재활견과 걷기가 뇌졸중 환자의 삶의 질과 신체활동에 미치는 영향

박신준,박주현,김지성,Park, Shin-Jun,Park, Joo-Hyun,Kim, Ji-Sung 중소기업융합학회 2021 융합정보논문지 Vol.11 No.9

뇌졸중 환자는 신체활동 저하로 삶의 질이 저하 된다. 뇌졸중 환자에게 신체활동 증진과 삶의 질 회복에 재활견과 걷기가 사용될 수 있다. 본 연구는 재활견과 걷기가 뇌졸중 환자의 삶의 질과 신체활동에 미치는 영향을 조사하였다. 본 연구를 위해 24명의 뇌졸중 환자가 모집되었다. 24명의 뇌졸중 환자를 모집하여 두 그룹으로 1:1 무작위 배정하였다. 결과측정에는 삶의 질 평가, 6분 보행, 악력평가를 수행하였다. 연구군은 주 1회, 8주 동안 재활견과 함께 걷기를 하였다. 연구 결과 연구군은 중재 후 뇌졸중 삶의 질, 6분 보행, 마비측 악력에 유의한 증가가 있었다. 더하여 연구군은 대조군보다 삶의 질, 6분 보행, 마비측 악력에 유의한 개선을 보였다. 재활견과 걷기는 뇌졸중 후 삶의 질과 신체활동을 개선할 수 있는 하나의 좋은 중재 방법이 될 수 있다. Rehabilitation dog-walking can be used to improve physical activity and restore QOL in stroke patients. This study investigated the effect of rehabilitation dog-walking on the QOL and physical activity of stroke patients. Twenty-four stroke patients were recruited for this study. Twenty-four stroke patients were randomized 1:1 into two groups. The evaluator measured stroke specific-quality of life (SS-QOL), six minute walk test, and maximal grip strength on the affected and non-affected side. The experimental group received gait training with a rehabilitation dog for 30 minutes once a week for 8 weeks. As a result of the study, there was a significant increase in SS-QOL, six minute walk test, and maximal grip strength on the affected side in the experimental group after the intervention. In addition, the experimental group showed significant improvement in SS-QOL, six minute walk test, and maximal grip strength on the affected side than the control group. Rehabilitation dog-walking may be an intervention method that can improve QOL and physical activity after stroke.

백시멘트와 조강성 분말수지 첨가량 변화에 따른 2성분 박막형 시멘트 모르타르계 주차장 바닥용 표면 마감재의 휨-압축강도비와 윤하중 저항성능간의 상관성 분석

채우병(Chae Woo-Byung),박신준(Park Shin-Jun),오상근(Oh Sang-Keun),서상교(Seo Sang-Kyo) 대한건축학회 2010 大韓建築學會論文集 : 構造系 Vol.26 No.6

Since the finishing materials of the concrete slabs in the indoor parking area which emit environmentally contaminated substance above standard level had been restricted by the law for the indoor air quality management, there has been increased interests in the usage of the cement based mortar as a surface finishing materials of the indoor parking slab. The present paper aims to find the possibility of the 2-Ingredients thin film type cement based mortar as a surface finishing materials of the indoor parking slab, satisfying the standard of KS F 4937(Surface finishing material for parking slab) which regulate the acceptance testing method for the resistance-wheel moving load when it is constructed within around the 1.0㎜ of thickness. The developed surface material is made with the varied component ratio of both content of white portland cement(WPC) and redispersible polymer powder(RPP). Tests on the flexural strength, compression strength and resistance-wheel moving load have been carried out. The results of the experiments show that there is no correlation between the resistance-wheel moving load and the single value of flexural strength and compression strength. It is also revealed that most of test results are satisfying the standard of KS F 4937 when flexural-compressive strength ratio is within the range of 0.40 to 0.45. It is concluded that there is close correlation between the resistance-wheel moving load and the flexural-compressive strength ratio.

폴리우레탄 수지에 시멘트계 분체혼합물을 혼입한 주차장 바닥용 표면 마감재의 성능 평가 연구

채우병(Chae Woo-Byung),최은수(Choi Eun-Su),박신준(Park Shin-Jun),오상근(Oh Sang-Keun),서상교(Seo Sang-Kyo) 대한건축학회 2011 大韓建築學會論文集 : 構造系 Vol.27 No.1

This study attempted the development of surface finishing material for parking slab mixed with cementitious powder component to polyurethane resin, which is composed of four ingredients like A(modified polyol), B(polyisocyanate), H₂O and powder mixture. Through preliminary experiments, samples were made with eight different amounts of the powder mixture keeping the same amount of other three ingredients like A, B, and H₂O. After placing these samples in the thickness of about 1.50㎜, one sample was selected which had no different color and cracks on the hardened surface. The selected sample was tested about flow, flexural strength, compressive strength, bond strength, watertightness, impact resistance, and wheel-moving load resistance. The results were analyzed and examined to present the usability as a surface finishing material for parking slab with the optimum composition ratio. As the results of the experiments, it was found that there was no different color and crack on the surface of the hardened sample which had the composition ratio of A : B : H₂O : Powder Mixture = 1 : 2 : 0.6 : 3.43. Also, this sample satisfied the quality standard regarding dynamic wheel load resistance, flexural strength, compressive strength, bond strength, impact resistance and watertightness which are prescribed by KS F 4937 and KS F 4041. As conclusion, this study confirmed that the polyurethane based mortar in the above composition ratio could be an optimum surface finishing material usable for parking lot slab floor.

