• Title/Summary/Keyword: 운동중재

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Clinical Experience of Cardiac Myxoma (심장점액종의 임상적 경험)

  • 김종원;전상협
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.311-314
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    • 1996
  • Eighteen patients (13 female and ave male) aged from 15 to 62 years (mean age 42.6 years) underwent excision of cardiac myxoma(17 left atrial, one right atrial) between 1985 and 1994 at Pusan National University hospital. All patients complained of exertional dyspnea and most had a few additional symtoms including palpitation, chest pain, syncope, general weakness, weight loss, fever, cough and epigastric disconyort. The diagnosis was made by echocardiography alone in left atrial myxomas but a myxoma in right atrium was diagnosed incidentally during mitral valve replacement for rheumatic valvular heart disease. The tumor attachment sites were fossa ovalis in 13, other interatrial septum in 4, mitral valve annulus in one and free wall of left atrium in two cases. The tumor was excised successfully via right atriotomy in 8 and biatriotomy in 10 cases. There was no hospital nor late death, and no recurrent case during the follow up period. Curative surgical excision of cardiac myxoma can be performed with low morbidity and very low r currence rate.

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The effect of mulligan manual therapy on pain and muscle assessment questionnaire in female elders with osteoarthritis of the knee (멀리건 도수치료가 여성 퇴행성 슬관절염 환자의 통증과 근 기능평가에 미치는 효과)

  • Ma, Sang-Yeol
    • Journal of the Korean Data and Information Science Society
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    • v.21 no.4
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    • pp.641-650
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    • 2010
  • This study was conducted to investigate whether Mulligan manual therapy and Physical therapy have effectiveness on the pain and muscle assessment questionnaire in female elders with osteoarthritis of the knee. Thirty subjects were participated in this study. And they were all randomly divided into Mulligan manual therapy and Physical therapy group. To evaluate the effects of Mulligan manual therapy and Physical therapy, subjects were evaluated by using visual analogue scale and muscle assessment questionnaire. The assessment parameters were evaluated before, after 2 weeks, and after 4 weeks treatments. And we received a consent form from Mulligan manual therapy subjects. The results of repeated measures analysis of variance showed that pain, strength, endurance, coordination/balance were significantly improved after than before therapy in Mulligan manual therapy group. So we conclude that Mulligan manual therapy has effectiveness on the pain and muscle assessment questionnaire in female elders with osteoarthritis of the knee.

A Converged Study on the Influence on the Quality of Life for Early and Late Middle-aged Men (전후기 중년 남성의 삶의 질 영향 요인에 대한 융합적 연구)

  • Kim, Hyang-Soo;Kim, Song-Soon;Park, Mi-Hyeon
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.133-145
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    • 2018
  • This is a descriptive study on what factors influence the quality of life of early and late middle-aged men. This research is the secondary analysis which was conducted with the data of 170 people and the primary data from 2017 by using SPSS/WIN program. The results show that the main factor is depression in early middle-aged men and social support for late middle-aged men, whose overall ability to explain was 77.8% and 64.7%, respectively. Therefore, this research suggests that multidisciplinary and converged approaches-developing nursing intervention programs based on the factors shown in this paper, creating social environment, strengthening social supportive system and making policies-be required for the enhancement of middle-aged men's quality of life.

The Effect of Nutritional Education and Exercise Intervention on Reducing Weight of Obese Women (비만여성의 영양교육과 운동 중재가 체중감량에 미치는 효과)

  • Choi, Mee-Sook;Kim, Myoung-Sook
    • The Korean Journal of Community Living Science
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    • v.17 no.4
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    • pp.57-66
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    • 2006
  • This study was performed to investigate the effectiveness of nutrition education and exercise intervention in a weight management program. The subjects were 24 obese women whose body mass index (BMI) was over $25kg/m^2$. Nutrition education was given once a week, and subjects did swimming three times a week. The program lasted for 12 weeks. Nutrient intakes were assessed by 24 hour recall method. Also food habits, dietary behavior and nutrition knowledge were examined by self-administered questionnaires before and after the weight control program. Height, weight, body composition and blood composition were measured before and after the weight control program. Over the 12 weeks in the weight control program, body weight significantly decreased from 69.7kg to 65.8kg(p<0.001). Body fat and BMI also significantly decreased(p<0.001). Cholesterol level significantly decreased at p<0.001 and blood sugar also significantly decreased (p<0.05). After taking nutrition education, dietary behavior and nutritional knowledge scores increased, energy intakes decreased from 1426.5kcal to 1408.5kcal and calcium from animal products significantly increased(p<0.05). A negative correlation between nutrition knowledge and BMI(r=-0.42) existed(p<0.05). A negative correlation of eating behavior with EER(r=-0.48) showed(p<0.05). We concluded that combined nutrition education and exercise was an optimal method for reducing weight.

