• 제목/요약/키워드: extremities

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하지운동과 탄력압력스타킹 적용이 일종합병원 간호사의 하지부종과 하지통증에 미치는 영향 (Effects of the Application of Lower Extremities Exercise and Elastic Compression Stockings on Edema and Pain of Lower Extremities in Nurses)

  • 최영순
    • 한국산학기술학회논문지
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    • 제16권11호
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    • pp.8037-8045
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    • 2015
  • 본 연구는 하지운동과 탄력압력스타킹 적용이 간호사의 하지부종 및 통증에 미치는 효과를 검증하기 위한 비동등성 대조군 전 후시차설계를 이용한 유사실험연구이다. 연구대상자는 E시에 소재하는 일개종합병원에 근무하는 간호사 30명으로 탄력압력스타킹 적용군 10명, 하지운동 적용군 10명, 대조군 10명으로 구성되었다. 자료수집은 2015년 8월 10일부터 2015년 8월 31일까지 이루어졌다. 실험처치는 실험군인 탄력압력스타킹 적용군은 근무 중 탄력압력스타킹을 착용하며 하지운동 적용군은 근무 전 하지운동을 적용하였다. 종속변수인 하지부종은 줄자를 사용하여 측정하였고, 하지통증은 숫자척도를 사용하여 측정하였다. 자료분석을 위해 SPSS WIN 21.0 프로그램을 이용하였다. 연구결과, 하지운동 적용군, 탄력압력스타킹 적용군과 대조군간의 하지부종에 대한 차이에 대한 비교는 지지되었으며(오른쪽 종아리 F=0.645, p=.000, 왼쪽 종아리 F=21.941, p=.000), 하지운동 적용군, 탄력압력스타킹 착용군과 대조군간에는 하지통증에 대한 차이에 대한 비교는 지지 되었다(오른쪽: F=7.320, p=.000 왼쪽: F=10.623, p=.000). 또한 하지운동 적용군과 탄력압력스타킹 적용군은 근무 후 발목둘레와 종아리둘레가 감소하였으나 대조군의 경우는 발목둘레와 종아리둘레가 오히려 증가하는 결과를 보였다. 이에 하지운동 적용과 탄력압력스타킹 적용은 간호사와 같이 장시간 서서 일하는 직업 종사자들의 하지부종 감소 및 통증완화를 위해 효과적인 중재방법임을 알 수 있다.

탄성밴드를 이용한 저항운동이 허약 노인의 상지 근력 및 ADL에 미치는 효과 연구 (Effect of Elastic Band Based Resistance Exercise on Upper Limbs Strength and ADL of Frail Elders)

  • 김수민
    • 보건의료산업학회지
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    • 제6권2호
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    • pp.71-80
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    • 2012
  • The purposes of this study were to effect the upper extremities strength and ADL with upper extremities in frail elders. This study comparison upper extremities strength to pre-exercise and post-exercise and ADL with upper extremities. 30 elders who was in C silver hospital in Busan after resistance exercise during 12 weeks using elastic band, It was confirmed that improvement upper extremities strength and ADL with upper extremities after resistance exercise. As a result of study about effect of elastic band based resistance exercise on ADL of frail elders, it seems to have good effect on over all items(eating, dressing, bathing, make-up, go to a rest room). Therefore, it is necessary to find method about rehabilitation exercise for frail or partial disability elders.

편마비 환자의 누운자세에서 일어서기 운동형태 (Movement Patterns from Supine to Standing Position of Hemiplegic patients)

  • 권미지;정형국;배성수
    • The Journal of Korean Physical Therapy
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    • 제12권1호
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    • pp.15-21
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    • 2000
  • Rising from a supine position to erect stance is an important milestone in treatment of patients with neurologic dysfunction. The purposes of this study wed to describe the movement patterns that hemiplegic patients use when rising to a standing. position and to investigate whether movement patterns that an proposed to treat of functional activity, Seventeen patients were videotaped performing three trials of rising. Movement patterns were described with three body components : upper extremities, head-trunk, lower extremities. Subjects rose most commonly using a push and reach pattern of the upper extremities-symmetrical interrupted by rotation pattern in the head-trunk-an asymmetrical squat pattern in the lower extremities and a push and reach pattern of the upper extremities-symmetrical interrupted by rotation pattern in the head-trunk-an symmetrical squat with balance step pattern in the lower extremities.

