Purpose: This study aims to make it easier for anyone to write an autobiography by utilizing AI technology, allowing individuals to reflect on their lives and reaffirm their identity, ultimately enhancing their self-esteem. Through this research, the necessity of promoting mental health for the elderly is emphasized, and it seeks to provide foundational data contributing to new approaches for improving quality of life. Methods: Basic data for program development were collected in April 2024. Subsequently, the AI beta version was used to identify issues, which were then addressed and improved upon. Results: The results of this study are as follows: First, it was confirmed that structuring the autobiography writing program and providing clear guidelines are essential. Second, the importance of the role of conversation companions and the need for their prior training were emphasized. Third, ensuring the accessibility and ease of participation in the program was shown to enhance participant engagement. Fourth, further empirical research is necessary to verify the effectiveness of the program. Conclusion: This study confirmed that an autobiography writing model utilizing an AI-based platform can contribute to improving older adults' mental health. Older adults who struggle to use digital devices can become more comfortable with them through this program. Additionally, autobiographical writing activities that involve reflecting on their lives and narrating their stories according to various themes provide older adults with the opportunity to achieve a sense of self-integration. Finally, if this program is disseminated in a manner that suits the characteristics of older adults, it can play a significant role in improving their mental health.

Background: This study aimed to investigate the immediate effects of Flexi-bar exercise on plantar pressure and Center of Pressure in a standing position. Design: Single group pre-post test design Methods: Thirty healthy adult participants aged 20 to 35 years old and no recent musculoskeletal injuries were included in this single-group pre-post design study. Plantar pressure and COP data were collected using the WinTrack system before and after Flexi-bar exercise. Participants performed Flexi-bar exercises in both anterior-posterior and lateral directions for 30 seconds each. Results: The results revealed significant changes in plantar pressure and COP after Flexi-bar exercise. The support area of the left foot significantly increased (p<0.05), and a significant decrease in mean pressure was observed in the right foot (p<0.05). The total COP path length and area significantly decreased (p<0.05). Furthermore, there was a significant decrease in COP velocity along the X and Y axes (p<0.05). These findings suggest that Flexi-bar exercise can enhance plantar pressure distribution and COP movement patterns, contributing to improved balance ability. Conclusion: Flexi-bar exercise, performed in a standing position, has the potential to improve plantar pressure and COP characteristics. This exercise may serve as a valuable tool for enhancing balance ability. Further research is needed to explore the long-term effects and sustainability of these improvements.

Background: Following lower limb strength training exercises, patients with stroke often experience muscle fatigue, which can frequently lead to falls. Therefore, this study aims to explore how lower limb muscle fatigue caused by squats affects the strength and balance of healthy individuals before extrapolating it to patients with stroke. Design: Cross-sectional study Methods: The study followed a cross-sectional design. The study was conducted on 30 healthy adults. Strength and balance were measured before and after performing wall squat exercises. Muscle strength was measured using a dynamometer, while balance was assessed with the S3 check system. A paired t-test was used for the analysis. Results: The knee extensor and hip extensor showed a significant decrease after wall squat (p < 0.05). However, there was no significant difference observed in knee flexor and hip abductor between before and after wall squat. Balance did not show a significant difference between before and after wall squat. Conclusion: Muscle fatigue caused by wall squats was found to reduce the strength of the knee and hip extensors, while having no impact on balance. The results of this study may serve as foundational data for future research targeting patients with stroke.

