• 한국전문물리치료학회지
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• 제15권1호
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• pp.61-68
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• 2008

The aim of the study was to evaluate the effect of a disease-specific exercise (DSE) on temporomandibular joint (TMJ) function and neck mobility in TMJ dysfunction associated with ankylosing spondylitis (AS). Ten AS patients (seven males and three females) with TMJ dysfunction were recruited for this study. The DSE included exercises to correct head and neck posture and to improve the flexibility of the neck and TMJs. The patients attended treatment three times a week for 4 weeks, averaging 1 hour each session. Assessments were performed pretreatment, posttreatment, and 6 weeks after the completion of treatment. General physical status was assessed by four clinical measures (tragus-to-wall distance, modified Schober test, lumbar side flexion, and intermalleolar distance), the Bath ankylosing spondylitis function index (BASFI), and the Bath ankylosing spondylitis disease activity index. The main outcome measures included TMJ function (craniomandibular index (CMI)), and neck mobility (flexion, extension, rotation, and lateral rotation). None of the measures of general physical status, with the exception of BASFI, were significant1y different between the pretreatment, posttreatment, and 6-week follow-up (p>.05). However, CMI and all neck movements, except for extension, significant1y improved after the treatment (p<.05). These improvements were maintained during the follow-up period. The DSE used in the present study seems to be a clinical1y useful method for managing patients with symptoms from the stomatognathic system in AS. Further studies with more subjects and longer treatment times, including the follow-up period, will be conducted to validate these findings.

• 한국전문물리치료학회지
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• 제18권1호
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• pp.9-17
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• 2011

The purpose of this study was to assess visual biofeedback's influence on trunk muscles' (EMG) activity and endurance holding time for correct position during whole-body tilt exercise. For the study, we recruited 14 volunteers who showed no symptom of lumbar disease during medical tests. We measured the EMG activity of their rectus abdominis, external abdominal oblique, internal abdominal oblique and erector spinae muscles, and their endurance holding time for correct position during $40^{\circ}$ anterior and posterior whole-body tilt under two conditions: whole-body tilt with and without visual biofeedback. Resistance with gravitational force on the trunk during whole-body tilt was applied by using a device that had a monitor on which the subjects could check their alignment and that sounded an alarm if a subject's alignment collapsed. The study showed an increase in the EMG activity of external abdominal oblique, internal abdominal oblique/rectus abdominis ratio and endurance holding time for correct position during both $40^{\circ}$ anterior and posterior whole-body tilt with visual biofeedback compared with without visual biofeedback (p<.05). We suggest that the whole-body tilt exercise with visual biofeedback could be a beneficial strategy for selectively strengthening the internal abdominal oblique muscle and minimizing the rectus abdominis muscle's activity while maintaining correct alignment during whole-body tilt exercise.

• 한국전문물리치료학회지
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• 제30권2호
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• pp.144-151
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• 2023

Background: The gluteus maximus (GM) muscle comprise the lumbo-pelvic complex and is an important stabilizing muscle during leg extension. In patients with low back pain (LBP) with weakness of the GM, spine leads to compensatory muscle activities such as instantaneous increase of the erector spinae (ES) muscle activity. Four-point kneeling arm and leg lift (FKALL) is most common types of lumbopelvic and GM muscles strengthening exercise. We assumed that altered hip position during FKALL may increase thoraco-lumbar stabilizer like GM activity more effectively method. Objects: The purpose of this study was investigated that effects of the three exercise postures on the right-sided GM, internal oblique (IO), external oblique (EO), and multifidus (MF) muscle activities and pelvic kinematic during FKALL. Methods: Twenty eight healthy individuals participated in this study. The exercises were performed three conditions of FKALL (pure FKALL, FKALL with 120° hip flexion of the supporting leg, FKALL with 30° hip abduction of the lifted leg). Participants performed FKALL exercises three times each condition, and motion sensor used to measure pelvic tilt and rotation angle. Results: This study demonstrated that no significant change in pelvic angle during hip movement in the FKALL (p > 0.05). However, the MF and GM muscle activities in FKALL with hip flexion and hip abduction is greater than pure FKALL position (p < 0.001). Conclusion: Our finding suggests that change the posture of the hip joint to facilitate GM muscle activation during trunk stabilization exercises such as the FKALL.

• Journal of Acupuncture Research
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• 제25권3호
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• pp.127-138
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• 2008

Objectives : This study was designed to evaluate the general distribution and the efficacy of oriental medical treatment for Lumbar Disc Herniation. Subjects and Methods : The 137 patients who had a diagnosis of HIVD by Lumbar-CT of Lumbar-MRI and admitted to Dunsan oriental medical hospital in Daejon university from January 2005 to December 2007 were observed. They were analyzed according to the distribution of sex, age, the period of disease, causing factor, The patient-condition on admission, the symptom on admission, Admission day, Herniation type of the disc and the treatment efficacy was evaluated respectively. Results : 1. Male was more than female in the ratio of 1 : 1.174, and forties 28% the most, the acutest phase 48% the most, reason unknown 30% the most, Grade III 42% the most, Back and Leg radiate pain 65% the most, the day of 6-10 29% the most, protruded disc type 48% the most. 2. In the total treatment result, the good was 48%, the excellent 28%, the fair 15%, the poor 9% in order. 3. the "effective rate"(the percentage of positive effective treatment case) of each distribution, the thirties and fifties 100% the most, subacute phase 100% the most, exercise, traffic accident 100% the most respectively, Grade III 93% the most, only low back pain 97% the most, the day of 16-20 100% the most, Extruded disc 100% the most. Conclusions : Total effective rate was 91%. We have Known the efficacy of oriental medical treatment for HIVD, was good and early treatment was better than late treatment.

