• 대한물리의학회지
• /
• 제13권4호
• /
• pp.105-112
• /
• 2018

PURPOSE: Strengthening training is effective at improving the function of stroke patients. This study was conducted to compare the effects of exercise intensity on walking, balancing ability, and blood glucose in stroke patients with type 2 diabetes mellitus and to suggest more effective exercise intensity for stroke patients. METHODS: Twenty-two patients with type 2 diabetes mellitus were divided into an experimental group (n=11) and a control group (n=11). In the experimental group, a 40-70% strength of 1RM exercise program was applied for 40 minutes a day, three times a week for 4 weeks. The control group received a 50% intensity of 1RM for the same number and duration of interventions as the experimental group. RESULTS: Both the experimental group and the control group showed significant improvement in the gait function, balance ability, and blood glucose level after the intervention compared to before the intervention. In the FGA (functional gait assessment), the experimental group showed a 52.4% greater increase than the control group, and the fasting blood glucose level was 16.7% greater in the experimental group than the control group. CONCLUSION: The strengthening exercise program, which gradually increases exercise intensity, seems to be effective at improving the function of stroke patients with type 2 diabetes.

• 대한의용생체공학회:의공학회지
• /
• 제42권5호
• /
• pp.225-231
• /
• 2021

The purpose of this study was to investigate the effect on the activity of the upper trapezius and erector spinae according to the length difference of the backpack using electromyogram (EMG). We also conducted a study comparing the center of pressure (COP) and weight distribution before and after using Wii® balance board. Thirty individuals were randomly assigned to the experimental group (n=14) wearing a backpack with a short right strap length and a control group (n=16) wearing a backpack with the same strap length. Data were collected by dividing into groups, carring a 15% weight backpack and walking for 20 minutes on a treadmill. As a result of analyzing the EMG data, there was no significant change in the upper extremity muscle activity of the control group, but it was significantly decreased in the right upper trapezius activity of the experimental group (p<0.05). In addition, there was a significant change of COP in the experimental group (p<0.05), but there was no significant difference of the weight distribution in both groups. Recognizing mechanical changes in the body that may occur due to the asymmetry of the strap length is thought to be helpful for systematic ergonomic intervention according to changes in the external environment in the future.

• 대한간호학회지
• /
• 제52권3호
• /
• pp.341-358
• /
• 2022

Purpose: This study examined the effects of a person-centered fall prevention program for older adults with dementia in long-term care hospitals. Methods: A nonequivalent control group pretest-posttest design was used. The study sample included 42 older adults with dementia (experimental group: 21, control group: 21) and 42 caregivers (experimental group: 21, control group: 21). The program comprised 48 sessions held over 12 weeks and included exercise intervention with resistance and balance, dance walking (45~60 min, three times/week), cognitive and emotional intervention (35~50 min, once per week), and person-centered fall prevention education (10 min, once per week). The program for caregivers consisted of six educational sessions (i.e., fall prevention competency enhancement and person-centered care strategy education, 80 min, once per week) for six weeks. Data were collected before participation and 12 weeks after program completion from February 18 to May 12, 2019. Data analysis was conducted using the chi-square test, t-test, and Mann-Whitney U test with SPSS/WIN 21.0. Results: The experimental group of older adults with dementia showed significant improvement in physical and cognitive functions, and a decrease in depression, and behavioral and psychological symptoms, when compared with the control group. caregivers in the experimental group exhibited significant improvement in fall-related knowledge and person-centered care of older adults with dementia compared to the control group. Conclusion: The study findings indicate that this program was effective as a nursing intervention for fall prevention among older adults with dementia in long-term care hospitals.

• 대한통합의학회지
• /
• 제10권4호
• /
• pp.165-173
• /
• 2022

Purpose : This study was conducted to apply a 12-week resistance exercise program to obese elderly people with sarcopenia and verify the risk factors of sarcopenia and metabolic syndrome as well as the effects of this program on improving muscle function, and thus to serve as basic data for preventing and improving sarcopenia. Methods : Forty elderly people aged 65 or older were recruited and underwent dual energy x-ray absorptiometry. Based on the criteria of appendicular skeletal muscle mass (ASM/Height²: less than 5.4 kg/m²) and body fat percentage (at least 30 % for women and 25 % for men), 18 obese elderly people with sarcopenia were finally selected after excluding 22 elderly people who did not meet the criteria. Variables related to sarcopenia, metabolic syndrome, and muscle function were measured before the 12-week resistance exercise program. Results : The 12-week resistance exercise program significantly increased the bone density and muscle mass and decreased the fat mass and fat percentage in obese elderly with sarcopenia. The 12-week resistance exercise program significantly increased the HDL-C and decreased the LDL-C and waist circumference in obese elderly people with sarcopenia (p<.05). The 12-week resistance exercise program significantly increase grip strength, static balance, and 6-minute walking in obese elderly people with sarcopenia (p<.05). Conclusion : Accordingly, resistance exercise is considered a way to reduce the exorbitant medical expenses of patients who are bedridden for long and improve the lowered quality of individuals in a super-aged society.

