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Facet Joint Syndrome (추간관절 증후군)

  • Kang, Jeom-Deok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.2
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    • pp.93-97
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    • 2009
  • Anatomy: Facet joint syndrome most often affects the lower back and neck and refers to pain that occurs in the facet joints, which are the connections between the vertebrae in the spine that enable the spine to bend and twist. Many physicians have believed that the usual lesion of facet syndrome was an anatomical impairments of facet joint itself.. Facet joint injection using local anesthetics is a reliable method for the diagnosis and treatment for facet syndrome. Etiology: One of many possible causes is imbalances that can occur in stress levels, hormone levels, and nutritional levels. These imbalances can adversely affect posture, which can lead to neck and back pain. The common disorder called facet syndrome exhibits lower back pain, with or without, radiating pain to buttock and thigh due to facet joint arthropathy. Pain in the facet joint is supposedly the secondary effect of narrowing of joint space by sustained muscle contracture around joints. Syndrome: Facet joint syndrome tends to produce pain or tenderness in the lower back that increases with twisting or arching the body, as well as pain that moves to the buttocks or the back of the thighs. Other symptoms include stiffness or difficulty standing up straight or getting out of a chair. Pain can be felt in other areas such as the shoulders or mid-back area. Treatment: Non-drug treatments include hot packs, ultrasound, electrical stimulation, and therapeutic exercises. Stimulating blood flow using massage or a hot tub may also help. Alternative treatments include yoga and relaxation therapy. If your pain persists after trying these treatments, a surgical procedure called radiofrequency rhizotomy, which destroys the sensory nerves of the joint, may bring relief. Facet joint injection has been helpful in diagnosis and therapy for this facet syndrome. Radiofrequency thermocoagulation of medial branches is known to be an effective method of relieving pain caused by facet joint problems. We conclude that spasmolytic treatment of muscles connecting the two vertebral articular space would be better for treatment and diagnosis of facet syndrome rather than facet block with local anesthetic and steroid only.

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THEMIS Pi2 observations near dawn and dusk sectors in the inner magnetosphere

  • Kwon, Hyuck-Jin;Kim, Khan-Hyuk;Lee, Dong-Hun;Takahashi, K.;Park, Young-Deuk;Bonnell, J.W.
    • Bulletin of the Korean Space Science Society
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    • 2010.04a
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    • pp.40.3-40.3
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    • 2010
  • The most frequently suggested source for Pi2 pulsations in the inner magnetosphere (L < 4) is standing fast-mode waves trapped in the plasmasphere (i.e., plasmaspheric resonances). They have been considered as the source of low-latitude Pi2 pulsations. The plasmaspheric resonance model suggests that compressional fast-mode waves can be detected at all local times inside the plasmasphere provided reflection of the wave energy is efficient. Until now, however, there are no reports about compressional Pi2s observed in the dayside inner magnetosphere. That is, there is longitudinal limit of inner magnetosphere. In February 2008, THEMIS probes were near dawn and/or dusk sides, which are the transition regions between the nightside and dayside, in the inner magnetosphere (L = 2-4) when low-altitude Pi2s were identified at Bohyun (L = 1.35) station in Korea. Using the THEMIS electric field data, we examined if Pi2s are excited by longitudinally localized disturbances. We found that compressional Pi2s having high coherence with a low-latitude Pi2 pulsation occur on dawnside. However, any compressional pulsations in the Pi2 frequency band were not detected on duskside. This indicates that compressional Pi2s disappear near the duskside. Our observations are discussed with spatial plasmaspheric structure and possible Pi2 mechanisms.

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The Optimal Harvest Scheme for Pine Trees When Carbon Value Is Considered (탄소가치를 고려한 소나무림의 최적관리 방안)

  • Lee, Sang-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1164-1170
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    • 2013
  • Since trees sequestrate carbon and reduce the level of its concentrations in the atmosphere, forests should be considered as carbon pools as well as timber producers. This study focuses on finding optimal harvest age when carbon sequestration from trees is accounted by forest managers. A dynamic programming employs a static volume matrix, and solves the harvest decision problems. If carbon value is accounted in a tree harvest decision model, the optimal harvest age increases. The harvest age of pine trees set by the government for national forests is longer than the optimal solution. It is possible to say that the managers of national forests put more values on the standing pine trees than the value of carbon sequestration. The regulation for private forests, on the other hand, ends up in a shorter harvest age than the optimal solution, and this discrepancy could lead to an inefficient private forest management.

