퇴행성 슬관절염 환자의 KWOMAC 항목간의 상관관계 연구

황보각,배성수,Hwang-Bo, Gak,Bae, Sung-soo 대한고유수용성신경근촉진법학회 2004 PNF and Movement Vol.2 No.1

Purpose : The purpose of this study is to demonstrate the correlation of pain, stiffness, and physical function by analyizing the KWOMAC socre of the patients with degenerative knee OA, is the most common disease among senior population. Method : 100 degenerative knee OA patients, diagnosed at the hostpital or clinic located in Degu and Kyung-buk province were participated in the study. Result : This study results in following conclusions. 1. Degenerative knee OA patients complained the pain going up or down stairs, stiffness after getting up in the morning. immediately. 2. They also had significant difficulty ascending or decending stairs, getting in or out of car, rising from sitting, doing chores. 3. There was the high correlation among pain, stiffness, physical function. Conclusions : It may provide information to assess the ADL of knee OA patients and the exercise, outcome for their independent life effectly.

GAITRite 시스템 분석을 통한 젊은층과 노년층의 보행특성 비교

황보각,정학영,배성수,Hwang-bo, Gak,Jeong, Hak-young,Bae, Sung-soo 대한고유수용성신경근촉진법학회 2003 PNF and Movement Vol.1 No.1

Objectives : The purpose of this study was to describe and compare the temporo-spatial gait characteristics of healthy young people with those of healthy elderly people. Methods: The data were collected by 40 volunteers. 20 subjects were between 20 and 31 years of age, and 20 subjects were between 65 and 84 years of age. Temporal and spatial parameters of gait were analysed for using the computerized GAITRite system. Results : The system integrates specific components of locomotion to provide a single, numerical representation of gait, the Functional Ambulation Performance score. Differences in gait characteristics between the two groups were examined using a correlated t-test(p<.05). Significant differences were observed between the groups for step length, step/extremity ratio and velocity. Young people demonstrated a significantly larger velocity, step length and step/extremity ratio than the elderly people. Conclusions: These results indicate that the GAITRite system can be useful in detecting footfall patterns and selected time and distance measurements of young and older persons. Additionaly, differences in walking velocity, step length and step/extremity ratio between old and young people may have influenced the gait characteristics measured.

신경근 연접부의 미세구조와 기능

남기원,황보각,구현모,김진,Nam Ki-Won,Hwang Bo-Gak,Koo Hyun-Mo,Kim Jin 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.4

Neuromuscular junction consist of presynaptic membrane, synaptic cleft and postsynaptic membrane. In the neuromuscular junction, presynaptic membrane is the motor nerve terminal, have many synaptic vesicle. Postsynaptic membrane is the motor end plate of muscle fiber and the most striking structural features are the deep infolding of the sarcolemma. Between the nerve and muscle cells, there is a synaptic cleft of some 50-100nm. This review shows the ultrastructure and function of neuromuscular junction, summarizes the current knowledge.

정상인과 편마비 환자의 주관절 등척성 운동시 우력양상과 심혈관계에 미치는 영향

신형수,황보각,임원식,김중선,Shin, Hyung-Soo,Hwang-Bo, Gak,Lim, Weon-Sik,Kim, Chung-Sun 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.3

The isometric torque of the elbow flexor and extensor muscles were measured for 6 seconds at a joint angle of 90$^{\circ}$ , in 10 normal subjects (control group) and 10 hemiplegic subjects(patient group), using the Cybex NORMTM System. The peak torque, the time to peak torque were measured for each exercise. In addition, heart rate and blood pressure were recorded simultaneously at rest and immediately following exercise completion at 1 and 3m mutes. Statistical analysis was performed using SPSS 8.0 for Windows software and mean and standard deviations were calculated. The results are as follows. 1) In the patient involved group. the isometric values for flexors and extensors were significantly lower than in the normal nondominant group(p<.05). 2) The extensor to flexor strength ratio in the isometric mode was 121.0% in the patient involved group compared with 78.7%in the normal nondominant group, a significant difference(p<.05). 3) The mean increment ratio was increased 19.0% for systolic blood pressure and 25.2% for disatolic blood pressure in the patient group. 4) The mean increment ratio was increased 36.0% heart rate in the patient group.

