퇴행성 슬관절염 환자의 KWOMAC 항목간의 상관관계 연구

황보각,배성수,Hwang-Bo, Gak,Bae, Sung-soo 대한고유수용성신경근촉진법학회 2004 PNF and Movement Vol.2 No.1

Purpose : The purpose of this study is to demonstrate the correlation of pain, stiffness, and physical function by analyizing the KWOMAC socre of the patients with degenerative knee OA, is the most common disease among senior population. Method : 100 degenerative knee OA patients, diagnosed at the hostpital or clinic located in Degu and Kyung-buk province were participated in the study. Result : This study results in following conclusions. 1. Degenerative knee OA patients complained the pain going up or down stairs, stiffness after getting up in the morning. immediately. 2. They also had significant difficulty ascending or decending stairs, getting in or out of car, rising from sitting, doing chores. 3. There was the high correlation among pain, stiffness, physical function. Conclusions : It may provide information to assess the ADL of knee OA patients and the exercise, outcome for their independent life effectly.

GAITRite 시스템 분석을 통한 젊은층과 노년층의 보행특성 비교

황보각,정학영,배성수,Hwang-bo, Gak,Jeong, Hak-young,Bae, Sung-soo 대한고유수용성신경근촉진법학회 2003 PNF and Movement Vol.1 No.1

Objectives : The purpose of this study was to describe and compare the temporo-spatial gait characteristics of healthy young people with those of healthy elderly people. Methods: The data were collected by 40 volunteers. 20 subjects were between 20 and 31 years of age, and 20 subjects were between 65 and 84 years of age. Temporal and spatial parameters of gait were analysed for using the computerized GAITRite system. Results : The system integrates specific components of locomotion to provide a single, numerical representation of gait, the Functional Ambulation Performance score. Differences in gait characteristics between the two groups were examined using a correlated t-test(p<.05). Significant differences were observed between the groups for step length, step/extremity ratio and velocity. Young people demonstrated a significantly larger velocity, step length and step/extremity ratio than the elderly people. Conclusions: These results indicate that the GAITRite system can be useful in detecting footfall patterns and selected time and distance measurements of young and older persons. Additionaly, differences in walking velocity, step length and step/extremity ratio between old and young people may have influenced the gait characteristics measured.

GAITRite 시스템 분석을 통한 퇴행성 슬관절염 환자의 보행특성 연구

황보각,김병조,배성수 대한물리치료학회 2004 대한물리치료학회지 Vol.16 No.1

환경강화가 뇌손상 흰쥐의 해마에서 BDNF 발현과 기능변화에 미치는 영향

임창훈,황보각 대구대학교 특수교육재활과학연구소 2008 특수교육재활과학연구 Vol.47 No.2

This study aims to find out whether or not neuro-trophic factors are expressed in rats whose brain was damaged by the evironmental enrichment. This study was analyzed with experimental animals. For this study, mature male Sprague-Dawley family rats, which are 7-9 weeks old, 250-300g in weight, healthy and having no trouble neurologically, were randomly selected and had an operation under anesthesia to remove the somatomotor area of rata. After conducting an operation of rats, the rats were randomly divided into two groups to raise them: 3 rats of the experimental group to be raised in the environment-reinforced cage, and 3 rats of the control group to be raised in the standard cage. BNDF expression was inspected in the hippocampus of rats with immunohistochemistry on 1, 3, 7, 14 days after operation. As a result of the inspection, BDNF expression and dendrite increased in the hippocampus of rats in the environment- reinforced cage, BDNF was synthesized for recovery of damage, and, as the time passes by, the number increased. And the effect is presumed to be continuous for regeneration due to changes of morphological changes of cranial nerves. neurological behavior tests(Postural Reflex Test, Beam-Walking Test) were showed that the experimental group which underwent evironmental enrichment cage had the highest neurological behavior test score except for the day 1 group. On the basis of such results, it is considered that reinforced environment leads to an increase of the expression of neuro-trophic factors, thus advances performance and becomes a part of various mechanisms which disclose plasticity of the central nervous system. In conclusion, environment enrichment is an effective treatment for patients of brain injury. 뇌손상 질환의 장애를 가진 환자들의 치료에는 다양한 방법들이 사용되어지고 있다. 뇌손상의 회복과 관련하여 현재에는 기능적인 측면뿐만 아니라 뇌신경의 형태학적 구조가 재생된 뇌가소성을 말하고 있다. 그래서 강화된 환경이 뇌의 가소성과 관련이 있는 신경영양물질 중 BDNF 발현에 영향을 미치는지 규명하며, 기능적 변화에도 영향을 주는지 확인하여 다양한 뇌질환 환자들의 치료방법 중 가정에서 강화된 환경의 일상생활을 통해 기능적 회복과 시간, 경제적 측면에서 효과적이며 간편한 치료방법을 재활 전문가들에게 제안하고자 하였다.

