• The Journal of Korean Physical Therapy
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• 제30권5호
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• pp.173-180
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• 2018

Purpose: This study examined the effects of sling exercise therapy on vertebral alignment, VAS, muscle activity, and multifidus of patients with chronic low back pain. Methods: Simple random sampling was used to divide the patients (n=116) into the sling exercise therapy group (SETG) and conservative physical therapy group (CPTG), with each group provided a intervention program in 3 sessions a week for 12 weeks. The lumbar lordosis angle (LLA), lumbar intervertebral disc angle (LIVDA) for vertebral alignment, lumbar muscle activity, and multifidus atrophy were measured before and after the intervention. Results: SETG showed significant changes in LLA, LIVDA of rate of change (delta score), and in relieving pain. The right-left balance gap for the lumbar dynamic muscle activity decreased after the intervention. The SETG showed significant changes in the grade of lumbar multifidus atrophy. Conclusion: The sling exercise therapy program is an effective exercise therapy method on vertebral alignment, muscle activity, recovery from multifidus atrophy, and pain relief for patients with chronic low back pain.

• 대한물리의학회지
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• 제5권2호
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• pp.211-221
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• 2010

Purpose : The purpose of this study is to find out the effects of combined exercise including walking and yoga on cognitive functions in the elderly women. Methods : Sixteen elderly women aged above 65 are invited in this study. Each subject participated in exercise three times a week for eight weeks from July 14th to September 13th in 2008. The changes between pre and post exercise are analyzed by Wilcoxon sign rank test and repeated ANOVA test with SPSS (ver 17.0) package program. Results : After exercise, In the below 23 points group, only interference STROOP test (p<.05) among sub items of Cognition Scale for Older Adults (CSOA) is improved significantly. In the above 24 points group, words memory (p<.05), delayed recall (p<.05), and picture naming (p<.05) among sub items of CSOA are improved significantly. But it is no different to the change patterns among two groups. Conclusion : These results show that combined exercise including walking and yoga is helpful to improve cognitive functions. And we find that exercise is helpful in the above 24 points elderly women more than in the below 23 points.

• Clinical and Experimental Pediatrics
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• 제64권5호
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• pp.196-207
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• 2021

Over the last few decades, the rates of pediatric obesity have more than doubled regardless of sociodemographic categorization, and despite these rates plateauing in recent years there continues to be an increase in the severity of obesity in children and adolescents. This review will discuss the pediatric obesity mediated cardiovascular disease (CVD) risk factors such as attenuated levels of satiety and energy metabolism hormones, insulin resistance, vascular endothelial dysfunction, and arterial stiffness. Additionally, early intervention to combat pediatric obesity is critical as obesity has been suggested to track into adulthood, and these obese children and adolescents are at an increased risk of early mortality. Current suggested strategies to combat pediatric obesity are modifying diet, limiting sedentary behavior, and increasing physical activity. The effects of exercise intervention on metabolic hormones such as leptin and adiponectin, insulin sensitivity/resistance, and body fat in obese children and adolescents will be discussed along with the exercise modality, intensity, and duration. Specifically, this review will focus on the differential effects of aerobic exercise, resistance training, and combined exercise on the cardiovascular risks in pediatric obesity. This review outlines the evidence that exercise intervention is a beneficial therapeutic strategy to reduce the risk factors for CVD and the ideal exercise prescription to combat pediatric obesity should contain both muscle strengthening and aerobic components with an emphasis on fat mass reduction and long-term adherence.

• 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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• 제13권6호
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• pp.378-387
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• 2007

운동 효과를 극대화하기 위하여 개인의 신체 상태를 측정한 후, 운동 처방을 통하여 적합한 운동 프로그램을 생성해 주는 운동 관리 시스템이 도입되어 활용되고 있다. 하지만, 2주$\sim$3개월 주기로 신체 상태를 파악하여 생성되는 운동 프로그램은 다양하게 변화하는 개개인의 운동 습관이나 운동 주기를 실시간으로 반영하지 못하기 때문에, 운동 기간이 길어질수록 사용자의 현재상태에 적절치 않은 운동을 유도할 수 있다. 본 논문에서는 사용자의 상황을 고려한 운동 프로그램을 제공하기 위한 문맥 인지 운동 모델(Context Aware Exercise Model : CAEM)을 제안하며, 이를 지능형 운동 가이드(Intelligent Fitness Guide : IFG) 시스템으로 구현한다. IFG 시스템은 사용자의 상황에 따라 필요한 측정치를 선택적으로 입력 받고, 운동 종류 및 운동 횟수, 운동 강도의 변경 시 운동 최적화 알고리즘 및 운동 지식베이스를 통해 운동 프로그램을 생성한다. IFG는 사용자 상황에 알맞은 운동 프로그램을 실시간으로 제공함으로써, 사용자 상황에 알맞은 효율적인 운동 관리를 할 수 있다.

