• 대한간호학회지
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• 제34권5호
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• pp.809-819
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• 2004

Purpose: The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on physical function, immune response, fatigue and quality of life in mastectomy patients. Method: The subjects included fifty-five patients with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for10 weeks, which was composed of 1 session of education, 2 sessions of stress management, 2 sessions of exercise, and 1 session of peer support group activity per week. Result: The results revealed anincrease in shoulder extension, abduction, external rotation, and internal rotation of the affectedupper extremity, and in shoulder extension and abduction of the healthy upper extremity. Also an increase in quality of life and a decrease in fatigue were significantly higher in the experimental group than the control group. However, the results revealed that the natural killer cell ratio of the experimental group increased but there was no significant difference from that of the control group. Conclusion: The 10-week comprehensive rehabilitation program showed a large affirmative effect on physical function, fatigue and quality of life of breast cancer patients after a mastectomy.

• 대한정형외과스포츠의학회지
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• 제4권2호
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• pp.74-78
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• 2005

흔히 접하게되는 슬관절 전방 통증에 대해, 원인과 질환별 기준에 따른 수술적(recipe type)치료가 시도되고 있다. 유발요인은 다양하여, 대퇴의 내회전, 외반슬, 신전 기전의 외회전, 상위 슬개골. 편평한 활차 오목, 적합성이 부족한 슬개골, 인대 이완 등을 예로 들 수 있다. 그러나 다수의 의사들은 치료를 위한 접근에 있어 한정되어 있다. 이에 슬개대퇴 관절의 기능적 해부학과 생체 역학에 대한 이해가 필요하겠으며, 과학적 원칙에 맞는 치료를 통해 효과를 향상시킬 수 있을 것이다. 본 저자들은 슬개대퇴 관절의 기능적인 해부학과 생체역학에 대한 정보를 요약하였으며, 이는 슬개대퇴 관절 질환에 의한 슬관절 전방 통증의 기본적인 개념의 이해와 당면하는 임상적 사용에 도움을 줄 것이다.

• 대한통합의학회지
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• 제4권2호
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• pp.89-96
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• 2016

Purpose : The purpose of this study was to evaluate inter-tester reliability and Intra-tester reliability about range of motion(ROM) measurement of hip joint with smartphone inclinometer. Method : Six observers performed goniometric and smartphone inclinometer measurements of various hip movements, including both active ROM for flexion, extension, external rotation, internal rotation. Measurements were performed in the right hip of fifty normal subjects. All measures were performed three times for evaluating reliability of observer. Inter- and intra-observer reliabilities were evaluated using the intraclass correlation coefficient(ICC). Result : The results were as follows, inter-observer reliability ICC value showed .948-.974 in smartphone inclinometer. And showed .781-.827 in goniometer. Intra-observer reliability ICC value showed .653-.992 in smartphone inclinometer. And showed .613-.854 in goniometer. Conclusion : Smartphone inclinometer are portable and widely available tools that are mostly reliable and valid for assessing active hip range of motion, with potential use when a goniometer is not available.

• 대한두개안면성형외과학회지
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• 제15권2호
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• pp.59-62
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• 2014

Background: The zygoma is the most prominent portion of the face. Almost all simple zygomatic arch fractures are treated in a closed fashion with a Dingman elevator. However, the open approach should be considered for unstable zygomatic arch fractures. The coronal approach for a zygomatic arch fracture has complications. In this study, we introduce our method to reduce a special type of unstable zygomatic fracture. Methods: We retrospectively reviewed zygomatic arch view and facial bone computed tomography scans of 424 patients who visited the Wonju Severance Christian Hospital from 2007 to 2010 with zygomaticomaxillary fractures, among whom 15 patients met the inclusion criteria. Results: We used a Dingman elevator and K-wire simultaneously to manage this type of zygomatic arch fracture. Simple medial rotation force usually collapses the posterior fractured segment, and the fracture becomes unstable. Thus, the posterior fracture segment must be concurrently elevated with a Dingman elevator through Keen's approach with rotation force applied through the K-wire. All fractures were reduced without any instability using this method. Conclusion: We were able to reduce unstable and difficult zygomatic arch fractures without an open incision or any external fixation device.

