• Clinical Pain
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• 제18권1호
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• pp.16-23
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• 2019

Objective: To evaluate the effectiveness of dynamic balance exercise after intra-articular injection of hyaluronic acid (HA) therapy in elderly patients with unilateral knee osteoarthritis. Method: 30 patients with unilateral knee osteoarthritis were enrolled in this study. The patients were randomly divided into two groups: dynamic balance exercise after HA injection group (group A) and only HA injection group (group B). Both groups administered intra-articular HA injection and group A patients continued 20-session exercises for 4 weeks. The assessments were measured before injection and 4 weeks after treatment using the visual analog scale (VAS) for pain, the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) for physical function, Berg balance scale (BBS), and computerized dynamic posturography using SMART Balance Master system for balance function. Results: In both groups, significant improvements in VAS, WOMAC and balance function were observed. Compared between groups, group A showed significant improvements compared to group B in WOMAC and balance function. Conclusion: It is suggested that dynamic balance exercise may result in improved balance function and physical function in elderly patients with unilateral knee osteoarthritis.

• The Journal of Korean Physical Therapy
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• 제24권5호
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• pp.340-347
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• 2012

Purpose: This study was conducted in order to investigate the effect on respiratory function, trunk control, and functional activities of daily living (ADL) through respiratory muscle strength training in patients with chronic stroke. Methods: Eighteen subjects who were six months post stroke participated in this study. The subjects were randomly allocated to two groups: experimental (n=10) and control (n=8). Both groups received physical therapy for five sessions, 30 minutes per week, during a period of six weeks. Subjects in the experimental group participated in an additional respiratory muscle strength training program, in which the threshold PEP device was used for 30 minutes per day, three days per week, during a period of six weeks. Results from pretest-posttest control were evaluated by pulmonary function forced vital capacity (FVC), forced expiratory volume at one second (FEV1), FEV1/FVC, peak expiratory flow (PEF), capacity of cough, trunk control, and functional ADL. Results: Significant improvement in the FEV1, PEF of pulmonary function (p<0.05), cough function (p<0.05), and trunk control (p<0.05) was observed among the groups. Conclusion: Respiratory muscle strength training improves pulmonary function, capacity of cough, and trunk control. These results suggest that respiratory muscle strength training is feasible and suitable for individuals with chronic stroke.

• 성인간호학회지
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• 제21권2호
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• pp.225-234
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• 2009

Purpose: This study examined family function and self-esteem among young and middle-aged adults with physical disabilities. Methods: The subjects of this study consisted of 116 adults with physical disabilities. Data were collected from 4 Community rehabilitation centers in C area from October to November 2008. All subjects were questioned about family function and self-esteem by the APGAR scale and the Rosenberg Self-esteem Scale. SPSS/WIN 12.0 was used for descriptive analysis, t-test, one-way ANOVA, and Pearson correlation. Results: Subjects had a moderate level of family function (5.31) and self-esteem (28.13). There were significant differences of family function according to age, monthly income, economic status, and disability site. There were significant differences in self-esteem according to age, gender, monthly income, and economic status. The level of family function and income were related to self-esteem. Conclusion: These findings suggest that there is a necessity to improve family function and self-esteem among young and middle-aged adults with physical disabilities. Nursing interventions should take into account the role of family function in promoting self-esteem in people with physical disabilities.

• 대한물리치료과학회지
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• 제27권1호
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• pp.56-65
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• 2020

Purpose: Individuals affected by stroke present with changes in motor function, balance, and cognition. The purpose of this study was to the correlation between motor function, balance, and cognition in patients with stroke. Design: cross-sectional study design. Methods: 67 stroke patients in the experiment were included. For evaluation of motor function which is Manual Muscle Test, Range of Motion, Modified Ashworth Scale for spasticity, grasping power, and balance was measured using the Berg Balance Scale and Functional reach test. For evaluating Cognition which is Korean-Mini Mental State Examination. Results: The results of this study's motor function, balance, and cognition showed a significant positive correlation (p<0.05). Conclusion: The results indicated that motor function, balance, and cognition were significantly correlated with each other. Therefore, it is suggested that to improve the motor function and balance of patients with stoke, it needs to evaluate the cognition and the motor function, balance, and cognitive training should be combined.

