발목 시지각-되먹임 훈련이 편마비 환자의 균형과 보행 기능에 미치는 영향

서동권,오덕원,이상호,Seo, Dong-Kwon,Oh, Duck-Won,Lee, Sang-Ho 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.4

Purpose: This study aimed to determine the effects of sensory feedback training of the ankle with visuoperceptual stimulation on static balance and gait functions in patients with chronic post-stroke hemiparesis. Methods: This study included 16 patients with chronic post-stroke hemiparesis. The subjects were randomly assigned toeither the experimental group (EG) or the control group (CG), with 8 subjects in each group. All the subjects received a routine physical therapy. The EG subjects received a 30-min sensory feedback training for the foot and ankle with visuoperceptual stimulation by using Tetrax Portable Multiple System. This training was conducted 3 times a week for 4 weeks. The scores of balance ability, timed up and go (TUG), and dynamic gait index (DGI) were assessed before and after the intervention. Results: In the EG, the scores of static balance, TUG, and DGI obtained afterthe intervention significantly differed from those obtained before the intervention (p<0.05). Further, in the EG, a significant difference was noted in the rate of change of all the variables when compared with those of the CG (p<0.05). However, in the CG, post-intervention score were only significantly different for DGI. Conclusion: Our findings indicate that the sensory feedback training with visuoperceptual stimulation improves balance and gait functions of patients with chronic post-stroke hemiparesis. Further studies are needed to generalize the results of this study.

만성뇌졸중 환자의 최대 호기와 배 안으로 밀어 넣기가 복부근육두께에 미치는 효과

서동권 ( Dong Kwon Seo ),김지선 ( Ji Seon Kim ) 대한물리의학회 2015 대한물리의학회지 Vol.10 No.4

PURPOSE: Although the abdominal drawing-in maneuver is commonly used in clinical training for trunk stability, performing this procedure in stroke patients is difficult; instead, maximal expiration can be much easily performed in stroke patients. In the present study, we first aimed to demonstrate the effects of the abdominal drawing-in maneuver and maximal expiration on trunk stability in stroke patients. Moreover, we compared the thickness of the transverse abdominal, internal oblique, and external oblique muscles on the paretic and non-paretic sides. METHODS: We used ultrasonography to measure the change in the thickness of the transverse abdominal, internal oblique, and external oblique muscles on the paretic and non-paretic sides at rest, while performing the abdominal drawing-in maneuver, and while performing maximal expiration in 23 stroke patients. The ratio of muscle thickness between different conditions was estimated and included in the data analysis (abdominal drawing-in maneuver / at rest and, maximal expiration / at rest). RESULTS: The ratio of the thickness of the transverse abdominal, internal oblique and external oblique muscles during maximal expiration was significantly different on the paretic side (p < 0.05). The ratio of muscle thicknesses on the non-paretic side was greater during maximal expiration than during the abdominal drawing-in maneuver, although this difference was not significant (p > 0.05). CONCLUSION: Our results suggest that maximal expiration more effectively increased the abdominal muscle thickness on the paretic side. Hence, we recommend the application of maximal expiration in clinical trunk stability training on the paretic side of stroke patients.

노화에 따른 심부 복부근육의 두께 변화와 대칭성 변화

서동권 ( Dong Kwon Seo ),이승원 ( Seung Won Lee ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.3

PURPOSE: This study is research about deep trunk muscles (DTM) that is important and serve to control the movement of the trunk to provide stability during movement for human. In this study, trying to prove a change of DTM of aging in the ultrasound image. METHODS: We measured via an ultrasound image during rest and contraction of DTM in 42 young and 48 old people, and then we measured the change of thickness and symmetry. RESULTS: Symmetry showed a significant difference only external oblique (EO) in the young (p<.05). In the elderly, it was found that ratio of contraction was greater transverse abdominis than EO. CONCLUSION: I considered it could lead to improvement of activity of daily life by applying intervention for recovery of motor control of TrA for the elderly in clinical practice.

