• Title/Summary/Keyword: Digital Therapy

Search Result 639, Processing Time 0.021 seconds

Early postoperative treatment of mastectomy scars using a fractional carbon dioxide laser: a randomized, controlled, split-scar, blinded study

  • Shin, Hyun Woo;Suk, Sangwoo;Chae, Seoung Wan;Yoon, Kun Chul;Kim, Junekyu
    • Archives of Plastic Surgery
    • /
    • v.48 no.4
    • /
    • pp.347-352
    • /
    • 2021
  • Background Mastectomy leaves unsightly scarring, which can be distressing to patients. Laser therapy for scar prevention has been consistently emphasized in recent studies showing that several types of lasers, including fractional ablation lasers, are effective for reducing scar formation. Nonetheless, there are few studies evaluating the therapeutic efficacy of ablative CO2 fractional lasers (ACFLs). Methods This study had a randomized, comparative, prospective, split-scar design with blinded evaluation of mastectomy scars. Fifteen patients with mastectomy scars were treated using an ACFL. Half of each scar was randomized to "A," while the other side was allocated to group "B." Laser treatment was conducted randomly. Scars were assessed using digital photographs of the scar and Vancouver scar scale (VSS) scores. Histological assessments were also done. Results The mean VSS scores were 2.20±1.28 for the treatment side and 2.96±1.40 for the control side. There was a significant difference in the VSS score between the treatment side and the control side (P=0.002). The mean visual analog scale (VAS) scores were 4.13±1.36 for the treatment side and 4.67±1.53 for the control side. There was a significant difference in VAS score between the treatment side and the control side (P=0.02). Conclusions This study demonstrated that early scar treatment using an ACFL significantly improved the clinical results of the treatment compared to the untreated scar, and this difference was associated with patient satisfaction.

Effectiveness of low-level laser therapy in facilitating maxillary expansion using bone-borne hyrax expander: A randomized clinical trial

  • Abdelwassie, Sara Hassan;Kaddah, Mohammed Amgad;El-Dakroury, Amr Emad;El-Boghdady, Dalia;Abd El-Ghafour, Mohamed;Seifeldin, Nouran Fouad
    • The korean journal of orthodontics
    • /
    • v.52 no.6
    • /
    • pp.399-411
    • /
    • 2022
  • Objective: The objective of this randomized clinical trial was to study the skeletal and dental effects of low-level laser therapy (LLLT) along with a miniscrew-assisted expander (Hyrax) after six months of retention. Methods: After sequence generation, concealed allocation, and implementation, 24 female patients were randomly divided (1:1) into two-groups: bone-borne rapid palatal expansion (BBE) without LLLT (n = 12) and BBE with LLLT (n = 12). Eligibility criteria included female patients aged 10-13 years old with bilateral posterior crossbites. Intraoral and extraoral photographs, cone-beam computed tomography images, and digital study models were obtained before expansion and six months after retention. The 7 mm Hyrax appliance was anchored to four palatal mini-screws, which were activated twice daily for 15 days, then locked and kept in place as a retainer. LLLT was performed in the laser group during expansion and retention, according to the guidelines provided. Results: The records of 24 patients were analyzed. According to the post-retention measurements, both groups showed a significant increase in nasal and maxillary widths and total facial height. In the laser group, the Sella-Nasion-Point A and Point A-Nasion-Point B angles and the interpremolar apical distance were significantly increased. Conclusions: Within the limitations of this study, the results suggest that the parameters and protocol of LLLT do not clinically affect the efficiency of BBE in prepubertal and pubertal patients.

Effects of Blood Flow Restriction Exercise on Ankle Strength and Balance Ability in Adults with Chronic Ankle Instability (혈류제한 운동이 만성 발목 불안정성을 가진 성인의 발목 근력 및 균형능력에 미치는 영향)

  • Gang-Mi Youn;Hyo-Jeong Lee
    • Journal of The Korean Society of Integrative Medicine
    • /
    • v.11 no.1
    • /
    • pp.121-130
    • /
    • 2023
  • Purpose : This study aimed to investigate the effect of blood flow restriction exercise on ankle muscle strength and balance ability to achieve maximum efficiency with the same exercise intensity and time. Methods : Twenty-six adults are randomly assigned to experimental group (n=13) and comparison group (n=13). The experimental group performed ankle joint strength exercises with blood flow restriction applied while the comparison group performed ankle joint strength exercises without blood flow restriction applied three times a week for four weeks. The digital muscle measurement, Y-balance test, and Cumberland ankle instability tool were used to evaluate the subject's muscle strength, dynamic balance, and ankle instability index before and after the intervention. Results : In within-group comparison muscle strength, all the two groups showed significant improvements post intervention (p<.05). In between-group comparison, there was significant difference in the change of dorsiflexion, eversion strength pre and post intervention (p<.05). but plantarflexion was no significant difference between pre and post intervention in the group comparison (p>.05). In within-group comparison dynamic balance, all the two groups showed significant improvements post intervention (p<.05). In between-group comparison, there was no significant difference in the change of Y-balance score pre and post intervention (p>.05). In within-group comparison ankle instability index, all the two groups showed significant improvements post intervention (p<.05). In between-group comparison, there was no significant difference in the change of CAIT score pre and post intervention (p>.05). Conclusion : The results of this study show that ankle joint strength exercise improved the strength and balance ability of those complaining of chronic ankle instability, and ankle joint strength exercise applied with blood flow restriction was more effective in dorsiflexion and eversion strength exercise than ankle joint strength exercise without blood flow restriction.

