뇌성마비 언어장애에 대한 한의 치료 연구 동향

김락형,유경,Kim, Lakhyung,Yu, Gyung 대한한방소아과학회 2012 대한한방소아과학회지 Vol.26 No.4

Objectives: The purpose of this study was to obtain some understanding about Korean medicine treatment on language disorder in cerebral palsy for future practice and the research, from the clinical studies. Methods: The literature was searched using the database-China Academic Journals (CAJ). Clinical studies of Korean medicine treatment for language disorder in cerebral palsy, including Randomized controlled trial (RCT), case control study, case series, case report were analyzed. Results: Fifteen Clinical studies met our inclusion criteria; One case study and six case series, one non-randomized controlled trial and seven RCTs. Acupuncture treatment, especially Head acupuncture, was the major treatment for language disorder of cerebral palsy in clinical studies, as it was used in fourteen studies. Acupoint massage, tuina, and acupoint injection were employed as treatment methods in the studies. Acupuncture treatment was used for language disorder of cerebral palsy combined with language therapy and other rehabilitation treatment in many studies. The effectiveness in the treatment groups, regardless of treatment methods, was higher than that of control group in all RCT studies. Conclusions: The results of this study could be used in the practice and the future study about language disorder of cerebral palsy.

『동의보감(東醫寶鑑)』에 나타난 의사소통장애의 현대적 해석

김락형(Lakhyung Kim),박현철(Hyuncheol Park),유경(Gyung You),정은희(Eunhee Jeong) 한국언어청각임상학회 2006 Communication Sciences and Disorders Vol.11 No.3

이 연구는 우리나라 한의학의 대표서적인 동의보감(허준, 1613)에 기술된 의사소통장애에 대한 내용을 현대적 해석을 통해 살펴보았다. 동의보감에 기술된 의사소통장애 관련 내용을 현대적 언어기관의 해부생리 지식(고도흥, 2004)과 의사소통장애의 일반적 분류법(이승환 외, 2001)에 따라 구분하여 고찰한 겨로가는 다음과 같다. 첫째, 말 언어기관은 폐, 흉(흉곽), 격(횡격막), 후롱(기관), 회엄(후두개 또는 성대), 구순(임술), 아치(치아), 설(혀), 현옹수(구개수), 향상(후비강), 횡골(설골) 등으로 나누어 설명되어 있고 처각기관은 이(귀)로 설명하고 있다. 오장 및 경락과의 관계를 중시하고 언어와 청각기능을 기(氣)의 작용에 의한 것으로 설명하고 있다. 둘째, 언어장애는 [내경편 언어]로, 음성장애는 [내경편 성음]으로 나누어 언어와 음성 장애를 구분하여 중요하게 다루고 있으며, 청각장애는 [외형편 이]에서 다루고 있다. 또한 중풍불어(中風不語)로 중풍에서 말 언어장애를 분류하고 [잡병편 풍]에서 중요하게 다루고 있다. 아동의 언어발달장애는 [잡병편 소이]에서 주로 다루고 있는데, 어지(語遲), 구연(口軟), 구경(口硬) 등으로 설명하고 있다. 또한 구개파열은 순결(脣缺), 말더듬을 흘(吃) 등으로 언급하였으며, [외형편 이]에서 여러 가지 원인의 난청을 이롱(耳聾)으로 설명하였고, 농이(膿耳,중이염), 정이(聤耳, 외이도염 또는 이구전색)에 의한 난청을 언급하였다. .

어머니와 아동의 기질과 양육태도 관계 연구

유경,김락형,Yu, Gyung,Kim, Lakhyung 대한한방소아과학회 2012 대한한방소아과학회지 Vol.26 No.4

Objectives: The purpose of this study was to investigate the relations between mother's temperament and child's and parenting attitude. Methods: One hundred twenty healthy mothers (above 20 ys) who has a child (7-11 ys) participated after informed consent. The temperament of the children was analyzed by the Junior Temperament and Character Inventory 7-11 (JTCI 7-11) by their mothers. The temperament of the mothers was analyzed by the Temperament and Character Inventory-Revised Short (TCI-RS) and the parenting attitude of the mothers was analyzed by the Parenting Attitude Test (PAT). The relations between mother and child temperament and parenting attitude were assessed using the Pearson correlation coefficient. Results: There were some significant correlations between maternal temperaments and child's temperaments and maternal parenting attitude. Maternal temperament and parenting attitude: Novelty seeking (NS) of mother had low positive correlations with punishment, high expectation and inconsistency. Harm avoidance (HA) had low positive correlations with high involvement and high expectation, and had weak negative correlations with supportive expression and rational explanation. Reward dependence (RD) had low positive correlation with rational explanation. Persistence (P) had low positive correlations with supportive expression, rational explanation and superintendence, and weak negative correlation with high expectation. Child's temperament and parenting attitude: NS of child had low positive correlations with achievement press, high involvement, punishment, high expectation and inconsistency. Low positive correlations were found in many sets such as HA and high expectation, RD and supportive expression and rational explanation, P and supportive expression and rational explanation. Conclusions: These results suggest that there are significant relations between mother and child temperament and parenting attitude the temperament of mother and child.

