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The Effect of Aquatic Exercise on the Improvement of Physical and Pulmonary Function After Stroke (수중재활운동이 뇌졸중 환자의 신체기능과 폐기능에 미치는 영향)

  • Song, Ju-Min;Kim, Su-Min
    • The Journal of Korean Physical Therapy
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    • v.21 no.2
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    • pp.15-22
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    • 2009
  • Purpose: This study examined the effect of aquatic exercise on the improvement in physical and pulmonary function after stroke. Methods: Fourteen candidates, who had experienced stroke, were enrolled in this study. The program was carried out three times weekly, 1 hour per session and for 10 consecutive weeks. At pre-treatment and post-treatment, the subjects were tested with a 10 m and 100 m timed gait test, a timed get up and go test, a functional reach test, the difference in thoracic girth at inspiration and expiration, and breaths per minute. The forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) were measured using a spirometer. Results: After ten weekends of an aquatic exercise program, the subjects showed a significant difference in all the test results except for the FEV1 (p<0.05). Conclusion: Intervention with this aquatic exercise program can improve the physical and pulmonary function in people who have had a stroke.

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The Effects of the Obstacle Walking Training on Gait and Balance in Stroke Patients (장애물보행훈련이 뇌졸중환자의 보행 및 균형에 미치는 효과)

  • Lee, Hyojeong;Woo, SungHee
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.05a
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    • pp.477-479
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    • 2021
  • Objectives :This study aimed to determine whether obstacle walking training can improve gait and balance in stroke patients. Methods : Obstacle walking training and Flatland walking training was accordingly applied in each group for 30 minutes per session, 5 times per week for 4 weeks. Gait was assessed using a 10MWT and Balance was FRT, respectively, before and after training. Results : 10MWT and FRT were significantly increased in experimental groups after training (p<.05) but there were no significant difference in control group. There were a significant difference between the groups.

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Experiences as a health educators

  • Seokhee Yun;Jungae kim
    • International Journal of Advanced Culture Technology
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    • v.12 no.2
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    • pp.227-235
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    • 2024
  • This study was attempted to secure basic data for planning an efficient educational direction by phenomenologically analyzing what they experience as educators by allowing learners to plan and conduct education directly. Participants in the study were eight who voluntarily expressed their intention to participate in the study after taking health education classes between the ages of 20 and 30. Interviews for the study were conducted three times per participant from December 18, 2023 to January 5, 2024, and took an average of 1 hour or more per session. The meaning of the experience of actually carrying out health education derived from Giorgi's phenomenological analysis procedure consists of 5 components(difficult and lacking, confusion and burden, regretful, change, oppurtinity), 11 sub-components, and 37 semantic units. What stands out from the experience of directly teaching is that the participants gained confidence as educators. Based on the results of this study, in order to achieve efficient education, it is suggested to allow learners to conduct classes directly.

The Effects of Virtual Reality Therapy With Compensation Inhibition and Feedback on Upper Extremity Function in Hemiplegic Patients With Chronic Stroke (보상작용 억제와 피드백을 제공한 가상현실 치료가 만성 뇌졸중 편마비 환자의 상지기능에 미치는 영향)

  • Chon, Seung-Chul;Chang, Ki-Yeon
    • Physical Therapy Korea
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    • v.18 no.2
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    • pp.67-75
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    • 2011
  • The purpose of this study was to investigate the effects of virtual reality (VR) therapy with compensation inhibition and feedback (CIF) on upper extremity function in chronic stroke patients. Seven chronic stroke patients participated in this study, which was a randomized controlled trial with a crossover design. Self upper extremity exercise, conservative VR therapy, and VR therapy with CIF were performed for one hour per session, 5 times per week, over a 3 week period. The main outcome measures involved range of motion (ROM) including shoulder, elbow, and wrist joints, a Manual Function Test (MFT), and a Motor Activity Log (MAL). Data were calculated as posttest and pretest changes in every session and were analyzed using Friedman and Wilcoxon signed-rank tests at p<.05. The results were as follows: 1) Statistically significant increase in ROM measurements of shoulder and elbow joints were seen with VR therapy with CIF compared to VR therapy and self upper extremity exercise (p<.05), whereas no significant increasing was noted for the wrist joint (p>.05). 2) Statistically significant increase in the MFT was seen with VR therapy with CIF compared with VR therapy and self upper extremity exercise (p<.05). 3) VR therapy with CIF also resulted in statistically significant increase in both activity of use (AOU) (p<.05) and quality of movement (QOM) (p<.05) on the MAL test when compared with VR therapy and self upper extremity exercise, respectively. In conclusion, VR therapy with CIF was more effective than conservative VR therapy and self upper extremity exercise in improving the upper extremity function in hemiplegic patients with chronic stroke.

