• Title/Summary/Keyword: Rehabilitation Exercise

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Effects of Cardiac Rehabilitation in Elderly Patients After Myocardial Infarction (노인 심근경색 환자에서의 심장재활의 효과)

  • KIM, JI HEE
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.464-471
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    • 2016
  • To investigate the effects of cardiac rehabilitation (CR) on cardiopulmonary exercise capacity in both elderly and younger patients with myocardial infarction (MI). Of the MI patients who received hospital-based CR between February 2012 and December 2015, we retrospectively reviewed the medical records of patients who continued a follow-up through the outpatient clinic. A total of 46 patients (18 elderly patients (${\geq}60years$) and 28 younger patient (< 60)) were included in this study. The subjects visited the clinic to perform aerobic exercises with ECG monitoring based on their initial exercise tolerance test outcome. The exercise capacity was measured by symptom-limited exercise tests before and after hospital-based CR. Before CR, the elderly group had a significantly lower exercise capacity in peak VO2, METs, anaerobic threshold, exercise time, respiratory exchange ratio (RER) than the younger group. After CR, elderly groups showed a significantly improved exercise capacity in exercise time, HRmax, HRrest, peak VO2, METs, anaerobic threshold, and RER. Both elderly and younger groups showed similar improvement of cardiopulmonary exercise capacity after hospital-based CR. There is a very low cardiac rehabilitation participation and referral rates with MI patients in Korea. It is considered necessary to further expand the participation of cardiac rehabilitation in elderly MI patients.

The Effect of Foot Bath on Blood Pressure Following Treadmill Exercise (트레드밀 운동 후 족욕이 혈압에 미치는 영향)

  • Lee, Sang-Youl;Lee, Myung-Hee;Yun, Chang-Goo;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.2
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    • pp.97-102
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    • 2008
  • Purpose : The purpose of this study was to find the effect of foot bath on blood pressure(BP) following treadmill exercise. Methode : Subject of study were forty healthy males without any cardiovascular, musculoskeletal, and neurologic diseases. Following twenty minutes walking at a speed of 5m/s on the treadmill, ten twenty subjects in experimental group received foot bath, on the dominant lower limb while sitting in chair. Foot bath was applied to the level of the lateral and medial malleoli keeping the temperature of the paraffin bath at $40{\pm}0.5^{\circ}C$. Twenty subjects in control group took a rest sitting in chair in a comfortable position. BP was measured in right brachial artery. BP was measured five times(before exercise, immediately after exercise, 5 minutes, 10 minutes, and fifteen minutes after exercise). Results : The study showed that for diastolic blood pressure, there was no significant difference between the experimental and the control group. However, systolic blood pressure(SBP) increased significantly after exercise compared with SBP before exercise (p<.05). In addition, SBP in five minutes after exercise decreased significantly compared with SBP in immediately after exercise (p<.05). On the other hand, the control group had significant difference between SBP measured before exercise and SBP measured at the other measure time (p<.05). In five minutes after exercise, SBP in experimental group had significant difference with SBP in control group (p<.05). Similarly, in ten and fifteen minutes after exercise, SBP in experimental group had significantly difference with SBP in control group (p<.05). Conclusion : Consequently it was confirmed that when foot bath was applied, the increased BP induced by the exercise returned to normal range rapidly.

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Stroke Rehabilitation Performance and Outcomes among Hospitals (뇌졸중 재활치료에 있어서 병원군집간 의료서비스 제공실태와 치료성과 -일본 뇌졸중 환자 데이터베이스를 이용하여-)

  • Inoue, Yusuke;Jeong, Seung-Won;Kondo, Katsunori;Seo, Young-Joon
    • The Korean Journal of Health Service Management
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    • v.5 no.3
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    • pp.53-61
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    • 2011
  • This study was to assess the differences in rehabilitation outcomes between the different facilities in Japan, and to determine if there was any variation in patients' functional recovery at hospital discharge across the different facilities. This study focused on acute patients in the rehabilitation ward using the data of 1,830 patients from 8 hospitals after adjusting for triage at admission obtained from the Rehabilitation Patients Databank in Japan (issued in February, 2011) and compared the therapeutic results of each hospital. We estimate the expected value of levels of activities of daily living(ADL) at discharge for rehabilitation patients using regression analysis and Cluster analysis. There were differences among hospitals in their therapeutic results. The differences in the participation of physicians registered as rehabilitation specialists, amount of exercise, self-exercise without therapist, and exercise in wards, were statistically significant differences between hospitals.

