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Effects of different Diaphragm Breathing Methods on the Diaphragm Thickening Ratio and Pulmonary Function in Young Adults

  • Ha, Tae-Won;Lee, Myung-Mo
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.25-33
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    • 2019
  • PURPOSE: This study examined the effective impact of self and resistive and ultrasound-biofeedback diaphragm breathing on the pulmonary function and diaphragm thickening ratio of young adults. METHODS: Thirty normal adults were assigned randomly to three experimental groups (self- diaphragm breathing (n=9), resistive-diaphragm breathing (n=11), ultrasound-biofeedback diaphragm breathing (n=10)). Each group participated for 15 minutes for times with a two minute rest between two sets. The subjects were assessed using the pre- and post- diaphragm thickening ratio and the pulmonary function (forced vital capacity, forced expiratory volume at one second, maximal voluntary ventilation, and respiratory rate) on the thirty subjects. A paired t-test was to determine the difference between before and after the experiment in each group of diaphragm breathing before and after the exercises. One-way ANOVA was used to determine the differences between the groups. RESULTS: The forced vital capacity and maximal voluntary ventilation measurements revealed a significant difference in the resistive-diaphragm breathing group than the other two groups. On the other hand, there was no significant difference between the self-diaphragm breathing and ultrasound-biofeedback breathing groups. CONCLUSION: The resistive-diaphragm breathing group showed greater improvement in the pulmonary function than the other two groups. Therefore, resistive-diaphragm breathing will improve the pulmonary function on normal young adults.

The Effect of a Home Visit Cognitive Training Program Using Tablet-Based Recognition Rehabilitation Application (Brain Doctor) on Local Elderly People's Cognitive Function and Depression (태블릿 PC형 전산화 인지재활 프로그램(Brain doctor)을 이용한 가정방문 인지훈련 프로그램이 지역사회 노인의 인지기능 및 우울감에 미치는 영향)

  • Kim, Minho
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.49-58
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    • 2020
  • Purpose : This study examined the effect of a home visit cognitive training program that uses a tablet-based digital recognition rehabilitation application, Brain Doctor, on local elderly people's cognitive function and depression. Methods : This study featured 20 elderly people living in Busan Metropolitan City, South Korea, who received a voucher for a home visit service to prevent dementia. The subjects were evenly divided into an intervention group provided with Brain Doctor and a control group provided with a conventional cognitive training program. Korean version of Mini Mental State Examination (MMSE-K) and Korean version of Montreal Cognitive Assessment (K-MoCA) were used to assess cognitive function in each group. Patient Health Questionnaire-9 (PHQ-9) was used to evaluate the depression levels. Results : The intervention group showed a significant change in cognitive function and depression after the intervention (p<.05). There was a statistically significant change in cognitive function and depression between the intervention and control groups (p<.05). Conclusion : This study confirmed that Brain Doctor had a positive effect on the cognitive function and depression of elderly people in the local community. It is expected to become a useful home visit program for dementia prevention in the future.

A Study on the Pulmonary Functional Characteristics of Amateur Wind Instrument Players and Choir Members

  • Baek, Jeong Yun;Kim, Joong Hwi
    • The Journal of Korean Physical Therapy
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    • v.34 no.5
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    • pp.248-254
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    • 2022
  • Purpose: This study was undertaken to identify the effect of amateur wind musical performance and choir activity on pulmonary function, and to determine the usefulness as a respiration training program by measuring the pulmonary functions of subjects. Methods: A total of 90 subjects (wind instrument players group=30, choir members group=30, control group=30) participated in the experiment. Pulmonary function test (FVC, FEV1, FEV1/FVC ratio, MVV, SVC, PEF, FEF 25-75%, IRV, ERV) was conducted using a spirometer (CardioTouch 3000S, Bionet, Seoul, Republic of Korea). Each factor was measured 3 times to meet the American Thoracic Society criteria, and the highest value was used in the analysis. Results: Comparing pulmonary function between the amateur wind instrument players (WP), amateur choir members (CH), and control (CG) groups revealed significant differences in FEV1, FVC, FEV1/FVC, and ERV (p<0.05). Highest values were obtained in the WP group. Significant differences were obtained for various factors in the multiple regression analysis of practice year (PY), practice time per week (PTPW), and exercise time per week (ETPW): FEV1 and FVC in PY, FEV1/FVC in PTPW, and FEV1/FVC, MVV, PEF, and FEF (25-75%) in ETPW. Conclusion: Amateur wind instrument performance effectively improves lung function and is useful as a breathing training program for preventing debilitation and improving respiratory function.