• Journal of Korean Neurosurgical Society
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• 제60권2호
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• pp.125-129
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• 2017

Lumbar degenerative kyphosis (LDK) is a subgroup of the flat-back syndrome and is most commonly caused by unique life styles, such as a prolonged crouched posture during agricultural work and performing activities of daily living on the floor. Unfortunately, LDK has been used as a byword for degenerative sagittal imbalance, and this sometimes causes confusion. The aim of this review was to evaluate the exact territory of LDK, and to introduce another appropriate term for degenerative sagittal deformity. Unlike what its name suggests, LDK does not only include sagittal balance disorder of the lumbar spine and kyphosis, but also sagittal balance disorder of the whole spine and little lordosis of the lumbar spine. Moreover, this disease is closely related to the occupation of female farmers and an outdated Asian life style. These reasons necessitate a change in the nomenclature of this disorder to prevent misunderstanding. We suggest the name "primary degenerative sagittal imbalance" (PDSI), which encompasses degenerative sagittal misalignments of unknown origin in the whole spine in older-age patients, and is associated with back muscle wasting. LDK may be regarded as a subgroup of PDSI related to an occupation in agriculture. Conservative treatments such as exercise and physiotherapy are recommended as first-line treatments for patients with PDSI, and surgical treatment is considered only if conservative treatments failed. The measurement of spinopelvic parameters for sagittal balance is important prior to deformity corrective surgery. LDK can be considered a subtype of PDSI that is more likely to occur in female farmers, and hence the use of LDK as a global term for all degenerative sagittal imbalance disorders is better avoided. To avoid confusion, we recommend PDSI as a newer, more accurate diagnostic term instead of LDK.

• 한국산학기술학회논문지
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• 제17권6호
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• pp.389-399
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• 2016

본 연구의 목적은 최근 10년간(2005-2014) 만성 요통을 가진 중년 여성을 대상으로 국내에서 실시된 운동중재 연구의 현황을 파악하고, 운동 중재 연구의 효과를 알아보기 위해 시도된 것이다. 문헌검색은 한국교육학술정보원(http://www.riss.kr), 국회도서관, 한국학술정보(http://kiss.kstudy.com)와 DBpia(http://www.dbpia.co.kr)를 통해 검색하였다. PRISMA(preferred reporting items for systematic reviews and meta-analysis, 2008) 가이드라인에 따라 자료를 수집한 후 연구자가 원본을 확인하고, 선별하여 총 12편의 논문을 최종 분석하였다. 분석한 논문 중 간호학 전공 논문은 1편이었으며, 11편은 타과 논문이었다. Scottish Intercollegiate Guideline Network의 체크리스트를 참고하여 논문의 질적 평가를 실시하였다. 논문의 질적 평가내용을 종합한 결과, 10점 만점에 8점인 연구가 1편이었으며, 5-6점인 연구는 8편 이었고, 3-4점인 연구가 3편이었다. 운동 중재내용을 분석한 결과 평균 55분을 시행하였으며, 1주일에 평균 3.1회의 빈도로 총 시행횟수는 평균 29.7회로 진행되었다. 연구 결과 요부신경근 조절운동, 요가운동, 수중운동이 중년여성의 요통에 효과가 있는 것으로 나타났으며, 향후 이를 간호학 중재로 활용하여 근거기반 간호실무의 토대를 마련할 수 있을 것이다.

• 한국산학기술학회논문지
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• 제21권12호
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• pp.502-509
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• 2020

본 연구는 승마운동, 멕켄지운동과 짐볼운동이 만성허리통증환자의 허리기능과 근활성도에 미치는 영향에 대해 알아보고자 연구를 실시하였다. 연구의 대상자는 한국판 허리기능장애지수 5점 이상이고 만성허리통증을 가지는 성인 30명을 대상으로 실시하였다. 본 실험은 2020년 5월부터 6월까지 진행되었다. 대상자는 무작위로 승마운동그룹 10명, 멕켄지운동그룹 10명, 짐볼운동그룹으로 분류되어 주 3회 6주간 운동을 실시하였다. 운동 전·후 통증을 평가하기 위하여 허리기능장애지수를 사용하였으며, 허리안정화근육의 활성도를 알아보기 위하여 표면근전도 장비를 사용하였다. 또한 그룹 내 운동 전·후의 변화를 검증을 위하여 대응 t-검정을 실시하고, 세 그룹 간 운동 전·후 변화의 차이를 검증하기 위하여 일원배치분산분석을 실시하였다. 연구 결과, 허리기능장애지수와 근활성도 변화에서 그룹 내 운동 전·후의 변화와 그룹 간 유의한 변화를 나타내었다(p<.05). 승마운동과 멕켄지 운동이 모두 만성허리통증환자의 통증으로 인한 허리기능장애와 허리부의 안정화에 효과적인 운동방법으로 제시할 수 있을 것이다.

