直腸癌과 鑑別을 要하는 疾患

李寅熙 中央醫學社 1964 中央醫學 Vol.7 No.5

VDT 증후군 환자에 물리치료와 인간공학적 개입: 사례 연구

이인희,박상영,Lee, In-Hee,Park, Sang-Young 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.4

Purpose: Among computer users, the awkward posture and workstation setups of workers contribute to work-related upper limb musculoskeletal disorders. The purpose of this study was to evaluate the efficacy of a traditional physical therapy and ergonomic intervention by physical therapists in 4 computer users. Methods: After checking Visual Analogue Scores (VAS), four subjects who were treated by physical therapy for neck and shoulder problems related to VDT syndrome were enrolled in the study. All subjects spent at least 40 hours per week at a computer workstation. All subjects had pain and ergonomic states evaluated using methods such as VAS, Neck Disability Index (NDI), Workstyle short form, Rapid Upper Limb Assessment (RULA), and OSHA VDT checklist (Occupational Safety and Health Administration video display terminal) before a physical therapy + ergonomic intervention. Participants were re-evaluated 1 month later. Results: Participants showed more improvement of their neck pain after being treated with a physical therapy plus ergonomic intervention than when treatment consisted only of physical therapy. Improvements in RULA, Workstyle short form, and OSHA VDT checklist also were achieved. Conclusion: This case study suggests the importance of examining the work habits and work-related postures of subjects who complain of neck and shoulder pain that is exacerbated by computer use. Personalized ergonomic interventions and physical therapy can lead to improvement of patients with VDT syndrome.

물리치료사의 환자 운반 시 작업 부하 분석에 NIOSH 들기 공식 적용: 사례연구

이인희,Lee, In-Hee 대한물리치료학회 2009 대한물리치료학회지 Vol.21 No.3

Purpose: The National Institute for Occupational Safety and Health (NIOSH) lifting equation (NLE) is a useful tool to ergonomically analyze a workload. The NLE has high reliability and it can assess tasks by analyzing the work process. The purpose of this case study was to try using the NLE to analyze the workload of transferring patients by physical therapists in the hospital setting. Methods: We observed a physical therapist (PT) transferring patients from a wheelchair to a tilt table and a therapeutic table in one day. Two types of patient transferring methods were evaluated; (1) the manual single person method of stand, pivot and transfer, and (2) manual two person lifting under the thigh and grasping the waist for totally dependent patients. Results: The NIOSH lifting indexes of a person grasping the waist during the manual two person lifting were 5.52~4.48 according to the patient's weight. The NIOSH lifting indexes were 3.34 and 4.48 for the tasks performed by the manual single person method. Conclusion: Because transferring patients is not done very frequently, patients transferring tasks by a PT are not included as one of the musculoskeletal disorder related risky work criteria of the Korea Ministry of Labor. But the NIOSH lifting indexes of a person grasping the waist during the manual two person lifting and the manual single person method were over the NIOSH recommended weight limit threshold.

물리치료를 받은 선천성 근성 사경 환아의 최종 종괴 지름 예측 모형 개발

이인희,신아미,이경호,박희준,김윤년,Lee, In-Hee,Shin, A-Mi,Lee, Gyeong-Ho,Park, Hee-Joon,Kim, Yoon-Nyun 대한물리치료학회 2009 대한물리치료학회지 Vol.21 No.2

Purpose: The pathophysiology of congenital muscular torticollis (CMT) is that the sternoclavicularmastoid (SCM) is shortened on the involved side by fibrosis, leading to an ipsilateral tilt and contralateral rotation of the face and chin. The aim of this study was to examine the effect of physical therapy and develop a mass diameter prediction model for infants with CMT. Methods: Fifty six patients were diagnosed with CMT between April 2003 and December 2008. Infants with neurological complications, and spasmodic and ocular torticollis were excluded. Physical therapy was applied to those masses in the SCM muscles of those infants after checking their physical findings and the diameter of the mass with ultrasonography. Their physical findings and mass diameter was reevaluated when their neck tilt was under $5^{\circ}$. Results: The mean age when physical therapy was started was 35 days. After a mean 90 days of treatment, the subjects showed improvement in the neck tilt. Subjects whose neck tilted above $15^{\circ}$ showed significant improvement in neck tilt decreased their mass diameter (p<0.01). Facial symmetric infants showed a shorter recovery duration than the facial asymmetric infants (p<0.05). A mass decreasing model based on the diameter of the mass, facial symmetry or not and the physical therapy start day after birth was developed by linear regression. Conclusion: Physical therapy is an effective treatment for CMT. The change in the diameter of the mass on the SCM muscles after treatment can be predicted.