목 불안정성이 깊은목굽힘근의 기능과 목 근육들의 긴장도에 미치는 영향

이성현 ( Sung-hyun Lee ),서동권 ( Dong-kwon Seo ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.1

Purpose : The time spent using smart devices is constantly increasing, particularly in recent times. Using smart devices for a long time with an incorrect posture may lead to cerebral palsy (CP), instability, and abnormal muscle tone. Therefore, we aimed to investigate the relationships among cervical instability, deep neck flexor (DNF) activity, range of motion (ROM), and muscle tonus. Methods : Fifty subjects with CP participated in this study, and they were physiotherapists at W Hospital in Daejeon. Those who voluntarily participated in the research were selected as candidates who fulfilled the selection criteria. According to an instability test, 25 subjects were assigned to the instability and control groups. All subjects first underwent the instability test to be allocated to the appropriate group. Those in the instability group tested positive on the instability test. The Neck Disability Index (NDI), ROM, muscle tone, and DNF activity were measured to evaluate their relationships. The DNF strength and endurance were measured using a cranio-cervical flexion test. The upper trapezius (UT), sternocleidomastoid (SCM), and suboccipital (SO) muscle tones were measured using a contact soft tissue tone measuring instrument. The statistical significance level was set to .05. Results : There were significant differences in the flexion, extension, and rotation of the cervical ROM (CROM) between the two groups (p<.05). The SCM, UT, and SO muscle tones were significantly different between the two groups (p<.05). The DNF strength and endurance showed a significant difference between the two groups (p<.05). Conclusion : We found that there were significant increases in the CROM and muscle tone and decrease in the DNF strength and endurance in the instability group. This indicated that cervical instability is affected by the DNF strength and endurance. We may recommend DNF exercises in cases of cervical instability in clinical environments.

전신진동이 결합된 흡기근 훈련이 뇌졸중 환자의 폐 기능에 미치는 즉각적인 효과

박시현 ( Si-hyun Park ),서동권 ( Dong-kwon Seo ) 대한물리의학회 2017 대한물리의학회지 Vol.12 No.4

PURPOSE: This study investigated the immediate effect of inspiratory muscle training with whole-body vibration on the pulmonary function of subacute stroke patients. METHODS: All participants (n=30) were allocated to the following groups: (1) the inspiratory muscle training group with whole-body vibration (n=10), wherein the patients received inspiratory muscle training with whole-body vibration comprising 3minutes of vibration per session and respiratory training of 30 times and 2 sessions for one day. (2) the inspiratory muscle training group with visual feedback (n=10), wherein the patients received inspiratory muscle training with visual feedback. (3) the inspiratory muscle training group (n=10), wherein the patients received inspiratory muscle training. RESULTS: After the experiment, the inspiratory muscle training group with whole-body vibration exhibited significantly higher forced vital capacity, forced expiratory volume at 1 second, peak inspiratory flow rate, maximal inspiratory pressure, and chest expansion (p<.05), compared to the other groups. Inspiratory muscle training group with whole-body vibration had significantly higher peak expiratory flow rate and maximal voluntary ventilation than the other groups (p<.05). CONCLUSION: These results show that pulmonary function, maximal inspiratory pressure, and chest expansion were significantly better in the inspiratory muscle training group with whole-body vibration than in the other groups. Thus, this treatment will help recovery of pulmonary function in stroke patients.

