Effects of Low-intensity Scapular Stabilization Exercise in Arthroscopic Shoulder Surgery Patients

윤희연,최종덕 대한물리치료학회 2012 대한물리치료학회지 Vol.24 No.3

Purpose: The purpose of this study was to compare a control group and an experimental group, consisting of arthroscopic shoulder surgery patients who had received acute rehabilitation treatment and who were to perform scapular stabilization exercise. Methods: Sixteen subjects were studied. The control group, n=8, received instruction for basic physical therapy intervention. An experimental group, n=8, received instruction for doing scapular stabilization exercise (protraction, retraction, elevation, depression) 10 times, 6 times per week. To evaluate the effects of exercise, subjects were evaluated using a joint position sense of shoulder (JPS), disability of the arm, shoulder index (DASH), shoulder pain and disability index (SPADI). Results: Participants showed after the intervention, both groups saw their JPS errors at 30o, 60o, and 90o significantly decrease relative to before the intervention (p<0.05). Both groups saw their JPS rates at 90o significantly decrease (p<0.05), with no significant changes in JPS at 30o and 60o (p>0.05). SPADI and DASH significantly decrease after the intervention (p<0.05), with no significant decreases before the intervention (p>0.05). The change rates of SPADI and DASH significantly reduced (p<0.05). Conclusion: Low-intensity scapular stabilization exercise is considered effective as a clinical treatment for arthroscopic shoulder surgery patients who receive acute rehabilitation treatment. Purpose: The purpose of this study was to compare a control group and an experimental group, consisting of arthroscopic shoulder surgery patients who had received acute rehabilitation treatment and who were to perform scapular stabilization exercise. Methods: Sixteen subjects were studied. The control group, n=8, received instruction for basic physical therapy intervention. An experimental group, n=8, received instruction for doing scapular stabilization exercise (protraction, retraction, elevation, depression) 10 times, 6 times per week. To evaluate the effects of exercise, subjects were evaluated using a joint position sense of shoulder (JPS), disability of the arm, shoulder index (DASH), shoulder pain and disability index (SPADI). Results: Participants showed after the intervention, both groups saw their JPS errors at 30o, 60o, and 90o significantly decrease relative to before the intervention (p<0.05). Both groups saw their JPS rates at 90o significantly decrease (p<0.05), with no significant changes in JPS at 30o and 60o (p>0.05). SPADI and DASH significantly decrease after the intervention (p<0.05), with no significant decreases before the intervention (p>0.05). The change rates of SPADI and DASH significantly reduced (p<0.05). Conclusion: Low-intensity scapular stabilization exercise is considered effective as a clinical treatment for arthroscopic shoulder surgery patients who receive acute rehabilitation treatment.

도시 공원의 경제적 역할 - 미국 도시 재생 운동에서의 사례를 바탕으로 -

윤희연,Yoon, Heeyeun The Korean Institute of Landscape Architecture 2013 한국조경학회지 Vol.41 No.4

The primary goal of this research is to link two currently disconnected literature; the history of urban redevelopment and the one of urban parks and open spaces in the United States (US). Through this exercise, this study attempts to reveal examples of urban parks and open spaces that have yielded economic effects, and emphasize their possibility as a measure of urban redevelopment. Five phases are presented, starting with two Pre-World War II urbanization periods, and three subsequent periods of Post-World War II urban redevelopment (1940s~1960s, late 1960s~1970s, 1980s~present). While urban parks in the 19th century urbanization period held a preeminent place in urban design, policy and economy, ensuing depression and World War II diminished their role as a channel to ease unemployment. In the first phase of urban redevelopment, the economic motive to build open space was to boost the appeal of specific locales in order to draw people and businesses back to a neglected city. In the second phase, public effort to create and maintain urban parks and open spaces declined due to the budget austerity, instead, community open spaces flourished through the voluntary actions and helped neighborhoods to regain desirability. In the third phase, the aspirations and functions of such projects resemble their forerunners of the first phase, but their targets extended to global businesses and elites.

