• 대한정형도수물리치료학회지
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• 제28권1호
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• pp.71-80
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• 2022

Background: This study investigated the effect of robot-assisted arm training on muscle activity of arm and weight bearing in stroke patients. Methods: The study subjects were selected 20 stroke patients who met the selection criteria. 10 people in the robot-assisted arm training group and 10 people in the task-oriented arm training group were randomly assigned. The experimental group performed robot-assisted arm training, and the control group performed task-oriented arm training for 6 weeks, 5 days a week, 30 minutes a day. The measurement tools included surface electromyography and smart insole system. Data were analyzed using independent sample t-test and the paired sample t-test. Results: Comparing the muscle activity of arm within the group, the experimental group and the control group showed significant differences in muscle activity in the biceps brachii, triceps brachii, anterior deltoid, upper trapezius, middle trapezius, and lower trapezius. Comparing the muscle activity of arms between the groups, the experimental group showed significant difference in all muscle activity of arm compared to the control group. Comparing the weight bearing within the groups, the experimental group showed significant difference in the affected side and non-affected side weight bearings and there were significant differences in anterior and posterior weight bearing. The control group showed significant difference only in the non-affected side weight bearing. Comparing the weight bearings between groups, the experimental group showed significant difference in the affected side and non-affected side weight bearings compared to the control group. Conclusion: This study confirmed that robot-assisted arm training applied to stroke patients for 6 weeks significantly improved muscle activity of arm and weight bearing. Based on these results, it is considered that robot-assisted arm training can be a useful treatment in clinical practice to improve the kinematic variables in chronic stroke patients.

• 학교보건
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• 통권17호
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• pp.30-65
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• 1988

One of the first constitutional challenes to congressional legislation the area of school health came in 1967. The action of Ministry of Education for the school health progrom is within school health act constitued 20 Articles and ir\ts regulation of 14 Articles.This study was reviewed the school health act and its regulation for the developement of school healh program. The data were collected y 14 Boards of Education from November 1986 to Januar, 1987. The results of this sudy were identified the the articles with regard to health education activity, physical assessment activity, criteria of school health environment, control of communicable disease, First-Aid and clinic management by school nurses.

• Physical Therapy Rehabilitation Science
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• 제13권2호
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• pp.213-222
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• 2024

Objective: Stroke is a leading cause of disability worldwide, often leaving survivors with significant cognitive and motor impairments. Dual-task (DT), which involves performing cognitive and motor tasks simultaneously, can influence brain activation patterns and functional recovery in stroke patients. Design: A systematic review Methods: Following PRISMA guidelines, databases including MEDLINE, CINAHL, Embase, and Web of Science were searched for studies assessing cortical activation via functional near-infrared spectroscopy (fNIRS) during DT performance in stroke patients. Studies were selected based on predefined eligibility criteria, focusing on changes in hemodynamic responses and their correlation with task performance. Results: Eight studies met the inclusion criteria. Findings indicate that DT leads to increased activation in the prefrontal cortex (PFC), premotor cortex (PMC), and posterior parietal cortex (PPC), suggesting an integrated cortical response to managing concurrent cognitive and motor demands. However, increased activation did not consistently translate to improved functional outcomes, highlighting the complex relationship between brain activation and rehabilitation success. Conclusions: DT interventions may enhance cortical activation and neuroplasticity in post-stroke patients, but the relationship between increased brain activity and functional recovery remains complex and requires further investigation. Tailored DT programs that consider individual neurophysiological and functional capacities are recommended to optimize rehabilitation outcomes.

• 한국전문물리치료학회지
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• 제24권3호
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• pp.30-39
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• 2017

