• 한국산학기술학회논문지
• /
• 제22권5호
• /
• pp.403-410
• /
• 2021

류마티스 환자들이 수중운동을 하면 통증이 감소되는 등 긍정적인 효과가 발생되지만, 통증이 감소되는 원인은 확실치 않고 이에 대한 연구는 미비한 실정이다. 따라서 수중운동 시, 발 표면에 흐르는 유동을 분석해 통증이 감소되는 원리를 규명하고자 한다. 본 연구에서는 유동의 흐름을 분석하기 위해 Unsteady 해석을 진행하였으며, 다리를 들어 올리는 동작과 내리는 동작을 총 3회 반복설정하여 해석을 수행하였다. 또한 통증이 있는 부위에 압력점을 지정하여 압력변동 및 주파수를 분석했다. 그 결과 전반적으로 양압과 음압이 약 ±500Pa의 압력이 가해지고, 운동 방향을 전환할 때에는 약 ±2000Pa의 압력이 가해지는 것을 확인했다. 또한 류마티스 통증이 빈번하게 발생하는 부위에 약 35 ~ 80Hz 정도의 주파수가 발생하였다. 지속적인 압력변동과 주파수가 통증부위에 반복적으로 가해지면 혈액순환이 증진되고, 통증이 감소되는 효과를 예측할 수 있다. 본 연구의 결과는 수중운동의 효과 및 원리를 이해하는 자료로 활용이 가능할 것으로 사료되며, 수중운동의 프로그램 개발을 보조하고, 관련 의료 보조기 개발을 위한 기초 자료로 활용될 수 있을 것이다.

• International Journal of Internet, Broadcasting and Communication
• /
• 제13권1호
• /
• pp.152-160
• /
• 2021

The purpose of this study was to investigate the difference in the number of repetitions and the change in electromyographic response during the maximum speed squat exercise according to the depth conditions and the maximum speed squat exercise according to the time of each depth. Ten men in their 20s were selected as subjects and the maximum speed squat was performed for one minute in three environmental conditions (ground, knee depth, waist depth). We found that the number of repetitions according to the depth of water showed a significant difference, and as a result of the post-mortem comparison, the number of repetitions was higher in the ground condition and the knee depth than in the waist depth. And the muscle activity of rectus abdominis, erector spinae, rectus femoris, biceps femoris was increased during ground squat exercise, activity of all muscle was decreased during knee depth squat exercise, and activity of rectus abdominis, erector spinae, biceps femoris, tibialis anterior, gastrocnemius was decreased during waist depth squat. In conclusion, muscle activity of lower extremities during squat exercise in underwater environment can be lowered as the depth of water is deep due to buoyancy, but muscle activity of trunk muscles can be increased rather due to the effect of viscosity and drag.

• 한국운동역학회지
• /
• 제29권1호
• /
• pp.15-21
• /
• 2019

Objective: The purpose of this study was to investigate the effects of aqua-noodles on the practice of underwater walking in patients with hemiplegia. Method: After an oral explanation and signing an IRB approved consent form 10 participants ($66.8{\pm}10.75yr$, $165.3{\pm}8.79cm$, $73.6{\pm}46kg$) agreed to participate in this study. Each of the participants was required to walk with the aqua noodles and without the aqua-noodles in a swimming pool. Each participant was asked to walk a distance of 5 m a total of 10 times, 5 with and 5 without the aqua-noodles. The depth of the swimming pool was at 1.3 m, approximately chest height. The following variables were calculated for analysis; height of the knee (m), knee joint ROM ($^{\circ}$), ankle joint ROM ($^{\circ}$), knee joint maximum angular velocity ($^{\circ}/sec$), and ankle joint maximum angular velocity ($^{\circ}/sec$). Results: First, there was a significant increase in time (s) for the maximum knee height to reach as well as the maximum knee height (m) increased when the participant used the aqua-noodles. Second, there was a statistically significant decrease in stride length when the aqua-noodles were used. Conclusion: This study helps to verify that the effect of underwater walking exercise can provide a suitable walking exercise environment. The results of this study provide systematic scientific information about how walking in water can be used for the rehabilitation of patients and the elderly.