A Study on Factors Impacting Work-related Health Problems in Different Work-hour Groups (근로시간대별 근로자의 업무관련 건강문제에 영향을 미치는 요인)

  • Beak, Eun-Mi;Jung, Hye-Sun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.29 no.3
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    • pp.383-393
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    • 2019
  • Objectives: The proportion of those working beyond 53 hours a week in 2018 has reached 16.8% of the total number of workers in the Republic of Korea (Statistics Korea, 2018). Although there are many studies that have dealt with the correlation of long working hours and increasing risk of work-related health problems, studies dealing with the factors impacting work-related health problems of workers according to their working hours are few. This study aims to ascertain factors impacting work-related health problems of workers based on their working hours through thorough research on their work environment. Methods: Necessary factors for this study were extracted from 'the 4th Korean Working Conditions Survey to analyze details on normal characteristics and work environments used for the study analysis, work hours, and health problems related to work. Results: The results are as follows: First, men showed a greater probability of exposure to work-related health problems than did women, especially in the 50s age group, which showed the highest potential for health problems from work among age groups. Second, service providers and sales professionals showed a higher probability of work-related health problems. Third, for the work environment, health problems at work related to vibration, noise, chemical and poison exposure, exhaustion, pain, standing position, and repeated motion showed a higher probability if the work hours are long. Conclusions: This study suggests that the minimization of overtime labor would prevent work-related health problems and diseases, improve the well-being of workers, and decrease the negative impact on workers in the subject area.

Immediate Effects of Using the PNF Contract-Relax Technique in the Close Kinetic Chain Position on the Gait Ability and Gastrocnemius Muscle Tone of Stroke Patients (닫힌 사슬 자세에서의 PNF 수축-이완 기법이 뇌졸중 환자의 장딴지 근육 긴장도와 보행능력에 미치는 즉각적 효과)

  • Moon, Sang-Hyun
    • PNF and Movement
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    • v.15 no.1
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    • pp.35-40
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    • 2017
  • Purpose: The purpose of this study was to determine the immediate effects of using the proprioceptive neuromuscular facilitation (PNF) contract-relax technique in the close kinetic chain position on the gait ability and gastrocnemius muscle tone of stroke patients. Methods: The subjects were patients who had strokes due to cerebrum infarction and hemorrhage. The subjects participated in exercise with the PNF contract-relax technique in the standing-on-elbow position with a high table, and the affected lower leg was placed in the posterior position. The PNF contract-relax technique was applied at the position in which the ankle plantar-flexors were in a sufficiently elongated position. After performing twice in each range, while the muscle was elongated, the affected side was moved further back and a new range was set. In each session, the time of contraction was set to 8 seconds, and the resting time was set to 5 seconds; however, if the patient felt tired, they received more resting time during the intervention. The Myoton Pro and 10 m walking test were used to measure the muscle tone and gait ability both pre- and post-intervention. Results: After participating in the program, the muscle tone decreased and the gait ability improved in the ankle plantar-flexors, as determined by the Myoton Pro and 10 m walking test. Conclusion: The PNF contract-relax technique can help to decrease muscle tone in ankle plantar-flexors with hypertonus and increase the gait ability in stroke patients.

Contemporary Explorations to Establish Life Culture (생명 문화 정립을 위한 시론적 모색)