Effects of Cross Training with Bilateral Ankle Dorsiflexor Strengthening Exercise on the Muscle Activity of the Paralytic Tibialis Anterior, Balancing Ability, and Gait Function in Patients with Chronic Stroke: A Preliminary Randomized, Controlled Study

  • Park, Sung-Chan;Ryu, Jun-Nam;Park, Jae-Man;Seo, Byoung-Do;Ryu, In-Tae;Cha, Yong-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.4
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    • pp.63-70
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    • 2019
  • PURPOSE: This study examined the effects of bilateral ankle dorsiflexors-strengthening exercise on the paralytic tibialis anterior activity, balance ability, and gait function of patients with chronic stroke. METHODS: Nineteen patients with chronic stroke were assigned randomly to the experimental and control groups. All participants received general physical therapy for 60-minutes per session, five times a week, for 6 weeks. In addition, the experimental group (n = 9) performed bilateral ankle dorsiflexion muscle-strengthening training three times a week, 30 minutes per session, for six weeks. The control group (n=10) performed the paraplegic ankle dorsiflexion muscle- strengthening training in the same manner. Before and after the intervention, the paralytic tibialis anterior muscle activity, timed up and go test (TUG), and 10m walking test (10 MWT) were performed. RESULTS: Both groups showed significant improvement in the post-intervention muscle activity of the paralytic tibialis anterior, TUG, and 10MWT compared to that before the intervention (p<.05), but the differences between the two groups were not significant (p >.05). CONCLUSION: Bilateral ankle dorsiflexors strengthening exercise is an effective cross-training method to improve the muscle activity of the paraplegic tibialis anterior, balance ability, and walking function in chronic stroke patients.

Performance Evaluation of WSP with Capability Extension using Compression Techniques (압축 기법을 이용한 WSP의 기능 확장과 성능 평가)

  • Kim, Ki-Jo;Lee, Dong-Gun;Lim, Kyung-Shik
    • Journal of KIISE:Information Networking
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    • v.29 no.5
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    • pp.543-552
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    • 2002
  • Wireless Session Protocol(WSP) which was updated and supplemented based on HyperText Transfer Protocol(HTTP) was designed by Wireless Application Protocol(WAP) forum regarding the characteristics of wireless environment. WSP improved the performance in wireless network, and introduced various facilities considering wireless environment. In this paper, we more improve the performance of WSP adding protocol message compression capability; we cail improved WSP protocol as WSP+. And, we analysis the performance of each protocol with WSP and WSP+ implementation. As a result of experiment, the capability which proposed in this paper reduced a response traffic about 45%. In $10^{-4}$ bit error rate, we also found the packet loss rate and time delay per transaction of WSP+ was improved over 40%. Finally, we found that the protocol message compression capability reduces message retransmission count in transaction layer and shorten the delay time per transaction by reducing a message size.

Effects of Interval Training and Aerobic Exercise on Body Composition and Physical Fitness in Young Obese males

  • Ko, Min-Gyun
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.11
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    • pp.187-193
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    • 2020
  • This study is proposed to the effects of interval training by different intensity on body fat, flexibility, agility, quickness, and maximal oxygen consumption. A total of 30 healthy men voluntarily participated in the study. The participants were randomized to moderate aerobic exercise(n=15) and high-intensity interval training groups(n=15). Exercise programs lasted for six weeks, with each session occurring four times per week for 50 minutes per session. There were significant differences in fat and physical fitness according to flexibility, agility, quickness, and maximal oxygen consumption within the high-intensity interval training groups(p<.05). For the moderate aerobic exercise group, there was a significant difference in fat, flexibility, maximal oxygen consumption(p<.05). There were significant differences between groups for fat, flexibility, agility and quickness(p<.05). Therefore using high-intensity interval training will significantly benefit obese young men in musculoskeletal capacity and quickness.

