만성 요통 유무와 자세에 따른 복부근 두께변화 비교

원종임 대한고유수용성신경근촉진법학회 2020 PNF and Movement Vol.18 No.3

Purpose: This study aimed to compare changes in abdominal muscle thickness in different standing postures with a handheld load between subjects with and without chronic low back pain (CLBP). Methods: Twenty subjects with CLBP and 20 controls participated in this study. Ultrasound imaging was used to assess the changes in the thickness of the transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) muscles. Muscle thickness in three different standing postures (standing at rest, standing with loads, standing with lifting loads) was compared with the muscle thickness at rest in the supine position and was expressed as a percentage of change in the thickness of the muscle. Results: While standing with loads, the change in IO muscle thickness in the CLBP patients increased more significantly than in the pain-free controls (p < 0.05). The standing with lifting loads posture showed a significant increase in the change in thickness of the TrA compared with the standing with loads posture (p < 0.05). In addition, the standing with lifting loads posture showed a significant decrease in the change in the thickness of the EO when compared with the standing with loads posture (p < 0.05). Conclusion: The automatic activity of the IO muscle in subjects with CLBP increased more than that of the pain-free controls in the standing with loads posture. These findings suggest that IO muscle function may be altered in those with CLBP while standing with loads. Additionally, TrA the activation level was found to be associated with increased postural demand caused by an elevated center of mass.

초정밀가공의 현재와 미래(2)

元鍾虎(원종호) 한국공작기계학회 2003 한국공작기계학회지 Vol.12 No.2

초정밀가공의 현재와 미래

元鍾虎(원종호) 한국공작기계학회 2003 한국공작기계학회지 Vol.12 No.1

일 지역 종합병원 간호사의 섬망 관련 지식

원종임 중앙대학교 의과대학 간호학과 간호과학연구소 2011 중앙간호논문집 Vol.15 No.-

The purpose of this study was to examine the level of knowledge about delirium, experience of assessment tool use, and educational needs about delirium among nurses. This study was a cross sectional descriptive study. Participants were 153 nurses. Data were collected from 3 hospitals using questionnaries. Data were gathered from march 10 to April 10, 2011. The data were analyzed with the SPSS/Win 12.0 program. Data were summariszed using descriptive statistics. The average score for nurses' knowledge about the delirium was 60, of a total score of 100. Only 7 nurses among participants had ever used the delirium tool. More than half of the participant (58.8%) responded that they needed education about intervention and management of delirium. It is important to provide education on delirium to nurses. Continuing educational program focusing on detecting and managing patients with delirium would be helpful for nurses taking care of patiens with delirium.

환자중심 목표설정이 아급성기 뇌졸중 환자의재활치료 성과에 미치는 영향

원종임,안창만,박민희 한국전문물리치료학회 2018 한국전문물리치료학회지 Vol.25 No.1

Background: Patient-centered care has recently become highly recommended, because it can improve health outcomes more effectively than problem-oriented care. The goal attainment scale (GAS) is one of the methods used for patient-centered care. It was originally developed as an outcome measurement tool, but it can also be used as a therapeutic intervention when setting quantifiable patient-centered goals. Objects: We sought to identify the effect of setting patient-centered goals on rehabilitation outcomes in patients with subacute stoke using GAS. Methods: Overall, 46 subjects with subacute stroke were divided into experimental (n1=23) and control (n2=23) groups. Subjects in both groups attended physical therapy sessions five times a week for four weeks. Those in the experimental group set goals using goal-attainment scaling. The mobility of each subject was evaluated using the Rivermead mobility index (RMI); daily-living activities, using the K-modified Barthel index (K-MBI); participation, using the Hopkins rehabilitation-engagement rating scale (HRERS); satisfaction, using the patient-satisfaction scale (PSS). Results: Subjects in the experimental group experienced more significant increases in RMI, HRERS, and PSS than those in the control group (p<.05, p<.05 and p<.01, respectively). After four weeks, GAS scores of the experimental group had increased more significantly than those of baseline (p<.01). Conclusion: Setting patient-centered goals is effective in improving the mobility and satisfaction of patients with subacute stoke. Setting patient-centered goals needs to be performed more frequently in clinical settings.

운동학적 근전도의 활용

원종임,Won, Jong-Im 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4

The kinesiologic electromyograhy(KEMG) is one of the most common use in physical therapy for understanding normal function and dysfunction of the neuromuscular system. Physical therapists concerned to patterns of muscle response, position, type of muscle contraction, onset and cessation of activity, the level of muscle response in relation to effort, and type of muscle contraction. Also they are use KEMG to assess the exercises for facilitate or for inhibit specific muscle activity. However there is a few references that provide information of KEMG Thus, the purpose of this article is for the use and interpretation of KEMG data. This article will guide beginning researchers for collecting, managing and analyzing of KEMG data.

