• Title/Summary/Keyword: Functional ability

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기능적 전기자극을 적용한 트레드밀 보행훈련에 통합한 경피신경 전기자극이 뇌졸중환자의 경직도 균형, 보행 능력에 미치는 영향 (Effects of Integrating Transcutaneous Electrical Nerve Stimulation into Treadmill Gait Training Applying Functional Electrical Stimulation on Spasticity, Balance and Gait Ability in Stroke Patients: A Randomized Controlled Trial)

  • 이문수;이명모
    • 대한물리의학회지
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    • 제15권2호
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    • pp.39-48
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    • 2020
  • PURPOSE: This study examined the effects of integrating transcutaneous electrical nerve stimulation into treadmill gait training by applying functional electrical stimulation on the spasticity, balance, and gait ability of chronic stroke patients METHODS: Twenty participants were assigned randomly to two groups: the treadmill gait training group with applied functional electrical stimulation (FES) with integrated transcutaneous electricalstimulation (TENS) (experimental group, EG, n = 10) and the treadmill gait training group with FES (control group, CG, n = 10). Both groups received treadmill gait training with FES for 30 minutes a time, four times a week, during five weeks. The experimental group received additional TENS on their L3, L5, and S2 dermatome for 30 minutes before the interventions. The spasticity, balance, and gait ability were evaluated before and after the training to compare the intergroup and intragroup changes. RESULTS: Both groups showed significant improvements in the static, dynamic balance, and gait ability (p < .05), but did not show any significant changes in the muscle tone. The EG showed significant improvements in the static balance ability and gait cycle compared to the CG (p < .05). CONCLUSION: Treadmill gait training combined with FES with integrated TENS is an effective method for improving the static balance and gait cycle. On the other hand, the effects of treadmill gait training with FES on spasticity need to be studied further.

탄력밴드저항운동이 노인의 균형 능력 향상에 미치는 영향 (Effects of Elastic Band Resistance Exercise on Improving the Balance Ability in the Elderly)

  • 김건;김수현;서삼기;윤희종;김태열
    • The Journal of Korean Physical Therapy
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    • 제20권2호
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    • pp.1-10
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    • 2008
  • Purpose: This study examines the effects of elastic band of resistance exercise for balance control of the elderly. Methods: Thirty of eighty participants in experiment subjects who demonstrated balance-impairment through the use of primary screening tests including the one leg standing test (OLST), functional reach test (FRT) and timed up and go (TUG) were selected as subjects. Fifteen subjects that underwent muscle-strengthening exercise using an elastic band were selected as the exercise group and fifteen subjects were selected as a control group. Subjects undertook a home-based exercise program three times per week for 9 weeks. Muscle strength, functional assessment and a balance test were quantitatively measured before and after the exercise regimen. Results: After muscle strengthening exercises, changes in maximal voluntary isometric contraction (MVIC) showed a significant increase in all of the lower extremity muscles of the exercise group subjects. There were statistically significant differences between the exercise and control groups for changes in the OLST, FRT and TUG, which are functional assessments of balance ability, and changes of the unit path length and circumference area, measurement items of quantitative analysis. In addition, from examining correlations between MVIC, balance ability, it was found that an increase of muscle strength in the hip joint group of muscles among the lower extremity muscles had greater improvement in correlation with balance ability in this elderly population. Conclusion: Resistance exercise using elastic bands had significant effects on muscle strengthening in elderly subjects, with a resultant increase of lower extremity muscle strength with significant improvement of balance ability.

