• Title/Summary/Keyword: Exercise Evaluation Program

Search Result 188, Processing Time 0.022 seconds

Effects on Improvement of Activities of Daily Living Through Short-Term Home Visiting Physical Therapy (단기 가정방문물리치료 시행이 일상생활동작의 개선에 미치는 효과)

  • An, Duk-Hyun
    • Physical Therapy Korea
    • /
    • v.14 no.2
    • /
    • pp.53-60
    • /
    • 2007
  • The objective of this study was to discover the effects of the short-term home visiting physical therapy program involving patients with some chronic brain disorders at Gimhae City, Kyongnam. Recovery of activities of daily living (ADL) is a very important factor of rehabilitative procedures, and Functional Independence Measure (FIM) is a useful standard of evaluation for it. The FIM is widely used in brain disorder research because it measures real functional activities of daily living. We applied the physical therapy exercise program twice per week (10~15 times repeatedly); a warm-up and cool down exercise performed every ten minutes by active & active-assistive ROM and stretching exercises. Main exercises were composed of getting up & laying down in bed, standing training, walking exercise in the room, and window or wall sliding exercise using affected upper limbs for a total duration of 30 minutes. We collected the data from 20 patients with chronic brain disorders at his/her home and analyzed by means of SPSS/PC+ program (Ver. 10.0). After the six week long physical therapy exercise program, the average was $56.10{\pm}22.59$ point compared with initial $50.55{\pm}19.12$ point by FIM, improved functional ADL ability about 5.55 point, and these changed scores were statistically significant (p=.000). We also studied another factor regarding patient's satisfaction. The majority of subjects (10 people) rated the program with the maximum score of ten points (50.0%), and three people rated it a seven point program (15.0%), the other two subjects gave a rating of nine and eight points (10.0%). Because the program was effective at improving the physical ADL ability and satisfaction of each subject, we suggest continual development and implementation of a home visiting physical therapy program. Further study should involve a longer period of observation with a larger population that is involved in an individually designed home physical therapy program.

  • PDF

Effects of Aquatic Exercise Program on the Shoulder Joint Function, Physical Symptom and Quality of Life in Postmastectomy Patients (수중운동 프로그램이 유방절제술 환자의 어깨관절 기능, 신체적 자각증상 및 삶의 질에 미치는 효과)

  • Yoo Yang-Sook
    • Journal of Korean Public Health Nursing
    • /
    • v.13 no.2
    • /
    • pp.101-114
    • /
    • 1999
  • This study was designed to investigate the effects of an aquatic exercise program on the shoulder joint function. physical symptom. quality of life and stress among the patients who received modified radical mastectomy between 6 to 12 months prior to their visits. The subjects were 31 women aged between 40 and 60 who visited the out-patient department at Kang Nam St. Mary's Hospital for follow-up care. and were not under the treatment of intravenous cancer chemotherapy or radiation therapy. and had no complications. Twelve of them were assigned to the control group. while nineteen subjects to the experimental group. The aquatic exercise program was developed by the author with the assistance of exercise specialists. The program includes warming uP. aerobic and cooling down exercises in water. The aquatic exercise program for the experimental group was carried out 3 times a week with 60 minutes in each time for 8 weeks from September 20th to November 15th. 1995 in a regular swimming pool in Seoul. Changes in the range of motion of the shoulder joint. muscle strength. physical symptom. quality of life. and stress were examined after the completion of treatment. The data were collected through isokinetic muscle strength evaluation and questionnaire survey before and after the treatment. Paired and unpaired t-test were adopted to analyze the data. The results were as follows ; 1. The increment in the range of motion of the shoulder joint in the experimental group after the exercise was significantly greater than those in the control group. 2. The peak torque of shoulder girdle muscles increased significantly after the exercise in the experimental group only. 3. The physical symptom score decreased significantly after the exercise in the experimental group only. 4. The experimental group revealed significantly higher level of quality of life and lower level of stress after the exercise compared with those before the exercise. whereas the control group showed no significant changes in those levels. These findings may indicate that the aquatic exercise program is effective in increasing the range of motion of the shoulder joint and muscle strength and quality of life. and also effective in decreasing physical symptoms. and the level of stress in postmastectomy patients. Accordingly. the acquatic exercise program' can be adopted as an effective nursing intervention for postmastectomy rehabilitation.

