Background: The purpose of this study was to effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women. Design: A Single-Subject Study. Methods: This study was applied to 28 weeks of pregnant women who complained of low back pain for a total of 4 weeks. A total of 10 prenatal exercise programs in this study consists of sessions, and each session was applied with a Bruger exercise for 1 minute before the start. For the fatigue and safety of pregnant women, a break for 1 minute was provided for each session and was conducted under the supervision of the therapist The visual analogue scale (VAS), Oswestry disability index (ODI), and static balance (BT-4) were measured to evaluate the pregnant women's low back pain and balance ability before and after the intervention Results: The change in back pain after the intervention was VAS 5 before the intervention, but the VAS gradually decreased at 4 weeks after the intervention. Reduced to VAS 2 after 4 weeks of intervention. The Oswestry Disability Index (ODI) was 54%, which was at the level of severe disability, but the dysfunction index gradually decreased 4 weeks after intervention, reaching 19% in 4 weeks, and there were no problems with daily life. As for the static balance ability, the sway area and the sway distance values gradually decreased after the intervention in both the eyes open and closed state, showing an improvement in the static balance ability of pregnant women after the intervention than before the intervention. Conclusion: The prenatal exercise program combined with Brugger's exercise was effective to improve low back pain and static balance in pregnant women. The result of this study may helpful as basic data for obstetric physical therapy.
Purpose : This study aimed to compare lung capacity measures (forced vital capacity; FVC, forced expiratory volume at 1 second; FEV1, and FEV1/FVC) and the activities of rectus femoris (RF) and gastrocnemius (GCM) muscles between young adults prescribed aerobic exercise combined with lower limb strength exercise (complex exercise) and those prescribed only aerobic exercise. Methods : We randomly divided 22 young adults into 2 groups: the complex exercise group that combined the leg strengthening and aerobic exercises (n = 11) and the aerobic-exercise-only group (n=11). Before the intervention, the FVC, FEV1, and FEV1/FVC values and the activities of RF and GCM muscles were measured. Measurements were in triplicates, and the average of the 3 measurements was used. The complex exercise group performed the treadmill exercise followed by squats and lunges, and the group performed only the treadmill exercise. Both groups were allocated the same time. Both groups performed the assigned exercise thrice a week for 3 weeks. After the intervention, the FVC, FEV1, and FEV1/FVC values and the activities of RF and GCM muscles were measured again. Results : The FVC and FEV1 values increased significantly in both groups after the intervention (p<.05). RF activity increased significantly after the intervention in the complex exercise group (p<.05), and the magnitude of change in RF activity after the intervention was significantly higher in the complex exercise group than in the aerobic-exercise-only group (p<.05). GCM activity also significantly increased after the intervention in both groups (p<.05). Conclusion : On the basis of our results, we recommend combining leg strengthening and aerobic exercise to improve leg muscle activity along with lung function.
Purpose: The purpose of this study was to examine exercise program and outcome variables of exercise intervention studies from 1985 to 2004 in 9 major nursing journals in Korea. Method: From 81 articles, publishing year, research design, subjects, exercise program and outcome variables were analyzed. Results: The 57 papers(70.4%) were experimental research among 81 papers. Subjects of exercise intervention studies were demonstrated that patients were 55.6% while healthy person was 44.4%. Exercise type by the subjects which demonstrated the highest proportion was dance movement for the elderly, walking for the middle aged women and aqua exercise for the arthritis. The 40 papers(49.4%) included exercise duration, frequency and time for the exercise program which demonstrated the highest proportion. Outcome variables to determine the effect of exercise intervention were demonstrated to be physical function, physiological index, psychological and emotional variables, cardiopulmonary function, body composition, physical symptoms, variables related to exercise and behavior in order. Conclusion: Half of the exercise intervention papers included exercise duration, frequency, time and intensity for the exercise program. Frequently used outcome variables to determine the effect of exercise intervention were demonstrated to be physical function, physiological index and psychological emotional variables.
