• PNF and Movement
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• 제11권2호
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• pp.103-110
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• 2013

Purpose : The aim of study was to assess the effect of backward walking combined with body weight supported treadmill training for patients with spinal cord injury. Methods : Forced vital capacity(FVC), forced expiratory volume at one second(FEV1), peak expiratory flow(PEF) and FEV1/FVC ratio(FER) were measured with a spirometer for on subject of T12 spinal cord injury. 10 meter walking test(10MWT), timed up & go test(TUG) and 6-Minute walking test(6MWT) were the measured. Intervention consisted of backward walking combined with body weight supported treadmill training five times a week for 12 weeks. Results : The date of 10MWT, TUG, 6MWT were improved. Furthermore, the date of PEF, FEV1, FVC, FER showed a improvement. Conclusion : Backward walking combined with body weight supported treadmill training may be a better and more effective method for gait performance and respiratory on incomplete spinal cord injury.

• 가정간호학회지
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• 제29권1호
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• pp.82-92
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• 2022

Purpose: The purpose of this study was to investigate the factors affecting the prevention behavior of COVID-19 infection among nursing students. Methods: This survey was conducted from September 3 to October 2, 2021 among 172 sophomore and senior students at universities in D metropolitan city and J province. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation and Hierarchical Regression. Results: There were significant differences in COVID-19 preventive behavior by gender (t=0.13, p=.017) and clinical practice experience (t=2.78, p=.006). COVID-19 preventive behavior showed significantly positive correlations with subjective norm (r=.35, p<.001), self-efficacy(r=.33, p<.001), and intention(r=.62, p<.001). The variables affecting COVID-19 preventive behavior were intention(β=.529, p<.001), subjective norm(β=.169, p=.008), and clinical practice experience(β=.118, p=.049), and the explanatory power was 43%. Conclusion: Considering these results, it is necessary to develop strategies that can encourage the intention of nursing students to practice prevention for COVID-19 infection control. In addition, maintaining subjective norms through national policies is a critical strategy.

• 실천공학교육논문지
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• 제14권2호
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• pp.287-294
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• 2022

COVID-19 팬데믹으로 대면 수업이 어려워지면서 불가피하게 온라인 수업을 진행해오고 있다. 지속적인 온라인 학습에 대한 연구가 한창인 가운데, 교육부는 일상 회복과 함께 단계적 대면 수업 전환 계획을 발표하였다. 대학에서 이처럼 대면 수업을 추진하고자 하는 입장과 온라인 수업을 선호하는 입장, 그리고 수업의 주최인 학생들의 입장이 상이한 가운데 수업에 대한 의견 또한 상이하다. 따라서 본 논문에서는 수업의 주최인 학생의 입장을 중심으로 한 '위드코로나' 시대의 교수법을 고찰하고자 한다. 본 연구는 교수자들의 교수법에 대한 고찰과 수요자인 학습자들의 요구를 분석하고 이를 반영한 혁신적 교수법으로 나아가는 방향을 제시할 수 있을 것으로 기대한다.

• Journal of Korean Biological Nursing Science
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• 제24권4호
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• pp.253-261
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• 2022

Purpose: This study aims to identify the knowledge, risk perception, fear, self-efficacy, and preventive behaviors among nursing students, and factors influencing preventive behaviors on COVID-19. Methods: Data was collected from March, 2022 to May, 2022. The participants included 218 nursing students in their 3rd and 4th grade of three universities in two cities. Results: The knowledge of COVID-19 was 13.54 out of 15 points, risk perception was 4.83 out of 8 points, fear was 13.26 out of 35 points, self-efficacy was 19.96 out of 25 points, and preventive behaviors were 7.56 out of 9 points. The explanatory power of self efficacy (β= .21, p= .002), which affects preventive behaviors was 67.0%. Conclusion: Based on the results of this study, it is necessary to develop a systematic nursing intervention that improves self-efficacy to improve preventive behaviors against COVID-19 among students. This study's result can be used in the future to develop appropriate health policies and program to prevent emerging infectious diseases.

