• Title/Summary/Keyword: 하지근력

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Research on the Development of Automated Multifunction-Integrated Motion Bed (자동화된 다기능 통합 전동 침대 개발에 대한 연구)

  • Lee, Youngdae;Choi, Moonsoo;Jang, Ilhwan;Kim, Chang-Young;Choi, Dong-Soo;Kim, Minsung;Kim, Wonjoon;Kim, Dong-Hwan
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.5
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    • pp.215-222
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    • 2018
  • Recently, various motion beds have been actively developed and popularized. The motion bed has the functions of height adjustment, back plate rising, knee lifting, tilt function and left / right rotation, and the remote control can conveniently be used by the patient himself or the caregiver to move the patient. However, since the medical bed for use does not have a function of preventing pressure ulcers, exchanging sheets, and transferring patients, it is necessary to disperse body pressure by using a pressure ulcer prevention matrix to prevent pressure ulcers. However, it is accompanied by muscle strength and hard work, and nurses are avoiding difficult nursing care. In this study, we developed the first prototype in the world and confirmed that the system works normally with the goal of developing multifunctional beds that automatically perform the prevention of bed sores, the exchange of sheets and the transfer of patients in order to facilitate such nursing work. It is anticipated that the proposed multifunctional motorized bed in the future will be a model of a medical robot for smart healthcare.

Gait Phase Recognition based on EMG Signal for Stairs Ascending and Stairs Descending (상·하향 계단보행을 위한 근전도 신호 기반 보행단계 인식)

  • Lee, Mi-Ran;Ryu, Jae-Hwan;Kim, Sang-Ho;Kim, Deok-Hwan
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.3
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    • pp.181-189
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    • 2015
  • Powered prosthesis is used to assist walking of people with an amputated lower limb and/or weak leg strength. The accurate gait phase classification is indispensable in smooth movement control of the powered prosthesis. In previous gait phase classification using physical sensors, there is limitation that powered prosthesis should be simulated as same as the speed of training process. Therefore, we propose EMG signal based gait phase recognition method to classify stairs ascending and stairs descending into four steps without using physical sensors, respectively. RMS, VAR, MAV, SSC, ZC, WAMP features are extracted from EMG signal data and LDA(Linear Discriminant Analysis) classifier is used. In the training process, the AHRS sensor produces various ranges of walking steps according to the change of knee angles. The experimental results show that the average accuracies of the proposed method are about 85.6% in stairs ascending and 69.5% in stairs descending whereas those of preliminary studies are about 58.5% in stairs ascending and 35.3% in stairs descending. In addition, we can analyze the average recognition ratio of each gait step with respect to the individual muscle.

KNEE: Basic Science and Injury of Bone (슬관절 주위 글격의 기초과학 및 스포츠 손상)

  • Kim Hee-Chun
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.77-81
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    • 2003
  • Purpose: The biomechanics and kinematics of knee joint were reviewed in this article. And then the common sports injuries were presented. Anatomy and Kinetics: None of the pairs of bearing surfaces in the knee joint is exactly congruent This allows the knee six degrees of freedom of motion. Tibiofemoral Kinematics: In flexion and extension, the axis of motion is not perpendicular to the medial-lateral plane of the joint, nor is it perpendicular to the axis of longitudinal rotation. This results in coupled varus angulation and internal rotation with flexion and in valgus angulation and external rotation with extension. Patellofemoral Articulation: Loads across the patellofemoral joint are indirectly related to the angle of knee flexion and directly related to the force generated within the quadriceps mechanism. Fractures of the Patella: Nonoperative treatment is indicated if the extensor mechanism is intact and if displacement of fragment is minimal. The specific type of internal fixation depends on the fracture pattern. It is important to repair retinaculum. Acute and Recurrent Patellar Instability: The degree of dysplasia and the extent of the instability play a large part in determining the success of nonoperative treatment. Patients who experience recurrent dislocations and patients with major anatomic variations require surgery to minimize their instability. Sports Injuries in School-age Atheletes: Patellar pain in young athletes groups a number of conditions, including Idiopathic Adolescent Anterior Knee Pain, Osgood- Schlatter Disease, and Sinding-Larsen-Johansson Disease.

