• The Journal of Korean Physical Therapy
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• 제18권1호
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• pp.41-51
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• 2006

Purpose: The purpose of this study was to investigate effects of mobilization combined active movement(SNAGS) on the pain and recovery of function of acute low back pain patients. Methods: The subjects were consisted of 135 patients with acute low back pain. All subjects randomly assigned to mobilization group, stretching exercise group and modality treatment group. The mobilization group received mobilization combined active movement(SNAGS) with modality treatment, exercise group received stretching exercise with modality treatment and modality treatment group received modality treatment. Visual Analogue Scale(VAS) was used to measure patient's pain level and Patient Specific Functional Scale(PSFS) was used to measure patient's functional disability level. Results: The results of this study were summarized as follows : 1. Visual Analogue Scale(VAS) was mobilization group showed significantly decreased more than comparison group(p<.01) and active treatment group showed significantly decreased more than passive treatment group(p<.01). 2. Patient Specific Functional Scale(PSFS) was mobilization group showed significantly increased more than comparison group(p<.01) and active treatment group showed significantly increased more than passive treatment group(p<.01). Conclusion: It maybe suggested that mobilization combined active movement(SNAGS) is beneficial treatment for acute low back pain patient.

• 국제물리치료학회지
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• 제7권2호
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• pp.999-1005
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• 2016

The purpose of this study was to investigate the effects of low-intensity cardiac rehabilitation exercise on the cardiac function and the degree of fibrosis in an older white rat model. This study used male Sprague-Dawley white rats that were 50 weeks old. After the acute myocardial infarction induction, Twenty of the rats were randomly allocated into an experimental group and a control group, and each of the groups consisted of 8 rats. In the experimental group, the exercise was conducted for six weeks, 30 minutes a day, five days a week, using a Rotarod treadmill for animals. The degree of myocardial fibrosis was significantly repressed in the experimental group($13.69{\pm}1.90%$) and in the control group($15.67{\pm}1.54%$)(p<0.05). However, fractional shortening and ejection fraction did not show a significant difference. The results of this study suggest that cardiac rehabilitation with low intensity treadmill exercise repress the myocardial fibrosis.

• 한국운동역학회지
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• 제23권3호
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• pp.261-269
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• 2013

The purpose of this study was to investigate the degree of improvement of scoliosis, muscle function and VAS between the exercise group and the control group after conducting correct posture exercise program with 20 female students diagnosed with scoliosis through PAPS in M middle school for 12 weeks. The conclusion was as follows. Cobb's angle in exercise group was changed from $11.6^{\circ}{\ae}2.5^{\circ}\acute{y} $ to $7.3^{\circ}{\ae}2.0^{\circ}\acute{y} $ which was statistically significant difference (p<.001). However, the change in Cobb's angle was not significant in control group, hence there was no statistically significant difference. The limber back strength was changed from $45.9^{\circ}{\ae}8.7$ kg to $51.6^{\circ}{\ae}14.9$ kg and sit-up was changed from $13.7^{\circ}{\ae}5.1$ times to $12.9^{\circ}{\ae}5.3$ times in exercise group, but they were not statistically significant. Control group also showed no statistically significant change in back strength and sit-up. The degree of VAS was changed from $7.3^{\circ}{\ae}1.6$ to $3.3^{\circ}{\ae}2.4$ which was a statistically significant difference (p<.01) in exercise group. However, there was no statistically significant difference in control group. Consequently, correct posture exercise program was considered to be effective for the reduction of Cobb's angle and degree of VAS for middle school female students with scoliosis. Therefore the correct posture exercise program can be recommended for youth scoliosis to improve and prevent the body imbalance and ultimately for the health of the youths.

• 한국영양학회:학술대회논문집
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• 한국영양학회 2001년도 춘계연합학술대회 초록
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• pp.185.2-185
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• 2001

• 한국산림과학회지
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• 제99권1호
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• pp.47-51
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• 2010

