• Title/Summary/Keyword: Trunk balance

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라이프케어 증진을 위한 동적탄력튜빙 보행훈련이 뇌졸중 환자의 균형에 미치는 영향 (Effect of Dynamic Tubing Gait Training for Life-Care on Balance of Stroke Patients)

  • 이선영;이동률
    • 한국엔터테인먼트산업학회논문지
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    • 제15권1호
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    • pp.171-180
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    • 2021
  • 본 연구는 라이프케어 증진을 위한 동적탄력튜빙 보행훈련(Dynamic Tubing Gait, DTG II)이 만성 뇌졸중 환자의 균형에 미치는 영향을 알아보았다. 본 연구는 10명의 만성 뇌졸중 환자를 대상으로, DTG II 프로그램을 일일 30분씩 1회, 주 5회, 5주간 총 25회 실시하였다. 균형향상을 위한 DTG II 프로그램의 효과를 알아보기 위해 표면근전도(배바깥빗근, 척주세움근, 엉덩허리근, 큰볼기근), 골반 3축의 대칭지수 검사(경사, 대각선, 회전), 동적보행지수 검사(DGI)를 중재 전과 후에 시행하였다. 본 연구의 결과, 초기디딤기와 중간디딤기에서 큰 볼기근의 중재 전·후 비교에서 통계적으로 유의한 차이를 보였다(p<.05). 골반의 대칭지수(SI)는 대각선 SI와 회전 SI에서 중재 전·후 비교에서 통계적으로 유의한 차이를 보였다(p<.05). 동적보행지수(DGI)에서 중재 전·후 비교에서 통계적으로 유의한 차이를 보였다(p<.05). 본 연구결과를 통해 라이프케어 증진을 위한 DTG II 프로그램이 만성 뇌졸중 환자의 몸통근육의 근활성과 골반의 대각선 움직임과 회전 움직임의 대칭성을 향상시킴으로써 만성 뇌졸중 환자의 동적 균형 능력을 향상된 것을 알 수 있었다. 따라서 만성 뇌졸중 환자의 라이프케어 증진을 위한 균형능력 향상을 위해 동적탄력튜빙 보행훈련을 중재법의 하나로 권장한다.

규칙적인 운동이 간호대학생의 체력수준에 미치는 효과 (Effect of Regular Physical Exercise on Physical Fitness Level in Nursing Students)

  • 조영희
    • 기본간호학회지
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    • 제4권2호
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    • pp.267-282
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    • 1997
  • This study was to test the relationship between regular physical exercise and physical fitness in nursing students. These subjects were 54 volunteers who agreed with intention of this study and were composed of 24 active group and 30 non-active group. The selected physical fitness tests were grip strength and back strength for measuring muscular strength, sargent jump and standing broad jump for measuring power, push-up, sit-up, and heart rate for measuring total endurance, reaction time and side step test for measuring agility, stick test and stork stand for measuring balance, and trunk flexion and trunk extension for measuring flexibility. The conclusion acquired was as follows : 1) Grip strength had significant difference between active group of $29.5{\pm}5.9kg$ and non-active group $25.4{\pm}7.2kg$(t=2.283, p=.027), and back strength between active group of $54.1{\pm}13.7kg$ and non-active group of $44.7{\pm}15.7kg$(t=2.310, p=.025), 2) Sargent jump was lower with non-active group($44.9{\pm}8.6cm$) than with active group($45.3{\pm}8.8cm$), however, was not significant(t=.182, p=.856). Standing broad jump was significantly lower with non-active group of $161.3{\pm}28.7cm$ than with active group of $191.4{\pm}27.0cm$(t=3.939, p=.000). 3) Push-up showed significant difference between active group of $25.3{\pm}12.3times$ and non-active group of $11.5{\pm}5.1times$(t=5.572, p=.000), and sit-up between active group of $21.8{\pm}7.4times$ and non-active group of $17.1{\pm}5.8times$(t=2.631, p=.011), and heart rate between actvie group of $110.5{\pm}12.8$beats/min and non-active group of $121.5{\pm}9.5$beats/min(t=-3.648, p=.001). 4) Reaction time was significantly higher with non-active group of $.300{\pm}.051sec$ than with active group of $.341{\pm}.041sec$(t=-3.285, p=.002). Side step test was lower with non-active group($8.8{\pm}1.1times$) than with active group($9.2{\pm}1.2times$), however, was not significant (t=1.309, p=.196). 5) Stick test showed not significant difference between active group of $25.8{\pm}14.8sec$ and non-active group of $30.7{\pm}17.9sec$(t=-1.058, p=.295), and stork stand between active group of $4.5{\pm}3.2sec$ and non-active group of $3.7{\pm}3.5sec$(t=.918, p=.363). 6) Trunk flexion came out not significant difference between active group of $14.2{\pm}5.0cm$ and non-active group of $15.8{\pm}7.3cm$(t=-.927, p=.358), and trunk extension between active group of $67.1{\pm}6.5cm$ and non-active group of $67.3{\pm}6.6cm$(t=-.140, p=.889). 7) Power was shown to be significantly related to total endurance(r=.717, p=.000 ; r-.739, p=.000). 8) Total endurance was shown to be significantly related to agility(r=-.752, p=.000 ; r=.684, p=.000 ; r=-.664, p=.000 ; r=.598, p=.002 ; r=.864, p=.000 ; r=-.536, p=.007). These results suggest that regular physical exercise is effective in promoting and maintaining physical fitness. As the further study, it is necessary to reinvestigate the effect with more refined design.