앉은 자세에서 가벼운 부하를 들고 수행하는 복부드로잉 운동이 요통대상자와 건강인의 배가로근 수축에 미치는 영향

원종임 대한고유수용성신경근촉진법학회 2023 PNF and Movement Vol.21 No.2

Purpose: This study aimed to investigate the effects of an abdominal drawing-in maneuver (ADIM) with a light load while sitting on transverse abdominis contraction in subjects with and without low back pain. Methods: In this study, 20 participants with chronic low back pain and 20 controls participated. Ultrasonography was used to assess the thickness of the external oblique (EO), internal oblique (IO), and transversus abdominis (TrA) muscles. Muscle thickness was measured at rest and during ADIM in three different sitting postures: (1) just sitting, (2) sitting loaded position (holding a 1 or 2 kg dumbbell in each hand), and (3) sitting loaded shoulder flexion position (holding a 1 or 2 kg dumbbell in each hand). Results: The contraction ratio (CR) and preferential activation ratio (PAR) of the TrA during ADIM had no significant interactional effect between the group and the sitting postures. However, the CR and PRA of the TrA during the ADIM showed significant differences among the three different sitting postures. The CR of the TrA during the ADIM in the sitting loaded shoulder flexion position was significantly increased compared to that in the sitting position (p˂.05). Moreover, the PRA of the TrA muscle during ADIM in sitting loaded and sitting loaded shoulder flexion positions was significantly higher than that in the sitting position (p˂.05). Conclusion: The findings suggest that ADIM in the sitting-loaded shoulder flexion position should be implemented to facilitate TrA activity.

슬관절 신전근의 등속성 운동 시 발생되는 일과 근전도 신호와의 관계

원종임,Won, Jong-Im 대한물리치료과학회 2003 대한물리치료과학회지 Vol.10 No.1

An electromyogram (EMG) using surface electrodes is one of the indirect tests most frequently used to ascertain muscle fatigue. An EMG can be used in two ways. The first technique determines the root mean square (RMS), which reflects the amplitude of the EMG signal. The second technique determines the median and mean power frequencies through EMG power spectrum analysis. The purpose of this article is for determine the correlation between work and percent root mean square(%RMS) and between work and MDF of EMG based on muscle contractions. It is used the %RMS, which reflects the amplitude of the EMG signal For MDF, it is used the frequency power spectrum analysis method, which involves the fast Fourier transformation (FFT) of the original Signals.

북한에서 출판된 전래동화집 『조선 옛이야기 그림책』 의 유아 통일교육적 의미

원종임 한국아동부모학회 2015 아동부모학회지 Vol.1 No.1

This study examines the possibility of using fairy tales, published in North Korea, as unification texts in preschool education. So we analyse their literariness and unification-related factors, focused on the 40 fairy tales, which are proper to young children’s developmental stages, among the whole 48 series of “Chosun old story picture book.” The result of the analysis goes like this:first, there is no remarkable difference between typical South Korean fairy tales and North Korean ones in regard of their literariness, topics, and main characters. The North Korean fairy tales have potential in educating preschoolers on unification. Into the bargain, they are useful in growing sensitivity to literature, not to mention in promoting community spirit on the part of our children. That is because the North Korean fairy tales are suitable for unification education since they coincide with young children’s developmental stages. Still, we need to make minor changes of specific expressions, which are improper to our children. This study has implications in presenting potential application of North Korean fairy tales as unification texts. It is especially true when we consider that there is scanty of unification education due to the lack of materials or research on preschoolers’ unification education 본 연구는 북한에서 출판된 전래동화집 48권 중 유아의 발달에 적합한 동화 40권에 나타난 문학적 요소와 통일교육적 요소를 분석하여 유아교육 현장에서 의 통일교육 적용 방안을 고찰하는데 목적이 있다. 에 나타난 문학 적 요소와 통일교육적 요소 및 적용 방안을 분석한 결과는 다음과 같다. 북한에서 출판된 전 래동화집 은 문학적 요소 동화, 주제, 주인공 범주에서 남한의 전래 동화와 큰 차이가 없으며, 통일교육적 요소 유아발달적합성, 민족공동체의식, 북한이해, 통일 이해를 포함하고 있어 유아문학적인 면에서와 유아통일교육적인 면에서의 적용이 가능하다. 그러나 북한체제 특성으로 인해 유아문학으로서 적합하지 않은 표현은 유아의 발달 수준에 맞는 표현으로 수정하여 제시하거나 재구성하여 제시해야 한다. 본 연구는 유아통일교육에 대한 연구 및 자료 부족 등으로 통일교육이 활발히 이루어지지 않고 있는 현실에서 유아들 이 좋아하는 동화, 특히 북한에서 출판된 동화를 활용한 통일교육 적용가능성을 제시한 점에 서 연구의 의의가 있다

류마티스관절염 환자를 위한 물리치료

원종임 한국전문물리치료학회 1994 한국전문물리치료학회지 Vol.1 No.1