  • Lee, Jae-bok
    • Cross-Cultural Studies
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    • v.21
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    • pp.165-188
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    • 2010
  • One of the things that should be done first in establishing the cosmic life culture is to reflect on the old human-oriented culture. If the cosmic life culture absolutizes everything except for humans according to the logic of reason, its foundation will weaken or eventually get lost. Separating humans from the universe is just like separating life from it. Given that all life, whether it is humans or the earth, originated from the universe, such an effort for separation merely values an individual life by excluding all life or whole life. When the human body and the cosmic chi' blood are not in an active flow, it means there is a problem with life. What is in the greatest need in such a case is the sincere human mind that follows the principle of cosmic life. It is like the sincerity found in the pasonri singer, who mellows all the hardships and difficulties in the world out and create songs out of them like the shadow. It is the pansori singer's shadow that changes the universe. It is only when the extreme force of human mind communicates with that of the universe that the cosmic life or cosmic life culture can be created. In that sense, it is urgent to create life out of the universe inside me and create a universe out of all life in and outside me. It is such a grave plan in human history in that it involves finding the "Sanal" which is the core of life living hidden inside the body whose life force gradually goes away or inside the universe, and creating the culture of Bokseung in which it bursts out. The most important thing in life is the flow, and the mankind is currently standing in the life flow of the massive universe's chaosmos. The greatest task the mankind is currently faced with is to think over how to deal with the period of Big Chaos in the massive universe's chaosmos reversely and establish the cosmic life culture anew.

Effects of Vibrotactile Bio-Feedback Providing Pressure Information in Real Time on Static Balance and Weight Bearing Rate in Chronic Stroke Patients - Pilot Study (실시간 압력정보 제공 진동 촉각 피드백이 만성 뇌졸중 환자의 정적균형능력과 체중 지지율에 미치는 영향 - 예비실험연구)

  • Kil, Ki-Su;Kim, Ho;Shin, Won-Seob
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.1
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    • pp.41-48
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    • 2021
  • Purpose : The purpose of this study is to find out if it helps to improve static balance ability and weight bearing rate for chronic stroke patients with poor balance in clinical intervention through a method of correcting movement errors while performing a task by vibrotactile bio-feedback providing pressure information. Methods : Fifteen chronic stroke patients (12 male and 3 female) were participated in this study. To examine the effects of vibrotactile bio-feedback and general standing without bio-feedback on static balance ability and weight distribution symmetric index in all subjects randomized with R Studio. The static balance ability and weight distribution symmetric index of the participants was evaluated using a force plate. A paired t-test was used for comparison of each conditions. Statistical significance was set at α=0.05. Results : The comparisons of static balance ability and weight distribution symmetric index in chronic stroke patients after two different condition are as follows. In the static balance ability and weight distribution symmetric index, the vibrotactile feedback providing pressure information showed a significant difference compared to none feedback (p<.001). Conclusion : The vibrotactile bio-feedback providing pressure information in real time can support an improve in static balance ability, uniform weight bearing rehabilitation in chronic stroke patients. In the future, it is hoped that a follow-up study that provides a better direction of intervention compared to various feedback interventions commonly used in clinical practice.

Effect of Muscle Taping and Joint Taping on Static and Dynamic Balance in Normal Adults with Chronic Ankle Instability

  • Kim, Hyun-Sung;Park, Jae-Young
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.1
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    • pp.101-108
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    • 2022
  • Purpose : This study was conducted to investigate the effect of muscle taping and joint taping on static and dynamic balance in normal adults with chronic ankle instability. Methods : The subjects of this study were 32 people who met the inclusion criteria. This cross-sectional study was conducted using the Kinesio tape, an elastic tape, was used. Subjects were randomized to exclude the effect of sequence, and no taping, joint taping, and muscle taping were applied as taping interventions. One-leg standing test and a Functional reach test were conducted to measure static balance, and Y-balance test was conducted to measure dynamic balance. One way repeated ANOVA was performed to investigate the difference in balance ability according to the taping intervention. If there was a significant difference, a post-hoc was performed using the Bonferroni method. Results : In the case of static balance, joint taping showed more significant results than did no taping and muscle taping (p<.05), and muscle taping showed more significant results than did no taping (p<.05). In the case of dynamic balance, muscle taping showed significantly larger results than did no taping and joint taping (p<.05) and joint taping showed significantly larger results than did no taping (p<.05). Conclusion : This study found that mechanical stimulation of muscles and joint compression by elastic taping increased ankle stability and improved static and dynamic balance. In particular, for static balance, joint taping was more effective than muscle taping, and for dynamic balance, muscle taping was more effective than joint taping. Applying the appropriate taping method to individual subjects has the advantage of maximizing the therapeutic effect for the recovery of balance ability. Similarly, the application of various tapings to subjects with ankle instability will have a positive effect on functional improvement.

