• 제목/요약/키워드: functional assessment index

검색결과 190건 처리시간 0.034초

장갑 착용이 악력과 안전에 미치는 영향에 관한 연구 (A Study of the Effects of Wearing Gloves on Grip Strength and Safety)

  • 정화식;구동호
    • 대한안전경영과학회지
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    • 제8권4호
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    • pp.13-23
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    • 2006
  • Grip strength provides a quick and objective index of the functional integrity of the upper extremities. It is widely used as an assessment measure in physical and rehabilitation medicine. In this study, maximum voluntary grip strength of 20 college students wearing 5 different gloves were measured using Jamar hand dynamometer. The results show that maximum voluntary grip strength was generally reduced when wearing gloves as compared to bare-handed. More specifically, the grip strength was highest when wearing PVC coated glove or bare-handed and getting lowered as wrist band, rubber, leather, and cotton glove in these order. Depending on the measuring posture of grip strength, shoulder height with arm extended forward was higher than the elbow was flexed 90 degree. Moreover, subjects' demographic factors and hand dimensions were not closely related to the grip strength. It is thus recommended that the proper glove should be provided to reduce the negative consequences including dropping a tool, poorer control of a tool. lower quality work, and increased muscle fatigue and in turn to increase the user safety and satisfaction.

하지 위약감 및 저림을 호소하는 만성 염증성 탈수초성 다발신경병증 환자에 대한 독활기생탕과 약침을 포함한 한의복합치료 증례보고 1례 (A Case Report of Korean Medicine Therapy including Duhuo Jisheng Tang and Pharmacoacupuncture for a Chronic Inflammatory Demyelinating Polyneuropathy Patient Complaining Weakness and Numbness in Lower Extremity)

  • 황예채
    • 대한예방한의학회지
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    • 제28권1호
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    • pp.159-168
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    • 2024
  • This case study aims to report Korean medicine treatment's response to weakness and numbness in chronic inflammatory demyelinating polyneuropathy (CIDP) patient. The patient received Korean medicine treatment during hospitalization, including Duhuo Jisheng Tang and pharmacoacupuncture. The assessment was performed using the Functional Independence Measure (FIM), Numeric Rating Scale (NRS) for numbness, and Oswestry Disability Index (ODI). After 21 days of treatment, the FIM improved from 82 to 126, NRS improved from 6 to 2, and ODI improved from 37 to 8. There were no side effects after receiving Korean medicine. This case suggests that Korean medicine treatment can induce treatment response for lower extremity weakness and numbness in CIDP patients.

인천연안역 저서동물의 종조성을 이용한 환경평가 (Marine Environmental Assessment based on the Benthic Macroinfaunal Compositions in the Coastal Area of Inchon, Korea)

  • 이재학;고병설;박흥식
    • 한국수산과학회지
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    • 제30권5호
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    • pp.771-781
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    • 1997
  • 연안역의 환경을 오염이란 관점에서 가장 객관적이고 효율적인 평가 방법을 선정하기 위하여 인천연안역을 대상으로 저서동물군집을 이용한 환경평가 방법인 종-개체수-생물량곡선 (SAB), 순위-빈도 곡선 (RFD), 개체수-생물량 비교법 (ABC), 대수-정규 분포 곡선 (LND), 내서 동물 식성지수를 응용한 저서 오염 지수 (BPI)에 적용하여 환경평가를 실시하였다. 그래프를 이용한 평가방법은 환경상태를 한 눈에 파악 할 수 있는 장점이 있지만, 충분한 생물자료가 요구되기 때문에 지역적으로 또는 세부적으로 비교${\cdot}$분석될 수 없는 단점이 있었다. 반면 저서오염지수에 의하면 정점간의 비교가 가능하였으며, 집괴분석의 결과에서 얻을 수 없는 출현종의 기능적인 면을 고려하여 오염의 정도나 경로까지 추적할 수 있었다. 여러 환경평가방법을 적용한 결과를 종합해 볼 때, 인천연안역은 외해역 보다는 영종도 북동쪽 해역이 다소 오염의 영향을 받고 있었으며, 특히 인천항이 오염의 영향을 크게 받고 있는 것으로 나타났다.

