• 대한정형도수물리치료학회지
• /
• 제27권2호
• /
• pp.69-76
• /
• 2021

Background: Degenerative arthritis accounts for a large portion of the elderly, causing a lot of inconvenience in daily life. Total knee replacement (TKR) are performed to relieve pain in the knee joint. The purpose of this study was to determine whether knee joint stabilization exercises are effective in improving balance and walking ability in degenerative arthritis patients who have undergone TKR. Methods: A total of 30 TKR patients participated in this study. They were assigned to two groups. The experimental group, the group that underwent knee stabilization exercises, joint mobilization and general physical therapy. On the other hand, and the controlled group, the group that underwent joint mobilization and general physical therapy. All exercises were conducted thrice a week, for four weeks. The main balance outcomes were evaluated using the posture balance training system, while walking ability was assessed using a wireless 3-axis accelerometer. Results: The experimental group had significantly higher scores in postural stability testing (PST), limits stability testing, and waling ability. The post-intervention evaluation, there were significant differences in all variables between the two groups. However, no significant difference was noted in the foam eyes closed test in PST. Conclusion: This study suggests that knee joint stabilization exercises effectively improve the balance and walking ability of TKR patients. Thus, it could be presented as useful in clinical practice.

• The Journal of Korean Physical Therapy
• /
• 제33권3호
• /
• pp.168-177
• /
• 2021

Purpose: This study applies the ICF to identify the patient's body function, structure, and participation, evaluates the patient's environmental factors and individual factors, and is a high level of movement to return to the society of patients with multiple ligament injury of the knee joint. Methods: Progressive strength training and ROM exercise were performed 30 minutes a day, 5 times a week for 6 weeks. The evaluation was performed by examining the ROM, length, MMT, instability, dynamic balance, pain and depression. Results: The ROM of the knee joint was improved from 110° to 135° after intervention, and the knee flexion length decreased from 69 cm to 45 cm. Knee flexor is Good after intervention from Poor-, and knee extensor is Good+ after intervention from Poor, and the plantar flexor of the ankle joint improved from Poor- before intervention to Good after intervention and dorsi-flexor of the ankle joint improve to Good from Poor. Pain index was moderate before and after the intervention, with a score of 3, 2 after the intervention, and when maintaining the sitting cross-legged, the before intervention score was 7 to 4 after the intervention. Conclusion: The patient's posture of sitting cross-legged was maintained from 30 seconds before intervention to 14 minutes after intervention. These results were able to set the hypothesis design, intervention method and goal that the multifaceted approach of environment and individual factors as well as body function and structure area, activity and participation area using ICF checklists, it is helped the patient to return to daily life.

• 대한통합의학회지
• /
• 제11권1호
• /
• pp.149-157
• /
• 2023

Purpose : Genu varum is a condition characterized by a wider than normal gap between. This may be due to muscle weakness caused by poor posture, lifestyle, or lack of exercise. This study aimed to compare the effects of ball-based squats and narrow squats on muscle thickness, Q-angle, and the gap between the knees, in order to assess the potential for improving this condition. Methods : Twenty six adult participants with genu varum were randomly assigned to either a ball-based squat group (n=13) or a narrow squats group (n=13). Both groups performed their respective exercises three times weekly for 4 weeks. The data was analyzed using paired t-tests to compare pre- and post- intervention measurements within each group, and independent t-test was used to compare the two groups. Results : Both groups showed significant improvement in the thickness of the vastus lateralis and medialis, and rectus femoris muscles, as well as a significant decrease in the gap between the knees (p<.05). However, there was no significant difference in Q-angle variation between the two group. Furthermore, there was no significant differences in the Q-angle, gap between the knees, and muscle thickness variation between both groups. Conclusion : The results suggest that both ball-based squats and narrow squats are effective in improving muscle thickness and reducing the gap between the knees in adults with genu varum. However, there was no significant difference between the two types of squats in terms of their effects on the Q-angle. These findings highlight the potential for exercise interventions to address this common postural issue.