  • PDF

The Therapeutic Effects of an Early Exercise Program After Mastectomy (유방 절제술 후 조기 운동프로그램의 치료 효과)

  • Lee, Gyu-Wan;Yi, Chung-Hwi;Cho, Sang-Hyun;Park, Jung-Mi
    • Physical Therapy Korea
    • /
    • v.8 no.1
    • /
    • pp.35-50
    • /
    • 2001
  • The purposes of this study were to investigate the therapeutic effects of an early exercise program after mastectomy and to provide the early exercise program protocol for patients who had undergone mastectomy. The subjects were seventy women who were diagnosed with breast cancer. They were randomly as signed either to a experimental group (n=35) that received early postoperative exercise program or to a control group (n=35) that received only education by nurses. Data were obtained for each patient from goniometric measurements of shoulder flexion, abduction, external rotation, 10 elements of functional performance, and subjective pain evaluation using visual analogue scale (VAS). All variables were measured preoperatively, three days postoperatively, and one month postoperatively. Data were compared by groups using independent t-test and Mann-Whitney U test for parametric or non-parametric data, respectively. There were no significant differences between the groups for all variables preoperatively and at three days postoperatively. But there were significant differences at one month postoperatively. The experimental group showed a statistically significant increases in shoulder flexion, abduction, and external rotation and in the pain VAS at one month postoperatively (p<.05). Also, at one month postoperatively, the experimental group had less difficulty with three elements of functional performance-doing up a 'back' zippered article of clothing, reaching the ipsilateral scapula, and contralateral scapula with the fingers on the operated side-than the control group (p<.05). The results of this study suggest that, after mastectomy, the early exercise program conducted by a well-trained physical therapist can make a significant contribution to the return of more normal shoulder function and activities of daily living and to an increased quality of life.

  • PDF

The Effect of Tai-Chi for Arthritis(TCA) Program in Osteoarthritis and Rheumatoid Arthritis Patients (골관절염환자와 류마티스관절염 환자에게 적용한 타이치 운동프로그램(TCA)의 효과 비교연구)

  • Lee, Hea-Young;Suh, Moon-Ja
    • Journal of muscle and joint health
    • /
    • v.10 no.2
    • /
    • pp.188-202
    • /
    • 2003
  • The aim of study was to investigate the effects of 12 forms of Sun-style Tai-Chi for arthritis(TCA) on physical symptom(pain, tenderness, swelling fatigue, and blood pressure), physical function(balance, flexibility, grip strength) and social-psychological health status in osteoarthritis(OA) patients and rheumatoid arthritis(RA) patients. This study was done with one group pretest-posttest design. A total 21 arthritis patients(6 OA patient and 15 RA patient) participated in 60 minute session consisting of warm-up exercise 12-main movement including qigong, and cool-down exercise twice a week for 6weeks. Physiological and social-psychological variables were measured before and after TCA 12 form. The researcher who completed a Tai Chi workshop for exercise leaders in Australia and Seoul taught the Tai Chi movement step by step until the patient felt comfort enough to perform them correctly by themselves during the first 4 weeks. At the last 2 weeks, the subject perform 10-15set of these at a session with traditional music to help patients move in a slow tempo. TCA 12 forms program showed significant improvement in fatigue(p=0.039) of rheumatoid arthritis patient and pain(p=0.006), fatigue(p=0.013), tenderness(p=0.032), flexibility(rt arm up, p=0.014, If arm up, P=0.003), grip strength(rt hand, p=0.002, If hand, P=0.003) of osteoarthritis patients. With assessment by Arthritis Impact Measurement Scale 2 questionnaire(AIMS2), physical component(0.002) and social interaction(0.025) on osteoarthritis patients were significantly improved. Evaluation of the participants about TCA exercise noted that the exercise was fairly easy(23.6%), moderately difficult(57.1%), and fairly difficult(14.3%). Considering the result of this study, TCA exercise program was more effective in pain, tenderness, grip strength, flexibility, and physical and social interaction on osteoarthritis patients than rheumatoid arthritis patients. Tai-Chi for arthritis 12 form was an appropriate intensity exercise for osteoarthritis patients.

  • PDF

Determinant factors of Exercise behaviors in Patients with Arthritis (관절염 환자의 운동행위 결정요인)

