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The Effects of McKenzie Exercise on Forward Head Posture and Respiratory Function

  • Kim, SeYoon;Jung, JuHyeon;Kim, NanSoo
    • The Journal of Korean Physical Therapy
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    • 제31권6호
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    • pp.351-357
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    • 2019
  • Purpose: This study sought to investigate the effects of the McKenzie exercise program on forward head posture and respiratory function. Methods: Thirty adult men and women with forward head posture, aged 20-29 years, were randomly assigned to the experimental group (N=15) or the control group (N=15). Subjects in the experimental group performed the McKenzie exercises three times a week for four weeks, while subjects in the control group did not receive any intervention. Craniovertebral angle (CVA) was measured to quantify forward head posture, and forced vital capacity (FVC), FVC % predicted, forced expiratory volume at one second (FEV1), and FEV1 % predicted were measured to determine changes in respiratory function. The Mann-Whitney U-test was used to analyze pre-test differences in forward head posture and respiratory function between the two groups, and the Wilcoxon signed-rank test was used to analyze differences in forward head posture and respiratory function within the groups before and after intervention. The significance level (α) was set to 0.05. Results: A comparison of pre- and post-test measures showed that CVA significantly increased in the experimental group (p=0.001) denoting postural improvement, whereas no significant difference was found in the control group (p=0.053). All respiratory measures, i.e.,FVC, FVC %pred, FEV1, and FEV1 %pred, were significantly improved in the experimental group, whereas there were no significant differences in the control group. Conclusions: McKenzie exercise can be effective in improving forward head posture and respiratory function.

The Effect of a Task-oriented Upper Arm Exercise on Stable and Unstable Surfaces on Dynamic Balance and Hand Function in Patient with Cerebral Palsy

  • Han, Yong-Gu;Yun, Chang-Kyo
    • The Journal of Korean Physical Therapy
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    • 제29권2호
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    • pp.55-61
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of a task-oriented upper arm exercise performed in a sitting position on either an unstable support surface or a stable support surface for children with cerebral palsy. Methods: We prospectively evaluated 18 children with cerebral palsy. Eight subjects were randomly assigned to each of the stable and unstable support surface groups. We performed the upper arm exercise three times a week for 6 weeks. To confirm the effects of the intervention, the berg balance scale test, modified functional reaching test (MFRT), timed up and go test (TUG), and Jebsen-Taylor hand function test were conducted before and after the study. Results: Significant differences were observed in MFRT and TUG between the experimental and control groups (p<0.05). In the Jebsen-Taylor hand function test, there were significant differences between the groups for the items picking up small objects, stacking checkers, lifting large light objects, and lifting large heavy objects (p<0.05), but not for writing and stimulation of feeding. Significant differences were observed between the groups in items of card turning, lifting large light objects, and lifting heavy objects. Conclusion: The purpose of this study was to evaluate the effectiveness of a task-oriented upper extremity exercise program for dynamic balance and hand function performed in a sitting position with either stable or unstable support by cerebral palsy patients. There were improvements in the two groups, but performing the exercise while sitting on an unstable support surface had a greater effect on dynamic balance and hand function than exercise while sitting on a stable supporting surface. The results of this study can be used to improve the daily lives of cerebral palsy patients.

관리조방적 옥상녹화지의 식재식물에 따른 이입식물 출현 양상 (An Occurrence Aspect of Invasive Plants According to Planted Plants in Extensive Rooftop Greening)

