• Title/Summary/Keyword: Physical function

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Stepping Trail Making Test: Preliminary Study for the Effectiveness of the Novel Dual Task Assessment Tool for Physical and Cognitive Functions in Elderly (보행기호잇기검사: 새로운 신체 및 인지 기능에 대한 이중 과제 평가도구로서의 효용성에 대한 예비연구)

  • Ju-Ri Eom;Byeong-Ju Lee
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.2
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    • pp.41-48
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    • 2023
  • PURPOSE: Falls are caused by a decline in physical and cognitive function. A quantitative evaluation tool that can comprehensively evaluate motor and cognitive functions for elderly people with an impaired physical function. This study assessed the clinical application potential by confirming the correlation between the physical function tests, cognitive and the stepping trail-making test (S-TMT). METHODS: Fourteen community-dwelling older patients (65-75 years) were recruited. The study conducted cognitive function tests with the trail-making test (TMT-A, B), and physical function tests (6-minute walking test (6MWT), short physical performance battery (SPPB), and timed up and go (TUG)). The results of were analyzed using SPSS version 21.0. Descriptive statistics were used for the general characteristics of the study subjects, and the correlations between S-TMT, other functional tests were examined through Pearson's correlation analysis. The statistical significance was set to .05. RESULTS: S-TMT had a significant positive correlation with the TUG (r = .588*) and trail-making test-B (TMT-B) (r = .689*, p < .05). Furthermore, S-TMT showed a negative correlation between SPPB (r = -.397) and 6MWT (r = -.422), but it was not statistically significant. CONCLUSION: S-TMT is a cognitive-gait dual-task performance evaluation tool that can be performed safely. A significant correlation was confirmed between the TUG test and the TMT-B. S-TMT is a dual-task screening tool that can evaluate both physical and cognitive functions simultaneously.

Aging (II): Analysis of Pathway among Factors Affecting Food Intake and Cognitive Function of the Aged (노화 (II): 노인의 식품섭취와 인지기능에 영향을 주는 요인들간의 경로분석)

  • Kang, Hae-Kyung
    • Journal of the Korean Society of Food Culture
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    • v.17 no.3
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    • pp.289-298
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    • 2002
  • This study was conducted to find sensitive indicator of food intake and specific food group related to cognitive function and to analyze the pathway among factors affecting food intake and cognitive function of the aged. 179 people over 50 years old were investigated and all the data were analyzed by SPSS 10.0 package. Food frequency was more sensitive indicator to show the relationship between food intake and cognitive function of the aged than the numbers of standard amount of food eaten. Consumption of grains and starch, meat, fish, eggs and beans were strongly related to cognitive function of the aged and intake of vegetables and fruits also have relationship with it. Moreover, the more frequent eating the carbohydrate and the protein, the higher the cognitive level of the aged. Age, education period, income, blood pressure, duration after retirement, frequency of physical activity and BMI were correlated with food intake and cognitive function of the aged. Among them, age and frequency of physical activity were most strongly correlated with food intake, and education period with cognitive function of them. This investigation shows that more stable intake of carbohydrate and protein containing foods need to be supplied to low income aged and the importance of physical activity of the aged must be emphasized with food intake for better life of the aged.

Effects of Computerized Neurocognitive Function Program Induced Memory and Attention for Patients with Stroke (전산화 신경인지기능 프로그램(COMCOG, CNT)을 이용한 뇌졸중 환자의 기억력과 주의력 증진효과)

  • Shim, Jae-Myoung;Kim, Hwan-Hee;Lee, Yong-Seok
    • The Journal of Korean Physical Therapy
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    • v.19 no.4
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    • pp.25-32
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    • 2007
  • Purpose: The purpose of this study was to evaluate the effect of computerized neurocognitive function program on cognitive function about memory and attention with stroke. Methods: 24subjects with stroke were recruited. Twelve of subjects received conventional therapy including physical therapy, occupational therapy and language therapy. Another subjects received additional computer assisted cognitive training using Computer-aided Cognitive rehabilitation training system(COMCOG, MaxMedica Inc., 2004). All patients were assessed their cognitive function of memory and attention using Computerized Neurocognitive Function Test(CNT, MaxMedica Inc., 2004) before treatment and 6 weeks after treatment. Results: Before the treatment, two groups showed no difference in cognitive function(p>0.05). After 6 weeks, two groups showed significantly difference in digit span (forward, backward), verbal learning(A5, $A1{\sim}A5$), auditory CPT(n), visual CPT(n)(p<0.05). After treatment, the experimental group showed a significant improvement of digit span(forward, backward), verbal learning(A5, $A1{\sim}A5$), visual span (forward, backward), auditory CPT(n, sec), visual CPT(n, sec), and trail-making (A, B)(p<0.05). Conclusion: Computerized neurocognitive function program would be improved cognitive function of memory and attention in patients with stoke.

