• 대한물리치료과학회지
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• 제28권3호
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• pp.88-97
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• 2021

Purpose: Patients with total knee arthroplasty (TKA) have impaired balance and movement control. Exercise interventions have not targeted these impairments in this population. This study aimed to investigate the effect of complex balance exercises on unstable ground, on the gait, balance, and daily living ability of patients with total knee arthroplasty. Design: Randomized controlled trial. Methods: The participants consisted of 30 patients placed into two groups of 15 each: a experimental group (complex balance exercise) and a control group (physical therapy exercise). Both group exercise was applied for 3 times a week for 30 minutes for four weeks. Force plate for balance ability and Timed up and go (TUG) test were the primary outcome measures. The secondary outcome measures included 10-m walk test (10MWT) and the daily living ability using the Knee Outcome Survey Activities of Daily Living scale (KOS-ADL). Results: The result of this study showed that the experimental group had a significant difference in TUG and 10MWT than the control group, and balance was significantly different in CEA, CPL, and CAV. There was a significant difference in daily living ability between the experimental and control groups. This study confirms that the physical therapy with complex balance exercise on unstable surfaces has positive effects on balance, gait and daily living ability in patients with total knee arthroplasty. Conclusion: As a result of this study, complex balance exercise on unstable surface was more effective in improvement gait, balance and daily living ability in total knee arthroplasty. From this study, physical therapy with complex balance exercises on unstable ground may be proposed as and effective intervention method for improving gait, balance, and daily living ability in patients with early total knee arthroplasty.

• 한국콘텐츠학회논문지
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• 제20권11호
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• pp.525-533
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• 2020

본 연구는 10주간의 복합운동프로그램 참여가 산후비만여성들의 대사증후군관련인자(HDL-C, TG, Glucose, 혈압, 허리둘레) 및 아디포사이토카인(Leptin, Adiponectin)에 어떠한 영향을 미치는지 알아보았다. 연구대상자는 출산 후 40개월 이내 여성 총 14명으로 복합운동군 7명, 통제군 7명으로 배정하였다. 복합 운동 프로그램은 리듬운동을 적용한 유산소운동과 근력운동을 실시하였으며 주 2회, 80분간, 10주간 실시하였다. 자료처리를 위해 Mann Whitney U-test, Wilcoxon test, Spearman 상관분석을 실시하였다. 연구 결과, 대사증후군 관련인자에서 운동 실시 전, 후모든 항목에서 그룹 간 차이가 나타나지 않았다. 그룹 내 차이에서는 복합운동군에서 HDL-C 유의한 증가를 보였으며 TG, Glucose, 허리둘레에서는 유의한 감소를 나타냈고 통제군에서는 TG, Glucose에서 유의한 증가를 나타냈다. 아디포사이토카인의 결과를 보면, 그룹 내 차이에서만 복합운동군이 Adiponectin에서 운동 후 유의한 증가를 나타나냈다. 대사증후군 관련인자와 아디포사이토카인과의 상관을 보면 HDL-C, Glucose가 Adiponectin과 상관이 있는 것으로 나타났다.

• 한국실내디자인학회논문집
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• 제27권2호
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• pp.166-174
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• 2018

This study examined the indoor exercise environment use and needs of older adults. The target population was seniors aged 60 years and older living in a newly developed apartment complex. Variables include demographic and housing characteristics, status of exercise, and indoor exercise environmental evaluation and needs. A total of 102 data items were analyzed using frequency, t-test and ANOVA. Noteworthy results are as below. First, community centers and community welfare centers were the most desirable exercise environments because of affordability, exercise programs/spaces. Such exercise environments should be developed in more locations for increasing numbers of seniors. Second, indoor exercise environments need to be improved based on seniors' physical capabilities and environmental behavior. Third, supportive spaces such as restrooms, shower rooms, locker rooms should be carefully designed. Fourth, seniors wanted to have walking trails and indoor swimming pools, the most desirable exercise spaces, within ten to 15 minutes walking distance.