  • 한이채;이은희
    • 한국환경복원기술학회지
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    • 제14권3호
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    • pp.71-84
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    • 2011
  • The purpose of this study is to suggest sustainable management of rooftop greening areas. This research is conducted to analyze birth-and-breeding state of planted plants set in extensive rooftop greening, and to examine occurrence aspect of invasive plants and its changes, some features of invasive plants on which can make a basic material for management program of planted plants as a whole. The experimental site is on the rooftop green area of Seoul Women's University which was constructed in 2007. The using method was monitoring rooftop greening areas and analyzing occurrence aspect of invasive plants and its changes by planted plants. Invasive plants were investigated six times overall in April, June, September, November of 2008, and April & June of 2009. As a result, 26 families and 66 species were found invaded. Of which 14 species of Gramineae were invaded the most remarkably. Through these study, it could be inferred some features of invasive plants and major region for it. After the analysis get done about feature of invasive plants, it shows that some invasive plants of all 66 species in total came out, otherwise occurred in a certain time of season. Within the researches eriod showed a higher incidence was found in Artemisia princeps, Conyza canadensis, Coreopsis anceolata, Equisetum arvense, Erigeron annuus, Oxalis corniculata, invasive plant have a lower incidence of plants were identified as Aster koraiensis, Dendranthema zawadsbum. So, when the plan to set a management device regarding occurrence aspect of invasive plants in accordance with planted plants on extensive rooftop greening, it was found that a sustainable & rational management device is desperately needed there for invasive & planted plants of the target area.

척추분리증 환자 25예의 한방 입원치료 효과와 영상의학적 특성 (The Effect of Korean Medicinal Admission Treatment and Radiological Characteristics on 25 Cases of Spondylolysis)

  • 이상원;김양선;김용화;김유곤;박한솔;이지은;임진웅;정현교;최인석
    • 한방재활의학과학회지
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    • 제30권1호
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    • pp.95-103
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    • 2020
  • Objectives The purpose of this study is to assess the effect of korean medicinal admission treatment for degenerative lumbar diseases with spondylolysis and analyze their radiological findings. Methods This study was performed on 25 cases' medical records of spondylolysis patients with both X-rays and MRI images. Their general characteristics, morphologies of intervertebral discs, grades of spondylolisthesis, grades of intervertebral foraminal stenosis were analyzed. The efficacy of treatment was evaluated by numeric pain rating scale (NPRS) changes and statistically assessed by paired t-test using program R Studio. Results After admission treatment, NPRS scores significantly decreased from 6.76±2.07 to 2.38±1.22 (p<0.01). Spondylolysis was associated with degenerative disc change and intervertebral foraminal stenosis at the same or adjacent vertebral level. In spondylolisthesis cases (76%), forward slippage occurred at the same level of spondylolysis in every case. Conclusions Spondylolysis could play a key role in the lumbar degenerative mechanism and korean medicinal admission treatment is effective on pain relief of degenerative lumbar diseases with spondylolysis.

체간 조절을 통한 앉기 자세 교정이 경직형 뇌성마비 아동들의 호흡근과 음향학적 측정치들의 변화에 미치는 효과 (The Effects of Changing the Respiratory Muscles and Acoustic Parameters on the Children With Spastic Cerebral Palsy)

  • 김선희;안종복;서혜정;권도하
    • 한국전문물리치료학회지
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    • 제16권2호
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    • pp.16-23
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    • 2009
  • The purpose of this study was to investigate the effects postural changes on respiratory muscles and acoustic parameters of the children with spastic cerebral palsy. Nine children with spastic cerebral palsy who required assistance when walking were selected. The ages of the children ranged from 6 to 9 years old. The phonation of the sustained vowel /a/ and the voice qualities of each child such as fundamental frequency($F_0$; Hz), pitch variation (Jitter; %), amplitude variation (Shimmer; %) and noise to harmonic ratio (NHR) were analyzed by Multi-Dimensional Voice Program (MDVP). The muscle activity of three major respiratory muscles: pectoralis major muscle, upper trapezius muscle and rectus abdorminalis muscle, were measured by examining the root mean square (RMS) of the surface EMG to investigate the impact of changes in the adjusted sitting posture of each subject. However, the RMS of pectoralis major muscle showed a significant differences (p<.05). Secondly, there were no significant differences in $F_0$, Jitter and Shimmer between pre and post posture change, but there was a significant difference in NHR (p<.05). The data were collected in each individual; once prior and once after the sitting posture change. The data were analyzed by Wilcoxon signed ranks-test using SPSS version 14.0 for Windows. The findings of this study were as follows; Firstly, the RMS of upper trapezius and rectus abdorminalis muscle were not significant different between pre and post sitting posture changes. From the result, it is concluded that changes in the adjusted sitting posture decreases the abnormal respiratory patterns in the children with spastic cerebral palsy which is characterized by the hyperactivity of the respiratory muscles in breathing. Also, there is increased on the voice qualities in children with spastic cerebral palsy.

