• 디지털융복합연구
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• 제16권2호
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• pp.375-383
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• 2018

본 연구는 유산소와 저항성 운동이 접목된 복합트레이닝을 비만과 골다공증 진단을 받은 지적장애인 성인에게 12주간 적용한 후 운동의 효과를 알아보기 위해 신체구성검사, 건강관련체력 그리고 골다공증의 변화를 검증하였다. 연구대상들의 운동은 12주간 주2회 유산소운동과 근력 운동을 구성된 복합트레이닝 프로그램을 실시하였다. 유산소운동은 저강도에서 시작하여 점증부하원리를 적용하였고, 저항성 운동은 15회를 반복할 수 있는 강도로 설정하였다. 신체조성과 골밀도는 운동전, 6주, 12주 세 차례 측정하였고, 건강체력평가는 운동전과 운동 후 측정하였다. 체중, 체지방은 운동전에 비해 운동 후 감소하였고, 골밀도는 운동전에 비해 운동 후 증가하였다. 체력요인으로 근력과 근지구력, 유연성이 운동전에 비해 운동 후 개선되었다. 본 연구결과로 12주의 복합트레이닝은 하지근력을 증가시켜 걷기, 달리기 등의 기능을 향상시키고, 건강체력의 향상과 골밀도의 증가를 일으키는 운동임을 확인하였다.

• 대한물리치료과학회지
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• 제26권3호
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• pp.1-7
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• 2019

Purpose: The purpose of this study was to investigate the effects of the Otago exercise combined with action observation training on changes of the brain activity of the elderly. Design: Randomized controlled trial. Methods: Thirty elderly women in the experiment were included. Participants were randomly assigned to the Otago combined with action observation training group, the Otago exercise group, and the control group (10 in each group). The Otago combined with action observation training group and the Otago exercise group performed the strength and balance exercises of the Otago exercise program for 50 minutes three times a week for 12 weeks. The Otago combined with action observation training group underwent additional action observation training for the Otago movement for 20 minutes three times a week. No intervention was performed in the control group. PolyG-1 (LAXTHA Inc., Daejeon, Korea) was used to measure the changes in the brain activity following intervention. One-way analysis of variance was used to compare the effects among the groups and a post-hoc test was performed. Results: The relative mu rhythms in the F3, C3, and C4 regions were significantly increased in the Otago combined with action observation training group. Relative beta wave activity in the Fp1, F3, F3, and C3 regions was significantly increased in the Otago combined with action observation training group (p<0.05). Conclusion: The results indicated that the Otago exercise combined with action observation training was effective for promoting the brain activity of the elderly.

• 대한물리치료과학회지
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• 제17권1_2호
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• pp.1-9
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• 2010

Background: The objective of this study was to determine whether sensorimotor training using an unstable surface affects dynamic balance and gait function in patients with hemiparesis, and to compare the effect of sensorimotor training with that of cycling exercise. Methods: Two subjects with post-stroke hemiparesis volunteered to participate in this study. Single-subject A-B design with alternating treatment was used for this study. Baseline(A) and intervention(B) phases were performed for 7 and 8 sessions, respectively. Sensorimotor training and cycling exercise were performed for 20 minutes in randomized order. Assessment tools were made by using a step test, timed up and go(TUG) test, and 6-minute walk test(6MWT). Results: Each of the participants improved in all three tests after the two interventions. Participants 1 and 2 showed the improvement for their assessment score after sensorimotor training in the step test by 42.1%(p<.05) and 58%, in the TUG, 31% and 19.5%, and in the 6MWT test, 32.3% and 10.6%(p<.05), respectively. After cycling exercise, participants 1 and 2 also improved in the step test by 32.5% and 53.1%, in the TUG, 27.4% and 18%, and in the 6MWT test, 28.8% and 3%. In statistical analysis between the two interventions, sensorimotor training showed a significant increased values in the step test for participant 1 and the 6MWT for participant 2 as compared with those of cycling exercise. Conclusion: Sensorimotor training and cycling exercise are helpful for improving dynamic balance and gait capacity. Furthermore, sensorimotor training may be more helpful than cycling exercise.

