• 수면정신생리
• /
• 제8권1호
• /
• pp.45-51
• /
• 2001

목 적 : 교통사고경험은 환자에게 정신사회적 스트레스요인으로 작용하며, 이로 인한 자율신경계의 생리적 각성수준이 항진되어 있을 것이다. 저자들은 교통사고와 관련된 환자중 교통사고에 대한 기억이 있는 군과 없는 군사이의 정신생리반응양상의 차이를 알아보고자 본 연구를 시행하였다. 대상 및 방법 : 전북대학교병원 정신과 외래 및 입원환자들중 24명을 대상으로 하였다. 모든 대상자들은 교통사고 관련 환자들이었으며, 연구목적상 이들을 교통사고상황을 기억하고 있는 환자군(12명, 연령 $41.42{\pm}9.10$세 ; 교육수준 $10.33{\pm}3.14$년)과 전혀 기억하지 못하고 있는 환자(12명, 연령 $44.08{\pm}9.83$세 ; 교육수준 $10.92{\pm}3.40$년)군으로 양분하였다. 심리적 평가항목으로서 불안, 우울 수준은 상태특성불안척도, Beck 우울 척도, Hamilton 불안 및 우울 척도로 평가하였다. 생리적 평가항목으로서 자율신경계의 정신생리반응을 측정하였는데, 맥박, 피부전도반응, 근전도 등은 J & J I-330모델을 이용하였고, 수축기 및 이완기의 혈압은 DINAMAP XL Monitor mode 9340을 이용하였다. 스트레스작업은 '대본이용 및 상상기법'을 이용하였다. 연구 대상자들에게 그들이 실제로 경험했던 교통사고상황을 대본으로 작성된 것을 읽어주고 사고상황을 상상하도록 교육시켰다. 정신생리반응의 측정순서는 생리반응 측정전 약 15분간의 휴식후 '기저기간(3분)-대본낭독기간(30초)-교통사고상황의 상상(3분)-휴식기간(3분)'으로 하였다. 두 군사이의 스트레스작업에 따른 심리적, 생리적 평가항목들의 차이를 분석하였다. 결 과 : 정신생리반응중 피부전도반응은 통계적으로 유의한 차이는 없었지만, 기억군의 기저기간과 상상기간, 휴식기간의 측정치가 비기억군에 비해서 상당히 높게 나타났다. 근전도는 휴식기의 측정치가 기억군이 비기억군에 비해 통계적으로 유의하게 낮았다(p=0.028). 그러나, 다른 생리반응항목들은 두군사이에 통계적으로 유의한 차이는 없었다. 결 론 : 상기 결과, 저자들은 교통사고상황을 기억하고 있는 군에서 기억하지 못하고 있는 군보다 피부전도반응과 같은 일부 자율신경계의 생리적 각성수준이 더 높은 경향을 보임을 확인할 수 있었다. 따라서 교통사고관련 환자의 치료시, 그들이 경험했던 교통사고의 반복적인 기억(재경험)을 최소화시키고, 일부 자율신경계반응의 각성수준을 감소시키는 치료적 기법이 필요하다고 생각한다.

