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Effect of Nordic Walking on Depression and Physical Function in the Elderly with High-Risk of Depression

  • An, Tae-Geun;Lee, Han-Suk;Park, Sun-Wook;Seon, Hee-Chang
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.4
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    • pp.11-20
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    • 2020
  • PURPOSE: This study examined the effects of Nordic walking on depression and the physical function of elderly patients with a high risk of depression. METHODS: This study was a blinded randomized allocation study; 32 elderly were assigned to a Nordic walking group (n = 17), consisting of 60 min Nordic walking (including warming up 5 min, warming down 5 min, and Nordic walking 50 min) two days per week for 12 weeks and general leisure group (n = 15), consisting of 60 min leisure program community center. The pre and post 12-week program, depression test, muscle strength (including grip test, and 30sec sit to stand), and balance (including Functional Reach test, and One Leg Standing test) were measured. A Mann-Whitney U test was used to compare within the group, and a Wilcoxon signed-rank test was used to compare between the groups. RESULTS: After 12 weeks, only the Nordic walking group showed significant improvement in depression, muscle strength, and balance (p < .05). In the general leisure group, however, the left grip strength and Functional Reach Test (FRT) showed a significant decrease. The Nordic walking program was better than the general leisure group, and a significant difference was observed in depression, muscle strength, and balance between the two groups (p < .05). CONCLUSION: Nordic walking was effective for the elderly with a high risk of depression. Therefore, Nordic walking may be an option for preventing elderly mental disorders and functional improvement.

Analysis of the collar pattern of a double-breasted tailored jacket using virtual fitting - Comparison of collar laying amount according to lapel fold line start position - (가상착의를 활용한 더블브레스트 테일러드 재킷의 칼라 패턴 분석 - 라펠 꺾임선 시작 위치에 따른 칼라의 눕힘 분량 비교 -)

  • Mi Hwa Jun ;Jeongah Jang
    • The Research Journal of the Costume Culture
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    • v.31 no.5
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    • pp.640-650
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    • 2023
  • This study aimed to suggest a suitable collar pattern by visually evaluating the appearance of the amount of collar drape by the starting position of the lapel line of a double-breasted tailored jacket using a 3d virtual fitting program. It created an avatar based on the mean size of women in their 20s (the 8th Size Korea) using clo network (double fastening: 10cm, collar width: 4.5cm, collar stand: 3cm, and lapel width: 8.5cm). The starting of the lapel twist line was waistline level, the 1/2 level of bustline and waistline, or bustline level, and collar laying amount was 4.5, 5.5, 6.5, or 7.5cm. It was evaluated by garment construction experts using 5, 6, and 4 items on the front, sides, and back, respectively. Descriptive statistics, F-test, Duncan-test, and reliability analysis were conducted using SPSS 22. When collar laying amount was 6.5cm, it was best rated regardless of the starting point. Under waist line, when collar laying amount was 6.5cm, it was best rated regardless of the starting point. When collar laying amount was large, the collar's outline length increased, resulting in unnecessary wrinkles from the neckline to the lapel, affecting the overall collar appearance. When collar laying amount was the smallest, the collar was lifted and the width was narrowed, exposing the seam connecting the collar and neckline. The length of the collar's outline varied depending on collar laying amount, which was important to make the outline sit comfortably on the body.

Effects of Combined Cognitive and Physical Exercise Program on Cognitive and Physical Functions in Older Adults with Mild Cognitive Impairment

