• The Journal of Korean Academic Society of Nursing Education
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• v.12 no.2
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• pp.178-186
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• 2006

Purpose: This study is aimed to examine the effectiveness on pain, feeling and nursing practice of hand reflexology applied to in-patient in the clinical setting. Method: The pre/post test methods using VAS for pain and feeling, physiologic measuring, and questionnaire of nursing care were conducted. Subjects were selected 45 in-patients from a surgical ward in hospitals during Nov.-Dec. 2005. 5 minute hand reflexology therapy was applied to both hands of participant by two research assistants at the same time. Data were analyzed based on SAS program using frequency, $x^2$-test, paired t-test, ANOVA and Pearson's correlation coefficients. Result: 1. After receiving hand reflexology therapy, the subjects showed significant pain relief(t=-4.94, p=.0001), improvement in feeling(t=19.44, p=0001) and an increase in skin temperature(t=3.54, p=.001). 2. The applied skills that the participants preferred were press-rotate(80.0%), press-walk(35.56%) and press-rolling(31.11%). The effectiveness of nursing practice scored $3.99{\pm}1.97$ out of 5. Nurse-Patient Relationship and effective response of nursing intervention ranked the highest 4.31. Conclusion: Hand reflexology was considered as an effective nursing intervention in the clinical settings, but in order to evaluate re-verifies and reliances for this effects, it is necessary that comparative studies should be conducted.

• Physical Therapy Rehabilitation Science
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• v.9 no.2
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• pp.105-112
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• 2020

Objective: To investigate the effects of training using a trunk control robot (TCR) system combined with conventional therapy (CT) on balance and gait abilities in persons with chronic stroke. Design: Two-group pretest-posttest design. Methods: Thirty-five subjects with chronic stroke were randomly assigned to either the TCR group (n=17) or the trunk extension-training (TET) group (n=18). Both groups performed CT for 30 minutes, after which the TCR group performed TCR training and the TET group performed trunk extension training for 20 minutes. Both groups performed the therapeutic interventions 3 days per week for 6 weeks. Balance ability was evaluated using the Berg Balance Scale (BBS), and the Timed Up-and-Go (TUG) test. Gait ability was measured using the 10 m Walk Test (10MWT) and the NeuroCom Smart Balance Master. Results: TCR group showed significant improvements in static balance (weight bearing) and dynamic balance (weight shifting speed, weight shifting direction, BBS, and TUG), 10MWT, gait speed, and step width (p<0.05); step length was not significant. The TET group showed a significant partial improvement of dynamic balance (weight shifting speed, weight shifting direction, BBS, and 10MWT (p<0.05), but the improvements in static balance, TUG, gait speed, and step width and step length was not significant. Additionally, significant differences in static balance, dynamic balance (weight shifting speed, weight shifting direction, BBS, and TUG), 10MWT, gait speed, and step width were detected between groups (p<0.05). Conclusions: TCR training combined with CT is effective in improving static and dynamic balance, as well as gait abilities in persons with chronic stroke.

• PNF and Movement
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• v.15 no.1
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• pp.77-84
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• 2017

Purpose: This study aimed to investigate the effect of visual feedback training-for gradual weight shift in sit-to-stand training-on the balance and walking abilities of chronic hemiplegia patients. Methods: Twenty patients with chronic hemiplegia volunteered to participate in this study. The experimental group received visual feedback for gradual weight shift in the sit-to-stand training, while the contrast group followed the standard process for the sit-to-stand training. The evaluation of the balance and walking ability was conducted with the functional reach test (FRT), Berg balance scale (BBS), five time sit-to-stand (FTSTS) test, timed up and go (TUG) test, 10 m walk test (10MWT), balancia, activities-specific balance confidence (ABC) scale, and falls efficacy scale (FES). Results: In the results before and after intervention, there was a significant difference in TUG, 10MWT, ABC, and FES in the visual feedback training group (p < 0.05). In the control group, there was a significant difference in the 10MWT and ABC (p < 0.05). Also, in the evaluation of the postural fluctuations, the control group data showed a significant increase in Covar. The visual feedback group showed a significant difference in the W average. Conclusion: The visual feedback training group showed some improvement in terms balance and walking ability and on the ABC scale and FES. Therefore, if the diagonal progressive weight bearing exercise is combined with the various patterns and basic principles of PNF, it may be a more efficient intervention method.

