• 제목/요약/키워드: Physical disease

검색결과 2,398건 처리시간 0.027초

파킨슨병 환자에서 낙상군과 비낙상군에 대한 버그균형검사의 타당도 (Validating the Berg Balance Test for Patients with Parkinson's Disease)

  • 조규행;우영근;황수진
    • PNF and Movement
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    • 제9권3호
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    • pp.31-39
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    • 2011
  • Purpose : The purpose of this study was to evaluate the criterion-related validity of the Berg balance test between fallers and non-fallers in individuals with Parkinson's disease. Methods : Thirty-one patients were recruited for this study. Their initial diagnosis had been made on average $30.1{\pm}10.1$ years earlier. Score of Berg balance test showed significant correlations with indicators of motor functioning and daily living capacity. Berg balance test score was inversely associated with the unified Parkinson's disease rating scale-motor score, and Schwab and England activities of daily living rating scale. Results : In all 3 correlations, lower scores on the Berg balance test correlated with higher unified Parkinson's disease rating scale-motor scores. Results support the criterion-related validity of the Berg balance test. Conclusion : Our research results agree with other published research in suggesting that the Berg balance test may be used as a screening tool and ongoing assessment tool for patients with Parkinson's disease.

이중과제 보행훈련이 파킨슨병 환자의 균형, 보행능력 및 일상생활동작에 미치는 효과 -단일사례연구- (The Effect of Dual-task Gait Training on Balance, Gait, and Activities of Daily Living for Patients with Parkinson's Disease -A Single-subject Experimental Design-)

  • 박현주;이언주;나규민;강태우
    • PNF and Movement
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    • 제17권3호
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    • pp.339-351
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    • 2019
  • Purpose: This study identified the effects of dual-task gait training on balance, gait function, and activity of daily living in patients with Parkinson's disease. Methods: This study used a single-subject design. Two patients with Parkinson's disease participated in this study. Dual-task gait training was performed 1 hour per day 8 times during intervention phase. The subjects were measured 8 times in the baseline phase, 8 times in the intervention phase, and 8 times in the follow-up phase. The outcome measurements included a timed up and go test (TUG), a Berg balance scale (BBS), a 10 meter walk test (10MWT), a 6 minute walk test (6MWT), a dynamic gait index (DGI) and a Korean modified Barthel index (K-MBI). Results: When compared to the average of the baseline process, the data collected during the intervention period showed that the TUG and 10MWT results improved and the tendency line was above the baseline. In addition, BBS, 6MWT, DGI, and K-MBI values for both patients increased remarkably after the training. Conclusion: The results of this study revealed that dual-task gait training may be helpful to improve balance, walking function, and activity of daily living for patients with Parkinson's disease. Further studies need to confirm our findings.

조선업 근로자의 직무스트레스가 근골격계 질환에 미치는 영향 (The Effects of Job Stress on Musculoskeletal Diseases Among Shipyard Workers)

  • 김선우;손애리;이종삼
    • 한국전문물리치료학회지
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    • 제12권3호
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    • pp.1-10
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    • 2005
  • The purpose of this study was to examine associations between subjective symptoms of musculoskeletal diseases and the degree of job stress among shipyard workers. The study population was 7,078 employees of the D shipbuilding company. Survey data was obtained from 1,727 employees using a proportional sample according to age and a self-administered questionnaire. The associations were examined with ${\chi}^2$ and logistic regression. The main results were as follows: First, the prevalence of musculoskeletal disease in any one part is 59.5% by NIOSH standard. Second, subjects who had worked in the shipyard for over five years had a prevalence of musculoskeletal disease 1.8 times higher than subjects who had worked in the shipyard for less than five years (p<.01). Finally, those who had less support from co-worker's had a prevalence of musculoskeletal disease 1.3 times higher than subjects who had more support from co-worker's (p<.05). Throughout the results, shipyard workers had higher occurrences of musculoskeletal diseases than other manufacturing workers and the risk of musculoskeletal disorder tended to increase with higher job stress. In this research, the plan to reduce musculoskeletal diseases involved making a program and policy which would be able to lower job stress socio-psychologically. This research will prove useful by using basic preventive materials to improve the musculoskeletal health of labores who work in shipyards and similar places.

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The Effect of Types of Respiratory Exercise on Respiratory Muscle Activity and Health-Related Quality of Life of Patients with Severe Chronic Obstructive Pulmonary Disease

