자세조절과 구강운동프로그램이 뇌성마비아동의 먹기 활동에 미치는 효과

오명화(Oh Myung-hwa) 한국재활심리학회 2009 재활심리연구 Vol.16 No.1

This study was performed to investigate the effect of postural control and oral-motor program on eating activities in children with cerebral palsy. The subjects of this study were 3 cerebral palsy children with eating disorder in 40-minutes application with 3 times a week, 15 weeks duration Basic level was set with pre assessment before the program and change were checked every 3 weeks and assessed after a week later of program application For the children with cerebral palsy was measured with Behavioral Assessment of Oral Function and Multidisiplinary Feeding Profil, which was modified by investigator As the result of this study, we found that all 3 subjects showed improvement of head control and postural control with less tongue thrust &, bite reflex which interrupt the eating activity, also chewing, swallowing, and lip closure were improved to reach the positive effect for eating activity

경두개직류전류자극이 대학생의 집중력에 미치는 영향

오명화(Myung Hwa Oh),이은상(Eun Sang Lee) 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.9

주의 집중력은 워킹메모리에 속하며 경두개직류전기자극은 워킹메모리를 향상시키는데 효과적이다. 본 연구는 경두개직류전기자극(Transcranial Direct Current Stimulation, tDCS)이 대학생들의 주의집중력에 미치는 영향에 대해 알아보기 위해 연구를 진행하였다. 본 연구는 대상자 37명의 대학생(23.08±3.33세)을 대상으로 tDCS그룹과 대조군으로 두 그룹으로 나누어 2018년 9월 3일부터 28일까지 연구를 진행하였다. tDCS그룹은(n1=19) 2mA로 13분씩 2회 26분간 적용하였으며, 대조군(n2=18)은 패드를 붙인 후 작동을 시키지 않았고 13분씩 2회 26분간 적용하였다. 연구는 주 3회 총 4주간 총 12회 진행되었다. 주의 집중력을 확인하기 위하여 뇌전도(Electroencephalogram) 검사를 하였으며, 연구결과 tDCS그룹이 주의집중력이 증가할수록 증가하는 SMR파(Sensory motor rhythm, p<0.01, 95% CI:-1.955, -0.459), 중간 베타파(p<0.05; 95% CI: 0.027, 0.943) 그리고 파워 비율(SMR+중간베타파/ 세타파, p<0.01, 95% CI: -1.764, -0.315)에서 유의한 향상을 보였다. 그러나 집중력 하락시 증가하는 세타파는 유의한 감소를 얻지 못했다(p>0.05). 결과값과 같이 tDCS적용시 주의집중력의 유의한 향상을 보였으며 본 연구를 기반으로 발전시켜 주의력 결핍환자들에게 적용에 대한 기초 자료로 사용될 수 있을 것이다. This study examined the change in the attention of University students after being given Transcranial Direct Current Stimulation (tDCS). The participants were divided randomly into two group (tDCS vs. Control). tDCS was applied to 37 university students (23.08±3.33 years). The tDCS group was applied 2 mA, for 13 minutes twice over a 26 minute period (n1 = 19). The control (n₂ = 18) was not applied after padding and was applied twice for 13 minutes over a 26 minute period. This study was conducted from September 3 to 28, 2018 and three times a week for a total of four weeks. The electroencephalogram was confirmed to affect attention. tDCS showed significant improvement in the results in the sensory motor rhythm wave (p<0.01, 95% CI: -1.955, -0.459), middle beta wave (p<0.05; 95% CI: 0.027, 0.943), and power ratio (p<0.01, 95% CI: -1.764, -0.315). The results showed that tDCS application increased the attention ability significantly. These results can be applied to attention deficit disorder (ADHD) patients and college students.

뇌성마비아동의 실제생활에서의 기능에 관한 연구

고유정,오명화,Ko, You-Jeong,Oh, Myung-Hwa 한국전자통신학회 2013 한국전자통신학회 논문지 Vol.8 No.11

The purpose of this study was to investigate the correlation amongst the social function, communication function, activities of daily living and gross motor function beyond existing research on physical function and functional capacity in cerebral palsy. 43 children with cerebral palsy participated in this study and significant correlations were found among social function, communication function, activities of daily living and gross motor function. The greatest significant correlations were found between social function and activities of daily living. Significant higher correlations were found between items of social function and communication, but were lower between social function and gross motor function. The results showed that we consider the social aspects of function of children with cerebral palsy in the area of rehabilitation in order to focus on the problem in real life. 본 연구는 뇌성마비아동의 신체적 기능과 기능적인 능력에 관한 기존의 연구에서 벗어나 아동의 사회적 능력, 의사소통 능력, 일상생활활동, 대근육활동 간의 상관관계를 연구하였다. 뇌성마비 진단을 받은 아동 43명을 대상으로 평가를 실시한 결과 사회적 기능, 일상생활활동, 의사소통능력, 대동작활동과의 상관관계에서 네영역 모두 유의미한 상관관계를 보였다. 특히 사회적 기능과 일상생활활동과 하부항목 간의 상관관계에서 높은 상관관계를 보였다. 또한 사회적 능력의 하부항목들과 의사소통능력과의 상관관계가 높은 반면 대근육활동과의 상관관계에서는 낮은 상관관계를 보였다. 이러한 연구결과는 재활영역에서 뇌성마비 아동들의 실제 생활에서의 문제에 초점을 맞추기 위해 기능의 사회적인 측면을 고려해야 함을 시사한다.