• Physical Therapy Rehabilitation Science
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• 제11권1호
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• pp.78-87
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• 2022

Objective: The purpose of this study was to investigate the effect of high-intensity complex exercise program using whole-body vibration (WBV) and respiratory resistance on pain and dysfunction, psychosocial level, balance ability, and pulmonary function in low back pain (LBP) patients with high obesity. Design: A randomized controlled trial Methods: A total of 44 LBP patients withhigh obesity (body mass index, BMI≥30kg/m²) were randomly assigned to an experimental group (n=22) and a control group (n=22). Both groups underwent a lumbar stabilization exercise program. In addition, the experimental group implemented the high-intensity complex exercise program combined with WBV and respiratory resistance. In order to compare the effects depending on the intervention methods, numeric pain rating scale (NRPS), Roland-Morris disability questionnaire (RMDQ), fear-avoidance beliefs questionnaire (FABQ), balance ability, and pulmonary function were used for measurement. Results: Both groups showed significant differences in NRPS, RMDQ, FABQ, balance ability before and after intervention (p<0.05). In addition, the experimental groupshowed significant difference in the amount of change in RMDQ, balance ability and pulmonary function values than the control group (p<0.05). Conclusions: High-intensity complex exercise program using WBV and respiratory resistance has been proven to be an effective and clinically useful method to decrease dysfunction, increase balance ablilty, and pulmonary function for LBP patients with high obesity.

• 한국엔터테인먼트산업학회논문지
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• 제14권8호
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• pp.337-344
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• 2020

본 연구는 불안정 지지면을 적용한 테라테이먼트 하지복합운동이 안굽이 무릎 하지 변형자의 무릎과 족저압에 미치는 영향을 알아보고자 하였다. 안굽이 무릎 2등급 남녀 25명을 대상으로 안정 지지면 운동 그룹(SEG)과 불안정 지지면 운동그룹(UEG)으로 나누어 연구를 진행하였다. 하지복합운동 프로그램은 탄력밴드를 이용한 하지운동과 스쿼트 운동으로 구성하였으며, 총 5주간, 주 4회 40분 실시하였다. 무릎의 구조적 변화를 관찰하기 위해 무릎사이 간격과 Q-각을 측정하였으며, 정적 족저압을 평가하였다. 무릎사이 간격과 Q-각 측정 결과 각 집단에서 모두 실험 전에 비해 실험 후 무릎 사이 간격은 감소하고 Q-각은 증가되었음을 알 수 있었으며, 통계적으로 유의한 차이를 나타내었다(p<.05). 실험 후 집단 간 비교 검사 결과, 무릎사이 간격 차이에서 통계적으로 유의한 차이를 나타내었다(p<.05). 정적 족저압 평가 결과 각 집단에서 모두 실험 전에 비해 실험 후 양쪽 발의 앞쪽 비율(FFR)은 감소하고, 뒤쪽 비율(RFR)은 증가하였다. 안정 지지면 운동그룹의 왼쪽 발 앞쪽 비율(FFR)을 제외하고 통계적으로 유의한 차이를 보였다(p<.05). 이상의 결과를 통해 하지복합운동이 안굽이 무릎 하지 변형자의 무릎 구조 교정 및 정적 족저압 개선에 효과적이며, 불안정 지지면은 하지복합운동의 효과를 증가 시킬 수 있는 좋은 조건임을 알 수 있었다.

• 대한물리의학회지
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• 제8권2호
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• pp.153-161
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• 2013

PURPOSE: This study aimed to investigate the effect of complex theraputic exercise on visual analog scale of pain, shoulder' range of motion for middle-aged women with breast cancer related lymphedema. METHODS: The 14 middle-aged women involved voluntary in this study and then they were divided into two groups(n =7 per group). The complex exercise program was implemented over 4 weeks, 60 minutes per day, with 3 types of exercise for stimulation whereas the control group was performed a classical decongestive physiotherapy in a same day. For data analysis, the mean and standard deviation were estimated; 2 way repeated measures ANOVA was carried out. RESULTS: First, The level of VAS was significantly reduced on time, interaction effect in the group. Second, most factors of ROM were significantly increased on time, interaction effect whereas extension was not significantly increased. CONCLUSION: In conclusion, Our results showed that complex therapeutic exercise could improve or maintain VAS and ROM of shoulder joint for middle-aged women with breast cancer related lymphedema.