• 경영과정보연구
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• 제17권
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• pp.67-81
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• 2005

Harbor function has been changed into physical distribution position harbor system for providing most suitable physical distribution service with comprehensive rationalization of international physical distribution over simple loading unloading, and change function by far. Thus, to change our country into advanced economy, the factor of growth obstacles was to be eliminated, or it is so important that the physical distribution base establishment enlarges to improve potential productivity. That is, self effort is needed for physical distribution competition system, adjustable arrangement of physical distribution area, the establishment of comprehensive informations system, physical distribution rationalization. Also, to enforce harbor productivity, harbor should be developed systemically to able to function of comprehensive harbor for enlargement of harbor establishment, the device of advanced harbor function height, the linkage between and city program, harbor operation or investment system provement, harbor technique or international cooperation advancement.

• 대한물리치료과학회지
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• 제13권1호
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• pp.61-74
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• 2006

This study about functional anatomy of the hand. hand injuries are among the most common problems confronting patient, physical therapist and physicians. physical therapist should know about normal hand function and anatomical structure for hand injury, clinical reasoning and intervention. physical therapist should know about the Skeletal of the hand, Function of The Hand, Nerves of the hand, Sensation of the Hand, Intrinsic muscle, Power and Balance and Functional Position of the Hand. In this article, we discuss the physiologic properties of hand structure, biomechanical observation in hand function, sensation and nerves, hand positioning.

• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.446-453
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• 2022

Objective: The popularization of smartphones can lead to abnormal cervical alignment in university students. The aim of this study was to investigate the relationship among smartphone screen time, cervical alignment, and muscle function in university students. Design: Cross-sectional study. Methods: Seventy-five university students participated in the study. They completed the evaluation of cervical alignment and muscle function, such as handgrip strength, proprioception, and muscle quality (tone, stiffness, and relaxation time). All participants recorded their general characteristics and individual smartphone screen time before the evaluation. They were evaluated craniovertebral angle (CVA) using smartphone application (angle meter 360) for measuring cervical alignment. The muscle function was assessed using a digital hand-held dynamometer, dual inclinometer, and MyotonPRO device. Results: Of all participants, twenty-five university students had forward head posture (CVA<49°, 33.33%). Independent t-test revealed that there were significant differences on smartphone screen time, muscle stiffness, and muscle relaxation between the participants with and without forward head posture (p<0.05). There were significant correlations between the smartphone screen time and the CVA, muscle tone, and muscle relaxation (r=-0.493, 0.250, and -0.500, respectively). Conclusions: The results indicate that the university students with forward head posture had high smartphone screen time and muscle stiffness compared to the students without forward head posture, and smartphone screen time might be associated with cervical alignment and muscle quality.

• 한국노년학
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• 제37권4호
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• pp.909-924
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• 2017