  • Suh, Gil-Hee;Lim, Nan-Young
    • Journal of muscle and joint health
    • /
    • v.7 no.1
    • /
    • pp.102-130
    • /
    • 2000
  • The aims of this study were to understand and to predict the determinant factors affecting the exercise behaviors and physical fitness by testing the Ponder's health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continuous exercise program, and to help them maximize the physical effect such as muscle strength. endurance, and fuctional status and mental effects including self efficacy and quality of life, and improve the physical and mental wellbeing, and to provide a basis for the nursing intervention strategies. We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul between October 5, 1999 and October 24, 1999. Data were composed of self reported questionnaire and good of fitness score which were obtained by pedalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. 24 Of 54 hypothetical paths were supported in modified model, which was considered as a proper model with improved fit index. The physical fitness was directly influenced by exercise participation behavior and education level, and indirectly by physical fitness, while fatigue, physical disability, pastexercise behavior, life-style, self-efficacy, which explained 20% of physical fitness. The exercise participation were directly influenced by perceived benefits and self-efficacy, and indirectly influenced by life-style, fatigue and physical disability, and directly and indirectly by past exercise behavior, which explained 53% of exercise participation. Exercise score were directly affected by perceived health status, perceived benefits, self efficacy, and past exercise behavior, and were indirectly affected by fatigue, physical disability, and life-style, which explained 50%. Perceived health status were directly influeced by level of education, depression, sleep disorder, and physical disability, which explained 34% of perceived health status. Perceived benefit was directly influenced by fatigue, sleep disorder, physical disability, and life-style, which explained 45%. Perceived barriers was directly influenced by fatigue, sleep disorder, and lifestyle, which explained 9%. Self- efficacy was directly influenced by fatigue, physical disability, past exercise behavior, and level of education, which explained 61%. In conclusion, important variables for physical fitness were exercise participation and level of education, and variables affecting exercise participation were perceived self-efficacy, benefits, and past exercise behavior. Perceived self-efficacy of exercise was a significant predictor of exercise participation. Life-style, fatigue, and physical disability showed direct effects on perceived benefit, perceived barriers, and self-efficacy, and indirect effects on exercise behavior. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be soaked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved.

  • PDF

Effects of a Nutrition Education and Exercise Program of Overweight or Obese Female Adults on Nutritional and Health Status (영양교육과 운동프로그램이 과체중이상의 성인여성의 영양상태와 건강수준에 미치는 영향)

  • Kim, Eun-Jung;Hwang, Hye-Jin
    • Journal of the Korean Society of Food Science and Nutrition
    • /
    • v.39 no.1
    • /
    • pp.78-84
    • /
    • 2010
  • This study was to designed to investigate the effects of nutrition education and exercise program for overweight or obese female adults, and also emphasize the necessity of a proper nutrition education. The anthropometric characteristics, nutritional intake, eating habit, and hematological index, physical examination were measured before and after program. Considering the time schedule of the subjects, the exercise program was divided into 3 sessions (morning, afternoon, and evening) and the subjects performed swimming and weight training for 4 weeks. The subjects were overweight or obese women, with an average age and height of each 46.1 and 156.3 cm. The weight and BMI were decreased significantly after nutrition education and exercise program. The back region of front arm (p<0.001), infrascapular region (p<0.001), body fat (p<0.001) were significantly decreased, and grasping power (p<0.01), back muscle power (p<0.001) were significantly increased after nutritional and exercise program. Total triglyceride level and fasting blood glucose (p<0.001) were decreased significantly after program. The intakes of vitamin D and vitamin $B_1$ were significantly changed after nutrition and exercise program. As for eating behavior and nutritional knowledge evaluation after program, the average score increased significantly (p<0.001). The results of this study show that this nutrition and exercise program can be an effective approach to improve their hematological index and nutritional and health status.

Effect of Exercise with Vertical Vibration on the Balance, Walking Speed, Muscle Strength and Falls Efficacy in the Elderly (수직 진동 운동이 노인의 균형, 보행속도, 근력 및 낙상효능감에 미치는 효과)

  • Park, Jin-Hwan;Kim, Young-Min
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.15 no.4
    • /
    • pp.131-143
    • /
    • 2020
  • PURPOSE: The purpose of this study was to determine if an exercise program with vertical vibration can improve balance, walking speed, muscle strength and falls efficacy in the healthy elderly. METHODS: A total of 28 elderly were randomly divided into two groups: vertical vibration exercise group (exercise with vertical vibration) (N = 14) and control group (exercise without vibration) (N = 14). The exercise program, comprising calf raise, deep-squat, semi-squat, front lunge, and leg abduction was conducted with or without vibration, respectively. Subjects in each group participated in the 30 minutes training program, 2 times per week for 6 weeks. In both groups, the balance evaluation system (BT4) was used to evaluate standing balance, and walking speed was measured using the 10MWT. The manual muscle test system was applied to evaluate the knee extensor and ankle planter flexor muscle strength of the subjects, whereas the Korean falls efficacy scale (K-FES) evaluated the falls efficacy. RESULTS: After intervention, the vertical vibration group showed significantly higher changes compared to the control group, in the parameters of standing balance (P < .05), 10MWT (P < .05), left knee extensor (P < .05), right knee extensor (P < .01), both ankle plantar flexors (P < .05), and K-FES (P < .05). CONCLUSION: The exercise program with vertical vibration has the potential to improve balance, walking speed, muscle power and falls efficacy in the elderly.

