• Title/Summary/Keyword: ROM data

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Biomechanical changes in lower quadrant after manipulation of low back pain patients with sacroiliac joint dysfunction (요통환자의 엉치엉덩관절 기능부전에 대한 도수교정 후에 하지의 생체역학적인 변화)

  • Oh, Seung-Gil;Yoo, Seung-Hee
    • Journal of Korean Physical Therapy Science
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    • v.8 no.1
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    • pp.893-906
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    • 2001
  • The purposes of this study were to compare pelvic tilt. range of motion(ROM) of hip rotation, and leg length difference before and after manipulation and to investigate correlation between changes of each variables after manipulation of sacroiliac pint in 31 low back pain patients(11 males, 20 females) with sacroiliac pint dysfunction. The sacroiliac pint of patients was manipulated on the side of anterior pelvic tilt, using the technique described by Stoddard(1962) and Greenmann (1996). I used this technique because it usually eliminated sacroiliac Pint dysfunction in one treatment session. SPSS for window computer system was used to analyze the data. Also t-test was performed for comparison of the variables before and after manipulation, and Pearson product-moment correlation analysis and regression analysis were performed for changes of each variables after manipulation. The result were as follows: 1. The pelvic tilt after manipulation was significantly decreased(mean=$2.79^{\circ}$) compared with the pelvic tilt before manipulation(p=.001). 2. The PROM of hip internal rotation ipsilateral to anterior pelvic tilt after manipulation significantly decreased (mean = $1.88^{\circ}$) compared with hip internal rotation before manipulation (p=.008). The PROM of hip internal rotation ipsilateral to posterior pelvic tilt after manipulation significantly increased(mean = $1.29^{\circ}$) compared with hip internal rotation before manipulation (p=.029). 3. The PROM of hip external rotation ipsilateral to anterior pelvic tilt after manipulation significantly increased(mean=$2.42^{\circ}$) compared with the hip external rotation before manipulation(p=$2.42^{\circ}$) compared with the hip external rotation ipsilateral to posterior pelvic tilt after manipulation significantly decreased(mean = $1.84^{\circ}$) compared with the hip external rotation before manipulation (p=.008). 4. Leg length difference after manipulation significantly decreased(mean=2.15 mm) compared with leg length difference before manipulation (p=.008). Regression analysis revealed that a fair correlation was found between change in leg length difference and change in anterior pelvic tilt after manipulation(p=.009). 5. Pearson product-moment correlation coefficient was used to assess differences of the variables after manipulation. A fair correlation was found between change in leg length difference and change in anterior pelvic tilt after manipulation(r=.462, p<.01). A fair correlation was found between change in anterior pelvic tilt and change in hip internal rotation ipsilateral to anterior pelvic tilt(r=.397, p<.05) and between change in anterior pelvic tilt and change in hip external rotation ipsilateral to anterior pelvic tilt(r=.516, p<.01). A fair correlation was found between change in posterior pelvic tilt and changes in hip internal rotation ipsilateral to posterior pelvic tilt (r=.441, p<.05) and between change in posterior pelvic tilt and change in hip external rotation ipsilateral to posterior pelvic tilt(r=.361, p<.05). A fair correlation was found between change in hip internal rotation ipsilateral to anterior pelvic tilt and change in hip external rotation ipsilateral to posterior pelvic tilt(r=.388, p<.05) and between change in hip internal rotation ipsilateral to posterior pelvic tilt and change in hip internal rotation ipsilateral to anterior pelvic tilt(r=.426. p<.05).