• The Journal of Korean Society for School & Community Health Education
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• v.15 no.3
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• pp.55-65
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• 2014

Objectives: This study aims to develop a decent sallimyok program and provide basic data which are helpful in improving psychological wellbeing for adults who are exposed to stress and fatigue. Methods: Middle-aged women living in Cheongju, Chungbuk were divided into experimental and control groups (10 people each) through convenience sampling, and a questionnaire survey on psychological wellbeing was distributed to them and collected. For data analysis, IBM/SPSS 20.0 was used. In terms of statistical analysis, a reliability test (Cronbach's ${\alpha}$) was conducted. To test research questions 1 and 2, independent t-test and paired sample t-test were carried out. Results: First, a sallimyok program features meditation (floor-sitting, slow walk), forest therapy, stretching exercise, wrapping-up and sharing feelings. Second, it was confirmed that a sallimyok program has a positive effect on the improvement of psychological wellbeing and the depression for women. Conclusions: The sallimyok program improved participants' psychological wellbeing, which means that it could reduce their anxiety and stress.

• Journal of The Korea Institute of Healthcare Architecture
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• v.24 no.4
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• pp.27-35
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• 2018

Purpose: The diverse users and the increase of power wheelchair users have made it difficult to apply the standards of Wheelchair user accessible toilet rooms for the existing law and BF-certification. To address these issues, the standards of the relevant laws have been improved (Ministry of Health and Welfare, 2018), but there are still many problems. In this study, problems with the standards for Wheelchair user accessible toilet rooms in Korea are analyzed by comparing national and international standards. In addition, improvements to standards for Wheelchair user accessible toilet rooms will be suggested. Method: It presents improvement for standards of Wheelchair user accessible toilet rooms by comparing national, international standard and standards of many countries. Korean standard, International Standard(ISO 21542), American Standard(ADA Standards), German Standard(DIN 18040-1), Austrian Standard($\ddot{O}NORM$ B 1600) and Swiss Standard(Norm SIA 500) were investigated and analyzed. Results: Korea's standards differ from the ISO and the Standards of other countries in many ways, so there is a need for realignment. Specifications for disabled toilets and clear criteria for the size, shape, and location of sanitary appliances in toilets that are practically available to wheelchair users should be provided. Considering the increasing number of disabled toilet users, the installation of various disabled toilet rooms should be considered considering the user characteristics of those who can walk and wheelchair users. Implication: Recent partial improvements to relevant laws cannot meet the requirements of various users. Therefore, comprehensive and clear standard should be presented that take into account changing society and the environment.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.38 no.6
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• pp.979-990
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• 2018

The main purpose of this study is to discriminate the pedestrian environment by simple calculation such as using the matrix from pedestrian level of service. However, the general use of pedestrian level of service cannot discriminate the environment of footpaths, especially in Seoul. Most of the passages in Seoul are showing level A, which means most passages are spacious, but pedestrians don't agree that passages are wide enough to walk. In conclusion, comparing the pedestrian level of service with pedestrian satisfaction in different circumstances such as use of building in lower floors. Test areas are 1,157 spots in Seoul. First, The new pedestrian level of service shows equally in all spots. Second, spots where the highest pedestrian satisfaction are mostly in level B or level C, thus planning the walkways in future, level B or level C is recommended in most cases.

• Journal of the Korea Convergence Society
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• v.12 no.2
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• pp.201-213
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• 2021

Recently, personal mobility has been spreading and using increasing, but the pedestrian environment is getting worse and accidents are also rapidly increasing. Therefore, this study conducts a status survey related to the elements of pedestrian disturbances in personal mobility and identifies the problems. The following measures are presented to improve the pedestrian environment for the mobility handicapped through expert opinion surveys. The movement of individual mobility means in the walking space is prohibited, and the speed limit shall be stipulated to enable the mobility handicapped to walk safely and conveniently. Parking spaces will have to create obstacle zones in the parking area next to the roadway or at the border of sidewalks and roads, and regulations are needed to collect illegally parked vehicles. It is necessary to switch from the existing automobile-oriented road to the road structure considering the use of low and medium-speed vehicles.

