• Title/Summary/Keyword: Less affected side

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The Effects of Proprioceptive Neuromuscular Facilitation on Balance in Patients with Hemiplegia: Application of Rhythmic Stabilization and Combination of Isotonic technique (고유수용성 신경근 촉진법이 편마비 환자의 균형에 미치는 영향 -율동적 안정화와 등장성 수축 결합기법을 중심으로-)

  • Lee, Hyun-Ok;Kim, Dae-Kyeong;Ryu, Si-Goo;Shin, Jae-Wook;Lee, Min-Hyung;Lee, Bo-Kyoung
    • PNF and Movement
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    • v.5 no.2
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    • pp.55-62
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    • 2007
  • Purpose : The purpose of this study was to examine the effects of Rhythmic Stabilization(RS) and Combination of Isotonic(CI) of Proprioceptive Neuromuscular Facilitation on balance in patients with hemiplegia. Methods : Ten patients with hemiplegia were trained with RS and CI for six weeks. Two Standard Scale(TSS), Functional Reach Test(FRT), Time Up and Go test(TUG) and Berg Balance Scale(BBS) were used to prove their improvement of balance. Results : Body weight bearing decreased on less affected side and increased on more affected side. Distance of forward reaching for FRT increased. Time for TUG decreased. BBS score increased. They all showed significant difference. Conclusion : This study suggests that balance training with RS and CI of Proprioceptive Neuromuscular Facilitation improved balance in patients with hemiplegia.

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Relations between Clinical Findings and Treatment Results in Patients with Temporomandibular Disorders (측두하악장애환자의 임상양태와 치료결과와의 관계)

  • Hee-Young Oh;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.20 no.2
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    • pp.407-420
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    • 1995
  • This study was performed to evaluate and compare conservative treatment results by several parameters such as age, sex, symptom duration, type and timing of joint sound, parafunctional habits, splint type, and diagnostic classification. There have been too many articles reporting long term results of conservative treatment but articles related to comparison of treatment results by patients' self-evaluation have been rarely reported. For this study 258 patients with temporomandibular disorders(TMDs) were selected and examined by routine diagnostic procedure for TMDs. The subjects were classified into 5 TMDs subgroups ad treated with conservative treatments involving splints, physical modalities, jaw exercises, and counseling. Visual analogue scale(VAS) about pain, joint sound, and mouth opening limitation was recorded respectively during treatment period. From the VAS data and treatment duration, VAS treatment index(VAS Ti) was calculated. The obtained results were as follows : 1. Pain was the most frequent main symptom in subjects with temporomandibular disorders, and main symptom for mouth opening limitation was comparatively less than for pain or sound in disk displacement with reduction group or in degenerative joint disease group. 2. Degenerative joint disease group had the most poor treatment results and highest occlusal index of Helkim's index. 3. Good prognosis for conservative treatment was observed in acute group, under 6 months than chronic group, 6months over in symptom duration, and subjects with 40 years over in age showed the most poor prognosis. 4. Subjects treated with anterior repositioning splint had better treatment results than subjects treated with centric relation splint, but statistical significance in VAS Ti and treatment duration was not observed. 5. Treatment results according to affected side, types and point of joint sound did not show consistent statistical results. 6. The result for conservative treatment was observed poor in subjects with bruxism and clenching. 7. In studying coincidence between preferred chewing and affected side, frequency of preferred chewing side, in unilateral affection, was higher in ipsilateral than in contralateral side.

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Shoulder Range of Motion in Postmastectomy Patients (유방암 절제술 후 환자의 어깨관절 가동범위 조사)

