• 제목/요약/키워드: restriction

검색결과 4,060건 처리시간 0.029초

로지스틱 회귀분석을 이용한 뇌졸중 환자의 활동제한이 우울증 및 삶의 질에 미치는 영향 (Effects of Activity Restriction on Depression and Quality of Life in Stroke Patients using Logistic Regression Analysis)

  • 이도연;남승민
    • 대한물리의학회지
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    • 제14권4호
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    • pp.125-132
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    • 2019
  • PURPOSE: The aim of this study was to help physical therapists involved in rehabilitation in the direction of clinical intervention in the treatment of stroke patients by understanding how an activity restriction of stroke patients affects depression and the quality of life associated with health. METHODS: This study assessed 404 stroke patients from the Korean National Health and Nutritional Examination Survey. The subjects were divided into two categories: activity restriction and non-activity restriction. The variables used in this study were depression diagnosed by a doctor and EQ-5D, which evaluates the quality of life. Logistic regression analysis was used to calculate the odds ratios associations of activity restriction with depression and the quality of life in stroke patients. RESULTS: The diagnosis of depression with an activity restriction was 11.2%, while 4.8% of those with non-activity restrictions were diagnosed with depression (p<.05), and the EQ-5D index of was .68±.03, .88±.01(p<.05). The odds ratio for depression with an activity restriction was 3.37 (95% CI, 1.49-7.63) compared to the non-activity restriction. A statistically significant difference in the odds ratio was observed for each item in the EQ-5D. CONCLUSION: Activity restriction in stroke patients increases the probability of depression, and reduces the quality of life significantly. The treatment for stroke patients should be approached, taking psychological factors into account. In addition, rehabilitation programs that can be performed systematically and continuously are deemed necessary.

단기간 절식 및 반복적 절식과 재식이에 따른 식욕조절호르몬과 아디포넥틴 활성의 변화 (The Effect of Food Restriction on Appetite Regulating Hormones and Adiponectin Activity)

  • 김기훈;김현국
    • Journal of Nutrition and Health
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    • 제45권1호
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    • pp.5-11
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    • 2012
  • We investigated the effects of short-term food restriction and repeated fasting and refeeding on appetite regulating hormones and adiponectin activity in rats. To investigate the acute and chronic effects of food restriction in vivo, Sprague-Dawley rats were divided into a control group (CON), a 1 day fasting group, a 2 days fasting gruop, a 3 days fasting gruop, a fasting and refeeding for 1 week gruoup and a fasting and refeeding for 2 weeks group. Blood glucose, triglyceride and total cholesterol decreased in all fasting groups compared to those in the CON group. Free fatty acid of all fasting groups was higher than those in the CON, and were lowest in the three cycle fasting and refeeding group. Blood insulin following short-term food restriction was lower than that in the CON. blood ghrelin increased significantly (p < 0.01) following the short-term food restriction, However, blood ghrelin in the repeated fasting and refeeding groups decreased significantly decreased (p < 0.01) compared to that in the CON and short-term food restriction group. In contrast, blood leptin decreased significantly (p < 0.01) in the short term food restriction group and the three cycle of fasting and refeeding group but increased in the six cycle of fasting and refeeding group. No significant differences in adiponectin contents were observed in the short-term food restriction group. But, adiponectin increased significantly (p < 0.01) following the fasting and refeeding cycles. Blood adiponectin and blood leptin levels were showed positively correlated ($r^2$ = 0.469) when all samples were analysed together.

일시적 혈류 제한과 함께 수행한 저강도 운동 후 알파운동신경원의 변화 (Changes of α-Motor Neuron Excitability after Low-Intensity Exercise with Transient Restriction of Blood Flow)

  • 김종순
    • 대한물리의학회지
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    • 제10권1호
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    • pp.63-69
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    • 2015
  • PURPOSE: Low-intensity exercise with transient restriction of blood flow to muscle could be an alternative rehabilitation method which avoids the problems associated with conventional high-intensity exercise. However, the mechanism of low-intensity exercise with transient restriction of blood flow is not clearly known. Thus, the purpose of this study was to investigate the mechanism of improvement of muscular function after low-intensity exercise with transient restriction of blood flow using H-reflex analysis. METHODS: Twenty one healthy young adults with no medical history of neurological or musculoskeletal disorder voluntarily participated in this study. The ${\alpha}$-motor neuron excitability of the triceps surae was assessed using the H-reflex. The amplitude of the M-wave and H-reflex were measured across three conditions: rest, after low-intensity exercise without restriction of blood flow and after low-intensity exercise with restriction of blood flow. The subjects performed low-intensity ankle plantar flexion exercise at their own pace for one minute without or with transient restriction of blood flow achieved by a sphygmomanometer cuff on popliteal fossa at a pressure of 120mm of mercury(120 mmHg). RESULTS: No significant changes of the excitability of the ${\alpha}$-motor neuron were obtained across three different conditions. CONCLUSION: This study found that low-intensity exercise with transient restriction of blood flow did not influence to ${\alpha}$-motor neuron excitability of the triceps surae. From the results, I could come to the conclusion that further study will be required.

