• 제목/요약/키워드: Shoulder exercise

검색결과 498건 처리시간 0.026초

집단동작훈련이 시설노인의 생리, 심리적 변수 및 관절운동범위에 미치는 영향 (The Effects of Group Movement Training on Psychophysiological Variables and the Range of Motion in the Institutionalized Elderly)

  • 서부덕
    • 지역사회간호학회지
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    • 제20권4호
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    • pp.403-411
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    • 2009
  • Purpose: The purpose of this study is to explore the effects of a group movement exercise program on psychophysiological variables in the institutionalized elderly. Methods: This research adopted the non-equivalent control group pretest-posttest design. Twenty elders were selected as an experimental group, whereas twenty-two elders were as a control group. The group movement program consisted of 35 minutes of dance and three days a week for eight weeks. Resting systolic blood pressure, diastolic blood pressure and heart rate were measured in a relaxed sitting position. The range of flexion and extension of joint was measured with a gonimeter. Life satisfaction and self-efficacy were measured by self-report. Data were analyzed through $x^2$-test, t-test and ANCOVA using SPSS/WIN program. Results: The results were as follows: Resting systolic blood pressure, diastolic blood pressure and resting heart rate decreased significantly by the group movement training. The range of flexion and extension of the shoulder and hip joints increased significantly. The scores of life satisfaction and self-efficacy increased remarkably by the group movement. Conclusion: The results suggest that group movement training can be an effective intervention to improve psychophysiological variables and the range of motion for the institutionalized elderly.

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자기효능증진전략을 이용한 건측억제유도운동이 편마비 환자의 상지기능에 미치는 효과 (Effects of Constraint-Induced Movement Using Self-Efficacy Enhancing Strategies on the Upper Extremity Function of Chronic Hemiplegic Patients)

  • 강지연
    • 대한간호학회지
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    • 제36권2호
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    • pp.403-414
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    • 2006
  • Purpose: The purpose of this study was to investigate the effects of constraint-induced (CI) movement using self-efficacy on U/E function of chronic hemiplegic patients. CI movement discourages the use of the unaffected U/E, combined with intensive training of the affected U/E. Method: A non-equivalent pretest-posttest design was used. Study subjects were 40 hemiplegic patients conveniently selected from 2 different community health centers. The experimental subjects participated in the CI movement program for 6 hours daily over a period of two weeks. The exercises for affected U/E consisted of warming up, main exercise and ADL practice. To encourage the participants' behaviors self-efficacy enhancing strategies were used, which included performance accomplishment, vicarious experience, verbal persuasion and emotional arousal. Result: After 2 weeks of treatment, the grip power, pinch power, wrist flexion/extension, elbow flexion, and shoulder flexion/extension were significantly higher in the experimental subjects than in the control subjects. However, there was no significant difference in hand functions of the two groups. Conclusion: The above results show that the constraint-induced movement using self-efficacy could be an effective nursing intervention for improving U/E function of chronic hemiplegic patients. Long term studies are needed to determine the lasting effects of constraint-induced movement.

의지.보조기 기사의 근골격계 통증과 직무스트레스 수준의 관련성 (The Correlation between Musculoskeletal Pain and Level of Work Stress of Prosthetists and Orthotists)

  • 정도영;고은경;장준혁
    • 대한물리의학회지
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    • 제7권4호
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    • pp.515-524
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    • 2012
  • PURPOSE: It is known that work stress was linked to WRMDs in workplace. The purpose of this study was to identify the characteristics of work related musculoskeletal disorders (WRMDs) related to job stress among prosthetists and orthotists. METHODS: Eighty-six self-reported symptoms of discomfort (SRSD) and job stress were collected by questionnaire and analyzed. RESULTS: The results were as follows: Over 70% of respondents had WRMDs. The shoulder was the most painful region and each of "within 15 minutes", "once a week" and "severe moving or doing exercise" items were main characteristics in the SRSD. Finally, the "repetition of simple work" item in job stress ranked as resulting in "often discomfort" in over 43% of respondents. Additionally, there was a statistically significant correlation between job stress and pain intensity (p<.05, $r_s$=.36). CONCLUSION: Further studies are needed to identify the factors affecting musculoskeletal symptoms and job stress of prosthetists and orthotists in Korea.

