• Journal of Korean Neurosurgical Society
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• 제46권4호
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• pp.333-339
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• 2009

Objective : Few studies on the clinical spectrum of automated pressure-controlled discography (APCD)-defined positive discs have been reported to date. Thus, the present study was undertaken to analyze clinical parameters critical for diagnosis of discogenic pain and to correlate imaging findings with intradiscal pressures and pain responses in patients with APCD-positive discs. Methods : Twenty-three patients who showed APCD-positive discs were selected for analysis. CT discogram findings and the degrees of nuclear degeneration seen on MRI were analyzed in comparison to changes of intradiscal pressure that provoked pain responses; and clinical pain patterns and dynamic factors were evaluated in relation to pain provocation. Results : Low back pain (LBP), usually centralized, with diffuse leg pain was the most frequently reported pattern of pain in these patients. Overall, LBP was most commonly induced by sitting posture, however, standing was highly correlated with L5/S1 disc lesions (p<0.01). MRI abnormalities were statistically correlated with grading of CT discogram results (p<005); with most pain response observed in CT discogram Grades 3 and 4. Pain-provoking pressure was not statistically correlated with MRI grading. However, it was higher in Grade 3 than Grade 4. Conclusion : APCD-positive discs were demonstrated in patients reporting centralized low back pain with diffuse leg pain, aggravated by sitting and standing. MRI was helpful to assess the degree of nuclear degeneration, yet it could not guarantee exact localization of the painful discs. APCD was considered to be more useful than conventional discography for diagnosis of discogenic pain.

• 한국의류산업학회지
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• 제2권5호
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• pp.430-436
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• 2000

The purpose of the study was to obtain the basic data on the self-adjusting ability of the support panty stockings. Ten healthy women in the twenties were selected as subjects and clothing pressure of 9 support panty stockings made of single covered yarn (SCY) and double covered yarn (DCY) were measured under the standard environmental condition for the study. Data was analysed statistically according to body postures, sides, and parks. The results were as follows: Clothing pressure according to body posture was order of 'sitting-on-a-chair', 'stepping-up-a-stair', and 'standing'. High clothing pressure was obtained in the parts of calf ($9.4gf/cm^2$) in 'standing' and knee (9.7 and $16.5gf/cm^2$) in both 'stepping-up-a-stair' and 'sitting-on-a-chair', respectively. The order of clothing pressure with body sides was 'front', 'side', and 'back'. The highest clothing pressure was knee ($18.8gf/cm^2$) on the front, thigh ($8.8gf/cm^2$) on the side, and calf ($6.4gf/cm^2$) on the back. Clothing pressure of DCY at abdomen and knee was a little higher than those of SCY 3. In terms of material structure variation, clothing pressure of thigh, calf and ankle with SCY was a little higher than those with DCY, while clothing pressure of abdomen and knee with DCY was a little higher than those with SCY.

• Physical Therapy Rehabilitation Science
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• 제6권2호
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• pp.77-82
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• 2017

Objective: Swimming and water-based exercise (WE) programs can provide vigorous physical activity in a fun and a motivating environment. The properties of water, may make it easier for children with cerebral palsy (CP) to move and to participate in an WE program. The aims of this study was to evaluate the effect of WEs on postural control in children with spastic CP. Design: Quasi-experimental design (one group pretest-posttest design). Methods: Twenty preschoolers with spastic CP participated in this study. Prior to the application, sufficient warm-up training was performed to allow the subjects to adapt to the water. Afterwards, three different types of underwater leg exercises for the flexor, extensor, and adductor/abductor of muscles of the lower limb were performed. The WE program lasted during 8 weeks, with one-40 minute sessions per week (8 training session). The usual care was performed during the training session. The Korean-trunk control measurement scale (K-TCMS) and weight distribution variability (difference of both Fz) were measured before and after training session. Results: According to the results, the K-TCMS scores of the three sub-levels, including static sitting, dynamic sitting, and dynamic reaching, was significantly increased after the training session (p<0.05). Also, the weight distribution variability was significantly decreased after 8 weeks (p<0.05). Conclusions: We suggest that WEs may improve the postural control ability in children with spastic CP. Furthermore, we support the need for additional research on the effect of WE on gait or activity of daily living performance with a control group included.