• 재활복지공학회논문지
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• 제12권1호
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• pp.53-62
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• 2018

본 연구에서는 디지털 풀리 기술을 이용하여 다양한 운동 형태에서 정량적인 1RM 측정이 가능한 국민건강관리 및 체력증진을 위한 스마트 1RM 시스템을 개발하고 이를 이용하여 훈련 시 그에 대한 효과를 검증하고자 하였다. 휴대용 근력 측정 장치, 블루투스 통신 기반 휴대폰 데이터 전송 및 회로도, 높낮이 조절이 가능한 시스템 몸체로 구성된 디지털 풀리 기반 스마트 1RM 측정시스템을 개발하였다. 피험자는 신체 건강한 20대 성인남녀 30명을 대상으로 15명씩 무작위로 개발된 시스템을 이용하여 훈련을 수행하는 그룹과 수행하지 않는 그룹으로 나뉘었다. 피험자는 스마트 1RM 시스템을 이용하여 팔꿈치, 요추, 무릎관절 신전/굴곡 운동을 10회씩 5세트를 수행하였고, 실험 기간은 주 3일, 총 8주간 진행되었다. 개발된 시스템에 대한 유효성 검증을 위해 주관절, 요추관절, 슬관절의 최대근력을 BIODEX System 3를 이용하여 측정하였고 운동 모드에 대한 유효성 검증을 위해 호흡가스분석을 평가하였다. 또한 개발된 1RM 시스템의 최대근력 평가 결과 값에 대한 유효성 검증을 위해 기존 검증된 시스템인 등속성 근기능 측정 모듈인 Biodex system3 결과 값과 비교 분석하였다. 실험결과, 훈련그룹에서 최대근력 증진 운동 전 후 주관절, 요추관절, 슬관절의 최대 근력이 유의하게 모두 증진되는 결과를 얻었다. 1RM 운동모드 중 산소섭취량은 근력강화 운동이 근지구력강화 운동 보다 약 10.91% 더 많은 산소소비량을 나타냈다. 또한 개발된 스마트 1RM 최대근력 측정데이터에 대한 유효성을 검증하기 위해 기존 Biodex system3 데이터와 신뢰도분석을 실시한 결과, 신뢰도는 0.895(*p<0.00)로 매우 높은 신뢰 수준 일치하는 결과를 얻었다. 본 연구는 향후 국민 건강관리 및 체력증진을 보다 정량적으로 활용하고 또한 고령자나 재활환자들의 조기 재활치료에 적용 가능하다고 생각된다.

• 한국간호교육학회지
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• 제16권1호
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• pp.140-149
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• 2010

Purpose: This follow up study was performed to survey the problem in performing ADLs at home after surgery. Method: Twenty elderly patients were assessed 3 times; from the time of hospitalization for surgery until 3 weeks after discharge. Measuring tools are numeric rating scales (NRS) for pain and 3 questionnaires developed by the authors to measure difficulties in ambulation, performing indoor ADLs, and emotional status. Pearson correlation, variance analysis and descriptive statistics were used to analyze the data. Result: The level of pain significantly decreased after surgery, but the difference between pain at the time of discharge and that of 3 weeks after discharge were not significant. Pain showed a positive relationship with emotional difficulties. Elderly with a higher education, family caregiver, and regular exercise showed a lower level of emotional difficulties. Conclusion: Comprehensive approaches for chronic pain including physical, psychological, and social aspects should be considered when caring for the elderly with spinal surgery. In addition, home care nursing interventions should include an exercise program to promote adaptation and rehabilitation after discharge.

• 한국전문물리치료학회지
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• 제26권4호
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• pp.20-28
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• 2019

Background: The wall squat exercise has been recommended for strengthening of the lower extremity muscles with maintaining lumbar lordosis. Although squat has been studied to be related to lower extremity extensor strength, the relationship between wall squat and lower extremity extensor strength unclear. Because squat and wall squat are biomechanically different, study on the relationship is needed. Objects: The purpose of this study was to determine the lower extremity extensor strength associated with wall squat performance. Methods: 74 healthy volunteers were recruited to participate in this study. The volunteers were measured hip and knee extensors strength and then performed wall squat exercise for maximum count. Results: We found significant relationships between wall squat performance and hip extensor strength normalized by body weight, knee extensor strength normalized by body weight and the composite value. In a regression analysis, hip extensor strength normalized by body weight explained 29% of the variation in wall squat performance in males and 35% in females. Conclusion: These results demonstrate that hip extensor strength normalized by body weight is critical to wall squat performance in both sexes.