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Effects of Conservative Korean Traditional Medical Treatment on Lumbar Intervertebral Disc Herniation in 12 Adolescents : A Retrospective Study (청소년기 요추간판탈출증에 대한 한방 보존적 치료 12례의 후향적 분석)

  • Kim, Hae Sol;Bae, Young Hyun;Kim, Ho Sun;Suh, Chang Yong;Kim, No Hyeon;Lee, Gi Bum;Yang, Kyu Jin
    • Journal of Acupuncture Research
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    • v.33 no.1
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    • pp.103-116
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    • 2016
  • Objectives : This study was performed to assess the effectiveness of conservative Korean traditional medical treatment on lumbar intervertebral disc herniation in 12 adolescents. Methods : Data were collected from adolescent patients diagnosed with lumbar intervertebral herniation by MRI, hospitalized at Jaseng Korean Medicine Hospital from January 1, 2014 to December 31, 2015. A total of 12 patients were included in the study. Patients were treated by acupuncture, pharmacopuncture, electroacupuncture, herbal medicine, chuna manual therapy, physical therapy during hospitalization period. To measure treatment outcomes, a verbal numerical rating scale (VNRS), Oswestry disability index (ODI), range of motion (ROM), Straight leg raising test (SLR), and EQ-5D were used. Results : The average age of the participants was $16.05{\pm}1.62$. The average of duration of symptom was $19.25{\pm}26.83(weeks)$ and the average length of hospitalization was $23.8{\pm}16.4(days)$. 2 patients (17 %) suffered from only lumbar pain, while 10 patients (83 %) suffered from lumbar and leg pain. No participant suffered from only leg pain. 8 patients (67 %) were diagnosed with disc herniation in one segment, and 4 patients (33 %) were diagnosed with disc herniation in multiple segments. A total of 17 disc segments (28 %) were herniated. The most herniated lumbar level was L4-5. 3 segments were diagnosed with bulging (17 %), 6 with protrusion (35 %), and 8 with extrusion (47 %). Extrusion was the most frequent herniated type. After treatment, the average VNRS of lumbar pain significantly decreased from $5.58{\pm}1.62$ to $2.91{\pm}1.56$ (p<0.001) and the average VNRS of leg pain significantly decreased from $5.16{\pm}2.51$ to $3.08{\pm}1.8$ (p<0.001). ODI significantly decreased from $48.87{\pm}18.72$ to $28.57{\pm}15.05$ (p<0.05), and EQ-5D significantly increased $0.58{\pm}0.31$ to $0.80{\pm}0.12$ (p<0.05). Range of flexion significantly improved from $61.25{\pm}32.62$ to $68.33{\pm}26.22$ (p<0.05). Conclusion : Conservative Korean Traditional Medical Treatment may be effective in the treatment of lumbar intervertebral disc herniation in adolescence. However, more case reports and clinical research are needed.

A Comparative Study on Effective Factors Related to Home Nursing Care in Hospital and Community-based Care in Korea (한국 가정간호사업의 유형별 비교분석)

  • Kim, Sung-Sil
    • Research in Community and Public Health Nursing
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    • v.9 no.1
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    • pp.181-199
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    • 1998
  • This study was designed to examine Home Nursing Care in Hospital-based and Community-based programs. This study investigates actual conditions of nursing needs and demands of clients and their family and the state of home nursing services. We hope that this study will improve upon the current home nursing care system. In Korea Home-Nursing Care programs are still developing and only now becoming a part of the health care delivery system. The data was collected by a questionaire the clients developed and modified through literature review by this writer and through 10 nurses who are members of 4 hospital and 3 community- based agencies. In this study 173 clients were selected. The study lasted from Oct. 1997 to March of 1998. The results show that the average age was 64.3, years older than most women clients (63.0%), the average age of a caregiver was 50.9 years old and most were female(77%). Two types of agency clients with a significant difference between social conditions [25.7%] used some form of insurance; 54.3% had the spouse pay expenses; pay 58.5% son and daughters of Hospital-based agencies: patients of social workers were 24.0%, the highest in the community agency. The condition of patients was 63.2% of the foley and nelaton catheter insertion at hospital based agencies. The range of nursing services offered is one of the highest among the 34 kinds of servies including nasogastric tube management basic nursing, ROM exercise, bladder irrigation, wound and sore dressing. For an effective care service factors that disturb each program such as a non-cooperatative family as well as patients themselves need to be lessened. Further more, the following must be emphasized, supportive counsel 27.0%, steady care for patient, 13.3%maintain a sense of security(11.7%), dressing sores and nutrition(10.0%). Although there were a large number of home nursing care services in the community, policy changes have gathered momentum. Fortunately, the scope and level at legal support will be increased in the future. The program should intergrate and link the district or community together. A project to develop a community based home nursing system as soon as possible should be developed. In conclusion, home nursing care nurses training curriculum should be strengthened.