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자가 진피지방술을 이용한 집게조갑의 교정 (Correction of Pincer Nail using Autogenous Dermofat Graft)

  • 김현성;김철한;강상규;탁민성
    • Archives of Plastic Surgery
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    • 제37권3호
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    • pp.250-255
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    • 2010
  • Purpose: Pincer nail is a relatively rare deformity characterized by an increase in transverse curvature along the longitudinal axis of the nail. This curvature commonly increases from proximal to distal end of nail, leading to pinching, curling, and distortion of the underlying soft tissue and resulting frequently in severe pain. Numerous surgical procedures have been reported. Preserving the width of the nail in the correction of the pincer nail is very important for functional and aesthetic reasons. We report the results of the correction of the pincer nail using autogenous dermofat graft with a good result. Methods: From May 2006 to September 2008, dermofat graft was performed in 6 patients with pincer nail. Patients were four women and two men, and the average age was 51. The affected digits were the unilateral great toes in four patients and the unilateral thumbs in two patients. Average follow-up period was 13 months. Surgical procedure was removal of nail using an elevator to avoid damage to the nail bed. An incision was created in distal portion of hyponychium. Paronychium was dissected from distal phalanx by periosteal elevator through incision of hyponychium and tunnel was made. Then dermofat grafts harvested from inguinal area were inserted into the tunnel. Finally, a silicone sheet was inserted eponychial fold for prevention of synechia. Objective assessment was evaluated by use of the width index and height index. Results: All patients reported resolution of the pain and soft tissue pinching sensation that they had before the operation. There was good adherence between the nail plate and the underlying nail bed. The nails have regrown and were corrected in a normal and flattened appearance. The width index and height index were improved. Conclusion: The autogenous dermofat graft seems to provide an effective treatment of the pincer nail with preservation of the nail matrix.

총기 및 폭발물에 의한 군인의 근골격계 손상: 최근 4년간 분석 (Musculoskeletal Injuries by Weapons in Korean Soldiers: Four-Year Follow-Up)

  • 양한별;황일웅;송대근;문기호;이나래;김경남
    • 대한정형외과학회지
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    • 제56권3호
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    • pp.234-244
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    • 2021
  • 목적: 현재까지 군에서 발생하는 총기 및 폭발물 손상은 그 중요성에 비해 연구된 것이 제한적이었다. 이를 극복하기 위해 최근 4년간 총기 및 폭발물에 의해 수상한 군인 환자의 근골격계 손상에 대한 특징을 확인하고자 하였다. 대상 및 방법: 2015년 1월부터 2019년 7월까지 총기 및 폭발물에 의해 근골격계 손상을 당한 군인 환자를 대상으로 하였다. 의무 기록과 의료영상저장전송시스템 영상자료를 분석하고, 전화 면담을 통해 short musculoskeletal function assessment (SMFS)를 이용한 기능평가를 후향적으로 시행하였다. 기능평가에 대한 통계 분석으로 무기종류에 따른 분석은 t-test를, 다른 요인에 따른 분석은 ANOVA 분석을 실시하였다. 결과: 총기 및 폭발물에 의한 손상으로 치료받은 총 61명의 환자 중 30명(49.2%)이 근골격계 손상으로 정형외과적 치료를 시행받았다. 평균 수상 나이는 26.4세(21-52세)였다. 간부와 병사의 수는 비슷하였다. 총기 손상이 11명, 폭발물 손상이 19명이었다. 30명 중 수도병원에서 16명(53.3%)이, 민간병원에서 10명(33.3%)이 치료받았다. 12명에게 복수부위 손상이 있었고, 골절이 동반된 16명(53.3%)의 환자 중 절반 이상인 7명의 환자가 다발성 골절이었다. 수부와 하퇴부가 가장 흔한 수상 부위였다. 2명을 제외하고는 모두 개방창이 있었으며, 연부조직 재건술이 필요한 환자는 14명(46.7%)이었다. SMFS 기능평가에는 15명이 응답하였다. 계급에 따른 분석 결과, Borther Index에서 간부의 결과가 통계적으로 유의하게 낮은 것으로 분석되었다(p=0.05). 치료 병원에 따른 분석 결과, Dysfunction Index와 Bother Index 모두 수도병원에서 치료 받은 인원의 점수가 통계적으로 유의하게 낮은 것으로 분석되었다. (p=0.0008, p=0.0149) 결론: 국내 무기에 의해 수상한 군인 환자에 대해 분석한 첫 연구이다. 무기 손상 환자의 치료에 있어 orthopedic burden이 높음을 확인하였으며, 장기적으로 이런 환자들에 대한 치료평가 및 군 외상 시스템 발전을 위해 총기 및 폭발물에 의한 손상 환자를 포함한 군 외상환자 레지스트리 구축이 필요하겠다.

