• 제목/요약/키워드: (physical) Health

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Effects of Coping on Physical and Psychosocial Adaptation by Illness Duration in Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 질병 기간에 따른 대처 유형과 적응과의 관계)

  • Kim, In-Ja;Suh, Moon-Ja
    • Journal of muscle and joint health
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    • v.5 no.1
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    • pp.26-38
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    • 1998
  • The effects of coping on physical and psychosocial adaptation in the 297 patients with rheumatoid arthritis were investigated. The coping methods were divided into compliance of medical regimens, self-control activities, and cognitive control. The effects of these coping methods was analyzed with stepwise regression. The physical adaptation is found to be significantly affected by cognitive control, self-control activities, and compliance of medical regimens in order Compliance of the medical regimens affects negatively the physical adaptation. And psychosocial adaptation is significantly affected by the cognitive control. The analysis of these results by illness duration showed the distinct differences. That is in the patients who experienced the disease less than 48 months, the physical and the psychosocial adaptation were significantly affected only by the cognitive control. But in the patients who experienced the disease more than 96 months, the physical and the psychosocial adaptation were significantly affected by self-control activities. Based upon these results, it is recommended that the nurses who care the newly diagnosed patients emphasize on the positive side of the state. And the patients who are diagnosed long ago need the nursing programs which teach and promote self-control activities. Also it is suggested that the results of compliance must be considered rather than as the result variable.

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Hemiplegic gait : comparison of kinematic variables related to Bait speed (편마비 보행 :속도에 따른 관절 운동학적 변수 비교)

  • Kwon Young-Shil;Choi Jin-Ho;Jung Byong-Ok;Chae Yun-Won;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.11 no.1
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    • pp.95-102
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    • 1999
  • In hemiplegic gait, walking speed is an important factor to evaluate treatment effect. The purpose of this study was to describe and compare kinematic variables during differant speed hemiplegic gaits. Six hemiplegic patients(47-69 years old) after stroke and age - matched six volunteers in good health(51-61 years old) were studied. The patients were sorted into two groups, depending on their self - speed of walking : fast speed group(3 patients, $0.74\pm0.14m/s$) and slow speed group(3 patients, $0.29\pm0.09m/s)$. The results were following. 1. In the hip joint, the fast group had lower mean value than normal but had similar pattern to normal. The slow group had continuous flexed pattern. 2. In the knee joint, the fast group had similar mean value and pattern to normal. The slow group had continuous flexed pattern. 3. In the ankle joint, the two group had dorsiflexed pattern. The fast group had similar pattern to normal. Thus, the fast group was similar gait pattern to normal.

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Effect of Balance Performance in the Elderly by the Strengthening Exercise (근력강화운동이 노인의 균형수행력에 미치는 영향)

  • Kim On-Ju;Lee Han-Suk;Kim Jong-Youl;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.149-161
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    • 1999
  • The purpose of study wan to compare the effect of balance performance in the elderly by the strengthening exercise. Thirty-one health elderly women aged 60 to 79 years participated in this study. Participants were divided into exercise(21) and control group(10). Exercise participants received strengthening exercise for 45 minutes in three times a week for 6 weeks while control subjects continued their normal activities, Exercise included resisted hip flexion, extension, abduction and adduction, knee flexion and extension, ankle dorsiflexion and plantrarflexion. All subjects were assessmented clinical test of sensory interaction and balance. one leg stance test, Berg balance test. Exercise and control subjects were teated before, midway through, and at the end of the trial. These collected data were analyzed by using oneway and repeated ANOVA, scheffe's test, 1-test and correlation. The results of this study were as fellows. 1. There were statistically significant difference in balance performance clinical teat of sensory interaction, and balance(p<.01), one leg stance test(p<.05), Berg balance test(p<.05) by the strengthening exercise. 2. There was correlation between static balance and dynamic balance(p<.01). 3. There was correlation between static balance and weight(p<.05), dynamic balance and height(p<.01), and weight(p<.01).