20대 정상성인의 기립자세에서 족저 접촉면의 경도에 따른 하지정렬의 변화

공희경,배성수,황보각,김식현,Kong Hee-kyung,Bae Sung-soo,Hwang-Bo Gak,Kim Sik-hyun 대한물리치료학회 2003 대한물리치료학회지 Vol.15 No.3

The purpose of this study was to evaluate the change of lower extremity alignment according to plantar surface compliance in standing status. The thirty normal adults (15 men and 15 women) aged between 20 and 29 were assigned to 3 groups: control group, experimental groups (AHPS group, ASPH group). The lower extremity alignment was examined before and after adaptation with corresponding foam types. The results of this study were as follows : 1. As the result of comparing lower extremity alignment before and after test of the control group which any change did not exist in plantar surface compliance, there were not significant differences in the angle A, B, C, D, E of right and left(p>0.05). 2. As the result of comparing lower extremity alignment before and after test of the AHPS group which forefoot part of plantar surface is hard and rear foot part is soft, there were not significant differences in the angle A of right and left(p>0.05). But, there were significantly decreased in the angle B, C, D, E of right and left(p<0.05). 3. As the result of comparing lower extremity alignment before and after test of the ASPH group which forefoot part of plantar surface is soft and rear foot part is hard, there were not significant differences in the angle A of right and left(p>0.05). But, there were significantly increased in the angle B, C, D, E of right and left(p<0.05). 4. As the result of comparing lower extremity alignment of the control group, AHPS group and ASPH group, there were not significant differences in the angle A, B, C, D, E of right and left before test(p>0.05). But, there were significant differences in the angle C, D of right and left after test(p<0.05).

수부손상환자의 물리치료 실태조사

곽정인,배성수,황보각,김호봉,한동욱,이한숙,Kwak, Jeong-ln,Bae, Sung-Soo,Hwang-Bo, Gak,Kim, Ho-Bong,Han, Dong-Uck,Lee, Han-Suk 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.1

The purpose of this study is to provide the fundamental information fer the rehabilitation of hand injury and to emphasize the point of early treatment of hand injury after operation. The subjects are composed with the physical therapists who care hand injury and are engaged in 76 university hospitals,59 general hospitals and 88 semi and local clinics respectively. Investigator take the research form chart with 41 questionnaire and use the cross tabulation frequencies and one-way ANOVA of SPSS WIN(ver 10.0) for the statistic analysis. The results of this research are as follows :1. The number of physical therapists who care hand injury are 110 men and 113 women. 2. The beginning period of active assistive exorcise on the various type of injuries are as follows: At the case of flexor tendon injury, the most part of physical therapists make response to the period that is above 4 weeks in the rate of 29.1%. At the case of fracture, the most part of physical therapists make response to the period those are from 3 weeks to less than 4 weeks and from 4 weeks to less than 5 weeks in the rate of 28.7% respectively. At the case of crushing injury, the most part of physical therapists response to the period that is above 4 weeks in the rate of 32.2%. At the case of amputation injury, the most part of physical therapists response to the period that is above 4 weeks in the rate of 40.4%. 3. In the physical therapy request, treatment period are mentioned in 22.0%. 4. The most difficult factors in the hand treatment is to contracture soft tissue and joint to physical therapist in the rate of 59.6%. 5. Among the reasons of the intervention between physical therapy request and actual treatment, the case of wrong physical therapy request is examined in 69.4%.

목 안정화와 호흡 재교육 운동이 만성 뇌졸중 환자의 목 깊은 굽힘근육의 두께, 노력성 폐활량과 최대 기침 유량에 미치는 효과

이명효 ( Myoung Hyo Lee ),황보각 ( Gak Hwang Bo ) 한국전문물리치료학회 2015 한국전문물리치료학회지 Vol.22 No.1

