• 제목/요약/키워드: exercise of muscle

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전기와 자기장 복합 침 자극을 활용한 복부비만 치료 6례에 대한 증례 보고 (A Report on 6 cases of Abdominal Obesity using Electroacupuncture Combined with Magnetic Acupuncture)

  • 윤지원;이현;김윤주;강재희
    • Journal of Acupuncture Research
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    • 제32권4호
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    • pp.213-226
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    • 2015
  • Objectives : This study was aimed to show the effect of electroacupuncture combined with magnetic acupuncture on abdominal obesity without patient dieting, exercise or use of herbal medication. Methods : Women over 85 cm in waist circumference were treated with electroacupuncture combined with magnetic acupuncture. Acupuncture points were located at the abdomen ($CV_{12}$, $CV_6$, $ST_{25}$, $ST_{21}$, $SP_{15}$, $SP_{14}$), extremities ($LI_4$, $LI_{11}$, $ST_{36}$, $ST_{44}$) and were stimulated 30 minutes with 2.1~3 Gaus, 500 Hz, tolerable strength. The Interference wave forms were by Whata 153 (Medi Lab, Korea). Two or three treatment sessions per week (five or ten sessions in total) were done. Before treatment, and after the last treatment, we measured waist circumference, hip circumference, waist hip ratio, thickness of abdominal subcutaneous fat, body weight, body mass index, body fat ratio, visceral fat area, free fat mass, body fat mass and skeletal muscle mass. We also measured the subcutaneous temperature of the abdomen($CV_{12}$, $ST_{25}(Rt)$, $ST_{25}(Lt)$, $CV_6$) by using digital infrared thermal imaging(DITI). Results : In this study, significant reductions were shown in waist circumference, hip circumference, thickness of abdominal subcutaneous fat, body weight, body mass index, body fat ratio and body fat mass. There were no significant differences in waist hip ratio, free fat mass or skeletal muscle mass. There were also significant increases of the subcutaneous temperature on $CV_{12}$, $ST_{25}(Rt)$, $ST_{25}(Lt)$. Conclusions : From the above results, electroacupuncture combined with magnetic acupuncture might be an effective treatment for abdominal obesity.

Reliability and validity of pelvic mobility measurement using a cushion sensor in healthy adults

  • Jung, Seung-Hwa;Kim, Su-Kyeong;Lee, Ji-Hyun;Choi, Soo-Ih;Park, Dae-Sung
    • Physical Therapy Rehabilitation Science
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    • 제9권2호
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    • pp.74-81
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    • 2020
  • Objective: To prevent low back pain, an objective evaluation tool to evaluate pelvic mobility and exercise to improve the flexibility of the lumbar region is needed. The purpose of this study was to compare the results of pelvic mobility measurements using the Wii Balance Board (WBB) and Sensbalance Therapy Cushion (STC), evaluate the usefulness of the STC as a tool for measuring pelvic mobility. Design: Cross-sectional study. Methods: Fifty healthy subjects participated in this study. The subjects performed pelvic mobility range, proprioception, reaction time and reach of the arm using the STC. The pelvic movement parameter was measured two times to determine the intra-rater reliability. To measure the correlation between lumbar muscle tension and pelvic mobility, Myovision was used to measure tension of L4, L5 level erector spinae muscle. Correlations between measured variables were checked to determine the validity of the pelvic mobility assessment tool. Results: STC showed high test-retest reliability in pelvic tilt measurement and reaching task [intraclass correlation coefficients (3,1)=0.804-0.915]. The relationship between WBB and STC showed a significant positive correlation with the pelvic tilt and reaching task (p<0.05). Posterior tilt and erector spinae activation (Lt. L5) showed a significant negative correlation (p<0.05). Left, right tilt and erector spinae activation (L5) showed a significant negative correlation (p<0.05). Conclusions: This study confirmed the advantages of the STC and found efficiency as an objective measuring device of pelvic mobility.

20대 여성들의 변비가 허리통증에 미치는 영향 (Influence of Constipation in Women in Their Twenties on Low Back Pain)

  • 유하영;정연우
    • 대한정형도수물리치료학회지
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    • 제24권2호
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    • pp.43-49
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    • 2018
  • Background: In this study, the importance of constipation and back pain was assessed by regression analysis of the effects of stress, dietary habits, and water intake on constipation in women in their twenties and the influence of constipation and body mass index (BMI) To provide basic data. Methods: This study selected 109 having constipation of 120 students attending G University in Gwangju and eating habits, water intake level, stress and BMI. Trigger point at the tip of erector spina was palated with tenderness set in order to examine whether muscle tenderness and actual low back muscle tenderness level were same and left and right parts were measured three times and average of Max values was used. We examined the effect of constipation on low back pain and examined constipation and BMI to determine whether they affected low back pain. Results: There was no significant difference in eating habit although there was a significant difference in the effect of stress and water intake on constipation. Constipation had significant difference in back pain. However, there was no significant difference in BMI, normal weight, overweight, and obesity except for low body weight. Conclusions: This study found that constipation was associated with stress levels, water intake, and back pain. In conclusion, this study suggests basic data to prevent and treat constipation-related back pain, and recommends plenty of water intake, proper exercise and stress management to prevent constipation.

