• 제목/요약/키워드: Muscle Balance

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스위스볼 요부안정화운동에 따른 뇌졸중 환자 하지의 경직도와 균형 분석 (Analysis of Spasticity and Balance of Lower Extremity on Swiss Ball Lumbar Stabilization Exercise(LSE) in Patients with Stroke)

  • 고대식;김찬규;정대인
    • 한국콘텐츠학회논문지
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    • 제11권3호
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    • pp.262-270
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    • 2011
  • 본 연구는 swiss ball LSE에 따른 하지 경직도, 균형 및 보행에 관한 효과를 알아보고자 BBS, FRT, 수정된 Ashworth 척도(MAS), TUG 측정 분석 하였다. 대상자는 H병원에서 입원 또는 통원치료를 받고 있는 뇌졸중 환자 중 선정기준에 적합한 34명을 고전적 신경물리치료군 17명, swiss ball LSE 실시군에 17명씩 할당하여 하지의 균형능력은 BBS와 FRT, 경직도는 MAS, 보행능력은 TUG를 사용하여 비교 분석하였다. Swiss ball LSE군에서 BBS와 FRT는 유의하게 증가하였으며, MAS와 TUG는 유의하게 감소하였다. 또한 군간의 비교에서는 FRT와 MAS에서 유의한 차이가 나타났다. 결과적으로 swiss ball LSE는 뇌졸중 환자의 하지 근경직, 균형능력 및 보행능력을 회복시킬 수 있는 것으로 사료된다.

Comparisons of lower extremity strength, cognition, and ankle mobility according to the 8.5seconds cut-off point for the 8-foot up-and-go test in elderly women

  • Kang, Dong-yeon;Kim, Young-mi;Lee, Kyung-soon
    • 대한물리의학회지
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    • 제10권3호
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    • pp.87-93
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    • 2015
  • PURPOSE: The purpose of this study was to investigate the effects of the 8.5seconds cut-off of the 8-foot up-and-go test as a predictor of falling and a good discriminator of fallers and non-fallers in women in their 60s to 80s. METHODS: The final subjects of this study were 98 elderly women from six senior centers of B metropolitan city. The 8-foot up-and-go test evaluated agility and dynamic balance. The chair-stand test measured the muscle strength for of the lower body. Ankle dorsiflexion and plantar flexion were measured to assess the ankle mobility of the subjects in this study. RESULTS: The below 8.5seconds group showed significantly low values in age and high values in chair-stand (times/30 s), plantar flexion ($^{\circ}$), and K-MMSE (score) compared to the over 8.5seconds group. This group was significantly faster compared to the over 8.5seconds group. In the below 8.5seconds group, only plantar flexion ($^{\circ}$) of all the items showed significantly higher values among those in their 60s compared to those in their 70s and 80s. CONCLUSION: The 8.5seconds cut-off on the 8-foot up-and-go test as a good discriminator and predictor of falling showed differences among fall risk factors (age, lower extremity strength, cognition, and ankle mobility) in women in their 60s to 80s without having regular exercise and a fall experience over the past ones year.

Difference of Position Change of Sesamoid Bones During Active Abduction Exercise of Great Toe in Subjects with Hallux Valgus

  • Yun, Sung-Joon;Kang, Min-Hyeok;Kim, Moon-Hwan
    • The Journal of Korean Physical Therapy
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    • 제27권2호
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    • pp.85-88
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    • 2015
  • Purpose: The purpose of this study was to investigate the effects of active abduction exercise of the great toe on the medial and lateral sesamoid bones in hallux valgus (HV) patients by measuring radiography. Methods: In this study 27 young subjects were separated into two groups (normal group and HV group). Two pictures were taken by radiography while maintaining resting and while holding maximal active abduction of the great toe in sitting position on an x-ray table. All radiographs were used to measure the distance of the medial and lateral sesamoid bone from the longitudinal axis of the first metatarsal bone, respectively. Paired t-test was used for analysis of the resting and active abduction exercise in groups. Independent t-test was used to evaluate statistical significance between normal group and HV group. The statistical significance level was p<0.05. Results: In active abduction exercise of the normal group, distance of the medial and lateral sesamoid bones was not significantly different compared to resting condition. In active abduction exercise of the HV group, change of distance of the medial and lateral sesamoid bones showed statistically significant difference compared to resting condition. The distance between the medial sesamoid bone showed a more significant decrease in the HV vs. normal group, while the distance between the lateral sesamoid bone was significantly greater in the HV vs. normal group. Conclusion: These findings suggest that active abduction exercises, to reduce or prevent deterioration of the HV angle, should be considered for sesamoid bone displacement to improve muscle balance in the great toe.

