• 기본간호학회지
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• 제17권3호
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• pp.334-342
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• 2010

Purpose: The purpose of this study was to examine the effects of Tai Chi exercise on flexibility, balance, walking ability, muscle strength, bone mineral density, and fracture risk in institutionalized elders. Method: A quasi-experimental pretest-posttest design with a nonequivalent comparison group was utilized, and 53 older adults living in one institution were recruited and assigned to one of two groups, experimental group (18) or comparison (20). Both groups completed posttest measures at 6 months. There was a 31% rate of dropouts. Tai Chi exercise was provided twice a week for 24 weeks. Outcome measurements were conducted by a physiotherapist at a university hospital health promotion center who did not know the group assignment. Results: At 6 months, the experimental group had significantly greater grip strength(t=2.12, p=.04), back muscle strength (t=2.42, p=.02), balance (t=5.31, p<001), and flexibility (t=3.57, p<.001). They also showed significantly greater bone mineral density of lumbar spine and femur, and reduced fracture risk. Conclusion: Tai Chi exercise was safely and effectively used with institutionalized elders for 6 months and significantly improved physical fitness, bone mineral density along with a reduction in fracture risk. Whether Tai Chi exercise would lead to prevention of fall episodes and fall related fractures in this population will require further study.

• 기본간호학회지
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• 제14권1호
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• pp.44-52
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• 2007

Purpose: This study was done to investigate the effect of Tai Chi Qigong exercise program on insulin resistance and blood glucose in patients with type 2 diabetes. Method: This was a quasi-experimental study used a non-equivalent control group pretest-posttest design. Participants included 39 patients with type 2 diabetes mellitus patients (ages between 40-70)(experimental group, 19, control group, 20). The Tai Chi Qigong exercise program consisted of 5 minute warming up, 30-minute main exercise, and 5 minute cooling down, and was conducted twice a week for 10 weeks. The outcome variables were insulin resistance (proinsulin, C-peptide, insulin, insulin sensitivity index) and blood glucose (fasting, post prandial 2hr, HbA1c). Data was analyzed using ANCOVA, with pre-test values as covariates, to examine difference between pre and post measures between the two groups. Results: The Tai Chi Qigong was effective in lowering postprandial 2hr blood glucose. Conclusion: Twice a week 10 week-Tai Chi Qigong exercise seems to be too short to improve insulin excretion or resistance, and fasting blood sugar and HbA1C in patients with type 2 DM. A Tai Chi Qigong program at least 3 times per week or longer is recommended.

• The Journal of Korean Physical Therapy
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• 제22권1호
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• pp.9-17
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• 2010

Purpose: The purpose of this study was to compare the effects of Tai-Chi exercise (TCE) and resistance exercise (RE) when used as part of a community-based exercise program on improvement of physical function in elderly women with knee arthritis. Methods: Forty-seven women with knee arthritis participated in this study. They were assigned to one of two groups: the TCE group (n=22) or the RE group (n=25). Tai-Chi exercise and resistance exercise sessions were held for 1 hour per session, twice per week, for 8 consecutive weeks. At pre-treatment and post-treatment, subjects were tested using the following measurements: one-legged stand test (sec), a functional reach test (cm), a test of the strength of the knee extensor and flexor muscles, determination of the pathway of center of foot pressure and vertical ground reaction force for stance phase at pre and post treatment time points. An independent t-test and a ${\chi}^2$ were used to determine the significance of differences between group means using SPSS 12.0. Results: After 8 weeks of participation in the exercise programs, there were significant improvements for both groups in joint pain, difficulty of performing activity, muscle strength of knee extensor and flexor. Also, vertical ground reaction force increased at the loading response phase for both groups. The RE group was significantly different from TC group on the eyes-closed one-legged stand test (sec). Conclusion: Tai-Chi exercise and resistance exercise programs improve physical functioning and reduce pain and locomotion difficulties.

