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Effectiveness of Breathing Exercises on Spinal Posture, Mobility and Stabilization in Patients with Lumbar Instability

  • Kang, Jim-Yi;Seo, Dong-Kwon;Cho, Ju-Chul;Lee, Byoung-Kwon
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.81-89
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    • 2018
  • PURPOSE: This study was conducted to monitor the performance of breathing exercises by patients with lumbar instability who had altered breathing patterns. METHODS: To investigate the effects of breathing exercises on spinal posture, mobility, and stabilization in patients with lumbar instability with altered breathing patterns, 30 adult participants were enrolled on the basis of the selection criteria and randomly assigned to the breathing exercise group (BEG) or trunk stabilization exercise group (SEG). A pre-test was performed prior to the intervention exercise program. The intervention exercise program consisted of 15 sessions (three sessions per week for 5 weeks) between August and September of 2016. The post-test was performed on the 6th week of intervention. RESULTS: Pre- and post-test comparisons of BEG and SEG revealed significant improvements in all tested items in the SEG, except for spinal mobility, while significant improvements in spinal postures 1 and 2, spinal mobility, and stabilization were found in the BEG. Between-group comparisons revealed that there were no significant differences in spinal posture 1, spinal posture 2, spinal mobility, or stabilization, whereas significant differences were found in spinal posture 2 and spinal mobility, with the BEG showing greater improvements than the SEG. CONCLUSION: Based on the findings in the present study, it is believed that breathing exercises have important effects on spinal posture, mobility, and stabilization in patients with lumbar instability who have altered breathing patterns.

Quality of Life Affected by Residential Mobility in Urban Households (도시가구의 주거이동 유형이 가정생활의 질에 미치는 영향)

  • 곽인숙
    • Journal of Families and Better Life
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    • v.7 no.2
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    • pp.127-144
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    • 1989
  • The resulting rapid urbanization in the several decades caused increasing residential mobility. The purpose of this study is to analyse systematically the effects of residential mobility on the family quality of life and the factors that cause residential mobility. For this purpose, 976 housewives were sampled from the households in Seoul. The data were analysed by such statistical methods as multiple regression, crosstabulation, ANOVA test and path analysis. The main results obtained are as follows; 1) A significant proportion of the urban households are experienced frequent residential mobility. 2) Among the factors that affect residential mobility, the most important factors are family income, tenure type, and residential satisfaction. 3) Residential satisfaction is an important intervening variable in residential mobility. 4) It has been observed that family quality of life was affected by residential mobility patterns. Analysis has revealed that quality of life de eloped remarkably by changing for residential location, especially in education environment for their children.

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Immediate Effect of Flexion-Distraction Spinal Manipulation on Intervertebral Height, Pain, and Spine Mobility in Patients with Lumbar Degenerative Disc Disease

  • Pi, Taejin;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.235-243
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    • 2021
  • Objective: This study aimed to investigate the short-term effects of flexion-distraction spinal manipulation on intervertebral height, pain, spine mobility in patients with lumbar degenerative disc disease. Design: Randomized controlled trial with a pretest-posttest control group design Methods: A total of 96 participants with degenerative disc disease participated in the study and were randomly divided into two groups. Both groups received intervention for 3-5 minutes a day. The experimental group (n=48) underwent flexion-distraction spinal manipulation for 3-5 minutes, and the control group (n=48) was maintained in the same position as the experimental group for 5 minutes without any intervention. The intervertebral height was measured by computed tomography, pain was assessed using visual analog scale, and the spine in flexion mobility was measured using the finger-to-floor distance test and passive straight leg raise test. Pre-test and post-test measurements were obtained. Results: The experimental group showed significant improvement in intervertebral height, degree of pain, and spinal mobility (p<0.05). The intervertebral height increased from 6.32±1.90 to 6.93±1.85 mm (p<0.05), lower back pain decreased from 69.17±13.35 mm to 48.48±12.20 mm (p<0.05), lumbar spine mobility changed from 17.37±4.49 to 12.69±4.34 cm (p<0.05), and passive straight leg raise test range increased from 46.94±13.05° to 56.01±12.20° (p<0.05). Conclusions: This study suggests that flexion-distraction spinal manipulation could be an effective treatment for decreasing pain and improving function in patients with degenerative disc disease.

