• 제목/요약/키워드: 청소년 물리치료

검색결과 36건 처리시간 0.03초

슬링을 통한 코어운동프로그램이 청소년의 특발성 척추측만증의 Cobb각과 코어근력에 미치는 효과 (Effects of Sling-Based Core Exercise Program on Cobb Angle and Core Strength of Idiopathic Scoliosis in Adolescences)

  • 유달영;양영식;박성두
    • 대한정형도수물리치료학회지
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    • 제25권2호
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    • pp.47-56
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    • 2019
  • Background: The purpose of this study was compare and analyze the Cobb's angle, core muscle strengthening in adolescents with idiopathic scoliosis and provide scientific basis for effectively treating idiopathic scoliosis in the future. Methods: The subjects of this study were 20 members of adolescent girls. Measurement tools were comprised Cobb's angle test, core muscle strengthening test. After 8 weeks of program, both groups had the same measurements as before program start. Results: The results of the study are as follows. First, the experimental group was decreased statistically significantly in Cobb's angle than the control group. Second, Both groups were increased statistically significantly in core muscle strengthening. The experimental group was increased statistically significantly direction in front, back l than the control group. Conclusion: Sling exercise with core exercise was effective in the decrease of Cobb's angle and core muscle strength than general scoliosis exercise in adolescents with idiopathic scoliosis.

청소년기 경직형 뇌성마비아동의 체간강화 운동이 척추분절 및 보행에 미치는 영향 (The Effects of Trunk Strengthening Program in Gait and Spinal Segment with Spastic Cerebral Palsy)

  • 이연섭;남택길
    • 대한물리치료과학회지
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    • 제19권1호
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    • pp.1-7
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    • 2012
  • Purpose : This study aims to examine effects of trunk strengthening exercise in three rigid cerebral palsy adolescents aged between 11 and 13 on their spinal segments and gait. Methods : 2A trunk strengthening program for proprioceptive neuromuscular facilitation was made focusing on improvement in their school life and mental and social activities during their school years, and then trunk strengthening exercise was applied to the three subjects for 30 minutes five times per week for four weeks. With the subjects in a static state, each group's gait analysis was made and maximum anterior flexion, maximum extension, maximum left and right lateral flexion, and cross rotation of the trunk were measured using Sonosens (Germany) prior to and after the intervention. Results : Assessment of spinal segment mobility with the subjects in a static state showed that the trunk muscle strengthening exercise increased their maximum joint movement angles from the right side to the center and rotational abilities of the cervical and lumbar spines. Gait analysis indicated increased movements in the thoracic and lumbar spines and relatively decreased anterior-posterior movement of the cervical spine. Conclusion : Trunk strengthening program is effective in enhancing spinal segment mobility and balance ability of cerebral palsy adolescents and considered able to be used together with diverse treatment interventions.

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발가락 벌림 교정기가 청소년기 경직형 양하지 뇌성마비의 보행에 미치는 영향 (The Effects of Toe Wedges on the Spatiotemporal Gait Parameters of Adolescents with Spastic Diplegic Cerebral Palsy)

  • 장정재;정선혜;김명종;송선해;이동건;이승후;장나영;최지원;하선영;하신호;홍성균;이규창
    • PNF and Movement
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    • 제17권2호
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    • pp.237-243
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    • 2019
  • Purpose: The purpose of the present study was to investigate the effects of toe wedges on the gait ability of adolescents with spastic diplegic cerebral palsy. Methods: Six adolescents with spastic diplegic cerebral palsy participated in this study. During the participants walked with- and without toe wedges, the gait ability was analyzed using the electronic walkway system. Gait parameters, including velocity, cadence, step length, stride length, single support time, and double support time, were collected and analyzed. Results: When the participants walked with toe wedges, there were significant improvements in gait velocity, cadence, and double support time compared to those without toe wedges (p<0.05). However, there were no significant differences in step length, stride length, and single support time. Conclusion: Toe wedges may have a positive effect on the gait ability of adolescents with spastic diplegic cerebral palsy. However, it is necessary to conduct high-quality studies to identify the effects of toe wedges.