Effects of Resistance Exercise with Pressure Biofeedback Unit on the Gait Ability and Knee Joint Function in Subject with Total Knee Replacement Patients

  • Jin Park
    • The Journal of Korean Physical Therapy
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    • v.36 no.1
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    • pp.27-32
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    • 2024
  • Purpose: This study was conducted to verify the effect of applying a pressure biofeedback unit on walking ability and knee joint function while performing knee joint extensor strengthening exercises using resistance exercise equipment in total knee replacement (TKR) patients. Methods: This study was conducted on twelve patients receiving rehabilitation treatment after being admitted to a rehabilitation hospital post-TKR. Of these, six were allocated to a feedback group with a pressure biofeedback unit, and the other 6 were allocated to a control group without a pressure biofeedback unit. The subjects performed an exercise program for 45 minutes per session, five times a week, for two weeks. Walking ability and knee joint function were evaluated and analyzed before and after exercise. Results: The feedback group showed significantly better improvements in walking speed, gait cycle, step length on the non-operation side, time on the foot on the operation side, K-WOMAC stiffness, and K-WOMAC function than the control group (p<0.05). Conclusion: When strengthening the knee joint extensor muscles using resistance exercise equipment in TKR patients, the provision of a pressure biofeedback unit was found to improve walking ability and knee joint function by inducing concentric-eccentric contraction of the knee joint extensor muscles. Therefore, the study shows that exercise based on the provision of a pressure biofeedback unit should be considered when strengthening knee joint extensor muscles to improve the walking ability and knee joint function of TKR patients in clinical practice.

The Effects of Task-Oriented Training on Motor and Cognitive Function in Focal Ischemic Brain Injury Model of Rat

  • Heo, Myoung;Kim, Gye-Yeop;Kim, Tae-Yeul;Nam, Ki-Won;Kim, Jong-Man
    • Physical Therapy Korea
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    • v.15 no.4
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    • pp.50-58
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    • 2008
  • The purpose of this study was to investigate the effects of the task-oriented training according to the application time with the change of motor and cognition function. Focal ischemic brain injury was produced in Sprague-Dawley rats (20 rats, $250{\pm}50$ g) through middle cerebral artery occlusion (MCAo). Before MCAo induction, all rats were trained in treadmill training and Morris water maze training for 1 week. Then they were randomly divided into groups: Group I : MCAo induction ($n_1$=5), Grop II: the application for simple treadmill task training after. MCAo induction ($n_2$=5). Group III: the application for Morris water maze cognitive task training after MCAo induction ($n_3$=5). Group IV: the application for progressive treadmill task training and Morris water maze cognitive task training after MCAo induction ($n_4$=5). Modified limb placing tests (MLPTs) and motor tests (MTs) were performed to test motor function and then Morris water maze acquisition test (MWMAT) and Morris water maze retention test (MWMRT) were performed to test cognitive function. For MTs, there were significant interactions among the groups with the time (p<.001). Group IV showed the steeper increasing pattern than those in other Groups on the 7th and 14th day. For MLPTs, there were significant interactions among the groups with the time (p<.001). The scores in Group III. IV had showed the more decreasing pattern than those in Group I, II since the 7th day and 14th day. For MWMAT, there were significant interactions among the groups with the time (p<.001). Group II found the Quadrant circular platform showed the steeper decreasing pattern than that in Group I on the 9th, 10th, 11th and 12th day. Group III. IV found the quadrant circular platform showed the slower decreasing pattern than that in Group I, II, For MWMRT, there were significant differences among the four groups (p<.001). The time to dwell on quadrant circular platform in Group IV on the 13th day was the longest compared with other groups. These results suggested that the combined task training was very effective to improve the motor and cognition function for the rats affected on their focal ischemic brain injury.

