Objective : The purpose of this study was to compare clinical and radiological outcomes of percutaneous endoscopic lumbar discectomy (PELD) and open lumbar microdiscectomy (OLM) for recurrent disc herniation. Methods : Fifty-four patients, who underwent surgery, either PELD (25 patients) or repeated OLM (29 patients), due to recurrent disc herniation at L4-5 level, were divided into two groups according to the surgical methods. Excluded were patients with sequestrated disc, calcified disc, severe neurological deficit, or instability. Clinical outcomes were assessed using Visual Analogue Scale (VAS) score and Oswestry Disability Index (ODI). Radiological variables were assessed using plain radiography and/or magnetic resonance imaging. Results : Mean operating time and hospital stay were significantly shorter in PELD group (45.8 minutes and 0.9 day, respectively) than OLM group (73.8 minutes and 3.8 days, respectively) (p < 0.001). Complications occurred in 4% in PELD group and 10.3% in OLM group in the perioperative period. At a mean follow-up duration of 34.2 months, the mean improvements of back pain, leg pain, and functional improvement were 4.0, 5.5, and 40.9% for PELD group and 2.3, 5.1, and 45.0% for OLM group, respectively. Second recurrence occurred in 4% after PELD and 10.3% after OLM. Disc height did not change after PELD, but significantly decreased after OLM (p = 0.0001). Neither sagittal rotation angle nor volume of multifidus muscle changed significantly in both groups. Conclusion : Both PELD and repeated OLM showed favorable outcomes for recurrent disc herniation, but PELD had advantages in terms of shorter operating time, hospital stay, and disc height preservation.
Kim, Mi-Yeon;Han, Seo-Young;Jeong, Jeong-Hee;Kim, Sung-Hee;Lee, Jin-Kyoung;Park, Eun-Suk;Zhang, Xian-Hua;Seo, Jung-Sook
Korean Journal of Community Nutrition
/
v.14
no.2
/
pp.168-174
/
2009
This study was conducted to investigate the effectiveness of a nutrition and exercise education program on weight control of adult women. The subjects of this study were 28 adult women aged 20-59 years residing in the Daegu area. The nutrition-exercise educational period was 12 weeks. The collected data consisted of items on general characteristics, anthropometric data, blood biochemical values, physical strength data, dietary behavior and nutrition knowledge scores of the subjects. During the 12 weeks of weight control, body mass index(BMI), % of body fat, body fat mass and waist-hip ratio significantly decreased. The level of plasma triglyceride decreased, but not significantly. The level of total cholesterol did not change compared to baseline before the program. After the weight control program, back muscle strength, sit-ups, push-ups, and sit-and-reach tests of the subjects significantly improved. The nutrition knowledge scores of the subjects significantly increased. Therefore, these results suggest that the nutrition-exercise education program may contribute effectively to weight reduction with improvement of physical strength in adult women.
Journal of the Korean Society of Clothing and Textiles
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v.21
no.2
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pp.286-291
/
1997
The purpose of this study is to examine the effect of clothing habits wearing cool or warm in daily life on motor ability. A group of ten healthy young females were divided into a cold (C) group and a warm (W) group. From autumn to winter, C group was advised to wear cool clothing, and W group, warm Clothing. The subject's physical fitness were tested in October, initial stage of the clothing training and March of the following year, final stage of the training. The measurements were taken after the subjects rested in a thermoneutral room conditioned at 23$\pm$2$^{\circ}C$ over 1 hour. The test items were weight, skinfold thickness, grip strength (right, left), back-lift strength, vertical jump, sit-ups, Irosmax, side step test, single-foot standing test with eyes closed, and standing trunk flexion. Changes in motor ability of each group between initial stage and final stage of the training were compared. 1. Muscle strength, part of the motor revelation capacity, showed no significant change in the both ,Troops. On the other hand, strength and power showed a decrease in the both groups and C group showed a sharp decrease. 2. Muscular endurance and cardio-pulmonary fitness, part of the motor continuation capacity, were increased after the training and the degree of increase was great in C group. 3. C group showed significant increase in motor coordination capacity including agility, balance, and flexibility after the training, while Wgroup showed significant increases only in balance. 4. Weight and skinfold thickness as a part of the physique showed no significant change.
