기존 질병비용연구(COI)에서 환자의 여가시간 손실에 따른 경제적 영향은 상대적으로 적은 관심을 받아왔다. 또 한, 기존연구들은 주로 만성질환 또는 중질환에 초점을 맞 췄으며, 이로 인해 입원환자나 외래환자가 아닌 상대적으 로 증상이 약한 자가치료환자들에 대해서는 충분히 다루 지 못했다는 한계를 가지고 있다. 이에 본 연구에서는 자 가치료 환자들을 포함하고, 더 나아가 고용 상태와 실제 여가활동 중단 기간 등을 고려하여 식중독으로 인한 여가 손실의 연간 비용을 계산하였다. 이 과정에서 건강과 노 동에 관한 통계 자료를 활용하고, 식중독으로 인한 여가 손실을 정확히 평가하는 방법을 제시하였다. 연구 결과, 국내에서 식중독으로 인한 여가 손실에 따른 연간 경제적 비용은 약 7,845억 원(7억 2,800만 USD)으로 나타났다. 본 연구에서는 자가 치료 환자들을 포함하지 않거나 치 료 시간과 고용 상태를 고려하지 않은 경우, 여가손실비 용이 낮게 추정될 가능성을 제시하고 있다. 즉, 식중독과 같은 질병의 사회적 영향을 평가할 때 자가 치료, 고용 상태, 그리고 영향받는 전체 기간을 포함한 다양한 요소 를 고려하는 것이 중요하다는 것을 의미한다. 이 연구 결 과는 정책 결정자와 의료 전문가들에게 질병의 경제적 영 향을 보다 넓은 관점에서 이해하고, 보건의료 자원을 더 효과적으로 배분하는 데 도움이 될 수 있는 중요한 통찰 을 제공한다.

Background: The abdominal drawing-in maneuver (ADIM), a method of lumbar stabilization training, is an effective neuromuscular intervention for lumbar instability associated with low back pain (LBP). Objects: The purpose of this study was to compare the effect of a 2-week period of the ADIM and tensor fasciae latae-iliotibial band (TFL-ITB) self-stretching on lumbopelvic rotation angle, lumbopelvic rotation movement onset, TFL-ITB length, and pain intensity during active prone hip lateral rotation. Methods: Twenty-two subjects with lumbar extension rotation syndrome accompanying shortened TFL-ITB (16 males and 6 females) were recruited for this study. The subjects were instructed how to perform ADIM training or ADIM training plus TFL-ITB self-stretching program at home for a 2-week period. A 3-dimensional ultrasonic motion analysis system was used to measure the lumbopelvic rotation angle and lumbopelvic rotation movement onset. An independent t-test was used to determine between-group differences for each outcome measure (lumbopelvic rotation angle, lumbopelvic rotation movement onset, TFL-ITB length, and pain intensity). Results: The results showed that ADIM training plus TFL-ITB self-stretching decreased the lumbopelvic rotation angle, delayed the lumbopelvic rotation movement onset, and elongated the TFL-ITB significantly more than did ADIM training alone. Pain intensity was lower in the ADIM training plus TFL-ITB self-stretching group than the ADIM training alone group; however, the difference was not significant. Conclusion: ADIM training plus TFL-ITB self-stretching performed for a 2-week period at home may be an effective treatment for modifying lumbopelvic motion and reducing LBP.

Background: Limitations of shoulder range of motion (ROM), particularly shoulder internal rotation (SIR), are commonly associated with musculoskeletal disorders in both the general population and athletes. The limitation can result in connective tissue lesions such as superior labrum tears and symptoms such as rotator cuff tears and shoulder impingement syndrome. Maintaining the center of rotation of the glenohumeral joint during SIR can be challenging due to the compensatory scapulothoracic movement and anterior displacement of the humeral head. Therefore, observing the path of the instantaneous center of rotation (PICR) using the olecranon as a marker during SIR may provide valuable insights into understanding the dynamics of the shoulder joint. Objects: The aim of the study was to compare the displacement of the olecranon to measure the rotation control of the humeral head during SIR in individuals with and without restricted SIR ROM. Methods: Twenty-four participants with and without restricted SIR ROM participated in this study. The displacement of olecranon was measured during the shoulder internal rotation control test (SIRCT) using a Kinovea (ver. 0.8.15, Kinovea), the 2-dimensional marker tracking analysis system. An independent t-test was used to compare the horizontal and vertical displacement of the olecranon marker between individuals with and without restricted SIR ROM. The statistical significance was set at p < 0.05. Results: Vertical displacement of the olecranon was significantly greater in the restricted SIR group than in the control group (p < 0.05). However, no significant difference was observed in the horizontal displacement of the olecranon (p > 0.05). Conclusion: The findings of this study indicated that individuals with restricted SIR ROM had significantly greater vertical displacement of the olecranon. The results suggest that the limitation of SIR ROM may lead to difficulty in rotation control of the humeral head.

