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경도인지장애와 알츠하이머 치매 여성노인의 하지운동기능 비교
신형수,서병도 한국자료분석학회 2011 Journal of the Korean Data Analysis Society Vol.13 No.2
본 연구의 목적은 정상인지노인과 경도인지장애(mild cognitive impairment, MCI), 알츠하이머 치매(Alzheimer’s disease, AD)노인의 하지운동기능을 평가하고 변인에 대한 유의성을 확인하기 위함이다. 본 연구는 이중맹검 대조군연구로 설계되었으며 노인여성 75명을 대상으로 하였다. 연구그룹은 대조군(n=25), MCI군(n=25), AD군(n=25)으로 나누었다. 평가는 치매평가와 하지운동기능평가를 실시하였다. 연구결과 OLS(one-leg stand test) 평가에서 대조군과 AD군에서만 유의한 차이가 나타났다. TUG(time & up go test) 평가에서 대조군과 MCI군, 대조군과 AD군 간에 유의한 차이가 나타났다. STS(sit-to-stand test) 평가는 모든 군 간에 유의한 차이가 나타나지 않았다. 본 연구결과는 하지운동기능평가에서 TUG(s) 평가가 MCI와 AD를 예측하는 평가도구로 고려될 수 있음을 시사하며 하지운동기능에 대한 지속적인 추적 연구가 필요할 것으로 생각 된다. The purpose of this study was to provide basic data for use as early assessment tool for MCI and AD by assessing the lower extremities function in elderly people with normal cognitive function, MCI or AD, and by examining the significance of variables. This was a double blind, control study including 75 female elderly who were assigned to control group (n=25), MCI group (n=25), and AD group (n=25). Neuropsychological assessment (CDR, Hachinski ischemic index) and assessment on lower extremities function (OLS, TUG(s), STS) revealed that OLS was significantly different only between control and AD groups; TUG(s) was significantly different between control and AD groups, and between control and MIC groups; STS was not significantly different between any two of the three groups. The result of this study showed that assessment on TUG(s) as part of assessment on motor function of lower extremities could be useful for assessing MCI. Further studies are required to examine the significance of the assessment of motor function of lower extremities.
신형수,김중선 대한고유수용성신경근촉진법학회 2005 PNF and Movement Vol.3 No.1
Objectives : The purpose of this study was to understancling the constraint induced movement and Self-efficacy with arm training on upper motor function in Stroke Patients. Methods : Stroke, the leacling cause of functional clisability, causes a variety of impairments that compromise quality of life. Upper limb hemiparesis, a commonly seen impairment, is particularly problematic given its impact on activities of daily living. Because stroke was a clisease to correspond to the first dunng domestic cause of death, and was accompanied by a lot of side aftereffects after a survival, stroke rehabilitation bought a patient and a family and a physical therapist, and it was main concem of. Results : 1ρoks into upper extremity excnse of a subacute stroke patient estranged a acute convalescence later by a rehabilitation treatment in this consideration, and evaluates an effect to wind up constraint induced movement for an early treatment of stroke and Self efficacy, and help is one to an early rehabilitation of an stroke patient. Conclusions : Overuse sound tends after the stroke occurrence in the early stage in order to recompense for stroke, and at the time of a new aspect called leamed nonuse syndrome by a movement of a paralysis part dusting off wealth with this step thing later. Constraint induced movement using self efficacy could be an effective for improving function of stroke. .
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.
申螢秀 서울여자대학교 사회과학연구소 2003 사회과학논총 Vol.9 No.-
전통적으로 가구의 자녀수 선택이론에 의하면, 가구소득의 제약과 부모의 소비, 자녀의 수, 등으로 구성된 효용함수의 극대화로 결정된다. 본 연구는 그 이외에 이웃 가구의 자녀수에 의한 외부효과로 추가적인 영향을 받는 것으로 가정하여 실증자료를 기초로 분석하였다. 이 외부효과는 가구 간 자녀수에 있어서 서로 양(+)의 효과를 야기하여 동일지역 내에서의 가구 당 자녀수는 상당히 비슷한 수준으로 변화하고 있음을 알 수 있었다. 특히 1990년 이후 시간적으로 변화하는 외부효과의 영황은 지역에서 전국으로 확대되고 있어 최근의 국가 전체의 정보화 시대에 맞게 이론도 뒷받침되고 있는 것으로 분석되었다. 따라서, 향후 전국이 각 가구마다 비슷한 자녀를 갖는 추세로 변화할 것이므로 자녀수의 감소추세는 지속될 것이고, 수반되는 인구구조의 변화는 많은 경제적 문제를 야기할 것이다. 가구의 자녀수 결정에의 외부효과를 구체칙으로 분석하기 위해서는 다양한 부차적인 자료를 필요로 하는데 본 연구에서는 자료의 불충분으로 충분한 검증올 하지 못했다. 그러나, 도시가계조사의 소득과 소비지출을 인구통태조사와 연결하여 분석할 수 있다면 다양한 분석을 통한 이론의 검증을 시도할 수 있을 것이다.
외측 쐐기 깔창이 골관절염 환자의 내반슬에 미치는 영향에 관한 고찰
신형수,이상용,배성수 대한정형도수치료학회 2005 대한정형도수물리치료학회지 Vol.11 No.1
Osteoarthritis has been considered a disease of the elderly because it is uncommon before the age of 40 years and is seen in approximately 80% of United States citizens older than 65 years. general population on kuri city in korea revealed that prevalence of knee osteoarthritis is 10.2%, increasing with age. High level of physical activity in men and age, post-menopause and obesity in women can be risk factor. Osteoarthritis is no evidence that a acquired process initiated much earlier in life through mechanical, metabolic, genetic, or other origins. A high tibial astronomy alters static lower extremity alignment thereby decreasing medial compartment loading. As well, conservative treatment strategies, such as knee braces and values heel wedges, affect lover limb mechanics and attempt to reduce medial compartment loading. It was hypothesized that values heel wedges and modified orthoses would shift the center of pressure laterally on the foot during level walking, reducing the moment arm of the adduction moment in the frontal plane, thereby resulting in a decrease in the knee adduction moment. In the 1980s, the effect of wearing a laterally wedged insole on osteoarthritis patients with a virus deformity of the knee was firsted, and since then, kinematic and kinetic analyses concerning this condition have mainly focused on a static standing position. Since the early 1990s, the beneficial effect of wearing a laterally wedged insole to treat osteoarthritis of the knee has also been reported dynamaic conditions, but these studies did not answer the question of the kinematic and kinetic mechanisms that resulted in the reduced symptoms in patents with knee osteoarthritis. therefore, the effect of wearing laterally wedged insole has not been sufficiently studied.