• Title/Summary/Keyword: Digital interventions

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Patient Experiences with Artificial Intelligence-Based Smartwatch for Diabetes Medication Monitoring Service (당뇨 환자용 인공지능 복약관리 스마트워치의 사용자 경험)

  • Lee, Mi Sun;Jeong, Suyong;Lee, Hwiwon
    • Journal of muscle and joint health
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    • v.29 no.1
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    • pp.50-59
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    • 2022
  • Purpose: This qualitative study aimed to explore the experiences of patients with diabetes provided with medication monitoring using an artificial intelligence-based smartwatch. Methods: Giorgi's descriptive phenomenological methodology was applied to collect and analyze data from November 9 to December 23, 2021. The study samples were recruited by convenience sampling, and even patients with diabetes participated in in-depth interviews via video conference and telephone calls or face-to-face visits. Results: Ten sub-themes and four themes were finally revealed. The four themes were as follows: journey with unfamiliar devices, a less-than-acceptable smartwatch, insufficient functions and content for patients with diabetes to use, and efforts for regular medication behaviors and daily monitoring of patient's health conditions. Conclusion: To effectively manage diabetic conditions using digital healthcare technologies, nursing interventions were needed to identify personal needs and consider technological, psychological, aesthetic, and socioeconomic aspects of wearable devices.

The Negative Effect of Covid-19 Pandemic in the Food Service Business and its Solutions

  • PARK, Hyo-Nam
    • East Asian Journal of Business Economics (EAJBE)
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    • v.10 no.1
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    • pp.71-81
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    • 2022
  • Purpose - Foodservice production is predominantly susceptible to rampant calamities since it trusts on social gatherings and interactions. This research aims to elaborate a brief framework of the literature review on the research conducted for the Coronavirus outburst regarding the food service sector. Research design, Data, and methodology - The method used in research involving interpretation of the subject content in a text data through a systematic process of classification to identify the themes and coding is referred to as the qualitative content analysis. It can also be defined as a useful research approach method of analysis instead of an empirical analysis. Result - Based on ultimate systematic literature analysis, the author figured out that the vendors should be given importance to the digital traveling interventions as the shortest factor in foodservice processing firms. Designing new sources of revenue and implementing numerous canceled regulations are other resolution that helps challenges in food service industries Conclusion - The Coronavirus pandemic has affected the foodservice business leading to the permanent closure of some businesses. There is a need for a stimulus package from the state to revive these businesses since they play a great role in the economy's growth and are regarded as part of the economy, and most of their activity is undocumented.

Development of Item on Feeding Assessment for Children With Cerebral Palsy : Delphi Survey (뇌성마비 아동의 섭식 평가 항목 개발 : 델파이 연구)

  • Seo, Sang-Min;Yoo, Eun Young;Park, Hae Yean;Hong, Ickpyo;Kim, Sung-Hoon;Kim, Jong-Bae
    • Therapeutic Science for Rehabilitation
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    • v.11 no.3
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    • pp.51-64
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    • 2022
  • Objective : The purpose of this study is to establish the domain for assessment of feeding disorder with cerebral palsy. In addition, it is to develop item on feeding assessment for feeding disorder on children with cerebral palsy Methods : Factors to be included in the assessment of feeding disorders in children with cerebral palsy based on the ICF classification criteria constituted the assessment domain through literature review. Results : Assessment items of feeding disorders in children with cerebral palsy were categorized into 6 domains. These were systematized through expert advice, and through the first and second Delphi surveys, nine middle categories, 32 sub-categories, and 76 items were confirmed. Conclusions : The results of this study are useful for occupational therapists who want to check the current feeding function and activity level during therapeutic interventions for children with cerebral palsy who have feeding disorders.

