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The Effect of Trunk Stabilization Posture Wearing Spiral Elastic Band on Upper Extremity Function in Stroke Patients (나선형 탄력밴드를 착용한 몸통 안정화 자세가 뇌졸중 환자의 팔 기능에 미치는 효과)

  • Kim, Min-Ho
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.2
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    • pp.93-103
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    • 2021
  • Purpose : This study aimed to investigate the effect of trunk postural stability maintained wearing a spiral elastic band on the upper extremity function of patients with stroke who undertook a functional activity program and to provide fundamental data useful for the application of therapeutic interventions in the clinical environment of occupational therapy. Methods : The research subjects included 16 patients with stroke who were evenly divided into an experimental group and a control group. The eight-week intervention consisted of a functional activity program aimed at improving the function of the affected-side upper extremity. The experimental group performed the functional activity program while maintaining a stable trunk posture by wearing a spiral elastic band. The control group followed the program without wearing the band. Upper extremity function was assessed before and after the intervention using a manual function test (MFT) and a motor activity log (MAL), and the effectiveness on the upper extremity function of the affected side was confirmed. Results : First, in the within-group comparison of the upper extremity function scores before and after the intervention, the experimental group showed a statistically significant difference in the MFT and MAL assessment(p<.05). The control group showed a statistically significant difference in the MAL assessment(p<.05). Second, in the between-group comparison of the change in scores after the intervention, a statistically significant difference was observed between the two groups in all assessments(p<.05). Conclusion : This study confirmed the positive effect on upper extremity function of trunk stabilization posture using a spiral elastic band. The results could be useful when implementing a task-oriented training program in the clinical environment of occupational therapy in the future, as application of the training while maintaining trunk postural stability by wearing a spiral elastic band could be more effective for improving the upper extremity function of patients with stroke.

Effect of robot arm reach training on upper extremity functional movement in chronic stroke survivors: a preliminary study

  • Cho, Ki Hun;Song, Won-Kyung
    • Physical Therapy Rehabilitation Science
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    • v.8 no.2
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    • pp.93-98
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    • 2019
  • Objective: The purpose of this study was to investigate the effect of robot arm reach training on upper extremity functional movement in chronic stroke survivors. Design: One group pretest-posttest design. Methods: Thirteen chronic stroke survivors participated in this study. Robot arm reach training was performed with a Whole Arm Manipulator (WAM) and a 120-inch projective display to provide visual and auditory feedback. During the robotic arm reach training, WAM provided gravity compensation and assist-as-needed (AAN) force according to the robot control mode. When a participant could not move the arm toward the target for more than 2 seconds, WAM provided AAN force to reach the desired targets. All patients participated in the training for 40 minutes per day, 3 times a week, for 4 weeks. Main outcome measures were the Fugl-Meyer Assessment (FMA), Action Research Arm Test (ARAT) and Box and Block Test (BBT) to assess upper extremity functional movement. Results: After 4 weeks, significant improvement was observed in upper extremity functional movement (FMA: 42.15 to 46.23, BBT: 12.23 to 14.00, p<0.05). In the subscore analysis of the FMA upper extremity motor function domains, significant improvement was observed in upper extremity and coordination/speed units (p<0.05). However, there were no significant differences in the ARAT. Conclusions: This study showed the positive effects of robot arm reach training on upper extremity functional movement in chronic stroke survivors. In particular, we confirmed that robot arm reach training could have a positive influence by leading to improvement of motor recovery of the proximal upper extremity.

Cone-beam computed tomography assessment of upper airway dimensions in patients at risk of obstructive sleep apnea identified using STOP-Bang scores

  • Eow, Pei Ying;Lin, Kar Yi;Kohli, Shivani;Math, Swarna Yerebairapura
    • Imaging Science in Dentistry
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    • v.51 no.4
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    • pp.439-446
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    • 2021
  • Purpose: The aim of this study was to identify correlations between the STOP-Bang score and upper airway dimensions using cone-beam computed tomography (CBCT) scans. Materials and Methods: This study included 101 subjects (46 men, 55 women) from dental patients who received CBCT scans from 2014 to 2020. The patients were divided into those with a low obstructive sleep apnoea (OSA) risk (STOP-Bang score<3) and those with an intermediate to high OSA risk (STOP-Bang score≥3), and their upper airway dimensions were then analysed on CBCT scans. Comparisons between the low-risk and intermediate/high-risk groups were conducted using the t-test and the Mann-Whitney test. Correlations between the total STOP-Bang score and upper airway dimension parameters were established using Spearman correlation coefficients. P values≤0.05 were considered to indicate statistical significance. Results: Intermediate/high-risk subjects were predominantly male and over 50 years of age, with a higher body mass index. They had significantly longer upper airways, smaller average airway volumes, and smaller widths and antero-posterior dimensions of the narrowest upper airway segment. The total upper airway length was positively correlated with the STOP-Bang score (rs=0.278). The average volume (rs= -0.203) and width of the narrowest upper airway segment(rs= -0.305) were both negatively correlated with STOP-Bang scores. Conclusion: Subjects with higher STOP-Bang scores had upper airways that were longer, narrower, and smaller in terms of average volume. CBCT scans taken for dental patients as part of investigative procedures could be correlated with STOP-Bang scores to screen for patients at risk of OSA.

