• Physical Therapy Rehabilitation Science
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• 제2권2호
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• pp.99-103
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• 2013

Objective: Clinical measures that quantify upper extremity function are needed for the accurate evaluation of patients and to plan an intervention strategy. The purpose of this study was to examine the relationship between the Unified Parkinson's Disease Rating Scale (UPDRS)-Motor Exam and upper extremity performance as a quantifying clinical tool of upper extremity function in persons with Parkinson's disease. Design: Cross-sectional study. Methods: Thirty-two idiopathic Parkinson's Disease persons participated in this study. To investigate the relationship between the UPDRS-motor exam, Box and Block test (BBT), and Action Research Arm Test (ARAT) by two physical therapists. The examination took up to 1 hour, and the participants were invited to rest between each clinical measure in order to minimize the effects of fatigue. Clinical measures were assessed while the subjects were in the "on" phase of their medication cycle, generally 1-3 hour after taking their anti-Parkinson's medications. Results: In more affected side, the UPDRS-motor exam was significantly negative correlated with the BBT (p<0.05) but it was not significantly correlated with the ARAT. In less affected side, only positively correlation was significantly shown between BBT and ARAT (p<0.05). On the other hand, between BBT and ARAT were not significantly correlated with the UPDRS-motor exam. Conclusions: The UPDRS-motor exam is effective tool which was significantly correlated with manual dexterity in more affected upper extremity. But The UPDRS-motor exam is not effective tool in less affected upper extremity.

• 대한간호학회지
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• 제38권2호
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• pp.278-286
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• 2008

Purpose: This study was done to compare edema and pain after completing a nurse's daily shift and to examine the effects of self leg massage which was usually used for reducing nurses' lower extremity edema and pain after their shift. Methods: The research design was a nonequivalent control group pretest-posttest design. Study subjects were 81 nurses who took a self leg massage program created by the researcher. Self leg massage was done 15 times during 3 weeks. Data were collected from September 21 to October 31, 2007. The level of lower extremity edema was measured by ankle and calf circumference by a tapeline in cm and the pain score was measured by using a subjective numbering rating scale. Data were analyzed with the SPSS 12.0 program using statistics of repeated measures ANOVA. Results: There was a statistically significant difference in pain according to the department. There was a statistically significant difference in lower extremity edema and pain in nurses after their shift and self leg massage. Conclusion: Self leg massage was effective for relieving nurses' lower extremity edema and pain. Therefore, it is proposed that standardized self leg massage should be applied as a method for nurses' lower extremity edema and pain.

• 한국콘텐츠학회논문지
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• 제17권1호
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• pp.222-232
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• 2017

본 연구는 국악장단을 이용한 음악치료가 치매노인의 상지기능 향상에 미치는 영향을 살펴보고자 하였다. 연구 참여자는 B시에 소재하는 요양원의 장기요양보호 적용을 받고 있는 만 65세 이상의 치매진단 환자 13명이며, 상지기능평가(MFT), 일상생활동작, 인지기능검사(관리기능)에 대해 음악치료 전 후의 점수차이를 분석하였다. 연구결과 국악장단의 청각적 자극은 치매노인의 상지기능 향상에 유의한 변화를 가져왔으며, 일상생활은 물론 치매평가의 관리기능까지 증진시킬 수 있다는 것을 확인하였다. 이는 임상현장에서 치매노인을 대상으로 국악장단을 활용한 음악중재의 타당성을 제시하는 기초자료로 활용 될 수 있으며, 또한 치매노인을 위한 음악치료프로그램의 개발 시 국악장단이 이들의 신체기능 뿐만 아니라 인지기능에도 영향을 줄 수 있다는 것을 시사한다.

• 척추신경추나의학회지
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• 제4권2호
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• pp.109-120
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• 2009

Objectives : We already know the importance of stability and flexibility on the vertebra. It is important to keep the lumbar lordosis for stability and flexibility. We hope to reduce lower back pain and low extremity pain by changing the angle of the Lumbar Kyphosis through conservative treatment. We have evaluated the effect of conservative treatment with Saamchimbeop Pejeonggyeok by experimenting one patient suffering from Lumbar Kyphosis with lower back pain and low extremity pain. Methods : One patients were diagnosed as Lumbar Kyphosis through X-ray examination. We used conservative treatment, especially Pejeonggyeok Treatment to the patients and measured NRS((Numerical Rating Scale), rating scale for low back pain, low extremity pain and SLR(Straight Leg Raising) test and walking time in whole term of admission, and we also measured flexion, extension angle and lumbar kyphosis using lumbar x-ray lateral view after diganosing by Lumbar Kyphosis. Results and Conclusions : After treating conservative therapy, We figured out that the patient were on the mend, and we found out the angle change in flexion, extension and lumbar Kyphosis. These results suggest that Pejeonggyeok Treatment were effective to improved Lumbar Kyphosis and reduced the low back pain.

