• 성인간호학회지
• /
• 제27권4호
• /
• pp.406-417
• /
• 2015

Purpose: The purpose of this study was to identify the effects of Telephone-enforced Preoperative Pelvic Floor Muscle Exercise (TP-PFME) for prostate cancer patients on Urinary Incontinence (UI), Urinary Function (UF) related satisfaction, depression, and Quality of Life (QoL). Methods: A non-equivalent control group non-synchronized design was used with 85 participants. The two experimental groups (EG) began the PFME protocol two weeks prior to surgery. The subjects in the EG I received telephone calls to reinforce the PFME protocol. The comparison group began the PFME protocol after their surgery. Data were analyzed by the SPSS/WIN 21.0 using descriptive statistics, $x^2$ test, One-way ANOVA, Fisher's exact test, and Repeated measures ANOVA. Results: EG I showed higher performance of PFME at one (p=.001) and three months (p=.015) after surgery than the comparison group. Comparison group showed significantly more severe UI at one (p=.002) and three months (p=.006) after surgery and reported lower UF related satisfaction than EG I at one month after surgery (p=.015). Participants in both experimental groups reported higher QoL scores (p=.001) at three months following surgery than those in the comparison group. There were no significant differences in depression among the three groups. Conclusion: The findings from this study suggest that preoperative TP-PFME was effective in decreasing the perceived severity of UI as well as increasing UF related satisfaction and QoL.

• 한국의류학회지
• /
• 제41권5호
• /
• pp.929-938
• /
• 2017

This research investigated the effects of cool touch fabrics on thermo-regulating physical properties and subjective evaluation using a 3D fitted women's T-shirts in wear test. Qmax, clothing microclimate, microclimate wettedness, thermogram and subjective vote were observed during rest-right after an exercise-rest protocol. As a result, there was no single determining physical variable to explain the reasons of cool sensations of T-shirts made of cool touch fabric across the entire protocol. Qmax could partly predict a wear sensation at the initial stage when only insensible perspiration was presented. Simultaneous observation of temperature/humidity gradient understand from the inside to the outside of the clothing layer or microclimate wettedness calculated using vapor pressure were helpful to figure out the performance of cool touch fabric, especially at the later stage of the protocol when sweating was excessive. It was especially difficult to connect thermo-regulating physical variables to the subjective evaluation during transient conditions such as 'right after exercise' stage. It is necessary to measure the amount of heat and moisture transferred from the skin to the outside of clothing along with the physical properties measured in this study to understand the detailed mechanisms of why a cool sensation is evoked from tight fitting T-shirts made of newly developed cool touch fabrics.

• Journal of Korean Biological Nursing Science
• /
• 제2권2호
• /
• pp.1-19
• /
• 2000

The purpose of this study was to identify the characteristics and physiological variables of chest pain induced by exercise test in angina suspected patients. The subjects of this study consisted of 28 inpatients and outpatients aged between 40 and 75 who underwent treadmill test at exercise testing laboratory of S-University from January 2000 to June 2000. Subjects were interviewed with questionnaire regarding sociodemography, the past health history and history related to chest pain before the exercise test. Subjects were interviewed with questionnaire concerning quality, intensity, duration of chest pain induced by walking on the treadmill(Marquette, U.S.A. 1992) according to Bruce protocol following exercise test. Systolic and diastolic blood pressure were measured before, during and after the test, heart rate was determined by ECG. The results of this study were as follows ; 1) Quality of chest pain induced by exercise test were feeling stiffness 19(67.9%), heavy 10(36.0%), exploded 9(32.1%), crushing, suffocating, tight 8(28.6%), stuffy, prickly 7(25.0%), burning 6(21.4%), clasp 5(17.9%), cleaved, tensed, piercing 3(10.7%), perfectly fitting, sore 2(7.1%), tearing, tingling, ticklish, heartburn 1(3.6%). 2) Mean score of VAS(intensity of pain) following exercise test was $5.79{\pm}2.27$ and mean duration of chest pain after the test was $7.83{\pm}5.31$ minutes. 3) Sites of chest-pain induced by exercise test were middle site 11(39.3%), left-chest 10(35.6%), right-chest 6(21.5%). Radiation site of chest-pain was neck(18.0%), right flank site 1(3.6%), left shoulder & arm 2(7.1%) and back 1(3.6%). 4) Symptoms other than chest-pain induced by exercise test were dyspnea 21(75.6%), perspiration 14(50.4%), fatigue 12(43.2%), leg-pain 11(39.6%), dizziness 7(25.2%) anxiety toward chest-pain 3(10.8%), thirst 2(7.1%), and palpation, headache and tingling sensation of hand and leg 1(3.6%). 5) Mean MET(intensity of exercise) during the exercise test was $7.64{\pm}2.57$ and mean RPE(rating of perceived exertion) was $15.89{\pm}2.36$. Mean duration of exercise was $6.79{\pm}2.88$. 6) correlation coefficients between RPE and VAS was 0.500(p=0.003), those between MET and VAS was 0.287(p=0.069) and those between either depression or elevation of ST segment and VAS was 0.236(p=0.114). 7) There was a significant difference in mean systolic pressure between before and after the test as $146.29{\pm}28.18mmHg$ and $177.96{\pm}28.82mmHg$(t=-5.640, p=0.000), a significant difference in mean diastolic blood pressure between before and after the test as $84.85{\pm}15.07mmHg$ and $88.89{\pm}13.72mmHg$(t=-2.082, p=0.047), and there was a significant difference in mean heart-rate between before and after the test as $81.89{\pm}12.22/min$ and $160.68{\pm}21.77/min$(t=-21.255, p=0.000).

