• Title/Summary/Keyword: training program design

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Effects of Sensorimotor Training on Postural Stability and Pain in Patients with Chronic Low Back Pain

  • Kang, Kwonyoung
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.2
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    • pp.2314-2322
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    • 2021
  • Background: Back pain is associated with a high risk of recurrence. Various physical therapy techniques for back pain have been studied, including reprogramming the central nervous system by integrating sensation and motion with sensory exercise training. Objectives: To aimed verify the effectiveness of sensorimotor training in improving postural stability and pain levels. Design: A randomized controlled trial. Methods: The study population was randomized into a sensory exercise training group and trunk stabilization training group and treated three times a week for 4 weeks. Each group took part in sensorimotor training for 15 minutes or lumbar stabilization exercise for 15 minutes. Results: After the intervention both groups showed Improvements in the variables. There was a significant difference in the dynamic postural stability, limit of stability, and modified visual analog scale scores in the sensorimotor training group compared to the lumbar stabilization exercise group (P<.05). Conclusion: Sensorimotor training appears to be an effective physical therapy exercise program that can be applied in patients with low back pain to improve muscle control ability.

Effectiveness of a Behavioral Intervention Program for Urinary Incontinence in a Community Setting

  • Oh, Hyun-Soo;Kim, Mi-Kyung;Seo, Wha-Sook
    • Journal of Korean Academy of Nursing
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    • v.35 no.8
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    • pp.1476-1484
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    • 2005
  • Purpose. The purposes of this study were to examine the effectiveness of a behavioral intervention program combining pelvic floor muscle exercise with bladder training for urinary incontinence and also to conduct follow-up assessment after self-training. Methods. This study was conducted using a non-equivalent control group, pretest-posttest design. The subjects were 60 middle-aged women(control group, n=30; intervention group, n=30) who experienced an episode of urinary incontinence at least once a week. The program was run over a 4 week period (once a week) and composed of urinary incontinence education, pelvic floor muscle exercise, and bladder training. Results. Overall, there was a significant difference in urinary incontinence symptoms and psycho-social well-being related to urinary incontinence between the treatment and control group. Of the variables, weekly leakage frequencies, leakage amounts on each occasion, leakage index, frequencies of nocturia, and quality of life were significantly different between the groups. Follow-up assessment (9th week) indicated that overall incontinence symptoms and psycho-social well-being were significantly different between the posttest and follow-up assessments. Most variables of incontinence symptoms and psycho-social well-being were significantly improved at follow-up assessment versus posttest. Conclusions. The program was voerall effective in terms of relieving symptoms and improving psych-social well-being related to urinary incontinence, and this effect continued after a 4-weeks self-training period. In the respect that this is a community-based application study, the results can be meaningful and applicable.

The Effect of Case-Based SBAR Communication Training Program on Critical Thinking Disposition, Communication Self-Efficacy and Communication Competence of Nursing Students (사례기반 SBAR 의사소통 교육프로그램이 간호대학생의 비판적 사고성향, 의사소통 자기효능감, 의사소통능력에 미치는 효과)

  • Park, Su-Jin;Choi, Hyo-Sin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.426-434
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    • 2018
  • The purpose of this study was to analyze the effects of case-based SBAR communication training program on critical thinking ability, communication self-efficacy and communication competence of nursing students. 112 sophomore students majoring in nursing were recruited from one university located in D city, and the data collection commenced on 18 December 2017 and was completed on 4 January 2018. The case-based SBAR communication training program consisted of pre-education, a pre-survey, a three-section program, and a post-survey. A one-group pretest-posttest design was used to collect the data, and frequency and paired t-test were analyzed by SPSS 21.0 program. The rate of satisfaction for interpersonal relationship was 75.0% and satisfaction rate for improvement on their major was 54.5%. Compared with before the program, critical thinking ability and communication competence were significantly improved after completion of the case-based SBAR communication training program (t=-4.237, p<.001; t=-2.734, p=.007). Communication self-efficacy was also improved after the case-based SBAR communication training program, but the difference was not significant. In conclusion, the case-based SBAR communication training program improved critical thinking ability and communication competence.