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선박근무자의 승선경력이 정신피로 및 체력특성에 미치는 영향 (The Effects of Seaman's on Board Service Career on Physical Fitness Characteristics and Mental Fatigue)

  • 하해동;김재호
    • 한국항해학회지
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    • 제25권4호
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    • pp.347-360
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    • 2001
  • The purpose of this study is to find out the subjective and objective fatigue level and the characteristics of seamen's physical strength with the service period on board, to have a new understanding of the vocation, and to explore a physical exercising program for the seamen. The questionnaire survey for the seamen who had been in service on the ocean going vessels was conducted and the results are fumed out as the followings. Total number of seamen who had answered the questionnaire was 64 persons and the distribution status of service period group was identified as 16 persons for each of 4 groups; the group was classified as the group of less than 5 years, 5 - 10 years, 10 - 15 years, and more than 15 years. 1. Working conditions Working hours in a week was identified as 44-56 hours(45.3%) and the number of 45.3% of the seamen answered the working hours in week is more than 56 hours. The seamen of 25.0% are unsatisfied or very unsatisfied with their vocation. The seamen of 65.6% are smoking, and 45.3% of them drink. The seamen of 44.,3% drink once or more in a week. And the seamen of 67.2% do not take any exercise in a week. 2. Contribution to the seamen's fatigue and subjective symptom The most contributive factor to the seamen's fatigue was identified as the short of sleeping(21.5%), overwork(19.2%), poor working conditions (18.6%), and the friction in human relations also becomes one the contribution to the fatigue(14.0%). The subjective symptom by fatigue was identified as the feeling of languid, sleepy and tiredness of eyes. 3. Characteristics of the seamen's physical strength and Interrelations The grip strength and back strength of the seamen whose service period is less than 5 years were measured as 40.44kg and 127.8kg. The sit ups in the group of service period less than 5 years was measured as 36.84 times, and the vertical jump for the seamen in this group was measured as 46.55cm. The closed-eyes foot balance was measured as 33.64 seconds in the group of service period between 5 and 10 years, and side-step was measured as 35.31 times in the group of service period less than 5 years. The standing trunk flexion was measured as 10.54cm for the seamen whose service period is between 10-15 years, and the trunk extension was measured as 50.70cm for the seamen whose service period is less than 5 years. And the step test of the seamen whose service period is between 10-15 years was measured as 54.44 numbers, and the number of flickers of the seamen whose service period is less than 5 years was measured as 32.94.

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Development of Core Strength Training Equipment and Its Effect on the Performance and Stability of the Elderly in Activities of Daily Living

  • Koh, Kyung;Park, Yang Sun;Park, Da Won;Hong, Chun Ki;Shim, Jae Kun
    • 한국운동역학회지
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    • 제26권2호
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    • pp.229-236
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    • 2016
  • Objective: This study aimed, first, to develop core strength training equipment with elderly-friendly, easy-to-use features and, second, to investigate the effect of core strength training using the equipment on the performance and stability of the elderly in activities of daily living. Method: In this study, we developed training equipment with a stability ball that can be used for performing core strength exercises in the elderly. Twenty-three elderly subjects (age: $77.87{\pm}6.95years$, height: $149.78{\pm}6.95cm$, and weight: $60.57{\pm}7.21kg$) participated in this study. The subjects performed the core strength training exercise with 16 repetitions for 8 weeks (2 repetitions per week). Performance in activities of daily living was assessed by using the Short Physical Performance Battery (SPPB), a test of going up and down 4 stairs, and one-leg static balance test. Stability was quantified as changes in the center of pressure (COP) and C90 area. Results: With the core strength equipment, trunk core strength exercise could be performed by pulling or pushing a rope with 2 hands on the stability ball. During the task, the tension in the rope was manipulated by a motor connected to the rope and the COP of the subject was measured by 4 load cells mounted in the equipment. Our results showed that the SPPB score was significantly higher (p < .05), the time to complete the "going up and down 4 stairs" test was significantly shorter (p < .05), and one-leg static balance statistically improved under an eyes-open condition (p < .05) after as compared with before the core strength training. The changes in the COP in the anteroposterior and mediolateral directions, and C90 area were significantly lower in the posttest (p <. 05) than in the pretest. Conclusion: The core strength training exercise using the equipment developed in the present study improved the performance and stability of the elderly in activities of daily living.