Comparison of Grip Force, Coordination, and Dexterity Between Dominant and Non-dominant Hand According to Gender (성별에 따른 우세손과 비우세손의 파악력, 협응력, 기민성 비교)

  • Park, Chan-Hyun;Son, Ho-Hee
    • PNF and Movement
    • /
    • v.20 no.1
    • /
    • pp.73-81
    • /
    • 2022
  • Purpose: The aim of this study was to present specific criteria for setting goals for hand rehabilitation by comparing the degree of difference in grip force, coordination, and dexterity between the dominant and non-dominant hand according to gender. Methods: We recruited 100 healthy adults in their 20s and 30s. A handheld digital dynamometer was used to evaluate the grip force of each of the dominant and non-dominant hand, a chopsticks manipulation test was used to evaluate coordination, and the Purdue Pegboard test was used to evaluate agility. Results: In all subjects, the grip force, coordination, and dexterity showed statistically significant difference (p <0.01) between the dominant and non-dominant hand. In the comparison according to gender, both male and female dominant and non-dominant hands showed statistically significant differences in grip force, coordination, and dexterity (p <0.01). In the comparison according to grip force, there was a statistically significant difference between the dominant and non-dominant hand, and men showed stronger result values in both hands compared to women (p <0.01). In the comparison according to coordination, there was no statistically significant difference between the dominant and non-dominant hand in men and women (p >0.05). In the comparison according to dexterity, there was a statistically significant difference between the dominant and non-dominant hand, and women were shown to be faster in performance time with both hands, compared to men (p <0.01). Conclusion: Differences according to gender exist in grip force and dexterity but not coordination, and differences between dominant and non-dominant hand exists across all measurements. The results suggest setting a recovery goal according to dominance and gender during rehabilitation of hand function.

Risk Factors of Musculoskeletal System in Automobile Manufacturing Workers with Mlid Intellectual Disabilities: Focus on Neck and Lower Back Regions (경도 지적장애 자동차제조업 근로자의 근골격계 위험 요인 조사 -목과 허리 부위 중점으로-)

  • Young-In Hwang;Du-Jin Park
    • PNF and Movement
    • /
    • v.22 no.1
    • /
    • pp.129-137
    • /
    • 2024
  • Purpose: The aim of this study was to investigate and compare the risk factors focusing on the neck and lower back between general workers (GW) and mild intellectual disability workers (MIDW) in the automobile manufacturing industry. Methods: A total of 32 participants were required for this study design to achieve 80% power, 0.9 effect size, and an alpha level of 0.05. Each group consisted of 16 subjects, including GW and MIDW. Pain levels in the neck and lower back were measured for all participants using the visual analog scale (VAS). A dual digital inclinometer was used to measure the range of motion (ROM) in the neck and lower back three times, and the average was used for analysis. The independent t-test was used to compare between the wo groups. Cohen's d effect analysis was employed to determine the effect size. The significant level was set at 0.05. Results: In the MIDW, neck pain was significantly higher, and left cervical flexion was significantly decreased compared with the GW. There was no significant difference in lower back pain between the MIDW and GW. However, both lumbar flexion and extension, as well as lateral flexion, were significantly reduced in the MIDW compared with the GW. Conclusion: This study reveals that MIDW working in the automobile manufacturing industry have a greater risk of neck pain, limitation in left cervical flexion, and overall restriction in the ROM of the lower back compared with GW.

Metaverse Augmented Reality Research Trends Using Topic Modeling Methodology (토픽 모델링 기법을 활용한 메타버스 증강현실 연구 동향 분석)

  • An, Jaeyoung;Shim, Soyun;Yun, Haejung
    • Knowledge Management Research
    • /
    • v.23 no.2
    • /
    • pp.123-142
    • /
    • 2022
  • The non-face-to-face environment accelerated by COVID-19 has speeded up the dissemination of digital virtual ecosystems and metaverse. In order for the metaverse to be sustainable, digital twins that are compatible with the real world are key, and critical technology for that is AR (Augmented Reality). In this study, we examined research trends about AR, and will propose the directions for future AR research. We conducted LDA based topic modeling on 11,049 abstracts of published domestic and foreign AR related papers from 2009 to Mar 2022, and then looked into AR that was comprehensive research trends, comparison of domestic and foreign research trends, and research trends before and after the popularity of metaverse concepts. As a result, the topics of AR related research were deduced from 11 topics such as device, network communication, surgery, digital twin, education, serious game, camera/vision, color application, therapy, location accuracy, and interface design. After popularity of metaverse, 6 topics were deduced such as camera/vision, training, digital twin, surgical/surgical, interaction performance, and network communication. We will expect, through this study, to encourage active research on metaverse AR with convergent characteristics in multidisciplinary fields and contribute to giving useful implications to practitioners.

