• Journal of the Korean Society of Physical Medicine
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• v.14 no.4
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• pp.183-193
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• 2019

PURPOSE: This study assessed the exercise programs for improving the spinal angle and trunk flexibility by applying the aquatic exercise and sling exercise to young adults with scoliosis. METHODS: The subjects were 14 participants diagnosed with scoliosis. They were assigned randomly either to an aquatic exercise group (n=7) that received the WATSU exercise program or to a sling exercise group (n=7) that received a sling exercise program. The exercise program was 50 minutes once, three times a week, 12 times for four weeks. The spinal angle and flexibility were measured using the Cobb's angle and modified sit and reach test, respectively. Two variables were analyzed before and after the intervention, and the aquatic exercise group and sling exercise group were compared. RESULTS: After the intervention, the Cobb's angle decreased significantly, and the flexibility increased significantly in both groups (p<.05). A larger increase in flexibility was observed in the aquatic exercise group than in the sling exercise group (p<.05). CONCLUSION: These results showed that the two exercise programs improved the spine angle and flexibility. The increased flexibility showed that aquatic exercise was more effective than the sling exercise. Therefore, aquatic exercise and sling exercise can be used in the treatment and prevention of scoliosis.

• Journal of muscle and joint health
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• v.5 no.2
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• pp.222-237
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• 1998

In an attempt to investigate the effect of long-term aquatic exercise program on lower limbs' muscle strength, knee Joint flexion, pain reduction and weight changes with aquatic exercise program. Forty three women with arthritis were pre and post tested for changes of muscle strength, range of motion, weight and pain. This data was collected from April 1, 1997 to February 24, 1998. The mean age was 52.5. Statistically significant in lower limbs' muscle strength with an aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in knee joint flexion with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in pain reduction with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in weight changes with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 6 weeks after experiment. As a conclusion, aquatic exercise programs for the patients with arthritis require at least 12 weeks and a variety of aquatic exercise programs for the effective control should be developed.

• Journal of muscle and joint health
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• v.6 no.2
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• pp.185-196
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• 1999

The purpose of this study was to identify influencing factors adherence and dropout of aquatic exercise in patients who had been diagnosed chronic arthritis. Subjects were 54 patients with rheumatoid arthritis and osteoarthritis who had participated in the 6-week aquatic exercise program in Taejon metropolitan city. Data was collected from march 25 to April 25, 1999 through face to face and telephone interview. Result are as follows. Fourteen subjects(26.0%) were adherer who was keeping aquatic exercise. The reasons of aquatic exercise adherence were improvements of physical and affectional factors. And the major reasons of dropout was an environment factors(65.8%) and second reasons was physical factors(34.2%). Participants of friends(r=.34, p=.014) was significantly associated with the total duration of an aquatic exercise adherence. For these results, the nurse who care to patients with arthritis have to encourage to maintain aquatic exercise within six month after they begin aquatic exercise.

• Journal of muscle and joint health
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• v.15 no.1
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• pp.24-32
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• 2008

Purpose: This study was conducted to develop an advanced aquatic exercise program for the patients with arthritis. Method: This study subjects were six aquatic exercise program instructors of Korean Society Muscle and Joint Health. They withheld several meeting to develop advanced aquatic exercise program. Results: The basic aquatic exercise program which were used since 1996 in Korea consisted of 9 units of ROM exercise in water. The advanced aquatic exercise program for the patients with arthritis consist of 12 units with complex and resistive exercise. Conclusion: This preliminary advanced aquatic exercise program for the patients with arthritis should be investigate for the effectiveness to build a more concrete evidence and utilization.