보행운동프로그램이 청소년 경직형뇌성마비아동의 자아효능감 및 부모의 양육태도에 미치는 영향 - 사례연구 (Effect of Gait Exercise Program on the Self-Efficacy and Parenting Attitude of Adolescent Spastic Cerebral Palsy - Case Study)

  • 이연섭;서동권;김경훈;이양진
    • 대한통합의학회지
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    • 제8권4호
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    • pp.183-190
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    • 2020
  • Purpose : The purpose of this study was to investigate the effect of increased gait function enhancement exercise in three adolescent convulsive cerebral palsy sinuses on children's large movement function, balance and gait function, self-efficacy, and guardian attitude. Methods : The purpose of this study was to conduct a program to strengthen trunk muscles and strengthen walking ability 5 times a week for 8 weeks in 3 children with convulsive cerebral palsy in adolescence. The main reinforcement of the program was 20 minutes of muscle strength and 20 minutes of walking on a treadmill five times a week. Exercises were focused on the reinforcement of the flexor muscles of the proprioceptive neuromuscular promotion (PNF) and the extension of the legs in the bridge posture exercise and squat movements. Results : The results of GMFM-88 to determine the effects of this functional enhancement program on the body of children with convulsive cerebral palsy, and PBS & TUG to determine the effects of balance and gait ability were improved. In addition, parenting attitudes of guardians, self-efficacy of children, and self-efficacy of parents increased positively due to mental consequences. Conclusion : The results of GMFM-88 to determine the effects of this functional enhancement program on the body of children with convulsive cerebral palsy, and PBS & TUG to determine the effects of balance and gait ability were improved. In addition, parenting attitudes of guardians, self-efficacy of children, and self-efficacy of parents increased positively due to mental consequences.

선천성 근육성 사경의 임상적 특징과 경과 (Clinical characteristics and courses of congenital muscular torticollis)

  • 최경은;이희철;윤소영;천정미;신손문;한병희;이용택
    • Clinical and Experimental Pediatrics
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    • 제52권11호
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    • pp.1273-1278
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    • 2009
  • 목 적:선천성 근육성 사경은 흉쇄유돌근의 단축으로 경부가 기울어지고 이로 인해 안면의 비대칭적인 발달을 야기하며 목에 종괴가 만져지는 경우가 흔하다. 대부분 생후 수개월 이내에 소실되나 수술이 필요할 수도 있어 빠르고 정확한 진단이 요구된다. 선천성 근육성 사경 발생에 관여하는 산과적 위험요인을 살펴보고 임상 양상 및 치료 경과를 살펴보고자 하였다. 방 법:2007년 2월부터 2008년 8월까지 관동대학교 소아청소년과 외래에 사경으로 내원한 6개월 이하 영아들 중 본원에서 출생한 98명을 대상으로 병력청취, 이학적 검사, 신경학적 검사와 경추 방사선 및 초음파 검사를 시행하였다. 종괴군과 자세군으로 분류하고 산전 병력과 출생력, 산과적 위험요인을 조사하였으며, 재활의학과와 협진을 통해 가정 및 외래에서 물리치료를 받았고, 보호자와 전화 통화 및 외래 면담을 실시하였다. 결 과:진찰 소견 상 36명(36.7%)은 흉쇄유돌근의 종괴나 긴장이 촉진되었으며, 62명(63.3%)은 종괴 없이 목이 한쪽으로 기울었다. 81명의 환아에서 경부 초음파를 시행하였고, 종괴군은 모두 초음파에서 근육성 사경을 확인하였고, 자세군 62명 중 48명이 초음파를 시행하여 1명에서 근육성 사경이 확인되었다. 종괴군의 사경 발견시기는 평균 1.4개월, 자세군은 2.7개월로, 종괴군이 자세군에 비해 어린 나이에 발견되었다(P<0.001). 종괴군은 두혈종과 산류가 자세군보다 흔했고, 자세군은 사두증이 종괴군보다 흔하게 관찰되었다. 안과 검진이나 경추 방사선 검사는 모두 정상이었다. 재활의학과에서 물리치료를 시행한 43명 중 평균 재활 치료 기간은 종괴군 4.6개월, 자세군 2.6개월로, 자세군이 종괴군보다 유의하게 치료 기간이 짧았다(P=0.005). 총 88명의 환아 중 87명이 완전히 회복하였고, 불완전 회복을 보인 1명은 외래 추적관찰 중이다. 결 론:선천성 근육성 사경은 대부분 예후가 좋으나 수술을 요할 수도 있기 때문에 조기에 정확한 진단 및 치료를 요한다. 6개월 이하의 선천성 근성 사경 환아를 대상으로 산과적 위험 요인을 살펴봄으로써 출생 손상 및 복잡 분만과의 관련성을 확인하였고 조기 진단 및 치료를 통해 대부분 호전되는 것을 확인할 수 있었다.

