• The Journal of Korean Physical Therapy
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• v.26 no.4
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• pp.262-268
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• 2014

Purpose: This study was conducted in order to measure fatigue as an objective index, depression and health-related quality of life of patients with COPD in daily life, to understand the correlation between them, and to present reasons for using the results clinically. Methods: This study is intended to evaluate and compare depression, the health-related quality of life of each group after measuring lactic acid levels of 39 male patients with COPD, and dividing those with measurement values than the normal value into the experimental group, and those with normal values into the control group. Results: When comparing depression between the experimental group and the control group, it was measured at 10.38 in the experimental group, and at 7.00 in the control group (p<0.05). Health-related quality of life between the experimental group and the control group was measured at 51.8 in the experimental group, and at 48.67 in the control group (p>0.05). Conclusion: According to the results described above, it appears that patients with COPD have adapted to their disease in some degree for a long period of time, and they are physically and psychologically adjusting to the fatigue they experience, in their own ways of adapting. These results imply that improving physical activity is associated with relief of fatigue and improvement of the quality of life. Thus, there is a need for developing and researching an exercise program and a physical therapy intervention for enhancement of physical activity.

• Journal of International Academy of Physical Therapy Research
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• v.2 no.2
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• pp.281-287
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• 2011

This research was attempted to seek for a positive approach within the framework of physical therapy instead of the drug treatment in the past, with regard to the ischemic brain injury in the early stage. Accordingly, the aim of this research is to observe the change of HSP27 and HSP70, the genes that are expressed in the early stage of brain injury and to investigate the effects of needle electrode electrical stimulation(NEES), upon applying NEES after ischemia. The experimental method is to give rise to global ischemia and apply NEES to 27 SD-Pat rats with the particulars of being eight-week-old, male, around 300g, and adapted to laboratory environment for more than a week, and divide them into three groups, that is, GV20 NEES group(n=9), L14 NEES group(n=9), no applied NEES global ischemia(GI) group(n=9), and then observe their changes of HSP27 and HSP70 at the time lapse of 6, 9 hr and 12 hr after ischemia, using immunohistochemistry methods. Upon observing through the immunohistochemistry method, it was noticed that there was a significant difference between the GV20 NEES group and the L14 NEES group as for HSP27 and there were significant differences among all groups as for HSP70(p<.05). Accordingly, it is supposed that the application of NEES after the outbreak of cerebral ischemia delay the apoptosis in the early ischemic part of forebrain or protect neurons against apoptosis.

• Physical Therapy Korea
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• v.1 no.1
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• pp.75-82
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• 1994

The purpose of this study is to determine cardiovascular reponses to concentric, eccentric and isometric exercise applied to the knee extensor muscle group. Exercise types studied were concentric, eccentric and isometric. The subjects were sixty healthy male volunteers who had no hypertension or cardiac disease. Heart rate, systolic and diastolic blood pressure were recorded prior to starting exercise. The subjects also performed 10RM on right lower extremity. A N-K table was used for three exercises to right knee extensors. Each exercise was selected randomly and applied to each subject 10 times in a 10 second. After each exercise, heart rate, systolic and diastolic blood pressure were recorded immediately. Findings were as follows concectric contractions had a greater effect on the increase of systolic blood pressure and heart rate than eccentric or isometric contractions. Diastolic blood pressure is influenced only by isometric contractions. Eccentric contractions have less effect on the increase of systolic blood pressure and heart rate than concentric or isometric contractions. We hope that the results of this experiment can be adapted to exercise programs for patients with cardiac disease.

• Journal of the Korean Society of Radiology
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• v.6 no.2
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• pp.83-91
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• 2012

The obesity is a medical condition in which excess body fat has accumulated to the extent. It may have an adverse effect on health, leading to reduced life expectancy and increased health problems such as lifestyle disease, hypertension, and diabetes. Furthermore, it may cause the mental illness such as depression, bipolar disorder, anorexia, hyperphagia, and so on by shrinking psychologically. So, it is regarded as the serious worldwide social problem. Recently, although there are many general obesity care methods with various approaches, these can't be the radical obesity care because of the side effects such as surgery aftereffect, drug addiction, and so on. For these reasons, a methodical approach with a consideration of individual obesity pattern is strongly demanded. In this study, complex obesity care and management system which is overcome the weakness of non-surgical obesity treatment is proposed. And the individually adapted obesity treatment system with the far-infrared therapy module, oxygen therapy module, color therapy module, and microwave therapy module was developed. The complex obesity treatment system which is proposed in this study, could improve the efficiency of treatment by suggesting the various treatment protocols. And proposed system could be the foundation of the high quality obesity treatment system.