• 근관절건강학회지
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• 제15권2호
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• pp.130-139
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• 2008

Purpose: The purpose of this study was to examine the effect of Tai Chi exercise on muscle strength, grip strength, flexibility, pain, depression and self-efficacy in patients with osteoarthritis. Method: With a quasi-experimental design, 46 persons with osteoarthritis were assigned into an experimental group (n=22) or a control group (n=24). Muscle strength, grip strength, flexibility, pain, depression and self-efficacy were measured both before and after the exercise. Data were analyzed with SPSS WIN using descriptive statistics, t-test, and ANCOVA. Results: The mean age of the subjects was 68 years in the experimental group and 64 years in the control group. After controlling for age and pre-test outcome variables, muscle strength scores (F=-14.8, p= .00), grip strength scores (Rt: F=8.40, p= .01), and self-efficacy (F=47.3, p= .00) improved more in the experimental group than the control group. Joint pain scores (F=15.0, p= .00) and depression scores (F=14.7, p= .00) decreased in the experimental group. Conclusion: Tai Chi exercise is likely to be an effective nursing intervention to improve muscle strength, grip strength, and self-efficacy and reduce pain and depression for patients with osteoarthritis.

• 생명과학회지
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• 제20권3호
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• pp.345-349
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• 2010

본 연구는 타이치 운동이 유방암 수술 후 환자의 어깨관절 가동범위 및 심박동수에 미치는 영향을 규명하는데 그 목적이 있다. 대상자는 유방암 1~2기 진단을 받고 유방암 수술 후 2개월 이내의 B광역시에 거주하는 환자 40명을 대상으로 타이치 운동을 12주간, 주4회, 1회 60분씩 실시하여 실험 전 후 어깨관절 가동범위 및 심박동수를 측정하였다. 본 연구결과 어깨관절 가동범위의 굴곡, 선전, 내전, 외전 모두 유의하게 증가하였고(p<0.05), 심박동수도 유의하게 감소하였다(p<0.05). 이상의 결과로 타이치 운동은 유방암 수술 후 환자들에게 어깨관절 가동범위를 향상시키고 심장기능을 강화시킴으로써 심혈관질환을 예방할 수 있고 유방암 수술 후 환자들의 건강증진을 도모할 수 있는 권장할 만한 운동으로 사료된다.

• 근관절건강학회지
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• 제19권2호
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• pp.152-160
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• 2012

Purpose: The purpose of this study was to test the effects of the Tai Chi exercise on metabolic syndrome and health-related quality of life in middle-aged women. Methods: A quasi-experimental design was used. Subjects were sixty middle-aged women with metabolic syndrome. All of the subjects were met the criteria of the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III). The subjects were divided into the experiment group (n=33) trained the Tai Chi for 12 weeks and the control group (n=27). Metabolic syndrome risk factors including blood pressure, waist circumference, glucose, triglyceride (TG), and high density lipoprotein cholesterol (HDL-C) were measured before and after the 12-week period. Euro Quality of Life Questionnaire 5-Dimensional Classification (EQ-5D) was used to evaluate the health-related quality of life. Results: The experiment group showed significant decreases in diastolic blood pressure, waist circumference, glucose, and TG; and increase in HDL-C compared to the control group. For the health-related quality of life evaluation, the experiment group showed significant improvement more than the control group. Conclusion: The Tai Chi exercise may be effective intervention in preventing cardiovascular disease caused by metabolic syndrome in middle-aged women.

• 대한간호학회지
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• 제36권2호
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• pp.278-285
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• 2006

Purpose: This study was performed to verify the effect of Tai Chi exercise on patients with rheumatoid arthritis particularly their level of pain, fatigue, sense of balance and daily lift performance(ADL). Method: It employed a non-equivalent control group pre- and post-test design. The research instruments used in this study were pain, fatigue, sense of balance and ADL. Thirty-two patients in the experimental group carried out 50 minutes of Tai Chi exercise for 12 weeks, and 29 patients in the control group did not. Before and after the experiment, both groups were tested for pain, fatigue, sense of balance and ADL. Collected data were processed using the SPSS/WIN 10.0 program analyzed by the frequency, percentage, $x^2-test$, and t-test. Results: Pain and fatigue significantly decreased in the experimental group. However the improvement in ADL of the rheumatoid arthritis patients was not statistically significant but their sense of balance was enhanced significantly. Conclusion: Tai Chi exercise is an effective nursing intervention that can be used for rheumatoid arthritis patients.

