• Title/Summary/Keyword: Cumberland

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Effect of Short Foot Exercise Using an Imagery Technique on Chronic Ankle Instability (심상 기법을 이용한 단축발 운동이 만성 발목 불안정성에 미치는 효과)

  • Lee, Dongjin;Ji, Sungha
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.2
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    • pp.1-10
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    • 2017
  • Purpose : This study was aimed at investgating the effect of short foot exercise(SFE) using an imagery technique on chronic ankle instability(CAI). Methods : Twenty subjects with chronic ankle instability were selected by using the Cumberland ankle instability tool. They were randomly assigned to one of two groups(10 in each group) : namely the short foot exercise group and imagery technique group. The short foot exercise group performed short foot exercise for 6 weeks(3 times a week, 15 min per session). The imagery technique group performed short foot exercise(3 times a week, 15 min per session) and the imagery technique(3 times a week, 5 min per session) for 6 weeks. We measured chronic ankle instability, balance and threshold of vibration sensation before and after exercise by using the Cumberland ankle instability tool, Biodex Balance System and VSA-II, respectively. Results : We found statistically significant differences in cumberland ankle instability tool, balance and threshold of vibration sensation between the groups(p<.05). Conclusion : We confirmed the effect of short foot exercise using an imagery technique. Thus, we thought these results could be used as basic data and reference for musculoskeletal therapy or intervention using an imagery technique.

The Comparison of Balance using Cumberland Ankle Instability Tool to Stable and Instability Ankle (Cumberland 발목 불안정성 도구에 의한 안정성과 불안정성 발목의 균형 비교)

  • Kim, Ki-Jong;Jega, Hyuk;Jun, Hyun-Ju;Choi, Bum-Jin;Choi, Hyun-Jin;Yu, Seong-Hun;Kim, Young-Eok
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.3
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    • pp.361-368
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    • 2013
  • PURPOSE: The purpose of this study was to investigate the comparison of balance on Stable Ankle(SA), Instability Ankle(IA) using Cumberland Ankle Instability Tool(CAIT). METHODS: Total 54(SA: 27, IA: 27) subjects were volunteered to participate in the study. SA can be defined CAIT score ${\geq}28$, with no history of injury to ankle. IA can be defined persisting symptoms of giving way and ${\leq}24$ on the CAIT after ankle sprain. the balance measured using Biodex Balance System$^{(R)}$(BBS). BBS instability protocols used static, dynamic balance level less stable(2), moderate stable(4) and level more stable(8). RESULTS: There were significant differences at overall, Anterior-Posterior(AP), Medial-Lateral(ML) of static balance, dynamic balance level 2, 4. The dynamic balance level 8 found significant difference at ML, but not found significant differences at overall, AP. CONCLUSION: We suggest that CAIT is acquired more exact information for IA intervention, as balance measured.

A Study on the Needs about Hospital Coordinator (병원 코디네이터의 도입 필요성에 대한 연구)

  • Ryou, Duk-Hyun;Richard Kim, Jin-Gu
    • The Journal of Information Technology
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    • v.10 no.4
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    • pp.69-83
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    • 2007
  • As a hospital environment is reconstructed from supplier-centered values to consumer-centered ones for the existence in the rapidly changing medical market, it can be said that not only must old slogans such as unconditional restructuring, remodelling, etc. be reconsidered, but a new strategy for the development and renovation of a hospital must be urgently required. Accordingly, development of customer-oriented practical strategies is needed and it appears possible to develop marketing and manage contacts, as a practical management strategy, for raising satisfaction of internal and external customers. The ultimate goal of such strategy development may be to ensure consistent potential development by maintenance of existing customers and securing new customers through a strategy of satisfying both existing and new customers. It appears that the competition in the medial will be keener in the future by human resources, members of an organization, Under these circumstances, and in relation to appearance of a new type of occupation of a coordinator, if a hospital could offer appropriate service which can meet the demand of the customers by efficiently utilizing the limited resources through efficient management of contacts between the customers and personnel, the competitive power of a hospital would be much stronger. Therefore, it is necessary to seek customer-impressing management by utilizing a coordinator as a more specialized intermediary as well as many-sided contact management through positive introduction of an expert coordinator system for internal and external customer contact management. It is expected that a hospital can secure a competitive advantage in the market through strategy development supported by an expert coordinator and increasing competitive power by means of practice of a developed creative strategy.

