• 근관절건강학회지
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• 제3권2호
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• pp.216-228
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• 1996

This study has purpose to perform leaving the hospital nursing plan during hospital treatment of patient with the knee ligament Injury on the basis of the concerns between the time of leaving the hospital after 2 weeks in hospital and the concerns through practical life after leaving the hospital systematically. This study is also tried to make exercise plan to prevent atrophy of Quardriceps muscle of the thigh caused by the limitation of activities. The subjects of study are 12 people who were in the hospital in affiliation to a university in Seoul, were operated on the knee ligament, and were discharged from the hospital within 2 weeks. Data collection time was for about 4 months from December, 94 to March, 95. Research method was performed 2 times by unorganized open questions. The collection of first data is through direct interview about the concerns before leaving the hospital, and secondary data is through direct interview about the concerns by practical life and experiences after leaving the hospital. The data was categorized by classifying several common elements among similar contents according to data by the situational analysis of Giorgi. The result of this study is as follows : 1) The concerns before leaving the hospital are like that the concerns of recovery possibility, the limitation of activities, the grim realities of life, the lack of confidence about self-nursing, the eyes of the surroundings, the burden to the others, and so on. 2) The concerns after leaving the hospital are like that the demands of the inconvenience by the limitation of self-nursing, the support about self-nursing by the difficulties of performing treatment order, the support of physical activities limitation by physical tiredness and the limitation of social activities, the support of information by the necessities of education in using crutches before leaving the hospital and continuing informational needs, psychological and mental support of normal physical recovery by the worries of physical recovery and physical change, and social support by thankfulness for his family and relatives. I suggest to make more systematic leaving the hospital nursing plan and exercise education plan for nursing plan after leaving the hospital of the patients with the knee ligament injury on the basis of this content.

• 한국전문물리치료학회지
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• 제28권4호
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• pp.256-265
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• 2021

Background: Individuals with scapular winging may have proprioceptive dysfunction which is important for motor control and causes shoulder instability. Reduced serratus anterior (SA) and lower trapezius (LT) muscle activity accompanied by over-active upper trapezius (UT), and pectoralis major (PM) may be contributing factors. Flexi-bar (FB) exercise may be used to increase joint position sense (JPS) and alter the target muscle activities. Objects: This study aimed to investigate the immediate effects of flexi-bar exercise prior to knee push-up plus (FPK) versus knee push-up plus (KPP) on JPS and muscle activity of SA, LT, UT, and PM in subjects with scapular winging. Methods: Eighteen subjects with scapular winging were recruited. JPS was investigated at baseline, after KPP and after FPK. Passive and active JPS errors were calculated by isokinetic equipment. Surface electromyography was used to record muscle activities during KPP and FPK. One-way repeated-measures analysis of variance and post hoc analyses were used to analyze the JPS error measured at baseline, after KPP and after FPK. Paired t-tests were used to compare muscle activities between KPP and FPK. Results: Passive JPS error was significantly decreased after KPP (p = 0.005) and after FPK (p = 0.003) compared to the baseline. Active JPS error was also significantly decreased after KPP (p = 0.016) and after FPK (p = 0.012) compared to the baseline. There was no significant difference in the passive and active JPS errors between KPP and FPK. SA activity during FPK was significantly increased (p = 0.024), and LT activity during FPK was significantly increased (p = 0.006). There were no significant differences in the UT and PM activity. Conclusion: FB might be recommended to immediately improve passive and active JPS and to selectively increase SA and LT muscle activities during KPP in individuals with scapular winging.

