Background: Pain neuroscience education (PNE) combined with exercise and mobilisation with cognitive goals presented decreases in pain and disability and an increase in spinal function compared to physiotherapy intervention in patients with chronic low back pain (CLBP). Objectives: To investigated the effect of forward head posture (FHP) with chronic neck pain on the PNE combined with cervical and thoracic mobilization. Design: A randomized controlled trial. Methods: The subjects were randomly allocated to the MDT with PNE group (MPNEG, n=15) and the PNE group (PNEG, n=15). Pain neuroscience education was provided to both groups, and MDT exercise was additionally performed in the experimental group. Training was conducted 3 times a week for 8 weeks, and the Oswestry Disability Index (ODI) and numeric rating scale (NRS) were used to measure the level of back pain dysfunction, and each was evaluated before and after the experiment. Results: Results from the study indicated that statistically significant decrease in NRS and ODI in MPNEG. In PNEG, there was statistically significant decrease in NRS. And in MPMES, there was a statistically significant decrease in ODI than in PNEG. Conclusion: The MDT combined with PNE is more effective than PNE alone as a treatment method for improving lumbar dysfunction and reducing pain in chronic low back pain.
본 연구에서는 도시공원 내 자연교육기능과 관련된 계획 지표들을 도출하고 해당 지표들에 대한 우선 순위를 분석함으로써 도시공원 계획 및 설계 시 실질적으로 활용될 수 있는 기초자료를 제시 해 보는데 가장 큰 목적을 두었다. 연구결과를 살펴보면 다음과 같다. 문헌분석 결과 도시공원의 자연교육 기능과 관련된 계획지표 16개를 도출하였고 다시 이용자 행동 지표, 동선지표, 식생지표, 지형지표, 공간지표 등의 상위 항목으로 분류하였다. 전문가를 대상으로 설문조사를 진행한 결과, 자연교육 필요도에 대하 여 응답자의 79.24%가 필요하다 답하였다. 도시공원의 자연교육기능 계획지표에 대한 계층분석 결과 상위 계획지표는 동선지표, 지형지표, 이용자행위 지표, 식생지표, 공간지표 순으로 중요하다는 결과 가 나타났다. 하위 계획지표는 친환경성, 지형 자연성, 표현욕구 충족, 지적욕구 충족, 협동 공간 순으로 나타났으며, 안내표지판 형식, 식생 풍부도가 가장 낮은 순위로 나타났다. 현재 도시공원에서의 자연교 육에 대한 연구는 자연교육 프로그램을 개발하는 것에 집중되어 있는 실정이지만 본 논문은 실제 사례 지를 선정하고 이를 대상으로 도시공원 내 자연교육기능 향상을 위한 방법론을 모색해 보았다는 점에 서 의의가 있다. 하지만 전문가들의 의견과는 달리 실제 공원을 이용하는 일반인들에 대한 설문분석을 포함하지 못하였다는 한계를 가지고 있으며, 향후 연구에서는 일반인들을 대상으로 설문분석을 수행 할 필요가 있다.
Background: Clinical practice guidelines for patients with chronic low back pain (CLBP) recommend therapeutic exercise, and recently, interventions for pain neuroscience education (PNE) are also recommended.
Objectives: To investigate the effects of aquatic exercise combined with PNE on pain, disability, and fear-avoidance beliefs in patients with CLBP.
Design: Randomized control trial.
Methods: The 27 participants recruited in this study were randomly allocated as pain neuroscience education combined with aquatic exercise group (PAEG, n=14) and aquatic exercise group (AEG, n=13). Both groups performed aquatic exercise for 50 minutes, 3 times a week for 6 weeks, and only PAEG received additional PNE. Numeric pain rating scale (NPRS), modified oswestry disability questionnaire (MODQ), and fear-avoidance beliefs questionnaire (FABQ) were used as evaluation methods before and after intervention.
Results: Statistically significant decrease in NPRS, MODQ and FABQ (physical activity and work score) before and after intervention in PAEG. However, there were statistically significant changes in NPRS, MODQ and FABQ (physical activity score) before and after intervention in AEG. PAEG and AEG before and after intervention indicated statistically significant differences in MODQ and FABQ (work score).
