• 제목/요약/키워드: halliwick

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할리윅 치료 (The Halliwick Method)

  • 김태열;윤희종
    • 대한물리치료과학회지
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    • 제5권3호
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    • pp.625-631
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    • 1998
  • The Halliwick method was developed by Mr. James McMillan, a Canadian engineer of fluid mechanics. In 1949 he started to teach physically handicapped girls to swim at the "Halliwick school for crippled Girls" in London. The Halliwick method has four important basic units, as is shown in Fig 1. This constribution only deals with the structures or the practical part of the method. This part is also known as the 10-point programme. Before the characteristics of the 10 points are dealt with seperately, a few general remarks about these ponits have to be discussed. Of all things happening in the water, fun is the most important one. Swimming is fun! Swimming is taught in an order McMillan describes as: mental Adjustment(M.A), balance restoratiion(B.R.), inhibition(Inh.), and facilitation(Fac.). The 10 points of structure are linked to each other as well as to the learning process as is shown in Fig 3. The Halliwick method, which was devised by James McMillan, has proved to be a very successful way of establishing the basic principles as they have described in this article.

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Halliwick 10 Point Program이 균형능력에 미치는 영향 (The Effect of Halliwick 10 Point Program on the Balance Control)

  • 송명환;손민균;김태열;황태연
    • 대한임상전기생리학회지
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    • 제1권2호
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    • pp.49-60
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    • 2003
  • The purpose of this study was to evaluate the effect of Halliwick 10 point program on the balance control. Fourteen undergraduate students participated in the experiment, and classified 7 experiment and 7 control group, randomly. Halliwick 10 point program was applied in the experiment group for 4 weeks. Balance index was measured using KAT 2000. Balance index were measured before, during(2 weeks), and after(4 weeks) the training for 4 weeks. 2-way repeated measures ANOVA was used to further distinguish between the groups. The following results were obtained; 1. The total balance index scores from a KAT were significantly decreased after 4 weeks compared with before the training passing of time. However there was no significant difference between experiment and control group. 2. The left and anterior shifting balance index scores from a KAT were significantly decreased after 4 weeks compared with before the training passing of time. However there was no significant difference between experiment and control group. These results lead us to the conclusion that the balance ability of women twenties increase as the water is higher than that of the ground applied Halliwick 10 point program of the water specific therapy province. Therefore, A further direction of this study will be to provide more evidence for Halliwick 10 point program in the water specific therapy.

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수중회전조절운동이 20대 여성의 균형유지에 미치는 영향 (The Effect of Aquatic Rotation Exercise on Balance Maintenance)

  • 최석주;윤세원
    • The Journal of Korean Physical Therapy
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    • 제22권1호
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    • pp.27-32
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    • 2010
  • Purpose: This study was designed to examine the effects of a Halliwick rotation program on improving balance. Methods: Nine healthy females were randomly assigned to a Halliwick rotation program training as an aquatic group (n=9, age=$22.5{\pm}1.3$ years) or to a control group. The aquatic group trained using a Halliwick rotation program (3 times/week, 30 min/day) for 6 weeks. Balance was measured according to stance position: Hard Plate Open Eyes (HOE), Hard Plate Close Eyes (HCE), Soft Plate Open Eyes (SOE) and Soft Plate Close Eyes (SCE). This was done before the training and 3 and 6 weeks after the training. The data were analyzed with the SPSS Win 12.0 program using repeated measure ANOVA. Results: There were significant training-induced differences in SOE and POE (p<0.05), and in SCE and PCE (p<0.05) by Toe pad. There were significant training-induced differences in SOE and POE (p<0.05) by Heel pad after the aquatic rotation exercise program. Conclusion: The Halliwick rotation program can improve balance.

Halliwick 10 Point Program의 운동학습과정 (Motor Learning Process of Halliwick 10 Point Program)

  • 서삼기;김태열;황태연
    • The Journal of Korean Physical Therapy
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    • 제14권1호
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    • pp.159-167
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    • 2002
  • The Halliwick concept was developed by James McMillan over 50 years ago, and began as a method for teaching swimming to children with physical disables. After that the Halliwcik concept was developed as a specific strategy(called the Ten-Point Program) for teaching swimming to children with disabilities. Soon after the changes in the physical and emotional behavior were attributed to a unique teaching/learning philosophy and a psycho-sensory-motor learning program that is enhanced by hydrodynamics. Recognizing the therapeutic effects of the Ten-Pont Program adapted the program as a therapeutic intervention called Water Specific Therapy or the Logic Approach to Therapy in Water.