• Journal of Korean Biological Nursing Science
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• 제3권1호
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• pp.29-40
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• 2001

The purpose of this study was to investigate the effect of exercise training on work capacity, psychologic functions and quality of life in hemodialysis patients. Forteen hemodialysis patients, 3 males, 11 females, age ranged from $23{\sim}58$ years($42.3{\pm}0.4$) were selected and assessed using a modified Bruce protocol on a treadmill. The 3 months supervised exercise training consisted of 60 minites session thrice weekly on the treadmill, bicycle and arm ergometer at $40{\sim}60%$ of maximum $O_2$ consumption. The changes of maximum $O_2$ consumption, psychologic test and quality of life questionnaire in 14 patients before and after 3 months exercise training have been measured. The mean maximum $O_2$ consumption($VO_2$ max) of exercises increased by 23% after training(pre-and postexercise $26.3{\pm}4.6ml$/kg/min vs $29.8{\pm}4.9ml$/kg/min, p=0.013). There was significant reduction in anxiety score(p=0.004) and significant improvement in quality of life score(p=0.031) after training. The result of this study indicated that a structured exercise training for hemodialysis patients provides many benefits. These result suggest the exercise training can improve the work capacity, psychologic functions and quality of life outcomes in hemodialysis patients.

• The Korean Journal of Physiology and Pharmacology
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• 제21권6호
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• pp.633-641
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• 2017

The aim of this study is to investigate the effects of intermittent ladder-climbing exercise training on mitochondrial biogenesis and ER stress of the cardiac muscle in high fat diet-induced obese middle-aged rats. We induced obesity over 6 weeks of period in 40 male Sprague-Dawley rats around 50 weeks old, and were randomly divided into four experimental groups: chow, HFD, exercise+HFD, and exercise+chow. The exercising groups underwent high-intensity intermittent training using a ladder-climbing and weight exercise 3 days/week for a total of 8 weeks. High-fat diet and concurrent exercise resulted in no significant reduction in body weight but caused a significant reduction in visceral fat weight (p<0.05). Expression of $PPAR{\delta}$ increased in the exercise groups and was significantly increased in the high-fat diet+exercise group (p<0.05). Among the ER stress-related proteins, the expression levels of p-PERK and CHOP, related to cardiac muscle damage, were significantly higher in the cardiac muscle of the high-fat diet group (p<0.05), and were significantly reduced by intermittent ladder-climbing exercise training (p<0.05). Specifically, this reduction was greater when the rats underwent exercise after switching back to the chow diet with a reduced caloric intake. Collectively, these results suggest that the combination of intermittent ladder-climbing exercise training and a reduced caloric intake can decrease the levels of ER stress-related proteins that contribute to cardiac muscle damage in obesity and aging. However, additional validation is required to understand the effects of these changes on mitochondrial biogenesis during exercise.

• 생명과학회지
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• 제27권3호
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• pp.361-369
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• 2017

미토콘드리아의 항상성은 미토콘드리아 생합성과 마이토파지(자가포식에 의한 미토콘드리아 분해)로 불리는 2가지 주요 과정들에 의해 정교하게 조절되고 있다. 지구성 운동 훈련에 반응하여 골격근에서 미토콘드리아 생합성에 관한 기전들은 잘 정립되어 있는 반면 지구성 운동 훈련 후 골격근의 마이토파지 조절 기전과 마이토파지와 미토콘드리아 생합성의 협응을 조절하는 기전은 아직 명확히 밝혀져 있지 않다. 최근 연구들에 의하면 지구성 운동 훈련은 골격근에서 미토콘드리아 생합성, 미토콘드리아 역동성, 미토콘드리아 분해와 관련된 유전인자들의 발현을 증가시킨다고 하였다. 하지만 골격근에서 자가포식이 억제되었을 경우, 지구성 운동 훈련에 의한 미토콘드리아 생합성과 관련된 지표들인 Cox IV와 citrate synthase의 증가는 상쇄되었다. 따라서 자가포식과 마이토파지는 골격근의 미토콘드리아 생합성에 중요한 역할을 하며 정반대되는 이 두 과정(이화 또는 동화작용)의 협응 과정이 지구성 운동 훈련에 반응하여 대사적 기능과 지구력 운동 수행능력을 향상시키는 것과 같은 골격근의 적응에 중요한 듯하다. 지구성 운동은 미토콘드리아의 일정한 숫자를 유지시키기 위해 미토콘드리아 생합성, 미토콘드리아의 융합과 분열, 자가포식/마이토 파지들의 각각의 과정들을 조절하는 것으로 여겨진다. 지구성 운동 훈련은 골격근에서 마이토파지를 활성화시켜 미토콘드리아 양과 질을 조절하여 늙고 건강하지 않은 미토콘드리아를 젊고 건강한 미토콘드리아로 교체시킬 수 있다. 이 총론에서 미토콘드리아 생합성과 마이토파지의 분자학적 기전과 서로 상반되는 이 두 과정간의 협응이 골격근의 지구성 훈련에 대한 세포적 적응에 관련한다는 내용이 논의될 것이다.

