Purpose: The purpose of this study was to identify the influencing factors on osteoarthritis in Korean. Method: Data from the Fourth Korean National Health and Nutrition Examination Survey(KNHANESIV-3, 2009) were obtained, and 1,116 subjects who responded certainly yes or no to the question for osteoarthritis were selected. Data were analyzed ${\chi}^2$-test, t-test, and binary logistic regression using the SPSS V18.0. Results: Significant differences in gender, age, menopause, weight, BMI, frequency of walk, days of flexibility exercise, days of strength training, and limitation of activity were found between subjects with osteoarthritis and non-osteoarthritis. Age and BMI were found to be risk factors for osteoarthritis in Korean. Conclusion: This study suggested that nursing intervention should include weight control program for the obesity patient in order to reduce the prevalence of osteoarthritis.
Oxygen consumption, pulmonary ventilation, heart rate, and breathing frequency were measured on 8 men walking on a treadmill carrying load of 9 kg on hand, back, or head. Besides measurements were made on subjects carrying loads of 2.6 kg each on both feet. The speed of level walking was 4, 5, and 5.5km/hr and a fixed speed off km/hr with grades of 0, 3, 6, and 9%. Comparisons were made between free walking without load and walking with various types of loads. The following results were obtained. 1. In level or uphill walking the changes in oxygen consumption, pulmonary ventilation, breathing frequency and heart rate were smallest in back load walking, and largest in hand load walking. The method of back load was most efficient and hand load was the least efficient. The energy cost in head load walking was smaller than that of in hand load walking. It was assumed that foot load costed more energy than hand load. 2. In level walking the measured parameters increased abruptly at the speed of 5.5 km/hr. Oxygen consumption in a free walking at 4 km/hr was 11.4ml/kg b.wt., and 13.1 ml/kg b.wt. 5.5 km/hr, and in a hand load walking at 4 km/hr was 13.9, and 18.8 ml/kg b. wt. at 5.5 km/hr. 3. In uphill walking oxygen consumption and other parameters increased abruptly at the grade of 6%. Oxygen consumption at 4 km/hr and 0% grade was 11.4 ml/kg b. wt., 13.6 at 6% grade, and 16.21/kg b. wt. at 9% grade in a free walking. In back load walking oxygen consumption at 4km/hr and 0% grade was 12.3 ml/kg b.wt.,14.9 at 6% grade, and 18.7 ml/kg b.wt. In hand load walking the oxygen consumption was the greatest, namely, 13.9 at 0% grade, 17.9 at 6%, and 20.0 ml/kg b. wt. at 9% grade. 4. Both in level and uphill walking the changes in pulmonary ventilation and heart rate paralleled with oxygen consumption. 5. The changes in heart rate and breathing frequency in hand load were characteristic. Both in level and uphill walk breathing frequency increased to 30 per minute when a load was held on hand and showed a small increase as the exercise became severe. In the other method of load carrying the Peak value of breathing frequency was less than 30 Per minute. Heart rate showed 106 beats/minute even at a speed of 4 km/hr when a load was held on hand, whereas, heart rate was between, 53 and 100 beats/minute in the other types of load carriage. 6. Number of strides per minute in level walking increased as the speed increased. At the speed floater than 5 km/hr number of strides per minute of load carrying walk was greater than that of free walking. In uphill walk number of strides per minute decreased as the grade increased. Number of strides in hand load walk was greatest and back load walk showed the same number of strides as the free walk.
Journal of the Korean Society of Physical Medicine
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v.14
no.4
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pp.143-152
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2019
PURPOSE: This examined the effects of a sling exercise based on music on the cognition, physical performance of patients with dementia. METHODS: Thirty subjects with dementia volunteered to participate in this study. All subjects were allocated randomly to either the experimental group or control group, with 15 subjects in each group. All subjects underwent the exercise program for an average of 60 minutes per day for 16 weeks. The experimental group performed sling exercise based on music, and the control group performed the general exercise program. Assessments were made using the Korean version of mini-mental state examination (MMSE-K), 10 m walk test (10MWT), Tinetti mobility test (TMT), and Katz's Index of Independence in activity daily living (KIIADL) to detect changes in the cognitive level and physical performance before and after the 16-week training period. A paired t-test was conducted to compare the within-group change before and after the intervention. An independent t-test was performed to compare the between-group difference. The statistical significance level was set to α=.05 for all variables. RESULTS: The experimental group showed significant within-group changes in the MMSE-K, 10MWT, TMT, and KIIADL (p<.05). The control group showed a significant change in only the KIIADL (p<.05). A significant difference was observed between the experimental group and the control group regarding the change in MMSE-K and KIIADL after the interventions (p<.05). CONCLUSION: A music-based sling exercise program effectively improves cognition, physical performance, and ADL in patients with dementia. Further studies with a wider range of subjects and scientific equipment will be needed to strengthen the results of this study.