Electromyographic Analysis of Upper and Lower Limb Muscles during Gardening Tasks

  • Park, Sin-Ae;Lee, A-Young;Kim, Jai-Jeong;Lee, Kwan-Suk;So, Jae-Moo;Son, Ki-Cheol
    • Horticultural Science & Technology
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    • v.32 no.5
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    • pp.710-720
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    • 2014
  • Movements of the upper and lower limb muscles during five common gardening tasks were analyzed by using electromyography (EMG). Twenty adults aged in their twenties (mean age, $24.8{\pm}2.4$ years) were recruited. On two separate occasions, subjects visited a garden plot to perform digging, raking, troweling, weeding, and hoeing; all tasks were performed three times with 20 s intervals for each trial. To measure muscle activation during the five gardening tasks, surface EMG was used. Bipolar surface EMG electrodes were attached to eight upper limb muscles (bilateral anterior deltoid, biceps brachialis, brachioradialis, and flexor carpi ulnaris) or eight lower limb muscles (bilateral vastus lateralis, vastus medialis, biceps femoris, and gastrocnemius) on both sides of the body, for a total of 16 muscles. During the five tasks, photographs were taken of movement phases using a digital video camera. The right flexor carpi ulnaris and brachioradialis showed higher activation than the other upper and lower limb muscles measured during the tasks. All 16 upper and lower limb muscles were actively used only during digging. According to movement analysis of each activity, digging was classified into four movement phases, whereas raking, troweling, weeding, and hoeing each were divided into three movement phases. In each activity, there were high-impact phases in terms of muscle activation; the flexor carpi ulnaris and brachioradialis were identified as major muscles in each impact phase. This analysis may be used to generate biomechanical profiles of gardening tasks for practitioners when designing efficient gardening interventions for physical health or rehabilitation.

The Effects of Sciatic Nerve Mobilization on Hamstring Flexibility, Lower Limb Strength and Gait Performance in Patients With Chronic Stroke

  • Shin, Yun-hyeok;Chon, Seung-chul
    • Physical Therapy Korea
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    • v.22 no.4
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    • pp.8-16
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    • 2015
  • The purpose of this study was to evaluate the effects of mobilization of the sciatic nerve on hamstring flexibility, lower limb strength, and gait performance in patients with chronic stroke. This study was a randomized clinical trial with a crossover design. Sixteen subjects were recruited for this study. The subjects were randomly divided into two intervention groups and underwent either of the following two interventions: sciatic nerve mobilization or static stretching of the hamstring. We assessed hamstring flexibility, lower limb strength, and gait performance using a digital inclinometer, a hand-held dynamometer, and the 10-meter walk test, respectively. Subjects had a 24-hour rest period between each session in order to minimize carryover effects. Measurements for each test were assessed prior to and immediately after the intervention sessions. Using a two-way analysis of variance test with repeated measures, data from the two trials were analyzed by comparing the differences between both techniques. The level of statistical significance was set at .05. Sciatic nerve mobilization resulted in significantly better knee extensor strength (p=.023, from $15.32{\pm}5.98$ to $18.16{\pm}6.95kg$) and knee flexor strength (p=.011, from $7.80{\pm}4.80$ to $8.15{\pm}4.24kg$) in the experimental group than in the control group. However, no significant effects of static stretching of the hamstring were observed on hamstring flexibility from the ankle plantar flexion (p=.966) and ankle neutral positions (p=.210) and on gait performance (p=.396). This study indicated that the sciatic nerve mobilization technique may be more effective in muscle activation of the knee extensor muscle and knee flexor muscle than hamstring static stretching technique in patients with chronic stroke.