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골관절염 여성의 임상적 특성 및 자기효능감이 기능수행에 미치는 영향 (The Influence of Clinical Symptoms and Self-Efficacy on Function in Women With Osteoarthritis)

  • 정경아;이완희
    • 한국전문물리치료학회지
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    • 제14권1호
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    • pp.55-63
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    • 2007
  • This study was designed to examine the relationship between clinical symptoms, self-efficacy, and performance of women with osteoarthritis. It is a survey study of 60 women who were diagnosed as osteoarthritis and given medical treatments from September, 2005 to October, 2005 in hospital 'H' located in Yongin-si. For clinical symptoms, radiographs of the subjects' knees were taken and evaluated the pathology grade by the Kellgren-Lawrence grade. Pain and stiffness was measured by the measure of WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index), and functional reach test was measured in order to examine balancing abilities. Self-efficacy was measured by a tool which has revised the ASES (Arthritis Self-Efficacy Scale), and performance was measured by recording the difficulty of the WOMAC measurements themselves, and the time taken for 20 m walking, going up and down 9 stairs, and 5 sit-down and stand-up repetitions. The resulting differences in the other variables according to performance and the relationship between performance with variables are the following. First, an increase in pain in women with osteoarthritis led to decreased functional ability. Second, an increase in stiffness in women with osteoarthritis led to a decrease in functional ability. Third, a decrease in balance in women with osteoarthritis led to a decrease in functional ability. Fourth, a decrease in self-efficacy in women with osteoarthritis led to a decrease in functional ability. Fifth, the variables for estimating the performance by self-report were pain and self-efficacy. The variables for estimating the performance by recording the time taken was balance and self-efficacy. As a result factors such as pain, balance and self-efficacy in women with osteoarthritis were closely related to performance. Based on the results, it seems that physical therapy programs to decrease pain and to increase the balance in women with osteoarthritis, and psychological approaches to increasing self-efficacy are needed. I hope that the results of this study will be useful data for clinical management and intervention for women with osteoarthritis.

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만성 뇌졸중 환자에 대한 PNF 집단 운동프로그램의 효과 (Efficacy of PNF Group Exercise Program in Chronic Stroke)

  • 김수민;배성수
    • PNF and Movement
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    • 제3권1호
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    • pp.1-15
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    • 2005
  • Objective : The purpose of this study was to evaluate the influence of a community based group exercise intervention on motor functional capacity. To evaluate the immediate(post-treatment) effects after 6-weeks exercise program on the group exercise intervention(PNF and Circuit exercise). Methods : Subjects-Included persons with stroke who were living in the community. Thirty-seven subjects were randomly assigned to the PNF, Circuit exercise and control group participated in a repeated measures design that evaluated the subjects with pre-treatment, post-treatment(6 weeks). Functional ability outcome measures assessed the motor assessment scale(MAS) and EMG. Both treatment groups participated in exercise cJass three times a week for 6 weeks. Group programs focused on balance, functional motor capacity and walking ability. The PNF program was modified PNF pattem and techniques with emphasis on functional tasks when possible, as well as stretching of the more affected limb particularly in the more affected shoulder. The Circuit program with subjects completing practice at a selies of work station as well as participating in walking races and relay with other members of the group. Results : Compared with the control group, the treatment group had larger improvements in the motor function ability after 6 weeks treatment and Post-treatment test scores were more significant than the pre-treatment score. 1. Motor function were assessed by using MAS, sit to stand, walking and upper function were assessed pre-treatment versus post-treatment measures revealed a statically significant(p<.05). There were significant differences between the groups. Compared with the control group, the treatment group had larger improvements. 2. In the treatment groups, demonstrated difference in the electromyographic activation of biceps, triceps, quadriceps and tibialis anterior muscles on the paretic side in the response to the reaching arm movement and stepping motion in stance. The difference in muscle activation improvement were not statically significant. Conclusion : The results of this study showed that the PNF and Circuit group exercise intervention can improve motor functional ability. This study suggests that the PNF and Circuit exercise programs is appropriate for community-based group exercise principles. It leads to gain and maintain potential function for disabled persons after stroke in the community.

