BBS 평가 빈도가 뇌졸중 환자의 균형에 미치는 영향

양승훈,Yang, Seung-Hoon 대한물리치료과학회 2008 대한물리치료과학회지 Vol.15 No.2

Background: The purposes of this study were to examine whether “Berg Balance Sale(BBS)” had influence on the improvement of stroke patient's balancing ability, and to identify whether the effects had significant differences to these three groups that different frequency of BBS evaluation. Subjects were divided into three groups, a daily evaluating group (n=12), weekly evaluating group (n=12), and group that evaluating when admit and discharge (n=12). Methods: All patients were treated general neurorehabilitative physical therapy for daily during 4 weeks. All patients of these groups were evaluated balance function by using of BBS balance testing tool. Results: At the first week and after 4 weeks, balance function that of these groups was improved significantly (p<,05). Especially, daily evaluating group was improved the most. In the comparison differences between 3 groups, daily evaluating group and weekly evaluating group, daily evaluating group and group that evaluating when admit and discharge were exhibited differences significantly. But there was no significant difference between weekly evaluating group and group that evaluating when admit and discharge. Conclusion: According to the results as presented above, testing method, BBS is effects on stroke patient's balancing ability considerably. And if BBS which can apply evaluate balance function properly apply with conventional neurorehabilitative physical therapy, stroke patients would obtain significant effects on the improvement of balancing ability.

안정화 운동이 뇌졸중 환자의 균형 능력에 미치는 영향

양승훈,Yang, Seung-Hoon 대한물리치료과학회 2008 대한물리치료과학회지 Vol.15 No.1

The purposes of this study were to examine whether balance training through stabilization exercise had influence on the improvement of stroke patients' ability in balancing, and to understand whether the effects had the differences to traditional balance training, if it had effects. Subjects were divided into two groups, a stabilization exercise group(n=28) and a conventional balance exercise group (n=28), and a balance exercise program was conducted twice a day, 30 min for 1 time, 10 times a week for 4 weeks. After the program, the stabilization exercise showed significant improvement of balance ability in Bug Balance Scales (BBS), Functional Reach Test (FRT), Timed Up and Go Test (TUG), comparing with the status of pre -training, as well as the conventional balance training (p<.05). Independent samples t-test was executed in order to verify the significancy in the effects between the two groups and the result showed significant improvement in their average value after training for BBS. However, there was no significant difference in TUG and FRT. As a result, it was examined that partially, there was significant difference only in BBS. According to the results as presented above, if stabilization exercise, which can apply diverse movements and postures, properly keeps pace with conventional balance exercise, stroke patients would obtain significant effects on the improvement of balance ability.

요부 안정화운동이 요통환자의 요추부 기능개선에 미치는 영향

양승훈,Yang, Seung-Hoon 대한물리치료과학회 2006 대한물리치료과학회지 Vol.13 No.1

The purpose of this study was to investigate the effects of lumbar stabilization exercise therapy on low back pain patients' lumbar spinal function. Identify the effect of stabilization exercise therapy, this study attempted to determine lumbar spinal functions, using spinoscopy, for 20 patients with low back pain This study applied lumbar stabilization exercise to 20 low back pain patients without a control group for 8 weeks and 4 times a week, and examined their spinal functions before and after the application. Data collected from the test were analyzed using Wilcoxon signed ranked test, a nonparametric test. Absolute index, functionality and performance increased significantly compared to them before treatment. FE loads and velocity control while conducting exercise tasks increased significantly compared to them before treatment. Test item ROL and ROM, which indicate the change of angle, both showed significant differences. Of stiff spine, stiff pelvic score and sprain score, which indicate the effects of the conduct of exercise tasks on the movement of the spine, stiff spine score and sprain score showed significant differences. According to the results as presented above, lumbar stabilization exercise may be greatly helpful in improving low back pain patients' lumbar spinal functions.