• Physical Therapy Rehabilitation Science
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• v.7 no.1
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• pp.6-12
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• 2018

Objective: The purpose of this study was to investigate the effects of an additional weight aquatic exercise program on the balance and lower extremity strength on aquatic environment in persons with stroke. Design: Randomized controlled trial. Methods: All subjects were randomly divided into three groups where thirteen subjects were in the additional weight aquatic exercise group, twelve subjects in the aquatic exercise group, and fifteen subjects in the control group. Subjects received a graded aquatic exercise program for 30 minutes, with 3 sessions per week for 6 weeks, and subjects in all groups received conventional physical therapy. All subjects were assessed with the Medical Research Council (MRC), the Berg Balance scale (BBS), Timed Up and Go test (TUG), and 10-meter walk test (10MWT) pre and post intervention. Results: The MRC, BBS, TUG, and 10MWT scores significantly improved post-intervention (p<0.05), and the control group also had significantly improved in all areas post-treatment (p<0.05). In addition, it has been confirmed that the additional weight aquatic exercise group had significantly improved in MRC, BBS, and TUG scores compared with the aquatic exercise and control group (p<0.05). Conclusions: The findings of this study suggested that the additional weight aquatic exercise program improves lower extremity and balance in persons with stroke.

• The Journal of Korean Physical Therapy
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• v.15 no.3
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• pp.189-201
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• 2003

The purpose of this study was to know the effect of aquatic-exercise on muscle atrophy which induced by steroid injection. The forty-eight Sparague-Dawley adult male rats were assigned to the 4 groups; Group I (distilled water injection), Group II (steroid injection), Group III (distilled water injection with aquatic exercise), Group IV (steroid injection with aquatic exercise). We observed their body weight, muscle relative weight, myofibrillar protein content. The results of this study were as follows; 1. Body weight was decreased rapidly on steroid injection groups in comparison with distilled water injection groups after 2 weeks (p<0.01), but that was almost recovered as before test on steroid injection group with aquatic exercise. 2. The relative weight of gastrocnemius muscles was decreased on steroid injection groups in comparison with distilled water injection groups. however, Decrease of it on steroid injection group with aquatic exercise for steroid injection group was fallen. There was very significant difference after 4 weeks (p<0.01). 3. Myofibrillar protein content of gastrocnemius muscles was decreased on steroid injection groups in comparison with distilled water injection groups. however, Decrease of it on steroid injection group with aquatic exercise for steroid injection group was fallen. There was significant difference after 4 weeks (p<0.05).

• Journal of the Korean Society of Physical Medicine
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• v.18 no.2
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• pp.115-123
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• 2023

PURPOSE: This study examined the effects of combined conventional exercise therapy plus respiratory exercise program with combined conventional exercise therapy plus aqua exercise program in the pulmonary function of subacute stroke patients. METHODS: The respiratory exercise program group underwent inspiration and expiration training using the Threshold IMT and Threshold PEP three days per week for four weeks. The aquatic exercise program group had aquatic aerobics, halliwick, and bad ragaz ring training three days per week for four weeks. Before and after the experiment, Pony fx was used to examine the FVC, FEV1, FEV1/FVC, VC, and MVV. RESULTS: Significant improvement was found after the experiment in the FVC. FEV1, VC, MVV, excepting FEV1/FVC, of the pulmonary function in the aquatic exercise program group. After the experiment, significant improvement was found in FVC, FEV1, FEV1/FVC, VC, and MVV of pulmonary function in the respiratory rehabilitation therapy group. No significant difference in FVC, FEV1, FEV1/FVC, VC, and MVV of pulmonary function was observed in the inter-group comparison. CONCLUSION: Significant improvement was found after the experiment in both the aquatic exercise program group and the respiratory exercise program group. No difference in pulmonary function was noted in the inter-group comparison. Therefore, combining general exercise therapy and an aquatic or respiratory exercise program is expected to be effective for the pulmonary function of acute stroke patients. These results are expected to provide basic data to help research intervention of aquatic and respiratory exercise programs for subacute stroke patients.

