• 한국보건간호학회지
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• 제13권2호
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• pp.101-114
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• 1999

This study was designed to investigate the effects of an aquatic exercise program on the shoulder joint function. physical symptom. quality of life and stress among the patients who received modified radical mastectomy between 6 to 12 months prior to their visits. The subjects were 31 women aged between 40 and 60 who visited the out-patient department at Kang Nam St. Mary's Hospital for follow-up care. and were not under the treatment of intravenous cancer chemotherapy or radiation therapy. and had no complications. Twelve of them were assigned to the control group. while nineteen subjects to the experimental group. The aquatic exercise program was developed by the author with the assistance of exercise specialists. The program includes warming uP. aerobic and cooling down exercises in water. The aquatic exercise program for the experimental group was carried out 3 times a week with 60 minutes in each time for 8 weeks from September 20th to November 15th. 1995 in a regular swimming pool in Seoul. Changes in the range of motion of the shoulder joint. muscle strength. physical symptom. quality of life. and stress were examined after the completion of treatment. The data were collected through isokinetic muscle strength evaluation and questionnaire survey before and after the treatment. Paired and unpaired t-test were adopted to analyze the data. The results were as follows ; 1. The increment in the range of motion of the shoulder joint in the experimental group after the exercise was significantly greater than those in the control group. 2. The peak torque of shoulder girdle muscles increased significantly after the exercise in the experimental group only. 3. The physical symptom score decreased significantly after the exercise in the experimental group only. 4. The experimental group revealed significantly higher level of quality of life and lower level of stress after the exercise compared with those before the exercise. whereas the control group showed no significant changes in those levels. These findings may indicate that the aquatic exercise program is effective in increasing the range of motion of the shoulder joint and muscle strength and quality of life. and also effective in decreasing physical symptoms. and the level of stress in postmastectomy patients. Accordingly. the acquatic exercise program' can be adopted as an effective nursing intervention for postmastectomy rehabilitation.

• 성인간호학회지
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• 제18권5호
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• pp.798-808
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• 2006

Purpose: The purpose of this study was to investigate the effects of aquatic exercise on rehabilitation in home stroke patients. Method: A quasi-experimental pretest and posttest design was used to examine the change of balance, ADL, IADL, pain, depression and self-efficacy atthe completion of 6-weeks aquatic exercise program. The subjects consisted of 25 adults who had a stroke. Thirteen experimental and twelve control subjects completed pre and post test measures. Outcome variables were balance, ADL, IADL, pain, depression and self-efficacy. Chi-Square test(Fisher's exact method) was used to examine the equality of the subjects and Wilcoxon Rank Sum Test used to examine the group difference by using SAS. Results: There was no significant difference in balance and depression between the two groups. However, there was a significant difference in ADL, IADL, pain and self-efficacy between the two groups. Conclusion: Aquatic exercise can improve ADL, IADL, self-efficacy and reduce pain. Therefore, further research is recommended by increasing the length of aquatic exercise and number of subjects, so that its effects can be more generalizable.

• PNF and Movement
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• 제6권2호
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• pp.1-10
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• 2008

Purpose : The purpose of this study was to investigate the effect of aquatic exercise applied PNF patterns on body composition and balance performance in people who have had a stroke. Methods : Forteen candidates who have all experienced a stroke were participating in a community based rehabilitation program, have been included in this study. The program was conducted three times weekly, 1 hour per session, for 10 consecutive weeks. Subjects were tested with body composition and 5 items of Berg's balance test at pre-training and post-training. Total balance indexes in 3 conditions were measured by K.A.T. 3000. The aquatic exercise applied PNF patterns was consisted of PNF patterns and various aquatic activities. Results : After ten weekends of aquatic exercise training, there were not significant difference in body composition(p>.05) except of muscular weight of affected lower extremity(p<.05). But edema index increased more than pre-training (p<.05). Subjects showed significant difference in Berg's balance test results except of 2 items of Berg's balance test (p<.05). Total balance index score when subjects opened their eyes and didn't hold the handle was decreased less than pre-training(p<.05). Conclusion : The results of this study showed that intervention of this aquatic exercise program applied PNF patterns could increase edema index and muscular weight of affected lower extremity and improve the balance performance in people who have had a stroke.

• 근관절건강학회지
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• 제2권2호
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• pp.131-146
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• 1995

Many arthritis patients experience weakness of muscles in extremities mainly due to disuse atrophy and weight gain because of the limited activities and exercises. This study examines the effects of the 6-week aquatic-exercise program on the body fat and the muscle of the rheumatoid arthritis patients. Seventeen patients in the experimental group and 18 in the control group were assigned depending on their preference and physical condition. These patients had more than 3 points of pain out of 10, deformities in knee, wrist and ankle joints. The amount of aquatic exercise increases from 35 minutes in the first week to 60 minutes in the 6th week. In the resting period they discussed their own experiences about exercise, personal and family affairs, and performed some recreation programs in order to increase the self-efficacy and promote the relationship with other patients by the group activities. Skinfold thickness and circumferences of both extremities were measured before and after experiment to compare the difference. For testing the body fat Saham Model was used. Prior to the experiment two group's body weight, skinfold thickness and skin circumferences were not significantly different which indicates the homogeneity of two groups. Body weight and most parts of skinfold thickness of the experimental group were significantly lower than the control group after 6-week aquatic exercise program. Circumference was not significantly lower than the control after the program. These findings indicate the in-crease of muscle sizes and the reduction of the body fat. Therefore a more active application of aquatic exercise into a variety of clients is strongly suggested.