The aim of the study was to evaluate the effectiveness of exercise therapy on physical function of patients with anklyosing spondylitis (AS) through the systemic review and meta-analysis. The 54 studies were identified from computerized search of published researches on PubMed, Embase, CINAHL, PEDro, KISS, KERIS database until February, 2008 and review of reference lists. The main search terms were the combination "ankylosing spondylitis", "exercise", "spondyloarthropathy and exercise", "ankylosing spondylitis and physical therapy". The subgroup analysis was performed by the publication year, quality score, type of disease, content of intervention, intervention provider, type of intervention, method of intervention, intervention period and the point of outcome measured. Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. The result was as follows: The 10 trials were eligible for inclusion criteria, then the systematic review and meta-analysis was assessed on effectiveness of exercise therapy. The meta-analysis of 10 studies based on the random effect model showed that the exercise therapy was beneficial in treating the diseases (effect size .55; 95% confidence interval -.3.75~.61). The findings suggest that the exercise therapy would be appropriate to manage the physical function of AS with evidence based on Meta-analysis. Therefore, the exercise therapy supervised by physical therapist should be recognized as the essential approach to manage the AS and necessarily recommended to improve physical function.
Purpose : The purpose of this study was to investigate the effect on lung capacity of healthy men and women in their twenties by performing an intervention using the chest extension exercise and the bridge exercise, which are respiratory muscle strengthening exercises. Methods : Thirty adult men and women in their 20s participated in this study. All subjects participated in the study after hearing the explanation of the purpose and method of the study, filling out a consent form. All subjects were randomly assigned to the chest extension exercise (CEE) group and the bridge exercise (BE) group of fifteen each. Each exercise was performed twice a week for 4 weeks. Lung capacity was measured by forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) using spirometry. Lung capacity was measured before and after exercise. The measured data were compared through the dependent t-test and the independent t-test. The statistical significance level was set at .05. Results : After the intervention, the CEE group showed a significant increase in FVC and FEV1 compared to before the intervention (p<.05). After the intervention, the BE group also had a significant increase in FVC and FEV1 compared to before the intervention (p<.05). However, there was no difference in FVC and FEV1 between groups before and after the intervention (p>.05). Conclusion : There was no difference between groups in lung capacity after exercise. However, both the chest extension exercise and the bridge exercise increased FVC and FEV1, which was thought to be because both exercise methods were effective in increasing lung capacity. Therefore, both chest extension exercises and bridge exercises can be effectively applied as a way to increase lung capacity.
Purpose : This study aimed to investigate the effect of blood flow restriction exercise on ankle muscle strength and balance ability to achieve maximum efficiency with the same exercise intensity and time. Methods : Twenty-six adults are randomly assigned to experimental group (n=13) and comparison group (n=13). The experimental group performed ankle joint strength exercises with blood flow restriction applied while the comparison group performed ankle joint strength exercises without blood flow restriction applied three times a week for four weeks. The digital muscle measurement, Y-balance test, and Cumberland ankle instability tool were used to evaluate the subject's muscle strength, dynamic balance, and ankle instability index before and after the intervention. Results : In within-group comparison muscle strength, all the two groups showed significant improvements post intervention (p<.05). In between-group comparison, there was significant difference in the change of dorsiflexion, eversion strength pre and post intervention (p<.05). but plantarflexion was no significant difference between pre and post intervention in the group comparison (p>.05). In within-group comparison dynamic balance, all the two groups showed significant improvements post intervention (p<.05). In between-group comparison, there was no significant difference in the change of Y-balance score pre and post intervention (p>.05). In within-group comparison ankle instability index, all the two groups showed significant improvements post intervention (p<.05). In between-group comparison, there was no significant difference in the change of CAIT score pre and post intervention (p>.05). Conclusion : The results of this study show that ankle joint strength exercise improved the strength and balance ability of those complaining of chronic ankle instability, and ankle joint strength exercise applied with blood flow restriction was more effective in dorsiflexion and eversion strength exercise than ankle joint strength exercise without blood flow restriction.
