• 제목/요약/키워드: Medical exercise

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운동부하 검사의 보험의학적 이해와 의의 (Overview of Exercise electrocardiogram in terms of insurance medicine)

  • 현혜연
    • 보험의학회지
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    • 제32권1호
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    • pp.15-20
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    • 2013
  • The exercise ECG test is a well-established, inexpensive, and non-invasive procedure for answering important clinical questions related to heart problems. The heart disease is directly led to mortality and serious issue to insurance medicine. Here is some evidence for interpretation of exercise ECG test results can determine prognosis of the heart disease.

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한방운동요법에 대한 고찰 (The review on exercise therapy of Oriental Medicine)

  • 최재영;정현아;오민석
    • 혜화의학회지
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    • 제19권2호
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    • pp.207-218
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    • 2011
  • Objective : The purpose of this study was to review on exercise therapy of oriental medicine and investigate the effect of Oriental medicine's exercise therapy. Methods : We have researched and analyzed theories and literatures of Oriental medicine's exercise therapy. Result : The following results were obtained in this study. 1. The Doin therapy is one of Oriental medicine's traditional rules for one´s health which based on 'Unity of Heaven and Man'. It grow and supply the 'Qi' for improve health, and connote solution of modern society's various diseases. 2. The Chuna therapy is one of Oriental medicine's traditional therapy that treat harden, set in or malposition of musculoskeletal system 3. Meditation refers to all activities that concentrate the consciousness to current state, have physiological and psychological effects such as pain and stress management. 4. Oriental medicine's exercise therapy connote the strength that apply to medical care for the aged and psychical disorders of modern man. 5. For revitalization of Oriental medicine's exercise therapy, need more active public relations, develop modern methods of Qigong and Significant clinical research on the effects must be carried out. Conclusion : Oriental medicine's exercise therapy can be a solution to various diseases of modern society, and need significant research for revitalization.

A Feasibility Study on a Robotic Exercise System for MDOF Physical Rehabilitation Therapy

  • Sim, Hyung Joon;Won, Joo Yeon;Han, Chang Soo
    • Journal of Mechanical Science and Technology
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    • 제18권11호
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    • pp.1949-1960
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    • 2004
  • This paper presents a robot system developed for medical purpose. A 6-degree-of-freedom robot was introduced for physical exercise and rehabilitation. This system was proposed for stroke patients or patients who cannot use one of their arms or legs. The robot system exercises the hemiplegic part based on the motion of normal part of a patient. Kinematic studies on the human body and robot were applied to develop the robotic rehabilitation exercise system. A clamp which acts as an end effector of the robot to hold a patient was designed and applied to the robot to guarantee the safety of patients. The proposed robotic rehabilitation system was verified by simulations and experiments on arm (elbow and shoulder) motion. Patients are expected to be able to exercise various motions by themselves with the proposed robotic rehabilitation system.

호흡재활치료 전후 $^{31}P$ 자기공명분석법을 이용한 골격근대사의 변화에 관한 연구 (Assessment of Effect of Pulmonary Rehabilitation on Skeletal Muscle Metabolism by $^{31}P$ Magnetic Resonance Spectroscopy)

