• 대한감각통합치료학회지
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• 제7권2호
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• pp.63-76
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• 2009

목적: 본 연구는 감각통합기능장애를 가진 아동을 대상으로 2주간에 걸친 집중치료프로그램을 제공하였을 때 미치는 효과를 알아보기 위한 것이며, 사후 평가를 통하여 감각통합기능의 유지 여부를 알아보았다. 연구방법: 단일사례연구로써 2주간 9회기 1회기에 40분씩 치료접근을 실시하고, 가정에서 Sensory diet와 더불어 Wilbarger Protocol을 실시하였다. 초기평가와 1차 재평가 사이의 시간은 15일이며 5개월 후 2차 재평가를 실시하였다. 결과: 집중치료프로그램 적용 후 아동은 전반적인 감각영역에서 감각방어가 감소되었고, 자기조절(수면, 각성)이 향상되었다. 또한 실행과 시-지각에서도 향상을 보였으며, 정서적 안정과 일상생활에서도 향상을 보였다. 프로그램 적용 5개월 후 감각조절능력, 안정적인 수면은 유지되고 시-지각에서도 지속적인 발달을 보였지만 정서적인 안정은 지속되지 않았다. 결론: 집중치료프로그램이 긍정적인 효과가 있음을 알 수 있었고, 집중치료프로그램 적용 후 치료적 접근이 없어도 대부분의 감각영역에서 감각조절능력을 유지할 수 있음을 알 수 있었다.

• Radiation Oncology Journal
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• 제35권4호
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• pp.368-379
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• 2017

Purpose: The purpose of this study was to explore the dosimetric difference between simultaneous integrated boost intensity-modulated radiotherapy (SIB-IMRT) and three-dimensional conformal radiotherapy (3DCRT), and the clinical outcomes of anal squamous cell carcinoma (ASCC) chemoradiotherapy featuring SIB-IMRT. Materials and Methods: This study included ten patients with ASCC who underwent chemoradiotherapy using SIB-IMRT with 5-fluorouracil and mitomycin C. SIB-IMRT delivered 54 Gy to each primary tumor plus metastatic lymph nodes and 45 Gy to regional lymph nodes, in 30 fractions. Four patients received additional boosts to the primary tumors and metastatic lymph nodes; the median total dose was 54 Gy (range, 54 to 60 Gy). We additionally created 3DCRT plans following the Radiation Therapy Oncology Group 9811 protocol to allow dosimetric comparisons with SIB-IMRT. Locoregional control, overall survival, and toxicity were calculated for the clinical outcome evaluation. Results: Compared to 3DCRT, SIB-IMRT significantly reduced doses to the external genitalia, bladder, and intestine, delivering the doses to target and elective nodal region. At a median follow-up time of 46 months, 3-year locoregional control and overall survival rates were 88.9% and 100%, respectively. Acute toxicities were treated conservatively. All patients completed radiotherapy with brief interruptions (range, 0 to 2 days). No patient experienced ${\geq}grade$ 3 late toxicity during the follow-up period. Conclusion: The dosimetric advantages of SIB-IMRT appeared to reduce the toxicity of chemoradiotherapy for ASCC achieving high locoregional control in the extended period.

• 대한정형도수물리치료학회지
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• 제16권2호
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• pp.88-92
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• 2010

Purpose: This study was undertaken to evaluate the effect analysis of clinical sing in 40 patients with lumbar intervertebral disc. Methods: All patients were assessed by the low back pain protocol which was composed of symptom, clinical sing before and after the treatment. The effect of clinical sing was analyzed by age, occupation, duration of symptom. Results: Occupation by clinical sing of after the treatment was desking job s from 3.6 to 5.2 scores(p<0.05). Duration of symptoms by clinical sing of after the treatment was over 4 months from 3.8 to 5.5 scores(p<0.05). Clinical sing of after the treatment was straight leg raising test from 1.275 to 1.850 scores, sensory disturbances from 1.425 to 2.575 scores, manual muscle testing from 1.525 to 4.625 scores. Conclusion: Herniated disks are most common in middle age, especially between 35 and 45, due to aging-related degeneration of the disks. Significant or increasing pain, numbness or weakness spreading to one or both legs. Progressive loss of sensation in areas that would touch a saddle (inner thighs, back of legs and area around the rectum).