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Effects of Gluteus Medius Strengthening Training Using Sling on Ankle Instability, Muscle Strength, Balance in Adults in Their 20s with Chronic Ankle Instability (슬링을 이용한 중간볼기근 강화훈련이 만성 발목 불안정성을 가진 20대 성인의 발목 불안정성, 균형, 근력에 미치는 영향)

  • Jeong, Jong-Hyo;Kim, Ho;Shin, Won-Seob
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.57-69
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    • 2022
  • Purpose : The purpose of this study was to investigate the effect of ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on ankle instability score, and static and dynamic balance ability, muscle strength in adults in their 20s with chronic ankle instability. Methods : Twenty-eight adults in their 20s with chronic ankle instability were recruited. After screening test, they were randomized through R studio program as an experimental group (n=14) to apply an ankle strengthening exercise combined with sling-assisted gluteus medius strengthening and a control group (n=14) to apply ankle strengthening exercise. The intervention lasted two times a week for 6 weeks. To compare the intervention effects, the Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strength of lower extremities were measured. Results : The experimental group showed a significant increase in pre and post-intervention Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strengt (p<.05). The control group showed a significant increase in pre and post-intervention CAIT score, dynamic balance ability, and muscle strength (p<.05). The experimental group showed a significant increase in CAIT score, dynamic balance ability, and muscle strength compared to the control group (p<.05), and showed a high effect size. Conclusions : The results of this study confirmed that ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on people with chronic ankle instability the possibility that it could be effective in improving ankle instability and improving dynamic balance ability, and strength by movement. Although additional research is needed to increase the number of participants due to the small sample size, it is hoped that this study will be an optimistic clinical protocol for people with chronic ankle instability.

Impact of Combined Muscle Strength and Proprioceptive Exercises on Functional Ankle Instability

  • Kim, Ki Jong
    • Journal of International Academy of Physical Therapy Research
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    • v.4 no.2
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    • pp.600-604
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    • 2013
  • The purpose of this study was to implement a program of combined muscle stregth and proprioceptive exercises and to examine the impacts of these exercises on functional ankle instability(FAI). Experiments were conducted with 30 adult males and females in their 20s, and the exercise programs were implemented three days per week for four weeks. FAI was defined as a feeling of giving way after an ankle sprain and having a Cumberland ankle instability tool score of 24 points or less. The study subjects were randomly assigned to either a control group, a muscle-strengthening exercise group, or a combined muscle-strengthening and proprioceptive exercise group consisting of 10 subjects each. A Biodex isokinetic dynamometer was used to assess the subjects'ankle strength at selected speeds of $60^{\circ}/sec$ and $120^{\circ}/sec$. The peak torque % body weight showed significant differences in plantar flexion, dorsiflexion, inversion, and eversion. There were also significant differences in proprioception. The results suggest that applying combined muscle-strength and proprioceptive exercises to subjects with FAI is a more effective intervention than applying only muscle-strengthening exercises.

The Effect of Complex Ankle Exercises on Balance with Functional Ankle Instability in Twenties

  • Kim, Ki Jong;Ji, Sung Ha;Kim, Jin Young
    • Journal of International Academy of Physical Therapy Research
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    • v.8 no.2
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    • pp.1190-1194
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    • 2017
  • The purpose of this study was to investigate the complex ankle exercises on balance. 22 participants (male: 14, female: 8) with functional ankle instability were participated. Functional ankle instability was selected to be less than 24 points using the Cumberland ankle instability tool (CAIT) with people who had severe ankle sprain and then experiencing ankle giving way. A total of 20 minutes performed three times a week for four weeks with muscle strength and balance exercises. Muscle strengthening exercise was performed with Theraband, and balance exercise was performed with unstable support plates. Biodex balance system(R) was used to measure static and dynamic balance. The dynamic balance was selected in grade 2, 4, and 8. The static and dynamic balance (grade: 2, 4,and 8) balance was significantly decreased in anterior-posterior, and medial-lateral directions (p<.05). The instability was significantly increased after exercise (p<.05). These results suggest that complex exercises are beneficial to decreasing the functional ankle instability.

