• Journal of Digital Convergence
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• v.11 no.11
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• pp.613-620
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• 2013

This study was conducted to measure and analyze the changes in paraspinal muscles of acute and chronic low back pain patients using MRI, and to provide clinical basic data for diagnosis and treatment for low back pain. For this purpose, 20 patients with acute low back pain frome August 2012 to January 2013 which occurred within 12 weeks, and 20 patients with chronic low back pain that progressed over 12 weeks, were chosen as subjects, and their MRI measurements were compared with one another. As a result, in relation to in the fatty degeneration ratio of the left spine and right spine, there were significant differences in erector spinae and multifidus(p<.001), and in relation to the Fat Infiltration ratio between all the groups, there were significant differences in psoas major, erector spinae and multifidus between the acute low back pain patient group and the chronic low back pain patient group(p<.001). In the post-hoc test, multifidus and erector spinae in the acute low back pain group and chronic low back pain group showed the highest Fat Infiltration ratio. The serious Fat Infiltration of multifidus and erector spinae in the chronic low back pain group led to weakened strength of muscles that stabilize the spine. In conclusion, it is considered that this study would present important data and basis in making acute and chronic low back pain patients pay more attention to multifidus and psoas major during rehabilitation exercise, and selecting a rehabilitation exercise program.

• Journal of Digital Convergence
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• v.11 no.11
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• pp.521-528
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• 2013

This study was performed to examine effects of PNF combined pattern training on balance ability and functional ability of hockey players. In order to achieve this purpose, total 28 participants were separated into two group: 14 comparison group and 14 experiment group, and the experiment group performed PNF combined pattern training for 12 week, 3 times a week, 60 minutes a day. Each group was measured beforehand, after 6 week and 12 week. balance ability was measured using GOOD BALANCE system and functional ability was measured using carioca and shuttle-run test. For statistically verifying above measured values, repeated measure analysis of variance was analyzed and have following results. As the comparing results of balance ability, normal standing eye close(NSEC) was ant-post and velocity moment of experiment group showed significant differences(p<.05). And one leg right eye close(OLREC) was ant-post, med-lat and velocity moment of experiment group showed significant differences (p<.05). Also, dynamic balance ability was ant-post and velocity moment of experiment groups showed significant differences(p<.05). As the comparing results of functional ability, shuttle-run of experiment group sowed significant differences(p<.05). From above results, balance ability of hockey players was shown to be improved through symmetric training of PNF combined pattern applied to hockey players, and it can be considered that this is actively recommended for training method to improve athletic performance of hockey players.

• Journal of Digital Convergence
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• v.11 no.7
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• pp.281-288
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• 2013

The purpose of this study was to identify the effects of upper and lower limb coordinated exercise for gait ability in stroke patients. Upper and lower limb coordinated exercise method was conducted in two different groups; one is an one leg support group and the other is a non support group. In this study, 14 patients were participated. One leg support group was applied to 7 patients, and non support group was applied to 7 patients. Both group carried out 3 times a week for 30 minutes during 4 weeks. Data were analyzed statistically via Repeated two-way ANOVA, Mann-Whitney U test, and Friedman test. The results of the measurement analysis were summarized as follows: 1. There were significant differences in 10MWT among 2 groups after intervention(p<.05). 2. There were significant differences in F8WT, FSST among 2 groups after intervention(p<.05). According to Bonferroni test, one leg support group had significant increased from pre-intervention to post-4 week. However, there were no significant differences in nonsupport group. In conclusion, improvement of gait ability in chronic stroke patients was effect to upper and lower limb coordinated exercise.

• Journal of Digital Convergence
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• v.18 no.10
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• pp.547-555
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• 2020

To investigate the effects of self-management programs for chronic low back pain (LBP), 63 subjects were assigned to three groups; self-exercise group (SEG), hot pack and low-frequency electrical stimulation group (HEG), and thermo-massage group (TMG). Parameters were the pain numeric rating scale (PNRS), Oswestry Disability Index (ODI), Roland Morris Disability Questionnaire (RMDQ) and Relapse frequency (RF). PNRS, ODI and RMDQ of SEG and TMG sustained effectiveness, however, PNRS, which improved after treatment in HEG, worsened in 6 month. Between the groups, all parameters were better in SEG and TMG compare to HEG. Exercise and thermo-massage can be considered as useful self-management performed at home to prevent the relapse of chronic LBP.

