• Journal of Korean Academy of Fundamentals of Nursing
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• v.8 no.2
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• pp.172-188
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• 2001

Purpose: The purpose of this research was to test the effectiveness of the nursing intervention, mutual goal setting, for patients who have had a mastectomy. Special reference was given to King's goal attainment theory and a theoretical framework for establishing an effective nursing strategy to enhance patient recovery is suggested. Method: This research employed a quasi-experimental design which consisted of pretest-posttest non-equivalent control and experimental groups. Data were collected from 37 patients who had a mastectomy and were hospitalized in the Department of Surgery of Y Medical Center from January 2001 to May 2001. The experimental group received the nursing intervention, mutual goal setting four times from the day before the operation to the fifth day after the operation while the control group received only routine nursing care. As postoperative recovery indicators, ROM of arm joints, arm circumference, pain, physical symptoms, oxygen saturation stress, anxiety and body image were measured. Result: The test results are as follows : 1) there were statistically significant differences between the experimental and control groups in extension and internal rotation of the shoulder Joint and flexion of the wrist joint. 2) there was no significant difference between the two groups in arm circumference. 3) there were no significant differences between the two groups in pain, physical symptoms, or oxygen saturation. 4) there were no significant differences between the two groups in stress, anxiety, or body Image. On the basis of research results, the following are recommended : 1) The effectiveness of nursing intervention in the acute recovery period as well as long term effects need to be investigated. 2) There is a need to develop an instrument to measure perception which facilitates goal attainment in the interactive setting between patients and nurses.

• Korean Journal of Acupuncture
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• v.25 no.3
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• pp.1-14
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• 2008

Objectives : Weights and measures (度量衡) in Korean traditional medicine have been changed in many dynasties and countries. Thus, measurements of chon (寸) and cheok (尺) have been considered as symbolical meaning in recent studies on meridians and acupoints. The present study was made to settle up standard measurement by surveying length of each parts of upper limb as follows. Methods : To calculate length of 1 chon (寸), the length of each part was divided into the numbers of chon (寸) as shwon in ${\ll}$Goldo Hwangjenaegyeong-yeongchu (靈樞 骨度篇)${\gg}$; the chon (寸) length in ${\ll}$Goldo Hwangjenaegyeong-yeongchu (靈樞 骨度篇)${\gg}$ was compared with the chon (寸) length which is calculated by dividing human average hight into 75 chon. Results : Increment of length of 1 chon (寸) did not change as increment of height in subjects. Length of 1 chon (寸) in height is representative of length of 1 chon (寸) in each parts of upper limb. Conclusions : We suggest that most suitable length of 1 chon (寸)for the standard measurement of acupoint location is 2.20 ${\pm}$ 0.17 cm based on length of elbow joint to wrist joint.

• Journal of muscle and joint health
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• v.2 no.2
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• pp.131-146
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• 1995

Many arthritis patients experience weakness of muscles in extremities mainly due to disuse atrophy and weight gain because of the limited activities and exercises. This study examines the effects of the 6-week aquatic-exercise program on the body fat and the muscle of the rheumatoid arthritis patients. Seventeen patients in the experimental group and 18 in the control group were assigned depending on their preference and physical condition. These patients had more than 3 points of pain out of 10, deformities in knee, wrist and ankle joints. The amount of aquatic exercise increases from 35 minutes in the first week to 60 minutes in the 6th week. In the resting period they discussed their own experiences about exercise, personal and family affairs, and performed some recreation programs in order to increase the self-efficacy and promote the relationship with other patients by the group activities. Skinfold thickness and circumferences of both extremities were measured before and after experiment to compare the difference. For testing the body fat Saham Model was used. Prior to the experiment two group's body weight, skinfold thickness and skin circumferences were not significantly different which indicates the homogeneity of two groups. Body weight and most parts of skinfold thickness of the experimental group were significantly lower than the control group after 6-week aquatic exercise program. Circumference was not significantly lower than the control after the program. These findings indicate the in-crease of muscle sizes and the reduction of the body fat. Therefore a more active application of aquatic exercise into a variety of clients is strongly suggested.