Impact of Waist Stabilization Exercise with Blood Flow Restriction on White Area Index of Trunk Muscle Thickness Density

  • Park, jae-Cheol;Kim, Yong-Nam
    • The Journal of Korean Physical Therapy
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    • 제28권2호
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    • pp.136-141
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    • 2016
  • Purpose: In this study experiments were performed during 6 weeks with 40 adults, 20 subjects in the waist stabilization exercise with blood flow restriction group and 20 subjects in the waist stabilization exercise without blood flow restriction group, in order to determine the impact of waist stabilization exercise on White Area Index (WAI) followed by blood flow restriction. Methods: Thickness of external oblique abdominal muscle, internal oblique abdominal muscle, and transversus abdominis muscle, as well as density and WAI of external oblique abdominal muscle were measured, followed by performance of repeated ANOVA. Results: Significant difference in thickness of external oblique abdominal muscle according to periodical difference was observed between groups (p<0.05). Significant difference in thickness of internal oblique abdominal muscle and transversus abdominis muscle according to periodical difference was observed between groups (p<0.05). Significant difference in density and WAI of external oblique abdominal muscle according to periodical difference was observed between groups (p<0.05). Conclusion: In conclusion, significant difference was observed after waist stabilization exercise with blood flow restriction. These results can be used as basic data for future research on waist stabilization exercise and blood flow restriction exercise.

The Expressional Changes of Nitric Oxide Synthase in the Rat Brain Following Food Restriction

  • Kang Kyounglan;Huh Youngbuhm;Park Chan;Choue Ryo Won
    • Nutritional Sciences
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    • 제8권4호
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    • pp.231-236
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    • 2005
  • This study investigated the changes in the neuronal nitric oxide synthase (nNOS) and nicotinamide adenine dinucleotide phosphate-diaphorase (NADPH-d) activities during food restriction in the rat brain such as cerebral cortex, cerebellum, caudate pautamen and hypothalamus. The rats were placed on a restricted feeding schedule consisting of half the ad libitum quantity for 3 days and 1, 2, 4, 6 and 9 weeks, and a free feeding schedule for 4 weeks. The loss of body weight peaked after 1 week of food restriction and persisted during the entire 9-week period of food restriction. The dramatic weight change in the first week ($12\%$) and the reduction in weight changes thereafter suggest that major adaptation changes occur early and body maintenance occurs subsequently. In the hypothalamus, the optical densities of the NADPH-d and nNOS immunoreactivities were found to be significantly higher in the 1-week and lower in the 9-week food restricted group than in the ad libitum fed control rats. In contrast, in the cerebral cortex, the optical densities of the NADPH-d- and nNOS-positive neurons were not changed significantly during the period of food restriction. This study provides the morphological evidence showing that food restriction has a significant effect on the nitric oxide synthesizing system of the hypothalamus.

흉쇄유돌근의 통증치료가 측두하악관절의 운동제한에 미치는 효과 (The Effect of Temporomandibular Joint Movement Restriction on Treatment of Sternocleidomastoid Muscle Pain)

  • 엄기매;배영숙
    • The Journal of Korean Physical Therapy
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    • 제19권5호
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    • pp.43-49
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    • 2007
  • Purpose: The purpose of this study was to the effects of temporomandibular joint movement restriction on treatment of SCM muscle pain. Methods: The Subjects(n=20) were males(n=7) and females(n=13) that had SCM muscle pain and movement restriction at one side oftemporomandibular joint. The massage and Taping performed on the SCM muscle during 4 weeks. The measured items of SCM pain were pressure-pain scale, DITI. The measured items of temporomandibular joint movement restriction were VAS, ROM, deviation. Results: SCM muscle of pressure-pain scale is lower in ipsilateral than counterlateral, But temperature is higher in ipsilateral than counterlateral. Pressure-pain scale was statistical significance (p<0.05). After studying, the pain and temperature of SCM muscle was decreased and statistical significance(p<0.05). After studying, VAS of Temporomandibular joint was decreased, ROM was increased, deviation was decreased. All of measured items of Before and after studying found a statistical significance(p<0.05). Conclusion: This study showed that SCM muscle pain related TM joint pain and movement restriction. The patient with TM joint movement restriction that may take effect on reducing SCM muscle pain.

