• Title/Summary/Keyword: Cardiac Rehabilitation

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The Influence of Psoas Muscle Contracture on Autonomic Nervous System Activity (요근 긴장이 자율신경계 활성도 변화에 미치는 영향)

  • Lee, Jung-Ho;Kim, Ho-Jun;Lee, Myeong-Jong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.3 no.1
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    • pp.73-82
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    • 2008
  • Objectives : This study was performed to examine the hypothesis that the structural imbalance affect cardiac function and autonomic reflex system and to investigate the possibility of the chiropractic care for cardiovascular system. Methods : 78 of Dong-Guk University students with structural imbalance were recruited for the investigation from March to June 2007. Heart rate variability, Buss and Durkee Hostility inventory(BDHI) and physical examinations to evaluate psoas muscle contracture were performed. Results : Left psoas muscle contracture was associated with decrease of LF/HF ratio(p=0.048). Conclusion : Left side contracture of psoas muscle showed a tendency to decrease sympathetic activity.

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EXercise Prescription of A.M.I. Recovery stage (심근경색 회복기의 운동처방)

  • Lim, Sung-Soo
    • Journal of Korean Physical Therapy Science
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    • v.5 no.4
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    • pp.751-761
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    • 1998
  • The A.M.I(acute myocardiac Infarction) treated in Rehabilitation programs May be divided Into three general types, 1. mechanlcal derangement. 2. Increased resistance to blood flow. 3. decreased Energy production. in each case the heart Will be Limited in its ability to respond. to the demands of metabolic activites. cardiac rehabilitation programs following myocardiac infarction are of two general types:acute and delayed. There are fundamental differences in the philosophies, pathophilogical concepts, and psycosocial values in the two approach. both programs asplre to protect the patient through the period of Maximal risk and then safely restore him to a near normal home life and appropriate vocatlonal activity. Both programs assume that physical activity and emotional stress. increase the work of the heart and with it increase the likefood of venticular fibillation

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Cardiac function associated with home ventilator care in Duchenne muscular dystrophy

  • Lee, Sangheun;Lee, Heeyoung;Eun, Lucy Youngmin;Gang, Seung Woong
    • Clinical and Experimental Pediatrics
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    • v.61 no.2
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    • pp.59-63
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    • 2018
  • Purpose: Cardiomyopathy is becoming the leading cause of death in patients with Duchenne muscular dystrophy because mechanically assisted lung ventilation and assisted coughing have helped resolve respiratory complications. To clarify cardiopulmonary function, we compared cardiac function between the home ventilator-assisted and non-ventilator-assisted groups. Methods: We retrospectively reviewed patients with Duchenne muscular dystrophy from January 2010 to March 2016 at Gangnam Severance Hospital. Demographic characteristics, pulmonary function, and echocardiography data were investigated. Results: Fifty-four patients with Duchenne muscular dystrophy were divided into 2 groups: home ventilator-assisted and non-ventilator-assisted. The patients in the home ventilator group were older ($16.25{\pm}1.85years$) than those in the nonventilator group ($14.73{\pm}1.36years$) (P=0.001). Height, weight, and body surface area did not differ significantly between groups. The home ventilator group had a lower seated functional vital capacity ($1,038{\pm}620.41mL$) than the nonventilator group ($1,455{\pm}603.2mL$). Mean left ventricular ejection fraction and fractional shortening were greater in the home ventilator group, but the data did not show any statistical difference. The early ventricular filling velocity/late ventricular filling velocity ratio ($1.7{\pm}0.44$) was lower in the home ventilator group than in the nonventilator group ($2.02{\pm}0.62$. The mitral valve annular systolic velocity was higher in the home ventilator group (estimated ${\beta}$, 1.06; standard error, 0.48). Patients with Duchenne muscular dystrophy on a ventilator may have better systolic and diastolic cardiac functions. Conclusion: Noninvasive ventilator assistance can help preserve cardiac function. Therefore, early utilization of noninvasive ventilation or oxygen may positively influence cardiac function in patients with Duchenne muscular dystrophy.

Effect of Transient Isokinetic Exercise on Cardiac Autonomic Nervous Modulation and Muscle Properties (일회성 등속성 운동이 심장 자율신경 조절 및 근속성에 미치는 영향)

