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An Intervention Study for Hypertension in Small Scale Enterprises based on Transtheoretical and Ecological Model (행동변화단계이론과 생태학적모형을 적용한 소규모 사업장에서의 고혈압관리)

  • Jung, Hye Sun;Jhang, Won Gi
    • Korean Journal of Occupational Health Nursing
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    • v.15 no.2
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    • pp.153-164
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    • 2006
  • Purpose: This study aimed to develop hypertension control programs and to analyse their effects in small scale enterprises(SSE). Method: One program was based on 'Transtheoretical Model and Stages of Change' and named 'Individual Approach'. Another program was based on 'Ecological Model' added to the former theory and named 'Integrating Approach'. The target population of the programs are 33 and 34 workers each. The two intervention programs were conducted for 18 weeks after a pre-intervention survey. Immediately after the programs end, first post-intervention survey was done, and second post-intervention survey was done after 28 weeks. Results: First, at the beginning of intervention, the target workers were evenly distributed over the five stages of Transtheoretical Model. But after the intervention, all workers were found in the maintenance stage. Second, the blood pressure level was diminished in the two programs. In Individual Approach, the workers have lost systolic blood pressure by 17.3 mmHg and diastolic blood pressure by 11.8mmHg. In Integrating Approach, the workers have lost systolic blood pressure by 20.0mmHg and diastolic blood pressure by 15.0mmHg. Conclusion: Integration Approach is more favorable than Individual Approach as an intervention program of hypertension in small scale enterprises.

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Effects of Occipital Bone Stimulation by Cervical Stabilizing Exercise on Muscle Tone, Stiffness, ROM and Cervical Lordosis in Patient with Forward Head Posture: Single System Design

  • Park, Si Eun;Lee, Jun Cheoul;Choi, Wan Suk
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.2
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    • pp.989-993
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    • 2016
  • The purpose of this study was to investigate the effects of occipital bone stimulation by cervical stabilizing exercise on the muscle tone, stiffness, ROM, and cervical lordosis in patient with forward head posture(FHP). This study was a case study of a single patient with forward head posture. This study used a ABA' design, A and A' were the baseline phases and B was the intervention phase. The intervention was occipital bone stimulation by cervical stabilization exercise. It was administered once daily for 7 days. The therapist kept hands together, and placed the two index fingers under the subject's occipital bone. The subject performed the chin-in exercise with a maximum isometric contraction for 20 sec.The exercise was implemented by performing the movements 10 times as a set and repeating the set three times. The muscle tone was not significantly changed after intervention. However, the stiffness was decreased and lasted the effect lasted without intervention. The cervical flexion angle was increased, but the cervical extension angle was not significantly changed after the intervention. The left and right lateral flexion angles were increased and the effect lasted without any intervention. However, the left and right rotation angles were significantly changed after the intervention. Cervical lordosis increased not from $37^{\circ}$ to $41^{\circ}$ after the intervention. These results suggest that occipital bone stimulation by cervical stabilizing exercise had a positive effect on cervical stiffness, flexion and lateral flexion ROM, and lordosis in a patient with forward head posture.

Effects of the Contact-Relax (CR) Intervention on Pelvic Alignment in Subjects with Habitual Poor Posture (수축 이완 중재가 습관적인 나쁜자세를 가진 대상자들의 골반 정렬에 미치는 영향)

  • Kim, Jwa-Jun;Ryu, Je-Chan;Lee, Hyeon-Seung;Kim, Min-Ji;Lee, Se-Rim;Lee, Hye-Won;Im, Sol;Park, Se-Yeon
    • PNF and Movement
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    • v.19 no.3
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    • pp.303-310
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    • 2021
  • Purpose: The purpose of the present study was to investigate the effects of the contact-relax (CR) intervention on pelvic alignment in subjects with habitual poor posture. Methods: Fifteen subjects who have habitual poor posture participated in this study. The subjects received an intervention inducing pelvic posterior depression with the elevated pelvic side. Pre- and post-intervention, and two weeks after intervention, the pelvic alignment was measured with a palpation meter (PALM) and a three-dimensional diagnostic imaging system. Results: Measuring with PALM, the pelvic height and anterior tilt angle were significantly decreased immediately after and were still decreased two weeks after intervention, compared to the pre-measurement (p<0.05). Three-dimensional pelvic alignment was also significantly different between measurement points, while the pelvic position (pelvic lateral tilt) was significantly decreased after intervention (p<0.05). Conclusion: By applying the intervention generating CR on an elevated pelvis, frontal pelvic alignment can be improved.