• Journal of Digital Convergence
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• v.13 no.1
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• pp.407-414
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• 2015

This study was executed to be used as the basic data for the improvement of hospital therapy by analyzing the characteristic of principal diagnosis of pure death patients. 428 pure death patients were selected as study subjects out of 1992 dead patients at K university hospital in Daejeon city for three years in 2011, 2012, 2013, and chi-squared test and fisher's correct tests and canonical correlation analysis were used as analysis methods. In the analysis results about general characteristic and top 4 canonical correlation analysis, pneumonia(J18) of organism unspecified and toxic action(T60) of pesticide showed significant results among the principal diagnosis. In the pneumonia of organism unspecified(J18), significant results were identified with the order of car insurance, ages from 15 to 29, health insurance and medical benefits, and in the toxic action of pesticide(T60), significant results were identified with the order of health insurance, medical benefits, car insurance, ages from 45 to 59, Sejong Chungnam. In conclusion, in order to reduce the death of elderly population, quality improvement in medical service and establishment of emergency medical service delivery system are very important to reduce pure death patients.

• Journal of Digital Convergence
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• v.13 no.1
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• pp.397-405
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• 2015

This survey was to identify voice symptoms and vocal-health service related experiences of occupational voice users(teachers, telemarketers, speech therapists). The 91.8% of teachers, 97.9% of telemarketers, 86% of speech therapists surveyed reported more than one voice symptom. The symptoms were classified as 9 categories(running a temperature, getting dry, dry and cough, pain, phlegm, tingled, hoarseness, cracks, swollen) and the most frequently reported from 3 groups was 'getting dry'. The 85.7% of teachers, 87.8% of telemarketers, 66% of therapists surveyed had no experience of vocal-health related services. The 19.6%, 19.9%, and 72% of each group reported they have heard both of 'voice/speech therapist'. The 36.8% of teachers and 43.6% of telemarketers answered they don't know how to use their voice efficiently and 45.3% of the teachers, 43.6% of the telemarketers, 28% of the therapists surveyed asked professional help for their voice. The result showed that most of the occupational voice users surveyed experienced voice symptoms but rarely knew professional vocal-health related services.

• Archives of Plastic Surgery
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• v.38 no.4
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• pp.438-444
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• 2011

Purpose: Adipose-derived stromal cells (ASCs) are readily harvested from lipoaspirated tissue or subcutaneous adipose tissue fragments. The stromal vascular fraction (SVF) is a heterogeneous set of cell populations that surround and support adipose tissue, which includes the stromal cells, ASCs, that have the ability to differentiate into cells of several lineages and contains cells from the microvasculature. The mechanisms that drive the ASCs into the osteoblast lineage are still not clear, but the process has been more extensively studied in bone marrow stromal cells. The purpose of this study was to investigate the osteogenic capacity of adipose derived SVF cells and evaluate bone formation following implantation of SVF cells into the bone defect of human phalanx. Methods: Case 1 a 43-year-old male was wounded while using a press machine. After first operation, segmental bone defects of the left 3rd and 4th middle phalanx occurred. At first we injected the SVF cells combined with demineralized bone matrix (DBM) to defected 4th middle phalangeal bone lesion. We used P (L/DL)LA [Poly (70L-lactide-co-30DL-lactide) Co Polymer P (L/DL)LA] as a scaffold. Next, we implanted the SVF cells combined with DBM to repair left 3rd middle phalangeal bone defect in sequence. Case 2 was a 25-year-old man with crushing hand injury. Three months after the previous surgery, we implanted the SVF cells combined with DBM to restore right 3rd middle phalangeal bone defect by syringe injection. Radiographic images were taken at follow-up hospital visits and evaluated radiographically by means of computerized analysis of digital images. Results: The phalangeal bone defect was treated with autologous SVF cells isolated and applied in a single operative procedure in combination with DBM. The SVF cells were supported in place with mechanical fixation with a resorbable macroporous sheets acting as a soft tissue barrier. The radiographic appearance of the defect revealed a restoration to average bone density and stable position of pharyngeal bone. Densitometric evaluations for digital X-ray revealed improved bone densities in two cases with pharyngeal bone defects, that is, 65.2% for 4th finger of the case 1, 60.5% for 3rd finger of the case 1 and 60.1% for the case 2. Conclusion: This study demonstrated that adipose derived stromal vascular fraction cells have osteogenic potential in two clinical case studies. Thus, these reports show that cells from the SVF cells have potential in many areas of clinical cell therapy and regenerative medicine, albeit a lot of work is yet to be done.

