The purpose of this study is to develop and evaluate the Self Efficacy Promotion and Exercise Training Program to decrease anxiety and depression and to increase the quality of life for kidney transplant recipients. The subjects were selected randomly among the patients who underwent renal transplant at three major transplantation hospitals in Seoul, Korea. The observed subjects in this study consisted of 56 patients who had renal transplantations between one to twelve months prior to this study. The patients did not take any regular physical exercise. This study was carried out between November, 1999 and March, 2000. The study groups were divided into 3 groups; exercise training group (n=16), self efficacy group (n=18) and control group (n=22). The exercise training group received self efficacy promotion and exercise training program for 12 weeks. The self efficacy group received self efficacy promotion education, but no exercise training was given. The control group was not offered any education. The anxiety, depression and quality of life were evaluated 3 times, before the experiment, after 8 weeks and after 12 weeks. The data were analyzed with mean, standard deviation, Chi-square test, ANOVA and $Scheff\acute{e}$ test. The results were as follows: 1. After the experiment, anxiety and depression scores of the exercise training group and self efficacy group were more significantly decreased than those of the control group (p=.05). 2. After the experiment, the quality of life score of the exercise training group and self efficacy group were more significantly increased than those of the control group (p=.05). This study showed that the Self Efficacy and Exercise Training Programs were effective. Therefore, it is expected that the Self Efficacy Promotion and Exercise Training Program could be widely applied as an effective independent nursing intervention to decrease anxiety and depression and to increase quality of life for kidney transplant recipients.
PURPOSE: This study examined the changes in the blood fatigue variables caused by isokinetic and isotonic exercise training. METHODS: Ten healthy adult males with at least one year of athletic experience participated. The participants performed the isokinetic circuit exercise program first, followed by an isotonic circuit exercise program. A two-hour break was allowed between the isokinetic circuit exercise program and the isotonic circuit exercise program. The circuit exercise program consisted of four items (Squat, Deadlift, Shoulder press, and Bench press). The blood samples were analyzed for the LDH, CPK, and Cortisol levels. RESULTS: The LDH level in the isokinetic group was significantly different from the isotonic group. In particular, the change in LDH level in the isokinetic group was 33.30% lower than that of the isotonic group. The serum CPK level of the isokinetic group showed a 10.03% lower decrease than the isotonic group, but the difference was not significant. The Cortisol level was relatively unchanged in the isotonic group, but it decreased in the isokinetic group. On the other hand, the Cortisol level did not show a significant difference between the two groups. CONCLUSION: The isokinetic group showed alleviation of the three indices, unlike the isotonic group. Further studies associated with the changes in blood fatigue variables through various exercise programs and exercise intensity will be needed.
Purpose : The purpose of this study is to provide an efficient and basis for muscle activity of Quadriceps muscles and balance in anterior cruciate ligament reconstruction patients through unstable surface exercise and stable surface exercise. Methods : This study included 30 anterior cruciate ligament reconstruction patients belonging to A hospital and D orthopedic surgery clinic of province who attended the program for 30 minutes at a time and three times a week for 4 weeks. Of these 15 attended the unstable surface exercise program and 15 the stable surface exercise program. To increase muscle activity (%MVIC) and balance (WPL), the unstable surface exercise. Results : The %MVIC of lower extrmity muscle(RF, VL, VM) increased from before training to after training in the case of the participants who performed the unstable surface exercise, and the whole path length (WPL) decreased from before the training to after the training(p<.05). Conclusion : In conclusion, unstable surface exercise program helps to improve the balancing ability and musle activity in a anterior cruciate ligament recunstruction patients who requires both muscle activity and balance than stable surface exercise program.