• 융합보안논문지
• /
• 제14권3_1호
• /
• pp.71-77
• /
• 2014

육군본부와 협약체결된 부사관과 학생들은 군부대 교육환경 및 교육진행 방법을 실습하고 병영실습훈련을 통한 부사관에 대한 의식 고취와 미래 군 간부의 자긍심을 습득하고자 연 1회 병영실습훈련을 실시하고 있다. 교육의 중점으로는 안보의식과 부사관 자긍심 고취, 병 기본훈련 숙달, 군인기본자세 확립에 두고 있다. 병영훈련실습이 만족스러워야만 부사관으로 임관하고자 하는 욕구가 강해진다. 부사관과 학생들의 교육만족은 미래 부사관으로서의 목표를 명확히 해주는 것이며 교육생의 욕구와 기대에 부응한 결과가 임관으로 이어질 때 병영훈련실습에 대한 의미가 있는 것이다.

• 지역사회간호학회지
• /
• 제12권2호
• /
• pp.504-512
• /
• 2001

For the purpose of grasping the actual condition of low back pain in women workers, 166 women in two neighboring factories were studied using questionnaire, 60% of the workers complained of low back pain. and 63% of them responded that their low back pain come from their job. About the severity, 77% marked the moderate, and 15% said absences owing to the pain. But 60% of them have not sought medical help. The low back pain occurred mainly in the workers of sitting posture and in the workers of treating heavy objects. And the workers who have worked over three years are dominant(44%) in the pain group. Comparing the pain group with the non-pain group, two variables - whether the worker treats heavy materials or not, and how heavy the materials are - showed statistically significant differences. So. there must be concern over the low back pain of women workers. In operation allocation. treating heavy objects and lifting up should be carefully considered. And for the prevention of low back pain. the workers need education and pain exercise.

• 대한간호학회지
• /
• 제36권3호
• /
• pp.439-448
• /
• 2006

Purpose: The purpose of this study was to show a relationship between health perception and health promoting behaviors in chronic low back pain patients. Method: The subjects for this study were 213 persons who the visited hospital with low back pain-related problems. Results: The higher the level of the health perception in chronic back pain patients was the higher the rate of the practice of health promoting behaviors (r=0.393, p<.001). The health perception T score was $50.00{\pm}10.00$. As for health promoting behaviors, the T score was $49.99{\pm}10.00$. The subscale of the highest mean score was interpersonal support $(2.96{\pm}0.64)$ and the subscale of the lowest mean score was exercise $(2.13{\pm}0.99)$. Conclusion: This study showed that chronic low back pain patients had a lower level of perception of their health, and their practice to improve their health was not enough. Therefore, nurses should educate and encourage chronic low back pain patients in proper exercises and correct posture to strengthen and maintain lumbar extension muscle power.

• The Journal of Korean Physical Therapy
• /
• 제15권4호
• /
• pp.431-441
• /
• 2003

Pregnancy and puerperium are associated with significant changes in pschological and physiologic health status. Back and pelvic pain is common in pregnancy with prevalence figures in the range of $48\%-90\%$. The pain starts during pregnancy and often disappears soon after childbirth. But the prevalence of such pain four to six months post postpartum is report to be $25-40\%$. In $10-15\%$ of the case the pain become chronics, that is persisting for more than three months after childbirth. Low back pain and pelvic pain maybe caused by several factors related to changes that occur naturally during pregnancy. Changes in the center of gravity can create a strain on weight-bearing structures in bone. Pregnancy related hormones, relaxin, create general laxity of collagenous tissue. Another factor found to be a possible primary or contributing cause for law back and hip symptoms are leg length inequality, weight gain and changes in foot function. This article outlines the physiological and biomechanical changes that occur during pregnancy which have been reported to be possible causes of low back and pelvic pain And then, examination, diagnosis, evaluation and treatment of the woman during pregnancy are described. Standard treatment for low back pain and pelvic pain in pregnancy includes education in anatomy and kinesiology, back-strengthening exercise, training of the abdominal muscles and body posture correction. So, most woman during pregnancy require individual consultation and physiotherapist.