  • 조원경;김동순;최강현;박영주;임태환;심태선;임채만;이상도;고윤석;김우성;김원동
    • Tuberculosis and Respiratory Diseases
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    • 제44권5호
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    • pp.1040-1050
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    • 1997
  • 연구배경 : 만성폐쇄성폐질환 환자의 치료에 널리 적용되고 호흡재활치료는 폐기능을 호전시키지는 못하지만 호흡곤란 등의 증상과 운동능력을 호전시키는 것으로 알려져 있다. 그러나 이런 운동능력 개선의 기전은 여러 각도에서 해석되고 있다. 저자들은 $^{31}P$ MRS를 이용하여 만성 폐질환 환자들을 호흡재활치료 전후 전박근의 대사 변화를 관찰함으로써, 호흡재활치료 후 운동능력호전에 골격근 대사개선을 기여할 가능성을 조사하였다. 방 법 : 총 9명의 만성 폐질환을 갖고 있는 남자 환지들을 대상으로 하였고 이들의 평균 연령은 $58{\pm}11$세였으며, 이들의 기저 질환은 만성폐쇄성폐질환 8예 및 폐유육종증 1예였다. 호흡재활치료는 근육강화운동, 답차운동(treadmill walking), 자전거 운동(stationary bicycle riding) 및 상지 운동력측정계(arm ergometer)를 이용한 상지운동으로 구성했으며, 호흡재활치료 전후로 폐기능 검사, 운동부하 검사, 상하지의 지구력 측정 및 6분 보행거리 검사를 실시하였다. $^{31}P$ MRS검사를 치료 전후 전박근을 대상으로 안정시, 운동시 및 20분간의 회복시에 시행하여 세포내 산소성 인산화 능력을 반영하는 Pi/PCr의 비와 pHi(intracellular pH)를 구하여 비교하였다. 결 과 : 호흡재활치료 후 환자의 폐기능과 가스 교환의 호전은 없었으나, 운동지구력 및 보행능력은 현저한 호전을 보였으며 최대산소섭취량은 증가하는 경향을 보였고, 동 운동량에서의 분당환기량은 감소하는 경향을 나타내었다. $^{31}P$ MRS를 이용하여 재활치료 전후의 골격근 대사를 비교해 본 결과, 치료 후 운동시 및 극심한 피로상태에서의 pHi는 유의하게 높았고 산소성 인산화 과정을 반영하는 지표인 Pi/PCr는 감소하는 경향을 보였으나 안정시 및 회복기의 골격근 대사과정은 변화가 없었다. 결 론 : 이상으로 만성 폐질환 환자에서 6주간의 호흡재활치료는 운동지구력 및 보행 호전시켰으며 이러한 운동능력 호전에는 골격근 대사의 개선으로 초래된 골격근 세포내의 산성화 지연으로 인한 환기량의 감소가 기여할 사료되었다.

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Effects of Endurance Training on the Serum Levels of Tumour Necrosis Factor-${\alpha}$ and Interferon-${\gamma}$ in Sedentary Men

  • Jahromi, Abdolreza Sotoodeh;Zar, Abdossaleh;Ahmadi, Fatemeh;Krustrup, Peter;Ebrahim, Khosrow;Hovanloo, Friborz;Amani, Davar
    • IMMUNE NETWORK
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    • 제14권5호
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    • pp.255-259
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    • 2014
  • Physical activity could be considered one of the factors that affect the immune system status and function. To find the relation between exercise and cytokines, we examined the possible effects of an 8-week endurance training program on the serum levels of cytokines, including tumour necrosis factor-alpha (TNF-${\alpha}$) and interferon-gamma (IFN-${\gamma}$) in sedentary men. A total of 30 healthy young male volunteers were randomly divided into an endurance training group and a control group. The training group followed a specific exercise protocol (running on a treadmill for 15~30 min at 50~70% maximal heart rate) for 8 weeks and the control group did not participate in any exercise program. Venous blood samples were collected from both the groups 24 h before and 24 h and 48 h after the exercise. Repeated ANOVA was used for statistical purposes. The serum levels of TNF-${\alpha}$ and IFN-${\gamma}$ were determined by ELISA. Significant (p<0.05) and non-significant (p>0.05) decreases were observed in the serum levels of IFN-${\gamma}$ and TNF-${\alpha}$, respectively, after the 8-week endurance training program. Our findings indicated that an 8-week endurance exercise may affect the serum levels of some inflammatory cytokines, suggesting the beneficial role of this training protocol in elderly population and people with certain conditions (inflammation of the vertebrae or other inflammatory diseases).

등속성 운동과 복합 운동이 퇴행성 슬관절염 여성의 근기능, 균형능력, 기능적 능력 및 관절기능상태에 미치는 영향 (The Isokinetic exercise and effects of combined exercises on the change of postural control, functional status in patients with osteoarthritis of the knee)

  • 조진만;김진우
    • 한국응급구조학회지
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    • 제11권1호
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    • pp.11-25
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    • 2007
  • Objective: The purpose of this study was to investigate the effects of combined exercise on the change of postural control, functional status in patients with osteoarthritis of the knee. Methods : The subjects were consisted of 24 women patients fifties and sixties with knee osteoarthritis. Each group had a exercise for 30 minutes per day and three times a week during 8 weeks period. Was used to measure muscular function(60, $180^{\circ}/sec$), postural control. functional capacity(15 M walking test, Rising form a chair test, stair climbing and descending test) and the functional state of a joint(WOMAC). Results: This study results in following 1. In case of muscular function have significantly increased in both groups. 2. There was no significant difference in the postural control of the bilateral between two groups. However, the postural control of a isokinetic exercise program group showed a significant difference in the bilateral side(overall, $M{\cdot}L$ stability index). Especially, the change of postural control in the isokinetic plus postural control exercise program group decreased more significantly in the bilateral(overall, $A{\cdot}P$ stability index). 3 It was significantly decreased in climbing and descending the stairs, and rising from the chair, although functional capacity decreased in lam walking in both groups. 4. The functional state of a joint(WOMAC) showed a significant decrease in both groups. Conclusion : In order to improve the functional status and postural control of patients with osteoarthritis of the knee, performing exercise programming of isokinetic plus balance will be more effective than the exercise program composed of only the isokinetic exercise program.

