• 제목/요약/키워드: sit position

검색결과 68건 처리시간 0.029초

밀기 증후군이 있는 편마비환자의 물리치료 - 사례연구 (Physiotherapy For Pusher Behaviour in A Patient With Post-Stroke Hemiplegia - Case Report)

  • 김용선
    • 대한물리치료과학회지
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    • 제14권1_4호
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    • pp.55-60
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    • 2007
  • The purpose of this case report is to investigate whether an attempt to hold the repeated upright posture under blocking the patient's vision affects the deficits to push away from the paralytic side and the relapse time from down to stand up position without push away in patients with hemiplegia with pusher syndrome. Two hemiplegic patients with pusher syndrome were assessed. The task was performed 4 times per day for 6 weeks. The modified barthel index (MBI) was performed to assess activities of daily living (ADL). For assessing balance, the "balanced sitting" and "sit to stand" are analyzed using by modified motor assessment scale (MMAS). The scale for contraversive pushing (SCP) was used for determination of push away from paralyzed side. MBI, MMAS and SCP were assessed before and after trial of the task. In patient 1, total score of the scale is 0 in sitting posture and standing posture within 3 weeks and 4 weeks, respectively, In patient 2, total score of the scale is 0 in sitting posture and standing posture within 4 weeks and 6 weeks, respectively. These results demonstrated that pusher syndrome was completely resolved in at least 6 weeks. Our findings indicate that this physical therapy seems to be relevant for the hemiplegic patients with pusher syndrome.

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부산지구 정신요양원 실태조사 (Survey of Psychiatric Convalescent Facilities in The Busan area)

  • 송영선
    • 대한간호학회지
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    • 제3권3호
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    • pp.62-72
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    • 1973
  • THE author conducted a field survey form Feb.1, 1973 to March 31, 1973 in the Busan area, standing six "institutions" where mentally ill patients are kept. These six institutions are registered at Busan Government, but are not regular hospitals. There suits of these investigation are as follows: \circled1 There are six institutions. which are registered at Busan City Government. All six are operated by layman who have little psychiatric knowledge and little human is tic motivation. \circled2 These institutions are allegedly to promote the welfare of the mentally sick. However they give little help for the patients. And they do not even have a resident medical person. The staff of those places will not accept professional medical help, and try to keep all information secret. \circled3 The finances are largely composed of patients′fees and partially from city′s help. The buildings are of high quality compared with the poor therapeutic situation. There also exist factors which make the patients worse, i,e. very small room space, compelling the patients to sit in a uteral position. This situation makes them worse and more autistic. \circled4 At the time of this survey, those lucrative overcrowded six institutions had 1.000 patients. At the same time the legitimate hospitals in Busan area had about 200 patients, \circled5 In my opinion, the City Government must take a more positive policy for the mentally ill patients, instead of the passive attitude which has held till now. And most of all, these patients must be medically and humanistically helped, instead of being left in a forgotten, depressed snake pit.

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KINECT를 활용한 재활 치료용 기능성 게임 개발 (A Serious Game Design and Prototype Development for Rehabilitation using KINECT Tools)

  • 채영숙
    • 한국멀티미디어학회논문지
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    • 제17권2호
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    • pp.248-256
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    • 2014
  • 본 연구는 장시간 동일한 자세로 자리에 앉아 있거나 컴퓨터 작업을 오래함으로써 생긴 어깨 통증을 호소하는 이들, 몸의 움직임이 적어 신체적 이상이 온 이들을 대상으로 치료를 동반한 운동 목적의 기능성 게임 설계와 프로토타입 단계의 게임 개발이다. 선택된 음악의 비트에 맞추어 신체를 움직이는 리듬액션게임으로서, 플레이어가 도전하는 동안 불편을 가진 신체 부위의 기능 개선뿐만 아니라 환자의 색채 치료를 병행할 수도 있다. 게임 기획서에 따라 제작된 프로토타입 게임은 XNA Game Studio와 동작 인식이 가능한 키넥트 인터페이스 기술을 활용하여 개발하였다. 조작이 용이한 인터페이스 기술과의 접목, 음악의 빠르기와 공의 출현 속도로 난이도를 조절하며 신체 움직임에 따라 수준별 콘텐츠 제공을 시도해 보았다. 향후 연구는 신체 장애 정도에 따라 움직임을 조절할 수 있도록 다양한 비트의 음악과 플레이어의 다양한 행위를 추가하고, 일반 재활 효과와의 비교 검증 시스템과 현장 테스트가 요구된다.

