• The Journal of Korean Physical Therapy
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• 제29권1호
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• pp.1-6
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• 2017

Purpose: This study aimed to demonstrate reduction in stroke symptoms by analyzing the changes in respiratory function and activities of daily living (ADL) after respiratory muscle strengthening exercise in patients who had a stroke and thereby, propose an efficient exercise method. Methods: Twenty patients with hemiplegic stroke were divided into two groups, with 10 patients in each. The control group (CG) received the traditional exercise therapy, and the experimental group (EG) received the traditional exercise therapy combined with expiratory muscle strengthening training. The training continued for 6 weeks, 5 days a week. Forced vital capacity (FVC) and forced expiratory volume at 1 second (FEV1) were measured with a spirometer, $SpO_2$ was measured with a pulse oximeter, and ADL were assessed by using the modified Barthel index (MBI). A paired t test was applied to compare the differences before and after the intervention, and an independent t test was used to compare the differences between the groups. The level of statistical significance was set as ${\alpha}=0.05$. Results: The changes in the FVC and FEV1 values within the group showed significant differences only in the EG (p<0.01). The between-group difference was statistically significant only for FVC and FEV1 in the EG (p<0.01). The changes in $SpO_2$ and MBI within the group showed significant differences only in the EG and CG (p<0.01). Between-group differences were statistically significant only for $SpO_2$ and MBI in the EG (p<0.05). Conclusion: The interventions with active patient involvement and combined breathing exercises had a positive impact on all the functions investigated in this study.

• 한국응용과학기술학회지
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• 제37권4호
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• pp.807-819
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• 2020

본 연구는 노인 스포츠 참여동기와 재미요인, 여가만족 및 운동지속의 관계를 규명하는데 목적이 있다. 자료분석을 위하여 서울 소재의 노인종합복지관에서 스포츠 프로그램에 참여하는 노인을 모집단으로 총 200부의 설문지를 배포하였으며, 불성실한 응답 17부를 제외한 총 183부(91.5%)의 자료를 유효표본으로 사용하였다. 자료처리를 위하여 IBM AMOS 21을 이용하여 빈도분석, 확인적 요인분석, 집중타당도, 판별타당도, 개념신뢰도, Cronbach's α, 상관관계분석, 구조방정식 모형 검증을 실시하였다. 이에 다음과 같은 결과를 도출하였다. 첫째, 노인 스포츠 참여동기는 재미요인에 영향을 미쳤다. 둘째, 노인 스포츠 참여동기는 여가만족에 영향을 미쳤다. 셋째, 노인스포츠 참여동기는 운동지속에 영향을 미쳤다. 넷째, 노인 스포츠 재미요인은 여가만족에 영향을 미쳤다. 다섯째, 노인스포츠 재미요인은 운동지속에 영향을 미쳤다. 여섯째, 노인스포츠 운동만족은 운동지속에 영향을 미쳤다.

• 대한물리치료과학회지
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• 제22권1호
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• pp.43-48
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• 2015

Background : The purpose of this study was find out more effective method for improving muscle strengthening in lower extremities according squatting exercise method among knee joint angle 45, 60, 90 degree and between gym ball behind back and wall. Methods : Participants were 21 university students(males 10, females 11) who didn't have any problem with orthopedic surgery. We divided participants to two groups with gym ball group and wall group. Gym ball group were performance squatting exercise with gym ball behind back. Each group had performance squatting exercise according knee joint angle 45, 60, 90 degree. We collected data from E.M.G of Biceps femoris, Gastrocnemius, Vastus medialis and lateralis, Tibialis anterior in lower extremity according knee joint angle 45, 60, 90 degree of each groups. We analyzed data using by ANOVA and ANCOVA of SPSS PC ver. 12.0 in order to determine more effective method according various squatting exercise. Results : Each groups show significantly difference value of biceps femoris, vastus lateralis and medialis, tibialis anterior, gastrocnemius lateralis and medialis among knee joint angle 45, 60, 90 degree. But there was no significantly difference value between gym ball group and wall group according knee joint angle. Conclusions : We suggested that squatting exercise with gym ball was more effective method improving lower extremity muscle strengthening, and changing knee joint angle was more effective compared than continued knee joint angle.

