• Title/Summary/Keyword: Hand and Finger Exercise

검색결과 19건 처리시간 0.029초

노인의료복지시설 생활지도원의 직무스트레스와 근골격계 증상 (Job Stress and Musculoskeletal Symptoms of Care Workers at Medical Welfare Facilities for Elders)

  • 이영미
    • 지역사회간호학회지
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    • 제18권3호
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    • pp.410-419
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    • 2007
  • Purpose: This study is a descriptive survey to find out musculoskeletal symptoms in care workers working at medical welfare facilities for elders and factors affecting such symptoms. Methods: Data were collected from 115 care workers selected through convenient sampling from 6 medical welfare facilities in Seoul and Gyeonggi-do during the period from May 15th to May 19th. 2006. The Korean version of Job Content Questionnaire (JCQ) were used. Result: Of the subjects, 81.7% complained of musculoskeletal symptoms in two or more parts of their body. The frequency of body parts with musculoskeletal symptoms was high in order of shoulder, leg/foot, waist, neck/hand/wrist/finger and arm/elbow. The average job insecurity instability in the age group of 50-59 was 9.19, the average degree of regular exercise was 59.68. and the average job demand in those diagnosed with musculoskeletal diseases was 47.06, and the average job demand in those wounded during exercise or by an accident was 47.78, and all these were statistically significant. The heavier physical load in their work was, the higher their complaint of musculoskeletal symptoms was. In the lower social support group, the degree of complaint on musculoskeletal symptoms was remarkably high. Conclusion: The physical load of their duty and social support worked as the factors affecting musculoskeletal symptoms in care workers.

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트래드밀에서의 최대하 부하 운동과 간헐적 부위별 인체 냉각 시 심부와 말초 부위의 체온 변화 (Thermal Dynamics of Core and Periphery Temperature during Treadmill Sub-maximal Exercise and Intermittent Regional Body Cooling)

  • 이주영;;김정현
    • 한국생활환경학회지
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    • 제16권2호
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    • pp.89-100
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    • 2009
  • 본 연구는 최대하 부하 트래드밀 운동과 간헐적 부위별 인체 냉각 시 심부와 말초 부위의 동적 체온조절을 관찰하기 위해 고안되었다. 이를 위해 총 다섯명의 남자 피험자가 세 가지 실험 조건, 머리와 손 냉각 조건(HH cooling), 다리 냉각 조건(Leg Cooling), 냉각하지 않는 대조군(Control)에 참여하였고, 모든 실험은 기온 24±1℃와 습도 50±5%RH로 유지되는 인공기후실에서 수행되었다. 피험자들은80%HRmax의 트래드밀 운동과 이어지는 회복 스케쥴을 두 번 반복하였고, 인체 부위별 냉각은 15℃의 물이 순환하는 액체 냉각모자, 장갑, 다리를 덮는 형태의 담요를 이용하여 회복 시에만 적용되었다. 본 연구 결과, (1) 직장온도(Tre)는 세 조건 간에 유의한 차이를 보이지 않았다; (2) 피부온도는 부위별로 특징되어지는 다양한 체온조절 현상을 보였다. 특히, 운동의 시작 시점에서 보이는 피부온도의 초기 하강은 주로 가슴, 넓적다리, 종아리, 손가락 피부 온도에서 관찰되었으며, 이 중 손가락 온도(Tfing)에서의 초기 하강 현상은 매우 현저했다. (3) 피부 온도가 초기 하강을 보이는 동안 Tre는 점점 증가했다. (4) 두 번째 운동 시작 시 Tfing에서의 초기 하강 규모는 Control 조건에서 평균 4.8℃, HH cooling 조건에서는 5.1℃, Leg cooling 조건에서는 3.4℃로, 통계적으로 유의한 차이를 보였다(p<0.05). 초기 하강 현상을 보인 시간은 Control 조건에서 평균 8.1분으로 HH cooling 조건에서는 7.9분, Leg cooling 조건에서는 6.3분보다 길었으나 통계적 차이는 발견되지 않았다. 결론적으로, 트래드밀 운동의 개시기에 관찰된 피부온도 하강 현상은 인체 심부의 온열 상태의 진행과는 반대되므로, 비 온열적 요인을 반영한다. 특히, Tfing에서 초기 하강의 규모는 인체 부위별 냉각에 의해 영향을 받았다. 따라서, 말초 부위의 피부온도 하강 현상은 운동 중 피부면의 온열 상태 예측 시 주의깊게 고려되어져야 한다.