• 생명과학회지
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• 제19권11호
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• pp.1575-1580
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• 2009

본 연구는 12주 규칙적인 태극권 운동이 중년비만 여성의 혈액성분과 체력요인에 미치는 영향을 분석하여 다음과 같은 결과를 얻었다. 1. 태극권 운동 전, 후 신체적 특성 중 양식(YS) 그룹이 12 건식(12KS) 그룹에 비해 체중, 체지방률, 수축기 및 이완기 혈압이 높았지만 유의한 차이는 나타내지 못했다. 2. 태극권 운동 전, 후, 혈액변인 중 양식 그룹(YS)의 중성지방(TG)을 제외하고 모두 감소함을 나타냈지만 통계적 차이는 나타내지 못했다. 또한 12건식(12KS) 그룹은 혈액변인 모두 감소하였지만 통계적으로 유의하지는 못했다. 두 그룹 모두 감소함을 나타냈지만 유의한 차이를 나타내지 못해 결과적으로 혈액변인의 개선은 나타내지 못했다. 3. 태극권 운동 전, 후 체력요인은 두 그룹 모두에서 유의하게(p<0.05) 증가함을 나타냈으나 양식 그룹(YS)의 평형성 (Balance)은 유의한 차이를 나타내지 못했고 12 건식(12KS) 그룹에서는 민첩성과 평형성이 유의한 차이를 나타내지 못했다. 따라서 본 연구는 대상으로 12주 태극권 운동이 비만여성의 혈액성분 개선에는 크게 영향을 미치지 못한데 반해 체력요인에 긍정적인 영향을 미치는 것으로 나타났다.

• 대한예방한의학회지
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• 제16권2호
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• pp.17-30
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• 2012

Objectives : This study was to analyse the reasons for the early termination of our clinical trials that were to know the influences of Tai-chi on non-motor symptoms of Parkinson's disease. Methods : We stopped the primary study of Tai-chi to observe the changes of non-motor symptoms of Parkinson's disease. So we carried out the survey to our participants of clinical trials. We conducted the survey about the patient's characteristics of usual exercise, experience of Tai-chi, appropriate time allocation, difficulties of proceeding the program and patient's opinion for the improvement of education. And the 4 questions about the contributiveness of Tai-chi for the Parkinson's disease, usability of supplied references, difficulties and time allocation of education were using the questionaries form of 5-point scale(Likert scale). Results : The results of survey showed that the benefits of Tai-chi program for the improvement of symptoms was $3.15{\pm}0.89$ and difficulty of lecture was $3.76{\pm}1.09$. 41% of participants answered that the motions of the Tai-chi is difficult to follow and 17% of participants felt the imbalance during the motion of Tai-chi. Conclusions : Participants replied that the Tai-chi is hard for the patients of Parkinson's disease and the time for the education was too short to keep doing exercise. Thus we have plan to educate the patients of Parkinson's disease with Tai-chi program consists of easier motion by developing ourselves or searching previous studies.

• International journal of advanced smart convergence
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• 제7권2호
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• pp.55-66
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• 2018

Osteoarthritis is one of the most common chronic degenerative disease and prevalent among women in rural area. A variety of self-management programs for arthritis patients have been developed and administered, however the effectiveness and adherence to the program including arthritis exercise are found to be low. The purpose of this study is to design intervention Arthritis Self-Management Program with Tai Chi (ASMP-TC) through identifying and analyzing attributes influencing adherence exercise behavior in Korean older adult women with arthritis in rural area. For this, the existing and relevant evidence on arthritis self-management including exercise intervention were investigated, and then this study describes well-designed arthritis self-management program to provide the credibility and validity necessary for its interventions. In addition, this study try to propose a self-management program model of Tai Chi exercise for rural older adults to improve adherence based on the primary health care facility, which is vulnerable area in Korea.