• 제목/요약/키워드: therapeutic space

검색결과 121건 처리시간 0.023초

집중치료를 통한 소뇌운동실조증 환자의 말운동개선 가능성 (Possibility of Motor Speech Improvement in People With Spinocerebellar Ataxia via Intensive Speech Treatment)

  • 박영미
    • 한국콘텐츠학회논문지
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    • 제18권11호
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    • pp.634-642
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    • 2018
  • 소뇌운동실조증(SCA)은 유전성, 진행성 신경장애로 SCA 환자는 소뇌위축으로 인한 실조형 마비말장애를 보인다. 본 연구는 집중 말운동치료를 통해 SCA환자의 진행성 실조형 마비말장애의 개선의 유무를 확인하고, 개선이 있는 경우, 치료전후의 변화의 정도를 보고하고자 한다. 55세의 SCA 여성 환자를 대상으로 말운동 기능 개선을 위한 SPEAK $OUT!^{(R)}$ 치료프로그램을 시행 후, 큰 효과크기 수준에서 MPT와 과제별 음량의 개선이 관찰되었고, 음도의 경우 적은 효과크기의 변화를 보였다. 그러나 음도의 폭은 큰 효과크기의 변화를 보였다. 음질은 jitter, shimmer, HNR 모두에서 큰 효과크기 수준에서 긍정적 개선을 보였고, 모음면적도 넓어졌는데 이때 F1의 변화가 두드러졌다. 또한 심도 수준의 VHI점수는 치료 후 경도 수준으로 낮아졌다. 집중 말운동치료 프로그램인 SPEAK $OUT!^{(R)}$의 시행을 통해 SCA 환자의 음량, 음도, 음도의 폭, 음질, 모음면적의 증가를 관찰하였고, 음성장애에 관한 주관적 인식의 변화도 긍정적으로 감소하였다. 기초연구로서의 본 결과를 바탕으로 SCA환자의 진행성 실조형 마비말장애 개선을 위한 SPEAK $OUT!^{(R)}$에 대한 좀 더 체계적인 검증을 위한 후속 연구가 필요하다.

지역거점공공병원의 지속가능한 외부공간에 대한 연구 (A Study on Sustainable Outdoor Space of Regional Public Hospitals)

  • 윤은지;임영환
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제23권4호
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    • pp.17-25
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    • 2017
  • Purpose: Since hospitals have a big impact on the natural and social environment, hospitals' sustainability must be considered in various aspects including environmental, social, and economical aspects. So far, research on sustainable hospitals has mainly been conducted on indoor environment, but outdoor space of hospital is as important as well. The purpose of this research is to study the sustainability of hospital outdoor space and to make proposals for improving sustainable regional public hospitals. Methods: Through preceding research analysis and literature review, the concept of sustainable outdoor space of hospital was defined. Also, the evaluation contents of outdoor space were extracted from domestic and foreign green building certification criteria. With this analytic frame, we visited 4 regional public hospitals in Korea, interviewed the facility managers, and analyzed sustainability of hospital outdoor space. Results: Analysis of 4 regional public hospitals reveals that there is a lack of consideration for sustainability in all 4 categories; urban and network, natural environment, community, and user. In terms of community, sustainability has rarely been applied to all four hospitals. The site selection and terrain of the site were essential to sustainability. Implications: Establishing a master plan considering future expansion is critical. Also more attempt to show regional characteristics is needed. It is necessary to design a comprehensive outdoor space that considers sustainability and also healing environment. Level difference in the site can be used as a design element.

인테리어 테라피에 관한 탐색적 연구 (An Exploratory Study on Interior Therapy)

  • 장미정
    • 한국실내디자인학회논문집
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    • 제26권1호
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    • pp.124-133
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    • 2017
  • The purpose of this study is to explore the interior therapy that introduced the concept of therapy into interior space. This study examines interior therapy based on the concepts of stress and therapy. As the study methods, a qualitative analysis to review the concept of interior therapy was conducted together with a quantitative analysis on the current state of domestic therapy-related researches. The scope of the study is limited to domestic journals published from 1988, when the first domestic research was embarked on to analyze the current status of therapy-related researches, until November 2016. According to the study results, the domestic therapy-related studies were mainly focused on aromatherapies and food therapies. By year, the first domestic study of its kind was conducted on logotherpay in 1988. And until 2000, studies were carried out mainly on aromatherapies. Since then, new psychotherapy research fields have emerged; color therapy in 2003 and food therapy in 2008. However, in the space design field except for color therapy-related researches, there have been not sufficient studies on the indoor space therapy field that investigates the possibility of indoor space as a therapy from an integrated viewpoint. Therefore, this study reviewed domestic researches on interior therapy which applied the concept of therapy to interior design and suggested three cognitive-emotional-behavioral measures as healing factors. Finally, this study is expected to be used as basic data for design planning and curriculum development which apply the concept of therapy to interior design-related fields.