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The Effect of Judo Training on Body Composition, Blood lipids and Immunity of Security Majoring Obese University Students (유도훈련이 경호전공 비만대학생들의 신체구성, 혈중지질 및 면역력에 미치는 영향)

  • Yang, Sang-Hoon;Park, Dong-Soo
    • Korean Security Journal
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    • no.60
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    • pp.253-282
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    • 2019
  • College students majoring in bodyguards learn and acquire bodyguard martial arts to protect the life and property of the subjects. Also, the bodyguard martial arts are helping to improve and maintain the body and spirit of the bodyguards. However, more and more students majoring in security at universities are becoming obese due to lack of time to participate in bodyguard training and excessive food intake, which could have a negative impact on their future security work as well as their health condition. In this study, the effect of 10 weeks of Judo training on body composition, blood lipid and immune function on Security Majoring obese male college students was determined to be as follows. 1. Weight(p<.05), ; body fat ratio(p<.05), BMI(p<.01) etc. of body composition after Judo training were significantly reduced, and in the case of BMI(F=4.488, p<05), there were significant differences in interaction between groups and timing. 2. After judo training, TC (p<.05) and LDL-C(p<.01) of the blood lipid showed a significant decrease. 3. After judo training, lymphocytes of leukocytes were shown to increase significantly(p<.05), lymphocytes(F=11.772, p<.01) showed significant differences among groups. 4. After judo training, IgA and IgG of immunoglobulin were shown to increase significantly (p<.05), IgA(F=7.646, p<.05) and IgG (F=14.267, p<.01) showed significant differences among groups. Considering the above results, it is thought that judo training can prevent obesity due to reduced body fat and reduce neutral fat and cholesterol, thus preventing arteriosclerotic diseases. In addition, it is expected to play a positive role in defense against human bacterial infections, inflammatory reactions, and external antigen in immune function. It is thought that this will not only prevent the bodyguards' obesity but also maintain a healthy life and improve the security work efficiency. However, some studies have shown results that are somewhat different from the results of this study, so studies on blood lipids, immune function, and exercise will require more detailed research on various methods of exercise, such as exercise time and intensity.

A Case of Childhood Cerebral Form Adrenoleukodystrophy with Novel Mutation in the ABCD1 Gene (새로운 ABCD1 유전자의 돌연변이를 가지는 소아 대뇌형 부신백질이영양증 1례)

  • Shin, Young-Lim
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.12 no.1
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    • pp.49-53
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    • 2012
  • X-linked adrenoleukodystrophy (ALD) is a rare inherited metabolic disease which results in impaired peroxisomal ${\beta}$-oxidation and the accumulation of very long chain fatty acids (VLCFA) in the adrenal cortex, the myelin of the central nervous system, and the testes. X-linked ALD is caused by mutations in the ABCD1 gene encoding an ATP-binding cassette transporter superfamily located in the peroxisomal membrane. This disease is characterized by a variety of phenotypes. The classic childhood cerebral ALD is a rapidly progressive demyelinating condition affecting the cerebral white matter before the age of 10 years in boys. We report the case of a 8-year-old with childhood cerebral X-linked ALD who developed inattention, hyperactivity, motor incoordination and hemiparesis. We diagnosed ALD with elevated plasma very long chain fatty acid level and diffuse high signal intensity lesions in both parieto-occipital white matter and cerebellar white matter in brain MRI. We identified a novel c.983delT (p.Met329CysfsX7) mutation of the ABCD1 gene. There is no correlation between X-ALD phenotype and mutations in the ABCD1 gene. Further studies for searching additional non-genetic factor which determine the phenotypic variation will be needed.

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The Influence on Ambulation of the Difference in Muscle Strength on Lower Extremity of Hemiplegic Patients (편마비 환자의 하지의 근력 차이가 보행에 미치는 영향)

  • Yoon, Jang-Soon
    • Journal of Korean Physical Therapy Science
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    • v.12 no.3
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    • pp.47-58
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    • 2005
  • The purpose of this study is to estimate how much the motility of affected and unaffected lower limb respectively would have effects on their ambulation through comparing the difference between their affected and unaffected lower limb and studying the correlation between such difference and their ambulation. In addition, the study also intends to find out remedial measures suitable for improving their ambulation with relevant physical treatment. To do this, a quantitative electromyogram(QEMG) test was done to both quadriceps and hamstring of affected and unaffected lower limb so as to yield IP values. Based on such IP values, RMS(root mean square) values as the total sum of IP values were found with QEMG analysis system (made by Medelec Co.) and then the ambulation depending on the difference in muscular strength were analyzed by ink-foot print method as well as the corresponding statistics were processed by T-test through SPSS. The effect of differences in muscular strength of quadriceps in affected and unaffected limb of hemiplegic patients on their ambulation was also different in each element of ambulation. However, there was not any statistically significant difference (p>.05). The differences in muscular strength of hamstring in unaffected limbs of hemiplegic patients only affect stride length. It was statistically significant. The effect of difference in muscular strength of the hamstring in affected limb of hemiplegic patients on their ambulation was very different between strong and weak group in terms of walking velocity, step per minute, stride and step length, showing statistically significant difference(p<.05). Although there was a difference in the step length of the affected limb, it was not statistically significant(p>.05). For the unaffected hamstring, there were significant differences of stride length between in unaffected limb and in affected limb. For the affected hamstring, there were also significant differences in walking velocity, step per minute, stride and step length. Besides, it was found that the difference of the muscular strength between strong and weak group was at the highest. Thus, the effect of difference in muscular strength on ambulatory factors such as walking velocity, step per minute, stride and step length did not show any statistical significance but differences in affected and unaffected quadriceps. However, it was found that both the difference of stride in unaffected hamstring and the difference of all ambulatory factors except from step length with affected limb had effects on ambulation depending upon muscular strength.