  • Eom, Ae-Yong;Lee, Eun-Ok
    • Asian Oncology Nursing
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    • v.4 no.1
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    • pp.62-70
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    • 2004
  • The purpose of this study was to use as a basic data to develop suitable nursing intervention program and decide an appropriate intervention time after assessing shoulder range of motion in postmastectomy from 2 weeks to 3 month. 147 patients are chosen as study subject among patients who were in recovery of 2weeks, 1month, 2months and 3 months after surgical operation which is modified radical mastectomy. Data were collected at oncology medicine local and general surgery local in Seoul National University Hospital from May, 2003 to October, 2003. The range of motion of the shoulder(flexion, extension, abduction, internal rotation, external rotation) were examined. Analysis of data that shoulder range of motion average and standard deviation, percentage of the unaffected side and affected side compare with normal shoulder range of motion. Paired t-test was adopted to analyze the difference between affected side and unaffected side. Conclusion from this study is as following, 1. The most serious problem was external rotation (0.56%) and internal rotation is the next (19.9%) in 5 kinds of shoulder range of motion in 2 weeks after surgical operation 2. There was no difference in internal rotation after post operation 3 months but there were differences and shown to recover more than 90% in flexion and abduction. Also shoulder function incresed in flextion less than 80% and more than 80% in external rotation. As this study finding was shown that shoulder range of motion did not get back perfectly except of internal rotation and extension in point of 3 months after breast cancer surgical operation. External rotation was specially shown the lowest result so it is needed to exercise for improving their physical functioning recovery in postmastectomy patients. And it is suggested to study for helping to postmastectomy patients' physical and psycosocial functions with the early rehabilitation program which is based on these results.

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Studies on the Local Irritation of DA-5018, a New Capsaicin Derivative (새로운 캅사이신 유도체 DA-5018의 국소자극성에 관한 연글)

  • 손문호;배은주;신명수;김희기;김순희;김원배;양중익
    • Biomolecules & Therapeutics
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    • v.5 no.2
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    • pp.150-157
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    • 1997
  • Capsaicin cream has been used to attenuate the pain associated with diabetic neuropathy, rheum-atoid arthritis, osteoarthritis and postherpetic neuralgia. But its common side effect, local irritation, limits the use of it and there is still a need for a new analgesic devoid of this side effect. This study was conducted to compare the local irritant effect of DA-5018, a new capsaicin derivative, with that of capsaicin in various animal models and human beings. Capsaicin, applied topically to the mouse ear, produced dose-dependent increase of ear volume and the frequency of ear scratching behavior in mice. Neither ear volume nor scratching behavior was affected by DA-5018. In eye wiping test of rat, DA-5018 was 10 times less irritant than capsaicin. Capsaicin administered intradermally into the rat paw elicited paw lick/lift response with a potency which was three times that of DA-5018. Zostrix-HP (0.075% capsaicin cream), but not DA-50180.3% cream, increased ear volume of rat and induced thermal hyperalgesia in normal and carrageenan inflamed paws. Six day-treatment of Zostrix-HP failed to develop tolerance against this thermal hyperalgesia. In human beings, Zostrix-HP produced burning sensation and itching in more than 90% of volunteers involved and its maximum irritant effect was significantly higher than that of DA-5018 cream. These results suggest that local irritation and burning sensation produced by DA-5018 is much less than capsaicin.

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Effects of Differences Frequency of Repeated Transcranial Magnetic Stimulation Applied to the Less Affected Contralesional Corticomotor Area on Upper Extremity Function in Patients with Stroke (뇌졸중 환자의 비손상측 대뇌겉질 운동영역에 적용한 반복 경두개 자기자극의 빈도가 팔 기능에 미치는 영향 )

  • Ha-Na Kim;Sang-Mi Chung
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.281-289
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    • 2023
  • Purpose : In this study, we aimed to determine how frequencies different of repetitive transcranial magnetic stimulation applied to the less affected contalesional corticomotor area affect upper extremity motor function in patients with acute stroke within 3 months of onset. By doing so, we aimed to propose a new method of rTMS intervention based on the degree of damage and recovery status of the patient, rather than the generalized rTMS intervention that has been used uniformly. Methods : The rTMS intervention was applied on the contralesional side of the cerebral hemisphere damage. 15 subjects in the HF-rTMS group, 12 subjects in the LF-rTMS group, and 14 subjects in the SF-rTMS group were randomized to receive the rTMS intervention in each group for a total of 10 sessions on five consecutive weekdays for two weeks, and underwent FMA-U to determine changes in upper extremity function following the intervention in each group. FMA-U was performed within 24 hours before and after the rTMS intervention. Results : When the FMA-U was performed to determine the pre- and post-intervention changes in upper extremity motor function within the groups, no statistically significant differences were found in the SF-rTMS group before and after the intervention, but significant statistical differences were found in the HF-rTMS group (p=.006) and the LF-rTMS group (p=.020), with greater significance in the HF-rTMS group than the LF-rTMS group. Conclusion : This study confirmed that compensatory action by activating the less affected contralesional corticomotor area based on the bimodal balance-recovery model can support upper extremity recovery patients with acute stroke within 3 months of onset, depending on the degree of damage level and recovery status. Therefore, the results of the contralesional HF-rTMS application in this study may provide a basis for proposing a new rTMS intervention for upper extremity recovery in stroke patients.

