• Integrative Medicine Research
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• 제7권4호
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• pp.333-340
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• 2018

Background: Traditional Korean medicine (TKM) is widely used to treat children with cerebral palsy (CP) in Korea; however, studies investigating factors that influence the use of TKM are scarce. Thus, we investigated the clinical factors that might influence the use of TKM. Methods: A population-based, cross-sectional, multicenter survey was performed from August 2014 to May 2016. The history of TKM use, type and severity of CP, current treatment characteristics, presence of accompanying disabilities or other health problems not directly related to CP, and monthly cost for the treatment of CP were surveyed. Results: In total, 182 children were recruited, and 78 children (42.9%) had used TKM. Among these 78 children, 50 (64.1% of the TKM-use group) had used both acupuncture and herbal medication, 15 (19.2%) had used acupuncture only, and 13 (16.7%) had used herbal medication only. Children with non-typical CP, accompanying disabilities and general health problems tended to use TKM. The monthly cost of treatment for CP was significantly higher in the TKM-use group than that in the no-TKM-use group, suggesting that economically disadvantaged children may have difficulty in accessing TKM. Dietary supplements, conventional pharmacological treatments, and rehabilitation therapies did not affect TKM use. Conclusion: Children with non-typical symptoms or those with poor overall health status are likely to use TKM. Additionally, TKM use leads to increased treatment costs. Studies investigating the motivation for starting or ceasing TKM therapy, socioeconomic factors and the attitude of parents towards complementary and alternative medicine should be performed.

• 대한통합의학회지
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• 제6권4호
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• pp.149-169
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• 2018

Purpose : This study was to develop a strategy for modeling future workforce projections to serve as a basis for analyzing annual supply of and demand for physical therapists across the South Korea into 2030. Methods : In-and-out movement model was used to project the supply of physical therapists. The demand was projected according to the demand-based method which consists of four-stages such as estimation of the utilization rate of the base year, forecasting of health care utilization of the target years, forecasting of the requirements of clinical physical therapists and non-clinical physical therapists based on the projected physical therapists. Results : Based on the current productivity standards, there will be oversupply of 39,007 to 40,875 physical therapists under the demand scenario of average rate in 2030, undersupply of 44,663 to 49,885 under the demand scenario of logistic model, oversupply of 16,378 to 19,100 under the demand scenario of logarithm, and oversupply of 18,185 to 20,839 under the demand scenario of auto-regressive moving average (ARIMA) model in 2030. Conclusion : The result of this projection suggests that the direction and degree of supply of and demand for physical therapists varied depending on physical therapists productivity and utilization growth scenarios. However, the need for introduction of a professional physical therapist system and the need to provide long-term care rehabilitation services are actively being discussed in entering the aging society. If community rehabilitation programs for rehabilitation of disabled people and the elderly are activated, the demand of physical therapists will increase, especially for elderly people. Therefore, healthcare policy should focus on establishing rehabilitation service infrastructure suitable for an aging society, providing high-quality physical therapy services, and effective utilization of physical therapists.

• 대한통합의학회지
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• 제7권1호
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• pp.1-8
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• 2019

Purpose : The purpose of this study was to examine the correlation between static and dynamic balance according to the virtual reality-based squat and conventional squat exercise. Methods : Twenty four participants were randomly assigned to the virtual reality-based squat (VRS) group (n=12) or conventional squat (CS) group (n=12). The static balance (C90 area, C90 angle, trace length, sway average velocity) and dynamic balance (forward, rearward, leftward, rightward) were measured using a force plate by BT4. The VRS group used the virtual reality system during 4 weeks, while the CS group underwent classical squat training. Independent t-test was used to test the homogeneity of the general characteristics of the subjects. The collected data was analyzed using the paired t-test for static and dynamic balance comparisons before and after exercise in both groups and Pearson's test for the correlation between static and dynamic balance according to the measured time. The significance level was set to 0.05. Results : There was no significant correlation between group and static and dynamic balance related variables (p>.05). There was a significant correlation between measurement time and static and dynamic balance related variables (p<.05). According to the measurement time, the static balance parameter C90 area in the VRS group after exercise was significantly decreased (p<.05). The values of forward, leftward and rightward in the VRS group were significantly increased after exercise (p<.05). Conclusion : It is suggested that 20 normal healthy adult men and women who have normal balance ability can improve their ability to control their posture by improving the balance ability when applying virtual reality-based squat exercise.

