• 대한임상전기생리학회지
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• 제11권1호
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• pp.45-52
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• 2013

Purpose : The goal of this study is to estimate the effect of SSP electrical stimulation applied to acupoints as conducted in oriental medicine on the swallowing function of patients with swallowing difficulties caused by stroke. Methods : Twenty-two hemiplegic stroke patients with swallowing difficulties were divided into an intervention-only group (Group I; n=11) and an intervention-SSP electrical stimulation group (Group II; n=11). Therapeutic intervention was performed on participants in the intervention-only group and the intervention-SSP electrical stimulation group, for 20 minutes per session, three times per week, for four weeks. In this study, SSP electrical stimulation to the acupoints (Cheondol, Yomchon, Budol, Pungji, and Sanyinjian) of stroke patients with swallowing difficulties was applied, and to investigate the effects of SSP electrical stimulation, Clinical dysphagia scale (CDS) and ultrasonography assessment was used to measure pre and post-intervention scores. Results : In the clinical dysphagia scale assessment, the post-intervention score for group II had significant enhancement unlike group I. In the ultrasonography assessment, the hyolaryngeal movement in group II showed significant increase in the swallowing function unlike group I. Conclusion : From the above results, significant effects came from SSP electrical stimulation of 3Hz, biphasic wave, continuous current when applied to the acupoints as conducted in oriental medicine to improve the swallowing function of stroke patients.

• 구강회복응용과학지
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• 제19권3호
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• pp.239-245
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• 2003

The occurrence and pattern of tooth wear are related to cultural, dietary, occupational, and geographic factors, Excessive occlusal wear can result in pulpal exposure, occlusal disharmony, functional inability. Surface loss can be differentiated into 3 general causal categories: i) mechanical loss, which includes attrition, ii) abrasion chemical loss including erosion, and finally iii) a proposed biomechanical category described as abfraction. Considering that mechanical wear is frequently asymptomatic, patients may have parafunctional habit. Structured clinical decision analysis in fixed prosthodontics, as other branches of dentistry do, allows the practitioner to consider the patient's problems more thoroughly based on the clinical data and extenuation factors. This discipline of decision making is intended to complement the experience level and educational background of the clinician in assisting the patient through the decision process. Additionally, CDA helps the clinician define not only the pre-existing condition of the patient prior to irreversible therapy, but also better treatment strategies for the patient over an extended period. The systematic nature of decision analysis stimulates the dentists to pay further attention to those factors, which is germane to the overall complexity of the case, and exclude factors, which have little influence on its final outcome. Further implementation of computerized databases, procedural outcome probabilities based on clinical and laboratory studies and the clinical experience of those who use it, may provide quite a promising future in the field of structured and formalized clinical decision analysis.

• 구강회복응용과학지
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• 제31권2호
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• pp.134-142
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• 2015

편평태선은 면역 매개 점막피부 질환으로 병인은 여전히 알려져 있지 않고, 중년의 백인 여성에서 흔히 발생하고 구강점막에서 증상이나 징후가 생기기도 한다. 편평태선의 피부 병소는 가려움을 유발하나 자기 제한적이고, 구강편평태선의 구강 병소는 만성적이고 좀처럼 스스로 치유되지 못하고, 드물긴 하나 잠재적으로 전암 병소로 발전할 수 있다. 구강편평태선은 비록 비치태 연관 질환이나 통증, 출혈로 인해 적절한 치태 조절이 어렵게 되어 치태 연관 질환을 야기할 수 있고, 작열감, 자발적인 출혈 등 구강편평태선과 관련된 점막 증상이 축적된 치태에 의해 더욱 악화될 수 있다. 따라서 구강편평태선 환자에서 구강편평태선 자체의 약물적 치료뿐만 아니라 적절한 구강 위생 관리, 치석 제거 등의 치주 치료가 동반되어야 한다. 본 증례에서는 구강편평태선 환자에서 국소적인 코르티코스테로이드 치료뿐만 아니라 구강 위생 교육을 포함한 치주 치료를 통해 증상 및 징후를 개선시키고 재발 방지를 도울 수 있었다.