• 한국전문물리치료학회지
• /
• 제7권2호
• /
• pp.35-54
• /
• 2000

The purposes of this study were to assess variation of body sway prior to and after submaximal treadmill exercise; to determine the time course of the effects of a fatiguing performed on a treadmill on body sway; and to compare position sense prior to and after exercise in order to assess any variance in proprioception caused by submaximal treadmill exercise. The subjects were twenty-four healthy men in their twenties. They stood barefoot on the Kinesthetic Ability Training Balance Platform to measure body sway. Control trials were performed with eyes alternately open and closed. In the eyes open condition, they were asked to look at a target placed at eye level 1 m in front them. A total of 10 trials, each lasting 20 seconds, were performed. After this series of trials, position sense was measured. Subjects then exercised on the treadmill until 85% of each person's maximal heart rate was reached. The first series of postural sway measurements began immediately after this exercise. The second identical series of postural sway trials was performed at approximately 10 minutes after exercise. The third series was performed approximately 20 minutes after exercise. This allowed approximately 5 minutes of rest between each experimental series. Position sense was measured at approximately 15 and 25 minutes after exercise. The results were as follows: 1) There was a significant increase in body sway after submaximal treadmill exercise compared to pre-exercise values under both visual conditions (p<.05). 2) After submaximal treadmill exercise, under the eyes open condition, the mean value of body sway was significantly increased after both the first and second series (p<.05). Under the eyes closed condition, the mean value of body sway increased significantly after the first series but decreased significantly after the third series (p<.05). 3) Position sense, measured repeatedly after submaximal treadmill exercise, did not change significantly with respect to pre-exercise values (p>.05). These results suggest that fatigue induced by submaximal treadmill exercise produced an increase in body sway in young healthy subjects with or without visual input, but the increase appeared to be lasting less than 15 minutes. No significant change in position sense suggested that proprioception was unaffected by submaximal treadmill exercise-induced fatigue.

• The Korean Journal of Physiology and Pharmacology
• /
• 제17권6호
• /
• pp.499-503
• /
• 2013

This study tested the hypothesis that effects of the menstrual cycle on resting blood pressure carry over to dynamic exercise. Eleven healthy females were studied during the early (EP; low estrogen, low progesterone) and late follicular (LP; high estrogen, low progesterone) menstrual phases. Stroke volume (SV), heart rate (HR), cardiac output (CO), systolic blood pressure (SBP), diastolic blood pressure (DBP), and total vascular conductance (TVC) were assessed at rest and in response to mild and moderate cycling exercise during EP and LP. During EP, compared to LP, baseline SBP ($111{\pm}1$ vs. $103{\pm}2$ mmHg), DBP ($71{\pm}2$ vs. $65{\pm}2$ mmHg) and mean arterial pressure (MAP) ($84{\pm}2$ vs. $78{\pm}1$ mmHg) were higher and TVC ($47.0{\pm}1.5$ vs. $54.9{\pm}4.2$ ml/min/mmHg) was lower (p<0.05). During exercise, absolute values of SBP (Mild: $142{\pm}4$ vs. $127{\pm}5$ mmHg; Moderate: $157{\pm}4$ vs. $144{\pm}5$ mmHg) and MAP (Mild: $100{\pm}3$ vs. $91{\pm}3$ mmHg; Moderate: $110{\pm}3$ vs. $101{\pm}3$ mmHg) were also higher, while TVC was lower (Mild: $90.9{\pm}5.1$ vs. $105.4{\pm}5.2$ ml/min/mmHg; Moderate: $105.4{\pm}5.3$ vs. $123.9{\pm}8.1$ ml/min/mmHg) during EP (p<0.05). However, exercise-induced increases in SBP, MAP and TVC at both work intensities were similar between the two menstrual phases, even though norepinephrine concentrations were higher during LP. Results indicate that blood pressure during dynamic exercise fluctuates during the menstrual cycle. It is higher during EP than LP and appears to be due to additive effects of simultaneous increases in baseline blood pressure and reductions in baseline TVC.