유경 나사를 이용한 견갑골 관절와 횡골절의 관절경적 정복 밑 내고정 (Arthroscopic Reduction and Internal Fixation with Cannulated Screw of a Transverse Glenoid Fracture)

  • 노규철;유정한;강기만
    • 대한정형외과스포츠의학회지
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    • 제2권2호
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    • pp.176-180
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    • 2003
  • 저 자들은 관절와의 전위 된 횡골절에 대해 관절경 을 이 용하여 골절된 관절면을 확인하면서 골절의 정복을 유지 하고, 견관절경술식에 일 반적으로 사용되는 견봉 바로 외측에 위 치 한 외 측 삽입 구나 또는 견갑상와의 상부 삽입구 (Nevlaser porial)에서 피부를 통해 직경4 mm 타이타늄 유관 해면골 나사를 이 용하여 고정하였다. 관절경을 이 용한 골절 내고정술은 좋은 시 야를 확보할 수 있었고, 최소 침습 수술이므로 작은 연부조직 절개 , 적은 출혈량, 수술후 재활 기간의 단축 및 조기 관절 운동 힌용 등의 여러 장점 을 가지므로 이에 수술 방법과 증례를 보고하는 바이다

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도인술(導引術)과 한방 물리치료 (Toinsul and Oriental Physical Therapy)

  • 배주한;김상수
    • The Journal of Korean Physical Therapy
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    • 제10권2호
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    • pp.195-200
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    • 1998
  • 도인술은 경락과 경혈에 자극에 의한 체조법과 호흡법을 결합하여 기혈의 순환을 활발하게 하고 사기의 배설을 촉진시키므로 근육, 건, 인대의 탄력성과 활력성을 증강하고 관절의 활액 분비와 관절 주위의 순환을 촉진하고 경락을 통해 전신을 조정해 준다.(신준식, 1995). 내$\cdot$외관적 질환, 부인과 질환을 예방하고 치료하는 운동요법 중에 요통과 견괄절 질환에 대해서만 몇 가지 행법만 소개하므로 모든 질병을 치료보다 예방적인 측면으로 건강증진, 치료목적, 근 이완, 피로 회복의 효과를 달성할 수 있다. 도인법은 확고하게 과학적으로 증명된 것은 아니지만 질병 치료와 건강 증진 목적으로 현재까지 시행하고 있으므로 한방 물리치료의 한 분야이므로 좀 더 효과적이고 발전에 많은 활용하기 위하여 제한하는 바이다.

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머리의 전방 이동이 경동맥과 추골동맥 혈류량의 변화에 미치는 영향: 사례연구 (Effect of Blood Flow on Carotid and Vertebral Artery During Forward Shift on Head: Case Study)

  • 고도훈;김한일;김명준
    • 대한정형도수물리치료학회지
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    • 제21권1호
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    • pp.43-47
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    • 2015
  • Background: The purpose of this study was to identify the effects of the blood flow on carotid and vertebral artery during the forward shift on head. Methods: A 20-year female healthy subject participated in this study. This study was set up the forward shift on head at the 3cm and 6cm in a shoulder midline (acromion). Measurement method were using duplex ultrasound with colour doppler imaging for the blood flow on carotid and vertebral artery. Results: Carotid artery was increased the blood flow and vertebral artery was decreased the blood flow during forward shift on head. Conclusions: These findings suggest that carotid and vertebral artery changes to the blood flow during forward shift on head. Therefore, we should be consider that hemodynamic factor when apply to the therapeutic exercise for patients of forward head posture.

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고유수용성 신경근 촉진법에 의한 견갑골 불안정 치료 접근 (Treatment Approach of Instable Scapular by Proprioceptive Neuromuscular Facilitation)

  • 배성수;김상수;김수민;김미현;김식현
    • PNF and Movement
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    • 제4권1호
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    • pp.1-7
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    • 2006
  • Objective : The purpose of this study was conducted to find scapular movement instability related with shoulder complex and provide strengthening the scapular muscles with proprioceptive neuromuscular facilitation(PNF). Methods : This is a literature study with books and articles, seminar note and book for PNF international course. Results : The scapular serve as the platform for humeral motions. The scapulothoracic articulation is stabilized and controlled, in part, by the scapular muscles. Therefore, if scapular muscle function is altered, then dysfunctional scapulothoracic kinematics may result. Strengthening exercise for scapular muscles are a common part of rehabilitation programs designed for patients with scapular instability. Conclusion : Treatment of the scapular instability is provided. It is that treatment with combination of isotonic, stabilize reversal on different patient's positions.