배변 격려 프로그램이 인공 슬관절 전치환술 환자의 배변에 미치는 효과 (Effects of Defecation Encouragement Program in Patients Undergoing total Knee Replacement Arthroplasty)

  • 박정희;천성주;권영희;박현숙;김미나;박미란;최혜진
    • 근관절건강학회지
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    • 제29권2호
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    • pp.81-90
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    • 2022
  • Purpose: The purpose of this study was to evaluate the efficacy of applying a defecation encouragement program for patients undergoing total knee replacement arthroplasty (TKRA). Methods: This program was based on the nursing best practice guideline: prevention of constipation in the older adult population by the National Guideline Clearing House (NGC) in 2011, which included fluid intake, bowel training, and abdominal and pelvic floor exercises. A team of one orthopaedic clinical nurse specialist and six orthopaedic nurses with a 10 years of clinical experience applied and assisted patients with the program. Formal counsel was provided by one orthopaedic doctor, one gastroenterologist, and one exercise therapist. Patients who defecated one day prior to or on the day of TKRA surgery were included. Data collected from 72 subjects were analyzed using SPSS/WIN 21.0. Results: Time until first defecation after surgery was 2.4±1.1 days in experimental group, which was significantly shorter than the 3.5±0.9 days in control group (t=4.28, p<.001). Constipation assessment scale showed significantly lower points (t=2.55, p=.013) in experimental group (1.3±1.2) compared to control group (2.6±2.6). The experimental group and control group were 17.3±7.67 and 23.7±14.43, respectively, and the experimental group used less laxatives (t=2.83, p=.021). Conclusion: A defecation encouragement program was proved to be an appropriate nursing intervention for patients undergoing TKRA. This study confirmed that constipation is a nursing problem that can be sufficiently prevented if nurses are interested and encourage defecation.

서킷 웨이트트레이닝이 노인들의 등속성 근력과 신체구성에 미치는 영향 (Effects of Circuit Weight Training on Isokinetic Muscle Strength and Body Composition in elderly)

  • 장정훈;정동혁
    • The Journal of Korean Physical Therapy
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    • 제15권2호
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    • pp.168-181
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    • 2003
  • The purpose of this study was to investigate the effects of circuit weight training(CWT) on isokinetic muscle strength and body composition in elderly. The subjects who engaged in this experiment exercised at 40$\%$ of 1-RM, 12 repetitions, followed by 15 sec as the subject moved to the each break training program which was consist of the circuit of 10 stations performed on 3 set a day, circuits 3 days a week during 10 weeks. The assessment of isokinetic factor was in concentric flexors and extensors of right and left knee joint. Tests were performed on the Cybex 770 Isokinetic Dynamometer and body composition were estimated the three parts of chest, abdomen and anterior thigh by using skinfold caliper, calculated the average and followed by Seri and Brozek way. Statistical analysis were performed using analysis of variance paired t-test, accepting level for all significant was above $\alpha$=.05 and $\alpha$=.01. Following is as a result of 10 weeks circuit weight training. 1. At the $60_{\circ}$ /sec, the right and left knee isokinetic concentric flexors and extensors peak torque increased significantly (p < .01). 2. At the $180_{\circ}$ /sec, the right and left knee isokinetic concentric flexors and extensors peak torque increased significantly (p < .01). 3. At the $60_{\circ}$ /sec, the right and left knee isokenetic concentric flexors and extensors average power increased significantly(p < 0.5, p < .01) and at the $180_{\circ}$ /sec, the right extensors didn't show any statistical significant. 4. At the $60_{\circ}$ /sec, the right and left knee Isokinetic concentric flexors and extensors total work increased significantly(p < .05, p < .01) but at the $180_{\circ}$ /su right concentric flexors didn't show any statistical significant. 5. The body composition changed significantly(p < .01). These results suggest that 10 weeks circuit weight training increases the peak torque, average power, total work significantly and decreases the $\%$body fat significantly.

