• Title/Summary/Keyword: 골 건강

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The Evaluation of Tai-Chi Self-help Program for Osteoarthritis Patients (골관절염 환자의 타이치 자조관리 프로그램 효과)

  • Choi, Mi-Kyung;Won, Dong-Hee;Kim, Yeoun-Ju;Choi, Mi-Ok;Lim, Nan-Young;Song, Jung-Hee
    • Journal of muscle and joint health
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    • v.14 no.1
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    • pp.42-51
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of Tai-Chi self-help program for osteoarthritis patients. Method: This study was performed from 1th August. to 30th Dec. 2006. 27 osteoarthritis patients were participated in the Tai-Chi self-help program. Outcome measures were pain, flexibility and balance, self-efficacy. Data were analysed by SPSS WIN 12.0. Result: There were statistically significant in balance and knee flexibility. but no significant differences were found in pain and self-efficacy. Conclusion: In conclusion, Tai-Chi self-help program was proved to be an effective nursing intervention to increase the balance and flexibility. Also 12 forms of Tai-Chi self-help program has been found safely applicable to the patients with osteoarthritis for 8 weeks. A rigorous research design should be further considered to identify the long-term benefit for this population.

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A Survey on the Need for Mobile Application Content for Self-Management of Patients with Osteoarthritis (골관절염 대상자의 자기관리 모바일앱 개발을 위한 콘텐츠 요구도 조사)

  • Park, Ju-Young;Son, Jung Tae
    • Journal of muscle and joint health
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    • v.27 no.3
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    • pp.211-218
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    • 2020
  • Purpose: This study aimed to identify and prioritize the content needs of patients with osteoarthritis (OA) for developing self-management mobile applications. Methods: A total of 126 participants with OA were recruited from two orthopedic hospitals. They completed the self-report questionnaires after providing written informed consent. The Borich needs assessment model was used to assess the perceived level of competence and perceived level of importance regarding 21 items for self-management of OA. The collected data were weighted and ranked in order of priority. Results: The top five content items needed by OA patients were 'How to avoid excessive use of the joints' (15.03); 'Lifestyle tips on the prevention and management of arthritis' (13.69); 'Exercise types and procedures for OA' (12.54); 'Good and bad exercises for the joints' (9.80); and 'Precautions for exercise (duration, frequency, safety)' (8.88). Need rankings related to causes and treatment of OA were relatively low. Conclusion: OA patients requested self-management competencies that should be practiced in daily activities to reduce the discomfort. The results of this study have practical implications for defining the content of self-management applications for patients with OA. Based on the results, developing a self-management intervention program for OA patients using a mobile is recommended.

Effects of Tai Chi Exercise Program on Physical Fitness, Pain, and Self-efficacy in Patients with Osteoarthritis (타이치 운동프로그램이 골관절염 환자의 체력, 통증, 자기효능감에 미치는 효과)

  • Lee, Yun-Jeong;Lim, Nan-Young
    • Journal of muscle and joint health
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    • v.16 no.1
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    • pp.26-35
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    • 2009
  • Purpose: The purpose of this study was to investigate the effects of Tai Chi exercise program on physical fitness, pain, and self-efficacy in patients with osteoarthritis. Method: A preexperimental research design was applied to 22 subjects who dwelled at a welfare institution in C-city and agreed to participate in this study. The Tai Chi exercise was conducted with a duration of 60 minutes per session twice a week for 9 weeks. Outcome measures were physical fitness($VO_{2}max$, strength, flexibility, foot power, agility, balance), pain, and self-efficacy. Data were analyzed by descriptive statistics and paired t-test. Result: After participating in the Tai Chi exercise program, the subjects showed significant improvements in strength, agility, balance, pain and self-efficacy. But there were no significant differences in $VO_{2}max$, flexibility and foot power. Conclusion: The results showed that Tai Chi exercise would partially improve physical fitness and be effective for pain reduction and self efficacy as well. Further studies are needed to confirm the effects of Tai Chi exercise on physical fitness.

Effects of Water Exercise Program on Physical Fitness, Pain and Quality of Life in Patients with Osteoarthritis (수중운동 프로그램이 골관절염 환자의 체력, 통증 및 삶의 질에 미치는 영향)

  • Choi, Hee-Kwon;Kim, Nan-Soo;Kim, Hyun-Soo
    • Journal of muscle and joint health
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    • v.16 no.1
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    • pp.55-65
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    • 2009
  • Purpose: The purpose of this study was to determine the effects of water exercise program on physical fitness, pain and quality of life(QoL) in patients with osteoarthritis. Methods: Thirty-four old women were divided into the exercise(EG, n=18) and control groups(CG, n=16) after 6-week self-help education program. The EG carried out 6-week supervised water exercise program(60min/day, 2days/wk). Physical fitness, pain, and QoL were assessed by Senior Fitness Test Manual(Rikli & Jones, 2005), Pain rating scale(0-10) and World Health Organization QoL BREF(Min et al., 2000), respectively. Results: Both EG and CG increased upper and lower-body strength(all, p<.05), which were measured by arm curl and chair stand, respectively. For flexibility test, the EG increased upper and lower body(all, p<.05). Balance of the EG increased(p<.05), but not in the CG. Pain significantly decreased in the EG post training(p=.000). However, both EG and CG did not significantly improve for QoL. Conclusion: Six weeks of water exercise program did induce significant improvement in physical fitness and pain control in patients with osteoarthritis.

