편마비 환자의 보행 능력 측정에서 체중심 가속도계의 유용성

최유남,박시운,장순자,이재영,김영호,이경중 대한재활의학회 2006 Annals of Rehabilitation Medicine Vol.30 No.1

고위험 학대피해 경험 청소년의 자아탄력성에 영향요인

최유남,김지연,신지인 한국학교보건학회 2018 韓國學校保健學會誌 Vol.31 No.1

Purpose: The purpose of this study was to investigate the factors that influence ego-resilience among adolescents who have experienced abuse by parents in South Korea. Methods: This correlational study used the 4th year cross-sectional data of the seventh-grade middle school students who participated in the Korean Children and Youth Panel Survey (KCYPS) in fourth grade. Data analysis was performed by using SPSS/WIN 23.0 program, which included descriptive statistics, Pearson’s correlations coefficient, and hierarchical regression. Results: The results of the hierarchical regression of model 5 revealed that the quality of peer relations played the most significant role in predicting ego-resilience of abused adolescents, followed by self-identity. Also, self- esteem, the quality of teacher-student relationships, excessive expectations from parents, and community awareness had a significant impact on the variance of self-resilience in abused adolescents. This regression model explained 42% of the variance. Conclusion: This study showed that ego-resilience, an asset and resource to help adolescents overcome adverse effects of abuse, was influenced by social environment as well as individual factors. In addition, social support from peers and teachers had greater influence on ego-resilience than support from family members. Thus, the factors identified in this study need to be considered in programs designed to improve ego-resilience as well as in policies for abused adolescents.

낮병원 프로그램이 뇌졸중 재활에 미치는 장기적 효과

최유남,박시운,최선애,손미옥,이형수,정소남,이규범,장순자,김병식 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.1

Objective: Comprehensive poststroke rehabilitation includes continuum of care after discharge from hospital. Day hospital is a milieu-oriented outpatient rehabilitation program that offers continuous rehabilitation service to promote psychosocial adaptation and quality of life. This study is to evaluate long-term effects of day hospital program in stroke patients. Method: Forty-eight stroke patients who received day hospital program for 2 or more months after inpatient rehabilitation program and 42 control stroke patients, who received only inpatient rehabilitation program, responded telephone interview for the study. Outcome measurement included the Korean Activities of Daily Living (K-ADL), the Korean Instrumental Activities of Daily Living (K-IADL) and the Medical Outcome Study 8-item Short Form Survey (SF-8). Results: There was no difference in many item scores of K-ADL between day hospital group and control group, but the item scores of dressing, washing face and hands were significantly higher in control group. Among the item scores of K-IADL, except managing money, most item scores of K-IADL were no significant difference between day hospital group and control group. All item scores of SF-8 were significantly higher in day hospital group than control group. Conclusion: Day hospital is an effective rehabilitation program to enhance health-related quality of life for stroke patients.

웹툰에 나타난 연출의 특징

최유남 한국만화애니메이션학회 2011 한국만화애니메이션학회 학술대회자료집 Vol.2011 No.12

웹툰의 활성화는 웹 환경에 맞는 새로운 표현형식을 창출했고 웹 환경에 최적화 된 연출이 계속 시도되고 있다. 이를 살펴보면 출판만화 연출을 기초로 웹의 형식에 맞는 연출이 시도 되었고, 세로스크롤을 적극 활용한 연출이 웹툰 만의 특징으로 부각되었다. 칸 테두리의 생략과 칸의 세로 배치는 세로 스크롤을 적극 활용한 웹툰 만의 특징으로 자리 잡았고, 디지털을 활용한 디지털 효과는 다양한 기법을 표현 할 수 있는 웹툰 연출의 다양성을 제시했다. 하지만 현재 웹툰의 한계는 모니터의 가로 제한과 일정한 크기의 가로 폭 연출 형식이 고착화 되어 있는 것이다. 새로운 작품의 연출 향상을 위한 시도가 지속적으로 필요하며, 지속적인 연출 시도는 앞으로 웹툰 연출의 새로운 변화를 가져 올 것이다.

간호사 자신과 간호사 가족의 연명의료 결정과 관련요인

최유남(Choi, Yoo Nam),송영숙(Song, Yeoungsuk) 한국보건간호학회 2018 韓國保健看護學會誌 Vol.32 No.2

강풀의 <순정만화>에 나타난 웹툰 연출의 특징

최유남(Choi yu-nam),윤기헌(Yoon ki-heon) 한국콘텐츠학회 2011 한국콘텐츠학회 종합학술대회 논문집 Vol.9 No.1

전동식 보행훈련 시스템을 이용한 뇌졸중 환자의 보행훈련

박시운,최유남,위향미,장순자,김한일,김영호 대한재활의학회 2004 Annals of Rehabilitation Medicine Vol.28 No.2

We developed an electromechanical gait trainer for rehabilitation of the persons with disabilities, which was designed to simulate normal gait with partial body weight support. The purpose of this study was to apply it to stroke patients and to evaluate its usability. Four nonambulatory stroke patients had 20 sessions of gait training with newly developed gait trainer for 5 to 6 weeks. Knee and ankle joint angles were measured by electrogoniometer during training. Main outcome was assessed by functional ambu- lation category (level 0~5). Knee and ankle joint angles during exercise in the gait trainer showed repetitive pattern of gait-like movement similar to normal gait, though it was variable among the subjects. Functional ambulation category levels after training were 2 in 3 patients and 1 in 1 patient. The electromechanical gait trainer was a useful device for gait retraining in stroke patients with severe neurologic impairments.