During the middle age of a woman's life cycle. several health changes and problems occur. Therefore. middle aged women must manage their health and maintain quality life by coping with bodily changes. However. today there is not enough research and health programs for middle aged women. Data from the study will be used for health promotion program development of middle aged women. Data was collected from January 21 to 24. 1995 by telephone interview. Four hundred middle aged women between 40 and 59 years old and living in Chon Ju City were interviewed. The results of this study were as follow: 1. Frequency rate of menopausal symptoms was 38.4%. The most serious menopausal symptom was psychosomatic symptom. Mean score orders of experienced symptoms were back pain, joint pain(1.80). nervousness(1.80). general weakness(1.67). 2. The most important problems as perceived by the clients were children(45.8%), health (24.0%) and economics(7.8%). The most serious health problems were concerning the muscle-skeletal system(45%) such as arthritis. spinal disk problems and osteoporosis. Adult diseases04.S%) such .as hypertension and diabetes were also health concerns. Health management activities reported were exercise(22.5%), social activity02%) and inactivity(53%)' 33% of clients were interested in health groups and they wanted a program of health education, exercise and social activity to be provided. 3. General characteristic variables were significantly related to the level of menopausal symptoms as follows: age(t=-2.06, p=0.040), status of marriage(t=-3.56, p=0.000), educational level (F=4.35. p=0.05) and menopausal status(t=4.37, p=0.000).
Journal of International Academy of Physical Therapy Research
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v.2
no.2
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pp.288-293
/
2011
The purpose of this study is to examine the effects of gait training using functional electrical stimulation on the improvement of hemiplegic patients' functions for balance and gait velocity. The subjects of the experiment were determined to be 10 each hemiplegic patients who had been diagnosed with stroke or brain damage six months or longer earlier assigned to an experimental group and a control group respectively. The subjects were evaluated before the experiment using Tetrax and 10M gait tests, received gait training five times a week for four weeks using functional electrical stimulation and were evaluated after the experiment in the same method as used in the evaluation before the experiment. In order to examine differences between the experimental group that received gait training using functional electrical stimulation and the control group that was treated by functional electrical stimulation and received gait training thereafter, differences between before and after the experiment were analyzed using paired sample t-tests and differences in changes after the experiment between the experimental group and the control group were analyzed using independent sample t-tests in order to compare the two groups with each other. Experimental results showed significant differences in weight bearing, balance and gait velocity between before and after the experiment in the experimental group(p<.05). In the control group, whereas weight bearing and gait velocity did not show any significant difference between before and after the experiment(p>.05), balance showed significant differences(p<.05). Weight bearing, balance and gait velocity change rates showed significant differences between the experimental group and the control group(p<.05). In conclusion, it was indicated that gait training using functional electrical stimulation is effective for enhancing stroke patients' weight bearing rates, balance abilities and gait velocity.
Purpose: The study aimed to apply Tai Chi exercise to patients with coronary artery disease for 6 months, and to examine changes on body composition, physical strength, and cardiovascular risks. Methods: Applying a quasi experimental design with a nonequivalent control group, 90 subjects with cardiovascular disease were recruited at C university hospital. For 6 months, 44 subjects performed Tai Chi exercise once a week and daily home exercise, while 46 subjects did not. Body composition was assessed by body mass index, % body fat, and waist-hip ratio; physical strength by balance, mobility, flexibility, grip strength, and back muscle strength; and cardiovascular risk checklist for fixed and modifiable risk factors. Data were analyzed by SPSS/WIN program with ANCOVA to consider group differences at the pretest. Results: The subjects were 66 years old in average. In 6 months, Tai Chi group improved significantly in balance, mobility, and flexibility with decreased modifiable cardiovascular risks after adjusting for the pretest scores. Conclusion: Tai Chi exercise was safely applicable to individuals with coronary artery disease, and effective in some measures of physical strength and modifiable cardiovascular risks. It could be an alternative exercise for outpatient cardiac rehabilitation program in this population.
Kim, Hyo-Uen;Choi, Bo-Ram;Kim, Su-Jung;Lee, Won-Hwee;Kwon, Oh-Yun
Physical Therapy Korea
/
v.19
no.1
/
pp.19-27
/
2012
The purpose of this study was to determine the effect of contralateral hip adduction (CHA) on thickness of lumbar stabilizers during hip abduction in side-lying. Twenty healthy subjects without back pain were recruited for this study. The thickness of transverse abdominis (TrA), internal oblique (IO) and quadratus lumborum (QL) were measured by ultrasonography. Pelvic lateral tilting motion was measured using a three-dimensional motion analysis system. Measurements were performed at rest position (RP), $35^{\circ}$preferred hip abduction (PHA) and $35^{\circ}$abduction with $10^{\circ}$contralateral hip adduction (CHA) in side-lying at the end of expiration. During the measurements, subjects were asked to maintain steady trunk alignment without hand support. Thickness of TrA and IO was significantly greater in CHA than in PHA and RP conditions. There was no significant difference in thickness of TrA and IO between PHA and RP conditions. Medio-lateral (M-L) thickness of QL was not significant between PHA and CHA conditions. Anterio-posterior (A-P) thickness of QL in PHA and CHA significantly decreased compared to RP condition. Angle of pelvic lateral tilting was significantly decreased in CHA compared to PHA condition. In conclusion, CHA can be recommended for increasing trunk stability without compensatory pelvic motion during hip abduction exercise in side-lying.