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Relationship with Physical Suffering, Emotional State, and Nursing Needs of Pregnant Women in Preterm Labor (조기진통 임부의 신체적 불편감, 정서적 상태 및 간호 요구도와의 관계)

  • Go, Jeong-Im;Kim, Kyung-Hee;Yeoum, Soon-Gyo
    • Women's Health Nursing
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    • v.15 no.4
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    • pp.280-293
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    • 2009
  • Purpose: This study was to identify the relationship between physical suffering, emotional state, and nursing needs of pregnant women in preterm labor and the difference depending on general characteristics. Methods: The participants in this descriptive survey, selected by convenience sampling, were 126 pregnant women who were hospitalized after being diagnosed with preterm labor at 3 university hospitals. Results: The level of personal hygiene was assessed in physical suffering, level of fear was assessed by the emotional state, and level of perterm labor was assessed by the nursing cares. In the analysis, physical suffering, emotional state, and nursing needs in the subjects all showed a significantly positive correlation. Differences in physical suffering, emotional state, and nursing needs depending on general characteristics were as follows; age, job, family type, economic condition, smoking, drinking admission days, previous delivery type, and artificial insemination. Conclusion: Based on the results of this study, the nurse should focus on the domain of personal hygiene, and teaching contents specific for abdominal breathing exercises for relieving the women's fear and anxiety should be added.

Predictive Factors of Supportive Care Needs in Patients with Hematologic Malignancy (혈액암 환자의 지지적 간호 요구도 예측요인)

  • Jung, Ah-Rang;Yi, Myung-Sun
    • Korean Journal of Adult Nursing
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    • v.23 no.5
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    • pp.460-471
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    • 2011
  • Purpose: This study was designed to investigate the levels of anxiety, depression, physical symptoms, and supportive care needs in patients with hematologic malignancy and to identify predictive factors of supportive care needs. Methods: The data were collected from 100 subjects undergoing treatments during 2010 in Korea. The questionnaires included the Hospital Anxiety-Depression Scale, the M. D. Anderson Symptom Inventory, and the Supportive Care Needs Survey-Short Form 34. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. Results: Forty percent of the subjects had anxiety and 58% had depression. Thirty-eight percent of the subjects reported to have moderate-to-severe levels of physical symptoms. The most severe physical symptom was lack of appetite, followed by fatigue and pain. In terms of supportive care needs, the health system and information domain showed the highest among all domains. Supportive care needs had a significant positive correlation with anxiety, depression, and physical symptoms. And its predictive factors were identified as anxiety, physical symptoms and marital status, with the explanatory power of 48.9%. Conclusion: These findings demonstrate that anxiety and physical symptoms should be assessed and treated to meet the supportive care needs of patients with hematologic malignancies.

Effect of Optic pathway on the Proprioceptive Neuromuscular Facilitation (시각회로가 고유수용성신경근촉진법 치료에 미치는 효과)

  • Song, Myung-Soo;Yoon, Hee-Jong;Kim, Tae-Youl;Lee, Kyung-Ok
    • Journal of Korean Physical Therapy Science
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    • v.5 no.4
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    • pp.837-843
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    • 1998
  • The purpose of this study was to examine the effect of optic pathway on human body during Proprioceptive Neuromuscular Facilitation(PNF) treatment. Specifically, it's intened to find out through electromyography(EMG), what kind on change occurred in a patient's muscle when the patient saw the motor direction or when the patient didn't. A pilot experiment Was made over the sophomores of Mokpo Science College the following findings were given; As an EMG was taken over three of muscles that worked during Flexion-Adduction-Ext. Rot., one of the PNF pattern, a patient showed relatively stronger muscle power while watching the movement with his eyes open than the same patient did with his eyes closed, and the disparity between the two cases Was statistically significant(P<0.05). In the pattern of Extension-Abduction-Int.Rot., a patient also showed relatively stronger muscle power while watching the movement than the same patient did without watching it, and the disparity between the two cases also were significant(P<0.05). As seen above, the effect of motor treatment, among physiotherapy methods seemed to be greater if a patient watched the motor direction during treatment, because it gave a stimulus to proprioception.