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수중치료후 척수손상 환자의 독립 - 증례 보고 - (Independence of SCI patients after HALLIWICK hydrotherapy method - A Case report -)

  • 김지혁;김용권
    • 대한물리치료과학회지
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    • 제6권4호
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    • pp.241-249
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    • 1999
  • One of the major purpose of rehabilitation program is for the individual to achieve independence. That means independence from family members, independence from friends, and independence from rehabilitation team. An independent attitude is essential for autonomous functioning. Unless a disabled person is motivated to function independently, he will never do so. 3) Hydrotherapy, HALLIWICK method was applied to SCI patient. Especially, metacentric effect, density, buoyancy and breathing control are very very important theory.

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류마티스 관절염의 수중치료 (Hydrotherapy in Rheumatoid Arthritis)

  • 김태열;김계엽
    • The Journal of Korean Physical Therapy
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    • 제12권3호
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    • pp.407-414
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    • 2000
  • Hydrotherapy is aimed at evoking short-term and long-term adaptation-mechanisms of patients. This means that a patient should be able to adapt to the changed environment. both mentally and physically. Hydrotherapy is widely used to treat patients with generalised rheumatic discases. Hydrotherapy may be applied as a single therapy. in combination with other therapeutic interventions or as one pan of a complex series of stimuli as e.g. during spa therapy. A treatment regimen in water is constructed according to the same rules as dry land exercise. However, methods specifically designed or adjusted for hydrotherapy can be used. The Halliwick is suitale in particular to facilitate arthrokinetic reactions as a part of training postural stability. The Bad Ragaz Ring is a hydortherapy modification of proprioceptive neuromuscular facilitation. Patterns of arms. logs and trunk are used to increase muscle function and flexibility. Other techniques are applicable in water too: mobilization and manipulation techniques of the joints can be integrated in hydrotherapeutic methods. The continuous research is needed for many interesting issues of hydrotherapy in new future.

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뇌성마비 아동의 수중 중재가 관절가동범위와 대동작기능 및 균형에 미치는 효과 : 메타분석 (Effects of Aquatic Intervention on Range of Motion, Gross Motor Function and Balance in the Children with Cerebral Palsy : Meta-Analysis)

  • 최기복;조성현
    • 대한통합의학회지
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    • 제7권3호
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    • pp.71-83
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    • 2019
  • Purpose: This meta-analysis aimed to analyze to the effects of aquatic exercise programs in children with cerebral palsy and identify directions for future research. Methods: A systematic search based on the PRISMA guidelines was undertaken for studies conducted between 2006 and 2018 on aquatic exercise programs in children with cerebral palsy. A total of 10 studies were selected according to the inclusion criteria. The methodological quality was assessed using the Risk of Bias Tool for Randomized Controlled Trials (RoB) and Risk-of-Bias Assessment Tool for Non-randomized Studies (RoBANS). A meta-analysis software (CMA 3.0) was used to calculate the mean effect size, effect size by intervention (Halliwick and Watsu Aquatic methods), and effect size by outcome. Results: The mean effect size was 0.457. The effect size by intervention was largest for the Halliwick method, followed by the Watsu method. The effect size by outcome was largest for range of motion, followed by the gross motor function measure, the Pediatric Berg Balance Scale, and the Modified Ashworth Scale. Meta-regression analysis showed effect size increased when sample size, number of sessions, and length of sessions increased. Conclusion: The results show that aquatic exercise programs have a positive effect on children with cerebral palsy. Therefore, it is necessary to develop a guideline that recommends the appropriate intervention and the identifies the direction of future studies on aquatic exercise programs.

일부 여대생의 세 가지 균형조절 훈련 효과 비교 (The Effect of 3 Balance Training Programs on Improving Capabilities of Balancing among Some Female Students)

