• 제목/요약/키워드: Exercise protocol

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The Development of Exercise Therapy Protocol Applied to an Efficacy Expectation Promoting Program in Type 2 Diabetes Mellitus Patients (효능기대증진 프로그램을 적용한 운동요법 프로토콜 개발 - 제 2 형 당뇨병 환자를 중심으로 -)

  • Hwang Ae-Ran;Kim Chun-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.3
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    • pp.366-378
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    • 2000
  • Type 2 Diabetes Mellitus patients have chronic metabolic disorder and they need self care for their lifetime. But most Diabetes Mellitus patients don't know how to do a self care due to the lack of adequate support from health care professionals. It has been reported that lack of exercise therapy compliance guide is very important one. This study was conducted to develop an exercise therapy protocol applied to an efficacy expectation promoting program based on Bandura's self efficacy model for type 2 Diabetes Mellitus patients. Firstly, a conceptual framework was developed through efficacy expectation promoting Program based on Bandura's self efficacy model. In order to identify the contents of program and to design a preliminary protocol, a with the consultation experts was made. A clinical validity was tested using twenty type 2 Diabetes Mellitus patients who received follow-up care regularly through the diabetic out-patient clinic from October, 1998 to May, 2000. After this process, the final protocol was developed. The results of this study are summarized as bellows : The final exercise therapy protocol applied to an efficacy expectation promoting program for type 2 Diabetes Mellitus Patients consists of individualized exercise test and prescription, a small booklet relating personal experience with Diabetes Mellitus and a telephone coaching program for 12 weeks on performance accomplishment, vicarious experience and verbal persuasion, which are all induction modes of efficacy expectation. It is concluded that the exercise therapy protocol applied to an efficacy expectation promoting program is applicable to type 2 diabetes mellitus. And this exercise therapy protocol could show a positive effect on the exercise compliance of Diabetes Mellitus patients.

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Session Information Transfer Protocol for Exercise between Smart Posters for the Patient's Active Movements (환자의 적극적 이동을 유도하기 위한 스마트 포스터간 운동세션정보 전송프로토콜)

  • Lee, Byung Mun
    • Journal of Korea Multimedia Society
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    • v.20 no.8
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    • pp.1439-1446
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    • 2017
  • Steady exercise or walking exercise is helpful for the treatment of chronic diseases or cancers. In this paper, I presented a smart poster to enable the patients to exercise while moving between the smart posters, dynamically, in order to provide better exercise effect to them. It can be a new form of exercise prescription that combines exercise with walking using smart posters. The personalized exercise prescription is downloaded from the management server in real time when the patient approaches, and induces the patient's exercise and walking. In addition, the smart poster helps patient to move to other posters in order to induce more walking exercise. To achieve this, I proposed a transfer protocol that autonomously exchanges session information between smart posters in this paper. Moreover, the smart poster based on Raspberry was implemented to verify validity of this protocol, and an experiment was conducted to measure the request and response time between smart posters in the implemented environment. In the experiment, when the other poster sent the message requesting the exercise session 100 times and received the response message, the 95 percentage of received messages had the response time within 0.05 seconds.

The Effect on Improvement of Muscle Strength Imbalance According to Load Deviation Protocol of Whole Body Vibration Exercise (부하 편차 방식의 전신진동운동이 하지 근력 불균형 개선에 미치는 효과)

  • Seo, Shin Bae;Kang, Seung Rok;Yu, Chang Ho;Min, Jin Young;Kwon, Tae Kyu
    • Journal of the Korean Society for Precision Engineering
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    • v.30 no.10
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    • pp.1095-1101
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    • 2013
  • The purpose of this study was to verify the effect on improvement of muscle strength unbalance according to load deviation protocol during whole body vibration exercise. Seventeen female volunteers (age $22{\pm}3$ years, height $160{\pm}4.9$ cm, weight $49{\pm}.8$ kg) participated in this experiment. The subjects performed squat exercise in WBV platform. Exercise were performed five set a day including 15 time a set, three days a week, and during 4 weeks. Vibration stimulus was 25Hz as frequency and intensity was dominant leg 1mm and non-dominant leg 4mm. The results in WBV group showed that the differences of peak torque in 16% were getting decreasing significantly after 4 weeks from 16.2% to 5.2%. This result means that WBV with load deviation protocol could provide muscle strength exercise for muscle strength balance. Our study found out that WBV of load deviation protocol could provide muscle strength exercise for improving muscle imbalance.

