• PNF and Movement
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• 제21권3호
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• pp.345-356
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• 2023

Purpose: The aim of this study was to investigate the effects of physical therapy combined with a virtual reality (VR) game on pain, quality of life (QOL), engagement, and knee function in post-knee-surgery patients. Methods: Twenty-four patients who had undergone knee surgery four weeks or more before the study were recruited. Two withdrew from the study during the four-week experimental period, and a total of 22 patients were included in the final analysis. Routine physical therapy consisting of electrostimulation (10 min.) and therapeutic massage (10 min.) was the base intervention for all groups. The experimental group (n = 10) was additionally exposed to a VR game intervention, while the control group (n = 12) underwent an intervention involving similar motions as the experimental intervention but with no VR. The intervention for the experimental group used the game Rig Fit Adventure on Nintendo switch. Both groups underwent their respective interventions 3 times a week (35 min. per session) for 4 weeks. Pain was assessed using the numeric rating scale (NRS), and QOL was assessed using the EuroQol five-dimensional five-level questionnaire (EQ-5D-5L). Engagement was assessed using the Korea flow state scale (K-FSS). Finally, knee movement and function were assessed based on knee flexion and extension, range of motion (ROM), and Western Ontario and McMaster Universities Arthritis Index (WOMAC). Results: After the four-week physical therapy, both groups showed significant reductions in pain (on the NRS), increased knee ROM (flexion), better WOMAC scores, and increased EQ-5D-5L scores (p < 0.05), with the experimental group showing significantly better improvements in EQ-5D-5L and K-FSS scores (p < 0.05). Conclusion: The results of this study confirm that a VR-game-integrated intervention is effective for improving pain, QOL, engagement, and knee function in post-knee surgery patients and that VR-game-integrated interventions could be therapeutic alternatives for patients bedridden for prolonged periods with little motivation for rehabilitation.

• 한국습지학회지
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• 제22권2호
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• pp.81-91
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• 2020

묵논을 생태적으로 활용하기 위한 방법의 일환으로 논의 특성을 고려하여 생활형이 다른 멸종위기식물 9종의 현지외보전 대상지로서의 잠재력을 확인하였다. 한국의 전통적인 논의 구성요소인 둠벙을 조성하기 위해 묵논의 일부를 변형하여 수분 환경을 다르게 하였다. 묵논에 각 식물들의 유성생식체(seed, sapling)와 무성생식체를 이식하여 1년간 생존률과 식물계절학 반응을 관찰하였고 그 후 2년간 모니터링을 실시하였다. 그 결과 묵논에 도입이 가능한 수생식물은 4 분류군 (가시연꽃, 삼백초, 전주물꼬리풀, 조름나물), 지중식물은 1 분류군 (큰바늘꽃), 반지중식물은 1 분류군 (독미나리) 이었다. 도입시 가시연꽃, 전주물꼬리풀, 조름나물은 둠벙에 도입해야하고, 삼백초, 큰바늘꽃, 독미나리는 논습지에 도입해야한다. 또한, 가시연꽃과 순채의 생육은 초본류에 의해 저해되었고 큰바늘꽃의 생식생장은 섭식자에 의해 저해되었다. 따라서 묵논에 도입한 멸종위기식물의 효율적인 정착을 돕기 위해서는 생육을 저해하는 초본류들의 제거와 섭식자의 관리가 필요하고, 논둑에 목본 또는 식생 매트를 형성하는 초본류를 식재하여 둑의 붕괴를 방지할 필요가 있다. 특히 묵논을 생태적으로 활용할 때 생물다양성을 높이기 위해서는 둠벙을 조성하여 수분환경을 다양화시키는 것이 효과적이다.