• 제목/요약/키워드: Physical control

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Comparative Study on the Effects of Proprioceptive Neuromuscular Facilitation and Elastic Band Exercise on the Physical Function and Blood Lipid Levels of Obese Elderly Women

  • Noh, Hyeon-Jeong;Kim, Seok-Hwan
    • 한국전문물리치료학회지
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    • 제22권1호
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    • pp.79-92
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    • 2015
  • The effects of Proprioceptive Neuromuscular Facilitation (PNF) and elastic band exercise on the physical functions and blood lipids of obese elderly women were investigated. The experimental group ($n_1=16$) patients underwent PNF for 12 weeks, and the control group ($n_2=15$) patients performed elastic band exercises. SPSS 21.0 was used to compute the means and standard deviations. After the 12-week PNF, both the experimental and control groups showed statistically significant differences in the physical functions (cardiovascular endurance, strength of the lower extremity, muscular endurance, flexibility, balance, and agility) (p<.05), but the difference in the experimental group was more significant than that in the control group (p<.05). In terms of the changes in the blood lipid levels (total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein), the experimental group showed significant changes (p<.05). In conclusion, PNF was confirmed as more effective than elastic band exercise in improving the physical functions and blood lipid levels of obese elderly women.

운동프로그램이 퇴행셩 슬관절염 노인의 체력에 미치는 영향 (The Effects of Exercise Program on Physical Fitness in Elderly with the Knee Osteoarthritis)

  • 전미경;임재길
    • The Journal of Korean Physical Therapy
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    • 제18권5호
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    • pp.35-41
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    • 2006
  • Purpose: This study was to determine the effects of exercise program for knee osteoarthritis on the physical fitness in elderly. The progressive exercise program included flexibility, strength, endurance, active range of motion and function activities. Methods: Nineteen subjects with osteoarthritis of the knees randomized to exercise group(n=10) or control group(n=9), but fourteen subjects completed the trial with an adherence of 70% to the intervention and 77% to the control. The physical fitness(back muscle strength, grip strength, flexibility, muscle power, agility, equilibrium) were evaluated with Helmas(Health Management System) made by Sewoo system at pre- and post- intervention. Results: The data were analysed with the two-way repeated ANOVA and paired t-test. The physical fitness had no difference among the groups and times except muscle power. Within experimental group, muscle power and agility were significantly increased between pre and post intervention, while the control group showed no change. Conclusion: Exercise program for knee osteoarthirits appear to be effective in muscle power and agility.

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균형능력 운동치료 시스템을 이용한 치료가 급성기 뇌졸중 환자의 균형과 이동능력에 미치는 영향 (The Effects of Treatment With a TETRAX on Balance and Mobility in Acute Stroke Patients)

  • 이남현;이진;이강노
    • 한국전문물리치료학회지
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    • 제17권3호
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    • pp.11-19
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    • 2010
  • The purpose of the study was to determine the effects of balance training with 'TETRAX' system, a balance training and assessment tool, on balance and mobility in acute hemiplegic patients. Nineteen matched subjects were assigned randomly into either an experimental group or a control group. An experimental group with 10 subjects received balance training with 'TETRAX' exercise program and conventional physical therapy interventions 5 times per week during 4 weeks. A control group with 9 subjects received conventional physical therapy interventions 5 times per week during 4 weeks. Outcome measures were taken before and after 4 weeks of interventions using the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), gait speed, and the fall down index. Results indicated that both exercise groups improved significantly in STREAM, BBS, and gait speed (p<.05). The experimental group had a little improvement than the control group. Both exercise groups did not show statistical significance in fall down index (p<.05). Following 4 weeks of intervention, except gait speed there was no statistically significant difference between two groups. However, these findings suggest that conventional physical therapy interventions with visual feedback training could be effective on improving balance and mobility than conventional physical therapy alone in acute hemiplegic patients.