  • Kang, Jeong-Il;Jeong, Dae-Keun;Choi, Hyun
    • The Journal of Korean Physical Therapy
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    • 제28권1호
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    • pp.46-51
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    • 2016
  • Purpose: This study intended to classify voluntary respiratory exercise and exercise using breathing training equipment to suggest proper respiratory exercise to relieve symptoms of patients with severe chronic obstructive pulmonary disease. Methods: Sixteen subjects were randomly selected for experimental group I, which performed feedback breathing exercise and 15 subjects were randomly selected for experimental group II, which performed a complex breathing exercise. The mediation program was performed 30 minutes a session, once a day, three times a week, for five weeks. This study analyzed before and after results within groups and between groups through measurement of respiratory muscle activity and health-related quality of life. Results: Activity of sternocleidomastoid muscle and scalene muscle increased meaningfully within experimental group I and activity of diaphragm increased significantly within experimental group II (p<0.05) and there was a meaningful difference in health-related quality of life within experimental group II (p<0.05). Significant differences in change of activity of respiratory muscle and health-related quality of life were observed between groups (p<0.05). Conclusion: This study showed conflicting results between activity of agonist and synergist in patients with severe chronic obstructive pulmonary disease according to types of respiratory exercise and that complex respiratory exercise is more effective in health-related quality of life. Therefore, it found that the more severity increase, the more self-respiratory technique is an effective program. Diversified approach methods will be needed to improve respiratory function and quality of life for patients, and continuous clinical studies will be needed in the future.

12주간 정적체간운동을 통한 시설거주 발감각 소실 한센노인의 하지 근전도 비교 (Comparison of Electromyography Muscle in Lower Extremity from Isometric Trunk Exercise for 12weeks of Elderly Hansen's disease in Facility-Dwelled and Foot Sensory Loss)

  • 정순미
    • 대한물리의학회지
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    • 제6권1호
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    • pp.93-101
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    • 2011
  • Purpose : The purpose of this study was to investigate the effects of maximum muscle activation of lower extremity of facility dwelled elderly Hansen's disease after isometric trunk exercise for 12weeks. Methods:18 elderly Hansen's disease who isometric trunk exercise for 12weeks were recruited for this study. They were instructed to perform maximum muscle activation of lower extremity after exercise. and the subjects were divided into normal sensory group, sensory loss in left foot group, sensory loss in right foot group and sensory loss in both feet group, according to the sensory condition ability on their soles. Results : After exercise, Hamstring muscle increased significantly (p<.05), and activation of the rectus femoris muscle decreased with a significance (p<05). In terms of Post-hoc test for examining the difference in MVIC according to sensory condition, there was significant difference in the normal sensory group, sensory loss in right and left foot group of left hamstring muscle before the exercise(p=.01) and the normal sensory group, sensory loss in both feet group of right hamstring muscle before the exercise(p=.04). Conclusion : These results indicate that the maximum muscle activation was changed after isometric trunk exercise. it could be improved maximum muscle activation of lower extremity muscle after the exercise although there was sensory loss.

D은행(D銀行) 직원(職員)의 건강유지(健康維持)를 위한 식이(食餌)와 운동실천양상(運動實踐樣相) (The Diet and Physical Exercise Patterns of Bank Personnel for the Health Maintenance)

  • 윤능기
    • Journal of Preventive Medicine and Public Health
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    • 제16권1호
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    • pp.105-112
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    • 1983
  • To characterize the diet and physical exercise patterns of bank personnel for the health maintenance, a questionnaire was administered to all the employess (1,249) of Daegu Bank in June 1983 among whick 78.1% (976) responded. Three quarters of the respondents were between 20 and 34 years old. About 30% of 20-24 years old group were male compared with 73.1% of 25-39 years old group. Major findings of the survey are as follows: 1) The most concerned chronic disease of the respondents were in the order of cancer (27.4%), psychiatric disease (15.1%), hypertension (14.1%), heart disease (13.7%) and tuberculosis (7.9%). 2) For the prevention of adulthood disease and obesity, 53.4% of the respondents were restricting sugar intake; 40.9%, salt: and 35.1%, fat-rich food. 3) Among all the respondents 36.9% were making effort to reduce body weight and 17.7% were trying to gain body weight. 4) The proportion of respondents who practice physical exercise for the health maintenance was 82.9% in male and 62.5% in female.

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Text-Mining of Online Discourse to Characterize the Nature of Pain in Low Back Pain

  • Ryu, Young Uk
    • 대한물리의학회지
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    • 제14권3호
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    • pp.55-62
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    • 2019
  • PURPOSE: Text-mining has been shown to be useful for understanding the clinical characteristics and patients' concerns regarding a specific disease. Low back pain (LBP) is the most common disease in modern society and has a wide variety of causes and symptoms. On the other hand, it is difficult to understand the clinical characteristics and the needs as well as demands of patients with LBP because of the various clinical characteristics. This study examined online texts on LBP to determine of text-mining can help better understand general characteristics of LBP and its specific elements. METHODS: Online data from www.spine-health.com were used for text-mining. Keyword frequency analysis was performed first on the complete text of postings (full-text analysis). Only the sentences containing the highest frequency word, pain, were selected. Next, texts including the sentences were used to re-analyze the keyword frequency (pain-text analysis). RESULTS: Keyword frequency analysis showed that pain is of utmost concern. Full-text analysis was dominated by structural, pathological, and therapeutic words, whereas pain-text analysis was related mainly to the location and quality of the pain. CONCLUSION: The present study indicated that text-mining for a specific element (keyword) of a particular disease could enhance the understanding of the specific aspect of the disease. This suggests that a consideration of the text source is required when interpreting the results. Clinically, the present results suggest that clinicians pay more attention to the pain a patient is experiencing, and provide information based on medical knowledge.

