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Effects of trunk control robot training on balance and gait abilities in persons with chronic stroke

  • Lim, Chae-gil
    • Physical Therapy Rehabilitation Science
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    • v.9 no.2
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    • pp.105-112
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    • 2020
  • Objective: To investigate the effects of training using a trunk control robot (TCR) system combined with conventional therapy (CT) on balance and gait abilities in persons with chronic stroke. Design: Two-group pretest-posttest design. Methods: Thirty-five subjects with chronic stroke were randomly assigned to either the TCR group (n=17) or the trunk extension-training (TET) group (n=18). Both groups performed CT for 30 minutes, after which the TCR group performed TCR training and the TET group performed trunk extension training for 20 minutes. Both groups performed the therapeutic interventions 3 days per week for 6 weeks. Balance ability was evaluated using the Berg Balance Scale (BBS), and the Timed Up-and-Go (TUG) test. Gait ability was measured using the 10 m Walk Test (10MWT) and the NeuroCom Smart Balance Master. Results: TCR group showed significant improvements in static balance (weight bearing) and dynamic balance (weight shifting speed, weight shifting direction, BBS, and TUG), 10MWT, gait speed, and step width (p<0.05); step length was not significant. The TET group showed a significant partial improvement of dynamic balance (weight shifting speed, weight shifting direction, BBS, and 10MWT (p<0.05), but the improvements in static balance, TUG, gait speed, and step width and step length was not significant. Additionally, significant differences in static balance, dynamic balance (weight shifting speed, weight shifting direction, BBS, and TUG), 10MWT, gait speed, and step width were detected between groups (p<0.05). Conclusions: TCR training combined with CT is effective in improving static and dynamic balance, as well as gait abilities in persons with chronic stroke.

Body Weight Perception, Mental Health, and Weight Control Behavior in Normal Weight Adolescents: Based on the Korea National Health and Nutrition Examination Survey 2013-2015 (정상체중 청소년의 주관적 체형인지와 정신건강, 체중조절 노력: 2013-2015년 국민건강영양조사 자료를 바탕으로)

  • Lee, Eun Jee
    • Child Health Nursing Research
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    • v.23 no.2
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    • pp.249-257
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    • 2017
  • Purpose: The aim of this study was to assess the body weight perception of adolescents and to investigate the difference between mental health and weight control behavior according to body weight perception. Methods: Study data on 12-18 years old adolescents with normal BMI was obtained from the 6th Korea National Health and Nutrition Examination Survey (2013-2015). Rao-Scott Chi-square test and ANOVA were used for the analysis. Results: The percentage of adolescents with a misperception of body weight was 43.3%, and their subjective health status (p=.013), stress perception (p=.001), and depression (p=.001) were worse than for adolescents who had the correct perception of their body weight. The percentage of adolescents who were trying to lose weight while perceiving their body weight as normal was 36.9%. Body weight control behavior had significant differences according to dietary intake (frequency of eating dinner (p=.015)), energy intake (p=.004), and carbohydrate intake (p<.001), but there was no significant difference according to exercise. Conclusion: Parents, school teachers, and nurses should make efforts to ensure that Korean adolescents perceive their body weight correctly, and prevent unhealthy weight control behaviors.

Analysis of Women's Body Mass Index, Weight Perception and Obesity-related Quality of Life (여성의 체질량지수, 체중인식 및 비만관련 삶의 질 분석)

  • Song, Mi-Ryeong;Lee, Hae-Won;Jo, Ji-Young;Kim, Eun-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.3
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    • pp.419-426
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    • 2010
  • Purpose: Women's weight perception and obesity-related quality of life were analyzed according to BMI (Body Mass Index). Methods: A survey was conducted using self-report questionnaires from 178 participants. The data analysis included descriptive statistics, frequency, percentage, t-test, ANOVA, Fisher's exact test and Kendall's tau using the SPSS version 14.0. Results: There were significant differences in BMI according to age (F=8.037, p=<.001), weight perception (F=60.71, p<.001), weight control experience (F=2.504, p=.013), weight control method (F=5.839, p=.001) and weight control success (F=-2.451, p=.016). There was a significant difference in obesity-related quality of life according to weight perception in the low weight group (F=5.587, p=.021) and in the obesity group (t=3.419, p=.003). Higher correlations were found between the women's BMI group, weight perception and obesity-related quality of life. Conclusion: A program to provide appropriate information for weight perception is needed for the low weight group. There is a need for a program about weight reduction as well as weight perception for the obesity group.