만성 허리통증환자의 운동프로그램에 대한 효과 (Effect of Exercise Programs for Chronic Low Back Pain Patients : A Systematic Review)

  • 강권영;김은경;홍기훈
    • 대한물리치료과학회지
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    • 제18권2호
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    • pp.1-8
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    • 2011
  • Background: The purpose of this study was to systematic review the effect of exercise programs for chronic low back pain patients. We needs systematic development of low back pain exercise program to reduce economic cost further doing great service to public health promotion. Methods: We searched to the effects of exercise programs for chronic low back pain patients by Dankook University electronic library databases of DBPIA, KSI KISS, CINAHL, MEDLINE and PEDro combined with a hand search of papers published in relevant journals. Any type of study relevant to the topic published during time period from 1970 to 2007 was included. Results: The literature search identified 30 studies. 1.Performing the flexion exercise increased abdominal muscle activity but acute herniated intervertebral disc should be avoided. 2.The general lumbar extension exercise used lumbar extension machine and the muscle power increases, significant probability the change. 3.The spinal segments exercise for the patients offered significant efficacy and appeared to be a reasonable therapeutic option. 4.Spinal stabilization exercises appear to improve trunk endurance and balance to patients with chronic low back pain. This exercise programs had effective decrease pain and disability. Conclusion: The review suggests that although the exercise programs for chronic low back pain patients, and we expected the efficacy of the exercise programs for chronic low back pain patients used in this study should be further investigated in a long period study and objective outcomes.

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테이핑과 체간의 구심성 운동이 근력, 지구력 및 유연성에 미치는 영향 (The Effect of Muscle Strength, Endurance & Flexibility on Taping and Concentric Exercise of Trunk)

  • 조남정;최원제;박선하;박현주;오상부;오한석;함정대;유병국;이삼철;손경현
    • 대한물리치료과학회지
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    • 제16권3호
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    • pp.35-42
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    • 2009
  • Background: The purpose of this study is to measure the amount of influence of taping and a whole body balance upon muscle strength, endurance, and flexibility. Experiments were conducted by two different groups, specially designed for this study. The choice of exercise methods for each group depends on its own idiosyncratic characteristics (or Each group employs its own idiosyncratic exercise method). Methods: The first group, with taping applied, undertook exercises three times a week; second group just took exercises three times a week. These experiments show the following outcomes. Results: The first group showed a considerable amount of difference in terms of muscle strength, endurance, and flexibility. Second group also showed similar outcome. Both the first group and the second group revealed a considerable difference. But the first group showed a bigger difference than the second group. Conclusion: Thus, the result of these experiments strongly indicates that exercise, with taping applied, turns out the most effective in promoting muscle strength, endurance, and flexibility.

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대동맥-폐동맥 연결관의 접합각도와 직경의 최적화 (Optimization of the Anastomosis Angle and Diameter with the Systemic- To-Pulmonary Artery Shunt)

  • 김성민;박성윤;전재훈
    • 한국정밀공학회지
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    • 제24권10호
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    • pp.123-130
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    • 2007
  • Hypoplastic left heart syndrome is currently the most lethal cardiac malformation of the newborn infant. Survival following a Norwood operation depends on the balance between systemic and pulmonary blood flow, which is highly dependent on the fluid dynamics through the interposition shunt between the two circulations. The purpose of this study is an optimization of the systemic-to-pulmonary artery shunt. In this study, We used computational fluid dynamic(CFD) models to determine the velocity profile in a systemic-to-pulmonary artery shunt and suggested a simplified method of calculating the blood flow in the shunt based on Ultrasound systems. We analyzed the flow characteristic variations and oscillatory shear index(OSI) due to the anastomosis angle and shunt diameter changing. Four different CFD models were constructed with the shunt sizes ranging from 3 to 3.5mm. The angle between the brachiocephalic trunk(BCT) and the shunt were $30^{\circ}$ and $45^{\circ}$, respectively. When the diameter is 3.0 mm, the oscillatory shear index decreased by 1.2% at $30^{\circ}$ as opposed to at $45^{\circ}$. When the diameter is 3.5 mm, it increased by 18% more at $30^{\circ}$ as opposed to at $45^{\circ}$. When the joint angle is $30^{\circ}$ and the diameter is 3.0 mm, the oscillatory shear index decreased by 4.1% in comparison with the 3.5 mm diameter. When the angle is $45^{\circ}$ and the diameter is 3.0 mm, the index increased by 14.6% in comparison with the 3.5 mm diameter.