• 한국엔터테인먼트산업학회논문지
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• 제13권6호
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• pp.287-295
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• 2019

본 연구는 지체장애인의 성별에 따른 정신적 건강상태에 미치는 요인을 파악하여 그들의 건강한 삶을 도모하고자 시도되었다. 제6차 국민노후보장패널을 이용하여 지체장애인 333명을 연구 대상으로 하였다. 도구적 일상생활 수행능력, 물질적 지지, 우울, 삶의 만족도, 정신적 건강상태를 알아보기 위하여 기술통계, t-test를 사용하였고, 정신적 건강상태에 미치는 영향요인을 알아보기 위하여 다중회귀분석을 이용하였다. 지체장애인의 정신적 건강상태에 영향을 주는 요인을 성별로 구분하여 알아본 결과 남성의 경우 도구적 일상생활 수행능력, 물질적 지지, 우울, 삶의 만족도가 영향을 주었고 여성의 경우 배우자 여부, 우울, 삶의 만족도가 영향을 주었다. 본 연구결과를 토대로 지체장애인들을 이해하고 정신건강 증진 프로그램 개발에 기초자료로 사용될 수 있을 것이다.

• 한국전문물리치료학회지
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• 제12권1호
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• pp.100-110
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• 2005

Patient education is one of the most important roles of a physical therapist. Physical therapists have to teach and provide information about illness, instruct for home exercise, and give advice relating to correct posture and daily activities et al. For an efficient education some strategies are required. The purpose of this article is to review general learning methods, to introduce elements that influence the procedure of patient education and learning, and to plan an education strategy.

• 한국운동역학회지
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• 제22권3호
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• pp.341-348
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• 2012

The purpose of this study was to compare the muscle activities of the thoracic extensor(TE) and lumbar extensor(LE) during trunk lift (TL) exercise according to exercise position. Seventeen healthy subjects with no medial history of back pain were recruited for this study. Subjects performed the TL exercise in prone, quadruped and heel-sitting positions. The activities of the TE and LE were measured using surface electromyography during TL exercise in each exercise position. A one-way repeated-measures analysis of variance (ANOVA) was used to compare the normalized muscle activities of the TE and LE and the TE/LE ratio. The results showed that there was not significant effect of exercise position on the muscle activities of TE(p>.05). However, there was significant effect of exercise position on the muscle activities of LE and the TE/LE ratio(p>.05). Post hoc pair-wise comparisons with Bonferroni correction showed that both muscle activities of LE and TE/LE ratio in prone position were significantly different in those in heel-sitting and quadruped positions, during TL exercise, respectively. The TE/LE ratio was the greatest for TL exercise in heel-sitting position. Therefore, for selective activation of the TE muscle, we recommend performing the TL exercise in heel-sitting or quadruped position.

• 한국생활과학회지
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• 제18권3호
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• pp.689-703
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• 2009

The purpose of this study is to investigate the relationships among 'leisure constraints', 'leisure sufficiency' and 'life satisfaction' perceived by late middle-aged adults. The subjects of this research were 275 adults from 50 to 64. The results are as follows: 1) Among 5 categories of 'leisure constraints', the subjects perceive' financial constraints' as the most important, and in order of importance, 'social constraints', 'physical constraints', and 'familial constraints' followed. 2) Among five 'leisure activities', a factor perceived most sufficiently by middle-aged adults is 'simple relaxation' and followed by 'social activities', 'activities with family'. 'learning activities', and 'play-recreation activities'. 3) The factors influencing life satisfaction perceived by late-middle aged adults are 'religion', 'financial constraints', 'education', 'familial constraints', 'physical constraints', 'learning activities', and 'play-recreation activities'. These 7 factors explain 38.9% of total variation. Also, the 'leisure constraints' has a greater impact on their 'life satisfaction' than on their 'leisure sufficiency'.

• 한국전문물리치료학회지
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• 제18권2호
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• pp.18-26
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• 2011

The purpose of this study was to investigate the effects of a task-oriented approach on weight-bearing distribution and muscular activities of the paretic leg during sit-to-stand movement in 18 chronic stroke patients. Both groups were received neurodevelopmental treatment for 30 min/day and then the experimental group ($n_1$=9) followed additional a task-oriented approach (sit-to stand training with controlled environment) and the control group ($n_2$=9) followed a passive range of motion exercise for 15 min/day, five days/week, for four weeks. Weight-bearing distribution and muscular activities of the paretic leg during sit-to-stand movement were measured before and after four weeks of training. There was significantly improved weight-bearing distribution of the paretic leg during sit-to-stand movement in the experimental group compared with that of the control group after four weeks of training (p<.05). But electromyographic activities of the quadriceps and the tibialis anterior of the paretic leg were not significantly different (p>.05). Thus, it is necessary to apply a task-oriented approach to improve the weight-bearing distribution of the paretic leg during sit-to-stand movement in chronic stroke patients.