• 대한감각통합치료학회지
• /
• 제20권3호
• /
• pp.1-13
• /
• 2022

목적 : 본 연구는 체성 실행장애가 있는 학령기 아동에게 개별 맞춤 감각통합 중재가 체성 실행과 작업수행 능력에 미치는 효과에 대해 알아보고자 한다. 연구방법 : 단일대상연구의 A-B설계를 적용하여 총회기는 11회기로 기초선 3회기와 중재는 8회기로 구성하여 실시하였다. 중재 전후 효과 비교를 위해 수행영역과 수행 요소로 나누어 측정하였으며, 매회기마다 중재 후 목표 활동(배와 위 굴곡 자세, 손수레 걷기, 밸런스 볼에서 우세 발로 서있기)의 목표 달성 척도를 시행하였다. 결과 : 연구에 참여한 아동은 중재 전·후 수행영역과 수행 요소에서 전반적인 향상을 보였으며, 회기별 중재 후 목표 활동 측정 시 목표 달성 척도가 증가한 것을 확인할 수 있었다. 결론 : 고유감각, 전정감각, 촉각을 중심으로 구성된 감각통합 중재가 체성 실행장애 아동의 목표 활동 수행 및 또래와의 관계 개선에 긍정적인 효과가 있는 것으로 나타났다.

• 대한한방내과학회지
• /
• 제44권4호
• /
• pp.757-764
• /
• 2023

Background: Vestibular neuritis is a common cause of acute unilateral peripheral vestibulopathy. Vestibular neuritis is the second most common disease among patients with dizziness. Clinical symptoms of vestibular neuritis include the sudden onset of vertigo with spontaneous nystagmus, unsteady gait, nausea, and vomiting that last from days to weeks. However, even after the vertigo disappears, difficulty maintaining balance while walking may persist for weeks to months. Antihistamines, serotonin receptor blockers, and benzodiazepine vestibular suppressants are widely used as symptomatic treatments to reduce the severity of symptoms that occur in the acute phase. Case Summary: A patient diagnosed with acute vestibular neuritis was treated with acupuncture, moxibustion, and herbal medicine. We used the visual analog scale (VAS) to assess each symptom and the vertigo score to observe the effect of treatment. After treatment, the VAS scores for each symptom and the vertigo score decreased, and the severity of nystagmus was reduced. Conclusion: This study suggests that Korean medicine treatments, including Samchulgunbi-tang-gagam, could be effective in improving the clinical symptoms of vestibular neuritis.

• 대한물리의학회지
• /
• 제19권2호
• /
• pp.17-28
• /
• 2024

PURPOSE: This study was conducted to investigate the effect of gluteal muscle strengthening exercises (GMSE) with ankle joint pumping exercises (AJPE) on thigh swelling, gait ability, and pain level in patients who underwent total hip arthroplasty. METHODS: A total of 38 patients who had undergone total hip replacement surgery >1 week prior participated in this study. Participants were randomly assigned to a group that performed only GMSE (CG; n = 19) and a group that performed GMSE and AJPE (EG; n = 19). The CG group performed GMSE for 30 min, and the EG group performed GMSE for 30 min followed by AJPE for 15 min. Exercises were performed five times a week, for a total of 20 times over 4 weeks in both groups. Thigh swelling (thigh size), 10 m walking test (10MWT) and timed up and go test (TUG) results, pain level (visual analogue scale, VAS) scores, Short Form 36 health survey (SF-36), and hip outcome scale (HOS) scores were evaluated before and after the intervention. RESULTS: After 4 weeks of intervention, significant differences were observed in the thigh size, 10MWT, TUG, VAS, SF-36, HOS before and after intervention in both groups (p < . 05). However, only thigh size showed a significant interaction between group and measurement time (p < . 05). CONCLUSION: GMSE combined with AJPE might be effective in improving the gait ability and pain level in patients with total hip arthroplasty, and GMSE may be more effective in improving thigh swelling and gait ability than GMSE without AJPE.

