• Title/Summary/Keyword: Physical Function

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Inter-Rater Reliability of the Gross Motor Function Measure (대동작 측정도구의 측정자간 신뢰도)

  • Yi, Chung-Hwi;Hwang, Seon-Gwan;Choi, Houng-Sik
    • Physical Therapy Korea
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    • v.2 no.1
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    • pp.1-13
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    • 1995
  • The purpose of this study was to examine the inter-rater reliability of the Korean translation of the GMFM(Gross Motor Function Measure). Three licensed physical therapists with varying amounts(2 - 6 years) of clinical experience served as raters. Thirty patients with cerebral palsy were subjects for this study. Subjects were 22 boys and 8 girls, aged 1 to 8 years. Reliability of each dimension and each total score of the GMGM were analyzed using ICCs(intraclass correlation coefficients). The reliability of each dimension score ranged from .76 to .98, with the walking, running, and jumping dimension having higher reliability values. The reliability of the total dimension score was .94. We conclude that the GMFM has inter-rater reliability for assessing gross motor function in patients with cerebral palsy.

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A Study on the Health Behaviors, Physical Function, and Life Satisfaction for Elderly Women (여성노인의 건강행위, 신체기능과 삶의 만족도에 관한 연구)

  • Park, Hye-Sook;Lee, Keum-Jae
    • Women's Health Nursing
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    • v.13 no.2
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    • pp.115-122
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    • 2007
  • Purpose: This study was done to identify health behaviors, physical function, and life satisfaction in elderly women. Also, the study was done to identify the relationship among the variables of health behaviors, physical function, and life satisfaction in elderly women. Method: The subjects of this study were 205 elderly women. Data were collected through personal interviews using questionnaires from March to October 2005. Data were analyzed with the SPSS program, Result: There was a significant difference in health behaviors related to spouse, life satisfaction and education, social security and monthly income. There were significant relationships among health behaviors, physical function, and life satisfaction for elderly women. Conclusion: The findings of this study give useful information for constructing a health-welfare program for elderly women.

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Risk of falls in community-dwelling older adults aged 65 or over with type 2 diabetes mellitus: a systematic review

  • Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • v.7 no.3
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    • pp.139-145
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    • 2018
  • Objective: Older persons with diabetes mellitus (DM) are particularly more likely to have fallen in the previous year than those without DM. The purpose of this study was to investigate the relationship between the risk of falls and type 2 DM in older adults who are 65 years of age or above. Design: A systematic review. Methods: PubMed and other two databases were searched up to August 2, 2018. Observational and cohort studies evaluating fall risk in people who are 65 years of age or above with DM were included. This review extracted the following information from each study selected: first author's surname, year of publication, country, average follow-up period, sex, age at enrollment, study population, measurement variables, relative risk, 95% confidence intervals and controlled variables. Results: This review involved nine cohort studies with 3,765 older adults with DM and 12,989 older adults without DM. Six studies compared with or without DM and two studies compared fallers with non-fallers with DM. Risk factors for falls included impaired cognitive function, diabetes-related complications (peripheral nerve dysfunction, visual impairment), and physical function (balance, gait velocity, muscle strength, and severity of physical activities). Conclusions: People who are 65 years of age or above with DM have increased risk of falling caused by impaired cognitive function, peripheral nerve dysfunction, visual impairment, and physical function in community-dwellers. For adults who are 65 years of age or older with DM, research fields and clinical settings should consider therapeutic approaches to improve these risk factors for falls.

Effectiveness of Respiratory Exercise for Stroke Patients: A Sytematic Reiview (뇌졸중 환자를 위한 호흡 운동의 효과성: 체계적 고찰)

  • Myeong-Ho Lee;Myoung-Kwon Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.3
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    • pp.85-97
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    • 2023
  • PURPOSE: This study analyzed the effectiveness of respiratory exercise in stroke patients conducted in Korea over the past 10 years (2012-2023). METHODS: Using the RISS, KCI, KISS, and NDSL databases, previous studies on stroke and respiratory exercise were searched, and relevant articles were collected following the PRISMA guidelines. Twelve articles were selected, and the quality of the studies was evaluated using the PEDro scale. RESULTS: Twelve studies were selected, and the qualitative evaluation of these studies showed that five articles received a score of six out of 10, while five articles received a score of five. The remaining two articles received scores of four and three, respectively. The intervention duration for respiratory exercise ranged from 20 to 30 minutes per session, with a frequency of three to five sessions per week, conducted over a period of three to eight weeks. These results indicated that respiratory exercise effectively improved the respiratory function, physical function, and respiratory muscle activation in stroke patients. CONCLUSION: Respiratory exercise was reported to have a positive affect the respiratory function, physical activity, and respiratory muscle activation in stroke patients.