The Effects of Core Stability Exercise on the Ability of Postural Control in Patients With Hemiplegia

  • Kim, Young-Dong;Hwang, Byoung-Yong
    • 한국전문물리치료학회지
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    • 제16권4호
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    • pp.23-30
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    • 2009
  • Core stability exercises for patients with hemiplegia have become increasingly important and a variety of exercises have been developed over the years to give the hemiplegic patients more stable postural control. This study examined the therapeutic effects of the core stability exercises on the ability of static and dynamic postural control. Fifteen hemiplegic patients (7 males, 8 females, age ranging from 46 to 76 years) hospitalized in a Daejoen rehabilitation hospital were enrolled in this study. Nine and 6 patients had a cerebral infarction and cerebral hemorrhage, respectively. The subjects participated in a core stability exercise program consisting of a total of 12 sessions 3 times each week over a 4-week period with each exercise lasting approximately 15 minutes. The ability of static and dynamic postural control by Berg Balance Scale (BBS) and Timed Up and Go (TUG), respectively, were measured before and after the core stability exercise. A Wilcoxon signed ranks test was used to compare the effects of the ability of static and dynamic postural control before and after core stability exercise in patients with hemiplegia. The ${\alpha}$=.05 level of significance was used for the statistical tests. Core stability exercises were effective in improving the ability of static postural control; BBS (p<.05). Core stability exercises were also effective in improving the ability of dynamic postural control; TUG (p<.05). Overall, core stability exercise is believed to be an important therapeutic method in rehabilitation programs for hemiplegic patients.

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통계적 변이성 설명과 제어 과정에서 나타나는 초등.중학교 학생들의 사고 수준 연구 (Study on Levels of Thinking of Elementary and Middle School Students on the Task of Explaining and Dealing with Variability)

  • 고은성;이경화
    • 대한수학교육학회지:수학교육학연구
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    • 제21권2호
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    • pp.201-220
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    • 2011
  • 본 연구에서는 초등학교 5학년과 중학교 2학년 학생들이 측정상황과 우연상황에서 통계적 변이성을 설명하고 제어할 때 나타나는 사고 수준을 살펴본다. 연구결과, 측정상황에서 변이성을 설명할 때는, 원인 설명에 대한 이해가 부족한 수준, 원인 인식이 미흡한 수준, 물리적 원인을 제시하는 수준, 설명되지 않는 원인을 변이성의 근원으로 인식하는 수준, 설명되지 않는 원인을 의사-우연변이성으로 간주하는 수준이 확인되었다. 우연상황에서 변이성을 설명할 때는, 원인 설명에 대한 이해가 부족한 수준, 원인 인식이 미흡한 수준, 물리적 원인을 제시하는 수준, 우연변이성을 인식하는 수준, 분포의 원인을 인식하는 수준이 확인되었다. 변이성을 제어할 때는, 측정상황과 우연상황 모두에서 변이성 제어에 대한 인식이 미흡한 수준, 물리적 제어 방법을 고려하지 않으며 또한 통계적 방법 역시 부적절하게 적용하는 수준, 물리적 제어 방법은 고려하지 않지만 통계적 방법을 적절하게 적용하는 수준, 물리적 제어 방법은 제시하지만 통계적 방법을 부적절하게 적용하는 수준, 물리적 제어 방법을 고려하며 또한 통계적 방법을 적절하게 적용하는 수준이 확인되었다.

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시지각적 되먹임 훈련이 뇌졸중 환자의 동적자세 균형에 미치는 영향 (The Effects of visuo-perceptual biofeedback training on dynamic postural balance in stroke patients)

