• 대한물리의학회지
• /
• 제17권2호
• /
• pp.11-20
• /
• 2022

PURPOSE: This study investigated the immediate effects of gluteus medius strengthening training and relaxation therapy on the static balance, muscle strength asymmetry, and proprioception. METHODS: In this research, 38 healthy adults were assigned randomly to strengthening groups (SG) and relaxation groups (RG). The static balance, muscle strength asymmetry, and proprioception were measured as a pre-measurement. The same measurements were performed after the intervention and follow-up. An independent sample t-test was used to compare each group, and one-way repeated ANOVA was used to compare the changes within the group. RESULTS: In the static balance, the comparison between groups SG was more significant than RG, and only SG showed significant differences in the intra-group comparisons. There was no significant difference in muscle strength asymmetry between SG and RG. On the other hand, the comparison within the group revealed only SG to be significant. In proprioception, SG produced more significant results than RG, and only SG had significant values in the within-group comparison. CONCLUSION: Strengthening training affects the changes in static balance, muscle strength asymmetry, and proprioception.

• Journal of Nutrition and Health
• /
• 제56권1호
• /
• pp.35-53
• /
• 2023

소아청소년은 성인과는 다른 신체적, 생리적 특성이 있으므로 동일한 신체활동을 할지라도 에너지소비량이 다름이 보고된 바 있다. 그러나 지금까지 국내에서 수행된 소아청소년 대상 연구에서 이들의 에너지소비량을 평가 시, 성인 대상으로 측정한 에너지소비량 또는 성인대상 18단계 신체활동분류표가 이용되어왔다. 최근 소아청소년을 대상으로 한 미국의 자료와 국내의 일부 자료를 토대로 4단계 연령대 (6-9세, 10-12세, 13-15세 및 16-18세)에 따라 서로 다른 에너지당량 (METs)을 제시하는 한국 소아청소년을 위한 신체활동분류표가 보고되었다. 이에 본 연구의 1부에서 에너지소비량 측정방법의 gold standard로 알려져 있는 이중표식수법을 이용하여 소아청소년을 위한 신체활동분류표의 타당도를 평가한 결과, 이의 활용 가능성을 확인하였다. 2부에서는 세계보건기구에서 제안한 방법 (TEE = REE × PAL), 즉 간접열량계로 측정한 REE과 소아청소년 신체활동분류표로 측정한 PAL을 이용하여 166명의 소아청소년 (초·중·고등학생)의 일일 총에너지소비량을 산출하였다. 이를 기준으로 한국인 영양소 섭취기준에서 제시한 공식을 이용한 EER을 비교한 결과, 과대평가 비율이 47.3%로 나타났다. 또한 소아청소년 신체활동분류표를 이용하여 산출된 신체활동 강도별 및 신체활동 유형별 소비시간이 성별 및 연령대별로 차이가 있음을 알 수 있었다. 앞으로 중학생 및 고등학생을 포함하는 다수의 소아청소년을 대상으로 이중표식수법을 이용하여 일일 총에너지소비량을 측정하는 연구가 수행되어, 소아청소년을 위한 신체활동분류표의 타당도가 폭넓게 평가되어야 한다. 또한 이와 같은 이중표식수법 연구를 통하여 우리나라 소아청소년을 위한 에너지필요추정량 산출 공식의 타당도 평가와 함께 한국의 소아청소년을 위한 에너지필요추정량공식이 개발되어야 할 것이다. 또한 학업부담이 많은 고등학생 뿐만 아니라, 중학생 및 초등학생에서도 강도있는 신체활동의 소비시간이 매우 낮은 것으로 나타났으므로 우리나라 소아청소년의 건강 및 비만의 예방 및 관리를 위하여 이들의 에너지소비량을 증진시킬 수 있는 프로그램의 개발 및 적용이 요구된다

• 대한정형도수물리치료학회지
• /
• 제8권1호
• /
• pp.15-24
• /
• 2002

This article was researched that the question for cognition, requirement, plan of activation of the orthopaedic physical therapist in physical therapy room of public health center. We analysed with SPSS/10.0 stastistics programs returned 123 questionnaire. These results were followed. 1. Ratio of physical therapist in the physical therapy room of public health center was that mail were 47.2% and female were 52.8%. 2. The physical therapy room of public health center was made an introduction in 1980 and has since been opened. in 100 places. 3. 100 physical therapist (81.3%) were aware the impotance of orthopaedic physical therapy. 4. The members of orthopaedic physical therapy academy were 17 people(13.8%) including an associate member. 5. The physical therapist takened a course of orthopaedic education was 37 people (30.1%). 6. The physical therapist wanted that to take part in orthopaedic education were 60 people(48.8%). 7. The physical therapist were required the orthopaedic physical therapist in physical therapy room of public health center were 87 people(70.7%).

