated by measuring the stability limit and the tandem walking test before and after the intervention. Results: Results showed significant differences among the three groups in the limit of stability of all directions and the tandem walking test after the intervention. The results of the limit of stability showed a significantly higher value in the full-immersion group than in the control group, and the results of the tandem walking test showed a significantly lower value in the full-immersion and semi-immersion groups than in the control group. Conclusion: The results indicate that the head-mounted display equipment for applying full-immersion virtual training is the most effective in enhancing the balance ability of the elderly.

• 대한임상전기생리학회지
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• 제5권2호
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• pp.95-105
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• 2007

The purpose of this study is to define the effect of taping and icing on muscle fatigue at knee joint of ordinary adult. The 30 adults meeting research standard were chosen to be observed. The period of the research was 9 days and N-K table was used as equipment to measure position sense of knee joint. Heart rate monitor was also used to measure heart beat during both when in comfortable state and in exercises. For the method of this study, error in position sense of knee joint was measured right before fatigue occurs. Then volunteers were to be exercised for 10 minutes in treadmill aiming to raise the heart beat to 90%. If muscle fatigue occurs after the exercise, let the comparative group rest for 20 minutes while applying taping for group 1 and icing for group 2. For the icing, it was applied for 3 minutes followed by 1 minute rest. 5 sets of icing were applied on thighs and calf each, Then error of position sense of knee joint was measured same way it was done before muscle fatigue. As the result, there were similar differences among comparative group(p<.05), group 1 and group 2 before the muscle fatigue and after the muscle fatigue. There were similar differences in comparative group with muscle fatigue, group 1 and group 2 as the result of one-way ANOVA and with further examination, similar differences were only found in between comparative group and group 2(p<.05). With the result, we can see there wasn't clear effect of rest, icing or taping, however, group 2 with icing showed better condition compared to comparative group who have rested without any application.

• The Journal of Korean Physical Therapy
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• 제17권2호
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• pp.126-147
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• 2005

TCD(transcranial doppler, TCD) units is a equipment that measure a blood flow velocity in the middle cerebral artery(MCA), anterior cerebral artery(ACA), posterior cerebral artery(PCA), and vertebral artery(VA). The aim of this study was to determine the influence on cerebral blood flow velocity according to different stimulation frequency of interferential currents. 50 patients who has a cervical pain were participated in this study and randomly divided into one of the three experimental, placebo, and control group: (1)IFS 1; $10{\sim}30Hz$ was applied, (2)IFS 2; $30{\sim}50Hz$ was applied, (3)IFS 3; $50{\sim}100Hz$ was applied, (4)placebo; suction only applied, and (5)control; neither suction nor interferential stimulation applied. In the IFS groups, interferential stimulations were applied through four suction electrodes application from the 5th cervical to the 1st thoracic level. The results were as follow; 1. MCA was statistically significant with IFS 1, IFS 2, IFS 3, and Placebo group(p<0.05), But there was no statistical significance between IFS 1 and IFS 3 group(p>0.05). 2. ACA was statistically significant with IFS 1, IFS 2, and IFS 3 group(p<0.05). And IFS 1 was more statistical significance than IFS 3 group on ACA(p<0.05). 3. PCA was statistically significant with IFS 1, IFS 2, and IFS 3 group(p<0.05). And IFS 1 was more statistical significance than IFS 3 group on PCA(p<0.05). 4. VA was statistically significant with IFS 1, IFS 2, and IFS 3 group(p<0.05). And IFS 1 was more statistical significance than IFS 3 group on VA(p<0.05).

• 한국터널지하공간학회 논문집
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• 제15권1호
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• pp.33-47
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• 2013

터널과 매우 인접해 폭발이 일어날 경우 터널의 기능을 회복하기 위해서는 발생된 버력을 신속히 외부로 처리하여야 한다. 본 연구에서는 폭발에 의해 발생된 버력량을 파악하여, 터널 외부로 처리하는 데 걸리는 시간을 예측하는 방법론을 제시하고자 하였다. 이를 위해 SolidWorks를 이용하여 3차원 요소망을 작성하고, AUTODYN을 이용하여 폭발해석을 수행하였다. 터널과 해석결과로부터 얻어지는 파쇄영역과의 관계에 근거하여 유입되는 버력량을 이론적으로 산정하는 방법을 제시하였다. 또한 건설장비의 선정에 따라 버력을 처리하는 데 걸리는 시간을 예측하고 결과들을 비교 분석하였다. 연구 결과, 터널 내부로 유입되는 버력량은 터널과 파쇄영역의 관계를 4가지로 분류하고, 구분구적법을 이용하여 효과적으로 산정될 수 있음을 확인하였다. 또한 폭발위치가 터널 갱구와 굴착면에 가까울수록, 또한 중심선으로부터 벗어날수록 버력량이 감소해 처리시간이 줄어드는 것을 확인하였다.