Seasonal Adaptation of Rural Residents with Focus on Clothing Weight (착의량을 중심으로 본 농촌지역주민의 계절적응에 관한 연구)

  • Jeong Young Ok
    • Journal of the Korean Society of Clothing and Textiles
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    • v.15 no.4 s.40
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    • pp.417-430
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    • 1991
  • The purpose of this study is to evaluate the level of seasonal adaptability of rural residents from a viewpoint of clothing weight. In this study, the 631 rural residents of both sexes and all generations were selected from 5 rural districts of Kyunggi, Kangwon, Chungnam, Chonnam and Kyungbuk province, and the survey on clothes worn by subjects carried out 4 times-once in each season-from 1989. 7 to 1990. 4. The clothing weight per a unit body surface area that is the index of clothing insulative value was calculated and the seasonal variations of clothing weight were investigated in each region, sex and age. The results of this study were as follows. 1. The clothing weight changed with the season and that increased in order of summer, autumn and spring, winter. But there was no significant difference between spring and autumn. 2. In general, the clothing weight of males was havier than that of females through out the year But the underwear clothing weight of males was lighter than that of females. 3. There were significant differences of clothing weight among age groups in the spring, autumn and winter and $14\~29$ age group had smallest clothing weight. Clothing weight increased with age above 29 years and decreased with age below 20 years. In the summer there was no significant di florence of clothing weight among age groups except that clothing weight of $14\~19$ age was significantly havier than the others. 4. The thermal sensation of the clothed body was comfortable in the spring, autumn and winter but that was warm in the summer. 5. The seasonal adaptability of rural adults from a viewpoint of clothing weight was relatively good but the children's clothing life had some problem because they wore too much.

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Perceived Weight and Health Behavior Characteristics -Normal and Overweight Middle-aged women- (도시일부 중년여성의 체중상태와 건강행위 선택 비교 연구)

  • 조현숙
    • Journal of Korean Academy of Nursing
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    • v.26 no.2
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    • pp.387-398
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    • 1996
  • The objective of this study was to clarify whether there are any differences between normal and over-weight middle-aged(40∼59yrs)women in their perceived weight, health status, health conception and health behavior choices. The sample consisted of 39 normal weight and 55 over-weight (11% above on the Body Index Scale) women who live in Juan, Inchon. The Participants were randomly selected in each weight group considering socio-demographic factors. The findings from this study are summarized below. 1) Among the 55 overweight middle-aged women, 16 were above 20% on the Body Index Scale and 14 were above 30%. Twenty-five(45.5%) of the overweight group and 12(30.8%) of the normal weight group had one disease, and there were 12(21.8%) in the overweight group and 8(20.5%) in the normal weight group where one of the family members had a disease, but these differences were not statistically significant. The average monthly family income for the overweight group was ₩l,880,000 compared to ₩2,140, 000 for the normal weight group, but this difference was also not significant. The age range for the whole group was between 40 and 59(mean=46.8 for total, 48.6 for overweight and 45.7 for normal weight group). Again no significant difference found. Occupations were housemaker 53(56.4%), private business(13.8%), salarywoman(9.6%), and teacher (2.1%). Thirty housemaker(54.5%) from the overweight group and 23(59%) from the normal group did not constitute a statistically significant different. For the educational status, 34(61.8%) of the overweight women and 33(84.6%)of the normal weight group finished high school or more educational courses, but there was no significant statistical difference. Eleven(20.0%) of the overweight women and 5(12. 8%) of the normal weight group were single, but again no significant statistical difference was found. 2) A test for difference in health characteristics between two weight groups indicated that two groups do not show statistical differences in their perceived health status, health conception or health behavior choice. That is, the overweight group, also perceive their health status as good as the normal group, and regard ‘Health’ as a state that enables them to carry out social roles and functions rather than as the traditional concept of health as no disease or no symptoms. Moreover. the overweight group selected their health behaviors not for the prevention of diseases or maintenance of health but for promotion of health. To determine if no statistical difference might be related to the overweight group's failure of perceive themselves as overweight, the perceived and objective overweight status were compared by the chi-square analysis, and no difference was found(X/sup²=49.37, df=1, p=.000). However, 7(17.9%) of the normal group perceived themselves as being overweighted and 7(12.7%) of the overweight group thought they were of normal weight. Even though the overweight group employed in this study perceived themselves as being overweight, they regarded themselves as healthy as those in the normal weight group. It was shown that there was no statistical difference between two groups in health conception, and that they chose health behaviors to promote health status. 3) Perceived health conception was shown to be significantly related to health behavior choice (r= .28, p=.006 for whole group : r=.33, p=.014 for overweight group : and r=.12. p=.463 for normal group) .There was an indication that the more complicated the perceived health conception was, the more the trend of health behavior choice to promote health. This was especially true for the overweight group. But, the perceived health status did not related to health behavior choice statistically(r=.13, p=.202), and it was thought that reasons for selecting health behaviors were not related to their health status. That is, the overweight group perceive themselves as healthy as the normal weight group or thought that overweight itself does not incur any risk on their health. Data from two groups were combined and analyzed with multiple regression methodology, because the relationship pattern of the two groups was similar. The analysis showed that health behavior has a significant relationship with age and the perceived health conception(r/sup²=.1517, p=.05, F=8.133). It means they come to health behavior along with their health conception and their age rather than their weights, perceived weight, health status or other social characteristics. This study was intended to understand how overweight middle-aged women perceive ‘weight’ and ‘health’, and how they meet their health related needs in comparison with normal weight middle-aged women. Other factors related to the health behavior in overweight middle-aged woman need to be determined through further descriptive studies outlined in the following recommendations. a) Reseach with the study area expanded. b) Reseach with grouping more detailed : much more overweight and underweight group c) Reseach on restricted relationship between overweight and age or profession. d) Reseach on what overweight middle-aged women do to reduce their weight and what factors motivate them to do it