Effect of Aerobic Exercise using Bruce Protocol on Heart Rate, Oxygen Saturation, and Blood Pressure after Recovery from COVID-19 Infection (COVID-19 이환자의 브루스 프로토콜을 이용한 유산소 운동이 심박수, 산소포화도, 혈압에 미치는 영향)

  • Yeon-Seop Lee;Seung-Soo Yang;Seul-Gi Jang;Ji-Hee Seol;Ji-Eun Lee;Dong-Jin Lee
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.2
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    • pp.141-147
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    • 2023
  • Purpose : This study aimed to find out the effect of aerobic exercise using Bruce protocol on heart rate, oxygen saturation, and blood pressure after recovery from COVID-19 infection. Methods : In this study, 34 students from D University located in J city were targeted, COVID-19 infected group (17 people) and non-COVID-19 non-infected group (17 people). The Bruce protocol using a treadmill was applied to the aerobic exercise of this study. The Bruce protocol has in the first stage of METs 4 (slope 10 %, speed 2.7 km/h). The second stage was METs 5 (slope 12 %, speed 4 km/h), and the third stage was METs 6 (slope 14 %, speed 5.4 km/h). All measurements were measured 3 times and the average value was used. Results : As a result of this study, as a result of comparing heart rate changes according to aerobic exercise using the Bruce protocol. EG group and the CG group increased significantly according to the progressive exercise load (METs 4~5), and in the third stage of the Bruce protocol between groups, The EG group showed a significantly lower heart rate. As a result of comparing changes in oxygen saturation and blood pressure, there was no significant difference between the EG and C groups according to the gradual exercise load. Conclusion : In conclusion, there was no difference between normal and pressure when MET of moderate intensity exercise (4 to 6) was applied to the effect on heart rate, oxygen saturation, and blood pressure in healthy adults who were fully recovered from COVID-19. Secondary side effects may occur when high intensity exercise with a MET of 6 or higher, so it is strongly recommended that hospitals or specialized institutions measure exercise and physical ability according to individual exercise intensity.

Simple Postoperative Exercise of Acute Achilles Tendon Rupture without Active Range of Motion Exercise (아킬레스건 파열 이후의 능동적인 관절 범위 운동이 없는 간단한 재활 운동 방법)

  • Jae-Kwang Hwang;Youngjoo Jung;Dong-Kyo Seo
    • Journal of Korean Foot and Ankle Society
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    • v.27 no.1
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    • pp.12-16
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    • 2023
  • Purpose: Postoperative exercise for acute Achilles tendon rupture is important for a patient's return to daily life and sports. On the other hand, the protocol requires considerable effort to educate patients and continuous checking. This study evaluated the outcome of a new simple and delayed rehabilitation protocol after Achilles tendon rupture repair. Materials and Methods: From July 2014 to November 2020, one hundred eighty-three patients were operated on by one surgeon. The exercise protocol was classified into two methods. One group (immediate protocol, control group) started immediate full weight bearing with a 20° plantar flexion range of motion from two days postoperatively. Ankle dorsiflexion was restricted to 0°. The other group (delayed protocol, case group) started full weight bearing with a controlled ankle motion boot from two weeks postoperatively. No range of motion exercise was allowed until six weeks postoperatively. Age, sex, body mass index, ankle range of motion, muscle power, time to return to previous physical activity, functional score, and complication rate were evaluated. The results of the two groups were compared using a Mann-Whitney test. Statistical significance was set as p<0.05. Results: The range of motion, double heel rising, and one-leg standing were achieved faster in the control group (p<0.05). However, single-heel rising, repeated single-heel rising, return to previous activity (work, run, and sport), and functional scores showed no statistical difference (p>0.05). Conclusion: Simple and delayed postoperative rehabilitation of acute Achilles tendon rupture without active range of motion exercises showed satisfactory functional results and a low complication rate.

