• Physical Therapy Rehabilitation Science
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• 제9권3호
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• pp.165-170
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• 2020

Objective: To investigate the association between one-leg standing ability and postural control for chronic hemiparetic stroke. Design: Cross-sectional study. Methods: Forty individuals who had a first diagnosis of stroke with hemiparesis before six months and over had participated in this study. To analyze the relationship between one-leg standing ability and postural control in the participants, six clinical measurement tools were used for assessment, including the Timed-Up-and-Go (TUG) test, Berg Balance Scale (BBS), Dynamic Gait Index (DGI), Fugl-Meyer Assessment (FMA), 5 times sit-to-stand (5TSTS) and one-leg standing (OLS). Results: After analyzation, the OLS scores in the more-affected side showed significant positive correlations with BBS scores (r=0.469, p<0.01), DGI scores (r=0.459, p<0.01).and FMA scores (r=0.425, p<0.01). The OLS scores in the more-affected side showed significant negative correlations with TUG score (r=-0.351, p<0.05). The OLS score in the less-affected side showed significant positive correlations with BBS scores (r=0.485, p<0.01), DGI scores (r=0.488, p<0.01) and FMA score (r=0.352, p<0.05). The OLS scores in the less-affected side showed significant negative correlation with TUG scores (r=-0.392, p<0.05) and 5TSTS (r= -0.430, p<0.01). The OLS scores in the more-affected side showed significant positive correlations with the OLS scores in less-affected side (r=0.712, p<0.01). Conclusions: The results of the study suggest that the OLS time may be moderately correlated with static and dynamic postural stabilities and motor recovery following stroke. This study also suggests that the OLS test is as a simple clinical tool for predicting postural control performance for individuals with chronic hemiparetic stroke.

• Physical Therapy Rehabilitation Science
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• 제3권1호
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• pp.38-42
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• 2014

Objective: In this study, we applied a neurodynamic sciatic nerve sliding technique to healthy adults to elucidate its effects on hamstring flexibility and postural balance. Design: Cross-sectional study. Methods: This study targeted twenty four healthy adults (16 men, 8 women). A neurodynamic sciatic nerve sliding technique was applied 5 times to all subjects' dominant leg. The subjects were asked to sit on the bed while performing cervical and thoracic flexion, as well as knee flexion with ankle plantar flexion. Then, they were asked to perform cervical and thoracic extension and knee extension with their ankle in dorsiflexion and maintain the position for 60 s. For postural balance, we measured postural sway while the subjects maintained a one-legged standing posture using the Good Balance System and measured the hip joint flexion range of motion using a standardized passive straight leg raise (SLR) test. Results: SLR test increased significantly from $79^{\circ}$ before the intervention to $91.67^{\circ}$ after the intervention (p<0.05). Regarding the participants' balance evaluated using the one-legged standing test, the X-speed decreased significantly from 18.61 mm/s to 17.17 mm/s (p<0.05), the Y-speed decreased from 22.28 mm/s to 20.52 mm/s (p<0.05), and the velocity moment was significantly decreased from $89.33mm^2/s$ to $74.99mm^2/s$ after the intervention (p<0.05). Conclusions: Application of the neurodynamic sciatic nerve sliding technique exhibited improved hamstring flexibility and postural balance of healthy adults.

• 대한통합의학회지
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• 제9권1호
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• pp.101-108
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• 2021

Purpose : The purpose of this study is to verify the effect of selective muscle strengthening of the knee joint extensor muscles using a pressure biofeedback unit to improve knee extensor strength and the balance ability of total knee replacement patients. Through this, we tried to provide clinical information. Methods : In this study, 12 patients with total knee replacement were recruited from a rehabilitation hospital. They were divided into two groups: a feedback group (n=6) and a control group (n=6). All patients received 30 minutes of continuous passive motion and leg-strengthening exercises for 15 minutes five times a week for two weeks. Subjects performed knee extension exercises with or without biofeedback units in the sitting position. The knee extensor strength and balance ability were measured before and after exercise. Knee extensor strength was measured by Biodex system 3 and balance ability was measured by Balancia software. Results : Both the experimental group and the control group showed a significant difference in the muscle strength of the knee joint extensor muscles after intervention (p<.05). In comparison, the experimental group showed a significant difference than the control group (p<.05). Both the experimental group and the control group showed a significant difference in the velocity average, path length, area 95 % center of pressure (COP), weight distribution, five times sit to stand test (FTSST) after intervention. In comparison, the experimental group showed a significant difference in velocity average, area 95 % COP, and FTSST than the control group (p<.05). Conclusion : In order to strengthen the knee extensor muscle and improve the balance ability in total knee replacement patients, it is necessary to consider providing pressure biofeedback unit during leg strengthening exercises.