Impaired respiratory function is common in patients with stroke. The purpose of this study were to investigate the effectiveness of exercises and to assess forced vital capacity and peak cough flow after completion of neck stabilizing and respiratory reeducation exercises (combining diaphragmatic breathing and pursed-lip breathing exercises). The 45 participants were randomly assigned to an experimental group 1 (n1=15), experimental group 2 (n2=15), and a control group (n3=15). All subjects performed conservative physical therapy for 30 minutes. Experimental group 1 undertook the neck stabilizing exercise and the respiratory reeducation exercise. Experimental group 2 undertook the respiratory reeducation exercise. Additional exercise did not exceed 30 minutes, five times a week for six weeks. The subjects were assessed for deep neck flexor thickness and breathing function (forced vital capacity, forced expiratory volume at one second, forced expiratory volume at one second/forced vital capacity, peak expiratory flow, and manual assisted peak cough flow) at pre-post value. The results of this study were as follows. Experimental group 1 showed a significant increase only in deep neck flexor thickness change rate (p<.05). All groups showed significant increases in forced vital capacity, forced expiratory volume at one second, and peak expiratory flow in pre-post measurement (p<.05). Experimental groups 1 and 2 showed an increase in manual assisted peak cough flow in pre-post measurement (p<.05). There was no significant difference between experimental group 1 and experimental group 2, but experimental group 1 improved more than experimental group 2 in respiratory function as a whole. In conclusion, these findings suggest that the neck stabilizing exercise in combination with the respiratory reeducation exercise can improve forced vital capacity and peak cough flow in patients with stroke.

피부 미용사의 감정노동과 직무 스트레스와의 관계

유수정(Su-Jung Yoo),황보각(Bo-Gak Hwang),임진숙(Jin-Sook Lim) 한국인체미용예술학회 2012 한국인체미용예술학회지 Vol.13 No.3

This study aims to investigate skin care specialists’ emotional labor and work stress and determine the correlations between the two factors. For this, a questionnaire survey was conducted with 300 estheticians in Daegu, and the results were analyzed using t-test, one-way ANOVA, correlation analysis and regression analysis. According to the analysis, emotional labor and work stress were high among those who are young and unmarried with little work experience (3-5 years). As emotional labor increased, work stress also increased. This shows that emotional labor has a static effect on work stress. According to this analysis, it can be said that skin care specialists’ emotional labor can be the variable to control their work stress. It is expected that the results of this study can be used as basic data in seeking a way to reduce estheticians’ emotional labor and work stress.

노인의 계단과 경사로 오르기 동안 하지의 운동학적 분석

한진태 ( Jin Tae Han ),황보각 ( Bo Gak Hwang ) 한국운동역학회 2009 한국운동역학회지 Vol.19 No.3

체성운동영역이 제거된 편마비 흰쥐에서 억제 유도치료가 기능향상과 BDNF 발현에 미치는 효과

임창훈(Chang-Hun Lim),황보각(Bo-Gak Hwang) 한국콘텐츠학회 2008 한국콘텐츠학회논문지 Vol.8 No.9

억제유도치료는 건측 상지의 운동을 제한하고 환측 상지의 운동을 유도함으로써 손상된 상지의 기능 및 사용을 향상시키는 치료이다. 본 연구의 목적은 동물모델을 이용하여 억제유도치료의 효과를 운동행동검사와 면역조직 화학법으로 검증하기 위함이다. 본 연구에서는 Sprague-Dawley계 흰쥐 수컷 실험군 40마리 대조군 40마리를 사용하였다. 실험동물은 마취 후 체성운동영역을 제거하여 억제유도치료를 적용한 실험군과 적용하지 않은 대조군으로 나누었다. 실험동물은 수술 후 1일, 3일, 7일, 14일째 10마리씩 나누어 자세 반사 검사, 막대 걷기 검사, 앞다리 배치 검사, 면역조직 화학반응을 실시하였다. 결과는 실험군의 운동행동 검사에서 모두 유의하게 높았고(p<.05), BDNF 발현은 시간이 지날수록 실험군의 발현량이 높게 나타났다. 이와 같은 결과는 중추신경계의 가소성을 검증 하는데 기여하리라 생각된다. CIMT(Constraint Induced Movement Therapy) is to improve the function and use of damaged upper limbs by not only confinement of unaffected limbs' exercise but also inducement of affected limbs' one. The purpose of the study is to verify the effect of CIMT by means of motor behaviour test and immunohistochemistry, using animal models. This study was analyzed using 40 male Sprague-Dawley rats as the experimental groups and 40 ones as the control groups. The rats were divided into two random groups : one group as an experimental group which was operated on under anesthesia and removed somatomotor regions with CIMT and the other as the control group without CIMT.Postural Reflex Test, Beam Walking Test, Limb Placement Test and Immunohistochemistry were run on the day 1, 3 , 7 and day 14 following surgery to each 10 rat. As a result, this study demonstrates that CIMT might be an effect method to verify the plasticity of central nervous system as motor behaviour test made all high scores (p<.05) and BDNF was high too in experimental groups.