• 재활치료과학
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• 제8권4호
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• pp.65-76
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• 2019

목적 : 본 연구는 문화적 차이를 보이는 Upper extremity performance test for elderly (TEMPA)를 한국판으로 수정 및 번역하고 그 타당도 및 신뢰도를 검증하는 것이다. 연구방법 : 연구대상자는 40세이상의 손 기능에 장애가 없는 성인 171명과 손 기능에 장애가 있는 성인 41명 이었다. 내용 타당도와 분별 타당도를 검증하였고, 검사-재검사 신뢰도와 검사자 간 신뢰도를 검증하였다. 결과 : 내용 타당도를 통해 문화적 차이를 보이는 2개의 항목 ('자물쇠 열고 약통 열기', '편지 봉투 작성하고 우표 붙이기')을 수정하였다. 분별 타당도를 통해 TEMPA는 손 기능에 장애가 있는 성인과 없는 성인을 구별할 수 있는 평가 도구임을 확인 하였다 (p<.001). 신뢰도 검증 결과 수행 속도는 급간 내 상관계수(ICC)= .71-.92, 기능 정도는 카파계수 (kappa) = 1.0, 수행 분석은 ICC = 1.0로 중간수준에서 높은 수준의검사-재검사 신뢰도를 보였다. 검사자 간 신뢰도는 실행 속도 ICC = 1.0, 기능 정도 kappa = .79-1.0, 수행 분석 ICC = .94-1.0으로 상당한 수준에서 높은 수준의 신뢰도를 보였다. 결론 : TEMPA는 손 기능의 장애가 있는 성인을 구별해 낼 수 있고, 높은 수준의 신뢰도를 보이는 평가 도구로 임상적 평가 및 근거 기반의 연구에 있어 많이 사용되기를 기대한다.

• 한방안이비인후피부과학회지
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• 제37권1호
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• pp.86-96
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• 2024

Objectives : The aim of this study is to report a case showing rapid skin regeneration and recovery by applying Korean medicine treatment to lower extremity ulcer. Methods : We treated a female patient with idiopathic right leg ulcer by Korean medicine treatment such as herbal medicine, acupuncture, pharmacopuncture, Coptidis Rhizoma distillate wet dressing, and Jawoongo application. The treatment effect was evaluated by visual observation through photography, measurement of the area of the affected area, NRS(Numeral Rating Scale) for the level of discomfort, DLQI(Dermatology life quality index), and treatment satisfaction. Results : After Korean medicine treatment, recovery of skin tissue, reduction in affected area, and decrease in NRS for discomfort and DLQI were observed, and satisfaction with Korean medicine treatment was also high at 80%. Conclusions : This study shows that Korean medicine treatment can be effective in treating skin ulcers. We hope that research of Korean medicine treatment on skin ulcers will be promoted in the future.

• Journal of Acupuncture Research
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• 제30권5호
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• pp.65-76
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• 2013

Objectives : This study was designed to find out the differences of the acupuncture sensation by body parts. Methods : Sixty-three subjects got acupuncture at five acupoints which represent five different body parts ; head($GV_{20}$), abdomen($ST_{25}$), back($BL_{24}$), upper extremity($LU_9$), lower extremity($GB_{40}$). All subjests were asked to complete questionnaire rating the intensity of 13 kinds of acupuncture sensation(acupuncture sensation scale, ASS). We compared the subjective acupuncture sensation between the body parts. Results : Intensity of acupuncture sensation of $GV_{20}$ was significantly lower than $LU_9$(p=0.001) and $GB_{40}$(p=0.000). Sum of acupuncture sensation of $GV_{20}$ was also significantly lower than $BL_{24}$(p=0.011), $LU_9$(p=0.004) and $GB_{40}$(p=0.033). Among the 13 types of acupuncture sensation scale, tingling and aching were well sensed at $GV_{20}$ and $ST_{25}$, aching, tingling and sharp pain were well sensed at $LU_9$, $GB_{40}$, dull pain, deep pressure and heaviness were well sensed at $BL_{24}$. Conclusions : Head showed significantly lower intensity of acupuncture sensation than upper extremity and lower extremity. Among the acupuncture sensation scales, tingling and aching were well sensed at head and abdomen, aching, tingling and sharp pain were well sensed at upper extremity and lower extremity, dull pain, deep pressure and heaviness were well sensed at back.