Purpose: The purpose of this study was to analyze the effect of the manual intervention and self corrective exercise models of GCM(General Coordinative Manipulation) on the groups bow-knee and knock-knee. Methods: GCM Center of 23 members were divided into the two different groups. 12 members of group bow-knee and 11 members of group knock-knee applied to each manual intervention and self corrective exercise models of GCM. Two different groups were applied to 1 cycle a day for 4 weeks, 3 times a week. Results: The effect of manual intervention and self corrective exercise models of GCM on the groups bow-knee and knock-knee was significant(z<.05). The relationship between groups bow-knee and knock-knee was no significant(z>.05). Conclusion: the manual intervention and self corrective exercise models of GCM was contributed in the Correct recovery of bow-knee and knock-knee(z<.05).
Purpose: This study was done to analyze the trends in excercise-related research in nursing and non nursing research studies published in Korea. Method: Two hundred and ten research studies published in Korea between January, 1990 and December, 2002 were analyzed according to the criteria of methological characteristics, pattern of excercise-related program, and measurement index of exercise effect. Results: There were twice many papers from nursing compared to other fields, and many experimental studies in nursing were done with more variety than in non nursing fields. Aspects of exercise pattern, such as excercise type. duration, and frequency, exercise-intervention pattern, and applying theory were especially included. When patterns of excercise therapy and index of exercise effect were analyzed, each researcher used their own unique excercise contents and intervention patterns(excercise time per week, exercise duration at each time period, excercise, intervention time, and etc). Conclusion: For the importance of exercise therapy to health improvement and the proper suggestion of exercise therapy on the basis of this research, meta-analysis of exercise effect are needed, and with this analysis, intervention patterns of exercise, development of standard exercise therapy, and identification of exercise effects are required.
Background: The purpose of this study was to evaluate the influence of ankle strategy exercise on balance ability in the women of octogenarians. Methods: Ankle strategy exercise group(n=14), leg strengthening exercise group(n=14) were measured an balance ability by Berg Balance Scale(BBS) scores and Balance Performance Monitor(BPM) at pre-intervention and post-intervention in 6weeks. Results: This study were summarized as follows : 1. The BBS scores, sway area, sway path length, sway maximum velocity of ankle strategy exercise group and leg strengthening exercise group were significantly different among the intervention period(p<.05). 2. The improvement of BBS scores, sway area, sway path length, sway maximum velocity were significantly different between ankle strategy exercise group and leg strengthening exercise group at in 6weeks(p<.05). Conclusion: Learned from the ankle strategy exercise could improve BBS scores, sway area, sway path length, sway maximum velocity and a balance for the women of octogenarians. Ankle strategy exercise need to be applied clinically for balance ability of the women of octogenarians.
Purpose: This study examined the effects of an elastic band resistance exercise program on the body functions and Glycosylated hemoglobin (HbA1c) of elderly people with type 2 diabetes. Methods: Twenty-seven elderly patients with type 2 diabetes were enrolled in this study (exercise group 14, control group 13). The subjects in the exercise group participated in the program for 60 minutes a day, three times a week, for 12 weeks. All the subject's body functions, HbA1c were measured to compare the following: before the intervention, at the completion of the 12 weeks intervention, and eight weeks after the intervention. Results: Compared to the control group, the exercise group showed significant improvements in the 12 week and follow-up measurement after the intervention in body function, such as the strength of the upper and lower limbs, agility and limit of stability. The body functions of the exercise group improved as the period of intervention progressed. On the other hand, the HbA1c level at each follow-up measurement was similar in the two groups. Conclusion: The 12 week elastic band exercise program is recommended as an effective intervention for improving the body functions of elderly people with type 2 diabetes. Nevertheless, a combined intervention of steady exercise, diet therapy and drug therapy will be needed for further active prevention and management of type 2 diabetes.
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