• 로봇학회논문지
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• 제14권4호
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• pp.318-325
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• 2019

NREX, an upper limb exoskeleton robot, was developed at the National Rehabilitation Center to assist in the upper limb movements of subjects with weak muscular strength and control ability of the upper limbs, such as those with hemiplegia. For the free movement of the shoulder of the existing NREX, three passive joints were added, which improved its wearability. For the flexion/extension movement and internal/external rotation movement of the shoulder of the robot, the ball lock pin is used to fix or rotate the passive joint. The force and torque between a human and a robot were measured and analyzed in a reaching movement for four targets using a six-axis force/torque sensor for 20 able-bodied subjects. The addition of two passive joints to allow the user to rotate the shoulder can confirm that the average force of the upper limb must be 31.6% less and the torque must be 48.9% less to perform the movement related to the axis of rotation.

• 대한물리의학회지
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• 제16권3호
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• pp.45-53
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• 2021

PURPOSE: The current case study focuses on identifying the effects of the independent application of TECAR therapy and physiotherapeutic intervention using TECAR therapy on pain self-awareness and hip joint function in patients with hip impingement syndrome caused by nonstructural changes. Subjects: The research subject was a 34-year-old woman struggling with acute pain in her left hip, difficulty in actively moving the hip, and a problem in its overall function. METHODS: The subject's pain awareness and hip joint function were measured using a Visual Analog Scale (VAS) and passive range of motion (PROM), respectively. The experimental intervention was carried out in 24 sessions of 16 minutes each, three times a week, for eight weeks. RESULTS: The VAS score decreased to 0 cm on the post-test from 4.3 cm, 6.5 cm, and 7.2 cm in the pre-test at the rest, standing, and gait positions, respectively. The index of PROM measured hip joint flexion, extension, abduction, adduction, internal rotation, external rotation, and passive straight leg raise. The values increased to 122.5°, 24.5°, 78°, 33°, 65°, 42°, and 96.5° in the post-test compared to 88.5°, 15°, 39°, 21.5°, 23°, 22°, and 46.5° in the pre-test, respectively. CONCLUSION: TECAR therapy and physiotherapeutic intervention using TECAR can help reduce pain and enhance the hip joint function in patients with hip impingement syndrome.

• Steel and Composite Structures
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• 제45권1호
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• pp.1-21
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• 2022

In the structural analysis of steel frames, joints are generally considered as rigid or hinged considering their moment transfer ability. However, the first studies conducted with the beginning of the 20th century showed that the joints do not actually fit these two definitions. In reality, a joint behaves between these two extreme points and is called semi-rigid. Including the actual state of the joint in the structural analysis provides significant economic advantages, so the subject is an intense field of study today. However, it does not find enough application area in practice. For this reason, a large-scale literature published from the first studies on the subject to the present has been examined within the scope of the study. Three important points have been identified in order to examine a joint realistically; modelling the load-displacement relationship, performing the structural analysis and how to design. Joint modelling methods were grouped under 7 main headings as analytical, empirical, mechanical, numerical, informational, hybrid and experimental. In addition to the moment-rotation, other important external load effects like axial force, shear and torsion were considered. Various evaluations were made to expand the practical application area of semi-rigid connections by examining analysis methods and design approaches. Dynamic behaviour was also included in the study, and besides column-beam connections, other important connection types such as beam-beam, column-beam-cross, base connection were also examined in this paper.

• 한국강구조학회 논문집
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• 제26권4호
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• pp.311-322
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• 2014

콘크리트 충전강관 기둥에 모멘트 접합부를 만들기 위해서는 추가적인 다이아프램 설치가 필요하다. 그 중 내측 다이아프램과 관통 다이아프램을 용접하기 위해서는 기둥강관에 특수한 용접기술이 필요하다. 하지만 이런 기술은 제작업체의 특수장비 보유에 따라서 제작성 저하와 생산단가 상승 유도 등의 문제를 갖고 있다. 따라서 본 연구에서는 외다이아프램을 갖는 실대형 기둥-보 접합부를 제작하였고, 반복가력 실험을 수행하였다. 다이아프램의 용접 유무와 콘크리트 충전 여부, 형상에 따른 총 6개의 T자형 접합부 실험을 통해 내진성능을 평가하였다. 또한 외다이아프램 내력식에 대한 분석이 이뤄졌다. 본 실험에서 나온 결과를 인장내력식의 적절성을 검토 하였다.