Maximum Oxygen Consumption Determined by the Bruce and Inclined Treadmill Protocols

  • Kim, Kyu-Hwa;Kim, Hyeong-Jin;Kim, Kyoung-Soon
    • The Korean Journal of Physiology
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    • v.27 no.2
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    • pp.209-215
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    • 1993
  • The aim of the present study was to derive regression equations for $\dot{V}o_{2max}\;vs.\;\dot{V}o_{2peak},\;and\;\dot{V}o_2\;vs.$ heart rate, exercise time, and other variables from maximal exercise tests on a treadmill using the Bruce and inclined protocols. Twelve male and 10 female Korean college students aged between 19 and 23 years voIunteered for this study. After the resting measurements, the subjects performed a maximal exercise on a treadmill according to the Bruce protocol. When the resting conditions were restored, the subjects performed another maximal exercise according to an inclined protocol where the speed was fixed at 8.05 $km{\cdot}h^{-1}$ and the grade was incremented starting from 09t by 2.5% for every 2 min. Peak $\dot{V}o_2$ observed during the Bruce exercise $(\dot{V}o_{2peak})$ was $37.7{\pm}2.4\;and\;31.7{\pm}1.8\;ml\;kg^{-1}\;min^{-1}$ in the male and female groups, respectively. Peak $\dot{V}o_2$ observed during the inclined exercise was higher than $\dot{V}o_{2peak}$ during the Bruce exercise. Maximum $\dot{V}o_2$ value observed during the tyro exercises $(\dot{V}o_{2max})$ was $43.0{\pm}2.8\;and\;36.2{\pm}1.4\;ml\;kg^{-1}\;min^{-1}$ in the male and female groups, respectively. Thus, $\dot{V}o_{2peak}$ by the Bruce protocol was about 12% (male) or 13% (female) lower than $\dot{V}o_{2max}$, and a linear relationship was found between $\dot{V}o_{2peak}$ and $\dot{V}o_{2max}$. The peak values of % $\dot{V}o_{max}$ with the Bruce protocol were $89.2{\pm}3.3\;and\;87.5{\pm}3.6%$ and those with the inclined protocol $97.7{\pm}1.8\;and\;96.9{\pm}2.0%$ in the male and female groups, respectively. In the female group, $%\dot{V}o_{2max}$ at a given workload was higher than in the male group, while $\dot{V}o_{2}$ per kg body weight was the same. Maximum HR observed during the two exercises was $204{\pm}2\;and\;195{\pm}3\;beat\;min^{-1}$ in the male and female groups, respectively. Linear relationships were found, excluding the last points, between 1) $\dot{V}o_{2}$ and exercise time, 2) $\dot{V}o_{2}$ and $%\dot{V}o_{2max}\;and\;%HR_{max}$.

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Rehabilitation Strategies in Lifestyle Intervention for Improving the Physical Function of the Knee (무릎의 신체 기능 개선을 위한 생활방식 중재 재활 전략)

  • Lim, Jongmin;Yoon, Bumchul
    • Archives of Orthopedic and Sports Physical Therapy
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    • v.14 no.2
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    • pp.65-72
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    • 2018
  • Purpose: Lifestyle intervention (LSI) provides basic recommendations that improve the quality of life and health of patients with minor disabilities. The LSI intervention strategies are associated with active living, healthy weight, healthy eating, and emotional stability. These intervention strategies can change an unhealthy lifestyle to a healthy lifestyle and provide important health care information. Main issue: This study focused on a new LSI-based knee rehabilitation protocol and proved the effect of exercise prescription on the knee. The clinical significance of this study demonstrated that continuous rehabilitation, effective rehabilitation, and recurrence prevention can be achieved by prescribing the appropriate exercise for patients after discharge. Therefore, practical lifestyle medicine knowledge and information are provided by the home-based rehabilitation self-exercise program with the new LSI-based knee rehabilitation protocol. Conclusions: The LSI-based protocol can improve and maintain health conditions and knee function. With the aim of improving self-care abilities, this program is expected to make significant contributions recurrence prevention, reduced mortality, and improved quality of life, physical function, and fitness.

