• 제목/요약/키워드: body support

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체중지지 트레드밀훈련이 편마비 환자의 보행과 서기균형에 미치는 영향 (Effect of Body Weight Support Treadmill Training on Gait and Standing Balance in Patients With Hemiplegia)

  • 김명진;이정호
    • 한국전문물리치료학회지
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    • 제10권1호
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    • pp.29-35
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    • 2003
  • Body weight support treadmill training is a new and promising therapy in gait rehabilitation of patients with hemiplegia. The purpose of this study was to identify the effects of body weight support treadmill training on gait and standing balance in patients with hemiplegia. Eighteen patients with hemiplegia participated in the study. A 10 m-timed walk test, measurements of step length and standing balance score were administered. Intervention consisted of body weight support treadmill training five times a week for 2 weeks. The data were analyzed by paired t-test. Body weight support treadmill training scoring of standing balance, step length and 10 m-timed walk test showed a definite improvement. Body weight support treadmill training offers the advantages of task-oriented training with numerous repetitions of a supervised gait pattern. The outcomes suggest that patients with hemiplegia can improve their gait ability and standing balance through body weight support treadmill training.

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자조집단 참여여부에 따른 유방암 환자의 성생활 만족 영향요인 (Factors Influencing Sexual Satisfaction in Patients with Breast Cancer Participating in a Support Group and Non Support Group)

  • 전은영
    • 여성건강간호학회지
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    • 제11권1호
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    • pp.67-76
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    • 2005
  • Purpose: This study was to identify the influence of sexual behavior, body image, social support, and other characteristics on sexual satisfaction in patients with breast cancer according to their participation in a support group. Method: Data was collected by self-report questionnaires. Participants included 63 patients attending a support group and 76 patients who did not participate in the support group. The questionnaire sections consisted of sexual satisfaction, sexual behavior, body image, social support and information on general characteristics, disease-related characteristics, and sexual life-related characteristics. Result: There was no statistically significant difference in sexual behavior, body image and sexual satisfaction between the two groups. Social support scores were significantly higher in the support group. Sexual satisfaction was positively related with sexual behavior, post-op change of sexual intercourse frequency, body image, and patient's education level, and negatively related to age in the support group. Sexual satisfaction was positively related with sexual behavior, social support and body image in the non support group. Sexual behavior is predictable 37.0% of sexual satisfaction in the support group. Sexual behavior, body image, and social support is predictable for 38.0% of the sexual satisfaction in non support group participants. Conclusion: Implications point to the need for the development and implementation of programs that focus specifically on sexual life issues for breast cancer patients, as well as further research measuring the effects of such intervention programs. Continuous education and counseling through participation in support groups can contribute to promote and affirm a healthy sexual life for patients with breast cancer.

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세단뛰기 지지국면 시 사지의 운동학적 변인과 전신 무게중심의 속도 변화와의 관계 (The Relationship between Kinematics of the Limb motions and Changes in the Velocity of the Center of Gravity of the Whole Body during Support Phase in the Triple Jump)

  • 류재균;정철정;박진
    • 한국운동역학회지
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    • 제13권3호
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    • pp.27-46
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    • 2003
  • The purposes of this study were to determine the functions of actions of the limbs during each of the three support phases of the triple jump and their relationships with the performance of the triple jump. Four elite male triple jumpers were participated as subjects. The statistical analyses used were the Pearson product moment correlation coefficient for establishing relationships and simple regression analyses to determine and compare the relationships between the change of the horizontal velocity and the change of the vertical velocity during different support phases. A level of significance at p<.05 was set. The actions of the arms were responsible for about 25%, 25%, and 30% of the decrease in the horizontal velocity of the whole body center of gravity during the support phases of the hop, step, and jump, respectively. The change in the velocities of the whole body center of gravity due to the actions of the free limbs were significantly related with the whole body center of gravity during each support phase. The action of the support leg was associated with the decrease in the horizontal velocity and the increase in the vertical velocity of the whole body center of gravity during each support phase.

세단뛰기 지지국면 시 사지의 각운동량과 운동수행과의 관계 (The Relationship between the Angular Momentum of the Limbs and the Performance during Support Phase of the Triple Jump)

  • 류재균;여홍철
    • 한국운동역학회지
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    • 제14권1호
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    • pp.65-81
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    • 2004
  • The purposes of this study were to determine the functions of actions of the limbs during each of the three support phases of the triple jump and their relationships with the performance of the triple jump. Four elite male triple jumpers were participated as subjects. The Pearson product moment correlation coefficient were used to determine and compare the relationships between the change in each component of the normalized angular momentum of the whole body about center of gravity and the actions of the extremities during different support phases. A level of significance at $\alpha$=.05 was set. After analyzing the angular momentum and correlation during support phase of the hop, step, and jump, the following findings are obtained: The actions of the arms created a side-somersaulting angular momentum about the whole body center of gravity toward the side of the free leg during the support phase of the step, and a somersaulting angular momentum about the whole body center of gravity during each support phase. The action of the free leg created a somersaulting angular momentum about the whole body center of gravity during the support phases of the hop and step.

