• Physical Therapy Rehabilitation Science
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• 제11권1호
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• pp.97-104
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• 2022

Objective: Flexed posture commonly increases with age in older adults and is characterized by kyphosis and forward head posture. Changes in the posture with age affect both balance and mobility. This study was conducted to examine the effects of a cervical stabilization exercise for community-dwelling older adults to improve balance. Design: Two groups pretest-posttest design. Methods: Fifty older adults were randomly assigned into the cervical stabilization exercise group (n=24) and control group (n=25). The cervical stabilization exercise group (n=24) participated in group exercise for 60 minutes twice a week over 4 weeks. Timed up and go test (TUG), four square step test (FSST), functional reach test (FRT), postural sway, cervical range of motion (CROM), proprioception, craniovertebral angle (CVA) were evaluated before and after the intervention. Results: TUG, FSST, FRT, CROM, Proprioception, CVA showed significantly greater improvement, compared with a control group (p<0.05). Conclusions: Findings of this study demonstrate that cervical stabilization exercise can help improve not only neck functional capacities but also balance. Therefore, it may be used as an effective balance exercise program for community-dwelling older adults.

• Physical Therapy Rehabilitation Science
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• 제10권4호
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• pp.450-456
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• 2021

Objective: Studies confirming the lumber spine kinematics of direct or indirect segmental mobility under the application of joint mobilization, which induces passive force on the spine, are insufficient.Therefore, this study aims to obtain the underlying clinical data by identifying direct or indirect segmental mobility produced by Maitland's PA mobilization technique. Design: Randomized controlled trial design. Methods: Thirty subjects with no back pain participated in this study. X-ray testing equipment (SIG-40-525, Ecoray Inc., Korea) was used to verify the segmented movement of their lumbar. Joint mobilization was performed by physiotherapists with more than 10 years of experience in prescription therapy, and radiography was performed once without PA joint mobilization and once without the mobilization for comparing the lumbar vertebrae before and after the mobilization. The radiographs taken were analyzed using the picture archiving and communication system (PACS) program to measure the spinal displacement, intervertebral height, intervertebral angle, and lumbar lordosis angle. Results: Significant differences were observed in the lumbar displacement, intervertebral angle, and lumbar lordosis angle in all lumbar vertebrae before and after the mobilization. The intervertebral height indicated significant differences in all ventral vertebrae and only in L3-L4 and L4-L5 in dorsal vertebrae. Conclusions: This study suggests that the segmental mobility produced through indirect approaches plays an important role in inducing therapeutic effects in patients with back pain.

• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.591-597
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• 2022

Objective: The sitting and standing are motions that correspond to the previous stage of rehabilitation to go to walking for daily life. The purpose of this study was to measure task times, path length of the center of pressure (COP) and activity on the vastus femoris muscle using surface electromyography (EMG) when standing up and sitting down. Design: One group cross-sectional design Methods: Fifteen elderly subjects (8 male, 7 female) participated. All subjects were tested three times according to four assist levels (non-assist, lower, middle, and maximal assist) using adjusts the length of spring at sit-to-stand and stand to sit on a chair. The task duration, and COP path length were recorded for the balance function on the Nintendo Wii fit board. The activity of the rectus femoris muscle was recorded on both legs using surface EMG. Results: The results showed that the task duration of the sit-to-stand and stand-to-sit were significantly increased compared to without assist (p<.05). The activation of the rectus femoris muscle more significantly decreased compared to without assistance at standing or sitting (p<.05). Conclusions: The assistive chair showed less quadriceps muscle activation during sitting and standing compared to without assistance. We suggest that our assist-standing chair can help with activities of daily living such as standing up and sitting down movements adjusting the spring length for control assist level by safely.

• Physical Therapy Rehabilitation Science
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• 제12권2호
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• pp.192-200
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• 2023

Objective: This study aimed to assess the effectiveness of a balance training program in improving balance and functional independence to reduce fall risks among community-dwelling elders. Design: A multi-center randomized controlled trial Methods: A total of 66participants were randomly assigned to a balance training group or a control group. The balance training program, conducted three times a week for 32 weeks, included warm-up exercises, main balance training exercises, and cooldown stretch exercises. Outcome measures included the Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), and Modified Barthel Index (MBI). Results: The balance training group demonstrated significant improvements in all outcome measures, indicating enhanced balance, improved functional mobility, and increased independence in activities of daily living. In contrast, the control group showed only slight improvements in BBS, TUGT and MBI scores. Conclusions: These findings provide evidence supporting the effectiveness of balance training programs in reducing fall risk and promoting health and wellbeing among community-dwelling elders. Future research should aim to refine the design of these programs and assess the sustainability of the observed improvements.

• Toxicological Research
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• 제19권3호
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• pp.247-257
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• 2003

Medicine is undergoing a revolution in the understanding of the mechanisms through which disease processes develop. The advent of genetics and molecular biology to oncology not only is providing surrogate predictors of therapy response and survival which are forming the basis for selection among established treatment options, but is providing targets for new directions in therapy as well. Molecular modification of somatic cells for the purposes of protecting the normal cells from the toxicity of cancer chemotherapy, for the sensitization of the tumor cells to therapy and use of conditionally replicating viral vector have been new directions of cancer treatment which have reached the clinical arena. Advances in molecular pharmacology and vector design summarized in this paper may provide solutions to some of the existing problems in the technology of gene transfer therapy. Continued basic research into the biological basis of human disease, systemic studies of the application of these discoveries to therapy and the improvement of vector for gene delivery all combined may result in advances in this important field of therapy over the next few years.