Effect of Resistance Band Exercise on Body Composition, Physical Fitness and Health Promoting Behavior in Nursing Students (탄성밴드운동이 간호대학생의 체성분, 체력과 건강증진행위에 미치는 효과)

  • Baek, Hee Chong;Lee, Suk Jeong;Shin, Gisoo;Lim, Eun Ju
    • Journal of Korean Public Health Nursing
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    • v.28 no.2
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    • pp.310-319
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    • 2014
  • Purpose: The purpose of this study is to examine the effects of a resistance band training program on body composition, physical fitness, and health promotion behavior in nursing students. Method: This study has a one-group pretest-posttest design to examine the change in body composition, physical fitness, and health-promoting lifestyle profile after participation in the resistance band training program. Training consisted of hands-based exercises using an elastic resistance band for ten weeks. Participants performed the resistance band training two days per week with a sports trainer, and 30 minutes self-training three days per week. The participants were 21 freshmen in nursing. Results: Mean age of the participants was 20.9 years, and 61.9% were not satisfied with their body shape. After the training program, muscle mass, muscular endurance, and balance of the body were significantly improved. In health promoting lifestyle profile, categories of physical activity, health responsibility, and stress management showed a significant increase. Conclusion: Results of this study suggested that exercising with a resistance band improved body composition, physical fitness, and health promoting behavior in the nursing students. We propose that resistance band training should be suitable for those who have the environment with limitation of time and space.

The Effect of Assertiveness Training on Communication Related Factors and Personnel Turnover Rate among Hospital Nurses (주장훈련이 간호사의 의사소통 관련 요인과 이직의도에 미치는 효과)

  • Kang Myung-Ja;Lee Hae-Jung
    • Journal of Korean Academy of Nursing
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    • v.36 no.5
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    • pp.681-690
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    • 2006
  • Purpose: The purpose of this study was to investigate the effects of assertiveness training on nurses' assertive behaviors, interpersonal relations, communication conflicts, conflict management style and personnel turnover rate. Method: A non-equivalent control group pretest-posttest design was used in this study, Nurses were assigned into the experimental or control groups, each consisting of 39 nurses. Data was collected between January to March 2004. An 'Assertiveness Training Program' for Nurses developed by Park was used for the study. To emphasize assertiveness practice, 5 practice sessions utilizing ABCDE principles were added to Park's program. To examine the effects of the program, differences between the two groups in assertive behaviors, interpersonal relations, communication conflicts, conflict management style and personnel turnover rate were analyzed using ANCOVA. Results: The assertiveness training was effective in improving the nurses' assertiveness behaviors, but was not effective in improving interpersonal relations, reducing the subjects' communication conflicts, changing the conflict management style or reducing their personnel turnover rate. Conclusion: There have been many studies about factors affecting nurses' personnel turnover rates, but few have been done about methods of intervention to reduce the personnel turnover rate. Thus, this study provides a significant contribution in attempting such an intervention from nursing management perspectives.

The Effectiveness of a Cultural Competence Training Program for Public Health Nurses using Intervention Mapping

  • Kim, Yune Kyong;Lee, Hyeonkyeong
    • Research in Community and Public Health Nursing
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    • v.27 no.4
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    • pp.410-422
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    • 2016
  • Purpose: This study evaluated the effects of a cultural competence training program for public health nurses (PHNs) using intervention mapping. Methods: An embedded mixed method design was used. Forty-one PHNs (experimental: 21, control: 20) and forty marriage migrant women (MMW) (20, in each group) who were provided nursing care by PHN participated in the study. The experimental group was provided with a four-week cultural competence program consisting of an eight hour offline and online course, e-mail newsletters and social networking services (BAND). Transcultural Self-efficacy (TSE) of the PHNs, client-nurse trust, and satisfaction with nursing care of MMW were measured. Ten PHNs in the experimental group were interviewed after the experimental study. Results: The experimental group showed a significantly greater improvement in TSE, client-nurse trust, and satisfaction with nursing care than did the control group. Six themes emerged from qualitative data: (a) Recognizing cultural differences, (b) Being interested in the multicultural policy, (c) Trying to communicate in MMW's own language, (d) Providing medical information using internet and smart phone, (e) Embracing culturally diverse people into society, and (f) Requiring ongoing cultural competence training. Conclusion: Cultural competence training enabled PHNs to provide culturally competent care and contribute to MMW's health outcomes.

The effects of virtual reality-based physical therapy in stroke patients

  • Kim, Charyong;Min, Won-Kyu
    • Physical Therapy Rehabilitation Science
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    • v.2 no.1
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    • pp.7-11
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    • 2013
  • Objective: Final goal of nerve advancement therapy is to provide maximum ability to function independently in life to patients. This paper appraises and describes basic concepts of the virtual reality (VR) based exercise program to improve functional movement for neurologically impaired patients. Design: Review article. Methods: Stroke patients from the physical therapy department while wearing comfortable clothing receive therapy and also VR based motion therapy administered by the therapist in charge. After evaluation of stroke patients, therapy includes an exercise program that is suitable for use with stroke patients; stroke patients wear head-mounted display while in front of the computer, where the camera is located; they follow the action on the screen and the computer perceives the operation of the stroke patients according to subject accomplishment. Results: According to obstacle condition of stroke patients using the method, which is various environments after setting, in stroke patients, there is a possibility of presenting suitable therapeutic environments. The display presentation of the method, which is identical, causes difficulty for all stroke patients. According to subject accomplishment; stroke patients result in execution of repetition training and deepening study, which leads to mobility. Conclusions: The VR based rehabilitation training programs is a difference of the existing video training program, is immediate feedback and compensation method. It will provide rehabilitation training services for the family of the patient whose condition could be improved with rehabilitative therapy where it is a continuous circumstance as a matter of the social welfare facility therapy.