The purpose of this study was to evaluate the effects of proprioceptive exercise on walking velocity, activities of daily living(ADL) and depression in elderly women. This study was nonequivalent control group pre-post test design. Subjects were divided into two group(exercise group=17, control group=15). Experimental group conducted proprioceptive exercise program for eight-week. Walking velocity was assessed by 10m-walk test and depression and ADL were assessed by questionnaire. The collected data analyzed by Wilcoxon singed rank test and Mann-Whitney U test. The exercise group significantly improved walking velocity. But control group changes were negligible. The program was effective on walking in elderly women.
The aim of this study was to determine the effects of movement control exercise of hip joint using visual EMG biofeedback on hip joint muscles in healthy adults. This study was nonequivalent one group Pre-post test design. Twenty-one healthy adults were participated in the study. all subjects conducted movemnet control exercise(MCE) using electromyography(EMG) biofeedback of hip joint durng 20 min. The outcome measures included surface eletromyography. Surface electromyography data were collected from the Gluteus medius (Gmed), Gluteus maximus (Gmax),and Tensor fasciae latae(TFL), rectus femoris(RF) during small knee bending (SKB) test. There was a significant difference in Gluteus maximus muscle activity between the pre-test and the post-test (p < 0.05). The findings suggest that Movement control exercise using EMG biofeedback for limiting hip internal rotation is effective in activating the hip external rotator muscles. in addition, this study showed that rehabilitation exercise combined with ICT convergence technology could be an effective intervention in clinical practice.
This study was designed to investigate the effects of mild hypothermia and Aquatic exercise on function Activity after experimental Spinal Cord Injury(SCI) rats. Experimental groups were divided into the control group (non-treatment after SCI induction), group I(hypothermia after SCI induction), group II(exercise after SCI induction), group III(hypothermia and exercise after SCI induction). After operation, rats were examined neurological motor behavior test at 3, 7, 14, 21 days and Immunohistochemical assessment at 3, 7, 21 days.Each other 14 days were a statistically significant difference between control group and group II, III(p<.001) in BBB scale, between control group and group III(p<.05) in grid walk test. In mmunohistochemical assessment, there was appeared highest express in group III. Based on these results, mild hypothermia and exercise was effected functional Activity after SCI.
Journal of The Korean Society of Integrative Medicine
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v.4
no.4
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pp.21-32
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2016
Purpose: The purpose of this study was to identify whether task-related circuit exercise program combined with sensorimotor training for 4 weeks could improve the balance and gait in stroke patients. Method: Fifteen stroke patients who had agreed with the study were randomly divided into 3 groups categorized as task-related circuit exercise program combined with sensorimotor training group (experimental group 1, n=5), task-related circuit exercise program group (experimental group 2, n=5), and control subjects performed conventional physical therapy (control group, n=5). The balance and gait were assessed by BT-4 force platform system, Berg Balance Scale, 10meter Walk Test and Smart Step at before training and after training. Wilcoxon signed rank test was used to analyze change before and after intervention in intra-group. Kruskal Wallis H test, Mann-Whitney U test and Bonfferoni correction were used to analyze changes of all variables in inter-groups. Result: The experimental group 1 showed significant improvements in postural sway area, BBS scores, walking velocity and plantar pressures of affected foot, whereas the experimental group 2 showed significant improvements in BBS scores, and the control group were no significantly different in all variables following training. The changes of postural sway area and BBS scores in the experimental group 1 were significantly greater than them of the control group. The changes of postural sway area in the experimental group 1 was significantly greater than that of the experimental group 2. Conclusion: The result of this study suggest the task-related circuit exercise program combined with sensorimotor training is an effective intervention to improve balance and gait in stoke patients.