Correlation of Hip Joint Range of Motion and Femur Head Anterior Glide Mobility with Gait Ability in Stroke Patients (뇌졸중 환자의 고관절 관절가동범위와 대퇴골두 전방가동성, 보행 능력간에 상관관계)

  • Kim, Young-Hoon;Kim, Suhn-Yeop;Jang, Hyun-Jung
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.1
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    • pp.35-44
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    • 2014
  • PURPOSE: The aim of the study was to investigate the relationships among the hip joint passive range of motion (ROM) and femur head anterior glide (FHAG) mobility on the gait ability in patients with post-stroke hemiparesis. METHODS: The participants were 37 patients (30 male, 7 female) living in Daejeon. The ROM of the hip joint was measured by using goniometry and the FHAG mobility was measured by using the Prone Figure-4 test. The walking ability was assessed by using the 10m walk test (10MWT), and the 6-min walk test (6MWT). RESULTS: The FHAG was negatively correlated with hip extension (r=-.554, p<.05) and flexion (r=-.337) on the affected side as well as with hip extension (r=-.480), abduction (r=-.361), and adduction (r=-.426) on the non-affected side (p<.05). The gait ability was correlated with the hip joint external rotation on the non-affected side (p<.05), but showed no significant correlation with the hip ROM on the affected side (p>.05). CONCLUSION: This study provides evidence that in patients with post-stroke hemiparesis, the FHAG mobility might be correlated with hip extension. Based on these results, the FHAG mobility may be used to determine the hip extension in patients with post-stroke hemiparesis.

A Study on Development of Test Methodology and Test of No Spin Differential for Off-road Vehicle (야지 차량용 No Spin Differential의 평가방안 개발 및 시험평가에 관한 연구)

  • Pyoun Youngshik;Jang Youngdo;Park Jeonghyeon;Cho Inho;Lee Youngchun
    • Transactions of the Korean Society of Automotive Engineers
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    • v.13 no.4
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    • pp.32-38
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    • 2005
  • Two No Spin Differential(NSD) models were benchmarked for a project of Dual-Use Technology The Axiomatic approach was utilized to evaluate two models and to derive an evolutionary design from the evaluated results. Test methodology is developed and used to evaluate the mobility, steerability, durability and noise of the newly developed sample. The test results of NSD sample on the test methodology are very positive regarding functional performances.

The Effect of Functional Training Using a Sliding Rehabilitation Machine on the Mobility of the Ankle Joint and Balance in Children with CP

  • Park, Joo-Wan;Kim, Won-Bok
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.3
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    • pp.293-299
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    • 2014
  • PURPOSE: The purpose of this study was to investigate the effect of functional training using a sliding rehabilitation machine (SRM) on the mobility of the ankle joint and balance in children with cerebral palsy (CP). METHODS: The subjects consisted of 11 children who were diagnosed with spastic CP. They carried out the functional training using the SRM for 30 minutes, three times a week, for 8 weeks. Before and after all of the training sessions, the subjects were tested using the Pediatric Balance Scale (PBS) and Gross Motor Function Measurement (GMFM), range of motion (ROM) in the ankle joint, the pennation angle of the gastrocnemius muscle and the fascicle length of gastrocnemius muscle were measured to determine the mobility of the ankle joint and balance ability. RESULTS: There were significant differences between the pre-test and post-test in the PBS and GMFM. The ROM of the ankle joint was significantly increased after the functional training using the SRM. Moreover, the fascicle length was increased and the pennation angle was decreased after the functional training using the SRM, but the difference was not significant. CONCLUSION: These results suggest that functional training using the SRM may have some effect on the mobility of ankle joint and balance in children with CP. According to the results, this study could present an approach to the rehabilitation or treatment of children with CP.

The Effects on the Pulmonary Function of 20s Subjects according to Thoracic Mobility Exercise and Place Running Exercise (흉추가동운동과 제자리 달리기 운동이 20대 대학생의 폐기능에 미치는 영향)

  • Kim, Jong-woo;Hwang, Hyeng-jun;park, Yoon-gi
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.2
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    • pp.65-69
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    • 2016
  • Background: The purpose of this study was to determine whether place running exercise that combines thoracic mobility exercise program increases pulmonary function of the 20s subjects. Method: Thirty subjects in their 20s were randomly assigned to on experimental group (n=15) or control group (n=15). Over the course of four weeks, the experimental group participated in place running exercise that combines thoracic mobility exercise program for 30 minutes three times per week and the control group participated in place running exercise and thoracoabdominal stretching exercise for 30 minutes three times per week. Subjects were assessed pre-test and post-test by measurement of pulmonary function Results: Our findings show that the experimental group had significant difference in expiratory reserve volume and vital capacity and maximal voluntary capacity (p<.05). In the comparison of the two groups, the experimental group had higher vital capacity and maximal voluntary capacity than the control group. Conclusion: In this study, the experimental group showed greater improvement in pulmonary function than the control group, which indicates that the place running exercise that combines thoracic mobility exercise program exercise is effective at increasing the pulmonary function.

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The Proposal of System Structure for Using Safe Personal Mobility Devices (안전한 개인형 이동장치 사용을 위한 시스템 구조 제안)

  • Kim, Wantae;Park, Byungjoon;Kim, Hyunsik
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.18 no.3
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    • pp.33-41
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    • 2022
  • Recently the use of personal mobility devices is rapidly increasing, and the businesses related to personal mobility devices are quickly growing as well. Although the use of personal mobility devices provides convenience for short distance movements, many problems occur due to the lack of safety devices and the absence of associated road traffic laws. The number of accidents caused by using personal mobility devices continues increasing every year, and the injuries or deaths are seriously happening with those accidents. When using personal mobility devices, there are basic safety precautions such as wearing a helmet, prohibiting boarding with more than two people, prohibiting boarding with more than 100kg, prohibiting using after drinking alcohol, and so on. However, it is exposed to traffic accidents because there is no way to check before using the system. Therefore, to ensure the user's safety in using the electric kickboard among personal mobility devices, this paper proposes a system that can check the user's safety state before using the electric kickboard. It is possible to safely use personal mobility devices and prevent accidents by proposing a system structure of the electric kickboard that can be used after checking for the use of more than two people, overweight, wearing a helmet, and drinking alcohol.

