• 한국의류산업학회지
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• 제12권5호
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• pp.633-641
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• 2010

The purpose of this study is to evaluate a new flight suit in bilateral ways; subjectively and objectively in the improvements of comfort and mobility. Seven healthy males at the age of twenties volunteered in this wearing test. They were over 177 cm in height and 92-95 cm in chest circumference, which satisfies the M95 Special' size described in the Korean Military Specifications and Standards. The subjective satisfaction was evaluated according to the criteria of ease of donning and doffing, fitness of wear, mobility, space between cloth and body, convenience in using restroom. Subjective satisfaction evaluation says that the best improvement of movement are neck circumference, chest breadth, armscye circumference, waist back length, crotch length, crotch height and body rise. According to the evaluation, improvements of mobility were conspicuous especially in parts of body like neck, breast, waist, back, and arms. When evaluating objective satisfaction, we measured a angle difference in a prescribed standard-grid on a photograph that picked up while the subject performed each motion in front of 10 cm-interval grid. As a result, the motion that had angle difference above 5 degrees were arm stretching and standing on single leg holding at forward or at his side. Bending necks and waist, crouching also had angle difference of over 5 degrees. The improvements are discussed from the viewpoint that the increased ease in parts of armscye circumference and crotch in new flight suit pattern.

• 대한물리의학회지
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• 제2권2호
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• pp.243-250
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• 2007

Purpose : Shoulder subluxation is a very common problem in patients with hemiplegia with stroke. Prevention of the low tone subluxed shoulder has been an issue for physical therapists working with neurological patients for many years. Methods : This study reviewed the literature to definite the management and a cause of shoulder subluxation with hemiplegia patients after stroke. Various modalities have been suggested for realigning the glenohumeral joint, but their use is controversial. The purpose of this paper is to review critically the evidence base in order to inform the clinical decision-making process for physiotherapists working in neurology. Results : Literature has identified supports, strapping and functional electrical stimulation(FES) in the management of low tone shoulders. Following review of this evidence it is suggested that there is a lack of reliable and valid research evidence on which to base conclusions. The modalities with the best supporting evidence for realigning the low tone subluxed glenohumeral joint are the triangular sling, Harris hemi sling and the Rolyan humeral cuff used in a standing position and the lap board and arm trough while the patient is sitting. However, due to soft tissue adaptation with associated lack of movement, over-correction and the need for careful patient positioning these supports need to be evaluated for each patient and should be used only in appropriate situations. Conclusion : Similarly, there is a lack of evidence on the effects of long-term use to this equipment. Electrical stimulation is also thought to have potential in the treatment to subluxed low tone shoulders but additional research is required to clarify the parameters for use and the long-term effects of these forms of management.

• 대한정형도수물리치료학회지
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• 제11권1호
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• pp.65-73
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• 2005

Osteoarthritis has been considered a disease of the elderly because it is uncommon before the age of 40 years and is seen in approximately 80% of United States citizens older than 65 years. general population on kuri city in korea revealed that prevalence of knee osteoarthritis is 10.2%, increasing with age. High level of physical activity in men and age, post-menopause and obesity in women can be risk factor. Osteoarthritis is no evidence that a acquired process initiated much earlier in life through mechanical, metabolic, genetic, or other origins. A high tibial osteotomy alters static lower extremity alignment thereby decreasing medial compartment loading. As well, conservative treatment strategies, such as knee braces and valgus heel wedges, affect lover limb mechanics and attempt to reduce medial compartment loading. It was hypothesized that valgus heel wedges and modified orthoses would shift the center of pressure laterally on the foot during level walking, reducing the moment arm of the adduction moment in the frontal plane, thereby resulting in a decrease in the knee adduction moment. In the 1980s, the effect of wearing a laterally wedged insole on osteoarthritic patients with a varus deformity of the knee was firsted, and since then, kinematic and kinetic analyses concerning this condition have mainly focused on a static standing position. Since the early 1990s, the beneficial effect of wearing a laterally wedged insole to treat osteoarthritis of the knee has also been reported in dynamic conditions, but these studies did not answer the question of the kinematic and kinetic mechanisms that resulted in the reduced symptoms in patents with knee osteoarthritis. therefore, the effect of wearing laterally wedged insole has not been sufficiently studied.

