• Title/Summary/Keyword: 관절경직

Search Result 44, Processing Time 0.028 seconds

A Study on Comparison of Pronunciation Characteristics of Soprano Singers (소프라노 가수의 발음 특성 비교 연구)

  • Song, Uk-Jin;Seo, Deck-Won;Bae, Myung-Jin
    • Proceedings of the Korean Society of Computer Information Conference
    • /
    • 2017.01a
    • /
    • pp.199-200
    • /
    • 2017
  • 소프라노는 여성 소프라노 중 가장 높은 음역 대의 목소리를 구사한다. 소프라노들은 고음을 유지하기 위해 턱 관절 과 얼굴근육이 경직되어 있어 입을 크게 벌리지 못한다. 발음 특성은 발성 시의 입의 크기에 가장 큰 영향을 받으며 좋은 발음 특성일수록 뚜렷한 포만트를 나타낸다. 본 논문에서는 소프라노 가수들의 발음 특성을 확인하기 위해 한국의 소프라노 성악가 A, B, C, D 4명을 선정하여 비교한 결과 소프라노 A의 스펙트럼에서 2kHz 이상에서 까지 뚜렷하고 균일한 포만트가 나타났다. 따라서 소프라노 A의 발음 특성이 가장 우수한 것을 확인할 수 있다.

  • PDF

Effects of Hospital-based Home Care Demonstration Project on Physical and Emotional Problems and Cost - effectiveness of Patients having Arthritis (병원중심 가정간호 사업의 평가 연구 -외래 관절염 환자를 대상으로 -)

  • Lim, Nan-Young;Kim, Seong-Yoon;Lee, Eun-Ok;Lee, In-Sook
    • Journal of muscle and joint health
    • /
    • v.3 no.1
    • /
    • pp.4-22
    • /
    • 1996
  • Purposes of this study were to identify a hospital-based home care model and to improve the physical, emotional and economical effectiveness of arthritic patients through medical and nursing team approach. The design in nonequivalent control group pretest-posttest design with matched samples in terms of age, sex and disease severity. Fifty two patients in each group were assigned in Seoul, Kyunggi, Kangwon and Kwangju. Before and after 6-month period of home care, level of pain, duration of morning stiffness, Richie Index, ADL, self efficacy, depression, cost expenditure were measured. Nine patients were excluded from the control group in the period of study because of denial of participation. Contents of home care provided to the experimental group include mainly distribution of prescribed drugs, 'assessment of patients' condition and side-reactions of drug. All of the information related to the home care patient were reported to the physician. On the bases of these data, the physician prescribe the specific drugs to each patient. Each patient visited the physician every 2 or 3 month for laboratory test. Patients assigned to the control group visited the outpatient clinic once a month as usual. Null hypotheses were selected because physicians concerned about the ineffective change of patients' conditions due to indirect communication with patients through nurses. Level of pain, Richie index, ADL, self-efficacy, depression, duration of morning stiffness and direct medical cost were the home care provided to them. If a family member accompany in a home care group can save 10,676 Won/month in Seoul, 34,000 Won/month in other districts. Other in-direct cost for transportation and meal can also be saved. In conclusion, those patients with low level of ADL, high level of pain and Richie index, living in the remote area definitely need the home care.

  • PDF

Effects of Passive Upper Arm Exercise on Range of Motion, Muscle Strength, and Muscle Spasticity in Hemiplegic Patients with Cerebral Vascular Disease (입원초기에 적용된 상지수동운동이 뇌혈관질환자의 환측 관절가동범위, 근력 및 상지 경직에 미치는 효과)

  • Shin, Dong Soon;Song, Rhayun;Shin, Eun Kyung;Seo, Sung Ju;Park, Jeong Eun;Han, Seung Yeon;Jung, Hoi Yong;Ryu, Choon Ji
    • Journal of Korean Academy of Nursing
    • /
    • v.42 no.6
    • /
    • pp.783-790
    • /
    • 2012
  • Purpose: The purpose of this study was to investigate the effects of passive upper arm exercise on range of motion, muscle strength, and muscle spasticity in hemiplegic patients with cerebral vascular disease. Methods: A quasi-experimental design with nonequivalent control group was utilized. According to inclusion criteria, 25 patients were assigned to the control group with routine care, followed by 25 to the intervention group with passive exercise for 30 minutes per session, twice a day for 2 weeks. Eighteen patients in the intervention group and 17 in the control group completed the posttest measurement, including range of motion for upper arm joints, manual muscle test, and Modified Ashworth Scale for muscle spasticity. Results: The intervention group had a significantly improved range of motion in the shoulder and wrist joints. No interaction effect was found for the elbow joint. No significant differences were found in muscle strength or muscle spasticity between the groups. Conclusion: Results of the study indicate that passive exercise safely applied for two weeks improves range of motion in joints of the upper arm in these patients. Further study with long-term follow-up is needed to verify the role of passive exercise in preventing muscle spasticity in this population.