Evaluation of the Effectiveness of Dietary Education and Exercise Program on Obese Adults in Chuncheon Area (춘천지역 일부 비만인 성인대상 식생활교육과 운동중재 프로그램의 효과평가)

  • Won, Sun-Im;Yoo, Young-Ju
    • Korean journal of food and cookery science
    • /
    • v.32 no.1
    • /
    • pp.123-135
    • /
    • 2016
  • The purpose of this study was to evaluate the effectiveness of an intervention program using dietary consult and physical exercise conducted by public health center in Chuncheon city for obese adults. This study used a pretest-posttest design. The subjects were 58 out of 90 obese adults with body mass index (BMI) greater than $25kg/m^2$ who completed all education sessions for 8 weeks. Data on dietary habits, dietary behaviors, nutritional knowledge, anthropometric parameters and biochemical indices and daily nutrient intakes assessed by a 24-hour recall were collected before and after the intervention program., in order to evaluate program effectiveness. After the intervention, there were positive changes in exercise status and dietary habits and nutrition knowledge accuracy. Especially, the answer of 'I drink a cup of milk every day' were significantly improved (p<0.001), and the answer of 'I don't overeat', which is a dietary attitude question was significantly improved (p<0.05). Dietary intakes of most of nutrients were not significantly different between pre-test and post-test. But calcium (p<0.05), potassium (p<0.05), vitamin A (p<0.01), vitamin E (p<0.05), and folic acid (p<0.05) were significantly increased in the female group after the intervention. Weight (p<0.05), BMI (p<0.01), blood pressure (p<0.001), were significantly decreased after program, but changes of skeletal muscle mass, body fat mass were not significant. Resting heart rate (p<0.01), flexibility (p<0.001), whole body reaction (p<0.05), grip strength (p<0.01) and balance (p<0.01) showed positive changes after the intervention. Blood glucose level in serum was significantly decreased (p<0.001). These results indicated that dietary education and exercise program was effective not only for weight reduction but also for the improvement of physical fitness in obese adults.

Effects of 8 Weeks of Exercise station training on balance ability for the elderly women (8주간 Exercise Station을 이용한 운동프로그램이 노인의 균형능력 수행에 미치는 영향)

  • Han, Sang-Wan;Lee, Byung-Hoon;Lee, Han-Ju
    • The Journal of Korean Physical Therapy
    • /
    • v.21 no.1
    • /
    • pp.27-34
    • /
    • 2009
  • Purpose: The purpose of this study was to evaluate the effects of 8weeks of exercise station training with elastic band and swissball on body compositions and balance ability for elderly women. Methods: This study was designed as a experimental pre-post exercise station training evaluation. The experimental group performed exercises with band and ball for 8 weeks. The effects of the program were assessed using instruments measuring the body compositions and balance ability before and after participating in the training program. Results: There were no significant differences in body compositions and index of falling down risk, however, there were significant differences with balance index, functional reach test and one leg stand test. Conclusion: These findings suggest that exercise station training with elastic band and swissball can serve as an effective means of improving balance ability in elderly women.

  • PDF

The effect of virtual exercise training program on the balance increase of women elderly (가상 운동 훈련 프로그램(Wii fit)이 여성노인들의 균형증진에 미치는 영향)

  • Choi, Jae-Won;Chung, Hyun-Ae;Kim, Eun-Bi;Ryu, Ae-Ri;Park, So-Young;Cho, Kyung-Mi;Oh, Mi-Hee
    • PNF and Movement
    • /
    • v.8 no.3
    • /
    • pp.1-8
    • /
    • 2010
  • Purpose : The purpose of this study was to investigate the effects of virtual exercise training programs on the improvement of balance in the elderly women. Methods: The subjects were fifteen female citizens, 67 years of age or older living in G city, the subjects were randomly divided into groups; Virtual exercise training group(n=9), control group (n=6). After treatment measured balance by Berg Balance scale test and One-leg stand test during virtual exercise training program at pre-intervention and post-intervention. Results : The results of this study were as follows : Virtual Exercise Training Program (Wii fit) after applying the Berg balance test scores and One-Legged Stance Test, the evaluation results showed significant results(p<05). Conclusion : Virtual exercise training programs can be used to improve the balance of the elderly, as it has been shown to increase Berg balance test and one-leg stand results conducted after virtual training programs. Virtual Exercise Programs(Wii fit) were applied to demonstrate the effecting the balance of the elderly to promote more research on the impact of the ADL survey.

  • PDF