• PNF and Movement
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• 제18권3호
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• pp.343-350
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• 2020

Purpose: The purpose of this study was to determine how a shoulder complex stabilization exercise affects ball control and ball speed in elementary school baseball players with an instable scapula. Methods: The subjects of the study were 16 baseball players attending S elementary school in Kwangju Metropolitan City. A shoulder complex stabilization exercise was conducted three times per week for one hour for four weeks. Then, the participants were divided into a scapular instability group or stability group based on their lateral scapular slide test scores. The measurement tool was measured using the target, the ball speed tester (PR1000-BC). All inspections were measured before and after the mediation period to examine the change in the subjects according to the mediation period. Results: As a result of measuring ball control, there was a statistically significant difference in the variation over time (p < 0.05), and there was no statistically significant difference in the interaction between time and group (p > 0.05). As a result of the test of effectiveness between subjects, there was no statistically significant difference found among the groups (p > 0.05). In terms of ball speed, there was no statistically significant difference found in the variation over time (p > 0.05) as well as in the interaction between time and group (p > 0.05). In terms of the effectiveness between subjects, there was no statistically significant difference found among the groups (p > 0.05). Conclusion: It was found that the shoulder complex stabilization exercise could improve ball control for elementary school baseball players. It is believed that this will help prevent and solve possible sport damages experienced during training or competitions, thereby helping athletes use training methods to improve their exercise capacity and continue their careers.

• 임상간호연구
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• 제26권3호
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• pp.385-394
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• 2020

Purpose: This experimental study with nonequivalent control group and pre/post-tests aims to investigate the effects of a complex leg exercise program on severity of restless legs syndrome, sleep quality, depression, and physical performance in patients with maintenance hemodialysis. Methods: Patients in the experimental group were provided with the leg exercise program three times a week for eight weeks, a total of 24times, through watching videos during hemodialysis from August 1, 2017 to October 25. The experimental group and control group consisted of 22 people each. Data were analyzed using descriptive statistics, χ2 test, Fisher's exact test, and independent t-test utilizing SPSS/WIN 22.0. Results: After providing with the leg exercise program, these were level of restless legs syndrome and depression were significantly decreased in the experimental group (t=2.79, p=.032; t=0.53, p=.036, respectively). However, sleep quality and physical performance did not have significant difference between the two groups (t=0.02, p=.947; t=1.74, p=.957, respectively). Conclusion: A complex leg exercise program appears to be beneficial in improving restless legs syndrome and depression in maintenance hemodialysis patients with restless legs syndrome.

• Journal of Nutrition and Health
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• 제27권9호
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• pp.892-900
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• 1994

A variety of important roles for branched-chain amino acids in metabolic regulation has been suggested. Branched-chain $\alpha$-keto acid dehydrogenase(BCKAD) complex is a rate limiting enzyme in branched-chain amino acid metabolism. The purpose of this study was to examine the effects of exercise on the activity and activity state of branched-chain $\alpha$-keto acid dehydrogenase in rat hert and liver thssues. Forty-eight Sprague-Dawley rats were assigned into three experimental groups : sedentary control, exercised, or exercised-rested. Submaximal exercise(running) for two hours significantly increased basal activity without a change in total activity in both tissues, with a concomitiant increase in activity state of the enzyme complex. At 10 min post-exercise, heart enzyme activity significantly decreased, though not to the control level, while liver enzyme activity remained unchanged. These data suggested that the exercise-induced increase in branched-chain $\alpha$-keto acid decarboxylation in rat tissues may not be the result of enzyme synthesis, but rather is due to increased activity of the BCKAD.

• 대한물리의학회지
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• 제6권1호
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• pp.31-38
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• 2011

Purpose : The purpose of this study was to examine the effect of upper extremity exercise and Bandage on the edema and range of motion. Complex decongestive physiotherapy was one of the latest methods to deal with the limitation of range of motion and the edema that were the prime problems of patients with lymphedema. Methods : Twenty patients undergone mastectomy were participated in this study voluntarily. They had lymphedema on upper extremity and partial limitation of range of motion. The subjects had been treated with upper extremity home exercise and complex decongestive physiotherapy with Bandage for 4 weeks. The measure of these patients with upper extremity edema was included: the volume, arm circumfenence and range of motion. These were measured two times: before the treatment, after 4 weeks of the treatment. Results : The upper extremity edema of patients treated home exercise group and complex decongestive physiotherapy group with Bandage was definitely decreased (p<0.05). Moreover, the upper volume of those who were the same condition also significantly shrank and patients' arm circumferences of upper arm breathtakingly diminished as well (p<0.05). But home exercise group patients' arm circumferences of forearm was not remarkable(p>0.05). However, patients' range of motion who were treated with upper extremity exercise were evidently increased when compared to that of the before treatment (p<0.05). Conclusion : Complex decongestive physiotherapy and bandage performed by physical therapist increased the ROM of upper arm and reduced the edema in patients with lymphedema.