• 대한물리의학회지
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• 제12권1호
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• pp.9-14
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• 2017

PURPOSE: To evaluate the effect of weight shift training with Hula Hoop on weight shift change and gait in stroke patients. METHODS: Ten stroke patients were enrolled in this study, and randomly divided into 2 groups. The study group underwent weight shift training with Hula Hoop, while the control group received general physical therapy that included weight shift training. All the studies were performed over a period of 4 weeks. Before and after the intervention, plantar pressure and performance in the 10 m walk test (10MWT) were assessed. Wilcoxon signed ranks test was used to compare the change from before to after the intervention in each group. The differences between the study and control groups were analyzed by using the Mann-Whitney test. RESULTS: After 4 weeks of intervention, the change in weight shift and performance in the 10MWT from before to after the experiment showed no statistical significance (p>.05). In addition, the comparison between the groups showed no significance in terms of weight-shift change, and performance in the 10MWT (p>.05). CONCLUSION: Although the difference was not statistically significant, the degree of improvement was similar to that attained with the conventional exercise treatment related to weight- shift training. During the course of the treatment, the patients received feedback through repeated training by themselves. Weight-shift training with Hula Hoop would be effective in improving the walking ability and weight-shifting on the paralyzed side of stroke patients. In the future, the effectiveness of this training would need to be validated.

• 대한물리치료과학회지
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• 제9권2호
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• pp.159-170
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• 2002

Parkinson's disease(PD) is a progressive neurodegenerative disease that affects the functioning of the basal ganglia, a brain area that contributes to the control of movement. The disease is caused by the death of nerve cells in the brain that produce dopamine, a chemical messenger. The cells affected usually produce a neurotransmitter(a chemical that transmits nerver impulses) called dopamine, which acts with acetylcholine, another neurotransmitter, to fine-tune muscle control. In Parkinson's disease, the level of dopamine relative to acetylcholine is reduced, adversely affecting muscle control. When the supply of dopamine is depleted, the function of the basal ganglia is disrupted and its ability to control movement-deteriorates. The result is that PD patients experience moderate rigidity, difficulty in initiating movements and slowness in executing them, and a rhythmical tremor at rest. Although the cause of Parkinson's disease is not known, genetic factors may be involved. About 3 in 10 people with the disorder have an affected family member. About 1 in 100 people over the age of 60 in the US have Parkinson's disease. And Parkinson's disease is slightly more common in men. The course of the disease is variable, but drags may be the best effective in treating the symptoms and improving quality of life. But, The doctor may arrange physical therapy to help with physical mobility problems. It is important to continue to exercise and take care of your general health. Try to take a walk each day. Stretching exercises can help you maintain your strength and mobility. So, This papers will serve about the information of PD for clinical physical therapist. Finally, The aim of review is increasing approach method and technique for PD patients by the view of physical therapy.

• 한국조경학회지
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• 제35권3호
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• pp.1-12
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• 2007

This study aims to examine the existing conditions of elderly housing facilities and to understand the characteristics and types of outdoor living environments utilized by the elderly. To achieve this, this study relied on two methods: a descriptive method of researching publications and related scholastic writings, and an empirical study that included a survey of present conditions and interviews with the elderly and their nursing care providers. Additionally, evaluation of usage patterns and physical traces were carried out in twelve cases. First, the study showed that all of the facilities, which are fixed in particular areas, had difficulty providing spatial diversity that met the needs of residences. This means that these areas lack flexibility. Activity programs were, however, carried out in a lively manner in well-equipped spaces. Second, an evaluation of outdoor living environments showed that basic facilities were more than adequate, in general. Consideration of resident's physical strength and taste, however, was evaluated as low, indicating that facilities and spaces should be considered to reflect the ages, physical capacity, diverse tastes and hobbies of the elderly, as well. Third, examining the usage patterns of outdoor living activities of residents, the purposes of using outdoor spaces of elderly housing facilities were mainly 'to take a walk' and 'to engage in simple physical exercise' and the walkway, simple sports facilities, and building entrances were highly utilized. The importance of outdoor living environments values was a mean of 4.07 and satisfaction was 4.17. This indicates that residents thought that outdoor living environments are very important and currently satisfied with them.

