• 제목/요약/키워드: 4-week recovery test

검색결과 78건 처리시간 0.024초

냉부하검사(CST)를 활용한 수부냉증의 침치료 효과에 대한 예비 연구 (Effects of Acupuncture on patients with cold hypersensitivity by Cold Stress Test : pilot study)

  • 황덕상;조정훈;이창훈;장준복;김용석;이경섭;이윤재
    • 대한한방체열의학회지
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    • 제5권1호
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    • pp.69-77
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    • 2006
  • Purpose : There are many patients with cold hypersensitivity who want oriental medicine treatment. But there has been no study of acupucture treatment effect on patients. So we examined effects of acupuncture treatment at different acupuncture points and compared results of 1st cold stress test and 2nd cold stress test. Method : 8 patients with hand cold hypersensitivity applied for this study. To rule out an bias, we excluded the patients with skin diseases, spinal nerve disease of cervial spine, external wounds. We measured body temperature with D.I.T.I. We performed cold stress test(CST) by 6 thermographic observation using D.I.T.I ; the 1st was taken after 15 minutes-resting, the 2nd was immediately taken after 1 minute soak in $20^{\circ}C$ water, the 3rd was taken at 10 minutes after the soak, and after a week, the 4th was taken after 15 minutes resting, the 5th was immediately taken after 1 minute soak in $20^{\circ}C$ water, the 6th was taken after 10 minutes with acupunture treatment. There were two groups of patients. First group was acupuncture that performed acupuncture therapy on distal points. Second group was acupuncture that performed acupuncture therapy on proximal points. We compared first CST and second CST recovery rate result. Results : The recovery rate at distal points acupuncture therapy was higher than before of that. but not significantly different. The recovery rate at proximal points acupuncture therapy was significantly higher than before of that. The recovery rate of both the back, the palms, all fingers of after proximal acupuncture therapy was significantly higher than before of that. Conclusions : Acupuncture could be effective therapy method on cold hypersensitivity, especially using proximal acupuncture points could be good at cold hypersensitivity patients. This was pilot study of very small samples, results had limitations. For further results more examine would be needed.

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운전시뮬레이터 훈련이 시 지각 및 운전 반응 속도에 미치는 효과 (The Effects of Driving Rehabilitation Functional Training on Visual Perception and Driving Reaction Velocity)

  • 이정숙;김성원
    • 대한통합의학회지
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    • 제5권4호
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    • pp.77-81
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    • 2017
  • Purpose : This study examined the effects of driving rehabilitation functional training on visual perception ability and driving reaction velocity. Those subjects were put under MVPT-3 test to see their visual perceptual functions before and after the 4weeks' driving rehabilitation function training and then put to TMT A-type test to see their driving reaction velocity performance. The followings are the results of this study. Methods : Using a driving simulator, driving rehabilitation functional training was performed targeting men and women aged in 20s 20 minutes per time, two times per week, for a month. Results : As for the change in visual perception, the Raw Score of MVPT-3 very significantly increased (p<.01), and the Standard Score also very significantly increased (p<.01). As for the change in reaction velocity, TMT A-type very significantly decreased (p<.01), and TMT B-type also very significantly decreased (p<.01). Conclusion : It could be found that driving rehabilitation functional training should be effective for both visual perception and reaction velocity. Consequently, the driving rehabilitation function training can be applied to clinics as training method for functional recovery and improvement of visual perceptual functions and driving reaction velocity performance ability of the patients. Thus, various functional programs should be studied in the future.

장기간의 계단운동 훈련이 심폐기능과 혈액화학상에 미치는 영향 (Effect of Long-term Step Exercise on the Cardiopulmonary Function and Blood Constituents)