Background: Scapular posterior tilt (SPT) is important in the prevention of abnormal scapular movement and pain during elevation of the arm. However, previous studies have overlooked increased upper trapezius (UT) muscle activity interrupting the normal force couple of scapular motion and compensation of levator scapulae (LS) muscle activated simultaneously with UT during SPT exercise. Objects: The purpose of this study was to compare the effects of modified SPT with depression exercise versus SPT exercise on serratus anterior (SA), lower trapezius (LT), UT, and LS muscle activities and the clavicular tilt angle, in subjects with rounded shoulder posture (RSP) and myofascial pain in the UT muscle region. Methods: Eighteen subjects with RSP were recruited and randomly allocated to 2 groups; 9 in the SPT group and 9 in the SPT with depression group. All subjects met the specific RSP criteria and had myofascial pain of UT region. Depending on the allocated group, subjects performed the assigned SPT exercise and EMG data were recorded during the each exercise. Clavicular tilt angle was defined as the angle between the line joining the medial and lateral end of the clavicle and a horizontal line. Results: The SA muscle activity was significantly greater in SPT with depression than with SPT exercise (p<.05). The UT, LS muscle activity and the clavicular tilt angle was significantly lower in SPT with depression than with SPT exercise (p<.05). Conclusion: These findings were insightful because the potential risk of pain from overactivation of the UT and LS was considered, in contrast with SPT exercise. SPT with depression exercise can be implemented as an effective method to facilitate scapular muscle activity for stability and to prevent myofascial pain in the neck and shoulder.

• 한국전문물리치료학회지
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• 제9권2호
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• pp.43-50
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• 2002

This study was designed to identify the effects of walking conditions (normal walking vs. toe-walking) on electromyographic (EMG) activity of gastrocnemius, tibialis anterior, and soleus muscle. Seven healthy adult males participated in this study. The exclusion criteria were orthopedic or neurologic disease, congenital anomaly or acquired deformity, or pain in low back or lower extremities. The maximal voluntary isometric contraction for each muscle was used for the reference contraction, and EMG activity of each muscle during normal walking and toe-walking was expressed as a percentage of reference contraction. The gait cycle was determined with two foot switches, and gait was normalized as 100% gait cycle for each condition. The maximal values of EMG activity in terminal stance (30~50% of gait cycle) of each condition were compared for data analysis. No significant differences were found in EMG activity of the tibialis anterior and soleus (p>.05), whereas significant decrement was found in EMG activity of gastrocnemius during toe-walking compared to normal walking (p<.05). There is a limitation to generalize the results of this study, because small number of subjects participated for this study and only EMG was used for data collection. The treatment methods should be developed to improve gait efficiency by substituting the weakened muscles secondary to upper motor neuron, or by strengthening the distal muscles in lower extremity.

• 환경영향평가
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• 제27권6호
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• pp.647-657
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• 2018

본 연구는 국가의 하천환경관리차원에서 정립되고 있는 한국형 하천환경 평가체계의 하천환경 자연도와 하천 친수도에 대해 하천정비 및 관리계획의 지구지정 기준으로서의 적용가능성을 검토하고자 수행하였다. 관련 법제도적 기준과 지침을 검토한 결과 보전지구 지정기준인 역사문화적 가치는 친수지구와의 연계성의 검토할 필요가 있는 것으로 판단되었다. 또한 본 연구에서는 자연환경적 특성을 반영한 하천 환경 자연도의 기준의 1단계 보전과 복원지구의 구분에 이어 인문사회적 특성을 반영한 하천 친수도를 적용하여 친수지구를 구분하는 순차적인 평가방식을 제안하였다. 시험하천인 갑천과 유등천에 적용한 결과 현재 상태의 하천환경특성을 적절하게 반영하고 있는 것으로 판단되었다. 특히 기존의 지구구분 자료가 좌안과 우안의 차이를 반영하지 못한 점이나 과도한 친수지구의 지정 등의 문제에 대해 본 연구결과는 보다 분명한 기준을 제공한 것으로 판단되었다. 한편 본 연구에서 제시한 지구지정의 기준은 하천의 물리적 특성을 기준으로 한 평가단위의 설정과 함께 다양한 하천환경의 특성을 반영한 것으로서 또 다른 법적 규제나 지역의 여건 등은 행정적 절차에서 조정, 보완되어야 할 것으로 판단되었다.