• 지역사회간호학회지
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• 제14권1호
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• pp.16-23
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• 2003

Purpose: The purpose of this study was to investigate the effects of music therapy on depression, balance, and flexibility in the elderly. An experimental group consisting of 23 people, was given music therapy for 90 minutes per a week for 6 weeks, while a control group consisting of 21 people, was not given music therapy with quasi-experimental design. Result: The result of the study show that music therapy is effective for decreasing depression and improving flexibility in the elderly. However, this study found no significant differences in balance between the experimental and the control groups. Conclusion: Despite one part, nursing intervention of music therapy to adapt Rhythm for Life elevated the strength of the elderly's body and showed decrease in depression. Therefore the Music therapy Program improves the quality of life in the elderly.

• 웰빙융합연구
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• 제5권4호
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• pp.33-37
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• 2022

Purpose: This study aims to understand the trend and central concept of domestic researches on laughter therapy. For the analysis, this study used total 72 theses verified by inputting the keyword 'laughter therapy' from 2007 to 2021. Research design, data and methodology: This study performed the development and analysis of keyword co-occurrence network, analyzed the types of researches through topic modeling, and verified the visualized word cloud and sociogram. The keyword data that was cleaned through preprocessing, was analyzed in the method of centrality analysis and topic modeling through the 1-mode matrix conversion process by using the NetMiner (version 4.4) Program. Results: The keywords that most appeared for last 14 years were laughter therapy, depression, the elderly, and stress. The five topics analyzed in thesis data from 2007 to 2021 were therapy, cognitive behavior, quality of life, stress, and the elderly. Conclusions: This study understood the flow and trend of research topics of domestic laughter therapy for last 14 years, and there should be continuous researches on laughter therapy, which reflects the flow of time in the future.

• 대한물리치료과학회지
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• 제30권3호
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• pp.84-90
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• 2023

Background: This study aimed to investigate the effects of flipped learning education on academic motivation and class satisfaction in physical therapy students. Design: Cross-sectional study. Methods: Participants included 72 physical therapy students (experimental group=36, control group=36). In order to compare the effects of flipped learning education, flipped learning and lecture-style learning were provided in a class titled Acticities of Daily Living and Practice. An independent t-test was used to compare academic motivation and class satisfaction between two groups. Results: The flipped learning group showed a significantly higher level of academic motivation and class satisfaction compared to the traditional learning group (p<0.05). Conclusion: These results showed that flipped learning education is an effective learning strategy for improving the academic motivation and class satisfaction of physical therapy students.

• 재활치료과학
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• 제10권4호
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• pp.39-52
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• 2021

목적 : 본 연구의 목적은 기억력 장애를 가진 성인 환자를 대상으로 기억력 향상을 위한 작업치료 중재를 수행한 단일대상연구의 특성을 확인하고 질적 수준을 알아보는 것이다. 연구방법 : 본 연구는 2011년부터 2020년까지 기억력 향상 작업치료 중재 연구 중 단일대상연구 설계를 적용한 총 6편의 논문을 분석한 문헌연구로, 연구내용에 대한 일반적 특성 및 연구방법의 질적 수준을 분석하였다. 결과 : 분석대상의 질적 수준은 66.7%(4편)가 중간 수준이었고 33.3%(2편)는 높은 수준이었으며, 낮은 수준의 연구는 없었다. 단일대상연구 설계 유형은 모두 반전설계로 ABA가 가장 많았다. 대상자는 뇌졸중, 치매, 경도인지장애 환자였으며, 대상자 수는 1~3명이었다. 독립변수는 오차배제훈련, 어플리케이션 활용 중재, 전산화인지훈련, 시간차회상훈련이었다. 종속변수는 공통변수인 기억력과 함께 집중력, 뇌파변화, 수단적 일상생활활동 및 우울이었다. 중재시간은 30~40분, 중재회기는 6~15회기였으며, 총 연구기간은 3~8주로 다양하였다. 중재 결과 모든 연구에서 중재 후 종속변수가 향상된 것으로 보고되었다. 결론 : 기억력훈련에 대한 단일대상연구 적용 작업치료 중재 연구들은 모두 중간 이상의 질적 수준을 보여 임상에서 적용 시 근거기반자료로 의의가 있으며, 기억력 향상에 효과적인 연구들이라는 것을 확인하였다.

• 음성과학
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• 제12권2호
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• pp.129-138
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• 2005

This study aimed at investigating the effects of CPAP therapy on hypernasality in flaccid dysarthria. The subject was a flaccid dysarthric patient with hypernasality. An A-B-A experimental research design was used. The therapy program was conducted 16 sessions. During CPAP therapy, the subjects was required to repeat single-word utterances in the form VNCV. The results showed some improvement in decreasing hypernasality.