The regimen of physical activity of the patient with coronary artery disease requires that he should not overshoot the prescribed heart rate based on his age, health and fuctional status of the heart during his exercise. The step input of work load, however, involves a great danger of overshooting. The purpose of this study was to desigil a system that makes it passible for a subject to check the overshooting. This system shows on tile H.R-meter, the amplified and filtered heart-rate signal of the subject received by the photosensor on his earlobe, puts it in the lead coinpensational circuit where it is conpared with the reference input signal(=the presfribed heart rate). The output of the lead compensational circuit works the aull meter. By means of this null meter, the subject knows whether he is overshooting the prescribed heart rate or not. He can continue the natl meter needle at the'Zero'position through the control of the speed of pedaling of the bicycle ergometer, An experimental test, made on eight men and four women in healthy condition, showed that 91. 7% of them vlaintained the stable heart rate and that the overshooting of the desired heart rate did not exceed $\pm$2BPM. According to the result of this experiment, since the heart rate feedback controller makes it possible for the subject to take the prescribed exercise based not on the work load but on the heart rate which incidentally is inexpensive, it can be made use of as the instrument for the regimen of pflysical activity by the patient with coronary artery disease.
Purpose: Generally, patients with stroke present with decreased balance and increased spasticity following weakness of the paralyzed muscles. Muscle weakness caused by stroke has two causes. This is caused by a decrease in motor output and an adaptive muscle change, resulting in muscle weakness and muscle paralysis. The purpose of this study was to investigate the effect of strengthening exercise on balance and spasticity in chronic stroke patients and to suggest the basis of clinical treatment. Methods: Twenty subjects were divided into two groups: a lower-extremity strengthening group (experimental group) and a general physical therapy group (control group). The sliding stander equipment was used for the experimental group and a regimen of warm-up exercise, the main exercise routine, and cool-down exercise were used for the muscle strengthening exercise program. Balance and spasticity were measured before and after the training period. Balance ability was measured by the Berg balance scale, the Timed up and Go test and the weight distribution of the paralyzed muscles by the Spacebalance 3D. Spasticity was measured by the Biodex system. Results: After the training periods, the experimental group showed a significant improvement in BBS, weight distribution of the paralyzed muscles, and decreased spasticity when compared to the control group (p<0.05). Conclusion: This study supported the hypothesis that lower-extremity strengthening exercise improves the balance and decreases the spasticity of stroke patients. If it is combined with conventional neurologic physiotherapy, it would be effective rehabilitation for stroke patients.
Purpose: To identify the compliance level with therapeutic regimen among patients with hypertension residing in rural communities. Method: A descriptive-retrospective research design was employed. One hundred patients with hypertension using 8 Primary Health Care Posts under W Public Health Center were randomly recruited on the basis of being over 35 years of age. After obtaining written consent, the patients underwent direct interviews with a structured questionnaire carried out by 8 public health practitioners. Descriptive statistics and binary logistic regression were utilized. Results: In a binary logistic regression model adjusted for age, sex, education, income, and occupation, those who were receiving medication (OR=5.34), were undergoing a weight control program (OR=4.45), restricted alcohol (OR=9.93), or smoking cessation (OR=25.59) as recommended by medical or health professionals were more compliant (p<.05) while those under a low salt diet, exercise, and stress management were not significant statistically (p>.05). Conclusions: Further research should be conducted to validate these findings so as to facilitate the development of nursing intervention strategies for improving the compliance of hypertensive patients in respect to medication and life style modification.
Objective: This study was aimed to compare the thickness and pennation angle of gastrocnemius through ultrasonography during the heel-drop exercise on ankle dorsiflexion angle. Design: Cross-sectional study. Methods: Nineteen normal adults in their 20s had voluntarily participated in this study. All subjects performed the ankle heel-drop exercise with ankle dorsiflexed to $0^{\circ}$, $10^{\circ}$, and $20^{\circ}$: heel-drop exercise with ankle dorsiflexed to $0^{\circ}$ was executed on floor-level, heel-drop exercise with ankle dorsiflexed to $10^{\circ}$ on a wooden-block of 2.3 cm in height, and heel-drop exercise with ankle dorsiflexed to $20^{\circ}$ on a wooden-block of 5.5 cm in height. In each regimen, the subjects completed a session of 100 heel-drop exercises (10 repetitions${\times}$10 sets; with 30 seconds rest following each set; with 24 hours rest following each exercise). Before and immediately after each heel-drop exercise, the thickness and pennation angle of gastrocnemius were measured using an ultrasonography. Results: After the performance of the heel drop exercises with ankle dorsiflexed to $0^{\circ}$, $10^{\circ}$, and $20^{\circ}$, the thickness of the gastrocnemius was significantly higher than pre-exercise (p<0.05), and furthermore heel-drop exercise with ankle dorsiflexed to $10^{\circ}$ was significantly higher than exercise with the ankle dorsiflexed to $0^{\circ}$ (p<0.05). However, as for the pennation angle of the gastrocnemius, there were no significant changes after each heel-drop exercise. Conclusions: This finding suggest that the heel-drop exercise with ankle dorsiflexed to $0^{\circ}$, $10^{\circ}$, and $20^{\circ}$ is effective on the strengthening of the gastrocnemius. Furthermore, the heel-drop exercise with the ankle dorsiflexed to $10^{\circ}$ is more effective than with the ankle dorsiflexed to $0^{\circ}$.