Effect of a Mediterranean-style diet on the exercise performance and lactate elimination on adolescent athletes

  • Gizem Helvaci;Asli Ucar;Mehmet Mesut Celebi;Haydar Cetinkaya;Ayse Zulal Gunduz
    • Nutrition Research and Practice
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    • 제17권4호
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    • pp.762-779
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    • 2023
  • BACKGROUND/OBJECTIVES: Mediterranean diet is an environmentally friendly and healthy diet model. The diet offers many vegetables, fruits, nuts, and olive oil to consumers. In addition, it provides moderate amounts of fish and chicken, smaller quantities of dairy products, red meat, and processed meat. The Mediterranean diet has a high anti-inflammatory and antioxidant content, and it causes many physiological changes that can provide a physical performance advantage. This study examined the effects of a 15-day menu, which was planned using foods with a low acid load within the Mediterranean diet rules, on the exercise performance, lactate elimination, anthropometric measurements, and body composition. SUBJECTS/METHODS: Fifteen professional male athletes between the ages of 13 and 18, who were engaged in ski running, were included in the experimental study. Dietary intervention was applied for 15 days. The athlete performances were evaluated by applying the vertical jump test, hand grip strength, 20 meters shuttle run test, and Borg fatigue scale. After the shuttle run test (every 3 min for 30 min), blood was drawn from the finger, and the lactate elimination time was calculated. Performance and lactate measurements, body analysis, and anthropometric measurements were taken before and after dietary intervention. RESULTS: The vertical jump height and hand grip strength increased after the intervention (P < 0.05). The test duration, total distance, the number of shuttles, and maximum oxygen consumption parameters of the shuttle run test increased (P < 0.05). After the intervention, the athletes' perceived fatigue scores decreased in several stages of the shuttle run test (P < 0.05). The lactate elimination time and athlete's body composition were similar in repeated measurements (P > 0.05). In the last measurements, the upper middle arm circumference decreased while the height of the athletes increased (P < 0.05). CONCLUSIONS: These results show that the Mediterranean diet is a safe and feasible dietary approach for aerobic performance and strength increase.

20대 물리치료사의 근육뼈대계 증상과 직무스트레스와의 상관관계 분석: 운동치료 업무를 중심으로 (Analysis of Correlation Coefficient between Musculoskeletal Symptoms and Job Stress of Physical Therapists in Twenties: Focusing on Therapeutic Exercise Task)

  • 왕중산;안호정
    • 한국콘텐츠학회논문지
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    • 제15권7호
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    • pp.314-321
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    • 2015
  • 본 연구는 운동치료를 담당하는 20대 물리치료사들의 근육뼈대계 증상과 직무스트레스 정도를 알아보고 둘 사이의 연관성을 파악하는데 있다. 연구대상자는 총 144명을 대상으로 국가기관에서 제공하는 측정도구를 바탕으로 조사연구를 실시하였으며 결과는 다음과 같다. 손/손목/손가락, 어깨, 허리에 근육뼈대계 증상과 질환이 많고, 특히 오른쪽 손/손목/손가락에 증상과 질환의 비율이 매우 높은 특징을 보였다. 직무스트레스 중 직무환경, 직무요구, 보상은 육체적 부담과 유의한 양의 상관관계가 있었고(r=.297~.392, p=.000), 특히 목의 통증정도는 직무환경과 직무요구, 어깨의 통증정도는 직무요구, 손/손목/손가락의 통증기간과 직장문화 사이에 유의한 양의 상관관계를 보여(r=.331~.478, p=.003~.009) 근육뼈대계 증상은 직무스트레스와 일정부분 상관관계가 있는 것으로 나타났다. 본 연구를 통해 이들의 근육뼈대계 증상과 직무스트레스의 관리를 위한 관심과 노력이 필요하겠다.

fMRI를 이용한 성인 편마비의 항조절점 운동이 대뇌피질의 활성화에 미치는 효과 (The Effect on Activity of Cerebral Cortex by Key-point Control of The Adult Hemiplegia with fMRI)