불안정면에서의 균형훈련이 편마비 환자의 보행요소와 하지 근 활성도에 미치는 영향

김은정,황보각,이상열,이명희 한국장애인재활협회 2010 재활복지 Vol.14 No.4

이 연구는 불안정면에서의 균형훈련이 뇌졸중으로 인한 편마비 환자의 보행요소와 하지 근 활성도에 미치는 영향을 알아보기 위하여 수행되었다. 이 연구에서는 편마비 환자 20명을 실험군과 대조군으로 무작위 배정하고 실험군은 주 5회, 8주간의 균형훈련을 실시하였다. 실험 전, 후의 시, 공간적인 보행요소를 나타내는 보행속도, 보각, 보장, 족저 압력을 측정하였고, 하지 근 활성도는 넙다리두갈래근, 넙다리곧은근, 앞정강근, 장딴지근을 측정하여 수집된 자료를 분석하여 다음과 같은 결과를 얻었다. 실험 전, 후 비교에서 대조군은 보각과 족저 압력의 Toe2-5, M1, M3, M5, MF영역 그리고 장딴지근과 앞정강근의 활성도에서 통계적으로 의미 있는 차이를 보인 반면, 실험군은 보행속도와 보각, 족저 압력의 Toe1, Toe2-5, M4, M5, HM영역 그리고 넙다리두갈래근과 넙다리곧은근, 앞정강근의 활성도에서 통계적으로 의미 있는 차이를 보였다. 따라서, 불안정면에서의 균형훈련이 뇌졸중으로 인한 편마비 환자의 보행요소와 하지 근 활성도에 효과적이나, 두 군 간 큰 차이가 나지 않아 이에 대한 연구가 앞으로 더 이루어져야 할 것이다.

고유수용성 신경근 촉진법중 등장성수축 결합의 임상적용

배성수,황보각,김미현,김재헌,최재원,이상열 대한물리치료학회 2004 대한물리치료학회지 Vol.16 No.3

수부손상 환자의 직업복귀를 위한 조기 물리치료

배성수,황보각,곽정인 대한물리치료학회 1999 대한물리치료학회지 Vol.11 No.2

We can see the case of hand injury patient in the industry field. Hand injury has more particularity than other injury cases. Because it is densely a lot of muscle, tendon, bone, vessels, and is progressing speedily to fibrosis, adhesion, stiffness than other joints. If it has hand injury, it is important to the physical therapy in early stage after operation. Otherwise, it is difficult to recover the function. Hand malfunction intimately has to do with the return to work and the grade of disability. There are many different hand injury cases taut, we want to investigate several cases. :fracture. joint injury, tendon injury, and want to looking for treatment time and method about these. So, we'll understand hand injury of industry disaster, and acknowledge of the importance of physical therapy in the early stage through these.