전문대학 교육의 질 향상을 위한 전산정보 시스템 고도화 작업 진행현황 및 방향에 대한 연구

양승훈(Seung-Hoon Yang) 한국엔터테인먼트산업학회 2018 한국엔터테인먼트산업학회 학술대회 논문집 Vol.2018 No.11

본 연구의 목적은 현재 많은 전문대학들에서 진행중이거나 준비중인 전산정보 시스템 고도화 작업에 관한 내용을 살펴봄으로써 이를 준비중인 대학들에 적정한 개발준비 기초자료를 제시하려는 데 있다. 이를 위해 본 연구에서는 전산정보시스템 고도화 작업의 필요성, 추진방향, 기반지침, 개발관련 요구사항, 구축환경 등에 대하여 알아 보았으며 관련된 내용을 본문을 통해 제시하였다. 결론적으로, 전산정보 고도화사업을 통하여 행정업무의 효율성 증대, 대학경쟁력 강화, 효율적인 인력배치, 통합 중앙관제 솔루션 제공, 스마트 캠퍼스 구축이 가능하며 이 외에도 업무 간 연계성 확보, 학생관리의 효율성 증대, 업무 및 전산서비스 접근성의 향상, 학생 직무능력과 연계한 효과적인 서비스 제공체계 확립, 학생 관리 및 학생 교육성과지표관리, 편리한 교육 및 연구환경 조성의 기대효과를 얻을 수 있음을 연구적으로 제시한다. The purpose of this study is to present the basic information about advancement of computer network system for colleges that are preparing or in progressing upgrading. For this, we investigated the necessity and direction of computer network system upgrading work, basic guidelines, development requirements, and construction environment. And we suggested those informations through the main subject. In conclusion, we propose that we can obtain expected results such as efficiency improvement of administrative work, strengthen competitiveness, ensure inter-work connectivity, increase the efficiency of student management, efficient workforce placement, provide integrated centralized control solution and building smart campus through computer network system upgrading project.

보건계열과 비보건계열 대학생들간의 물리치료 인식도 차이에 대한 연구

양승훈(Seung-Hoon Yang),허명(Myoung Heo),강연화(Yeon-Hwa Kang),김다희(Da-Hee Kim) 한국엔터테인먼트산업학회 2012 한국엔터테인먼트산업학회논문지 Vol.6 No.3

본 연구의 목적은 보건계열 비보건계열 학과 학생들들 간의 물리치료에 대한 인식도에 대해 알아보는 것이다. 200명의 대학생들을 대상으로 설문을 받았다. 100명의 학생은 보건계열에, 그리고 나머지 100명은 비 보건계열 학과에 재학중인 학생들이다. 연구결과, 두 군 사이에 물리치료에 대한 인식, 치료적 효과, 필요성, 직업 인식도, 치료적 행위에 대한 인식부분에서 유의한 차이가 있는 것으로 확인되었다. 이러한 연구결과에 따라서, 물리치료 관련자들은 일반 사람들로 하여금 물리치료의 직업적 특성에 대해 좀 더 알 수 있도록 노력해야 하며, 물리치료사의 자질과 전문성을 높여가기 위해 더욱 노력해야 될 것으로 사료된다. The purpose of this study was to investigate perception of physical therapy between university students of health related departments and non-health related. We determine the differences of perception about physical therapy on 200 students by using questionnaires. 100 students are enrolled health related departments and another 100 students are enrolled non health related. In results, there were statically significant differences between students of health related departments and non-health related in perception of physical therapy, therapeutic effects, necessity, perception of job characters, therapeutic behavior. These results therefore, we know that we should let the people and civilian know more about job characters of physical therapy. And we should build up our ability and promote expertise.

