• 대한통합의학회지
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• 제3권3호
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• pp.73-88
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• 2015

Objective: The purpose of this study was to further the empirical evidence regarding exercise as an effective alternative to surgery for treating patients with low to moderate hallux valgus. Method: A total of 20 students with low to moderate hallux valgus participated in this study for six weeks. Participants were selected according to foot-print. All participants exercised using a combination of Elastic-band and Short Foot Exercises twice a week for thirty minutes each time. Measurements were taken at week 0 and week 6 for plantar foot pressure, toe angle and balance. The data was processed using a paird t-test. Results: There were significant differences in pretest and posttest measurements for balance. However there were no significants differences in plantar foot pressure and toe angle. Conclusion: Although our study did not support the effect of exercises on plantar foot pressure and toe angle, we did show evidence that exercise was effective for balance. In order to increase the effectiveness of this exercise program, patients need to be more aware of the footwear they use in their daily lives so as to contribute to the contribute to the overall effectiveness of treating low to moderate hallux valgus and offer an alternative to surgery.

• 대한통합의학회지
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• 제2권3호
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• pp.65-73
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• 2014

Purpose: The purpose of this study was to identify the effect of a kinesio tape on inspiratory muscle training(IMT) to improve muscle strength, endurance and pulmonary function. Methods: Healthy 20 males were divided into IMT group (control group) and IMT with tape group (experimental group). The same IMT program was applied to both groups using the Respifit S for four weeks, three times a week, a total 12 times. To exprimental group, kinesio tape was applied on the inspiratory agonist diaphragm and the accessory inspiratory muscle scalene, sternocleidomastoid, pectoralis minor. The inspiratory pulmonary muscle strength was measured by the maximal inspiratory pressure (PI max) and minute volume (MV) using the Respifit S and the pulmonary function were measured peak expiratory flow (PEF), forced vital capacity (FVC), forced expiratory volume in 1sec (FEV1), FEV1/FVC using the Spirometer and compared before and after. Results: Results showed that the PI max in the two groups increased significantly and experimental group increased more effectively than that of control group. However, only MV showed a significant increase in experimental group but was not significantly different between the two groups. PEF and FEV1/FVC are significantly increased in both groups, but they did not make much difference between two groups, and the FVC for the two groups did not increase significantly. FEV1 increased significantly only with control group, but did not make a difference with experimental group. Conclusion: These result show that the PI max value for experimental group increased significantly than that of control group. Therefore kinesio tape maximizes inspiratory muscle exercise effect on muscle strength improvement. However, because of the short experimental period and difficulty in subject control, increase values of the others did not show a significant difference. In other words, kinesio tape did not show maximizing the inspiratory muscle exercise effect to improve endurance and pulmonary function.

• 대한통합의학회지
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• 제3권4호
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• pp.79-90
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• 2015

Purpose : The purpose of this study was to investigate related factors contributing to subjective health state in elderly people with focus on comparison of gender differences. Method : From the database of the Korean National Health and Nutrition Examination Survey(KNHNES) the year 2012 and 2013, the researchers selected 2,924 old adults aged over 65. Data were analyzed with SPSS 18.0 program. Result : Results indicated that education, occupation, restriction of activity, stress, drinking status were significant variables of subjective health state both men and women. But, age, DM, MI, arthritis, smoking status were significant variables of subjective health state of men. And insurance, suicide, HTN, walking exercise were significant variables of subjective health state of women. Conclusion : The development of health and quality of life for elderly people considers different approaches to the genders.

• Perspectives in Nursing Science
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• 제16권2호
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• pp.75-83
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• 2019

Purpose: This study aimed to identify the characteristics of an intervention program for school-aged overweight and obese children through an integrated literature review. Methods: We used five databases (MEDLINE [PubMed], CINAHL, Embase, DBpia, and RISS) to search for studies published between January 1, 2013, and April 18, 2018. The studies were reviewed according to specific inclusion and exclusion criteria. Results: Finally, nine studies were selected and classified into three types: school-based, community-based, and home-based. Specific intervention methods were identified, including exercise, diet, exercise and diet, and cognitive behavioral therapy. Conclusion: Most studies have shown the effectiveness of obesity intervention programs. However, the variables, tools, and methods of measuring the effectiveness of intervention varied, making it difficult to compare the intervention studies. Therefore, future studies should develop objective and integrated measurement tools and evaluate the effects with long-term follow-up.

