• PNF and Movement
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• 제11권2호
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• pp.127-134
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• 2013

Purpose : The purpose of this study of normal elderly and stroke patients by comparing the dominant side and recessive side was to evaluate the differents between each Methods : Thirty-two elderly participated in this study. They were classified two groups: stroke patients group and the normal elderly group. Outcome measures were: general characteristics and BMD. General characteristics included age, height, weight and body mass index. BMD was represented in the osteoporosis index, T-score and Z-score. The measurements of bone mineral density were evaluated on the calcaneus region of the dominant and recessive side, using OsteoPro. The data analyzed using SPSS 17.0 software and the Paired-sample T-test and the Independent-sample T-test Results : OI, T-score, Z-score showed no significant differences between dominant side and recessive side in normal elderly group. But stroke patients group showed OI, T-score, Z-score significant differences between paretic side and nonparetic side. Change score subtracted recessive side from dominant side was significant differences between stroke patients group and normal elderly group. Conclusion : There is positive relationship between physical activity and BMD in stroke patients. Therefore, improved physical activity can have a beneficial effect by reducing osteoporosis in stroke patients, considering a positive relationship between physical activity and BMD.

• 한국학교ㆍ지역보건교육학회지
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• 제22권3호
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• pp.69-81
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• 2021

Purpose: This study purposed to analyze of factors related to suicidal ideation among people with and without disabilities in elderly living alone Methods: The study examines the factors of suicidal ideation using over 65 years of age who participated in the 2017 National Survey of Older Koreans of the elderly living alone data. Subjects were 2,265 person among elderly living alone over 65 years of age. Data were analyzed using descriptive statistics, X²-test, t-test, logistic regression analysis with the SPSS win 26.0 program. Results: Suicidal ideation of the elderly living alone with disabilities were 13.6% and 9.0% of the elderly living alone without disabilities, and the elderly living alone with disabilities had higher suicidal ideation (p<.05). The significant predictors of the suicidal ideation in elderly living alone with disabilities were employment and depression. The significant predictors of the suicidal ideation in elderly living alone without disabilities were age, gender, number of chronic disease, economic state, SLCA(Society, leisure, culture, and activities) and depression. Depression was analyzed as a common factor related to suicidal ideation in disabled and non-disabled elderly living alone. Conclusion: Based on the results of this study, it is necessary to develop a program for people with and without disabilities. It is necessary to prepare various programs and community support systems to prevent and manage depression for people with and without disabilities in elderly living alone.

• 재활복지공학회논문지
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• 제9권1호
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• pp.45-51
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• 2015

본 연구에서는 3차원 척추 안정화 운동이 고령자의 체간 근력 및 신체 구성 변화에 미치는 효과에 대해 검증하고자 하였다. 피험자는 건강한 65세 이상 고령자 40명(훈련군 20명, 대조군 20명)으로 구성하였다. 피험자는 실험 전 후 척추안정화 훈련 장치를 이용하여 8가지 방향에 대한 근력 평가를 수행하였다. 또한 체성분 분석기를 이용하여 신체 구성 변화에 대한 평가를 수행하였다. 훈련군은 척추 안정화 훈련 시스템에서 방향성 훈련(F, FOR, R, BOR, B, BOL, L, FOL)을 제공하였으며, 탄력 밴드 운동, 근력 강화 체조, 걷기 운동으로 구성된 복합운동을 30분간 수행하였다. 대조군은 척추 안정화 운동을 제외한 복합운동을 실시하였으며, 모든 훈련은 주 3회, 총 8주간 실시하였다. 그 결과 훈련군은 체간 근력이 실험 전 79.9점에서 8주 후 85.6점으로 유의하게 증가하는 결과를 보였으며, 신체구성에서도 체중 감소, 체지방 감소, BMI 지수 감소 등의 결과를 나타내었다. 반면, 대조군의 경우 체간 근력의 변화는 없었지만 골격근량 증가, 체지방 감소 등의 운동 효과를 나타내었다. 이러한 결과는 척추 안정화 운동이 고령자의 체간 근력 및 신체구성 발달을 유도하여 고령자의 비만 및 낙상 예방에 도움이 될 것으로 판단된다. 향후 이러한 데이터를 기반으로 척추 안정화 훈련기기와 복합운동을 조합하여 고령자들에게 효과적인 재활 운동 프로그램 개발에 응용될 수 있을 것으로 판단된다.