Changes of Maximum Inspiratory Pressure, Maximum Expiratory Pressure, Back Mobility by Diaphragm Stretching Technique in Patients with Low Back Pain (가로막 스트레칭 기법에 의한 허리통증 환자의 최대들숨압력과 최대날숨압력, 허리 가동성 변화 )

  • In-young Kong
    • PNF and Movement
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    • v.21 no.2
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    • pp.185-192
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    • 2023
  • Purpose: This study aimed to confirm the effectiveness of the diaphragm stretching technique as a treatment method for low back pain by evaluating maximum inspiratory pressure, maximum expiratory pressure, and changes in back mobility in patients with low back pain. Methods: Thirty-four patients with low back pain were randomly divided into two groups: an experimental group and a control group. The diaphragm stretching technique was conducted in the experimental group, and the placebo intervention was conducted in the control group. The diaphragm stretching technique was conducted once, maintaining tension for 7 min. The placebo intervention was conducted in the same position as the diaphragm stretching technique, but with only light contact maintained without pressure. Maximum inspiratory pressure, maximum expiratory pressure, and back mobility were measured before and after the intervention, and the changes were compared and analyzed. A paired sample t-test was used to compare measurements within the group before and after the intervention. An independent t-test was used to compare the experimental and control groups. Statistical significance (α) was set at 0.05. Results: In the experimental group, maximum inspiratory pressure, maximum expiratory pressure, and back mobility increased significantly after the intervention (p < 0.05). However, there was no significant difference in the changes in all areas of the control (p > 0.05). As a result of comparative analysis of changes before and after the intervention, there were significant differences in maximum inspiratory pressure, maximum expiratory pressure, and back mobility only in the experimental group (p < 0.05). Conclusion: The diaphragm stretching technique improved maximum inspiratory pressure, maximum expiratory pressure, and back mobility compared to the placebo intervention. Therefore, the diaphragm stretching technique can be recommended as a physical therapy intervention to improve pain in patients with LBP.

Effects of A Picture Book Reading Intervention Program on Young Children's Language Development and Print Concept

  • Kim, Myoung-Soon;Lee, Min-Joo;Pae, Sun-Young
    • Child Studies in Asia-Pacific Contexts
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    • v.3 no.1
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    • pp.33-47
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    • 2013
  • The purpose of this study was to investigate the effects of picture book reading intervention activities on language development of low-income children. The subjects were 60 children in low-income families, aged 5, selected from 24 child care centers located in three cities nearby Seoul, South Korea. The experimental group had received intervention program for 8 weeks, two days a week, and three teachers conducted the intervention program for 30 to 40 minutes for each session. The intervention program was administered to the children with picture book reading activities in the first session, followed by providing more extensive activities in the second session. Afterwards, the study allowed the children to take one picture book to read at home. To evaluate the effect of the picture book reading intervention program, this study utilized instruments called the Preschool Receptive-Expressive Language Scale and the Concepts about Print. Significant differences found between the two groups. The experimental group showed higher scores compared with the control group in the post-test of expressive language development. Also, children in the experimental group showed a significant increase in the concepts about print after the intervention program was administered. In conclusion, findings indicate several changes in positive outcomes after implementation of the picture book reading intervention program.

Development of an Educational Program to Prevent Cervical Cancer among Immigrants in Korea

  • Choi, So Young
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5345-5349
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    • 2013
  • Background: This study developed and measured the effects of a cervical cancer prevention program for married women immigrants. Materials and Methods: A nonequivalent control group pre-test/post-test design was used with a group of married women immigrants registered at the multi-cultural center in the city of "J." Data on for 30 participants in the intervention group and 27 participants in the control group (N=57) were used for analysis. The intervention group attended a 4-session cervical cancer prevention program. Results: The knowledge of the intervention and control groups about cervical cancer post-intervention was significantly different (F=12.55, p<0.001). The perceived susceptibility score before and after the experiment, for the intervention group, and 29.4 and 28 for the control group, was significantly different (t=2.063, p=0.043). After the program, cancer prevention behavior was significantly different in the intervention group (t=2.646, p=0.010). Conclusions: The results obtained in this study indicate that the cervical cancer preventive program was effective in increasing cervical cancer knowledge, perceived susceptibility, and cancer prevention behavior.

Effects of Metaphon Intervention on a Phonological Ability of Preschool Children with Articulation-Phonological Disorders (상위음운 중재가 취학 전 조음음운장애 아동의 음운 능력에 미치는 효과)

  • Shin, Ju-Young;Seok, Dong-Il;Park, Hee-Jung
    • Speech Sciences
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    • v.13 no.3
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    • pp.169-183
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    • 2006
  • The purpose of this study was to find an effect of Metaphon Intervention on the improvement of speech intelligibility of preschool children with articulation-phonological disorders. Subjects were 4 preschool children with articulation-phonological disorders. A multiple baseline design across subjects was used to examine the effect of the program. The program consisted of 2 steps. The first step was composed of concept level, sound level, phoneme level, and word level. The second step was on sentence level. Results were as follows: First, metaphon ability of all subjects was improved after the Metaphon Intervention. Second, speech intelligibility of all subjects was improved after Metaphon Intervention. From the results above, Metaphon Intervention can be effective to improve not only phonological awareness and metaphon but also overall speech intelligibility of preschool children with articulation-phonological disorders.