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경락마사지가 신생아의 행동상태와 체중에 미치는 효과 (The Effects of Meridian Massage on the Behavioral State and Weight in Infants)

  • 조결자;지은선;김영란
    • Child Health Nursing Research
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    • 제9권4호
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    • pp.384-391
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    • 2003
  • Purpose: This study was implemented to develop new nursing intervention, Meridian Massage, and to investigate its effect on weight, behavioral state in infants. Method: This study has been conducted on the non equivalent control group pretest-posttest design in quasi experimental basis and newly born infants from Postpartum Management Center were selected in two groups of 35 infants. Data has been collected from February 1st to October 30th of 2002. The experimental group(20) took Meridian massage for 15 minutes daily twice during 6 days and control group took Field massage as same time. Weight has been determined 10:00 hours everyday morning and behavior status has been determined before and after 5 minutes beth by Anderson et al.(1990) tools. Data was analyzed by SPSS 11.0 Program using t-test, χ2-test and repeated measures ANOVA. Result: The results were as follow. In the aspect of behavioral status, Meridian massage group(55.8%) showed increase「positive」state than Field massage group(42.6%). And there was statistical significance(p=.002). Meridian massage group showed higher in the average weight than Field massage group(F=6.753, p=.014), and there was significant term between the two groups(F=10.129, p=.000). But there was no interaction group and term. Conclusion: The Meridian Massage in this study showed more positive aspect in weight gain and positive behavior status than Field Massage. This study has informed that meridian massage is an effective nursing intervention in improving Infant development.

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내·외향적 성격유형이 자바 프로그래밍 학습의 회복탄력성에 미치는 영향 : 공업계 특성화고등학교 학생을 중심으로 (The Effects of Introverted or Extroverted Personality Type on The Resilience of Java Programming Learning : Focused on Students at Technical-Specialized High School)

  • 김세민;유강수
    • 정보교육학회논문지
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    • 제22권4호
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    • pp.439-446
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    • 2018
  • 소프트웨어 분야가 발전하고 주목을 받게 됨에 따라 최근 공업계 특성화고등학교에서는 학생들의 소프트웨어 분야의 능력 향상을 위하여 많은 노력을 하고 있다. 본 연구는 자바 프로그래밍을 학습하는 학생을 대상으로 내 외향적인 학습자들의 성격유형이 회복탄력성의 향상에 미치는 영향을 비교 분석하였다. 그 결과 내향적인 성격유형을 가진 학습자들은 프로그래밍 학습에 필요한 회복탄력성의 향상에 유의미한 결과를 얻지 못하였지만 외향적인 성격유형을 가진 학습자들은 외향적인 성격을 통하여 프로그래밍 학습에 필요한 회복탄력성에 유의미한 향상 결과를 얻었다. 이를 통해 내향적 성격유형을 가진 학습자들의 회복탄력성 향상을 위한 방안과 외향적 성격유형을 가진 학습자들의 장점을 살려 상호 도움이 되는 방안을 모색할 수 있다.

산재장애인의 특성에 따른 가족기능정도 (Family Functions Characterized by the Industrial Accident Disabled)