외과적 치주낭 제거 술식에 관한 소고

  • Jeong, Jin-Hyeong
    • The Journal of the Korean dental association
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    • v.25 no.2 s.213
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    • pp.117-122
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    • 1987
  • 외과적 치주처치의 근본 목적은 치주낭을 제거함으로써 질환의 진행을 정지시키고 치주조직을 건강한 상태로 회복시켜 주는데 있다. 임상에서 적용할 수 있는 외과적 처치술식은 치주낭의 깊이, 부착치은의 폭경, 치조골의 상태, 염증의 진행정도 등의 사항을 고려하여 선택되어져야 하며, 대표적인 술식으로는 치은 절제술(gingivectomy), 치은 판막술(modified Widman flap, open flap curettage)등을 들 수 있다. 치은 절제술은 치은조직을 제거해야 한다는 의미에서 볼 때 부착치은의 넓이와 골내낭의 유무를 판단하여야 하며 치은판막술은 깊은 치주낭을 성성하고 있거나 골내낭이 있거나 부가적인 치조골의 처치가 필요한 경우 시행될 수 있다. 그러나 외과적 치주처치의 어떤 방법을 택하던지간에 계속적인 치태관리가 더 중요한 요인으로 강조되어야 한다.

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Problems with Bone Health and the Influencing Factors of Bone Mineral Density in Women across the Life Cycle (여성의 생애주기별 골건강 문제 및 골밀도 영향요인: 2010년 국민건강영양조사 자료 이용)

  • Chun, Nami;Chae, Hyunj
    • Women's Health Nursing
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    • v.21 no.1
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    • pp.43-54
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    • 2015
  • Purpose: This study was conducted to identify the problem of bone health and potential influencing factors of bone mineral density (BMD) for women across the life cycle of menopause. Methods: Complex sampling design data analysis was performed on the fifth Korea National Health and Nutrition Examination Survey 2010 in order to identify the problems with bone health, BMD and its influencing factors in 3,499 women who answered the menopausal status. Women's life cycle was categorized by premenopausal, postmenopausal, and elderly. Results: 35.1% of premenopausal women, 73.3% of postmenopausal women, and 96.0% of elderly women had problems with bone health that were related to low BMD. Influencing factors of BMD were residential area, alcohol drinking, and body mass index (BMI) for premenopausal women; age, residential area, education, marital status, income, and BMI for postmenopausal women; and age, education, and BMI for elderly women. Conclusion: Problems with bone health required to be considered as a major health problem in all women regardless their life cycle. Interventions to maximize BMD need to be developed by considering its influencingfactors across the women's life cycle.

Prevalence and Related Factors of Knee Osteoarthritis in Rural Women (농촌여성의 무릎 골관절염 유병률 및 관련요인)

  • Seo, Joong-Hwan;Kang, Pock-Soo;Lee, Kyeong-Soo;Yun, Sung-Ho;Hwang, Tae-Yoon;Park, Jong-Seo
    • Journal of agricultural medicine and community health
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    • v.30 no.2
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    • pp.167-182
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    • 2005
  • Objectives: This study was performed to investigate the prevalence of knee osteoarthritis according to the criteria of diagnosing knee osteoarthritis in rural women and the factors related with this disease. Methods: The data obtained from 200 women older than 40 years of age residing in 5 Ri's in Goryeong-gun. Gyeongsanbuk-do by random cluster sampling from September to October 2002. Knee osteoarthritis was determined positive according to the Kellgren and Lawrence classification and knee pain. Results: Among these subjects, 71.0% showed more than grade 2 in radiologic finding and the rate of knee pain according to the survey was 67.0%. The rate of subjects meeting the criteria of knee osteoarthritis was 54.0%. According to univariate analysis, the prevalence of knee osteoarthritis increased with age and those farming people and people working in household industry was significantly high at 58.9% compared with others. The prevalence of knee osteoarthritis showed a significant relationship with the family history and past history of knee injury and knee surgery(p<0.01), and diabetes mellitus(p<0.05). The score of ADL was significantly different in the subjects with knee osteoarthritis compared with normal group(p<0.05). When the presence of knee osteoarthritis and the period of the life style of seating down on the floor were compared, a significant difference was present between the osteoarthritis group and normal group. As for metabolic factors, the blood sugar level, bone density, and body mass index(BMI) were significantly different in the osteoarthritis group compared with normal group. When multiple logistic regression analysis was performed with the presence of knee osteoarthritis as the dependent variable, the prevalence of knee osteoarthritis was significantly affected by older age, subjects farming or working in household industry, the history of knee injury, the history of surgery, higher blood sugar level, and higher BMI. Conclusions: These subjects need an intervention through self-care programs such as exercise for preventing osteoarthritis, weight control programs, other exercise programs strengthening knee joints, and guidelines when working in vinyl houses.