두경부 감염의 천층 및 심층부로의 확산 경로: 증례 보고 (THE SUPERFICIAL AND DEEP SPREADING PATHWAYS OF INFECTION OF THE MAXILLOFACEAL AND NECK AREA: REPORTS OF 2 CASES)

  • 이정교;최병준;김여갑;이백수;권용대;김영란
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권1호
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    • pp.62-67
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    • 2010
  • The spreading pathways which is the cause of infection on head and neck area are submandibular space, masticatory space, parapharyngeal space, retropharyngeal space, carotid sheath and mediastinum, etc. If spread to parapharyngeal area involving airway, such infection can be life-threatening by airway obstruction, or can cause vascular injury followed by hemorrhage, nerve injuries. Also, if spread to superficially, necrotizing fasciitis and many complications may occur including gangrene of skin. The key to successful treatment of infection on head and neck area is recognition of spreading pathways, early diagnosis and following therapeutic management. Our department present two cases, one is infection progressed superficially to suprasternal space, another is spreading deep according to parapharyngeal space, subclavian space and carotid sheath followed by airway obstruction, and obtained significant results with surgical incision and drainage, administration of selected antibiotics, continuous post-operative treatment. We report these 2 cases with literatures review.

추간관절 증후군의 치료 (Treatment of Facet Joint Syndrome)

  • 최중립;송찬우;이경숙
    • The Korean Journal of Pain
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    • 제7권2호
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    • pp.292-298
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    • 1994
  • The common disorder called facet syndrome exhibits lower back pain, with or without, radiating pain to buttock and thigh due to facet joint arthropathy. Many physicians have believed that the usual lesion of facet syndrome was an anatomical impairments of facet joint itself. So facet joint block has been known only as a therapeutic and diagnostic modality of facet syndrome. Based on clinical experience and anatomical study, we have concluded varying opinions from common sense about facet syndrome. Pain in the facet joint is supposedly the secondary effect of narrowing of joint space by sustained muscle contracture around joints. We therefore conclude that spasmolytic treatment of muscles connecting the two vertebral articular space would be better for treatment and diagnosis of facet syndrome rather than facet block with local anesthetic and steroid only.

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무균돼지 사육시설 계획을 위한 사례연구 - 공간구성 및 동선계획을 중심으로 - (A Case Study on Swine Farms for the Planning of Gnotobiotic Pigs' Facility - Focused on Space Organization and Circulation System -)

  • 권순정;성제경;염수청
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제12권1호
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    • pp.49-59
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    • 2006
  • According to the increase of demand for human organs such as kidney, heart, pancreas, joint, and cornea for therapeutic transplantation, the production of alternative organs based on Gnotobiotic Pigs gains a lot of concerns all over the world. However, it is not common to design and build Gnotobiotic Pigs' facility, and there are only a few those facilities and planning principles for them. Considering the situation above, this paper tries to develop planning guidelines for space organization and circulation system of standardized Germ Free Pig's facility on the bases of case analysis. The results of this study are as follows. At first, four swine farms including a Gntobiotic Pig's facility has been analysed from the point of space organization and circulation system. Secondly, the space zoning of Gnotobiotic Pigs' facility has been proposed into 5 groups : pigs' area, adminstration area, operating room and laboratory, service area, and mechanical area. Space components of each group have been presented also. Finally, circulation system of Gnotobiotic Pigs' facility has been explored from a operational point of view. This, also, includes human circulation, pig's circulation, and goods' circulation. This study has some limitations because it does not consider the SOPs(standard operational policies) of that facility to the fullest measure and does not suggest space area of each part, either. Despite of some weaknesses, it is expected that this study can give some useful guidelines for the design and planning of Germ Free Pigs' facilities.