• Korean Journal of Acupuncture
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• 제25권2호
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• pp.125-141
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• 2008

Objective : The aim of this study is to investigate the curative effect of Bee Venom Acupuncture Therapy for pain and limited R.O.M (range of motion) of shoulder in stroke patients. Methods : The subjects of this study were 6 patients with shoulder pain in stroke sequelae. Routine Oriental Medical programs (Acupunture, moxibustion, herbal medicine and physical therapy) were maintained for each subject throughout this study. Single subject ABABAB design was adopted. Each period was 4 days as a rule. Only during the treatment period, Bee Venom Acupuncture Therapy was provided as intervention at the acupoints of LI15(Gyeonu),　TE14(Gyeollyo), GB21(Gyeonjeong), LI14(Bino). The change of pain was measured with a Visual Analogue Scale(VAS). The pain threshold was measured using pressure algometer at the same acupoints where Bee Venom Acupuncture Therapy was provided. And the R.O.M of shoulder joint (flexion, extension, abduction, adduction, external rotation, internal rotation) was measured as well. Analysis was performed by Bayesian analysis using WinBUGS for the comparison of treatment(Bee Venom Acupuncture Therapy) and non-treatment. Results : The median overall improvement for difference in VAS was -2.219(-3.213, -1.175), for difference in external rotation of shoulder R.O.M was 9.992(-2.298, 18.49), for difference in tenderness score of LI14(Bino) by pressure algometer was 5.05(0.6283, 7.762). 95% credibility intervals being shown in brackets. However, the median overall improvement for difference in the other measurements was not significant. Conclusion : This study suggests that Bee Venom Therapy may be applicable to decrease pain and improve R.O.M of shoulder in hemiplegia patients with stroke. Further elaborated single subject designs need to be accumulated to confirm the effects of Bee Venom Acupunture Therapy on shoulder pain in patients with stroke sequelae.

• 대한물리치료과학회지
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• 제8권2호
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• pp.997-1003
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• 2001

The purpose of this study is to know the average of pint range of motion and difference according to the aging for the elderly, This study consisted of elder male(n=75) and elder female(n=l09), The result of assessment and analysis in shoulder pint range of motion are as follows: 1) The average shoulder flexion pint range of motion in 60-69(from sixty to sixty-nine)years old are 163.04(Left-Male), 162.91(Right-Male), 158.74 (Left-Female), 158.74 (Right-Female). 70-79years old are 149.40(L-M), 152.38(R-M), 153,37(L-F), 153.37(R-F). 80-89 years old are 149.57(L-M), 147.93(R-M), 151.17(L-F), 150.33(R-F). There was no significant difference among group, 2) The average shoulder extension pint range of motion in 60-69years old are 48.15(L-M), 47.20(R-M), 45.16(L-F), 44.23(R-F), 70-79years old are 37.l1(L-M), 38.70(R-M), 35.17(L-F), 36.71(R-F), 80-89 years old are 34.46(L-M). 36.71(R-M), 33.90(L-F), 33.09(R-F). There was significant difference among group(p<.05). 3) The average shoulder abduction pint range of motion in 60-69years old are 164.22(L-M), 165.96(R-M), 159.34(L-F), 159.97(R-F), 70-79years old are 152.27(L-M), 155.05(R-M), 152.32(L-F), 53.66(R-F), 80-89 years old are 152.17(L-M), 153.76(R-M), 147.53(L-F), 147.37(R-F). There was significant difference in right shoulder abduction among group(p<05). 4) The average shoulder internal rotation pint range of motion in 60-69years old are 63.52(L-M), 65.70(R-M), 64.16(L-F), 64.61(R-F), 70-79years old are 64.50(L-M), 65.81(R-M) 61.10(L-F), 61.83(R-F). 80-89 years old are 61.60(L-M), 61.66(R-M), 57.53(L-F), 57.53(R-F). There was no significant difference among group. 5) The average shoulder external rotation pint range of motion in 60-69years old are 50.87(L-M), 50.22(R-M), 51.03(L-F), 50.42(R-F), 70-79years old are 50.91(L-M), 50.20(R-M) 48.37(L-F), 50.20(R-F). 80-89 years old are 46.83(L-M), 47.93(R-M), 43.43(L-F), 43.72(R-F).There was significant difference in left shoulder external rotation among group(p<.05).