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Wall Detector를 활용한 Carpal tunnel View 검사법에 대한 연구
김성현(Sung-Hyeon Kim),이세원(Sae-Won Lee),김태형(Tae-Hyung Kim),이진우(Jin-Woo Lee),강한별(Han-Byul Kang) 대한영상의학기술학회 2018 대한영상의학기술학회 논문지 Vol.2018 No.1
목 적:Carpal tunnel view 검사 시 Wall Detector를 활용한 Modify Carpal tunnel View의 유용성을 연구 하고자 한다. 대상 및 방법: 내원 환자 40 명을 대상으로 Both Car-pal tunnel view 검사 시 기존방법과 Modify 방법으로 Positioning 후 영상을 획득, 두 가지를 비교하여, 영상 의 Quality 및 영상 평가 기준을 확인하고, 환자에게 네 가지 항목으로 나누어 질의하여 기록한다. 또한 동일 검사자가 Carpal Tunnel View 촬영 시 Table을 이용할 때, IP Cassette를 이용할 때, wall을 이용할 때, 3가지 로 분류, 검사시간을 총 10회 측정하여 평균검사시간을 측정한다. Grid가 내장되어 있는 Detector에 CR (Cen-tral Ray) Angle을 20°~ 50°(SID:100 cm/AL filter:21mm)로 나누어 조사하여 Image를 획득하고 Cut off 현상의 유무를 확인한다. 결 과:변수를 제외하고 modify 방법 사용 시 평균 21 sec로 기존 방법 대비 평균 1분10초 이상의 검사시간 이 짧아지는 효과가 있었고, IP Cassette 사용 대비 2 분 51초 이상의 검사시간이 짧아지는 효과가 있었다. Positioning의 불편함 질문에서는 기존 방법에서 50%의 환자가 매우 불편함, 40%의 환자가 불편함, 각 5% 의 환자에게서 불편하지 않거나 쉽다는 응답이 나왔고 Modify 방법으로 Positioning시 40%의 환자에게서 불편하지 않음 35%의 환자에게서 쉬움 20%의 환자에게서 불편함, 10%의 환자에게서 매우 불편하다는 응답이 나 왔다. 기존 검사법에서 35° 이상의 CR (Central Ray) Angle에서 Cut off 현상이 나타났으며, Modify 방법 은 Detecter에 CR (Central Ray) Angle이 수직으로 입사되므로 Cut off 현상은 원천적으로 나타나지 않았다. 또한 기존 방법과 Modify 방법으로 획득하여 영상의 Quality 및 영상 평가 기준을 확인한 결과 두 영상 모두 영상평가 기준에 부합하였으며 Cut off 현상에 의한 Blurring도 보이지 않았다. 결 론:검사시간 측면에서 여러 변수를 제외하고 평균 1분 10초 이상의 검사시간이 짧아져 신속한 검사가 가능하며, Modify방법으로 Positioning시 환자가 느끼는 불편함도 개선되었다. Modify 방법에서는 Cut off 현상이 원천적으로 나타나지 않기 때문에 환자의 Positioning이 가능하다는 전제하에 기존의 방법보다 Modify 방법이 더 효율적일 것으로 기대된다. Purpose:The benefits of a modified view of carpal tunnel using a wall detector. Materials and Methods:Forty patients having the condition of carpal tunnel were examined by 2 methods: conventional and modified methods. For this experiment, a survey was used to collect reviews on patients with the choices of: very uncomfortable, discomfort, not inconvenient, comfortable. The second experiment is divided into three classification which a table detector was used for carpal tunnel examination, also including an a IP cassette and a wall detector. To measure the examination time, a total of 3 measurement repeatedly 10 times. Using Grid Detector The grid detector was used to obtain X-ray images and perform cut off phenomenon. The X-ray images were taken in different angles or various directions (central ray angle 20°~50° (SID 100 cm/ AL filter 21 mm). Result:The average scanning time with the table detector usage was 94 seconds. The average scanning time using the ip cassette was 171.8 seconds. The average scanning time using the wall detector was 21 seconds. With the outcome, we can see that using the wall detector resulted to 150.8 shorter in time compared to the ip cassette. In regards to the survey questions and conventional method, 50% of the patients had chosen very uncomfortable, 40% uncomfortable, 5% not uncomfortable, and 5% comfortable. The modify method revealed that 10% of the patients were very uncomfortable, 15% uncomfortable, 40% not uncomfortable, and 35% comfortable. Additionally, the cutoff did not occur due to the x-ray vertically incident. The compared images of the two methods (modify and conventional) showed good arch arrangement of carpal bone. The pisiform and hamate were noted and did not overlap. Conclusion:Using the wall detector as a comparison to IP cassette, the examination time was shortened by 150.8 seconds, and 73 seconds shorter compared to the table detector. Furthermore, the patient was comfortable and no signs of cut off phenomenon. Therefore, I conclude that modify method examination is more effective or is of more beneficial in terms of examination time with patients who are motile or accomplish movement.