• Tuberculosis and Respiratory Diseases
• /
• 제42권6호
• /
• pp.900-912
• /
• 1995

연구배경: 최대운동부하 검사는 심폐기능의 종합적인 평가를 위하여 널리 이용되고 있으나 아직 우리나라에는 최대운동시의 호흡성 가스교환이나 폐기능의 정상치가 제대로 확립되어 있지 않은 설정이다. 본 연구의 목적은 한국성인에서 최대운동시의 이들 지표의 연령과 성별에 따른 정상치 내지 참고치를 마련하는 동시에 이들 중 일부지표의 추정정상치를 산출하는 회귀방정식을 구하는데 있다. 방법: 건강한 성인 남성 603명, 여성 397명, 합계 1,000명(20~66세)을 대상으로 Bruce법으로 증상제한성 최대운동부하 검사를 실시하였으며, 이중 885명에서는 VC, $FEV_1$ 및 MVV도 측정하였다 대상자들은 모두 전문체육인이 아닌 스포츠센터의 회원이었으며, 운동부하검사 중에는 안전상의 문제 때문에 부득이 트레드밀의 손잡이를 잡는 것을 허용하였다. 곁과: $VO_2\;max/m^2$, $VCO_2\;max/m^2$ 및 VE max/$m^2$는 모두 남성에서 뚜렷이 컸으며, 남녀에서 모두 연령의 증가에 따라 감소하였다. 한편 RR max는 성별에 따른 차이는 없었으나, 연령의 증가에 따라 약간씩 감소하였으며, $V_T$ max는 남성에서 월등히 많았으나 남녀에서 다같이 연령에 따른 일정한 경향의 변화는 없었다. 그리고 $V_T$ max/VC, $V_E$ max/MVV 및 BR의 평균은 최대운동시에 나이가 많은 여성에서도 상당한 환기예비가 있음을 보여주었다. 저자들은 성적을 토대로 운동시간(분), 나이(세), 시장(cm), 체중(kg), 성별(남=0, 여=1), VC(L), $FEV_1$(L) 및 VE max(L) 등을 변수로 해서 구한 주요 지표들의 회귀방정식은 다음과 같다. $VO_2\;max/m^2(L/min)=1.449+0.073{\times}$운동시간-$0.007{\times}$연령+$0.010{\times}$체중-$0.006{\times}$신장-$0.209{\times}$성별, $VCO_2\;max/m^2(L/min)=1.672+0.063{\times}$운동시간-$0.008{\times}$연령+$0.010{\times}$체중-$0.005{\times}$신장-$0.319{\times}$성별, $V_E\;max/m^2(L/min)=58.161+1.503{\times}$운동시간-$0.315{\times}$연령-$9.871{\times}$성별 또는 $V_E\;max/m^2(L/min)=47.873+6.458{\times}FEV_1-5.715{\times}$성별 및 $V_T\;max(L)=1.497+0.223{\times}VC-0.493{\times}$성별. 결론: 본 연구에서 얻은 최대운동시의 호흡성 가스 교환 및 환기기능에 관한 성적은 건강과 체력에 대해서 일반인보다 관심이 높을 것으로 생각되는 스포츠센터 회원들을 대상으로 한 것이기 때문에, 안전상의 문제로 트레드밀의 손잡이를 잡고 검사를 해야하는 환자나 건강인을 위한 이상적인 목표치 내지 정상치를 제공한 것으로 생각된다. Background: Although graded exercise stress tests are widely used for the evaluation of cardiorespiratory performance, normal standards on respiratory gas exchange and ventilatory functions at maximal exercise in Koreans have not been well established. The purpose of this study is to provide reference values on these by sex and age, along with derivation of some of their prediction equations. Method: Symptom-limited maximal exercise test was carried out by Bruce protocol in 1,000 healthy adults consisting of 603 males and 397 females, aged 20~66 years. Among them VC, $FEV_1$ and MVV were also determined in 885 cases. All the subjects were members of a health center, excluding athletes. During the exercise, subjects were allowed to hold on to front hand rail of the treadmill for safety purpose. Results: The $VO_2\;max/m^2$, $VCO_2\;max/m^2$ and $V_E\;max/m^2$ were greater in males than in females and decreased with age. The RR max in men and women was similar but decreased slightly with age. The $V_T$ max was markedly greater in men but showed no significant changes with age in either gender. The mean of $V_T$ max/VC, $V_E$ max/MVV and BR revealed that there were considerable ventilatory reserves at maximal exercise even in older females. The regression equations of the cardinal parameters obtained using exercise time(ET, min), age(A, yr), height(Ht, cm), weight(W, kg), sex(S, 0=male; 1=female), VC(L), $FEV_1$(L) and $V_E$ max(L) as variables are as follows: $VO_2\;max/m^2$(L/min)=1.449+0.073 ET-0.007A+0.010W-0.006Ht-0.209S, $VCO_2\;max/m^2$(L/min)=1.672+0.063ET-0.008A+0.010W-0.005Ht-0.319S, VE max/$m^2$(L/min)=58.161+1.503ET-0.315A-9.871S or VE max/$m^2$(L/min)=47.873+6.548 $FEV_1$-5.715 S, and VT max(L)=1.497+0.223VC-0.493S. Conclusion: Respiratory gas exchange and ventilatory variables at maximal exercise were studied in 1,000 non-athletes by Bruce protocol. During exercise, the subjects were allowed to hold on to hand rail of the treadmill for safety purpose. We feel that our results would provide ideal target values for patients and healthy individuals to be achieved, since our study subjects were members of a health center whose physical fitness levels were presumably higher than ordinary population.