• 대한물리의학회지
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• 제13권4호
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• pp.131-138
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• 2018

PURPOSE: This study was conducted to compare the muscle activity of the proximal muscles of the lower limb according to the distance between the front and rear foot during lunge and to determine the most effective foot position for activation of the proximal muscle in the limb. METHODS: A total of 49 young adults were enrolled in this study. All subjects performed lunge by positioning the big toe of the back foot and the heel of the front foot at intervals of 40%, 60%, and 80% of the subject's own leg length. Muscle activity of the vastus medialis oblique, rectus femoris (RF), vastus lateralis oblique (VLO), gluteus medius, biceps femoris, and semitendinosus (ST) was then measured during three intervals of lunge operation. Each operation was measured three times for 10 seconds each, after which the average value was calculated and analyzed. RESULTS: There were significant differences in muscle activities of RF, VLO, and ST among the three intervals of the foot (p<.05). Post hoc, comparisons revealed lunge at 40% intervals resulted in higher RF and VLO activity than at 60% and 80% intervals (p<.05). In the semitendinosus muscle, 80% leg length intervals showed higher muscle activity than 40% (p<.05). CONCLUSION: Strengthening of the proximal muscles of the lower extremities during lunge exercise is considered to be most effective when placing the fore- and rear foot at intervals corresponding to 40% of the leg length.

• 대한물리의학회지
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• 제13권4호
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• pp.105-112
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• 2018

PURPOSE: Strengthening training is effective at improving the function of stroke patients. This study was conducted to compare the effects of exercise intensity on walking, balancing ability, and blood glucose in stroke patients with type 2 diabetes mellitus and to suggest more effective exercise intensity for stroke patients. METHODS: Twenty-two patients with type 2 diabetes mellitus were divided into an experimental group (n=11) and a control group (n=11). In the experimental group, a 40-70% strength of 1RM exercise program was applied for 40 minutes a day, three times a week for 4 weeks. The control group received a 50% intensity of 1RM for the same number and duration of interventions as the experimental group. RESULTS: Both the experimental group and the control group showed significant improvement in the gait function, balance ability, and blood glucose level after the intervention compared to before the intervention. In the FGA (functional gait assessment), the experimental group showed a 52.4% greater increase than the control group, and the fasting blood glucose level was 16.7% greater in the experimental group than the control group. CONCLUSION: The strengthening exercise program, which gradually increases exercise intensity, seems to be effective at improving the function of stroke patients with type 2 diabetes.

• PNF and Movement
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• 제12권3호
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• pp.151-158
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• 2014

Purpose: The purpose of the study is to see the effect of walking when training for chronic stroke patients, Affected side vision impairment induced gait training with rhythmic auditory stimulation in parallel. Methods: This study was the general walking training group, the training group was divided damage induced affected side view, affected side view damage induced by rhythm auditory stimulation training three groups. Intervention period was 4 weeks. 5 times per week, per 30 min entered arbitration. Affected Side vision impairment induced induction training was conducted by installing a red cones, rhythmic auditory stimulation was applied to a regular rhythm training using a smartphone application (Metronome). Paired t-test was performed to see the difference between each group and before the intervention. One-way ANOVA was used to find out the significance probability between each group. Statistical significance was set at 0.05 probability. Results: Regular walking group, rather than affected side vision guided walking group could see increases in the FGA and DGI (P<0.05). And vision impairment induced affected side view and rhythmic auditory stimulation induction training this group than in the combination group walking group obtained higher scores on the FGA, DGI score(P<0.05). Conclusion: If you want to enforce certain rhythmic auditory stimulation of the visual field and side damage induced during gait training for stroke patients will be able to expect a better effect.