본 연구는 65세 이상 노인을 대상으로 실시한 "2014년 노인실태조사"의 전국 조사 자료를 활용하여 한국 노인의 저작능력이 인지기능에 미치는 영향을 파악하고 신체기능과 우울의 매개효과를 확인하기 위한 이차자료 분석연구이다. 본 연구는 "2014년 노인실태조사"자료의 응답자 총 10,451명을 대상으로 하였으며 자료수집기간은 2014년 6월 11일~2014년 9월 4일까지였다. 본 연구에서 저작능력은 일상생활 불편감 중 씹기(고기나 딱딱한 것) 능력에 관한 도구를 이용하였으며, 인지기능은 MMSE-DS, 신체기능은 K-IADL, 우울은 SGDS-K 도구를 이용하여 측정하였다. 본 연구에서 수집된 자료는 SPSS 24.0프로그램과 Process Macro를 이용하여 분석하였고, 저작능력이 인지기능에 미치는 영향에 대하여 신체기능과 우울의 매개효과와 이중매개효과 검정은 Hayes(2013)의 Bootstrapping 방법에 기반한 Process Macro를 이용하여 분석하였다. 본 연구결과, 첫째, 대상자의 저작능력이 인지기능에 미치는 총 효과(p>.05)와 직접효과(p>.05)는 유의하지 않은 것으로 나타났다. 둘째, 대상자의 저작능력은 신체기능을 단일 매개하여 인지기능에 미치는 완전매개 효과(p<.05)가 있는 것으로 나타났다. 셋째, 대상자의 저작능력은 우울을 단일 매개하여 인지기능에 미치는 완전매개 효과(p<.05)가 있는 것으로 나타났다. 넷째, 대상자의 저작능력이 신체기능과 우울을 이중 매개하여 인지기능에 미치는 완전매개 효과(p<.05)가 있는 것으로 나타났다. 이롤 통해 본 연구는 한국노인의 인지기능 저하를 예방하기 위해서는 저작능력을 강화하고, 신체기능을 독립적으로 유지하고 우울을 예방하기 위한 프로그램 개발이 필요하고, 포괄적 노인건강사정 시 노인의 인지기능 저하에 영향을 주는 직, 간접적 요인을 주기적으로 모니터링 하는 체계적 전략이 필요함을 시사해 주었다.

• The Journal of Korean Physical Therapy
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• 제19권5호
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• pp.77-85
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• 2007

Purpose: This study was to investigated the effect of physical function and quality of life through physical therapy and occupational therapy by Bobath approach to patient with ALS. Methods: The data of 1 patient with ALS, who visited D hospital in Busan, was collected from June 5, 2006 to August 19, 2007. To determine the physical function and quality of life, Berg Balance Scale (BBS), Gait, Skate. Purdue Pegboard, WHOQOL-BREF, COPM were used. Results: BBS score was increased 0 to 33 in the pre and post test. Gait distance was increased 0m to 500m in pre and post test. Skate score was increased 13 to 22 in the pre and post test, Purdue Pegboard score was increased 0 to 3 in the pre and post test, WHOQOL-BREF was increased 1.92 to 2.46 in the pre and post test. Average COPM score of performance and satisfaction grade of pre test score was 1 then Post test score of performance score increased to 5.7 and satisfaction increased to 4. Conclusion: Physical therapy and Occupational therapy increase physical function and quality of life in ALS patients. Physical therapy and occupational therapy should study more about patients with ALS.

• 재활간호학회지
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• 제4권1호
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• pp.84-93
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• 2001

The effects of brisk walking & muscle strengthening exercise on pain, fatigue, physical function & disease activity were examined in 28 patients with rheumatoid arthritis. Research design was a quasi-experimental study of non-equivalent control group pretest-posttest design. 14 for the experimental group and 14 for the control group were selected from the out patients on rheumatoid arthritis clinic of Dong-A University Hospital. The experimental group underwent 16 weeks of brisk walking and muscle strengthening exercise using Thera-Band. Pain, fatigue, physical function & disease activity was measured before and after 16 weeks of exercise. At baseline test, Fatigue & physical function score between groups were significantly different. So differences with in experimental group(baseline versus follow up) were compared with differences within the control group by Mann-Whitney test. There were significant differences between groups in the difference score on pain (U=6.50 p<.001) and fatigue (U=26.5 p<.01). For the experimental group, the score on the pain & fatigue was significantly decreased but no changed for the control group. Also there was a significant differences between groups in the difference score of the physical function (U=22.5 p<.001). For the experimental group, the score of the physical function has been significantly in creased. However, for the control group, it has been no changed. But there were no significant differences between groups in the ESR (erythrocyte sedimentation rate) and the CRP (C-reactive protein)level. In summary, brisk walking & muscle strengthening exercise led to significant improvements in pain, fatigue, and physical function without exacerbating disease activity in patients with rheumatoid arthritis.