• Research in Community and Public Health Nursing
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• v.6 no.1
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• pp.55-73
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• 1995

An Effect of Muscle Strength Training Program on Muscle Strength, Muscle Endurance, Instrumental Activities of Daily Living and Quality of Life in the Institutionalized Elderly Recent statistics shows that the aged are the fastest growing segment of our population by increasing life span. The age group of over 60 shows multiple health problems and the most serious handicapping problem of these. are related to the changes in muscular skeletal system. With aging, people lose. their muscle mass and muscle strength resulting from biological changes and physical inactivity. Studies documented a 30-50% loss of muscle mass in an advanced age and thus, ordinary life activities can be seriously affected due to weakened muscle strength. Preservation of muscle strength of lower limb is especially important in the aged. Since it is readily affected from reduced physical activity in old age, sometimes to the detriment of moving or walking. So muscle strength exercise program designed for the elderly to improve leg muscle strength and leg muscle endurance. The research design used was nonequivalent control group pretest - protest design. The purposes of this study were to test the effect of muscle strength exercise program utilizing Leg Press on muscle strength, muscle endurance, instrumental activities of daily living(IADL), cognitive perceptual variables and quality of life. Forty nine subjects participating in this study consisted of twenty four male and twenty five female. Twenty four experimental group subjects were selected from C-institution in Chung Buk province, and twenty five control group subjects were selected from O-institution in Chung Nam province. The mean age of subjects was 72.8 years. Muscle strength training program utilizing Leg Press for the experimental group was carried out three times a week for 9 weeks. The data was collected from August, 1993 to October, 1993. Data were analyzed with $X^2-test$, t-test, ANCOVA test, Kruskal Wallis 1-Way ANOVA test using SPSS PC program. Results were obtained as follows : 1) The experimental group showed significantly higher scores on muscle strength (leg lift strength, back lift strength and grip strength) and muscle endurance than control group after the experiment $\ulcorner$F=52.35(p=.001), F=54.07(p=.001), F=6.97(p=.011), F=18.17(p=.001)$\lrcorner$ 2) Experimental group were significantly higher scores on IADL than control group(F=7.51, p=.009). 3) Experimental group showed significantly higher scores on economical state and self esteem aspects of the quality of life scale than control group $\ulcorner$F=10.59(p=.002), F=6.97(p=.011)$\lrcorner$. But there were no differences in emotional state, physical and functional state and relationship with reatives in the quality of life between groups. 4) Scores on IADL showed a significant difference with the level of muscle strength and muscle endurance $\ulcornerx^2=7.73(p=.025),\;x^2=8.86\;(p=.011)\lrcorner$ 5) Scores on self esteem and physical and functional state aspects of the quality of life scale showed a significant difference with the level of IADL $\ulcornerx^2=11.39(p=.003),\;x^2=9.02(p=.011)\lrcorner$. 6) Scores of experimental group after the experiment in cognitive perceptual variables (perceived benefit on exercise, perceived health status, self efficacy, emotion on exercise) were significantly higher than those of control group $\ulcorner$F=32.09(p=.001), F=5.07(p=.029), F=20.63 (p=.001), F=30.38(p=.001)$\lrcorner$. As a result of this study, the effect of strength training exercise program with Leg. Press had improved muscle strength, muscle endurance, IADL, and the perception of self esteem, physical and funtional state, and economical state. Thus strength training program could be beneficially applied for the prevention of disablity and promotion of health and wellbeing in the aged easily and safely. The subjects in the experimental group have maintained their exercises till six months after the cessation of the experiment. This seem to illustrate that changes in cognitive perceptual variables and the improvement in health status have reinforced motivation for the continuation of voluntary exercises. A further study is necessary to determine the factors affecting maintainance of muscle strength exercise and to assess the effect of weight training program on bone density.

• The Journal of Korean society of community based occupational therapy
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• v.1 no.2
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• pp.31-43
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• 2011

Objective : The purpose of this case study was to proposed a introduction and result of the disabled with stroke in community using services of Community-Based Rehabilitation. Methods : The subject was a 63-years old female patient with stroke who first visit to Public health center in July. She was evaluated on activity daily living action level by using the Modified Barthel Index(MBI) and depression level by using Beck Depression Inventory(BDI). The intervention that was suggested by WHO were Community-Based Rehabilitation(CBR) and general occupational therapy. We were applied from April, 27th 2011, to November 30th, 2011 by occupational therapist. Results : The patient's total MBI score increased from 35 to 55, it means that activity daily living performance capacity was improved. And BDI score decreased from 26 to 14, it means that depressed symptoms were in great decline. She could stand until 5-10 minutes at first, but later stand over 30minutes now. It means her muscle strength and endurance level was increased. The patient's mood condition also was stabilized and then she often showed her smiling face during the therapy. And her protector feels the client's change too. Conclusion : We could know that function level and quality of life of the patient with stroke who return to the community was improved through service of community-based rehabilitation.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.10 no.4
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• pp.287-294
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• 2016