  • 이원길
    • The Journal of Korean Physical Therapy
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    • 제15권3호
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    • pp.295-345
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    • 2003
  • This study investigated activation of cerebral cortex in patients with hemiplegia that was caused by neural damage. Key-point control movement therapy of Bobath was performed for 9 weeks in 3 subjects with hemiplegia and fMRI was used to compare and analyze activated degree of cerebral cortex in these subjects. fMRI was conducted using the blood oxygen level-dependent(BOLD) technique at 3.0T MR scanner with a standard head coil. The motor activation task consisted of finger flexion-extension exercise in six cycles(one half-cycles = 8 scans = $3\;sec{\times}\;8\;=\;24\;sec$). Subjects performed this task according to visual stimulus that sign of right hand or left hand twinkled(500ms on, 500ms off). After mapping activation of cerebral motor cortex on hand motor function, below results were obtained. 1. Activation decreased in primary motor area, whereas it increased in supplementary motor area and visual association area(p<.001). 2. Activation was observed in bilateral medial frontal gyrus, middle frontal gyrus of left cerebrum, inferior frontal gyrus, inter-hemispheric, fusiform gyrus of right cerebrum, superior parietal lobule of parietal lobe and precuneus in subjedt 1, parahippocampal gyrus of limbic lobe and cingulate gyrus in subject 2, and inferior frontal gyrus of right frontal lobe, middle frontal gyrus, and inferior parietal lobule of left cerebrum in subject 3 (p<.001). 3. Activation cluster extended in declive of right cellebellum posterior lobe in subject 1, culmen of anterior lobe and declive of posterior lobe in subject 2, and dentate gyrus of anterior lobe, culmen and tuber of posterior lobe in subject 3 (p<.001). In conclusion, these data showed that Key-point control movement therapy of Bobath after stroke affect cerebral cortex activation by increasing efficiency of cortical networks. Therefore mapping of brain neural network activation is useful for plasticity and reorganization of cerebral cortex and cortico-spinal tract of motor recovery mechanisms after stroke.

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우리 나라 치과 기공사의 신체 자각 증상과 직업 관련 건강 위험 요인 (Subhective Symptoms and Work-related Health Risk Factors in Korean Dental Laboratory Technicians)

  • 김웅철;이세훈
    • 대한치과기공학회지
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    • 제22권1호
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    • pp.89-112
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    • 2000
  • Although dental laboratory technicians are prone to be exposed to various work-related health hazardous materials such as dusts, chemicals, etc., the prevalence and nature of work-related health problems of them have not been a matter of great concern in the field of occupational health service in Korea. The purpose of the present investigation was to describe a collected profile of subjective health symptoms and their attributable factors in Korean dental laboratory technicians. A questionnaire listing five groups of health symptoms and five health symptom-related factors was mailed to randomly selected 1,900 dental laboratory technicians. Among them, 1,344 dental laboratory technicians filled out the questionnaires and returnde them. Five groups of health symptoms included musculoskeletal symptom, dermal symptoms, respiratory symptoms, eys symptoms, and ear symptoms. Five health symptom-related factors were occupational environment-related health risk factors, work history, health related habits and status, use of personal protective equipment and general characteristics. Detailed parameters of health risk factors were work posture, vibration, and chemical or physical hazards such as dust, fume, vapor, solvent, light, and noise for occupational environment-related factors; work place, area, number of employees, work hours, career, work part, and work load for work history; Broca's index, hours of sleep, eating, smoking, alcohol, exercise, health examination, and self assessed health status for health habits and status; face masks, goggles, and so on for use of personal protective equipment, and; age, sex, marital status, and education for general characteristics. Before the start of main survey, a pilot survey was carried out for validity and reliability tests of the questionnaire. All the data obtained were coded and analyzed with PC/SAS 6.12 program. The prevalence of health symptoms was the highest in musculoskelton (87.3%), and followde by eyes (78.9%), respiratory organs (64.3%), ears (57.8%), and skin (52.2%) in descending order. Statistically significant risk factors by multiple logistic regression analyses were sex, health examination, self assessed health status, and hand/finger posture in musculoskeletal symptoms; sex, self assessed health status, career, acid gas, and hand contact with resin mixture in deraml symptoms; Broka's smoking, exercise, self assessed health status, and face mask in respiratory symptoms; sex, hours of sleep, self assessed health status, work hours, work load, plaster dust, inadequate lighting, and goggle in eys symptoms, and eating, smoking, self assessed health status, and work load in ear symptoms. With the above considerations in mind, prevalence of subjective symptoms among Korean dental laboratory technicians was relatively high, and they were attributable to most of the occupational environment-related factors, work history, use of personal protective equipment, health habits and status, and general characteristics. Particularly, it is suggested that health promotion programs for promoting self- assessed health status and smoking cessation, preventive measures for protection of the female technicians’health, and reducing work load be necessary, since those factors were associated with more than one subjective symptom.

