• 제목/요약/키워드: Tool Posture

검색결과 111건 처리시간 0.023초

밀기증후군을 가진 뇌졸중 환자에 대한 임상 실기와 문서화: 사례보고 (Physical Therapy Clinical Practice and Documentation for Pusher Syndrome in Stroke Patients: Case Report)

  • 황기경;송수영;두영택;윤세원;이정우
    • 대한임상전기생리학회지
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    • 제9권1호
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    • pp.41-49
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    • 2011
  • This study purposes to conduct visual feedback and body posture control training on stroke patients with pusher syndrome in order to reduce their pusher syndrome. This study also examines changes resulting from the training and applies the guidelines necessary for documentation of patient/customer management. The participant for this study was one patient with pusher syndrome. The study progressed from a medical examination of the subject followed by evaluation, diagnosis, prognosis, intervention and treatment plan, and finally re-examination in order of precedence. Problems in the participant's functional activities, difficulties in changes from sitting postures into standing postures, and maintaining standing postures were determined as primary restrictions on activities and the improvement of these activities was set up as a goal through discussions with the patient. Interventions were mainly implemented to reduce the pusher syndrome with visual feedback provided using mirrors and exercises focusing on leaning in order to maintain posture while sitting. Changes from supine postures to sitting postures and the degree of changes in maintaining standing postures were compared between before and after the intervention by measuring times in the same environment and the degree of pusher syndrome was measured using the SCP tool. The process of this clinical practice was documented. The SCP score that indicates the degree of changes in the participant's pusher syndrome changed from 3.75 points to 0.8 point indicating a decrease in pushing. Among functional activities, posture changes from sitting postures to standing postures and maintaining standing postures were improved. In addition, since the patient could maintain standing postures, the patient could walk indoors. In this case study, mirrors and body posture control training used as interventions to relieve pusher syndromes can be easily applied in clinics to examine the form of functional recovery. The results indicated that these intervention methods were effective and thus it is thought that the results can be used as basic data to utilize these intervention methods diversely. In addition, the documentation of patient/client management was applied as actual documentation in Korean and based on the results, we could show decision making processes for patients' functional goals and objectively explain problems, prognoses and changes made through the interventions.

Shoulder MRArthography 검사 시 보조기구를 이용한 해부학적 회전 변화 영상에 대한 유용성 평가 (Evaluation of Effectiveness of Anatomical Rotation Change Image by Aid Tool in Shoulder MRArthrography)

  • 김형균;정재은;정홍문
    • 한국방사선학회논문지
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    • 제6권4호
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    • pp.299-303
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    • 2012
  • 자기공명 관절 조영술(Shoulder MR Arthrography)는 견관절(Shoulder joint) 의 복잡한 해부학적 구조에 관하여 정확한 영상평가를 진단하기 위해 시행 한다. 우리는 어께 상완골(Shoulder humerus) 의 다양한 position인 Neutral position, Internal rotation position, External rotation position 에 관하여 Shoulder joint의 해부학 적인 회전 변화가 견관절 자기공명(Shoulder MRI) 영상에 어떤 진단적 결과를 가져오는가에 대해 상호 비교 하였다. 또한 환자의 정확한 촬영자세 유지를 위해 촬영 보조기구를 만들었다. 이 보조기구는 Modeling 설계에 의해 우리가 직접 제작한 자기공명 견관절 조영술 보조 기구이다. 이 보조기구를 사용하여 촬영한 결과 다음과 같은 결론을 도출해 내었다. External rotation position 에 의한 Shoulder MRArthrography 검사가 Shoulder joint의 중요 해부학적 구조인 Biceps tendon, Supera-spiatus tendon, Sub-scapularis tendon, Labrum, Sub-acromial space 의 해부학적 평가에서 제일 적합하다는 진단적 평가를 얻었다.