Stress Corrosion Cracking Behavior under Cavitation Erosion-Corrosion in Sea Water-Part (II) (해수환경중 캐비테이션 침식-부식 하에서의 응력부식균열 거동 (II))

  • 안석환;임우조
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.36 no.2
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    • pp.139-146
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    • 2000
  • Cavitation can occur in pipes when liquid is moving at high velocity, especially at pittings where the smooth bore of the pipe is interrupted. The effect is usually to produce pitting on the downstream side of the turbulence. However, stress corrosion cracking behavior under cavitation erosion-corrosion was neatly unknown. In this study, therefore, some were investigated of stress corrosion cracking behavior, others were stress corrosion cracking behavior under cavitation erosion-corrosion of water injection. And datas obtained as the results of experiment were compared between the two. Mainresult obtained are as follows: 1) Stress corrosion cracking growth rate of heat affected zone under cavitation erosion-corrosion becomes most rapid, and stress intensity factor $K_1$becomes most high. 2) Stress corrosion cracking growth mechanism by cavitation erosion-corrosion is judgement on the strength of the film rupture model and the tunnel model. 3) The range of potential as passivation of heat affected zone is less noble than that of base metal, and that value is smaller. 4) Corrosion potential under cavitation erosion-corrosion in loaded stress is less noble than that of stress corrosion, and corrosion current density is higher.

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Effects of Coping on Physical and Psychosocial Adaptation by Illness Duration in Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 질병 기간에 따른 대처 유형과 적응과의 관계)

  • Kim, In-Ja;Suh, Moon-Ja
    • Journal of muscle and joint health
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    • v.5 no.1
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    • pp.26-38
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    • 1998
  • The effects of coping on physical and psychosocial adaptation in the 297 patients with rheumatoid arthritis were investigated. The coping methods were divided into compliance of medical regimens, self-control activities, and cognitive control. The effects of these coping methods was analyzed with stepwise regression. The physical adaptation is found to be significantly affected by cognitive control, self-control activities, and compliance of medical regimens in order Compliance of the medical regimens affects negatively the physical adaptation. And psychosocial adaptation is significantly affected by the cognitive control. The analysis of these results by illness duration showed the distinct differences. That is in the patients who experienced the disease less than 48 months, the physical and the psychosocial adaptation were significantly affected only by the cognitive control. But in the patients who experienced the disease more than 96 months, the physical and the psychosocial adaptation were significantly affected by self-control activities. Based upon these results, it is recommended that the nurses who care the newly diagnosed patients emphasize on the positive side of the state. And the patients who are diagnosed long ago need the nursing programs which teach and promote self-control activities. Also it is suggested that the results of compliance must be considered rather than as the result variable.