  • 황상익;최명애;고창순
    • The Korean Journal of Physiology
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    • 제21권2호
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    • pp.305-311
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    • 1987
  • To evaluate training effect, the step exercise was loaded to three mem for nine weeks. Step score, cardiopulmonary functions and blood constituents were measured before, during and after the test exercise (50 cm-step exercise and treadmill running), and were compared with the pre-tranining values. The results were as follows: 1) By the training, Harvard step score increased remarkably, expecially in the early stage of training. 2) The post-training values of maximal oxygen uptake increased very significantly and it seemed to be due to increases of stroke volume and tissue oxygen extraction. 3) After the training, the degree of increase in expired volume was small during the treadmill exercise. 4) By the training, increasing rate of respiratory quotient lessened during the exercise and it was considered to be caused by the decreases of carbohydrate consumption and anaerobic metabolism. 5) The blood cholesterol concentrations were harldy changed with this degree of training. 6) The blood lactate level decreased during the recovery periods and the values of the recovery 0 and 5 minutes decreased remarkably, in comparison with the pre-trained values. The above results suggest that the 9 week-training of the step exercise brings about the enhancement of circulatory functions and tissue oxygen utilization, and changes of food-stuffs used during the exercise.

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임신 중 만성스트레스가 생후 4주 유서(幼鼠)의 피부장벽에 미치는 영향 (The Effect of Stress During Pregnancy on the Skin Barrier of Mice Four Weeks After Birth)

  • 차재훈;김윤범
    • 대한한의학회지
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    • 제30권1호
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    • pp.83-94
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    • 2009
  • Background and Objectives: The skin barrier protects skin against a harmful environment. Its function includes an antimicrobial barrier as well as a physical barrier. Stress is harmful to the skin barrier and there are many studies on this, but there are few about the effect of stress during pregnancy on the skin barrier of offspring. The aim of this study was to investigate the effect of stress during pregnancy on the skin barrier of offspring by examination with the naked eye, cortisol, weight, TEWL and histologic tests. Materials and Methods: Male hairless mice ten weeks old were coupled with females for three days. After twelve days the females were divided into two groups. We stressed one group and not the other group. The offspring from the non-stressed (N group) and stressed (S group) grew up until four weeks. The S group was exposed to chronic mild stress using the chronic stress model protocol modified method of Wilner and Towell for a week. We made examinations with the naked eye, assessment of cortisol, weight, TEWL, and histologic test to contrast the S group with the N group. Statistical analysis was performed by using Mann-Whitney and Friedman test. Statistical significance was achieved if the probability was less than 5% (p<0.05). Results: 1. By making an examination with the naked eye, S group showed papules, creases and dryness on their skin, but N showed no change compared with normal skin. 2. There was no statistically significant difference between S group and N group in cortisol (p>0.05). 3. There was no statistically significant difference between S group and N group in weight. N group had less weight than S group (p<0.05). 4. There was no statistically significant difference between S group and N group in TEWL (p>0.05). 5. There was no statistically significant difference between S group and N group in TEWL recovery (p>0.05). 6. In TEWL and TEWL recovery, there was statistically significant difference by time between S group and N group (p<0.005). Histologically, S group showed a thicker epidermis and epidermal crest than N group. Conclusions: We found that stress during pregnancy has negative effects on the skin barrier of offspring. Though there were no statistically significant differences between S group and N group in TEWL recovery, we found evidence that the recovery of skin barrier function is interrupted by stress during pregnancy by examination with both the naked eye and histology.

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상상훈련이 뇌졸중 환자의 보행 및 삶의 질에 미치는 영향 (The Effect of Mental Practice on Gait and Quality of Life in Stroke Patients)

  • 김진섭
    • 디지털융복합연구
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    • 제10권4호
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    • pp.271-277
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    • 2012
  • 본 연구는 상상연습 훈련이 뇌졸중 환자의 보행과 삶의 질에 미치는 영향을 평가하였다. 본 연구 참여자는 실험군 10명과 대조군 10명으로 무작위 추첨으로 배정되었다. 두 그룹 모두 중추신경계 발달치료를 1회당 1시간씩 주당 6회, 6주간 훈련을 받았다. 실험군은 상상연습 훈련을 6주 동안 1회당 10분씩 주당 3회를 추가하여 훈련을 받았다. 본 연구에서는 시공간적인 보행지수, 10m 보행 검사, 삶의 질을 평가하였다. 상상연습 훈련 후 뇌졸중 환자의 보행 능력을 평가한 결과 보행속도, 활보장, 두발지지기, 한발지지기, 10m 보행 검사에서 유의하게 향상되었다. 뇌졸중 영향 척도를 통하여 삶의 질을 평가한 결과 근력, 사회참여, 뇌졸중회복 항목에서 유의한 향상을 보였다. 본 연구 결과를 바탕으로 상상연습훈련은 뇌졸중 환자의 보행 능력과 삶의 질을 향상하는데 효과가 있음을 확인하였다. 따라서 상상연습훈련을 이용한 보행훈련은 뇌졸중으로 인한 편마비 환자들에게 유용한 훈련으로 제안할 수 있을 것이다.