ICF 도구를 적용한 앞십자인대 재건술 환자의 고유수용성신경근촉진법 중재전략의 증례 (A Case Report of a Proprioceptive Neuromuscular Facilitation Intervention Strategy Applied with an ICF Tool in a Patient with Anterior Cruciate Ligament Reconstruction)

  • 송명수;김범룡;김창헌;노현정;강미경
    • PNF and Movement
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    • 제15권1호
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    • pp.1-11
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    • 2017
  • Purpose: The purpose of this study was to use an ICF tool in an intervention for anterior cruciate ligament reconstruction (ACLR) patients to examine and evaluate the patients' functional problems, measure the results of the intervention, and present the process of preparing proprioceptive neuromuscular facilitation (PNF) intervention strategies, thereby contributing to changes in and development of relevant future clinical practices. Methods: A PNF rehabilitation exercise program using an ICF tool was applied to ACLR patients five times per week for four weeks. To measure the resulting changes, the ICF evaluation display, the visual analog scale (VAS), the manual muscle test (MMT), the range of motion (ROM) test, the Lysholm knee score (LKS), and the muscle endurance test (MET) were used. Results: After the intervention was applied to the ACLR patients, improvements were achieved in all the tests: ICF evaluation display, VAS, MMT, ROM, LKS, and MET. Conclusion: Utilizing the ICF tool, this study identified functional problems of ACLR patients. When the intervention was applied, physical functions improved, and structural damage was reduced, leading to enhanced levels of functional activities such as postural changes, posture maintenance, gait, movements, and movements between different places. The patients were able to complete the teacher training, which was their goal.

자동차 제조업 근로자들의 작업유형과 작업자세 (Work Types and Work Postures of the Workers in an Automobile Industry)

  • 김순례
    • 한국직업건강간호학회지
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    • 제7권2호
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    • pp.130-135
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    • 1998
  • To investigate the working characteristics of the workers by place of duty, a study was carried out among 591 male workers aged 20-55 employed in an automobile industry in Korea. Workers participated to this study were divided into low back pain(LBP) and control group, according to the self-reports by written questionnaires. Work factors and complaint rates of low back pain were compared to the work places. The results were as follows ; 1) The complaint rates of low back pain were 49.2%(292 men) as a whole, 58.6%(34 men) in Production Control Department I, 50.2%(120 men) in Stamping Tool Department, 46.9%(138 men) in Bus Department. 2) Lifting and earring work of individual workers were directly associated with low back pain. Frequency of lifting and carring work is higher in the Final Body Section(Production Dept. I) and Body I Section(Bus Dept.). 3) LBP group were more frequently involved in working in awkward position(Quality Control Section of Stamping Tool Dept.), bending(Body I Section of Bus Dept.) and twisting posture(Sash Section and Body I Section of Bus Dept.). 4 )Workers exposed to vibration during working shows the higher complaint rate of low back pain.

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OpenGL를 이용한 스키점프 시각화 도구의 구현 (The Implementation of Visualization for Ski Jump Using OpenGL)

  • 박명철;박석규
    • 한국컴퓨터정보학회논문지
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    • 제16권11호
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    • pp.137-143
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    • 2011
  • 본 논문에서는 OpenGL 그래픽 라이브러리를 이용하여 스키점프 시각화 도구를 구현하였다. 점프의 평가요소 중에서 점프의 거리가 가장 중요한데 이는 양항비에의해 가장 크게 결정된다. 기존 연구에서는 다양한 영향 인자의 변화에 따른 시각화 도구는 미흡한 실정이다. 본 논문에서는 양항비를 이용하여 사용자에게 직관적인 비행 자세 시각화 도구를 제공한다. 또한 5가지 주요 정보를 입력받아 국제 규격에 맞는 점프대를 실제 구현하였다. 본 논문의 결과물은 더 나은 스키 점프를 위한 참고자료로 활용될 수 있을 것이다.

편마비 환자의 균형 기능과 감각조직화 (The Relationship Between Sensory Organization and Balance in Patients With Hemiplegia)

  • 김종만;이정원;이충휘;노정석
    • 한국전문물리치료학회지
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    • 제4권3호
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    • pp.61-69
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    • 1997
  • The ability to maintain an upright position during quiet standing is a useful motor skill. The Sensory Organization Test (SOT) is a timed balance test that evaluates somatosensory, visual, and vestibular function for maintenance of upright posture. The Fugl-Meyer Sensorimotor Assessment (FMSA) balance subscale is the functional status assessment that indicates amount of assistance needed during various balance tasks. Functional Independence Measure (FIM) is the functional status assessment tool and FIM can be used clinically as an outcome measure. The purpose of this study was to see if the SOT can be used as a evaluation tool to measure hemiplegic patients' balance ability. Thirty-six patients with hemiplegia participated in this study. SOT scores were significantly correlated with FMSA balance scores and FIM scores(p<0.05). However correlation coefficients were not so high (r=0.60, and r=0.51, respectively). Therefore, further study is needed to verify the SOT's usefulness when physical therapists are evaluating for hemiplegic patients' balance ability.

