全南地方 壯丁의 姿勢에 關한 統計的 硏究

禹榮根 최신의학사 1962 最新醫學 Vol.5 No.9

우리나라 乳幼兒 精神發育에 關한 硏究 : 제1호 우리나라 乳幼兒의 精神發育 尺度에 對하여

禹榮根 육군의무장교단 1959 육군의무장교단잡지 Vol.6 No.1

고유수용성신경근촉진법의 치료적 근거는?

우영근 대한고유수용성신경근촉진법학회 2014 PNF and Movement Vol.12 No.2

Purpose: This study aimed to review articles related to PNF and easily provide information to readers who have difficulty reading papers or using PNF in clinics without a background in statistical knowledge. Methods: We used PubMed to collect papers on international studies and we conducted a search on April 28, 2014. Keywords used for the PubMed search were “PNF” and “Proprioceptive Neuromuscular Facilitation”. The search results identified 765 papers that had been published since 1954. To target the papers for review, we selected 66 papers, excluding papers that were not published in online journals and papers that were written in a second language. Results: The reviewed papers consisted of studies that addressed basic principles and procedures, combined with other interventions, including PNF stretching concepts, and other diseases with PNF concepts. The articles related to basic procedures and principles reported on optimal contraction intensity, patterns, and irradiation. The articles related to stretching and strengthening reported on stretching the hamstring muscles in healthy subjects, in combination with other interventions such as neuromobilization, clinical massage, kinesio taping, and water immersion. The articles related to specific diseases reported on stroke, low back pain, athletic injury, total knee replacement, etc. Conclusion: In the 66 articles reviewed for this study, there was little evidence that PNF has therapeutic value. However, in future research on the application of PNF, investigators could conduct a more in-depth analysis of this topic and present more objective and useful information on the therapeutic benefits of PNF. .

韓國兒童으 假稱 기마리 VEIN에 對한 統計的考察 : 第1報

禹榮根 육군의무장교단 1959 육군의무장교단잡지 Vol.6 No.1

Use of an Adaptive Neuro-fuzzy Inference System to Obtain the Correspondence among Balance, Gait, and Depression for Parkinson’s Disease

우영근,이주원,황수진,홍철표 한국물리학회 2013 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.62 No.6

The purpose of this study was to investigate the associations between gait performance, postural stability, and depression in patients with Parkinson셲 disease (PD) using an adaptive neuro-fuzzy inference system (ANFIS). Twenty-two idiopathic PD patients were assessed during outpatient physical therapy using three clinical tests: the Berg Balance Scale (BBS), Dynamic Gait Index (DGI), and Geriatric Depression Scale (GDS). Scores were determined by clinical observation and patient interviews, and associations among gait performance, postural stability, and depression in this PD population were evaluated. The DGI showed significant positive correlation with the BBS scores, and negative correlation with the GDS score. We assessed the relationship between the BBS score and the DGI results by multiple regression analysis. In this case, the GDS score was not significantly associated with the DGI, but the BBS and DGI results were. Strikingly, the ANFIS estimated value of the DGI, based on the BBS and the GDS scores, significantly correlated with walking ability determined by the DGI in the PD persons. These findings suggest that the ANFIS techniques effectively reflect and explain the multidirectional phenomena or conditions of gait performance in PD patients.

노인에서 임상적 균형평가 지수들의 유용성 : 힘판을 이용한 균형평가와의 상관관계

우영근,황수진,이우형,Woo, Young-Keun,Hwang, Su-Jin,Lee, Woo-Hyung 대한고유수용성신경근촉진법학회 2010 PNF and Movement Vol.8 No.1

Purpose : The purpose of this study was to investigate the usefulness of clinical balance tests through the correlation of balance evaluation using by forceplate in elderly. Methods : Thirty nine healthy elderly subjects (14 males, 25 females) participated in the study. The subjects were evaluated with clinical balance tests [(Berg balance scale (BBS), Functional reach test (FRT), Tinetti's performance oriented mobility assessment (POMA), and one leg standing (OLS)]. Static balance evaluation was assessed by using forceplate. Center of pressure (COP) parameters were obtained using it as total path distance, total sway area, X mean frequency and Y mean frequency for 20 seconds in the following conditions: (1) comfortable standing with eyes opened and closed, (2) uncomfortable standing with eyes opened and closed. After static balance evaluation tested, dynamic balance evaluation was assessed. COP parameters were error distance and area during sine curve trace. COP parameters were movement time, error distance, and maintained time in the circle during COP movement task. Results : Clinical balance tests showed statistically significant correlation between static and dynamic balance evaluations. Among the clinical balance tests, the BBS, POMA, and OLS showed significant correlation with to assess the balance ability of elderly in clinical setting both evaluations. Conclusion : Clinical balance tests can be recommended in clinical setting because of low costs and simplicity.

가상 환경 움직임을 이용한 정적 균형 능력 평가

우영근,황지혜,안주하,김남균 대한재활의학회 2006 Annals of Rehabilitation Medicine Vol.30 No.3

편마비 환자의 건측에 적용한 고유수용성 신경근 촉진법이 환측 근 긴장도에 미치는 영향

우영근,조규행,유은영 한국전문물리치료학회 2002 한국전문물리치료학회지 Vol.9 No.2

The purpose of this study was to investigate the effect of proprioceptive neuromuscular facilitation (PNF) approach on the spasticity of affected side in patients with hemiplegia, Three subjects with hemiplegia participated in this study. In single-subject research design (a multiple baseline across individuals) was employed in this study. The intervention program including PNF to the unaffected side was introduced for 30 minutes each day during each intervention phase. Muscle tone of affected side was measured with Tone Assessment Scale, and active hip abduction distance of affected side was taken with the subject supine. And then the muscle tone and the hip abduction distance were measured again 30 minutes later following the intervention. The results showed that the PNF application had some beneficial effects on both muscle tone and active hip abduction. This results suggests that PNF application to non-paretic limb can be effective in reducing muscle tone and improving hip abduction range on paretic limb in persons with hemiplegia. However, further research is needed to prove the effect of PNF application on functional improvement.

