• 제목/요약/키워드: Physical improvement

검색결과 3,687건 처리시간 0.032초

이중과제 균형 훈련이 뇌졸중 환자의 균형과 일상생활동작에 미치는 효과 (Effects of Dual Task Balance Training on Balance and Activities of Daily Living in Stroke Patient)

  • 김여진;손호희;오정림;박래준
    • 대한물리의학회지
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    • 제6권1호
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    • pp.19-29
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    • 2011
  • Purpose : The purpose of study was to investigate effects of dual task balance training on balance and activities of daily living(ADL) in Stroke patient. Methods : The purpose of study was to investigate effects of dual task balance training on balance and activities of daily living(ADL) in Stroke patient. Results : The results of this study were summarized as follows: There were significant improvement in balance and ADL following the training in experimental group. There were significant improvement in a part of balance following the training in control group, whereas there were no significant improvement in ADL following the training in control group. There were significant difference following training in both groups in balance and ADL. The level of statistical significance was <05. Conclusion : Based on the results of this study, dual task balance training have an effects on balance and ADL in stroke patients.

정신훈련이 편마비환자의 상지기능 향상에 미치는 영향 (Effect of the Mental Practice on the Upper Limb Motor Function Improvement of Hemiplegic Patients)

  • 박민철;안소윤;이현옥;구봉오
    • 대한물리치료과학회지
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    • 제13권2호
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    • pp.85-98
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    • 2006
  • This study was performed to examine the influences of the mental practice to the hemiplegic upper limb motor function improvement. 20 minute neurologic treatment based on the neurophysiological theory, 10 minute activities of daily living training, and 10 minute mental practice 5 times a week were given in turn to the experimental group(N=11). On the other hand 20 minute neurologic treatment, and 10 minute activities of daily living training 5 times a week were given in turn to the control group(N=11). Both Fugl-Meyer Assessment Scale and Manual Function Test were used to evaluate upper limb motor recovery, upper limb motor function and movement ability. And the Motor Activity Log; Amount of Use and Motor Activity Log; Quality of Movement before training, 2 weeks after training, and 4 weeks after training were measured to assess the upper limb motor quantitatively and qualitatively each. The results are as follows. 1) Considering the interactions of the rate of change on the upper limb motor recovery, motor function, movement ability improvement, and qualitative motor improvement in ADL of experimental group and control group, the change rates of experimental group were found to be greater than those of the control group. 2) In experimental group, the higher the achievements were, the better upper motor recovery was.

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물리치료 단독 개원 법률 제정의 필요성 (The Necessity of Legislation for independent clinic in Physical Therapy)

  • 구봉오;김현주;최기환
    • 대한물리치료과학회지
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    • 제25권1호
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    • pp.75-84
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    • 2018
  • Background : In order to recognize the problems of current Korean physical therapy which does not conform to the current trend of modern society and to suggest improvement directions, we will establish a law for exclusive use of physical therapy that can guarantee the health rights of the people and contribute to the development of Korean physical. Methods : Korea's current physiotherapy system is compared with OECD member countries and WCPT member countries, and considering the expected effects and necessities that arise when the sole law is enacted, the sole law for the global trend is presented. Result : If the sole law is enacted and the physical therapist is treated solely, the effect is as follows. 1. Provision of high-quality physiotherapy services through establishment of physical therapy expertise 2. Convenient service provision 3. Reduced treatment costs due to reduced National Health Insurance fiscal expenditure 4. contributing to the improvement of medical welfare for the elderly and the disabled 5. Decreased unemployment rate due to job creation.

