• 제목/요약/키워드: recovery of function

검색결과 1,303건 처리시간 0.029초

Task-Oriented Approach for Improving Motor Function of the Affected Arm in Chronic Hemiparetic Stroke Patients

  • Song, Chiang-Soon;Hwang, Su-Jin
    • 한국전문물리치료학회지
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    • 제19권1호
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    • pp.86-93
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    • 2012
  • The purpose of this study was to assess the feasibility of task-oriented arm training for chronic hemiparetic stroke patients. The experimental design in this study was the pre-test and post-test with control group for 4-week intervention. Thirty patients with chronic hemiparetic stroke were recruited from 2 rehabilitation units. The subjects were divided randomly into experimental and control groups. The experimental group conducted task-oriented approach, involving 3 subparts of upper extremity activities, and the control group involved in the general upper extremity exercises. Functional movements of the upper extremities were assessed using clinical measures, including the Fugl-Meyer Assessment-Upper Extremity Section, Box and Block Test, and Action Research Arm Test. The score of Fugl-Meyer Assessment showed greater increases in the experimental group than in the control group after training. The improvement in Box and Block Test between pre-test and post-test measurements was significantly greater after task-oriented arm training compared to general upper extremity exercises. Action Research Arm Test scores also improved after task-oriented arm training compared to exercises in the control group. The task-oriented arm training improves the gross and fine motor activities and encouraging the use of the paretic arm through activity dependent intervention expedites the recovery of functional activities in the upper extremities for chronic hemiparetic stroke.

Intraoperative Neurophysiological Monitoring in Cerebello Pontine Angle Tumor

  • Park, Sang-Ku
    • 대한임상검사과학회지
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    • 제46권1호
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    • pp.38-45
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    • 2014
  • Intraoperative Neurophysiological Monitoring (INM) inspection has a very important role. While preserving the patient's neurological function be sure to safe surgery, neurological examination should thank. Cerebello pontine angle tumor surgery, especially in the nervous system is more important to the meaning of INM. In cochlear nerve, facial nerve, trigeminal nerve, which are intricate brain surgery, doctors are only human eye and brain to the brain that it is virtually impossible to distinguish the nervous system. They receives a lot of help from INM. In this paper, we examined six kinds broadly. First, the methods of spontaneous EMG and Free-running EMG, which can instantly detect a damage inflicted on a nerve during surgery. Second, methods of triggered EMG and direct nerve electrical stimulation, which directly stimulate a nerve using electricity to distinguish between nerves and brain tumors. Third, the method of knowing a more accurate neurologic status by informing neurological surgeons about Free-running EMG wave forms that are segmetalized into four. Fourth, three ways of knowing when a patient will be awaken from intraoperative anesthesia, which happens due to a weak anesthetic. Fifth, a method of understanding the structures of a brain tumor and a facial nerve as five dividend segments. Sixth, comparisons between cases normal facial nerve recovery and occurrence of a facial nerve paralysis during the postoperative course.

입각기와 유각기 제어 대퇴의지의 개발 (Development of a Stance & Swing Phase Control Transfemoral Prosthesis)

  • 김신기;김종권;홍정화;김경훈;문무성;이순걸;백영남
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2000년도 추계학술대회논문집A
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    • pp.504-509
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    • 2000
  • In this study, a transfemoral prosthesis system of which stance phase and swing phase are controlled during walking has been developed for the recovery of the biomechanical function of the amputated leg. It consists of a 5 bar link mechanism, a hydraulic-rubber knee damper for stance phase control and a pneumatic cylinder controlled via a microprocessor for stance phase control. The mechanical characteristics and behaviour of the knee damper which absorbs the impact energy generated at the heel contact was investigated. The characteristics of the pneumatic cylinder essential for the speed adaptation of the prosthesis during swing phase was also studied for its mechanical characteristics. The prosthesis was subject to the clinical test ant the gait characteristics obtained were very close to those of normal. The stance and swing controlled prosthesis that were developed in this study showed good stability during the stance phase and showed good controllability during the swing phase.