• Journal of Acupuncture Research
• /
• 제29권2호
• /
• pp.43-57
• /
• 2012

Objectives : The purpose of this study is to observe the effects of $Sa-Am$ lung sedating acupuncture (LS) on wrist pulse changes in healthy participants. Method : Forty healthy subjects participated in this study, and were divided into an acupuncture group and controlled group. Using a three-dimensional pulse imaging system (DMP-3000), wrist pulse was measured before, immediately after, 30 minutes after and 60 minutes after acupuncture in the acupuncture group, with the rest in controlled group. Sixteen parameters between the acupuncture group and the controlled group were analyzed at Cun, Guan and Chi in each time. Result : After LS acupuncture, wrist pulse sixteen parameters were changed significantly according to the time at each measuring region. 1. Heart rate significantly decreased in immediately after, 30 minutes after and 60 minutes after, Pulse period significantly increased in 30 minutes after and 60 minutes after. 2. T4 didn't significantly changed, T-T4 significantly increased in immediately after, 30 minutes after and 60 minutes after. T4/T, T4/(T-T4), T1/T, T5/T significantly decreased in immediately after, 30 minutes after and 60 minutes after. (T-T4)/T significantly decreased in immediately after, 30 minutes after and 60 minutes after. T5 significantly increased in 30 minutes after and 60 minutes after. 3. Modulus of elasticity significantly decreased in left Cun 60 minutes after, significantly increased in left Chi 30 minutes after. 4. Variance of Amplitude significantly increased in right Guan 60 minutes after. 5. Area of pulse significantly increased in left Cun 60 minutes after, left Chi 30 minutes after and right Cun 60 minutes after. Systolic pulse area significantly decreased left Chi 30 minutes after, right Cun immediately after, 30 minutes after and 60 minutes after, right Guan in immediately after. 6. Energy/min significantly decreased in left Chi 60 minutes after and right Cun immediately after. EIx significantly decreased in right Cun immediately after. 7. In both sides Cun, Guan, Chi wrist pulse, a lot of significant changes in right Cun and left Chi appeared, and then followed by the left Cun, right Guan. Conclusion : This study analyzed that the correlation between LS acupuncture and radial pulse(cun, guan, chi) is considered to be meaningful, hereafter clinical studies on this are needed.

• 수면정신생리
• /
• 제7권2호
• /
• pp.109-114
• /
• 2000

목 적 : 저자들은 홧병 환자에서 분노유발사건의 상상 및 이야기와 관련된 자율신경계 특히 심혈관계의 특징적인 정신생리반응양상을 파악하였다. 방 법 : 전북대학교병원 정신과 외래 및 입원 환자 중 소위 '홧병'으로 진단된 43명을 대상으로 하였다. 분노(Spiel-berger의 분노평가척도), 불안(상태특성불안척도, Hamilton 불안척도), 우울(Beck 우울 척도, Hamilton 우울 척도) 수준을 생리적 측정 전 평가하고, 홧병의 원인이 되는 분노유발사건을 조사하였다. 분노유발사건의 상상 및 이야기작업동안의 주관적 스트레스정도(SUDS)와 사건의 생생한 정도(VIVID)도 평가하였다. 스트레스 작업으로서 분노사건의 상상과 이야기 작업을 이용하였다. 스트레스 작업 전의 기저기, 작업기간, 작업 후 휴식기동안 혈압과 맥박이 측정되었다. 심리적, 생리적 평가항목들에 대한 분노사건의 상상과 이야기 작업사이의 차이를 분석하였다. 결 과 : 분노유발사건 상상보다 이야기작업에서, 이완기 및 수축기 혈압의 놀람(모두 p=.000) 및 회복반응(각각 p=.000, p=.017), 맥박(p=.000)의 놀람반응이 유의하게 더컸고, 분노유발사건의 생생한 정도(p=.000) 및 분노유발사건의 주관적 스트레스정도(p=.000)가 더 높았다. 즉, 홧병 환자는 분노유발사건을 상상하는 경우보다 이야기하는 경우에 자율신경계 기능이 유의하게 더 항진되고, 사건에 대한 생생한 정도 및 주관적 스트레스를 더 강하게 느꼈다. 결 론 : 상기 연구결과, 저자들은 홧병 환자들이 분노유발 사건에 대해 과도하게 반복적으로 회상하고 분노표출을 하지 않도록 하는 것이 자율신경계, 특히 심혈관계 반응의 안정에 도움이 될 것이라고 제안한다.