성격검사 및 전산화신경심리검사를 활용한 사상체질별 성격, 인지 특성 연구

김미선 ( Misun Kim ),안윤영 ( Yunyoung An ),김락형 ( Lakhyung Kim ) 대한한방신경정신과학회 2017 동의신경정신과학회지 Vol.28 No.4

Objectives: The purpose of this study is to study the personality traits and cognitive characteristics of the Sasang constitution by comparing the Personality Test and Neuropsychological Test. Methods: A total of 121 subjects were analyzed with the results of a Two Step Questionnaire for the Sasang Constitution Diagnosis (TS-QSCD). Among them, the Personality Tests (SPQ, EPQ, TCI) and the Neuropsychological Tests (A-VLT, CPM, Stroop-CWIT, WCST) were processed and analyzed for Soyangin, Taeeumin, Soeumin. Results: 1. In the results of the SPQ, the Soyangin showed a significantly higher score than did the Taeeumin and Soeumin in Behavior, Emotionality, Cognition, as well as the Total Score. The SPQ-C score and SPQ-T were significantly higher for Soyangin, Soeumin and Taeeumin, in that order. 2. In the results of the EPQ, the Soyangin showed a significantly higher score than did the Taeeumin and Soeumin in Extraversion - introversion. Soeumin showed a significantly higher score than did the Soyangin and Taeeumin in Neuroticism. Soyangin also showed a significantly higher score than Taeeumin in Venturesomeness. 3. For the results of the TCI, the Soyangin showed a significantly lower score than did Taeeumin and Soeumin in Harm-Avoidance, but a significantly higher score in Persistence and Self-Directedness. Soyangin and Taeeumin showed a significantly higher score than did Soeumin for the total score of Self-Directedness+Cooperativeness. 4. The results of the Computerized Neuropsychological Tests (A-VLT, CPM, Stroop-CWIT, WCST) showed no significant differences between the Sasang constitution. Conclusions: The EPQ, TCI score showed significant differences between the Sasang constitution. But the Computerized Neuropsychological Tests developed to evaluate cognitive abilities did not show differences between the constitutional individuals and showed limitations as a research tool. Further studies are needed to devise a research method for ascertaining the cognitive behavioral characteristics of the Sasang constitution.

두부 경혈 취혈에서 골도분촌법(骨度分寸法)과 일부법(一扶法) 사용에 대한 한국인 성인에서 실측 연구

강수빈 ( Su-bin Kang ),김지원 ( Jee-won Kim ),이지영 ( Ji-young Lee ),박현철 ( Hyun-chul Park ),김락형 ( Lakhyung Kim ) 대한한방신경정신과학회 2021 동의신경정신과학회지 Vol.32 No.4

Objectives: To compare bone proportional cun and finger-breadth cun in the head area to clearly distinguish the anterior hairline. Methods: In this study, the head area was measured for 50 adult males and females in their 20s with normal hair condition. We compared bone proportional cun and finger-breadth cun in the head area and calculated the error by analyzing the difference between the actual location of the anterior hairline and the location measured with the two methods. Results: There was a significant difference between bone proportional cun and finger-breadth cun in the head area. The two methods showed significant difference from the actual location of the anterior hairline. In addition, as a result of calculating the error between the actual location of the anterior hairline and the location measured by the two methods, the finger-breadth cun had fewer errors than the bone proportional cun. Conclusions: The finger-breadth cun is better than the bone proportional cun as an alternative when it is difficult to find the anterior hairline.