• 한국콘텐츠학회논문지
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• 제20권9호
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• pp.503-510
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• 2020

본 연구는 금연을 통한 혈압조절이 중요한 고혈압 환자군과 정상 혈압군을 대상으로 각각의 금연의사와 관련된 요인을 파악하고 비교하기 위한 이차자료 분석 연구이다. 2010년부터 2018년까지 1,981명(고혈압 환자군 407명, 정상 혈압군 1,574명)을 대상으로 분석하였다. 교차분석에서 유의한 변수에 대한 다변량 로지스틱 회귀분석을 실시한 결과 고혈압 환자에서의 유의한 변수는 결혼상태, 교육수준, 주관적 건강상태, 최근 1주일간 한번에 적어도 10분 이상 걸은 날수이었으며, 정상 혈압군에서는 흡연량으로 두 군에서 차이를 보였다. 흡연자의 고혈압 여부 등 대상자의 특성에 따른 맞춤형 관리와 금연교육을 통해 효과를 높일 필요가 있으며, 심뇌혈관질환 등 이차적 질환으로의 발생이 가능한 고혈압 환자군 우선의 집중 교육을 통해 금연의사를 높여야 할 것이다.

• 대한정형도수물리치료학회지
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• 제8권2호
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• pp.73-87
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• 2002

Parkinson's disease(PD) is a progressive neurodegenerative disease that affects the functioning of the basal ganglia, a brain area that contributes to the control of movement. The disease is caused by the death of nerve cells in the brain that produce dopamine, a chemical messenger. The cells affected usually produce a neurotransmitter(a chemical that transmits nerver impulses) called dopamine, which acts with acetylcholine, another neurotransmitter, to fine-tune muscle control. In Parkinson's disease, the level of dopamine relative to acetylcholine is reduced, adversely affecting muscle control. When the supply of dopamine is depleted, the function of the basal ganglia is disrupted and its ability to control movement deteriorates. The result is that PD patients experience moderate rigidity, difficulty in initiating movements and slowness in executing them, and a rhythmical tremor at rest. Although the cause of Parkinson's disease is not known, genetic factors may be involved. About 3 in 10 people with the disorder have an affected family member. About 1 in 100 people over the age of 60 in the US have Parkinson's disease. And Parkinson's disease is slightly more common in men. The course of the disease is variable, but drugs may be the best effective in treating the symptoms and improving quality of life. But, The doctor may arrange physical therapy to help with physical mobility problems. It is important to continue to exercise and take care of your general health. Try to take a walk each day. Stretching exercises can help you maintain your strength and mobility. So, This papers will serve about the information of PD for clinical physical therapist. Finally, The aim of review is increasing approach method and technique for PD patients by the view of physical therapy.

• 한국주거학회논문집
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• 제26권6호
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• pp.17-25
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• 2015

Since 1997, Dr. Shin-ya Nishimura has been developing an actual town planning project named the "Gangi Project". Students, inhabitants and local professionals walk around Omotemachi, examine the characteristics of the environment and the inhabitants' way of life, discuss plans and designs for traditional wooden arcades called locally "gangi". Students and inhabitants build the gangi together every year. The purpose of this study is to clarify how an experimental project aiming to preserve a living environment obtains sustainability as an actual town planning exercise. The research hypothesizes that sustainable town planning should include strategies for financial autonomy, active participation of inhabitants, supports from local professionals, an acceptance of changing environments, and responsible construction. The project has been carried out as a part of actual town planning, and continues to create a daily living environment based on the recent economical and industrial situation of the town. By focusing on the influences of the project on the town and inhabitants, the study has revealed the possibility of an actual town planning with small budget, and importance of a collaborative relationship with various participants in order to foster a sense of responsibility regarding the construction. The project also highlights the implication that sustainable town planning creates not only a participatory system but also a collaborative one in which participants take responsibility for the issues involved in the construction process.

• PNF and Movement
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• 제15권3호
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• pp.253-257
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• 2017

Purpose: This study was conducted to predict the risks that arise while standing on mediolateral ramps at various ramp angles by identifying the ratio of medial to lateral gastrocnemius muscle activities. Methods: The subjects were 20 healthy adult men. Seven mediolateral ramp angles ($0^{\circ}$, $2^{\circ}$, $5^{\circ}$, $10^{\circ}$, $15^{\circ}$, $20^{\circ}$, and $25^{\circ}$) were applied for the experiment. The ratio of medial to lateral gastrocnemius muscle activities in each condition was measured using electromyography, and the measured data were converted to root mean square values to calculate the activity ratios. Results: The study results showed statistically significant differences in the ratio of mediolateral gastrocnemius muscle activities according to the selected mediolateral ramp angles. The results of a post hoc test confirmed that the multifidus muscles were asymmetrically used on the two sides at mediolateral ramp angles of $5^{\circ}$ or higher. Conclusion: This study found that an asymmetric use of the multifidus muscles began at a mediolateral ramp angle of $5^{\circ}$, and the provision of propulsion using the ankle joints on mediolateral ramps at $5^{\circ}$ or steeper was maneuvered differently from that on flat ground. This suggests that individuals with balance control disorder have the risk of falling due to ankle sprains and unstable balance control. Therefore, patients and elderly people are required to exercise caution when crossing $5^{\circ}$ or steeper ramps.