  • 이건철;윤정규
    • 대한물리치료과학회지
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    • 제9권2호
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    • pp.17-26
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    • 2002
  • This study is aimed to compare the effect of visuo-perceptual biofeedback sitting balance training and conventional sitting balance training using Balance Master on stroke patients with that of program in order to analyze the effect it has on dynamic postural balance. The subjects are twenty-four stroke patients who are receiving physical therapy in Ilsan Paik Hospital and can maintain sitting posture by themselves. These patients were divided to control group and experimental group randomly. In order to compare to control and experimental group before and after the balance training, they were tested with Mann-Whitney U test and in order to compared the changes before and after the balance training, they were tested with Wilcoxon signed-ranks test. The results are as follows: we measured the ability of dynamic posture balance control with limit of stability(LOS) test and rhythmic weight shift test. There was an increasing improvement in the ability of dynamic posture balance control of the experimental group that had visuo-perceptual biofeedback sitting balance control training using the Balance Master(p<0.05, p<0.01). According to the results from above, compared to conventional sitting balance training programs, visuo-perceptual biofeedback sitting balance control training using the Balance Master is considered to be a more valuable therapy in balance control improvement and physical function improvement. It is considered that if the weak points are made up, the training with Balance Master will give help to stroke patients and to patients with balance control disabilities and will further more contribute to successful rehabilitation therapy.

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요통환자의 작업자세에 따른 요천추부 각도의 비교 (Difference in the Lumbosacral Region Angle according to Working Posture of patients with Low Back Pain)

  • 김병곤;박래준;이승주
    • The Journal of Korean Physical Therapy
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    • 제13권1호
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    • pp.127-137
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    • 2001
  • Low back pain is significant problem in today's society, with lifetime incidence rate reported between 50% and 90%. Many factors associated with LBP are reported. The purpose of this studies were to be evaluated static standing posture aberrations in chronic LBP in comparison with healthy individuals. The samples including 80 subjects recruited to the following two groups:patients and control(normal) Questionnaires were completed by 40 LBP patients and 40 controls at the department of Physical Therapy, Saejong neurosurgical clinic in Taegu city from October 1, 1999 to March 30, 2000. The angle of lumbar lordosis was measured on lateral x-ray films with standing position. In LBP groups. the mean degree of lumbar lordosis, sacral inclination, and lumbosacral joint angle were 29.9 ${\pm}$ 9.3, 34.8 ${\pm}$ 8.2, and 12.7 ${\pm}$ 5.7 respectively. Control groups, the mean degree of lumbar lordosis, sacral inclination and lumbosacral joint angle were 35.3 ${\pm}$ 7.8, 34.9 ${\pm}$ 6.4 and 12.5 ${\pm}$ 4.3 respectively. there were significantly decreaseds in lumbar lordosis in Low back pain group. lumbar lordosis on the working posture had significant differences among groups(sitting position patients 31.4 ${\pm}$ 9.3, standing position patients 29.4 ${\pm}$ 9.3, sitting position control 35.0 ${\pm}$ 6.4, standing position control 35.5 ${\pm}$ 8.8, respectively) (p=0.034). sacral inclination on the working posture had differences among groups(sitting position patients 35.9 ${\pm}$ 8.7.standing position patients 33.6 ${\pm}$ 7.6, sitting position control 33.9 ${\pm}$ 5.9. standing position control 35.6 ${\pm}$ 6.8, respectively). lumbersacral joint angle on the working Posture had differences among groups(sitting position patients 12.0 ${\pm}$ 5.6, standing position patients 13.4 ${\pm}$ 5.9, sitting position control 11.2 ${\pm}$ 3.0. standing position control 13.4$^{\circ}$, respectively).

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물리치료사의 직무관련 근골격계 통증과 직무 스트레스 (Work-Related Musculoskeletal Pain and Job Stress in Physical Therapists)

