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김병주,임영은,윤세원,박승규,김태열,Kim, Byoung-Ju,Lim, Young-Eun,Yoon, Se-Won,Park, Seung-Kyu,Kim, Tae-Youl 대한물리치료학회 2008 대한물리치료학회지 Vol.20 No.1
Purpose: This study examined the effects of pre-eccentric exercise to the quadriceps for the prevention of delayed onset muscle soreness (DOMS) and recovery of muscular function, depending on the training intensities. Methods: Subjects were divided into one of three groups that control group, a low intensity eccentric exercise group (LIEE group) and a high intensity eccentric exercise group (HIEE group). Subjects who underwent pre-eccentric exercise undertook exercise at an intensity of 25% and 75% of maximal voluntary contractions, respectively. After undertaking pre-eccentric exercise for eight weeks, eccentric exercise was applied again to induce DOMS. Measurements were conducted to examine pain and muscular function changes before, immediately after, after the induction of DOMS, and at the first, third, fifth and seventh days after the induction of DOMS. Results: Subjects who underwent pre-eccentric exercise showed a significant difference from the control group for the changes in the visual analogue scale (VAS) pain threshold, pressure pain threshold and muscle thickness by isometric contraction from measuring DOMS, and in particular, pain threshold by isometric contraction had remarkable effect in the LIEE group of subjects. For the change of the root mean square values using mechanomyography (MMG) as the measurement of muscular function recovery, subjects who had undertaken pre-eccentric exercise group showed a significant difference as compared to the control group. Conclusion: Pre-eccentric exercise was very effective in preventing and recovering delayed onset muscle soreness and was helpful to prevent and recover from decreased muscular function. The difference based on the intensity of exercise was not great, but it was more effective in the low intensity eccentric exercise group of subjects. Therefore, it can be considered that pre-eccentric exercise has a high application value as a physical therapy intervention for prevention and rehabilitation of sports injuries.
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김병주 ( Byoung Ju Kim ),이인희 ( In Hee Lee ),이덕형 ( Duk Hyung Lee ),배길한 ( Gill Han Bai ),공석준 ( Suk Jun Kong ),이선화 ( Sun Hwa Lee ),문해란 ( Hae Ran Moon ),이경률 ( Kyoung Ryul Lee ),이준영 ( Jun Young Lee ),박승규 ( Se 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.60 No.4
목적 : 지난 3년간 전국적으로 항결핵제에 대한 감수성검사를 시행 받은 환자의 실제 수를 파악함으로 국내 다제내성 결핵의 현황을 파악하고자 하였다. 방법 : 2000년 1월부터 2002년 12월까지 3년간 국내의 결핵 약제감수성검사를 시행하고 있는 7개 국립 및 민간검사기관에서 시행된 검사결과들을 후향적으로 조사하여 이를 근거로 국내 결핵환자 중 다제내성 결핵환자의 연도별 현황 및 추이 등 다제내성 결핵 환자의 실제현황을 조사,분석하였다. 결과 : 6개의 검사기관은 절대농도법을 사용하였고 한 개의 기관에서 비율법을 사용하였다. 2000년부터 2002년까지 매년 18,071, 19,950, 그리고 21,919건의 검사가 시행되었다. 한 가지 이상의 약제에 내성으로 진단된 내성결핵 환자의 수는 2000년 6,338명에서 2002년 7,409명으로 16.9% 증가하였다. 약제감수성검사가 시행된 전체 환자들 중 내성결핵으로 진단된 환자의 비율은 2000년 35.1%, 2001년 34.5%, 그리고 2002년 33.8%이었다. 다제내성 결핵으로 확인된 환자는 2000년에 3,708명에서 2002년 4,245명으로 14.5%증가하였다. 결론 : 2002년에 약 4,000여건의 새로운 다제내성 결핵이 약제감수성검사에 의해 확인되었으며 매년 증가하는 경향을 보였다. 검사실간의 약제감수성검사의 표준화 작업과 보다 효과적인 다제내성 결핵의 관리가 요구 된다. Purpose : Multidrug-resistant tuberculosis (MDR-TB) is an emerging threat to human beings. However, there is little data on the current status of MDR-TB in Korea. This study investigated the current status of MDR-TB in Korea using a survey of all the data from drug susceptibility tests (DST) performed across the country over the last three years. Method : The DST results between Jan. 2000 and Dec. 2002 from 7 laboratories, which were in charge of all antituberculous DSTs across the country as of March 2002, were collected and analyzed to determine the actual number of drug-resistant or MDR-TB patients, annual trend, degree and pattern of resistance against anti-TB drugs, etc. Results : Six laboratories used the absolute concentration method for DST and one used the proportional method. 59,940 tests had been performed over the 3 year study period. The number of DST performed annually was 18,071, 19,950, and 21,919 in 2000-2002, respectively. The number of resistant tuberculosis patients (resistant against at least one anti-TB drug) had increased by 16.9% from 6,338 in 2000 to 7,409 in 2002. The rate of resistant tuberculosis among all DST results was 35.1% in 2000, 34.5% in 2001, and 33.8% in 2002. The number of MDR-TB patients (resistant against at least both isoniazid and rifampin) showed an increasing trend (14.5%) from 3,708 in 2000 to 4,245 in 2002. Conclusion : Approximately 4,000 MDR-TB cases are newly identified by DST annually and the number is showing an increasing trend. This study suggests that in order to cope with the current MDR-TB situation, the DST methods will need to be standardized and more aggressive measures will be required. (Tuberc Respir Dis 2006; 60: 404-411)
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