Lactobacillus plantarum CECT 7527, 7528, 7529 혼합물이 고지방식이를 급여한 흰쥐의 비만 및 지질 대사에 미치는 영향 (Effect of Mixture of Lactobacillus plantarum CECT 7527, 7528, and 7529 on Obesity and Lipid Metabolism in Rats Fed a High-fat Diet)

  • 김대환;최미란;홍지은;이재용;이순임;정수환;김은지
    • 한국식품영양과학회지
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    • 제43권10호
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    • pp.1484-1490
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    • 2014
  • 본 연구에서는 고지방식이 투여로 비만 및 고지혈증을 유도한 동물에서 L. plantarum CECT 7527, 7528과 7529 혼합물이 비만 및 고지혈증에 미치는 영향을 조사하고자 하였다. 흰쥐에 8주 동안 고지방식이를 급여하면서 L. plantarum 혼합물을 $0.6{\sim}2.4{\times}10^9CFU/day$를 경구 투여하였고 동물을 희생하여 혈청 및 간조직 내의 지질 함량을 조사하였다. L. plantarum 혼합물 투여에 의해 체중증가량, 간과 부고환 지방 무게가 현저히 감소하였다. 또한 비만과 관련 있는 호르몬인 혈청 렙틴의 함량이 L. plantarum 혼합물 투여에 의해 감소하였다. L. plantarum 혼합물 투여가 혈청 중성지방과 HDL-콜레스테롤 함량 및 혈당에는 영향을 미치지 않았으나 혈청 총콜레스테롤 함량 및 LDL-콜레스테롤 함량을 현저히 감소하였다. 이와 더불어 L. plantarum 혼합물 투여가 동맥경화지수와 심혈관위험지수를 유의적으로 감소하였다. 간조직 내의 총 지질 함량, 중성지방 함량 및 총콜레스테롤 함량은 L. plantarum 혼합물 투여에 의해 유의적으로 감소하였다. 이상의 결과는 L. plantarum CECT 7527, 7528과 7529가 혼합된 L. plantarum 혼합물이 체지방 감소 및 고지혈증 개선 효과를 나타냄을 보여준다. 향후 더 많은 연구가 필요하나 본 연구는 L. plantarum 혼합물을 비만 및 고지혈증 개선제로 개발할 수 있는 가능성을 제시한다.