  • Soo-Kyoung Park;Si-Eun Park
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.27-39
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    • 2023
  • Purpose : The aim of this study was to identify the influence of transient isokinetic exercise on cardiac autonomic modulation and muscle properties in healthy male subjects. Methods : Twenty-eight healthy males underwent isokinetic exercise of both knee joints using a Biodex systems 3 isokinetic dynamometer with an angular velocity of 60 °/sec. The changes in activity of the autonomic nervous system, as determined by heart rate variability (HRV), and in muscle properties were evaluated at three times: pre-exercise, immediately post-exercise, and 10 min post-exercise. Results : The time domain analysis of HRV revealed significant changes in the beat count and mean and minimal heart rate (HR) measured at pre-exercise, immediately post-exercise, and 10 min post-exercise (p<.001). The beat count and mean HR were markedly increased immediately post-exercise compared to pre-exercise, but then significantly decreased at 10 min post-exercise (p<.001). All parameters of the frequency domain were significantly altered by isokinetic exercise (p<.01). The low frequency/high frequency (LF/HF) ratio, as an index for the sympathovagal balance, was elevated by exercise and remained at a similarly high level at 10 min post-exercise (p<.01). The muscle properties of rectus femoris were changed as follows: Muscle tone and stiffness were significantly increased between pre-exercise and immediately post-exercise (p<.001), and between pre-exercise and at 10 min post-exercise (p<.001). Whereas, the elasticity showed no significant change. Conclusion : These results demonstrated that transient isokinetic exercise could induce changes in cardiac autonomic control and muscle properties. In particular, up-regulation of LF/HF ratio after exercise signifies thus enhanced sympathetic modulation by isokinetic exercise. Therefore, it is needed to understand the cardiovascular risks that may arise during isokinetic exercise for providing the basic evidence to establish appropriate isokinetic exercise protocols as effective rehabilitation exercises.

Effects of a Recreation Therapy Program on Mental Health and Heart Rate Variability in Burn Rehabilitation Patients (치료레크리에이션 프로그램이 화상재활환자의 정신건강 상태와 심박동 변이에 미치는 효과)

  • Kil, Myung-Sook;Lee, Mi-Hwa;Lee, Yong-Mi
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.179-187
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    • 2015
  • Purpose: This study was done to evaluate the effects of a recreation therapy program on burn rehabilitation patients to determine if the program is an effective nursing intervention which can affect mental health problems and heart rate variability. Methods: Subjects were 54 hospitalized burn rehabilitation patients (25 in the control group, 29 in the experimental group). The experimental group participated 6 times in a recreation therapy program led by a qualified instructor. Brief symptoms inventory-18 (somatization, anxiety, depression) questionnaire, and heart rate variability were checked before and after the recreation therapy program. Results: The mental health scale showed significant differences in somatization (p<.001), anxiety (p<.001) and depression (p<.001). There was no significant difference in heart rate variability (autonomic activity, autonomic balance, stress resistance, stress parameter and fatigue, mean heart rate, electro-cardiac stability). Conclusion: The findings from this study suggest that a recreation therapy program is an effective nursing intervention to decrease the level of mental health problems of burn rehabilitation patients. However, a subsequent study is needed to develop an intervention program that will induce the effect of physiological parameters like heart rate variability (HRV).

The study of Cervi Pantotrichium Cornu in Bang-Yak-Hap-Pyun (방약합편처중(方藥合編處中) 녹용(鹿茸)을 포함하는 처방(處方)에 대한 고찰(考察))

  • Choi, Jae-Young;Oh, Min-Suck
    • Journal of Haehwa Medicine
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    • v.15 no.1
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    • pp.161-167
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    • 2006
  • In oriental traditional medicine, Cervi Pantotrichium Cornu is used mainly to replenish the insufficient part of our body. Bang-Yak-Hap-Pyun(方藥合編) is a widely used book for clinical herbal prescription. In addition to replenishing what is lacking inside our body, Cervi Pantotrichium Cornu is also used in treating cardiac disease and Gynecological illness. In Bang-Yak-Hap-Pyun, there are 10 prescriptions including Cervi Pantotrichium Cornu only in sang-tong(上統) and it's portion among whole Bang-Yak-Hap-Pyun prescriptions marks 2.14%. In large, dosage of Cervi Pantotrichium Cornu in prescriptions vary 2~160g. It's ratio with other herbs vary 3.57~100%. Also, number ratio with other herb constituent vary 5.26~100%. The references are Yi-Hak-Ib-Moon(醫學入門), Dong-Yi-Bo-Gam(東醫寶鑑), Je-Joong-Sin-Pyun(濟衆新篇), etc.