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On the Relationship between Typhoon Intensity and Formation Region: Effect of Developing and Decaying ENSO (태풍 강도와 발생지역의 상관성 연구: ENSO 발달과 소멸의 영향)

  • Jang, Sae-Rom;Ha, Kyung-Ja
    • Journal of the Korean earth science society
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    • v.29 no.1
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    • pp.29-44
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    • 2008
  • This study investigates the influence of the developing and decaying El $Ni{\tilde{n}}o$-Southern Oscillation (ENSO) on the relation between typhoon intensity and its formation. From the long-tenn data of 57 years ($1950{\sim}2006$), we first defined the developing El $Ni{\tilde{n}}o$ years and the neutral years. During the developing El Nino years, the typhoon intensity has a strong relationship with formation region of the tropical cyclone, which results in an increase of the accumulated cyclone energy and intensity of energy of typhoon. During the developing El $Ni{\tilde{n}}o$ year based on $Ni{\tilde{n}}o$ 3.4 SST, the locations for the formation of the category 4+5 typhoon move to the eastward region. The genesis potential function and the low-level cyclonic vorticity have an important role on the formation of strong tropical cyclones, which eventually develop as a typhoon class. In this study, the dynamic potential (DP) function (Gray, 1977) and EOF 1 and EOF 2 time series (RMM 1 and RMM 2) of real-time multivariate MJO (Wheeler and Hendon, 2004) are used to measure the genesis potential and the low-level cyclonic vorticity, respectively. To investigate the influence of the developing and decaying ENSO, we defined the Type I case of the decaying El $Ni{\tilde{n}}o$ that turnovers to La Nina, and the Type II case of the recovering years to the neutral condition. During the decaying El $Ni{\tilde{n}}o$ years as Type I, the locations of the strong DP, RMM 1 and RMM 2 move to the westward more prominently to induce retard of the strong typhoon developing.

A Literatural Investigation of Diagnosis Methods and Evaluation Outcomes for the Clinical Trials on Temporomandibular Disorders (측두하악장애 임상연구에 사용된 진단 및 평가기준에 대한 문헌적 고찰)

  • Moon, Byung-Heon;Choi, Young-Jun;Yoo, Su-Bin;Ju, Yeung-Guk;Song, Seong-Bae;Song, Gwang-Chan;Seo, Ji-Yeon;Choi, Hee-Seung
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.4
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    • pp.45-55
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    • 2016
  • Objectives The aim of this review is to provide fundamental data for temporomandibular disorders diagnosis and evaluation criteria which can be used in clinical trial. Methods We investigated the clinical studies on temporomandibular disorders via PubMed. Also, we searched domestic articles through "OASIS", "NDSL", "KISS", "Korean Traditional Knowledge Portal (KTKP)". The articles we focused on were the recent decade from 2007 to 2016. A total of 139 studies were analyzed: 42 domestic articles and 97 overseas articles. This study focuses on the diagnosis and evaluation criteria on temporomandibular disorders. Results 1) In diagnosis criteria, Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) was used 14 times in domestic articles and 63 times in overseas articles. Clinical symptoms were used 13 times in domestic articles, 17 times in overseas articles. 2) In evaluation criteria, Visual Analog Scale (VAS) was used as a pain scale 12 times in domestic articles, 63 times in overseas articles. Pressure Pain Threshold (PPT) was used 16 times in overseas articles. Whereas, no clinical trials used PPT in domestic articles. In psychological scale, Symptom Checklist-90-Revised (SCL-90-R) was used 6 times. However, SCL-90-R was used 2 times in domestic articles. ROM(Maximum Mouth Opening (MMO), Maximum Comfortable Opening (MCO) were used 24 times in overseas. In domestic articles, MMO was counted 12 times, while MCO was counted 5 times. Conclusions This research reviewed the tendency of using diagnosis methods and evaluating outcomes of the clinical on TMD. It is expected that this investigation would develop further treatment for TMD in the Korean Medicine.