• 한국의류산업학회지
• /
• 제17권4호
• /
• pp.657-665
• /
• 2015

This study evaluated the thermoregulatory properties of functional thermal underwear ('heating underwear') in markets using a thermal manikin and human wear trials. One ordinary thermal underwear (ORD) and two functional thermal underwear (HEAT1 and HEAT2; manufactured goods, HEAT1: moisture absorbing heat release mechanism, HEAT2: heat storage, release mechanism) were chosen. Thermo-physiological and subjective responses were evaluated at an air temperature of $5.0{\pm}0.5^{\circ}C$ and air humidity of $30{\pm}5%RH$ with five male subjects ($21.6{\pm}1.3yr$ in age, $178.0{\pm}5.9cm$ in height, $68.2{\pm}5.9kg$ in body mass). Experimental conditions consisted of four ensembles that included winter clothes (Control: no underwear, ORD, HEAT1, HEAT2). Water-vapor resistance was greater in fabric of HEAT1 than others. The results were: 1) Total thermal insulation (IT) using a thermal manikin were not greater for HEAT1 (0.860clo) and HEAT 2 (0.873clo) than for ORD (0.886clo). 2) There were no significant differences in rectal temperature, mean skin temperature, heart rate and total body mass loss between the four conditions. Microclimate clothing temperature on the back was greater for ORD than for HEAT1 and HEAT2. Subjects felt more comfortable with HEAT1 than for others at rest. HEAT2 was higher in microclimate humidity when compared to other conditions. The results suggest that thermoregulatory properties of 'heating underwear' in market did not differ from those of ordinary thermal underwear in terms of total thermal insulation and thermoregulatory responses in a cold environment.

• The Korean Journal of Pain
• /
• 제18권2호
• /
• pp.165-170
• /
• 2005

Background: It is difficult to treat tourniquet-induced hypertension despite adequate anesthesia, and the mechanism of that is not known. And it may be possible that intraoperative continuous infusion of opioid induces preemptive analgesia postoperatively. We investigated the effect of intraoperative continuous i.v. fentanyl on tourniquet induced cardiovascular changes and postoperative preemptive analgesia in total knee replacements. Methods: Sixty patients were randomly assigned to two groups; In study group ($1.5{\mu}g/kg$ loading and $0.5{\mu}g/kg/hr$ continuous infusion of fentanyl before skin incision and tourniquet inflation) and control group (no treatment). Anesthesia was maintained with enflurane (1-2 MAC) and 50% nitrous oxide in oxygen. Arterial pressure and heart rate were compared between two groups. They received postoperative pain treatment with patient-controlled analgesia (PCA) with fentanyl during the postoperative 48 hours after total knee replacement. Visual analog scale (VAS) scores at either rest or movement were used to assess pain. Total fentanyl dose delivered, number of PCA requests, supplemental analgesics, overall satisfaction score and adverse events were evaluated. Results: There were no significant differences between the two groups on cardiovascular changes by tourniquet induced pain effect. VAS, PCA delivered dose and PCA demands at movement in the 24-48 hour decreased in study group compared with control group (P < 0.05). But there were no significant differences between the two groups on the other time periods except 24-48 hour's patient satisfaction and adverse events. Conclusions: We suggest that intraoperative continuous i.v. fentanyl infusion dose not affect cardiovascular change by tourniquet induced pain. But it may induce preemptive analgesia postoperatively.

• Journal of Chest Surgery
• /
• 제29권3호
• /
• pp.278-284
• /
• 1996

1989년 5월부터 1994년 5월까지 9명의 대혈관전위증 환자에 대해 동맥전환술을 시행하였다. 연령 분 포는 생후 3일에서 90일까지로 평균 30일 (21일)이 었고 환자는 전례 에서 술전 심초음파 검사로 진단되 었 다. 8례는 심실중격결손을 동반한 대혈관전위증이었으며 1례는 심실중격결손을 동반하지 않은 단순대 혈관잔위증 환아였다. 동반기형으로는 동맥관개존이 8례, 심방중격결손이 7El,대동맥축약이 1례였다. 관동백의 분지 형태는 Yacoub type A가 7례 (77 %), Yacoub type D의 형태가 2례 (23 %)였다. 폐동맥 재 건은 Lecompte 술식을 8례 에서 적용하였고 자가심낭편을 이용하였다. 사망율은 55 %였다. 수술후 1 ~2 일내 사망한 3례는 좌심실 기능부전과 발작성 폐동맥 고혈압이 원인이었고, 수술후 2~3주에 사망한 2례는 술후 감염에 의한 폐혈증이 주원인이었다. 평균 추적 기간은 17개월이 었고 추적관찰에는 심초음파 를 이용하였으며 임상적으로 의미 있는 대동맥 판 폐쇄부전이나 폐동맥 판 상부 협착은 발견되지 않았다. 수술에 따르는 여러 위험 요소들(저체중, 장시간의 체외순환, 체외 순환중 과도한 혈희석, 저체온, 술후 용적 부하, 과도한 \ulcorner\ulcorner\ulcorner사용) 중 술후 과도한 강심제를 사용했을 경우에서만 통계학적 유의성을 가지는 위험인자로 나타났다.