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Effects of Exercise Program Intervention on Muscle Activity in Rotator Cuff Repair Patient (운동프로그램 중재가 돌림근띠 복원술 환자의 근 활성도에 미치는 영향)

  • Kang, Jeong-Il;Moon, Young-Jun;Park, Seung-Kyu;Lee, Joon-Hee;Yang, Dae-Jung;Choi, Hyun;Jeong, Dae-Keun;Kim, Yong-Nam;Kwon, Hye-Min
    • The Journal of Korean Physical Therapy
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    • v.25 no.2
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    • pp.56-63
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    • 2013
  • Purpose: This study was conducted in order to examine how an effective rehabilitation exercise program influences the activity of shoulder muscles, and to help the clinical application of a rehabilitation program, for prevention and relief of pain, adhesion, and joint stiffness of patients who undergo rotator cuff repair. Methods: Nine test subjects were placed randomly into each group for a total of 27 subjects and exercise program interventions according to the group were conducted for six weeks, after which maximum voluntary isometric contraction (%MVIC) value was re-measured for supraspinatus muscle, infraspinatus muscle, serratus anterior muscle, and middle deltoid muscle in all groups in order to compare changes in muscle activity before and after the experiment in order to perform comparative analysis of changes in muscle activity between groups, based on which four experimental hypotheses were confirmed. Results: Changes in muscle activity according to %MVIC showed a statistically significant difference (p<0.01) (p<0.001) in all muscles, except the middle deltoid muscle, and post-verification results showed that changes in muscle activity according to %MVIC were greater in test groups I and II, compared with the control group, for the supraspinatus muscle, infraspinatus muscle, and serratus anterior muscle. Conclusion: Therefore, rehabilitation through use of the methods described above should be applied efficiently in clinical settings and more research in development of much more efficient rehabilitation program interventions must be conducted.

Factors Influencing dietary Behavior in Nursing Students (간호대학생의 식행동에 영향을 미치는 요인)

  • Oh, Yun-Jung
    • Journal of Convergence for Information Technology
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    • v.10 no.5
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    • pp.83-91
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    • 2020
  • This study was conducted in order to identify the level of dietary behavior and investigate factors that influence dietary behavior in nursing students. This study was a descriptive survey including 304 students in D city. Data were analyzed using descriptive statistics, t-test, ANOVA, pearson's correlation coefficient and stepwise multiple regression with SPSS 18. The average score of the subject's dietary behavior was 2.72. In the correlation of dietary behavior, there was a significant positive correlation with health concern and dietary attitude, and there was no correlation with nutrition knowledge. Models including the variables, health concern, perceived health status, exercise, dietary attitude and residential type explained 24.4% of the variance for dietary behavior. Health concern was the most influential factor. A practical intervention program which includes these significant variables of subjects is essential to improve of good dietary behavior.

Comparison of Effects of Manual Therapy Interventions Combined with Exercise on Range of Motion, Muscle Strength, and Functional Performance in Adolescent Baseball Players with Internal Impingement of Shoulder Joint (어깨관절 내적 충돌증후군을 가진 청소년기 야구선수들의 ROM, 근력, 기능수행정도에 미치는 운동과 도수치료를 혼합한 중재들의 효과 비교)

  • Choo, Yeonki
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.1
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    • pp.101-111
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    • 2020
  • Purpose : The purpose of this study was to identify the comparison of the effects of manual therapy combined with exercise on range of motion (ROM), muscle strength, and functional performance in adolescent baseball players with internal impingement syndrome of the shoulder. Methods : The subjects were 30 patients diagnosed with impingement syndrome of the shoulder. Thirty subjects are randomly assigned to each 3 different groups; Group 1. (exercise group), Group 2. (exercise+mobilization; EMOB group), Group 3. (exercise+mobilization with movement; EMWM group). The interventions were performed three times a week for 4 weeks. The main outcome measures were goniometer, Biodex dynamometer, and Korean Kerlan Jobe shoulder-elbow (K-KJOC) scores. The ROM (external and internal rotation), muscle strength (external and internal rotation: 60 °/sec., 180 °/sec.), and functional performance were compared among the groups. Results : No significant difference was observed among the groups in the range of external rotation of the shoulder before and after the intervention, but the range of internal and total rotation was significantly increased in Group 2, 3 compared to Groups 1. Muscle strength of external and internal rotation (60 °/sec., 180 °/sec.) was not significantly different among Group 1, 2, 3, and functional performance was significantly increased in Group 2, 3 compared to Group 1. However, there was no significant difference between Group 2 and Group 3 in all measurements. Conclusion : An intervention with manual therapy such as EMOB and EMWM was more effective than exercise alone for rapid recovery from shoulder injury and improvement in functional performance. However, further efforts are needed to identify effects of specific interventions with manual therapy.