폐렴간균 간농양의 임상 및 CT 소견: 비폐렴간균 간농양과의 비교1

우영근,김만득,김현,이강문,윤상욱,김희진,하두희,이은자,Woo, Young-Geun,Kim, Man-Deuk,Kim, Hyun,Lee, Kang-Mun,Yoon, Sang-Wook,Kim, Hee-Jin,Ha, Doo-Hoe,Lee, Eun-Ja 대한영상의학회 2003 대한영상의학회지 Vol.48 No.3

목적: 폐렴간균에 의한 간농양의 임상 및 CT 소견을 분석하고 다른 균주에 의한 간농양의 임상 및 CT 소견을 비교하여 감별점을 찾고자 하였다. 대상과 방법: CT 검사를 시행하고 세균학적으로 확진 된 21예의 화농성 간 농양 환자를 대상으로 클레브시엘라군과 비클레브시엘라군으로 나누어 후향적으로 분석하였다. 입원 당시 의무기록을 조사하여 당뇨 유무, 혈청 alkaline phosphatase(ALP), SGOT, SGPT등의 상승, 동반되어있는 복강 내 이상소견과의 연관성을 조사하였다. CT 상에서는 농양강의 단일성 (single) 혹은 다발성 (multiple), 다강 연속성/비연속성 여부 (multiple contiguous/ discontiguous), 공동의 생성모양에 따라 단방성 (uniloculated)혹은 다방성 (multiloculated), 농양강내 가스 형성, 주위 간 실질 및 테두리 조영증강 여부를 알아보았다. 통계분석은 Fisher ’s exact test를 사용하였다. 결과: 21예 중 11예에서 폐렴간균 (Klebsiella pneumoniae)이 동정 되었고 Pseudomonas (n=3) E. coli(n=2), Enterococus(n=2), Gram positive cocci (n=2), polymicrobial (n=1)순이었다. 당뇨병이 클레브시엘라군에 더 많았고 (n=7,p=0.024). 담도 질환이 동반되어 있던 경우는 비클레브시엘라군에서 총 5명이었으며 클레브시엘라군에서는 한명도 없었다 (p=0.012). 단일강(n=10,p=0.047), 다방성(n=8, p<0.01)은 클레브시엘라군에서 많이 발견되었고, 간주위 조영증강 (n=7)은 비클레브시엘라군에서 자주 관찰되었다(p<0.01). 결론: 폐렴 간균이 화농성 간농양의 주 감염균이고 이는 특히, 당뇨가 있는 환자에서 많이 발견되었으며 특징적인 CT 소견은 단일, 다방성 농양을 보이며 동반되는 담도 질환이 드물고 농양주위 간 실질 조영증강이 잘되지 않는다는 점이다. Purpose: To analyse the clinical features and CT findings of pyogenic liver abscess due to Klebsiella pneumoniae, and to compare the findings with those of cases in which abscesses were caused by other pathogens. Materials and Methods: Twenty-one cases of pyogenic liver abscess were assigned to either the Klebsiella or the non-Klebsiella group, and the patients' past medical history and intra-abdominal abnormalities such as calculus or malignancy were reviewed. Laboratory data such as alkaline phosphatase (ALP), SGOT and SGPT levels were analyzed, and on the basis of the CT findings, decisions were reached as to (a) whether abscesses were single or multiple, multiple contiguous or discontiguous, uniloculated or multiloculated; and (b) the presence or absence of gas, hepatic parenchymal enhancement, peripheral rim enhancement, and extrahepatic abnormality. For statistical analysis, Fisher's exact test was used. Results: Among 21 abscesses, Klebsiella pneumoniae was the most common pathogen (n=11). The others were Pseudomonas (n=3), E.coli (n=2), Enterococcus (n=2), G. (+) cocci (n=2) and Polymicrobial (n=1). Diabetes mellitus was more common among patients in the Klebsiella group, among whom a multiloculated single cavity was a frequent finding. Five patients in the non-Klebsiella group experienced biliary tract obstruction, which was not demonstrated in the Klebsiella group. Hepatic parenchymal enhancement was more common in the non-Klebsiella group. Conclusion: In cases of pyogenic liver disease, especially where diabates mellitus is involved, Klebsiella pneumoniae is a major pathogen. Significant CT findings of Klebsiella liver abscess included a multiloculated single cavity, rare biliary tract obstruction, and little hepatic parenchymal enhancement.

연상법을 이용한 신경계 환자의 임상적 추론 전략 제안

우영근 대한고유수용성신경근촉진법학회 2019 PNF and Movement Vol.17 No.1

Purpose: This study suggests clinical reasoning strategies for therapists with little experience in clinical reasoning for the evaluation and treatment of patients with neurological disorders. Methods: The suggested method was the mnemonic PT STRESS whose initials represent the body structure and functions that can affect the activity limits and the items that can cause problems at the functional level in patients with neurological disorders. Results: PT STRESS stands for pain (P), ability of the trunk (T), sensation (S), tone (T), range of motion (R), emotion and endurance (E), muscular strength (strength), and stability (S). It tests and measures problems in the body structure and functions. Conclusion: This study suggests easy clinical reasoning strategies that can be used by therapists who have insufficient experience in the evaluation or treatment of patients with neurological disorders. However, more factors need to be considered in the future with regard to clinical reasoning of the diverse problems of patients with neurological disorders.