뇌졸중(腦卒中) 전조증상(前兆症狀)으로서의 현훈(眩暈)에 대한 설문조사분석(設問調査分析) (A Questionaire Analysis for the Vertigo as the prodrome of Stroke)

  • 고성규;용형순
    • 대한한방내과학회지
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    • 제21권1호
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    • pp.135-145
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    • 2000
  • Objective : This study has been made to analysis of clinical type of vertigo prodromic Cerebral Vascular Disease in stroke patients who admitted to sangji oriental hospital department of circulatoty internal medicine in the period from July. 1999 to October 1999. Methods : A Questionaire was done after explanationin details to patients and agreement of patients. The inquire was done as follows. Sex and age, risk factor of stroke, type of stroke, existence of vertigo last three years before stroke attack, the beginning age of vertigo and period of prevalence, frequency, continuance time of vertigo, predilection season and time, factor of causing vertigo, accompanying symptoms of vertigo, severity of vertigo. Result and Conclusion : The existence of Rotation sense(Rotation group and non-Rotation group) and the type of Stroke is no difference significantly but the Rotation vertigo group and non-Rotation vertigo group is difference significantly in distribution. The sixties in age of vertigo attack, previous vertigo before 3 year Stroke attack, irregular in predilection season of vertigo, have a high frequency significantly in distribution and previous period of vertigo has no significantly difference in distribution. One or two per a month in frequency of vertigo, below 5 minute in continuance time of vertigo, irregular in predilection time of vertigo, stand up and sit down in causing vertigo position have a high frequency significantly in distribution.

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의자 좌면 높이가 척추 세움근과 배곧은근의 근 활성도에 미치는 영향 (Effect of seat height of chair on muscle activity of erector spinae and rectus abdominis)

  • 이원휘
    • 한국산학기술학회논문지
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    • 제18권7호
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    • pp.476-482
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    • 2017
  • 본 연구는 의자 좌면 높이가 척추 세움근과 배곧은근의 근 활성도에 어떠한 영향을 미치는지 알아보고자 실시하였다. 건강한 남녀 30명을 대상으로 세 가지 높이의 의자 좌면에 앉게 하고 양쪽 척추 세움근과 배곧은근의 근활성도를 표면 근전도 장비를 사용하여 측정하였다. 반복측정된 일요인 분산분석을 통해 세 가지 높이의 의자 좌면에 따른 근활성도의 차이를 비교하였고 유의수준(a)은 0.05로 설정하였다. 연구 결과 의자 좌면 높이에 따라 양쪽 배곧은근의 근활성도는 유의한 차이를 보였고 양쪽 척추 세움근의 근활성도는 유의한 차이가 없었다. 양쪽 배곧은근은 낮은 높이의 의자 좌면에서 정상 높이와 높은 높이의 좌면에 비해 근활성도가 유의하게 증가하였다. 본 연구결과를 통해 앉은 자세에서 의자 좌면의 높이는 배곧은근의 근 활성도에 영향을 줄 수 있으며 배곧은근의 근활성도 증가는 요통과 같은 근골격계 통증을 일으킬 수 있으므로 근골격계 통증을 예방하기 위해 바르게 앉은 자세와 함께 의자 좌면 높이는 중요하다.