웨스트 첼시 개발과 하이라인의 역할에서 나타난 랜드스케이프 어바니즘의 성격

윤희연,Yoon, Hee-Yeun 한국조경학회 2010 한국조경학회지 Vol.38 No.1

Landscape urbanism emerges as an alternative to the urban design theories of the past century, emphasizing landscape as an organizing principle, integrating the medium of different elements of the urban environment. However, ongoing criticism of the theory's lack of consideration for physical urban morphology has not supported the integrity of the theory. Large parks, which many proponents of the theory have referred to, possess valuable and interesting points in their design and management. This also shows the limitation of not being able to show the close physical relationship between open space and the city. In this study, the High Line project was analyzed to verify it as founded on landscape urbanism, providing that landscape urbanism drives the urban morphology on a small scale rather than a large one. This paper concludes that landscape urbanism should include small parks as one kind of study model with the small grained interaction between open spaces and the cities under this category to broaden and deepen the perspective. Also, the effort to analyze quantified and physical consequences of the theory through close observation should be followed to extract the design strategies to be applied to future projects.

Is a High-quality Park Worth the Cost?

Yoon, Heeyeun(윤희연) 대한국토·도시계획학회 2013 국토계획 Vol.48 No.7

도시 폭염 대응정책의 성과 효율성: 서울시 온열질환 상병자수 및 의료지출을 대상으로

양희진,윤희연 한국도시행정학회 2019 도시 행정 학보 Vol.32 No.1

In the face of global warming, the incidents of heat-related illnesses – such as heat stroke and heat exhaustion - have increased in the past few decades. In order to address the issue, local governments in Seoul have introduced various policy measures; the provision of safety checks for the elderly living alone, air-conditioned temporary shelters, road watering, and text notification services. Using the data envelopment analysis, this study aims to compare the performance efficiency of heat-wave action programs on the incidence of heat-illnesses by 25 ward-level local governments in Seoul. It is confirmed that such program is effective in reducing heat-related illnesses in the area with the high ratio of the elderly or the low-income households. This indicates that the effectiveness of the heat-wave action programs might differ depending on the socioeconomic and physical environment characteristics of the wards. Furthermore, the performance efficiency scores of the program are affected by the combination of various input factors depending on the local circumstances, leading to the suggestion that the implementation of individual policy measures needs to be monitored together and the synergy effects among those should be enhanced. Although data envelopment analysis has been considered as an analytical method to retrospectively evaluate the policy effectiveness, this paper also confirms that this analytic framework can be used as a decision making support system in order to cope with climate changes. 본 연구는 자료포락분석을 이용하여 서울시 자치구별 폭염 대응정책이 온열질환 발병 저감에 미치는 성과 효율성을 분석하고, 의사결정지원 시스템으로서 활용 가능성을 모색하는 것을 목적으로 하고 있다. 폭염 대응정책에는 서울시 자치구별 추진실적 내용을 기초로 행정인력 투입, 독거어르신 안전확인, 무더위쉼터 운영, 도로살수 시행, 행동요령 문자서비스의 5가지 주요 변수가 선정되었으며, 정책의 성과 효율성은 건강보험심사평가원에서 제공하는 자치구별 온열질환 상병자수 및 의료지출 내역을 이용하여 측정하였다. 온열질환에 대한 성과 효율성 점수를 비교한 결과, 고령인구나 저소득인구의 거주비율이 높은 지역에서 폭염 대응정책의 투입에 따른 온열질환 저감 효과가 큰 것으로 확인되었다. 이러한 결과는 첫째, 동일한 정책이 시행되더라도 지역별 사회경제적・물리적 환경특성에 따라 정책 효과가 상이할 수 있음을 나타내는 것으로, 향후 취약계층 거주 지역에 대한 지역단위의 보건사업이 지속적으로 이루어질 필요가 있음을 의미한다. 둘째, 온열질환과 같은 건강질환에 대한 정책성과는 다양한 정책 투입 요소들의 조합과 시너지 효과에 따라 차이가 발생할 수 있음이 확인되었다. 이러한 사실은 현재 여러 부처에서 산발적으로 시행되고 있는 정책 투입수준을 통합적으로 모니터링하여 정책 시행의 내용과 정도에 관한 개선이 이루어질 필요가 있음을 시사한다. 나아가 자료포락분석은 그동안 정책 투입에 따른 효과를 회고적으로 평가하는 분석 방법론으로 여겨져 왔으나, 다수의 정책 투입 수준을 비교하여 정책의 성과 효율성을 점진적으로 개선해 가는데 활용할 수 있는 방법론임을 확인하였다.