데이터 마이닝을 활용한 뇌경색증과 동반되는 질환의 연관성 분석

이인희,신아미,손창식,박희준,김중휘,박상영,최진호,김윤년,Lee, In-Hee,Shin, A-Mi,Son, Chang-Sik,Park, Hee-Joon,Kim, Joong-Hwi,Park, Sang-Young,Choi, Jin-Ho,Kim, Yoon-Nyun 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.1

Purpose: The purpose of this study was to apply association rule mining to explore the labyrinthine network of cerebral infarction comorbidity and basic data supply to develop cutting-edge physical therapy protocols for cerebral infarction with comorbidity Methods: From clinic records of enrollees of A Hospital in D city, patients over 18 years of age with cerebral infarction and cerebral infarction comorbidity were recruited as a case group. All diagnoses of that hospital were categorized according to the "International Classification of Disease (ICD)" diagnosis system. We extracted code I63 from the "Korea Classification of Disease (KCD)-4". Associated rule mining was done with a priori modeling and Web nodes to examine the strengths of associations among those diagnoses. The support and confidence values of associated rule mining results were examined. Results: The subjects of this study were 2,267 cerebral infarction patients. E11 (Non-insulin-dependent diabetes mellitus), E78 (Disorders of lipoprotein metabolism and other lipidaemias), G81 (Hemiplegia), I10 (Essential hypertension), and K29 (Gastritis and duodenitis) were high frequency diagnoses, being found in 10% or more of total diagnoses of cerebral infarction from frequency analysis results. The highest frequency diagnosis was 1,042 (46.0%) for I10. The second most frequent diagnosis was for E11(21.5%) while the third most frequent diagnosis was E78 (20.2%). Results from a priori modeling and Web nodes indicated that cerebral infarction has a strong association withessential hypertension, non-insulin-dependent diabetes mellitus, disorders of lipoprotein metabolism and other lipidaemias. Conclusion: Cerebral infarction is associated with hypertension, diabetes mellitus, and disorders of lipoprotein metabolism and other lipidaemias. The result of this study will be helpful to clinicians treating patients with cerebral infarction.

일부 물리치료사와 작업치료사의 환자 의료정보보호 행동 이해

이인희,신아미,손창식,박상영,박희준,윤경일,김윤년,Lee, In-Hee,Shin, A-Mi,Son, Chang-Sik,Park, Sang-Young,Park, Hee-Joon,Yoon, Kyung-Il,Kim, Yoon-Nyun 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.2

Purpose: The purpose of this study was to use the theory of planned behavior, past habit and moral obligation to better understand the behavior of physical therapists (PTs) and occupational therapists (OTs) in protecting the medical information of patients. Methods: We conducted a survey using self-writting questionnaires structured within the framework of the theory of planned behavior to understand to analyze information from 103 clinical PTs and OTs in their efforts to protect patient medical information. Results: The PTs and OTs' medical information protecting behavior was 2.85 mean points. That point failed to reach 1.0 points. Behavior intention was 3.83 mean points. That was judged to be improved. Behavioral intention was closely correlated with behavior, behavioral attitude, subjective norms, behavior control, and past habit. Variables related to the theory of planned behavior, attitude, subjective norms, and perceived behavior control all explained 50% of the behavioral intention of PTs and OTs regarding future divulgence of patient information. The past habits of PTs and OTs were also a significant predictor in explaining the behavioral intention to protect a patient's medical information (p<0.01). Conclusion: Revising the behavioral attitudes, subjective norms, perceived behavior control, and past habits of PTs and OTs helped improve their behavior regarding protection of the medical information of patents.