NREH: Upper Extremity Rehabilitation Robot for Various Exercises and Data Collection at Home (NREH: 다양한 운동과 데이터 수집이 가능한 가정용 상지재활로봇)

  • Jun-Yong Song;Seong-Hoon Lee;Won-Kyung Song
    • The Journal of Korea Robotics Society
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    • v.18 no.4
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    • pp.376-384
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    • 2023
  • In this paper, we introduce an upper extremity rehabilitation robot, NREH (NRC End-effector based Rehabilitation arm at Home). Through NREH, stroke survivors could continuously exercise their upper extremities at home. NREH allows a user to hold the handle of the end-effector of the robot arm. NREH is a end-effector-based robot that moves the arm on a two-dimensional plane, but the tilt angle can be adjusted to mimic a movement similar to that in a three-dimensional space. Depending on the tilting angle, it is possible to perform customized exercises that can adjust the difficulty for each user. The user can sit down facing the robot and perform exercises such as arm reaching. When the user sits 90 degrees sideways, the user can also exercise their arms on a plane parallel to the sagittal plane. NREH was designed to be as simple as possible considering its use at home. By applying error augmentation, the exercise effect can be increased, and assistance force or resistance force can be applied as needed. Using an encoder on two actuators and a force/torque sensor on the end-effector, NREH can continuously collect and analyze the user's movement data.

The Effect that Cervical Exercise has on Joint Range of Motion a VDT Syndrome Patient. (경부운동이 VDT 증후군 환자의 관절가동범위에 미치는 효과)

  • Jang Chel;Choi Hyun-suk;Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • v.17 no.2
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    • pp.1-10
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    • 2005
  • This study is going to have been recognized a change of Cervical range of motion with the object 40 persons who sat for many hours before computer. According to the therapy term, sling used joint mobility exercise and Mckenzie was executed by 20 persons Shared. The study results about the effect that Cervical exercise had on joint Range of motion of a VDT syndrome patient were as follows. 1. There was a similar difference a sling used in Cervical Range of motion of joint mobility exercise cure after one-week, two-weet and three-week. 2. The change Cervical Range of motion of Mckenzie exercise has not been after one-week and two-week but a similar difference happens after three-week. 3. There has not been difference between joint mobility exercise and Mckenzie exercise in cure ferm sling used.

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Comparison of the Rehabilitation Program after Rotator Cuff Repair by Time Closed Chain Exercise (회전근개봉합술 후 닫힌사슬운동 적용 시점에 따른 효과 비교)

  • Song, Hyun-Seung;Kim, Suhn-Yeop
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.4
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    • pp.485-492
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    • 2014
  • PURPOSE: This study aimed to examine the pain, range of motion (ROM), upper extremity task performance, and functional levels of patients after rotator cuff repair according to the timing of a closed chain exercise thereby presenting basic data for an effective rehabilitation program. METHODS: The intervention was applied three times per week, one hour per day, for four weeks to 40 participants, 78 of whom had undergone rotator cuff repair. The participants were divided into four groups and assigned to usual general physical therapy and an open chain exercise. Group I consisted of the open chain exercise only. The closed chain exercise was applied to group II after the 4 times, group III after the 7 times, group IV after the 10 times. Measurement were used ROM, visual analogue scale (VAS), box and block test (BBT), and shoulder pain and disability index (SPADI). A one-way analysis of variance was conducted to test differences. RESULTS: There were significant differences in the internal/external rotation between group I and group II. The VAS significantly differed between group II and group I, group III, and group IV. The BBT results of group II and group I were significantly different compared to those of group IV. The SPADI significantly differed between group II and group I and between group II and group IV. CONCLUSION: The closed chain exercise was effective for patients following rotator cuff repair from the second week after active exercise was prescribed, verifying its applicability in rehabilitation programs.

Effect of Closed and Open Kinetic Chain Exercise after Cruciate Ligament Reconstruction (십자인대 재건술 후 닫힌사슬운동과 열린사슬운동의 효과)

  • Kwon, Soon-Bog;Lee, Hyun-Ok
    • The Journal of Korean Physical Therapy
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    • v.17 no.3
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    • pp.297-310
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    • 2005
  • Open kinetic chain exercise has lost favour in rehabilitation after cruciate ligament reconstruction due to concerns that this exercise is harmful to the graft and will be less effective in improving function. Therefore rehabilitation has focused over the past decade on closed kinetic chain exercise. Open kinetic chain and closed kinetic chain exercises were compared for their effects on proprioception, muscle strength and knee instability in the early period of cruciate ligament reconstruction rehabilitation. The study subjects were 14 patients in 28weeks from cruciate reconstruction surgery(11 male, 3 female; mean age = 44.36 years). Closed kinetic chain exercise group used ball, balance pad and air cushion, to perform weightbearing exercises and the open kinetic chain exercise group used elastic rope and N-K table, to perform non-weightbearing exercises. Between tests, subjects trained 5 times per week for 2 weeks. Statistical analysis was by Wilcoxon signed rank test and Mann Whitney U test. In result, this study shows that both open and closed kinetic chain exercise programs lead to an improved muscle strength and Lysholm score. But there was no improvement in proprioception at both exercises. Closed versus open kinetic chain exercise in early period of rehabilitation after cruciate ligament reconstruction surgery do not differ in their effects on knee proprioception, muscle strength and instability. But the effect of closed kinetic chain exercises was showed more improvement than open kinetic chain exercises between pre-post exercises. Therefore further study is required to assess effect of both groups in more long period.