Background: The lung capacity prediction formula in Korea is an important judgment standard. Since there is no appropriate lung capacity prediction formula, various prediction formulas are used for foreigners such as Northeast Asians. The purpose of this study is to develop a lung capacity prediction equation by selecting data and setting the selection criteria for normal subjects in accordance with international standards through strict quality control, and to propose a new prediction model. Design: Preliminary feasibility study Methods: A total of 857 people who met the criteria for normal people were finally collected. The tester used for the lung capacity test was the V-Max Encore 22 (Carefusion, California, USA), which is a lung capacity tester proposed by the Korean Society of Tuberculosis and Respiratory Medicine and satisfies accuracy and precision. Among the indicators measured using spirometry, forced vital capacity (FVC), forced expiratory volume in 1 second (FEV₁), forced expiratory volume ratio in 1 second (FEV₁/FVC), forced mid-expiratory flow (Forced expiratory flow 25-75%, FEF25-75%) and peak expiratory flow (PEF) values were collected. Results: This study confirmed a significant correlation between age, height, weight, and pulmonary function indicators. Additionally, it found a correlation between body mass index, which considers the diversity of physical conditions, and pulmonary function indicators. Graphs depicting age-specific pulmonary function indicators by gender, presented as generalized additive model results from collected data, showed a pattern where both FVC and FEV1 increased until the mid-20s and then gradually decreased with aging. FEV1% and PEF exhibited a continuous decrease with aging. Conclusion: This study confirms that there is a significant correlation between weight and pulmonary function in the prediction formula for lung capacity. Additionally, it verifies the correlation between body mass index, which considers the diversity of physical conditions, and pulmonary function. The study suggests that the predicted values are relatively low due to factors such as aging and environmental influences like COVID-19. This preliminary study holds clinical significance for improving the diagnostic accuracy of respiratory symptoms in the elderly.

Background: The patients common have side effects of cognitive and function dysfunction after a stroke. According to specific factors which influence quality of life(QoL), the QoL of stroke survivors are impacted resulting from diverse interactions. Therefore, This study aims to suggest that we determines the relationship between cognitive function and stage of physical recovery and the quality of life as well as the degree of recovery by cluster analysis of the relationship between the degree of physical recovery and the quality of life Design: Randomized Methods: The following tests were used in this study to evaluate cognitive function, recovery stages and quality of life respectively: Cognitive function was measured using Korea-Mini Mental State Examination(K-MMSE). For evaluation of recovery stages, Brunnstrom Rrecovery Stage(BRS), quality of life was measured using Stroke Specific -Quality Of Life(SS-QOL). The sample size of this study was calculated using G*Power Version 3.1.9.7 (Franz Faul, University kiel, Germany, 2020). Based on moderate effect size of 0.15, a significance level (α) of 0.05, and power of 0.90 in the two-sided test, the calculation revealed that 88 patients were required for questionnaires. Results: The results of this study showed significant positive correlation(p<0.05). As a result of cluster analysis, in the case of the physical recovery stage, the degree of physical recovery improves from cluster 1 to cluster 3 and in the case of the quality of life, the quality of life improves from cluster 1 to cluster 3. However, it was confirmed that the change in the quality of life of cluster 1 and cluster 2 was not significant. These results show that the degree of physical recovery has a greater impact on the quality of life in the late stages of physical recovery, while the degree of physical recovery does not have a significant effect on the quality of life in the early and mid-term of the physical recovery stage. Conclusion: This study confirms that cognitive function, recovery stages and quality of life have significant correlations, and the recovery status has impacted on quality of life.

Background: The purpose of this study was to determine the effects of insoles on the plantar pressure distribution during squat exercise in subjects with calf muscle shortness. Design: Cross-sectional Study Methods: Thirty subjects were participated in each fifteen subjects of a control group and an experimental group with calf muscle shortness. The participants were allocated in control group or experimental group according to knee-to-wall test. They were asked to perform squat exercise at hip flexion angle of 20° and knee flexion angle of 45° across three conditions with insole(2.0cm and 3.5cm) and without insole. The plantar pressure distribution was measured using Pedoscan equipment. In order to find out whether there is a significant difference in the plantar pressure distribution between the groups and the height, the two-way mixed ANOVA test was used and the statistical significance level was .05. Results: As a result of the study, the plantar pressure distribution between the group and the height showed a significant interaction effect(p<.001). There was no significant difference according to the insole height of 2.0cm and 3.5cm in all the control groups and the experimental group. Conclusion: We found that the plantar pressure distribution shifted backward during squat exercise by wearing the insole to subjects with shortening of the calf muscle. We suggest that wearing an appropriate height of insole may change the plantar pressure distribution during squat exercise in subjects with calf muscle shortness.