무릎관절 골관절염 환자의 보행기 보행에서 생역학적 특성

이인희,권기홍,박상영,Lee, In-Hee,Kwon, Gi-Hong,Park, Sang-Young 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.5

Purpose: Osteoarthritis occurs in many different joints of the body, causing pain, stiffness, and decreased function. The knee is the most frequently affected joint of the lower limb. The aim of this study was to investigate the differences of biomechanics between independent gait and anterior walker dependent gait of patients with osteoarthritis of the knee. Methods: Lower limb joint kinematics and kinetics were evaluated in 15 patients with knee osteoarthritis when walking independently and when walking with an anterior walker. Participants were evaluated in a gait laboratory, with self-selected gait speed and natural arm swing. Results: When walking with a dependent anterior walker, participants walked significantly faster (p<0.01), using a longer stride length (p<0.01), compared to independent gait. When walking with a dependent anterior walker, participants exhibited significantly greater knee flexion/extension motion (p<0.01) and lower knee flexion moment (p<0.05) compared to independent gait. When walking with a dependent anterior walker, participants showed significantly greater peak ankle motion (p<0.01), ankle dorsiflexion/plantarflexion moments (p<0.01), and ankle power generation (p<0.05) compared to independent gait. Conclusion: These biomechanical properties of gait, observed when participants walked with a dependent anterior walker, may be a compensatory response to impaired knee function to allow sufficient power generation for propulsion. Therefore, rehabilitative strategies for patients with osteoarthritis of the knee are needed in order to improve not only knee function but also hip and ankle function.

녹각 추출물과 CoenzymeQ10 복합제가 운동능력에 미치는 영향

이인희,김민지,박성운,박여은,김현미,류재환,Lee, In-hee,Kim, Min-ji,Park, Sung-woon,Park, Yeo-eun,Kim, Hyun-mi,Le, Jae-hwan 대한한방내과학회 2015 大韓韓方內科學會誌 Vol.36 No.3

Objectives: We aimed to evaluate the effect of Cervi Cornu and coenzymeQ10 on exercise and endurance capacity in rats and mice. Methods: The extract of Cervi Cornu was manufactured by the pharmacy department of Kyung Hee Oriental Medical Hospital, and CoQ10 soft cap (Ildong Pharmaceutical) was used. In total, 24 rats and 30 mice were divided into 3 groups: Control (rat=8, mouse=10), CoQ10 alone (rat=8, mouse=10), Cervi Cornu extract, and CoQ10 (rat=8, mouse=10). Ergogenic effect was evaluated by administering the Cervi Cornu extract and coenzymeQ10 to rats and measuring the time to exhaustion during treadmill running; endurance capacity was assessed by measuring cold water swimming time, serum lactate level, and serum corticosterone level in each group. At 1 week from the end of treatment, we recalculated time to exhaustion during treadmill running in rats to investigate the long-term effect of the Cervi Cornu extract and coenzymeQ10. Results: Cervi Cornu extract has long-term benefits in that it preserves the ergogenic effect caused by exercise. Cervi Cornu and coenzymeQ10 have no effect on increasing cold water swimming time in ICR mice. CoenzymeQ10 decreases the serum corticosterone level in ICR mice performing cold water swimming test. Conclusions: Cervi Cornu seems to preserve the ergogenic effect caused by exercise, but a larger study is needed to investigate effect of Cervi Cornu and coenzymeQ10 on improving endurance capacity. CoenzymeQ10 decreases serum corticosterone level and it is related with the anti-psychological fatigue effect.

요추 불안정 환자에서 단순방사선 소견과 자기공명영상 소견의 비교

이인희,박희준,진종식,이정현,김윤년,Lee, In-Hee,Park, Hee-Joon,Jin, Jong-Sik,Lee, Jyung-Hyun,Kim, Yoon-Nyun 대한물리치료학회 2007 대한물리치료학회지 Vol.19 No.3

