• Title/Summary/Keyword: Dynamic Exercise

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A Survey on Space Use by Program of Skilled Nursing Facilities for the Elderly (노인전문요양시설의 프로그램 실시 공간 사용실태)

  • Lee, Min-Ah
    • Journal of the Korean Home Economics Association
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    • v.43 no.10 s.212
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    • pp.125-139
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    • 2005
  • The purpose of this study was to provide basic information about the program space planning of skilled nursing facilities for the elderly in order to consider elderly health and diversity and to improve their rehabilitation ability. A mail survey was undertaken and 58 out of 78 facilities $(74.4\%)$ responded to the questionnaire. The answers of $56 (71.8\%)$ were used for analysis. The results of the study were as follows. Many programs, especially exercise, recreation, and facility events programs that require dynamic activity, were conducted in the lounge of the facilities because that area was wide with various equipments such as tables, sofas, and sound facilities, and did not require any huge movements of the elderly since it was very close to the elderly individual rooms. The art and human knowledge programs, managed with small groups, were peformed in separate program rooms or elderly individual room so that the elderly could pay attention to the programs. On the other hand, as for the design elements, the spaces for the art and human knowledge programs required good lightings and separate program rooms. The area of the spaces for the exercise, recreation and facility events programs was found to be the most problematic element, even though they were performed in the comparatively wide lounge. For future research, a field observation study is suggested to analyze the detail relations among the program spaces.

Effects of Virtual Reality Exercise Program on Balance in Multiple Sclerosis Patients

  • Lee, Geun-Ho
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.61-67
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    • 2015
  • Purpose: This study was conducted in order to investigate the effectiveness of an 8-week virtual reality exercise program designed around the Nintendo Wii (Wii), in improving balance among patients with Multiple Sclerosis (MS). Methods: The study included 16 patients with MS (10 female, 6 male) who were assigned randomly to experimental (n=8) or control group (n=8). Experimental group performed three 40-minute Wii balance-training sessions per week, for 8 weeks. The control group did not perform any of the training programs. A computerized dynamic posturography (Sensory Organizing Test, SOT) was used to evaluate all patients at baseline and at the end of the treatment protocol. Statistical significance was tested in between the patients before and after treatment by t-test. Results: After 24 training sessions, SOT showed significant difference on condition 5, 6, and vestibular ratios within the experimental group from baseline to post-intervention. By contrast, no significant difference was observed within the control groups. Conclusion: These findings demonstrated that the virtual reality training program could improve the outcomes in terms of balance in the MS population. Long term follow ups and the development of more efficient virtual reality training programs are needed.

Effects of Proprioceptive Control on the Balance in Patients With Chronic Hemiplegia (고유수용성 조절이 만성 편마비 환자의 균형에 미치는 영향)

  • Hwang, Byong-Yong
    • Physical Therapy Korea
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    • v.11 no.1
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    • pp.69-74
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    • 2004
  • Hemiplegic patients usually present with difficulty maintaining balance. Balance retraining is the major component of rehabilitation program for patients with neurological impairment. The purpose of this study was to investigate the effects of prorpioceptive exercise program on the improvement of balance in the patients with chronic hemiplegia. Thirty subjects (mean age $57.0{\pm}9.8$) were recruited and the subjects were divided into a proprioceptive group and a visual group. The subjects for the proprioceptive group were participated in the proprioceptive exercise program for 4 weeks, and the visual group were treated visual feedback training using Balance Master. At 4 week follow-up test, Berg Balance Scale significantly improved 1.1 points (p<.01), Timed Up & Go test improved 4.2 second (p<.01), and weight distribution during sit to stand also improved 5.0% (p<.01). As a result of this study, the proprioceptive control approach improved dynamic balance in the patients with chronic hemiplegia. It is suggested that there was no benefit of visual feedback training like as Balance Master when administrated in combination with other physical therapy interventions, compared with physical therapy alone using proprioceptive control approach to hemiplegia.

