Purpose : This study was conducted among 195 adults in their 20s. To analyze the impact of the slope types of the scapulae on the plantar surface of the foot, the average pressure (AP), the maximum pressure (MP), the average of local distribution values, and the average movement of the center of pressure (COP) of the different slope types of the scapulae were compared. Method : The anterior-posterior slopes of the scapulae were measured by comparing the slopes of the left and right sides of the scapulae based on the differences in the height and the slope of the coracoid process and the angulus inferior scapulae. Those whose left side of the scapulae had an anterior slope were categorized as type 1, and those whose right side of the scapulae had an anterior slope, as type 2. The average plantar pressure, the center of plantar pressure, the maximum plantar pressure, and local distribution values were analyzed using a plantar pressure analyzer of the FSA. Result : In terms of the AP of the left and right feet, there was no statistically significant difference both in types 1 and 2 on the left and right feet. The comparison results of the MP and the average of local distribution values of the two slope types of the scapulae showed that there was no statistically significant difference on the X-axis both in types 1 and 2 on the left and right feet, but that there was a large statistically significant difference on the Y-axis both in types 1 and 2. That is, the MP of the right foot of the left anterior slope type was located more on the hindfoot than that of the right anterior slope type, and the MP of the left foot of the left anterior slope type was located more on the hindfoot than that of right anterior slope type. Conclusion : This study can be used as fundamental data to predict differences in the location and size of the COP and changes in plantar pressure distribution depending on the slope types of the scapulae, and control the distribution for therapeutic purposes.

Purpose : The purpose of this study was to compare the effects of Tabata exercise and Kettle bell exercise on vital capacity, skeletal muscle mass, and endurance in women. Methods : Twenty subjects participated in this study. They were divided into two group: a Tabata exercise group (n=10) and a kettle bell exercise group (n=10). Both groups performed their assigned exercise 3 times a weeks for 6 weeks. Result : There were statistically significant differences in FVC, FEV1, FEV1/FVC, PEF, and VC (p<.05) between the Tabata exercise group and the kettle bell exercise group. There were also statistically significant differences in skeletal muscle mass and endurance function (p<.05) between the two groups. The Tabata exercise group demonstrated greater improvements in fitness parameters compared to those demonstrated by the kettle bell exercise group. Conclusion : The Tabata exercise group was more effective at increasing vital capacity, skeletal muscle mass, and endurance compared to the kettle bell exercise group.

Purpose : This research intends to identify the effects of game-based weight bearing exercises on balance, muscular activation, sit to stand to sit motions of stroke patients. Method : 30 patients who were diagnosed as hemiplegia by stroke less in than a year were sampled and they were classified into two group, one of which was game-based weight bearing balance exercise group, and the other was functional weight bearing exercise group. 15 people were randomly selected for each group. Each exercise was coordinated by this research for 8 weeks, 5 days a week. 3D motion analyzer was used to measure the sit to stand to sit motions and a stopwatch was used to measure the time for stand-up motions for 5 times. Result : In terms of analyzing sit to stand to sit motions by phases, game-based weight bearing balance exercise group showed significant reduction compared to functional weight-bearing exercise group in phase I, II, III, IV and total time. In terms of functional stand-up performance analysis, game-based weight bearing balance exercise group showed significant reduction compared to functional weight-bearing exercise group in 5 times stand-up examination. Conclusion : It was verified that game-based weight bearing balance exercise had positive impact on function recovery of stroke patients by enhancing sit to stand to sit capabilities. It is considered that game-based exercise was an effective intermediary for functional improvement of stroke patients, while also inducing consistent and voluntary participation by causing interest and motivation.

Purpose : The purpose of this study was to examine the effects of short neck flexor strengthening in proprioceptive neuromuscular facilitation and neuromuscular electrical stimulation on swallowing function in patients with chronic stroke and to provide basic data for swallowing rehabilitation in stroke patients. Method : The study involved 30 chronic stroke patients who visited ${\bigcirc}{\bigcirc}$ General Hospital in Daegu Metropolitan City between March and July, 2017. The subjects were randomly assigned to either an experimental group (n=15) or a control group (n=15). Both groups underwent traditional swallowing rehabilitation therapy for 30 minutes five times a week over a six-week period. The experimental group performed short neck flexor exercises, which are part of the proprioceptive neuromuscular facilitation, for 30 minutes three times a week over a six-week period. The control group performed neuromuscular electrical stimulation for 30 minutes three times a week over a six-week period. Based on its results, changes in the patients' swallowing function and degree of food intake were analyzed. Result : In terms of the ASHA NOMS scale and new VFSS scale, the experimental group and the control group showed statistically significant changes in ten sub-items and six sub-items, respectively. Statistically significant differences in one sub-item were found between the groups. Conclusion : PNF-based short neck flexion exercise appear to be effective at improving swallowing function of stroke patients with dysphagia.