고속철도가 지역 인구 이동에 미치는 영향 -지방소멸 위험과 인구 구조를 중심으로-

김은지,윤희연 한국지역학회 2024 지역연구 Vol.40 No.2

Around the world, many countries experiencing the issue of shrinking cities are continually expanding high-speed rail networks to enhance regional accessibility and address imbalances. This study analyzed the effects of high-speed train operations on the age-specific population migration in South Korean municipalities from 2012 to 2019, taking into account the risk levels of shrinking cities. For this purpose, an analysis was conducted using age-specific net in-migration population as the dependent variable, employing the spatial panel autoregressive model. The research results indicated that the influence of high-speed rail on regional population inflow varies depending on the risk level of shrinking city. In other words, high-speed railway operations had positive effects on population inflow in the capital areas and some major cities, while explained population outflow in the other regions. High-speed railways particularly exerted a significant impact on the inflow of the young and middle-aged population, representing the working age, but this effect was also limited to regions with a low risk of shrinkage. The findings of this study emphasize the importance of considering planned population and industrial attraction when installing high-speed rail with the goal of achieving regional balanced development and mitigating shrinkage. The results of this study also suggest the need for subsequent research to explore factors that positively influence population structure and inflow based on the level of shrinkage risk in each region, as well as the introduction of new policies tailored to the specific situations of each local government.

중풍조기검진에서 발견된 무증상 뇌경색에 관한 단면연구

백인경,윤희연,신현수,조창환,이진우,유호룡,김윤식,Baek, In-kyoung,Yoon, Hee-youn,Shin, Hyun-soo,Cho, Chang-hwan,Lee, Jin-woo,Yoo, Ho-ryong,Kim, Yoon-sik 대한중풍순환신경학회 2010 대한중풍.순환신경학회지 Vol.11 No.1

From October 6th to 27th 2010, the study was carried out 103 people who came to the Daejeon oriental hospital for the examination of C.V.A. The result was as follows : 1. Silent cerebral infarctions(SCI) were found in 9 patients(8.74%). 2. In the case of Gender, SCls were found 10% in Male group, 7.55% in Female group. The rate of SCI was highest in 70s in both group. 3. HTN was found 55.56% in SCI group, 41.49% in Control group. 4. DM was found 44.44% SCI group, 13.83% in Control group.

Community Facilities in Apartment Complexes - Whether Provisions Match Residents’ Preferences -

권현숙,윤희연,함연경 한국조경학회 2018 한국조경학회지 Vol.46 No.1

In Seoul, the capital of South Korea, developers of apartment complexes are responsible for including communityfacilities - senior citizen centers, child care centers, small libraries, and so forth - according to the current Regulationson the Housing Construction Standard Article 2 and 55. These standards have long required certain community facilities,depending on the number of households in each apartment complex, without fully considering whether such provisionsmeet that community’s needs. In this study, we aimed to reveal whether the current provision of community facilities respondsto local preference. We conducted surveys of residents in randomly selected ten apartment complexes in Seoul to determineresidents’ preferences on community facilities using the analytic hierarchy process (AHP). We then compared the surveyresults with these complexes’ current facilities. Our findings showed mismatches between residents’ preferences andprovisions: outdoor sports facilities, child care centers, and small libraries were found to be strongly preferred, but notprovided in some apartment complexes within the study, whereas less-preferred facilities such as senior citizen centerswere provided in all complexes. Through this study, we could conclude that current standards regarding the provision ofcommunity facilities in Seoul’s apartment complexes should be altered to reflect the preferences of residents in apartmentcomplexes.