흰쥐의 제 2형 콜라겐 유도 관절염에 대한 우슬과 족삼리 전침 자극의 치료 효과

이재춘,오명화,남기원,김용억,유영대,장미경,김계엽,Lee, Jae-Choon,Oh, Myung-Hwa,Nam, Ki-Won,Kim, Young-Eok,Yoo, Young-Dae,Chang, Mee-Kyung,Kim, Gye-Yeop 대한물리치료학회 2007 대한물리치료학회지 Vol.19 No.1

Purpose: We investigated the effects of the combined therapy in rats with rheumatoid arthritis induced by type II collagen for 28 days, which consisted of the oral administration of the AR and EA applied to zusanli acupoint(ST36). Methods: Normal group was oral administered with 0.9% NaCl $0.5\;m{\ell}/day$ to normal rats. Control group was oral administered with 0.9% NaCl $0.5\;m{\ell}/day$ to arthritic rats. Group I was oral administered with AR 500 mg/kg $0.5\;m{\ell}/day$ to arthritic rats. Group II was given 2 Hz EA of ST36 in the test group for 30 min/day to arthritic rats. Group III was oral administered with AR 500 mg/kg $0.5\;m{\ell}/day$ and 2 Hz EA of ST36 in the test group for 30 min/day to arthritic rats. We Observed effect of the histopathological changes by H&E stain of liver, kidney, knee joint and ELSIA of cytokines($TNF-{\alpha}$). Results: 1. The vacuolization of liver tissue was decreased in group I, II, III comparing with control group. 2. The glomerular sclerosis of kidney tissue was decreased in group I, II, III comparing with control group. 3. The erosion of arthritic site of knee joint tissue was decreased group I, II, III comparing with control group. In particular group III was the most effective comparing with group I, II on the histopathological view. 4. In the ELSIA test of $TNF-{\alpha}$ concentration, Control group significantly increased in the concentration more than group I, II, III. The rate of increase in concentration slowed down in group III more than group I, II(p<0.05). Conclusion: It is concluded that 500 mg/kg of AR extracts and EA have clear therapeutic effect on the rheumatoid arthritis.

음파영동 경피약물수송에 의한 Piroxicam Gel의 경피투과

최석주,오명화,김태열,Choi Suk-Joo,Oh Myung-Hwa,Kim Tae-Youl 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.4

Transdermal permeation enhancer has been used to increased skin absorption. External control of drug release and skin absorption can also be achieved by iontophoresis or phonophoresis. However, because several problems with iontophoresis are that it has a risk to skin damage because of the change of pH and the increase of current density in applying it and that it can be applied only in the form of water solution, This study is to enhance drug permeation via skin following application of ultrasound. For this goal, in gel containing piroxicam, the degree of skin permeation in vitro and anti-inflammatory effect in in vivo were investigated. Permeation study using hairless mouse skin was performed at 37 $^{\circ}C$ using buffer saline as the receptor solution. The amount of piroxicam were quantified using a HPLC system consisting of solvent delivery system. Following adoption of ultrasound 1 MHZ, it showed relatively high permeation rate where it was compared with non treated by ultrasound. The influence of duty cycle having an effect on skin permeation rate was slight higher in the case of using pulsed mode. Skin permeation increase attended by intensity of ultrasound, the permeation of trice was accelerated at 2.0 W/$cm^{2}$ than 1.0 W/$cm^{2}$. The skin permeation of piroxicam was substantially influenced by ultrasound. Anti-inflammatory effects were determined using carrageenan-induced paw swelling method in SD rat. Paw swelling tests showed that pulsed phonophoresis group was more effective than control group and only gel application group. The conclusion of phonophoresis was found to improve significantly the skin permeation in vitro and the anti-inflammatory effect in vivo.

경직형 뇌성마비아의 장악력에 파지기능 훈련이 미치는 영향(4례 증례보고)

김정자,오명화,김은정,Kim, Jeong-Ja,Oh, Myung-Hwa,Kim, Eun-Jung 대한물리치료학회 2008 대한물리치료학회지 Vol.20 No.2

Purpose: The purpose of this study is to find the effect of grip strength of the grasping reflex skill training of 4 case children with spastic cerebral palsy. Smedley hand dynamometer(JAMAR, USA) was used for measuring grip strength. Methods: Smedley hand dynamometer(JAMAR, USA) was used for measuring grip strength. Cases were chosen mild, moderate and severe spastic cerebral palsy with sitting balance and perception. To achieve that purpose, this training program was carried out 5 times a week for 4 weeks with 4 children. The performance of grasping reflex skill training and grip strength was evaluated each other. Results: Both hands were investigated with grasping reflex skill test and grip strength in two week intervals. In the dominant or nondominant hand, the more improvement of grasping reflex skill test is high, the more that of grip strength is high. Conclusion: The result were as follows that. The grasping reflex skill training was effective in grip strength.