• 국제물리치료학회지
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• 제7권1호
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• pp.915-918
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• 2016

The purpose of this study was to assess the effects of Ankle exercise on balance ability of stroke patients. Participants' balance ability were measured prior to the training and they conducted ankle exercise. As for ankle exercises, ankle stretching training and ankle muscle strengthening training were performed for 10 minutes respectively. They did warm up exercise for 5 minutes and then ankle exercise for 20 minutes. And then they did cooldown exercise for 5 minutes. Their balance ability was measured after 9 weeks. According to the results of analyzing the change of balance ability that timed up and go and Berg balance scale score significantly improved but in the control group it did not significantly decrease. In comparison between the groups, Berg balance scale score significantly improved in the ankle exercise group compared to the control group. Ankle exercise performed by stroke patients are considered to be effective in improving balance ability.

• 한국전문물리치료학회지
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• 제13권3호
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• pp.18-23
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• 2006

The limited walking ability after a stroke restricts a patient's independent mobility at home and in the community. It also brings about significant social handicaps. Therefore, it is necessary to improve walking ability in community-dwelling persons with stroke. The purpose of this study was to evaluate the effectiveness of gait training and muscle strengthening exercise of lower extremities in persons with chronic stroke. Nineteen community-dwelling individuals with stroke participated in this program. The exercise program lasted for seven weeks, with a 1-hour program twice per week, and it consisted of balance training, gait training, and strengthening of lower extremities. The outcome of the program was assessed by the gait speed, Wisconsin Gait Scale (WGS), Berg Balance Scale (BBS), and Stroke Impact Scale (SIS). Significant effects were found for the WGS, BBS, and mobility and hand function domain of the SIS (p<.05). It was found that short-term gait training exercise could improve quality of gait, balance, and mobility. Therefore, a more effective exercise program is required for community-based persons with stroke.

• 한국산학기술학회논문지
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• 제15권1호
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• pp.367-376
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• 2014

이 연구의 목적은 건강한 남자 14명을 대상자로 단기간의 지구성 훈련과 지구성 운동에 웨이트 운동을 병행한 복합훈련이 골격근 섬유의 형태 및 골격근 내 산화적 효소의 활성도에 미치는 영향을 구명하고자 하였다. 지구성 트레이닝 집단은 최대심박수의 70~80% 에서 40분간 자유형으로 수영을 6주간 실시하였으며 복합 트레이닝 집단은 동일한 수영을 실시한 후 웨이트 트레이닝을 추가로 실시하였다. 근섬유 횡단면적에 있어 복합훈련 집단과 지구성 훈련 집단 간에 차이가 나타나지 않았으며 훈련기간에 따라 복합훈련 집단에서 지구성 훈련 집단보다 증가한 것으로 나타났다. 모세혈관 수에 있어서도 집단 간 차이는 나타나지 않았으며 훈련기간에 따라 복합훈련 집단에서 지구성 훈련 집단보다 증가한 것으로 나타났다. 유산소성 대사 효소 중 CS, ${\beta}$-HAD 그리고 CPT의 활성도는 훈련형태에 따른 차이는 통계적으로 나타나지 않았으나 복합훈련 집단에서 지구성 훈련 집단에서 보다 더 큰 증가의 폭을 나타냈다. 이와 같은 결과를 종합해 볼 때 유산소성 훈련만을 실시할 때 보다 유 무산소 운동이 복합적으로 구성되어 있는 훈련의 수행이 근섬유의 에너지 대사 관련 효소들의 활성도 증가와 근 세포 모세혈관의 발달에 보다 효과적이라는 결론을 도출할 수 있었다.

• 대한물리치료과학회지
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• 제2권4호
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• pp.779-783
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• 1995

The number of the subjects of this study were all sixteen including 8 male and 8 female. They were chronic low back pain patients and treated at hospital out patient. The patients took lumbar extension strength training. The results of examination and analysis isometric lumbar extension muscular strength before and after the training are as follows; 1. TFT increased after lumbar extension muscular strength exercise than before the exercise. Inspire of difference of each angle. The reciprocal action didn't happen between training and angle. 2. NMT increased after lumbar extension muscular strength exercise than the before the exercise and the difference of each angle didn't happen. The reciprocal action also didn't happen between the training and angle. 3. Comparing presented standard point with individual point, 13persons' muscle strength of first step increased, on the other and 3 person's muscle strength a little increased in a same category. 4. The grade of low back pain decreased for all subjects. Concluding this study, lumbar extension muscular strength exercise through isokinetic device decreases the grade of low back pain and increase lumbar extension muscular strength. It is that equal exercise effect happen in full range of motion, for the exercise effect doesn't show the difference of each angle.