Kim, Jeong-Hwan;Gwon, So-Hui;Kim, Ae-Jeong;Seo, Myeong-Hyo;Park, Jae-Su;Lee, Ki-Nam
Journal of Korean Medical Ki-Gong Academy
/
v.8
no.1
/
pp.115-127
/
2005
The present study aims to provide efficient regimen by means of the Oriental medicine tool to measure Yangseng developed to fit the situation of Korea. For this purpose, the elderly people aged older than 65 were selected and their level of Yangseng was compared and analyzed depending on their perception of health. From the study, following conclusions could be drawn: 1. The total subject of study were 763 consisting mostly of the illiterate and spoused with disease but without leisure activities. 2. Most of the subjects were found to have little confidence with their health. With regard to their level of Yangseng, higher points were rated in morality yangseng, followed by activities & rest, diet, mind yangseng, sleep, seasonal yangseng, exercise and sex life in order. 3. By socio-demographic characters for the group with confidence in health, there were more male than female, with spouse, disease and leisure activities currently. In the group without confidence in health, there were more female, without spouse and leisure activity but with disease presently. 4. As for the level of Yangseng in the group with confidence in health, higher points were recorded in morality yangseng, followed by activities & rest, mind yangseng, diet, sleep, exercise and sex life in order. In case of the group without confidence in health, higher points were recorded in morality yangseng, followed by activities & rest, diet, mind yangseng, sleep, exercise and sex life in order. From the above outcomes, it would be necessary to motivate the subjects to have a renewed concept for health and efficient regimen. Continued and repeated eforts should be made to fill the gap in the study using the tool to measure Yangseng of the elderly people.
Hyon-Min Tae;Su-Yeong Eom;Byoung-Kwon Lee;Dae-Sung Park
Physical Therapy Rehabilitation Science
/
v.13
no.1
/
pp.8-17
/
2024
Objective: This study aims to explore the relationship between isokinetic strength training and the enhancement of physical function in older adults. It also evaluates the effectiveness of isokinetic strength training equipment. Method: This study randomly divided twenty healthy adults into two groups.The experimental group engaged in isokinetic strength training for 30 minutes, three times a week, over a four-week period. In contrast, the control group did not participate in any exercise regimen. We assessed several outcome measures including physical functions (sit-to-stand test, flexibility, Timed Up and Go test), grip strength, balance, thigh circumference, the Korean version of the Patient Health Questionnaire-9 (PHQ-9), and the Korean version of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Additionally, the experimental group's self-perceived improvement in lower limb condition was evaluated using the Global Rating of Change (GROC) scale. Results: The experimental group showed significant improvements compared to the control group in various aspects: reduced sit-to-stand test duration (7.00±2.05 seconds), increased flexibility (4.69±3.90 cm), improved grip strength (1.54±1.74 kg), increased thigh circumference (left: 1.29±1.19 cm, right: 1.19±1.27 cm), enhanced Timed Up and Go test performance (-1.47±0.86 seconds), better balance (eyes open stance: -8.08±4.03 cm, eyes closed stance: -0.27±0.13 cm/s), and a decrease in depression severity (-0.15±1.51 points). Furthermore, significant increases were observed in the experimental group's maximal isokinetic strength at 90°/s for both flexion (19.62±7.03 Nm) and extension (19.60±14.65 Nm) over the study period. Conclusion: The findings suggest that isokinetic strength training equipment can significantly enhance physical functions in seniors when incorporated into an exercise regimen.