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3D 프린터를 이용한 발목관절 검사 보조기구의 유용성연구 (A Study on the Usefulness of an Ankle Joint Examination Assistive Device using a 3D Printing)

  • 홍동희;김은혜;주영철
    • 한국방사선학회논문지
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    • 제17권7호
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    • pp.1099-1108
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    • 2023
  • Mortise view 검사는 발목관절 검사로써 발목관절의 외상이나 염좌, 탈구가 의심되는 병변의 유무를 관찰한다. mortise view 검사 시 사용되는 보조기구는 영상에 인공물을 발생하거나, 종류가 다양하지 않아 환자 맞춤형으로 제작되지 않고 가격이 비싸다. 이에 본 연구는 3D 프린팅 기술을 이용하여 mortise view 검사보조기구(ShinHan Device; SHD)를 제작하였다. SHD를 사용했을 때와 시제품인 hologic tool을 사용했을 때의 목말종아리관절, mortise 관절, 목말정강관절의 길이를 5명의 연구자가 측정하여 평가하였다. SHD를 사용했을 때 평균값의 범위는 TTJ에서 39.42~39.47 mm, TCJ 31.41~31.57 mm, MJ 21.21~21.23 mm의 범위로 나타났다. hologic tool를 사용했을 때는 TTJ 39.73~39.79 mm, TCJ 31.46~31.50 mm, MJ 21.31~21.35 mm의 범위로 측정되었다. 본 연구결과, 모든 위치에서의 오차범위가 hologic tool에 비해 SHD를 사용 때 TTJ는 24%, TCJ는 17%, MJ는 36% 감소하였으며, SHD를 사용하였을 때 재현성 높은 검사자세를 구현할 수 있었으며(ICC=0.99), hologic tool에서 발생하던 인공물을 제거한 영상을 획득할 수 있었다.

의자디자인과 사용자의 자세 연구 (A Study on the Design of Chair & User's Position)

  • 최이승
    • 한국가구학회지
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    • 제16권1호
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    • pp.81-89
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    • 2005
  • A chair is a necessary tool in modern life and people spend a lot of time on it. But there Ere so many chairs which the human body size Is not considered that many users usually feel fatigue. The purpose of this study is to analyze the fundamental items human factors engineering which have to be applied to chairs and then to make user choose chairs, considering them as an index. The extent of this study is limited to chairs for office work used for sitting for a long time to work. We also profoundly analyze functional matters of chairs, user's posture and so on. We'll present all suitable factors and the assumed tentative plan by inferring items', the function chairs have coincides with the human body.

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Expert System과 CAD를 이용한 역도경기 동작의 분석.평가방안 (An Analysis of Weight-lifting Motion Using an Expert System and CAD Routine)

  • 이면우
    • 대한산업공학회지
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    • 제12권2호
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    • pp.1-11
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    • 1986
  • This study is concerned on computerized analysis of COG, torques and EMG amplitudes in weight-lifting motion. The results show that; (1) torques on major joints show a rather consistent relationship with respect to the sequence of four distinct motions in weight-lifting, (2) analysis of EMG amplitudes is a sensitive measure of both athlete's skill and his potential capability, and (3) range of COG variations can be used as indicator of motion stability, existence of undesirable posture, and target muscle for intensive training. A computerized routine, which includes analyses on COG, EMG and torque, is a scientific tool for coaching athletes. In addition, an Expert System which includes CAD routine was developed in order to promote better understanding for athletes and coaches.

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HCF용 스트럿의 개선을 위한 연구 - Motorized Strut & Digital Gage (A Study on the Improvement of the Strut for the HCF - Motorized Strut & Digital Gage)

  • 심형준;한창수
    • 한국공작기계학회:학술대회논문집
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    • 한국공작기계학회 2001년도 추계학술대회(한국공작기계학회)
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    • pp.263-268
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    • 2001
  • Two ways of improvement of the strut for the HCF was made in this paper. The strut for the existing HCF is a passive link, which results the posture of the HCF and related bones. The accuracy of the HCF depends on the accuracy of the strut length. A "digital gage" was proposed to increase the accuracy of the strut by presenting the measuring result as figures in manual mode operation. And a "motorized strut system" was designed for the automated HCF operation. A strut was equipped with a motor, "motorized strut" can be operated manually and automatically. In automatic mode, the HCF operating data is generated by the HCF schedule package in PC and is downloaded to the "motorized strut system" controller. By these two improvements, changes in orthopedic equipments like HCF and other Ilizarov fixators are expected.

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