정상인과 편마비 환자의 주관절 등척성 운동시 우력양상과 심혈관계에 미치는 영향

신형수,황보각,임원식,김중선,Shin, Hyung-Soo,Hwang-Bo, Gak,Lim, Weon-Sik,Kim, Chung-Sun 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.3

The isometric torque of the elbow flexor and extensor muscles were measured for 6 seconds at a joint angle of 90$^{\circ}$ , in 10 normal subjects (control group) and 10 hemiplegic subjects(patient group), using the Cybex NORMTM System. The peak torque, the time to peak torque were measured for each exercise. In addition, heart rate and blood pressure were recorded simultaneously at rest and immediately following exercise completion at 1 and 3m mutes. Statistical analysis was performed using SPSS 8.0 for Windows software and mean and standard deviations were calculated. The results are as follows. 1) In the patient involved group. the isometric values for flexors and extensors were significantly lower than in the normal nondominant group(p<.05). 2) The extensor to flexor strength ratio in the isometric mode was 121.0% in the patient involved group compared with 78.7%in the normal nondominant group, a significant difference(p<.05). 3) The mean increment ratio was increased 19.0% for systolic blood pressure and 25.2% for disatolic blood pressure in the patient group. 4) The mean increment ratio was increased 36.0% heart rate in the patient group.

신경근 연접부의 미세구조와 기능

남기원,황보각,구현모,김진,Nam Ki-Won,Hwang Bo-Gak,Koo Hyun-Mo,Kim Jin 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.4

Neuromuscular junction consist of presynaptic membrane, synaptic cleft and postsynaptic membrane. In the neuromuscular junction, presynaptic membrane is the motor nerve terminal, have many synaptic vesicle. Postsynaptic membrane is the motor end plate of muscle fiber and the most striking structural features are the deep infolding of the sarcolemma. Between the nerve and muscle cells, there is a synaptic cleft of some 50-100nm. This review shows the ultrastructure and function of neuromuscular junction, summarizes the current knowledge.

보행훈련방법이 편마비 환자의 보행요소와 족저압에 미치는 영향

김은정,황보각,권혁철 대구대학교 특수교육재활과학연구소 2009 再活科學硏究 Vol.27 No.2

이 연구는 뇌졸중으로 인한 편마비 환자에게 보행훈련방법을 달리하였을 때, 일반적인 지면과 트레드밀, 불안정면을 이용한 보행훈련이 보행요소와 족저압에 미치는 영향을 알아보기 위하여 편마비 환자 30명을 지면과 트레드밀, 불안정면 보행훈련군으로 무작위 배정하고 각 치료군들은 주 5회, 8주 간의 보행훈련을 실시하였다. 실험 전과 후, 보행요소를 알아보기 위하여 보행속도, 보장, 보각과 족저압을 측정하여 수집된 자료를 분석하여 다음과 같은 결과를 얻었다. 이 연구의 결과를 종합해 보면 보행훈련방법에 따라 지면 보행훈련은 보행속도와 족저압 전족부, 트레드밀 보행훈련군은 보행속도와 보각, 족저압 중족부, 불안정면 보행훈련군은 보행속도와 보장, 보각에서 유의한 증가를 보였다. 이러한 결과는 뇌졸중으로 인한 편마비 환자에게 보행훈련방법을 달리함에 따라 많은 영향을 끼치어, 환경의 변화와 다양한 과제에 대한 적절한 반응을 만들어 낼 수 있음을 의미하며, 기능 회복의 임상적 접근에서 치료 중재의 시점과 기간, 제공되는 환경, 과제의 선택에 대한 광범위한 연구가 필요할 것으로 생각되어진다. Purpose : This study was performed for effects of gait component and plantar foot pressure on gait training way needed in gait with hemiplegic patients caused by cerebrovascular accident. Methods : Three groups of adult hemiplegia(n=30) were allocated randomly in this study : group I(TGT : treadmill gait training), group II(USGT : unstable surface gait training) and group III(SGT : surface gait training). The gait training was provided to experimental groups for 8 weeks(5 times a week). Measurements of pre and post experiment were gait velocity, step length, toe out angle, foot plantar pressure which demonstrate temporal-spatial parameter of gait component. Results : The results of this study showed that in comparison of pre and post changes of gait training, SGT group has statistically significant differences in gait velocity, metatarsal area of foot plantar pressure, TGT group has statistically significant differences in gait velocity, toe out angle, midfoot of foot plantar pressure. USGT group has statistically significant differences in gait velocity, step length, toe out angle. Conclusion : These results mean gait training resulted by gait training way provides effective gait, with stroke, and therefore proper response about environmental changes and various tasks could be made.