Purpose : The purpose of this study was to verify the relationships among the knee adduction moment, hip rotation range, strength of hip rotators, and Foot Posture Index of healthy young adults. Method : Thirty-two healthy adults(24 male, 8 females) participated in this study. Subjects performed 5 walking trials to evaluate the knee adduction moments using a three-dimensional motion analysis system. Hip rotation ranges and hip rotator strengths were measured using a standard goniometer and a handheld dynamometer, respectively. The mean of three trials of clinical tests was used for data analysis. Results : The first peak knee adduction moment was significantly correlated with the hip rotation ranges and hip rotator strengths (P<.05). The second peak knee adduction moment was showed significant correlations with hip external rotation and rotation ratio. There were no correlations between Foot Posture Index and all knee adduction moments (P>.05). Conclusion : This study suggests that imbalances of the range of motion and strength of the internal and external rotation of the hip joint can affect knee adduction moments. The impact may exacerbate musculoskeletal disorders such as osteoarthritis of the knee. Therefore, further studies should be conducted to evaluate the effects of clinical interventions to correct these imbalances on the reduction of the knee adduction moments in patients with knee osteoarthritis.

Purpose : In this study we tested the hypothesis that eucommia ulmoides (EU) extract would improve disuse-induced muscle atrophy following hindlimb immobilization. Method : The hindlimb immobilization was performed with casting tape to keep the left ankle joint in a fully extended position. The rats in EU treated group were orally administrated with eucommia ulmoides water extract. After 2 weeks of immobilization, all animals were sacrificed, and the whole gastrocnemius muscles were dissected from both legs. The morphology of right and left gastrocnemius muscles in both EU and control groups were assessed by hematoxylin and eosin staining. Results : Eucommia ulmoides extract represented the significant protective effects against the reductions of the gastrocnemius muscles weight and average cross section area to compared with Control group. Conclusion : Eucommia ulmoides has protective effects against immobilization induced muscle atrophy.

Purpose : The current study objective was to determine the attitudes of nursing students to death, perception of end-of life care, and perceptions of educational training needs in relation to the provision of end-of life care, and to apply the results to the development of an efficient and effective education program in this regard. Method : Data collection was carried out between March and April 2017, and was achieved through the administration of a questionnaire to 124 caregivers working in a nursing home in C. A self-report instrument was used to measure nursing attitudes to death, perceptions of end-of-life care, and perceptions of educational training needs in relation to the provision of end-of-life care. The collected data were analyzed using SPSS(R) Statistics for Windows(R)(version 21.0), and were calculated was whole numbers, percentages, $mean{\pm}standard$ deviation, and Pearson's correlation coefficient. Results : The average scores obtained were 2.85 out of a maximum of 4.00, 2.14 out of 4.00, and 2.42 out of 4.00, for attitudes to death, perceptions of end-of-life, and perceptions of educational training needs in relation to the provision of end-of-life care, respectively. A positive correlation was found between attitudes to death and perceptions of end-of-life care, and a negative correlation was found between perceptions of end-of-life care and educational training needs in relation to the provision of end-of-life care. Conclusion : The development and implementation of an educational program is necessary to ensure positive attitudes to death in nursing students and improve their perceptions about end-of-life care. Further research is also warranted to determine the impact of such a program in this regard.

Purpose : The purpose of this study was to understand the correlations between life stress, sleep quality, and mental health in nursing college students. Method : This study was conducted on 315 nursing college students in B City between April 1stand30th, 2017. The collected data were processed using SPSS 22.0 and were analyzed using means, standard deviations, t-tests, an ANOVA, Scheffe's test, and Pearson's correlation coefficient. Results : Nursing college students showed means of $2.36{\pm}0.54$ points in life stress, $1.03{\pm}0.41$ points in sleep quality, and $2.95{\pm}0.57$ points in mental health. The analysis of correlations between life stress, sleep quality, and mental health in nursing college students showed a statistically significant positive correlation between life stress and sleep quality (r = .432, p < .001). In addition, statistically significant negative correlations were found between life stress and mental health (r = -.589, p < .001) as well as between mental health and sleep quality (r = -.301, p < .001). Discussion : Replication studies with larger numbers of subjects are required. Based on the present study, systematic studies on factors affecting life stress, sleep quality, and mental health are also necessary. Moreover, programs should be developed to reduce life stress as well as improve sleep quality and mental health.