This article a little bit lack of elements for the basis of study of health care in the respect of taking a certain expert group as the sample. However researcher chose people who is in same situation with himself and tried to make clear how to do for their behavior of health care to know that how the experts groups are taking care of their health. For the study, the main aim of this article is studying the health care situation of experts group which is taking crucial role in the economy, society and cultural field. When it comes to the experts group's health care by eating habits and exercise related program is, first, it indicates that most people are eating for their health, lives and work through the analysis of responds; they eat food for their health and their health, lives or task.(Surely they family-centered structure. Third, 78% of 40s group responded that they enjoy finding good restaurants while 20s to 30s are enjoying fastfood and instant food instead of Korean traditional foods. fourth, health care by the exercise is done in one or half one hour and the dependant exercises like jogging or swimming which can be done whenever they have time are perferred to group exercise. It's desirable that one has to take care of himself with systematic and effective way. But it's very difficult and care for most people to take care of themselves, so they have to make the program and practice it systematically. The result from this study shows that practicing the health related program rationally, at the same time increasing leisure time and doing dependant or group exercise, taking a walk, and various kind of exercise considered spending money are more common than eating foods for health care. These are regarded as a desirable phenomenon in terms of the health care.
Journal of the Korean Society of Physical Medicine
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v.14
no.1
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pp.75-89
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2019
PURPOSE: This study measured the impact of a 12-week fall-prevention exercise program on balance, ambulatory ability, lower limb strength, and psychosocial characteristics in older adults diagnosed with dementia. METHODS: The participants comprised 31 older adults (9 men, 22 women) diagnosed with Alzheimer's or vascular dementia at a long-term care hospital located in Gunsan City. A fall-prevention exercise program was provided to the experimental group, while the control group was only provided with instruction and materials related to the fall-prevention exercise program. The participants were evaluated before the intervention, 6 weeks after the intervention, and 12 weeks after the intervention on static and dynamic balance abilities (using Timed Up and Go test: TUG, Tinetti-balance scale, one-leg standing test: OLS), gait (Tinetti-balance scale, 6-minute walk test: 6MWT), lower limb strength (sit to stand test; STS), and psychosocial characteristics (Short Form 36 Health Survey-Korean version, Korean Mini-Mental State Exam). RESULTS: An independent samples t-test and repeated measures analysis of variance were used for the statistical analysis. There were statistically significant improvements after the intervention (p<.05) in dynamic balance abilities (TUG and OLS using the left foot), gait (6MWT), and lower limb strength (STS) for the experimental group, but not for the control group. No difference was seen in psychosocial characteristics. CONCLUSION: Older adults with dementia who participated in the fall-prevention exercise program showed significant improvements in their static and dynamic balance abilities, lower limb strength, and ambulatory ability after the intervention.
Journal of The Korean Society of Integrative Medicine
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v.10
no.1
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pp.49-60
/
2022
Purpose : The purpose of this study was to identify whether gym-ball exercise in standing position was an effective intervention for improving muscle strength, balance, gait, and fall efficacy in stroke patients. Methods : Twenty-four stroke patients were randomized into three groups: experimental group 1 (n=8), experimental group 2 (n=8), and control group (n=8). Experimental groups 1, 2 and the control group performed the gym-ball exercise in standing position, same exercise without a gym-ball, and general physical therapy for 4 weeks, five times a week in 30-minute sessions. Muscle strength, balance, gait, and fall efficacy were assessed using a handheld dynamometer, the Berg Balance Scale (BBS), the wearable BTS G-WALK® sensor, and the Korean version of the Falls Efficacy Scale (K-FES), before and after training, respectively. Comparisons within and between groups were analyzed using the Wilcoxon signed rank test, Kruskal Wallis H test, and Mann-Whitney U test. Bonferroni correction was performed when significant differences between groups were identified (p<.017, .05/3). Results : Regarding muscle strength, BBS score, cadence and FES-K were significantly improved after intervention in all three groups. The weight bearing rate, gait speed and step length in experimental group 1 and 2 were significantly improved after the intervention. The stride length in experimental group 1 were significantly improved after the intervention. Experimental group 1 had significantly improved BBS score and stride length after intervention than experimental group 2 and control group. Experimental group 1 and 2 improved muscle strength, weight bearing rate, and FES-K score more than the control group. Experimental group 1 showed significant improvement in cadence, gait speed, and step length after the intervention than control group. Conclusion : This study showed that exercise with gym-ball in standing position can be an effective intervention to improve balance and gait in stroke patients than the same exercise without gym-ball.
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