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The Effect of Chair Backrest on Respiratory Function in Prolonged Sitting Position

  • Kim, Chang Ju;Son, Sung Min;Kang, Kyung Woo
    • The Journal of Korean Physical Therapy
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    • v.30 no.3
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    • pp.96-99
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    • 2018
  • Purpose: The purpose of this study was to determine the effects of a chair backrest on respiratory function after prolonged sitting. Methods: Twenty-four young healthy subjects (12 males and 12 females) volunteered to participate in this study, and were equally allocated to a backrest (n=12) or a without backrest group (n=12). A spirometer was used to measure the respiratory functions of all subjects. Results: The chair with backrest group were significant difference in forced vital capacity (FVC), Forced expiratory volume in 1 second (FEV1), and peak expiratory flow (PEF) after sitting for 1 hour, compared with chair without backrest group (p<0.05). The chair with backrest group showed a significantly decreased in FVC, FEV1, and PEF. Conclusion: Using a chair without a backrest may help to reduce lung function deterioration as compared with a chair with a backrest.

Comparison of Executive function in Children with ADHD, Asperger's Disorder, and Learning Disorder (주의력결핍과잉행동 장애, 아스퍼거 장애, 학습 장애 아동의 실행기능 비교)

  • Shin Min-Sup;Kim Hyun-Mi;On Shine-Geal;Hwang Jun-Won;Kim Boong-Nyun;Cho Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.17 no.2
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    • pp.131-140
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    • 2006
  • Objectives : This study was conducted to investigate the deficits of executive function in children with ADHD, Asperger's Disorder(AD), and teaming disorder (LD), and to identify the differential characteristics of executive function deficits among three groups. Methods : The clinical group consisted of 46 children between the ages of 7 and 15 (16 ADHD, 16 LD, 14 AD). Neuropsychological tests for measuring cognitive function, attention and executive function were individually administered to children, and their performance scores were calculated based on the age norm for each test. Results : There was no significant difference in FSIQ, VIQ, and PIQ among the three groups. However, the AD group tended to show higher scores on the subtests of Information, Vocabulary and Digit Span, and lower score on Comprehension subtest than the ADHD and LD groups, while the LD group tended to show the lowest scores on the Information and Vocabulary subtests. On ADS, the ADHD group showed the highest omission and commission errors. All groups showed poor performances belonging to below 25 percentile ranks on executive function tests when compared to the age norms of normative group. The number of completed category on WCST was the smallest in the ADHD group, while the working memory score was the lowest in the LD group. Conclusion : These results suggest that ADHD, LD, and AD children have executive function deficit in common. However, the specific deficit areas in executive function are different for each group.

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The Effects of Parent's Participation and Satisfaction Degree on Physical Therapy for the Improvement of Motor Function in Cerebral Palsy Patients (부모의 물리치료 참여 및 만족도가 뇌성마비 아동의 운동기능 호전에 미치는 영향)

  • Lee, So-Young;Kim, Yong-Nam;Kang, Jeong-Il
    • The Journal of Korean Physical Therapy
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    • v.17 no.4
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    • pp.575-588
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    • 2005
  • Family and parents which serve as a primary group for the children's development also play important role in their cerebral palsy children's treatment. This study wants to know how the parents' participation in their children's physical therapy and satisfaction degree have an impact on their children's improvement of the motor function. For that purpose, a home made self filling survey was conducted of 156 cerebral palsy children's parents whose children were treated in 4 university general hospitals and 3 welfare centers from the 1st of April 2004 to the 31th of march 2005. The gross motor function was employed to evaluate the cerebral palsy children's motor function improvement. In this study, those questioned were divided into two groups according to the time of treatment. 'Group A' is consist of the patients whose parents attended to the treatment more than one hour at home. The patients who belonged to 'Group B' were treated less than one hour at home. The general features of the cerebral palsy children and their parents and the characteristics of their physical disability, the parents' participation and their satisfaction degree were examined by survey. Evaluating the difference between two groups' motor function according to their parents participation degree in the physical therapy leads to the following results. First, 'Group A' was better than 'Group B' in their satisfaction degree with the physical therapy and participation degree. Statistically 'Group A' was superior to 'Group B' in the requirements of the information and education for the children with cerebral palsy. Second, after two months of treatment, 'Group A' showed more statistically significant improvement than 'Group B' in every items as like lying in item 1, sitting in item2, crawling and kneeling in item 3, standing in item 4, walking,running, jumping in item 5. Third, parents' participation in physical therapy and satisfaction degree have some relevance to their children' motor function improvement. The satisfaction degree is related to motor function like crawling and kneeling in item 3, walking,running, jumping in item 5. It is showed that the parents' participation degree and information about handicapped children.