정보통신윤리태도검사 시스템 설계 및 개발 (Design and Implementation of ICT Ethics Behaviour Test System)

  • 백현기;하태현
    • 디지털콘텐츠학회 논문지
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    • 제9권1호
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    • pp.139-147
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    • 2008
  • 정보화 역기능의 예방과 치료는 강압적이거나 물리적인 방법으로 치료하기란 어렵다. 학교에서의 체계적인 교육, 교사, 전문가, 학부모, 학생이 하나 되어 역기능 방지를 위한 부단한 노력이 필요하다고 생각된다. 본 연구에서는 청소년의 올바른 가치관을 확립하고 정보통신윤리지수 함양을 목적으로 정보통신윤리 태도 검사 시스템을 설계하고 개발하였다. 개발된 정보통신윤리태도 검사 시스템은 정보화 역기능에 능동적으로 대처하여 파생되는 부정적인 현상들을 예방하고, 정보사회의 순기능을 유지 발전시킬 수 있는 능력을 길러주는 데 도움을 줄 것으로 기대된다.

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청소년기 척추측만증 환자에 대한 슬링운동이 척추유연성과 동적 균형에 미치는 영향 (Effects of Sling Exercise on Spinal Flexibility and Dynamic Balance in Adolescent Scoliosis Patients)

  • 유달영;최종욱;박성두
    • 대한정형도수물리치료학회지
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    • 제26권1호
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    • pp.19-26
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    • 2020
  • Background: The purpose of this study was compare and analyze the flexibility and dynamic balance in adolescents with idiopathic scoliosis and provide scientific basis for effectively treating idiopathic scoliosis. Methods: The subjects of this study were 20 members of adolescences. To measure the flexibility of the spine, a left buckling instrument was used, and it was measured using a modified sit and reach test. They were randomly divided into core exercise with sling program group (n=10) and general exercise program group (n=10), each consisting 50 minutes each for 4 times per week for 8 weeks. Results: The results of the study are as follows. First, Both groups were increased statistically significantly in spinal flexibility but no significant differences have been found between the two groups after 8 weeks of exercise. Second, Both groups were increased statistically significantly in balance ability of dynamic foot pleasure ratio but no significant differences have been found between the two groups after 8 weeks of exercise. Conclusion: In summarizing the results of this study, sling exercise with core exercise was effective in the decrease of flexibility and stability than general scoliosis exercise in adolescents with idiopathic scoliosis. It is also believed to be applicable to spinal diseases caused by muscular weakness since it is effective in strengthening core muscle strength.

현수운동 프로그램이 청소년들의 두부전방자세에 미치는 효과 (The Effects of a Sling Exercise Program on the Correction of the Forward Head Posture Among Adolescent)

  • 유달영
    • 대한정형도수물리치료학회지
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    • 제20권2호
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    • pp.15-20
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    • 2014
  • Objective: The purpose of this study was to investigate the effects of sling exercise on the cervical lordotic angle, craniovertebral angle, and head rotation angle among adolescents in the forward head posture. Methods: The subjects include 22 adolescents that recorded a mild level or higher on the posture evaluation index by New York State. They were randomly divided to the hand exercise group (n=11) and the control group (n=11). The former group participated in the sling exercise program three times a week over four weeks in total with each session lasting 60 minutes, whereas the latter group was not included in the program. The cervical lordotic angle, craniovertebral angle, and head rotation angle were measured before and after the intervention. Results: The study compared the cervical lordotic angle between the two groups before and after sling exercise and found that the sling exercise group made an increase of $7.36^{\circ}$ from $21.91^{\circ}$ to $29.27^{\circ}$ after the intervention(p<.05). As for the comparison results of the craniovertebral angle, the sling exercise group made an increase of $5.64^{\circ}$ from $48.91^{\circ}$ to $54.55^{\circ}$ after the intervention (p<.05). As for the comparison results of the cranial-rotation angle, the sling exercise group made an decrease of $-7.73^{\circ}$ from $148.82^{\circ}$ to $141.09^{\circ}$ after the intervention (p<.05). The control group showed no differences before and after the intervention (p>.05). Conclusion: Those findings indicate that the application of sling exercise in the forward head posture can be a good program to maintain the right posture and improve or prevent an abnormal posture and raise a need for more clinical applications and ongoing researches.