Based on upper limb torque by different angles of a back, distance between crank axis and chest and angles of hand-grips, this research is to develop variable hand bikes. By doing so, it is to offer guidance for its design. For this research three normal persons took part in the experiment. Results are as follows. First, upper limb torque was found to be the highest at 50 degree of a back and muscle endurance was shown to be the highest at 80 degree of a back. It means that as a back of a chair gets lower the speed and efficiency becomes better, which contradicts the subjective fact that K-type hand bikes would show the highest speed. Second, among types of grips of hand bikes 45 degree ones have been shown to be the ones with the highest torque. This is due to proper distribution of power of joints in arms, elbows, and shoulders. Third, in case of distance of 45cm between crank axis and chest, it has shown the most efficient torque. This is because of the effect of gravity and exhaustion when handling.

• Journal of Life Science
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• v.12 no.6
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• pp.780-785
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• 2002

The purpose of this study is to investigate isokinetic strength changes of knee joint in accordance with short-term weight loss of wrestlers. For this purpose, 14 male wrestlers of a K technical high school in B city participated in our research. The wrestlers were divided into two groups; one group of the wrestlers didn't lose any weight, and the other lost over 5% of their weights. The isokinetic strength was also observed before and after weight loss. The isokinetic strenght test were processed at test speed of the$60^{\circ}C$/sec, $90^{\circ}C$/sec, and $250^{\circ}C$/sec with the CYBEX NORM system(Cybex 770＋TMS, USA). Peak torque, peak torque %BW, total work, total work %BW, and endurance ratio were measured. Results showed that the isokinetic strength after the short-term weight loss of wrestlers decreased meaningfully Although endurance ratio didn't show any meaningful difference in our research, but more accurate research may find out the relationship between short-term weight loss and the endurance ratio of isokinetic strength.

• 재활복지
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• v.20 no.4
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• pp.177-201
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• 2016

The purpose of this study is to develop systematical components and implementation of rehabilitation physical activity by analyzing the relative importance among each factor. To achieve the purpose of this study, 20 participants were selected, and they consisted of instructors and adapted physical activity teachers and professional who have experiences in institutes and hospital where have operate program related to rehabilitation physical activity and adapted physical activity program. Delphi technique was conducted for three times by the participants. For the decision of priorities about improvement factors, AHP was performed. The results were as follows. As the result of this study, the factors of the rehabilitation physical activity consisted of six type of exercise; fitness, psychological exercise, aquatic exercise, sense & perception exercise, ambulatory exercise, and motor skills. Also, 21 sub-factors were also extracted. The result from analyzing the priorities of factors was fitness 33.2%, aquatic exercise 20.6%, psychological exercise 16.3%, sense & perception exercise 11.7%, ambulatory exercise 10.8% and motor skills 8.6%. Also, among results from the weighted state of priority factors, muscular strength and endurance were the most importance factor which had 23.4% weighting, and meditation was the least importance factor which had 0.5% weighting.

• Journal of Life Science
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• v.33 no.12
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• pp.1036-1045
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• 2023

Sarcopenia, a condition characterized by the insidious loss of skeletal muscle mass and strength, represents a significant and growing healthcare challenge, impacting the mobility and quality of life of aging populations worldwide. This study investigated the therapeutic potential of soybean leaf extract (SL) for dexamethasone (Dexa)-induced muscle atrophy in vitro and in an in vivo model. In vitro experiments showed that SL significantly alleviated Dexa-induced atrophy in C2C12 myotube cells, as evidenced by preserved myotube morphology, density, and size. Moreover, SL treatment significantly reduced the mRNA and protein levels of muscle RING-finger protein-1 (MuRF1) and muscle atrophy F-box (MAFbx), key factors regulating muscle atrophy. In a Dexa-induced atrophy mouse model, SL administration significantly inhibited Dexa-induced weight loss and muscle wasting, preserving the mass of the gastrocnemius and tibialis anterior muscles. Furthermore, mice treated with SL exhibited significant improvements in muscle function compared to their counterparts suffering from Dexa-induced muscle atrophy, as evidenced by a notable increase in grip strength and extended endurance on treadmill tests. Moreover, SL suppressed the expression of muscle atrophy-related proteins in skeletal muscle, highlighting its protective role against Dexa-induced muscle atrophy. These results suggest that SL has potential as a natural treatment for muscle-wasting conditions, such as sarcopenia.