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Effect of Milk Protein Intake and Band Exercise on Active Fitness and Metabolism Risk Factor of Elderly Women Through Convergence (융복합을 활용한 유단백 섭취와 탄성밴드운동이 고령여성의 활동체력 및 대사성 위험인자에 미치는 영향)

  • Kim, Sang-Yeob
    • Journal of Digital Convergence
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    • v.14 no.3
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    • pp.489-497
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    • 2016
  • The purpose of this study is to examine the effect of milk protein intake and band exercise on active fitness and metabolism risk factor of elderly women for 8 weeks. The two groups were classified into one group(TG) with milk protein intake and band exercise both, and the other group(CG) that was controled. The group of TG was applied doing milk protein intake 3 times for a day, and doing band exercise 4 times for 60 minutes a week. The intensity of the exercise was RPE<17. Each measurement variable was measured before and after 8 weeks to investigate the effect. This study got the result with this step. First, TG has shown small interaction with active fitness. Second, TG has shown small interaction with metabolism risk factor. Therefore, this study gives us the positive result of the effect of milk protein intake and band exercise on active fitness and metabolism risk factor of elderly women for 8 weeks. However, it has limitation to verify effect of milk protein intake and band exercise.

Phenotypic and Cytogenetic Delineation of Six Korean Children with Kabuki Syndrome (한국인 Kabuki 증후군 환아들의 임상적 표현형 및 세포유전학적 양상)

  • Ko, Jung-Min;Hwang, Jeong-Min;Kim, Hyon-Ju
    • Journal of Genetic Medicine
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    • v.7 no.1
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    • pp.37-44
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    • 2010
  • Purpose : Kabuki syndrome is a multiple congenital malformation syndrome with mental retardation. It was named after its characteristic appearance, a face resembling that of an actor in a Kabuki play. To date, six Korean cases of Kabuki syndrome have ever been reported. Here, we present the phenotypic and genetic characteristics of six patients with Kabuki syndrome. Materials and Methods : Between 2003 and 2009, six Korean girls have been diagnosed and followed up as Kabuki syndrome at Center for Genetic Diseases of Ajou University Hospital. Their clinical and laboratory data were collected and analyzed by the retrospective review of medical records. Results : All six patients showed the characteristic facial dysmorphism and developmental delay. Persistent fingertip pads were also found in all patients. Most patients showed postnatal growth retardation (83.3%) and hypotonia (83.3%). Opthalmologic problems were common, particularly for strabismus (83.3%). Congenital heart defects were present in three patients (50%). Skeletal abnormalities including 5th finger shortening (83.3%), clinodactyly (50%), joint hypermobility (50%) and hip dislocation (16.7%) were also observed. There was no patient who had positive family history for Kabuki syndrome. Cytogenetic and molecular cytogenetic analyses including karyotyping and array CGH could not reveal any underlying genetic cause of Kabuki syndrome. Conclusion : Korean patients with Kabuki syndrome showed a broad spectrum of clinical features affecting multiple organ systems. Although clinical manifestations of Kabuki syndrome have been well established, our results failed to detect recurrent chromosome aberrations which could cause Kabuki syndrome. Its natural history and genetic background remains to be further studied for providing appropriate management and genetic counseling.