뇌졸중 환자의 최근 임상적 고찰

김찬규,오명화,Kim, Chan-Kyu,Oh, Myung-Hwa 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.1

The purpose of this study is to present the tendency of stroke data on patients with stroke admitted to the hospital and to investigate the risk factors of stroke. We reviewed of 104 patients with stroke admitted to the hospital of from July 2001 to August 2001. The highest incidence of the stroke was noted in the group of 60 years of age with the rate of male(63.5%) to female(36.5%). The occurrence rate of ischemic stroke(51.9%) was higher than that of hemorrhagic stroke(48.1%). Middle cerebral arterial territory was the most commonly involved site cerebral arterial causes. The possible contributing factors of stroke were hypertension(52%), cigarette smoking(36.5%) and diabetes mellitus(18.3%). cardiac patients(16.3%). The seasonal preference was winter and autumn followed by summer and spring.

트레드밀 운동과 부추 식이가 Streptozotocin 유발 당뇨병 백서에서 항당뇨효과에 미치는 영향

김동길,오명화,김계엽,Kim Dong-Kil,Oh Myung-Hwa,Kim Gye-Yeop 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.4

The purpose of this study is to discuss and analyze the effect of blood glucose on treadmill exercise, functional food and their combined treatment protocol on diabetic rats. These group were divided treadmill exercise group(n:12), functional food feeding group(n:12), treadmill exercise with functional food feeding group(n:12) and control group. The following results were obtained from this study. 1. The blood glucose level was showed significantly different in several group, treadmill exercise with functional food feeding group are most significantly on other group. 2. The inhibitory rate of body weight was not significantly different on each group. 3. The amount of feeding was not significantly in several group. 4. The Islets size and Connective tissue proliferation was showed significantly different except control group, treadmill exercise with functional food feeding group are more significantly than other group. These results show that treadmill exercise with functional food feeding and their several protocols can retard the setreptozotocin-induced dibetic rat.

재가장애인의 일상생활활동과 삶의 질의 관계

김정운,오명화,정현애,Kim, Jeong-Won,Oh, Myung-Hwa,Chung, Hyun-Ae 한국전자통신학회 2013 한국전자통신학회 논문지 Vol.8 No.1

본 연구는 광주 나주 지역에 거주하는 20세 이상 재가장애인의 일상생활활동과 삶의 질을 조사하였다. 기본적 일상생활활동과 수단적 일상생활활동 수행력과 삶의 질의 정도를 조사하였고 이들의 상관관계를 알아보기 위해 이변량 상관관계 분석을 실시하였다. 그 결과 일상생활활동 수행력이 낮을수록 삶의 질이 낮게 나타났고, 수단적 일상생활활동이 삶의 질과 관련성이 더 높은 것으로 나타났다. 이 연구를 통하여 앞으로 재가장애인들이 보다 독립적이며, 질 높은 삶을 영위 할 수 있도록 도움이 되고자 한다. This study investigated the quality of life, activities of daily living, and 20 years of age or older and disabled people living in Gwangju, Naju area. Performance of Basic daily life activities and instrumental activities of daily living, and quality of life were investigating the extent to Learn these correlations, bivariate correlation analyzes were conducted. The results showed lower quality of life, lower performance of activities of daily living was instrumental activities of daily living, quality of life and more relevant. Through this study of disabled people, more independent and to lead the life of quality is high, it is trying to be helpful in the future.

아동 가정방문 작업치료서비스 실태와 만족도 조사

안현수,오명화,김정자,An, Hyun-Sue,Oh, Myung-Hwa,Kim, Jeong-Ja 한국전자통신학회 2012 한국전자통신학회 논문지 Vol.7 No.5

본 연구는 순천 광양 지역에 거주하는 만18세 미만 아동의 가정방문 작업치료서비스에 대한 실태 및 만족도를 조사하였다. 가정방문 작업치료서비스에 대한 일반적인 사항과 가정방문치료 시 이용 서비스 종류, 가정방문 작업치료의 총 만족도, 아동에게 도움이 된 사항, 부모나 가정에 도움이 된 사항으로 구분하여 산술통계를 실시하였다. 그 결과 가정방문 작업치료는 장애아동 부모회를 통해서 가장 많이 알게 되었고 가정방문 작업치료에 대한 만족도는 높게 나타났다. 이 연구를 통하여 앞으로 정부의 체계적이고 안정적이며 지속적인 재활치료 지원사업을 구축하는데 기초자료를 제공하고자 하였다. This study investigated the situations and satisfaction of home-based occupational therapy service for children under eighteen residing in Suncheon and Gwangyang. Arithmetic statistics were conducted by dividing the general facts of home-based occupational therapy service, the kinds of service used in home-based therapy, the satisfaction of home-based occupational therapy service, facts helpful for children, and facts helpful for parents or home. As a result, the most common source of home-based occupational therapy information was the association for children with disabilities and its satisfaction was high. This study will provide basic materials to build up systematic, stable, and continuous rehabilitation therapy support projects by the government.