Niacin의 상한섭취량 제안 및 식품과 복합비타민제 섭취를 통한 인체 노출평가 (Niacin Upper Level Recommendation and Exposure Assessment of Foods and Multivitamin drugs)

  • 박신희;이효민;윤은경;민충식;김현정;전은아;제금련
    • 한국식품위생안전성학회지
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    • 제20권2호
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    • pp.77-82
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    • 2005
  • 본 연구에서는 식품 단일섭취 또는 식품과 일반의약품으로서의 복합비타민제의 병용섭취를 통해 niacin을 섭취한다는 노출시나리오를 설정하여 우리나라 성인의 niacin 1일 평균섭취량을 산출하였으며, 인체독성자료를 근거로 niacin의 상한섭취량(UL)을 제안하였고 그 값을 비교하여 niacin에 대한 위해지수를 산출하였다. 그 결과 식품 단일섭취 시 위해지수는 0.53,식품과 복합비타민제의 병용섭취 시 위해지수는 0.81-6.24라는 값이 얻어졌다. 일반적으로 위해지수가 1이상이면 건강한 인구집단에서 부작용 발생이 우려됨을 나타낸다 그러므로, 복합비타민제를 병용섭취 하는 일부경우에서는 악영향이 발생할 가능성이 있다고 할 수 있다. 식품을 통한 자연적인 niacin의 섭취로는 악영향이 보고되고 있지 않으나$^{3), 12),}$ 복합비타민제 또는 최근 소비량이 급증하고 있는 비타민 강화 건강기능식품 및 영양보조제 등의 섭취를 통해 niacin으로 인한 악영향의 발생이 우려되므로 지속적이고 세심한 위해성평가와 함께 민감그룹 및 임산부, 수유부 등 특정그룹에 대한 UL설정연구가 이루어져야 할 것으로 생각된다.

노인의 퇴행성 슬관절염과 일상생활 수행력에 관한 연구 (A Study of Activities do Daily Living Performance on Arthritic Elderly Patients)

  • 박래준;박영한
    • The Journal of Korean Physical Therapy
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    • 제14권4호
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    • pp.183-203
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    • 2002
  • To know the effect of index of social ability (ISA) and function of social life (FSL) with activities of daily living (ADL) and instrumental activities of daily living (IADL), we carried out a study on the elderly with osteoarthritis daily living in Daegu city for 4 months, from April to July 2002. The followings were observed: 1. The score of functional disability of knee, ADL and ISA were better at lower age (p < 0.01). 2. The younger they are, the better FSL they have. The lower age group has good FSL (p < 0.01). 3. Weight affects more to the under 49Kg group than 50-59Kg group and 60-69Kg group in functional disability of knee, while it doesn't make much difference for the other groups (p > 0.05) and other assessment index doesn't show any relationship with weight. 4. Regarding relat ionship with height , taller group has better knee functions: it's proved by post hock examination that the over 160cm group has much higher knee function than the other groups (p < 0.05). In case of ADL, the over 160cm group and under 149cm group were better than 150$\∼$159cm group. (p < 0.01) . 5. ISA was also different depending on height . It was proved that FSL was the better for the over 160cm group than for the others as a result of post hock examination (p < 0.05). 6. In regard of how many months have passed since the attack of functional disability of knee, knee joint function was better for the 12mon$\∼$36mon group than for the others and the score of ADL was lower for the 12mon$\∼$36mon group than for the others (p < 0.01). ISA was lower for the 12mon$\∼$36mon group and the under 6mon group than for the other groups (p < 0.01). FSL was lower for the 12mon$\∼$36mon group and the under 6mon group than the other groups. (p < 0.01). 7. Comparing left knee with right one, the problem with left knee has lower score of functional disability in all items (p < 0.01). 8. Considering friction noise, knee joint function was slightly better for non-friction noise-group, but it's not statistically significant though. ADL and ISA were better for non-friction noise-group (p < 0.01), while no statistical significance was found in FSL, 9. Knee joint function was better for the group who doesn't have limitation on range of knee flexion motion (p,0.05) but no other difference was found in other items from this group. 10. Limitation on range of knee flexion motion has no statistical difference in ADL and FSL. However, ISA was better for the non-limitation group (p < 0.05) . 11. Knee joint function score has high correlation with ISA (r=0.812, p < 0.01) and FSL (r=0.732, p < 0.01) , which shows the better knee joint function, the higher the score. 12. ISA and FSL were highly correlated: the better ISA, the better FSL (r=0.893, p < 0.01), while ADL has no correlation with either knee joint function or ISA or FSL.