The Effects of Immobilization on the Articular Cartilage (고정이 관절연골에 미치는 영향에 대한 연구)

  • Kang Jong-HO;Nam Ki-Won;Koo Hyun-Mo;Cheon Song-Hee;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.16 no.2
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    • pp.1-16
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    • 2004
  • The purpose of this paper is to review changes in articular cartilage properties from the joint immobilization. Joint immobilization is accompanied not only by many disorders including rheumatologic disorders, degenerative disorders, trauma and fracture but treatment for disorders. Articular cartilage are sensitive to mechanical events. Immobilization is associated with cartilage degradation that may cause joint pain and reduced range of motion. An understanding of the effects of immobilization on the articular cartilage will help to plan of physical therapy program

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Effects of Inspiratory Muscle Training on Diaphragm Thickness, Pulmonary Function, and Chest Expansion in Chronic Stroke Patients (흡기근 저항훈련이 만성 뇌졸중 환자의 횡격막 두께와 폐기능에 미치는 효과)

  • Jung, Ju-Hyeon;Kim, Nan-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.1
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    • pp.59-69
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    • 2013
  • 연구목적: 본 연구는 만성 뇌졸중 환자를 대상으로 흡기근 저항훈련이 횡격막 두께와 폐기능 및 흉곽 확장에 미치는 효과를 알아보고자 수행하였다. 연구방법: 연구 대상자는 총 29명(남자 17명, 여자 12명)으로 흡기근 저항훈련군(15명)과 대조군(14명)으로 분류하였다. 모든 대상자는 6개월 이상된 만성 뇌졸중 환자로 일반적인 신경발달치료를 받고 있으며, 같은 기간 동안 흡기근 저항훈련군에 역치부하 흡기근육 단련기(threshold IMT device)를 제공하고 주 3회${\times}$1회 20분씩 6주간 시행하였다. 마비측과 비마비측 횡격막 두께측정을 위해 초음파의 7.5MHz linear probe를 사용하여 최대 흡기시(Tdi.con)와 휴식시(Tdi.rel)의 두께를 측정하고 수축률(TR)을 계산하였다. 또한 폐 활량계를 사용하여 노력성 폐활량을 측정하였으며, 줄자를 사용하여 흉곽 확장을 측정하였다. 연구결과: 6주간 중재 후 흡기근 저항훈련군에서 최대흡기시 횡격막 두께(Tdi.con)와 수축률(TR)은 유의한 증가를 보였다(p<.05). 1초간 노력성 호기량 ($FEV_1$)과 최대 호기 속도(PEF)도 유의한 증가를 보였으나(p<.05), 노력성 폐활량(FVC)과 1초간 노력성 호기량의 노력성 폐활량에 대한 비($FEV_1$/FVC), 흉곽 확장은 유의한 증가는 보이지 않았다(p>.05). 결론: 본 연구는 만성뇌졸중 환자를 대상으로 흡기근 저항훈련의 적용이 횡격막의 수축력과 폐기능 및 흉곽 확장력을 향상시켜 호흡근의 협응력을 증가시키고, 비활동성으로 인해 감소된 운동내성을 증가하게 함으로써 향후 재활에서 만성 뇌졸중 환자에게 2차적인 기능향상에 도움을 줄수 있을 것으로 보여진다.

Exercise Intervention on Blood Glucose Control of Type 2 Diabetes with Obesity : A Systematic Review (비만을 동반한 제 2형 당뇨병환자의 혈당 조절을 위한 운동 중재 : 체계적 문헌고찰)

  • Jung, Su-Ryun;Kim, Wan-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.1
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    • pp.11-26
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    • 2018
  • PURPOSE: The aim of this study was to review the effects of exercise intervention on blood glucose control in obese type 2 diabetic patients. METHODS: The PubMed and KERISS search engines were used and 61 papers that met the key questions were selected. RESULTS: Exercise is an effective intervention for the control of blood glucose in type 2 diabetic patients because it does not impair glucose transport in the skeletal muscle induced by muscle contractions. Insulin resistance, which is characteristic of type 2 diabetes, is caused by decreased insulin sensitivity or insulin responsiveness. Acute exercise improves the glucose metabolism by increasing the insulin-independent signaling pathways and insulin sensitivity in the skeletal muscle, and regular long-term exercise improves the skeletal muscle insulin responsiveness and systemic glucose metabolism by increasing the mitochondrial and GLUT4 protein expression in the skeletal muscle. CONCLUSION: The improvement of the glucose metabolism through exercise shows a dose-response pattern, and if exercise consumes the same number of calories, high intensity exercise will be more effective for the glucose metabolism. On the other hand, it is practically difficult for a patient with obese type 2 diabetes to control their blood glucose with high intensity or long-term exercise. Therefore, it will be necessary to study safe adjuvants (cinnamic acid, lithium) that can produce similar effects to high-intensity and high-volume exercises in low-intensity and low-volume exercises.