• Nutritional Sciences
• /
• 제8권3호
• /
• pp.189-195
• /
• 2005

To assess the effect of pinitol supplementation and strength training for two weeks on the anaerobic capacity during and after exercise, and improvement of glucose metabolism during the recovery period of muscular fatigue with repeated acute bouts of cycling exercise, a total of 24 healthy young men were recruited and randomly and equally divided into three groups; pinitol supplementation group (PSG), placebo group (PLG), and control group (CON). Using a randomized double-blinded design, subjects in PSG were provided pinitol supplement, consumed orally 1.2 g/day, and participated in the resistance exercise program and cycling exercise for two weeks. Subjects in PLG underwent the same protocol as those in PSG but consumed the same amount of placebo. No supplementation and exercise program was given to CON. Before and after the intervention, all subjects were tested for their anaerobic capacities evaluated by Wingate test twice separated by 30 min. During the test, peak anaerobic power (PP), mean anaerobic power, total work, and fatigue index were evaluated During resting and recovery, blood samples were drawn and plasma pinitol, myo-inositol, chiro-inositol, insulin, free fatty acid, glucose, and lactate levels were analyzed After two weeks, PP and relative PP of the second biking were improved from the first biking in PSG only (p<0.05). No changes were found in all other variables of Wingate test in all groups. No statistical differences between groups and pre- and post-intervention were observed in concentrations of pinitol, myo-inositol, and chiro-inositol, but pinitol concentration was higher during recovery compared to the baseline in all groups and testings (p<0.05). Lactate level during recovery was higher than the resting level, but no other blood parameters were significantly changed. In conclusion, two weeks of pinitol supplementation in conjunction with short duration of anaerobic training in healthy young men did not induce any obvious benefits in terms of anaerobic capacity and energy metabolism Individual and/or population susceptibility may be one factor responsible for adopting pinitol supplementation.

