• Title/Summary/Keyword: Activity Participation

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Case Report of Physical Therapy Using the PNF Concept in a Patient with Shoulder Impingement Syndrome (어깨 부딪힘 증후군 환자에 대한 PNF 개념을 이용한 물리치료 사례보고)

  • Kim, Jwa-Jun;Shin, Jae-Wook
    • PNF and Movement
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    • v.12 no.3
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    • pp.189-199
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    • 2014
  • Purpose: The objective of this case report is to examine the impact of physical therapy using the proprioceptive neuromuscular facilitation (PNF) concept for a patient with shoulder impingement syndrome. Methods: The patient is a 35-year-old female who has felt pain in the right shoulder for one month. The physical examination evaluated sensory integration, pain, joint integration and mobility, posture, reflex integration, range of motion, muscular strength, analysis of movement, and shoulder function. Comprehensive physical therapy was given to the patient, including stretching, mobilization, strengthening, posture correction, coordination improvement, daily activities, and sports exercises. The therapy was given 5 times a week for the first 5 weeks, then 3 times a week for the next 5 weeks. In all, the intervention lasted for 10 weeks. Results: The patient's senses, posture, and muscular strength all improved to a normal level. The degree of pain fell from 3/10 to 0/10 for activities taking place below shoulder height, and from 8/10 to 1/10 for activities above the head. Additionally, joint integration, motility, range of motion, and movements also improved. The disabilities of the arm, shoulder and hand (DASH) for functional evaluation improved from 27.5 to 10.3. Conclusion: Physical therapy using the PNF concept is effective in improving the body structure, function, activity, and participation of patients with motor disorders of the shoulder impingement syndrome.

The Effects of 'Ice' Project Activities on Young Children's Scientific Abilities, Mathematical Abilities, and Creativity ('얼음' 프로젝트가 유아의 과학적 능력, 수학적 능력, 창의성에 미치는 효과)

  • Yu, Kwangjae;Kim, Jihyun
    • Korean Journal of Childcare and Education
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    • v.17 no.1
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    • pp.41-63
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    • 2021
  • Objective: The purpose of this research was to examine the effects of an 'Ice' project, a topic chosen based on children's interests to discover the improvement of scientific and mathematical abilities, and creativity of four-year-old children. Methods: For this research, 34 four-year-old children from M childcare center were selected. Seventeen children were placed in the experimental group and the remaining 17 children were placed in the comparison group. After the project was completed, to observe the differences between the two groups, the Mann-Whitney U test was conducted. Results: First, the 'Ice' project had an effect on improving children's scientific abilities and its subfactors. Second, the 'Ice' project hadsignificant effects on improving children's algebraic and geometric mathematical skills. Third, excluding the resistance to premature closure among the subfactors of creativity, the 'Ice' project contributed to improve children's creativity and all sub-factors. Conclusion/Implications: The 'Ice' project activities, a subject chosen from the interests of children, led active play participation from children and brought positive effects in immersion of play and activity. Such effects proved to affect children's scientific abilities, mathematical abilities, and creativity, and suggest this research can be used as base line data in follow-up research on various project activities.

Design of Device for Rotator Cuff Training and Its Experimental Validation with sEMG (회전근개 훈련용 기기 설계와 sEMG를 활용한 실험적 검증)

  • Byun, Sangkyu;Kim, Jaehoon;Chung, Jiyong;Kim, Heeyoung;Shin, Sungwook;Lee, Eunghyuk
    • Journal of Korea Multimedia Society
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    • v.24 no.8
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    • pp.1035-1043
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    • 2021
  • The shoulder is less stable than other joints, making it easier to onset of various shoulder disorders. In addition, limited range of motion and pain in the shoulder due to shoulder disorders restricts daily life and social activities. The problem with exercise therapy can be reduced in exercise effect by causing boredom through simple repetition of motion, thus reducing the patient's willingness to participate. Therefore, this paper aims to provide a treatment method that can induce active participation of patients by developing devices capable of passive, active, and resistance exercise and serious game contents using them. Furthermore, sEMG was used to verify whether the rotational exercise in the horizontal and vertical using serious game contents helps the shoulder movement actually. The measured sEMG signal was classified as 5 phases according to the angle of rotation and calculated the mean integrated EMG. The mean integrated EMG for the experimental results was higher in all phases when rotational was performed compared to those when both horizontal and vertical rotational exercise remained initial posture, indicating an increase in muscle activity.