맥켄지와 윌리암스 운동 요법이 요통감소와 EMG에 미치는 영향 (The effect of the Mckenzie exercise and the williams exercise on the reduction of low back pain and on the changes of EMG)

  • 최영덕;이광식;윤철수
    • 대한물리치료과학회지
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    • 제7권2호
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    • pp.663-682
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    • 2000
  • The purpose of this study was to identify the superior exercise on the reduction of low back pain, between the Mckenzie exercise and the williams exercise. 24 chronic low back pain patients were randomly divided into 3 groups (Mckenzie exercise group = 8, williams exercise group = 8, control group = 8). Each group examined using the Borg scale in a reduction of low back pain, the EMG amplitude in a stationary sit-up position and in a stationary 1000 back extension position. The Results are as follow. 1. After the training period, the Mckenzie exercise group and the williams exercise group revealed reduction of low back pain, but the control group does not revealed it. 2. After the training period, there were no significant differences on the reduction of low back pain between the Mckenzie exercise group and the williams exercise group. 3. After the training period, no groups decreased on the abdominal muscle EMG amplitude. 4. After the training period, all groups revealed no significant differences on the abdominal muscle EMG amplitude. 5. After the training period, all groups decreased on the low back muscle EMG amplitude. 6. After the training period, all groups revealed no significant differences on the low back muscle EMG amplitude. Overall, the study suggested that the Mckenzie exercise and the williams exercise achieve the same effect on the reduction of low back pain, and the fact seems to be influenced by other factors without muscular adaptation.

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1개 초등학교 3학년생의 슬괵근 유연성 평가 (A Flexibility Assessment of Hamstring Muscle Length in 10year old Children as Affected the Long-sitting Position)

  • 주민;권기준;강성국;권활란;박동빈;박전정
    • The Journal of Korean Physical Therapy
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    • 제12권1호
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    • pp.73-78
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    • 2000
  • The Sit-and-Reach Test (SRT) is commonly nea to assess flexibility of the spine and length of the hamstring muscle, The purpose of this study was to describe hamstring muscle length as reflected by use of the SRT, the Hip Joint Angle (HJA) and Sack length(from C7 to S2) in children, to examine the correlation between Back length, SRT and HJA measurements and to examine gender differences. The 162 subjects were participated without known musculoskeletal and neurological impairments of their spine or lower exeremities. In the Long-silting position, the Back length, SRT and HJA measurements were obtained. A mean Back length value of 46.2cm, a mean SRT value of 29.4cm and a mean HJA of 77,0 degrees were obtained including all subjects. There was a strong correlation between the SRT and HJA measurements (r=.66). There were a difference between boys and girls in Back(p=.0019) and HJA measurements (p=.015). The results of this study suggest that measurements for the SRT and HJA were correlated than Back. The HJA measurements guide treatment more effectively than do Back length and SRT measurements.

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가상착의를 활용한 더블브레스트 테일러드 재킷의 칼라 패턴 분석 - 라펠 꺾임선 시작 위치에 따른 칼라의 눕힘 분량 비교 - (Analysis of the collar pattern of a double-breasted tailored jacket using virtual fitting - Comparison of collar laying amount according to lapel fold line start position -)

  • 전미화;장정아
    • 복식문화연구
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    • 제31권5호
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    • pp.640-650
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    • 2023
  • This study aimed to suggest a suitable collar pattern by visually evaluating the appearance of the amount of collar drape by the starting position of the lapel line of a double-breasted tailored jacket using a 3d virtual fitting program. It created an avatar based on the mean size of women in their 20s (the 8th Size Korea) using clo network (double fastening: 10cm, collar width: 4.5cm, collar stand: 3cm, and lapel width: 8.5cm). The starting of the lapel twist line was waistline level, the 1/2 level of bustline and waistline, or bustline level, and collar laying amount was 4.5, 5.5, 6.5, or 7.5cm. It was evaluated by garment construction experts using 5, 6, and 4 items on the front, sides, and back, respectively. Descriptive statistics, F-test, Duncan-test, and reliability analysis were conducted using SPSS 22. When collar laying amount was 6.5cm, it was best rated regardless of the starting point. Under waist line, when collar laying amount was 6.5cm, it was best rated regardless of the starting point. When collar laying amount was large, the collar's outline length increased, resulting in unnecessary wrinkles from the neckline to the lapel, affecting the overall collar appearance. When collar laying amount was the smallest, the collar was lifted and the width was narrowed, exposing the seam connecting the collar and neckline. The length of the collar's outline varied depending on collar laying amount, which was important to make the outline sit comfortably on the body.