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볼을 이용한 감각운동훈련이 유방암 절제술 후 여성의 어깨 기능과 삶의 질에 미치는 효과 (The Effects of Sensory Motor Training Using Ball Exercise on Shoulder Functions and Quality of Life in Breast Cancer Women After Mastectomy)

  • 서지윤;최종덕
    • 대한물리의학회지
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    • 제11권4호
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    • pp.147-156
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    • 2016
  • PURPOSE: The purpose of this study was to investigate the effects of sensory motor training using ball exercise on shoulder range of motion, pain, dysfunction, and quality of life in Breast Cancer Women after Mastectomy. METHODS: A total of 26 patients from D University Hospital in Daejeon were included and randomly allocated to two groups (n=13 per group). The two groups performed the exercise five times a week for 4 weeks. A sensory motor training group (SMTG) received general physical treatment for 10 minutes and sensorimotor training for 20 minutes. A control group (CG) received general physical therapy for 30 minutes. Shoulder pain (the Visual Analog Scale), range of motion, disability (the shoulder pain and disability index) and quality of life (the Functional Assessment Cancer Therapy-Breast instrument) were measured in both groups before and after 4-weeks intervention. RESULTS: A significant difference was found in joint range of motion, shoulder pain, functional disability level, and quality of life within the two groups (p <.05). In addition, changes in joint range of motion, pain, functional disability level, and quality of life after then intervention were significantly different between the two groups (p <.05). CONCLUSION: These results suggest that a sensory motor training program is feasible, safe, and suitable exercise for shoulder functions and quality of life in Breast Cancer Women after Mastectomy.

기능성 소화불량 환자에서 초음파로 측정한 위 배출능과 비기허증(脾氣虛證)간의 상관성 분석 (Correlation Analysis between Gastric Emptying Measured by Ultrasonography and Spleen Qi Deficiency Pattern in Patients with Functional Dyspepsia)

  • 백승환;김진성
    • 대한한방내과학회지
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    • 제36권4호
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    • pp.527-546
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    • 2015
  • Objectives The purpose of this study was to investigate the correlation between gastric emptying measured by ultrasonography and Korean medical instruments of diagnosis and assessment in functional dyspepsia (FD) patients. Among the subgroups of FD, postprandial distress syndrome (PDS) is related to gastric motility disorder.Methods Ten patients with FD and particularly with PDS as well as 10 healthy controls were enrolled in the study from September to November 2015. The gastric emptying shown as the half-life of gastric volume (T1/2) was measured by ultrasonography. The severities of spleen qi deficiency and dyspepsia symptoms were assessed by a spleen qi deficiency questionnaire (SQDQ) and the Nepean Dyspepsia Index-Korean version (NDI-K), respectively. In addition, a food retention questionnaire (FRQ), a damum questionnaire (DQ), a cold and heat questionnaire (CHQ), a deficiency and excess questionnaire (DEQ), and a visual analogue scale (VAS) of distention and fullness were completed by every participant.Results In comparison with the control group, the FD group showed significantly higher scores for the SQDQ, NDI-K, FRQ, DQ, DEQ, and VAS of distention and fullness. T1/2 was also significantly higher in the FD group than in the control group. There were significant correlations between T1/2 and the SQDQ score. However, there were no significant correlations between T1/2 and other questionnaire scores except for one item of the NDI-K.Conclusions According to these findings, it was determined that measuring gastric emptying using ultrasonography could be a quantitative indicator to diagnose spleen qi deficiency in FD patients.