• Korean Journal of Applied Biomechanics
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• v.14 no.1
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• pp.27-40
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• 2004

The purpose of this study was to provide basic data for improving athletic performances by analyzing the kinematic variables of the Double Backward Somersault on the Parallel Bars through the 3D motion analysis. The subjects in this study were 5 male gymnasts who were ranked as national athletes. The results are as follows. 1. A total time(Mean Time) of performance showed $2.72{\pm}0.82\;sec$. and flight time to landing after releasing was 0.87sec.(mean). In order to perform better stable flying movement, the flight time should be increased. 2. In the change of velocity of the center of mass, when the increasing ascension velocity of the upper point was high, the position in the top point was high on releasing. 3. In the position variable of the center of mass, the mean of upper-bottom position in horizontal posture was $242.1{\pm}6.5cm$, $232.8{\pm}6.4cm$ in releasing, and $265.0{\pm}5.6cm$ in the highest point. This result is explained that the position of center of mass can be raised by using elastic power when wrist raised the bar in the releasing movement. 4. The angle of shoulder joint was $271.1{\pm}14.0$. Such a big angle influences a negative effect on the releasing velocity, because trunk is not a position in the enough vertical direction. 5. The ankle of hip joint in hand-standing was $191.1{\pm}5.9$, $118.8{\pm}5.3$ in releasing, and $122.3{\pm}5.3$ in taking on. Therefore, the result suggests that trunk should be straightly raised in taking on.

• Journal of Trauma and Injury
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• v.27 no.3
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• pp.57-62
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• 2014

Purpose: A hamate body coronal fracture is well known as a very rare fracture in the carpal bones and is also hard to diagnose in initial stage due to the bone's architecture. We report our experience in treatment of such a fracture, and we present a review of the relevant literatures. Methods: Four patients who experienced hamate body coronal fractures from October 2006 to October 2013 were enrolled in this study. One patient also had an associated Capitate fracture, and two patients had associated dislocations of the $4^{th}$ metacarpal joint. We performed open reduction and mini-screw fixation on the four patients. In addition, a K-wire was fixed for the two patients with dislocations. Results: The average follow-up period was 24.5 months after surgery, and bone union was observed at the $8^{th}$ week after surgery. We confirmed that bone union had been completed for all the patients, and functional tests showed that joint motion was in the normal range without complications. Conclusion: When a patient has consistent pain on the ulnar side of the wrist, a hamate fracture should be suspected. Computer tomography is better than a simple X-ray scan for confirming the diagnosis of a hamate body coronal fracture. An open reduction and mini-screw fixation led to a good result.

• Radiation Oncology Journal
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• v.23 no.1
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• pp.32-42
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• 2005

Purpose : To evaluate the incidence of arm morbidity following breast cancer surgery including axillary dissection and to identify related factors. Materials and Methods : One hundred and fifty nine patients were studied using a self-report questionnaire and a clinical examination. Lymphedema, reduction of range of motion in shoulder joint and subjective symptoms (pain, impaired arm movement, numbness, stiffness) were evaluated. As related factors, demographic, oncologic characteristics and types of treatment were analysed. Results : The incidence of lymphedema ($\geqq$2 cm difference comparing to unaffected arm) was $6.3\%$, $10.7\%$, $22.5\%$ and $23.3\%$ at each 10 cm, 20 cm, 30 cm, and 40 cm from wrist. Reduction of range of motion in shoulder joint ($\geqq$ 20 degree difference comparing to unaffected arm) was noted In more than 1/3 patients for flexion, abduction and internal rotation. Especially the reduction of range of motion in internal rotation was severe ($>50\%$ reduction) in 1/3 patients. Approximately 50 to $60\%$ of patients complained impaired arm movement, numbness, stiffness and pain. Body mass index (BMI) was the significant risk factor for lymphedema. Conclusion : Lymphedema was present in 1/3 of patients and the common sites of edema were 30 cm 40 cm proximal from the wrist. Also most severe reduction of range of motion in shoulder joint was with internal rotation. There needs weight control for lymphedema because BMI was the significant risk factor for lymphedema. Also rehabilitation program for range of motion especially internal rotation In shoulder joint should be developed.