Effects of the Tai Chi Exercise Program on Physical Functional and Physiological Variables in Patients with Degenerative Arthritis (타이치 운동이 퇴행성 관절염 환자의 신체적 기능과 생리적 지수에 미치는 효과)

  • Lee, Yun-Jeong
    • Journal of muscle and joint health
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    • v.16 no.2
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    • pp.116-124
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    • 2009
  • Purpose: The purpose of this study was to examine the effects of a Tai Chi exercise program on physical function and physiological variables in patients with degenerative arthritis. Methods: The study utilized a nonequivalent control group with pretest-posttest design. Data collection was done with the elders from two welfare institutions in C-city between July I and September 22, 2007. The participants were assigned either to an experimental group (n=24) or to a control group (n=22). The experimental group participated in Tai Chi exercise for 60 minutes per session, twice a week for 12 weeks and the control group received the education about arthritis for 3 weeks. Results: Except for $VO_2max$, weight, and body fat rate, the elders in the experimental group showed significant improvement in physical function (grip strength, flexibility, balance), and physiological variables (BP) compared to the control group. Conclusion: The results suggest that Tai Chi exercise would partially improve physical function, and physiological variables. Further studies are needed to determine the effects on physical fitness and physiological variables after Tai Chi exercise in this population.

Influence of time-of-day on respiratory function in normal healthy subjects

  • Kwon, Yong Hyun
    • The Journal of Korean Physical Therapy
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    • v.25 no.6
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    • pp.374-378
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    • 2013
  • Purpose: Human body have biological rhythmic pattern in a day, which is affected by internal and external environmental factors. We investigated whether respiratory function was fluctuated according to the influence of time-of-day (around at 9 am, 1 pm, and 6 pm) in health subjects, using pulmonary function test (PFT). Methods: Eighteen healthy volunteers (8 men, mean ages; $22.4{\pm}1.6$, mean heights; $166.61{\pm}9.60$, mean weight; $59.3{\pm}10.3$) were recruited. Pulmonary function test (PFT) was measured at three time points in day, around 9 am, 1 pm, and 6 pm in calm research room with condition of under 55dB noise level, using a spirometer (Vmax 229, SensorMecis, USA). Forced vital capacity (FVC), forced expiratory volume at one second (FEV1), FVC/FEV1, and peak expiratory flow (PEF) were acquired. Results: In comparison of raw value of PFT among three time points, subjects showed generally better respiratory function at 9 am, than at other points, although no significance was found. In comparison of distribution of ranking for respiratory function in each individual, only PEF showed significant difference. In general, distributional ratio of subjects who showed best performance of respiratory function in a day was high. Conclusion: These findings showed that circadian rhythm by diurnal pattern was not detected on respiratory function throughout all day. But, best performance on respiratory function was observed mostly in the morning, although statistical significance did not exist.

The Effect of the Forced Pulmonary Function of young female, by Changes in Lung function Related to Postures and by Transverse Abdominis Activation in Standing Position (자세에 따른 폐기능의 변화와 기립자세에서의 복횡근의 수축이 노력성 폐기능에 미치는 영향)

  • Lee, Byung-Ki
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.3
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    • pp.267-274
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    • 2012
  • Purpose : The purpose of this study was to investigate characteristics of the forced pulmonary function test effect by changes in lung function related to postures and by Transverse Abdominis(TrA). Contraction in standing position during forced inspiration and expiration with young female adults. Methods : 10 young female adults were recruited this study. pulmonary Function test was measured with a Master-screen Body (VIASYS Inc., CA, 미국). To check the changes in lung function with different postures, we tested pulmonary function in the standing and supine position each. In the standing position, while the transversus abdominis was activating, we compared the forced inspiration with the forced expiration. Statistical analysis was used Independent t-test to know difference between forced inspiration and expiration of activated TrA. Results : According to the study, the change of pulmonary function were statistically significant difference in the standing compared to the supine position. The contraction of the transversus abdominis causes decrease in the change of forced inspiration and increase in the change of forced expiration. Conclusion : These results indicate that spontaneous contraction of the TrA in standing position helps pulmonary function. And the selective contraction of the transversus abdominis at the end of forced inspiration makes increases in the forced expiration.

