• Title/Summary/Keyword: (physical) Health

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The Effect of External-feedback Weight-bearing Training Protecting a Fall in Hemiplegic Patients (성인 편마비환자의 외적 되먹임 체중부하훈련이 낙상예방에 미치는 효과)

  • Rha, Young-Hyoun;Goo, Bong-Oh;Rho, Min-Hee;Ahn, So-Youn
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.2
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    • pp.143-150
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    • 2007
  • Purpose : This article was a quasi-experimental study that applies to external -feedback weight-bearing training among hemiplegic patients with a stoke. Methods : It examined whether position sense and balance can improve fall efficacy and prevent a fall. The subject of study was divided in two; Experimental group had 18 people and control group had 16 people. It took 8 weeks to finish training. Experimental group provides external-feedback weight-bearing training for ten minutes after neurological treatment for 20 minutes and control group provides nerves treatment for 30 minutes. To find the effect of a fall assessed position sense, balance and fall efficacy of the lower limbs before the fact, after 4 weeks and 8 weeks. Results : According to the conclusions, external-feedback weight-bearing training to prevent a fall was more effective intervention in experimental group than in control group. Conclusion : This study suggests that external-feedback weight-bearing training is a intervention to prevent the fall of hemiplegic patients with a stroke effectively.

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Effects of Changes in Postural Alignment on Foot Pressure and Balance of Patients with Stroke (뇌졸중 환자에서 자세정렬변화가 족저압 및 균형에 미치는 영향)

  • Yang, Dae-Jung;Park, Seung-Kyu;Kang, Jeong-Il;Park, Seong-Bin
    • The Journal of Korean Physical Therapy
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    • v.26 no.4
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    • pp.226-233
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    • 2014
  • Purpose: This study was conducted in order to investigate the exercise limit that may occur depending on changes in postural alignment by examining the significance of postural alignment changes, foot pressure, and balance of patients with stroke. Methods: In this study, 50 patients diagnosed with a stroke were selected as subjects. Imbalance of postural alignment of the trunk, pelvic tilt of trunk rotation of the body, angle of kyphotic curving of the thoracic, and angle of lordotic curving of the lumbar vertebra were measured. Foot pressure was examined by measuring average pressure and weight bearing. Balance was examined by measuring the center of pressure and limit of stability. Results: The significance of postural alignment, foot pressure, and weight bearing of the non-paretic side was examined. In addition, the significance between postural alignment and balance was examined. Conclusion: It is thought that limits of foot pressure and balance in the standing position can be caused by postural alignment. Thus, both a therapeutic intervention program and postural alignment training should be provided together in order to improve the function of patients with stroke.

Promoting Mobility in Older People

  • Rantanen, Taina
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.sup1
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    • pp.50-54
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    • 2013
  • Out-of-home mobility is necessary for accessing commodities, making use of neighborhood facilities, and participation in meaningful social, cultural, and physical activities. Mobility also promotes healthy aging as it relates to the basic human need of physical movement. Mobility is typically assessed either with standardized performance-based tests or with self-reports of perceived difficulty in carrying out specific mobility tasks. Mobility declines with increasing age, and the most complex and demanding tasks are affected first. Sometimes people cope with declining functional capacity by making changes in their way or frequency of doing these tasks, thus avoiding facing manifest difficulties. From the physiological point of view, walking is an integrated result of the functioning of the musculoskeletal, cardio-respiratory, sensory and neural systems. Studies have shown that interventions aiming to increase muscle strength will also improve mobility. Physical activity counseling, an educational intervention aiming to increase physical activity, may also prevent mobility decline among older people. Sensory deficits, such as poor vision and hearing may increase the risk of mobility decline. Consequently, rehabilitation of sensory functions may prevent falls and decline in mobility. To promote mobility, it is not enough to target only individuals because environmental barriers to mobility may also accelerate mobility decline among older people. Communities need to promote the accessibility of physical environments while also trying to minimize negative or stereotypic attitudes toward the physical activity of older people.

Change and Development of Proprioceptive Neuromuscular Facilitation (고유수용성신경근촉진법의 변화와 발전)

  • Bae, Sung-soo;Lee, Hyun-ok;Goo, Bong-oh;Kim, Sang-soo;Kim, Tae-yoon;Hwang, Seong-soo
    • PNF and Movement
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    • v.1 no.1
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    • pp.27-32
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    • 2003
  • Objectives : The purpose of this study was conducted to find change and development of the proprioceptive neuromuscular facilitation(PNF). Methods: This is a literature study with books, seminar and book for the international courses. Results: Combination of isotonic has been started by Mr and Mrs Johnson after Miss Knott passed away. It is that the terms of maximum resistance changed into optimal or appropriate resistance. It is focus on activities. Maximum resistance focus not only activities but also irradiation have to fit with normal functions. PNF has enough for the motor control concepts and international classification of functioning(ICF)of WHO. Conclusions: PNF has changed and developed with giving resistance method. It is that changed from maximal resistance to optimal resistance. But it is smaller concept than maximum resistance. Even though PNF founded 60 years ago, it is enough for new concepts that is motor control and learning.