• 한국산학기술학회논문지
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• 제14권7호
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• pp.3374-3382
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• 2013

이 연구의 목적은 운동기능 및 신체활동에 제약이 있는 뇌성마비 아동들을 대상으로, 12주간의 수영운동프로그램이 렙틴과 지질성분에 어떠한 영향을 미치는 지를 연구하였다. 수영프로그램은 일일 60분씩, 주당 4회 이상 12주간의 수영프로그램을 실시하였으며, 물과 영법에 적응하게 되면 점진적으로 보다 높은 단계의 수준으로 프로그램이 향상 조정되었다. 이 연구의 결과에서 뇌성마비 아동들의 체중 및 BMI와 혈중 총콜레스테롤, LDL, 렙틴의 농도는 감소되는 경향을 보였으나 통계적으로 유의한 차이를 보이지 않았으며 HDL의 농도는 변화가 없었다. 그러나 혈중 중성지방의 농도는 유의하게 증가되었으며(p<.05), 혈중 유리지방산의 농도는 유의하게 감소되었다(p<.001). 이러한 결과는 12주간의 규칙적 수영운동프로그램이 뇌성마비 아동들의 혈중 지질성분과 렙틴 농도의 개선에 효과가 있는 것으로 생각되며 이는 신체활동이 부족한 뇌성마비 아동들의 비만관련 대사적질환의 예방을 위한 효과적 방법이라 사료된다.

• 한국산학기술학회논문지
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• 제13권11호
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• pp.5506-5511
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• 2012

본 u-웰니스는 병원 등 의료서비스 공급자 측과 개인에게 광범위하게 적용하는 개념으로, 공급 측의 u-피트니스, 화상 건강 상담 서비스 등과 함께 개인 측면의 스트레스 관리, 비만 관리, 운동량 체크 등을 포함하는 개념이다. 본 논문에서는 개인을 식별하는 인증장치로 사용자의 스마트폰을 사용하고 이 장치를 통해 체지방 분석, 건강관리 전문가의 처방기록을 받은 기록을 바탕으로 운동기구들과 Wi-Fi 통신을 통하여 운동량을 측정 및 관리하는 u-헬스케어 시스템을 설계하고 구현 하였다. 본 시스템은 건강관리 전문가의 처방을 통해 사용자의 최적화된 운동량을 처방 받아 효율적인 운동을 할 수 있도록 해준다. 또한 본 시스템은 체지방 측정기계와 전문가의 측정 결과를 수치화 하고 운동기구들의 이용 횟수 등을 데이터베이스로 구축하고 자동 스케줄 관리를 해준다.

• 한국산학기술학회논문지
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• 제13권3호
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• pp.1194-1202
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• 2012

최근에 발견된 Adiponectiin과 gut hormone은 지질대사와 인슐린 저항성, 그리고 식욕에 영향을 주는 것으로 보고되고 있다. 이 연구의 목적은 장기간 트레이닝을 한 고등학교 씨름선수 16명(경량급=8, 장사급=8)을 대상으로 일시적 운동을 실시하여, 운동 전 후의 혈중 Adiponectin과 Gut hormones 농도의 변화와 체중차이에 의한 농도에 차이가 있는지를 구명하고 체중의 차이가 운동의 효과에 어떠한 영향을 미치는지를 구명하고자 하였다. 실험방법으로 일시적 운동프로그램은 40분간 걷기를 한 후, 5분간 all-out 달리기를 실시하였으며 운동 전 후에 혈액을 채혈하여 분석하였다. 이 연구의 결과에서 Adiponectin과 Ghrelin의 농도는 경량급선수가 장사급선수보다 유의하게 높은 것으로 나타났으며(p<.05), 인슐린의 농도에서는 반대로 장사급선수가 경량급선수보다 유의하게 높은 것으로 나타났다(p<.01). 또한, 운동 전 후의 유의한 차이는 오직 글루카곤에서 운동 후에 유의하게 증가하였으며(p<.01), 다른 모든 변인에서 운동 전 후의 유의한 차이는 나타나지 않았다. 이 연구의 결과에서는 Adiponectin과 인슐린, Ghrelin 등의 혈중 농도에 대한 일시적인 운동 효과는 없었으며 체중 차이에 의해서 변화를 보였고, 글루카곤의 경우에만 일시적인 운동에 영향을 받아 증가되는 것으로 나타났다. 따라서 Adiponectin과 인슐린, Ghrelin 등의 농도는 지속적인 운동의 효과와 체중 차이에 영향을 받는 것으로 생각되며 글루카곤은 일시적인 운동에도 효과가 있는 것으로 사료된다.