성뇌개규법(醒腦開竅法)을 이용한 뇌졸중으로 인한 운동장애 환자 치험 3례 (Three Cases Report of the Sequela of CVA Threated with Seongnoe-gaegyubeop)

  • 구자환;김세란;이제원;손지영;박미연;최해윤;김종대
    • 동의생리병리학회지
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    • 제24권6호
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    • pp.1142-1148
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    • 2010
  • This case study was reported to show the effects of Seongnoe-gaegyubeop acupuncture treatment. The methods were applied to patients who had the sequela of cerebral vescular accident(CVA) and had no progression for 3~6 months after the onset of CVA. The patients had no progression in spite of receiving medical treatment for 3~6 months after the onset of CVA. The patients were treated with Seongnoe-gaegyubeop acupuncture treatment. The patient's standing, sitting state and activities of daily life like dressing, feeding etc were assessed by Berg balance scale, Barthel Index and Manual Muscle Testing. After 3 months of this treatment, the standing, sitting state and activities of daily life were improved. I think that acupuncture treatment of Seongnoe-gaegyubeop is effective treatment method to treat the patient who caused the sequela of CVA.

무치악 환자 에서 Neutral Zone 방법을 적용한 임상 증례 (Treatment of Edentulous Patient with Neutral Zone Technique : A Clinical Case)

  • 김용식;이병욱
    • 구강회복응용과학지
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    • 제17권2호
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    • pp.107-112
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    • 2001
  • The prosthodontic treatment of severely resorbed edentulous patients has been one of the frustrating areas due to extensive loss of tissues. The integrated neuromuscular balance among tongue, lip, and cheek is compromised. The retention, stability, and support are the three major factors to influence the clinical outcome. Fish described a denture as having three surface, with each surface playing an independent and important role in the over all fit, stability, and comfort of the denture. He recommended that the polished surface should be a series of inclines so that pressure from muscular activity will retain dentures. Within the denture space there is an area that has been termed the neutral zone. The neutral zone is that area in the mouth where, during function, the forces of the tongue pressing outward are neutralized by the forces of the cheeks and lips pressing inward. According to Jacobson and Krol, neuromuscular control interacts to provide retention and the relationship of polished surface of denture base to the surrounding muscular structure of orofacial capsule facilitates the stability and retention. This neutral zone concept has been demonstrated with various modification by a number of authors. The theory used to develop the denture base contours is based on the belief that the muscle should functionally mold not only the border but the entire polished surface. Lott and Walsh reported the clinical success on complete mandibular dentures with application of neutral zone concept. A number of studies demonstrated that denture stability and retention are more dependent on correct position of the teeth and correct contour of external surfaces of the denture in a severely resorbed alveolar ridge. This article presents a prosthodontic approach to treatment of a edentulous patient using neutral zone technique to improve the retention and stability of the prosthesis.