Purpose: The purpose of this study was to examine the effect of a 12-week combined exercise training program on the body composition, physical fitness levels, and metabolic syndrome profiles of obese women. Methods: Twelve obese women were assigned to the combined exercise training program group. The women underwent training for 70-90 min/d, three times per week for a period of 12 weeks. Paired samples t-tests were performed using SPSS ver. 17.0 for analysis of the results. Results: The results of this study showed that body-composition parameters such as weight, fat-free mass, body fat mass, body-mass index, body fat, waist-hip ratio, basal metabolic rate, and intra-abdominal fat, physical fitness parameters such as muscle strength, muscle endurance, flexibility, and cardiac endurance, and metabolic syndrome biomarkers such as triglyceride levels, high-density lipoprotein cholesterol levels, glucose levels, systolic blood pressure, and waist circumference before participation the training program differed significantly from those after participation in the training program (p<0.05). However, diastolic blood pressure before participation in the training program did not differ significantly from that after participation in the training program (p>0.05). Conclusion: We concluded that a 12-week combined exercise training program could be a good exercise program for improvement of the body composition, physical fitness levels, and metabolic syndrome profiles of obese women.
PURPOSE: This study examined the comparative effects of an ankle sensorimotor training program combined with hip strengthening exercise (ASTPCHSE) and ankle sensorimotor training program (ASTP) alone on muscle strength, static balance, and dynamic balance in individuals with functional ankle instability. METHODS: Sixteen research participants with functional ankle instability were enrolled in this study. The participants were divided randomly into the ankle sensory motor training program group and the ankle sensory motor training program combined with the hip strengthening exercise group. Each group performed a series of exercise programs two times per week for four weeks. The Cumberland ankle instability tool (CAIT) was used to measure the participants' functional ankle instability. A Balance trainer 4 was applied to assess the static and dynamic balance, and a Primus RS multimodal dynamometer was used to evaluate the muscle strength. RESULTS: No significant differences in static balance, dynamic balance, and muscle strength were found between the ASTP and ASTPCHSE groups (p > .05). On the other hand, the dynamic balance and muscle strength improved in the ASTP and ASTPCHSE groups after the intervention (p < .05). The static balance was not enhanced in both groups after the intervention (p > .05). CONCLUSION: Ankle exercise and an ankle sensorimotor training program combined with hip strengthening exercise are effective in improving muscle strength and dynamic balance in individuals with ankle instability. On the other hand, there are no meaningful differences between ankle exercise and ankle and hip combined exercise.
This study was attempted to evaluate how the self efficacy promotion and exercise training program effect on the postoperative general conditions of transplant recipients after kidney transplantations. The subjects were selected randomly among the patients who underwent renal trans- plantations at three major transplantation hospitals in Seoul, Korea. This study was carried out between November 1999 and March 2000. The observed subjects in this study consisted of 56 patients. The exercise training group(n=16) received the self efficacy promotion and exercise training program for 12 weeks which contained general knowledge for compliance instruction, exercise training and self efficacy promotion education. The self efficacy group(n=18) received general knowledge for compliance instruction and self efficacy promotion education but no exercise training was given. The control group(n=22) were not offered any education. The knowledge for compliance, self efficacy, physical conditions(weight, muscle strength, muscle endurance, flexibility), lab studies (hemoglobin, creatinine, cholesterol), activities of daily living and quality of life were evaluated 3 times, before the experiment, at 8 weeks and at 12 weeks. The data were analyzed with mean, standard deviation, Chi-square test, ANOVA and Scheff test. The results were as follows: 1. The knowledge and self efficacy score of the exercise training group and self efficacy group were significantly increased than those of the control group(p=.0001). 2. The weight of the exercise training group was significantly decreased compared to those of the self efficacy group and the control group(p=.0001). Muscle strength (grip strength, back lift strength), and flexibility of all 3 groups were significantly changed(p=.0001). However, muscle endurance in all 3 groups showed no significant differences. 3. The hemoglobin level of the exercise training group and the self efficacy group were significantly increased compared to that of the control group(p=.0001) and the cholesterol levels of the exercise training group and the self efficacy group were significantly decreased compared to that of the control group(p=,0001). However, the creatinine levels in all 3 groups showed no significant differences. 4. The activities of daily living scores of the exercise training group was significantly increased than that of the control group (p=.0003), and the quality of life scores of the exercise training group and the self efficacy group were significantly better than that of the control group(p=.0001). It would be expected that this self efficacy promotion and exercise training program could be applied widely as an effective nursing intervention for kidney transplant recipients.