• 대한통합의학회지
• /
• 제4권3호
• /
• pp.39-47
• /
• 2016

PURPOSE : This study attempts to find the effects of water perturbation exercise performed on stroke patients in their physiological cost index and gait ability tests. METHOD : The subjects were 30 stroke patients, water perturbation exercise group was performed 3 day per week, for 40 minutes a day, for a period of eight weeks. The physiological cost index and gait of all subjects were assessed by using the polar, 6 Minute Walk Test (6MWT), and 10 meter Walk Test(10mWT) at pre training and post training. Paired t-test was used to analyze change before and after intervention in group. Pearson's correlation was used to analyze correlation of all variables. RESULT : Water perturbation exercise group showed increased physiological cost index. Water perturbation exercise increased gait ability, showing a significant difference. Showing the correlation between the relatively high amount between physiological cost index and 6 minutes walking test. CONCLUSION : From the result of the study, we found that water perturbation exercise was effective in improving physiological cost index and gait ability. The patient is considered to be used by itself to involve the treatment and the risk of falling from the lowered state into the treatment method for the intensive treatment of stroke patients to be useful in improving the cardiovascular system and ability to walk. Through underwater training for stroke patients in the future on the basis of this study it is considered to require additional clinical studies on the impact on daily living and quality of life of stroke patients.

• 한국임상보건과학회지
• /
• 제5권3호
• /
• pp.973-980
• /
• 2017

Purpose. To understand the effectiveness of training programs to improve the daily living activities and social adaption abilities of stroke patients. Methods. The participant included 1 stroke patient in Jeonbuk, from March to August 2016. The test tools used was the Canadian occupational performance measurement, International classification of function, disability and health co-resets. After applying the training program, I compared the daily life satisfaction and social adaption abilities. Results. According to this study, both daily life satisfaction and social adaption abilities improved. Conclusion. In conclusion, after an exercise program, self- help program, and underwater exercise programs, daily life satisfaction and social adaptation levels were improved. Therefore, the programs that apply to stroke patients could be found to be effective.

• 한국산학기술학회논문지
• /
• 제20권5호
• /
• pp.267-274
• /
• 2019

본 연구는 비만관리 교육을 통해 비만에 대한 지식이 선행된 상태에서, 실천한 수중운동 프로그램이 지역사회 비만여성의 신체기능에 미치는 효과를 알아보는데 목적이 있다. 연구대상자는 D광역시 A보건지소의 건강교실에서 참여를 희망한 자로 51세에서 79세의 비만여성 20명이 8주 동안 프로그램에 참여하였다. 비만관리 교육이 포함된 수중운동 프로그램은 주 2회, 20분 동안 비만관리 교육과 60분의 수중운동 프로그램을 포함하여 총 120분으로 구성되었다. 비만관리 교육은 신체활동 실천과 식이섭취 교육에 중점을 두어 실시되었다. 본 연구결과를 통해 8주간의 비만관리 교육을 포함한 수중운동 프로그램 후 비만여성의 복부둘레, 체중, 체질량 지수가 감소되었고(p<.05, p<.001,p<.001), 악력이 증가되어(p<.05), 비만감소와 근력증진에 효과적인 프로그램임을 알 수 있었다. 후속 연구시 연구 대상자의 수를 늘리고, 대조군을 갖춘 실험설계 연구와 대상자가 직접 참여하고 주도하는 참여형 비만관리 수중운동 프로그램으로 개발 할 필요가 있다. 또한, 지속적인 생활습관 개선을 위한 추가적인 전략이 필요함을 제언한다.

• Physical Therapy Rehabilitation Science
• /
• 제6권2호
• /
• pp.77-82
• /
• 2017

Objective: Swimming and water-based exercise (WE) programs can provide vigorous physical activity in a fun and a motivating environment. The properties of water, may make it easier for children with cerebral palsy (CP) to move and to participate in an WE program. The aims of this study was to evaluate the effect of WEs on postural control in children with spastic CP. Design: Quasi-experimental design (one group pretest-posttest design). Methods: Twenty preschoolers with spastic CP participated in this study. Prior to the application, sufficient warm-up training was performed to allow the subjects to adapt to the water. Afterwards, three different types of underwater leg exercises for the flexor, extensor, and adductor/abductor of muscles of the lower limb were performed. The WE program lasted during 8 weeks, with one-40 minute sessions per week (8 training session). The usual care was performed during the training session. The Korean-trunk control measurement scale (K-TCMS) and weight distribution variability (difference of both Fz) were measured before and after training session. Results: According to the results, the K-TCMS scores of the three sub-levels, including static sitting, dynamic sitting, and dynamic reaching, was significantly increased after the training session (p<0.05). Also, the weight distribution variability was significantly decreased after 8 weeks (p<0.05). Conclusions: We suggest that WEs may improve the postural control ability in children with spastic CP. Furthermore, we support the need for additional research on the effect of WE on gait or activity of daily living performance with a control group included.

