This research is due to know the transformation after Physical Therapist(PT) was educated the Comunity Based Rehabilitation(CBR) at the strong point by Public Health Center(PHC) of the CBR. It was the education of physical therapist of strong point by PHC of the CBR from April 17 to April 29 of 2000 in National Rehabilitation Center. The following is the result of Questionnaire educated 39 peoples. First. male and female are same rate. average age, 33 years old, In the position, regular position $86.3\%$. irregular position $13.2\%$. Second, the $76.3\%$was only working PHC one PT, thc main patients were $73.7\%$ of chronic degeneration and over 65 years old who are treated. they are treating $60.5\%$ under 20person in each day. Third. We asked three Questionnaire. these are, first need CBR education. second, participating of the PT of the CBR projects, third. suggesting the CBR the another in the PHC. The most of $97.4\%$ was answered the Positive. $89.5\%$ agreed that they can offer physical therapy to handicapped man without responsibility. And all of these answered $100\%$ that they want to ewer the physical therapy when they meet the Handicapped. Are you can aviable to assess the part of handicapped they answered $77.1\%$, to therapeutic exercise $52.6\%$, to transfer and family education $47.4\%$, to gait training and family education $15.3\%$. In the welfare policy. introduce job and rehabilitation information side, having answer $44.7\%$. It was negative. In the filed of social welfare also is it possible for them to educate for the another medical staffs and volunteers is PHC. It was $52.6\%$. In Conclusion, needs and participant's rate was high all the people but it was the less in professional physical therapy.
The purpose of this study was to analyse the effect of posture correction & stabilization according to horse rider's(n=10) skill levels of novice(0wk), mid-skill(12wk) & skill(24wk) in walk & trot. First, Mean posture of 3 times experiments; Anterior & posterior leaning posture of trunk showed rather unstable according to progress of the stages of TD1, TO, TD2 phase, and also shoulder & elbow angle, which effects to the distance from bit to rein, showed unstable riding posture. There was close relationship between shoulder and elbow Angle in walk and hip, knee & ankle angle in trot. Second, Posture correction & stabilization according to riding skill levels; Anterior & posterior leaning posture of trunk did not show significant difference statistically but showed approaching tendency to trunk's vertical line and showed significant difference(p<.05) according to improvement of skill levels in walk & trot horse riding. Hip angle showed significant difference according to progress of the stages of TD1, TO, TD2 phase(p<.05) and showed tendency maintaining the larger thigh flexion according to improvement of skill levels in walk & trot. Knee angle showed more stable posture by maintaining the larger flexion between thigh and shank according to improvement of skill levels in walk & trot(p<.05). Ankle angle also showed tendency maintaining the larger plantar flexion of foot according to improvement of skill levels in walk & trot. When considering the above, regular horse riding program could be useful in posture correction & stabilization according to improvement of skill levels of novice(0wk), mid-skill(12wk) & skill(24wk) in walk & trot.
This study was conducted to analyze factors influencing old people's stress and coping with it. The subjects of this study were 1186 people who lived in 6 cities. The data were collected from September, 2003 to March, 2003. The result of this study can be summarized as follow. 1. 14.3% of the respondents was in good health, while 30.6% of them was not in good health. 11.0% of them had good eyesight and 22.2% had a good sense of hearing. 12.0% of them had good teeth. 2. The level of coping with stress was 59.9 points on the basis 100 points. The level of coping with it actively was highest, while the level of coping with it passively was lowest. 3. Factors which influenced old people's stress were job health condition, leisure activity, smoking, hearing ability, and regular exercise. 4. Factors which affected coping with stress were gender, having meals regularly, smoking, job, vigor, preference of foods, and average pocket money per month. As shown in the above results, the level of old people's stress factors and coping with it were significantly low in the groups of low education level, having less pocket money, living alone, being in bad health, having weak eyesight, having bad sense of hearing, having bad teeth, low satisfaction level with leisure, and having no health behavior. Therefore, the method of decreasing stress factors and coping with it should be developed. The government and related organizations must make great efforts to improve old people's quality of life and increase healthy life expectancy.