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수학 성취 수준에 따른 고등학생들의 함수적 표현의 번역 능력 (The Translation Ability of Functional Expressions of High School Students according to the level of Mathematics)

  • 천유영;임대근;류현아
    • 한국학교수학회논문집
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    • 제16권1호
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    • pp.141-155
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    • 2013
  • 함수에서 한 표현 양식을 해석하여 다른 표현 양식으로 번역하는 과정은 함수적 사고 능력의 개발에 있어서 중요한 과정이며 함수의 지도에서 강조되어야 한다. 본 연구는 수학 수준별 함수의 번역 능력과 번역 과정에서 나타나는 오류를 파악하고 그 원인을 찾아 함수 교수 학습에 시사점을 제공하는 것에 목적이 있다. 이를 위해 고등학교 1학년을 대상으로 함수적 표현의 번역 능력을 검사하기 위한 과제를 수행하게 하고, 각 문항에 대하여 수준별로 정답률을 분석하고, 오류 유형과 그 원인을 분석하여 교정 방안을 모색하고자 한다.

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당귀와 승검초의 기능성 성분과 아질산염 소거능 (Effective Components and Nitrite Scavenging Ability of Root and Leaves a Angelica gigas Nakai)

  • 정선우;김향숙
    • 한국식품조리과학회지
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    • 제22권6호통권96호
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    • pp.957-965
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    • 2006
  • This research was conducted to examine the usability of Dangui (Angelica gigas Nakai, Root) and Seungumcho (Angelica gigas Nakai, Leaf) as functional food in aspects of their functional components and nitrite scavenging ability. Analysis of proximate composition showed that Dangui contains more moisture, crude lipid and crude protein than Seungumcho. On the other hand, Seungumcho contains more than twice mont of crude ash and crude fiber than Dangui. Dangui showed higher contents in phosphorus, iron, magnesium, and Seungumcho showed higher contents in copper, calcium, sodium, potassium compare to each other. Substances such as calcium, magnesium and iron that showed high contents in Dangui and Seungumcho are the most important inorganic substances. Total dietary fiber(TDF) of Dangui, sum of IDF and SDF, was 24.2%, and Seungumcho showed 28.18%. vitamin C contents of a 29.690.33 mg/100g appeared only in Seunggumcho. Total phenol contents of Dangui was 0.100${\pm}$002% and that of Seungumcho 0.0900${\pm}$008%. Nnitrite Scavenging ability of both water soluble and methanol soluble extracts were more than 90% at pH 1.2, and it decreased as pH level adjusted to pH 4.2, pH and 6.0.

Tea-fungus 발효음료의 기능성 (Functional Properties of Tea-fungus Beverage)

  • 박찬성
    • 한국식품저장유통학회지
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    • 제10권2호
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    • pp.241-245
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    • 2003
  • 기능성 발효음료를 개발하기 위하여 홍차, 감잎차, 솔잎, 쑥, 눈꽃 동충하초와 번데기 동충하초의 균사체와 자실체를 부재료로 첨가한 배지에 tea-fungus를 접종하여 3$0^{\circ}C$에서 2주일간 발효시킨 tea-fungus 음료를 조제하였다. Tea-fungus 음료의 기능성을 조사하기 위하여 음료의 원액과 그 5배 희석액으로 나누어 항균활성, 항산화능과 아질산염소거능을 조사하였다. Tea-fungus 음료의 항균활성은 솔잎과 눈꽃동충하초의 균사체와 자실체를 첨가한 경우에 E. coli와 S. aureus에 대하여 모두 우수한 항균활성을 나타내었으나 감잎차를 첨가한 음료는 항균활성을 나타내지 않았다. Tea-fungus 음료의 5배 희석액은 두 균주 모두에 대하여 항균활성을 나타내지 않았다. 음료의 전자공여능은 41-87%, 5배로 희석한 tea-fungus음료는 11-63%로서 솔잎과 감잎차를 첨가한 음료의 전자공여능이 높았고, 번데기동충하초의 균사체와 자실체를 첨가한 음료에서 낮았다. Tea-fungus 음료의 아질산염소거능홍차를 첨가한 음료에서 63%, 감잎차 44%로서 높았으며 다른 부재료를 첨가한 경우에는 전체적으로 낮은 소거능을 나타내었다.