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뒤로 걷기 운동과 언어 지시가 20대 대학생들의 앞쪽 머리 자세에 미치는 즉각적인 효과 (The Immediate Effect of the Backward Walking Exercise and Verbal Command on the Forward Head Posture of College Students in their 20s)

  • 박한규;김태호;김동우
    • 한국전문물리치료학회지
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    • 제27권3호
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    • pp.185-190
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    • 2020
  • Background: Backward walking exercise may offer some unique and potentially beneficial differences compared with forward walking exercise. There is still a lack of research on backward walking exercises and forward head posture. Objects: The purpose of this study was to determine the effect of backward walking exercise on college students forward head posture in their 20s. Methods: Twenty-one subjects participated in the experiment. The subjects were those with a craniovertebral angle (CVA) of 55 degrees or less who understood the purpose and method of this study and voluntarily agreed. A camera capable of taking pictures of the lateral plane was installed at a distance of 1.5 meters before exercising. Pictures were taken before walking backward, and after walking for 15 minutes on the treadmill, the images were taken in the same way. The composition of the backward walking exercise was walking at a rate of 1.0 for 5 minutes, and the remaining 10 minutes were walking at a rate of 1.5. Wilcoxon signed rank test was used to compare CVA and craniorotational angle (CRA) before and after exercise. Results: As a result of this study, there was a significant difference in CVA before and after exercise (p < 0.05). There was a significant difference in CRA before and after exercise (p < 0.05). Conclusion: The backward walking exercise and verbal command seems to have positively influenced the changes in CVA and CRA among college students in their 20s. It seems that studies to confirm balance or muscle activity as well as changes in forward head posture through the long-term intervention of the backward walking exercise should be conducted.

휴먼 케어 콘텐츠 기반의 재활 훈련 장비의 사용성 평가 연구 (A Study on Usability Evaluation for Human Care Contents based Rehabilitation Training Equipment)

  • 김한상;최병재
    • 한국지능시스템학회논문지
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    • 제27권2호
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    • pp.157-163
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    • 2017
  • 경제적 발전과 의학의 발달로 인해 고령인구의 비율이 높아지는 고령 사회가 도래하고 있다. 우리나라의 고령화 진입 속도는 다른 선진국들에 비해 매우 빠른 편이다. 고령으로 인한 노인들의 신체적 능력은 점점 더 악화되어 가고 있으며, 이를 예방하기 위해 신체적, 정신적 장애를 위한 보조 시스템의 개발이 요구되고 있다. 이러한 보조 시스템은 노약자의 삶의 질 향상에 크게 기여할 수 있으며, 대표적인 시스템으로 재활 훈련 장비를 들 수 있다. 특히, 근력 강화, 인지능력 강화, 그리고 균형 능력을 강화시킬 수 있는 기능이 포함된 장비는 대부분의 노약자들에게 도움이 된다. 본 논문에서는 이들 기능을 강화시키는 휴먼 케어 콘텐츠 기반의 재활 훈련 장비의 개발을 소개하고, 본 장비의 사용성 평가를 제시한다. 사용성 평가는 예비 사용자는 물론 재활전문의 등의 전문가를 대상으로 실시하고, 그 결과를 분석하였다.

장기간의 아쿠아 운동 프로그램이 여성노인의 신체조성, 운동기능 및 삶의 질에 미치는 영향 (Effects of Long-term Aqua Exercise Program on Body Composition, Exercise Function and Quality of Life of the Old Women)

  • 이진종;황태연;이병훈;유재영;전경희;정진규
    • 한국전자통신학회논문지
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    • 제8권9호
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    • pp.1399-1405
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    • 2013
  • 본 연구는 아쿠아 운동프로그램이 노인들의 신체 조성과 운동기능, 삶의 질 및 자아존중감에 미치는 영향을 알아보기 위하여 2011년 2월 1일부터 2012년 1월 31일까지 전라남도 G 군에 거주하는 65세 이상의 여성 31명을 대상으로 주 1회, 회당 1시간으로 1년간 적용하였다. 운동프로그램 전과 후에 건강관련 요소를 측정한 결과 장기간의 아쿠아 운동프로그램을 통해 신체조성(체중, 체지방량, 체지방율), 운동기능(유연성, 균형, TUG, 배근력) 및 삶의 질과 자아존중감이 통계적으로 유의한 변화 및 증가가 있었다. 이상의 결과를 통해 농촌지역 노인여성의 신체조성, 운동기능, 삶의 질 및 자아존중감 향상을 위해 지속적인 아쿠아 운동프로그램이 필요할 것으로 생각된다.