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비만(肥滿) CLINIC 내원환자(來院患者) 453 CASES에 대(對)한 임상적(臨床的) 고찰(考察)

  • 안경순;성낙기
    • 혜화의학회지
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    • 제2권2호
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    • pp.219-246
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    • 1993
  • In 1991, Obesity rate of South Korea has reached to 18.7%. Because of economical development, the pattern of diet is exchanged from carbohydrate to rich protein and fat. The more problem is not only obesity of adult but also one of little child. Obesity is induced to diabetes mellitus, hypertension, artherosclerosis, hyperlipoidemia. heart and C.V.A disease, etc. In Woman, special important ploblem is the complex of beauty about Woman's figure. In Oriental Medicine, the factor of obesity is mainly regarded as dampness. And there are many treatments and methods to body weight loss, but obesity patients dislike to use them because of their side effects and inconvenience, intolerance. Now ear acupuncture is applied on so many disease because of its easy handly, non-side effect and high efficiency in clinics. Here obesity acupuncture is used to ear and whole body acupuncture. Because they react eachother for lack point. Therefore, in order to investigate the effect of obesity acupuncture and develop non-drug, non-starvation etc, we analyzed 453 the cases of body weight loss patients treated with ear and whole body acupuncture in Oriental Medicine Hospital of Jeon-Ju Woo-Sug University from April.1.1992. to March.17. 1993. The results were summarized as follows. 1. Distribution of sex ; male (4.4%), Female(95.6%) 2. Distribution of age in descending order ; 30s, 20s, 40s, 10s, 50s, below 10s, abowe 60s. The 20s-30s are group made up 60.7% of the group. 3. Distribution of occupation in descending order; housewife, student, service, salaried, merchant, teacher, farmer, inoccupation. 4. Distribution of human coporal constitution in descending order : Tae-Eum-In, So-Eum-In, So-Yang-In. 5. Distribution of body height and weight, 155-164cm ; 71.1%, 60-70kg, 74.6% are majority. 6. Distribution of weight variation, 2-6kg(71.0%) is majority, also 13-14kg(0.4%). 7. Distribution of duration in descending order ; 1-3 years, 3-6 years, 1-12months, above 10 years but in success, 1-12 months, 1-3 years, 3-6 years, above 10 years. Therefore, we know that the shorter duration of obesity is, the more loss of body weight. 8. Past experiences to body weight loss; Yes(69.5%), No(30.5%). The success rate accordant with the past temporary experiences shows that the cases without experience is higher than the ones with experience. 9. In distribution of times(treatments), 10 times is top. The rate of body weight loss is the highest in 14 times. Therefore, I think that one would need at least 10 times. in order lose body weight 10. Distribution of body weight variation in treatments times is at 2 times(3-4kg loss), and surprisingly is 14kg loss at above 15 times. 11. Distribution of symptoms improvement, in descending order ; heavy sense in body, dec. of appetite, inc.of exercise, lumbago, edema, knee pain, inc.of urine, inc. of fullness sense, thirsty, disease of gynecology, white tung, chest burning, heart burning, dec.of tobacco, drink taste. motion sickness, allergy, water eczema, arthma, belching. 12. Distribution of snack; Yes(87.4%), No(78.6%) 13. Distribution of exercise; Yes(21.4%), No(78.6%) 14. Distribution of sleeping times, above 7 hours(79.0%) 15. Distribution of the reason to body loss, the complex of beauty(68.7%) is top. 16. Distribution of side effect in obesity acupuncture, constipation (17.4%) is top. 17. Distribution of method in body weight loss ; dietary treatment (31.1%), sauna(26.7%), exercise(19.7%), the center of body weight loss (15.0%) herb-med and starvation treatments (5.1%), hand-finger acupuncture (hand-foot acupuncture) is 1.6%, diet pill(0.3%), etc(0.6%).