Conclusion: Aquatic exercise combined with PNE improved disability (MODQ) and fear-avoidance beliefs (FABQ) has been shown to have additional benefits. Therefore, combining PNE as a clinical intervention for CLBP patients will enhance the therapeutic effect.
Background: A recent study found that pain neuroscience education (PNE) alters pain intensity, knowledge of pain, disability, psychological function, and pain behavior in patients with musculoskeletal pain. However, they noted that PNE alone was not sufficient to affect chronic low back pain (CLBP) reduction.
Objectives: To investigated the effect of CLBP on the PNE combined with lumbar mobilization.
Design: Quasi-experiment study.
Methods: A total of 33 patients aged 25 to less than 65, recruited from L-hospital for low back pain in Chungcheongnam-do. Out of 33 subjects, 17 were pain neuroscience education combined with lumbar mobilization group (PLMG) and 16 were lumbar mobilization group (LMG). The outcome was visual analogue scale (VAS), oswestry disability index (ODI) and the fear avoidance beliefs questionnaire (FABQ). The collected data was analyzed using the SPSS ver. 21.0 program by paired t-test and independent t-test.
Results: PLMG was indicated statistically significant decrease in VAS, ODI and FABQ before and after intervention. However, there were statistically significant changes in VAS and ODI before and after intervention in LMG. PLMG and LMG before and after intervention indicated statistically significant differences in VAS, ODI and FABQ. Conclusion: The inclusion of PNE combined with lumbar mobilization in patients with CLBP is a promising and feasible approach to the management of CLBP.
서예는 중국의 개혁 개방 이후 여타 예술 분야보다 매우 발 전되었다. 특히 서예교육은 인생의 궁극적 목적이 ‘세련된 인 격’ 실현이라는 전통적 사상과 현대적 의미를 달성하는데 효능 이 있다는 생각으로, 정부에서는 초ㆍ중ㆍ고등 교육과정에 서 예를 필수과목으로 선정하여 진행하고 있다. 이러한 목적을 실 천하는 과정에서 ‘기능’을 위주로 한 서사교육 방식으로 진행되 면서 ‘예술교육(美育)’의 핵심인 상상력과 창의성이 결여되면서 학생들의 ‘흥미성’을 잃고 있다. 이렇게 흥미 없는 기술 반복 교육은 ‘美育’의 궁극적 목적인 ‘세련된 인격’ 완성에 기여하지 못하고 있다. 따라서 본 논문에서는 다양한 심미전달 방법을 통하여 흥미 로운 상상력과 창의력을 계발하여 ‘美育’이 ‘흥미’를 통해서 ‘도 덕’으로 나아가고자 하는 중국 전통 사상인 ‘善美一體’를 실현 할 수 있는 방법을 제시하였다.
예술은 인류의 발전에서 중요한 역할을 한다. 예술은 사람 들의 정신을 풍요롭게 아름다운 문화를 조성한다. 예술교육은 중국 대학교육체계에서 중요한 과목으로 채택 되고 대학생들의 인격 도야와 품성 교양에 직접적으로 영향을 준다. 그래서 대학교육의 새로운 교과과목의 개혁배경을 통하 여 예술교육을 전면적으로 중점을 두기 시작했고, 예술교육에 서의 인재양성기능을 최대로 발휘할 있는가 하는 것이 중국의 대학교육사업사업의 주요과제로 부각시켰다. 본 논문에서는 이에 기초하여 중국 대학교 예술교육에서의 인재양성기능에 대하여 분석하고 연구하였다.
The purpose of this study is to analyze how grammatical patterns of command in using hedge strategies function based on the principle of relative status in the Korean language. In order to accomplish the purpose, types of command in using hedge strategies are classified. The results showed that grammatical patterns of command are functioned to save the listener’s face from a listener’s viewpoint, and to strengthen details of propositions used from a proponent’s viewpoint. Also, from a speaker’s viewpoint, they are functioned to reduce the burden of command acts, and to agree with others implicitly or to follow his or her role demanded in the conversation. It also indicated that specific patterns are selected depending on language users, and context factors such as listeners’ reactions, hierarchical relations among listeners and speakers, their closeness to each other, location and formality of context, and publicity of their topics. Based on the findings, a pedagogical implication is suggested to provide language users’ multi-faceted competence in Korean.