Upper Body Type Analysis for Middle-aged Women Aged 50-69 Years (50-69세의 중장년 성인여성을 위한 상반신 체형분석)

  • Lee, Jin Hee;Kim, Eun Kyong
    • Journal of the Korea Fashion and Costume Design Association
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    • v.24 no.3
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    • pp.49-61
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    • 2022
  • This study aims to provide upper body shape information by analyzing the measurement data of middle-aged women aged 50-69, including baby boomers, whose economic power and activity have improved compared to the previous generations. In order to provide accurate upper body shape information by analyzing the body type using the 8th Size Korea measurement data, body shapes were classified through factor and cluster analysis using 75 direct measurement items. Upper body type was classified according to the factors, and the associated characteristics were analyzed. As a result of the comparative analysis of the upper body measurements from the 4th to the 8th Size Korea measurement, it was found that in the height item, both the waist height and the hip height increased, making the overall height greater and the leg length longer. The body circumference items tended to increase, but were found to decrease significantly in the 8th Size Korea (2021) measurement. Middle-aged women were classified using five factors. Factor 1 was the upper body obesity factor, and Factor 2 was the trunk vertical factor. Factor 3 was the width of the back shoulder, Factor 4 was the vertical factor behind the back, and Factor 5 was the length factor of the front garment composition. Middle-aged women were classified into four body types through cluster analysis. Type 1 is relatively small and skinny, Type 2 has the most obese upper body and developed back shoulders, and Type 3 is skinny and has a long back and short front. In Type 4, the upper body was relatively long and the shoulders were narrow.

A Study on Emotional Characteristics Using Upper Gastrointestinal Endoscopic Findings and The Core Seven Emotions Inventory-Short Form (상부위장관내시경 소견과 핵심칠정척도 단축형을 활용한 정서적 특성 연구)

  • Kim, Gwang Woo;Ko, Kyeong Jin;Han, Min Seok;Kang, Seong Hyeon;Kang, Hyung Won;Lyu, Yeoung Su
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.1
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    • pp.21-31
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    • 2022
  • Objectives: To perform correlation analysis between the Core Seven Emotions Inventory-Short Form (CSEI-s), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), upper gastrointestinal symptoms, and gastroscopic findings and to compare emotional characteristics with upper gastrointestinal endoscopic findings. Methods: In this study, medical records of 38 participants who visited the hospital for examination purposes or complained upper gastrointestinal symptoms and completed the CSEI-s, BAI, BDI, and Questionnaire for upper gastrointestinal symptoms were analyzed using SPSS (Statistical Package for the Social Sciences) version 25.0. Frequency Analysis, Descriptive Analysis, Independent t-test, Mann-Whitney's U-test, and Correlation analysis were performed. Results: The upper gastrointestinal symptom group showed higher levels of anger, sorrow, depression, and anxiety than the asymptomatic group. On gastroscopy, the normal group had higher levels of Joy than the abnormal group. The reflux esophagitis group showed higher levels of thought, depression, sorrow, and anxiety than the non-reflux esophagitis group. Joy showed a negative correlation with BDI score. However, anger, depression, sorrow, BAI, and BDI score showed positive correlations. Conclusions: Results of this study suggest that CSEI-s can be used to treat patients with upper gastrointestinal symptoms and reflux esophagitis.

The Typological Characteristic of 3-Dori Type Upper Structure and its Change in Yang-dong Village during the Joseon Dynasty - Focusing on the Response of the Upper Structure according to the Change of Plan Composition - (조선시대 양동마을 3량 상부 가구의 유형적 특징과 변화 - 평면 구성 변화에 따른 상부 가구의 대응을 중심으로 -)

  • Bae, Chang-Hyun
    • Journal of architectural history
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    • v.33 no.2
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    • pp.7-15
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    • 2024
  • The composition of the upper structure, which can be found in the 3-Dori type buildings in Yang-dong Village, varies significantly from time to time. The upper structure of the Gwan-ga-jeong, known as a house in the mid-Joseon Dynasty, consists of a basic 3-Dori type structure in which a beam is placed under 3-Dori and supported with two flat columns. On the other hand, the upper structure of I-hyang-jeong historic house, built in the 17th century, is different in that it has a stud between the two flat columns. The upper structure of Sa-ho-dang historic house, a 19th-century building is different from the upper structure of the buildings of the previous period in that three flat columns were used. As such, the difference in the composition method of the upper structure according to the construction period is closely related to the introduction of the Toi-maru, which is mainly explained by the boundary space. In addition, it can be expected that the introduction of the Toi-maru originated from the influence of the change in the plan. This study was conducted to examine the correlation between the plan and the composition of the boundary space through various typology of the 3-Dori upper structure distributed intensively in Yang-dong Village.