• 구강회복응용과학지
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• 제26권3호
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• pp.285-296
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• 2010

본 연구에서는 영상처리 기술을 활용한 치과용 로봇 조명장치를 개발하여 그 정확도를 측정하여 보고자 한다. 본 연구를 통해 개발된 치과용 로봇 조명장치는 환자의 얼굴을 카메라로 인식을 하여 구강의 위치를 찾아 로봇이 움직여 라이트를 비추게 하는 것으로서 모션 제어 부, 라이트 제어 부, 영상 처리부로 구성되어 있다. 카메라로 영상을 획득 후 동작변화 영상을 추출 한 다음 아다부스트 알고리즘(Adaboost algorithm)을 통해, 얼굴 검출에 필요한 특징을 추출하여 실시간으로 얼굴 영역을 검출하도록 하였다. 영상처리를 통한 환자 구강의 추출 실험 시 정면영상에서 높은 얼굴인식률을 나타냈고 얼굴영역이 인식이 되면, 안정적인 라이트 로봇 암(Light robot arm)의 제어가 가능했다.

• 대한토목학회논문집
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• 제33권4호
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• pp.1683-1691
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• 2013

콘크리트 표면절삭 작업은 포장면의 노화 또는 파손으로 인한 보수작업과 그루빙(Grooving) 시공을 통한 포장면의 배수능력을 강화하거나 평탄성을 확보를 위하여 자주 적용되는 공법이다. 그러나 그 작업특성이 노동집약적이고 분진, 슬러지, 소음 등으로 인한 유해한 작업환경을 보유하고 있으며 장비를 다루는 기능공의 숙련도에 따라 생산성 및 절삭품질의 편차가 큰 경향이 있다. 따라서 장비 조종자가 각종 위험에 노출되지 않도록 하기 위한 원격조종 콘크리트 표면절삭 장비 개발이 필요하다. 원격 조종 환경에서는 조종자가 객관적인 절삭 품질을 확인함과 동시에 장비가 계획 경로에 따라 작업이 올바르게 수행되고 있는지를 확인할 수 있도록 하는 지원시스템이 필요케되는 바, 본 연구에서는 머신비전 시스템(Machine Vision System)과 GPS를 적용하여 네트워크 카메라로 촬영한 절삭면의 이미지를 디지털 영상처리(Image Processing)과정을 거쳐 객관적이며 품질관리 프로세스가 자동화된 시스템을 구축하였다. 또한 장비의 현재 위치와 방향, 속도, 계획된 경로와의 오차정보 그리고 작업의 진척도 등을 종합적으로 산출하여 워크 스테이션에 표시함과 동시에 머신 비전 시스템에 의한 작업 품질 정보와의 통합을 위한 프로그램을 개발하였으며, 현장 적용 테스트를 통해 본 기술을 검증하였다.

• PNF and Movement
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• 제15권2호
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• pp.115-124
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• 2017

Purpose: Researchers found that blocks of evidence-based practice (EBP) implementation lacked opportunities for EBP education. The study found that physical therapists had negative views of research as well as their roles in EBP, lacked confidence in EBP, and had limited access to web-based materials. The purpose of this study was to highlight the importance of information research technology for efficient EBP in a clinical environment. Methods: The web-based information research technologies that should be used for sustainable EBP include: the clinical practice guideline (CPG) and PubMed's My NCBI service. Journal mailing services and other academic information sources should also be used to gather information from RSS feeds. An EBP library or archive must be created. A site that provides EBP-specific information is also needed. Results: We should usually do EBP. Practitioners must learn and use information technologies that will help them improve their EBP skills. Conclusion: Facilitating EBP implementation and building an EBP system require related education as well as a practical work environment and equipment. However, the highest priority is individual efforts and trial. Information technology will complement the lack of time. It is important to use information research technology to overcome real obstacles. Lasting EBP must use a number of web-based information research technologies to overcome the practical challenges encountered in EBP implementation.