  • 오진주;현혜진;이현주;윤순녕;최정명
    • 지역사회간호학회지
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    • 제14권3호
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    • pp.488-495
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    • 2003
  • Purpose: This study was attempted to provide the basic data in order to develop a supportive system for the family by investigation of the general and disability-related features of the industrial accident disabled and their family function. Method: Three hundred and forty six industrial accident disabled were randomly selected among those who resided in the Seoul, Incheon, and Gyeonggi areas, and who were confirmed as disabled according to its severity from the first to fourteenth grade from January, 1998 to December, 2000. The data were collected for one month from August 1 to August 31, 2001. Each study team consisted of two members out of 20 researchers and they interviewed the disabled individually by visiting their homes. Collected data were analyzed using frequency, percentages, t-test, ANOVA, and Correlation, etc. Results: The average score for family function was 102.60. The adaptability represented the highest score among the concepts dependent on the family function. The concepts were cohesion, adaptability and communication, which scored as 33.59, 35.38, 33.34, respectively. The family function was significantly different in education, marital status and subjective health status. In particular, the family function was excellent from the industrial accident disabled who had graduated from middle school, was married, and felt healthy. Depression and quality of life were other factors, which were also correlated significantly with the family function. The lower the degree of depression and the better the quality of life, the better the family function. Conclusion: The industrial accident disabled who had been in poor health or faced with difficulties in daily activities even after the therapy for the disability was completed. In particular, their family always had a great burden to care for the disabled and to take financial responsibility. Therefore, the rehabilitation program for the disabled should be family oriented.

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체간 안정화 운동이 만성 요통환자의 요통장애지수에 미치는 영향 (The Effects of Trunk Stabilization Exercise on the Back Pain Disability Index in Chronic Low Back Pain)

  • 김형수;이근희;배성수
    • 대한물리의학회지
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    • 제3권3호
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    • pp.193-202
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    • 2008
  • Purpose : This study was performed for effects of intervention of mat & ball exercise, sling exercise, and general intervention. The purpose of this study was to know influenced on the change of Oswestry back pain disability index (OBPDI) with chronic low back pain(CLBP) patients. Methods : Three groups of CLBP patients(n=53) were allocated randomly in this study experimental group I (mat & ball exercise group MBE, n=18), experimental group II(sling exercise group SE, n=18) and control group(general intervention, n=17). Intervention was provided 6 weeks(S days a week). Experimental group was provided 3 set a day(10 time/ 1 set, 10sec holding and 10sec resting/ 1 time). The following was the result of the data analysis about OBPDI experiment that had been carried on a week, 2 weeks, 3 weeks, 4 weeks, S weeks, 6 weeks after, and even comparing with pre-experimental state. Results : The results were as follows. OBPDI about intervention period had decrease in the MBE and the SE groups. but there was no difference in the control group. Among three groups, The MBE and the SE groups had difference compare with control group. This shows that the MBE and the SE groups had effective decrease pain and disability. Conclusion : Therefore, this study shows that trunk stabilization exercise program influenced on the change of OBPDI with CLBP patients.

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닫힌사슬운동과 열린사슬운동이 초기 뇌졸중환자의 무릎신전근 근력과 균형에 미치는 영향 (Effects of Closed and Open Kinetic Chain Exercises on Knee Extensor Strength and Balance in Patients with Early Stroke)

  • 권오국;신원섭
    • 대한물리의학회지
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    • 제9권2호
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    • pp.223-231
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    • 2014
  • PURPOSE: The aim of this study was to investigate the effect of closed and open kinetic exercises on knee extensor strength and balance in patients with early stroke. METHODS: Thirty patients with early stroke participated in the study. Participants were randomly assigned to three groups: an open kinetic chain (OKC) exercise group (n=10), a closed kinetic chain (CKC) exercise group (n=10), and a control group (n=10). All participants received conventional physical therapy for 30 minutes. In addition, the two experimental groups (OKC and CKC) participated in a 30-minute knee strengthening training program. Training for the experimental groups was carried out three times a week for four weeks. Outcomes such as knee extensor strength and balance ability (Tetrax, Functional Reaching Test, Timed Up and Go Test) were measured before and after training. RESULTS: There were significant differences in knee extensor strength and balance ability between the pre- and post-treatment of all groups (p<.05). The improvement of knee extensor strength was significantly higher in the OKC group than in the other groups (p<.05), and the improvement of dynamic balance was significantly higher in the CKC group than in the other groups (p<.05). CONCLUSION: These results showed that both open and closed kinetic chain exercises are effective in the improvement of knee extensor strength and balance ability. This study suggests that open and closed kinetic exercise training is an effective training for strength and balance in patients with early stroke.