• The Journal of Korean Physical Therapy
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• 제21권3호
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• pp.25-32
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• 2009

Purpose: This study examined whether breathing exercises might increase the chest expansion and pulmonary function of stroke patients. Methods: Twenty four patients with stroke were assigned randomly into two groups: a combination of diaphragmatic resistive breathing and pursed-lip breathing exercise (CB) group (n=10) and control group (n=14). The CB group completed a 4-week program of diaphragmatic resistive breathing and pursed-lip breathing exercise. The subjects were assessed using the pre-test and post-test measurements of the chest expansion (length for resting, deep inspiration, deep expiration, deep expiration-inspiration) and pulmonary function (forced vital capacity (FVC), forced expiratory volume at one second (FEV1), FEV1/FVC, peak expiratory flow (PEF), vital capacity (VC), tidal volume (TV), expiratory reserve volume (ERV), inspiratory reserve volume (IRV)). Results: A comparison of the chest expansion between the pre and post tests revealed similar rest, deep inspiration, deep expiration, and deep expiration-inspiration lengths in the CB and control groups (p>0.05). A comparison of the pulmonary function between pre and post tests, revealed significant improvements in the FVC, FEV, PEF, VC, IRV, and ERV in the CB group (p<0.05). There was a significant difference in the FVC, FEV1, PEF, VC and IRV between the 2 groups (p<0.05). Conclusion: These findings suggest that breathing exercise should help improve the pulmonary function, such as the volume and capacity. This suggests that the pulmonary functions of stroke patients might be improved further by a continued respiratory exercise program.

• 한국운동역학회지
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• 제29권4호
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• pp.237-245
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• 2019

Objective: The purpose of this study was to investigate the effect of a 12-week Balanching Exercise on posture alignment, and foot plantar pressure balance in female middle students. Method: The subjects consisted of 26 female middle students, Among of 26 people exercise group is 13 persons (age: 14.69±0.48 yrs, height: 156.62±6.96 cm, weight: 50.72±9.94 kg) and control group is 13 persons (age: 14.85±0.38 yrs, height: 158.93±4.44 cm, weight: 54.25±6.60 kg) and they played Balanching Exercise for 12 weeks for 60 minutes a day, three times a week. Results: In this study, the changes of posture alignment of female middle students were analyzed. The results were as follows: head tilt, the shoulder tilt, the pelvis tilt in experimental group and there was statistically significant. Control group was head tilt, the shoulder tilt, the pelvis tilt but there was not statistically significant difference. The changes of foot pressure balance of female middle students were analyzed. The change of the foot pressure balance difference before and after the experimental group decreased by 29.3% from 6.69±3.86% to 4.73±3.57%, which was statistically significant. Control group was increased by 17.6% from 6.30±4.43% to 7.41±3.69% there was not statistically significant difference. Conclusion: The results of this study suggest that Balanching Exercise has a positive effect on improving the posture alignment and has a positive effect on foot pressure balance Research should be continued.

• 대한정형도수물리치료학회지
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• 제28권2호
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• pp.67-75
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• 2022

Background: Scapular winging is a rare disorder that is commonly caused by nerve damage of the dorsal scapular nerve, spinal accessory nerve, or the long thoracic nerve. This affects the scapulohumeral rhythm which may cause abnormal kinetic motion of the shoulder. The purpose of this case report is to describe a self-exercise oriented management incorporating shoulder strengthening to reduce symptoms in a shoulder pain patient with winging scapular. Methods: A 45 year old male patient complained of pain in his both shoulders without any trauma. Shoulders were treated with steroid injections for supraspinatus tendonitis, but although pain improved to some extent, pain and disability continued for 3 months. Both shoulders had pain, decreased active range of motions, muscles weakness, and scapular winging. The patient underwent 9 interventional sessions over 3 months and was managed mainly by self-exercise. The intervention method involved push up plus, sling, muscle strengthening, and stabilization exercises. Loads were increased as symptoms improved. Results: Clinical outcomes were measured at every session. Pain in both shoulders reduced to 0 on a numerical pain rate scale by the 4th session, and the active range of motion was fully recovered. During the 9th session, the strength of the serratus anterior had improved from grade P to G on the right side and grade G to N grade on the left. Conclusion: In this case study, the self-exercise program was effective in reducing pain, increasing active range of motion, and improving muscle strength in subjects with scapular winging.