• 대한통합의학회지
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• 제7권3호
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• pp.117-125
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• 2019

Purpose : The purpose of this study was to determine the effects of simultaneous application of focal vibration stimulation and task-oriented training on the improvement in upper extremity motor function after stroke. Methods : The study period was from January to April 2019; 23 patients who fulfilled the study eligibility criteria were enrolled. The participants were divided into two groups: the experimental group with vibration stimulation and task-oriented training and the control group with only task-oriented training. Training was conducted in a total of 20 sessions, 5 times a week for 30 minutes a day for 4 weeks. The amount of use of the affected and unaffected side by accelerometers, and Box and Block test (BBT), Action Research Arm Test (ARAT) was measured with a pre-test, a post-test. Wilcoxon Signed Rank Test and Analysis of Covariance were used to compare and analyze the changes within and between the groups. Results : Both the groups showed statistically significant changes in the results of the BBT and the ARAT, as well as the amount of use of the affected and unaffected side. Regarding the use of the affected side, BBT results, and the grasp and gross movement item of the ARAT showed significant changes in the experimental group compared with the control group. Conclusion : We found that simultaneous application of focal vibration stimulation and task-oriented training was more effective than task-oriented training alone. A large-scale comparative study involving a group that is only given vibration stimulation should be conducted for more generalizable results.

• 대한통합의학회지
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• 제7권3호
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• pp.21-32
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• 2019

Purpose : The purpose of this study was to analyze perceptions of well-being and characteristics of beauty care tendencies among women, in order to provide basic data for the establishment of a well-being and beauty management direction. Methods : The domains examined for perceptions of well-being included spirit-oriented, material-oriented, self-oriented, and appearance-oriented values. The domains examined for beauty care tendencies consisted of appearance interest, social factors, and beauty care behavior. A survey of 320 women was conducted. In the analysis of the data, t-test and analysis of variance were used to examine the relationship between perceptions of well-being and beauty care tendencies based on sociodemographic variables. A multiple regression analysis was used to analyze the factors affecting beauty care tendencies. Results : The analysis of the perceptions of well-being among the participants indicated that they tended to be more aware of the mental aspects of well-being and seldom recognized well-being as having material aspects. Therefore, they recognized the concept of well-being as something mentally oriented. The analysis of the factors affecting beauty care tendencies indicated that the participants were most greatly influenced by spirit-oriented values, and the more appearance-oriented values were emphasized, the more focus there was on beauty care. Conclusion : This study found that well-being is a luxury, and traditional beauty care involving care of the mind and body can be effectively utilized if the beauty care is based on the recognition of mentally oriented well-being.

• 대한통합의학회지
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• 제7권2호
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• pp.39-47
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• 2019

Purpose : This study was investigated effects of vibration on scapular winging of knee push-up plus exercise. Methods : Twenty-eight female subjects with scapular winging were evaluated after performing knee push-up plus exercise, with or without vibration, three times a week for four weeks. Muscle activation of the serratus anterior and upper trapezius, and the ratio of activation of the upper trapezius to serratus anterior were measured using surface EMG; and scapular winging length was measured by using the caliper. Results : The findings showed that knee push-up plus exercise -with and without- vibration induced a significant increase in muscle activation of serratus anterior (p<.05) and a significant decrease in muscle activation of the upper trapezius (p<.05), the ratio of muscle activation of the upper trapezius to the serratus anterior (p<.05) and scapular winging length (p<.05). There was also a significant difference in muscle activation of the serratus anterior (p<.05) and upper trapezius (p<.05) between control and experimental group at post-test. Conclusion : This study suggests positive clinical effects of knee push-up plus exercise with vibration which enhanced muscle activation of serratus anterior and reduced muscle activation of upper trapezius in person with scapular winging. However, vibration had no effectiveness to improve muscle imbalance between serratus anterior and upper trapezius, and reduce the scapular winging length.

• 대한통합의학회지
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• 제7권3호
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• pp.71-83
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• 2019

Purpose: This meta-analysis aimed to analyze to the effects of aquatic exercise programs in children with cerebral palsy and identify directions for future research. Methods: A systematic search based on the PRISMA guidelines was undertaken for studies conducted between 2006 and 2018 on aquatic exercise programs in children with cerebral palsy. A total of 10 studies were selected according to the inclusion criteria. The methodological quality was assessed using the Risk of Bias Tool for Randomized Controlled Trials (RoB) and Risk-of-Bias Assessment Tool for Non-randomized Studies (RoBANS). A meta-analysis software (CMA 3.0) was used to calculate the mean effect size, effect size by intervention (Halliwick and Watsu Aquatic methods), and effect size by outcome. Results: The mean effect size was 0.457. The effect size by intervention was largest for the Halliwick method, followed by the Watsu method. The effect size by outcome was largest for range of motion, followed by the gross motor function measure, the Pediatric Berg Balance Scale, and the Modified Ashworth Scale. Meta-regression analysis showed effect size increased when sample size, number of sessions, and length of sessions increased. Conclusion: The results show that aquatic exercise programs have a positive effect on children with cerebral palsy. Therefore, it is necessary to develop a guideline that recommends the appropriate intervention and the identifies the direction of future studies on aquatic exercise programs.