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Reverse shoulder arthroplasty with os acromiale

  • Shin, Woo-Jin;Lee, Hyun-Ju;An, Ki-Yong
    • Clinics in Shoulder and Elbow
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    • 제23권2호
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    • pp.100-104
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    • 2020
  • Function and strength of the deltoid muscle are important in reverse shoulder arthroplasty (RSA). Moreover, location and shape of the acromion, clavicle, and scapular spine, which are origins of the deltoid muscle, are also important. The frequency of os acromiale is 5% to 15%; however, it is rare in the Asian population, affecting approximately 0.7% of Koreans. RSA has rarely been reported in patients with os acromiale. We present a case series of two patients with cuff tear and arthropathy combined with os acromiale who underwent RSA. From 2016 to 2018, two patients with os acromiale who presented with pain and limited range of motion (ROM) underwent RSA with cuff tear arthropathy using the subscapularis-sparing deltopectoral approach. Their ROM, visual analog scale (VAS), and satisfaction were evaluated before and after surgery. In both patients, VAS decreased, ROM increased, and postoperative satisfaction increased. There were no specific complications due to os acromiale. The VAS, ROM, and satisfaction of patients improved after surgery compared with values before surgery. However, careful attention must be given during surgery to ensure optimal repair and recovery.

PNF 하지 패턴 중 동적반전(dynamic reverse) 기법이 퇴행성 슬관절염 환자의 균형능력에 미치는 영향 (Effect on Balance Ability of Knee Osteoarthritis by Lower Extremity Patterns with dynamic reverse in Proprioceptive Neuromuscular Facilitation)

  • 정현성;전호영;배성수
    • PNF and Movement
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    • 제4권1호
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    • pp.27-36
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    • 2006
  • Purpose : The main purpose of this study was to investigate the effect on Balance Ability of Knee Osteoarthritis(OA) by Lower Extremity Patterns with dynamic reverse in Proprioceptive Neuromuscular Facilitation(PNF). Methods : The subjects were consisted of 30 women patients with knee OA. All subjects were randomly assigned to PNF group. Each group had a treatment for 30 minutes per day and three times a week during 8 weeks period. Was used to measure recovery or worse of patient's condition, muscle assessment questionnaire(MAQ) was used to measure patient' s muscular strength, Endurance, coordination/balance, KWOMAC was used to pain, stiffness, and physical function, and BPM was used to measure path, anterior-posterior. Results : This study results in following conclusons. 1. MAQ score was significantly decreased in PNF group(p<.05). 2. KWOMAC score was significantly decreased in PNF group(p<.05). 3. BPM were score was significantly decreased in PNF group(p>.05). Conclusion : From this result the PNF treatment retrogression characteristic will be effective in treatment of patient, with the arthritis and widely may be applied at a therapist.

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복원비용을 통한 습지의 가치도출에 관한 연구 (A Study on Derivation of Wetlands Through Restoration Costs)

  • 김성봉;신효중
    • 한국습지학회지
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    • 제8권2호
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    • pp.83-92
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    • 2006
  • 본 연구에서는 습지의 가치 도출 방안으로 개발 사업 추진으로 인하여 습지 등 자연생태계가 훼손될 경우 이를 복원하는데 실제 소요된 비용을 파악하고, 회복과정에서 나타나는 생태과학적 지표인 생물종다양성지수를 이용하여 복원에 소요되는 한계비용 등을 산출함으로써 습지의 진정한 가치 도출에 기여해보고자 한다. 이는 경제적 분석에서 사용되는 두 가지 측면 중 하나인 비용 측면만으로는 훼손된 습지를 얼마만큼 복원해야 하는지 알 수 없음을 의미한다. 따라서 한계비용을 도출하여 복원비용을 파악하는 것이 습지관련 프로젝트를 진행하면서 보다 더 정확한 의사결정을 내릴 수 있을 것이다.

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수종 생약 수증기 증류물이 유기인제 농약에 의하여 저해된 Acetylcholinesterase 활성에 미치는 효과 (Effect of Steram Distillate from Some Medicinal Plants on Acetylcholinesterase Activity Following Intoxication by Organophosphate Pesticides in Animals)

  • 신국현;이은방;송영진;김운자
    • 생약학회지
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    • 제23권2호
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    • pp.106-114
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    • 1992
  • The acute toxicity and the effect of steam distillate obtained from several plant mixtures (G-3) on the reactivation of brain, lung, and blood acetylcholinesterase (AChE) activity, and recovery from other toxic symptoms following intoxication by organophosphate pesticides were investigated in mice and mudfish. Administration of G-3 $(50{\sim}100\;ml/kg,\;i.p.)$ immediately or 30 min prior to Diazinon or Sumithion treatments, respectively, resulted in a significant reactivation of AChE activity in brain, lung, and blood, their potencies being almost equipotent to those of 2-PAM, one of well-known antidotes. G-3 itself exhibited almost no acute toxicity even at the highest dose employed, and without effect on the inhibition of hepatic drug metabolism function following organophosphate administrations. G-3 showed a significant diminution of the death rate in mudfish as well as in mice intoxicated by Diazinon.