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Influence of Thyroxine on the Economic Parameters of the Bivoltine Silkworm, Bombyx Mori L.

  • Hugar, I.I.;Kaliwal, B.B.
    • Journal of Sericultural and Entomological Science
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    • v.38 no.2
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    • pp.130-137
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    • 1996
  • Effect of topical application with 5, 10 and 15${\mu}$g/ml thyroxine on the pre-cocoon, cocoon, postcocoon and silk improvement were studied in bivoltine silkworm NB18 breed of B. mori L. Thyroxine was applied independently on alternate days to silkworm of IV and V instar larvae. The treatment of all different concentrations resulted in a significant increase in commercial characters like larval weight, silkgland weight, cocooning percentage, female cocoon weight and its shell weight and male cocoon shell weight and its ratio, cocoon dimension, length of the filament and its weight and oviposition. However, there was no significant change in larvel weight in 5${\mu}$g/ml treated group and larval duration was significantly decrease. But moth emergence percentage and hatching percentage did not show any significant change when compared with that of carrier control.

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The Effects of Symmetrical Scapular Alignment on Weight Bearing of Hemiplegic Patients During Standing Position (편마비 환자의 견갑골 대칭적 정렬상태가 선 자세에서 체중부하지지율에 미치는 영향)

  • You, Young-Youl;Ann, Chang-Sik
    • The Journal of Korean Physical Therapy
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    • v.21 no.2
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    • pp.23-29
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    • 2009
  • Purpose: This study examined the effects of the symmetrical scapular alignment on the weight bearing of hemiplegic patients in the standing position. Methods: PALM (PALpation Meter) test and Gaitview AFA-50 were used to measure the skeletal alignment of the scapula and the weight bearing loaded on the affected and unaffected sides before and after training. The data was analyzed using a paired t-test on the SPSS 12.0 program for descriptive statistics. A p value <0.05 was considered significant. Results: The mean difference in the scapular alignments on sup. & mid. & inf. area in the hemiplegic side before and after training was $0.93\pm0.50cm$ and $0.58\pm0.43cm$, respectively. There was a significant decrease after training rather than that before (p<0.05). The mean weight bearing on the foot area in the hemiplegic patients before and after training was $9.12\pm5.51N/cm^2$ and $4.36\pm4.11N/cm^2$, respectively,. There was a significant decrease after training rather than that before (p<0.05). The scapuar alignments and weight bearing data on the standing position were grouped around the average (to central point) in the distribution graph. Conclusion: These findings suggest that the symmetrical scapular alignment can serve as an effective means of improving the weight bearing ability of hemiplegic patients.