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The Effect of Plyometric Training Combined with Core Strength Training on Balance and Agility in Adolescent Soccer Players (플라이오메트릭과 코어강화 운동의 결합된 훈련이 남자 청소년 축구선수의 균형, 민첩성에 미치는 영향)

  • Jo, Won-Hee;Choi, Jin-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.2
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    • pp.157-165
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    • 2018
  • PURPOSE: The purpose of this study was carried out to investigate the effect of plyometric training combined with core strength training on the balance and agility of adolescent soccer players. METHODS: A total of 36 subjects participated in this study. Subjects were randomly divided 3 groups and assigned PG (plyometric training group), CSG (core strength training group) and PCG (plyometric training combined with core strength training group). Each group was assigned to 12. Intervention was performed three times a week for 4 weeks. The training was performed for 60 minutes a day. Subjects were warmed up for 10 minutes, and performed main exercise for 40 minutes. Finally, subjects performed cool-down exercise including stretching for 10 minutes. A Statistical analysis was performed the paired t-test for the comparison pre and post intervention. A comparison among the groups was using one-way ANOVA, and the LSD was used for the post-test. RESULTS: The balance and agility were statistically significant differences in all group (p<.05). There was no significant difference in the balance factors between the three groups, but there was a significant difference in the agility factor (p<.05). CONCLUSION: Plyometric training and plyometric training combined with core strength training were effective for the balance and agility of adolescent soccer players.

Comparative Analysis of Muscle Activities for Upper Extremity During Resistance Exercises Using Variable and Elastic Loads (가변부하 및 탄성부하를 이용한 저항성 기구 운동 시 발현되는 상지근육의 근 활동치 비교분석)

  • Lim, Young-Tae
    • Korean Journal of Applied Biomechanics
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    • v.16 no.2
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    • pp.37-44
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    • 2006
  • The purposes of this study were to analyze and compare EMG activities of the pectoralis major, biceps brachii, triceps brachii, and brachioradialis muscles during biceps curls using a VRT device and an elastic tubing. Fifteen male college students were recruited as subjects and they performed 10-RM and 20-RM biceps curls. For each load and device condition, the mean and peak normalized EMG levels during different phases of a biceps curl were computed. For each load and phase, paired t-test (p.05) was used to find the significant difference between two devices. ANOVA with repeated measures was also used to find the significant difference among phases in terms of EMG values for each muscle. For each load and device condition, the peak and mean EMG levels during different phases of a biceps curl were computed The significant differences between devices were found in biceps brachii for EA, MD, LD phases, and triceps brachii muscles for all phases, respectively. However, no differences were found among phases for any muscle. This indicated that elastic band could have a similar characteristics of VRT. High antagonistic muscle activity as a function of injury prevention which found particularly in VRT device may suggest that elastic tubing can be a safer training device than VRT. This also imply that elastic tubing could be very effective as a home exercise tool for rehabilitation patients and elderly people.

Changes in Gait Patterns after Physical Therapy in Patients with Non-specific Chronic Low Back Pain: a Pilot Study

  • Song, Seonghyeok;Cho, Namjeong;Kim, Hyun-Joong
    • Physical Therapy Rehabilitation Science
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    • v.11 no.1
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    • pp.105-112
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    • 2022
  • Objective: Nonspecific low back pain (NS-LBP) causes pain and disability, affecting the neuromuscular system and altering gait patterns. The purpose of this study is to investigate the effect of improvement of low back pain symptoms through physical therapy on foot pressure and spatiotemporal gait parameters. Design: A pilot study. Methods: Participants received manual therapy and supervised therapeutic exercise, which consisted of 12 sessions for 6 weeks. Participants were assessed for pain intensity (a numeric pain rating scale), disability index (oswestry disability index), and spatiotemporal gait parameters before and after intervention. Wilcoxon signed rank test was used to analyze the before-and-after differences in a single group. Results: All seven NS-LBP patients completed the study without dropout. After six weeks of physical therapy, the numeric pain rating scale and oswestry disability index showed significant improvement (Z= -2.388, P=0.017). There was no significant improvement in both static and dynamic conditions in foot pressure (P>0.05). However, in the spatiotemporal gait parameters, there were significant differences in all variables except the right stance phase and left mid stance (P<0.05). Conclusions: In our pilot study, 12 sessions of physical therapy in NS-LBP patients improved gait quilty in spatiotemporal gait parameters. Similarly, it has resulted in clinically positive improvements in pain and disability.