Acupuncture Treatment for Rotator Cuff Disorder: A Systematic Review (회전근개 질환에 대한 침술 치료의 효과: 체계적 문헌 고찰)

  • Choi, Hyun-Min;Han, Soo-Yeon;Hwang, Doo-Ree;Kang, Jun-Hyuk
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.4
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    • pp.11-20
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    • 2018
  • Objectives To systematically explore the effects of acupuncture treatment for rotator cuff disorders and review the clinical trials. Methods We searched 9 electronic databases (PubMed, Cochrane central, Embase, China National Knowledge Infrastructure [CNKI], Korea Institute of Science and Technology Information [KISTI], National Digital Science Library [NDSL], Korean studies Information Service System [KISS], Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS]) to find randomized controlled trials that used acupunture treatment for rotator cuff disorders. We assessed the designs of the randomized controlled trials and the method of acupuncture treatment according to the Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA). The methodological quality of randomized controlled trials were assessed using the Cochrane Risk of Bias (RoB) tool. Results Total 5 trials were reviewed. 4 out of 5 randomized clinical trials reported meaningful effects of acupuncture treatments compared to control group. However risk of bias seemed high. Conclusions Although the results suggest that acupuncture treatment has favorable effects for rotator cuff disorders, most of the studies included methodologically high risk of bias. Thus, well designed randomized clinical trials which evaluate the effects of acupuncture treatment for rotator cuff disorders should be encouraged.

Comparison of the Changes in the Range of Motion on the Knee Joint According to the Contraction Intensity During Evjenth-Hamberg Stretching in Healthy Subjects: A Cross-Sectional Pilot Study

  • Kim, Do-Kwan;Kim, Chang-Yong;Seo, Dong-Kwon;Lee, Byoung-Kwon
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.3
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    • pp.1-11
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    • 2019
  • PURPOSE: This study compared the changes in the range of motion (ROM ) on the knee joint according to three different isometric contraction intensities when applying Evjenth - Hamberg stretching (EHS) to the hamstring muscles of healthy subjects. METHODS: Forty eight healthy subjects aged between 20 and 39 years were allocated randomly to four groups; performing EHS at 10% maximum voluntary isometric contraction (MVIC) group, EHS at 50% MVIC group, EHS at 100% MVIC group, and control group (CG) pre-, and post-intervention. The flexibility of the hamstring muscles was evaluated using a digital goniometer for measuring the knee joint ROM motion. A Chattanooga stabilizer was used to adjust the MVIC intensity by 10%, 50%, and 100%, respectively. RESULTS: These results show that the pre- and post-intervention knee joint ROM were significantly different in all four groups (p<.05). The post-intervention knee joint ROM showed a significant difference between the 100% MVIC group and non-MVIC group (p<.05). The knee joint ROM difference between the pre- and post-interventions was similar in the 10% MVIC and 50% MVIC groups but significant differences were observed among the other groups (p<.05). CONCLUSION: EHS of the hamstring muscles was effective in improving the knee joint ROM with an isometric contraction intensity of 10%, 50%, or 100% MVIC, and of these, 100% MVIC was most effective.

Effects of Deep Cervical Flexor Exercise with Visual Guide on Muscle Activity and Craniovertebral Angle in Subjects with Forward Head Posture

  • Son, Kuk-kyung;Cynn, Heon-Seock;Lee, Ji-Hyun;Park, Dong-Hwan;Kim, Bo-Been
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.2
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    • pp.53-61
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    • 2019
  • PURPOSE: Forward head posture (FHP) is a head-on-trunk malalignment that results in musculoskeletal dysfunction and neck pain. To improve forward head posture, both the craniocervical flexion exercise (CCFE) and the visual guide (VG) technique have been used. This study compared the immediate effects of CCFE and VG combined with CCFE on craniovertebral angle (CVA), as well as on the activity of the sternocleidomastoid (SCM) and anterior scalene (AS) muscles during CCFE in subjects with FHP. METHODS: In total, 16 subjects (nine males, seven females) with FHP were recruited using the G-power software. Each subject conducted CCFE and CCFE combined with VG in random order. The CVA was recorded using a digital camera and the ImageJ image analysis software. The EMG data of SCM and AS were measured by surface electromyography. A paired T-test was used to assess differences between the effects of the CCFE and VG combined with CCFE interventions in the same group. RESULTS: The CVA was significantly greater for CCFE combined with the VG than for CCFE alone (p<.05). The activity of the SCM and AS muscles was also significantly greater when the VG was combined with CCFE than during CCFE alone across all craniocervical flexion exercise phases (p<.05). CONCLUSION: Use of the VG technique combined with CCFE improved FHP in subjects with FHP compared to CCFE alone.