물리치료사의 손목의 직업관련 근골격계 증상에 키네시오 테이핑이 미치는 영향
김성현 ( Sung-hyeon Kim ),이상훈 ( Sang-hun Lee ),신호진 ( Ho-jin Shin ),정경심 ( Kyoung-sim Jung ),조휘영 ( Hwi-young Cho ) 대한물리의학회 2020 대한물리의학회지 Vol.15 No.3
PURPOSE: Physical therapists are always exposed to work-related musculoskeletal disorders. Although kinesio taping can support the joints and assist movement, studies of the effects of kinesio taping on these physical therapists are lacking. This study examined the effects of Kinesio-taping on pain, grip strength, range of motion and daily living skills in physical therapists with work-related musculoskeletal disorders. Pain was measured using a 100 mm VAS. The grip strength was measured using a handgrip dynamometer. The range of joint motion was measured using a goniometer. Living skills were measured by patient-rated wrist evaluation. METHODS: Twenty physical therapists with wrist pain (Kinesio taping: n = 10, Sham taping: n = 10) received taping for each group, and measured the pain, grip strength, range of motion and daily living skills before (Baseline) and after taping (Nine hours). RESULTS: All data were analyzed using Repeated Measure ANOVA (p < .05). In the Kinesio group, resting pain (-14.9), movement pain (-20.5), and daily living skills (-9.55) were improved significantly compared to the baseline (p < .05). The grip strength and range of motion were not changed (p > .05). The sham group showed no significant change in all variables (p > .05). CONCLUSION: Physical therapists with work-related musculoskeletal disorders of the wrist should apply kinesio-taping to improve the occupational tasks.
갈색거저리를 이용한 식사 섭취에 따른 영양 섭취 및 영양상태 변화 : 수술 후 환자를 대상으로
김성현 ( Seong Hyeon Kim ),손진영 ( Jin Young Shon ),박준성 ( Jun Sung Park ),김종원 ( Jong Won Kim ),강정현 ( Jung Hyun Kang ),윤은영 ( Eun Young Yun ),황재삼 ( Jae Sam Hwang ),김형미 ( Hyung Mi Kim ) 대한영양사협회 2016 대한영양사협회 학술지 Vol.22 No.4
The purpose of this study was to verify the validity of Mealworms as a hospital meal with increased nutrition density. We provided a meal for postoperative patients and conducted analysis of dietary intake and nutritional status of patients and assessment of acceptability of the meal. This study was carried out as a randomized control trial. Patients were supplied either a hospital meal using Mealworms (Experimental group) or a regular hospital meal (Control group). We investigated the administration amounts of parenteral nutrition (PN) and food intake of patients after surgery and measured anthropometry, body composition, and blood tests before surgery and at hospital discharge. We included 34 postoperative patients who were admitted to Gangnam Severance Hospital from March to September. In the groups of patients not supplied with PN, the experimental group (964.68±284.6 kcal, 38.82±12.9 g) had significantly higher dietary calorie and protein intake than the control group (666.62±153.7 kcal, 24.47±4.9 g)(P<0.05). Additionally in the group of patients not supplied with PN, the experimental group (1.37%) showed a significantly higher increase in fat free mass index than the control group (-3.46%)(P<0.05). In all subjects, calorie density and protein density were significantly higher in the experimental group (P<0.001), and acceptability of calorie (P=0.036) and protein (P=0.001) was also significantly higher in the experimental group. Therefore, the results of this study support the validity of the introduction of hospital meals using Mealworms.