• The Journal of Korean Physical Therapy
• /
• 제30권1호
• /
• pp.1-7
• /
• 2018

Objective: This study aimed to determine the efficacy of flexible pole training combined with lumbar stabilization in improving trunk muscle activities and to investigate the difference according to posture in young adults. Methods: Twenty-five participants were enrolled in this study. The subjects were randomly allocated into either the flexible pole group or the rigid pole group. Participants performed lumbar stabilization exercises on quadruped and curl-up, with the flexible pole or rigid pole. Electromyography was used to assess the percent maximal voluntary isometric contracion (%MVIC) of the rectus abdominis (RA), external oblique (EO), internal oblique (IO), and erector spine (ES) muscles. All participants completed one 30-minute session per day, 3 days per week, for 6 weeks. The evaluation was performed before and 6 weeks after the training, and follow-up. The data were analyzed using independent t-test and two-way repeated measure analysis of variance to determine the statistical significance. Results: The flexible pole in curl-up showed significant differences in EO and IO muscle activities compared with the rigid pole. The flexible pole in quadruped showed significant differences in IO and ES muscle activities compared with the rigid pole. The RA, EO, IO, and ES muscle activities of both groups were significantly higher after 6 weeks training. Conclusion: The flexible pole in curl-up and quadruped showed an improvement in trunk muscle activation. The flexible pole combined with lumbar stabilization will be useful as an exercise tool to improve activity of trunk muscles.

• 대한통합의학회지
• /
• 제3권1호
• /
• pp.71-80
• /
• 2015

Purpose: The purpose of this study was to compared the muscle activities of vastus medialis, vastus lateralis, rectus femoris in open kinetic chain and closed kinetic chain. Methods: Subjects of the study were 30 adults students. They were divided into 2 group, one for open kinetic chain and other for closed kinetic chain of extension, flexion, the maximum extension for vastus medialis, vastus latarealis, rectus femoris muscle activation. Results: Rectus femoris increased open kinetic chain group about all posture and vastus medialis increased open kinetic chain group about the maximum extension and flexion. and vastus lateralis increased open kinetic chain group about the maximum extension and flexion. Conclusion: Muscle activation are at the highest with the open kinetic chain in vastus medialis, vastus lateralis, rectus femoris. probably steady exercise thinked for open kinetic chain and closed kinetic chain.

• 한국산업보건학회지
• /
• 제24권3호
• /
• pp.383-392
• /
• 2014

Purpose: In this study, we sought to understand the risk factor for chronic disease of workers by studying the association between occupational standing time and metabolic syndrome(MetS) in full-time 300 male workers. Materials: Data on age, life habit, work related information of the subjects were surveyed using self-reported questionnaire and interview. MetS was identified based on the report of Alberti et al.(2009). As for the data analysis, SPSS 19.0 was used to conduct the descriptive statistic, ANOVA, Pearson correlation coefficient and multiple logistic regression analysis. Results: Daily working hour affects on the lifting heavy objects, running and strenuous exercise(r=-0.137, p<0.01), and total physical function decreased with the increase in age(r=-0.145, p<0.01). Also, obese was significantly associated with genuflection and bend over(r=-0.110, p<0.05). On multiple logistic regression analysis for the diagnostic indices of MetS, occupational standing time were significantly associated with waist circumference(odds ratio=0.885, ${\beta}$ value=-0.122, 95% CI=0.797-0.983, p<0.05) and triglyceride (odds ratio=0.873, ${\beta}$ value=-0.136, 95% CI=0.800-0.953, p<0.01). Conclusions: These results suggest that the working posture may be important risk factor in pathogenesis and growing of MetS and cardiovascular disease.