• Journal of Korean Academy of Nursing
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• v.49 no.4
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• pp.472-485
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• 2019

Purpose: This study aimed to develop and evaluate the effectiveness of an adapted health literacy self-management intervention for elderly cancer patients undergoing chemotherapy. Methods: The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol and was based on Fransen et al's causal pathway model. A quasi-experimental trial was conducted on a total of 52 elderly patients (26 in an experimental group and 26 in a control group) undergoing chemotherapy in Korea. The intervention consisted of seven sessions over 5 weeks. The experimental tool for this study was an adapted health literacy self-management intervention, which was designed to promote a reduction in the symptom experience and distress of elderly cancer patients through the promotion of self-management behavior. To develop efficient educational materials, the participants' health literacy was measured. To educate participants, clear communication and the teach-back method were used. In addition, for the improvement of self-efficacy, four sources were utilized. For the promotion of self-management behavior, five self-management skills were strengthened. Data were collected before and after the intervention from June 4 to September 14, 2018. The data were analyzed with SPSS/WIN 21.0. Results: Following the intervention, self-management knowledge and behavior and, self-efficacy significantly improved in experimental group. Symptom experience and distress decreased in the experimental group compared to the control group. Conclusion: The self-management intervention presented in this study was found to be effective in increasing self-management knowledge and behavior and, self-efficacy, and ultimately in reducing symptom experience and distress for elderly patients undergoing chemotherapy.

• The Journal of Korean Medicine
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• v.16 no.1 s.29
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• pp.96-117
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• 1995

1. The Pung(風) is the necessary power for growth and maintenance of life. 2. The characteristics of the Pung(風) is the Yang evil, the features for opening and excretion, mobility and rapid change. That is the major cause of all diseases, and its mobility is the main character. 3. Jung Pung(中風) is the same concept of apoplexy in Western medicine. 4. Jung Pung(中風) is classified on the basis of pathology, anatomy, and histology in Western Medicine, but In Oriental Medicine that is classified on the basis of symptom and severity of disease. 5. In Western Medicine, Jung Pung(中風) was regarded as the local cause of disease, but in Oriental Medicine regarded as the physiological changes caused by the weakness of the whole body. 6. In the emergency care, the method of GaeKeum is compared to Levin tubing, the method of to the use of urokinase for the promotion of cerebrovascular circulatio, and the method of To(吐法) to suction for the elimination of Dam(痰), the method of Hun(熏法) to the use of solution for the improvement of circulation. 7. With the comparison of the cause and diagnosis, the hemorrhagic disease and infarction were regarded as the major agents in Western Medicine and the symptom appeared in the patient was the standard of diagnosis and therapy in Oriental Medicine. 8. In the Western therapy of cerebral hemorrhage, the method of coagulation and hemostasis was used for the elimination of hematoma and cerebral edema, but in Oriental Medicine, the method of YanghaelGiHael(凉血止血) was used for descending the PungHwa(風火) and hemostasis. 9. In the period of recovering injury, the physical therapy was underlined for the recovering of partial function in Western Medicine, the method of accupuncture and drug therapy was adapted for the normal function of the whole body.

• Journal of the Korean Society of Physical Medicine
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• v.5 no.3
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• pp.301-312
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• 2010

Purpose : The purpose of this study was to determine Exercisely the effects of applying an Integrated Exercise Program (IEP) with the adapted use of Thera-Band exercise sets to Korean seniors on their improvement in their physical strength (PS), daily living ability (ADL and IDAL). Methods : The Exercise group consisted of 30 Korean seniors of 65 years of age or older, while the control group had another 30 Korean seniors with comparable aging. The Exercise group received the IEP for 50 to 60 minutes per session, three sessions per week, for a duration of consecutive 12 weeks. Results : This confirms the beneficial effects of the IEP on their MA and PS, and their improvement in PS (p<.05), in turn, can improve their IADL (p<.05). The results of this study indicate the potentialities for IEP to help Korean seniors of 65 years or older to improve their PS, ADL and IADL. Conclusion : The IEP is within the physical and financial capabilities of Korean seniors, can be designed and modified and adjusted according to their individual physiological conditions. Sustained, regular exercises under IEP are expected to help resolve physiological issues of aging of Korean seniors.