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Effect of Elastic Aids (Bands) on Functional Reach Test in Patients with Spinal Cord Injury: Pilot Study

  • Jong Ho Kang;Tae Sung Park
    • The Journal of Korean Physical Therapy
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    • 제34권6호
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    • pp.317-320
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    • 2022
  • Purpose: This study aimed: to confirm the balance ability of patients with spinal cord injury in the sitting state through a functional reach test using an elastic aid; and to propose a balance improvement plan. Methods: The study evaluated seven patients with spinal cord injury who could maintain a sitting posture through minimum assistance. A functional reach test was performed before and after wearing an elastic aid while sitting on a chair, and the effects before and after use of the elastic aid were compared and analyzed through a motion analyzer. Results: In the functional reach test, the forward movement distance of the hand was 97.45 mm before wearing the elastic aid, but significantly increased to 131 mm after wearing the aid (p<0.05). Corresponding forward movement distances for the shoulder were 81.26 mm and 113 mm (p<0.05 for the increase). There was no statistically significant change in lateral functional arm extension. Conclusion: It was confirmed, through a functional reach test, that trunk stability in patients with spinal cord injury increased with use of an elastic aid. In future, more efficient rehabilitation treatment programs will be possible if trunk stability in patients with spinal cord injury is improved by using elastic aids, and if various exercise treatments are also included in the rehabilitation programs.

가쪽위관절융기 통증 환자에서 복합 부위와 단일 부위에 기능적 마사지와 스트레칭을 적용할 때 통증, 압통 역치와 악력에 미치는 영향 (Effects of Multi-site and Single-site Functional Massage and Stretching on Pain, Tenderness Threshold and Grip Strength in Patients with Lateral Epicondylalgia)

  • 정민근;전재국;신의주
    • 대한정형도수물리치료학회지
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    • 제29권3호
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    • pp.13-22
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    • 2023
  • Background: The purpose of this study was to investigate the effects of functional massage and stretching, applied to the elbow and shoulder joints, on pain, tenderness threshold, and grip strength. Methods: A total of 29 individuals were assigned to a single site (n=15) or multiple sites (n=14). Pain measured through the visual analogue scale (VAS), tenderness threshold (TTH), and grip strength (GI) were measured before and four weeks after the intervention. Results: After four weeks of treatment, visual analogue scale significantly decreased in both groups (p<.05), and the tenderness threshold and grip strength significantly increased in both groups (p<.05). There was also a significant difference between the two groups (p<.05). Conclusion: The reduction of visual analogue scale and the increase in the tenderness threshold and grip strength were more significant in the multi-site treatment group than in the single-site treatment group.

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지역사회 여성 독거노인을 위한 '스스로 관절관리' 프로그램의 적용 효과 (Effect of the Arthritis Self-management Program on Elderly Women Living Alone in the Community)

  • 조무용;김대숙
    • 근관절건강학회지
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    • 제31권1호
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    • pp.1-11
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    • 2024
  • Purpose: This study aimed to evaluate the effects of an arthritis self-management program on elderly women living alone in the community. Methods: This study recruited 36 individuals, who participated in the program once a week for six weeks at two community centers. The program consisted of muscle strengthening and flexibility exercises, health education on muscles and joints, and joint dance for aerobic exercise. The data collected were analyzed using the paired t-test and Wilcoxon rank test. Results: After six weeks, participants showed significant improvements in pain (t=3.03, p=.005), difficulties in activities of daily living (t=2.77, p=.010), health-related quality of life (t=-2.63, p=.014), flexibility of right shoulder (z=-2.42, p=.015), and balance (right leg, t=-2.63, p=.036; left leg, z=-2.36, p=.018). Conclusion: The results showed that the arthritis self-management program effectively improved outcomes for elderly women living alone. Thus, this program could be incorporated into various programs for elderly people living alone.