• 대한감각통합치료학회지
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• 제17권1호
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• pp.54-64
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• 2019

목적 : 다감각환경 중재에 관한 효과를 연구한 국외 논문들을 체계적으로 분석하여 임상적용 시 정보를 제공하고, 국내 다감각환경 연구에 도움이 되고자 한다. 연구방법 : 전자 데이터 베이스인 Pubmed, Cochrane, Google scholar을 이용하여 2008년부터 2018년까지의 논문을 검색하였다. 주요 검색어는 'multi-sensory environment', 'snoezelen'을 사용하였다. 최종적으로 10편의 국외논문을 선정하였으며, PICO(Patient, Intervention, Comparison, Outcome)에 따라 정리하였다. 연구결과 : 선정된 10편의 논문 중 치매환자를 대상으로 한 연구가 6편으로 가장 많았고, 그 외에 지적장애, 정신분열증, 임산부를 대상자로 하였다. 연구기간은 3주에서 10개월로, 주 2~3회기의 중재가 대부분이였고, 회기별 중재시간은 30~60분으로 나타났다. 종속변인으로는 불안과 우울과 같은 심리적인 요인과 삶의 질과 같은 사회적 요인, 인지적, 신체적인 영역에서 효과를 알아보고자 하였다. 연구에서 중재로 사용된 다감각환경은 시각, 청각, 촉각으로 구성되었으며, 그 외의 후각과 미각, 전정감각 등이 추가적으로 제공되었다. 결론 : 앞으로 국내에서는 다감각환경 중재에 대해 관심을 가지고, 다양한 대상군 특히, 아동에게 적용해 보는 연구가 이루어져야 할 것이다.

• 대한감각통합치료학회지
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• 제6권1호
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• pp.35-46
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• 2008

목적: 본 연구는 전정감각과 고유감각 제공을 기초로 한 감각통합치료를 통해 아스퍼거 아동의 전정 고유감각 처리 능력에 미치는 효과를 알아보고자 하였다. 연구방법: 연구대상은 P시에 거주하는 만 11세 2개월 된 남아로, 8세되던 해에 아스퍼거로 진단받았다. 본 연구는 개별 실험 연구 중 AB설계를 사용하였다. 실험과정은 기초선 기간(A) 3회, 중재 기간(B) 8회로 진행되었다. 기초선 기간에는 감각통합치료를 실시하지 않았으며, 중재기간에는 전정감각과 고유감각 제공을 기초로 한 감각통합치료를 실시하였다. 전정 고유감각 처리는 자세 조절 능력의 기초를 형성하므로 자세 조절 능력을 알아보기 위해 테이블 활동 후 아동의 앉은 자세 변화와 복와위 신전 자세를 평가하였다. 결과: 본 연구의 결과는 다음과 같다. 아동의 앉은 자세 조절 능력과 복와위 신전 자세는 기초선 기간과 비교하여 중재기간에 대부분 2 표준편차 이상으로 향상되었다. 따라서 전정감각과 고유감각 제공을 기초로 한 감각통합치료가 아스퍼거 아동의 전정 고유감각 처리능력 향상에 효과적이었다. 결론: 본 연구는 아스퍼거 아동이 보이는 감각처리의 어려움을 파악하여 감각통합치료를 접근하고 그 결과를 측정함으로써, 감각통합치료의 질적인 효과를 제시한데 의의가 있다.

• Journal of Korean Neurosurgical Society
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• 제39권1호
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• pp.40-45
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• 2006

Objective : To determine the relationship between the clinical outcome and the extent of surgical laminectomy for adequate decompression on the cases of cauda equina syndrome, the authors review and analyze their cases and compared with those of literatures. Methods : The authors reviewed 655 patients retrospectively who had underwent surgery on the cases of lumbar disc herniation from January 2000 to December 2004. There were 19 patients [2.9%] who presented for clinical cauda equina syndrome. Among them, we selected and analyzed 15 patients who were treated by unilateral partial hemilaminectomy with discectomy or bilateral partial laminectomy with discectomy, and they had been followed from 5 weeks to 47 months postoperatively [mean, 13.47 months]. The levels of the disc herniations were L4-5 in 8 patients, following L5-S1 in 4 patients and 2 levels [L4-5 and L5-S1] in 3 patients. Motor and sensory recoveries were recorded. Postoperative urinary function recovery Was defined according to Gleave and Macfarlane. Results : In 12 months postoperatively, the bladder function was obtained in 14 of 15 patients[93%] with regaining urinary continence. Thirteen of 15 patients[86%] with preoperative motor weakness of lower extremities were recovered. Sensory deficit of lower extremities, perianal and saddle anesthesia were all recovered. Patients had recovered on lumbosciatic pain and saddle hypesthesia, in turn, motor function and urinary incontinence. Conclusion : In treating cauda equina syndrome, the authors did less extensive surgery, such as unilateral partial hemilaminectomy with discectomy or bilateral partial laminectomy with discectomy for adequate decompression. The outcome is satisfactory and comparable with those of subtotal or total laminectomy.