• Physical Therapy Rehabilitation Science
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• 제9권1호
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• pp.18-24
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• 2020

Objective: The purpose of this study was to compare the activities of the abdominal muscles according to trunk stabilization exercises using Swiss ball in normal individuals. Design: Cross-sectional study. Methods: Ten healthy university students participated in this study. The subjects were required to complete the following three exercise positions: Exercise position 1, sitting on a Swiss ball and lifting the legs; Exercise position 2, pushing to a plank position from an ending position; and Exercise position 3, push-up posture with the legs on a Swiss ball. Changes in the trunk muscle activities were estimated using Biometric electromyography (EMG). Activities of the dominant side internal oblique muscle (IOM) and external oblique muscle (EOM) were estimated in all participants. The maximal voluntary isometric contraction (MVIC %) was measured to standardize the EMG signals for the IOM and EOM during maximum resistance when sitting up with each shoulder pointing towards the contralateral pelvis with knees bent and both arms crossed on the chest for 5 seconds. Results: There was a significant difference in the activity of the internal and external oblique muscles between Exercises 1 and 2 and Exercises 1 and 3 (p<0.05). Furthermore, the IOM/EOM activity ratio was the greatest during Exercise 3 and the smallest during Exercise 1. IOM and EOM activities were the greatest during Exercise 2 with greater EOM activity. Conclusions: In future studies, it will be necessary to investigate muscle activities by supplementing the above-mentioned limitations during the stabilization exercise. The results of this study may be used as a basis for controlling the intensity and frequency of exercise while prescribing trunk stabilization exercises.

• 보건행정학회지
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• 제20권4호
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• pp.126-138
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• 2010

Objectives : The purpose of this study is to evaluate the effects of assistive products usage on activity of daily living for the beneficiary older adults people in Korean long-term care insurance system. The study subjects were divided to assistive products users and non-users among the beneficiary older adults based on Korean long-term care insurance system to compare function improvement of the activity of daily living. Methods : In national wide 12 community elderly care center enrolled the National Health Insurance Corporation, The numbers of 281 beneficiary older adults(long-term care Grade I: 66, Grade II: 58, Grade III: 157) participated in this study. This survey assessment tool for activity of daily living was used the long-term care assessment instrument of the physical functions in the law of Korean long-term care insurance. The function items of Activity of daily living were included in clothing, washing, tooth brushing, bathing, eating, posture converting, stand sitting, move sitting, out of room, using toilet, controlling of stool, controlling of urine, washing hair. According to independence to complete dependence functioning level, remarks pointed 1 to 3 points. The data were analyzed by chi-square, two-way anova using SPSS V. 12.0. Results : The results appeared that the mean score of the functions in activity of daily living of assistive products users was a 27.60, and that of non-users was a 30.66. Assistive products were not effected in Grade I and II recipients, but that effected in Grade III recipients. Conclusion : Preparing for activation of assistive products based Korean long-term care insurance system, the result application as follows is possible. The usage of assistive products could improve the function of daily living activity in older adults. Related to Grade III beneficiary elderly people were improved function in activity of daily living by using assistive products, it is necessary to extend coverage the non-eligible elderly people in Korean long-term care insurance system.