Background: Individuals with pes planus tend to overuse the extrinsic foot muscles, such as the tibialis anterior (TA) and peroneus longus (PL), to compensate for the weakened intrinsic foot muscles, such as the abductor hallucis (AbdH). Furthermore, differences in weight-bearing can affect the activity of muscles in both the intrinsic and extrinsic foot muscles. To date, no study has compared the effects of the short foot exercise (SFE) and toe spread-out exercise (TSO) on intrinsic and extrinsic foot muscle activity and the corresponding ratios in different weight-bearing positions. Objects: To compare the effects of the SFE and TSO on AbdH, TA, and PL activity and the AbdH/TA and AbdH/PL activity ratios in the sitting and standing positions in individuals with pes planus. Methods: Twenty participants with pes planus were recruited. Surface electromyography was used to assess the amplitudes of AbdH, TA, and PL activity. Participants performed both exercises while adopting both the sitting and standing positions. Results: No significant interaction between exercise and position was found regarding the activity of any muscle or ratio of the activity, except for PL activity. We observed a significant increase in AbdH activity during the TSO compared to the SFE, and no significant difference in TA and PL activity between the two exercises. AbdH, TA, and PL activity were significantly higher in the standing position than in the sitting position. Furthermore, the AbdH/PL activity ratio significantly increased in the sitting position, although there was a significant increase in AbdH activity in the standing position. Conclusion: In individuals with pes planus, we recommend performing the TSO in the sitting position, which may increase the activity of the AbdH while concurrently decreasing the activity of the TA and PL, thus strengthening the AbdH.

Background: Single-leg squat (SLS)s are commonly used as assessment tool and closed kinetic exercises are useful for assessing performance of the lower extremities. Pronated feet are associated with foot pressure distribution (FPD) during daily activities. Objects: To compare the FPD during SLSs between groups with pronated and normal feet. Methods: This cross-sectional study included 30 participants (15 each in the pronated foot and control groups) are recruited in this study. The foot posture index was used to distinguish between the pronated foot and control groups. The Zebris FDM (Zebris Medical GmbH) stance analysis system was used to measure the FPD on the dominant side during a SLS, which was divided into three phases. A two-way mixed-model ANOVA was used to identify significant differences in FPD between and within the two groups. Results: In the hallux, the results of the two-way mixed-model ANOVAs revealed a significant difference between the group and across different phases (p < 0.05). The hallux, and central forefoot were significantly different between the group (p < 0.05). Moreover, significant differences across different phases were observed in the hallux, medial forefoot, central forefoot, lateral forefoot, and rearfoot (p < 0.05). The post hoc t-tests were conducted for the hallux and forefoot central regions. In participants with pronated foot, the mean pressure was significantly greater in hallux and significantly lower, in the central forefoot during the descent and holding phases. Conclusion: SLSs are widely used as screening tests and exercises. These findings suggest that individuals with pronated feet should be cautious to avoid excessive pressure on the hallux during the descent-to-hold phase of a SLS.