• 대한통합의학회지
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• 제12권3호
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• pp.163-178
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• 2024

Purpose : This study aimed to evaluate the effectiveness of an integrative medical service model applied to breast cancer patients and their caregivers, exploring its feasibility and challenges within the context of South Korean healthcare system. Methods : A case study approach was chosen to assess the integrative medical service model's efficacy, involving one breast cancer patient and her primary caregiver from W University Hospital. The patient had completed reconstructive surgery and chemotherapy and was undergoing radiotherapy. The model included standard treatments alongside psychological counseling, aromatherapy, axillary rehabilitation exercise, make-up program, art therapy, laughter therapy, horticultural therapy, and yoga programs, and meditation programs delivered over eight weeks. Quantitative and qualitative data were collected through surveys, psychological tests, and feedback assessments. Results : The integrative medical service model demonstrated notable improvements in the quality of life for both breast cancer patients and their caregivers. Participants reported enhanced emotional well-being, reduced stress levels, and improved coping mechanisms throughout the treatment journey. Qualitative feedback highlighted the positive impact of holistic interventions in alleviating psychological distress and fostering resilience. Quantitative data corroborated these findings, showing statistically significant improvements in various psychosocial parameters assessed. Conclusions : Our findings underscore the benefits of integrative medical service model with standard medical treatments in the care of breast cancer patients and their caregivers. The holistic approach not only addresses physical symptoms but also enhances overall well-being and quality of life. However, the implementation of such models faces challenges within the South Korean healthcare system, including fragmented service networks and financial constraints. Addressing these structural barriers is crucial for the widespread adoption and sustainability of integrative care models in oncology practice. Future research should focus on larger-scale studies to further validate these findings and inform policy decisions aimed at optimizing cancer care delivery.

• The Journal of Korean Physical Therapy
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• 제14권3호
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• pp.433-449
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• 2002

노인에 있어 낙상 (falls)의 결과는 신체 기능상의 상실을 가져 올 뿐 아니 라 종종 사망에 이르게 하는 원인이 되기도 하여 중대한 건강상의 문제로 다루어지고 있다. 정상적인 노화과정은 감각(sensory)과 운동 (motor)계의 감퇴 그리고 주의력의 쇠퇴와 연관되어 있는데, 노인들은 이러한 감각(sensory)과 운동(motor)계 (system)의 손상으로 여러 가지 자세(posture)와 보행 (walking)등을 수행하는데 어려움을 겪는다. 또한 노화와 관련된 변화들은 자세를 조절 (postural control) 하는데 있어서 주의력 (attention capacity)을 감소시킨다. 이러한 조건 하에서 노인들은 이중과업 (dual task)을 수행하는데 젊은 사랑들보다도 더 많은 어려움을 느끼며 이는 곧바로 낙상 (falls)의 가능성을 증가시키는 중요한 원인이 되고 있다. 이러한 점들을 고려할 때 낙상(falls)을 방지하기 위한 훈련 프로그램 (training program)은 단순한 신체운동(physical exercise) 보다는 자세조절 (postural control)시의 인지시스템 (cognitive system)이 포함된 중추 통합 기전(central integrative mechanisms)을 최적화 (optimize) 시킬 수 있는 방향으로 구성되어야 한다.

• 한국보건간호학회지
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• 제19권2호
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• pp.371-381
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• 2005

Purpose: The purpose of the study was to develop the day care program for the demented elders and to determine the effects of multiple activity therapies on the physical, emotional, cognitive, social function and physiological indicators of dementia elders in day care center. Method: A total of 13 elders with mild dementia in the data care center were participated. Manual and guideline of data care program was developed. Data care program was composed of movement/exercise, foot massage, music therapy, horticultural therapy, and art therapy. Data care program was performed by trained intervener for 32 weeks. Instruments were physical functioning such as hand grip strength., vital capacity, chiar stand test, sit and reach test, one leg standing, Berg' Balance scale, 6m Walk Velocity, stair climb, ADL, GDS-K, MMSE-K, Integrative Social Functioning Scale, cortisol, Ig A and Ig G. These were measured at the baseline, 16-week, and 32-week post-intervention by the trained nurses. Data were analyzed as Wilcoxon signed rank test. Results: For Hand grip, balance, and vital capacity, there was a significant difference between baseline and 16-week post-intervention(p<.05). For one leg standing, 6m velocity, there was a significant difference between 16-week post-intervention and 32-week post-intervention(p<.05). For Stair climb, there was a significant difference between baseline and 32-week post-intervention(p<.05). For depression and social functioning, there was no significant difference among baseline, 16-week, and 32-week post-intervention. For cognitive functioning, there was a significant difference between baseline and 32-week post intervention(p<.05). There was a significant difference of cortisol, and Ig G between baseline and 32-week post-intervention(p<.05). Conclusion: It would appear that physical fitness, functional performance, ADL, depression, social and cognitive functioning, and physiological indicator of community dwelling elders with dementia can be improved through day care program using multiple stimuli.

