• 대한물리의학회지
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• 제18권4호
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• pp.155-162
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• 2023

PURPOSE: The primary objective of this study was to develop a virtual reality-based vestibular rehabilitation system to enhance balance perception, target rehabilitation specialists, and evaluate its usability. A key goal was establishing a system refinement strategy based on the collected data. METHODS: We conducted a study involving ten adults aged 10 to 29 in Gwangju Metropolitan City to evaluate the usability of a virtual reality-based vestibular rehabilitation system to enhance balance perception. After introducing the product and explaining its use to the participants, balance assessments and training were conducted using computerized dynamic posturography (CDP) (also called the test of balance [TOB]). Subsequently, participants were given a questionnaire to evaluate subjective stability, operability, and satisfaction. Frequency analysis was utilized to determine the frequency of the variable values of the measurement items in the survey for descriptive statistics. RESULTS: We found that the average usability score was 2.587. When broken down by category, stability received an average rating of 2.725, operability scored an average of 2.783, and satisfaction averaged 2.454. These findings suggest that most participants experienced positive sentiments and considerable satisfaction. CONCLUSION: The study successfully developed a virtual reality-based vestibular rehabilitation system, which was an improvement over the previous model and addressed its shortcomings. The results show that users with vestibular impairments are satisfied and more engaged with this system, indicating that additional studies are warranted.

• 대한한방내과학회지
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• 제44권5호
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• pp.941-947
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• 2023

Objective: The purpose of this case study is to report the hydrocele of the canal of Nuck and the effectiveness of Korean medicine in post-surgery improvement of symptoms. Method: A patient who was diagnosed with hydrocele of the Nuck canal and had symptoms after Lichtenstein's operation was treated using Korean medicine, including acupuncture, herbal medicine, and moxibustion, every day. The evaluation was performed using the Numeral Rating Scale (NRS), the 5-level EQ-5D version (EQ-5D-5L), the EQ visual analogue scale (EQ-VAS), and the World Health Organization Quality of Life-Brief (WHOQOL-BREF). Results: After treatment, changes were observed in NRS (from 8 to 2-3) and EQ-VAS (from 60 to 85), whereas there was no difference in EQ-5D-5L (both 6). There was an overall improvement in the domains of WHOQOL-BREF and subjective symptoms. Conclusion: This study suggests that Korean medicine may improve symptoms after surgery of hydrocele of the canal of Nuck and can be evaluated using an overall QoL questionnaire.

• 한국음향학회지
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• 제27권6호
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• pp.296-302
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• 2008

본 연구는 무대음향 지표인 ST1을 이용하여 성악 및 기악 연주형태 모두에 대해 독주 연주자의 선호도 모델을 평가하였다. 실험은 오케스트라 쉘이 설치된 팬형상의 다목적홀에서 수행되었다. 다양한 무대 조건을 평가하기 위해 무대 위 15개 지점에서 음향지표의 측정을 실시하였으며, ST1은 -19.9 dB에서 -11.3 dB의 분포를 보였다. 청감평가를 위해 성악 및 기악 연주자들이 현장 연주평가에 참여하였으며, ST1을 기준으로 선택된 무대 위 5지점에서 연주하면서 그 위치에서의 무대음향을 평가하였다. 연주자의 선호도는 5점 척도의 등급평가법과 평가지점간의 순위결정법을 통해 도출하였다 실험결과, 성악연주자의 선호도 모델은 기악연주자의 선호도 모델과 다른 것으로 나타났으며, ST1은 무대 위 연주자의 선호도 평가결과와 잘 맞지 않는 것으로 나타났다.

• Clinics in Shoulder and Elbow
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• 제27권1호
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• pp.45-51
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• 2024

Background: It is essential to distinguish between symptomatic- and asymptomatic radiographic acromioclavicular (AC) osteoarthritis (OA) because AC-targeted physical examinations are dubious. This study aimed to determine the diagnostic value of a preoperative AC injection in discriminating between symptomatic- and asymptomatic radiographic AC OA based on patient arthroscopic distal clavicle resection (aDCR) outcomes. Methods: Forty-eight patients who underwent aDCR for AC OA were included. Their satisfaction was objectified using a 5-point Likert scale and patient willingness to repeat the surgery. The Oxford Shoulder Score (OSS), the Subjective Shoulder Value (SSV), and the Numerical Rating Scale (NRS) were used to assess postoperative shoulder function and pain. Patients were subdivided into groups based on their good or minimal reaction to an AC injection (good reaction: ≥7 consecutive days of pain reduction, Minimal reaction: <7 consecutive days of pain reduction). Results: Twenty-seven patients had a good reaction and 21 patients had a minimal reaction to the AC injection (median follow-up, 45.0 months; range, 31.0-52.8 months). No significant differences were found in level of satisfaction (P=0.234) or willingness to repeat the surgery (P=0.861). No significant differences were found in OSS (P=0.612), SSV (P=0.641), NRS at rest (P=0.684) or during activity (P=0.422). Conclusions: This study found no significant differences between patients with a good reaction or a minimal reaction to an AC injection after aDCR surgery. The outcomes of this study seem to suggest that a distinction between symptomatic and asymptomatic radiographic AC OA is unnecessary, as all patients were equally satisfied with the outcome.