본 연구의 목적은 일회성 산림 걷기 운동이 내당능장애(impaired glucose tolerance, IGT)와 인슐린 비의존성 당뇨병(non-insulin-dependent diabetes mellitus, NIDDM)환자의 혈당치 변화에 어떠한 영향을 미치는 가를 알아보기 위한 것이었다. 연구의 대상자는 노인 여성(n=60)을 IGT 산림 걷기 운동군(n=15; $66.21{\pm}4.16$ yrs), NIDDM 산림 걷기 운동군(n=15; $64.85{\pm}3.23$ yrs), IGT 운동장 걷기 운동군(n=15; $67.44{\pm}1.78$ yrs), NIDDM 운동장 걷기 운동군(n=15; $65.55{\pm}8.21$ yrs)으로 구분하여 운동강도 HRmax 50~60%의 산림 걷기 운동(인터벌+저항성 근육운동)과 운동장 걷기 운동(유산소성 운동) 프로그램을 적용하여 운동 전과 후에 혈당을 측정하여 분석하였다. 그 결과, 첫째 내당능장애군에서 산림 걷기와 운동장 걷기 집단은 운동 후에 모두 유의한 수준에서 혈당치의 감소를 보였고, 둘째 인슐린 비의존성 당뇨병군에서 산림 걷기 집단은 운동 후에 혈당치가 유의하게 감소되었지만 운동장 걷기 집단은 특별한 혈당치의 변화가 없었다. 따라서 본 연구는 유산소 운동으로 지속적으로 운동장을 걷는 운동보다 오르막 내리막 지형을 이용한 인터벌 운동과 저항성 근육운동의 복합 형태인 산림 걷기 운동이 내당능장애와 인슐린 비의존성 당뇨병 환자에 더 효과적인 것으로 제안한다.

• 한국산학기술학회논문지
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• 제13권3호
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• pp.1194-1202
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• 2012

최근에 발견된 Adiponectiin과 gut hormone은 지질대사와 인슐린 저항성, 그리고 식욕에 영향을 주는 것으로 보고되고 있다. 이 연구의 목적은 장기간 트레이닝을 한 고등학교 씨름선수 16명(경량급=8, 장사급=8)을 대상으로 일시적 운동을 실시하여, 운동 전 후의 혈중 Adiponectin과 Gut hormones 농도의 변화와 체중차이에 의한 농도에 차이가 있는지를 구명하고 체중의 차이가 운동의 효과에 어떠한 영향을 미치는지를 구명하고자 하였다. 실험방법으로 일시적 운동프로그램은 40분간 걷기를 한 후, 5분간 all-out 달리기를 실시하였으며 운동 전 후에 혈액을 채혈하여 분석하였다. 이 연구의 결과에서 Adiponectin과 Ghrelin의 농도는 경량급선수가 장사급선수보다 유의하게 높은 것으로 나타났으며(p<.05), 인슐린의 농도에서는 반대로 장사급선수가 경량급선수보다 유의하게 높은 것으로 나타났다(p<.01). 또한, 운동 전 후의 유의한 차이는 오직 글루카곤에서 운동 후에 유의하게 증가하였으며(p<.01), 다른 모든 변인에서 운동 전 후의 유의한 차이는 나타나지 않았다. 이 연구의 결과에서는 Adiponectin과 인슐린, Ghrelin 등의 혈중 농도에 대한 일시적인 운동 효과는 없었으며 체중 차이에 의해서 변화를 보였고, 글루카곤의 경우에만 일시적인 운동에 영향을 받아 증가되는 것으로 나타났다. 따라서 Adiponectin과 인슐린, Ghrelin 등의 농도는 지속적인 운동의 효과와 체중 차이에 영향을 받는 것으로 생각되며 글루카곤은 일시적인 운동에도 효과가 있는 것으로 사료된다.

• 한국산학기술학회논문지
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• 제18권7호
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• pp.140-148
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• 2017

본 연구는 고혈압전단계 남자 대학생들이 단순 일회성 유산소 운동을 운동강도를 달리하여 혈압, 혈중지질, 섬유소용해 인자에 미치는 영향에 대하여 연구하였다. 총 6명이 최종 실험 참가자로 선정되어 일회성 달리기 운동을 저강도(50-60% 여유심박수(Heart rate reserve(HRR)), 중강도(60-70%HRR), 고강도(70-80%HRR)로 실시하였다. 혈압(수축기와 이완기), 혈중지질(총 콜레스테롤(total cholesterol(TC), 고밀도단백질 콜레스테롤(high-density lipoprotein cholesterol(HDL-C)), 섬유소 용해인자(tissue plasminogen activator(tPA) and plasminogen activator inhibitor-1(PAI-1))는 운동 전과 후 그리고 운동 후 60분 각각의 강도마다 측정되었다. 실험결과는 저강도 그룹의 수축기 혈압은 운동 후에 유의하게 상승하였다(p=0.013). 하지만 중강도와 고강도 그룹의 수축기 혈압은 유의미하지는 않았으나 효과크기로 분석시 운동 후 60분에 -1.33과 -1.23으로 큰 효과를 보이며 낮아졌다. HDL-C는 중강도(p=0.003)와 고강도 그룹(p=0.002)에서 운동 후 60분에 유의하게 증하였다. tPA는 중강(p=0.021)와 고강도 그룹이(p=0.042) 운동 후에 유의하게 증가하였다. 그리하여 일회성 중강도와 고강도 운동을 했을 때 운동 후 저혈압이 나타나고 HDL-C가 높아지고 또한 tPA 농도가 높아져서 고혈압 전 단계 젊은 남자들이 지속적인 중강도 이상의 운동을 하게 되면 고혈압과 심혈관질환을 예방하고 지연시킬 것이다.