The Effect of a Kettlebell Complex Program according to the Support Surface on Lower Extremity Muscle Activity and Balance in Baseball Players

  • Dae-Han Kang;Yong-Nam Kim
    • The Journal of Korean Physical Therapy
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    • v.34 no.6
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    • pp.312-316
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    • 2022
  • Purpose: The purpose of this study was to investigate the effect of a kettlebell complex program according to the support surface on the lower extremity muscle activity and balance of baseball players. Methods: The participants were divided into two groups; unstable support surface group 1 (11 people) performed the kettlebell complex program on an unstable support surface, and stable support surface group 2 (10 people) performed the kettlebell complex program on a stable support surface. Muscle activity was measured by surface electromyography. Dynamic balance was measured with a balance-measuring equipment. A paired t-test was used to compare groups before and after the experiment. An independent t-test was performed to determine the difference in the degree of change between the two groups before and after the experiment. Results: The intragroup comparison between stable support surface group 1 and 2 showed significant differences in muscle activity and sense of balance. In the comparison between the groups, the difference in muscle activity in unstable support surface group1 was significant in the biceps femoris and rectus femoris muscles, and significant differences were also found in the sense of balance. Conclusion: These results suggest that a kettlebell exercise on an unstable support surface is more effective in improving muscle activity and sense of balance than a kettlebell exercise on a stable support surface.

Proposal of VO2max estimation formula for elderly men and women using functional performance measurement

  • KWON, Young-Ae;LEE, Wan-Young;KIM, Jun-Su
    • The Korean Journal of Food & Health Convergence
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    • v.8 no.1
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    • pp.21-30
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    • 2022
  • This study proposed a multiple regression equation for predicting VO2max of elderly men and women using functional performance variables required to conduct daily activities. The subjects of this study were 58 elderly men (72.4±5.9 yrs) and 117 elderly women (73.4±4.5 yrs) aged 65-90 who belong to the senior welfare center. The maximal graded exercise test using a cycle ergometer and functional performance representing muscle strength, endurance, static and dynamic flexibility, mobility, and agility were measured. For statistical processing, multiple regression analysis was performed, and the statistical significance level was α = .05. As a result, the VO2max estimation formula for the elderly was 0.419 (standing up and sitting down a chair) + 0.199 (leg endurance against wall) + 5.383, and R2=0.406. In addition, the VO2max estimation formula for elderly women is - 0.737 (standing up from a supine position) - 0.144 (waking around two cones in a figure 8) - 0.135 (%body fat) + 0.042 (one leg balance with eyes open) + 29.395, R2=0.367 was calculated. The conclusion is that if the maximal graded exercise test is not available, it is considered that VO2max of the elderly can be predicted properly by using the estimation formula calculated based on the functional performance variable.

Isokinetic Evaluation of the Trunk Flexors and Extensors of Operated Laminectomy & Disectomy Patients (요추간판 수핵탈출중 수술환자의 체간부 굴근 및 신근의 등속성 운동 평가)