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지역사회 재가노인의 사지근력과 낙상의 관계에서 우울의 매개작용 (The Mediating Effect of Depression in the Relationship between Muscle Strength of Extremities and Falls among Community-Dwelling Elderly)

  • 박형숙;박경연
    • 대한간호학회지
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    • 제38권5호
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    • pp.730-738
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    • 2008
  • Purpose: The purpose of this study was to identify the mediating effect of depression in the relationship between muscle strength of extremities and falls among community-dwelling elderly. Methods: Two hundred forty-seven participants were recruited from a public health center, a hall for the aged and a school for the aged in B city. Face-to-face interviews were conducted using questionnaires from May to September of 2007. Data was analyzed with descriptive statistics, Pearson correlation, and multiple regression using the SPSS WIN 14.0 program. Results: There was a significantly negative relationship between muscle strength of lower extremities and falls, muscle strength of left upper extremity and falls, and muscle strength of right upper extremity and falls. Depression positively correlated with falls. Depression showed mediating effects between muscle strength of extremities and falls. Weakness of muscle strength of extremities increased depression and the increased depression increased the frequencies of falls. Conclusion: For the effective management and prevention of community-dwelling older adults' falls, exercise programs including depression-decreasing strategies should be established. These exercise programs can decrease depression which is the mediator role between the degrees of muscle strength of extremities and falls.

양하지에 발생한 결절홍반(結節紅斑) 치험 1례 (A Case Study of Erythema Nodosum on lower extremities)

  • 조아름;김현정;김창환
    • 한방안이비인후피부과학회지
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    • 제24권2호
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    • pp.104-110
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    • 2011
  • Objectives : We report a case of Erythema Nodosum on lower extremities which was by acupuncture and herbal medicine treatment. Methods : We treated a female patient who has erythema nodosom, edema at lower extremities and arthralgia with acupuncture and Moktongdaean-tang.. To evaluate the results of this treatment, we observed shape and number of Erythema Nodosum. We measured circumference of left ankle. We used visual analogue scale(VAS) of arthralgia. Results : Erythema Nodosum on lower extremities, Edema of both ankle were subsided. Arthralgia was gradually disappered. Conclusions : Acupuncture and Moktongdaean-tang have improved the signs and symptoms of Erythema Nodosum case. It is concluded that acupuncture, herbal medicine treatment is considerably effective on Erythema Nodosum.

상하지 통합 PNF패턴이 부정렬증후군을 가진 20대 성인자세 정렬에 미치는 효과 (The Effect of Combined PNF Patterns of Upper and Lower Extremities on 20's Generation with Malalignment Syndrome)

  • 최재원
    • PNF and Movement
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    • 제10권4호
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    • pp.65-69
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    • 2012
  • Purpose : The purpose of this study was to verify effects of trunk inclination, side deviation using combined PNF patterns of upper and lower extremities on 20's generation with malalignment syndrome. Methods : 15 subjects with malalignment syndrome participated this study. We measured 2 factors(trunk inclination, side deviation). combined PNF patterns of upper and lower extremities were used intervention method for malalignment syndrome subjects. Experience during was 6 weeks. Results : The trunk inclination was significantly decreased. The value was from 0.87 to 0.43(p=0.27). The side deviation was too. The value was decreased 1.62(p=0.044). Conclusion : The results of this study indicate that the use of combined PNF patterns of upper and lower extremities for malalignment syndrome people was positive effect.

추운 환경에서 노출된 부위에 따른 체온조절 반응에 대한 연구 (Effects of Exposed Parts of Body with Garments on Human Thermoregulatory Responses to Cold Environments)

  • 성유진;이순원
    • 한국의류학회지
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    • 제21권6호
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    • pp.977-987
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    • 1997
  • The present study was designed to see what the local cooling of different body regions especially head and neck, hands and feet effect physiological responses in cold environment. Four male subjects wore garments covering whole body except face and rested for 20 min and then they rested for 40 min with uncovered head, neck, hands and feet, respectively in a cold environment(10$\pm$1$^{\circ}C$, 50$\pm$5%R.H.) 1. Rectal temperature increased when hands and feet were exposed to cold environment respectively, and when head and neck, hands and feet were exposed to cold environment together. 2. Exposed skin temperatures fell in cold environment. And hands temperature was lower than any other exposed skin temperatures. The hands temperature was significantly lower when head was exposed than when head was covered. And the feet temperature were significantly lower when hands were exposed than when hands were covered. 3. Mean skin temperature was the lowest when head and neck, hands and feet were exposed simultaneously, In conclusion, skin temperatures of extremities were decreased due to exposure to the cold environment. Especially upper extremities were lower than lower extremities by exposed parts of the body. It seemed that the extremities played the role of cold receptors but head and neck didn't. And there were large heat losses from the unprotected head and neck. In cold environment of 1$0^{\circ}C$ , thus, it is suggested for the purpose of thermoregulatory responses that head and neck would be covered and extremities would be exposed, especially upper extremities.