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A Comparative Study of Optimal Stretch Intensity For Flexibility of Hamstrings; Hand Held Dynamometer and Verbal Rating Scale

  • Choi, Bong-sam
    • 한국전문물리치료학회지
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    • 제24권4호
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    • pp.38-45
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    • 2017
  • Background: To improve muscle flexibility, static stretch is the most common type and is considered safe and effective for improving overall flexibility of muscles. During the stretch, the intensity is more likely to be determined by the degree of an athlete's pain and practitioner's skills rather than quantitative measures of stretch. It is necessary to determine the optimal intensity for the stretch. Objects: The purpose of this study is to explore the relationship between hand held dynamometer (HHD) and verbal rating scale (VRS) in comparison of the effects of continuance time on active (walking) and inactive (sitting) movement after static stretch. Methods: A cross-sectional study was conducted with a sample (n=62) recruited from a university. Participants were randomly assigned to 2 different groups (n=31 for each group) based on participants' positions either remaining in sitting or freely walking around for a series of re-assessments. Data was collected at pre-warm up, pre-stretch, post-stretch, and additional assessments at the time of 3, 6, 9, 12, 15, 20 and 30 minutes after the stretch. Results: Relationship between VRS and HHD scores represents very weak correlation (Spearman's p=-.16, p>.05). Pearson's correlation analysis was conducted following the logarithmic transformation of the two scores. Pearson's correlation after the transformation still showed a very low relationship and a poor linear relationship between the two scores (Pearson's r=-.18, p>.05). Conclusion: The optimal intensity for stretch cannot be solely determined by the subjective pain perception. The objective measurement such as HHD could be used in conjunction with the pain perception.

서킷 웨이트트레이닝이 노인들의 등속성 근력과 신체구성에 미치는 영향 (Effects of Circuit Weight Training on Isokinetic Muscle Strength and Body Composition in elderly)

  • 장정훈;정동혁
    • The Journal of Korean Physical Therapy
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    • 제15권4호
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    • pp.398-411
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    • 2003
  • The purpose of this study was to investigate the effects of circuit weight training(CWT) on isokinetic muscle strength and body composition in elderly. The subjects who engaged in this experiment exercised at $40\%$ of 1-RM, 12 repetitions, followed by 15 sec as the subject moved to the each break training program which was consist of the circuit of 10 stations performed on 3 set a day, circuits 3 days a week during 10 weeks. The assessment of isokinetic factor was in concentric flexors and extensors of right and left knee joint. Tests were performed on the Cybex 770 Isokinetic Dynamometer and body composition were estimated the three parts of chest, abdomen and anterior thigh by using skinfold caliper, calculated the average and followed by Seri and Brozek way. Statistical analysis were performed using analysis of variance paired t-test, accepting level for all significant was above ${\alpha}=.05$ and ${\alpha}=.01$. Following is as a result of 10 weeks circuit weight training. 1. At the $60_{\circ}$ /sec, the right and left knee isokinetic concentric flexors and extensors peak torque increased significantly(p<.01). 2. At the $180_{\circ}$ /sec, the right and left knee isokinetic concentric flexors and extensors peak torque increased significantly(p<.01). 3. At the $60_{\circ}$ /sec, the right and left knee isokenetic concentric flexors and extensors average power increased significantly(p<.05, p<.01) and at the $180_{\circ}$ /sec, the right extensors didn't show any statistical significant. 4. At the $60_{\circ}$ /sec, the right and left knee Isokinetic concentric flexors and extensors total work increased significantly(p<.05, p<.01) but at the $180_{\circ}$ /sec right concentric flexors didn't show any statistical significant. 5. The body composition changed significantly(p<.01). These results suggest that 10 weeks circuit weight training increases the peak torque, average power, total work significantly and decreases the $\%$body fat significantly.

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강직성 척추염환자의 가족지지, 통증, 자아존중감, 일상생활 활동에 관한 연구 (A Study of Family Support, Pain, Self-esteem, ADL in Patients with Ankylosing Spondylitis)

