• 대한정형도수물리치료학회지
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• 제21권2호
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• pp.33-37
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• 2015

Background: The purpose of this study on the effects of deep cervical flexors strengthening exercise to forward head posture and pain of neck in patients with chronic neck pain. Method: We selected 30 subjects among neck pain patients and carried out measurements. The subjects' forward head posture was measured including head tilt angle (HTA), neck flexion angle (NFA) and forward shoulder angle (FSA), neck disability index (NDI), numeric rating scale (NRS). The subjects underwent deep cervical flexors muscle strengthening with pressure bio-feedback device for 4 weeks. Then, after intervention, the subjects' forward head posture was measured again. It was performed Wilcoxon signed-ranks test for confirming the effect of deep cervical flexor muscles strengthening exercise. Results: As a result of comparison of measurements before and after intervention, we found that there were statistically significant improvement in the subjects' NDI, NRS and forward head posture including head tilt angle, neck flexion angle and forward shoulder angle. Conclusion: We concluded that deep cervical flexors strengthening exercise has the effect of alleviation of neck pain patients and is effective for forward head posture.

• 한국전문물리치료학회지
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• 제8권3호
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• pp.97-105
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• 2001

The purpose of this study was to investigate the effect of functional strengthening exercise on static and dynamic standing balance in a child with cerebral palsy. The subject was a 7 year old boy with diplegia whose Gross Motor Function Measure (GMFM) score was 80% along with G1 of the lower extremities in Modified Ashworth Scale. The subject was ambulatory with some degree of limitation and demonstrated muscle weakness and strength asymmetry in the lower extremities. A changing criterion design for a single-subject research was used for this study. The functional strengthening exercise consisted of lower extremity ergometer exercise and knee exercise with grading movement in standing position, each for 20 minutes, which lasted 18 sessions for 6 weeks. A knee extensor strength test on both extremities and standing balance test were conducted after each functional strengthening exercise. Two types of standing balance were tested: one leg stance test and functional reach test. One leg stance test was to evaluate static standing balance, and functional reach test was to evaluate dynamic standing balance. The results showed that the functional strengthening exercise had some positive effects on improvement of both static and dynamic standing balance, and there was a positive correlation between the knee strength and standing balance.

• Earthquakes and Structures
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• 제9권5호
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• pp.1069-1089
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• 2015

This paper investigates the limits and efficacies of the Fiber Reinforced Polymer (FRP) material for strengthening mid-rise RC buildings against seismic actions. Turkey, the region of the highest seismic risk in Europe, is chosen as the case-study country, the building stock of which consists in its vast majority of mid-rise RC residential and/or commercial buildings. Strengthening with traditional methods is usually applied in most projects, as ordinary construction materials and no specialized workmanship are required. However, in cases of tight time constraints, architectural limitations, durability issues or higher demand for ductile performance, FRP material is often opted for since the most recent Turkish Earthquake Code allows engineers to employ this advanced-technology product to overcome issues of inadequate ductility or shear capacity of existing RC buildings. The paper compares strengthening of a characteristically typical mid-rise Turkish RC building by two methods, i.e., traditional column jacketing and FRP strengthening, evaluating their effectiveness with respect to the requirements of the Turkish Earthquake Code. The effect of FRP confinement is explicitly taken into account in the numerical model, unlike the common procedure followed according to which the demand on un-strengthened members is established and then mere section analyses are employed to meet the additional demands.

• The Journal of Korean Physical Therapy
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• 제31권5호
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• pp.311-316
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• 2019

Purpose: Generally, patients with stroke present with decreased balance and increased spasticity following weakness of the paralyzed muscles. Muscle weakness caused by stroke has two causes. This is caused by a decrease in motor output and an adaptive muscle change, resulting in muscle weakness and muscle paralysis. The purpose of this study was to investigate the effect of strengthening exercise on balance and spasticity in chronic stroke patients and to suggest the basis of clinical treatment. Methods: Twenty subjects were divided into two groups: a lower-extremity strengthening group (experimental group) and a general physical therapy group (control group). The sliding stander equipment was used for the experimental group and a regimen of warm-up exercise, the main exercise routine, and cool-down exercise were used for the muscle strengthening exercise program. Balance and spasticity were measured before and after the training period. Balance ability was measured by the Berg balance scale, the Timed up and Go test and the weight distribution of the paralyzed muscles by the Spacebalance 3D. Spasticity was measured by the Biodex system. Results: After the training periods, the experimental group showed a significant improvement in BBS, weight distribution of the paralyzed muscles, and decreased spasticity when compared to the control group (p<0.05). Conclusion: This study supported the hypothesis that lower-extremity strengthening exercise improves the balance and decreases the spasticity of stroke patients. If it is combined with conventional neurologic physiotherapy, it would be effective rehabilitation for stroke patients.

• PNF and Movement
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• 제15권1호
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• pp.85-96
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• 2017

Purpose: Peripheral neuropathy accompanied by sensory disturbance, such as limb paralysis and hemiplegia, is mainly caused by acute disseminated encephalomyelitis (ADEM). This case study aimed to determine the effect of ankle strengthening exercises that use proprioceptive neuromuscular facilitation (PNF) on the gait, balance, ankle-control ability, and sit-to-stand ability on a patient with ADEM. Methods: A 10-year-old male with quadriplegia and ankle-control impairment participated in this 4-week training intervention. The patient, diagnosed with ADEM, was treated with ankle strengthening exercises that used PNF. Results: The patient demonstrated improvements in balance, ankle-control ability, sit-to-stand ability, and gait performance. Outcome measures (manual muscle test, modified Ashworth scale, sensory assessment, coordination assessment, Berg balance scale, 5 time sit-to-stand test, and 10 m walk test) were taken before and after the training program. Conclusion: The results of this case suggest that an ankle strengthening exercise that uses PNF can improve the gait, balance, ankle-control ability, and sit-to-stand ability in patients with ADEM. In ADEM, the initial treatment is important, and the use of ankle strengthening exercises with PNF could lead to meaningful results. However, there is limited research due to an insufficient number of cases. In the future, more patients will need to be studied.