의료기관 환자안전 보고 시스템 현황 및 구축방안에 대한 연구

양승훈(Seung-Hoon Yang) 한국엔터테인먼트산업학회 2013 한국엔터테인먼트산업학회논문지 Vol.7 No.2

본 연구의 목적은 임상 의료기관에서 환자안전도를 향상시키고 의료과오를 줄이기 위한 주요 정보개념을 제공해주는 데 있다. 이를 위해서 본 저자는 자발적 환자안전 보고 시스템인 PSRS(patient safety reporting system)의 활용을 추천하며, PSRS 구축 및 활용을 위해 미리 필요한 법적 준비과정, 노력해야 할 부분들에 대해 다양한 문헌 자료를 통해 알아보았다. 또한 현재, 전세계적으로 PSRS의 활용 현황 및 우리나라의 상태, 주요 선진국들과의 차이점, 필요한 조건들에 대해 알아보고, 준비할 수 있도록 정부, 의료계 및 사회적 관심을 모으고, 환자안전에 관한 인식을 높여나가는 데 연구의 의미를 두었다. The aim of this study is to provide the information of fundamental concept for improve patient safety and decrease medical errors in the medical institutions. For this, we recommend using voluntary patient safety reporting system(PSRS). But, to ensure this system efficiently in our medical environments, there are need of some condition to precedent, and of prepare. In this study, we would know how manage this voluntary reporting system in advanced countries for patient safety, and what elements are need to using effectively. With this, we arouse people"s attention to the perception of patient safety, and build up culture of safety in medical institutions

미만성 뇌손상 백서에서 시기별 강도에 따른 운동훈련이 신경운동 및 인지기능에 미치는 영향

양승훈(Seung-Hoon Yang) 한국엔터테인먼트산업학회 2011 한국엔터테인먼트산업학회논문지 Vol.5 No.2

본 논문은 산업화와 교통 환경의 발달로 인해 최근 들어 발생빈도가 크게 증가되고 있는 미만성 뇌손상을 대상으로 하여, 치료적 운동의 적용에 있어 재활 시기 및 강도가 뇌신경 가소성 및 인지기능 회복에 미치는 영향에 대해 알아보고자 한 연구이다. 연구를 위해 80마리의 백서를 4군으로 나누고, 3주간 서로 다른 방식의 운동 훈련(실험군 Ⅰ: 대조군, Ⅱ: 수중운동군, Ⅲ: 속도 및 경사 조절 트레드밀 운동군, Ⅳ: 단순 트레드밀 운동군)을 적용하여 신경학적 운동 기능 및 신경 가소성 회복 정도를 Rota-Rod test, Moris Water Maze test, GAP-43 인자 발현에 대한 조직면역화학적 방법으로 검사해 보았다. 연구결과, 조기에 저강도로 운동을 적용한 군에서, 다른 군들에 비해 뇌신경 가소성에 긍정적이고도 유의한 영향을 미칠 수 있음을 확인할 수 있었으며, 인지기능 향상에 있어서도 다른 군들에 비해 유의한 향상 효과를 나타내었다. 이러한 연구 결과는 임상에서 미만성 뇌손상 환자에 대한 신경학적 치료에 있어서 시기별 치료강도의 이론적 기초 확립에 중요한 자료로 제공될 수 있으리라 사료된다. Objective: To investigate the effects of exercise according to the application initiation time and intensity with the changes of neurologic motor, cognitive function and neuroplasticity through the immunohistochemistry study of GAP-43 in the cerebral cortex (pre, 1st, 7th, 14th, 21th) with experimental model of diffuse axonal injury (DAI) of rats. Method: 100 Spraugue-Dawley rats were assigned to four groups; Group Ⅰ: early high intensive exercise (n=25), Group Ⅱ: early low intensive exercise (n=25), Group Ⅲ: delayed high intensive exercise (n=25), Group Ⅳ: delayed high intensive exercise (n=25). Before the rats were sacrificed at each time of measurement, three neurological motor tests (Rota-Rod test, beam-walking test, postural reflex test) were given to assess changes in neurologic motor function. The Morris water maze test and BDNF immunohistochemistry in hippocampal CAI area were also given to assess cognitive function among rats. In addition, the immunohistochemistry study of GAP-43 in discrete regions of the rat brain was performed to measure changes in neuroplasticity. Results: Demonstrate that early intensive exercise training group Ⅰ, there was lowest effectivness, on the other hand, early low intensive exercise training group Ⅱ showed most effectivness in all tests. Conclusion: This study suggested that early low intensive exercise training may most effective protocol in model of DAI of rats. And in selection of intensive exercise protocol in early stage, it demands great caution.