  • 김경숙;김종임
    • 근관절건강학회지
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    • 제12권1호
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    • pp.7-15
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    • 2005
  • Purpose: The purpose of this study was performed to understanding of family support, pain and self-esteem, activities of daily living(ADL) in patient with ankylosing spondylitis(AS) and to identify the relationship among variables. Method: This study was conducted on 55 adults diagnosed with AS in C hospital in Daejeon during January 15th to June 20th, 2004. Instruments in this study were pain scale (VAS), family support scale, self-esteem scale, ADL scale. The data were analyzed mean, standard deviation, one-way ANOVA, Pearson's Correlation Coefficient using SPSS WIN(ver 10.0) program. Results: 1) 83.6% of the subjects was men, 30.9% of the subjects' age was below 29. And the 90.9% of the subjects was no experience of education about AS, 41.8% of the subjects was doing exercise. 2) The pain score was 48.36, family support score was 3.98, self-esteem score was 3.52 and ADL score was 81.41. 3) Family support was positively correlated with self-esteem and ADL and negatively correlated with pain. self-esteem was negatively correlated with pain and ADL. Conclusion: The results in this study can help nurse who care patients with AS understanding the relationships among family support, self-esteem, ADL, pain. And this findings showed that the patients with AS have few experience for disease-related education to manage and to understand AS. Therefore disease-related educational nursing program based on family support, pain, ADL of AS is needed to understand and manage AS. Because family support, pain, ADL of AS were significant correlated.

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Anti-Fatigue Properties of Cultivated Wild Ginseng Distilled Extract and Its Active Component Panaxydol in Rats

  • Shin, Il-Soo;Kim, Do-Hee;Jang, Eun Young;Kim, Hee Young;Yoo, Hwa-Seung
    • 대한약침학회지
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    • 제22권2호
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    • pp.68-74
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    • 2019
  • Objectives: Cultivated wild ginseng (cWG), called SanYangSanSam, has been used clinically in patients with chronic fatigue in Korea. Little is known about effects of the ginseng distilled (volatile) components produced during evaporizaiton. Recently, we first identified one major component from cWG distilled extract, panaxydol, by using mass spectrometry. However, functional properties of cWG distilled extract and panaxydol remains elusive. Therefore, the present study evaluated the effect of cWG distilled extract or panaxydol on exercise-induced fatigue in rats. Methods: Fatigue was induced by forced swimming and the immobility time was analyzed in male Sprague-Dawley rats. The animals received intraperitoneally either vehicle, cWG distilled extract, or panaxydol 10 min prior to beginning of the forced swimming test (FST) once daily for 5 days. After the FST on day 5, we also analyzed fatigue-related biochemical levels including blood urea nitrogen (BUN), lactate acid (LAC), and lactate dehydrogenase (LDH) in serum and levels of glycogen in liver and soleus muscle. Results: The forced swimming time in cWG distilled extract (0.6 mL/kg)-treated group was significantly longer than that of control group on day 4 and 5. Panaxydol (0.1 and 0.25 mg/kg)-treated groups showed significantly enhanced performance in the forced swimming, compared to control. In addition, a significant decrease in serum LDH level was found in panaxydol-treated group, while there were no alternations in levels of serum BUN and LAC and glycogen in liver or soleus muscle. Conclusion: The present study demonstrated cWG distilled extract and its active component panaxydol have a function of anti-fatigue.

간 이식 수혜자의 영양 상태와 영향 요인 (Nutritional Status of Liver Transplantation Recipients and Factors Influencing Nutritional Status)

  • 황신영;최스미
    • 대한간호학회지
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    • 제49권3호
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    • pp.340-348
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    • 2019
  • Purpose: This study aimed to investigate the nutritional status of liver transplantation (LT) recipients and explore certain factors that influence nutritional status, including dietary patterns and physical activities. Methods: This was a cross-sectional, descriptive study. The subjects included 211 LT recipients at a medical center outpatient clinic located in Seoul, Korea. The nutritional status, dietary patterns, and physical activities of each subject were measured using the body mass index (BMI), Mini Dietary Assessment (MDA), and Global Physical Activity Questionnaire. Independent t-test, one-way analysis of variance, and multiple linear regression analysis were used to analyze the data. Results: The percentages of living and deceased donor LTs were 81.0% and 19.0%, respectively. The mean BMIs pre- and post-LT were 23.88 and $23.16kg/m^2$, respectively, and the average MDA score was 36.55. More than 60.0% of the subjects had a moderate or high level of physical activity. In multivariate analysis, a higher BMI before LT (${\beta}=.72$, p<.001), a lower Model for End-stage Liver Disease (MELD) score (${\beta}=-.18$, p<.001), and being male (${\beta}=-.10$, p=.024) contributed to better nutritional status post-LT. Patients within six months of LT were less engaged in muscle exercises than those post six months of LT (p=.020). Conclusion: LT recipients in Korea have good nutritional status and a good level of physical activity. To improve recipients' post-LT nutritional status, the pre-LT nutritional status should be considered, particularly in those with a higher MELD score. In addition, physical activity including muscle-strengthening exercises should be encouraged from an earlier stage.