일상생활 동작 및 하네스 체중지지율에 따른 트레드밀 보행 시 하지 패턴에 관한 연구 (Study on Lower Extremities Activities Pattern of ADL and Treadmill Gait According to Harness Body-Weight Support Percentages)

  • 송성미;유창호;김경;김재준;송원경;홍철운;권대규
    • 재활복지공학회논문지
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    • 제9권4호
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    • pp.319-329
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    • 2015
  • 본 논문에서는 다자유도 동적 하네스 시스템 개발을 위해 일상동작에서와 트레드밀 보행 시 하네스 체중 지지에 따른 하지 동작 패턴에 관한 연구를 수행하였다. 건강한 성인 남성 5명을 대상으로 일상생활 동작과 하네스 체중지지에 따른 좌, 우 대퇴직근, 외측광근, 전경골근, 외측 비복근과 족압을 측정하였다. 실험 결과, 일상생활 동작 수행 시 EMG는 각 구분 동작들에 따른 특이적인 근육 활성을 나타내었다. 슬관절의 굴곡과 신전을 요하는 앉기, 서기, 계단 오르기, 계단 내리기 동작에서의 외측광근의 활성이 두드러졌다. 족압 분포의 경우 일상생활 동작 중 중력방향으로 내려오는 계단 내려오기 동작에서 가장 큰 족압 분포 값을 보였다. 수동형 하네스 체중 지지율이 증가에 따라 근육 활성도와 족압 분포 값은 감소하는 경향을 보였다. 이러한 결과를 토대로 체중지지를 통한 보행 훈련이 체중지지율 변화에 따라 다양한 환자 군에 적용 시킬 수 있을 것이다 판단된다.

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동적 체압 분포를 이용한 운전 자세 변화와 요추지지대의 정량적 평가 (Quantitative Evaluation of Driver's Postural Change and Lumbar Support Using Dynamic Body Pressure Distribution)

  • 나석희;임성현;정민근
    • 대한인간공학회지
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    • 제22권3호
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    • pp.57-73
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    • 2003
  • Although body pressure distribution is sensitive to movements and is relatively simple to measure even in small space, there are few researches involving applications to driver's posture and its change. The main objective in this study is the application of body pressure distribution measurements for the prediction of the driver's posture and its change. This requires quantitative analyses of the dynamic body pressure distribution, which is the change of body pressure distribution with time. The experiment involved 16 male subjects who drove for 45 minutes in a seating buck. Measurement time, stature group, and lumbar support prominence were selected as independent variables, with subjective ratings of driver's discomfort, body posture data of hip, torso. knee angle, and body pressure data variables as dependent variables. The body pressure change variables and subjective ratings were found to increase as the measurement time increased and body pressure ratio variables reflected the torso angle. From the results and analysis of the body posture data and subjective rating results, it was predicted that the seats and the design of the lumbar supports used in the experiment was not fit for tall subjects, which could also be confirmed through the body pressure distribution data.

편마비 환자의 트레드밀과 체중지지의 트레드밀 훈련이 균형능력 및 보행능력에 미치는 영향 (The Effect of Treadmill and Body Weight Support Treadmill Training on Balance and Gait Ability in Hemiplegia Patients)

  • 김성철;허영구
    • 대한물리치료과학회지
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    • 제25권1호
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    • pp.31-43
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    • 2018
  • Purpose: The purpose of this study is to investigate and to verification of changes that the effect of treadmill and body weight support treadmill training on balance and gait ability for sub-acute stroke patients during 4 week. Method: 16 subjects who was diagnosed stroke were divided into 2 groups(8-treadmill training group, 8-body weight support treadmill group) by randomized control trial. Both training programs were consisted with 40 minuted, 5 times a week for 4 weeks and after training programs. Analysis: We analysed effects and changes on balance and gait ability. Analyses were performed using PASW ver. 18.0 and results were reported as mean ${\pm}$ standard deviation (S.D.). To investigate within group comparisons and to verification on effects of exercise, we did paired t test and repeated measured ANOVA test. Significance was set at p<.05. Result: Both training programs showed positive changes in Limit of Stability but significant results which is area of hemiside, area of intact side, area of posterior, total area were reported in body weight support treadmill training group. Changes of Berg Balance Scale was significantly increase and it had significant correlation between groups. Changes of 6 Minutes Walking Test was significant increase in both groups but there was no significant changes on Foot print and Romberg test. Conclusion: After considering all factors, both training programs showed effect on improvement of balance and gait ability in sub-acute stroke patients, but body weight support treadmill training group had better improvement in dynamic balance than treadmill training group. For the increase of balance and gait ability in sub-acute stroke patients, we need to continues study on difference of treadmill and body weight support treadmill and then we will give stroke patients a better satisfaction if we develop and provide a rehabilitation program for improvement of balance and gait ability.