• 대한물리치료과학회지
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• 제31권1호
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• pp.33-45
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• 2024

Background: This study aimed to investigate the effect of elastic band-resistive exercise using audio-visual medium on pain, proprioception, and motor function in adults with chronic neck and shoulder pain. Design: One group pretest-posttest follow-up experimental design. Method: Twenty adult women with neck and shoulder pain voluntarily participated in this study. Elastic band-resistive exercise using audio-visual medium including cervical flexion and extension, shoulder external rotation, and scapular retraction-protraction motions was conducted 5 times a week for 3 weeks. The Numerical Rating Scale, pressure threshold tool, CROM goniometer, and Image J software were used to assess subjective pain level, tenderness threshold (pain), joint position sense error (proprioception), joint range of motion, and postural alignment (motor function), respectively. Result:: The pain intensity and threshold and joint position sense error showed significant decreases after the intervention, whereas the joint range of motion angle revealed significant increases. The postural alignment including forward head posture and rounded shoulder revealed significant improvements after the intervention. Conclusions: Therefore, we suggest that elastic band-resistive exercise through audio-visual medium would be helpful in preventing and managing pain and physical dysfunction in individuals with chronic neck and shoulder pain, and then it would support the development of health management-related online education content.

• Journal of Dental Anesthesia and Pain Medicine
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• 제24권2호
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• pp.119-128
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• 2024

Background: In pediatric dentistry, fear and anxiety are common among children. Local anesthetics (LA) are widely used to control pain and reduce discomfort in children during dental treatment. Topical anesthetics play a vital role in reducing pain and the unpleasant sensation of a needle puncture in children. Peppermint oil has been extensively used for various diseases. However, its anesthetic properties remain unknown. Peppermint oil, used in mouthwashes, toothpastes, and other topical preparations has analgesic, anesthetic, and antiseptic properties. This study aimed to compare and evaluate pain perception following the topical application of peppermint oil versus lignocaine spray before an intraoral injection in children, aged 8-13 years. Method: Fifty-two children, aged between 8-13 years, who required local anesthesia for dental treatment were divided into two groups of 26 each by simple random sampling (Group 1: 0.2% peppermint oil and Group 2: lignocaine spray). In both groups, physiological measurements (e.g., heart rate) were recorded using pulse oximetry before, during, and after the procedure. Objective pain measurement (Sound Eye Motor (SEM) scale) during administration and subjective measuremeant (Wong-Baker Faces Pain Rating Scale (WBFPRS)) after LA administration were recorded. This was followed by the required treatment of the child. Physiological parameters were compared between the two groups using an independent t-test for intergroup assessment and a paired t-test and repeated-measures ANOVA for intragroup comparisons. The Mann-Whitney U test was used to analyze the pain scores. Results: Intragroup mean heart rates, before, during, and after treatment were statistically significantly different (P < 0.05). However, the intergroup mean pulse rates did not differ significantly between the two groups. The mean WBFPS score in the lignocaine spray group was 4.133 ± 2.06 was statistically different from that of the peppermint oil group (0.933 ± 1.03; P < 0.001^*). The mean SEM score was significantly lower in the peppermint oil group than that in the lignocaine spray group (P = 0.006). No negative effects were observed in this study. Conclusion: 0.2% peppermint oil was effective in reducing pain perception.

• 대한치매학회지
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• 제21권2호
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• pp.59-70
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• 2022

Background and Purpose: Neurofilament light chain (NfL) has been considered as a biomarker for neurodegenerative diseases including Alzheimer's disease (AD). We measured plasma NfL levels in older adults with cognitive complaints and evaluated their clinical usefulness in AD. Methods: Plasma levels of NfL, measured by using the single molecule array method, were acquired in a total of 113 subjects consisting of subjective cognitive decline (SCD; n=14), mild cognitive impairment (MCI; n=37), or dementia of Alzheimer type (DAT; n=62). Plasma NfL level was compared among three groups, and its association with cognitive and functional status was also analyzed. Results: After adjusting for age, plasma NfL level was higher in subjects with DAT (65.98±84.96 pg/mL), compared to in subjects with SCD (16.90±2.54 pg/mL) or MCI (25.53±10.42 pg/mL, p=0.004). NfL levels were correlated with scores of the mini-mental state examination (r=-0.242, p=0.021), clinical dementia rating (CDR) (r=0.291, p=0.005), or CDR-sum of boxes (r=0.276, p=0.008). Just for participants who performed amyloid positron emission tomography (PET), the levels were different between subjects with PET (-) (n=17, 25.95±13.25 pg/mL) and PET (+) (n=16, 63.65±81.90 pg/mL, p=0.010). Additionally, plasma NfL levels were different between vascular dementia and vascular MCI, and between Parkinson's disease- dementia and no dementia. Conclusions: This pilot study shows that in subjects with DAT, plasma NfL levels increase. Plasma NfL level correlated with cognitive and functional status. Further longitudinal studies may help to apply the plasma NfL levels to AD, as a potential biomarker for the diagnosis and predicting progression.