• 대한물리의학회지
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• 제19권2호
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• pp.91-98
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• 2024

PURPOSE: This study aimed to provide basic clinical data by investigating the impact of Activities of daily living-related dual-task intervention on lung function, balance, and Activities of daily living of stroke patients. METHODS: After sampling 40 stroke patients who met the selection criteria, this study randomly assigned 20 patients who received dual-task exercise intervention to the experimental group and 20 patients who received single exercise intervention to the control group by drawing lots. Next, the study pre-tested their lung function, balance, and activity of daily living. All interventions were conducted for 30 minutes, 3 times a week for 4 weeks, and when all interventions were completed after 4 weeks, lung function, balance, and activity of daily living were re-measured in the same way as the pre-test. RESULTS: In comparing changes in lung function, balance, and activity of daily living within each of the experimental and control groups, statistically significant improvement were found in the experimental group only (p < .01). Statistically significant improvement were also found in lung function, balance, and activities of daily living between the groups (p < .05) (p < .01). CONCLUSION: A statistically significant improvements were found in lung function, balance, and activities of daily living only in the experimental group and statistically significant differences were found between groups. Because they take arm exercises by maintaining balance in a standing position on a labile surface and through dual-task exercise such as folding a towel, moving a cup, and throwing and catching a ball, muscles related to lung function were stimulated and lung function and balance were improved. This helped activities of daily living to be improved. Thus, it is considered that dual-task exercise should be utilized for stroke patients' smooth everyday life.

• The Korean Journal of Physiology
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• 제2권2호
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• pp.101-135
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• 1968

As physical fitness measured was muscle strength (hand grips, leg extention, back lift, and arm pull and thrust), skinfold thickness (5 different sites), circulatory function (resting heart rate and blood pressure), speed (kinesiological analysis during 100m sprint, record, maximal and final speed), motor function (50 meter dash, ball throwing, standing broad jump, and pull-ups), maximal aerobic power (maximum oxygen intake by field running method), muscle power (leg and arm by inertia ergometer), and general endurance (maximum endurance running time on the treadmill at the speed of 5 MPH and grade of 15.5%) of 1131 Korean children (boys 572, girls 559) aged of 6 to 17 years, who were randomly sampled from 24 primary, middle and high schools at the two districts of Seoul and KyungKi. The results are summarized as follows: 1) The status (height and weight) of the children was almost same as that of the previously reported Korean and Japanese children of same ages. 2) Muscle strength was a gained linearly with geting age in the boys and girls but there was a little improvement in girls aged of 13 years or more. 3) The mean skin fold thickness was increased linearly with geting ages in both sexes, but the girls from 12 to 17 years of age were increased rapidly, and maximum value was 17mm, while boys was 7.0 mm. 4) In the circulatory function, the resting heart rate was decreased, but the blood pressure was increased with ages in both sexes within the normal limits. 5) The maximum and final speed during 100 meter sprint increases with age in boys but girls who are 12 years old or older, were not improved any mere. The patterns of running were same in both sexes, and maximum speed reached at about 30 meters from starting line. 6) The motor function was increased with age in both sexes, but there was no improvement in 12 years of age or older girls. More over records of all functions except standing broad jump was less than those of Japanese in the same age, respectively. 7) The maximum oxygen intake (MOI) was increased considerably with ages and maximum values were 2.93 L/min (boys) and 2.09 L/min (girls) at the age of 17years. This result was almost same as that of the Japanese and Easter Island population, but the value was lower than that of Europe. The average of the maximum oxygen intake per kg body weight per minute from 9 to 17 years of age were around 53 ml in the boys and 42 ml in the girls. 8) Muscle power was increased linearly with ages in boys while there was relatively a little increment in girls. The maximum values of leg muscle in boys and girls at the 17 years of age were 0.168 and 0.088 horse power, respectively. 9) The maximum endurance running time was increased considerably from the age of 9 in boys, while there was no improvement in girls. The maximum values were 6.0 min and 1.8 min, respectively.

• The Journal of Korean Physical Therapy
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• 제6권1호
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• pp.23-35
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• 1994