3축 가속도계를 이용한 사상체질별 보행특성 연구

이동규 ( Dongkyu Lee ),정서윤 ( Seoyoon Jeong ),김락형 ( Lakhyung Kim ) 대한한방신경정신과학회 2020 동의신경정신과학회지 Vol.31 No.4

Objectives: This study aimed to reveal the gait characteristics of each Sasang constitution by examining the differences in gait analysis indicators using a 3-axis accelerometer. Methods: Ninety-one participants were classified through the TS-QSCD (Two-Step Questionnaire for Sasang Constitution Diagnosis) method and gait analysis was performed using a 3-Axis Accelerometer (G-WALK. BTS Bioengineering, Italy). Gait analysis in returning to the 6-meter turnaround point and 6-minute walking test were performed. The differences in the gait analysis index values were analyzed between each constitution. Results: The gait analysis of 91 subjects (37 Taeumin, 37 Soyangin, and 17 Soeumin), showed that the percent stride length/height in the Soyangin subjects was significantly higher than that of the Taeeumin and Soeuminin subjects in the spatiotemporal walking variables (p<0.05). Stride length also showed the widest tendency in the Soyangin subjects (p=0.05). In the kinesiological analysis, the range of pelvic obliquity angles in the Soeumin subjects was significantly wider than that of the Taeumin and Soyangin subjects (p<0.05). In the six-minute walking test, the Soyangin subjects walked the farthest at 309.41±35.23 m (p=0.064). Conclusions: In a comparison of the gait characteristics for each Sasang constitution using a three-dimensional accelerometer, the stride width of the Soyangin subjects was the widest compared to the Taeeumin, and Soeumin subjects, and Soyangin's walking speed showed a faster tendency than that of the Taeeumin and Soeumin subjects.

사상체질에 따른 성격강점 차이연구

박현철 ( Hyuncheol Park ),유경 ( Gyung Yu ),김락형 ( Lakhyung Kim ) 대한한방신경정신과학회 2017 동의신경정신과학회지 Vol.28 No.1

Objectives: The purpose of this study is to investigate the Sasang Constitution character strength of university students. Methods: One hundred fifty students of Woosuk University participated in this study. Their majors were Korean medicine, nursing science, and pharmacy. Their Sasang Constitutional types were determined using the results of a Two Step Questionnaire for Sasang Constitution Diagnosis (TS-QSCD). The subjects were also tested by a Characteristic Strength Test (CST). The Character Strength test scores were compared to the different Sasang Constitutions using analysis of variances (ANOVA). Also, the five Signature Strengths presented to the subjects were measured as a percentage within Sasang Constitution Groups, and compared to the different Sasang Constitutions. Results and Conclusions: 1. In CST score: Soyangin were significantly higher than Taeeumin in creativity, curiosity, love, social intelligence, vitality, leadership, appreciation of beauty and excellence, and humor. Also, Soyangin was significantly higher than Soeumin in wisdom, kindness, bravery, and authenticity. 2. In CST score: Taeeumin were significantly higher than Soyangin in modesty. Taeeumin and Soeumin were significantly higher than Soyangin in prudence. 3. In the five signature strength analysis: Extrovert character strengths such as curiosity, vitality, social intelligence, bravery, and leadership, were higher in Soyangin. On the other hand, Introvert character strengths such as modesty, prudence, and self-regulation, were higher in Taeeumin and Soeumin. 4. In the five signature strength analysis: The signature strengths of Soyangin and Soeumin indicated a biased distribution. The signature strengths of Taeeumin indicated an even distribution.

뇌파를 평가도구로 사용한 침 중재 임상연구 동향

임정화 ( Jung-hwa Lim ),조준희 ( Jun-hee Cho ),김재효 ( Jae-hyo Kim ),김락형 ( Lakhyung Kim ),강형원 ( Hyung-won Kang ),김보경 ( Bo-kyung Kim ) 대한한방신경정신과학회 2021 동의신경정신과학회지 Vol.32 No.4

Objectives: The purpose of this study was to investigate the recent trends of clinical research on acupuncture using electroencephalogram (EEG) as the outcome measurement. Methods: Nine domestic and foreign databases were searched to collect related studies published up to November 3, 2021. The participants, intervention, outcomes, results of the included studies were extracted and analyzed. Results: A total of 18 studies were selected. Neurological diseases and mental disorders were included in most studies, and vascular dementia were most frequently investigated. Electroacupuncture and body acupuncture intervention were most frequently conducted in seven studies. The most commonly used outcomes using EEG was EEG abnormality. However, in most studies there was accurate description of the EEG measurement. Most studies showed significant difference in EEG outcomes after intervention. The quality of included studies was poor. Conclusions: EEG as diagnostic markers and outcome measurements is increasingly studied. Standardized EEG measurement and the consistent EEG finding for specific diseases are needed to perform the future rigorous studies on EEG as diagnostic and outcome tools.