Purpose: This study was to investigate how dose the radiography findings are to magnetic resonance (MR) image findings in the L5-S1 instability patients. The subjects of this study were comprised of eleven males and fifteen females, who had Lumbago and agreed with this research. Methods: Radiography and MR images of Lumbar spine were acquired respectively from subjects in conditions of maximum flexion and extension. The horizontal and angular displacements in lumabosacral spine radiography were used to assess the instability of lumbar spine. MR images were also used to evaluate the intervertebral disc abnormalities and change of bone marrow. Results: The results are as follows. 1. In the case of flexion transitional displacement proposed by Dupuis et al, the specificity and negative predictive value were good accuracy ($0.7{\sim}0.8$), and the negative predictive value was in average. In the case of extension displacement, the negative predictive value was about average ($0.6{\sim}0.7$), but the sensitivity, specificity and positive predictive value were below the poor (<0.6). On the other side, the specificity was about average but other things were below in the case of angular displacement. 2. In the case of flexion transitional displacement proposed by Dupuis et al., compared with the intervertebral disc abnormalities, the negative prediction value was excellent, the sensitivity good, and the specificity about average. In the case of extension, the negative prediction value was about average, but the other things were poor. On the other side the specificity and negative predictive value had good accuracy and the sensitivity and positive prediction value were below average in the case of angular displacement. Conclusion: The above results show that the radiography finding is sufficiently helpful to find the lumbar spine instability as an economic point of view.

우리나라 산업단지의 시대별 조성정책과 공간분포 고찰

이인희,김걸 한국지도학회 2022 한국지도학회지 Vol.22 No.2

The Fourth Industrial Revolution is changing the industrial policy of the world. It makes the shift from a traditional manufacturing-oriented hardware economy to a soft power-oriented industry. Korea is also pushing for policies to foster new industries to cope with these changes. This study attempted to confirm the spatial distribution of industrial complexes through Korea’s industrial policy by period. As a result, the spatial location of industrial complexes in Korea was distributed according to policies by era. As a light industrial policy to foster the export industry, the development of inland industrial complexes was mainly focused in the 1960s, and coastal industrial complexes were created to focus on fostering the chemical hardware industry in 1970s. In order to solve the imbalance problem between regions and the trend toward the rural to urban migration by creating a large-scale industrial complex by the growth pole development method, a policy to develop local industrial complexes and expand agricultural and industrial complexes was promoted. Since the 1990s, it has been developed in line with the industrial policies of the era, such as the development of specialized industrial complexes and advanced science complexes, in order to promote the development of industrial complexes to foster high-tech industries. With the recent surge in the number of aging industrial complexes, it has been transformed into a facility in harmony with the inner city through industrial complex regeneration and industrial complex regeneration projects, and is preparing to promote technology advantages such as a campus innovation park for the future technology development. Therefore, this study should be continued to grasp the macroscopic flow through monitoring for the future industrial policy and spatial distribution. 제4차 산업혁명은 세계의 산업정책을 변화시키고 있다. 전통적인 제조업 중심의 하드웨어 경제에서 소프트파워 중심의 산업으로 전환되고 있다. 우리나라도 이런 변화에 대응하기 위해 신산업육성을 위한 정책을 추진하고 있다. 이 연구의 목적은 시대별 산업단지 조성정책에 따른 우리나라 산업단지의 공간분포를 고찰하는데 있다. 그 결과, 우리나라 산업단지의 입지는 시대별 산업 개발 정책의 영향을 많이 받았다. 1960년대의 수출산업육성을 위한 경공업 중심 정책으로 내륙의 산업단지 개발이 이루어졌으며, 1970년대에는 중화학 공업을 중점 육성하기 위해서 임해형 산업단지가 주로 조성되었다. 거점개발방식에 의한 대규모 산업단지 조성으로 지역 간 불균형 문제 해소에 집중하였고, 이촌향도 현상을 해소하기 위해 지방산업단지 개발과 농공단지를 확대하는 정책을 추진하였다. 1990년대부터는 첨단산업육성을 위해 전문산업단지와 첨단과학단지 등이 시대의 산업단지 조성정책에 맞춰 개발되었다. 최근 노후화된 산업단지 수가 급증하면서 산업단지 재생 및 산업단지 대개조 사업을 통한 노후 환경 개선 및 업종 전환을 통해 도시 내 산업단지로 전환되고 있으며, 미래 기술 개발과 제조업 혁신 준비를 위한 캠퍼스혁신파크 조성 등 기술우위를 선점하기 위한 준비를 추진하고 있다. 따라서 산업단지 조성정책과 공간분포에 대한 지속적 모니터링을 통해서 거시적 흐름을 파악하고 미래를 대비하는 연구가 계속되어야 한다