Development of Prediction Model on Fruit Width Using Climatic Environmental Factors in 'Fuji' Apple (기후 환경 요인을 이용한 사과 '후지'의 과실 횡경 예측 모델 개발)

  • Han, Hyun Hee;Han, Jeom Hwa;Jeong, Jae Hoon;Ryu, Suhyun;Kwon, YongHee
    • Journal of Bio-Environment Control
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    • v.26 no.4
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    • pp.346-352
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    • 2017
  • In this study, we analyzed environmental factors including annual fruit growth and meteorological conditions in Suwon area from 2000 to 2014 to develop and verify a fruit width prediction model in 'Fuji' apple. The 15-year average of full bloom data was April 28 and that of fruit development period was 181 days. The fruit growth until 36 days after full bloom followed single sigmoid curve. The environmental factors affecting fruit width were BIO2, precipitation in September, the average of daily maximum and minimum temperature in April, minimum temperature in August, and growing degree days (GDD) in April. Among them, the model was constructed by combining BIO2 and precipitation in September, which are not cross-correlated with each other or, with other factors. And then, the final model was selected as 19.33095 + (5.76242 ${\times}$ BIO2) - (0.01891 ${\times}$ September precipitation) + (2.63046 ${\times}$ minimum temperature in April) which was the most suitable model with AICc of 92.61 and the adjusted $R^2$ value of 0.53. The model was compared with the observed values f rom 2000 to 2014. As a result, the mean difference between the measured and predicted values of 'Fuji' apple fruit width was ${\pm}2.9mm$ and the standard deviation was 3.54.

Coastal Current Along the Eastern Boundary of the Yellow Sea in Summer: Numerical Simulations (여름철 황해 동부 연안을 따라 흐르는 연안 경계류: 수치 모델 실험)

  • Kwon, Kyung-Man;Choi, Byoung-Ju;Lee, Sang-Ho;Cho, Yang-Ki;Jang, Chan-Joo
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.16 no.4
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    • pp.155-168
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    • 2011
  • Coastal boundary current flows along the eastern boundary of the Yellow Sea and its speed was about 0.l m/s during the summer 2007. In order to find major factors that affect the coastal boundary current in the eastern Yellow Sea, three-dimensional numerical model experiments were performed. The model simulation results were validated against hydrographic and current meter data in the eastern Yellow Sea. The eastern boundary current flows along the bottom front over the upper part of slopping bottom. Strength and position of the current were affected by tides, winds, local river discharge, and solar radiation. Tidal stirring and surface wind mixing were major factors that control the summertime boundary currents along the bottom front. Tidal stirring was essential to generate the bottom temperature front and boundary current. Wind mixing made the boundary current wider and augmented its north-ward transport. Buoyancy forcing from the freshwater input and solar radiation also affected the boundary current but their contributions were minor. Strong (weak) tidal mixing during spring (neap) tides made the northward transport larger (smaller) in the numerical simulations. But offshore position of the eastern boundary current's major axis was not apparently changed by the spring-neap cycle in the mid-eastern Yellow Sea due to strong summer stratification. The mean position of coastal boundary current varied due to variations in the level of wind mixing.