In this research, the mentally-handicapped children being able to be trained were investigated the actual condition of train function making 40 mentally-handicapped children in Kummi Hyedang Spacial Education School, to exmine the effect of physical exercise function when training the mentally-handicapped children who can be trained as applying exercise education programs, and trains for 10 weeks by assigning to both experiment group and control group according to children who are similar to training functions from pre-examination. The results are in following: First, the results of test in the exercise ability of mentally-handicapped children with the degree of being able to trained are very delayed in comparison with normal mental children through the both top and bottom examination. The developments of 5 exercise functions classified by domain, have the order of eyesight exercise, softness, physical strength, quickness, parallelism, the interaction of both eye and hand, and, have the exercise function being equal to the level of between 6 and 12 years old. In 13 bottom test, throwing bean-bag is equal to the nomal 12 years old boy. the board jump, sitting position / bending forward / closing are equal to the level of 12 years old boy. standing with only leg is the level of 9 years old, threading pearls is 7 years old, transfering the wood building, picking the upper body up, walking board, balancing one leg with opened, eye, fist / opening palm / palm, bending and opening arm with postrating on chair, are the exercise functions of below 6 years old. Second, there are great effects in carrying out the exercise education program to the mentally-handicapped children with the level of being able to trained. In experiment group, it is elevated to the middle level of 12 years old nomal children. Classified by domain of test the board jump, training, the bean-bag are far higher level than 12 years old normal children, and are elevated the level of 11 years old boy. Balancing only leg with closed eye is below the level of 10 years old boys, fist / opening palm / palm are the level of 9 years old boys. There and back running, picking the upper body is the level of 9 years old girls. Walking board is the level of 8 years old boys. Bending and opening arm with postrating on chair is the level of 7 rears old boy. Balancing one leg with opened eye is elevated to the level of f years old girls. These functions have the more balanced exercise function rather than pre-examination. In control group, they have little change by classified the bottom test, but have the exercise function on the time of pre-examination, go backward in physical strength. quickness. Third, the exercise function being learned by exercise education program on the mentally-handicapped children of the level with being able to train is appeared to maintain continuately. Softness, physical strength, quickness, eyesight training are maintained the learned exercise function, the interaction of both eye and hands, parallelism are delayed a little. Classified by the bottom test. threading pearls, transfering the wood building, throwing the bean-bag, sitting position / rolling forward / reaching, the broad jump and picking upper body up, there and bark running, picking upper body up, balancing with only leg as opened eye, bending and opening arm with postrating on chair, etc. are maintained. Fist / opening palm / palm, balancing with only leg as opened eye are delayed a little. The change of body position is elevated. Seeing these results, it is appeared to the mentally-handicapped children that the exercise education programs, which is suitable their actual condition and acomplishes in voluntary participation, have very positive effect. So, to develop the function of body exercise in mentally-handicapped children with the level of being to able to be trained, the measures must be groped so that the exercise education programs can be practiced positively, and the ,body exercise can be experienced more.

• 한국운동역학회지
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• 제16권3호
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• pp.65-74
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• 2006

This study was attempted to Kinematical characteristics of the Endo $360^{\circ}$El-grip Swing on the horizontal bar. To do this, we selected and analyzed the performance of two athletes who did Endo $360^{\circ}$El-grip Swing in the horizontal bar competition of male artistic gymnastic in the 22nd Universiad Games 2003 Daegu. We drew the conclusions from the kinematical factors that were came out through analyzing three-dimensional cinematography of the athletes' movements, by using two video cameras. In point of analyzing the actual competition situation, it is expected that gymnastics and coaches have the effective informations, and the following conclusion had resulted. 1. When performing Endo $360^{\circ}$El-Grip, the average for entire required time was $1.93{\pm}0.06sec$. The average for descent phase time was $0.24{\pm}0.02sec$, ascent phase time was 0.22${\pm}0.07sec$, connecting phase time was $0.87{\pm}0.07sec$, and El-Grip phase time was $0.61{\pm}0.02sec$. The descent phase need short period of time but however to have a stable performance, ensuring ascent and connecting phase time are needed. El-Grip phase need short period of time to have a stable re-grasp. 2. To have a convenient preparation for El-Grip in descent and ascent phase, lowering CM, and ease up in sway and plunge from the High Bar would make descent and ascent even more faster and would have increase effect in trunk rotation. 3. In descent and ascent phase, if shoulder angle and arm slope is dwindling then it would effect rotation angle so might risk it from hitting a Bar when putting legs in and out. 4. In connecting phase, it requires some time to show stable performance when El-Grip phase is continued by using hip angle which would make trunk rotation angle bigger and make descent and ascent time slower. 5. In El-Grip phase, when doing motions like hand standing. using hip angle more than maximum would make CM even faster and it is stable position while performing.