Kim, Myung-Chul;Kim, Nam-Jae;Lee, Min-Soo;Moon, So-Ra
Journal of the Korean Society of Physical Medicine
/
v.10
no.4
/
pp.15-23
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2015
PURPOSE: We aims to promote the development of proprioception measurement using smartphones, goniometers, and laser pointers as compared to the conventional use of electrogoniometer measurement. METHODS: Measurements using an electrogoniometer were previously proved to be reliabile and valid. Among E-university students, 20 who had no fracture, operation history, or inflammatory arthritis were examined. These subjects had not performed regular exercise in the past 3 months. Proprioception measurements were performed using four different measurement tools, three times per day, for test-retest analysis. RESULTS: No notable test-retest differences were noted for any of the measurement methods (P>0.05). With regard to the test-retest reliability for each measurement method, we observed that the readings from both the electrogoniometer and smartphone have high reliability (ICC>0.80), whereas the readings from the laser pointer have moderate reliability (ICC>0.60). When assessing the concurrent validity between electrogoniometers with individual measurements, we did not observe any notable difference between the smartphone and electrogoniometer (P>0.05) and these tools in fact showed high correlation (r>0.60, P<0.05) and a moderate reliability (ICC>0.60). Moreover, there was no notable difference in between electrogoniometers and laser pointers (P<0.05). CONCLUSION: CONCLUSION: The findings of this suggested that proprioception can be measured by using smart-phones, and proved that this method has sufficient credibility. Moreover, we noted that the concurrent validity with smartphones was high in comparison with the conventional electrogoniometer, which also indicates the validity and credibility. Based on these findings, we conclude that the measurement of proprioception by using a smartphone can be widely adopted.
This study was conducted to investigate the degree of practice of dietary behavior and dining out in accordance with intake of sodium among male and female adults aged 20 years or older residing in the Seoul Metropolitan area or Chungcheong Province. A total of 530 copies of the questionnaire were distributed from May to July, 2014. The SH group who responded that they eat a lot of sodium constituted 30.6% (158 people), followed by the SM group who responded that their sodium intake is about average at 55.7% (288 people) and the SL group who answered that they do not eat much sodium at 13.7% (71 people). Those in the SL group showed positive results for dietary behavior patterns. The SL group showed the lowest rate in terms of how often they eat harmful foods, including processed foods, sweet foods, salty foods, or food with high animal fat content such as pork belly. Positive results among the SL group were prominent in terms of avoiding over-drinking, regular exercise, and nutritional knowledge, indicating greater health management. The distribution of each group in terms of self-perceived sodium intake showed significant differences across age, gender, and household income in terms of frequency of fast food intake, regularity of meals, purchase of foods with consideration of sodium amount, frequency of missed meals, balance of food intake, and health management habits.
Journal of the Korean Society of Physical Medicine
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v.10
no.3
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pp.87-93
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2015
PURPOSE: The purpose of this study was to investigate the effects of the 8.5seconds cut-off of the 8-foot up-and-go test as a predictor of falling and a good discriminator of fallers and non-fallers in women in their 60s to 80s. METHODS: The final subjects of this study were 98 elderly women from six senior centers of B metropolitan city. The 8-foot up-and-go test evaluated agility and dynamic balance. The chair-stand test measured the muscle strength for of the lower body. Ankle dorsiflexion and plantar flexion were measured to assess the ankle mobility of the subjects in this study. RESULTS: The below 8.5seconds group showed significantly low values in age and high values in chair-stand (times/30 s), plantar flexion ($^{\circ}$), and K-MMSE (score) compared to the over 8.5seconds group. This group was significantly faster compared to the over 8.5seconds group. In the below 8.5seconds group, only plantar flexion ($^{\circ}$) of all the items showed significantly higher values among those in their 60s compared to those in their 70s and 80s. CONCLUSION: The 8.5seconds cut-off on the 8-foot up-and-go test as a good discriminator and predictor of falling showed differences among fall risk factors (age, lower extremity strength, cognition, and ankle mobility) in women in their 60s to 80s without having regular exercise and a fall experience over the past ones year.
The purpose of this study was to investigate the difference in nutrient intake according to the level of self-perception of health status, aging status and life satisfaction of the rural elderly. The factors for the study were surveyed by interview method. The subjects were 270 people(71 male, 129 female) aged over 65 years(73.5 $\pm$ 5.6ys) in the Ham-an area. The obtained results as follows : By evaluation of self-perception of health status, 57.5% of subjects answered they are in a bad health condition. The 91.5% of subjects had diseases(rheumatitis & arthritis 31.4%, cardiovascular disease 20.2%, gastric disease 10.2%). The women had more diseases than the men(p < 0.01). The subjects took medical treatment in private hospital(40.5%) and public health centers(35.0%). The men showed better level of aging status(p < 0.001) and life satisfaction index(p < 0.01) than the worsen. Living with spouse influenced the aging status(p < 0.05) and the more pocket money influenced life satisfaction(p < 0.05) and aging status(p < 0.05). The elderly who eat regularly 3 times a day(p < 0.05) and have a good appetite(p < 0.001) appeared to have positive effect on the self perception of health status and aging status. An increasing level of the self-perception of health status and regular exercise worked to improve aging status(p < 0.001). The habits of smoking and alcohol drinking, however had no effect on any index. The self-perception of health status affected the nutrient intake, but only in female elderly. The aging status and the life satisfaction index related overall positively to the intake of nutrients. In conclusion, the study shows that gender did influence nutrient intake in the elderly. The women who live alone rated lowest in social resources and health condition therefore their nutrient intake was also extremely in deficit. For successful aging, a program for rural elderly is needed, i.e. actions to provide minimum economic life, food delivery and psychological/physical health care through regional public health centers.