A Review of Domestic Research Trends Related to the International Classification of Functioning, Disability and Health (ICF): 2015-2020

  • Song, Ju-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.3
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    • pp.65-80
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    • 2021
  • PURPOSE: This study was conducted as a literature review to analyze the research trends related to the International Classification of Functioning, Disability and Health (ICF) in Korea from 2015 to 2020. METHODS: Precedent studies were searched with the search term "ICF" or "international classification of functioning, disability and health" from the databases of RISS, KISS, DBpia, and Pubmed. The inclusion criteria are that the studies have been carried out in Korea from 2015 to 2020 using ICF by researchers consisting of one or more Koreans and have been peer-reviewed. RESULTS: Of the total 269 studies, 107 that met the inclusion criteria were analyzed. It was found that these studies were published at a similar frequency each year. The most common area of expertise was identified as the clinical area (n = 67), followed by special education (n = 21) and social welfare (n = 13). The study subject groups were mostly patients (n = 39), disabled people (n = 25), and related experts (n = 13). The most common research topic was functioning evaluation (n = 49) and followed by a literature review (n = 29), and the most frequently used components in all the areas of expertise were activity and participation (n = 98), body function and structure (n = 73), and environmental factors (n = 61). CONCLUSION: For the past six years, domestic ICF-related research has been conducted in a wider range of expertise areas on more subdivised subject groups. Continuous research, development of standardized curricula and contents, and development of coding tools are considered to be important in vitalizing the use of the ICF.

Application and Effectiveness of a Program to Promote Adolescent Musculoskeletal Health: A Pilot Study

  • Min, Deulle;Han, Chang-Sook;Kim, Hyo-Kyung;Kim, Suhee
    • Journal of Korean Public Health Nursing
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    • v.36 no.2
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    • pp.265-281
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    • 2022
  • Purpose: Adolescence is a developmental period characterized by the rapid growth of the musculoskeletal system, which is important for maintaining correct posture. Incorrect posture, lack of exercise, and reduced physical activity can cause spine deformities and affect lifelong health. This study was designed to evaluate the application and effect of a program for improving adolescents' musculoskeletal health. Methods: A quasi-experimental pilot study was conducted with 13 male and 20 female middle and high school students, with an average age of 15.39 years. Their general characteristics and physical measurements were obtained. The program consisted of group exercises (60 minutes, once per week), gait pattern monitoring, and online communication. A paired t-test and Wilcoxon signed-rank test were used to examine the program's effect. Results: Overall posture habits improved, and the total musculoskeletal index decreased; however, these results were not statistically significant. Conclusions: The devised program was effective in improving musculoskeletal imbalance. Therefore, effective programs and health devices should be developed to help adolescents maintain correct posture and encourage and support continuous participation in such programs.

Investigating the Relationship Between Accessibility of Green Space and Adult Obesity Rates: A Secondary Data Analysis in the United States

  • Kim, Junhyoung;Lee, Sujung;Ramos, William
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.3
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    • pp.208-217
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    • 2021
  • Objectives: In spite of the importance of green space for reducing obesity-related problems, there has been little exploration of whether access to green space (e.g., parks and recreational facilities) influences the obesity rate of adults in the United States. The purpose of the study was to investigate the relationships among accessibility of green space, obesity rates, and socioeconomic and demographic variables among adults living in the State of Indiana, United States. Methods: We conducted a secondary data analysis to investigate the relationships among accessibility to green space, obesity rates, and socio-demographic variables with employing Geographic Information System in order to measure the accessibility of green space. Results: This study found that accessibility of green space served as a strong predictor of reduced obesity rates among adults (β=-2.478; p<0.10). In addition, adults with higher education levels, as well as better access to green space, were found to have even lower obesity rates (β=-0.188; p<0.05). Other control variables such as unemployment rates, food security, and physical inactivity are additional factors that influence obesity rates among adults. Conclusions: Accessibility of green space may play an important role in facilitating physical activity participation and reducing obesity rates.

The Function Assumed of the Sports Leisure Industry in the Improvement of Living Standards for Senior Citizens

  • KIM, Ji-Hye
    • The Journal of Industrial Distribution & Business
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    • v.14 no.1
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    • pp.1-11
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    • 2023
  • Purpose: The purpose of the current research is to investigate the contribution of the sports and leisure sector to raising elderly citizens' quality of life. Through this investigation, the sport and leisure sector may give seniors a sense of safety and security by creating a safe atmosphere in which they can engage in activities and feel a part of their communities. Research design, data and methodology: Literature data were extracted from previous studies between the role of the sports leisure sector and living quality for senior citizens using a standardized data extraction form by two independent reviewers after articles have been included in the review. Each study's data extraction includes details on the study's design, exposure, outcome metrics, and findings. Results: Based on the qualitative textual approach, the present author had figured out total four Functions assumed as follows: (A) Physical Activity and Exercise, (B) Socialization and Interaction, (C) Opportunities for Learning and Development, and (4) Emotional Wellbeing. Conclusions: All in all, professionals should try to give elders chances for social interaction and peer participation in order to foster a feeling of community and belonging. This might entail setting up groups or leagues for elders to engage in meaningful social activities, like hiking or sports.