A Demand forecasting for Electric vehicles using Choice Based Multigeneration Diffusion Model (선택기반 다세대 확산모형을 이용한 전기자동차 수요예측 방법론 개발)

  • Chae, Ah-Rom;Kim, Won-Kyu;Kim, Sung-Hyun;Kim, Byung-Jong
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.10 no.5
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    • pp.113-123
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    • 2011
  • Recently, the global warming problem has arised around world, many nations has set up a various regulations for decreasing $CO_2$. In particular, $CO_2$ emissions reduction effect is very powerful in transport part, so there is a rising interest about development of green car, or electric vehicle in auto industry. For this reason, it is important to make a strategy for charging infra and forcast electric power demand, but it hasn't introduced about demand forecasting electric vehicle. Thus, this paper presents a demand forecasting for electric vehicles using choice based multigeneration diffusion model. In this paper, it estimates innovation coefficient, immitation coefficient in Bass model by using hybrid car market data and forecast electric vehicle market by year using potential demand market through SP(Stated Preference) experiment. Also, It facilitates more accurate demand forecasting electric vehicle market refelcting multigeneration diffusion model in accordance with attribute progress in development of electric vehicle. Through demand forecasting methodology in this paper, it can be utilized power supply and building a charging infra in the future.

The Comparison of Lower Extremity Muscle Activities according to Different Longitudinal arch and Treadmill Inclination (세로발활 높이와 트레드밀 경사도 차이에 따른 하지의 근활성도 비교)

  • Kim, Eun-Young;Kim, Yeon-Ju;Kim, Keun-Jo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.10
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    • pp.4459-4466
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    • 2011
  • The purpose of this study was to compare the lower extremity muscle activities according to the different longitudinal arch and treadmill inclination and to provide basic data on treadmill walking exercise. The selected 17 subjects who had not lower extremity injury and ROM limitation were recruited in this study. The longitudinal arch was divided into normal foot and flat foot. The inclinations of the treadmill were $0^{\circ}$, up hill $5^{\circ}$, $10^{\circ}$, $15^{\circ}$, down hill $5^{\circ}$, $10^{\circ}$ and $15^{\circ}$. The electromyography was used to analyze the muscle activity of rectus femoris, biceps femoris, tibialis anterior, gastrocnemius lateralis and medialis. There were significant differences between the inclination $0^{\circ}$ and down hill $15^{\circ}$. There was no interactive effect of treadmill inclination on the longitudinal arch. The activity difference of lower extremity muscle was not conspicious. There existed the interactive effect between the longitudinal arch and muscle activity. The contrast test within subjects showed positively in the rectus femoris and gastrocnemius medialis, biceps femoris and gastrocnemius medialis. The different longitudinal arch did not influence on the effect(p>.05). There was significant difference between the normal foot and the flat foot. So it is necessary to carry out the long term study.

Medico-Legal Consideration of Hemopneumothorax - Closing Claim Study- (${\cdot}$기흉과 관련된 의료법학적 문제에 대한 고찰 -종결된 사건을 중심으로-)

  • Bae, Hyu-Na;Cheon, Young-Jin
    • Journal of Chest Surgery
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    • v.39 no.2 s.259
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    • pp.117-126
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    • 2006
  • Background: The purpose of this study is to describe the characteristics of malpractice claims related to hemopneumothorax and to identify the causes and potential preventability of such claims. Material and Method: A retrospective study was performed by reviewing the records in the Lawnb website and Lx CD-rom: the records on closed malpractice claims involving hemopneumothorax were abstracted from the files available for analysis. The records were reviewed and were analysed to determine the etiology of hemopneumothorax, patient age, results of lawsuit and indemnity payment, underlying diseases, cause of death or complications, and the factors associated with a successful defense. Result: Seven closed claim involving hemopneumothorax were founded in the data for malpractice. Three claims were supreme court decision, one was a high court decision and three claims were district court decision. The most common cause of death was tension pneumothorax. Four of which resulted in indemnity payments. Conclusion: While malpractice claims involving hemopneumothorax were uncommon, they resulted in a high rate and amount of indemnity payments. Claims are more common in pediatric patients. In case of iatrogenic hemopneumothorax, post-procedural X-ray can improve patient outcome and is also associated with decreased indemnity risks. Informed consent is also important.