• 대한통합의학회지
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• 제12권2호
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• pp.121-131
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• 2024

Purpose : This study aimed to investigate the leisure satisfaction of participants in the Geod-Jyu walking program and to examine the relationship between health promotion behaviors and quality of life. In addition, we investigated the impact of leisure satisfaction with walking among program participants on health promotion behaviors and quality of life. By clarifying these relationships, we aimed to identify factors of leisure satisfaction with walking that could enhance participants' health promotion behaviors and quality of life. Methods : A survey was conducted among 301 participants enrolled in the Geod-Jyu walking program in Chungcheongnam-do, with 288 responses analyzed. Data analysis included Pearson's correlation, confirmatory factor analysis, and multiple regression analysis using SPSS 27.0. Result : Leisure satisfaction exhibited a positive correlation with health promotion behavior (r=.544, p<.01) and quality of life (r=.478, p<.01). Furthermore, health promotion behavior showed a positive correlation with quality of life (r=.636, p<.01). Leisure satisfaction positively influenced quality of life, with physiological satisfaction (β=.16, t=2.32) and relaxation satisfaction (β=.15, t=2.04) emerging as notable contributors. In addition, leisure satisfaction had a significant positive impact on health promotion behaviors, with psychological satisfaction (β=.24, t=3.09) and educational satisfaction (β=.20, t=3.09) playing key roles. Health promotion behavior had a positive impact on quality of life, with all sub variables exhibiting significant positive effects in the following order: self-actualization (β=.24, t=4.16), stress management (β=.22, t=3.97), exercise (β=.22, t=4.05), and health responsibility (β=.12, t=2.14). Conclusion : The findings indicate that factors related to physical and rest satisfaction, as well as health-promoting behaviors facilitated by walking, significantly affected the quality of life among Geod-Jyu participants. Thus, promoting leisure satisfaction and engaging in health-promoting activities through walking can enhance overall well-being. Encouraging participation in the Geod-Jyu walking program is critical for physical and psychological benefits, and for promoting healthier behaviors. Further development of Geod-Jyu is expected to enhance walking satisfaction, promote self-care skills for health management, and positively influence quality of life.

• 대한통합의학회지
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• 제12권1호
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• pp.139-150
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• 2024

Purpose : Scapular dyskinesis, it have been shown to be common in overhead athletes and has been associated with RC muscle strength. Posterior shoulder tightness (PST) has been suggested as an important factor causing scapular dyskinesis. Therefore, rehabilitation programs should focus on a posterior shoulder stretch combined with scapular stabilization exercise (PSSE) intervention. Determine the effects of posterior shoulder stretch combined with scapular stabilization exercise on the rotator cuff (RC) muscles strength, functional strength ratio (FSR), range of motion (ROM), and pain. Methods : 30 adolescent baseball players participated and subjects were allocated PSSE group (n=15) or the SSE group (n=15). Both group performed a 6-weeks intervention and measured of isokinetic peak torque/body weight (PT/BW) of concentric external rotator (CER), eccentric external rotator (EER), concentric internal rotator (CIR), eccentric internal rotator (EIR), FSR, ROM, and pain. Results : After 6 weeks PSSE, significant increase CER PT/BW (+6.02±4.76 %), EER PT/BW (+5.39±4.22 %), EER to CIR ratio (+.17±.16), and internal rotation ROM (+15.08±3.57 °). Whereas, significant decrease EIR to CER ratio (-.14±.18), external rotation ROM (-12.00±6.94 °), and GIRD (-17.41±2.84 °) compared with pre-intervention. No significant difference of isokinetic PT/BW of CIR and EER post-intervention. In the SSE group showed no significant difference all measurements for isokinetic PT/BW, FSR, and ROM post-intervention. The pain was significant improve both PSSE group (-3.25±1.60) and SSE group (-2.83±1.85) post-intervention. Conclusion : Both the PSSE and SSE interventions led to more pain relief. However, only the PSSE group showed ROM, CER, EER PT/BW, and FSR improvements. These results might suggest that the PSSE intervention is a more effective program for improving RC muscle strength and balance, in particular, concentric and eccentric ER muscle strength, FSR and can expect to prevent shoulder injuries in adolescent baseball players with scapular dyskinesis.

• 대한통합의학회지
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• 제6권2호
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• pp.59-68
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• 2018

Purpose : In this research, I tried to examine the effect of handwork activities through group activities on self-esteem and sympathy index. Method : In this research, for men and women enrolled in K university, we explain sufficiently the purpose and method of research and randomly assign to 20 training group and 20 control group for those who agreed with experiment we divided handwork activities twice a week from november 18, 2016 to December 6, six times in total for 30 minutes. Results : Compared with self-esteem among groups, group training exercises showed higher interpersonal relationships than control group, and self-accepted items and self-efficacy items decreased. empathy comparison that group fits according to arbitration period compared with group control training group, group of training exercise high emotional sympathy items and social skills items appear high, cognitive sympathy items are low. Conclusion : From the results of this study, it turned out that the activities of handwork by group improved interpersonal relationships, emotional sympathy and social skills. In light of the results of these studies, it can be considered that better results can be obtained when applied to children and young people who are forming self-esteem and cognitive sympathy. In future research, further studies based on age, sex and further research corresponding to each situation, student's self esteem and a broader material for developing program necessary for cognitive sympathy can be obtained.