• 한국실내디자인학회논문집
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• 제26권5호
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• pp.152-160
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• 2017

The purpose of this study is to propose a space design plan for brand experience that can enhance consumer satisfaction and brand awareness by conducting a survey on the consumer satisfaction with space expression methods in an eyewear flagship store. Through theoretical review, brand experience was defined as the 'process and outcome of experiences caused by stimulations associated with the brand in a series of processes. After reviewing previous studies, 5 elements of brand experience such as the sensory, emotional, behavioral, cognitive and relational experiences were extracted. Upon deriving a checklist through these elements, a survey was conducted. The analysis of the survey showed that the process composed of cognitive experiences that promoted to remember the brand was intensively expressed in spaces. Thus, the results of this study are as follows. First, the process composed of cognitive experience should be applied with a higher priority to increase brand awareness, and such a process accompanied by the behavioral and sensory experiences. Second, beyond a simple visual experience, various senses such as olfactory and auditory senses should be stimulated, and behavioral experience provided as an experience factor. Third, brand image and sales spaces should be composed under a single theme with a connectivity. Fourth, in external spaces, the curiosity of consumers should be stimulated with a theme matching the brand image. Fifth, it was found that the visitor satisfaction was higher when formative elements consisted of not only static but also dynamic features. Sixth, among the elements of brand experience, emotional experience should be improved to complete the 'process and outcome of experiences'. It is considered that further studies are needed, which expand the cases of eyewear flagship stores not only in Korea but also overseas, and propose more specific plans and design strategies through in-depth interview methods in the future.

• 대한감각통합치료학회지
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• 제18권3호
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• pp.39-52
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• 2020

목적 : 본 연구는 자폐 스펙트럼 아동의 섭식 문제에 대한 부모교육의 효과를 알아보고자 체계적 고찰을 실시하였다. 연구방법 : 2000년 1월부터 2019년 5월까지 게재된 논문을 대상으로, Cochrane library, Embase, Ovid, Pubmed 데이터베이스를 이용하여 검색하였다. 총 6개의 논문을 최종 선택하여 연구의 근거 수준에 따라 질적 분석을 실시하였고, PICO(Patient, Intervention, Comparison, Outcome) 에 따라 정리하였다. 결과 : 최종 선정된 논문 중 4편이 근거 수준 1이고, 나머지는 근거 수준 3으로 나타났다. 부모교육의 기반이 되는 중재 접근법 중 행동치료가 기반이 되는 논문이 3편으로 가장 많았으며, 모두 근거 수준 1에 해당하였다. 결론 : 본 연구는 섭식 문제를 가진 자폐 스펙트럼 아동의 가정에 도움을 주는 다양한 방법의 부모교육을 알아봄으로써 임상에서 적용할 수 있는 부모교육의 방향을 모색하는 데 의의가 있다.

• Journal of Korean Neurosurgical Society
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• 제44권2호
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• pp.72-77
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• 2008

Objective : The objective of this study was to evaluate the characteristics and surgical outcome of the conus medullaris tumors. Methods : We retrospectively reviewed 26 patients who underwent surgery for conus medullaris tumor from August 1986 to July 2007. We analyzed clinical manifestation, preoperative MRI findings, extent of surgical resection, histopathologic type, adjuvant therapy, and outcomes. Results : There were ependymoma (13), hemangioblastoma (3), lipoma (3), astrocytoma (3), primitive neuroectodermal tumor (PNET) (2), mature teratoma (1), and capillary hemangioma (1) on histopathologic type. Leg pain was the most common symptom and was seen in 80.8% of patients. Pain or sensory change in the saddle area was seen in 50% of patients and 2 patients had severe pain in the perineum and genitalia. Gross total or complete tumor resection was obtained in 80.8% of patients. On surgical outcome. modified JOA score worsened in 26.9% of patients, improved in 34.6%, and remained stable in 38.5%. The mean VAS score was improved from 5.4 to 1.8 among 21 patients who had lower back pain and leg pain. Conclusion : The surgical outcome of conus medullaris tumor mainly depends on preoperative neurological condition and pathological type. The surgical treatment of conus medullaris tumor needs understanding the anatomical and functional characteristics of conus meudllaris tumor for better outcome.