목적 : 본 연구는 경추 척수손상 장애인이 스마트 홈 기술을 통한 일상생활의 변화를 경험하는 과정을 탐구하여, 이 기술 이 기존의 가정환경수정 프로그램에 어떻게 통합할 수 있을지에 대한 기초자료를 제공하고자 한다. 연구방법 : 연구대상자는 경추 척수손상 장애인 1명으로, 질적 연구 방법 중 사례연구를 통해 스마트 홈 기술 사용 전후의 변화와 경험을 심층적으로 이해하였다. 인터뷰는 2021년 7월 초기 인터뷰 1회, 8월 중간 인터뷰 1회, 12월 스마트 홈 사용 경험 인터뷰 1회를 대면으로 30분~1시간 동안 진행되었다. 자료 분석은 개방 코딩, 범주화, 범주 확인으로 진행되는 반복 적 비교분석법을 사용하였다. 결과 : 자료 분석 결과 ‘스마트 홈 적용 환경’, ‘스마트 홈 사용 경험’, ‘스마트 홈 사용으로 겪은 변화’라는 세 가지 주제가 도출되었다. 이 주제들은 연구 참여자가 경험한 ‘주요 스마트 홈 기술’, ‘적용한 스마트 기기’, ‘스마트 홈에 대한 기대’, ‘주관적 실제’, ‘내적 변화’, ‘독립적인 일상생활’이라는 개념으로 정리하였다. 도출된 개념은 15개의 의미 단위와 51개의 중심의미로 나타났다. 결론 : 본 연구는 스마트 홈 기술이 경추 척수손상 장애인의 일상에 긍정적인 변화를 불러오며, 장애인 삶의 질 향상에 뒷 받침하는 중요한 기초자료를 제공한다. 스마트 홈의 임상 적용 가능성에 대한 새로운 시각을 제공하고,

본 연구의 목적은 질적 해석적 메타통합(QIMS, Qualitative Interpretive Meta Synthesis)을 활용하여 장애인의 레질리언스 과정의 경험을 보다 새롭고 깊이 있게 탐색하는 것이다. QIMS는 전문직의 가치와 목표를 뒷 받침하는 사회사업을 위해 특별히 개발된 연구방법으로, 연구주제에 대 한 심층적인 이해를 창출하기 위해 특정주제에 초점을 맞춘 개별 질적연 구를 통합하는 방법이다. 2023년 9월 이전까지 국내에서 발표된 8편의 질적논문을 최종분석에 포함하였고, 총 69명의 장애인들이 진술한 내용 을 시너지적 이해로 분석하였다. 합의된 해석에 따른 시너지적 이해로 새롭고 의미 있게 생성된 주요주제는 (1) 선택의 여지없이 장애라는 삶 으로의 전환, (2) 장애를 갖게 된 것보다 더한 절망과 통증들, (3) 장애를 받아들임 그리고 새로운 삶의 의미추구, 총 3개의 범주로 구분되었다. QIMS 분석으로 도출해낸 결과를 바탕으로 장애인의 레질리언스 실천을 돕기 위한 사회복지실천 및 정책방안을 모색하였다.

Forward head posture (FHP) is a musculoskeletal disorder that causes neck pain. Several exercise interventions have been used in South Korea to improve craniovertebral angle (CVA) and relieve neck pain. There has been no domestic literature review study over the past 5 years that has investigated trends and effects of exercise intervention methods for CVA with neck pain. This domestic literature review aimed to evaluate the trends and effects of exercise interventions on CVA and neck pain in persons with FHP. A review of domestic literature published in Korean or English language between 2018 and 2022 was performed. Literature search was conducted on Google Scholar and Korea Citation Index by using the following keywords: “exercise,” “exercise therapy,” “exercise program,” “forward head posture,” and “neck pain.” Ten studies were included in this review. All of the studies showed positive improvements after intervention programs that included exercises. Notably, four of these studies demonstrated significant differences in results between the experimental and control groups. Among the 10 studies, nine measured visual analogue scale or numerical rating scale scores and reported significant reductions in pain following interventions, including exercise programs. Five of these studies showed significant differences in results between the experimental and control groups. Furthermore, six studies that used neck disability index exhibited a significant decrease in symptoms after implementing intervention programs that included exercise, and significant differences in results were found between the experimental and control groups. This domestic literature review provides consistent evidence to support the application of various exercise intervention programs to improve CVA and relieve neck pain from FHP. Further studies are warranted to review the effects of various exercise interventions on FHP reported not only in domestic but also in international literature.