• The Journal of Korean Physical Therapy
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• 제13권2호
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• pp.373-380
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• 2001

Objectives: The purpose of this study was to compare the difference of Lumbar Lordosis Angle (LLA)between patients with Low Back Pain (LBP) and control groups. Methods: Questionnaires were completed by 40 adults LBP patients seeking physical therapy services and by 40 controls at the department of Physical Therapy, SaeJong Neurosurgical Clinic in Taegu city, South Korea from October 1999 to March 2000. LLA was measured on lateral x-ray films with standing position. The angle between a line parallel to tile top of the first Lumbar (Ll) and the top of the fifth Lumbar (L5) was defined LLA. Results: LLA of 29.88$^{\circ}$ for LBP patients was statistically significant decrease from that of 35.31$^{\circ}$ for controls in the difference of lumbar lordosis (p<0.01). There were statistically significant differences between genders in patients groups. Females(32.22$^{\circ}$) had significantly greater angles than males (27.32$^{\circ}$) (p<0.05), while 36.63$^{\circ}$ for female was also greater than 34.12$^{\circ}$ for male in the controls. No significant difference was found between age. In patient groups, 27.95$^{\circ}$ for below age 40 was a smaller than 32.32$^{\circ}$ for above, however, 35.82$^{\circ}$ for below age 40 was a little greater than 34.27$^{\circ}$ for above in controls. Patients in sitting posture had greater LLA (31.35$^{\circ}$). than those standing (28.93$^{\circ}$), however. values for controls were similar to each other. Conclusions: Results from this study indicate that distinct difference exist among patients and controls and gender, whereas little difference exists in age and working posture.

• 대한간호학회지
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• 제30권1호
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• pp.225-239
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• 2000

This study is a research of conceptual development to find the factors of presence. The concept and the definition of presence received from literary review. On the basis of these findings, we formulate the contents of presence through structured interview guide composed of open-ended questionnaire which included the frequency, attitude, and posture. We selected 104 samples who are the patients, doctors, nurses, and other health providers. And then the contents of presence were established after integrating the formulated contents and putting them in order. The categorizing of the presence was made after discussing with specialist in this field. By using the selected contents, we made 25 statements of presence which were categorized into three factors. The results were as follows: 1. The definition of presence is being with at the same time and space, making attention with openness, and the therapeutic interaction with empathy. 2. The contents of presence through personal interviews are The time required is 5 minutes(46.15%), 2-3 minutes(34.61%), and 10 minutes (15.38%) respectively. The frequency of visiting is 3 times(39.20%), every time(23.07%), and more than 5 times(20.19%) respectively. \circled2 In case of being with nurse is having pain(39.42%), suffering trouble or severe fear(9.61%), feeling discomfort(8.65%), taking care of wound(7.69%), and other unfavorable symptoms(6.73%) respectively. \circled3 The posture being with nurse is depends on the situations(63.46%), sitting(26.92%), and standing(9.61%) respectively. Eye contact with nurse is face to face(78.84%), depends on the situations(20.19%), and not face to face(0.96%) respectively. \circled4 The attitudes of comfort are explaining about disease(23.07%), holding on hands (14.42%), touching on the suffering parts (11.53%), and unconditionally being with(7.69%) respectively. \circled5 Nurses' caring actions are kindness (27.88%), replying to the question (12.50%), smiling(10.57%), bright appearances (8.65%), and right and quick treatment(8.65%) respectively. \circled6 The effects of being with are peaceful mind(58.65%), quick recovery(13.46%), and decrease in fear(12.50%) respectively. \circled7 The attitudes of being with are listening (11.53%), recognition(8.65%), talking about discomfort(8.65%), and answering kindly (7.69%) respectively. 3. From the analysis of presence factors, 25 statements and 3 categorized factors are presented.