• 한국콘텐츠학회논문지
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• 제20권6호
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• pp.114-123
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• 2020

본 연구는 뇌졸중 환자에게 하지 근력강화 프로그램이 균형, 보행 및 상지 기능에 미치는 효과에 대해서 알아보았다. 신경계 손상 환자가 있는 병원을 기반으로 해서 하지 근력 강화에 대한 연구 방법을 만들어서 진행하였고, 무작위대조시험을 적용하였다. 24명의 뇌졸중 환자를 두 군으로 분류하였다. 하지 근력 강화 프로그램그룹 (Lower extremity strengthening program group, LESPG) (12명)과 트레드밀 훈련그룹 (Treadmill trainig group, TTG) (12명)으로 실험하였다. LESPG는 마비측에 하지 근력 강화프로그램을 수행하였다. TTG는 하루 30분 동안 트레드밀 운동을 적용하였다. 평가 도구는 일어나서 보행 검사(Timed Up and Go test, TUG), 기능적 보행평가 (Functional Gait Assessment, FGA) 및 뇌졸중 상지 기능검사(Manual Function Test, MFT)를 적용하였다. 균형, 보행 및 상지 기능에 대한 두 군 간의 TUG, FGA 및 MFT 점수는 LESPG가 TTG보다 유의한 차이가 있었다(p<.01). 4주간의 하지 근력강화 프로그램의 효과는 뇌졸중 후 편마비 환자의 균형, 보행 및 상지 기능에 효과가 있었다.

• 말소리와 음성과학
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• 제3권4호
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• pp.13-21
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• 2011

The present study investigated the effects of two different sources of prosodic strengthening, i.e., boundary and accent, in the articulation of English high front vowels, /i/ and /I/. The vowels were investigated in vowel-initial ('eat' vs. 'it'), /h/-initial ('heat' vs. 'hit') and /p/-initial words ('Pete' vs. 'pit'), which were placed in varying prosodic conditions. Using Electromagnetic Articulograph (EMA), the tongue dorsum positions in the x and y dimensions, the lip opening and the jaw opening (lowering) were measured. With respect to the boundary-induced strengthening, results showed that /i/ and /I/ in vowel-initial words ('eat' - 'it') are produced with a higher tongue position in the domain-intial than domain-medial positions. The fact that the vowels only in the vowel-initial condition showed the domain-intial strengthening (DIS) effect suggests that the DIS effect is localized mainly to the initial position (the locality account). As for the accent-induced strengthening, vowels were produced with a more fronted tongue position and larger lip opening in accented than unaccented positions. This suggests that the presence of accent increases overall sonority of the vowels in various prosodic contexts, and enhances primarily the frontedness of the front high vowels. Taken together, the results indicate that the two types of prosodic strengthening are articulatorily realized differently, supporting the view that they are encoded separately in the speech planning process. The present study also showed the distinction between the two high front vowels in the tongue position (in both the frontedness and the height dimensions), while the jaw did not seem to contribute to the distinction robustly, suggesting that the tongue contributes more in distinguishing the two vowels than the jaw does.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2000년도 봄 학술발표회 논문집
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• pp.739-744
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• 2000

The aim of this research is to investigate and to compare the shear strengthening effects of steel plates and glass fiber sheets(GFS). Shear damaged beams were repaired by steel plates and GFS. Thickness of steel plates and strengthening type of GFS were taken as the parameters. With loading, the development and propagation of cracks, failure mode and deformation of strengthening materials were checked. The ultimate load was compared with formulas proposed by previous researchers.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 1997년도 가을 학술발표회 논문집
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• pp.697-702
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• 1997

This study presents test results of RC beams strengthened by carbon fiber sheet (CFS) or carbon fiber reinforced plastics (CFRP) for increasing shear resistance. Fifteen specimens were tested, and the test was performed with different parameters including the type of strengthening materials (CFS, CFRP), shear-strengthening methods (wing type, jacket type, strip type), strip-spacing, strengthening direction of FRP. The results show that shear-damaged RC beams strengthened by either CFS or CFRP have more improved the shear capacity.

• 농촌계획
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• 제18권4호
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• pp.1-12
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• 2012

This study postulates a partial mediation model(study model I) and a whole mediation model(study model II) to examine the effect on endogenous rural development of local innovation capability strengthening in the local industry promotion project, the establishment of promotion system, and the revitalization of local economy. To accomplish study purposes, 169 response samples from 85 project groups which drive the local industry promotion project were verified using SPSS 12.0 and AMOS 5.0. The results showed that in the partial mediation model, the local innovation capability strengthening had a significantly positive effect on the establishment of promotion system, the establishment of promotion system had a significant effect on the revitalization of local economy, and the revitalization of local economy had a significant effect on the endogenous rural development, while the establishment of promotion system and local innovation capability strengthening didn't have effect on the endogenous rural development. In the whole mediation model, the local innovation capability strengthening had a significant effect on the revitalization of local economy, the establishment of promotion system on the revitalization of local economy, and the revitalization of local economy on the endogenous rural development. According to the verifications of study model I and II, the endogenous rural development is achieved after the revitalization of local economy through the establishment of promotion system and the local innovation capability strengthening. From these results, this study presents suggestions, limits of study and directions in the future study.