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다중 관통 피격에 따른 함정 통합 생존성 분석 절차 (Integrated survivability assessment given multiple penetration hits)

  • 김광식;이장현
    • 한국해양공학회지
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    • 제28권1호
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    • pp.69-76
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    • 2014
  • Survivability assessments and vulnerability reductions are required in warship design. A warship's survivability is assessed by its susceptibility, vulnerability, and recoverability. In this paper, an integrated survivability assessment for a warship subjected to multiple hits is introduced. The methodology aims at integrating a survivability assessment into an early stage of warship design. The hull surface is idealized using typical geometries for RCS (Radar Cross Section) detection probability and susceptibility. The Vulnerability is evaluated by using the shot-line. The recoverability is estimated using a survival time analysis. This enables the variation of survivability to be assessed. Several parameters may be varied to determine their effects on the survivability. The susceptibility is assessed by the probability of detecting the radar cross section of the subject and the probability of being hit based on a probability density function. The vulnerability is assessed by the kill probability based on the vulnerable area of critical components, according to the component's layout and redundancy. Recoverability is assessed by the recovery time for damaged critical components.

수요기반 환기량 조절법 (DCV)의 다중이용시설 적용방안 (The Use of Demand Controlled Ventilation in Multi-Purposed Facility)

  • 정재원;노상태
    • 한국태양에너지학회:학술대회논문집
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    • 한국태양에너지학회 2008년도 춘계학술발표대회 논문집
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    • pp.111-116
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    • 2008
  • The objective of this paper was to show the possibility of demand-controlled ventilation (DCV) using the current Korean ventilation standard for multi-purposed facilites. Two attractive DCV approaches; $CO_2$-DCV and RFID-DCV were applied to DCV simulations for a theoretical public assembly space served by a dedicated outdoor air system (DOAS) with enthalpy recovery device. A numerical model for predicting realtime occupant number, ventilation rate, and $CO_2$ concentration under given conditions was developed using a commercial equation solver program. It was found that the current ventilation standard causes unstable ventilation system control in DCV applications, especially under $CO_2$-DCV. It is because the ventilation rate (per person) used in Korea is the sum of the outdoor air required to remove or dilute air contaminants generated by both occupant and building itself, and not a pure function of occupant numbers. Finally, it makes DCV control unstable when ventilation flow is regulated only by the number of occupants. In order for solving this problem, current Korean ventilation standard was modified as a form of ASHRAE Standard 62.1-2007 showing good applicability to various DCV approaches. It was found that this modification enhances applicability of the current ventilation standard to DCV significantly.

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천문 이미지 디지털 아카이빙 시스템 개발 (DEVELOPMENTS OF ASTRONOMICAL IMAGE ARCHIVING SYSTEM)

  • 성현일;김순욱;배영호;최준영
    • 천문학논총
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    • 제21권1호
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    • pp.1-9
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    • 2006
  • An archiving system designed to enable documenting database of astronomical images, with functions of search and download, is being developed by Korean Astronomical Data Center(KADC) of Korea Astronomy and Space Science Institute(KASI). The system consists of three PCs for web server, database server, and system management server. The search program for the web environment is operated in the web server. In the management server, several utility program we developed are installed: input program for the database, program for transfer from fits to jpg files, program for data recovery and management, and programs for statistics and connect management. The collected data would be sorted out by the system manager to input into the database. The online input is possible in an observatory where the data is produced. We applied the content management system(CMS) module for the database management. On the basic of CMS module, we set up a management system for the whole life cycle of metadata from creation and collection to storage and deletion of the data. For the search function, we employed a technique to extract indices from the metadata. In addition, MySQL is adopted for DBMS. We currently display about 2,700 and 25,000 photographs for astronomical phenomena and astronomical objects on the data, respectively.