중심비만 위험인자를 가진 중년여성의 신체활동 실천율, 심뇌혈관질환 예방관련 지식이 건강행위에 미치는 영향 (Effects of Physical Activity Practice Rates and Knowledge Related to Cardiocerebrovascular Disease Prevention on Health Behavior Case Study Focusing on Middle Aged Women with Risk of Central Obesity)

  • 이병주;황선영
    • 한국산학기술학회논문지
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    • 제19권4호
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    • pp.342-352
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    • 2018
  • 이 연구는 중년여성의 심뇌혈관질환 예방관련 지식, 신체활동 실천율이 건강행위에 미치는 영향요인을 확인하기 위한 연구이다. 자료수집은 경북 북부지역 24개 읍면동지역에 거주하는 중년여성 142명을 대상으로 구조화된 설문지를 이용하여 시행되었다. 연구기간은 2017년 10월부터 11월까지 2개월간 시행되었다. 수집한 자료는 기술통계와 t-test, ANOVA, Pearson 상관분석, 위계적 다중회귀분석으로 분석하였다. 연구결과 건강행위에 영향을 미치는 요인은 심뇌혈관질환 예방관련지식의 음주(${\beta}=0.15$, p=.009), 식이(${\beta}=0.16$, p=.003), 고강도의 신체활동 실천율(${\beta}=0.14$, p=.011), 일반적 특성의 결혼상태(${\beta}=0.19$, p<.001), 본인건강관심도(${\beta}=0.23$, p<.001), 자신의 건강을 나쁘게 인식하는 경우 (${\beta}=0.31$, p<.001)이었다. 이러한 변수들은 건강행위와 유의한 변수를 보정변수로 추가하여 분석한 것으로 회귀식의 적합도는 통계적으로 유의한 것으로 나타났다(F=16.46, p<.001). 주요 변수 간의 관계에서 건강증진행위는 심뇌혈관질환 예방관련 지식(r=.41, p<.001)과 신체활동 실천율(r=.44, p<.001)과 유의한 양적 상관관계를 나타내었다. 따라서 연구결과를 바탕으로 추후 중년 여성의 건강행위 증진을 위하여 질환 예방 지식과 신체활동 실천율 지지를 반영한 실천적인 중재프로그램의 개발과 적용이 필요하겠다.

파킨슨병 맞춤운동프로그램의 개발 및 신체기능에 대한 효과 (The Development and Effect of a Tailored Exercise Program on Physical Fitness in Patients with Parkinson's Disease)

  • 송경애;문정순;이광수;최동원
    • 기본간호학회지
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    • 제13권3호
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    • pp.390-400
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    • 2006
  • Purpose: To develop & to examine the effect of a Tailored Exercise Program (TEP) on physical fitness in patients with Parkinson's disease (PD). Method: In a two-group pre-and post-test design, from a total 41 participants. 21 were assigned th the experimental group find the remainder to the control group. The experimental group participated in a 4-day a week, 8 week program in which one session a week was by direct instruction with the self-help group and two sessions a week were by videotaped instruction at home by themselves. The control group did not receive any intervention. Results: The eight week TEP in patients with PD was found to be significantly effective in enhancing muscle strength, ankle flexibility, and balance. However instrumental activities of daily living was not changed by the intervention. Conclusion: These results suggest that TEP can have an effect on physical fitness in patients with PD. Further research with a larger sample and for a longer follow up period is needed to expand our understanding of the effects of TEP for patients with PD.

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Number of Steps and Time to Accomplish Turning During Timed Up and Go Test in Community-Dwelling Elderlies With and Without Idiopathic Parkinson Disease

  • Choi, Bong-sam;Lim, Woo-taek
    • 한국전문물리치료학회지
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    • 제23권4호
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    • pp.47-54
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    • 2016
  • Background: Losing balance during locomotive actions becomes an increasing threat to both the community-dwelling elderly and elderly with Parkinson disease (PD). Those with PD may be at a high risk of fall due to particular characteristics during the turn. Turning around during locomotive actions may be one of problematic factors causing losing balance. Objects: This study is part of a larger study, which in part aims to identify turning strategies, to compare the strategies in the elderly with and without idiopathic PD aged 51 years and older and to distinguish whether the turning strategies can predict the elderly at risk of falls. Methods: A total of 22 community-dwelling elderlies (10 elderlies with idiopathic PD and 12 healthy elderlies) were investigated for the turning strategies during the timed up and go test. Results: There were some significant differences between the two groups during turning (p<.05). The idiopathic PD group had a tendency of challenging on taking more number of steps, more time to accomplish and staggering more for the turn relative to the control group. Conclusion: Taking more number of steps and more time to turn may be useful for distinguishing the characteristics of PD from that of the healthy elderly in turning strategy.