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

  • 김재현;홍완성;배성수
    • The Journal of Korean Physical Therapy
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    • 제12권2호
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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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뇌졸중환자의 물리치료경과에 따른 기능변화와 관련요인 (The Effect of Physical Therapy on Functional Change and Related Factors in Stroke Patients)

  • 이승주;예민해;천병렬
    • The Journal of Korean Physical Therapy
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    • 제10권1호
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    • pp.7-21
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    • 1998
  • 본 연구는 뇌졸중 환자들의 퇴윈 후 1개월까지의 물리치료 양상 및 기능변화와 이에 관련된 요인을 알아보기 위해 1996년 11월 1일 부티 1997년 3월 31일까지 약 4개월 간 부산시 및 대구시, 안동시 등에 소재하고 있는 10개 병원에서 물리치료를 시작한 뇌졸중환자 101명을 대상으로 물리치료를 시작한 시점. 1개월 후, 퇴원 시, 그리고 퇴원 후 1개월이 지난 시점까지 추적하여 기능변화를 평가하였다. 뇌졸중환자의 물리치료 시작 시점의 BI점수는 $27.18\pm23.7$이었고, PS점수는 $17.54\pm4.33$이었다. 물리치료 시작시점을 기준으로 할 때 입원 1개월 후의 BI점수 변화는 평균 21.39(P<0.001), 퇴원시는 37.47(P<0.001), 퇴원 1개월 후는 46.49 만큼 호전되었다(P<0.001). PS점수도 각각 -2.02, -4.52, 리고 -6.26만큼 호전되었다(P<0.001). 그리고 퇴원시에 비해 퇴원후의 변화도 BI점수는 9.01만큼, PS점수는 -1.73만큼 유의하게 호전되었다.(P<0.001). 물리치료 시작시점과 퇴원 시의 BI점수 변화와 유의한 관련이 있는 요인은 물리치료 시작시점의 BI점수와 연령으로 (p<0.05), 물리치료 시작시점의 BI점수가 낮고 연령이 40세 미만에서 기능호전이 컸다. 물리치료 시작시점과 종료시점 사이의 BI점수의 변화는 물리치료 시작시점의 BI점수, 퇴원 1개월 후에 적극적으로 물리치료를 받았는지의 여부, 연령 그리고 수술여부와 유의한 관련성이 있었다. (p<0.05). 즉, 무리치료 시작시점의 BI점수가 낮고, 퇴원 1개월 후에 적극적으로 물리치료를 받은 환자, 연령 40세 미만에, 그리고 수술을 받지 않은 환자에서 기능호전이 컸다. 퇴원시와 퇴원 1개월 후의 BI점수 변화와 관련 있는 변수는 퇴원시의 BI점수, 마비부위, 종교유무 이었는데, 퇴원시의 BI점수가 낮고 좌측마비환자이며 종교를 믿는 환자의 기능호전이 유의하게 컸다(p<0.05). 물리치료 시작시점과 퇴원시의 PS점수 변화와 유의한 관련이 있는 요인은 물리치료 시작시점의 PS점수와 연령이었는데(p<0.05), 물리치료 시작시점의 PS점수가 높고 40세 미만에서 기능호전이 컸다. 물리치료 시작시점과 종료시점 사이의 PS점수 변화와 관련 있는 분수는 물리치료 시작시점의 PS점수, 퇴원 1개월 후에 적극적으로 물리치료를 받았는지의 여부, 연령, 교육수준, 퇴원 후 물리치료 받은 기간, 수술여부 등이었다.(p<0.05). 즉, 물리치료 시작시점의 PS점수가 높고, 퇴원 1개월 후에 적극적으로 물리치료 받은 환자, 연령이 40세 미만, 학력이 높을수록, 퇴원 후 물리치료 받은 기간이 짧은 환자, 그리고 수술을 받지 않은 환자에서 기능호전이 컸다. 퇴원시와 퇴원 1개월 후의 PS점수의 변화는 퇴원시 PS점수가 높고, 학력이 높을수록, 퇴원 1개월 후에 적극적으로 물리치료를 받은 환자, 그리고 퇴원 후 물리치료 기간이 짧고, 남자에서 기능호전이 유의하게 컸다.(p<005). 이상의 결과를 요약하면, 뇌졸중환자의 물리치료 효과를 BI점수로 평가하면 물리치료 시작시점의 BI점수와 연령이 중요한 요인이고, PS점수로 평가하면 역시 물리치료 시작시점의 PS점수와 연령 그리고 교육수준이 중요한 요인으로 생각된다.