• 전기학회논문지
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• 제67권7호
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• pp.910-916
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• 2018

In this paper, we developed a shoulder rehabilitation exercise device and monitoring system to remotely provide rehabilitation system for the ones who need shoulder exercises including the patients with rotator cuff rupture. In order to evaluate the severity of shoulder muscle injury, a total of 4 shoulder rehabilitation exercises ((3) shoulder abduction, (2) shoulder flexion, (3) shoulder abduction with elbow flexion, (4) shoulder extension with elbow flexion) were selected and instructed to be performed with a 3 kg dumbbell for 5 times. For EMG (electromyogram) signal analysis, each subject's maximum voluntary contraction (MVC) was measured. EMG signals reflect the activation level of contracting muscles during dynamic exercises. Six participants' muscle activation levels in posterior deltoid, middle deltoid, upper trapezius, and infraspinatus were measured and compared. The mean power spectrum values in the time and frequency domains were compared between two age-matched groups (20s and 50s). The results showed lower muscle activation in the elderly subjects (n=3) compared to that of the ones in their twenties (n=3).

• 융합정보논문지
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• 제10권8호
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• pp.203-212
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• 2020

본 연구는 가상현실(Virtual Reality, VR) 콘텐츠를 활용한 인지재활 프로그램이 노인의 인지기능, 우울감, 상지기능 및 일상생활활동능력에 미치는 영향을 알아보고자 하였다. 연구 집단은 가상현실 인지재활 적용군인 실험군과 보편적 인지자극프로그램 적용군인 대조군으로 나누어 효과성을 분석하였다. 연구결과 MMSE-K 점수가 실험군 13.0%, 대조군 2.3% 향상되었다. 실험군의 영역별 향상도는 MBI 3.1%, MFT(Rt.) 7.1%, MFT(Lt.) 3.5%, K-GDS -25.4%를 나타냈다. 각 집단 간 사전-사후 점수 변화를 비교해 본 결과 일상생활활동능력(p<.001)과 MFT(Rt.)(p<.01)에서 집단 간 유의미한 차이가 있었다. 또한 뇌파를 통해 우울감의 정도를 확인하기 위해 절대 알파파의 변화량을 비교해 본 결과 통계적으로 유의한 차이는 없었지만, 실험군에서 평균값이 양의 값으로 증가하는 결과를 확인할 수 있었다. 이번 연구는 가상현실 콘텐츠를 활용한 인지재활프로그램의 효과성을 검증한 실험으로 노인의 일상생활활동능력, 인지기능, 우울감 및 상지기능을 유지 및 개선하기 위한 새로운 중재방법을 제시한 것에 그 의미가 있겠다.

• 한국전문물리치료학회지
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• 제29권2호
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• pp.94-105
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• 2022

Background: As South Korea enters an aged society, the government has emphasized the need for a soft landing of the older adults into the community after the acute and recovery periods under a national policy of "community care." However, the institutionalization of community rehabilitation services to implement this is insufficient. Japan had already entered an aged society when the Long-Term Care Insurance System was introduced in 2000. Thus, the case of Japan's institutionalization of the system is expected to have implications for us in supplementing a suitable system for the aged society. Objects: This study compared the institutionalization process of the Long-Term Care Insurance System in South Korea and Japan and the services currently being implemented in each country. Methods: To examine the institutionalization process and services of the system, related legal rules and regulations, government reports, and articles were reviewed. To examine the operation status of the system, statistical data provided by each country's government were analyzed. Results: Japan recognized the importance of community rehabilitation even before the enactment of Long-Term Care Insurance. Thus, community rehabilitation services, such as home-visit rehabilitation and health facilities, were already stipulated in the law. Under such institutional legacy, Long-Term Care Insurance was able to establish a service system, which balanced welfare and health-related services, including various types of services with enhanced rehabilitation functions. In South Korea, rehabilitation policies were not much considered in the process of institutionalizing the system; thus, it was composed mainly of services focusing on care and recuperation. Conclusion: In order to realize community care, rehabilitation services need to be developed in Long-Term Care Insurance System in various forms such as home-visit services, daily services, short stay, and facility services.