ANALYSIS OF EQUILIBRIUM METHODS FOR THE COMPUTATIONAL MODEL OF THE MARK-IV ELECTR OREFINER

  • Cumberland, Riley;Hoover, Robert;Phongikaroon, Supathorn;Yim, Man-Sung
    • Nuclear Engineering and Technology
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    • v.43 no.6
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    • pp.547-556
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    • 2011
  • Two computational methods for determining equilibrium states for the Mark-IV electrorefiner (ER) have been assessed to improve the current computational electrorefiner model developed at University of Idaho. Both methods were validated against measured data to better understand their effects on the calculation of the equilibrium compositions in the ER. In addition, a sensitivity study was performed on the effect of specific unknown activity coefficients-including sodium in molten cadmium, zirconium in molten cadmium, and sodium chloride in molten LiCl-KCl. Both computational methods produced identical results, which stayed within the 95% confidence interval of the experimental data. Furthermore, sensitivity to unavailable activity coefficients was found to be low (a change in concentration of less than 3 ppm).

Use of a Land Classification System in Forest Stand Growth and Yield Prediction on the Cumberland Plateau of Tennessee, USA (미국(美國) 테네시주(州) 컴벌랜드 고원(高原)의 임분(林分) 성장(成長)과 수확(收穫) 예측(豫測)에 있어서 Land Classification System의 사용(使用))

  • Song, Unsook;Rennie, John C.
    • Journal of Korean Society of Forest Science
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    • v.86 no.3
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    • pp.365-377
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    • 1997
  • Much of the Cumberland Plateau of Tennessee, USA is in mixed hardwoods for which there are no applicable growth and yield predictors. Use of site index as a variable in growth and yield prediction models is limited in most stands because their history is not known and many may not be even-aged. Landtypes may offer an alternative to site index for these mixed stands because they were designed to include land of about equal productivity. To determine vegetation by landtype, dependency between landtype and detailed forest type was tested with Chi-square. Differences in productivity among landtypes were tested by employing regression analyses and analysis of variance(ANOVA). Basal area growth was fitted to the nonlinear models developed by Moser and Hall(1969). Basal area growth and volume growth were also predicted as a function of initial total basal area and initial volume with linear regression by landtype and by landtype class. Differences in basal area growth and volume growth by landtype were tested with ANOVA. Dependency between site class and landtype was tested with Chi-square. Vegetation types seem to be related to landtypes in the study area although the validity of the test is questionable because of a high proportion of sparsely occupied cells. No statistically significant differences in productivity among landtypes were found in this study.

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The Efficiency of Short Track-related Sports Injury Prevention Program on Non-contact Injury Incidence for Elite Short Track Speed Skaters (쇼트트랙 관련 스포츠 손상 예방프로그램이 엘리트 쇼트트랙 스피드 스케이팅 선수들의 비접촉성 손상 발생에 미치는 영향)

  • Kim, Eunkuk;Choi, Hokyung
    • 한국체육학회지인문사회과학편
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    • v.58 no.2
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    • pp.405-416
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    • 2019
  • This study aimed to identify the efficiency of short track-related sports injury prevention program consisted of muscle strength and neuromuscular training on non-contact injury incidence and characteristics in knee and ankle joints and low back for elite short track speed skaters. Twenty-five short track athletes who belonged to G-City Team were participated in this study from Nov. 2017 to Jul. 2018. Information on their sports injuries occurred were collected and injury prevention program was applied in their warm-up every training sessions and competition. Also their symptom-level of knee and ankle joint and low back were measured by using OSTRC overuse injury questionnaire and Cumberland ankle instability(CAIT). The injury incidence rate after application of prevention program was 2.79 injuries/1,000 hour exposures(HEs), which was lower than before (3.04 injuries/1,000HEs). The OSTRC score (30.89±28.34 and 23.84±23.61, respectively) in knee and low back after application of prevention program were lower than before (58.47±26.77 and 52.36±21.55, respectively), and the CAIT score (13.47±6.07) in ankle joint after application of program was higher than before (16.26±7.28), which means that their symptom-level was alleviated with sports injury prevention program. In conclusion, the sports injury prevention program designed for short track's motion and characteristic can have positive influences on the occurrence of non-contact injury for short track speed skaters.