체간 신전근 강화훈련이 청소년기 야구선수의 상지 근수행력에 미치는 영향 (The Effect of Trunk Extension Strengthening Exercise on Muscle Performance of Upper Limb in Adolescent Baseball Player)

  • 최재행;박종항
    • 대한물리치료과학회지
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    • 제9권1호
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    • pp.61-68
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    • 2002
  • The purpose of this dissertation was to analyze the effect of trunk extension strengthening exercise on muscle performance of the upper limb in adolescent baseball player. The twenty people were studied : experimental group(10), comparative group(10). The experimental group has done trunk extension strengthening exercise for 8 weeks. The study analyzes isometric maximal strength of shoulder internal rotation. shoulder external rotation, elbow flexion, elbow extension, forearm pronation, forearm supination and ball speed. All of subjects were tested for 3 times ; pre, mid, post. The results were as follows; 1. Maximal isometric strength of upper limb, during trunk extension strengthening exercise in experimental group, shoulder internal rotation and external rotation showed it has slightly increased and comparative group showed it has no change, but not significant elbow flexion and extension significantly(p<0.05) increased after exercise either for 4 or 8 weeks compared with that of control group. Forearm pronation showed not significantly changed in both group, but significantly different between group either for 4 or 8 weeks. Forearm supination, significantly((p<0.05) increased after 8 weeks in experimental group. 2. Ball speed showed slightly increased but not significantly in experimental group. These results it may expect improvement of upper limb muscle performance of upper limb in adolescent baseball player. However, in case of shoulder a point of view of bunk extension strengthening exercise of this study hasn't a significant influence. More experimental studies are needs, hereafter which will use more experimental subjects and various methods of exercise and new application of treatment term to define significant change.

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청소년이 지각한 긍정적 양육태도가 우울에 미치는 영향에서 삶의 만족도와 신체활동의 매개된 조절효과 (Mediated Moderating Effects of Life Satisfaction and Physical Activity in the Effect of Positive Parenting Attitudes Perceived by Adolescents on Depressed)

  • 이민지;김상우
    • 대한물리치료과학회지
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    • 제31권2호
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    • pp.75-89
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    • 2024
  • Background: The purpose of this study is to examine the mediating effect of life satisfaction and moderating effect of physical activity on the effect of adolescents' perceived positive parenting on depressed. In addition, the present study explores the role of life satisfaction and physical activity in the relationship between adolescents' perceived positive parenting and depressed, which may help in the reduction and control of adolescent depressed. Design: This study utilizes data from the 2021 Korean Children and Youth Panel Survey. Methods: First, positive parenting attitudes have a significant positive effect on life satisfaction. Second, life satisfaction has a significant negative effect on depressed. Third, life satisfaction has a mediating effect on the relationship between positive parenting and depressed. Fourth, physical activity has a significant negative effect on depressed. Fifth, physical activity has a moderating effect on the relationship between life satisfaction and depressed. Finally, this study confirmed the mediating effect of life satisfaction and moderating effect of physical activity on the relationship between positive parenting attitudes and depressed. Conclusion: This study confirmed that life satisfaction and physical activity are positive resources for depressed in adolescents. Therefore, a system that promotes a positive outlook on life and voluntary physical activity is necessary to prevent and overcome depressed. In addition, it shows the need for arts and physical education as well as entrance examination-oriented subjects in the curriculum. The results of this study may provide a basis for the therapeutic approach of mental health physiotherapy in the treatment of adolescent depressed.