The purpose of this study is to develop an aesthetic and functional bicycle wear for new senior women in their 50s and 60s. Based on the results of the survey, we developed bicycle wear that is friendly to bicycling posture and reflects the preference of new senior women. The results are as followed: First, emphasis is placed on the simple and functional design of the experimental wear consisting of jacket and pants. Jacket is different from the color scheme with the armhole princess line in order for the waistline to look slim. Pants are designed to hold the leg muscles tightly in order to help reduce the muscle fatigue on the bicycle ride. Second, cutting lines and coloring materials are used for the wearer to look slim and the safety of the wearer is planned to secure by inserting the reflective material along the cutting lines on the bicycle ride. Third, the pattern of the experimental wear is designed in consideration of the riding motion of the bicycle. Jacket is designed to have back length longer than front length as compared to the bicycle wears available on the market. Sewing lines in the armpit are designed to be eliminated in order to move the arms smoothly on the ride. Pants are designed to minimize the seam line in consideration of the movement of muscles and ligaments and the experimental wear is produced by combining the material with the functions of cool comfort and stretch.
The silver generation have clothing style of optimal daily life comparing than young generation because they do not participate a specific sport event but daily- life exercise. As the human body ages, the figure of the silver generation shows different body shape because upper body changes to curved figure including the belly and waist part. Therefore, clothing characteristics for the silver generation should be considered with proper function, design and textiles to optimize body movement. This study investigated various exercise types according to motion analysis of the silver generation in order to develop the design of the active T-shirts reflecting the structural properties and providing the optimum exercise circumstance. The results to consider design needs are as followed; As the T-shirts design for the flexible exercise which required frequent movement of upper body such as bending and waist twisting during body stretching, a stretch fabric applied to the waist part considering T-shirts allowance and length to make extreme elongation and support for well-fitting appearance of the T-shirts. As the T-shirts design for the instantaneous reactionary exercise, high elastic four-way stretch fabric is applied to the part of arm hole to optimize skeletal and muscle movement for entire body and arm work. As the T-shirts design for the endurance exercise such as climbing, cycling, and walking, the shoulder line of the back part has cutting line allowance to make optimum movement of the upper body but no change of the waist part.
The purpose of this study was to explore the effects of GEAP on pain, joint function, activities of daily living(ADL) and fatigue in chronic arthritis patients. The GEAP was held twice a week for 6 weeks for chronic arthritis patients at one university hospital in Seoul, Korea. Thirty four subjects completed the program, who were recruited at four times from September, 1999 to September, 2000. The effect of GEAP were evaluated as follows: Pain severity and number of painful joints ADL, fatigue were measured before and after the GEAP. In order to examine the joint flexibility and strengthening, the followings were measured: the extent of the upward arm reach in both sides(flexibility of shoulder), the ability to touch fingertips of the both hands in back pat and rub(flexibility of arm), the degree of range of motion (ROM) of both ankles in their dorsiflexion(flexibility of ankle) and plantarflexion with standing with toe(strengthening of ankle), and the degree of knee extension, and the grip strength. Paired t-test and Wilcoxon signed rank test were used for data analysis and the significance of the differences in the variables was examined to compare the data obtained before and after the GEAP. After the GEAP, followings were found: 1. Pain severity and number of painful joints was significantly decreased. 2. The flexibility of both shoulders and arms, knee, both ankle were significantly improved. 3. The strengthening of both arms was significantly improved, but the strengthening of ankle was not changed. 4. ADL was significantly increased. 5. Fatigue was significantly decreased. In conclusion, GEAP used in this study was clearly proved to be an effective exercise program to reduce pain and fatigue, to enhance joint function and ADL in people with chronic arthritis. It is suggested that the GEAP should be recommended as one of the useful and appropriate nursing interventions for chronic arthritis patients.
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