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발목 근 피로 시 테이핑, 스트레칭 그리고 초음파 중재가 융합적 균형에 미치는 효과 (The Effect of Taping, Stretching and Ultrasound Intervention on Convergent Balance with Ankle Muscle Fatigue)

  • 유은정;이수영
    • 한국융합학회논문지
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    • 제9권10호
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    • pp.141-147
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    • 2018
  • 본 연구의 목적은 유도된 발목 근피로 시 테이핑, 스트레칭 그리고 초음파가 융합적 균형능력에 미치는 효과를 알아보는 데 있다. 건강한 성인 남녀 39명이 본 연구에 자발적으로 참여하였다. 발목 근피로 유발 이후 대상자들은 테이핑, 정적 스트레칭 또는 초음파 그룹으로 무작위 선정되었다. 그리고 각 그룹에 해당하는 중재방법이 적용되었다. 균형 능력은 Space Balance 3D를 이용하여 발목 근피로 전과 후 그리고 중재 후에 측정되었다. 균형능력은 그룹 간 유의한 차이는 없었지만(p>.05), 그룹 내 모두에서 유의하게 증가하였다(p<.001). 그러므로 발목 근 피로에 테이핑, 정적 스트레칭 그리고 초음파는 융합적 균형능력에 효과적일 것이다. 향후 연구에서는 다양한 측정변수 측정과 치료적 중재를 적용하여 치료적 효과를 증명할 필요가 있다.

두침치료를 시행한 중추성 마비 말장애(Dysarthria) 환자의 모음 공간 평가 (An Evaluation of Effectiveness of Scalp Acupuncture on Post-stroke Dysarthria Group through Graphed Vowel Space)

  • 신유정;박종혁;백경민;장우석;최양규
    • 대한한방내과학회지
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    • 제29권2호
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    • pp.413-420
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    • 2008
  • Objective : To investigate the therapeutic effect of scalp acupuncture on dysarthria after stroke. Methods : A-B model in single subject research. The experimental group of 7 members received scalp acupuncture and the control group of 5 nothing for dysarthria itself. Five single vowels were recorded by voice recorder and measured for 1st & 2nd formant. By the formants, a vowel space was made according to each one of the patients. Praat program was used for evaluation. Results : 4 cases in the experimental group showed significant change and just 1 case of the none-operated group got better. Conclusion : In this study, it's proven that acupuncture treatment might have positive efficacy on dysarthria cases. At this moment, more clinical reports are needed for objective oriental medical study.

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융의 심리학적 이미지 해석을 통한 인테리어 테라피 사례연구 - 미국 Bravo TV 방송 프로그램에 나타난 주거공간 중심으로 - (A Study of Interior Therapy based on Psychological Image Interpretation by Carl Jung - Focusing on Residential Spaces of in the US -)

  • 장미정
    • 한국실내디자인학회논문집
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    • 제27권2호
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    • pp.128-142
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    • 2018
  • This study is to analyze a case of US Bravo TV program, Interior therapy with Jeff Lewies, based on analytical psychology by Carl Jung, to understand characteristics of interior therapy in psycho-therapeutic viewpoint. Case study among descriptive observation approaches was chosen as a study method while the study range was set as 8 episodes in 2012 and 8 episodes in 2013. As a result of study, future application of therapy to domestic interior design was suggested as 3 types the following; a) Paranoid and storage disorder type that pursues space design by horizontal elements with a sense of comfortable, starting from throwing things away, and suggests whiteness based on desire to be cleaned; b) Individual taste type starting from give and take between members and recognizing one another. e.g., aligning the U-shaped sofa and giving a sense of comfort by using the achromatic colors; and c) Workroom type involved with the face-to-face type of space design and arrangement of mild grey and brown colors. Finally, this study has its significance in suggesting the direction for new occupational clusters in the field of domestic space design (interior, architecture, environment design, etc.), which could be utilized as a basic data for training program development to foster interior therapy professionals.

안산시 CBR사업 추진을 위한 재활공간에 관한 연구 - 적정면적 산정을 중심으로 - (A Study on Rehabilitation Space for the Development of Community-Based Rehabilitation - Focused on the Estimation of Optimum Space -)

  • 박재승;나상배;김갑동
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제3권4호
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    • pp.35-49
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    • 1997
  • The percentage of postnatal disabled people and elderly population is rapidly increased by the industrialization, and the improvement of medical technology. The disparity between the city and rural area is in the way to disabled people who need rehabilitation. To solve these problems, Community Based Rehabilitation(CBR) is suggested by WHO. In this study, at first, the CBR model considering the specific characteristics of AnSan City are presented. Secondly, the first, the second, and the third rehabilitation facilities in AnSan City are classified by the CBR model. Thirdly, the estimation of optimum space for physical therapy and occupational therapy at rehabilitation center and public health center are sugested, which are the second level rehabilitation facilities. There are some differences in the distribution of population between new and old area in AnSan City. In other words, the subject population of CBR program in old area is relatively higher than that of new area. So, the CBR program for AnSan City must reflect their regional characteristics. In this study, the therapeutic boundaries of second level rehabilitation facilities is decided through the survey of physical therapists and occupational therapists in general hospitals and nursing homes.

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