Effects of Proprioceptive Neuromuscular Facilitation on Gait Speed and Lower Extremity Strength for Genu Recurvatum in Patient with Stroke: A Case Report

  • Tae-Woo Kang;Beom-Ryong Kim;Seo-Yoon Park
    • The Journal of Korean Physical Therapy
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    • v.36 no.1
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    • pp.33-38
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    • 2024
  • Purpose: This study investigated the effect of proprioceptive neuromuscular facilitation (PNF) on gait speed in a stroke patient with genu recurvatum. Methods: The subject was a 52-year-old female diagnosed with stroke. Information on health was collected through client Interview based on the International Classification of Functioning, Disability and Health (ICF). The ICF was used to identify connections between functional problems, and for diagnosis, and functional problems were described using ICF terms. For prognostic purposes, comprehensive goals for functional activity and participation level are presented as long- and short-term goals. Intervention was performed using an exercise program composed of techniques and principles based on PNF concepts for 50 minutes a day, 3 times a week, for 6 weeks. Gait speed and lower limb strength before to after intervention differences were used as study outcomes. Results: Clinical advantages were observed in body function (3.6kg increase in knee extension strength, 1.4kg increase in knee flexion strength, 0.9kg increase in hip abduction). Gait speed, which was the patient's primary limitation, was improved by 0.2m/sec. Conclusion: Based on the results of this study, application of the PNF concept would appear to improve gait speed and genu recurvatum in stroke patients.

Mapping between Musculoskeletal Patient-Reported Outcome Measures and KCF: Physical Therapy Perspective (근육뼈대계 환자보고식 결과 측정과 KCF의 연결: 물리치료 중심으로)

  • Ju-Min Song
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.1
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    • pp.143-154
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    • 2024
  • PURPOSE: The present study was conducted to improve the understanding of the Korean Standard Functional, Disability, and Health Classification (KCF) and its ease of use in the clinical domain of the musculoskeletal system by comparing, analyzing, and linking the KCF codes with items from patient-reported outcome measures (PROMs), which are currently mainly used to evaluate patients with neck, shoulder, waist, and knee pain. METHODS: The items of the most widely used PROMs, the Neck Disability Index (NDI), Disabilities of the Arm, Shoulder, and Hand (DASH) scores, Oswestry Disability Index (ODI), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the codes of the KCF were linked by two experts according to the linking rules. RESULTS: The concordance between the items of each of the PROMs and the KCF code linked by the two experts was NDI,86.4%86.4%, DASH 83.3%, ODI 92.0%, and WOMAC 80.7%. The NDI, DASH, and WOMAC indexes were found to comprise items corresponding to physical function, activity, and participation areas, and were linked to 22, 43, and 31 KCF codes, respectively. In addition to these two areas, the ODI included items related to environmental factors and was linked to 25 codes (duplicated codes are treated as one). CONCLUSION: This research can be used by adding the KCF code to the questions of the currently used evaluation tool. This coding can be easily applied and will contribute to the easy understanding of the KCF.

Research on Transportation of Personnel and Equipment for Verification of Nuclear Activities on the Korean Peninsula (한반도 원자력 활동 현장 검증을 위한 인력 및 장비 운반에 관한 연구)

  • Ji-Young Han;Su-Hui Park;Je-Wan Park;Yong-Min Kim
    • Journal of Radiation Industry
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    • v.17 no.4
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    • pp.481-487
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    • 2023
  • After conducting a hydrogen bomb test and launching an intercontinental ballistic missile (ICBM) in 2017, The Democratic People's Republic of Korea (North Korea, D.P.R.K.) declared the completion of its national nuclear capabilities. Currently, North Korea is refusing all nuclear inspections, but the possibility of nuclear inspections and the denuclearization process on the Korean Peninsula still exists. The Republic of Korea (South Korea, Rep. of Korea) has numerous reasons as a neighboring country to participate in North Korea's nuclear inspections and denuclearization, including technological capabilities, geographical proximity, and linguistic benefits. This study assumes nuclear inspections and verification within North Korea and aims to propose scenarios for the transportation and operation of personnel and equipment. The data and results compiled through this research are anticipated to serve as foundational information for future inspections and verifications on the Korean Peninsula. Furthermore, it is assessed that they could contribute to the development of strategies in preparation for participation in denuclearization efforts.