• 기본간호학회지
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• 제7권1호
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• pp.7-15
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• 2000

임상 간호사의 혈압측정의 정확도를 평가하고 이에 관련된 요인을 조사하기 위하여 1998년 12월 20일부터 12월 29일까지 포항시와 경주시의 4개 종합병원 간호사 276명을 대상으로 혈압측정 실태를 조사하였다. 연구자는 20개 항목의 혈압측정 지침서를 이용하여 간호사들이 가상환자를 대상으로 실제 혈압측정 하는 과정을 직접 관찰하고 정확도를 평가하였다. 혈압측정 실천정도의 준비단계에서는 6개 항목 중 '혈압측정 중에는 말을 하지 않도록 요구한다' 27.1%로 가장 낮았고 나머지 항목들의 실천률은 모두 80% 이상이었다. 측정단계에서는 10개 항목 중 '요골(또는 팔)동맥이 촉지 되지 않는 지점에서 30mmHg까지 높인다' 0%, '30-60초 정도 기다린다' 0%, '압박대의 공기 압력을 빠른 속도로 제거한다' 0.3%', '혈압계의 압력을 상완동맥이 없어지는 지점에서 약 30mmHg 정도 더 높인다' 0.7%, '혈압계상의 혈압치를 2mmHg 단위로 읽는다' 10.8%g로 아주 낮았고 나머지 5개 항목들의 실천률은 70% 이상이었다. 측정결과 기록단계에서는 4개 항목 중 '압박대의 크기를 기록한다' 0.3%, '환자의 자세(앉은 자세, 누운 자세, 선 자세)를 기록한다'는 10.8%에 불과했고 '혈압측정에 사용한 팔(오른팔, 왼팔, 양팔)과 다리를 기록한다'는 53.6%로 낮았으며 '수축기와 이완기 혈압을 기록한다'는 100%이었다. 혈압측정 실천정도와 유의한 관련성이 있는 변수들은 연령, 경력, 직위 그리고 병원근무 중 혈압 측정방법에 대한 보수교육 경험 유무 등 4개였다(p<0.01). 다중 회귀분석에서는 혈압측정 실천과 유의하게 관련된 변수는 간호사의 직위와 혈압측정에 대한 보수교육 경험 유무였다(p<0.01). 이상의 결과를 볼 때 종합병원 임상간호사의 혈압측정의 정확도는 상당히 낮았다. 따라서 이에 대한 보수교육을 시급히 실시해야 할 것으로 생각한다.

• 한국산학기술학회논문지
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• 제20권7호
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• pp.218-227
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• 2019

본 연구의 목적은 밸런스 테이핑요법이 농촌 여성노인의 무릎통증과 일상활동장애 개선에 미치는 영향을 확인하는 것이다. 연구설계는 비동등성 대조군 전후설계를 이용한 유사실험연구이다. 자료수집 기간은 2017년 1월 19일부터 4월 14일까지이며, 연구 대상은 농촌지역인 Y시에 소재한 경로당을 방문한 65세 이상 여성노인 54명으로 실험군 26명, 대조군 28명이다. 자료는 밸런스 테이핑 적용 전과 24시간 후에 무릎통증과 일상활동장애 정도를 조사하였고, 수집된 자료는 PASW Statistics 23.0 프로그램을 이용하여 $X^2-test$, Shapiro-Wilk test, Mann-Whitney U test로 분석하였다. 본 연구결과 24시간 동안 밸런스 테이핑요법을 적용받은 실험군이 대조군에 비해 무릎통증(Z=-6.658, p<.001)과 일상활동장애(Z=-3.466, p=.001) 정도가 유의하게 감소하였다. 일상활동장애의 하위영역 중에서는 일어서기(Z=-2.860, p=.004), 일상적 활동하기(Z=-2.629, p=.009), 걷기(Z=-3.868, p<.001)와 몸단장하기(Z=-2.049, p=.040)의 장애정도가 유의하게 감소하였고, 물건 쥐기(Z=-.542, p=.588)와 팔 뻗치기(Z=-.416, p=.678)는 유의한 차이가 없었다. 본 연구결과 밸런스 테이핑요법은 농촌 여성노인의 무릎통증 감소와 일어서기, 일상적 활동하기, 걷기, 몸단장하기와 같은 일상활동장애 개선에 효과적인 간호중재로 확인되었다. 추후 대상자의 사전 통증정도, 밸런스 테이핑 적용횟수, 24시간이상 적용에 따른 장기효과, 다른 신체 부위 적용에 따른 효과 확인과 밸런스 테이핑 적용이 통증의 감소로 우울감 등 심리 건강에도 효과적인지 파악하는 후속연구, 그리고 밸런스 테이핑 적용이 통증감소와 일상활동장애를 개선시키는 생리학적 기전을 밝히는 연구를 제언한다.