여성 노인의 자세 정렬과 시공간 보행 변수 사이의 연관성
김성현 ( Sung-hyeon Kim ),신호진 ( Ho-jin Shin ),서혜림 ( Hye-rim Suh ),정경심 ( Kyoung-sim Jung ),조휘영 ( Hwi-young Cho ) 대한물리의학회 2020 대한물리의학회지 Vol.15 No.3
PURPOSE: Aging causes changes in the postural alignment and gait due to changes in the nervous and musculoskeletal systems. On the other hand, the relationship between the changes in posture alignment and gait is unclear. This study examined the relationship between the postural alignment and spatiotemporal gait parameters in Korean elderly women. METHODS: Thirty-two-healthy elderly women participated in this study. All subjects were assessed for their posture alignment and gait ability. Stepwise multiple linear regression was performed to determine to what extent the postural alignments could explain the spatiotemporal gait parameters. RESULTS: Coronal head angle was moderately correlated with the velocity (r = -.51), normalized velocity (r = -.46) and gait-stability ratio (r = .58) (p < .05). The trunk angle was moderately correlated with the normalized velocity (r = -.32) and gait-stability ratio (r = .32) and weakly correlated with the velocity (r = -.28) (p < .05). The coronal shoulder angle was moderately correlated with the swing phase (r = -.57), stance phase (r = .56), single limb stance (r = -.56) and double limb stance (r = .51) (p < .05). The coronal head angle and trunk angle accounted for 36% of the variance in velocity, 33% variance in normalized velocity and 46% variance in the gait-stability ratio (p < .05). The coronal shoulder angle accounted for 32% variance in the swing phase, 32% variance in the stance phase, 31% variance in the single limb stance and 26% variance in the double limb stance (p < .05). CONCLUSION: Changes in posture alignment in elderly women may serve as a biomarker to predict a decrease in walking ability due to physical aging.
저항성 운동과 그룹 운동을 병합한 프로그램이 뇌성마비 아동의 균형능력, 파악력 및 삶의 질에 미치는 영향
김성현 ( Sung-hyeon Kim ),신호진 ( Ho-jin Shin ),함석찬 ( Suk-chan Hahm ),박선욱 ( Sun-wook Park ),조휘영 ( Hwi-young Cho ),이민구 ( Min-goo Lee ) 대한물리의학회 2020 대한물리의학회지 Vol.15 No.4
PURPOSE: Cerebral palsy is a common cause of disability in children, requiring constant rehabilitation. Improving balance in children with cerebral palsy helps to alleviate daily movement and the quality of life. This study examines a program that combines Resistance Exercise and Group Exercise, and investigates the effect on trunk control ability, balance ability, maximum grip strength, and quality of life of children with cerebral palsy. METHODS: Totally, 9 children with cerebral palsy participated in this study. Resistance exercise was performed for 8 weeks, 40 minutes every day. Group Exercise was conducted for 8 weeks, 40 minutes each Sunday. All participants were evaluated by the Korean version of the trunk control measurement scale, pediatric reach test, grip strength test, and KIDSCREEN-52. RESULTS: The trunk control ability was significantly improved in all subcategories (p < .05). In the pediatric reach test, the left and right directions were significantly improved (p < .05). Maximum grip strength was significantly improved in both hands (p < .05). The quality of life significantly improved in total score, physical well-being, general moods, self-perception, autonomy, relationship with parents, and home life (p < .05). CONCLUSION: Considering the encouraging results, we propose to use Resistance Exercise and Group Exercise as programs other than rehabilitation treatment in hospitals, to improve motor function and quality of life of children with cerebral palsy.