The Acute Effects of Dynamic and Static Stretching on Jump Height and Muscle Activity (동적 및 정적스트레칭이 점프높이와 근활성도에 미치는 급성효과)

  • Yang, Dae-Jung;Jeong, Yong-Sik
    • Journal of Digital Convergence
    • /
    • v.11 no.8
    • /
    • pp.265-272
    • /
    • 2013
  • The purpose of this study was to provide a foundation for the methods of stretching in sports activities. The subjects were normal adults, the applied exercise was dynamic and static stretching and the research methods were measuring the jump height and muscle activity during jumping with subsequent data comparison and analysis. Twenty normal adults were randomly divided into 2 groups, and each group performed dynamic or static stretching. Jump height and the vastus lateralis and gastrocnemius muscle activities were measured during jumping, which was performed immediately before and after stretching. Statistical analysis was performed using an analysis of covariance. The results indicated that dynamic stretching was more effective than static stretching with respect to both jump height (p<.05) and muscle activity of the vastus lateralis (p<.05). Consequently, it was believed that dynamic stretching should be applied as a warm-up exercise for athletes who need to build and maintain high muscle strength.

Media Use during the Sewol Ferry Disaster and Post Traumatic Stress Disorder (미디어 이용과 외상 후 스트레스 장애(PTSD): 세월호 사건을 중심으로)

  • Park, Nohil;Chang, Seok-Hwan;Jeong, JiYeon
    • Journal of Digital Contents Society
    • /
    • v.19 no.4
    • /
    • pp.673-683
    • /
    • 2018
  • The accident of Sewol Ferry is a disaster that provoked serious mental shock to the Korean people way beyond the level of generally-perceived catastrophic aftermaths. The purpose of this study is to examine the relationship between vicarious disaster experiences through media and post-traumatic stress(PTSD) symptoms of media users related to the accident. The responses of 417 people consisted of college, middle and high school students, and adults in a metropolitan area were collected for 12 days from the April 28, 2014 right after the accident. The results showed that the level of PTSD of social media users were higher than that of traditional media (newspapers or TV news) users on the accident. Also, the amount of use of disaster news information and social media revealed positive correlations with PTSD. Implications of this study are to demonstrate possible mechanisms of psychological trauma mediated by media on a disaster and its empirical data and to facilitate further research.

Implementation of Serious Games with Language-Based Cognitive Enhancement for BIF Children (경계선지적기능 아동을 위한 언어기반 인지강화 기능성 게임 구현)

  • Ryu, Su-Rin;Park, Hyunju;Chung, Dong Gyu;Baik, Kyoungsun;Yun, Hongoak
    • Journal of Digital Contents Society
    • /
    • v.19 no.6
    • /
    • pp.1051-1060
    • /
    • 2018
  • This study aims to propose instituting the serious games of language-based cognitive enhancement for the BIF children. The program consists of 4 cognitive areas (perception, attention, working memory, knowledge inference) in 4 language dimensions (phoneme, word, sentence, discourse). 16 games of 4 areas/2 dimensions with 3 difficulty levels were implemented in a mobile station and pilot-tested to children including BIFs. The results from the pilot tests supported for the validity and effectiveness of our games: Children's game performance correlated with their IQ scores (overall and sub-areas) revealing significant differences between the groups. The stroop scores in pre-and-post training hinted the increase of children's cognitive control.

The Effect of Game and Mandala on the Attention of School-aged Children (게임 및 만다라의 융복합적 접근이 학령기 아동의 주의 집중력에 미치는 영향)

  • Kim, Soo-Han;Kim, Ko-Un
    • Journal of Digital Convergence
    • /
    • v.13 no.8
    • /
    • pp.525-533
    • /
    • 2015
  • Purpose: The purpose of this study was designed to find out the effect of game and mandala convergence approach on the attention ability of the with school aged children. Method : The subjects of study were 30 children(11 male, 19 female) with school aged children who were attending in A, B community children center located in B city. The intervention was administered for 4 weeks : 3 times a weeks and 12 sessions in total. They were separated into a mandala group(n=10), game group(n=10) and control group(n=10). The experimental group was provided game and mandala program for 4 weeks. Each group examined though FAIR attention and concentration test. Result : The results of this study showed that the game and mandala program was effective to improved attention ability of the school aged children. Conclusion: This study concludes that game and mandala program had effect on the improvement of children's attention.