The Effects of Unstable Surface Training on Balance and Gait in Stroke Patients: A Systematic Review and Meta-Analysis

  • SeonCheol Yang;Jihye Jung;Seungwon Lee
    • Physical Therapy Rehabilitation Science
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    • v.12 no.1
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    • pp.62-71
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    • 2023
  • Objective: Stroke patients need the training to adjust their posture and maintain balance is necessary to restore movement function, and unstable support training is one of the appropriate training. In this study, a systematic review and meta-analysis were conducted to find out the effects of unstable surface training on balance and gait in stroke patients. Design: Systematic review and meta-analysis Methods: After creating a search expression referring to MeSH and EMTREE, the literature from 1976 to February 2022 was searched in the databases of PubMed, EMBASE, and Cochrane Library CENTRAL. A total of 331 studies were searched from three databases, and 11 studies were finally selected according to the inclusion criteria. Unstable surface training included studies using balance trainer, Whole-body vibration, and sand surfaces. Results: The results were found to be d=2.28 (p=0.02) and the effect size was 0.36 (95% CI: 0.05, 0.67) on the Berg Balance Scale. In the Kinesthetic Ability Trainer static balance, d=2.59 (p=0.01) and the effect size was 1.01 (95% CI: 0.24, 1.78). Timed Up and Go test showed that d=2.18 (p=0.03) and the effect size was 0.38 (95% CI: 0.04, 0.72). At the gait speed, d=0.99 (p=0.32) and the effect size was 0.15 (95% CI: -0.15, 0.45). In the 6-minute walk test, d=0.14 (p=0.89) and the effect size was 0.04 (95% CI: -0.47, 0.55). Conclusions: In this study was found that training was effective in balance if it became unstable in standing posture. Therefore, unstable surface training can be used to improve the balance of stroke patients in clinical practice.

Galaxy Group Assembly Histories and the Missing Satellites Problem: A Case for the NGC 4437 Group

  • Kim, Yoo Jung;Lee, Myung Gyoon
    • The Bulletin of The Korean Astronomical Society
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    • v.46 no.1
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    • pp.33.1-33.1
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    • 2021
  • The overprediction of the number of satellite galaxies in the LCDM paradigm compared to that of the Milky Way (MW) and M31 (the "missing satellites" problem) has been a long-standing issue. Recently, a large host-to-host scatter of satellite populations has been recognized both from an observational perspective with a larger sample and from a theoretical perspective including baryons, and it is crucial to collect diverse and complete samples with a large survey coverage to investigate underlying factors contributing to the diversity. In this study, we discuss the diversity in terms of galaxy assembly history, using satellite populations of both observed systems and simulated systems from IllustrisTNG. In addition to previously studied satellite systems, we identify satellite candidates from 25deg2 of Hyper Suprime-Cam Subaru Strategic Program (HSC-SSP) Wide layer around NGC 4437, a spiral galaxy of about one-fourth of the MW mass, paired with a ~2 magnitude fainter dwarf spiral galaxy NGC 4592. Using the surface brightness fluctuations (SBF) method, we confirm five dwarf galaxies as members of the NGC 4437 group, resulting in a total of seven members. The group consists of two distinct subgroups, the NGC 4437 subgroup and the NGC 4592 subgroup, which resembles the relationship between the MW and M31. The number of satellites is larger than that of other observed and simulated galaxy groups in the same host stellar mass range. However, the discrepancy decreases if compared with galaxy groups with similar magnitude gaps (V12 ~ 2), defined as the V-band magnitude difference between the two brightest galaxies in the group. Using simulated galaxy groups in IllustrisTNG, we find that groups with smaller V12 have richer satellite systems, host more massive dark matter halos, and have assembled more recently. These results show that the host-to-host scatter of satellite populations can be attributed to the diversity in galaxy assembly history and be probed by V12 to some degree and that NGC 4437 group is likely a recently assembled galaxy group with a large halo mass compared to galaxy groups of similar luminosity.

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