  • Hyungyu Cha;Hyeyeon Shim;Geonwoo Kim;Seunghoon Bae;Changmin Lee;Youngjun Choi;Wonjae Choi
    • Physical Therapy Rehabilitation Science
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    • v.13 no.1
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    • pp.43-52
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    • 2024
  • Objective: This study aimed to investigate the impact of a 12-week combined cognitive and physical exercise program on cognitive and physical functions in older adults diagnosed with mild cognitive impairment (MCI). Design: A one-group pretest-posttest study. Methods: Twelve participants with MCI engaged in a weekly 60-minute session of combined cognitive and physical exercise program. Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA), while physical function was evaluated through measures of muscle strength, postural balance, and walking capabilities. Muscle strength assessments included the arm curl test, handgrip strength, and the 5 sit-to-stand test. Postural balance was evaluated using the one-leg stance test, timed up-and-go test, functional reach test, and four square step test. Walking function was analyzed through a gait analysis device. Pre- and post-intervention measurements were compared to determine the effects of the exercise program. Results: The results demonstrated significant improvements in MoCA, arm curl test, timed up-and-go test, walking speed, and cadence following the 12-week intervention (p<0.05). MoCA scores revealed enhanced cognitive performance, while measures of muscle strength, including the arm curl test, exhibited significant changes. Improvements in timed up-and-go test scores indicated enhanced mobility, accompanied by increased walking speed and cadence, as evidenced by gait analysis. Conclusions: This study suggests that a structured 12-week program incorporating both cognitive and physical exercises can lead to meaningful improvements in cognitive and physical functions among older adults with MCI.

Effect of Strength Exercise Program on Health-Related Factors of the Aged for Healthy Life (건강한 삶을 위한 여성 고령자들의 근력운동이 건강관련 요인에 미치는 영향)

  • Kwon, Su-Jeong;Park, Jeong-Bae
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.435-446
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    • 2019
  • The purpose of this study was to investigate the effect of strength exercise program(60 minutes/day, 3 times/week) on health-related fitness and the factor of metabolic syndrome in the older at senior care facilities during 12 weeks. Twenty-seven volunteers were recruited for the study and divided into two groups: 15 persons(82.6yrs) undertook a continuous 12 weeks strength exercise program(EG), and 12 persons(78.9yrs) served as a control group(CG). The data process of this study calculated as mean(M) and standard Deviation(SD) of all measured value, used repeated measure ANOVA, and paired t-test. The significant level of hypothesis verification is set-up as α=.05. After 12 weeks in EG, health-related fitness increased by an average of 15.2% for right grip strength(p<.05), 26.9% for left grip strength(p<.05), 32.7% for chair stand(p<.05), 92.5% for one leg stand(p<.05), 29.6% for sit and reach(p<.05), and 34.5% for TUG(p<.05); CG showed no difference between pre and post. In the factor of metabolic syndrome, Systolic BP(3.1mmHg) and fasting blood glucose(7.4mg/dl) decreased in the EG group(p<.05). In summary, the strength exercise program leads to a genuine increase in health-related fitness and decrease in the factor of metabolic syndrome in the older adults. The well planned strength exercise seems to be an important intervention to improve function fitness in this population.

Relationship between the Severity of Radiographic Features and Degree of Pain and Dysfunction in Patients with Knee Osteoarthritis (슬관절 골관절염 환자의 방사선학적 소견의 심각성과 통증 및 기능장애수준 간에 상관성)

  • Kim, Dae-hoon;Jang, Hyun-joung;Cheon, Je-gyun;Kim, Suhn-yeop
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.1
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    • pp.23-34
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    • 2016
  • PURPOSE: This study aimed to assess the relationship between the severity of radiographic features and pain and function in patients with knee osteoarthritis (KOA). METHODS: Seventy-eight subjects (14 men, 64 women) with KOA, between the ages of 41 and 83 years (mean age, 61.29 years), were included. All the subjects diagnosed with KOA were scored for severity of radiographic KOA according to the Kellgren-Lawrence (K/L) grade, visual analogue scale (VAS), knee joint range of motion (ROM), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), maximum muscle power (MMP), and sit-to-stand (STS) and one-leg standing (OLS) tests. Associations among the K/L grade, diagnosis, pain, and function were examined by correlation analysis. RESULTS: There were no significant differences between the K/L grade, and the VAS, STS test time, and WOMAC scores (p>.05). There were no significant differences between the K/L grade, bilateral ROM, MMP, and left OLS test time (p>.05). However, there was a significant difference between the K/L grade and right OLS test time (p<.05). The K/L grade was negatively correlated with the left OLS test time(r=-.24, p<.05) and with the right OLS test time (r=-.307, p<.01). CONCLUSION: These results suggest that radiographic KOA was not associated with pain, knee MMP, ROM, and STS test time, but had a weak negative correlation with OLS test time.