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Effects of Robotic Gait Training with Lower Extremity Restraint on Static Balance, Lower Extremity Function, Gait Ability in Subacute Stroke Patients

  • Kang, Yun-Su;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.10 no.3
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    • pp.270-277
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    • 2021
  • Objective: The purpose of this study is to compare the effect of static balance, lower extremity function, and gait ability between a lower extremity restrain robot gait training and a general robot gait training in subacute stroke subjects. Design: Two-group pretest-posttest design. Methods: A total of 12 subacute stroke patients were randomly divided into an Experimental group (n=6) and a control group (n=6). Both groups were performed for four weeks, three times a week, for 20 minutes. To compare the Static balance function, the center of pressure (COP) path-length and COP velocity were measured. The Fugl-Meyer assessment lower extremity (FMA-LE) were evaluated to compare the Lower Extremity function. 2D Dartfish Program and 10 Meter Walking Test (10 MWT) on Gait ability were evaluated to compare the gait function. Results: In the intra-group comparison, Experimental groups showed significant improvement in COP path-length, velocity, Lower Extremity Function, 10 MWT, Cadence, by comparing the parameters before and after the intervention (p<0.05). Comparison of the amount of change between groups revealed significant improvement for parameters in the COP path-length, velocity, Lower extremity function, 10 MWT by comparing the parameters before and after the intervention (p<0.01). Conclusions: The Experimental group showed enhanced efficacy for variables such as COP path-length, velocity, Lower extremity function, 10 MWT as compared to the control group.

The Effect of Chest Physical Therapy on Improvement of Pulmonary Function in the Patients with Stroke (호흡기계 물리치료가 뇌졸중환자의 폐기능 증진에 미치는 영향)

  • Kim Jae-Hyun;Hong Wan-Sung;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.133-144
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    • 2000
  • The purpose of this study was to determine whether respiratory physical therapy might increase the pulmonary function of the patients with stroke or not. Twenty patients with stroke were randomly assigned to experimental and control group. During four weeks, both groups participated in the conventional physical therapy and only the experimental group added in a program of respiratory physical therapy. Respiratory physical therapy consisted of chest mobilization, resistive ventilatory muscle training used the method of PNF technique and relaxed diaphragm breathing. Baseline and post-test measurements were made of vital capacity. inspiratory capacity, expiratory reserve volume, farced vital capacity, forced expiratory volume at one second, $FE1/FVC(\%)$ and maximal voluntary ventilation. Ater four weeks, the experimental group showed the significant improvement in VC(p<.05). FVC(p<.05), FFV1(p<.05) md MVV(p<.05). However, the controll group showed no significant differnece. As compared th the relationship of dependent variables between the experimental group and control group. experimental group showed the significant difference in VC(p<.01), FEV1(p<.05) and MVV(p<.05). These findings suggest that respiratory physical therapy can be used to improve pulmonary function in stroke patients. Also, respiratory physical therapy should be performed for at least four weeks and be followed by the continuous respiratory exercise programs.

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Comparison of Posture on Respiratory Function in the Stroke Patients according to Changes of Position (뇌졸중 환자의 자세변화에 따른 폐기능비교)

  • Seo, Kyo-Chul;Lee, Sung-Eun;Lee, Jeon-Hyeong;Kim, Kyoung
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.4
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    • pp.381-389
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    • 2011
  • Purpose : The purpose of this study was to compare the respiratory function in the different body position of the stroke patients. Methods : Twenty patients with stroke patients group(M:12, F:8) and twenty control group(M:12, F:8) were participated in experiment. Strokes patients group and control group were assessed according to position changes(supine position, $45^{\circ}$ sitting position, $90^{\circ}$ sitting position) using pulmonary function(vital capacity, inspiratory capacity, tidal volume, expiratory reserve volume, inspiratory reserve volume). Results : These findings suggest that supine position in stroke group and control group were significant difference in IC, VC, IRV, ERV(p<.05). $45^{\circ}$ lean sitting position in stroke group and control group were significant difference in IC, VC, ERV(p<.05). 90 sitting position in stroke group and control group were significant difference in VC, IRV, ERV(p<.05). In comparison of two groups, strokes group was more low pulmonary function than normal group. Conclusion : This study showed pulmonary function was more high normal groups than stroke groups. And $90^{\circ}$ sitting position was high pulmonary function than supine position, $45^{\circ}$ lean sitting position. Thus it indicates that the functions will be suggest the objective data of patients with strokes for respiratory function.