• Journal of Physiology & Pathology in Korean Medicine
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• v.22 no.6
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• pp.1374-1377
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• 2008

The aim of this study is to explore the principle that the joints of the limbs belong to Five Phases in Korean medicine. According to the principle of I-Ching, Ha-Do provides the logic which could attach everything to Five Phases. Ha-Do is composed of the numbers from one through ten, and in order to explain the logic of Universe formation, it furnishes the method of transforming 'immateriality' into 'materiality'. If we apply formation theory of Ha-Do to the joints of the limbs, however, it could be understood that the trunk of body develops the appendages, which means Ha-Do suggests a logic that 'materiality' generates 'materiality' in this case. Therefore, it is not the Water but the Earth that occurs first in the appendages development in this theory, and the shoulder joints belong to the Earth. Following development should occur in order of Five Phases formation of Ha-Do ; that is to say, the elbow joints belong to the Water, the wrist joints belong to the Fire, the finger joints belong to the Wood, and the ends of fingers belong to the Metal.

• Korean Journal of Applied Biomechanics
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• v.13 no.3
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• pp.217-229
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• 2003

The purpose of this study was to present the basic data on improving the skills for 3 junior high school national badminton players in clear and drop motion through the 3-dimensional image analysis. Therefore, the results of this study are as follows: 1. In the duration times per phase, subject C relatively showed a similar time between clear and drop motion. Accordingly, C took a more effective motion than A and B. 2. In the velocities of racket head, subject A and C showed similar changes relatively. However, in case of subject B, the velocity was decreased before back swing(E2) and increased until impact(E3). 3. Regardless of clear and drop motion, the changing phases of joint angle for wrist and elbow showed similar changes comparatively. 4. In the angles of upper body, clear motion was average 85.0 degree and drop one was average 80.7 degree during the impact(E3). Hence, it showed that drop motion hit the ball bowing the upper body more than clear one. 5. In the angles of racket head, clear motion was average 87.7 degree and drop one was average 85.6 degree during the impact(E3). Consequently, drop motion was impacted forward more than clear one.

• The Journal of the Korean bone and joint tumor society
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• v.15 no.2
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• pp.165-170
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• 2009

Lipoma is the most common benign soft tissue tumor. But the parosteal lipoma which occurs in deep tissue is very rare. The authors experienced a case of parosteal lipoma causing posterior interosseous nerve palsy around the proximal radius. A 53-year old male patient, who has motor weakness on right wrist and finger extension for 3 weeks visited. He was diagnosed as a parosteal lipoma causing postrior interosseous nerve palsy of the proximal radius. 6 months after the marginal excision, he was recovered from motor weakness.

• Journal of Biomedical Engineering Research
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• v.28 no.3
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• pp.332-337
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• 2007

In the early twenty-first century, minimally invasive surgery is the mainstay of various kinds of surgical fields. Surgeons gave percutaneously surgical treatment of the screw directly using a fluoroscopic view in the past. The latest date, they began to operate the fractured carpal bone surgery using Computerized Tomography (CT). Carpal bones composed of wrist joint consist of eight small bones which have hexahedron and sponge shape. Because of these shape, it is difficult to grasp the shape of carpal bones using only CT image data. Although several image segmentation studies have been conducted with carpal bone CT image data, more studies about carpal bone using CT data are still required. Especially, to apply the software implemented from the studies to clinical fIeld, the outcomes should be user friendly and very accurate. To satisfy those conditions, we propose modified multi-seed region growing segmentation method which uses simple threshold and the canny edge detector for finding edge information more accurately. This method is able to use very easily and gives us high accuracy and high speed for extracting the edge information of carpal bones. Especially, using multi-seed points, multi-bone objects of the carpal bone are extracted simultaneously.