Comparison of Hand Grip Strength, Dexterity, and Hand Function According to the Type of Glove

  • Ro, Hyo-Lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.3
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    • pp.11-21
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    • 2022
  • PURPOSE: This study examined the changes in the handgrip strength, dexterity, and hand function according to the presence or absence of gloves and types of gloves. METHODS: Seventy-six adults in their twenties (male: 24, female: 52, mean age 21.04 years) were the subjects of this study. The handgrip strength, dexterity, and hand function were evaluated with bare hands without gloves, poly gloves, and latex gloves. The handgrip strength was measured using a dynamometer, and three pinch strength tests were performed: tip pinch, lateral pinch, and three-jaw pinch. The hand dexterity was evaluated using the Minnesota manual dexterity test, and the hand function was evaluated using the Jabson-Taylor hand function test. RESULTS: There was no difference in the grip strength depending on whether the gloves were worn. The hand grip, dexterity, and hand function showed significant differences according to the type of glove. Regarding the handgrip, dexterity, and hand function, the latex glove had the best function, and the poly glove had the lowest function. CONCLUSION: There was a difference in dexterity among the hand functions but no difference in grip strength according to the type of glove. The results suggest that the use of latex gloves in daily life be recommended.

Effects of Spinal Stabilization Exercises Using Visual Feedback on Gross Motor Function and Balance in Children with Cerebral Palsy

  • Kim, So Hee;Kim, Tae Ho;Hwang, Hyun Chul
    • The Journal of Korean Physical Therapy
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    • v.31 no.5
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    • pp.279-285
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    • 2019
  • Purpose: This study examined the effects of spinal stabilization exercises using visual feedback on the gross motor function and balance of the sitting posture in children with cerebral palsy. Methods: The subjects were 18 children with cerebral palsy aged 8-15 years in the I-III stages of the Gross Motor Function Classification System. The subjects were divided into an experimental group (n=9) and control group (n=9). The experimental group was treated with 30 minutes of neurodevelopmental treatment and 20 minutes of spinal stabilization exercises using visual feedback. The control group was treated with 30 minutes of neurodevelopmental treatment and 20 minutes of spinal stabilization exercises without visual feedback. Both groups participated in the experiment twice a week for eight weeks. The Gross Motor Function Measurement was performed to evaluate the changes between pre- and the post-intervention in gross motor function. The Seated Limit of Stability Surface Area was measured to evaluate the changes in trunk balance. Results: Both experimental and control groups showed a significant increase in the gross motor function and trunk balance (p<0.05). The experimental group showed a significant increase in gross motor function compared to the control group (p<0.05). The experimental group showed a significant increase in the dynamic trunk balance in all directions when measuring the Seated Limit of Stability Surface Area (p<0.05). Conclusion: Spinal stabilization exercises using visual feedback for the neurodevelopmental treatment of children with cerebral palsy can improve their gross motor function and trunk balance when in a sitting posture more effectively.

The effect of Schroth's three-dimensional exercises in combination with respiratory muscle exercise on Cobb's angle and pulmonary function in patients with idiopathic scoliosis

  • Kim, Min-Jae;Park, Dae-Sung
    • Physical Therapy Rehabilitation Science
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    • v.6 no.3
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    • pp.113-119
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    • 2017
  • Objective: The objective of this study was to investigate the effects of Schroth's three-dimensional exercises in combination with respiratory muscle exercise (SERME) on Cobb's angle and functional movement screen (FMS). Design: Randomized controlled trial. Methods: Fifteen subjects with scoliosis were randomly assigned to two groups. Eight subjects were assigned to the experimental group and seven subjects were assigned to the control group. The experimental group underwent SERME using SpiroTiger (Idiag, Switzerland), while the control group performed only the Schroth's three-dimensional exercises (SE). Both groups performed exercises for one hour per day, three times a week for eight weeks. Cobb's angle, pulmonary function (forced vital capacity, forced expiratory volume at one second, and peak expiratory flow) and FMS were measured before and after the experiment. Results: After intervention, the SERME group showed a significant difference in Cobb's angle, FMS scores, and pulmonary function as compared to before intervention (p<0.05). In the SE group, there was a statistically significant difference in Cobb's angle, pulmonary function, and FMS scores compared to before intervention (p<0.05). The SERME group showed a significant difference in Cobb's angle and peak expiratory flow in pulmonary function compared to the SE group (p<0.05). Conclusions: The results suggest that SERME could be a more effective intervention for improvement of the Cobb's angle and pulmonary function for scoliosis patients.