• Physical Therapy Rehabilitation Science
• /
• 제11권3호
• /
• pp.279-284
• /
• 2022

Objective: This study was conducted to confirm the effect of physiotherapy on the balance and walking in dog with sciatic nerve injury and degenerative arthritis of stifle joints. Design: Single case study Methods: The dog walked abnormally for six months and was administrated in S animal hospital. The dog's right hindlimb was operated for cranial cruciate ligament repair and the dog had been taking a nonsteroidal anti-inflammatory analgesic before being refered. There was severe degenerated osteoarthritis in the right hindlimb. During stance and walking, the right hindlimb was often shown partial weight bearing. The dog's left hindlimb was shown plantigrade stance and walking. The radiograph was shown an intact calcaneal tendon in the left hindlimb. In the neurologic examination, sciatic nerve injury in the left hindlimb was confirmed. The dog was treated using muscle strengthening, proprioceptive exercise, underwater treadmill and Laser therapy two, or three times a week for 3 months. At the 10th and 17th treatment, it was evaluated through stance and gait analyzer system to measure dog's balance and walking. Results: 3 months following physiotherapy, the dog's balance was improved in center of pressure(COP). And peak vertical force(PVF), vertical impulse(VI) was increased in right hindlimb and double stance was decreased. Conclusions: Physiotherapy may have improved the prognosis in this dog with severe osteoarthritis and sciatic nerve injury. This study suggested that animal physiotherapy is a valuable way to improve balance and walking.

• 한국콘텐츠학회:학술대회논문집
• /
• 한국콘텐츠학회 2012년도 춘계 종합학술대회 논문집
• /
• pp.99-100
• /
• 2012

본 연구의 목적은 정상 성인에게 지상, 수중, 가상현실 운동을 실시하여 균형 능력과 근 활성도에 어떠한 영향을 미치는지 알아 보고자 한다. 연구 방법은 정상성인 48명을 대상으로 6주간 지상 운동그룹(n=16), 수중 운동그룹(n=16), 가상현실 운동그룹(n=16)을 시행 하였다. 측정 도구로 Biodex, TWT, EMG,를 사용 하였다. 결과는 운동 후 세 그룹 모두에서 균형 능력과 근 활성도가 운동전에 비해 운동 후 통계적으로 유의한 향상이 있었다(p<.05). 수중 운동그룹과 다른 두 그룹간의 유의한 차이가 있었지만, 지상 운동그룹과 가상현실 운동 그룹간 에는 유의한차이가 없었다(p<.05). 결론은 수중 운동이 지상 운동과 가상현실 운동 보다 균형 능력과 근 활성도 향상에 더 효과적인 중재 방법으로 사용되어질 수 있는 가능성을 제시하였다.

• 한국산학기술학회논문지
• /
• 제20권6호
• /
• pp.390-395
• /
• 2019

수중운동치료는 물의 저항을 이용하여 충분한 운동 효과를 낼 수 있어서 관절염이나 재활치료를 받아야하는 환자들에게 긍정적인 효과를 가진다. 하지만 효과에 대한 국내 연구는 미비한 실정이고, 그 효과에 대한 근본적인 원인규명은 아직까지 확실하지 않다. 따라서 본 연구에서는 수중운동 효과의 근본적인 원인을 파악하기 위해 실제 환경과 비슷한 조건으로 Unsteady fluid flow simulation을 진행했다. 해석 모델은 실제 손을 모델링하였고, 손가락 마디에 가해지는 압력변동을 the methods of computational fluid로 분석했다. 손의 수중운동 시, 피부 표면속도와 유동 저항에 의하여 손가락 사이에 다양한 크기의 와류가 발생한다. 와류에 의해 약 -500Pa부터 +500Pa 정도의 압력이 가해지고, 방향을 전환하는 부분에서는 최소 -2000Pa에서 최대 +2000Pa까지의 양압과 음압이 지속적으로 반복됐다. 또한 손가락 마디마다 20Hz ~ 70Hz의 진동수를 가진 압력 변동이 지속적으로 가해졌다. 이러한 지속적인 압력 변동은 손가락 마디에 직접적인 마사지 효과를 제공하고, 관련 부위의 혈액순환에 긍정적인 영향을 미친다고 판단된다.