A Case Study on the Effect of the Art Therapy through the Self Expression and the Interpersonal Relations by a Schizophrenic Adolescent I (정신분열증 청년의 자기표현과 상호작용의 효과에 관한 미술치료 사례연구 I)

  • Park, Soo-Jung
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.2
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    • pp.229-242
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    • 2009
  • Objectives : This article aims to find how effective the art therapy is on the improvement of the self expression and the interpersonal relations with others, as medium for verbal communication of schizophrenic patients. Methods : The subject of this study was one schizophrenic patient who had been treated with drugs for five years in W university hospital, as well as counseled by an art therapy oo counsel office in J city. The art therapy had been performed the total 25 sessions, fifty minute per session, one session per week, from November 28 in 2008 to April 27 in 2009. The test was by HTP. Results : The results of this study are as follows: First, in the pretest of HTP, the subject showed a little lethargy, painting very simple house-shaped figures and too simple rectangular figures corresponding to those painted by 4 or 5-year-old children. In the post-test, however, the structures of houses were described concretely and three-dimensionally, and the descriptions of people were changed into concrete figure, by which we could see the improvement effect on the self expression and the interpersonal relations. Second, in the earlier stage, there was little verbal self expression, and little self respect, staring into space and showing passive attitude without positive assertion and expression. In the later stage, however, there were positive assertion and expression, even showing sense of humor. Lastly, in the earlier stage, there were few interpersonal relations. In the later stage, however, eye contacts and the interpersonal relations were increased during conversation and in the art work process, respectively. Conclusions : These results suggest that the art therapy can be effective on improvement of the self expression and the interpersonal relations with others, as medium for verbal communication of schizophrenic patients.

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Analysis of the Gap Between Physician's Perceived Importance and Performance of Interpersonal Care (환자대면서비스에 대한 의사의 중요도 인식과 실천간 차이에 미치는 요인 분석)

  • Kim, Dong-Sub;Kang, Hye-Young;Lee, Hae-Jong
    • Health Policy and Management
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    • v.18 no.3
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    • pp.41-57
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    • 2008
  • To examine the gap between physician's perceived importance and performance of care and to identify factors associated with the gap. A self-administered questionnaire survey was conducted with 91 physicians working in a University hospital in Seoul. The respondents were asked about their perceived importance and actual performance of interpersonal care on a 5-point Likert-type scale, indicating a higher score as higher importance and performance. Interpersonal care was measured by questions modified from the Korean Standard Service Quality Index, which are grouped into 6 categories: basic services, extra services, reliability, courtesy, convenience, and tangibles. Multiple regression analysis was conducted to find out physician characteristics associated with the gap. All of the 6 interpersonal care categories showed lower performance than perceived importance. The respondents tended to have a worse performance than perceived importance as the number of patients per outpatient care session ($\beta$=-0.0204, p<0.05) and the need for customer satisfaction education increase ($\beta$=-0.2226, p<0.05). Female physicians ($\beta$=0.2336, p<0.05) and those with higher job satisfaction($\beta$=0.0096, p<0.05) showed a better performance than perception. Overall, it appears that lower quality of interpersonal care was delivered to patients than the desired level considered by the responding physicians. Based on the regression analysis results, it is suggested that reducing patient volume per session, fulfilling education need for customer satisfaction, and improving job satisfaction may contribute to reduce the gap between physician's perceived importance and performance of interpersonal care.

The Effects of Virtual Upper Extremity Training Using the RAPAEL Smart Glove on Physical and Cognitive Function in Stroke Survivors -A Single Group Study-

  • Song, Chiang-Soon;Lim, Jae-Heon;Jeon, Byeong-Hyeon;Lee, Hye-Sun
    • PNF and Movement
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    • v.17 no.2
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    • pp.199-206
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    • 2019
  • Purpose: The purpose of this study was to evaluate the effects of a virtual upper extremity training program using the RAPAEL Smart Glove on upper extremity function in stroke survivors with chronic hemiparesis and to focus the training program development using the Smart Glove as a feasibility study. Methods: This study was conducted using a single group and pre-post test research design in the outpatient departments of local rehabilitation units. Ten chronic hemiparetic stroke survivors with a diagnosis of first stroke received therapeutic rehabilitation at the rehabilitation units. All the participants used a virtual reality program with the RAPAEL Smart Glove for 30 minutes per session 3 days a week over 8 weeks. They also received conventional occupational therapy with functional electrical stimulation for 40 minutes per session 3 days a week for 8 weeks as an additional therapy. To analyze the effects of this therapeutic intervention, four clinical measures, including the box-block test (BBT), the Wolf motor function test (WMFT), the trail-making score, the Jebsen Taylor hand function test (JTHFT), and grip strength, were used. Results: Upon completion of the intervention in week 8, all the participants demonstrated significant WMFT, JTT, BBT, grip strength, and trail-making score gains compared to the respective baselines at week 0. Conclusion: This study suggests that virtual upper extremity training using the RAPAEL Smart Glove has a reasonable and beneficial effects on upper extremity function in chronic hemiparetic stroke survivors.