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Health Status of Elderly Living in a City (노인의 건강상태)

  • So, Hee-Young;Kim, Hyun-Li;Liu, Ming Ren
    • The Korean Journal of Rehabilitation Nursing
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    • v.7 no.2
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    • pp.169-178
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    • 2004
  • Purpose: This study examined the health status of elderly. Method: This is a survey using cross-sectional design. The subject were 122 elders who were 65 and over in Daejeon. Instrumental activity of daily living, nutrition and Body mass index for physical health status, social engagement for social health status, and depression and loneliness for emotional health status were measured. Results: Independent level was medium, and nutrition and BMI were normal level. Social engagement score was 2.38 which means low. Mean depression level was 7.71 and mean loneliness level was 56.77, which means high. The risk factors for vulnerable health status were no spouse, lower pocket money, living at institution, poor subjective health status. Conclusion: This finding indicates that the elderly subjects were in normal physical health status, but social and emotional health status were poor.

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Gender Specific Comparison of the Influencing Factors on Health Status among Service Workers (서비스업 근로자의 건강수준에 영향을 미치는 요인 성별 비교)

  • Kim, Souk Young;Kim, Hee-Jeong;Kim, Jeong-Hee
    • Korean Journal of Occupational Health Nursing
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    • v.17 no.2
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    • pp.191-201
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    • 2008
  • Purpose: The purpose of this study were to investigate the health status and to identify the influencing factors on health status by gender among service workers. Method: Data were collected from the self-reported survey of 781 service workers in sales, food & lodging industry. The data were analyzed by descriptive statistics and multiple linear regression analysis using SPSS Win 10.0. Result: The influencing factors of male workers' health status were job satisfaction, standing hour during work time, physical work environment, job demand and family support. The influencing factors of female workers' health status were job satisfaction, emotional labor, physical work environment, regular exercise, standing hour during work time, social support and age. Conclusion: Gender specific occupational Health program for service workers should be developed in consideration of these influencing factors.

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Case Study of 4-Bar Linkage KAFO in Person With Poliomyelitis (소아마비에서 4절 연쇄 장하지보조기 사례연구)

  • Kim, Jang-Hwan;Kwon, Oh-Yun;Yi, Chung-Hwi;Cho, Sang-Hyun;Cynn, Heon-Seock;Choi, Heung-Sik
    • Physical Therapy Korea
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    • v.20 no.1
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    • pp.18-27
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    • 2013
  • The purpose of this study was to compare the ring lock type knee-ankle-foot orthosis (KAFO) with newly developed 4-bar linkage KAFO on the gait characteristics of persons with poliomyelitis clinically. This 4-bar linkage is the stance control type KAFO which provide the stability during stance phase and knee flexion during swing phase. Two subjects participated in this study voluntarily. We provided the customized 4-bar linkage KAFO then asked the subjects to walk in level surface and stairs under the two different KAFO conditions. The characteristics of gait in the persons with poliomyelitis were evaluated using a 3D motion analysis system and force plate. Additionally 6 minute walk test for physiological cost index were conducted using pulse oximeter to measure the energy consumption. In the results of this study, the differences of 4-bar linkage KAFO compared with ring lock type KAFO are as follows: (1) Walking speed, stride length, and step length on level increased in subjects, (2) The gait symmetry was improved by generated knee flexion and decreased pelvic external rotation on level and stairs walking, (3) Decreased vertical excursion of center of mass and pelvic elevation during swing phase was decreased on level, (4) Knee extension moment, hip flexion moment, hip and knee internal rotation moment of non-braced limb were decreased on level walking, (5) Walking speed in 6-minute walk test was increased and physiological cost index was decreased. These findings indicate that 4-bar linkage KAFO compared with ring lock type KAFO is effective in enhancing pattern, endurance, and energy consumption in level surface and stairs walking.