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Relationship between health cognition, subjective quality of life, and intention to continue exercise among exercise rehabilitation program participants (운동재활프로그램 참여자의 건강인지, 주관적 삶의 질, 운동지속의사의 관계)

  • Kang, Yong-Gu;Kim, Jong-Hyuck
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.435-442
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    • 2021
  • This study verified the relationship between health cognition, subjective quality of life, and intention to continue exercise among participants in an exercise rehabilitation program. The researcher explained the purpose and questionnaire information in detail through the cooperation of the center, and after consenting, 204 copies were selected, excluding 24 copies judged to be unreliable out of a total of 228 copies. For the survey, the researcher explained the purpose and questionnaire in detail through the cooperation of the center, and after consenting, a total of 204 copies of data were collected. The collected data were subjected to frequency analysis, descriptive statistics, factor analysis and reliability analysis, and correlation analysis and regression analysis were applied to identify the relationship between latent variables. As a result of the analysis, it was found that there was a significant effect on the relationship between the degree of health cognition, subjective quality of life, and exercise continuity of exercise rehabilitation program participants. In the future, measures to increase the level of health cognition are needed, and it is considered that follow-up studies are necessary in consideration of the individual's physical and social environment.

Daoyin Exercise Therapy for Low Back Pain : A Systematic Review (요통에 대한 도인운동요법의 효과 : 체계적 문헌 고찰)

  • Lim, Kyeong-Tae;Shin, Byung-Cheul;Park, In Hwa;Park, Sun Young;Hwang, Man-Suk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.13 no.1
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    • pp.23-33
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    • 2018
  • Objectives: To determine the evidence supporting the effectiveness and safety of Daoyin exercise therapy for treating low back pain. Methods: We searched 11 electronic databases(Pubmed, Web of Science, EMBASE, Cochrane Library, CAJ, KISTI, KISS, NDSL, KMBASE, RISS, and DBpia) and two related journals,till April 2018 for randomized controlled trials(RCTs) related to testDaoyin exercise therapy for low back pain. Results: The inclusion criteria were fulfilled by eight RCTs. The meta-analysis of the eight studies showed positive results when Daoyin exercise therapy was used for treating low back pain. Conclusions: Based on the meta-analysis, we found indications for the favorable impact of Daoyin exercise therapy on the treatment of low back pain. However, our systematic review has limited evidence to support this theory because of the low quality of original articles. Hence, additional well-designed RCTs should be encouraged.

Effect of Changes in Knee Angle and Weight-Shifting of the Sole on the Lower Extremity Muscle Activity during the Bridge Exercise

  • Cho, Hye-Jung;Lee, Min-Woo;Bak, Se-Young;Kim, Hyeong-Dong;Shin, Unchul
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.2
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    • pp.21-28
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    • 2022
  • PURPOSE: This study examined the effect of changes in the knee angle and weight shifting of the sole on the activity of the lower extremity muscles during bridge exercise. METHODS: The subjects of this study included 20 healthy adult women (mean age 29.8 ± 4.32). The subjects performed the bridge exercise under three weight-shifting conditions general bridge (GB), hindfoot press bridge (HPB), and fore-foot bridge (FPB) and at two knee angles (90° and 60°). During the bridge exercise, the activity of the quadriceps femoris (rectus femoris, vastus medialis oblique, and vastus lateralis) and biceps femoris muscles were measured using an electromyography sensor. RESULTS: In the quadriceps femoris, the muscle activity of HPB and FPB was significantly higher than that of the GB at knee angles of 90° and 60° (p < .05). In the biceps femoris, the muscle activity increased significantly in the order of GB < HPB < FPB, and the knee angle increased significantly at 60° rather than at 90° (p < .05). There was no significant difference according to the knee angle in all muscles except for the biceps femoris. CONCLUSION: These findings suggest that the weight-shifting bridge of sole bridge exercise was more effective in increasing the activation of the lower extremity muscles than the GB.