• 운동영양학회지
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• 제23권2호
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• pp.1-6
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• 2019

[Purpose] Strenuous exercise often induces skeletal muscle damage, which results in impaired performance. Sphingolipid metabolism contributes to various cellular processes, including apoptosis, stress response, and inflammation. However, the relationship between exercise-induced muscle damage and ceramide (a key component of sphingolipid metabolism), is rarely studied. The present study aimed to explore the regulatory role of sphingolipid metabolism in exercise-induced muscle damage. [Methods] Mice were subjected to strenuous exercise by treadmill running with gradual increase in intensity. The blood and gastrocnemius muscles (white and red portion) were collected immediately after and 24 h post exercise. For 3 days, imipramine was intraperitoneally injected 1 h prior to treadmill running. [Results] Interleukin 6 (IL-6) and serum creatine kinase (CK) levels were enhanced immediately after and 24 h post exercise (relative to those of resting), respectively. Acidic sphingomyelinase (A-SMase) protein expression in gastrocnemius muscles was significantly augmented by exercise, unlike, serine palmitoyltransferase-1 (SPT-1) and neutral sphingomyelinase (N-SMase) expressions. Furthermore, imipramine (a selective A-SMase inhibitor) treatment reduced the exercise-induced CK and IL-6 elevations, along with a decrease in cleaved caspase-3 (Cas-3) of gastrocnemius muscles. [Conclusion] We found the crucial role of A-SMase in exercise-induced muscle damage.

• 대한의생명과학회지
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• 제19권3호
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• pp.254-260
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• 2013

The purpose of this study was to survey the effects of Karvonen exercise prescription in coronary artery disease patients reaching age-predicted maximal heart rates with the exercise stress test on hemodynamic responses and cardiorespiratory fitness. The subject group was comprised of acute coronary syndrome (ACS) patients, who were divided into the maximal heart rate (MHR) group that included those who completed the test with their heart rates reaching the number of 220-age and the maximal dyspnea (MD) group that included those who could not continue the test due to respiratory difficulty and were asked to stop the test. Both groups had the exercise stress test before and after the experiment. In the exercise stress test before the experiment, the exercise prescription intensity of Karvonen was set at the target heart rates of 50~85% with a six-week exercise monitoring arrangement. As a result, there were no interactive effects in rest heart rate (RHR) according to time and group, but interactive effects were observed in maximal heart rate (MHR) (P=0.000). Both rest systolic blood pressure (RSBP) and rest diastolic blood pressure (RDBP) had no interactive effects according to time and group. Maximal systolic blood pressure (MSBP) showed significant interactive effects according to time and group (P=0.017). Maximal diastolic blood pressure (MDBP) showed no interactive effects according to time and group, while maximal rate pressure product (MRPP) showed significant interactive effects according to time and group (P=0.003). Maximal time (MT) had no interactive effects according to time and group. $VO_{2max}$ and maximal metabolic equivalent (MMET) showed significant interactive effects according to time and group (P=0.000, P=0.002, respectively), whereas maximal respiratory exchange ratio (MRER) and maximal rating of perceived exertion (MRPE) showed no interactive effects according to time and group. The exercise test that was discontinued as the subjects reached the predicted maximal heart rates considering age did not reach the maximal exercise intensity and accordingly showed low exercise effects when applied to Karvonen exercise prescription intensity. That is, the test should keep going by monitoring cardiac events, MRER and MRPE until the heart rates exceed the predicted MHR by up to 10~12 even after the subject reaches the predicted MHR considering age in the exercise stress test.

• Korean Circulation Journal
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• 제52권8호
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• pp.576-592
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• 2022

Acute heart failure is associated with high mortality and frequent rehospitalization, resulting in enormous healthcare costs and declining physical function, activities of daily living, and quality of life. Cardiac rehabilitation has been recommended as one of the non-pharmacologic treatments for patients with heart failure. However, much of the evidence for cardiac rehabilitation interventions reported to date has been limited to chronic heart failure. In recent years, the effectiveness of rehabilitation intervention in patients with acute heart failure has been reported, led by the Rehabilitation Therapy in Older Acute Heart Failure Patients (REHAB-HF) trial. This review overviews the recent evidence of rehabilitation in patients with acute heart failure.