운전시뮬레이터 훈련이 시 지각 및 운전 반응 속도에 미치는 효과 (The Effects of Driving Rehabilitation Functional Training on Visual Perception and Driving Reaction Velocity)

  • 이정숙;김성원
    • 대한통합의학회지
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    • 제5권4호
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    • pp.77-81
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    • 2017
  • Purpose : This study examined the effects of driving rehabilitation functional training on visual perception ability and driving reaction velocity. Those subjects were put under MVPT-3 test to see their visual perceptual functions before and after the 4weeks' driving rehabilitation function training and then put to TMT A-type test to see their driving reaction velocity performance. The followings are the results of this study. Methods : Using a driving simulator, driving rehabilitation functional training was performed targeting men and women aged in 20s 20 minutes per time, two times per week, for a month. Results : As for the change in visual perception, the Raw Score of MVPT-3 very significantly increased (p<.01), and the Standard Score also very significantly increased (p<.01). As for the change in reaction velocity, TMT A-type very significantly decreased (p<.01), and TMT B-type also very significantly decreased (p<.01). Conclusion : It could be found that driving rehabilitation functional training should be effective for both visual perception and reaction velocity. Consequently, the driving rehabilitation function training can be applied to clinics as training method for functional recovery and improvement of visual perceptual functions and driving reaction velocity performance ability of the patients. Thus, various functional programs should be studied in the future.

Effect of Ankle Stabilization Training Using Biofeedback on Balance Ability and Lower Limb Muscle Activity in Football Players with Functional Ankle Instability

  • Kim, Je-Ho;Uhm, Yo-Han
    • The Journal of Korean Physical Therapy
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    • 제28권3호
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    • pp.189-194
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    • 2016
  • Purpose: This study focuses on influence of ankle stabilization training on balance ability and lower limb muscle activation of soccer player with functional ankle instability. Methods: Subjects were grouped into ankle stabilization training group using biofeedback comprised of 15 subjects and general exercise group of 15. The training was conducted for 30 minutes, 3 times a week for 8 weeks in total. All 30 football players conducted plyometric training for 30 minutes before main training. To evaluate balance ability, biorescure was used to measure whole path length and surface area and surface electromyography (EMG) system was used to measure tibialis anterior, tibialis posterior, and soleus to evaluate lower limb muscle activation. Results: The experiment group showed significant difference to the comparison group in regard of whole path length and surface area which represents balancing capability and muscle activation of tibialis anterior, tibialis posterior, and soleus. Conclusion: Therefore, ankle stabilization training using biofeedback is more effective in enhancing balance ability and lower limb muscle activation than general exercise.

Correlation of Berg Balance Scale and Functional Reach Test

  • Park, Eun-Young;Kim, Won-Ho
    • 한국전문물리치료학회지
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    • 제14권4호
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    • pp.28-34
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    • 2007
  • The purposes of this study were to provide the basic data and investigate the reliability of functional reach test and identify correlation of Berg balance scale (BBS) and functional reach test (FRT). The subjects were twenty healthy young adults and forty-five over 65 years old in order to compare balance ability. These data were analyzed by independent t-test and Pearson's correlation test using SPSS WIN 10.0. The results were as follows. Intrarater reliability coefficients of FRT was .976 and interrater was .942. FRT was significantly correlated with age, height, and BBS (p<.05). There were no significant differences in FRT and BBS by sex. There was significant difference in reach distance between below 74 elderly and above in FRT. FRT is very reliable test for balance and significantly correlated with BBS. Therefore, it is suggested that FRT is a clinically useful tool to substitute for BBS measuring balance ability in the elderly.

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