• Journal of Korean Medicine Rehabilitation
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• v.31 no.1
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• pp.149-163
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• 2021

Objectives This study is to review the effectiveness of exercise after lung cancer surgery. Methods Relevant randomized controlled trials (RCTs) were searched in PubMed database. The systematic review was conducted through flow diagram. The risk of biases were assessed through the Cochrane guideline. Characteristics and outcomes were extracted from each study. Meta-analyses of forced expiratory volume in one second (FEV1), 6-minute walk test (6MWT), quality of life (QoL), pulmonary complications were conducted. Results 14 RCTs were selected. In meta-analysis, exercise improved FEV1 (mean difference [MD] 0.14; 95% confidence interval [CI] 0.04 to 0.25; p=0.009; I2=55%) and mean change of FEV1 (MD 0.11; 95% CI 0.02 to 0.20; p=0.02; I2=0%). Exercise increased the distance of 6MWT, but there was considerable heterogeneity (MD 45; 95% CI 21.16 to 68.83; p=0.0002, I2=89%). There was no differences in QoL scores by 2 questionnaires (European Organisation for Research and Treatment of Cancer quality of life questionnaire, short form-36). Exercise reduced the duration of hospital stay (MD -3.32; 95% CI -5.27 to -1.36; I2=0%; 2 studies) but not duration of chest tube intubation (MD -1.37; 95% CI -2.81 to 0.06; I2=0%) and incidence of pulmonary complications (pooled risk ratio 0.54; 95% CI 0.23 to 1.30; I2=0%). Conclusions Exercise might reduce the duration of hospital stay after lung surgery. There was not enough evidence to prove improvement of lung function, aerobic capacity, muscle strength, QoL, and decline of pulmonary complications. Low-quality risk of bias, different units or estimation of outcome, different exercise type and duration, heterogeneity among studies make the evidence of effectiveness weak. Future researches are required to redeem these defects.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.24 no.4
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• pp.61-75
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• 2021

Roadside greenery in the city is not only a means of reducing fine dust, but also an indispensable element of the city in various aspects such as improvement of urban thermal environment, noise reduction, ecosystem connectivity, and aesthetics. However, in studies dealing with the effect of reducing fine dust through trees in existing urban spaces, microscopic aspects such as the adsorption effect of plants were dealt with, structural changes such as the width of urban buildings and streets, and the presence or absence of trees, Impact studies that reflect the actual form of In this study, the effect of greenery composition applicable to urban space on PM2.5 was simulated through the microclimate epidemiologic model ENVI-met, and field measurements were performed in parallel to verify the results. In addition, by analyzing the results of fine dust background concentration, wind speed, and leaf area index, the sensitivity to major influencing variables was tested. As a result of the study, it was confirmed that the fine dust reduction effect was the highest in the case with a high planting amount, and the reduction effect was the greatest at a low background concentration. Based on this, the cost of planting street green areas and the effect of reducing PM2.5 were compared. The results of this study can contribute as a basis for considering the effect of pedestrian space on air quality when planning and designing street green spaces.

• Journal of Korean Physical Therapy Science
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• v.28 no.3
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• pp.88-97
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• 2021

Purpose: Patients with total knee arthroplasty (TKA) have impaired balance and movement control. Exercise interventions have not targeted these impairments in this population. This study aimed to investigate the effect of complex balance exercises on unstable ground, on the gait, balance, and daily living ability of patients with total knee arthroplasty. Design: Randomized controlled trial. Methods: The participants consisted of 30 patients placed into two groups of 15 each: a experimental group (complex balance exercise) and a control group (physical therapy exercise). Both group exercise was applied for 3 times a week for 30 minutes for four weeks. Force plate for balance ability and Timed up and go (TUG) test were the primary outcome measures. The secondary outcome measures included 10-m walk test (10MWT) and the daily living ability using the Knee Outcome Survey Activities of Daily Living scale (KOS-ADL). Results: The result of this study showed that the experimental group had a significant difference in TUG and 10MWT than the control group, and balance was significantly different in CEA, CPL, and CAV. There was a significant difference in daily living ability between the experimental and control groups. This study confirms that the physical therapy with complex balance exercise on unstable surfaces has positive effects on balance, gait and daily living ability in patients with total knee arthroplasty. Conclusion: As a result of this study, complex balance exercise on unstable surface was more effective in improvement gait, balance and daily living ability in total knee arthroplasty. From this study, physical therapy with complex balance exercises on unstable ground may be proposed as and effective intervention method for improving gait, balance, and daily living ability in patients with early total knee arthroplasty.