• The Journal of Korean Physical Therapy
• /
• 제12권1호
• /
• pp.153-161
• /
• 2000

Adaptive lengthening or shortening of the nervous system is essential in order for a part of the body to move without restriction or resistance. Up until now, most treatment concepts have focused on normalizing muscle tone and preventing contractures in muscles and joint, but, as Butler and Gifford have brought to the attention of therapists, when a part of the body moves, nerves are required to move as well, so that the integration of nervous system mobilization in treatment is equally important. As the main function of the nervous system is impulse conduction, it is obvious therefore that adaptive lengthening, both centrally and peripherally, is essential in order to accommodate the enormous variety and extent of body movements and postures used in everyday life impeding news conduction. In present day manual therapy, most physical therapist mobilize the nervous system inadvertently. Probably what may make it more difficult is that, for most physical therapist it is a relatively new tissue to contemplate, at least in biomechanical terms, and basic knowledge of structure is generally less than if joints and muscles. The purpose of this study was to introduce the nervous system mobilization to a physical therapist who is primary a clinician and who has concerned in the areas of biomechanics and pathology looking far answers to the clinical Problems.

• 대한물리치료과학회지
• /
• 제3권1호
• /
• pp.871-879
• /
• 1996

The authors studied 74 patients with cal therapy Kosin University Medical March 1994 through February 1995. The results were, as follows: 1. Average age of the subject patients was 59.3 years old, their age ranged from 20 to 84 years old, and the incidence between male and female was 1:1.24 2. In respect to the economy level the middle class revealed the highest incidence, 40(54%) in 74cases. 3. The cause of injury revealed the highest incidence in hypertension 52 patients(72 %), more than all revealed the highest incidence 23 patients(44 %) in 60th years old. 4. The form of injury revealed the highest incidence in infarction 36 patients(49 %), more then all revealed the highest incidence 13 patients (36 %) in 60th years old. 5. As for the region cerebral artery of infarction patients, middle cerebral artery was the highest region of injury 72 %. 6. As for the physical paralysis side, the left side showed higher incidence 40 patients(54 %) compared to the right side 31 patients (42 %). 7. The period of therapy was 56 days, in average extending from 7 days to II months, nore then all there were the most numerous patients within 3 weeks 28 patients(38 %). 8. The upper side of the upper lims had improved 67 patients(91 %), the lower side 48(65 %). In the cases of the lower limb, the upper side had improved 70(95 %), the lower side 58(78 %). In short, patients had improved more the lower limb than the upper limb, the upper side(elbow and shoulder part) then the lower side(wrist and finger) of the upper limb. In the cases of the lower limb, patients had improved more the upper side (knee and hip part) then the lower side(foot and ankle) 9. In the cases of patients can be walking among subject patients 55(74 %) and patients cannot be walking 19 (26 %), In the cases of patients utilized assistant apparatus 34 (62 %) among self-walking, completely patients can be self-walking 21(28 %).

• 대한물리치료과학회지
• /
• 제15권1호
• /
• pp.11-20
• /
• 2008

This study was designed to test the effects of comprehensive rehabilitation management on functional recovery after attack of cerebrovascular disease. 16 cerebrovascular disease patients applied comprehensive rehabilitation management of physical therapy at department of physical Therapy, C medical center in Gwang－ju. The collection of the data had been executed for 4months(April 15, 2007${\sim}$July 15, 2007). For evaluating, Functional Independence measure(FIM) and Somatosensory Evoked Potential(SSEP) were used to assess functional recovery. The results of this study were as follows: 1. In the comparison of latency of median nerve SSEP before and after treatment, the lat. N20 and P25 increased, the ampl. P25/N20 was decreased. In the comparison difference data of median nerve SSEP, however there was no significant difference in the group(p>0.05). 2. In the comparison of latency of Post Tibial nerve SSEP before and after treatment, the lat. P40, P50, P60 increased, the ampl. P40 was decreased. In the comparison difference data of post tibial nerve SSEP, however there was no significant difference in the group(p>0.05). 3. In the comparison of FIM scores of Self－care, Sphincter Control, Mobility: Transfer, Locomotion before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was significant difference(p<0.05). 4. In the comparison of FIM scores of Communication, Social Cognition before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was no significant difference in the group(p>0.05). Based on these results, it is concluded that the comprehensive rehabilitation management for cerebrovascular disease case was not significant difference in the SSEP, was significant difference in the motor part of FIM. Further study should be done to analyze the effect of intervention duration of treatment, optimal time to apply the treatment in more long period.