• 건축역사연구
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• 제14권3호
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• pp.129-148
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• 2005

The plan type of Korean protestant church architecture underwent changes as following five stages according to the changes of the distinction between the sexes. First stage - At the beginning of missionary work in Korea, Koreans generally worshiped in missionary houses which were traditional Korean styles. The plan type of these houses was a simple '-' figure. At that time, men and women worshiped separately because of the idea of the distinction between the sexes. They either worshiped in different places at the same time or in the same place at the different time. Second stage - At this stage, men and women started to worship together in the same place. At the beginning of this stage, men sat in the front of the chapel on a rostrum, and women sat behind the men. The plan type of the chapel was a simple '-' or a rectangular figure. Later, they sat separately on the right and left side. There are the visual interceptions which were set up between them. As the number of church members increased rapidly, a new type of church architecture appeared. It was a 'ㄱ' figure. At that time the entrances were separated by the sexes. Third stage - At this stage, the visual interceptions disappeared as the idea of the distinction between the sexes became weak. As new churches had been constructed by the plan type of rectangular figure, the visual interceptions weren't set up anymore. Fourth stage - At this stage, the separated entrances were unified as one. But the arrangement of their seats didn't change because of the old idea of the distinction between the sexes. Fifth stage - In the final stage, the plan type of the church architecture was not determined by the idea of the distinction between the sexes but social, economical, technological facts and the influence of the foreign architecture. At this stage, new and various kinds of the plan type appeared such as the fan, round, squared, or oval figure as well as the rectangular figure. Men and women were not classified anymore. They started to sit and worship together in the same place. Also, when men and women sat separately from side to side because of the Idea of the distinction between the sexes, men sat on the right and women sat on the left side of rostrum. It didn't applied Confucian ideas but the idea of protestant church; protestant churches have the idea that the right side is more important but it does not in Confucianism.

• 재활복지공학회논문지
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• 제4권1호
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• pp.53-61
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• 2010

본 연구에서는 요추강화 운동기기를 이용하여 훈련 전후에 대한 유연성 및 근력 특성분석을 고찰하고, 요추 재활운동으로서 가능성을 검증하고자 한다. 요추관련 상해가 없으며 신체 건강한 성인 남녀 20명이 실험에 참여하였으며 각각 10명씩 대조군과 요추강화 운동을 제공받는 훈련군으로 나누었다. 실험에 사용된 요추강화운동기기는 하이스파인(Hi-Spine, 메디컬사이언스, 한국)이며 운동은 하루 40분씩 주 3일, 총 4주간 실시하였다. 또한 본 연구에서 피험자들은 누운 자세, 앉은 자세, 직립 자세, 전신스트레칭자세 등 총 4가지의 운동자세를 각 10분씩 제공받았다. 운동 전 후 요추의 유연성과 근력변화를 알아보기 위해 매주 1회 체간 굴곡 및 신전, 기초체력평가와 요추관절토크를 측정하였다. 실험 결과 훈련군에서 유연성과 근력이 모두 증진되었다. 요추강화운동기기의 플랫폼이 3차원 회전을 함에 따라 피험자들의 근육들은 자극받으며, 회전 방향과 각도에 따라 근긴장성과 근수축 작용을 유도시켜 유연성 및 요추 근력을 증가시키는 것으로 판단된다. 본 연구는 향후 요추관련 상해자 또는 고령자들의 요추 재활운동 프로그램에 적용될 수 있을 것이다.

• 해양환경안전학회지
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• 제2권1호
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• pp.137-150
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• 1996

Safety is built in to the activities of the prudent ship operator. Ant investment made towards this end is likely to have a measurable payback in positive terms. That there must be an investment is inevitable, because the industry at large has let things slip too far too long. Those who have not allowed it to slip too far and who are the first to recognize that safety, far from costing money, in the long term actually preserves it, will be wieners. Too many seem to have lost sight of the fact that every one hundred pennies saved is a full one hundred pennies profit. Every hundred pennies of additional revenue contributes no more then fifteen pence to profit. Environmental protection is not so simple, nor so financially attractive. Man needs the minerals of the Earth as well as the products of the soil and sea survive. We(the human race) are still not in the position, politically or financially to manage the Earth's assets without causing damage. The evidence of our damage is evident in many different parts of the Glove and will in some cases haunt several generations still to come. We have learned a lot, and continue to learn, but despite the best intentions some Government needs for their people will be at the expense of people in another region for the foreseeable future. We sailors ply the seas with the raw materials of commerce as well as the finished and part finished goods. It does not always sit well to consider too deeply what effect the ship and the cargo it carries is having, or may have, on some communities, or on the sea through which sail. None my generation can hold up his head and claim to be without blame in the pollution of the seas. Times are changing though, and Governments are turning their attention more to the protection of our planet and its precious resources. This will not be without cost. The investment will have to be made not for our benefit, but for the benefit of generations yet to come, however the cost will have to be borne by society as a whole, not by the shipping community alone. The debate surrounding the choice between engineering our way to a better tomorrow, or adapting our working practices will continue. Each method has the same goal as its target and as long as we attain the goal does it really matter how we get there?