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THE STUDY OF THE CHANCES IN SKELETAL MATURITY ACCORDING TO THE TIME PASSED FROM MENARCHE (초경이후 경과시간에 따른 골성숙도의 변화)

  • Lee, Sung-Ja;Chung, Kyu-Rhim;Park, Young-guk
    • The korean journal of orthodontics
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    • v.28 no.3 s.68
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    • pp.409-417
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    • 1998
  • The 123 left hand-wrist radiographs and menarcheal ages attained by direct questioning to patients or her mothers are used, in order to exploit the relationship between the bone maturity and the menarcheal age of girls in adolescence. The results were as follows, 1. The mean age at menarche was $12.31{\pm}0.99$. 2. The onset of menarche occurred at SMI 7 and SMI 8 ($73.33\%$). The onset of menarche was correlated with skeletal age rather than chronological age. 3. There was statistically significant difference among the time passed from menarche according to skeletal maturity level. 4. The distal epiphyseal union of radius began at about 20 months after menarche. 5. In comparision of the time intervals from menarche to radial epiphyseal fusion among early, average, and late menarcheal age groups, late group had lesser time interval than other two groups.

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The Verification of Physique and Physical Fitness Differences Through Bone Age and Chronological Age Among Adolescents (청소년들의 골연령과 역연령을 통한 체격과 체력의 차이 검증)

  • Kim, Dae-Hoon;Yoon, Hyoung-Ki;Oh, Sei-Yi;Lee, Young-Jun;Kim, Buem-Jun;Choi, Young-Min;Song, Dae-Sik;An, Ju-Ho;Seo, Dong-Nyeuck;Kim, Ju-Won;Na, Gyu-Min;Oh, Kyung-A
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.1
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    • pp.318-331
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    • 2021
  • This study was conducted on the assumption that bone age would be more effective when it comes to physique and physical fitness assessment for adolescents, and the purpose of this study was to identify the differences in physique and physical fitness for students in their adolescence through bone age and chronological age in order to contribute to the well-balanced physique and physical fitness development in adolescents and the health improvement in students. Total 874 adolescents(483 males, 391 females) aged 11~16 were selected as subjects out of the total population of 1100 adolescents aged 6~16 based on the PAPS(Physical Activity Promotion System) and age standards of the TW3 method; and skeletal maturation, which symbolize the indicators of biological maturation, were evaluated by using the TW3(Tanner-Whitehouse 3) method after hand-wrist radiographs, and birth date was used for chronological age. A stadiometer and InBody 270 (Biospace, Korea) were used to measure 2 components in physique. A total of 7 components in physical fitness, which included muscular strength, muscular endurance, flexibility, power, cardiovascular endurance, balance, agility, were measured as well. A independent samples t-test was conducted for data processing using SPSS 25.0, and the significance level was set at p< .05. The study results are as follows. First, bone age and chronological age used for physique comparison in males aged 11 and 12, height and weight showed significant difference; in males aged 13, weight showed signicant difference. Weight and height in females aged 11, and height in females aged 12 showed significant difference. Second, bone age and chronological age used for physical fitness comparison in males aged 11, muscular strength, power, flexibility, cardiovascular endurance showed significant difference; in males aged 12, muscular strength. power, cardiovascular endurance; in males aged 13, flexibility showed significant difference. Muscular strength, power, flexibility, muscular endurance, cardiovascular endurance in females aged 11, and flexibility in females aged 14 showed significant difference. As a result, this study concluded that in a period of rapid skeletal growth, evaluating physique and physical fitness based on bone age is more accurate than evaluating based on chronological age.

Joint Pain in Patients with Osteoarthritis: Based on the 5th KNHNES (우리나라 골관절염 환자의 관절통증: 2012년 국민건강영양조사 자료를 이용하여)

  • Lee, Jinsook
    • Journal of muscle and joint health
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    • v.23 no.3
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    • pp.152-158
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    • 2016
  • Purpose:The purpose of this study was to examine the degree of joint pain, limitation of daily activities, and frequency of outpatient visits. Methods: This secondary analysis study used the data from the fifth Korean National Health and Nutrition Examination Survey (KNHNES). The data about general characteristics, prevalence and treatment of osteoarthritis, limitation of activities of daily living (ADL) and frequency of outpatient visits and hospitalization in 424 osteoarthritis patients over 50 years old were derived from the database. Data were analyzed with complex samples in SPSS ver. 20.0. Results: Among people with knee joint pain, 79.3% reported they had more than 4 out of 10 points of the degree of pain. Meanwhile, 97.3% of people with hip joint pain reported that they had more than 4 out of 10 points of the degree of pain. People reporting 10 out of 10 point of pain were 21.4% of those with knee joint pain and 25% of those with hip joint pain. The mean of the degree of knee joint pain was 6.35, and the mean of the degree of hip joint pain was 6.89 out of 10 points. About 50% of people with osteoarthritis visited an outpatient clinic within the last 2 weeks, and 27% had limitation of ADL. Conclusion: It is necessary to develop an integrated intervention program to improve quality of life in patients with osteoarthritis.