음이항 회귀모형을 활용한 이주사유별 농촌지역의 인구유입 영향요인 비교분석 : 직업, 주택, 자연환경 요인을 고려하여

남궁혁,윤희연 대한국토·도시계획학회 2024 국토계획 Vol.59 No.5

본 연구에서는 도시에서 농촌으로의 인구 이동을 촉진 혹은 방해하는 요인을 이주사유별로 파악하고자 하였다. 농촌은 『농업·농촌 및 식품산업 기본법』 제3조에 따라 행정구역상 읍, 면에 속하는 지역으로 정의된다. 본 연구의 분석 단위는시·군·구로 하위 행정구역이 모두 읍, 면에 속하는 군 지역을 농촌으로 정의하고, 이외의 시, 구 지역을 도시로 정의하였다. 분석대상인 이주 사유는 직업, 주택, 자연환경 세 가지 요인이다. 예비적 고찰로서 직업, 주택, 자연환경을 이유로 도시지역에서 농촌으로 전입 시 이동에 영향을 미치는 요인들을 문헌 검토를 통해파악하여 독립변수를 구축하였다. 전출, 전입지에 따른 인구이동양상을 시각적으로 파악하기 위해 네트워크 분석을 수행하여 인구이동의 이해를 도운 후 회귀분석을 수행하였다. 본 연구의 종속변수인 농촌지역의 인구유입 수가 양의 이산값을 가지면서 데이터의 분산이 평균보다 큰 점을 고려하여 분석에 음이항 회귀모형(Negative Binomial model)을 이용하였다. 본 연구의 연구 질문은 다음과 같다. 직업, 주택, 자연환경을 사유로 이동한 그룹별 이동 영향요인에는 어떠한 차이가 있는가? This study aims to analyze the factors influencing migration from urban to rural areas, focusing on occupation, housing, and the natural environment. Using negative binomial regression analysis, the study examines how factors such as population, industry, economy, healthcare, education, transportation, and migration distance affect the influx of population in different rural areas. The incoming population in rural areas is set as the dependent variable. The results indicate that both population size and the number of universities positively impact population influx across all groups. Occupational migrants tend to migrate to areas where manufacturing industries are developed, but avoid regions with significant agricultural, forestry, or fishery industries. They also prefer areas with limited healthcare, education, and transportation services. Housing migrants move to areas with high land price fluctuations, high doctor-to-population ratios, and underdeveloped agricultural, forestry, fishery, and manufacturing industries. On the other hand, migrants motivated by the natural environment are inclined to move to areas where agricultural, forestry, and fishery industries are developed but manufacturing industries are not, as well as areas with existing high-speed railway stations. This study contributes to understanding the factors influencing rural migration in the era of rural depopulation and highlights the variations in migration determinants based on different migration motives.

도시 내 조경 시설물이 열 쾌적성에 미치는 영향 조사†,†† - 수원시에서의 심리적 지표(TSV)와 생리적 지표(EEG)를 활용한 인체 실험 -

진영은,윤희연 한국조경학회 2025 한국조경학회지 Vol.53 No.1

열 스트레스는 기분 변화를 초래하고 생리적 스트레스를 증가시켜 정신 건강을 악화시키며, 야외 활동을 저해함으로써 신체 건강에도 부정적인 영향을 미친다. 이러한 문제를 해결하기 위해 야외 열 환경을 개선하는 방법으로 도시 내 조경 시설물의 일종인 녹화 시설물의 도입이 제안되어 왔다. 본 연구에서는 기본 설정, 벽면 녹화를 마주 보고 있는 환경, 벽면 녹화를 등지고 앉아 있는 환경, 옥상 녹화 시설물을 바라보고 있는 환경, 그리고 그늘막 아래에 앉아 있는 환경이라는 총 5가지 야외 공간 조건에서 인간의 열 쾌적성에 대한 녹화 시설물의 효과를 조사하였다. 이를 위해 인체 실험을 진행하여 생리적 데이터(뇌파)와 심리적 데이터(열 감각 설문조사)를 수집하고 다층 모델을 사용해 분석하였다. 실험 결과, 사람들이 녹화 시설물이 설치된 환경보다 그늘막 아래에서 열적으로 더 쾌적함을 느낀다는 것을 발견했으며, 녹화 시스템의 시각적 효과가 열 쾌적성을 긍정적으로 인식하도록 영향을 미친다는 것을 확인하였다. 또한, 스트레스 완화 효과는 수평적 녹화 시스템인 옥상 녹화보다 수직적 녹화 시스템인 벽면 녹화에서 더 큰 것으로 나타났다. 녹화 시설물을 접할 경우, 사람들은 열적으로 더 쾌적함을 느끼며 심리 상태가 개선되는 경향이 있었다. 본 연구 결과는 여름철 야외 열 환경을 개선하기 위해 야외 조경 시설물의 도입을 지지하는 근거가 된다. Extreme heat stress exacerbates mental health issues by inducing mood changes, increasing physiological distress, and negatively impacting physical health by discouraging outdoor activities. Greenery systems have been suggested to improve outdoor thermal conditions. In this study, the effects of such amenities on human thermal comfort under five outdoor spatial settings—baseline, facing a green wall, sitting against a green wall, looking at a green roof, and being under a shade canopy— were investigated by conducting a human experiment and analyzing physiological (electroencephalogram) and psychological (thermal sensation vote) data with a multilevel model. A survey was conducted, and it was found that people feel more thermally comfortable under a shaded canopy than in greenery systems, and the visual effect of greenery systems positively influences the perceived thermal comfort level. The stress-relieving effect was larger in vertical than horizontal greenery systems. When people are exposed to greenery systems, they feel more comfortable and psychologically improved. The findings support the introduction of outdoor landscape amenities to improve environmental quality in summer.