• 대한인간공학회지
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• 제9권2호
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• pp.55-63
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• 1990

School children sit long on chairs in their classrom. Their posture is closely related to their chairs. Study of this relationship is very imporant for the health and education of school children. This report presents the results of study condcuted to determine the present status of classroom chairs and solve any problems identifede. The study involved 125 teachers in Seoul and Pusan, 175 fourth graders in Seoul, and 109 fourth graders in Puasn. The body dimensions of the school children and the dimensions of their chairs and desks were measured, and their postures while they studied at their desk were photographed. The following problems were identified as a result of the investigation: (1) Chairs are allocated to pupils according to their stature. (2) The teachers are not satisfied with the chairs and the method by which the chairs are allocated to their pupils. (3) The pupils complain of low seat height, narrow seat, and hard backrest, among other conditions. (4) The pupils select a chair one size larger than that suggested by their body size. (5) The poor posture of the pupils is traced to the seat height and sasyaku$(sitting height {\times} 1/3-1)$ of their chairs, their habit, their way of holding pencils, and lack of instruction by their teachers. The following recommendations are made to solve these problems: (1) Adjust the seat height and desk height to accommodate the pupils. (2) Provide both teachers and pupils with adequate knowledge of chails. (3) Provided each pupil with one desk and make the desk adjustable to sit his or her body dimensions. (4) Allocate a chair and desk to each pupil for his or her exclusive use. (5) Reserch and develop conversion tables that help to find suitable chails for individual pupils. New values of sasyaku and desk height, not specified in Korean Industrial Standards(KS), are proposed.

• 대한가정학회지
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• 제49권3호
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• pp.113-121
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• 2011

This study developed a method of calculating dynamic wearing ease (DWE) to make patterns for coverall work clothing. The DWE was measured from 3D body scan data of women in their 20's (n = 10). The body postures adopted for measuring the DWE were sitting and deep bending postures. Three types of experimental patterns (A, B, C) were developed. The DWE was applied at the waist and hip lines of the pattern. The location and size of the DWE varied from one pattern to another. For pattern B, DWE of 8.8cm was applied at the back of the waistline. For pattern C, 5.3cm was applied at the waist for the center back line, and 3.5cm was applied at the under hip level. The comfort of the experimental clothing was evaluated in six body postures. The results showed that patterns B and C were comfortable at the crotch, shoulders, and arm pits. Pattern C was comfortable at the hip and crotch areas in the arms lifting-up posture and the stepping-up posture. The appearance and fit of the experimental clothing were evaluated by the panels. Patterns B and C fitted better than pattern A at the abdomen. The results suggest that DWE should be applied at the waist and hip levels for making coverall work clothing patterns.

• Child Health Nursing Research
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• 제8권2호
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• pp.164-173
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• 2002

The vision disturbances of school-age children has been recognized as and important school health problem. The purpose of this study is to describe the current status of the visual health and to explore the related factors for the decrease in visual acuity in the elementary school age children. The study subjects were 697 children (Boys: 338, Girls: 359) of 4th to 6th grade in two school in urban area. The visual acuity data of the school health examination in 1999 and 2000 were utilized for analysis. The questionnaire for children and parents was used for survey. The findings were as follows. 1. The prevalance rate of the children with the visual acuity less than 0.7 on the left eye were 26.84％ ( Grade 4), 31.30％ (Grade 5), and 38.39％ (Grade 6). The rate on the right eye were 28.31％ (Grade4), 30.37％ (Grade 5), and 37.92％ (Grade 6). There was a significant difference in the rate of the visual acuity less than 0.7 according to grade (p<.01). 2.The rate of visual acuity decrease was 40.12％. 3. The factors related to the decrease in the visual acuity were grade, sex, genetic factor, posture, and the awareness of the visual acuity. There was more decrease in the visual acuity when the children were in higher grade (O.R= 1.06), girls (O.R=2.29). Children having parents with better vision (Father: O.R=1.26; Mother O.R= 1.25) showed better vision. On the other hand, when the children have siblings with glasses, there was more decrease in the visual acuity (O.R=2.31). Students with good posture during study (sitting on the chair) and watching TV to the lower direction showed less decrease in the visual acuity. Also, when the students know their visual acuity, the rate of decrease were lower. The variables which odds ratio were statistically significant were sex (p<.01), siblings with glasses (p <.01), and awareness of visual acuity (p<.01).