• 대한한방내과학회지
• /
• 제35권1호
• /
• pp.12-23
• /
• 2014

Objectives : The purpose of this study was to report possibility of acupuncture or moxibustion for the treatment of Parkinson's disease (PD) by reviewing literature about its effectiveness. Methods : In this review, PubMed, SCOPUS, Science Direct and CINAHL of EBSCOhost were used to search medical journals, using keywords "Parkinson's disease and acupuncture" and "Parkinson's disease and moxibustion". The search range included randomized controlled trials (RCT) about Parkinson's disease combined with another disease and other treatments with acupuncture or moxibustion. Non-randomized controlled trial (nRCT), case study, animal experiment, human experiment, review, survey, essay, letter, and protocol for review were excluded. Results : From 311 studies, 111 were selected during the title and the screening. Finally, 16 RCTs (15 for acupuncture research and one for moxibustion) were included in this review, after scanning and matching the inclusion and exclusion criteria. The number of patients varied between 5 and 88. A total of 12 studies using electroacupuncture (EA) were classified into acupuncture studies. The body acupuncture studies numbered 4, scalp acupuncture 4, body and scarp acupuncture mixed studies 4, and bee venom, ear and abdomen acupuncture were each one study. In evaluation methods, total effective rate method was used in 9 studies, the Unified Parkinson's Disease Rating Scale (UPDRS) was used in 8, and the Webster score in 2. In addition, the Berg balance scale (BBS), 30 m walking time, steps to walk 30 m, PD motor function score, and Motor Performance Series by Schoppe (MLS) method were used for evaluation. In 15 of the 16 studies, the verum acupuncture group showed significant improvement compared with the control. In 9 studies using total effective rate method, the effective rate was reported as 80.0-97.3% in verum acupuncture groups and 52.6-86.4% in controls. Conclusions : Acupuncture may be a plausible alternative method to care for the long term symptoms and treat movement impairment of Parkinson's disease. However, to confirm this result, high quality studies including randomized, placebo-controlled double-blind trials are warranted.

• 한국조경학회지
• /
• 제49권2호
• /
• pp.101-112
• /
• 2021

도시재생이라는 화두와 관련하여 전통시장에 대한 환경개선의 노력이 지속되고 있다. 특히, 주차공간의 미비는 많은 구도시와 재래시장이 겪고 있는 문제이다. 이에 대한 해법으로 기존 도시계획시설을 입체화하여 지하 주차공간을 마련하고, 그 상부를 더 의미 있는 공간으로 활용하려는 시도가 이어지는 추세이다. 본 연구는 대구광역시 수성구 신매동 571번지 완충녹지에 지하 주차장을 조성하면서 상부의 완충녹지를 공원화하는 기본계획안에 대한 기록이다. 대상지를 도심녹지로서의 기능을 유지하며 생태적으로 보존되어야 할 '방어적인 녹지'와 시장으로의 보행 흐름과 이벤트가 집중되는 '적극적인 활동 공간'이라는 이중적인 가치를 지닌 공간으로 정의하고, 이 가치의 균형을 맞출 수 있는 구체적인 설계전략 세가지를 제시하였다. 첫째, 사람의 무분별한 점용과 훼손을 방지하고, 건강한 식생환경을 유지하기 위해 분절되지 않은 최대한의 녹지면적을 확보한다. 둘째, 좁고 긴 대상지의 형태적 특성을 극복할 수 있는 공간배치와 지형 및 식재계획으로, 풍부한 녹색공간의 체험을 가능하게 한다. 셋째, 다양한 도시의 문화활동을 집중적으로 수용할 수 있으며, 신매시장, 고산도서관 등 인근 도시 시설과의 연결을 강화할 수 있는 공간을 제공한다. 본 연구는 도시기반시설의 입체화 계획시 조경적 접근방법의 담론을 확장하는 데 목적을 두며, 향후 유사한 맥락을 가진 도시재생 프로젝트에 시사점을 제공하는 데 학술적 의의가 있다.

• 융합정보논문지
• /
• 제9권8호
• /
• pp.140-147
• /
• 2019

본 연구의 목적은 비보이들이 선호하는 기존 신발 5종류를 대상으로 인간공학적 사용성 평가를 통하여 최적신발제작을 위한 생체역학적 변인을 규명하는 것이다. 실험대상자는 전문가 10명, 비전문가 10명이 참가하였고, 자료획득을 위하여 적외선카메라 12대(Qualisys, Oqus), 지면반력기(Kistler, 9286AA)와 족저압력기(Zebris Gmbh, Zebris PDM-System)를 사용하였다. 연구결과는 다음과 같다. 첫째, 접지능력과 안전성 면에서 마찰계수 0.38, 자유모멘트가 $0.32N{\cdot}m/kg$인 P사 신발이 바람직하다. 둘째, 쿠션면에서 충격량이 숙련자, $2.51N{\cdot}m/kg$과 비숙련자, $2.86N{\cdot}m/kg$인 N사 신발이 적절한 것으로 나타났다. 셋째, 보행균형성은 전족부의 평균 족저압력이 10.11 KPa(우측), 10.05 KPa(좌측)인 C사 신발, 후족부의 평균 족저압력이 8.40 KPa(우측), 8.36 KPa(좌측)인 V사 신발 적정하다고 판단된다. 결론적으로 접지능력과 안전성은 P사, 쿠션면은 N사와 보행 균형성은 C사와 V사 신발들의 구조와 재질을 조합한 신발을 개발하여야 한다.