• The Journal of Korean Physical Therapy
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• v.26 no.2
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• pp.90-96
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• 2014

Purpose: The aim of the study was to develop the Korean version of the Working Alliance Inventory (KWAI) and to assess reproducibility of both its therapist and client forms. Methods: The 12-item WAI was translated into Korean. The translation procedure followed the guidelines proposed by Beaton et al. (2000). Development of KWAI involved its translation, back-translation, and pilot testing of the pre-final version to establish Korean cultural adaptation of the original version of WAI. For test-retest reliability, therapists (N=30) and clients (N=47) completed the questionnaire on two different occasions. The interval between occasions was two to seven days, depending on subject availability. Data were collected from clinicians working in general hospitals and private clinics, and clients who had received treatment within three months. The intra-class correlation (ICC ($_{2.1}$)) was calculated for assessment of the reproducibility of the translated questionnaire. Results: The test-retest ICC ($_{2.1}$) of the client form and the therapist form was 0.92 (95%CI:0.86-0.95) and 0.94 (95%CI:0.89-0.97), respectively. Answers to items 2, 8, and 11 showed a tendency to be omitted due to ambiguity of meaning in Korean. Idiomatic expression was employed rather than word-to-word translation to have clear meaning of those items. Conclusion: The KWAI was successfully translated and adapted for applications to Korean clients and therapists, with a satisfactory level of reliability. Therefore, it can be suggested that the KWAI is useful in providing a reliable assessment of working alliance between therapists and clients.

• Physical Therapy Korea
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• v.15 no.4
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• pp.10-17
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• 2008

The purpose of this study was to determine the therapeutic effect of slope changes of the treadmill with body weight-supported training on gait characteristics in patients with hemiplegia. The volunteered subjects were divided into 3 groups based upon slope changes: control group ($0^{\circ}$ incline), $7^{\circ}$ group ($7^{\circ}$ incline), $12^{\circ}$ group ($12^{\circ}$ incline), They were trained the body weight-supported treadmill training (BWSTT) for 8 weeks. All subjects were supported up to 40% of their body weight on the treadmill training and the support was gradually decreased to 0~10% as the subjects were adapted to the training. There were significant improvements of walking velocity, step length of the affected side, the asymmetry ratio of step length in $7^{\circ}$ group (57.80 cm/s, 67.25 cm, .14), $12^{\circ}$ group (71.00 cm/s, 71.00 cm, .11) than control group (40.62 cm/s, 55.00 cm, .74) (p<.05): there were no differences between $7^{\circ}$ group and $12^{\circ}$ group in the all outcomes (p>.05). Both $7^{\circ}$ group and $12^{\circ}$ group scored higher than the control group in those outcomes and finally the effects of slopes changes of the treadmill were effective on gait characteristics of patients. But it s till remains undetermined what degree on the treadmill might be better to train the hemipareric patients. Therefore, more studies are required to look into minutely the changes of slopes of the treadmill influencing on gait characteristics.

• PNF and Movement
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• v.18 no.2
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• pp.287-296
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• 2020

Purpose: The study aims were to develop a wearable inertial sensor-based gait analysis device that uses machine learning algorithms, and to validate this novel device using temporal gait parameters. Methods: Thirty-four healthy young participants (22 male, 12 female, aged 25.76 years) with no musculoskeletal disorders were asked to walk at three different speeds. As they walked, data were simultaneously collected by a motion capture system and inertial measurement units (Reseed®). The data were sent to a machine learning algorithm adapted to the wearable inertial sensor-based gait analysis device. The validity of the newly developed instrument was assessed by comparing it to data from the motion capture system. Results: At normal speeds, intra-class correlation coefficients (ICC) for the temporal gait parameters were excellent (ICC [2, 1], 0.99~0.99), and coefficient of variation (CV) error values were insignificant for all gait parameters (0.31~1.08%). At slow speeds, ICCs for the temporal gait parameters were excellent (ICC [2, 1], 0.98~0.99), and CV error values were very small for all gait parameters (0.33~1.24%). At the fastest speeds, ICCs for temporal gait parameters were excellent (ICC [2, 1], 0.86~0.99) but less impressive than for the other speeds. CV error values were small for all gait parameters (0.17~5.58%). Conclusion: These results confirm that both the wearable inertial sensor-based gait analysis device and the machine learning algorithms have strong concurrent validity for temporal variables. On that basis, this novel wearable device is likely to prove useful for establishing temporal gait parameters while assessing gait.