A Study on the Electromyography Change for Analysis of rectus femoris muscle stiffness with muscle fatigues (근피로에 의한 하지 대퇴직근의 경직도 분석을 위한 근전도 변화에 관한 연구)

  • Lee, Gyoun-Jung;Nam, Jea-Hyun
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.14 no.10
    • /
    • pp.2317-2323
    • /
    • 2010
  • When the muscle is contracted by continuous and same, the force takes fatigue and stiffness. The aim of this study was to know how the fatigue and muscle stiffness change during an isometric contraction. Surface Electro myography(EMG) signal monitoring system and ultrasonic transducer set up the same muscle stem, subjects contract his right femoris muscle by submaximal isometric contraction(50% of MVC) until exhaustion. Before and after the test, muscle stiffness was measured and EMG was measured during the contraction. As time goes by, muscle fatigue was increased. and the stiffness was shown strongly after the contraction. These results show if the muscle becomes more and more fatigued, the circulation of muscle is delayed although the contraction doesn't happen. So muscle stiffness is increased.

A case of restrictive dermopathy (제한성 피부병증(Restrictive Dermopathy) 1례)

  • Lee, Seung Ik;Hong, Chang Hee;Cheong, Yun Ha;Kang, Mi Seon;Sin, Jong Beom
    • Clinical and Experimental Pediatrics
    • /
    • v.50 no.3
    • /
    • pp.306-310
    • /
    • 2007
  • Restrictive dermopathy is a rare autosomal recessive disorder in which rigidity or tautness of the skin from the second trimester causes a fetal akinesia deformation sequence (FADS) and early death. Characteristic features include taut skin with prominent subcutaneous vessels, widely open fontanelles and cranial sutures, distinctive facies, flexion contractures, pulmonary hypoplasia, sparse eyelashes and and eyebrows, thin dysplastic clavicles. The histologic abnormalities of the skin are located in a thin dermis, consisting of compactly arranged collagen fibers, scanty elastic fiber. The dermoepidermal junction is flat, and epidermal appendages are absent, miniaturized or immature. The presence of adipose tissue may be increased. We report on the first Korean case of restrictive dermopathy with typical clinical features and histological findings.

A Case of Live Leech(Hirudo Medicinalis) Therapy with Herbal Medication on Regional Rheumatoid Arthritis (한약투여 및 의료용 거머리 요법을 병행 시술 후 관절 경직 및 부종이 호전된 국소 류마티즘 환자 증례 1례)

  • Yoo, Chang-Kil;Lee, Yun-Ju
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.19 no.3
    • /
    • pp.135-146
    • /
    • 2009
  • Objectives : The purpose of this study is to report the effect of live leech(hirudo medicinalis) therapy with oriental medication on the patient with regional rheumatoid arthritis. The patient had resistant to DMARDs so she was in the debilitating condition and suffered from edema, pain, stiffness of joint and purpura before live leech(hirudo medicinalis) therapy. Methods : The regional rheumatoid arthritis patient had edema, pain, stiffness of joint and purpura on right foot. We treated the patient with live leech(hirudo medicinalis) therapy and oriental medicine. Results : The symptoms of regional rheumatoid arthritis was improved through live leech(hirudo medicinalis) therapy and oriental medicine. The patient maintains her condition with oriental medicine treatment after stopped all DMARDs such as MTX(methotrexate) and NSAIDs. After this treatment the patient's walking difficulty has been improved. Conclusions : This study shows that live leech(hirudo medicinalis) therapy and oriental medicine can elevate the regional rheumatoid arthritis patient's quality of life with continuous health care and treatment for major problem. For more accurate studies, further studies would be needed with more cases.

The Effects of Interferential Current therapy on Spasticity, Range of Motion, and Balance Ability in stroke Patient (뇌졸중 환자의 경직 및 관절가동범위, 균형에 간섭전류 치료가 미치는 효과)