Purpose : This study examined the effects of driving rehabilitation functional training on visual perception ability and driving reaction velocity. Those subjects were put under MVPT-3 test to see their visual perceptual functions before and after the 4weeks' driving rehabilitation function training and then put to TMT A-type test to see their driving reaction velocity performance. The followings are the results of this study. Methods : Using a driving simulator, driving rehabilitation functional training was performed targeting men and women aged in 20s 20 minutes per time, two times per week, for a month. Results : As for the change in visual perception, the Raw Score of MVPT-3 very significantly increased (p<.01), and the Standard Score also very significantly increased (p<.01). As for the change in reaction velocity, TMT A-type very significantly decreased (p<.01), and TMT B-type also very significantly decreased (p<.01). Conclusion : It could be found that driving rehabilitation functional training should be effective for both visual perception and reaction velocity. Consequently, the driving rehabilitation function training can be applied to clinics as training method for functional recovery and improvement of visual perceptual functions and driving reaction velocity performance ability of the patients. Thus, various functional programs should be studied in the future.

Purpose : This study aimed to investigate a study on the intervention of computerized cognitive rehabilitation applied to patients with dementia in Korea. Thus, a systematic discussion was conducted. Methods : Studies from January 2000 to December 2016 were searched in the Korea Education and Research Information Service. The main key words used were: "dementia," "computerized cognitive rehabilitation," "computerized cognitive training," "computer assisted cognitive therapy," and "computerized cognitive therapy." Result : A total of five studies were selected. The effects of the computerized cognitive rehabilitation therapy applied to patients with dementia resulted in improved cognitive functions, as well as daily living and activities instrumental to daily living. There was also an increase in brain activity. The qualitative aspects of this study showed a low level of internal and external validities due to the small number of subjects, short period of intervention, and limited study environment. Conclusion : In the future, it is necessary to continue a study in which the level of evidence is high to determine whether various cognitive rehabilitation programs are effectively applied to patients with dementia.

Purpose : The purpose of this study was to examine the career-related awareness of dental hygiene students and their awareness of employment in an effort to shed light on the consciousness of dental hygiene students on career and employment. Methods : A survey was conducted on 340 selected dental hygiene students in several colleges of health located in an urban community, South Gyeongsang Province, from June 8 and 16, 2016. The collected data from 335 respondents were analyzed by SPSS 21.0 for Windows. Result : Where they hoped to find a job was analyzed, and they hoped to be hired in an large city due to the possibility of development and expectations for high pay, and the students who wanted to be employed in a small or mid-sized urban community cited personal connections as the reason(p<.001). As for conditions for getting a good job, the largest number of the students placed importance on skills, and the students who were in the higher academic years attached more importance to skills and money(p<.01). As for preferred workplace, dental hospital was the biggest group's favorite workplace, and the students who were in the higher academic years preferred to work in dental clinic or dental hospital(p<.05). Concerning the length of dental hygienist career, the greatest group thought it would be between 11 and 15 years(p<.05). Conclusion : The findings of the study might not be generalizable because students from a few colleges only were investigated, but the findings are expected to help improve the understanding of dental hygiene students on career and how to prepare for the job market and to provide colleges and educational institutions with information on career and ways of offering vocational guidance.

Purpose : This study was conducted to improve cognitive oral healthcare care by analyzing the correlation between oral health behavior and oral health status Korean adolescents. The subjects were 65,528 youths in 798 schools monitored in the Twelfth Korea Youth Risk Behavior Web-based Survey in 2016. Methods : The general characteristics consisted of 9 items including sex, grade, and academic performance. The academic performance and economic status were restructured into "upper, middle, lower". Subjective health perception and subjective oral health perception were reorganized as "health", "normal", "no health". The sub-areas of oral health behavior include five times of daily brushing during the day yesterday. The number of brushing times was "0", "1-2", "3", "more than 4" After lunch at school, brushing was restructured as "always," "sometimes," "not." The oral health status subscale consisted of 6 items including tooth breakage and toothache at the time of eating. Result : Tooth fracture(43.7 %), pain in mastication(43.7 %), tooth tingling(47.4 %), gum pain and bleeding(45 %), pain in buccal mucosa(43.8 %) and halitosis(46.6 %) were rare in adolescent having healthy oral health status cognitively(P<.001). Nosymptom adolescents without dental sealant showed low tooth fracture(0.64 times), pain in mastication(0.67 times), tooth tingling(0.59 times), gum pain and bleeding(0.84 times), pain in buccal mucosa(0.76 times), and halitosis(0.90 times). Nosymptom adolescents without scaling showed low tooth fracture(0.88 times), pain in mastication(1.03 times), tooth tingling(0.82 times), gum pain and bleeding(0.64 times), pain in buccal mucosa(0.70 times) and halitosis(0.82 times). Conclusion : This study revealed that oral health status is correlated with oral health behavior. Development of educational media and program, and aggressive promotion required to establish oral health Korean adolescent.