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The Effect of Circuit Weight Training on the Muscular Function and Cardiopulmonary Function (육상과 선박내에서의 Circuit Weight Training 이 근기능 및 심폐기능에 미치는 영향)

  • 하해동;신군수
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 1998.04a
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    • pp.163-185
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    • 1998
  • The purpose of this study was to analyze the physiology changes by circuit weight training(CWT). The subject of this study consists of 16 student on ship(experimental groups(SE) N=8, control group(SCa) N=8) and 16 students on land (experimental groups(LE) n=8, control groups(LCb) N=8). The items of measurement were the changes of CWT time and heart rate per week, musclear functino and cardiopulmonary function. The conclusions are as follows : 1. Muscular fuction 1) Back strength in SE and LE group was increased significantly (p<.01, p<.05, 8.86% and 7.08%).Grip strength was increased slightly in 4 groups but there was no significance. 2) In push-ups, all 4 groups were increased significantly (p<.05, p<.01), sit-ups also were increased significantly in SE and LE group (p<.05, 6.71% and 9.62%). 3) In SE and LE group , standing long jump was in significantly (p<.01, p<.05, 4.49% and 6.09%), but only in LE group , side step was increased significantly (p<0.1, 5.84%). 2. Cardiopulmonary function 1) HRrest was decreased slightly in all 4 groups but was not significant changes. HRmax was increased only in LE group significantly (p<.05, 2.81%), treadmill running time was increased significantly in SE and LE group respectively (p<.01, p<.05, 10.78% and 11.07%). 2) VEmax was increased significantly in SE and LE group(p<.05, p<.01, 10.59% and 13.68%), but only in LE group Rfmax was increased significantly (p<.01, 4.83%). 3) In VO2max, LCb group was increased significantly (p<.05, 6.835), but SCa group was decreased significantly (p<.05, 4.32). VO2max/kg$.$min was increased significantly in LE and LCb group respectively (p<.01 p<.05. 4.75% and 3.98%).

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The effect of Environmental Enrichment and Peripheral Nerve Electrical Stimulation on Functional Recovery after Brain in rats (환경강화와 말초신경 전기자극이 뇌손상 백서의 기능회복에 미치는 영향)

  • Kim, Sa-Youl;Kim, Tae-Youl;Oh, Myung-Hwa;Kim, Young-Eok;Chang, Mee-Kyung;Sim, Ki-Cheol;Kim, Gye-Yeop
    • The Journal of Korean Physical Therapy
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    • v.19 no.1
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    • pp.33-44
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    • 2007
  • Purpose: To investigate and analyze effects of environmental enrichment(EE) and nerve stimulation that follows in application times with change of functional recovery(1, 3, 7 and 14 days). Methods: Focal ischemic brain injury was produced in 100 Sprauge-Dawley rats through middle cerebral artery occlusion(MCAO). Neurobehavioral assessment were selected, such as tilting plane testing, horizontal wire testing, vestibulomotor function testing and complex neuromotor function test, then they were randomly divided into five groups; Group I : Sham group, Group II: MCAO group, Group III: MCAO and ES group, Group IV: MCAO and EE group, Group V: MCAO and EE and ES group. Results: In neurobehavioral assessment, group V were significantly difference from other groups on between-subject effects. Conclusion: Our findings suggest that in focal ishemic brain injury, combined environmental enrichment and peripheral nerve electrical stimulation is more improved that the improvement of exercise function recovery than non treatment group.

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