Application of a standardized exercise test by measuring serum lactate concentration in Thoroughbred racehorses (더러브렛 경주마에서 혈청 젖산농도 측정에 의한 표준운동능력검사의 적용)

  • Mun, Kyu-whan;Kim, Joon-gyu;Kim, Byung-sun;Um, Young-ho;Yang, Il-suk
    • Korean Journal of Veterinary Research
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    • v.39 no.6
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    • pp.1081-1090
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    • 1999
  • To establish the protocol of a standardized exercise test for evaluating exercise intolerance and degree of fitness in Thoroughbred racehorses, we examined serum lactate concentrations related to exercise intensities using the high speed treadmill. Twelve clinically healthy Thoroughbred racehorses with or without previous training or racing history were assigned to two gorups, fit and unfit group, respectively. The protocol used for the standardized exercise test was consisted of two stages : stage of warm-up and that of acceleration. During the warm-up, the horses exercised 5 min at 1.8m/s and 3 min 3.4m/s without inclination. At the acceleration stage, exercise test was performed at 10% slope and the speed was increased from the initial 5m/s to the maximal speed which each tested horse could keep up with. The speed was increased with incremental steps of 1 m/s every minute. During the last 15 sec of each step, blood samples were collected for serum lactate determination. $V_{max}$(maximal treadmill speed which tested horses could keep up with) of the fit group ($10.93{\pm}0.33m/s$, mean${\pm}$SE, n = 6) was higher than that of the unfit group ($9.52{\pm}0.23m/s$, mean${\pm}$SE, n = 6). Serum lactate concentrations increased exponentially according to exercise intensities. $V_{La4}$(speed producing a serum lactate concentration of 4mmol/l) of the fit group, $6.45{\pm}0.26m/s$, was higher than that of the unfit group, $5.45{\pm}0.23m/s$. $La_{peak}$(peak plasma lactate concentration during the exercise test) was lower in the fit group ($20.34{\pm}1.62mmol/l$ at 1 min after maximal intensity exercise) than in the unfit group ($24.78{\pm}1.09mmol/l$ at 2 min after maximal exercise step). $t_{50%}$(time required for the recovery of lactate concentration to be one-half of $La_{peak}$ after maximal exercise) of the unfit group and the fit group were 40.0 and 18.0 min, respectively. Therefore, the protocol of the incremental standardized exercise test utilized in this study seems to be reliable for the assessment of fitness and exercise intolerance for the Thoroughbred racehorses.

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The effects of immune response on maximal aerobic and anaerobic exercise (급성적인 최대 유·무산소 운동이 면역반응에 미치는 영향)

  • Kim, Kwon-Sup
    • Journal of the Korean Society of Industry Convergence
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    • v.5 no.3
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    • pp.269-275
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    • 2002
  • The purpose of this study is to examine the effect of the acute aerobic and anaerobic exercise on immune response. Fourteen university soccer players are sampled and divided into two groups -- one group of seven for aerobic exercise, the other for anaerobic exercise. The one group of aerobic exercise went through the Graded Exercise Test of Bruce protocol, using Treadmill, and were driven to be all-out ; the other of anaerobic exercise took the Wingate Test. Blood the respective periods of rest, post exercise, and recovery for ten minutes. The results are as follows. (1) The acute aerobic and anaerobic exercise don't affect monocyte and granulocyte. (2) The change in lymphocyte and NK cell resulting from the acute aerobic and anaerobic exercise shows a significant differences in the three different periods, but not significant differences between the two groups.

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