만성 뇌졸중 환자의 삶의 질에 영향을 미치는 요인

최선애,박시운,최유남,장순자 대한뇌졸중학회 2004 Journal of stroke Vol.6 No.2

Background: We investigated the factors that influence health-related quality of life in patients with chronicstroke. Methods: Ninety stroke patients, who had been discharged from hospital after inpatient rehabilitation 6months previously, responded telephone interview. We surveyed health-related quality of life by Medical OutcomeStudy 8-item Short Form Survey (SF-8). Current functional status was measured by the Korean Activities of DailyLiving (K-ADL) and the Korean Instrumental Activities of Daily Living (K-IADL). We also reviewed thesubjects’medical records to investigate medical comorbidities, cognitive impairments, depression etc. Results: 1)Mean scores of SF-8 were 41.01 for General Health (GH), 39.71 for Physical Functioning (PF), 37.46 for RolePhysical (RP), 48.92 for Bodily Pain (BP), 43.08 for Vitality (VT), 42.10 for Social Functioning (SF), 41.22 forRole Emotional (RE), and 42.22 for Mental Health (MH). 2) Current functional status measured by K-ADL andK-IADL had significant correlation with all items of SF-8. 3) Patients who had medical comorbodities, cognitivedeficits or depression showed significantly lower scores in some items of SF-8. 4) Interval between onset andadmission to rehabilitation unit showed inverse correlation to scores of PF, RP, BP, RE and MH, whereas thelength of stay did not. Patients who used day hospital program after discharge had significantly higher scores in allitems of SF-8.Conclusions: In chronic stroke patients, current functional status as well as medical comorbidities, cognitiveimpairment, depression affect health-related quality of life. Early start of inpatient rehabilitation and providingwith day hospital services after discharge may improve the quality of life after stroke.

10대 뇌성마비에서의 척추와 하지 변형

이지선,이규범,김창원,최유남,정동화,박상덕,이우련 대한재활의학회 2008 Annals of Rehabilitation Medicine Vol.32 No.2

Objective: To investigate the state of musculoskeletal deformities in spine and lower extremities in teenagers with cerebral palsy. Method: 79 teenagers with cerebral palsy attending special schools were examined for deformities of the spine and the lower extremities with physical examinations and radiographic studies. Results: The number of cases with scoliosis was 47 (59.5%) and the mean of Cobb's angle was 21.7 degrees. There were 42 joints (26.6%) of hip subluxation and 10 joints (6.3%) of hip dislocation out of 158 hip joints. The mean of migration percentage was 53.6%. 30 participants (38.0%) had pelvic obliquity. The coxa valga appeared in 147 hip joints (93.0%), with the mean of femur neck-shaft angle was 156.0 degrees. It had a casual link with migration percentage (p<0.001). 131 knee joints (82.9%) had the increased popliteal angle and 113 knees (71.5%) had patella alta. 72 cases (91.1%) had equinus feet, and 49 cases (62.0%) had planovalgus feet deformities on radiographic studies. As the score of Gross motor function measure (GMFM) was decreased, the migration percentage (p<0.01), the Cobb's angle (p<0.01), the popliteal angle increased (p<0.001) and femur neck- shaft angle (p<0.05). Conclusion: Teenagers with cerebral palsy are highly risk to develop musculoskeletal deformities in their spine and the lower extremities. Therefore, a close medical inspection should be paid on this group.

Botulinum Toxin Treatment on Upper Limb Function in School Age Children With Bilateral Spastic Cerebral Palsy: One Year Follow-up

이지선,이규범,이유련,최유남,박철우,박상덕,정동화,이철상 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.3

Objective To prospectively investigate the long-term effects of botulinum toxin treatment on the upper limb function and performance of school age children with spastic bilateral cerebral palsy, who have limitations in performing activities of daily living and school activities, due to spasticity of the upper extremities.Methods Botulinum type A toxin (BoNT-A) was injected into 24 spastic upper limbs of 15 children. We used a Modified Ashworth Scale and a Modified Tardieu Scale for the evaluation of upper limb spasticity, and Quality of Upper Extremity Skills Test (QUEST), Canadian Occupational Performance Measure (COPM), and Test of Visual-Motor Skills-Revised (TVMS-R) for the evaluation of upper limb function and performance. Results Upper limb spasticity continuously decreased until the end of the one-year follow-up. Upper limb function on QUEST and COPM showed the best performance at 3 months and deteriorated slightly, but still showed a significantly better performance at 9 and 12 months than at pre-injection. In more functional nine subjects who could perform TVMS-R, the performance enhancement effects remained constant after 12 months, suggesting that the reduced spasticity led to the learning effect acquired by the repeated use of the affected upper limb. Conclusion For school age children with bilateral spastic cerebral palsy whose upper limb functions are important, BoNT-A injections seem to be of help in the performance of school activities and activities of daily living.