• PNF and Movement
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• 제15권3호
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• pp.317-331
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• 2017

Purpose: Balance and walking ability are important elements of functional independence for people with stroke and are major goals in rehabilitation. These abilities require trunk performance, but most chronic stroke patients reach a plateau in their rehabilitation. Therefore, the purpose of this study was to investigate the effects of a self-training trunk program to improve balance and walking ability in people with stroke, and to suggest such a self-training program for integrated rehabilitation of people with stroke. Methods: The study recruited 7 people with stroke. The subjects performed trunk training for 30 min per day, 6 days per week, for 3 weeks. Participants were measured on the Trunk Impairment Scale (TIS), the Berg Balance Scale (BBS), the Korean Activities-specific Balance Confidence (K-ABC) scale, the Falls Efficacy Scale (FES), the Functional Gait Assessment (FGA), the 6 Minute Walk Test (6MWT) and a gait analysis to measure the training effects. Statistical analysis used the Wilcoxon signed-rank test as a non-parametric statistical test. Results: TIS was not significantly different after the self-training trunk program, but BBS (p>0.05), K-ABC, and FES were significantly improved after the training program (p<0.05). Furthermore, the 6MWT, stride/height %, and one-leg stance were significantly improved after the training program (p<0.05), but cadence, stance, and swing duration were not significantly different after the training (p>0.05). Conclusion: These results suggest that a self-training trunk program should be integrated into stroke rehabilitation to improve balance and walking ability, and further research is needed to develop the program to be more effective for chronic stroke patients.

• 한국지역사회생활과학회지
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• 제23권1호
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• pp.17-30
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• 2012

This study is targeted on children's parks in Seogu, Daejeon with the goal of maximizing the usage and versatility of existing parks in the area by the survey and analysis of the general status of children's parks, land use near the parks, population, users, and traits of usage. For the purposes of this thesis this study has selected 65 of the children's parks in the Seogu District to monitor. It also focused on a number of these parks located in areas which underwent a lot of changes and needed an increase in usage and versatility. Based on the selection criteria, the four target parks, Wojeong, Meongwhack, Dosan and Wicdunjimi children's park were selected. The Survey shows that 55.9% of park visitors visited a park to 'rest and take a walk' and used 'main facilities' meaning resting facilities like pergola and benches. In the nighttime, the number of park visitors is so few because of safety problems. 50% of users were satisfied with parks. It shows that there are many respondents who want to recompose these parks as places for light exercise, resting, meeting, and as community symbols. Generally, these target parks don't reach their full potential and they also do not play their proper roles because they are hampered by the constriction of the law. These stick to an outdated idea of what a park should be like without considering the actual and practical needs of city dwellers. When it comes to the remodeling and refurbishing of these parks we have to rethink the planning process so that these parks may be more versatile and practical in order to accommodate the radical changes of users and patterns of usage.

• 대한물리의학회지
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• 제13권2호
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• pp.137-145
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• 2018

PURPOSE: The purpose of this study was to investigate the effect of action observational physical training with rhythmic auditory stimulation on muscle activity and gait ability in patients with stroke. METHODS: Twenty-six chronic stroke patients participated in this study were assigned into three groups, experimental group 1 (10% faster tempo rhythmic auditory stimulation with action observation training) n=8, experimental group 2 (average tempo rhythmic auditory stimulation with action observation training) n=9, and control group (action observation training) n=9. In this experiment, the corresponding exercise were applied into the subjects of three group for 30 minute a day, 3 time a week during 4 weeks. All participants were measured to muscle activity of lower limb, 10 meter walking test, Figure of 8 walk test, Dynamic gait Index. The collected data were analyzed by using SPSS (version 18.0 for window) and verified that each data was a normal distribution based on Shapiro-Wilk test. Between-group and within-group comparison was analyzed by using One-way ANOVA test, Paired t-test respectively. In all statistical analyses, significance level, ${\alpha}$ was set by .05. RESULTS: The above results revealed that the all experimental group 1 and experimental group 2 and control group were all effective to improve the lower limb muscle activities, gait ability. However more positive effects shown action observational physical training with rhythmic auditory stimulation experimental group. CONCLUSION: This study suggest that action observation physical training with rhythmic auditory stimulation is effective intervention for improvement of muscle activity and walking ability in chronic stroke patients.