• Journal of Digital Convergence
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• v.17 no.6
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• pp.247-255
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• 2019

The purpose of this study is to compare kinesio tapping with transcutaneous electrical nerve stimulation to single intervention in chronic stroke patients. 29 stroke patients were divided into taping group (n = 10), transcutaneous electrical nerve stimulation group (n = 10), and taping with transcutaneous electrical nerve stimulation group (combined group n = 9). The intervention period was 5 times (30min) per week for 4 weeks. Timed Up & Go (TUG) and Berg Balance Scale (BBS) were used for balance evaluation. Functional Gait Assessment (FGA) and 10-meter walk test were used for gait evaluation. The quality of life evaluation was performed using the EuroQol-5 dimension (EQ-5D). There were significant improvements in TUG, BBS, FGA, 10-meter walk test, and EQ-5D in all three groups (p <.05). In the comparison of the intervention effects between the three groups, the combined group showed a significant increase in FGA compared to the other two groups. This study showed that taping with transcutaneous electrical nerve stimulation is more effective for FGA than single methods. However, there was no difference between the three groups except for FGA. Therefore, more subjects and intervention period will be needed in future studies.

• Journal of Digital Convergence
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• v.19 no.6
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• pp.265-271
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• 2021

This study aimed to define the diagnostic criteria for cervicogenic headache and propose an efficient method of clinical evaluation and physical therapy. Fifteen patients with cervicogenic headache and 15 healthy individuals were recruited and categorized into the test group and the control group, respectively. The groups were compared in terms of muscle characteristics, muscle activity and posture, and the intervariable correlations were analyzed for the test group. A significant between-group difference was found in the stiffness of the suboccipital muscle and the tone and stiffness of the upper trapezius muscle (p<.001). In posture comparison, a significant difference was noted in neck tilt angle and the T1 slope angle (p<.05). The activity of the sternocleidomastoid muscle was also significantly different between the groups (p<.001). When the correlations among the muscle characteristics, the posture, and the activity of the sternocleidomastoid muscle were analyzed for the test group, a positive correlation was found between the tone and the stiffness of the suboccipital muscle (p<.001) and between the tone and the stiffness of the upper trapezius muscle (p<.001). The findings of this study suggest a more efficient approach for the assessment and treatment of cervicogenic headache patients. It is considered that, further studies including more subjects of various job categories and comparing the outcomes.

• Journal of Digital Convergence
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• v.19 no.4
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• pp.365-371
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• 2021

In order to verify the effect of using functional cosmetic ingredients for skin beauty, the composition and content of some phenolic acid and flavonoids in the hot water and 80% methanol extract of Akebia quinata fruit pericarp and seeds were analyzed, and the skin care antioxidant activity was investigated. The results are as follows. Total polyphenol and flavonoid contents were found to be higher in pericarp extract than seed extract in both hot water and 80% methanol extract. In the analysis of the composition and content of phenolic acid and flavonoids, two kinds of phenolic acids were identified in the hot water extract of pericarp, 6 kinds of phenolic acids were identified in the 80% methanol extract, and one kind of flavonoid. Two types of phenolic acids were identified in the hot water and 80% methanol extract of seeds, respectively. DPPH and ABTS radical scavenging activities tended to increase in proportion to the treatment concentration in both hot water and 80% methanol extracts, and antioxidant activity was found to be high. Therefore, from the above results, it was found that the hot water and 80% methanol extract of Akebia quinata fruit pericarp and seeds contained various kinds of phenolic acid and flavonoids, and the antioxidant activity was also high. It is believed to be of value as a natural antioxidant in skin care cosmetic ingredients.