Effects of a Virtual Reality Training Program on Balance and Lower Muscular Strength of Parkinson's Disease Patients (가상현실 운동프로그램이 파킨슨병 환자의 균형 및 하지 근력에 미치는 효과)

  • Lee, Dong-Kyu;Kim, Eun-Kyung;Kim, Yong-Nam;Kim, Yong-Seong;Hwang, Tae-Yeon
    • The Journal of Korean Physical Therapy
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    • v.25 no.2
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    • pp.96-102
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    • 2013
  • Purpose: The purpose of the study was to investigate the effect of a training program using virtual reality on the balance and lower muscular strength of Parkinson's disease patients. Methods: The study included 22 patients with Parkinson's disease who were arbitrarily classified into 2 groups: 11 patients in the experimental group and 11 patients in the control group. Balance was measured with the Berg balance scale (BBS), the functional reach test (FRT), one-leg stance test (OLST), and the timed up and go test (TUG); whereas, lower muscular strength was measured with the sit-to-stand test (STS). Ping-Pong, bowling, and tennis were selected for virtual reality training for the experimental group, and were performed for 30 minutes 3 times a week for 8 weeks. The control group did not undergo any of the virtual reality training programs. Results: A significant difference was observed in the BBS, FRT, OLST, TUG, and STS results within the experimental group that underwent the virtual reality training program. On the other hand, no significant difference was observed in the BBS, FRT, OLST, TUG, and STS values within the control groups. Conclusion: In conclusion, the virtual reality training program positively affects the balance and lower muscular strength in Parkinson's disease patients. This result indicates the possibility of application of the virtual reality training program to the management for Parkinson's disease patients, and highlights the need for the development and application of more efficient virtual reality training programs in the future.

Hand gesture based a pet robot control (손 제스처 기반의 애완용 로봇 제어)

  • Park, Se-Hyun;Kim, Tae-Ui;Kwon, Kyung-Su
    • Journal of Korea Society of Industrial Information Systems
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    • v.13 no.4
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    • pp.145-154
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    • 2008
  • In this paper, we propose the pet robot control system using hand gesture recognition in image sequences acquired from a camera affixed to the pet robot. The proposed system consists of 4 steps; hand detection, feature extraction, gesture recognition and robot control. The hand region is first detected from the input images using the skin color model in HSI color space and connected component analysis. Next, the hand shape and motion features from the image sequences are extracted. Then we consider the hand shape for classification of meaning gestures. Thereafter the hand gesture is recognized by using HMMs (hidden markov models) which have the input as the quantized symbol sequence by the hand motion. Finally the pet robot is controlled by a order corresponding to the recognized hand gesture. We defined four commands of sit down, stand up, lie flat and shake hands for control of pet robot. And we show that user is able to control of pet robot through proposed system in the experiment.

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Relationship between Physical Activity Level and Fall-Proof-related Fitness in Older Female Adults (여성 노인의 신체활동 수준과 낙상예방 관련 체력의 상관관계)

  • Ok, Hyun-Tae;Joo, Kee-Chan;Kim, Wan-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.2
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    • pp.1-9
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    • 2018
  • PURPOSE: This study investigated the relationship between the daily physical activity level and fall-proof-related fitness in older female adults. METHODS: This study promoted and sampled the subjects who participated in the study for 2 weeks, and developed a basic information questionnaire to select the subjects to be excluded from the research. The amount of energy expenditure through daily physical activity was examined, and the elderly physical fitness, and balance test were analyzed. The subjects were divided into group A (${\geq}1,500kcal/week$), group B (<$1,500-{\geq}1,000kcal/week$), and group C (<1,000 kcal/week) according to their daily physical activity level. RESULTS: A significant difference in the daily physical activity level (energy expenditure), Chair Stand Test (lower body strength), 8-Foot Up-and Go Test (dynamic balance), and CTSIB-M (modified Clinical Test of Sensory Interaction in Balance) was observed among groups A, B, and C (p<.5), but there was no significant difference in the Chair Sit-and-Reach Test (lower body flexibility) (p>.5). CONCLUSION: The increase in physical activity is an essential factor for preventing falls and it provides many health benefits for the elderly. On the other hand, considering that elderly people cannot access exercise programs easily in Korea, it can be predicted that increasing elderly people's physical activity in daily life rather than specific exercises may help prevent falls.