젊은 성인, 노인, 뇌졸중 환자들의 근 피로 유발이 무릎관절 위치 감각에 미치는 영향

권오성 ( Oh Sung Kwon ),이승원 ( Seung Won Lee ),서동권 ( Dong Kwon Seo ),김지선 ( Ji Seon Kim ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.4

PURPOSE: The purpose of this study was to determine the effects of muscle fatigue on knee joint position sense in the young, elderly adults, and stroke patients. METHODS: The subjects were recruited into three groups; young group(YG)(N=15), elderly group(EG)(N=15), and stroke group(SG)(N=15). Exercise-induced fatigue was achieved by repeated active exercise 60 times on an angle at 10 to 100 degrees of the knee joint with an angle speed of 120°/s, with three sets for 15 minutes. Evaluation was performed for determination of repositioning error using passive angle repositioning (PAR) and active angle repositioning (AAR). RESULT: Regarding the error score for the knee joint position sense in both the baseline and muscle fatigue, significant increases were observed between the YG and EG (p<.05), and between the EG and SG (p<.01), and between YG and SG (p<.05) in the PAR, YG and SG (p<.05) in the AAR. CONCLUSION: In particular, the results of this study indicate that management and intervention for elderly adults and stroke patients can result in improvement of proprioception.

The Effect of Gaze Directions and Pressure Levels on longus colli and Sternocleidomastoid Thickness during Cranio-cervical flexor Exercise in Young Adults

Ha-ri Cha(차하리),Byoung-Kwon Lee(이병권),Dong-Kwon Seo(서동권) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.2

이 연구는 정상 성인에서 머리-목 굽힘 운동 시 시선의 각도와 압력이 깊은목굽힘근의 두께변화에 미치는 영향을 알아보고자 하였다. 본 연구에는 27명이 참여하였다. 머리-목굽힘 운동하는 동안 4가지(0°, 20°, 40°, 60°)의 시선과 5가지(20mmHg, 22mmHg, 24mmHg, 26mmHg, 28mmHg)의 압력에서 목긴근과 목빗근의 근 두께는 초음파 영상을 이용해 측정하였다. 시선 각도 및 압력변화에 따른 목긴근과 목빗근의 두께 변화를 비교 분석하기 위하여 반복측정분산분석을 수행하였다. 본 연구결과, 목긴근은 20과 22mmHg에서 0°와 20°, 0°와 40°, 0°와 60°은 유의한 차이를 보였으며, 20°에서 가장 근활성도가 높았다(p<.05). 목빗근은 28mmHg에서 0°와 20°, 20°와 40°, 40°와 60°은 유의한 차이를 보였으며, 20°에서 가장 낮은 근활성도를 보였다(p<.05). 본 연구에서 머리-목 굽힘 운동 시에는 시선의 방향을 20°로 설정하는 것이 목긴근의 활성화를 높이고, 목빗근의 근활성도를 낮추어 운동의 효과를 얻을 수 있다는 것을 찾았다. 본 연구의 결과를 바탕으로 임상환경에서 머리-목 굽힘 운동시에 시선 방향을 설정하여 운동의 효과를 증대시키길 바란다. This study aimed to investigate the effect of changes in pressure levels and gaze directions on deep neck flexor muscle thickness. Twenty-seven subjects participated in this study. Ultrasound imaging of the longus colli (LC) and sternocleidomastoid (SCM) were measured in four gaze directions (0°, 20°, 40°, 60°) and five pressure levels (20 mmHg, 22 mmHg, 24 mmHg, 26 mmHg, 28 mmHg) during cranial-cervical flexor (CCF) exercises. Repeated ANOVA was performed for analysis of muscle thickness difference according to gaze direction and pressure levels in LC and SCM. Results: LC showed a significant difference between 0° and 20°, 0° and 40°, and 0° and 60° at pressures of 20 mmHg and 22 mmHg (p<.05). SCM displayed a significant difference between 0° and 20°, 20° and 40°, and 40° and 60° at 28 mmHg (p<.05). In this study, it was found that setting the gaze direction to 20° for the CCF exercise can increase the activation of LC and lower the activity of SCM to obtain the effect of exercise. Based on the results of this study, it is hoped that the beneficial effects of the CCF exercise can be increased by setting an optimal gaze direction in a clinical environment.