  • Choi, Byung-Ok
    • Journal of Korean Physical Therapy Science
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    • v.3 no.2
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    • pp.951-961
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    • 1996
  • Isokinetic exercise is dynamic, but the spped of movement must be regulated so that the resistance is in ratio to the force applied at each point throughout the full range of motion. The purpose of this study is to comparise with trunk flexors & extensors of isokinetic evaluation of pre-exercise and post-exercise in operated laminectomy & disectomy patients. 7 subjects were examined at $120^{\circ}$/sec and $60^{\circ}$/sec each 15 days. The results were as follows; 1. Peak torque of extensors on $60^{\circ}$/sec showed significant difference statistically(p<0.05), but peak torque of flexors on $60^{\circ}$/sec showed no significant difference statistically. 2. Trunk flexors/extensors ratio of peak torque of $60^{\circ}$/sec showed no significant difference ststistically. 3. Peak torque % B.W of extensors on $60^{\circ}$/sec showed significant difference statistically(p<0.05), but peak torque % B.W of flexors on $60^{\circ}$/sec showed no significant difference statistically. 4. TAE of extensors on $60^{\circ}$/sec showed significant difference statistically (p<0.05), but TAE of flexors on $60^{\circ}$/sec showed no significant difference. 5. Total work of flexors & extensors on $60^{\circ}$/sec showed significant difference statistically (p<0.05). 6. Average power of flexors & extensors on $120^{\circ}$/sec showed significant difference statistically(p<0.05). 7. Endurance ratio of flexors & extensors on $120^{\circ}$/sec showed no significant difference statistically. 8. Set total work of flexors & extensors on $120^{\circ}$/sec showed significant difference statistically(p<0.05). 9. TAE of extensors on $120^{\circ}$/sec showed significant difference statistically(p<0.05), TAE of flexors on $120^{\circ}$/sec showed no significant difference statistically. 10. Total work of flexors & extensors on $120^{\circ}$/sec showed significant difference statistically (p<0.05).

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Development of Structural Equation Model for Causal Relationships Among the Risk Factors of Arteriosclerosis (동맥경화증 위험요인들간의 인과관계에 대한 구조모형 구축)

  • 오현수;서화숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.6
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    • pp.1192-1207
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    • 1999
  • The purpose of this study was to clarify the dynamic relationships among risk factors of arteriosclerosis and to develop and examine a model which could explain this relationship clearly. Data were collected from medical records of 400 male clients who visited a university hospital located in Inchon for physical examinations, from May 1996 to December 1996. Data were analyzed using the LISREL (Linear Structural Relationship) 8 program. To test the fitness of the hypothesized model, chi-square, RMSR (root mean square residual), GFI (goodness of fit index), CN (critical number) and Q-plot were used. Most of the fitness measurements, except the chi-square showed that the hypothesized model complimented the real data. According to the results, there were trends that obesity and hyperlipidemia were prevalent in heavier smokers, higher alcohol intakers, and groups who excercised less. Also, hypertension was more prevalent in older age, higher alcohol intaker, and higher serum lipid level groups. In contrast to the hypothesis, alcohol intake did not significantly affect serum lipid levels. This might be due to the serum lipid measurements (total cholesterol and trigryceride) used in this study to estimate hyperlipidemia. The direct effect of smoking on hypertension was not significant. However, the total effect of smoking on the hypertension was significant since indirect effects of smoking on hypertension, such as obesity and hyperlipidemia, were significant. The total effect of obesity on hypertension was significant since the indirect effect of obesity on hypertension via hyperlipidemia was significant, although the direct effect of smoking on hypertension was not significant. The degree of explaining hyperlipidemia with smoking, exercise, and obesity was high (60%), however, the degree of explaining obesity with age, smoking, alcohol intake, and exercise was very low (7%). On the basis of these results, high risk factors of arteriosclerosis such as hypertension, hyperlipidemia, or obesity are either directly or indirectly correlated each other. Therefore, it is difficult to predict outcomes for increasing or decreasing the risk factors by simply modulating a factor. Smoking, alcohol, and exercise both directly and indirectly affected major risk factors of arteriosclerosis. Therefore, correcting these variables is required to decrease risk factors. Finally, the relationship among other risk factors which have been known to be related with arteriosclerosis (diet, stress or hereditary) should be clarified in further studies.

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