• Journal of muscle and joint health
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• v.8 no.1
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• pp.5-26
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• 2001

Many studies have reported that regular aquatic exercise can lead to improvement of health for patients suffering from arthritis. In spite of these benefits, the adherence rate has shown as few as 26% of patients with arthritis who had completed the aquatic exercise education program. Moreover, when patients with arthritis begin an aquatic exercise, 47% withdraw within the first 6 month. No study has been found that constructs model to explain aquatic exercise adherence of patients with arthritis. The purpose of this study were to identify the factors influencing exercise adherence and to construct and test a structural model to explain aquatic exercise adherence of patients with arthritis. Hypothesized model was constructed on the basis of Bandura's social cognitive theory and literature review. Exogenous latent variables included in this model are group cohesion and barrier, endogenous latent variables are self-efficacy, outcome expectancy and self-evaluation. Empirical data used was collected through individual interviews with the structural questionnaire on 249 patients with arthritis who had completed the 6-week aquatic exercise education program of Korean Rheumatology Health Professionals Academy. The interviews were performed from September 6, 1999 through October 8, 1999. A model tested by the covariance structural analysis with LISREL 8.12a program and by descriptive statistics and correlation with SAS 6.12 program. The results are summarized as follows: First, hypothesized model showed a good fit to the empirical data. In the modified model added one new path showed a much better fit. Second, group cohesion had a direct, indirect positive effects, self-efficacy and self evaluation had a direct positive effects on exercise adherence. Barrier had a direct, indirect negative effects on exercise adherence. Outcome expectancy had a direct negative effect, indirect positive effects through self-evaluation on exercise adherence, but total effects was not significant. Total effect size of the variables were group cohesion, self-efficacy, barrier and self evaluation in order. All variables accounted for 54% of the total variance of exercise adherence in the model. In conclusion, this model confirmed to be proper in explaining of aquatic exercise adherence. Group cohesion, self-efficacy, outcome expectancy, self-evaluation, barrier contributed to the aquatic exercise adherence of patients with arthritis. The results of this study suggested that improvement of group cohesion, self-efficacy and self-evaluation, motivation of outcome expectancy through self-evaluation, and reduction of the barrier should be included in the strategy of nursing intervention for the aquatic exercise adherence of patients with arthritis.

• Journal of muscle and joint health
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• v.6 no.2
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• pp.317-324
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• 1999

The purpose of this study was to identify the relationship between self-efficacy and adherence of aquatic exercise in patients with chronic arthritis. Subjects were 54 patients with rheumatoid arthritis and osteoarthritis who had participated in the 6-week aquatic exercise program. The results indicated that the relationship between self-efficacy and aquatic exercise adherence in patients with chronic arthritis was statistically significant. A significant difference of self-efficacy was found between adherers and non-adherers and self-efficacy of adherer was higher than that of non-adherer(t=5.21, p=.000). Self-efficacy was significantly associated with the total duration of an aquatic exercise adherence(r=.44, p=.001). Based on these results, self-efficacy was the important factor which affect adherence of aquatic exercise in patients with chronic arthritis. Further study was suggested to identify the relationships among self-efficacy, exercise barrier and other possible factors.

• Journal of muscle and joint health
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• v.22 no.1
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• pp.13-19
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• 2015

Purpose: The purpose of this study was to identify the relationships among network centrality, psychological well-being (PWBS), and intention to exercise maintenance in participants of an aquatic exercise program. Methods: Using a single-experimental design, 17 osteoarthritis patients participated in an aquatic exercise program. The questionnaire to connect the network of members was used to peer nomination by Moreno (1953). Data were analyzed with the UCINET using centrality (degree, closeness, betweenness) and SPSS using descriptive statistics, wilcoxon signed ranked test, and spearman's rho. Results: Closeness centrality, PWBS, and intention to exercise maintenance were significantly different between 4 weeks and 8 weeks. At 4 weeks, PWBS was positively correlated with closeness centrality. Intention to exercise maintenance was positively correlated with degree, closeness, and betweenness centrality. At 8 weeks, PWBS was positively correlated with closeness centrality. Intention to exercise maintenance was positively correlated with closeness centrality. Conclusion: The aquatic exercise program can be effective in increasing closeness centrality, psychological well-being, and intention to exercise maintenance. This was the first study attempted to analyze construction of member relationships in osteoarthritis patients participating an exercise program by using social network analysis.