• 보건의료산업학회지
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• 제1권1호
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• pp.125-137
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• 2007

The current hospital industry is showing relatively low profitability in comparison with other industries due to the low medical fees and high costs. Therefore, our government presented the direction of improvement through model execution and support of the specialized hospitals. However, it is estimated that the specialized hospitals also will show differentiated management performances in accordance with their specialized fields due to the characteristics of medical treatment. Therefore, this study had attempted an analysis on the financial index in accordance with the weight of medical treatment items for the rehabilitative medicine department among the whole hospital groups through getting out of analyzing financial indices of individual hospitals centered at their costs. For this p개pose, this study had carried out its research by partially reciting the study on the plan for utilizing participations of private health resources to expand rehabilitative medicine services into the private people of the Korea Health Industry Development Institute(KHIDI). As its results, it was shown that the stability, profitability, activity and productivity of hospitals with high weight of medical treatment for the rehabilitative medicine department were lower than those for the general hospitals. To support smooth operations of these hospitals 'with high weight of medical treatment for the rehabilitative medicine department or of specialized rehabilitation hospitals, it is judged that the plan such as the support for hospital management fund and the additional recognition on the rehabilitative fees, etc. together with the actualization of medical fees must be provided for the institutions which are providing rehabilitative medical services more than the fixed percentage and being equipped with the sufficient medical equipment and personnel to do them.

• 대한물리의학회지
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• 제2권2호
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• pp.243-250
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• 2007

Purpose : Shoulder subluxation is a very common problem in patients with hemiplegia with stroke. Prevention of the low tone subluxed shoulder has been an issue for physical therapists working with neurological patients for many years. Methods : This study reviewed the literature to definite the management and a cause of shoulder subluxation with hemiplegia patients after stroke. Various modalities have been suggested for realigning the glenohumeral joint, but their use is controversial. The purpose of this paper is to review critically the evidence base in order to inform the clinical decision-making process for physiotherapists working in neurology. Results : Literature has identified supports, strapping and functional electrical stimulation(FES) in the management of low tone shoulders. Following review of this evidence it is suggested that there is a lack of reliable and valid research evidence on which to base conclusions. The modalities with the best supporting evidence for realigning the low tone subluxed glenohumeral joint are the triangular sling, Harris hemi sling and the Rolyan humeral cuff used in a standing position and the lap board and arm trough while the patient is sitting. However, due to soft tissue adaptation with associated lack of movement, over-correction and the need for careful patient positioning these supports need to be evaluated for each patient and should be used only in appropriate situations. Conclusion : Similarly, there is a lack of evidence on the effects of long-term use to this equipment. Electrical stimulation is also thought to have potential in the treatment to subluxed low tone shoulders but additional research is required to clarify the parameters for use and the long-term effects of these forms of management.

• The Journal of Korean Physical Therapy
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• 제19권1호
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• pp.79-90
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• 2007

Purpose: We investigated how nerve mobilization influence ankle plantar flexor muscles of the affected lower extremity on the spasticity in stroke patients. Method: Total 12 patients were recruited, who had spasticity on ankle of the affected lower extremity, and applied nerve mobilization on the sciatic and tibial nerves in supine position. H-reflex was measured using EMG equipment, detected the ratio of maximum H/M and H-reflex latency, and compared the changes before, during, right after, 5 minutes after and 10 minutes after the application of nerve mobilization. The data were analyzed using repeated measure ANOVA to compare the changes in length of time. Results: In comparison with the ratio before nerve mobilization, the ratio of maximum H/M was significantly decreased during nerve mobilization(p<0.05), and it tended toward recovery right after, 5 minutes after and 10 minutes after applying nerve mobilization, there was no statistically significant difference(p>0.05). In comparison with the ratio before nerve mobilization, the ratio of maximum H/M was most significantly decreased during the first 10 seconds after nerve mobilization and it tended toward recovery gradually(p<0.05). In comparison with the H-reflex latency before nerve mobilization, it was significantly increased during nerve mobilization(p<0.05) and it was decreased right after nerve mobilization, After 5 and 10 minutes, it had a tendency toward recovery but it revealed no statistically significant difference (p>0.05). Conclusion: It is considered that nerve mobilization could contribute to initial rehabilitation with stroke patients for relieving spasticity and nerve contracture.