본 연구는 정서 자극 유형 중 일상생활과 가장 유사한 정서 경험을 유발하는 자연주의적 자극인 영상 자극을 활용 하여 정서표상의 유사성과 개인 간 반응 일관성을 살펴보기 위해 수행되었다. 이를 위해 다차원척도법을 실시하여 영상 자극이 핵심정서 차원에 위치하는지 확인하고, 참가자 간 분류분석을 사용하여 영상들이 정서유형 별로 구분이 잘 이루어지는지, 영상 자극에 대한 참가자들의 정서표상이 일관적인지 검증하였다. 또한 참가자간 상관분석을 통해 각 영상 자극에 대한 정서표상이 참가자들간 유사한지 추가적으로 확인하였다. 다차원척도법 결과, 정서유발 영상들 이 정서가 차원에서 유의하게 구분되어 Russell(1980)의 핵심정서차원을 부분적으로 지지하였다. 분류분석 결과, 각 영상이 정서유형에 따라 잘 분류되고 예측되었다. 마지막으로, 참가자간 상관분석을 통해 정서 반응 일관성이 각 영상의 정서유형에 따라 다르게 나타남을 확인하였다. 본 연구는 영상 자극에 대한 정서표상과 정서 반응 일관성이 정서 유형에 따라 차이가 있음을 시사한다.

본 연구는 참가자 간 표상 유사성 분석(intersubject representation similarity analysis: IS-RSA)을 이용하여 3개의 선행연구에서 얻어진 데이터의 참가자 반응 일치성 패턴을 확인하고 각 실험의 정서 조건 간 차이가 있는지 살펴보 았다. 3개의 실험은 각각 ASMR 자극, 시각 및 청각 자극, 시계열적 정서 동영상 자극을 사용하였으며 각 실험의 조건에 맞게 정서 평정치와 생리측정치를 측정하였다. 참가자 간 표상 유사성 분석을 계산하기 위해서 각 실험에 있는 각 자극에 대한 참가자들의 측정치를 쌍별로 피어슨 상관계수를 구하였다. 실험의 조건 간 비교를 위해 분산분 석과 평균을 비교하였다. 연구 결과, ASMR과 시각 및 청각 데이터의 참가자 간 반응의 일치성은 시계열적 정서 동영상 참가자들 반응의 일치성에 비해 일관적이었다. ASMR 실험은 긍정 자극에서 참가자 간 반응의 일치성이 높았다. 청각 및 시각 실험은 높은 각성수준과 시각 자극에서 참가자들의 반응 일치성이 높았다. 본 연구 결과는 생리 적, 행동적 반응에 대한 측정치의 IS-RSA가 다차원적인 데이터의 정보를 요약하여 제시하며 이를 하나의 분석 데이 터로 변환 가능하다는 것을 확인하였다. 이를 통해, IS-RSA가 참가자들의 반응 일관성에 대한 전반적인 정보를 제시 할 수 있는 새로운 분석 방법으로의 가능성을 제시하였다.

In the past decade the level of prosocial behavior has raised some concerns, whereas an empathic concern, one of the main predictors of prosocial behavior, is decreasing. Lack of empathy and less forgiving attitudes are one of the main characteristics of entitlement Entitlement, or feeling of deserving more than others, is negatively related to pro-social behavior (Campbell et al., 2004). In H1, we suggest that entitled individuals engage in prosocial behavior more when there is an opportunity to self-enhance vs. when there is no opportunity to self-enhance.

Background: Individuals with scapular winging have a weak serratus anterior (SA) muscle, and to compensate, the pectoralis major (PM) and upper trapezius (UT) muscles excessively activate, which can cause upper extremity dysfunction. This study aimed to compare the effects of isometric horizontal abduction (IHA) on SA, PM, and UT muscle activity, as well as the SA/PM and SA/UT muscle activity ratios during knee push-up plus (KPP) at 90° and 120° of shoulder flexion. Objects: This study aimed to compare the effects of IHA on SA, PM, and UT muscle activity, as well as the SA/PM and SA/UT muscle activity ratios during KPP at 90° and 120° of shoulder flexion. Methods: This study, conducted at a university research laboratory, included 20 individuals with scapular winging. Participants performed KPP with and without IHA at 90° (KPP90) and 120° (KPP120) of shoulder flexion. SA, PM, and UT muscle activity were measured using surface electromyography. Results: PM activity in KPP90 with IHA was significantly lower than KPP90 and in KPP120 was significantly lower than KPP90. UT activity was significantly greater with IHA than without IHA and at 120° than 90° of shoulder flexion. SA/PM muscle activity ratio was significantly higher in KPP90 with IHA than without IHA and in KPP120 than in KPP90. SA/UT muscle activity ratio was significantly lower with IHA than without IHA. Conclusion: KPP90 with IHA and KPP120 are effective exercises to reduce PM activity and increase SA/PM muscle activity ratio. However, applying IHA in KPP90 also reduces SA/UT muscle activity ratio, implying that it would be preferable to apply KPP120 in individuals overusing their UT muscles.