  • 용준형;이충휘;권오윤;전혜선
    • 한국전문물리치료학회지
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    • 제17권1호
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    • pp.53-61
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    • 2010
  • This study investigated the relationships between Work-related musculoskeletal disorders (WMSDs), contributing factors, and the occupational stress of physical therapists. Self-reported questionnaires were given to 180 physical therapists in Gangwon Province. Variables examined included the prevalence of pain sites related to WMSDs; pain intensity; pain pattern; and job stress, which is thought to involve the physical environment; job demand; insufficient job control; interpersonal conflict; job insecurity; organizational system; reward system; and occupational culture. Among physical therapists, work-related musculoskeletal pain commonly affected the low back (30.1%), shoulder (29.3%), and wrist (12.2%). The sites of work-related musculoskeletal pain treated medically were the low back (22.8%), shoulder (19.8%), neck (12.7%), and wrist (12.1%). "Repeating the same work constantly" was suggested to be the major cause of the pain. The younger therapists were significantly more likely to feel high job stress due to the physical environment (p<.05), job demand (p<.05), and organizational system (p<.01). Women were more likely to feel greater job stress related to job demand, insufficient job control, the organization system, and job rewards. Men were more likely to feel greater job stress related to job insecurity. Weak positive relationships were observed between work-related musculoskeletal pain and job stress, which is thought to involve the physical environment; job demand; insufficient job control; interpersonal conflict; job insecurity; organizational system; reward system; and occupational culture. Physical therapists appear to be at higher risk of WMSDs because 80.1% of the physical therapists studied experienced work-related musculoskeletal pain. To reduce the risk, we need intervention strategies such as preventive education, ergonomically designed medical equipment, a psychosocial approach to work conditions, improved mechanical conditions related to therapeutic patterns, and an institutional infrastructure with sufficient personnel and scheduling.

균형조절치료가 뇌활성도에 미치는 영향 (The Effect of Balance Control Therapy on Brain Activation)

  • 오영택;한동욱
    • 대한물리의학회지
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    • 제8권2호
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    • pp.163-173
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    • 2013
  • PURPOSE: This study determined the effect of balance control therapy in the brain activation. METHODS: Twenty-two college students who showed decrease of muscle strength in O-ring test were as participants in this study. And the subjects were randomly divided into experimental group (n=13) and control group (n=9). Measurement device is portable EEG (Nihonkhoden, Japan). Examinations used twenty electrodes attached to the head to capture electrical brain signals during 5 minutes with brain activated states such as the awaked state and the data were compared between the two groups. RESULTS: After treatment by balance control therapy, P3 (p<.025) and P4 areas (p<.025) showed a significantly lower ST index in the experimental group than the control group, The variation of ST index in P4 area (p<.025) was decreased in the experimental group but was increased in the control group. CONCLUSION: These results showed that the balance control therapy was helpful to change the brain activation such as the stress (ST) index at the sensory area in the college students.

Effects of Deep Abdominal Muscle Strengthening Exercises on Pulmonary Function and the Ability to Balance in Stroke Patients

  • Kang, Jeong-Il;Kim, Beom-Ryong;Park, Seung-Kyu;Yang, Dae-Jung;Jeong, Dae-Keun;Kim, Je-Ho
    • The Journal of Korean Physical Therapy
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    • 제27권4호
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    • pp.258-263
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    • 2015
  • Purpose: This study investigated effects of deep abdominal muscle strengthening exercises on pulmonary function and the ability to balance in stroke patients and was conducted to propose an exercise program for improving cardiovascular function. Methods: Study subjects were 20 patients with hemiplegia due to stroke, who were divided into the deep abdominal muscle strengthening exercise group (experimental group), 10, and the control group, 10. Pulmonary function tests measured FVC and FEV1, dynamic balance ability was measured using TUG. Static and dynamic balance ability was measured using BBS. The experimental group performed exercises during a period of 6 weeks, 5 times a week for 40 minutes, whereas the control group did not participate in regular exercise. The difference before and after the exercise was compared using paired t-test, difference in exercise before and after between groups was ANCOVA and level of significance was set at ${\alpha}=0.05$. Results: The changes in FVC and FEV1 within the group showed a significant difference only in the experimental group (p<0.001) (p<0.01), between-group difference was statistically significant only in FVC and FEV1 changes in the experimental group (p<0.001). The TUG changes within the group showed a significant difference in the experimental group and control group (p<0.001) (p<0.05), while BBS changes showed a significant difference only in the experimental group. Between-group difference was statistically significant only in TUG and BBS changes in the experimental group. The experimental group showed a more effective significant difference than the control group (p<0.001). Conclusion: Can exercise involving a deep abdominal muscle strengthening program be applied in patients with stroke with difficulty in control of trunk and decreased breathing ability?