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      • KCI등재

        The passive stretching, massage, and muscle energy technique effects on range of motion, strength, and pressure pain threshold in musculoskeletal neck pain of young adults

        정해미,심재훈,서혜림 물리치료재활과학회 2017 Physical therapy rehabilitation science Vol.6 No.4

        Objective: Musculoskeletal neck pain have many symptoms which include decreased range of motion (ROM) and muscle strength, and increased pain. However, the management methods are controversial. The purpose of this study was to examine the effects of three interventions on ROM, strength, and pressure pain threshold (PPT) with musculoskeletal neck pain. Design: Pretest-posttest design. Methods: Thirty subjects participated in this experiment. They were randomly assigned to thefollowing groups: passive stretching (PS) group (n=10), massage (MASS) group (n=10), and muscle energy technique (MET) group (n=10). The treatment were applied bilaterally on the upper trapezius. The PS was applied 3 times for 30 seconds each time. The MASS was applied using two different techniques for 2 minutes per technique. For MET, the subjects performed 2 sets of 3 repetitions of isometric resistance exercise that was maintained for 10 seconds, followed by 10 seconds of rest. ROM, strength, and PPT parameters were measured after intervention. Results: In the MASS group, there was a significant improvement in all outcomes except for muscle strength (p<0.05). In the MET group, ROM and strength significantly improved compared to the pre-treatment results (p<0.05). As result of measuring the amount of change in each group, there was a significant difference in ROM (flexion) in the PS group compared with the MASS and MET group, a significant difference in strength in the MET group compared with the PS and MASS groups, and a significant difference in PPT in the MASS groups compared with the PS and MET groups (p<0.05). Conclusions: This study showed that PS, MASS, and MET are effective methods for improving ROM, strength, and PPT for musculoskeletal neck pain. Therefore, various therapeutic interventions for improving ROM, strength, and pain are suggested.

      • KCI등재

        미디어 과의존 유아동 대상 미술치료 연구동향 분석

        김수빈(Kim, Subeen),이정인(Lee, Jeongin),정해미(Jung, Haemi),최지우(Choi, Jiwoo),편지희(Pyeon, Jihui),박윤미(Park, Yunmi) 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.6

        목적 본 연구는 미디어 과의존 유아동을 대상으로 미술치료 연구 동향을 분석하는 데 목적이 있다. 방법 이를 위하여 2005년부터 2020년까지의 석⋅박사 학위논문 23편과 KCI등재 후보 이상 학술지 16편, 총 39편을 발행연도별 연구유형, 연구대상, 연구내용, 연구 방법을 기준으로 분석하였고, 빈도와 백분율로 통계 처리하였다. 결과 첫째, 발행연도별 연구유형의 분석 결과, 2008년도에 논문 발행 비중이 가장 높았다. 둘째, 연구대상은 아동을 대상으로 한 연구가 100%이며, 남⋅여 혼합 58.97%, 남아 23.08%로 여아만 단독으로 진행한 연구는 전무하였다. 셋째, 연구내용은 단일주제로 접근한 경우가 74.36%였으며 단일주제, 복합주제 모두 자아 성장을 가장 많이 다루었다. 또한 연구영역은 인터넷 중독, 스마트폰 중독, 인터넷 게임중독의 순으로 단일증상을 연구한 논문이 58.97%로 많았다. 측정 도구는 투사검사와 객관적 검사를 혼합 적용한 경우가 대부분이었고 치료기법은 혼합기법을 주로 사용했다. 넷째, 연구 방법은 양적 연구, 혼합, 질적 연구 순으로 이루어져 있으며 실험통제집단, 11~15회기, 주 1회, 90분 이상의 프로그램을 구성하는 경우가 가장 많았다. 결론 본 연구는 COVID-19 시대를 맞이하여 미디어 노출 빈도 및 의존도가 높아진 상황에서 미디어 의존에 대한 유아동 대상 미술치료 연구의 종합적 흐름을 고찰하고 방향성을 제시했다는 점에 의의가 있다. Objectives The purposes of this study were to analyze trends in art therapy research for infants and children who overdependence on media. Methods For this, A total of 39 papers from 2005 to 2020, including 23 master’s and doctorate papers, and 16 academic papers above KCI candidates, were analyzed based on the research types, research subjects, research contents, and research methods by publication year, and the frequency and percentage were statistically processed. Results First, As a result of the analysis of research types by publication year, the proportion of thesis publications in 2008 was highest. Second, The subjects of the study were 100% of children, and 58.97% of male and female mixture and 23.08% of male children, and no studies were conducted alone by female children. Third, 74.36% of the research contents were approached a single topic, and both single and complex topics dealt with ego growth the most. In the survey field, 58.97% of papers studied single symptoms in the order of Internet addiction, smartphone addiction, and Internet game addiction. Most of the measurement tools were mixed with projection and objective test, and the treatment technique mainly used mixing techniques. Fourth, research methods were in the order of quantitative, mixed research, and qualitative research, and most of the programs consisted of experimental control groups, once a week, 11~15 sessions, and more than 90 minutes. Conclusions This study is meaningful in that it considered the comprehensive flow of art therapy research about overdependence on media for infants and presented directions in a situation where media exposure frequency and dependence increase in the COVID-19 era.

      • KCI등재

        무헤파린 혈액투석시 지속적 생리식염수 주입법과 간헐적 생리식염수 주입법의 비교연구

        정윤경,이명은,오필주,박미영,이경이,김지영,곽성숙,김정연,김미연,정해미,박명숙,김주원,김현정 병원간호사회 2000 임상간호연구 Vol.6 No.1

        ● Authors: RNs of the Renal unit, Seoul National University Hospital, Korea ● Purpose: Conventionally the anticoagulants has been used in the case of extracoporeal circulation like hemodialysis. Heparin use may increase bleeding tendency. To diminish the bleeding tendency, various heparinization methods have been used such as regional heparinization, low-dose heparinization, and heparin-free method. Despite their benefits, they provoke problems such as the blood loss related to dialyzer clot, the necessity of ultrafiltration due to excessive normal saline infusion etc. The purpose of this research is to find safe and more efficient ways of hemodialysis practice, especially for those who have active or potential problem of bleeding. ● Design: This study is quasi experimental research using repeated counter balancing measure design. ● Methods: From September first 1999 to October 23rd 1999, we completed the study at the renal unit of Seoul National University Hospital. We compared the dialyzer clot rates between the continuous normal saline infusion and the intermittent normal saline infusion, for ten patients in heparin-free hemodialysis. And the data of two different methods were analyzed by Wilcoxon Rank sums 2-sample test. ● Results: The study reported the rates of 9.75 and 11.25 respectivly for the continuous normal saline infusion and the intermittent normal saline infusion in average of three hour period of heparin- free hemodialysis. The Z parameter indicated 0.5316. This result implies that the hypothesis was not supported that there would be a significant rate difference in the two tested methodologies. The clot rates of the four hour period of hearin-free hemodialysis for the continuous normal saline infusion and the intermittent normal saline infusion were 10.70 and 10.30 respectivly which were significantly higher than alpha value 0.5. This study tested statistically low sample size due to the limited number of patients, therefore the following research would be required to increase the number of sample size to improve. ● Implication: From now on, in clinical implication, considering the results between the three-hour period's and the four-hour period's, as more efficient and safer heparin-free hemodialysis methodology, the continuous normal saline infusion with appropriate blood flow rate and duration will be recommended.

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