생강 약침의 임상적 활용을 위한 고찰 (A Study of Ginger Herbal Pharmacopuncture for Practical Application)

  • 이채우;이병훈;윤현민
    • 대한약침학회지
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    • 제12권1호
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    • pp.43-51
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    • 2009
  • Objective : The purpose of this study is to present the standard for practical application of ginger herbal pharmacopuncture Material and Methods : We refer to ancient literatures and the recent papers for ginger. Conclusions : The following results have been obtained 1. The effect of ginger(Zingiber officinale Roscoe) is to "release exterior", "balance nutrient & defensive qi", "resolve phlegm", "arrest coughing", "warm the lungs". So ginger herbal pharmacopuncture can be applied to treating fever, chilling sign, headchae, snuffle and gasping cough due to cold affection and treating the symptoms like sputum and asthma that be revealed by pulmonary disease. 2. The effect of ginger is to "warm spleen and stomach", "arrest vomiting" "promote normal flow of water". So ginger herbal pharmacopuncture can be applied to treating nausea, vomiting, abdominal distension and diarrhea due to phlegm & dampness and treating edema. 3. The effect of ginger is to eliminate blood stasis. So ginger herbal pharmacopuncture can be applied to treating contusion, blood stasis, sprain and gynecologic disease. 4. Ginger can treat myalgia and pain due to wind-damp and have anti-inflammatory effect in pharmacology. So ginger herbal pharmacopuncture can be applied to treating disease of joint, ligament and muscle. 5. Ginger can resolve phlegm and resuscitate. So ginger herbal pharmacopuncture can be applied to treating unconsciousness. But, treating incipient cardiovascular accident, it needs to call your special attention to the danger of blood pressure increase. 6. In pharmacology, ginger is effective for antitumor, antioxidant effects and activating immunocyte. So ginger herbal pharmacopuncture can be applied to treating broadly varieties of tumor and allergic disease.

Regulation of Systemic Energy Homeostasis by Peripheral Serotonin

  • Namkung, Jun;Oh, Chang-Myung;Park, Sangkyu;Kim, Hail
    • Journal of mucopolysaccharidosis and rare diseases
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    • 제2권2호
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    • pp.43-45
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    • 2016
  • Whole body energy balance is achieved through the coordinated regulation of energy intake and energy expenditure in various tissues including liver, muscle and adipose tissues. A positive energy imbalance by excessive energy intake or insufficient energy expenditure results in obesity and related metabolic diseases. Although there have been many obesity treatment trials aimed at the reduction of energy intake, these strategies have achieved only limited success because of their associated adverse effects. Serotonin is among those traditional pharmacological targets for anti-obesity treatment because central 5-HT functions as an anorexigenic neurotransmitter in the brain. Thus, there have been many trials aimed at increasing the activity of 5-HT in the central nervous system, and some of the developed methods are already used in the clinical setting as anti-obesity drugs. However, recent studies suggest the new functions of peripheral serotonin in energy homeostasis ranging from the endocrine regulation by gut-derived serotonin to the autocrine/paracrine regulation by adipocyte-derived serotonin. Pharmacological inhibition of 5-HT synthesis leads to inhibition of lipogenesis in epididymal white adipose tissue (WAT), induction of browning in inguinal WAT and activation of adaptive thermogenesis in brown adipose tissue (BAT). Fat specific Tph1 knock-out (Tph1 FKO) mice exhibit similar phenotypes as mice with pharmacological inhibition of 5-HT synthesis, suggesting the localized effects of 5-HT in adipose tissues. In addition, Htr3a KO mice exhibit increased energy expenditure in BAT and Htr2a KO mice exhibit the decreased lipid accumulation in WAT. These data suggest the clinical significance of the peripheral serotonergic system as a new therapeutic target for anti-obesity treatment.