L-arginine와 GPLC의 투여가 고교 축구선수의 혈중 산화질소, 에너지기질 및 피로 물질 변화에 미치는 영향

양승훈 ( Seung Hoon Yang ),권훈겸 ( Hun Kyeom Kwon ),곽이섭 ( Yi Sub Kwak ) 한국운동생리학회 2015 운동과학 Vol.24 No.3

PURPOSE: The purpose of this study was to investigate the effects of L-arginine and GPLC supplementation on plasma nitric oxide, energy substrates and fatigue factors to football players. 16 football players were recruited from the high school and they were divided into two groups (L-arginine group, n=8; GPLC group, n=8). It is also aimed to evaluate the effect of ergogenic aids (L-arginine, GPLC) administration on the football players performance using Yo-Yo intermittent recovery test (Level 2), which is aerobic-anaerobic mixed exercise similar to actual football game. METHODS: Height, weight and body fat were measured before the test in 16 high school football players. At the experiment of pre-administration and post-administration of ergogenic aids (L-arginine, GPLC), blood was collected 3 times (before exercise, after exercise and 30 minutes at recovery stage) to measure and analyze nitric oxide in the blood, fatigue substances (lactate, ammonia and phosphorus) and energy substrate (Glucose and FFA) respectively. During aerobic-anaerobic mixed exercise, when ergogenic aids (L-arginine and GPLC) was administered to the football players, NO concentration is increased in two groups after administration compared to pre-administration at each stage. RESULTS: There was significant difference at the recovery stage to L-arginine administration group (p=.003). As for change of energy substrate, human serum glucose concentration decreased significantly in statistics at each stage to L-arginine group (pre, p=.014, post, p=.026, recovery p=.025), and decreased significantly right after exercise and at the recovery stage to GPLC group (p=.047, p=.000). The serum FFA (free fatty acids) concentration by the administration of ergogenic aids (L-arginine, GPLC) had no statistically significant difference in every stage. Among the fatigue substances, serum phosphorus concentration decreased significantly at each stage of L-arginine (p=.031, p=.002, p=.001), and decreased significantly at the recovery stage of GPLC group (p=.014). Ammonia concentration decreased significantly to L-arginine group more than GPLC group at each stage after administration compared to pre-administration (L-arginine: p=.005, p=.005, p=.003, GPLC: p=.002, p=.079, p=.003). And there were significant differences before exercise and at the recovery stage to GPLC group. Lactate decreased significantly at each stage after administration to L-arginine and it significantly decreased before exercise and right after exercise to GPLC like in ammonia (L-arginine: p=.012, p=.022, p=.017, GPLC: p=.006, p=.015). CONCLUSIONS: As a result of this research, it was found that NO expression significantly increased from L-arginine dosage group in time of recovery. The generated NO increased the supply and absorption of energy substrates in skeletal muscle metabolism through vasodilation, and decreased accumulation of fatigue substance and delayed the depletion of glucose by having an influence on the increase in blood flow by exercise. n addition, in order to use the method for increasing practical motion performance capability through this research result, it``s necessary to take into account a lot more diverse forms of exercise events, exercise intensity, time and frequency, etc. It is thought that there will be the need to do continuous research on this field later