• 대한의용생체공학회:의공학회지
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• 제34권3호
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• pp.129-134
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• 2013

The essential tremor is an involuntary oscillatory movement of body parts. Conventional treatments of essential tremor have little effects in some patients and also leads to significant side effects. Alternative to these treatments, sensory stimulation may have beneficial effects on the essential tremor. The purpose of this study was to analyze an effect of sensory stimulation on essential tremor. Ten patients with essential tremor ($67.4{\pm}8.82$ yrs, 5 men and 5 women) participated in this study. Three-axis gyro sensors were attached on index finger, hand and forearm of patients. Task of 'arms outstretched forward' was performed with and without sensory stimulation. Vectorsum of three dimensional angular velocities (pitch, roll, yaw) was calculated. Outcome measures included root-meansquare (RMS) mean of the vector-sum amplitude, total power, peak power and peak frequency. RMS amplitude, total power and peak power were reduced by sensory stimulation (p < 0.05). Peak frequency was not affected by sensory stimulation. The results indicate that the sensory stimulation is useful to suppress the essential tremor.

• Archives of Plastic Surgery
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• 제39권6호
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• pp.637-642
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• 2012

Background Fingertip injuries involving subtotal or total loss of the digital pulp are common types of hand injuries and require reconstruction that is able to provide stable padding and sensory recovery. There are various techniques used for reconstruction of fingertip injuries, but the most effective method is functionally and aesthetically controversial. Despite some disadvantages, cross-finger pulp flap is a relatively simple procedure without significant complications or requiring special techniques. Methods This study included 90 patients with fingertip defects who underwent cross-finger pulp flap between September 1998 and March 2010. In 69 cases, neurorrhaphy was performed between the pulp branch from the proper digital nerve and the recipient's sensory nerve for good sensibility of the injured fingertip. In order to evaluate the outcome of our surgical method, we observed two-point discrimination in the early (3 months) and late (12 to 40 months) postoperative periods. Results Most of the cases had cosmetically and functionally acceptable outcomes. The average defect size was $1.7{\times}1.5$ cm. Sensory return began 3 months after flap application. The two-point discrimination was measured at 4.6 mm (range, 3 to 6 mm) in our method and 7.2 mm (range, 4 to 9 mm) in non-innervated cross-finger pulp flaps. Conclusions The innervated cross-finger pulp flap is a safe and reliable procedure for lateral oblique, volar oblique, and transverse fingertip amputations. Our procedure is simple to perform under local anesthesia, and is able to provide both mechanical stability and sensory recovery. We recommend this method for reconstruction of fingertip injuries.

• Archives of Plastic Surgery
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• 제38권5호
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• pp.663-668
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• 2011

Purpose: A modified free thenar flap was designed for coverage of volar finger defect with constant innervation using the palmar cutaneous branch of the median nerve. After clinical application of this flap, sensory results were evaluated in 6 cases. Methods: Patients were selected who have volar soft tissue defect with or without fingertip defect. The six cases of the innervated free thenar flap were performed since September 2009, and sensory outcomes were evaluated by the Semmes-Weinstein monofilament and two-point discriminator at four and half month after the surgery. Results: The Semmes-Weinstein Monofilament test revealed 3 cases showed 2.83, 1 case showed 3.61, 1 case showed 4.31 and 1 case showed 4.56. The static two-point discrimination test revealed 1 case showed 4 mm, 1 case showed 6 mm, 2 cases showed 9 mm, and 2 cases showed over 15 mm. The moving two-point discrimination test revealed 1 case showed 3 mm, 1 case showed 4 mm, 1 case showed 5 mm, 1 case showed 7 mm, and 2 cases showed over 15 mm. The donor sites showed no significant limitation of the thumb and neuroma formation. Conclusion: The innervated free thenar flap showed good sensory outcomes as a sensate free flap in a short time after surgery. It can be an option for coverage of volar finger defects that requires sensation.

• 대한근전도전기진단의학회지
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• 제20권2호
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• pp.91-97
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• 2018

Objective: The aim of this study was to compare the electrodiagnostic outcomes of carpal tunnel release in patients with and without diabetes with carpal tunnel syndrome (CTS), and to evaluate the effect of diabetes mellitus (DM) on electrodiagnostic outcomes. Method: We conducted a retrospective analysis of 67 patients with electro-diagnostic evidence of CTS. Patients were classified into two groups according to the presence of DM. Both groups were evaluated using nerve conduction studies preoperatively and 3 weeks and 3 months postoperatively. Results: There were no statistical differences in any of the electrodiagnostic parameters between groups 3 weeks postoperatively. However, there were statistical differences in the amplitude and the latency of compound muscle action potential, and sensory nerve conduction velocity 3 months postoperatively. Conclusion: Patients with DM did not show a significantly different outcome 3 weeks after surgery but showed a worse electrodiagnostic outcome 3 months after surgery than those without DM.