Association between one-leg standing ability and postural control in persons with chronic stroke

  • Choi, Bora;Hwang, Sujin;Kim, Eunjeong
    • Physical Therapy Rehabilitation Science
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    • v.9 no.3
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    • pp.165-170
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    • 2020
  • Objective: To investigate the association between one-leg standing ability and postural control for chronic hemiparetic stroke. Design: Cross-sectional study. Methods: Forty individuals who had a first diagnosis of stroke with hemiparesis before six months and over had participated in this study. To analyze the relationship between one-leg standing ability and postural control in the participants, six clinical measurement tools were used for assessment, including the Timed-Up-and-Go (TUG) test, Berg Balance Scale (BBS), Dynamic Gait Index (DGI), Fugl-Meyer Assessment (FMA), 5 times sit-to-stand (5TSTS) and one-leg standing (OLS). Results: After analyzation, the OLS scores in the more-affected side showed significant positive correlations with BBS scores (r=0.469, p<0.01), DGI scores (r=0.459, p<0.01).and FMA scores (r=0.425, p<0.01). The OLS scores in the more-affected side showed significant negative correlations with TUG score (r=-0.351, p<0.05). The OLS score in the less-affected side showed significant positive correlations with BBS scores (r=0.485, p<0.01), DGI scores (r=0.488, p<0.01) and FMA score (r=0.352, p<0.05). The OLS scores in the less-affected side showed significant negative correlation with TUG scores (r=-0.392, p<0.05) and 5TSTS (r= -0.430, p<0.01). The OLS scores in the more-affected side showed significant positive correlations with the OLS scores in less-affected side (r=0.712, p<0.01). Conclusions: The results of the study suggest that the OLS time may be moderately correlated with static and dynamic postural stabilities and motor recovery following stroke. This study also suggests that the OLS test is as a simple clinical tool for predicting postural control performance for individuals with chronic hemiparetic stroke.

Relationship between Functional Fitness and Break Response in Elderly Drivers: Comparison with Young Driver

  • Kim, Ga Eun;Choi, Ye Eun;Yang, Su Seong;Kim, Sun A;Bae, Young Sook
    • The Journal of Korean Physical Therapy
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    • v.30 no.5
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    • pp.187-192
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    • 2018
  • Purpose: This study compared the functional fitness and brake response of elderly and young drivers to confirm the correlation between the functional fitness and brake response. Methods: This study was a cross sectional observational design. Older drivers (>65age, n=21) and young adult drivers (20-40aged, n=20) were enrolled as subjects. The functional fitness of the subjects was measured using a senior fitness test consisting of a back scratch (BS), chair sit and reach (CSR), arm curl (AC), chair stand up (CSU), foot up and go (8-FUG), and 2-minute step (2-MS). The brake response used the virtual driving simulator to measure the brake reaction time (BRT) and braking distance (BD) according to the pedestrian protection and traffic signal compliance. Results: The older drivers had a lower BS (p<0.000), CSU (p=0.040), and 8-FUG (p=0.011) than the young adult drivers. BS and 8-FUG showed a significant positive correlation with the BRT and BD of pedestrian protection and traffic signal compliance. CSU showed a significant negative correlation with the BRT of pedestrian protection and traffic signal compliance. Conclusion: These findings suggest that the flexibility of the upper extremity, lower extremity strength, and agility are strongly correlated with the driving performance of elderly drivers.