Objectives: This study was conducted to find out risk factors related to elderly hip fracture, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. Methods: The data were collected from 199 cases hospitalized in 4 university hospitals in Pusan from January, 1996 to December, 1998, 193 healthy controls who visited elderly facilities in Pusan. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed for 2-test and multiple logistic regression. The risk factors were shown with odds ratios and their 95% confidence intervals. Results: In univariate analysis, the odds ratio of hip fracture risk was estimated to be 1.9 for the elderly aged 75 years as compare with those aging less than 65 years; 42 for those with job as compared with those without job; 3.3 for those with more than 6 children as compared with those with one or two children. For the variables related to physical characteristics, small height (p=0.015), light weight (p=0.000), and low BMI (p=0.014) were risk factors for elderly hip fracture. Sane variables related to health, such as previous history of illness (OR=3.3.), abnormal blood pressure (OR=1.6), previous fracture history (OR=22), lower limbs weakness (OR=12.1) and gait disturbance (OR=42.6), were significantly associated with the risk of hip fracture. In multiple logistic regression, risk factors for hip fracture were age, having job, lower limb weakness and previous history of illness. The adjusted odds ratios of hip fracture risk among the elderly were age (OR=1.1), having jobs (OR=11.7), weak lower limb (OR=10.8) and previous history of illnesses (OR=3.3), respectively. Conclusion: This study suggests that the plan for improving the daily living environment for the elderly systematically should be implemented to avoid the chances of fall, and that programs encouraging to practice regular exercise for physical activity and to promote health of the elderly should be developed.
Kim Ok Jin;Kim Yong Ser;Shin Youn Sook;Lee Young Suk;Chung Myung Sun
Journal of the Korean Society of Clothing and Textiles
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v.14
no.1
s.33
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pp.20-30
/
1990
In order to investigate the mechanism of the formation of clothing microclimate with different blouse designs and materials, physiological and subjective sensational changes were measured. Experimental clothing were four types of blouse made of $100\%$ cotton, $100\%$ regular polyester, and $100\%$ hygroscopic polyester. Four types of box style blouse were with stand collar and long sleeve, with stand collar and sleeveless, with long sleeve and collarless, and sleeveless and collarless. Five healthy female were chosen as subjects. Experiments were carried out in the environmental chamber controlled at $28{\pm}1^{\circ}C$ , $70{\pm}5\%$ RH. and still-air condition for SO min. The skin temperature (9 spots), oral temperature, humidity inside chest, and subjective sensations were measured. Obtained results are: I) Material which is capable of absorbing sweat effectively and transfering moisture rapidly made a comfortable feeling, because clothing humidity is increasing slowly at this material. 2) During exercise period, covered arms have more influenced on thermal comfort than a covered neck.
The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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v.21
no.1
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pp.1-4
/
2015
Background: This study was conducted in order to see if muscle strength is different according to fall experience in female elders by comparing their muscle strength of waist and knee, which is one of factors inducing fall. Method: For this study, 22 female elders aged over 65 sampled from senior centers in D City were surveyed on their fall experiences using a questionnaire asking clinical history. Then, 8 elders with fall experience (FE) and another 8 without (NFE) were selected and participated in the research. Isokinetic muscle strength was measured with isokinetic equipment BIODEX SYSTEM 3 PRO, and the peak torque was obtained from the highest of 9 measurements at angular velocity $60^{\circ}/sec$ according to the method recommended in the manual. Measured items were waist flexion and extension, and knee flexion and extension. Results: The FE group showed higher extensor and flexor muscle strength of the waist, but the difference was not significant (p<.05). In addition, no difference was observed in extensor muscle strength of the knee (p<.05). In flexor muscle strength, however, the FE group was significantly higher than the NFE group (p<.05). Conclusion: The application of regular exercise programs for improving muscle strength, endurance, etc. to those with fall experience will be effective in preventing falls among them.
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