복직근 기능적 마사지가 만성 목통증 환자의 머리전방자세와 통증에 미치는 영향 (The Effect of Rectus Abdominis Functional Massage on Forward head posture and Pain in Patients with Chronic Neck Pain)

  • 이재남;정상모;전재형
    • 대한정형도수물리치료학회지
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    • 제24권1호
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    • pp.15-21
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    • 2018
  • Background: The purpose of this study was to determine the effects of cervical deep muscle flexion exercise (CCFE) on craniovertebral angle, pain, and neck disability for patients with chronic neck pain Methods: The subjects of this study were randomly divided into three groups of 30 patients with chronic neck pain: rectus abodominis functional massage (n=10), cervical deep muscle flexion exercises group (n=10), and the control group(n=10). To assess visual analog scale (VAS) was used to test the neck pain, To assess neck posture was used to craniovertebral angle, VAS was used to test the neck pain, neck disability index (NDI) was used to test the neck dysfunction. All measurements were performed before and after each intervention was applied 3 times a week for 4 weeks. Results: In the results of all measurements, 2 groups except for the control group showed a significant change in the recovery of posture, neck pain, neck disability index (p<.05). Conclusions: Our results of this study showed that applying cervical deep muscle flexion exercise and rectus abodominis functional massage to patients with chronic neck pain improved cervical posture, neck pain, neck disability.

장기간의 신체 단련에 따른 체지방, 심폐기능 및 혈액화학상의 변화 (Changes of Body Fat Contents, Cardiopulmonary Functions and Some Blood Constituents by Long-Term Physical Training)

  • 황상익
    • The Korean Journal of Physiology
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    • 제20권2호
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    • pp.279-288
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    • 1986
  • 줄넘기 운동의 신체 단련 효과를 측정하기 위하여 사병 9명에게 9주동안 규칙적으로 줄넘기 운동을 시킨 후 체격, 심폐기능, 혈액화학적인 변화를 관찰, 단련전과 비교하여 다음과 같은 결과를 얻었다. 효과를 검사하기 위해 부하한 운동은 트레드밀 달리기 운동이었다. 1) 단련에 의해 몸무게, 체표넓이, 피부두겹두께 및 총지방량이 유의하게 감소하였다. 2) 안정시 폐기능검사 값 중 최대환기능과 노력성 호기유속 25%가 단련후에 유의하게 증가하였다. 3) 심장박동수는 단련에 의해 안정시와 운동시, 회복기 전 시간대를 통해 매우 유의하게 증가하였다. 4) 단련으로 수축기 동맥혈압은 안정시와 회복기 전 시간대에서 거의 유의하게 감소한 반면, 이완기 동맥혈압은 회복기 전체를 통해 유의하게 증가하였다. 5) 안정시와회복기의 호흡회수는 단련에 의해 변화가 없었다. 6) 안정시와 회복 초기의 혈중 총 콜레스테롤 농도는 단련 후에 유의하게 감소하였지만 혈당, HDL-콜레스테롤 농도는 약간의감소에 그쳤다. 7) 단련전에 비해 단련후의 혈중 젖산 농도는 회복기에 대체로 감소하엿고 20분과 60분 값의 감소는 뚜렷하였다. 이상의 결과로 보아 9주 동안의 규칙적인 줄넘기 운동으로 체내 지방이 감소하고 순환기계 기능에 뚜렷한 향상을 가져오며 혈액화학적인 변화가 생긴다고 할 수 있겠다.