현수보조장치를 이용한 과제 지향적 훈련이 경직형 양하지 뇌성마비아동의 체간 안정성과 대동작기능에 미치는 영향 (The Effects of Task Oriented Training with Suspension Device on Trunk Stability and Gross Motor Function of Children with Spastic Diplegia Cerebral Palsy)

  • 이미선;최종덕
    • 대한물리의학회지
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    • 제8권4호
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    • pp.637-645
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    • 2013
  • PURPOSE: The purpose of this study was to examine the effect of using a suspension device for arm reaching activity on trunk stability and gross motor function of children with spastic diplegia cerebral palsy. METHODS: The subject in this study consisted of 11, GMFCS(Gross Motor Function Classification System) III~IV children with spastic diplegia cerebral palsy, all of whom agreed to participate in the study. All subjects were divided into two groups: the experimental group using a suspension device, and the control group using no suspension device. For each group, a thirty-minute intervention was done twice per week during 8 weeks. Before and after intervention, each test was measured using TIS(Trunk Impairment Scale), GMFM (Gross Motor Function Measure) and PRT(Pediatric Reaching Test) to change trunk stability, gross motor function and arm reaching activity. The data were analyzed with the Wilcoxon signed rank test. RESULT: All two groups had a meaningful increase in GMFM-Sit data measured before and after intervention. The experimental group had a significant increase from an average of 78.83 to an average of 84.83 in GMFM-Crawling. For both groups, there was a substantial increase in the change in sitting position and arm reaching. CONCLUSION: According to the results of this study, the arm reaching activity using suspension device had an effect on trunk stability and gross motor function and it changed arm reaching activity.

Orienting the superficial inferior epigastric artery (SIEA) pedicle in a stacked SIEA-deep inferior epigastric perforator free flap configuration for unilateral tertiary breast reconstruction

  • Yu, Ya-han;Ghorra, Dina;Bojanic, Christine;Aria, Oti N.;MacLennan, Louise;Malata, Charles M.
    • Archives of Plastic Surgery
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    • 제47권5호
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    • pp.473-477
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    • 2020
  • Superficial inferior epigastric artery (SIEA) flaps represent a useful option in autologous breast reconstruction. However, the short-fixed pedicle can limit flap inset options. We present a challenging flap inset successfully addressed by de-epithelialization, turnover, and counterintuitive rotation. A 47-year-old woman underwent left tertiary breast reconstruction with stacked free flaps using right deep inferior epigastric perforator and left SIEA vessels. Antegrade and retrograde anastomoses to the internal mammary (IM) vessels were preferred; additionally, the thoracodorsal vessels were unavailable due to previous latissimus dorsi breast reconstruction. Optimal shaping required repositioning of the lateral ends of the flaps superiorly, which would position the ipsilateral SIEA hemi-flap pedicle lateral to and out of reach of the IM vessels. This problem was overcome by turning the SIEA flap on its long axis, allowing the pedicle to sit medially with the lateral end of the flap positioned superiorly. The de-epithelialized SIEA flap dermis was in direct contact with the chest wall, enabling its fixation. This method of flap inset provides a valuable solution for medializing the SIEA pedicle while maintaining an aesthetically satisfactory orientation. This technique could be used in ipsilateral SIEA flap breast reconstructions that do not require a skin paddle, as with stacked flaps or following nipple-sparing mastectomy.