The Effect of Breathing Training on the Physical Function and Psychological Problems in Patients with Chronic Stroke

  • Lee, Dong-Kyu
    • The Journal of Korean Physical Therapy
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    • v.32 no.3
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    • pp.146-151
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    • 2020
  • Purpose: To identify the effect of breathing training on the physical function and psychological problems in patients with chronic stroke. Methods: In total, 26 patients with chronic stroke were randomly assigned to one of two groups: the experimental group, who underwent breathing training and neurodevelopmental treatment, and the control group, who underwent neurodevelopmental treatment (13 patients per group). Physical function was evaluated using the balance and Activities of Daily Living (ADL). Psychological problems were assessed using the Depression. Balance was measured using the Berg Balance Scale (BBS). ADLs were measured using the Modified Barthel Index (MBI). Depression was measured using the Beck Depression Inventory (BDI). The BBS, MBI, and BDI were recorded before and after the 4-week treatment. Results: As a result of comparison within groups, the experimental and control group showed significant difference for BBS, MBI and BDI after the experiment (p<0.05). In comparison between two groups, the experimental group showed more significant difference in BBS, MBI and BDI than the control group (p<0.05). Conclusion: This study showed that breathing training was effective improvement physical function, and psychological problems in patients with chronic stroke.

The Effect of Application of Aquatic Exercise Program for Hemiplegia on Physical Function and Length of Lower Limb (편마비환자의 수중운동프로그램적용이 체력 및 하지길이에 미치는 영향)

  • Park, Sung-Jin
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.2
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    • pp.77-85
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    • 2012
  • Background: This study has conducted an experiment on 14 disabled hemiplegia (female) introduced from D rehabilitation welfare center, sorted out subjects who will enthusiastically and sincerely follow the experiment for 8 weeks (before-after), and grouped them into control group (7 people), and aquatic exercise program group (7 people). After researching the effect of application of exercise program to hemiplegia on physical function and length of lower limb, we have come to the following conclusion. In case of hemiplegia, we have concluded that aquatic exercise program can aid muscle strengthening and lower limb since aquatic exercise program activates physical function and deep muscle, showing a positive influence on muscular strength and flexibility, and a significant influence on balance of lower limb. This result is considered to make people recognize the importance of rehabilitation exercise when making a program for daily life activity, injury prevention, and treatment for hemiplegia, and we believe that such reference will be proposed as a theoretical basis for application of aquatic exercise program to hemiplegia, and further be a great aid to similar studies.

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A systematic literature review on the effects of physical functions on braking ability of elderly drivers (고령운전자의 제동능력에 미치는 신체적 기능에 대한 체계적 문헌고찰)

  • Jaeseok, Heo;Sangyeol, Lee;Sungyoung, Yoon;Seunghoon, Lee;Him, Seok
    • Journal of Korean Physical Therapy Science
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    • v.29 no.4
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    • pp.43-53
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    • 2022
  • Background: It is suggested that the decline in functional level due to aging influences the increase in traffic accidents among elderly drivers. Among the functions related to the driving behavior of older drivers, physical function is related to muscle strength and motor control, and aging causes deterioration of motor control and a defect in motor output variability. Method: Data Search The online databases used for literature search are PubMed, ProQuest(PML), NDSL, and literature searches were conducted from April 19 to April 26, 2022. For the search, 'aging', 'driving', and 'braking' were used in the investigation. Results: The physical functions related to the braking ability of elderly drivers were analyzed in muscle strength, reaction ability, motor control, and other related factors. In terms of muscle strength, 3 studies analyzed the above factors. 8 studies analyzed the above factors for response ability. For motor control, two studies analyzed the above factors. In addition, related factors were analyzed in one piece. Conclusion: As a result of the analysis, physical function for reaction ability showed the highest frequency, followed by the strength item with the highest frequency. This study suggests that factors that can increase physical function must be included in the development of a rehabilitation program for the driving ability of the elderly.

Comparison and Correlation between Physical and Psychological Functions by Gender in Judo Athletes (유도선수의 성별에 따른 신체적, 심리적 기능 비교 및 상관관계 연구)

  • Hyeyoung Kim;Eunjung Chung;Ye-Jin Shin;Byoung-Hee Lee
    • Journal of Korean Physical Therapy Science
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    • v.30 no.4
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    • pp.71-81
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    • 2023
  • Background: The purpose of this study was to comparison and correlation between physical and psychological functions by gender in Judo athletes. Both the physical and psychological factors of athletes are important as factors influencing athletic performance, but there are few papers that have compared and studied the correlation between physical and psychological functions of judo players. Design: Cross sectional study Methods: The 134 participants; high school students, college students, and team players. They used physical functions to measure such as self-describing KOOS, FAOS, ODI, POMS, SCAT, ASMQ, and ACSI-28. Results: There was a significant difference in the physical function according to gender in the KOOS, but no significant difference in the FAOS and ODI. For psychological function, there was a significant difference in the vitality item in the POMS, and a significant difference in the body management, training management, life management, and unique behavior management items in the ASMQ. In the ACSI-28, there were significant differences in coping with adversity, stress repayment, concentration, freedom to worry about matches, and self-coaching behavior items. Physical function and psychological function showed a significant negative correlation. The POMS showed a negative correlation between the ASMQ and ACSI-28, whereas the SCAT showed a positive correlation. Conclusion: The results of this study are expected to be used as a basic data for sports training by gender of Judo athletes.