• Journal of Korean Biological Nursing Science
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• 제25권3호
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• pp.215-227
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• 2023

Purpose: The aim of this study was to develop a mobile app-based musculoskeletal exercise program (AMSEP) for operating room (OR) nurses and evaluate its effects on self-efficacy, the flexibility of the shoulders, lower back, and legs, and musculoskeletal symptoms and fatigue. Methods: The AMSEP was developed based on the information-motivation-behavioral skill model. In total, 48 OR nurses were recruited at a university hospital in Korea and divided into an experimental group (n=24) and a control group (n=24), matched for career experience in the OR. The experimental group participated in the AMSEP, while the control group received a booklet regarding musculoskeletal exercise. Results: The experimental group showed significant increases in self-efficacy (t = -2.77, p = .008) and flexibility of the right shoulder (t = -4.08, p < .001), left shoulder (t = -3.28, p = .002), lower back (t = -3.75, p < .001), and legs (t = -3.96, p < .001) compared to the control group. Musculoskeletal symptoms (t = 2.75, p = .008), and fatigue (Z = -1.98, p = .048) significantly decreased in the experimental group compared to the control group. Conclusion: Our findings indicate that the AMSEP for OR nurses provided information on the prevention of musculoskeletal disorders and methods of exercise, as well as an opportunity for continued exercise performance through self-management. The AMSEP was easily accessible and effective in increasing self-efficacy and flexibility and reducing musculoskeletal symptoms and fatigue.

• 생명과학회지
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• 제22권3호
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• pp.312-317
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• 2012

고강도운동의 지속시간이 백혈구 조성과 T-림프구 활성 보조인자로서의 $CD4^+$와 $CD8^+$수준의 변화 그리고 림프수의 세포사에 미치는 영향을 조사하기 위해 쥐실험을 하였다. 고강도 운동을 매일 20, 60, 그리고 120분 동안 8주간 실시하였다. 혈액내의 총 백혈구 수는 20분간 운동을 했을 때 상승하였고 이것은 다시 120분 까지 대조군의 수준 이하로 감소하였다. 림프구의 수준변화 패턴 역시 운동시간의 영향을 받았으며 그 변화 정도는 총 백혈구의 그것과 유사하였다. 고강도운동을 실시한 쥐의 혈액 내 $CD4^+$와 $CD8^+$의 수준은 운동시간이 120분간 지속될 때까지 변화가 없었기 때문에 T-림프구의 활성에는 영향을 주지 않는 것으로 보인다. 거의 모든 초기단계 및 후기 단계의 림프구의 세포자멸사는 운동시간에 영향을 받지 않았으나 120분간 운동한 그룹에서 후기단계의 림프구 자멸사 수준이 증가되는 것으로 보아 이때 세포노화의 촉진이 일어났으리라 사료된다. 운동시간이 길어질수록 림프구의 괴사 수준이 증가되는 것을 확인 하였고 이에 따라 고강도운동에 의한 림프구 손상과 면역력 저하의 가능성이 예상된다. 본 연구에서 장시간 동안의 고강도 운동은 림프구의 염증관련 기능과 세포 수에 있어서의 손상 등을 일으켜 면역력의 저하를 초래할 수 있다고 보며 따라서 적어도 본 연구조건에 한해서 20분 이상의 고강도운동은 건강유지 차원에서 바람직하지 않다고 판단된다.

• Journal of Biosystems Engineering
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• 제36권4호
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• pp.285-289
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• 2011

Muscle fatigue is characterized as a progressive increase in discomfort arising from the active muscle at moderate load levels are maintained. The median frequency is the most commonly used as a parameter to describe muscle fatigue. However, the estimate of the median frequency is difficult to indicate muscle fatigue because of its high standard deviation and instability. This paper investigates the power changes of the appropriate low frequency band as a fatigue parameter in EMG during isotonic exercise. To select the appropriate band, linear regression lines are employed to calculate the slopes and the coefficient of determination. Three females and seven males volunteered to participate in surface EMG recordings placed on the biceps brachii and each recording experiment continued until their exhaustion. The results of experiment shows that the power changes of the selected low frequency band (15~45 Hz) have linear slopes and high determinant coefficients. Therefore, this fatiguing parameter using the power changes of the low frequency band is valid to measure the state of muscular fatigue.

• International Journal of Advanced Culture Technology
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• 제6권3호
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• pp.77-87
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• 2018

The purpose of this study is to identify the effects of pilates exercises on the body composition and satisfaction level of female college students, and, to do so, pilates classes were provided for female college students for 8 weeks. Their level of satisfaction was surveyed and their body composition before and after participating in the classes was also measured. Out of a total of 40 subjects, those who did not diligently participate in the pilates classes were excluded, and the data of 22 subjects who continued to participate in the classes were analyzed only. The components of body composition measured before and after the 8-week pilates exercise program showed that body fat percentage and abdominal fat percentage were reduced, while lean body mass increased. The level of satisfaction of the group of those who performed pilates exercises for 8 weeks showed positive effects. It will be necessary to develop various systematic and science-based pilates exercise programs that are customized for different age groups in order to reduce the level of the components of body composition associated with obesity.