메이틀랜드 목뼈 가동술이 만성 뇌졸중 환자의 팔 긴장도 및 뻣뻣함에 미치는 즉각적인 영향

박신준(Shin-jun Park) 한국전문물리치료학회 2018 한국전문물리치료학회지 Vol.25 No.2

Background: After a stroke, the patient may have abnormal muscle tone due to abnormal alignment. Physical therapists have used stretching, neural mobilization other methods to treat patients after stroke. In addition, joint mobilization is also used to stimulation in pathway of cervical segmental region and to normal cervical spine alignment. Objects: The purpose of this study was to determine whether Maitland cervical spine mobilization has an immediate effect on muscle tone and stiffness of upper extremity. Methods: Thirty subjects were divided into a experimental group (n 1 =10), a placebo group (n 2 =10), and a control group (n 3 =10). The Maitland cervical spine mobilization was applied in the supine position. Immediately after the intervention, muscle tone and stiffness of biceps brachii, brachioradialis, deltoid, and pectoralis major were measured using Myoton??PRO. In the placebo group, sham mobilization was applied to the fifth and sixth cervical vertebra, and the control group was instructed to control breathing. Results: In the experimental group, significant differences were found in muscle tone and stiffness of biceps brachii and brachioradialis in comparison with the affected side and the non-affected side before the intervention (p<.05), whereas there was no significant difference after the intervention (p>.05). Muscle tone of biceps brachii on the non-affected side and pectoralis major on the affected side was significantly decreased before and after the intervention (p<.05). The placebo and control group showed no changes on the non-affected and affected side, and no significant differences were detected before and after the intervention. All the groups revealed no significant differences in muscle tone and stiffness of upper extremity before and after the intervention. Conclusion: This study suggests that the application of Maitland cervical spine mobilization enhanced muscle tone of upper extremity on the involved side symmetrically, and influenced a decrease in muscle tone.

치료적 운동에 기능적 전기자극과 경피신경전기자극 결합이 뇌졸중 환자의 근긴장도 및 뻣뻣함, 균형능력에 미치는 영향

박신준 ( Shin-jun Park ),조균희 ( Kyun-hee Cho ),조용훈 ( Yong-hun Cho ) 대한물리의학회 2017 대한물리의학회지 Vol.12 No.2

PURPOSE: This study aimed to compare the impact of exercise with that of functional electrical stimulation (FES) and transcutaneous electrical nerve stimulation (TENS) on muscle tone, calf muscle stiffness, and balance ability in patients with stroke. METHODS: Thirty patients with stroke were randomly divided into an FES group (n=15) and a TENS group (n=15), and a progressive task-oriented exercise was assigned to them. These exercises were performed non-synchronously from December 5, 2016 to January 31, 2017. Patients underwent TENS and simultaneously exercised for 30 minutes daily, 5 times a week for 4 weeks. To determine the effect of the interventions, muscle tone and stiffness of the medial and lateral region of gastrocnemius muscle were measured using the MyotonPRO instrument and balance was assessed using the Berg Balance Scale. RESULTS: Both groups revealed a significant decrease in muscle tone and stiffness of the medial part of gastrocnemius muscle before and after the interventions (p<.05). Berg Balance Scale scores increased significantly (p< .05). However, none of the other parameters were significantly different (p >.05). CONCLUSION: Our results prove that progressive task-oriented exercise along with FES and TENS decreases muscle tone and stiffness of the gastrocnemius muscle in patients with stroke and improves balance. TENS could serve as a complementary replacement for functional electrical stimulation for in-house training, as TENS poses less risk of muscle fatigue and has lesser contraindications than does functional electrical stimulation.

전기자극방법이 앞십자인대 재건술환자의 근력과 통증, 관절가동범위 및 공포-회피반응에 미치는 영향

박신준(Shin-Jun Park),이주환(Ju-Hwan Lee),이덕재(Duck-Jae Lee) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.6