  • 유진호;정선미;박형수
    • 한국전자통신학회논문지
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    • 제8권4호
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    • pp.619-629
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    • 2013
  • 이 연구는 20대 여대생들을 대상으로 세 가지 균형조절 훈련(Aqua, Bio-feedback, Trampolin)이 정적 균형 능력과 시각, 전정각, 고유수용감각 등의 감각요소에 미치는 효과를 비교하기 위해 아쿠아 훈련군(10명), 바이오피드백 훈련군(10명), 트램폴린 훈련군(9명)으로 무작위 할당한 후 각 군별로 주 3회, 회당 30분간의 운동 프로그램을 6주간 진행하면서 3주후, 6주후에 Tetrax portable multiple system을 이용하여 안정성지수를 측정하고, 근전도 중앙주파수값을 이용하여 산출한 근전도 균형점수를 반복측정된 자료의 분산분석 및 Wilcoxon의 부호순위 검정 등을 이용하여 비교 분석한 결과를 종합해 볼 때, 바이오피드백 훈련은 세 가지 감각기능을 고루 향상시키며 아울러 감각기능 간의 협응성 또한 향상시키는 것으로 판단되며, 아쿠아 훈련은 전정기능을 집중적으로 강화시키는 것으로 보인다.

수중에서 회전조절과 장애물 훈련이 편마비 환자의 전정기능과 균형조절에 미치는 영향 (The Effect of Balance Control and Vestibular Function by an Aquatic Rotation Control and the Obstacle Avoidance Underwater with Hemiplegia Patients)

  • 권혜민;김수현;김현진;오석;최지호;김태열
    • 대한임상전기생리학회지
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    • 제8권1호
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    • pp.43-50
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    • 2010
  • Purpose : The objective of this study is to effect of an aquatic rotation control and obstacle avoidance when conducted underwater on hemiplegia patient's balance ability and vestibular function. Methods : Twelve hemiplegia patients participated and were randomly assigned to a control group(I) with standard physical therapy and an aquatic group(II) with an aquatic rotation control, obstacle avoidance and standard physical therapy as well. The aquatic group trained using a Halliwick rotation control and obstacle avoidance through 3 times per week over 6 weeks. For all subjects, vestibular function, their balance, the change of electrooculogram (EOG), the change of accelerometer axis and torsiometer according to visual sense, vestibular sense with galvanic vestibular stimulation (GVS) or not during leg close stance were measured. Results : The EOG in the vertical and horizontal (p<0.05) were both significantly lowered. The change was significantly lower in the trajectory range of motion of trunk and spine with torsiometer when leg close stand (p<0.01) and leg close stand with GVS (p<0.01). The centre of gravity accelerated, there were reduced significantly difference X and Y axis of accelerometer during the closing of the leg without vision (p<0.05). There were reduced significantly difference X and Z axis of accelerometer during the closing of the leg with GVS (p<0.05). There were reduced significantly difference X and Z axis of accelerometer during the closing of the leg and close eyes with GVS (p<0.05). Conclusion : The balance ability, vestibular system and postural control is improved.

호흡운동 프로그램과 수중운동 프로그램이 아급성기 뇌졸중 환자의 폐기능에 미치는 영향 비교 (Comparison between the Effects of Combined Conventional Exercise Therapy Plus Respiratory Exercise Program with Combined Conventional Exercise Therapy Plus Aqua Exercise Program on the Pulmonary Function of Subacute Stroke Patients )

  • 이동협;유경태
    • 대한물리의학회지
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    • 제18권2호
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    • pp.115-123
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    • 2023
  • PURPOSE: This study examined the effects of combined conventional exercise therapy plus respiratory exercise program with combined conventional exercise therapy plus aqua exercise program in the pulmonary function of subacute stroke patients. METHODS: The respiratory exercise program group underwent inspiration and expiration training using the Threshold IMT and Threshold PEP three days per week for four weeks. The aquatic exercise program group had aquatic aerobics, halliwick, and bad ragaz ring training three days per week for four weeks. Before and after the experiment, Pony fx was used to examine the FVC, FEV1, FEV1/FVC, VC, and MVV. RESULTS: Significant improvement was found after the experiment in the FVC. FEV1, VC, MVV, excepting FEV1/FVC, of the pulmonary function in the aquatic exercise program group. After the experiment, significant improvement was found in FVC, FEV1, FEV1/FVC, VC, and MVV of pulmonary function in the respiratory rehabilitation therapy group. No significant difference in FVC, FEV1, FEV1/FVC, VC, and MVV of pulmonary function was observed in the inter-group comparison. CONCLUSION: Significant improvement was found after the experiment in both the aquatic exercise program group and the respiratory exercise program group. No difference in pulmonary function was noted in the inter-group comparison. Therefore, combining general exercise therapy and an aquatic or respiratory exercise program is expected to be effective for the pulmonary function of acute stroke patients. These results are expected to provide basic data to help research intervention of aquatic and respiratory exercise programs for subacute stroke patients.