• IEIE Transactions on Smart Processing and Computing
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• 제3권1호
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• pp.28-34
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• 2014

Recently, ultrasound therapy has become a new and effective treatment for many brain diseases. Therefore, skull-mimicking phantoms have been developed to simulate the skull and brain tissue of a human and allow further research into ultrasound therapy. In this study, the suitability of various skull-mimicking materials(HDPE, POM C, Acrylic) for studies of brain-tumor treatments was evaluated using focused ultrasound. The acoustic properties of three synthetic resins were measured. The skull-mimicking materials were then combined with an egg white phantom to observe the differences in the ultrasound beam distortion according to the type of material. High-intensity polyethylene was found to be suitable as a skull-mimicking phantom because it had acoustic properties and a denatured-area shape that was close to those of the skull,. In this study, a skull-mimicking phantom with a multi-layer structure was produced after evaluating several skull-mimicking materials. This made it possible to predict the denaturation in a skull in relation to focused ultrasound. The development of a therapeutic protocol for a range of brain diseases will be useful in the future.

• 한방재활의학과학회지
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• 제26권4호
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• pp.107-115
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• 2016

The occurrence of brain stem stroke after lumbar selective nerve root block seem to be an uncommon event comparing it to after cervical selective nerve root block. We recently experienced a 60-year-old man who were diagnosed as left lateral medullary infarction (Wallenberg's syndrome) after lumbar selective nerve root block. He was treated by traditional Korean medicine with acupunture, Pulsed electromagetic therapy (PEMT), herb medicine. The range of motion of upper and lower extremity, manual muscle test, Korean version of Berg balance scale (K-BBS) and Korean version of Barthel index (K-MBI) were adopted to measure the resulting recovery after 4 weeks treatment. Traditional Korean medicine was effective for rehabilitation of patient. Further studies are needed to set up and Korean medical protocol for Wallenberg's syndrome.

• 대한물리의학회지
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• 제10권3호
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• pp.47-55
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• 2015

PURPOSE: Stoke is one of most common disabling conditions and it is still lacking of measuring patient's functioning level. The aim of the study was to develop Korean language version of stroke impact scale 3.0. METHODS: Korean version of stroke impact scale 3.0 was developed in idiomatic modern Korean with a standard protocol of multiple forward and backward translations and an expert reviews to achieve equivalence with the original English version. Interviews with clinicians who were currently managing patients with stroke were also conducted for language evaluation. A reliability test was performed to make final adaptation using a pre-final version. To assess the reliability of the translated questionnaire, the intraclass correlation coefficient (ICC) was calculated for each domain of the scale. RESULTS: Thirty subjects (16 male, 14 female) aged from 20 to 75 years old participated to review the translated questionnaire. Reliability of each domain of the questionnaire was found to be good in strength (ICC=0.74), ADL (ICC=0.81), mobility (ICC=0.90), hand function (ICC=0.80) and social participation (ICC=0.79), communication (ICC=0.77) with total (ICC=0.76). However, domains of memory and thinking (ICC=0.66), and emotion (ICC=0.27) and showed poor reliability. CONCLUSION: This study indicates that the Korean version of SIS 3.0 was successfully developed. Future study needed for obtaining the validity of the Korean version of SIS 3.0.

• The Journal of Korean Physical Therapy
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• 제15권1호
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• pp.26-37
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• 2003

This study was to investigate the effect of 10th weeks Exercise of Different Intensity on the activation of antioxidation enzyme and lipid peroxidation. 15 subjects were divided into the 65$\%$ running exercise(EG; 5), 85$\%$ running exercise(EG: 5), and the control(CG: 5) groups. The exercise group had 10 week of running exercise 4 times a week with ACSM(1995) protocol, 65$\%$ of HRmax from the beginning to 5th week, 85$\%$ of HRmax from 6th to 10th week. The subjects had 60 min exercise for each day. After extracting the blood sample, the activation of antioxidation enzyme and lipid peroxidation were compared between the groups. The one way ANOVA was conducted about pretest, 5th week, and 10th week of the subject data. The results obtained from this study were as follows; 1. The 65$\%$ exercise group showed the significantly greater increase in the activation of SOD after 10 weeks for the rest and all-out exercise. (p < .05). 2. The 65$\%$ exercise group displayed the significantly higher increase in the activation of CAT after 10th weeks for the rest exercise. (p < .05). 3. The 65$\%$ exercise group had the significantly greater decrease in the activation of MDA after 10 weeks for the all-out exercise. (p < .05).