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요부 안정화 운동이 요통환자의 기능회복과 가동범위에 미치는 영향 (The Effects of Lumbar Stabilizing Exercise on the Functional Recovery and the Range of Motion of Low Back Pain Patients)

  • 정연우;배성수
    • The Journal of Korean Physical Therapy
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    • 제16권1호
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    • pp.157-182
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    • 2004
  • The purpose of this study was to evaluate effects of lumbar stabilizing exercise on the functional recovery and the range of motion of low back pain patients. The subjects were consisted of sixty patients who had non specific chronic low back pain(32 females. 28 males; mean aged 37.3) from 19 to 65 years of age(mean age : 37.3). All subjects randomly assigned to the lumbar stabilizing exercise group, the modalities treatment group, the manual treatment group. Lumbar stabilizing exercise group received manual treatment with lumbar stabilizing exercise for 30minutes, modalities treatment group received hot pack used thermal therapy for 20minutes and ICT used electrical therapy for 20minutes and US or MWD used deep thermal therapy for 15minutes, manual treatment group received modalities treatment with therapeutic massage for 10minutes and joint mobilization or manipulation for 10minutes per day and three times a week during 4 weeks period. The Multilevel Roland-Morris Disability Questionnaire(MR-MDQ) was used to measure functional disability level. Visual Analogue Scale(VAS) was used to measure subjective pain level. Remodified Schober test(RST) was used to measure forward flexion range of motion of lumbar segment. Finger-to-Floor test(F-T-FT) was used to measure forward flexion range of motion of full spine of low back pain patients. All measurements of each patients were measured at pre-treatment and 4 week post-treatment. The results of this study were summarized as follows : 1. The MR-MDQ of lumbar stabilizing exercise group, modalities treatment group, and manual treatment group was significantly reduced between pre-treatment and post-treatment(p<.05). 2. The VAS of lumbar stabilizing exercise group, modalities treatment group, and manual treatment group was significantly reduced between pre-treatment and post-treatment(p<.05). 3. The RST of lumbar stabilizing exercise group, modalities treatment group, and manual treatment group was significantly reduced between pre-treatment and post-treatment(p<.05). 4. The F-T-FT of lumbar stabilizing exercise group, modalities treatment group, and manual treatment group was significantly reduced between pre-treatment and post-treatment(p<.05). 5. The results of analyzed effects of MR-MDQ, RST, F-T-FT were significantly reduced (p<.05), but VAS wasn't significantly reduced(p>.05) between treatment type of lumbar stabilizing exercise group and modalities treatment group and manual treatment group according to pre-treatment and post-treatment. 6. The results of LSD post-hoc to find difference between treatment type of lumbar stabilizing exercise group and modalities treatment group and manual treatment group according to pre-treatment and post-treatment that MR-MDQ was significantly reduced stabilizing exercise group than modalities treatment group(p<.05), and VAS wasn't significantly reduced all treatment group(p>.05), and RST was significantly reduced stabilizing exercise group than modalities treatment group(p<.05), and F-T-FT was significantly reduced stabilizing exercise group than modalities treatment group and manual treatment group (p<.05).

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수면 부족과 과도한 주간졸림증의 관련성 (Relationship between Sleep Insufficiency and Excessive Daytime Sleepiness)