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노인의 대사증후군 인지 및 신체활동 실천 요인 (Metabolic Syndrome Perception and Exercise Behaviors in the Elderly)

  • 이정아;이진석;박종헌
    • 보건교육건강증진학회지
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    • 제29권5호
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    • pp.61-75
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    • 2012
  • Objectives: A great number of the elderly are not aware of having metabolic syndrome, and this pattern differs among regions of the nation. This issue is particularly important for the elderly people with chronic diseases. This study was conducted in order to identify the prevalence, predicting factors of perception and exercise behaviors of among the elderly population. Methods: Using data from the 2009 Korean Community Health Survey, we employed two-level logistic regression models to determine whether individual and community factors are associated with perception and exercise behaviors among the elderly population. Results: Results from weighted two-level logistic regression analyses indicated the individual-level factors of smoking, education level, health center education, community exercise program participation and unmet needs in men, and marital status (being separated), health center education women predicted the elders' perception. As for the community-level predictors, higher smoking and living in regions with high suicide rates significantly predicted the elders' perception and exercise behaviors of metabolic syndrome. Conclusions: These findings demonstrate that education according to stage would increase the perception and motivation toward healthier behavior particularly for the elderly with lower perception levels of metabolic syndrome.

근력강화 운동프로그램이 슬관절 전치환술 여성 노인환자의 통증, 피로, 신체적 기능에 미치는 영향 (Effects of Muscle Strengthening Exercise Program on Pain, Fatigue, Physical Function in Elderly Women with Total Knee Arthroplasty)

  • 민혜숙;정윤화;김은숙;김선화;최영지
    • 근관절건강학회지
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    • 제18권2호
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    • pp.203-214
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    • 2011
  • Purpose: The purpose of the study was to identify the effects for 4-weeks muscle strengthening exercise program on pain, fatigue, and physical function(muscle strength of leg, walking competence, balance, flexibility of patella) in elderly women with total knee arthroplasty(TKA). Method: Utilizing a quasi-experimental design, 30 TKA patients consisted of the experimental group (n=15) and control group (n=15). The experimental group participated in the muscle strengthening exercise program, twice a day for 4 weeks. Data were analyzed with SPSS WIN 18.0 program, using repeated measure ANOVA. Result: As time goes by, There were significant differences in muscle strength of leg (F=6.60, p<.001), walking competence(F=7.15, p<.001), and balance(F=17.55, p<.001) between the experimental and the control groups. Conclusion: The findings of this study revealed the positive effects of muscle strengthening exercise program in elderly women with TKA.

Pender의 건강증진모형을 근간으로 한 보건계열 대학생의 운동행위 예측요인 (Predictors of Allied Health Science Students' Exercise Behavior: An Application of Pender's Health Promotion Model)

  • 이미라;김완수
    • 성인간호학회지
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    • 제17권1호
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    • pp.34-43
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    • 2005
  • Purpose: This study was performed to examine predictors of allied health science students' exercise behavior using Pender's Health Promotion Model. Method: The subjects were 203 university students majoring in nursing, emergency medical service, and exercise prescription. The hypothetical model was based on the HPM(Pender, 1996). Exogenous variables of the model were exercise habit and role belief. Endogenous variables were exercise-related affect, exercise self-efficacy, exercise barrier, exercise intention, and exercise behavior. The data were analyzed by SAS PC program and LISREL 8.12 program. Result: The degree of exercise behavior was low(mean 1.86, range 1~4). The overall fit of the model to the data was acceptable. Exercise habit, exercise self-efficacy and exercise-related affect were significant predictors of exercise intention and exercise behavior. Conclusion: This study shows the necessity of the program to increase the level of exercise participation of university students majoring in allied health science. The model constructed in this study is applicable to explain exercise behavior of university students majoring in allied health science, and suggests that we should focus on exercise habit, exercise self-efficacy and exercise-related affect to increase the level of exercise behavior of this group.

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