Background: This study was to investigate effects of flat-back posture during inhalation compared to normal posture, focusing on the expansion of the chest and the activation of neck muscles. Design: Case-control study. Methods: Thirty subjects participated in this study. Plumb line distances and Sagittal index were measured using a ruler and a laser level in the standing position to evaluate and classify thoracic kyphosis of the subjects. Chest expansion was measured using a ruler, and surface electromyography was used to measure muscle activity around the neck and shoulders during inhalation. Correlation analysis and independent t-tests were conducted to compare chest expansion and muscle activity around the neck between subjects with flat-back posture and those with normal posture during inhalation. Results: The correlation analysis showed a statistically significant positive correlation between Sagittal index and chest expansion at the level of the xiphoid process (r=.558, p<.05), and a statistically significant negative correlation between Sagittal index and activity of the upper trapezius at the onset of inhalation (r=-.368, p<.05). Independent t-test results indicated significant differences between the flat-back posture group and the normal posture group in the circumference of the xiphoid process at rest (p<.05) and in the activity of the upper trapezius at the onset of inhalation (p<.05). Conclusion: Flat-back posture influences a decrease in chest expansion and at the same time increases the muscle activity of the upper trapezius muscle at the beginning of inspiration.

Background: Squats are well-known for their effectiveness in strengthening the quadriceps femoris muscle. Flexibility and stability of the ankle joint are critical factors in performing squats correctly. Ankle instability can lead to injuries owing to compensatory actions. The role of the soleus muscle in maintaining ankle balance is crucial to minimize the risk of injury. Moreover, squats on unstable surfaces have gained attention for their potential to enhance balance and stability, which in turn helps prevent injuries. Therefore, this study aims to investigate the correlation between the soleus and quadriceps femoris muscles during squat exercises on various support surfaces. Design: Simple regression analysis Methods: Participants performed three different types of squats. Prior to commencing the exercises, we conducted electromyography (EMG) measurements to assess the activity of both the soleus and quadriceps femoris muscles. The order of the exercise execution was randomized. The squats were performed in a Full Squat format, and a one-minute rest was provided between each exercise type. Results: Our analysis of the results revealed significant differences in the activation levels of the soleus and quadriceps femoris across different squat types (p<.05). The regression analysis revealed an inverse relationship between the activity levels of the soleus and quadriceps femoris. Specifically, the quadriceps femoris exhibited the highest activation during squats using a wedge, while its activation was lowest during squats using the TOGU. In contrast, the soleus muscle demonstrated its highest activation during squats using the TOGU. Conclusion: Compared to traditional floor squats, the disparities in soleus and quadriceps femoris muscle activation observed during Wedge or TOGU squats can be attributed to the influence of ankle stability and balance. As the surface instability increased during squats, the soleus muscle's activity increased while the activation of the quadriceps femoris muscle decreased. These findings suggest that heightened soleus activation on unstable surfaces can significantly impact the activation of the quadriceps femoris muscle during squat exercises.

Background: This study was conducted to investigate the effects of mechanical traction therapy on pain, symptom severity, and functional status in patients with carpal tunnel syndrome. Design: Randomized controlled trial study. Methods: The 24 participants in this study were randomly assigned to either the Mechanical traction therapy (MTT) group (n=12) or the placebo group (n=12). Both groups performed tendon and neural gliding exercise. Both groups underwent mechanical traction therapy with their forearms placed on a traction device. However, in the placebo group, the device was turned off, and a placebo treatment was administered without any mechanical stimulation. All the participants underwent 18 sessions of intervention (10 minutes, 3 days per week for 6 weeks). Both groups were assessed for pain using the numerical pain rating scale and for symptom severity and functional status using the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ), which includes two additional scales: the Boston Symptom Severity Scale (BSSS) and the Boston Functional Status Scale (BFSS). Results: The muscle activation, pain, symptom severity, and functional status in the MTT group were significantly improved compared to the placebo group (p<0.05). Conclusion: The results of this study indicate that traction therapy combined with tendon and neural gliding exercise. are a beneficial method for improving pain, symptom severity, and functional status in patients with carpal tunnel syndrome.