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상지수동운동이 만성 뇌졸중 노인 환자의 상지경직, 손가락부종 및 우울에 미치는 효과 (The Effects of Passive Exercise on Upper Extremities Muscle Spasticity, Finger Edema and Depression for Chronic Stroke Patients at Long-term Care Hospitals)

  • 남송미;은영
    • 근관절건강학회지
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    • 제25권3호
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    • pp.167-175
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    • 2018
  • Purpose: The aim of this study was to test the effects of passive exercise on upper extremities muscle spasticity, finger edema, and depression for chronic stroke patients. Methods: A non-equivalent pretest-posttest design was employed for this study. The subjects were 30 elderly patients who were hospitalized to treat chronic stroke. 15 patients were assigned to the experimental and control groups respectively. Passive exercise for 20 minutes per day, five days a week for 8 weeks (total 40 times) was provided for the experimental group. Outcome measurements included manual spasticity test to measure upper extremities' muscle spasticity, the ring measurement method for finger edema and the Korean version of Short-form Geriatric Depression Scale (SGDS-K) for depression. Results: The upper extremities' muscle spasticity (Z=-2.52 p=.012) and the degree of depression (F=5.56, p=.006) in the experimental group were significantly reduced compared to those of the control group. But the degree of finger edema did not significantly differ between the two groups (F=1.46, p=.240). Conclusion: Passive exercise for upper extremities should be encouraged for elderly patients with chronic stroke to enhance the upper extremities' functional capacity as well as depression.

역방향 에르고미터 훈련이 편마비 환자의 족관절 가동범위와 하지 근력 및 족저압에 미치는 영향 (The Effect of Backward Pedaling Ergometer Training on Ankle ROM, Lower Extremities Strength, Foot Pressure in Hemiplegia)

  • 하미선;김은정;김명희;오태영
    • 대한물리의학회지
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    • 제8권3호
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    • pp.467-477
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    • 2013
  • PURPOSE: The purpose of this study was to identify the effects of backward pedaling ergometer training on ankle ROM, lower extremities strength, foot pressure in hemiplegia. METHODS: The subjects consisted of control group(n=10) and experimental group(n=10), subjects were trained 5 times a week for 2 weeks each group. Control group were trained forward, experimental group were trained backward pedaling with physical therapy in both groups. Each group measured ankle joint ROM with DUALER IQ and ankle and knee joint flexor and extensor muscle strength by Manual Muscle Test System and foot pressure by Gait view system. RESULTS: The result of this study between pre and post test that experimental group had statistically significantly differences in ankle joint range of motion and lower extremities strength. But foot pressure had not statistically significant differences. There was not significantly difference of variation between groups. CONCLUSION: Therefore these results mean that backward and forward pedaling ergometer training effected an improvement of lower extremities function in hemiplegia.

산후 하지무력 환자 1례 임상경과 보고 (Clinical study for the one case complaining both lower extremities weakness after parturition)

  • 박영애;박영선;김동철
    • 대한한방부인과학회지
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    • 제19권4호
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    • pp.269-278
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    • 2006
  • Purpose : The purpose of this study is to report the effect of TKM to both lower extremities weakness after parturition who is diagnosed as Subacute inflammatory demyelinating peripheral neuropathy. Methods : The patient was a 31-year-old woman who couldn't walk at all by herself because of both lower extremities weakness after parturition. The patient was demonstrated as shin-yang-heo, and treated by Pal-mi-ji-hwang-hwan, Acupuncture treatment of Shin-jeong-gyeok, and Moxa treatment of Gwan-won. And the progress of symtoms was evaluated by observation of her walking status, cheking the change of VAS, and inspecting the DITI. Results : The patient could walk by herself. The feeling of both lower extremities weakness improved to VAS 2. The paraesthesia of the soles of feet improved to VAS 4. And the DITI state slightly got better. Conclusion : TKM is expected to have positive effect on puerperium disease especially the symptoms of pain, weakness, paraesthesia, etc.

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