Relationship between Physical Function Factors and Discrimination Experiences of the Elderly in Korea: The 2014 and 2017 National Survey on Living Conditions and Welfare Needs of Korean Older Persons (우리나라 노인의 신체기능 요인과 차별경험의 관련성 연구: 노인실태조사(2014, 2017) 자료 분석)

  • Lee, Kyuhee;Yong, Wangshik;You, Changhoon;Lee, Yongjae;Chung, Woojin
    • Health Policy and Management
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    • v.29 no.4
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    • pp.454-468
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    • 2019
  • Background: Supporting the elderly population is presented as a social issue, and it affects age discrimination, which forms a negative perception and avoids the elderly. Since age discrimination lowers the quality of life of the elderly and hinders social unity, it may be important to research related factors. This study examined the physical function as a factor that influences discrimination experiences and aimed to identify the relationship between physical function factors and discrimination experiences. Methods: In this study, we analyzed 20,225 elderly from the 2014 and 2017 survey of living conditions and welfare needs of Korean older persons, conducted nationwide among older than 65 years. Physical function factors are activities of daily living, instrumental activities of daily living, sight discomfort, hearing discomfort, chewing discomfort, and leg strength as factors of interest. We performed multivariable logistic regression that reflected survey characteristics, adjusting for socio-demographic factors, health related factors, and social-support factors. Results: The number of elderly who faced discrimination experiences was 1,175 (5.8%). The results showed that the odds ratio of facing a discrimination experience in the dependent group was significantly higher compared to the independent group when being transferring out of the room (4.05; 95% confidence interval [CI], 1.50-10.88) and difficulty in hearing (1.25; 95% CI, 1.05-1.49). Even with respect to chewing ability, which was significant in models 1 and 2, they face more discrimination experiences (1.30; 95% CI, 1.11-1.53). Conclusion: These research results indicate that an important strategy for preventing age discrimination is to understand the physical function conditions of the elderly and promote the physical functions of the elderly related to transferring, hearing, and chewing; it is necessary to develop a practical intervention plan that considers these aspects.

The Value of the Liberal Arts Physical Education Class for the Future Wellness Life (미래의 웰니스 삶을 위한 대학 교양체육수업의 가치)

  • Park, Hyoung-Kil
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.41-50
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    • 2020
  • The purpose of this study is to identify the value of the liberal arts physical education class that contribute to the future wellness life. For this study, the records of the participants in the study were analyzed in nine participants who participated in the liberal arts physical education class of Seoul * University in 2019 during the first semester. The results of this study are as follows. First, students' interest in health increased through the liberal arts physical education class, and students set their life expectancy and confirmed diseases that are obstacles to living happily. And they became aware of the importance of health. Second, students' interest in health increased and they performed behaviors for health. Students reflected on their current life, reflected on bad lifestyles, and confirmed the importance of regular exercise and desirable eating for health. Third, students experienced positive changes in life by performing life movement and healthy life. Students performed regular exercises for health, improved eating habits, and practiced healthy lifestyles. By practicing these actions, these students laid the foundation for future wellness life. In the end, students have laid the foundation for healthy and happy life through the liberal arts physical education class. Therefore, it is thought that the liberal arts physical education class needs to be more activated in order to pursue wellness life for future health and happiness.

Non-Exercise VO2max Estimation for Healthy Young Adults (젊은 정상성인의 비운동 VO2max 추정식)

  • Lee, Jung-Ah;Cho, Sang-Hyun;Yi, Chung-Hwi;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.12 no.3
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    • pp.74-83
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    • 2005
  • The purpose of this study was to produce the regression equation from non-exercise $VO_{2max}$ of healthy young adults and to develop a maximal oxygen consumption ($VO_{2max}$) regression model. This model was based on heart rate non-exercise predictor variables (rest heart rate, maximal heart rate/rest heart rate), as an extra addition to the general regression which can reflect an individual's inherent or acquired cardiorespiratory fitness. The subjects were 101 healthy young adults aged 19 to 35 years. Exercise testing was measured by using a Balke protocol for treadmill and indirect calorimetry. The prediction equation was analyzed by using stepwise multiple regression procedures. The mean of $VO_{2max}$ was $39.02{\pm}6.72\;m{\ell}/kg/min$ (mean${\pm}$SD). The greatest variable correlated to $VO_{2max}$ was %fat. The predictor variable used in the non-exercise $VO_{2max}$ included %fat, gender, habitual physical activity and $HR_{max}/HR_{rest}$. The non-exercise $VO_{2max}$ estimation was as follows: $VO_{2max}$($m{\ell}/kg/min$)=55.58-.41(%fat)+.59(physical activity rating)-2.69($HR_{max}/HR_{rest}$)-5.36 (male=0, female=1); (R=.85, SEE=3.64, R2=.72: including heart rate variable); $VO_{2max}$($m{\ell}/kg/min$)=48.47-.41(%fat)+.45(physical activity rating)-5.12 (male=0, female=1); (R=.84, SEE=3.74, R2=.70: with the exception of heart rate variable). As an added heart rate variable, there was only a 2% coefficient of determination improved. Therefore, these results demonstrated that heart rate variable correlation with a non-exercise regression model was very low. In conclusion, for healthy young korean adults, those variables that can affect non-exercise $VO_{2max}$ estimation turned out to be only % fat, gender, and physical activity. We suggest that further research of predictor variables for non-exercise $VO_{2max}$ is necessary for different patient groups who cannot perform maximal exercise or submaximal exercise.

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