• 한국산학기술학회논문지
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• 제20권5호
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• pp.267-274
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• 2019

본 연구는 비만관리 교육을 통해 비만에 대한 지식이 선행된 상태에서, 실천한 수중운동 프로그램이 지역사회 비만여성의 신체기능에 미치는 효과를 알아보는데 목적이 있다. 연구대상자는 D광역시 A보건지소의 건강교실에서 참여를 희망한 자로 51세에서 79세의 비만여성 20명이 8주 동안 프로그램에 참여하였다. 비만관리 교육이 포함된 수중운동 프로그램은 주 2회, 20분 동안 비만관리 교육과 60분의 수중운동 프로그램을 포함하여 총 120분으로 구성되었다. 비만관리 교육은 신체활동 실천과 식이섭취 교육에 중점을 두어 실시되었다. 본 연구결과를 통해 8주간의 비만관리 교육을 포함한 수중운동 프로그램 후 비만여성의 복부둘레, 체중, 체질량 지수가 감소되었고(p<.05, p<.001,p<.001), 악력이 증가되어(p<.05), 비만감소와 근력증진에 효과적인 프로그램임을 알 수 있었다. 후속 연구시 연구 대상자의 수를 늘리고, 대조군을 갖춘 실험설계 연구와 대상자가 직접 참여하고 주도하는 참여형 비만관리 수중운동 프로그램으로 개발 할 필요가 있다. 또한, 지속적인 생활습관 개선을 위한 추가적인 전략이 필요함을 제언한다.

• 근관절건강학회지
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• 제6권2호
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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.

• 근관절건강학회지
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• 제2권2호
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• pp.160-167
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• 1995

An aquatic exercise program is one of the nursing intervention for the patients having rheumatoid arthritis. The purpose of this study was to obtain the effect of aquatic exercise program on depression and helplessness in the rheumatoid arthritis patients. Thirty five patients with rheumatoid arthritis were the subjects of this study. who were treated to the rheumatism center at a hospital in Seoul from December 1992 to April 1993. The data were collected before and after aguatic excercise. All data collected were analyzed using percent, t-test, ANCOVA with SPSS $pc^+$ program. The findings of this study were as follows : 1. The score of depression was not different between experimental group and control group(P=0.178). 2. There was significant difference in the helplessness score between experimental group and control group(F=4.60, P=0.039).

• 근관절건강학회지
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• 제11권2호
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• pp.127-135
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• 2004

Purpose: The purpose of this study was to explore the effects of aquatic exercise program on pain, flexibility, grip strength, self-care activities, helplessness in osteoarthritis patients. Methods: This program was carried out three times a week for 6 weeks by 3 groups of patients among 42 patients in regular swimming pool. Data were analysed by paired t-test for pre and post comparison. Results: There were significantly improved in pain flexibility, grip strength, self-care activities and helplessness after the program. However no significant differences were found in fatigue, difficulty of daily living activities and depression. Conclusion: Aquatic program was proved to be an effective nursing intervention to increase the self-care activities flexibility and grip strength, and to decrease pain and helplessness in osteoarthritis patients.

• 기본간호학회지
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• 제15권3호
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• pp.350-359
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• 2008

Purpose: The purpose of this study was to identify change in the exercise behavior and to identify factors influencing long-term adherence to aquatic exercise in patients with arthritis as a follow-up study after five years. Method: Baseline data had been collected using a structured interview 6 months after participants completed the aquatic exercise educational program. This second follow-up data collection included 133 participants from the original baseline study and was done 5 years after the original baseline study. Data was analyzed using SPSS 16 Win program. Results: The stage of change for the participants was as follows: Precontemplation (44.3%), Contemplation (24.1%), Preparation (3.0%), Action (0%) and Maintenance (adherence, 28.6%). The adherers (N=38) had significantly higher scores than non-adherers (N=91) in self-efficacy, outcome expectancy, group coherence and self-evaluation, and significantly lower scores in barriers to exercise. In logistic regression analysis, self-efficacy, group cohesion, barriers to exercise and self-evaluation were associated with exercise adherence (Chi Square=17.14, p=.002). Group cohesion (OR=2.5871, 95% CI=1.094-6.113, p= .030) was the most important factor. Conclusion: Self-efficacy, group cohesion, barriers to exercise and self-evaluation need to be considered in planning exercise programs to improve exercise adherence.

• 대한통합의학회지
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• 제2권4호
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• pp.59-68
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• 2014

Purpose : The purpose of this study was to evaluate the effects of aquatic exercise program on Gross motor function and lower limb control of children with spastic cerebral palsy. Method : The subjects of this study are children with spastic cerebral palsy; 2 patients who agreed with this research, were picked up. Subjects received aquatic exercise training for 6 weeks, which consists of 2 times per week, 30 min of working pattern with floating device for each session. Gross motor function and lower limb control for walking were measured GMFM and SCALE. The intervention were compared by measuring before and after. Result : In GMFM and SCALE of both subjects, the intervention has been improved after the experiment compared to their original status before the intervention. Conclusion : Therefore, the Aquatic exercise is effective in improvement of to improve the gross motor function and lower limb control in chidren with spastic cerebral palsy.