The limited walking ability after a stroke restricts a patient's independent mobility at home and in the community. It also brings about significant social handicaps. Therefore, it is necessary to improve walking ability in community-dwelling persons with stroke. The purpose of this study was to evaluate the effectiveness of gait training and muscle strengthening exercise of lower extremities in persons with chronic stroke. Nineteen community-dwelling individuals with stroke participated in this program. The exercise program lasted for seven weeks, with a 1-hour program twice per week, and it consisted of balance training, gait training, and strengthening of lower extremities. The outcome of the program was assessed by the gait speed, Wisconsin Gait Scale (WGS), Berg Balance Scale (BBS), and Stroke Impact Scale (SIS). Significant effects were found for the WGS, BBS, and mobility and hand function domain of the SIS (p<.05). It was found that short-term gait training exercise could improve quality of gait, balance, and mobility. Therefore, a more effective exercise program is required for community-based persons with stroke.
Purpose: The purpose of this study is to provide an efficient and scientific basis for muscle activity (%MVIC) of RA, EO, VL, HS muscles and balance in soccer players through dynamic lumbar stability exercise and static lumbar stability exercise. Methods: This study included 23 soccer players belonging to D University of J province who attended the program for 30 minutes at a time and three times a week for 4 weeks. Of these 13 attended the dynamic lumbar stability exercise (DLSE) program and 10 the static lumbar stability exercise (SLSE) program. The differences between the effects of the dynamic lumbar stability exercise program and static lumbar stability exercise program were analyzed. Results: To increase muscle activity (%MVIC) and balance (WPL), the dynamic lumbar stability exercise program was more effective than was the static lumbar stability exercise program. 1) The %MVIC of trunk muscle (RA &EO) and lower extremitys muscle (VL & HS) increased from before training to after training in the case of the participants who performed the dynamic lumbar stability exercise. 2) The whole path length (WPL) decreased from before the training to after the training. The 2 groups significantly differed in this regard. Conclusion: Dynamic lumbar stability exercise program helps to improve the balancing ability and muscle activity in a soccer players who requires both muscle activity and balance than does any other players.
Purpose : The purpose of this study is to investigate the effects of falls prevention exercise program(center of gravity control training, multiple sensory training, strategic posture training, ambulation training, muscle strengthening training) to balance and muscular strength in the elderly females. Methods : A total of 30 elderly womens participated in this study. All subjects have participated in exercise program on three times a week for eight weeks. Before and after of exercise program, They have measured about Berg Balance Scale (BBS), Performance Oriented Mobility Assessment (POMA), Time Up & Go (TUG), Sit to stand, Fall Efficacy Scale (FES), Quality of Life (QOL). Results : The results of this study were as follows ; 1) There were statistically significant difference in the BBS, POMA, FES, QOL test on within-subject. 2) There were not significant difference in the TUG, Sit to stand test on within-subject. 3) The BBS was correlated with POMA and QOL. The POMA was also correlated with QOL. Conclusion : The result of this study shows that falls prevention exercise program was meaningful increasing of balance ability and quality of life on elderly women
Purpose: The purpose of this current study is to compare the effectiveness of respiratory circulation function and tidal volume according to two different types of practice methods, in terms of breathing training program and abdominis muscle strengthening using a swiss ball. Methods: The subjects were consist 18 college students, were randomly and evenly assigned to either breathing training program group (BTG) or swiss-ball exercise group (SEG). Exercise program was applied for 60 minutes, 3 times a week, for 6 weeks. Before, after 3 weeks and after 6 weeks of exercises, the subjects were tested using the bruce protocol. The significance of differences between the BTG and the SEG was evaluated by analysis of two-way repeated measures ANOVA. Results: There was an increase in respiratory circulation function after both of exercise. Especially, there was significant difference between the before and after 6 weeks in the BTG. Also, change of respiratory circulation function in BTG was significantly greater than SEG. Tidal volume was no significant differences between the before and after 6 weeks in both groups. In addition, there was significant difference between BTG and SEG. Conclusion: These results suggest that direct breathing training program were more useful to improve of respiratory circulation function.
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