트레드밀운동이 뇌졸중 환자의 걷기기능향상에 관한 문헌연구 (Effects of Treadmill Training on Gait of Stroke Patients : A Systematic Review)

  • 강권영;고태성
    • 대한물리치료과학회지
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    • 제15권3호
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    • pp.73-79
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    • 2008
  • Background : Treadmill training has been proposed as a useful adjunct to conventional physical therapy to restore ability to walk after stroke. The purpose of this study to inform clinical practise by evaluating the research evidence for the effectiveness of treadmill training after stroke. Methods : We searched to the effectiveness of any form of intervention for effect of treadmill training by Dankook University electronic library databases of Medline, Embase, Cinahl, Amed and PEDro combined with a hand search of papers published in relevant peer-reviewed journals. Any type of study relevant to the topic published in English during time period from 1980 to 2007 was included. Results : The literature search identified 35 studies. The included studies enrolled a total of 374 subjects. 1. Treadmill retraining without partial body weight support might be more effective than no treatment at improving gait velocity, get up and go time, gait endurance and step length symmetry. 2. Treadmill retraining with partial body weight support might be more effective than no treatment in improving step length symmetry, gait velocity, gait endurance and balance. 3. Treadmill retraining might be more effective with partial body weight support than without it at improving gait velocity and motor improvement as measured by The Stroke Rehabilitation Assessment of Movement(STREAM). 4. Treadmill retraining without partial body weight support may be no different from physiotherapy and increase gait velocity to conventional gait therapy. 5. Treadmill retraining with partial body weight support may be no different from physiotherapy for gait velocity, motor recovery and balance. Conclusion The review suggests that although treadmill training of gait, especially with partial body weight support, might Improve gait parameters and functional mobility, unless treadmill training is directed at Improving gait speed it might be no more effective than conventional physical therapy at improving gait parameters.

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PNF의 방산을 이용한 간접치료가 뇌졸중환자의 정적 자세에서의 체중지지 및 보행 속도에 미치는 영향 : 증례보고 (Influence of Body Weight Support and Walking Speed in the Static Posture of Stroke Patients using Indirect PNF Treatment: A Case Report)

  • 이병기;윤정현
    • PNF and Movement
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    • 제10권4호
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    • pp.71-76
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    • 2012
  • Purpose : The purpose of this study was to examine the effects of PNF of irradiation using an indirect treatment of the stroke patient's static weight support and walking speed. Methods : Was carried out a total of nine different the PNF method of treatment for patients with left hemiplegia stroke. PNF of treatment is not in the non-paralyzed side of the trunk and upper and lower extremities by applying resistance and increased strength of the affected side. Assessment of treatment weight support both feet measured and modified using the timed up and go test were compared before and after treatment. Results : Treatment of the paralyzed side of the quadriceps and hamstring, gluteus medius muscle strength increased, and both sides of the foot body weight support improved walking speed was increased. Conclusion : Irradiation using PNF indirect treatment improves the function of the gait of stroke patients.

Effects of forward & backward walking training with progressive body weight supported on stroke patients' ambulatory ability

  • Kim, Kyung-Hoon;Lee, Suk-Min
    • Physical Therapy Rehabilitation Science
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    • 제3권2호
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    • pp.77-85
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    • 2014
  • Objective: In the present study, the effects of progressive body weight support treadmill forward & backward walking training (FBWT), progressive body weight support treadmill forward walking training (FWT), and progressive body weight support treadmill backward walking training (BWT), and on stroke patients' ambulatory abilities were examined. Design: Randomized controlled trial. Methods: A total of 36 chronic stroke patients were divided into three groups with 12 subjects in each group. Each of the groups performed one of the progressive body weight supported treadmill training methods for 30 minute, six times per week for three weeks, and then received general physical therapy without any other intervention until the follow-up tests. For the assessment of the step length, total double support, cadence, gait were measured using optogait and the 10-m walk test (10MWT), 6 minutes walk test (6MWT). Results: In the within group comparisons, all the three groups showed significant differences between before and after the intervention (p<0.05). In the comparison of the three groups, there were significant differences among the three groups in stride length, double limb support stance, cadence, 10MWT, and 6MWT in the third week, and only in stride length, 10MWT, and 6MWT test in the sixth week (p<0.05). Conclusions: This study verified that progressive body weight-supported treadmill gait training positively affected the gait ability of stroke patients in an actual gait environment. It also showed that FBWT group was more effective than FWT group and BWT group training.