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Effect of Strength Training Combined with Blood Flow Restriction Exercise on Leg Muscle Thickness in Children with Cerebral Palsy

  • Mun, Dal-Ju;Park, Jae-Cheol
    • PNF and Movement
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    • 제19권3호
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    • pp.441-449
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    • 2021
  • Purpose: The purpose of this study was to investigate the effect of strength training combined with blood flow restriction on leg muscle thickness in children with cerebral palsy. Methods: Nineteen children with cerebral palsy, aged between five and 10 years of age, living in area N, were recruited. Ten participants were classified into a blood flow restriction group and nine into a strength exercise group. The experimental group performed strength training using a blood flow restriction cuff on the leg, and the control group performed strength training without blood flow restriction. A paired t-test was performed to confirm intragroup changes before and after five weeks of the experiment, and an independent t-test was performed to confirm intergroup changes, and the significance level was α=0.05. Results: The rectus femoris, gastrocnemius and gluteus medius muscles showed significant differences in the groups after five weeks (p<0.05). There was a significant difference between the groups in the rectus femoris and gastrocnemius after five weeks (p<0.05). Conclusion: As a result of this study, it was found that strength training combined with blood flow restriction had a positive effect on the changes in leg muscle thickness in children with cerebral palsy. This suggests the possibility of using it in the future as basic data for strength training methods and blood flow restriction exercises for children with cerebral palsy.

대형소매점 영업제한의 경제적 효과: 쟁점 및 평가 (Economic Effects of Sunday Shopping Restriction in Korea: A Review)

  • 정진욱
    • 규제연구
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    • 제27권1호
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    • pp.123-151
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    • 2018
  • 이 논문은 대형소매점 영업제한의 경제적 효과에 대한 쟁점들과 그동안의 연구 결과들을 정리하고 평가하였으며, 정책적 대안들을 제시하였다. 첫째, 대형소매점 영업제한으로 인하여 공급 측면의 효율성은 크게 감소하여 사회후생을 낮춘다. 둘째, 대형소매점 영업제한은 소비자의 선택권을 제한하고 거래비용을 높임으로써, 수요 측면의 효율성을 악화시킨다. 셋째, 대형소매점 영업제한이 경제 전체의 형평성을 개선시킨다고 보기 어렵다. 넷째, 설령 대형소매점 영업제한으로 인하여 형평성이 개선된다 해도, 동일한 형평성 개선 효과를 내면서 효율성 훼손을 피할 수 있는 정책적 대안들이 많으므로, 대형소매점 영업제한 정책을 형평성의 측면에서 정당화하기는 어렵다.

The Association between Health-related Quality of Life and Depression on Activity Restriction in Osteoarthritis: A Cross-sectional Study

  • Lee, Do-Youn;Kim, Seong-Gil
    • The Journal of Korean Physical Therapy
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    • 제32권6호
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    • pp.329-334
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    • 2020
  • Purpose: The purpose of this study is to provide basic evidence on the need to approach osteoarthritis patients through a psychological factors-considering rehabilitation program by understanding how activity restrictions in osteoarthritis affect health-related quality of life and depression. Methods: This study assessed 3,761 osteoarthritis patients from the Korea National Health and Nutrition Examination Survey. The subjects were divided into two categories: with and without activity restriction. Results: The prevalence of osteoarthritis in women was higher than that of men (men: 19.7%; women: 80.3%), and high BMI increased the prevalence of osteoarthritis. The EQ-5D index of subjects with activity restriction was 0.84±0.18 (points), while in those without activity restriction was 0.93±0.12, and the diagnosis of depression was 15.8%, 8.2%. There was a statistically significant difference in the odds ratio for each item in the EQ-5D. Moreover, the odds ratio for depression with activity restriction was 2.098 compared with no activity restriction. Conclusion: Activity restriction of osteoarthritis patients significantly decreases the health-related quality of life and increase the probability of depression. Therefore, early diagnosis of depression symptoms to prevent deterioration of symptoms in patients with osteoarthritis and to increase compliance with rehabilitation treatment, and to provide arbitration, including treatment that can alleviate depression.

Effects of duck farming restriction measures on the incidence of avian influenza

  • Jaesung Cho;Yonggeon Lee;Hyunjoong Kim
    • 농업과학연구
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    • 제50권2호
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    • pp.249-260
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    • 2023
  • Duck farming restriction refers to a program in which duck farms suspend their operations for a certain period at times when the risk of avian influenza (AI) is high and receive compensation from the Korean government. This study analyzed the effect of this duck farming restriction on the incidence of AI using data on regional AI incidence rates, the program participation rate, and characteristics of poultry farming in 2016 (before the implementation of the restriction), as well as data from 2020 and 2021 (when new AI outbreaks occurred). In this study, the treatment group was divided into five subgroups according to the policy participation rate and a difference-in-difference (DID) estimation was conducted using certain covariates, in this case the average number of ducks raised, the land area, the number of high-susceptibility farms, the number of low-susceptibility farms, the average number of farms within a 3 km radius, the average distance to the nearest farm, and a year dummy. The results showed that when more than 30% of all duck farms in a region participated in the farming restriction, it had a statistically significant effect on the incidence of AI. Specifically, when more than 30, 40, 50, and 60% of all duck farms participated in the farming restriction, the AI incidence rate decreased by 0.7184, 1.0025, 1.5844, and 1.5843%p, respectively.