• 한국전문물리치료학회지
• /
• 제23권4호
• /
• pp.47-54
• /
• 2016

Background: Losing balance during locomotive actions becomes an increasing threat to both the community-dwelling elderly and elderly with Parkinson disease (PD). Those with PD may be at a high risk of fall due to particular characteristics during the turn. Turning around during locomotive actions may be one of problematic factors causing losing balance. Objects: This study is part of a larger study, which in part aims to identify turning strategies, to compare the strategies in the elderly with and without idiopathic PD aged 51 years and older and to distinguish whether the turning strategies can predict the elderly at risk of falls. Methods: A total of 22 community-dwelling elderlies (10 elderlies with idiopathic PD and 12 healthy elderlies) were investigated for the turning strategies during the timed up and go test. Results: There were some significant differences between the two groups during turning (p<.05). The idiopathic PD group had a tendency of challenging on taking more number of steps, more time to accomplish and staggering more for the turn relative to the control group. Conclusion: Taking more number of steps and more time to turn may be useful for distinguishing the characteristics of PD from that of the healthy elderly in turning strategy.

• 종양간호연구
• /
• 제12권3호
• /
• pp.195-203
• /
• 2012

Purpose: To summarize and review the methodological quality of the evidence from trials examining the effectiveness of physical exercise in patients undergoing allogeneic hematopoietic stem cell transplantation (Allo-HSCT). Methods: Six randomized clinical trials (RCTs) were identified, reviewed for substantive results, and assessed for methodological quality. Results: Six trials met all methodological criteria on the modified Jadad score above 3 out of 5 points. Failure to blind the outcome assessor, and failure to describe the method of blinding of outcome assessor appropriately were the most prevalent methodological shortcomings. Various exercise modalities have been applied, differing in content, frequency, intensity, and duration. Positive results have been observed in part for a diverse set of outcomes, including physical and psychological performance. Conclusion: The trials reviewed in this study were of moderate methodological quality. They suggest that exercise in patients undergoing Allo-HSCT may be safe and feasible, and in part patients benefit from increased physical performance both during and after transplantation. Future RCTs should use larger samples, appropriate comparison groups, and a standard of outcome measures, and examine what kind of exercise intervention (aerobic vs. resistance vs. combined) is the most effective for Allo-HSCT patients. It would be necessary to define contraindication for exercise to guarantee its safety.

• 대한물리치료과학회지
• /
• 제5권3호
• /
• pp.625-631
• /
• 1998

The Halliwick method was developed by Mr. James McMillan, a Canadian engineer of fluid mechanics. In 1949 he started to teach physically handicapped girls to swim at the "Halliwick school for crippled Girls" in London. The Halliwick method has four important basic units, as is shown in Fig 1. This constribution only deals with the structures or the practical part of the method. This part is also known as the 10-point programme. Before the characteristics of the 10 points are dealt with seperately, a few general remarks about these ponits have to be discussed. Of all things happening in the water, fun is the most important one. Swimming is fun! Swimming is taught in an order McMillan describes as: mental Adjustment(M.A), balance restoratiion(B.R.), inhibition(Inh.), and facilitation(Fac.). The 10 points of structure are linked to each other as well as to the learning process as is shown in Fig 3. The Halliwick method, which was devised by James McMillan, has proved to be a very successful way of establishing the basic principles as they have described in this article.

• The Journal of the Acoustical Society of Korea
• /
• 제24권3E호
• /
• pp.90-98
• /
• 2005

Enhanced approach using computational and experimental method is proposed and performed to describe very well the behavior of loudspeaker than conventional method. Proposed procedure is composed of four parts. First, Thiele-Small parameters for test loudspeaker are identified by an electrical impedance method like as a delta mass method. Second part includes the processes to measure physical properties. Physical data like masses and thicknesses of loudspeaker's components are measured by an electrical precision scale and a digital vernier caliper. Third, the identified Thiele-Small parameters are proposed to be used as load boundary conditions for vibration analysis instead of electromagnetic circuit analysis to get a driving force upon bobbin part. Also, these parameters and physical data are used to modify physical properties required for computation to accommodate simulated sound pressure level with measured one for loudspeaker enclosure system. These data like as Young's modulus and thickness for a diaphragm are required for vibration analysis of loudspeaker but not measured accurately. Finally, it was investigated that simulated sound pressure level with full acoustic modeling including an acoustic port for test loudspeaker agreed with experimental result very well in the midrange frequency band(from 100 Hz to 2,000 Hz). In addition, several design parametric study is performed to grasp acoustical behaviors of loudspeaker system due to variations of diaphragm thicknesses and shapes of dust cap.