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노인의 규칙적 신체활동이 심혈관 기능에 미치는 영향 고찰 (Relationship between Physical activity and Cardiovascular Outcomes in the Korean Elderly: Review of Experimental Studies)

  • 채영란;김증임;임경춘
    • 여성건강간호학회지
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    • 제20권4호
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    • pp.309-317
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    • 2014
  • Purpose: The purpose of this study was to review the relationship between physical activity and cardiovascular outcomes in the Korean elderly. Methods: Experimental studies were located using PubMed, CINAHL, PsycINFO, Cochrane, RISS, KISS, and KoreaMed. The selected studies for analysis were 20 articles of cardiovascular outcomes (total cholesterol, triglyceride, high density lipoprotein (HDL), low density lipoprotein (LDL), blood pressure, and pulse rate) from 515 articles. Results: One-group pretest-posttest design was the most common. The main physical activity was an aerobic exercise. Five of 14 studies reported a significant improvement of total cholesterol. Four of 14 studies found relationship between exercise and triglyceride. Eight of 12 studies reported a significant improvement of HDL, whereas 3 of 9 studies reported a significant improvement of LDL. In over 60% of selected studies, reported significant improvement of blood pressure. Conclusion: Based on the review, it suggests that regular physical activity of the elderly may improve cardiovascular outcomes.

기상청 현업 지역통합모델 물리과정 최적화를 통한 예측 성능 향상 (The Improvement of Forecast Accuracy of the Unified Model at KMA by Using an Optimized Set of Physical Options)

  • 이주원;한상옥;정관영
    • 대기
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    • 제22권3호
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    • pp.345-356
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    • 2012
  • The UK Met Office Unified Model at the KMA has been operationally utilized as the next generation numerical prediction system since 2010 after it was first introduced in May, 2008. Researches need to be carried out regarding various physical processes inside the model in order to improve the predictability of the newly introduced Unified Model. We first performed a preliminary experiment for the domain ($170{\times}170$, 10 km, 38 layers) smaller than that of the operating system using the version 7.4 of the UM local model to optimize its physical processes. The result showed that about 7~8% of the improvement ratio was found at each stage by integrating four factors (u, v, th, q), and the final improvement ratio was 25%. Verification was carried out for one month of August, 2008 by applying the optimized combination to the domain identical to the operating system, and the result showed that the precipitation verification score (ETS, equitable threat score) was improved by 9%, approximately.

VDT 증후군 환자에 물리치료와 인간공학적 개입: 사례 연구 (Physical Therapy and Ergonomic Interventions in Patients with VDT Syndrome: 4 Cases Study)

  • 이인희;박상영
    • The Journal of Korean Physical Therapy
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    • 제22권4호
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    • pp.91-96
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    • 2010
  • Purpose: Among computer users, the awkward posture and workstation setups of workers contribute to work-related upper limb musculoskeletal disorders. The purpose of this study was to evaluate the efficacy of a traditional physical therapy and ergonomic intervention by physical therapists in 4 computer users. Methods: After checking Visual Analogue Scores (VAS), four subjects who were treated by physical therapy for neck and shoulder problems related to VDT syndrome were enrolled in the study. All subjects spent at least 40 hours per week at a computer workstation. All subjects had pain and ergonomic states evaluated using methods such as VAS, Neck Disability Index (NDI), Workstyle short form, Rapid Upper Limb Assessment (RULA), and OSHA VDT checklist (Occupational Safety and Health Administration video display terminal) before a physical therapy + ergonomic intervention. Participants were re-evaluated 1 month later. Results: Participants showed more improvement of their neck pain after being treated with a physical therapy plus ergonomic intervention than when treatment consisted only of physical therapy. Improvements in RULA, Workstyle short form, and OSHA VDT checklist also were achieved. Conclusion: This case study suggests the importance of examining the work habits and work-related postures of subjects who complain of neck and shoulder pain that is exacerbated by computer use. Personalized ergonomic interventions and physical therapy can lead to improvement of patients with VDT syndrome.