• 구강회복응용과학지
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• 제31권2호
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• pp.104-111
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• 2015

목적: 이 후향적 연구의 목적은 한국인에서 콘빔CT를 이용하여 상악 대구치에서 C-형 치근 및 근관의 발현빈도와 형태를 분류하기 위함이다. 연구 재료 및 방법: 총 357개 상악 대구치(제1대구치 186개, 제2대구치 171개)의 콘빔CT 영상을 두 명의 치과보존과 전문의가 평가하였다. 결과: 8가지의 C-형 치근 형태와 5가지의 C-형 근관형태로 분류할 수 있었으며, C-형 치근 및 근관의 발현빈도는 각각 21.0%와 5.3%였다. 결론: 이러한 해부학적 변이는 제1대구치보다 제2대구치에서 많이 발견되었다. 상악 대구치의 성공적인 근관치료를 위해 다양한 형태의 C-형 치근 및 C-형 근관에 대한 해부학적 지식이 필요하다.

• 지역사회간호학회지
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• 제14권3호
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• pp.488-495
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• 2003

Purpose: This study was attempted to provide the basic data in order to develop a supportive system for the family by investigation of the general and disability-related features of the industrial accident disabled and their family function. Method: Three hundred and forty six industrial accident disabled were randomly selected among those who resided in the Seoul, Incheon, and Gyeonggi areas, and who were confirmed as disabled according to its severity from the first to fourteenth grade from January, 1998 to December, 2000. The data were collected for one month from August 1 to August 31, 2001. Each study team consisted of two members out of 20 researchers and they interviewed the disabled individually by visiting their homes. Collected data were analyzed using frequency, percentages, t-test, ANOVA, and Correlation, etc. Results: The average score for family function was 102.60. The adaptability represented the highest score among the concepts dependent on the family function. The concepts were cohesion, adaptability and communication, which scored as 33.59, 35.38, 33.34, respectively. The family function was significantly different in education, marital status and subjective health status. In particular, the family function was excellent from the industrial accident disabled who had graduated from middle school, was married, and felt healthy. Depression and quality of life were other factors, which were also correlated significantly with the family function. The lower the degree of depression and the better the quality of life, the better the family function. Conclusion: The industrial accident disabled who had been in poor health or faced with difficulties in daily activities even after the therapy for the disability was completed. In particular, their family always had a great burden to care for the disabled and to take financial responsibility. Therefore, the rehabilitation program for the disabled should be family oriented.

• 동의생리병리학회지
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• 제21권6호
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• pp.1663-1669
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• 2007

Acute transverse myelitis(ATM) is defined as an acute intramedullary dysfunction of the spinal cord, ascendng or static involving both halves of the cord and appearing without any history of previous neurological diseases due to traumatic accident, tumor of all kind, encephalitis and of course excluding all possible viral, bacterial and fungal infection. It is mainly characterized by acute motor disorder of both limbs in respect to which spinal segments are affected as well as sensory disorder and dysuria & dyschezia. The exact cause is unknown, however it is recently suggested that immunological factors are highly involved. It has been reported by several reliable sources that it is often accompanied by immunological diseases such as systemic lupus erythematosus(SLE). As treatments non steroid anti-inflammatory drugs(NSAIDS) are primarily recommended as to steroids, limited doses are injected only with the proper prescription from the physician. Operative methods are not options as traumatic accidents and tumors are excluded as factors. To enhance muscle strength and prevent articular contracture physical therapy and passive exercise is imperative. The following patient whose chief complaints were mainly about hypoesthesia of Rt. lower limb and stiffness of phalanges of both fingers as well as to weakness of lower extermity. Therefore it has been diagnosed as arthalgia syndrome. In oriental medicine factors such as wind evil heat-evil, dampness-heat evil, cold evil cause the arthalgia syndrome. In this case the patient was diagnosed as dampness-heat evil and herbal medicine Chunglijagam-Tang and Dong-Qi acupuncture was applied to treat bladder disorder.

• 대한기계학회논문집A
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• 제41권4호
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• pp.329-332
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• 2017

본 연구는 기존 운동기기에 부착 가능한 새로운 운동중량, 횟수 자동측정기기의 개발을 위하여 센서모듈과 운동정보획득 알고리즘을 이용하여 운동의 양을 측정할 수 있는 시스템의 운동 계측성능 평가에 관한 것이다. 개발된 시스템은 기존 사용되고 있는 운동기기에 손쉽게 장착할 수 있도록 설계하였으며 측정된 데이터는 스마트폰에 블루투스로 전달 가능하도록 하였다. 실험결과 운동습관이 다른 3명의 사용자로부터 무게 및 횟수를 작은 오차로 검출할 수 있었다. 본 시스템은 사용자의 운동을 측정하여 운동데이터 활용이 가능한 각종 기기에 전달함으로써 개인 맞춤형 헬스케어 시스템 및 재활치료 시스템에도 적용이 가능하다는 장점을 가지고 있다.