• 재활복지공학회논문지
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• 제9권4호
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• pp.293-299
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• 2015

본 연구는 균형 운동시스템을 사용한 고령자를 대상으로 설문조사를 실시하여 운동시스템 및 하지 균형의 사용성 평가를 조사하는데 그 목적이 있다. 대상자(고령자)들이 가장 불편한 신체부위인 하지의 균형을 증진하기 위한 운동시스템을 9주 동안 사용하였으며, 정기적인 기간동안 조사한 사용성 평가 결과를 분석하였다. 대상자(고령자)들은 사용한 운동시스템에 관한 문항과 하지 균형에 관한 문항으로 구분하여 응답을 하였다. 흥미를 유발할 수 있는 콘텐츠와 연동된 균형 운동시스템은 단순동작의 반복 보다는 개인별 맞춤 운동이 가능하며 그로 인해 균형 유지가 개선되었음을 알 수 있다. 또한 신체 움직임 중에서 하체의 불편함이 운동을 통해 개선되어 고령자의 일상생활 활동과 삶의 질 향상에 도움이 될 것으로 생각된다.

• 대한정형도수물리치료학회지
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• 제17권2호
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• pp.11-17
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• 2011

Background: To evaluate the influences of Eye movement program applied to elderly people on static balance. Methods: The subjects consisted of fourteen elderly people. The subjects were divided into two group. The control group (n=7) received no exercise and/or stimulation. The Eye movement program training (E/P) group (n=7) performed balance training using word card and batom. E/P group were accomplished during 4weeks (5 day/week, 60 min/day). All tests were completed before and after experiment. The static balance ability was measured by normal standing when eye open and close on good balance system, respectively. For each case, the experimental data were obtained in 3 item; mean X speed, mean Y speed and velocity moment. Results: The result of this study were as follows: 1. In E/P group, the statistically significants were shown on only mean Y speed in the case of normal standing when eye open (p<.05), but the statistically significants were not shown on mean X, Y speed and velocity moment in the case of normal standing when eye close (p>.05). 2. In control group, the statistically significants were not shown on all posture (p>.05). 3. There was a statistically significant difference on the mean Y speed and velocity moment in the case of normal standing when eye open between control group and E/P group (p<.05). Conclusions: The above results revealed that balance training using Eye movement program were partly effective for improving the static balance ability.

• 융합정보논문지
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• 제10권1호
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• pp.195-202
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• 2020

본 연구는 바이오피드백 시스템을 활용한 하지 근력 강화 운동이 지역사회기반 노인에게 어떠한 영향이 있는지 알아본 연구이다. 지역사회기반 노인 10명을 대상으로 주 3회, 6주 동안 바이오피드백 시스템(기능적 전기 자극 동반)을 활용하여 운동을 실시하였다. 데이터 분석은 Wilcoxon signed rank test를 사용하였다. 본 연구 결과 신체 기능은 유의하게 좋아졌으나 근력 및 근육량에서는 유의한 차이가 없었다. 노인들도 지역사회기반 ICT 활용 가정 바이오피드백 훈련이 가능하며, 하지 기능 개선을 유도할 수 있음을 확인할 수 있었지만, 대상자수 확대, 성별 구분, 개인 맞춤형 훈련 방식 제공 등으로 보다 명확한 효과를 입증할 수 있도록 추가적인 연구가 필요하다.

• Physical Therapy Rehabilitation Science
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• 제9권4호
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• pp.287-294
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• 2020

Objective: This study aimed to investigate the effects of an ultrasound-based bar graph proportional to the quadriceps muscle thickness as a real-time visual feedback training tool in the elderly. Design: Cross-sectional study. Methods: Twenty-four elderly persons participated in this study and were randomly divided into three groups: oral training group (n=8, group 1), ultrasound imaging group (n=8, group 2), and graph group (n=8, group 3). In the pre condition, all participants performed maximal voluntary isometric contraction (MVIC) of the quadriceps with knee extension three times with oral training. In the post condition, group 1 performed MVIC of the quadriceps with oral training, group 2 performed MVIC of the quadriceps with real-time visual feedback using ultrasound imaging, and group 3 performed MVIC of the quadriceps with real-time visual feedback using a bar graph proportional to the quadriceps muscle thickness, three times for all groups. Muscle thickness, activity (mean, peak), tone, stiffness, logarithmic decrement, relaxation, and creep were measured in both conditions in all participants. Results: Visual feedback with a bar graph showed significant effects on muscle thickness, mean muscle activity, and peak muscle activity compared with oral training and visual feedback with ultrasound imaging (p<0.05). Conclusions: Isometric training of the quadriceps with real-time visual feedback using a bar graph proportional to the quadriceps muscle thickness may be more effective than other methods in improving muscle thickness and muscle activity. This study presented a tool that can help increase muscle thickness in the elderly.