• 수산해양교육연구
• /
• 제28권3호
• /
• pp.799-807
• /
• 2016

The objective of research was to explore the effects of Kinesic taping treatment on Kayaker's athletic performance and muscle fatigue variable. In order to accomplish such study objective, this study employed 8 ordinary university students and 8 university kayaker's as study subjects. The athletic performance records and blood lactate were analyzed before and after Kinesic taping treatment (KTT). Kinesic taping treatment was applied to the regions of agonist such as vastus medialis muscle, Latissimus dorsi muscle, Trapezius muscle, Biceps brachii muscle, and Triceps brachii muscle, which are major muscles for Kayaker's. Records for rest heart rate, athletic performance and blood lactate were measured upon 200m and 500m distance exercise using kayak ergometer. Data were analyzed by SPSS 19.0 using paired t-test and one-way repeated ANOVA at significant level of a = .05. First, performance records of 200m paddling kayak showed that the ordinary university students had a mean score of 60.13 second before and 58.75 second after kinesic taping treatment. University kayakers had a mean score of 58.75 second before and 53.0 second after kinesic taping treatment. Both groups had significant differences between before and after KTT in the athletic performance. In addition, levels of blood lactate showed that the ordinary university students had a mean score of 5.89mM before and 8.90mM after KTT and university kayaker's had a mean score of 5.79mM before and 8.48mM after KTT. The ANOVA showed that the level of ordinary university students' blood lactate was significantly higher than university kayakers only after KTT. Second, performance records of 500m paddling kayak showed that the ordinary university students had a mean score of 2.90 minute before and 2.77 minute after KTT and university kayaker's had a mean score of 2.30 minute before and 2.20 minute after KTT. Both groups had significant differences between before and after KTT in the athletic performance. Moreover, only university kayaker's had a significantly higher performance record than the counterpart. Levels of blood lactate showed that the ordinary university students had a mean score of 7.71mM before and 8.85mM after KTT and university kayakers had a mean score of 8.09mM before and 8.45mM after KTT. However, such a level of increase had no significant difference between the groups

• 한국항해항만학회지
• /
• 제34권10호
• /
• pp.757-762
• /
• 2010

본 연구는 유산소운동능력의 차이를 보이는 두 집단이 각각 로윙에르고미터 최대하 운동을 실시한 후 혈중 활성산소의 변화에 어떠한 차이를 나타내는지 구명하는데 목적이 있으며 연구대상으로는 조정 선수집단 6명과 비선수집단 6명을 대상으로 최대유산소운동능력을 검사한 후 각각의 목표심박수 85~90%를 적용하여 로윙에르고미터 운동을 실시하였고 운동 전, 직후, 10분, 20분, 차30분에 각각 채혈하여 활성산소의 변화를 분석하였다. 그 결과는 유산소운동능력의 차이에 따른 활성산소의 변화에서 집단과 시기 간 상호작용 효과는 유의한(p<.05) 차이를 나타내어 시기에 따른 변화의 양상이 집단 간 차이가 있었고 사후검증 결과 회복기 10분에서 20분 그리고 20분에서 30분 구간에서 유의한 차이가 나타났다. 결론적으로 인체에 부정적인 영향을 미치는 활성산소로부터 유산소운동능력이 우수한 조정선수집단이 비선수집단에 비해 긍정적인 회복 패턴을 보였다.