전자선 조사에 의한 PAN/TiO₂ 전기방사 나노섬유 제조 및 특성분석

강필현(Phil Hyun Kang),전준표(Joon Pyo Jeun),서동권(Dong Kwon Seo),김현빈(Hyun Bin Kim),노영창(Young Chang Nho) 한국고분자학회 2012 폴리머 Vol.36 No.1

본 연구에서는 전자선 조사가 PAN/TiO2 나노섬유의 광촉매 활성에 미치는 영향을 평가하고자 하였다. PAN/TiO2 나노섬유는 polyacrylonitrile (PAN)과 titanium(IV) butoxide (Ti(OBu)4)를 출발원료로 하여 다양한 고분자 용액 농도, 전기장 세기, 고분자 용액의 공급속도 등의 조건하에서 전기방사하여 얻을 수 있었다. Titanium(IV) butoxide 농도가 증가함에 따라 방사물은 비드 형태에서 섬유상으로 변화하였으며, 전기장의 세기가 증가함에 따라 섬유의 직경은 감소하였다. 제조된 나노섬유는 가교결합을 유도하고 광촉매 활성을 향상시키고자 전자선 가속기를 이용해 조사되었다. 전자선 조사 후 메틸렌 블루 용액과의 반응에서 시료의 광촉매 활성은 반응 3시간 후 조사하지 않은 시료에 비해 175%의 높은 광분해 특성을 보였으며, 휘발성 유기용매에 대한 높은 분해특성을 나타내었다. In this study, PAN/TiO2 fiber mats were fabricated from polyacrylonitrile (PAN) and titanium(IV) butoxide (Ti(OBu)4) by an electrospinning method with various solution concentrations, applied voltages and solution flow rates. The fiber mats were irradiated with an electron beam to induce structural crosslinking and enhance photocatalytic activity. As a result, uniform and bead-free fibers without pits or cracks on surface were obtained at 5 wt% of Ti(OBu)4 solution with 15 kV and 0.02 mL/min flow rate. The PAN/TiO2 fiber mats were irradiated with an electron beam of 1.14 MeV acceleration voltage, 4 mA of current and 1 × 10(4) kGy. Electron beam irradiation was enhanced the photocatalytic activity of PAN/TiO2 nano fiber mat. The photocatalytic activity of the PAN/TiO2 fiber mat was analyzed by degradation of methylene blue and volatile organic compounds.

대학생의 머리척추 각도에 따른 뒤통수밑근 긴장도와 깊은목굽힘근의 지구력과의 상관관계

이희지 ( Hee-ji Lee ),이연수 ( Yeon-soo Lee ),정지영 ( Ji-young Jeong ),서동권 ( Dong-kwon Seo ) 대한물리의학회 2019 대한물리의학회지 Vol.14 No.2

PURPOSE: The continued use of smartphones has resulted in an abnormal body posture and neck alignment changes. Maintaining this posture for a long time weakens the flexor muscles in the neck and shortens the extensor muscles in the neck. This study examined the correlation between the suboccipital muscle tension and deep neck flexor muscle physical endurance according to the craniovertebral angles. METHODS: The craniovertebral angle, tension of the suboccipital muscle and endurance of the deep neck flexor muscle were measured in 58 healthy 20-year-old male and female college students. The tension of suboccipital muscle and endurance of the deep neck flexor muscle were then divided according to the body mass index (BMI). Their correlation with the craniovertebral angle was then examined. Each parameter was measured three times to determine the interrater reliability. RESULTS: The craniovertebral angle and suboccipital muscle tension showed differed significantly. On the other hand, the craniovertebral angle and deep neck flexor muscle physical endurance showed no significant differences. CONCLUSION: The results show that the craniovertebral angle and deep neck flexor muscle physical endurance were not correlated, but a smaller craniovertebral angle resulted in a higher suboccipital muscle tension.

제품의 적정가격에 대한 정보를 활용한 제품 경매사이트

장은겸(Eun-Gyeom Jang),김현희(Hyeon-Hee Kim),이기라(Ki-Ra LEE),서동권(Dong-Kwon Seo) 한국컴퓨터정보학회 2022 한국컴퓨터정보학회 학술발표논문집 Vol.30 No.2