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The Effect of Therapeutic Exercise on Cardiac Stress in Patients With Stroke (치료적 운동이 뇌졸중 환자의 심혈관 부담에 미치는 영향)

  • Kim, Won-Ho;Lee, Young-Jung;Kang, Kwon-Young
    • Physical Therapy Korea
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    • v.10 no.4
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    • pp.69-76
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    • 2003
  • 본 연구는 급성기가 지난 뇌졸중 환자를 위한 치료적 운동 프로그램이 심박동수에 미치는 영향과 부가적으로 뇌졸중 환자의 기능적 상태에 따라 치료적 운동 형태를 알아보기 위해서 시행되었다. 대상자는 뇌졸중이 발생한지 3개월이 지난 23명의 환자이었다. 심박동수의 변화는 대상자가 각자의 치료적 운동을 수행하는 동안 Polar Vantage XL Heart Rate Monitor를 사용하여 측정하였다. 그 결과, 치료적 운동 동안 환자의 기능 수준 및 발병 기간에 따른 심박동수와 치료 형태의 차이는 없었다. 또한 전체 치료 시간 중 목표심박동수에 도달하는 시간은 2.47%에 불과하였다. 이는 치료적 운동이 뇌졸중 환자에게 과도한 심혈관 부담을 주지 않을 뿐만 아니라 유산소 훈련의 효과는 거의 존재하지 않음을 의미한다. 따라서 환자의 상태에 적절하고 유산소 훈련 효과를 고려한 치료적 운동 프로그램의 구성이 필요하다.

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The Analysis of Risk Factor Management Programs for Patients with Coronary Artery Disease (관상동맥질환자를 위한 위험요인관리 프로그램 분석)

  • Bang, So-Youn;Park, Mi-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.16 no.1
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    • pp.27-36
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    • 2013
  • Purpose: This study was performed to analyse the trends of risk factor management programs for patients with coronary artery disease. Methods: Using PubMed, 35 intervention studies related to risk factor management programs among randomized controlled trials searched with the key words of coronary artery disease and coronary heart disease. Collected studies were analysed according to the characteristics of studies and participants, method and content of intervention, and outcome indicator and its effects. Results: The mean period of intervention was $28.7{\pm}26.8$ weeks, the mean frequency was $3.0{\pm}2.0$ times per week, and the duration of one session was below 60 minuets in 65.8% of the reviewed studies. The interventions were counselling, exercise, education, and cognitive behavior therapy. Counselling was applied most frequently in previous studies. The outcomes of intervention had been measured with anthropometric, physical, physiological, psychological, behavioral, and cognitive aspects, but the effect of the intervention was inconsistent among the studies. Conclusion: Based on the results of this study, systematic and comprehensive cardiac rehabilitation program consisted of counselling, exercise, and education should be developed and performed for health management and relapse prevention of patients with coronary artery disease.

Sodium Metaarsenite (KML001) Induces G1 Phase Arrest in HCT116 Colorectal Cancer Cells (대장암 세포주에서 메타아비산 나트륨에 의한 G1 세포주기 정지)

  • Hong, Yun-Kyung;Kim, Sun-Mi;Lee, Seung-Hoon;Kang, Jae-Seon;Hong, Yong-Geun
    • YAKHAK HOEJI
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    • v.55 no.5
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    • pp.391-397
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    • 2011
  • KML001 reduced the proliferation of HCT116 cells in a concentration- and time-dependent manner without change of cell viability. Beclin-1 expression was significantly attenuated by KML001 (P<0.05), but no significant changes were observed in KML001-treated cells. The number of cells in G1 phase was increased 48 hr after KML001 treatment. Furthermore, a dramatic reduction in the frequency of beating and the number of embryoid bodies of the cells was noted after treatment. Taken together, KML001 suppresses the proliferation of HCT116 cells, which might be due to G1 phase arrest.

The immediate effect of incorporating short-term slow abdominal respiration into an exercise program on balance and the autonomic nervous system

  • Han, Jaein;Chae, Yoona;Lee, Na-Kyung
    • Physical Therapy Rehabilitation Science
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    • v.8 no.4
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    • pp.225-233
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    • 2019
  • Objective: The purpose of this study was to examine the possible effects of incorporating short-term slow-abdominal respiration (SAR) into an exercise program, on balance and the cardiac-related autonomic nervous system (ANS). Design: Cross-over repeated measures design. Methods: Fifteen young and healthy adults were randomly assigned into two groups (7 in the C-R group, 8 in the R-C group), each of which carried out both control sequence (C) and respiration-experiment sequence (R) in the inverse order. In the C sequence, the subjects performed passive exercises and a general exercise program (P-GEP). In the R sequence, the subjects received a short-term SAR training session and then performed the respiration incorporated general exercises program (R-RGEP). Before and after both C and R sequences, the length and the area of the displacement of the center of pressure (COP) and heart rate variability parameters were measured. Results: The total length of the COP displacement in the left single-leg-standing condition showed a significantly greater reduction after R-RGEP in the respiration-experiment sequence than after the P-GEP in the control sequence (p<0.05). The mean heart rate was significantly reduced only after R-RGEP in the respiration-experiment sequence (p<0.05) Conclusions: The slow-abdominal-respiration, trained in a simple manner and integrated into the exercise program in a single session, showed partially positive immediate effects on balance stabilization. The decrease in heart rate indicated possible involvement of the parasympathetic ANS activation in the stability, although it is not enough to decide whether it is purely due to the controlled respiration.