• 한국전통조경학회지
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• 제33권2호
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• pp.1-11
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• 2015

본고는 무안 화설당(花雪堂) 정원의 핵심시설인 지당(池塘) 디자인의 전개과정을 조명한 것이다. 연구진행 상의 현황파악과 이해를 위해 '문헌조사 인터뷰 현장답사 항공사진 및 촬영 사진 분석 측량에 의한 배치평면 작도' 등의 방법으로 정원 및 지당의 조형성 분석 및 전개과정 상의 디자인 함의를 해석하였다. 지당을 중심으로 추출한 본 연구결과는 다음과 같다. 화설당의 입지는 정자의 입지로는 역량성이 낮은 구릉지에 조성됨으로써 내부 디자인적 함의가 더욱 주목된다. 지당 형태는 1 : 12 장방형 비율로, 화설당쪽 호안의 수심(水深)이 최대 25cm 높은 상태이며 남동측으로 편재(偏在)된 중도 상에는 배롱나무가 식재되어있다. 화설당을 중심으로 전정과 후정은 수직 수평적 음양운동을 도형화 시킨 천지(天地)의 표현이며 중도의 편재현상은 '화설당 누마루에서의 좌관(坐觀)을 통한 완상(玩賞)' 효과를 최대화하기 위한 배려로 판단된다. 지당의 평면디자인은 '장방형 방지'로 해석되지만, 일부분이 가각전제(街角剪除)로 공제된 원만한 반월형이다. 방지3도(方池三島)는 협소한 부지로 인해 1개의 섬과 2개의 반도(半島)를 병치시킴으로써, 실제로 1개인 중도가 결과적으로는 증식된 3개의 중도로 배치된 존재효과를 거두고 있었고, 이는 디자인적 구성상 합병(合倂)과 첨가(添加)에 의해 중복을 최소화하는 대신 접합(接合)의 효과를 기도한 조영의도로 화설당 지당 디자인의 요체로 판단된다. 국내 민가정원 중 3도(三島)의 섬을 갖는 소수 사례마저 모두 곡지(曲池)임을 감안할 때, 방지일도(方池一島)의 변형 형태로 방지삼도(方池三島)의 정원효과를 구현한 화설당 방지의 디자인 특성은 매우 주목할 만하다. 한편 지당 내 '영주(瀛州) 방장(方丈). 봉래(逢萊)'의 3개의 섬은 신선사상을 배태한 것으로 이는 전남지방 지당양식의 특징으로 간주되며 이른바 화설당 지당의 풍백나무와 용침(龍枕) 그리고 괴석 등은 화설당의 의미 상징성 요소로 응축된다.

• 대한후두음성언어의학회지
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• 제18권2호
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• pp.122-128
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• 2007

This study aims to analyze the voices of the patients with voice disorders including vocal fold paralysis, vocal fold cyst and vocal nodule/polyp in the aspect of acoustic phonetics. This study intends to collect subsidiary acoustic data in order to make a speech treatment and an standardization of vocal disorders. Subjects and Methods: The subjects of this study were 64 adult patients who underwent indirect laryngoscopy and laryngostroboscopy, and were diagnosed as vocal fold paralysis, vocal fold cyst or vocal nodule/polyp. Experimental group consisted of 20 patients who were diagnosed as vocal fold paralysis, 21 patients who were diagnosed as vocal fold cyst and had the average age of 42.0 $({\pm}10.03)$ ; and 23 patients who were diagnosed as vocal nodule/polyp and had the average age of 40.9 $({\pm}13.75)$. For the methodology of this study, the patients listed above were asked to sit in a comfortable position at intervals of 10cm apart from the patient's mouth and a microphone, and subsequently to phonate a vowel sound /e/ for the maximum phonation time with natural tone and vocal volume then the sound was directly inputted on a computer. During recording, sampling rate was set to 44,100Hz and the 1-second area corresponding to stable zone except the first and the last stage of waveform of the vowel sound /e/ vocalized by the individual patients was analyzed. Results: First, there was no statistically significant difference in jitter and shimmer between vocal fold paralysis and vocal fold cyst, while there was highly statistically significant difference in them between vocal fold paralysis and vocal nodule/polyp. Second, looking into the mean values obtained from NNE, HNR and SNR results associated with noise ratio, the disease showing the most abnormal characteristics was vocal fold paralysis, followed by cyst and nodule/polyp in order. For NNE, there was statistically significant difference between vocal nodule/polyp, and cyst or paralysis. In other words, it was found that the NNE of vocal nodule/polyp was weaker than that of cyst or paralysis. Similarly, HNR and SNR also showed the same characteristics; there was statistically significant difference between vocal fold paralysis and vocal fold cyst or nodule/polyp, and HNR and SNR values of vocal fold paralysis were lower than those of vocal fold cyst or nodule/polyp. Conclusion: For vocal fold paralysis, the abnormal values of acoustic parameters associated with frequency, amplitude and noise ratio were statistically significantly higher than those of vocal fold cyst and nodule/polyp. This finding suggests that the voices of the patients with vocal fold paralysis are the most severely injured due to less stability of vocal fold movement, asymmetry and incomplete glottic closure. In addition, there was no statistically significant difference in the acoustic parameters of tremor among vocal fold paralysis, vocal fold cyst and vocal nodule/polyp. Further studies need to ascertain reasonable acoustic parameters with various vocal disorders as well as to clarify the correlation between acoustics-based objective tools and subjective evaluations.