Background: Technological developments have led to the creation of a mechanical device capable of providing a representative massage as a passive treatment. The use of mechanical massage offers the distinct advantage of being user-friendly and available for use at any given time. Objectives: To investigated present the outcomes of utilizing a massage bed on the range of motion (ROM) and pressure pain threshold (PPT) in patients diagnosed with chronic low back pain. Design: ABA design of a single case study. Methods: To measure the ROM of the subject's trunk flexion, extension, lateral flexion, and rotation, a tape measure and goniometer were utilized. Furthermore, PPT was measured using an electronic pressure pain meter. Baseline A and Baseline A’ periods were conducted for 5 consecutive days without intervention. Following the baseline periods, a massage bed intervention was administered for 1 hour daily for a total of 10 days during the Intervention B period. Daily assessments were performed, and the Intervention B period was conducted after the intervention. Results: The ROM effect was confirmed in trunk lateral flexion and rotation, while the PPT was effective in both L1, right L2, left L4, and left L5. Conclusion: The results of this study confirmed that the use of a massage bed improved the ROM and PPT in patients suffering from chronic back pain. Further randomized controlled trials involving a larger sample size are necessary to validate these findings.

본 연구는 참가자 간 상관(Intersubject correlation: ISC)기법을 통해 정서 유발 자극에 대한 한 참가자의 반응과 그 참가자를 제외한 나머지 참가자들의 반응 간 일치성이 각 정서표상 범주(지배가, 각성가, 정서가)와 다양한 감각 양상(청각, 시각, 촉각)에서 어떠한 차이가 있는지 밝히고자 하였다. 참가자 간 상관을 계산하기 위해 사용된 데이터 는 참가자들의 청각, 시각, 촉각 자극에 대한 생리 측정치와 정서 평정치로 구성되었으며, 한 참가자의 데이터 세트 와 나머지 참가자들의 데이터 세트의 평균으로 구분한 뒤 가능한 모든 자극 쌍에 대해 상관을 구하는 방식으로 참가 자 간 상관을 계산하였다. 연구 결과, 지배가를 기준으로 재정렬한 데이터 세트에 대한 참가자들의 반응 일치성은 청각 감각양상 조건보다 시각 감각양상 조건에서 높은 ISC 값을 얻었다. 다음으로 각성가로 재정렬한 데이터 세트의 경우 시각 감각양상과 청각 감각양상에서 차이가 있음은 같았지만, 지배가 기준으로 재정렬한 데이터 세트와 결과가 상반되었다. 마지막으로, 정서가를 기준으로 재정렬된 데이터 세트는 모든 감각양상에서 부정적인 데이터 세트들이 긍정적인 데이터 세트보다 참가자들의 반응 일치성이 더 높았다. 모든 데이터 세트에서 정서표상 범주의 높고 낮음 과 상관없이 촉각 감각양상에서 높은 ISC 값을 얻었다. 본 연구의 결과는 참가자 간 상관의 다양한 감각양상과 정서 표상에 대한 반응의 일치성이 의미하는 바에 대한 해석을 제시하며, ISC 분석 방법이 참가자 반응의 차이에 대한 패턴을 측정하는 유용한 도구가 될 가능성을 제시하였다.

Background: This study was carried out to determine whether non-face-to-face physical therapy would have similar exercise effects to face-to-face physical therapy. Hence, we developed an approach for patients, unable to visit hospitals due to circumstances such as the COVID-19 pandemic, to conduct physical therapy comfortably at home. Objects: This study aimed to compare the effects of a face-to-face and a non-face-to-face physical therapy treatment on improving a rounded shoulder posture. Methods: The participants with rounded shoulders were randomly divided into a face-toface group (n = 15) and a non-face-to-face group (n = 15), and each group performed exercises for four weeks. The exercise program consisted of the bare hands exercise, Thera-Band exercise, and foam roller exercise. The participants in the face-to-face group came to a designated place to perform their exercises, and those in the non-face-to-face group performed the exercises at their own home using Google Meet (Google). Acromial height, total scapular distance (TSD), shoulder pain and dysfunction index (SPADI), and pectoralis minor thickness were measured. Data analysis was performed using the R Statistical Software (R Core Team), and a normality test was performed using the Shapiro-Wilk test. Results: There were no significant differences between the face-to-face and the non-face-toface groups (p > 0.05). When comparing the differences before and after the exercises, both the face-to-face and the non-face-to-face groups showed significant differences in acromial height, SPADI, and pectoralis minor thickness (p < 0.05), and both groups showed no significant difference in TSD before and after the exercises (p > 0.05). Conclusion: The results of this study support the results of previous studies reporting that shoulder stabilization exercise and pectoralis minor stretching training improves round shoulders. In addition, this study revealed that both the face-to-face and the non-face-to-face physical therapy treatments had therapeutic effects.