본 연구는 앞십자인대 재건술 환자에게 신경근전기자극 및 경피신경전기자극을 적용하여 근력과 통증, 관절가동범위 및 공포-회피반응에 미치는 효과를 알아보고자 한 연구이다. 앞십자인대 완전파열로 인해 관절경재건술을 받은자를 대상으로 신경근전기자극군(n=14), 경피신경전기자극군(n=14)으로 나누었고 각 군은 일반적인 물리치료를 받은 후 각 중재를 적용받았다. 각 전기치료 중재는 1일 1회 30분, 주 3회씩 4주간, 총 12회 규칙적으로 적용하였다. 중재방법에 따른 평가에는 무릎관절의 굽힘과 폄시 등속성 근력, 통증, 무릎관절 가동범위, 공포-회피반응이 포함되었다. 연구결과 신경근전기자극군과 경피신경전기자극군 모두에서 통증, 관절가동범위, 공포-회피반응에서 유의한 개선이 있었다. 하지만 등속성 무릎 굽힘 및 폄근력의 경우 신경근전기자극군에서만 유의한 개선이 있었다. 또한, 신경근전기자극과 경피신경전기자극 두 전기치료 방법간, 근력, 통증, 관절가동범위, 공포-회피반응에선 유의한 차이가 없었다. 본 연구를 통해 신경근전기자극과 경피신경전기자극은 앞십자인대 재건술 환자의 통증, 관절가동범위, 공포-회피반응에 효과적인 중재방법이 될 수 있다는 것을 알 수 있었지만 넙다리네갈래근 근력을 개선시키기 위해서는 신경근전기자극이 더욱 효과적일 수 있다는 것을 알 수 있었다. The purpose of this study was to investigate the effect of neuromuscular electrical stimulation (NMES) and transcutaneous electrical nerve stimulation (TENS) on muscular strength, pain, range of motion and fear-avoidance in anterior cruciate ligament reconstruction (ACLR) patients. The subjects of this study who received ACLR after arthroscopic injury were divided into two groups: NMES (n=14) and TENS (n=14). Each group received intervention after routine physical therapy. Each electrotherapy intervention was applied regularly for a total of 12 times, 3 times a day (30 minutes) for 4 weeks. The evaluation by intervention method included isokinetic muscle strength in flexion and extension of the knee joint, pain, range of motion of the knee joint, and fear-avoidance beliefs. The results showed significant improvement in pain, range of motion, and fear-avoidance beliefs in both groups (p<0.05). However, there was a significant improvement in isokinetic knee flexion and extension strength only in the NMES group (p<0.05). There was no significant difference between the two electrotherapy methods in muscle strength, pain, range of motion, and fear-avoidance beliefs. These study results suggest that NMES and TENS can be effective intervention methods for pain, range of motion, and fear-avoidance response in patients with ACLR, but to improve muscle strength NMES may be more effective.

칼텐본 정형도수 물리치료와 에비안스-함베르크 뻗침 운동의 결합이 뇌졸중 환자의 발목관절 가동범위와 균형능력에 미치는 영향

박신준 ( Shin-jun Park ),조균희 ( Kyun-hee Cho ),김순희 ( Soon-hee Kim ) 대한물리의학회 2018 대한물리의학회지 Vol.13 No.2

PURPOSE: Stroke patients have limited ankle range of motion and balance problems. The purpose of this study was to determine the effects of Kaltenborn orthopedic manual therapy, Evjenth-hamberg stretching, and combination of both on ankle dorsiflexion range of motion and dynamic balance ability in stroke patients. METHODS: Thirty patients were placed in three groups, each of which received different treatments: Kaltenborn orthopedic manual therapy (15 mins), Evjenth-hamberg stretching (15 mins), or Kaltenborn orthopedic manual therapy with Evjenth-hamberg stretching (30 mins). Each group received three exercise sessions per week during four weeks. To determine its effectiveness of interventions an evaluation was carried out. ankle dorsiflexion range of motion was gauged using a tiltmeter application, and dynamic balance ability was measured using the Berg balance scale. RESULTS: All groups revealed significant improvements in ankle dorsiflexion range of motion, Berg Balance Scale (BBS) score before and after the intervention, and Kaltenborn orthopedic manual therapy with Evjenth-hamberg stretching group showed a significant improvement in ankle dorsiflexion range of motion and BBS score in comparison to other groups. CONCLUSION: We found out that each individual method was effective in ankle dorsiflexion range of motion, dynamic balance ability in stroke patients, and the combined method was more effective.

고장 예지를 위한 클라우드 기반 제조실행시스템 설계

박신준(Shin Jun Park),이병하(Byung Ha Lee),박병권(Byung Kwon Park),이사영(Sa Yeong Lee),최형림(Hyung Rim Choi),김재중(Jae Joong Kim),김채수(Chae Su Kim),김준우(Jun Woo Kim) 한국정보과학회 2018 한국정보과학회 학술발표논문집 Vol.2018 No.12

위성 통신 기반 실시간 냉동컨테이너 모니터링에 관한 연구

박신준(Shin Jun Park),문영식(Young Sik Moon),최성필(Sung Pill Choi),김채수(Chae Su Kim),이강배(Kang Bae Lee),조재희(Jae Hee Jo),최형림(Hyung Rim Choi) 한국정보과학회 2016 한국정보과학회 학술발표논문집 Vol.2016 No.6

건설가설공사의 추락중대재해 방지를 위한 대안 연구

박준모(Park, Jun-Mo),김옥규(Kim, Ok-Kyue),곽순섭(Kwak, Soon-Seop),송길호(Song, Kil-Ho),박신준(Park, Shin-Jun) 대한건축학회 2010 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.30 No.1(구조계)