• 한국융합학회논문지
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• 제11권9호
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• pp.31-37
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• 2020

본 연구는 뇌졸중 환자에게 과제 지향적 훈련과 진동 자극을 결합한 중재에 경두개 직류 전류 자극을 융합했을 때 상지 기능의 회복에 미치는 영향을 알아보고자 하였다. 총 20명을 대상으로 총 4주간, 주 5회, 30분씩 실시했으며, 경 두개 직류 전류 자극을 융합한 과제 지향적 훈련과 진동자극의 결합 중재의 실험군과 과제 지향적 훈련과 진동자극의 결합 중재의 대조군으로 나누었다. 측정은 손의 기민성과 상지기능의 회복을 측정하였다. 실험군과 대조군은 손의 기민성과 잡기, 쥐기, 큰 동작 움직임에서 유의한 개선을 보였으며(p<.05), 실험군은 손의 기민성과 잡기, 쥐기 동작에서 대조군 보다 유의한 개선을 보였다(p<.05). 중재 전후 효과 크기는 모든 평가 항목에서 작은 효과이상을 보였다. 본 연구 결과를 근거로 하여 임상 환경에서 보다 효과적이고 효율적인 재활 치료를 할 수 있을 것으로 사료된다.

• 한국산학기술학회논문지
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• 제14권1호
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• pp.257-264
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• 2013

본 연구는 상지의 체중부하운동이 여성 뇌졸중 환자의 골밀도 향상과 상지기능에 미치는 영향을 알아보기 위해 실시되었다. 연구의 대상자는 24명의 여성 뇌졸중 환자로 실험군인 체중부하운동군(n=12, WBG: Weight-Bearing group)과 대조군인 일반운동군(n=12, CG:Control Group)으로 무작위로 나누어 실험 하였다. 실험은 8주간 주 3회 실시하였으며, 실험 전과 실험 8주 후에 각 운동군의 노뼈 골밀도와 상지기능점수(MFT:Manual Function Test)를 측정하였다. 연구의 결과, 체중부하운동군의 노뼈 골밀도와 상지기능점수가 유의하게 증가한 것으로 나타났다. 이것은 체중부하운동이 골밀도와 상지기능 증가에 효과적이며, 뇌졸중 환자 재활에 활용될 수 있음을 알 수 있다.본 논문은 한국산학기술학회 논문지 심사용 투고요령입니다. 본 논문은 한국산학기술학회 논문지 심사용 투고요령입니다.

• Safety and Health at Work
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• 제9권3호
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• pp.314-318
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• 2018

Background: Musculoskeletal disorders (MSDs) in the health industry are quite common, however, there have only been a few studies regarding physiotherapists, while in Greece, there is an apparent lack of research and data. The aim of this study is to investigate MSDs experienced by physiotherapists in Greece, their causes and specific measures, and good practices followed. Additional emerging risk factors will be examined. Methods: A questionnaire of MSDs followed by individual and workplace characteristics was completed by 252 physiotherapists. It covered the major workplace categories such as public hospitals, private rehabilitation centers, and private practices. Results: Analysis indicated that 89% of the respondents had experienced a work-related MSD; 32.2% of those injuries occurred within the first 5 years of working. The most lumbered physiotherapists were those working as private practitioners and almost half of the injured respondents chose to work while injured. The most common measure taken to tackle work related MSDs was found to be physical therapy sessions. Job satisfaction and psychosocial issues were also identified as side-effects of the economic slowdown. Conclusion: Physiotherapists in Greece were found to suffer from MSDs; workplace musculoskeletal injuries were quite common but under-reported. The body parts most affected were the lower back, the upper back, the shoulders, and the neck. There was a strong correlation between the workplace setting and the number of MSDs. A well-defined occupational safety and health management system and strict administration steering were found to reduce MSDs. The economic slowdown experienced in Greece during the execution of this study placed additional pressure on physiotherapists.