월출산국립공원 내에 위치한 남생이(Mauremys reevesii) 대체서식지에서 사육 중인 남생이 15개체(암컷 6, 수컷 9)를 대상으로 개체 간 구애와 공격 행동을 관찰하여 사회적 상호작용을 알아보고자 하였다. 이를 위하여 2020년 5월 18일부터 2020년 10월 19일까지 연구지역에 CCTV를 설치하여 매주 3일(24시간/일), 총 64일 동안 녹화하였고 시간 당 10분 간격으로 분석하였다. 남생이의 구애행동은 총 884회 관찰되었고 수컷은 체중이 가장 가벼운 암컷(3회)보 다 가장 무거운 암컷(357회)에게 더 많은 빈도의 구애행동을 하였다. 남생이의 공격행동은 총 259회 관찰되었으며 암컷-암컷 간 30회, 수컷-수컷은 81회, 암컷-수컷은 148회 관찰되었다. 이를 바탕으로 파악한 우열관계는 전반적으로 암컷이 수컷보다 더 높게 나타났으며, 몸 크기가 클수록 순위가 높게 나타났다. 본 연구는 국내 최초로 남생이의 구애행동 빈도를 통해 번식가능성이 높은 개체를 확인하고 공격 행동에 따른 우열관계를 파악하였다. 연구결과는 멸종위기에 처한 남생이의 관리 및 보전을 위한 행동학적 기초 자료로 활용될 수 있으며, 남생이의 사회구조를 이해하는 데 도움이 될 것이다.

목적 : 본 연구는 뇌졸중 환자에게 원격재활이 일상생활활동과 삶의 질에 미치는 효과를 알아보고자 하였다. 연구방법 : 뇌졸중 환자들을 대상으로 원격재활 중재를 사용하여 효과성을 검증한 국내외 무작위 실험연구 중, 2000년 1월에서 2022년 1월 사이에 출판된 논문들로 분석하였다. 검색을 위한 학술 데이터베이스 로는 Embase, MEDLINE, PubMed, RISS를 사용하였고, PEDro 척도를 사용하여 연구의 질을 평가하 였다. 메타분석은 샘플 수, 평균, 표준 편차와 같이 통계학적 수치를 사용하여 분석을 시행하였다. 결과 : 검색 결과 최종 10편의 무작위 대조 임상시험 연구가 선정되었고, PEDro 척도를 이용하여 연구의 질을 평가한 결과 6점 이상에 해당되었다. 참여대상자의 총 인원은 실험군이 343명, 대조군이 332명이 었다. 효과크기는 Cohen의 d값과 램덤효과 모델로 산출하였다. 분석 결과, 원격재활이 뇌졸중 환자의 일상생활활동에 향상에는 0.22 (95% Confidence Interval[CI]: -0.02 – 0.46; p = 0.07)로 유의한 차 이를 보이지 않았으나, 원격재활 프로그램에 일상생활활동 훈련이 포함된 중재들은 뇌졸중 환자의 일상 생활활동에 0.48 (95% CI: 0.15 – 0.81; p = 0.004)로 중간 효과크기가 있는 것으로 나타났다. 그리 고 뇌졸중 환자의 삶의 질 향상에는 0.68(95% CI: -1.24 – 2.59; p = 0.49)로 유의한 변화를 보이지 않았다. 결론 : 본 연구를 통해 원격재활 프로그램에 일상생활활동 훈련이 포함된 경우, 뇌졸중 환자의 일상생활활 동에 효과가 있는 걸 알 수 있었다. 또한 원격재활이 뇌졸중 환자의 삶의 질 향상에는 유의한 차이를 보 이지 않았지만 본 연구를 통해 뇌졸중 환자에게 제공되는 원격재활의 일상생활활동과 삶의 질에 대한 문헌들을 종합적으로 분석하여 효과를 알아보았다는데 의미가 있다.