• 운동영양학회지
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• 제16권2호
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• pp.93-100
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• 2012

Alzheimer's disease (AD) is the most common cause of dementia in adults. Microtubule associated protein tau is abnormally phosphorylated in AD and aggregates as paired helical filaments (PHFs) in neurofibrillary tangles (NFTs). NFTs are the most common intraneuronal inclusion in the brains of patients with AD and have been implicated in mediating neuronal cell death and cognitive deficit. Aberrant phosphorylation of tau is an early pathological event in AD, but the underlying mechanisms are unclear. MAP kinases are a family of Serine/Threonine (Ser/Thr) kinases that involved hyper - phosphorylation of tau in AD. The purpose of this study was to investigate the effect of treadmill exercise on phosphorylation of tau level and activation of MAPKs including JNK, ERK, p38-MAPK. To address this, Tg mouse model of AD, Tg-NSE/hTau 23, which expresses human tau 23 in the brain, was chosen. Animals were subjected to treadmill exercise for 12 weeks from 24 months of age. Treadmill exercise in Tg group improved cognitive function compared with Tg-SED group in watermaze test. In addition, treadmill exercised Tg mice significantly reduced the activation of JNK54/46, p38-MAPK and tau (Ser404, Ser202, Thr231), and increased activation of ERK44/42 in cerebral cortex. These results suggest that treadmill exercise may provide a therapeutic potential to alleviate the tau pathology like AD.

• 대한간호학회지
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• 제31권1호
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• pp.20-30
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• 2001

This study was conducted to identify the effects of a planned exercise program based on Bandura's self efficacy model on metabolism, and the exercise compliance in type 2 diabetes mellitus patients. The study design was a nonequivalent pre-test post-test control design. Thirty four type 2 diabetes mellitus patients, who received follow-up care regularly through the diabetic out-patient clinic, were randomly sampled for this study. Twenty patients were assigned to the experimental group and fourteen patients were assigned to the control group. In the experimental group, a planned exercise program is composed of an individualized exercise prescription for 12 weeks, an individual education, and even a telephone coach program. In the case of the control group, they were instructed to continue with their usual schedules. The data collection period was from March 1999 to February 2000 Data were analyzed using SPSS/WINDOW 10.0 program. The results were as follows. 1. In the experimental group, the level of fasting blood sugar has significantly decreased from 188.20 mg/㎗ to 155.55 mg/㎗ after planned exercise program (F= 16.86, p=.000). For lipid metabolism, body fat per cutaneous decreased from 27.16% to 26.57% after planned exercise program. The score of self efficacy has increased from 64.20 to 66.65 after planned exercise program and it was statistically significant (F=4.850, p=.040) The functional vital capacity has increased from 3.28$\ell$ to 3.37$\ell$and it was statistically significant(F=7.300, p=.020). 2. In an after effect of a planned exercise program, 35 percent of the subjects who participated in a planned exercise program continued to exercise for another six months. In conclusion, the planned exercise program can improve cardiopulmonary function, glucose, and lipid metabolism. This program was show a positive effect on the self efficacy and exercise compliance.

• 대한정형도수물리치료학회지
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• 제14권1호
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• pp.31-38
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• 2008

Purpose : The purpose of this study was to compare the effectiveness of both neuromuscular electrical stimulation(NMES) and isometrical exercise(IE) to strengthen the quadriceps femoris muscle. The relationships between the strength changes and the relative force and duration of training contractions were also studied. Methods : The subjects were divided into three group. The control group(n=6) received no exercise and/or stimulation. The isometric exercise (IE) group(n=6) performed maximum isometric contractions, and the neuromuscular electrical stimulation(NMES)(n=6) engaged electrically stimulated isometric contractions, three days a week for four weeks. Results : Results showed that both IE group and NMES group were found to have an increase in strength significantly greater(p<0.05) than the control group at 4 week. But between IE group and NMES group were not found to have an difference in strength significantly. Conclusion : The relative increase in isometric strength, using IE and NMES, may be determined by the ability of the subjects to tolerate longer and more forceful contractions. Suggestions for further research and implications for the clinical of IE and NMES for strength-training are discussed.