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EFFECT OF CANTILEVER LENGTH AND LOAD ON STRESS DISTRIBUTION OF FIXED IMPLANT-SUPPORTED PROSTHESES (캔틸레버의 길이와 하중이 하악 임플랜트지지 고정성 보철물의 응력 분산에 미치는 영향)

  • Tae, Yen-Sup;Lee, Wha-Young;Cho, Hye-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.4
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    • pp.615-643
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    • 1998
  • The purpose of this study was to evaluate the effect of cantilever length, load, and implant number on the stress distribution of implant supported fixed prosthesis. In the replica of an edentulous human mandible, four or five implants were placed and spaced evenly between the mental foramina and symmetrical gold alloy cast superstructures with cantilever were fabricated. Strain gauges were placed in buccal and lingual side of implants. 9, 15, 21kg of loads at varying cantilever lengths were applied to the occlusal surface of fixed prostheses. The strains were recorded from each gauge and principal stresses were calculated The results were as follows : 1. Increasing the length of the cantilever increased the stresses on the bone supporting implants. and the ratio of increase became high as increasing the load. 2. In the model with four implants, the highest compressive stress was measured on lingual side of the first implants nearest loading point and the highest tensile stress was measured on buccal side of the second implants. 3. In the model with five implants, the highest compressive stress was measured on lingual side of the first implants nearest loading point. And the highest tensile stress was measured on buccal side of the second implants, and lingual side of the third implants. 4. There was no significant change of the magnitude of stress on the most distal imp]ant of non cantilevered side as increasing the cantilever length or load. 5. In general, the superstructure supported by five implants reduced the stress and was less affected by cantilever length compared to the support provided by four implants.

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Evaluation on fracture toughness of high frequency electric resistance welded steel pipe by unloading compliance method (고주파 전기저항 용접강관의 제하 컴플라이언스법에 의한 파괴인성 평가)

  • 오세욱;윤한기;안광주
    • Journal of Welding and Joining
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    • v.5 no.2
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    • pp.44-52
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    • 1987
  • The fracture toughness, $J_{IC}$ of high frequency electric resistance welded steel pipe for smooth and side-grooved CT specimen was evaluated by unloading compliance method. The crack growth, .${\delta}a$ was obtained from the equation of Donald and Saxena & Hudak, and $J_{IC}$ was determined from the curve of J-${\delta}a$ relations. The crack growth on the experiment using unloading compliance method is underestimated as compared with ${\delta}a$ measured directly by the SEM, so the reliability of $J_{IC}$ from saxena & Hudak equation is large than that from Donald. The $J_{IC}$ value of side-grooved CT Specimen is estimated less than that of smooth, and this is the effect of the side-groove, the shear-lip of crack tip and the reduction of crack tunnelling phenomena.

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Importance of Leu-5 and Pro-6 in the Inhibitory Activity of the Serratia marcescens Metalloprotease Inhibitor (SmaPI)

  • Bae, Kwang-Hee;Kim, Dong-Min;Kim, Sun-Taek;Kim, Tae-Hoon;Shin, Yong-Chul;Byun, Si-Myung
    • BMB Reports
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    • v.34 no.2
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    • pp.109-113
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    • 2001
  • The Serratia marcescens metalloprotease inhibitor (SmaPI) is a proteinase inhibitor toward Serratia marcescens metalloprotease (SMP). The three-dimensional structure of SmaPI was calculated by computer modeling using the structure complex between SMP and the Erwinia chrysanthemi inhibitor as a template. Based on this model structure, the substitution of the amino acid residues, Ala4, Leu-5, Pro-6, and Thr-7, were located at the hinge region of the N-terminal segment by site-directed mutagenesis. Although the A4R and T7A mutant SmaPIs showed a nearly full inhibitory activity, the inhibitory activity of SmaPI decreased significantly when the Leu-5 was converted to Ala, Gly, Ile, or Val. Surprisingly, the L5I and L5V mutant SmaPIs showed less inhibitory activities than the L5A mutant. From these results, we suggested that the orientations and positions of respective aliphatic groups in the side-chain of position 5 mainly affected the inhibitory activity of SmaPI. The overall side-chain hydrophobicity was only slightly affected. The side-chain of the Leu-5 residue contributed approximately 0.79 kcal/mol out of 8.44 kcal/mol to the binding of SmaPI with SMP The inhibitory activities of P6A and F6G were also severely decreased. The Pro-6 may have a critical role in maintaining the strict conformation of the N-terminal portion that may be important in the inhibitory activity of SmaPI. In conclusion, Leu-5 and Pro-6 have crucial roles in the inhibitory function of SmaPI toward SMP.

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