• 한국ITS학회 논문지
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• 제17권3호
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• pp.32-45
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• 2018

이 연구는 위험운전 행동에 대한 남녀운전자 상호간의 인식 차이를 다각적으로 비교, 분석하고, 인식 차이를 유발시키는 요인에 대한 파악을 목적으로 하였다. 위험운전 행동에 대한 상호인식 차이를 파악하기 위해 운전행동 분석도구인 DBQ(Driving Behavior Questionnaire)를 평가척도로 적용하였고, 그 결과를 상호지향성 모델(Co-orientation Model)에 적용시켜 남성운전자와 여성운전자의 상호 간 인식 차이를 비교, 분석하였다. 또한 요인분석을 통해 남녀 상호간 인식 차이를 발생시키는 요인을 도출하였다. 분석결과 객관적 일치도의 경우, 남녀 상호간 상대방의 운전행동이 더 위험하다는 인식차이를 확인하였고 주관적 일치도 또한 남성과 여성 모두 상대방이 자신의 실제 운전행동의 위험도보다 더 큰 위험도로 판단할 것으로 추측하여 차이가 나타났다. 정확도에서는 남성은 남성의 위험운전행동에 대해 본인의 추측보다 여성이 더 위험하게 인식하고 있는 것으로 나타나 판단이 어려우나, 여성운전행동에 대한 여성의 추측은 모든 요인에서 남성의 인식과 일치하여 남성을 정확하게 이해하고 있는 것으로 분석되었다. 또한 예측 모형의 결합을 통해 남성운전자의 관점과 여성운전자의 관점에서 비교분석하였으며, 그 결과 남녀 상호간에 상대방이 더 위험한 운전행동을 하는 인식을 갖고 있는 것으로 파악되었다.

• 한국산학기술학회논문지
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• 제16권12호
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• pp.8776-8790
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• 2015

본 연구는 Lee(2015)의 질적 연구에 대한 후속연구로, 전문가 집단이 아닌 실무자들을 대상으로 양적연구를 진행하여 평가척도의 타당성을 실증할 필요가 있었다. 이에 따라 예비조사의 탐색적 요인분석을 진행한 결과 오분류 및 이상치를 나타낸 12개의 문항을 삭제하였으며, 그 결과 연구자가 잠정적으로 설정한 요인구조와 대체로 부합하는 결과(75문항)를 나타냈다. 이후 확인적 요인분석을 진행하기 위해 연구자가 설정한 요인들을 단계별로 투입한 4단계 구조방정식 모형에 대한 검증을 진행하였다. 그 결과 연구자가 설정한 요인이 추가되면서 점차 모형적합도가 향상되는 결과를 나타냈으며, 최종적으로 연구자가 설정한 헤어미용사 전문성 구인화 모형에 부합하는 결과로 나타났다. 한편 본 평가척도는 자기평정방식을 채택하였기 때문에, 자기반성을 통한 전문성 향상을 유도할 수 있으며, 상급자의 주관적 판단이 아닌 객관적인 전문성 측정이 가능하여 합리적인 직급체계를 정립할 수 있을 것으로 기대된다.

• Journal of Acupuncture Research
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• 제30권5호
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• pp.25-39
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• 2013

Objectives : This study was designed to find out the differences of the acupuncture sensation by type of pharmacopuncture. And furthermore we try to find out whether normal saline(NS) is able to be constituted as an appropriate control group for the Calculus Bovis Fel Ursi Moschus(BUM) pharmacopuncture, mountain ginseng pharmacopuncture and sciatica no. 5 pharmacopuncture. Methods : NS and three type of pharmacopunctures were inserted into $ST_{36}$, and $ST_{37}$ of the subjects. Before and after the treatment, subjects completed a questionnaire rating the intensity of 13 kinds of acupuncture sensation(acupuncture sensation scale, ASS). We compared the subjective acupuncture sensation between the NS and three type of pharmacopunctures. Results : BUM pharmacopuncture showed significantly intense acupuncture sensation comparing other two pharmacopunctures and NS. There was no statistically significant difference among mountain ginseng pharmacopuncture, sciatica no. 5 pharmacopuncture and NS. Conclusions : We found that NS may be able to be an placebo pharmacopuncture for mountain ginseng pharmacopuncture and sciatica no. 5 pharmacopuncture. Additional study is needed for placebo pharmacopuncture of BUM pharmacopuncture.