Effect of Suprabulge Clasp and Infrabulge Clasp on the Mobility of Abutment Teeth for Distal Extension Removable Partial Dentures (유리단 국소의치에서 Suprabulge Clasp와 Infrabulge Clasp가 지대치 동요에 미치는 영향에 관한 연구)

  • Yim, Soon-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.19 no.1
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    • pp.39-45
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    • 1981
  • Distal-extension removable partial dentures have long been implicated in the increase in mobility and the destruction of the supporting structures of the primary abutment teeth. Various clasping systems have traditionally been used to retain distal extension removable partial dentures, and other designs have been proposed to minimize torquing forces on the abutment teeth. Most recent studies investigating the effects of removable partial dentures on abutment teeth have been performed in it laboratory setting. Results obtained from in vitro research have given dentists insight into removable partial denture design, but laboratory test model cannot be constructed that simulates actual functional or parafunctiona1 movements and forces. The purpose of this study was to clinically evaluate the degree of tooth mobility produced by two clasping systems (suprabulge type and infrabulge type) used for distal extension removable partial dentures. Akers clasp and R.P.I. system were selected for the evaluation, and four patients required a distal extension removable partial denture on the mandibular arch were selected for participation in the study. Two partial dentures were constructed in the same condition expect the design of clasp. All abutments in the study were mandibular first or second premolars. Measurements of mobility were made with a research tool designed by $M\"{u}hlemann$. This instrument, periodontometer, measures tooth mobility in the mouth by means of a dial gauge accurated to 0.01mm when the tooth is stressed with a force meter. Lingual and buccal deflection of abutment tooth was measured using buccal and lingual pressure. The amount of force applied was 500gm. Tooth mobility tests were made at four key stages; 1. Before insertion of the first removable partial denture, baseline mobility was establsihed. 2. After wearing of the first prosthesis, measurement was made at weekly intervals for 4 weeks. 3. The removable partial denture was then taken from the patient, and tooth mobility was measured again at weekly intervals until the patient's established baseline mobility had returned. 4. The second prosthesis of different clasp design was worn for a month and evaluated in the same manner as the first. The sequence of placement of clasping system was alternated between patients. The following results were obtained from this study; 1. The mobility of abutment tooth increased during the initial stage of wear and returned to baseline mobility after removal of removable partial dentures. 2. The mobility of abutment tooth showed no difference between Akers clasp and I-bar clasp during the 4-week test period. 3. All teeth tested showed greater mobility toward the buccal than the lingual direction.

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Effects of Active Craniocervical Movement Training Using a Cognitive Game on Stroke Patients' Balance (인지적 게임을 이용한 능동적 두경부 움직임 훈련이 뇌졸중 환자의 균형에 미치는 영향)

  • Kim, Mi-sun;Choi, Woo-sung;Choi, Jong-Duk
    • Physical Therapy Korea
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    • v.28 no.1
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    • pp.47-52
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    • 2021
  • Background: Compared with normal people, stroke patients have decreased voluntary craniocervical motion, which affects their balance. Objects: This study was conducted in order to examine the effects of active craniocervical movement training using a cognitive game on stroke patient's cervical movement control ability, balance, and functional mobility. Methods: The subject of this study were 29chronic stroke patients who were randomly allocated to either an experimental, cognitive game group (n = 15), or control group (n = 14), to which only neuro-developmental treatment (NDT) was applied. The intervention was conducted 5 times per week, 30 minutes per each time, for a total of 4 weeks. Active angle reproduction test, static stability test, limits of stability test, and Time up and Go (TUG) test, respectively, were carried out in order to evaluate cervical movement control ability, static balance, dynamic balance, and functional mobility. Paired t-test was used in order to compare differences between prior to after the intervention, along with an independent-test in order to compare prior to and after-intervention differences between the two groups. Results: After the craniocervical training with a body-driven cognitive game, the experimental group showed significant differences in flexion, extension, and lateral flexion on the affected side, and rotation on the affected side in the active angle reproduction test. The experimental group indicated significant differences in sway length both with eyes-open and with eyesclosed in the static stability test and in limits of stability test and TUG test. The control group to which NDT was applied had significant differences in flexion in the active angle reproduction test and in limits of stability test and TUG test. Conclusion: The above results mean that craniocervical training using a body-driven cognitive game positively influences stroke patient's cervical movement control ability and as a result their balance and functional mobility.