  • Kim, Bo-Yong;Choi, Won-Ho
    • The Journal of Korean Physical Therapy
    • /
    • v.25 no.4
    • /
    • pp.187-194
    • /
    • 2013
  • Purpose: The aim of this study was to investigate the effects of interferential current therapy (ICT) on spasticity, ROM, and the balance function in patients with stroke. Methods: 30 inpatients with stroke were randomly divided into 2 groups: the ICT group (n=15) and the placebo-ICT group (n=15). Two groups have got the traditional rehabilitation for 30 minutes before applying either ICT or placebo-ICT stimulation. The stimulus of ICT has been applied to gastrocnemius at the level of 100 Hz, two times of sensation threshold, while the placebo-ICT group has put on the electrode without electrical stimulus. To assess spasticity in ankle, the modified Ashworth scale (MAS) was used, and goniometer was applied to measure the passive range of motion (PROM). Also, the Berg Balance Scale (BBS), the Timed-up and go (TUG), and the Functional Reach Test (FRT) were carried out to examine the balance ability. Results: The ICT group showed a significant reduction of spasticity and significantly increased PROM than the placebo-ICT group (p<0.05). The placebo-ICT group did not show significant changes in the BBS, the TUG, and the FRT, while the ICT group significantly improved the BBS, the TUG, and the FRT (p<0.05). Conclusion: Our results demonstrated that ICT applied to gastrocnemius effectively decreased spasticity and improved range of motion and balance function in patients with stroke.

Analgesic Effect of Botulinum Toxin on Neuropathic Pain after Trigeminal Nerve Injury (삼차신경 손상에 의한 신경병증성 통증에서 보툴리눔 독소의 진통 효과)

  • Kim, Young-Gun;Kim, Seong-Taek
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.28 no.2
    • /
    • pp.171-178
    • /
    • 2012
  • Botulinum toxin type A (BoNT-A) has been applied successfully to treat chronic migraine, dystonia, spasticity and temporomandubular disorders(TMDs) as well as frontal wrinkle and glabella wrinkle. Recently it has been reported that BoNT-A, reversibly blocks presynaptic acetylcholine release, also inhibits the release of substance P, CGRP(calcitonin gene related peptide) and glutamate related to peripheral sensitization and neurogenic inflammation in sensory nerve, In this study we reviewed animal nerve injury model such as rat and rabbit and identify the analgesic effect and mechanism of nerve injury pain after dental treatment.

The Effects of 12 Weeks Aquatic Exercise Training on Shoulder Joint Isokinetic Muscle Function in Adolescent Spastic Cerebral Palsied (12주간의 수중운동이 경직성 뇌성마비 청소년의 어깨 관절 등속성 근기능에 미치는 영향)

  • Hong, Soungkyun
    • Journal of The Korean Society of Integrative Medicine
    • /
    • v.7 no.3
    • /
    • pp.141-148
    • /
    • 2019
  • Purpose: The present study investigated the effects of 12-week aquatic exercise training on isokinetic muscle function of the shoulder in adolescents with cerebral palsy. Methods: The study included four male and four female adolescents with cerebral palsy. Isokinetic muscle function was measured at an angular velocity of $60^{\circ}/s$, using Biodex System VI Pro. The peak torques of internal rotation and external rotation were measured before and after training. Aquatic exercise training was performed once a day for 120 min, 4 times a week for 12 weeks. Results: The peak torque of external rotation according to body weight and mean power of internal rotation were significantly higher after training (p < 0.05). Conclusion: Our findings suggest that 12-week aquatic training for adolescents with cerebral palsy can improve isokinetic muscle function of the shoulder. Future studies should analyze the changes in isokinetic muscle function of the shoulder in more detail using various aquatic exercise programs to investigate their effects on individuals with cerebral palsy.

Effects of Task Training for Cognitive Activation of Stroke Patients on Upper Function and Activities of Daily Living (뇌졸중 환자의 인지활성화를 위한 과제 훈련이 상지기능 및 일상생활동작에 미치는 영향)

  • Kim, Yu-Jeong;Kang, Bo-Ra;Ahn, Si-Nae
    • Journal of Korean Society of Neurocognitive Rehabilitation
    • /
    • v.10 no.2
    • /
    • pp.27-34
    • /
    • 2018
  • The purpose of this study is to investigate the effect of task training for cognitive activation of upper extremity on upper limb function and activities of daily living and to suggest intervention in rehabilitation treatment. From January to February of 2018, nine stroke patients were arbitrated 30 minutes a day, five days a week, for four weeks. For the experimental group, the therapist has induced the group using the linguistic guidance to patients, so they utilize the cognition strategy. The control group conducted active exercises in a range of motion using the instruments and passive exercises in a range of motion to reduce the stiffness of joints and upper limbs. As muscle strengthening exercises, the patients were assigned to work on the biceps muscle of arm, triceps muscle of arm, and deltoid according to the individual patient's muscular strength level. For the experimental group, the MBI was improved by ten points at maximum, and K-AMPS motor skills showed the improvements of 1.0 logit at maximum, and processing skills showed improvements of 0.6 logits at maximum. In MFT, the maximum improvement was by two points. For the control group, MBI was improved by five points at maximum, and 0.2 maximum improvements were shown in K-AMPS' motor skills and 0.3 maximum improvements in processing skills. MFT showed no change. The conclusion is that the challenges to enable training for stroke patients give a positive impact on upper limb function and activities of daily living.