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Effects of a Bilateral upper Limb Training Program Using a Visual Feedback Method on Individuals with Chronic Stroke: A Pilot Clinical Trial

  • Kang, Dongheon;Park, Jiyoung;Choi, Chisun;Eun, Seon-Deok
    • International Journal of Contents
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    • v.17 no.2
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    • pp.20-31
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    • 2021
  • This study aimed to pilot test a newly developed bilateral upper limb rehabilitation training program for improving the upper limb function of individuals with chronic stroke using a visual feedback method. The double-group pretest-posttest design pilot study included 10 individuals with chronic stroke (age >50 years). The intervention (four weekly meetings) consisted of five upper limb training protocols (wrist extension; forearm supination and pronation; elbow extension and shoulder flexion; weight-bearing shift; and shoulder, elbow, and wrist complex movements). Upper limb movement function recovery was assessed with the FuglMeyer Assessment of the Upper Extremity, the Wolf Motor Function Test, the Trunk Control Test, the modified Ashworth Scale, and the visual analog scale at baseline, immediately after, and four weeks after the intervention. The Fatigue Severity Scale was also employed. The Fugl-Meyer Assessment of the Upper Extremity and Wolf Motor Function Test showed significant improvement in upper limb motor function. The Trunk Control Test results increased slightly, and the modified Ashworth Scale decreased slightly, without statistical significance. The visual analog scale scores showed a significant decrease and the Fatigue Severity Scale scores were moderate or low. The bilateral upper limb training program using the visual feedback method could result in slight upper limb function improvements in individuals with chronic stroke.

The Effect of Side-Step Tasks Based Circular Training Program on Balance and Gait in Stroke Patients

  • Sang Jun Son;Joong-Hwi Kim
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.384-390
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    • 2022
  • Objective: The purpose of this study was to investigate the effect of the side-step tasks based circular training program (STCT) on balance and gait characteristics in stroke patients. Design: A randomized controlled trial Methods: Twenty-four stroke patients were randomly divided into two groups of twelve patients each. One group was applied with the STCT whereas the other group was treated with conservative physiotherapy (CP). The ability of gait was measured in 10m walking test and stride length on both side using BTS G-WALK (BTS Bioengineering S.p.A, Italy) and the ability of balance was measured in Berg Balance Scale (BBS) and Timed Up and Go Test (TUG). Results: The STCT group was significant differences in the balance parameters of BBS and TUG (p<0.05) and showed significant differences in gait variables in 10m walking speed, stride length of affected and non-affected side after the experiment before and after the experiment (p<0.05). In addition, the STCT group showed a significant difference in BBS compared to the control group (p<0.05). Conclusions: The results of this study confirmed that the side-step tasks based circular training program (STCT) improves balance and walking ability in stroke patients. STCT is expected to be used as a useful intervention method for stroke rehabilitation.

Spaced Retrieval Effects in Older Adults with Mild Alzheimer's Disease (경증 알츠하이머형 치매노인에 대한 시간차회상훈련의 효과)

  • Ban, Seon-Hwa;Jun, Seong-Sook
    • Korean Journal of Adult Nursing
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    • v.24 no.4
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    • pp.398-405
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    • 2012
  • Purpose: The purpose of this study was to develop spaced retrieval training as a nursing intervention for patients having an mild alzheimer's disease and to determine the effects of the program on their memory and cognitive function across training sessions. Methods: A non-equivalent control group pre test-post test design was used in this study. Participants were recruited from a local community: 14 patients were allocated into experimental group and 12 patients were allocated into control group. The experimental group was asked to participate in spaced retrieval training over 4 weeks, with seven times a week and 1 hour a session based. The study was conducted from June 20, 2011 to July 17, 2011. Data was analyzed with descriptive statistics, $x^2$-test and t-test using the SPSS/WIN 19.0 program. Results: After spaced retrieval training, the experimental group showed significant increases in scores for memory (t=12.40, p<.001) and cognitive function (t=7.69, p<.001) in comparison to the control group. Conclusion: Spaced retrieval training was effective in increasing cognitive function and memory of patients having mild alzheimer's disease. Therefore spaced retrieval training could be benefit the mild alzheimer's disease.