지자체 통합돌봄사업 추진 현황 및 개선방안에 대한 연구

양승훈(Seung-Hoon Yang) 한국엔터테인먼트산업학회 2024 한국엔터테인먼트산업학회 학술대회 논문집 Vol.2024 No.5

본 연구는 현재 대한민국 각 자자체에서 시행되고 있는 지역사회 통합돌봄사업에 대해, 미래가치성 확대와 방향성 제시를 위하여 현황과 문제점들을 알아보고 이를 통해 얻은 연구적 결론을 제시함으로써 통합돌봄사업의 보다 효과적인 사회적 적용과 서비스 완성도를 높여가기 위해 시행되었다. 연구결과, 다음과 같은 결론을 제시하고자 한다. 첫째, 서비스 수혜 노인의 욕구분석은 조사자 중심이 아닌 환자 중심으로 구성하며, 특히 의료진의 진료방문을 통한 의학적관리 부분이 강화되어야 하며, 성별과 연령, 장애유형과 개인적 욕구취향에 따른 특화된 서비스 항목 부분이 점진적으로 강화되어야 할 것이다. 둘째, 서비스 항목에 대한 만족도 및 중복성 그리고 효과성 등을 분석하여 예산을 절감하며 수요자 중심의 서비스 항목구성과 신규 서비스필요 항목 적용 등을 고려해 나간다. 셋째, 통합 스캐쥴관리시스템 도입을 통하여 서비스 제공 직역단체와 수혜자 간의 사전예약 및 방문 스캐쥴 관리의 전문화가 필요하다. 넷째, 재원 문제해결을 위한 노력으로, 보건의료 재정과 장기요양보험제도 그리고 사회복지재정사업 등과 합리적 재원공유 제도마련이 필요하며, 서비스 관련 산업분야와의 재원의 연계나 순환, 지방 공공의대 출신 인력투입 방안을 고려할 수 있다. 이상의 제안을 통해 통합돌봄사업은 보편적 컵뮤니티 케어시스템으로의 완성과 미래 가치를 지닐 수 있게 될 것이다. In this study, we investigated and the following conclusions are presented by identifying the current status and problems in order to expand the future’s value of the community care project introduced and implemented to improve the quality and care for the elderly’s life. First, the needs analysis of the elderly receiving services is composed of patient-centered rather than investigator-centered, and in particular, medical management through medical staff visits should be strengthened, and specialized service items according to gender, age, disability type, and personal preference should be strengthened. This will have to be gradually strengthened. Second, by analyzing the satisfaction, redundancy, and effectiveness of service items, we save money, and consider the consumer-oriented service item composition and application of items necessary for new services. Third, through the introduction of an integrated schedule management system, it is necessary to specialize in pre-booking and visit schedule management between the elderly and the direct service organizations that provide services. Fourth, as an effort to solve the financial problem, it is necessary to prepare a rational resource sharing system with health and medical finance, long-term care insurance system, and social welfare financial project. and it may consider that putting the medical personnel who are from local public medical college input. Through these proposals, the community care business will be able to complete and have future value as a universal aged care system.

스트레칭 방식에 따른 하지 근 수행능력 변화에 대한 연구

양승훈(Seung-Hoon Yang) 한국엔터테인먼트산업학회 2015 한국엔터테인먼트산업학회 학술대회 논문집 Vol.2015 No.11

기능적 수행능력에 있어서 PNF 스트레칭과 정적 스트레칭의 효과를 비교하기 위하여 본 연구에서는 하지 근육에 각각 다른방식의 기법을 적용한 뒤 유연성과 균형능력, 근 활성도 수치를 통해 효과 차이를 알아보았다. 건강한 20대 남․여 40명을 대상으로 각각 20명씩 PNF 스트레칭 군과 정적 스트레칭 군으로 나누어 8주의 운동 후, 하지의 기능적 수행능력에 어떠한 영향을 미치는지 비교한 실험연구이다. 연구 결과, 두 군 모두 스트레칭에 의한 하지의 기능적 수행능력에 통계학적으로 유의한 차이가 있었으나 군간 비교에서는 나타나지 않았으며 정적 스트레칭 군에서 적용 후 시간에 따라 차이가 나타나는 특이성을 발견하였다. 따라서 본 연구의 결과 정적 및 PNF 스트레칭 모두 하지의 근 수행능력 향상에 긍정적인 영향이 있음을 알 수 있으며 신속한 신장효과를 위해서는 PNF 스트레칭을, 그리고 지연된 신장 효과를 목적으로 할 경우에는 정적 스트레칭으로 차별화 되게 적용할 것을 권장한다. The purpose of this study was to investigate the difference between the effects of functional potential in lower limb with PNF stretching and the static stretching method. For this we checked the flexibility and balance abilities of the lower limb and the numeric value of the electromyographic activity. 20 female and 20 male of healthy university students attended our experiment a total of 40. 20 students were divided to PNF stretching and static stretching group to test the results. The whole experiment took 8 weeks. As the experiment ended we couldn’t conclude the exact difference of the two stretching method but we found out that different results showed according to different time limits set. Therefore, as the result of the study we could conclude that both methods effect the lower limb with positive functional ability. And if somebody want to gain more rapid stretching effect, thed we recommend using the PNF stretching method. Whereas if you are look for gradual progress results, we recommend the static stretching method.