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A Electromyographic Fatigue Analysis of the Gastrocnemius and Soleus (근전도를 이용한 하퇴삼두근의 근피로 분석)

  • Hong Wan-Sung;Kim Gi-Won;Kim Byung-Kon;Oh Joung-Lim
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.487-497
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    • 2002
  • The fatigue process of the triceps surae was evaluated during a standing heel-rise test, comparising of pre-fatigue and post-fatigue. Sixteen healthy subjects with a mean age of 22.88 years participated. The heel-rise test was performed until exhaustion, and electromyographic activity expressed as mean value and root mean square of the gastrocnemius and soleus muscles were calculated. The average number of heel-rise performed was 63.69$\pm$26.10. The result of this present study indicate that the EMG signal is sensitive to the different muscle fatigue. Mean value and RMS decreased significantly in after fatigue. Significant difference were found between the pre-fatigue and post-fatigue in the total subjects. But there were no significant changes in mean and RMS between the male and female during standing heel-rise test. The present results, showing decreased EMG signal in the triceps surae, could be used as reference when testing the fatigue process in different clinical conditions. Recommendations for standardization of a heel-rise test are given.

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Effects of Instability Tools on Muscles Activities in Lunge Exercise in Healthy Adult Males

  • Kim, KwangSu;Lee, JaeHong;Lee, JinHwan;Lee, JaeKwang
    • The Journal of Korean Physical Therapy
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    • v.31 no.6
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    • pp.363-367
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    • 2019
  • Purpose: This study was to investigate the effect of instability on the activation of lower limb muscles during lunge exercise. Methods: The study subjects were healthy twenties and were selected to have no orthopedic or neurological diseases. 1) Flat lunge exercise (Lunge 1, 2) Lunge exercise on TOGU (Lunge 2, 3) Holding the olympic bar and moving the lunge on TOGU (Lunge 3, 4) Holding the Surge and moving the lunge on TOGU (Lunge 4). Through the above four actions, we can see how the top-down instability influences the lower limb unlike the Bottom-up instability. EMG attachment sites were gluteus medius, vastus medialis, gastrocnemius, tibialis anterior. Results: These result suggest that exercise using Lunge 4 activity was the highest in muscle activity compared to other exercises, but vastus medialis showed the highest muscle activity in Lunge 2 exercise(p<0.05). Conclusion: This study showed the muscular activity of the lower extremities according to the lunge exercise using the instability tools.

The effect of neural mobilization on the grip strength (신경가동술이 악력에 미치는 영향)

  • Jung Yeon-Woo;Seo Hyun-Kyu;Kim Byoung-Gon;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.226-234
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    • 2004
  • The purpose of this study was to evaluate effects of neural mobilization on the grip strength. Subjects were consist of 28 people who had no disorder of upper extremity from 19 to 29 years of age(mean age: 21.86) during 7 day from March 22, 2004 to 30 day. All Subjects received Neural mobilization of upper extremity for 15 minutes during 7 days. Digital grip strength dynamometer was used to measure grip strength. All measurements of each patients were measured at pre-treatment and 7 days post-treatment. The results of this study were summarized as follows : 1. The grip strength wasn't significantly increased between pre-treatment and post-treatment at 1 days(p .05). 2. The grip strength was significantly increased between pre-treatment and post-treatment at 7 days(p .05). 3. The results of analyzed effects of neural mobilization on the grip strength between pre-treatment and post-treatment that wasn't significantly increased at 1days(p.05) but significantly increased at 7days(p .05).

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Meta-Analysis on the Effect of Physical Therapy Methods on Myofascial Pain Syndrome: The Cases of Domestic Research

  • Kim, Chan Myeong;Lee, Jae-Kwang
    • The Journal of Korean Physical Therapy
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    • v.32 no.4
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    • pp.222-227
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    • 2020
  • Purpose: The primary purposes of this study were to identify the degree of the effect size and the variables related to it on the effects of physical therapy on myofascial pain syndrome. Methods: This study collected 15 studies published between 2008.01.01 and 2019.12.31. The Analysis results confirmed 57 effect size data. The random-effect model was chosen because of the heterogeneity of the data. Results: First, the full case showed the largest mean effect size of 2.03 (p<0.001). Second, the size of the effect, according to the handson intervention, was 2.74 (p<0.003). Third, the VAS showed an effect size of 2.30 (p<0.001). Fourth, the intervention period showed a 1- to 15-day effect size of 2.94 (p<0.001). The number of interventions showed a 6 to 10 effect size of 2.84 (p<0.006). The number of participants showed a 10 or less effect size of 2.66 (p<0.001). Finally, the 'Trim and Fill' result confirmed that the calibration effect size was 0.93 (p<0.001). Conclusion: Physical therapy had a great effect on myofascial pain syndrome in the neck and shoulders, and that the effect differed according to the methods of the intervention and the methods of evaluation.