• 한국전문물리치료학회지
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• 제17권4호
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• pp.8-15
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• 2010

This study was designed to investigate the effect of different hand positions on scapulothorcic muscle activities during push-up plus exercises. Fourteen healthy males performed push-up plus exercises under three conditions (neutral, $90^{\circ}$ internally rotated, and $90^{\circ}$ externally rotated hand positions), during which the activities of the serratus anterior, pectoralis major, and upper trapezius muscles were recorded using surface electromyography. The statistical significance at three different hand positions was tested by repeated one-way ANOVA. The mean activities of the serratus anterior increased and the mean activities of the pectoralis major decreased in the order of neutral hand position, internally rotated hand position, and externally rotated hand position. There was a significant difference during push-up plus between neutral and externally rotated hand positions as well as in the serratus anterior/pectoralis major activity ratio (p<.0.5). However, no significant differences were found in the activity of the upper trapezius muscle or the serratus anterior/upper trapezius activity ratio. We suggest that the push-up plus exercise performed in the externally rotated hand position could a beneficial strategy for selective strengthening of the serratus anterior muscle, while minimizing the activity of the pectoralis major muscle.

• 대한전기학회논문지:시스템및제어부문D
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• 제51권1호
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• pp.32-38
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• 2002

This paper describes a development of a portable physical activity monitoring system using two accelerometers to quantify physical activity. The system hardware consists of two piezoresistive accelerometers, amplifiers with gain of 30, lowpass filters with cut-off frequency of 15Hz, offset control circuits, one-chip microcontroller and flash memory card. In order to evaluate the performance of the system we acquired 3 channel data at 32 sample/sec from body-fixed accelerometers in chest and right upper leg. And then the acquired data were processed by MatLab on personal computer. We tried to distinguish not only fundamental actions which are steady-state activities such as standing, sitting, and lying but also dynamic activities with walking, up a stairway, down a stairway, and running. Five subjects participated the evaluation process which compare the video data with the measured data. As a result, the activity classification rate of 90.6% on average was obtained. Overall results showed that the steady-state activities could be classified from the low component of 3-axis acceleration signal and dynamic activities could be distinguished from frequency analysis using wavelet transform and FFT. Finally, we could find that this system can be applied to acquire and analyze the static and dynamic physical activity data.

• The Journal of Korean Physical Therapy
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• 제32권1호
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• pp.52-57
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• 2020

Purpose: This study compared the muscle activities of the Vastus medialis oblique (VMO) and the Vastus lateralis (VL) at three different knee extension angles: 90°, 135°, and 180° in the sitting position. Methods: Twenty subjects between 20 and 30 years of age participated in the study. A mobile phone application called the Clinometer was used to measure the knee joint angle. Electromyography (EMG) was performed to measure the muscle activities of the VMO and VL muscles during knee isometric extension exercises. The pulling sensor was used to maintain 70% of the maximum strength of the knee extensor continuously in the sitting position. After attaching the EMG sensor, the subjects were asked to perform isometric knee extension exercises randomly among three knee extension angles (90°, 135°, or 180°) in the sitting position. One-way repeated measures analysis of the variance and a Bonferroni post hoc test was used to identify the VMO and VL muscle activity during knee extension angles among 90°, 135°, and 180°. Results: The VMO and VL muscle activities increased with increasing knee extension angle in the sitting position (p<0.01). Conclusions: Knee extension exercise at a 180° angle in the sitting position can be recommended to increase the muscle activity of the VMO and VL muscle activities efficiently.