Relationships among Pain, Upper Extremity Function, and Anxiety in the Breast Cancer Survivors (유방암 생존자의 상지기능, 통증 및 불안과의 관계)

  • Lim, Jeong-Sun;Kim, Jong-Im
    • Journal of muscle and joint health
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    • v.19 no.1
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    • pp.37-45
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    • 2012
  • Purpose: This study was to compare pain, upper extremity function, and anxiety among disease characteristics in the breast cancer survivors and to clarify the relationship among these variables. Methods: One hundred twenty two participants with breast cancer survivors over the age of 30 were recruited from a general hospital. Data were collected from November 1 to December 25, 2006 using a structured questionnaire. Results: The mean age was 51.17 and their mean survival period was 38.08 months. The breast cancer survivors who had received radiation therapy reported lower levels of pain and upper extremity function, and higher levels of anxiety than those who had other treatments. Pain and anxiety were positively related, and upper extremity function was negatively related to pain and anxiety. Conclusion: The breast cancer survivors experienced pain, upper extremity function disorder and anxiety. This study indicates that nursing interventions for the breast cancer survivors may be needed to improve upper extremity function, and to reduce pain and anxiety.

Klebsiella pneumoniae necrotizing fasciitis on the upper lip in a patient with uncontrolled diabetes

  • Kim, Hyeong Seop;Chang, Yong Joon;Chung, Chul Hoon
    • Archives of Craniofacial Surgery
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    • v.21 no.2
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    • pp.127-131
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    • 2020
  • A 60-year-old woman with a history of diabetes mellitus and chronic renal failure was admitted to the hospital with severe pain in the upper lip, which began 4 days prior to admission, accompanied by a bullous lesion and suspected cellulitis in the upper lip. Immediately after admission, as the patient's general condition worsened, tests revealed a non-ST elevated myocardial infarction, septic embolism of the lung, as well as septic shock. Her upper lip suddenly presented a gangrenous and necrotic change, which the tissue and blood culture confirmed to be a Klebsiella pneumoniae infection. After a quick response, the patient's general condition improved. Subsequently, serial debridement was performed to effectively clear away the purulent discharge. While under general anesthesia, the process confirmed full-layer necrosis of the upper lip including the orbicularis oris muscle. Almost half of the entire upper lip sustained a full-layer skin and soft tissue defect, with scar contracture. Six months later, to correct the drooling and lip sealing following the defects, a scar release and an Abbe flap coverage were performed considering both functional and aesthetic aspects. The follow-up revealed a favorable corrective result of the upper lip drooling, and the patient was satisfied from a functional perspective.

A Study on the Underwear Pattern Sizes among Toddlers' Brands (토들러복 브랜드의 내의(內衣) 패턴 조사(調査) 연구(硏究))

  • Kim, Jin;Sohn, Hee-Soon
    • Journal of Fashion Business
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    • v.8 no.1
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    • pp.133-140
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    • 2004
  • In order to compare the pattern sizes of toddlers' brands, the apparel size #95 and #100, #110 were surveyed, while upper body lengths, bust circumferences and waists, hip circumferences, shoulder length, sleeve length, neck circumferences of toddlers' underwears were examined. As a result, it was found that upper body lengths, chest circumferences and lower body lengths of toddlers' underwears differed more or by $2.0cm{\sim}3.0cm$ among brands than other sizes. In case of underwear size #95, the average upper body length was 32.8cm; the upper body size of "c" brand was longest or 33.5cm, while that of "e" brand was shortest or 32.0cm. In case of size #80, the average upper body length was 36.0cm; the upper body size of "a" brand was longest or 37.0cm, while that of "e" brand was shortest of 35.0cm. Such findings may be attributable to the fact that the main customers of "a" and "b" brands whose pattern sizes are larger are middle or lower class people who tend to buy larger toddlers' apparels than their children's actual body sizes. In contrast, "e" brand seems to target the upper class who prefers the apparels almost fitting their children's actual body sizes.

A Feasibility Test for Flaw Detection in Overlay Weld of Reactor Upper Head Penetration Using Time of Flight Diffraction Technique (TOFD 기법을 활용한 원자로 상부헤드관통부 오버레이 용접부 결함 검출 가능성 평가)

  • Lee, Jeong Seok;Kim, Jin Hoi
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.10 no.1
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    • pp.15-19
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    • 2014
  • A Failure or degradation of reactor upper head penetration is a recurring problem due to long term operation at nuclear power plants. And a flaw in the reactor upper head penetration has caused unplanned plant shutdown for repair as well as high economic impact on the plants. Consequently, a detection of flaws is of the utmost importance. Prior to the replacement of reactor upper head penetration, some utilities have repaired the flaws of reactor upper head penetration generated by overlay weld. Until now, only the base metal in reactor upper head penetration has been inspected according to 10 CFR 50.55a and ASME code case N-729-1. Accordingly, it is difficult to detect manufacturing defects and repair defects in overlay weld. This paper presents a case study on the application of Time of Flight Diffraction technique for reactor head penetration mockup with artificial flaws in overlay weld. This study offers a way to understand the flaws detected in reactor upper head penetration overlay weld.