• 대한간호학회지
• /
• 제29권1호
• /
• pp.34-47
• /
• 1999

This study evaluated the Comparison of the Effectiveness of Pelvic Floor Muscle exercise and Biofeedback treatment for Genuine Stress Incontinence I assigned 60 participants to 2 groups : 30 to the pelvic floor muscle exercise group and 30 to the biofeedback group. Treatment protocol lasted for 6 weeks. Peak pressure, and duration time of pelvic muscle contraction were evaluated by a perineometer. Lower urinary symptoms, sexual matter and life style scores were achieved by using Jackson's scale. The treatment efficacy of the pelvic floor muscle exercise is compared with the biofeedback group and the main results of the comparison are as follows : 1. Pelvic muscle contraction 1) The peak pressure in the biofeedback group was significantly increased(P＝0.000). 2. The frequency and quantity of incontinence 1) The frequency of incontinence in the biofeedback group was significantly decreased(P＝0.000). 2) The quantity of incontinence in the biofeedback group was significantly decreased(P＝0.000). 3. The lower urinary symptoms Daily frequency(P＝0.000), nocturia(P＝0.000), urgency(P＝0.000), bladder pain(P＝0.000), unexplained incontinence(P＝0.048), wearing protection(P＝0.022), changing outer clothing(P＝0.005), hesitancy(P＝0.008), intermittent stream(P＝0.000), abnormal strength of stream(P＝0.004), retention(P＝0.000), incomplete emptying(P＝0.000), and inability to stop mid stream(P＝0.006) of the lower urinary symptoms in the biofeedbatk group were significantly decreased. 4. The sexual matters The dry vagina (P＝0.004) and pain during sexual Intercourse (P＝0.002) in the biofeedback group was significantly decreased. 5. The life style The fluid intake restriction(P＝0.007), affected daily task(P＝0.003), avoidance of places & situation(P＝0.003), interference in Physical activity (P＝0.002), interference in relationship with other people(P＝0.01), and feeling about the rest of life with urinary symptom(P＝0.000) in the biofeedback group were significantly decreased. In conclusion, the biofeedback treatment was more effective than the pelvic floor muscle exercise in genuine stress incontinence.

• 한국전문물리치료학회지
• /
• 제12권3호
• /
• pp.74-83
• /
• 2005

The purpose of this study was to produce the regression equation from non-exercise $VO_{2max}$ of healthy young adults and to develop a maximal oxygen consumption ($VO_{2max}$) regression model. This model was based on heart rate non-exercise predictor variables (rest heart rate, maximal heart rate/rest heart rate), as an extra addition to the general regression which can reflect an individual's inherent or acquired cardiorespiratory fitness. The subjects were 101 healthy young adults aged 19 to 35 years. Exercise testing was measured by using a Balke protocol for treadmill and indirect calorimetry. The prediction equation was analyzed by using stepwise multiple regression procedures. The mean of $VO_{2max}$ was $39.02{\pm}6.72\;m{\ell}/kg/min$ (mean${\pm}$SD). The greatest variable correlated to $VO_{2max}$ was %fat. The predictor variable used in the non-exercise $VO_{2max}$ included %fat, gender, habitual physical activity and $HR_{max}/HR_{rest}$. The non-exercise $VO_{2max}$ estimation was as follows: $VO_{2max}$($m{\ell}/kg/min$)=55.58-.41(%fat)+.59(physical activity rating)-2.69($HR_{max}/HR_{rest}$)-5.36 (male=0, female=1); (R=.85, SEE=3.64, R2=.72: including heart rate variable); $VO_{2max}$($m{\ell}/kg/min$)=48.47-.41(%fat)+.45(physical activity rating)-5.12 (male=0, female=1); (R=.84, SEE=3.74, R2=.70: with the exception of heart rate variable). As an added heart rate variable, there was only a 2% coefficient of determination improved. Therefore, these results demonstrated that heart rate variable correlation with a non-exercise regression model was very low. In conclusion, for healthy young korean adults, those variables that can affect non-exercise $VO_{2max}$ estimation turned out to be only % fat, gender, and physical activity. We suggest that further research of predictor variables for non-exercise $VO_{2max}$ is necessary for different patient groups who cannot perform maximal exercise or submaximal exercise.