• 대한통합의학회지
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• 제9권1호
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• pp.41-48
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• 2021

Purpose : The purpose of this study is to find out if it helps to improve static balance ability and weight bearing rate for chronic stroke patients with poor balance in clinical intervention through a method of correcting movement errors while performing a task by vibrotactile bio-feedback providing pressure information. Methods : Fifteen chronic stroke patients (12 male and 3 female) were participated in this study. To examine the effects of vibrotactile bio-feedback and general standing without bio-feedback on static balance ability and weight distribution symmetric index in all subjects randomized with R Studio. The static balance ability and weight distribution symmetric index of the participants was evaluated using a force plate. A paired t-test was used for comparison of each conditions. Statistical significance was set at α=0.05. Results : The comparisons of static balance ability and weight distribution symmetric index in chronic stroke patients after two different condition are as follows. In the static balance ability and weight distribution symmetric index, the vibrotactile feedback providing pressure information showed a significant difference compared to none feedback (p<.001). Conclusion : The vibrotactile bio-feedback providing pressure information in real time can support an improve in static balance ability, uniform weight bearing rehabilitation in chronic stroke patients. In the future, it is hoped that a follow-up study that provides a better direction of intervention compared to various feedback interventions commonly used in clinical practice.

• 대한물리의학회지
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• 제17권4호
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• pp.93-101
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• 2022

PURPOSE: This study sought to investigate the effects of treadmill gait training combined with a thoracic mobility exercise on gait and balance in patients with stroke. METHODS: In this single-blinded, randomized, controlled, comparative study, a total of 20 patients at a rehabilitation hospital who had suffered a hemiplegic stroke were randomly assigned to the experimental group (treadmill gait training combined with a thoracic mobility exercise, n = 11) or control group (treadmill gait training without the thoracic mobility exercise, n = 9). All the participants underwent comprehensive rehabilitation therapy (5 × /week for 4 weeks). Additionally, the experimental group underwent 20 min of treadmill gait training combined with 10 min of a thoracic mobility exercise (3 × / week for 4 weeks) and the control group underwent the former but not the latter. Gait and balance were measured before and after the 4-week training. RESULTS: Significant improvements were observed in the 10-m walking test (10 MWT), timed up-and-go (TUG) test, center of pressure (COP) velocity, and COP length in the experimental group (p < .05). This group also showed a larger decrease in the 10 MWT and COP velocity than the control group (10 MWT, -3.02 sec vs. -1.68 sec, p < .05; COP velocity, -.07 mm/sec vs. .08 mm/sec, p < .05). CONCLUSION: Treadmill gait training, combined with the thoracic mobility exercise, could be effective in improving the gait and balance of stroke patients. It could also be more effective in improving walking speed and static balance than the treadmill gait training alone.

• 대한통합의학회지
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• 제10권4호
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• pp.57-69
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• 2022

Purpose : The purpose of this study was to investigate the effect of ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on ankle instability score, and static and dynamic balance ability, muscle strength in adults in their 20s with chronic ankle instability. Methods : Twenty-eight adults in their 20s with chronic ankle instability were recruited. After screening test, they were randomized through R studio program as an experimental group (n=14) to apply an ankle strengthening exercise combined with sling-assisted gluteus medius strengthening and a control group (n=14) to apply ankle strengthening exercise. The intervention lasted two times a week for 6 weeks. To compare the intervention effects, the Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strength of lower extremities were measured. Results : The experimental group showed a significant increase in pre and post-intervention Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strengt (p<.05). The control group showed a significant increase in pre and post-intervention CAIT score, dynamic balance ability, and muscle strength (p<.05). The experimental group showed a significant increase in CAIT score, dynamic balance ability, and muscle strength compared to the control group (p<.05), and showed a high effect size. Conclusions : The results of this study confirmed that ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on people with chronic ankle instability the possibility that it could be effective in improving ankle instability and improving dynamic balance ability, and strength by movement. Although additional research is needed to increase the number of participants due to the small sample size, it is hoped that this study will be an optimistic clinical protocol for people with chronic ankle instability.