A Study on Job Analysis and Physical Fitness of Special Security Guard in Nuclear Power Plant (원자력발전소 특수경비원의 직무분석과 체력에 관한 연구)

  • Jeong, Howon;Kim, Sora;Chae, Hyeonsoo
    • Korean Security Journal
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    • no.56
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    • pp.83-105
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    • 2018
  • Special security guards play the role to safely operate and manage nuclear power plants from unintended internal and external threats. Physical fitness management of special security guards is one of the most important factors for improving and maintaining the level of physical protection. Thus, the purpose of this study is to analyze the physical fitness factor and physical fitness level required for mission accomplishment through job analysis of special security guards. The special security guards of Nuclear Power Plant in Korea were performing 7 jobs, 26 duties, 159 tasks. In order to accomplish theses tasks, the following physical fitness were required: muscle strength and muscle endurance of the hand, upper limb, lower limb and core, quickness, agility and Cardio function. The duties that require a lot of physical fitness were in the order of conducting arrest and self-defense, conducting unarmed defensive tactics, demonstrating proficiency with semiautomatic rifle, using protective equipment, performing emergency plan and defensive strategy, etc. The results of this study are expected to provide basic data necessary for establishing guidelines for fitness qualification and training of special security guards in the future and contribute to enhancement of physical protection of nuclear power plants.

An Application Effect of Rhythmic Movement Program for the Health Promotion in the Elderly (노인의 건강증진을 위한 율동적 운동프로그램의 적용효과)

  • 이숙자
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.776-790
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    • 2000
  • Every year the number of the elderly increases in Korea thanks to the improvemen of social and economical levels and the development of medicine. However, many problems such as insufficent care and the isolation of the elderly have been commonplace. This trend exists not only because of increased lifespan but also the changing social structure of the nuclear family. Accordingly, inspite of the development of medicine, geriatric diseases including circulatory diseases are increasing in proportion of elderly population, as well as the severity. Therefore, it is important to emphasize that health care programs provide the best possible health care and functional capacities in terms of healthy elderly lifestyles. Especially, the phenomena of aging and geriatric diseases taking place with the elderly naturally are affected by lifestyle and the drastic changes in exercise patterns. This study aims to improve geriatric health by introducing a rhythmic movement program for the elderly to estabilish a health-promoting self-care system and by developing quality of life, perceived health status, their physical and physiological functions and emotional state. The theoretical framework used in this dissertation is derived from the Health-Promoting Self-Care System Model (Simmons, 1990), which integrates the Self-Care Deficit Nursing Theory (Orem, 1985), the interaction model of Client Health Behavior (Cox, 1982) and the Health Promotion Model (Pender, 1987). As a quasi-experimental design, the nonequivalent control group pretest-posttest design is utilized for this study. The subjects of this study consist of 64 people, over 65 years old who live in 2 nursing homes for the aged located in S city , Kyong-gi province and volunteered for this study from July, 12, 1999 to September, 17, 1999. They are divided into two groups:33 in the experimental group and 31 in the control group. The experimental group particpated in the Rhythmic Movement Program at the nursing home, which was comprised of 45 minutes a session, 5 sessions a week during 9 weeks. In order to measure the results of the Rhythmic Movement Program, aspects of perceived health status, balance, flexibility, grip strength, leg strength, heart rate, blood pressure, depression, anxiety and the quality of life were measured before and after participating in the Rhythimic Movement Program for the experimental group after 9 weeks, as well as the control group. The collected data were processed by SPSS PC+ and analyzed by the X2 test, t-test, ANCOVA and the Pearson Correlation Coefficient. The results of this study are as follows: 1. The perceived health status conditions in the experimental group show statistically significant improvement when compared to the control group (F=17.51, p=.000). 2. The physical and physiological functions, that is, balance (F=17.51, p=.000), flexibility (F=8.01, p=.006), grip strength (F=3.21, p=.018) and leg strength (F=25.78, p=.000) in the experimental group are higher than the control group. The vital signs, that is, the number of heart rate (F=.022, p=.884), systolic pressure (F=1.73 p=.193), and diastolic pressure (F=2.74, p=.103) in the experimental group compared to the control group decreased, but doesn't show statistically significant differences. Immune responses (F=5.13, p=.003) showed statistically significant increases in the experimental group when compared to the control group. 3. The emotional state are improved, that is, degree of depression (F=11.56, p=.001) and degree of anxiety (F=9.14, p=.004) in the experimental group showed statistically significant decreases. 4. The quality of life in the experimental group (F=3.03, p=.037) showed statistically significant differences compared to the control group. 5. The observations of the relationships among the perceived health status, emotional state , the quality of life, the relationships between the perceived health status, the degree of depression (r=-.653, p=.000) and the degree of anxiety (r=-.786, p=.000) were in contrary propotions, while the relationships between the perceived health status and the quality of life (r=.234, p=.008) were in direct propotion. In conclusion, the Rhythmic Movement Program used in this study for geriatric nursing care is simple and safe for application to the elderly and shows significant effects by implementing 5 sessions a week for 9 weeks. The Rhythmic Movement Program improves the quality of life, maintains as well as improves the physical and physiological fuctions and emotional state, therefore this program is strongly recommended for positive applications for independant geriatric nursing health care.

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