• Women's Health Nursing
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• v.7 no.2
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• pp.169-187
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• 2001

This study was performed to probe the effect of exercise program on muscle strength, endurance, flexibility, pain, disability level and life satisfaction in female teachers of elementary school who complain of low back pain. For this study, 44 female teachers aged 30-50 years with mechanical low back pain of 6 months' duration, who had the structural normalities in the lumbar spine, were recruited from April 1 to July 10 1999. Twenty three out of them were assigned to the experimental group and twenty one to the control group. The exercise program consisted of education on right postures, the etiology and diagnosis of low back pain, and exercise intervention such as muscle relaxation, elongation and strengthening. With 8 weeks program, the subjects received two sessions of education and six sessions of group exercise in the 1st week, while three sessions of group exercise and four sessions of individual exercise weekly and two sessions of education during the later 7 weeks. The muscle strength and endurance were measured by Cybex 770, the flexibility by flexibility measurement machine, the intensity of pain by Visual Analogue Scale (VAS), the level of disability by Oswestry low back pain disability scale, depression by Beck depression inventory (BDI), and life satisfaction by Life satisfaction index-Z. Study measurements were taken before and after 8 weeks exercise program. Data were analyzed using paired t-test, t-test, and ANCOVA. The results were as follows ; 1. The flexors and extensors peak torque and flexors peak torque per body weight of experimental group were significantly increased at test velocities $30^{\circ}$/sec, $60^{\circ}$/sec compared with those of control group. There was no significant difference in extensors peak torque per flexors peak torque at $30^{\circ}/sec$, $60^{\circ}/sec$ between experimental and control group. 2. The flexors and extensors total work and flexors total work per body weight of experimental group were significantly increased at $120^{\circ}/sec$, compared with those of control group. 3.The flexibility of lumbar spine in experimental group was significantly increased compared with that of control group. The pains in anterior, posterior, left lateral and right lateral bending and in rotation of experimental group were significantly increased compared with those of control group. 4. The Oswestry disability scores of experimental and control group were significantly decreased, and there was no difference in the Oswestry disability score change between experimental and control group. 5. The scores of BDI of experimental group were significantly decreased compared with those of control group. Life satisfaction index-Z scores of experimental group were not changed, but those of control group were significantly decreased. There was no difference in the score change of Life satisfaction index-Z between experimental and control group. 6. ANCOVA analysis for the data variables of inhomogeneous baseline represented that there was no significant difference in extensors peak torque and extensors total work at $120^{\circ}/sec$ and extensor total work per body weight at $120^{\circ}/sec$ change between experimental group and control group. These findings indicate that the exercise program could be effective in increasing the muscle strength, endurance, flexibility and decreasing pain, improving depression in female teachers of elementary school with chronic low back pain. It is suggested that the exercise program could be an essential factor for the effective nursing intervention to the patients suffered from chronic low back pain.

• Journal of the Korean Applied Science and Technology
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• v.36 no.4
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• pp.1060-1068
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• 2019

The physical fitness of the cadets of the Air Force Academy, which will protect the airspace of the Republic of Korea, is of paramount importance to fulfill the given mission. Therefore, the purpose of this study was to confirm the characteristics of body composition and physical fitness of female cadets of Air Force Academy and to verify their relationship with physical fitness according to body fat % level of total female cadets. To achieve the purpose of the study, 50 female cadets of the Korea Air Force Academy (1grade 13, 2grade 18, 3grade 9, 4grade 10) were measured in body composition (skeletal strength, body fat mass, body mass index, body fat %, abdominal obesity rate, basal metabolic rate) and physical fitness (muscle strength, muscular endurance, power, agility, flexibility and balance). One way ANOVA was performed for data processing to identify body composition and physical fitness characteristics by grade and to identify differences in physical fitness according to body fat rate levels. According to the study, the 1 grade was lower in body fat mass and body fat % among female cadets, the 2 grade was lower than the 3 and 4 grades, and the body mass index was lower than the third and fourth grades. Also, there was no difference in the physical fitness of the rest of the year. The intergroup physical fitness according to the body fat rate was higher than that of those with less than 20 percent of net worth and 25 percent to less than 25.1 percent to 30 percent, while those with less than 20 percent balance were higher than those with less than 25.1 to 30 percent. The results of this study showed differences in body composition by grade in female cadets, especially in power and balance according to body fat %. Therefore, female cadets of the Air Force Academy need to manage body fat to have the power and balance capability related to the airborne mission environment.