  • 최윤경;이헌정;서광윤;김린
    • 수면정신생리
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    • 제10권2호
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    • pp.93-99
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    • 2003
  • 목 적:수면 결핍과 과도한 주간졸림증은 교통사고와 산업재해, 생산성 저하, 학습장애, 대인관계 문제 등의 심각한 결과를 초래할 수 있다. 이러한 부정적인 영향에도 불구하고, 수면 부족과 주간졸림증에 관한 역학 연구는 거의 없는 실정이다. 본 연구에서는 얼마나 많은 사람들이 수면 결핍을 경험하고 있는지, 주말에 얼마나 많은 회복 수면이 일어나는지, 그리고 회복 수면량과 주간졸림증 간의 관련성에 대해 알아보고자 하였다. 방 법:164명(남 65명, 여 99명)의 지원자가 광고를 통해 모집되었으며, 이들은 서울에 거주하는 20세 이상의 직장인 및 대학생으로, 평균 연령은 남자 $33.4{\pm}11.64$세, 여자 $31.9{\pm}9.68$세이었다. 본 연구의 배제 대상은 60세 이상, 불면증이나 주간졸림증을 유발할 수 있는 의학적, 신경학적, 정신과적 장애와 수면장애가 있는 사람, 수면 스케줄이 불규칙한 사람, 최근 해외여행을 다녀온 사람, 출퇴근을 하지 않거나 교대근무자이었다. 연구 참여자들은 2주일간 매일 아침 수면일지를 작성하였고, 둘째 주 마지막 날 정오 무렵에 Epworth Sleepiness Scale(ESS)를 작성하였다. 모든 분석은 SPSS/PC+를 사용하였으며 t 검증, 카이제곱 검증, 또는 변량분석을 시행하였다. 결 과:본 연구의 결과는 참여자들이 평일에는 6시50분, 토요일에는 7시9분, 그리고 휴일을 포함한 일요일에는 8시 12분에 잠에서 깨었으며, 일요일에는 평일이나 토요일에 비해 더 빈번하게, 그리고 더 오랫동안 낮잠을 잔다는 사실을 보여주었다. 평일에는 야간 수면시간이 평균적으로 6시간 30분인데 비해, 주말에는 약 1시간이나 더 늦잠을 자는 경향이 있었다. 평일에 8시간 이상 수면을 취하는 사람은 연구대상의 9.1%에 불과하였고, 약 67%는 7시간보다 적게 잠을 잤으며, 49.4%는 일요일에 1시간 이상의 회복 수면을 보고하였다. 일요일에 회복수면이 2시간 이상인 사람들은 30분 이하인 사람들보다 유의하게 더 많은 주간졸림증을 호소하였다. 결 론:이러한 결과는 수면 결핍과 과도한 주간졸림이 한국 도시 성인에서 비교적 흔하며 평일에 수면이 불충분한 사람들은 일요일에 늦잠이나 낮잠을 잠으로써 수면 부족을 보충하려고 시도한다는 사실을 보여준다. 회복 수면량은 주간졸림증과 관련이 있으며, 수면 결핍은 축적된 효과를 가지고 낮시간의 졸리움을 증가시키는 것처럼 보인다.

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아급성기 뇌졸중 환자에서의 로봇 보조 보행훈련 효과 (Effects of Robot-assisted Therapy on Lower Limb in Patients with Subacute Stroke)

  • 김지희
    • 한국산학기술학회논문지
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    • 제17권7호
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    • pp.459-466
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    • 2016
  • 본 연구는 아급성기 뇌졸중 환자에서 로봇 보조치료법이 운동능력 및 기능적인 회복에 미치는 효과를 알아보고자 하였다. 환자 53명이 연구에 참여하였다. 로봇보조 보행치료군은 고식적인 치료에 추가로 Lokomat$^{(R)}$ 이용하여 하루에 삼십분씩, 일주일에 5회, 4주 동안 시행하였으며, 대조군은 고식적인 치료에 추가로 하루에 삼십분씩 고식적인 치료를 시행 받았다. 모든 환자들은 임상지표의 비교를 위해, 치료 전과 4주간의 치료 후 Fugl-Meyer assessment, Motricity index, functional ambulation category, Berg balance scale, 10m 보행검사, 한국판 수정 바델지수, 한국판 간이 정신 상태검사와 벡 우울증 척도를 평가 받았다. 환자들은 기능회복과 체성 감각 유발전위 검사 결과의 관계를 알아보기 위해 유발 전위 검사를 시행하였다. 아급성기 뇌졸중 환자에서 로봇 보조 보행치료군에서 대조군에 비해 하지의 운동기능, 보행 능력, 일상생활능력의 유의한 호전이 나타났다. 체성 감각 유발 전위 검사의 결과는 임상 지표들의 관련성 분석에서 Motricity index와 한국판 수정 바델지수와 관련이 있는 것으로 나타나 아급성기 뇌졸중 환자의 기능을 예측하는데 유용할 것으로 생각된다. 로봇 보조 보행치료는 아급성기 뇌졸중 환자의 운동기능과 보행기능의 회복을 촉진하는 것으로 생각된다.