워킹 훈련방법에 따른 복부 중심근육 활성도와 근 두께 변화 비교 (Comparison of Core Muscle Activity and Thickness According to Walking Training Method)

  • 이현주;김영태;이성주;김민석;김신회;태기식
    • 재활복지공학회논문지
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    • 제9권4호
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    • pp.301-308
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    • 2015
  • 본 연구는 정상 성인 20명을 대상으로 복부 안정화에 영향을 미치는 노르딕 워킹과 파워 워킹을 2주간 집중 시행한 후, 복부중심 근육(배속빗근, 배바깥빗근, 배가로근)의 활성도 및 두께, 그리고 복부 피하지방의 두께 변화를 비교하였다. 연구 결과, 근전도를 이용한 배속빗근과 배바깥빗근의 근활성값은 노르딕 워킹과 파워 워킹군 모두에서 훈련 후 높게 나타났으며, 특히 노르딕 워킹 훈련군의 경우 파워 워킹 훈련군에 비해 통계학적으로 유의하게 높은 근활성도의 변화를 보였다. 초음파를 이용한 배가로근과 배속빗근, 배바깥빗근의 두께는 노르딕 워킹 훈련군과 파워 워킹 훈련군 모두에서 통계학적으로 유의한 증가를 나타내었으나 군간 변화 차이는 없었다. 노르딕 워킹은 스틱을 이용하여 균형 안정감을 제공하며 상지와 하지의 큰 움직임을 통해 복부 안정화를 유도하는 효과적인 훈련방법으로써 다양한 재활운동의 형태로 적용하기에 유용할 것으로 여겨진다.

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아급성기 뇌졸중 환자의 이중 과제 수행이 보행의 시·공간적 변수에 미치는 영향 (Effects of Performing Dual Task on Temporospatial Gait Variables in Subjects With Subacute Stroke)

  • 장영민
    • PNF and Movement
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    • 제15권3호
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    • pp.361-371
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of performing a dual task on gait velocity, temporospatial variables, and symmetry in subjects with subacute stroke. Methods: The study included 14 independent community ambulators with gait velocity of 0.8m/s. The Korean mini-mental state examination, the Berg balance scale, the Trunk impairment scale, and the Fugl-Meyer assessment scale were used to recruit homogeneous subjects. Subjects performed a single task (10m ambulation at a comfortable speed) and a dual task (10m ambulation at a comfortable speed while carrying a water-filled glass). Gait variables were examined with the OptoGait system. Results: The findings of this study were as follows: 1) Gait velocity decreased significantly in the dual-task condition as compared to the single task condition. 2) There were no significant differences between the paretic and non-paretic stances. 3) Paretic swing decreased significantly in the dual-task condition as compared to the single task condition. 4) The non-paretic, double-limb support phase increased significantly in the dual-task condition as compared to the single- task condition. 5) There was no significant difference in temporal symmetry. 6) Non-paretic step length decreased significantly in the dual-task condition as compared to the single-task condition. 7) There was no significant difference in spatial symmetry. Conclusion: Performing dual tasks decreases gait velocity, paretic swing phase, and non-paretic step length, while it increases non-paretic double limb support. In addition, although there is no difference in temporospatial symmetry, there is high inter-subject variability in temporospatial symmetry. Thus, dual tasks should be selected in accordance with the functional level of the hemiplegic patient, and inter-subject variability of the individual should be considered when dual tasks are considered for gait-training of hemiplegic patients.

러닝웨어 재킷의 슬릿 위치가 통기성과 착용감에 미치는 영향 (Ventilation and Comfort Sensation by Slit Positions of Running Wear Jackets)

  • 임지혜;노의경;유화숙;김은애
    • 한국의류학회지
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    • 제33권11호
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    • pp.1794-1805
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    • 2009
  • This study investigates the influence of slit positions on the microclimate temperature/humidity of garments. To design the slits, a market survey was performed to indicate the method to apply the slits, in addition to a literature survey about muscles and body surface variation through body movements. Based on the survey, three positions of slits were selected, shoulder slit, lowback slit, and midback slit, a slit width of 1cm and length to 30cm was used. The results showed that microclimate temperatures/humidity on the back according to the slit positions were in the order of, lowback, midback, and the shoulder. The lowback slit showed the highest effect on the temperature/humidity of a front trunk. Lowback slits affected on localized areas of the glutaeus maximus, erector spinae, and latissimus dorsi. Midback slits affected the back muscle and deltoid. Shoulder slits showed a more significant effect on the localized area of the deltoid versus other localized areas. In the subjective sensations, the lowback slit was cooler, dryer, and more comfortable than the other slits. For the subjective sensations by fabric characteristics, the slit positions correlated at |r|${\geq}.8$ and were significant at p<.001 The results show that the lowback slit has a superior air exchange effect and thermoregulation qualities.