Focal Muscle Vibration Changes the Architecture of the Medial Gastrocnemius Muscle in Persons With Limited Ankle Dorsiflexion

  • Moon, Il-Young;Lim, Jin-Seok;Park, Il-Woo;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.29 no.1
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    • pp.48-53
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    • 2022
  • Background: The gastrocnemius tightness can easily occur. Gastrocnemius tightness results in gait disturbance. Thus, various interventions have been used to release a tight gastrocnemius muscle and improve gait performance. Moreover, focal muscle vibration (FMV) has recently been extensively researched in terms of tight muscle release and muscle performance. However, no study has investigated the effects of FMV application on medial gastrocnemius architectural changes. Objects: In this study, we aimed to investigate the effects of FMV on medial gastrocnemius architecture in persons with limited ankle dorsiflexion. Methods: Thirty one persons with <10° of passive ankle dorsiflexion participated in this study. We excluded persons with acute ankle injury within six months prior to study onset, a history of ankle fracture, leg length discrepancy greater than 2 cm, no history of neurological dysfunction, or trauma affecting the lower limb. The specifications of the FMV motor were as follows: a fixed frequency (fast wave: 150 Hz) and low amplitude (0.3-0.5 mm peak to peak) of vibration; the motor was used to release the medial gastrocnemius for 15 minutes. Each participant completed three trials for 10 days; a 30-second rest period was provided between each trial. Medial gastrocnemius architectural parameters [muscle thickness (MT), fiber bundle length (FBL), and pennation angle (PA)] were measured via ultrasonography. Results: MT significantly decreased after FMV application (p < 0.05). FBL significantly increased from its baseline value after FMV application (p < 0.05). PA significantly decreased from its baseline value after FMV application (p < 0.05). Conclusion: FMV application may be advantageous in reducing medial gastrocnemius excitability following a decrease in the amount of contractile tissue. Furthermore, FMV application can be used as a stretching method to alter medial gastrocnemius architecture.

Influences of Aerobic and Resistance Exercise on Health-related Problems in Cancer Patients: A review of the literature

  • Ye-Na Jeon;Jeongwoo Jeon;Jihoen Hong;Jaeho Yu;Jinseop Kim;Seong-Gil Kim;Dongyeop Lee
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.3
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    • pp.79-89
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    • 2023
  • Purpose : Until recently, the number of cancer patients continues to increase, and these patients have many limitations in their activities of daily living. In the republic of Korea, cancer patients are showing an increasing trend every year. Cancer disease not only significantly reduces the quality of life in individuals, but also causes various side effects if not managed. The purpose of this study was to investigate the effects of aerobic exercise and resistance exercise on health-related problems in cancer patients. Methods : This study searched for studies that applied aerobic exercise and resistance exercise to cancer patients reported in search engines (google scala, dbpia, and pubmed) from 2017 to 2022. Six randomized controlled trials and two systematic reviews and meta-analyses were used for analysis in our study. "physical activity", "exercise", "aerobic exercise", "resistance exercise", and "cancer patient" were the main search terms. The data included aerobic exercise, resistance exercise, cancer patients' muscle strength, physical strength, quality of life, and physical activity. Results : According to the eight studies that met the criteria included in this review study, it was found that aerobic exercise and resistance exercise had an effect on the increase in physical fitness, muscular strength, quality of life, and range of motion in cancer survivors. Conclusion : It was confirmed that aerobic exercise and resistance exercise are safe and effective interventions that can be applied to cancer patients without side effects. A limitation of this study is that it did not examine cancer diseases in various population groups such as the elderly and children. Therefore, in future studies, studies that consider specific details such as age, gender, type of cancer, and physical differences are needed.