• 대한인간공학회지
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• 제24권2호
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• pp.65-70
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• 2005

Evaluation of repetitiveness for upper extremity intensive tasks is essential to determine the level of risk for upper extremity musculoskeletal disorders at the workplace. However, experimental data available to establish the acceptable levels of repetitiveness for various postures and forces is lacking. The present study examined the maximum acceptable frequencies(MAFs; motions/min.) of shoulder, elbow, wrist, and index finger motions at different forces(1kgf and 4kgf for shoulder, elbow, and wrist; 0.25kgf and 1 kgf for index finger) in sitting. Seventeen right-handed males in 20s without having any history musculoskeletal disorders participated in the MAF experiment. The participants determined their MAFs for the upper extremity motions by using the self-adjustment method and their work pulse(increase in heart rate; beats/min.) and rating of perceived exertion(RPE) were measured when working at MAF. The MAFs of elbow, wrist, and index finger motions for each force level were about 2, 3, and 6 times the corresponding MAF(9 at the high force and 24 at the low force) of shoulder motion and the MAFs at the low force increased about 2 times those at the high force. The work pulses of elbow, wrist, and index finger motions for each force level were 70%, 50%, and 30% of the corresponding work pulse(17 at the high force and 12 at the low force) of shoulder motion and the work pulses at the low force were about 70 % of those at the high force. Lastly, the RPEs of the upper extremity regions were about level 3(moderate) or below.

• 사상체질의학회지
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• 제28권3호
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• pp.300-308
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• 2016

Objectives This case study was about a Taeyangin patient with Amyotrophic Lateral Sclerosis identified as Hae-Yeok pattern. In this study, we report the significant improvement of extremity weakness of this patient after Sasang Constitutional medicine treatment.Methods The patient was identified as Taeyangin Hae-Yeok pattern and treated with Ogapijangchuk-tang and acupuncture. Korean-Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (K-ALSFRS-R) was used to assess the overall function of the patient. And the Global Assessment Scale (GAS) was used to assess the change of upper and lower extremities weakness after the treatment.Result and Conclusion The K-ALSFRS-R total score decreased from 30 points to 26 points and extremity weakness showed significant improvement in GAS after 12 days treatment. Furthermore, walking distance was much longer after treatment. In conclusion, this study shows that Sasang constitutional medicine can be effective treatment for Taeyangin patient with Amyotrophic Lateral Sclerosis.

• 재활치료과학
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• 제10권2호
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• pp.141-150
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• 2021

목적 : 본 연구는 뇌졸중 환자에게 Cognitive Orientation to daily Occupational Performance(CO-OP) 중재법을 적용하여 작업수행의 질, 상지기능 및 실행기능에 영향을 주는지 확인하고자 하였다. 연구방법 : 연구대상은 재활치료를 받고 있는 입원, 외래 환자 중 발병한지 3개월 이상된 뇌졸중 환자 5명이었다. 연구는 단일집단 사전-사후 평가로 설계되었다. 중재는 1일 1회 30분간 주 5회로 총 20회기를 적용하였다. 중재활동은 환자가 선정한 중요도는 높지만 만족도와 수행도는 낮은 활동을 선정하여 진행하였다. 평가도구로는 수행의 질을 평가하는 Performance Quality Rating Scale(PQRS)과 Canadian Occupational Performance Measure(COPM), 실행기능을 알아보기 위한 Executive Function Performance Test for Koreans(EFPT-K), 상지기능을 알아보기 위한 Motor Activity Log(MAL)를 사용하였다. 중재 전·후를 비교할 수 있는 통계방법으로는 비모수 검정인 Wilcoxon's signed rank test를 사용하였다. 통계학적 유의수준은 p<0.05로 하였다. 결과 : 상지기능은 모든 항목에서 유의미한 변화를 나타냈으며 실행기능은 시작하기 항목을 제외한 준비하기, 순서정하기, 판단과 안전, 종결하기 전 항목에서 유의미한 변화를 나타냈다. 또한, 작업수행도 유의미한 차이를 보였다. 결론 : 만성 뇌졸중 환자를 중심으로 20회기의 CO-OP 중재를 통해 상지기능, 실행기능, 작업수행을 향상시켰다. 뇌졸중 환자의 작업수행뿐 아니라 세부적인 작업 요소 향상에 긍정적인 영향을 도출하였다.