• 대한통합의학회지
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• 제9권4호
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• pp.1-9
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• 2021

Purpose : The purpose of this study was to investigate functional disability for the elderly in rural Korea and to identify influencing factors of functional disability. Methods : The data were collected for 76 community-dwelling elderly in rural area and above 65 years. We assessed cognitive function, functional disability, depression using LACLS, WHODAS 2.0, SGDS-K. Data were analyzed using descriptive statistics for general characteristics of subjects, Spearman's correlation among LACLS, SGDS-K, WHODAS 2.0, age, educational levels. And multiple regression was used to find influencing factors of functional disability. Results : As a result of this study, we identified that WHODAS 2.0 total score was 50.59, summary score was 9.94 and functional disability of the elderly in rural area is in the 70^th percentile. The highest level of disability occurred in areas related to 'life activities (household)', 'participation in society' and the lowest level of disability occured in areas of 'self-care', 'getting along with people'. Functional disability was significantly correlated with age (r=.398), cognitive function (r=-.547), depression (r=-.563) but not educational levels (r=-.215). Finally, we confirmed that depression (𝛽=.371), cognitive function (𝛽=-.263), widowed status (𝛽=.303), age (𝛽=.272), non-participation of community program (𝛽=.165) was significantly influencing factors of functional disability and the explanatory power of these factors was 52.80 %. Conclusion : This study revealed important factors of functional disability. Therefore, we need to consider these factors when we developed program related to health for the elderly (aged > 65 years) in rural Korea. Further, we need to standardize WHODAS 2.0 in order to enhance its applicability in clinical practices.

• 대한통합의학회지
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• 제9권4호
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• pp.11-18
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• 2021

Purpose : The purpose of this study was to investigate the effect on lung capacity of healthy men and women in their twenties by performing an intervention using the chest extension exercise and the bridge exercise, which are respiratory muscle strengthening exercises. Methods : Thirty adult men and women in their 20s participated in this study. All subjects participated in the study after hearing the explanation of the purpose and method of the study, filling out a consent form. All subjects were randomly assigned to the chest extension exercise (CEE) group and the bridge exercise (BE) group of fifteen each. Each exercise was performed twice a week for 4 weeks. Lung capacity was measured by forced vital capacity (FVC) and forced expiratory volume in one second (FEV₁) using spirometry. Lung capacity was measured before and after exercise. The measured data were compared through the dependent t-test and the independent t-test. The statistical significance level was set at .05. Results : After the intervention, the CEE group showed a significant increase in FVC and FEV₁ compared to before the intervention (p<.05). After the intervention, the BE group also had a significant increase in FVC and FEV₁ compared to before the intervention (p<.05). However, there was no difference in FVC and FEV₁ between groups before and after the intervention (p>.05). Conclusion : There was no difference between groups in lung capacity after exercise. However, both the chest extension exercise and the bridge exercise increased FVC and FEV1, which was thought to be because both exercise methods were effective in increasing lung capacity. Therefore, both chest extension exercises and bridge exercises can be effectively applied as a way to increase lung capacity.

• 대한통합의학회지
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• 제9권4호
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• pp.91-103
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• 2021

Purpose : This study aimed to evaluate the effects of a cognitive enhancement brain yoga program on short-term memory and serum brain-derived neurotrophic factor (BDNF) levels according to the cognitive state in men aged 20-29 years. Methods : Thirty healthy volunteers aged 20-29 years were divided into four groups: brain yoga group, yoga group, combined exercise group, and control group. Seven people were assigned randomly per group. A single-session intervention was conducted over 50 min and consisted of three parts: warm-up, main exercise (brain yoga, yoga, combined exercise, or non-exercise), and cool-down. Serum BDNF levels were measured using enzyme-linked immunosorbent assay, and short-term memory was evaluated using the forward number span test before and after the intervention. Results : BDNF levels significantly increased within the brain yoga group after the intervention (from 28874.37±5185.57 to 34074.80±7321.12, p=.003), whereas there were no significant differences pre-and post-intervention in the other groups. The inter-group comparison showed a significant interaction between the brain yoga group and the combined exercise group (p=.036) but no significant interaction between any of the other groups. Forward number span scores were significantly increased in the brain yoga group (from 9.43±9.83 to 23±7.92, p=.012) and theyoga group after the intervention (from 13.43±9.41 to 24.14±8.45, p=.011), whereas there were no significant changes after the intervention in any other groups. Conclusion : Our findings showed that a single-session, 50-minute brain yoga exercise improved short-term memory and increased serum BDNF levels in healthy men aged 20-29 years and that yoga improved only short-term memory in healthy men of this age group.