• 대한통합의학회지
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• 제7권2호
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• pp.133-139
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• 2019

Purpose : This study aims to investigate the rating of perceived exertion (RPE) and muscle activity of the inspiratory primary and accessory muscle during breathing exercise with different air hole diameters of the inspiratory muscle trainer (IMT). Methods : The Borg's scale and surface electromyography (EMG) was used to collect data of the RPE and muscle activity of the inspiratory primary the external intercostal (EI) and diaphragm (DIA) and accessory muscles anterior scalene (AS), sternocleidomastoid (SCM), pectoralis major (PM), and upper trapezius (UT) muscles during breathing exercise with different air hole diameters (6 mm, 4 mm, and 2 mm) of the IMT in healthy young male subjects. Results : The RPE and muscle activities of the AS, SCM, and UT are increased significantly in accordance to the decreasing diameter of air hole of air tip in IMT. However, there are no differences in the muscle activities of the PM, EI, and DIA based on differences of diameters of air hole of air tip in IMT. Conclusion : The smaller the diametr of IMT air-hole, RPE and muscle activities of AS, SCM and UT were increased. Therefore, further study would be necessary to investigate the proper intensity and relaxation posture for the exercise protocol to strengthen the inspiratory primary muscles.

• Journal of Acupuncture Research
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• 제36권2호
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• pp.59-71
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• 2019

Acupuncture treatment for oculomotor nerve palsy has been increasing recently. This study analyzed randomized controlled trials (RCTs) and case reports, using the Cochrane risk of bias tool to investigate the efficacy of acupuncture therapy for oculomotor nerve palsy. This analysis was performed on March 7, 2019, using online databases (PubMed, Cochrane, NDSL, OASIS, CNKI) where 208 articles were retrieved. Of these, there were 18 case reports and 18 RCTs that matched the inclusion criteria, of which 32 studies used acupuncture as the primary intervention, 1 used pharmacopuncture, 1 used fire-needling, and 1 used electroacupuncture. The most commonly used acupoints were BL1, BL2, ST2, TE23, Ex-HN5, LI4, GB14, ST36, GB20 and GB1. Significant findings were reported in all RCTs. Six adverse events were reported in 3 RCTs, with no effect on the outcome. No side effects were reported in the case reports. The risk-of-bias analysis showed that the articles did not report the experimental protocol used and it was not clear whether the study was blinded. Hence, it was difficult to assess the risk of bias. Analysis of 36 studies showed that acupuncture therapy for oculomotor nerve palsy was effective in many cases. It was difficult to evaluate the potential bias.

• PNF and Movement
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• 제12권3호
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• pp.181-188
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• 2014

Purpose: The purpose of this current study is to compare the effectiveness of respiratory circulation function and tidal volume according to two different types of practice methods, in terms of breathing training program and abdominis muscle strengthening using a swiss ball. Methods: The subjects were consist 18 college students, were randomly and evenly assigned to either breathing training program group (BTG) or swiss-ball exercise group (SEG). Exercise program was applied for 60 minutes, 3 times a week, for 6 weeks. Before, after 3 weeks and after 6 weeks of exercises, the subjects were tested using the bruce protocol. The significance of differences between the BTG and the SEG was evaluated by analysis of two-way repeated measures ANOVA. Results: There was an increase in respiratory circulation function after both of exercise. Especially, there was significant difference between the before and after 6 weeks in the BTG. Also, change of respiratory circulation function in BTG was significantly greater than SEG. Tidal volume was no significant differences between the before and after 6 weeks in both groups. In addition, there was significant difference between BTG and SEG. Conclusion: These results suggest that direct breathing training program were more useful to improve of respiratory circulation function.