Background: The serratus anterior (SA) muscle prevents scapular winging (SW) by stabilizing the medial border of the scapula during arm movement. The upper trapezius (UT) and lower trapezius (LT) muscles may compensate for the weak SA muscle in individuals with SW during shoulder flexion. However, there is no study to examine whether compensation by UT and LT occurs in individuals with SW. Objects: This study compared the muscle activities of UT, LT, and SA as well as the SA/UT activity ratio between individuals with and without SW during shoulder flexion with load. Methods: This study recruited 27 participants with SW (n = 14) and without SW (n = 13). Electromyography data of the SA, UT, and LT muscles and SA/UT activity ratio were recorded and analyzed during shoulder flexion with 25% load of the maximal shoulder flexion force. Independent t-test was used to compare the UT, LT, and SA muscle activities and SA/UT ratio between the groups with and without SW; statistical significance was set at α of 0.05. Results: SA activity was significantly lesser in the group with SW than in the group without SW. However, there were no significant differences in the UT and LT activities and SA/UT activity ratio between the two groups. Conclusion: The SA activity was lesser in the group with SW than in the group without SW with 25% load of the maximal shoulder flexion force, but there was no compensatory muscle activity of the UT and LT observed. Therefore, further studies are warranted to clarify the compensatory strategy of scapular stabilization in individuals with SW during shoulder flexion under other heavy load conditions.

Elite trees of evergreen oaks (Quercus glauca, Quercus acuta, Quercus salicina, and Quercus gilva) were selected from Jeju Island and Wando Island. Elite trees were carried out by modifying the tree selection criteria. Elite trees were selected by height, DBH, clear length, crown diameter, leaf length, and leaf depth. Regarding height, Q. acuta was the highest, and the other three tree species were similar. Clear length showed the same trend as height. In the case of Q. glauca, height showed a positive correlation with DBH, crown diameter and leaf depth. In the case of Q. acuta, positive correlations were shown with all characteristics of DBH, and correlation analysis between DBH and crown diameter, and leaf length and leaf depth also showed positive correlations. In the Pearson correlation coefficient of Q. salicina, height showed a positive correlation with DBH. In the case of Q. gilva, height showed a positive correlation with DBH (0.539). As a result of analyzing the principal components for each of the six growth characteristics, the four species were divided into two principal components with an eigenvalue of 1 or higher, and the cumulative explanatory power was 57% or more. Based on the principal component results, it was possible to confirm the relationship between growth and trait characteristics by species. Still, it was not easy to understand the relationship among each selection tree, so a cluster analysis was performed using the principal component score. Based on the distance levels 5.0 and 6.0 of the selection tree of each species, they were classified into 4-5 clusters. It is judged that the above results can be used as data for the selection of elite trees of evergreen oaks.

Background: Individuals with calf muscle shortening may have decreased dynamic balance. Objects: This study aimed to investigate the effect of mobilization with movement (MWM) and myofascial release (MFR) on kinematic changes in dynamic balance in individuals with calf muscle shortening. Methods: Thirteen participants were randomly assigned to the MWM or the mobilization with movement added myofascial release (MWM-MFR) group. The MWM group received treatment with only MWM, whereas the MWM-MFR group was treated with MWM and MFR. Pre- and post-intervention passive range of motion (PROM), maximum reaching lengths, and modified star excursion balance test (MSEBT) results were compared for all participants. Wilcoxon signed-rank test and Mann-Whitney U test were used for statistical analysis. Results: The results showed significant within-group differences in ankle PROM, but no significant between-group differences. The maximum reaching length in the MWM-MFR group in the posterolateral direction was significantly different before and after the intervention (p = 0.005). This group also showed significantly reduced ankle abduction in MSEBT during the posteromedial direction section 3 (p = 0.007) and posterolateral direction section 5 (p = 0.049) compared with the MWM group. Conclusion: Combined MWM and MFR intervention improves ankle stability in the coronal plane during the posteromedial and posterolateral forward mo