부모의 물리치료 참여 및 만족도가 뇌성마비 아동의 운동기능 호전에 미치는 영향 (The Effects of Parent's Participation and Satisfaction Degree on Physical Therapy for the Improvement of Motor Function in Cerebral Palsy Patients)

  • 이소영;김용남;강정일
    • The Journal of Korean Physical Therapy
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    • 제17권4호
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    • pp.575-588
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    • 2005
  • Family and parents which serve as a primary group for the children's development also play important role in their cerebral palsy children's treatment. This study wants to know how the parents' participation in their children's physical therapy and satisfaction degree have an impact on their children's improvement of the motor function. For that purpose, a home made self filling survey was conducted of 156 cerebral palsy children's parents whose children were treated in 4 university general hospitals and 3 welfare centers from the 1st of April 2004 to the 31th of march 2005. The gross motor function was employed to evaluate the cerebral palsy children's motor function improvement. In this study, those questioned were divided into two groups according to the time of treatment. 'Group A' is consist of the patients whose parents attended to the treatment more than one hour at home. The patients who belonged to 'Group B' were treated less than one hour at home. The general features of the cerebral palsy children and their parents and the characteristics of their physical disability, the parents' participation and their satisfaction degree were examined by survey. Evaluating the difference between two groups' motor function according to their parents participation degree in the physical therapy leads to the following results. First, 'Group A' was better than 'Group B' in their satisfaction degree with the physical therapy and participation degree. Statistically 'Group A' was superior to 'Group B' in the requirements of the information and education for the children with cerebral palsy. Second, after two months of treatment, 'Group A' showed more statistically significant improvement than 'Group B' in every items as like lying in item 1, sitting in item2, crawling and kneeling in item 3, standing in item 4, walking,running, jumping in item 5. Third, parents' participation in physical therapy and satisfaction degree have some relevance to their children' motor function improvement. The satisfaction degree is related to motor function like crawling and kneeling in item 3, walking,running, jumping in item 5. It is showed that the parents' participation degree and information about handicapped children.

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시설재배 토양의 물리성 개선을 위한 처리방법별 효과 비교 (Effects of Physical Improvement Practices at Plastic Film House Soil)

  • 김이열;조현준;현병근;박우풍
    • 한국토양비료학회지
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    • 제34권2호
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    • pp.92-97
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    • 2001
  • 염류가 집적된 시설재배지의 강서 미사질 양토에서 1999년부터 2년간 무처리, 심토반전, 심토파쇄, 폭기식 심토파쉐 및 암거배수 등 5개 처리를 하여 토양의 물리적 성질과 작물 생산성을 비교시험하였다. 1. 심토의 물리성 개선효과는 심토반전 > 암거배수 > 심토파쇄 > 무처리 순으로 높았고 2년차까지 잔효가 인정되었으며 토양물리성 개선처리는 통기성을 높이고 근권을 확대시켰다. 2. 심토의 토양수분함량은 심토반전 > 암거배수 > 심토파쇄 > 무처리 순으로 높았으나 큰 차이는 없었다. 또한 토양물리성 개선처리는 무처리구에 비하여 토층내 시기별 토양수분함량 변동폭을 크게 하였다. 3. 토양물리성 개선처리에 의한 토층내 염농도 저하효과는 적었으며 토양물리성 개선구의 수량증대는 염농도 저하나 토층내 양수분 분포개선 보다는 물리성 개선효과가 더 높은 것으로 판단되었다. 4. 토양물리성 개선처리에 의한 평균수량 증대효과는 10~20%정도 이었다.

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