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뇌졸중환자의 음악.동작 프로그램 적용을 위한 예비연구 (The Preliminary Study on Music?Movement Program developed for Stroke Patients)

  • 서문자;정성희
    • 재활간호학회지
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    • 제6권1호
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    • pp.79-89
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    • 2003
  • Purpose: This research with one group pre-post design was carried out to test the practical feasibility to administrate the Music Movement program developed for the stroke patients. Subjects: 12 stroke survivors at "J" Public Health Center in Seoul. were participated in. The average age was 68 years old, the ratio of sex was almost 5.8:4.2, the duration of was almost over 1 year. Method: Music Movement program was conducted for 2 hours ${\times}$ 1day ${\times}$ 6 weeks. The contents of Music Movement program were consisted of the preparatory activities, main activities and the wrap up activities. The preparatory activities are ice braking, greeting, explanation of the aims of music movement program, and introduction of stroke disease and ROM exercise. The main activities are the body motions with singing and playing musical instruments. The wrap up activities are stretching and joints and discussion of home activities. Data Collection: The outcome variables are muscle strength, finger pinch power, ROMs, flexibility, depression, and life satisfaction. Depression was measured by CES-D(Kim, I. J., 1999), life satisfaction by ladder scale(McDowell & Newell, 1996), and ADL state(Holbrook & Skilbeck, 1983). Data Analysis: SPSS/PC 10.0 for Window was used. Wilcoxon Signed Ranks Test was used to analyze outcome measures. The level of statistical significance was set at p<.05. Results: This program was effective to decrease the depression level of subjects(p<.05). The muscle strength, hand grip power, ROMs, life satisfaction, and rehabilitation state of the subjects were slightly increased but no significant differences were found between the pre and post test. Additionally every patient replied that they were very satisfied and expressed their appreciation for this program very much. Of course they strongly want to continue to participate in and meet the peer group again. Conclusion: Considering these results, the practical feasibility of Music Movement program can be supported. Therefore, this Music Movement program can be examined with the quasi-experimental design with control group and ongoing reviews. After that, this program would be applied in public health centers, medical institutes, and welfare centers for the rehabilitation of stroke patients.

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비철금속제조업 생산직 남성 근로자들의 근골격계 자각증상과 관련요인 (Musculoskeletal Symptoms and Its Related Factors among Male Workers in a Nonferrous Manufacturing Industry)

  • 정연옥;조영채
    • 한국산학기술학회논문지
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    • 제13권8호
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    • pp.3552-3560
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    • 2012
  • 본 연구는 한 비철금속 제조업 생산직 남성 근로자들의 인구사회학적특성, 건강관련행위 특성 및 직업관련 특성별 근골격계 자각증상호소율을 파악하고 그의 관련요인을 알아보고자 시도하였다. 조사대상은 대전광역시 소재한 비철금속 제조업체 근로자 302명을 대상으로 하였으며, 2011년 5월 1일부터 6월 30일까지의 기간 동안에 표준화된 무기명식 설문조사를 실시하였다. 연구결과, 연구대상자의 근골격계 질환 발생부위별 증상 호소율은 어깨부위의 증상이 42.7%로 가장 높았고, 다음은 허리부위 36.8%, 목 부위와 손/손목/손가락 부위가 각각 30.5%, 다리/발 부위 30.1%, 팔/팔꿈치 부위 20.9%의 순위였다. 인구사회학적 특성별 근골격계 자각증상 호소율은 연령, BMI가 낮을수록, 주관적인 건강상태가 좋지 않다는 군에서 유의하게 높았다. 건강관련 행위 특성별 자각증상 호소율은 질병으로 인한 결근한 적이 있다는 군, 외래 진료를 받은 적이 있다는 군, 입원진료를 받은적이 있다군, 규칙적인 운동이 비운동군, 수면시간이 부적당한 군에서 유의하게 높았다. 직업관련 특성별 자각증상 호소율은 업무의 신체적 부담정도가 힘들다는 군, 허리를 구부리는 작업을 하는군, 직장생활에 만족하지 않는다는 군, 근속기간이 10년 이상인 군, 허리를 구부리는 작업을 한다는 군, 반복 작업을 한다는 군에서 유의하게 높았다. 결론적으로, 생산직 남성근로자들의 근골격계 자각증상은 여러 인구사회학적 특성, 건강관련 행위특성 및 직업관련 특성과 유의한 관련성이 있었다.