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Changes of Obesity and Depression Level of Obese Children on Body Weight Control Program (체중조절 프로그램에 참여한 비만아동들의 비만도와 우울 수준의 변화)

  • Kim, Kyung-Hee
    • Journal of the Korean Society of Food Culture
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    • v.18 no.4
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    • pp.396-405
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    • 2003
  • The purpose of this study was to investigate the changes of obesity and depression level of obese children on body weight control program. The body weight control program included nutrition education, psychotherapy and exercise for weekly session during 9 months. The results from this study were as follows. A total of 27 obese children participated in this study. The average age of children was 11.7 years, 70% of children had regular exercise. Average exercise time was 1.2 hours and watching television time was 1.8 hours. Children's serum composition were within normal ranges. Rohrer index(RI) was significantly decreased to 163 from 167(p<0.001) and BMI was significantly decreased to 23.9 from 24.5(p<0.01) after body weight control program. There was not significant difference in depression score after body weight control program and there was not significant correlation between obesity and depression level. The response tendency of depression items indicated obese children had negative depression feelings and couldn't have hopeful mind to the future. But there were significant increase(p<0.05) in depression and hopeful mind in factor analysis. The suggestion and limitations of this study were discussed. These results suggest that body weight control program including nutrition education, exercise and psychotherapy may be effective for helping obese children.

Effect of Intensive Ankle Training Using Biofeedback on Normal Adults' Ability to Control Weight Distribution

  • Kang, Kwon-Young;Han, Kyoung-Ju
    • Journal of Korean Academy of Medicine & Therapy Science
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    • v.10 no.2
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    • pp.5-11
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    • 2018
  • Objective: The purpose of the present study is to investigate whether intensive ankle training using biofeedback to increase proprioceptive senses and ankle-joint muscle strength effectively improves the balance of normal adults. Method: This study included 20 voluntary participants with normal adults. The subjects were randomly divided into 2 groups: the biofeedback intensive ankle training group (n=10) and the ankle training group (n=10). The biofeedback group used a visual biofeedback program. Subjects of the group that underwent ankle training only tried to keep their bodies balanced as well as possible on an Aero-Step. Both groups performed the exercise equally for three 30-minute sessions weekly for six weeks. The differences between the measurements before and after the experiment were analyzed using Wilcoxon signed-rank tests. Mann-Whitney U tests were used to analyze the differences in variations between the groups. Results: The biofeedback group showed significant differences in the weight distributions A, B, C, D, LEFT, and HEEL and on the weight-distribution index. In contrast, the ankle training group showed significant differences in the weight distributions A, C, and LEFT. A comparison of the differences between the two groups found significant differences between them in the weight distributions A, B, C, D, LEFT, and HEEL. Conclusion: The biofeedback group showed a greater ability to control weight distribution. A longer experimental period involving more subjects would aid in developing exercise programs that are more diverse.

Body Fat and Dietary Factors in Female High School Dancers (무용 전공 여고생들의 체지방 비율과 관련 식사 변인에 대한 조사)

  • 김현희
    • Journal of Nutrition and Health
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    • v.31 no.4
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    • pp.767-776
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    • 1998
  • The purpose of this study was to determine the percentage of body fat by three different methods and to investigate the relationship between food preference and intake and percentage of body fat in female high school dancers. Height, weight , girth circumference, and near infrared body fat(%) on were measured 112 subjects BMI body fat (%) , girth circumference body fat (%) , and anthropometric indices were also calculated . Dietary data was collected by questionnaire. All data was analyzed by frequency, percentage, mean and standard deviation, correlation, and crosstabulation; analysis, The results are summarized as follows ; 1) Average age of the subjects was 16.5 height was 161.0cm, weight was 50.7kg , near infra-red body fat was 27.0% BMI body fat was 21.9% , and girth circumference body fat 20.9%. 2) Near infra-red body fat (%), BMI body fat(%) , BMI , Rohrer index , and % ideal weight showed the most significant correlations with upper arm girth. The differences in the height among subject physiques classified by body fat(%) were non-significant, but the differences in height by BMI, Rohrer index, and % ideal weight were significant. 3) The preference values of fatty foods such as meat, milk, and fish were shown to increase with the percentage of body fat, The subjects who had higher percentage of body fat preferred foods cooked in oil. In contrast, the students with higher percentage of body fat were thought to have lower food intake and between meals frequencies. It was shown in this study that higher preference values for animal fatty foods and foods containing more cooking oil induced significant increases in body fat and weight.

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