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The Effects of Auditory Biofeedback Training and Kicking Training on Walking Speeds in Patients with Hemiplegia

  • Jun, Hyun Ju;Lee, Jin Su;Kim, Ki Jong
    • Journal of International Academy of Physical Therapy Research
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    • v.5 no.1
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    • pp.675-682
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    • 2014
  • The objective of this study was to examine the effects of auditory biofeedback training and kicking training on walking times in patients with hemiplegia to determine if the effects of such training would be maintained even after stopping the intervention. Thirty hemiplegia patients were selected and randomly assigned to a control group of 10 patients to receive general exercise treatment; an auditory biofeedback training group of 10 patients to receive auditory biofeedback training, along with general exercise; and a kicking training group to receive kicking training, along with general exercise. All the patients received their respective training 12 times in total, three times per week for four weeks. In addition, all those in the control and experimental groups received the same general exercise treatment 12 times in total, three times per week for four weeks, and underwent follow-up tests thereafter. The patients' 10m walking times were measured using a stopwatch. The significance was analyzed using repeated-ANOVAs. In cases where there were interactions between measuring times and groups, in each group were examined using repeated-ANOVAs. In cases where there were differences, post-hoc tests were conducted using repeated of contrast test. The 10m walking times of the control and experimental groups were significant differences in 10m walking times were shown between measurement times(p<.05), and significant differences in the interactions between measuring times and groups were shown between the groups(p <.05). However, no significant differences in 10m walking times were shown between the groups(p>.05). The auditory biofeedback training group showed significant decreases in walking times four weeks after the beginning of the intervention(p<.05) and significant increases eight weeks after the beginning of the intervention(p<.05). The kicking training group showed significant decreases in walking time four weeks after the beginning of the intervention(p<.05) and maintained the walking times without showing any significant differences eight weeks after the beginning of the intervention(p>.05). The walking speeds of only the kicking training group were maintained until eight weeks after the beginning of the intervention.

The Effect of Chest Extension Exercise and Bridge Exercise on FVC and FEV1 (가슴우리 확장운동과 교각운동이 노력성 폐활량과 1초간 노력성 날숨량에 미치는 영향)

  • Kim, Chung-Yoo;Bae, Won-Sik
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.11-18
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    • 2021
  • Purpose : The purpose of this study was to investigate the effect on lung capacity of healthy men and women in their twenties by performing an intervention using the chest extension exercise and the bridge exercise, which are respiratory muscle strengthening exercises. Methods : Thirty adult men and women in their 20s participated in this study. All subjects participated in the study after hearing the explanation of the purpose and method of the study, filling out a consent form. All subjects were randomly assigned to the chest extension exercise (CEE) group and the bridge exercise (BE) group of fifteen each. Each exercise was performed twice a week for 4 weeks. Lung capacity was measured by forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) using spirometry. Lung capacity was measured before and after exercise. The measured data were compared through the dependent t-test and the independent t-test. The statistical significance level was set at .05. Results : After the intervention, the CEE group showed a significant increase in FVC and FEV1 compared to before the intervention (p<.05). After the intervention, the BE group also had a significant increase in FVC and FEV1 compared to before the intervention (p<.05). However, there was no difference in FVC and FEV1 between groups before and after the intervention (p>.05). Conclusion : There was no difference between groups in lung capacity after exercise. However, both the chest extension exercise and the bridge exercise increased FVC and FEV1, which was thought to be because both exercise methods were effective in increasing lung capacity. Therefore, both chest extension exercises and bridge exercises can be effectively applied as a way to increase lung capacity.

Effects of Myofascial Release Technique with Preservation Physical Therapy on the Low Back Pain and Range of Motion and Body Function of Patients in Acute Traffic Accidents: A Randomized Controlled Trial (보존적 물리치료를 동반한 근막이완술이 급성기 교통사고 환자의 허리통증, 관절운동범위, 신체기능에 미치는 영향)

  • Kim, Young-Min;Kim, Tae-Wook
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.1
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    • pp.93-101
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    • 2021
  • PURPOSE: This study examined the effects of a myofascial release technique with preservation physical therapy on low back pain, range of motion, and physical function of patients in acute traffic accidents METHODS: Twelve patients with traffic accidents were divided randomly into two groups of six patients each who met the selection criteria. The training was conducted for 45 minutes each time, for two weeks and four times per week. The experimental group received four myofascial release techniques and with preservation physical therapy. The control group received only preservation physical therapy. RESULTS: The VAS test result was statistically significant after the intervention in both groups (p < .05). After the intervention, there was no significant difference between the experimental group and control group. The Schober test result was statistically significant after the intervention in both the experimental and control groups (p < .05), and there was a significant difference between the experimental group and control group after the intervention (p < .05). The KODI assessment result was significant after the intervention in both the experimental and control groups (p < .05), and there was a significant difference between the experimental group and control group after the intervention (p < .05). CONCLUSION: The myofascial release technique with preservation physical therapy had a positive effect on low back pain, range of motion, and body function in acute traffic accident patients.