Purpose: Yangsaeng is a traditional health care regimen that incorporates specific principles and methods to promote health and prevent illness, with the aim of improving the health and longevity of life. The present study assessed Yangsaeng and quality of life (QOL-BREF) in Korea. Methods: Data from 346 adults and elderly Koreans was collected by using a self-reported questionnaire. Analysis of the data included descriptive statistics, Pearson's correlation, t-test, ANOVA and Cronbach's ${\alpha}$. Results: Statistically significant differences in QOL-BREF were evident according to the age, job, religion, education level, economic status and positive thinking. Statistically significant differences were evident in Yangsaeng according to religion, education, economic status and positive thinking. Total QOL-BREF positively related to total Yangsaeng. Morality Yangsaeng, exercise Yangsaeng and sleep Yangsaeng were positively related to all QOL-BREF sub-domains. Conclusions: The Yangsaeng oriental health care regimen can improve QOL, and should be recommended as a means of health promotion and QOL in the Korean culture.
Purpose: The purpose of this study was to investigate the relationship of stress, depression and Yangsaeng in Korea. Yangsaeng is a traditional health care regimen for the promotion of health and prevention of illness by means of specific principles and methods, whose purpose was to improve longevity and healthy life. Method: The subjects of this study were 523 college women in Korea. Data were collected by using a self-reported questionnaire and analyzed through descriptive statistics, Pearson's correlation coefficient, t-test, ANOVA and Cronbach's ${\alpha}$. Results: There was statistically significant difference in stress and depression according to drinking and positive thinking. There was statistically significant difference in Yangsaeng according to grade, drinking, exercise and positive thinking. Stress was positively related depression. Stress and depression was negatively related Yangsaeng. Conclusion: The results of this study suggest that Yangsaeng as oriental health care regimen could lower level of stress and depression. Therefore, Yangsaeng could be recommended a way of mental health promotion in Korean culture.
Background: A physically active lifestyle and regular exercise training incurs many health benefits. One recently recognized benefit of regular moderate exercise is stress reduction and immune enhancement. Thus, a physical stress such as exercise may act at any number of points in the complex sequence of events collectively termed the immune response. Although exercise causes many propound changes in parameters of immune function, the nature and magnitude of such changes rely on several factors including the immune parameters of interest; type, intensity, and duration of exercise; fitness level or exercise history of the subject; environmental factors such as ambient temperature and humidity. Methods: This study was undertaken to investigate the effect of different type of exercise on superoxide dismutase (SOD), neutrophils, and T lymphocytes of Sprague-Dawley rats. Sprague-Dawley rats were randomly divided into three groups; a non-Trained group (NTG, n=6), a swim-Trained group (STG), and a treadmill-Trained group (TTG). The exercise regimen was designed in a treadmill (5 times/5 days/week) during 8-weeks for TTG, and swim training (5 times/5 days/week) during 8-weeks for STG, and the volume of exercise training was the same in both groups. Results: 8 weeks of regular swim and treadmill training significantly increased liver SOD concentration however, muscle SOD concentration was not statistically significant. In the level of neutrophils, TTG and STG showed significant difference, compared to NTG. TTG was the highest level of neutrophils. In the level of immune cell counts, there was significant difference among TTG, STG, and NTG both in the spleen and thymus. Conculsion: In conclusion, it can be stated that eight weeks swim and treadmill exercise training has beneficial effect in improving immune response and antioxidant defence capacity by augmenting immune cells and SOD activities of SD rats.
This study examined the effect of various types of exercise on bone formation and resorption in rat. Five-week-old male Sprague-Daweley rats were randomly assigned to one of four groups with 10 animals in each; Control, Treadmill, Swimming, Resistance. The exercise regimen consisted of treadmill running at 25m/min, 1 hr per day, 5 days a week, and swimming for 1 hr per day, 5 days a week. Resistant exercise type with weight-bearing was designed to extend lower and upper extremities in order to feed the diet and water. Food intake showed no significant difference among groups but body weight gain and food efficiency were significantly increased in Control group as compared with exercise groups. Femur and tibia length and weight were higher in Control group and the density of therm tended to be higher in exercise groups than Control group, but this difference was not statistically significant. The breaking force of femur was the highest in Swimming group and tibia was the highest in Resistance group among groups, while there was no signigicant difference among the exercise groups. The calcium content of femur was significantly increased in Resistance group than the other groups. Calcium intake and urinary calcium showed no significant difference among groups, while calcium absorption and retention were significantly higher in exercise group than Control group. In conclusion, exercise training enhanced bone formation due to the positive effect on metabolism of calcium and bone which were different according to the types of exercise. (Korean J Nutrition 34(5) : 541∼546, 2001)
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