• 한국정보통신학회:학술대회논문집
• /
• 한국해양정보통신학회 2000년도 추계종합학술대회
• /
• pp.284-287
• /
• 2000

최근 개발되고 있는 의료기기들은 사용자의 상호 복합적인 요구사항을 반영하기 위하여 모듈(Module)화되는 추세이다. 이는 환자의 상태를 관찰, 진단, 처리를 위해 여러 기기들로부터 데이터를 수집하고, 이에 따르는 동작을 제어하기에 가장 효율적인 방법이기 때문이다. 이와 같은 모듈화 경향은 여러 개의 단일 시스템들을 쉽게 통합 관리할 수 있기 때문에 더욱 일반화되고 있다. 본 연구에서는 모듈화된 의료장비들을 하나의 통신 시스템으로 묶어 중앙 집중형 제어를 할 수 있는 통신 프로토콜을 구현하였다. 본 연구에서 구현된 시스템은 모든 기기들을 제어하고 통신을 관장하는 하나의 마스터(Master) 모듈과 각각의 의료기기들에 해당되는 여러 개의 슬레이브(Slave)모듈로 구성된다. 각 모듈간 통신은 데이터의 정확한 송, 수신을 위해 여러 동기 직렬 통신방식 중 SPI(Serial Peripheral Interface)를 사용하였다. 모든 통신은 패킷(Packet)형태로 이루어지고, 통신중 에러를 검출할 수도 있다. 또한, 마스터 모듈은 자동으로 특정 슬레이브 모듈외 연결 및 동작 유무를 알 수 있는 PNP(Plug And Play)기능이 있다. 본 연구에서 구현된 프로토콜온 컴퓨터와 연결하여 데이터 전송 확인을 통해, 1Mbps이상의 빠른 속도에서 정화한 송, 수신이 이루어지며, 인공호흡기와 같은 실시간 데이터의 송, 수신이 이루어져야하는 의료장비에서도 모듈이 수행하는 본래의 일에 방해하지 않고 실시간 통신이 이루어지는 것을 실제 호흡기 시스템에 적용하여 확인하였다. 또한, 중앙 집중형 제어에 의한 다양한 기능을 편리하게 구현할 수 있었다.이다.ure scheme based on KCDSA which is a domestic digital signature scheme and it apply a electronic cash system. In particularly a proposed electronic cash system have an anonymity control ability which trace a user who make use a electronic cash illegally in association with a trusted center.estigation and explain how our tool can be further enhanced.door playground facilities. On the basis of the site investigation the interview and the indoor education program for physically challenged children the author completed an outside play program. Each item in this program was classified as belonging to either a "sense play" program or and "exercise play" program. Finally, the author designed suitable play equipment for physically challenged children corresponding to each item in the exercise

• 대한물리치료과학회지
• /
• 제5권3호
• /
• pp.617-624
• /
• 1998

A variety of neuromuscular diseases in children cause muscle imbalance. impaired function, and resultant deformity of the lower extremities. Equinovarus, equinos, adductor contracture are common deformity of lower extremities in the children. Generally, the transfer was successful in improving or maintaining range of motion, stability of the joint and gait. Postoperative physical therapy is important. Physical therapy was instituted after cast removal. All children received stretching exercise, range of motion exercise for the joint, proprioceptive neuromuscular fascilitation and gait training was administered. This article describes our experience with the physical therapy for tendon transfered spastic cerebral palsy and discusses the therapeutic protocol.

• 대한의용생체공학회:학술대회논문집
• /
• 대한의용생체공학회 1992년도 추계학술대회
• /
• pp.51-54
• /
• 1992

In this paper, we quantitatively evaluated the anxiety data from humans in an anxiety state. It has been reported that the electric signals of human can be correlated with their emotional state. We chose heart rate, respiration rate, temperature and skin conductance as the anxiety parameters. For experiment protocol, the subject was given exercising load to induce the anxiety state and the exercise was done using the FITRON Cycle Ergometer. We divided the data into three stages: rest period, exercise period, and recovery period. During evaluation, We counted the heart rate, slope of heart rate, temperature change, and the skin conductance.