• 대한물리의학회지
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• 제19권2호
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• pp.91-98
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• 2024

PURPOSE: This study aimed to provide basic clinical data by investigating the impact of Activities of daily living-related dual-task intervention on lung function, balance, and Activities of daily living of stroke patients. METHODS: After sampling 40 stroke patients who met the selection criteria, this study randomly assigned 20 patients who received dual-task exercise intervention to the experimental group and 20 patients who received single exercise intervention to the control group by drawing lots. Next, the study pre-tested their lung function, balance, and activity of daily living. All interventions were conducted for 30 minutes, 3 times a week for 4 weeks, and when all interventions were completed after 4 weeks, lung function, balance, and activity of daily living were re-measured in the same way as the pre-test. RESULTS: In comparing changes in lung function, balance, and activity of daily living within each of the experimental and control groups, statistically significant improvement were found in the experimental group only (p < .01). Statistically significant improvement were also found in lung function, balance, and activities of daily living between the groups (p < .05) (p < .01). CONCLUSION: A statistically significant improvements were found in lung function, balance, and activities of daily living only in the experimental group and statistically significant differences were found between groups. Because they take arm exercises by maintaining balance in a standing position on a labile surface and through dual-task exercise such as folding a towel, moving a cup, and throwing and catching a ball, muscles related to lung function were stimulated and lung function and balance were improved. This helped activities of daily living to be improved. Thus, it is considered that dual-task exercise should be utilized for stroke patients' smooth everyday life.

• 재활복지
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• 제21권1호
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• pp.253-277
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• 2017

이 연구는 지체장애인의 운동참여제약을 측정할 수 있는 운동참여제약 측정도구(Constraints in Physical Activity Scale for people with physical Disabilities: CPASD)를 개발하는 데에 목적이 있다. 이를 위해 이 연구에서는 Messick(1995)의 통합적 타당도, Benson(1998)의 강력한 구인타당도 프로그램 틀을 기반으로 한 다섯 가지 단계로 연구를 설계하였고, 지체장애인 264명을 대상으로 공통요인모형과 측정모형을 적용하여 CPASD의 타당도 증거를 체계적으로 제시하였다. 이 연구의 결과와 논의를 토대로 결론을 제시하면 다음과 같다. 첫째, CPASD는 구인타당도의 증거를 제시하였다. 요인구조의 해석가능성과 요인계수의 적합성을 통해 지도자 제약, 경제적 제약, 편견, 운동환경 제약으로 구성된 4요인, 17개 문항으로 개발되었다. 둘째, 개발된 CPASD의 요인구조(지도자제약, 경제적제약, 편견, 운동환경제약)는 통계적으로 구분됨과 동시에, 기존 운동참여제약 관련 이론을 안정적으로 반영하였다. 셋째, 개발된 CPASD는 준거관련타당도 증거를 제시하였다. 지도자제약, 편견은 긍정적 운동정서와 부적인 상관관계를, 지도자제약, 편견, 운동환경제약은 부정적 운동정서와 정적인 상관관계를 나타내었다. 따라서 후속 연구에서는 CPASD의 요인로 도출된 지도자제약, 경제적제약, 편견, 운동환경제약과 관련된 현재의 제도, 실태 등을 재평가할 필요성이 대두되고, 이를 위해 CPASD를 활용한 인과관계검증, IRT 이론을 적용한 현실 수준정도를 판단할 필요가 있다.

• The Journal of Korean Physical Therapy
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• 제34권5호
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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.

• 가정과삶의질연구
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• 제31권6호
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• pp.39-51
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• 2013

Because of the increasing demand for day care centers, The Korean government has enforced childcare accreditation. The government has created the evaluation certification system for child care facilities. But the system includes variable items, and the physical rules are not sufficient for ensuring security and quality amenities. So this study, through literature search, examined the rules of Child Care Centers in the U.S. and compared them with those in Korea focusing on the provision of security and amenities. The standards found in 4 U.S. states were investigated, and the results are as follows. The rule pertaining to the size of indoor activity spaces in C.C.C. allows the spaces to be smaller in Korea than in the U.S. There is no specific criterion for infants and toddlers in our standard. When comparing the standards of Korea with those of the United States, Korea's standards do not state specific rules about child care facilities such as indoor furniture, finishes and space planning. Additionally, the binding force ensuring compliance with the standards of physical facilities is weak. Thus, the ratings of child care standards for the physical environment should be presented in detail. And if a center does not comply with the criteria, stronger penalties will have to be imposed.