• Title/Summary/Keyword: mental and physical function

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A Study of Intrinsic Alpha Rhythm, Electroencephalography, and Heart Rate Variability Index as Indicators of Cognitive Function and Health in Elderly Adults (노년기 인지기능 및 건강상태를 반영하는 지표로써 Alpha 고유리듬과 뇌파 및 HRV 지표와의 관계 연구)

  • Shim, Jun-Young
    • Science of Emotion and Sensibility
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    • v.22 no.3
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    • pp.21-34
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    • 2019
  • This study was an examination of the relevance and clinical significance of electroencephalographic (EEG) indexes (e.g., mental/physical stress and attention) and indexes of heart rate variability (HRV) with regard to cognitive function and physiological health conditions in elderly people. A device was used to record two-channel EEGs of the frontal lobe and a one-channel ECG simultaneously. Subjects were 76 people average aged 73. The significant findings are as follows: First, subjects whose intrinsic alpha rhythm had high amplitude, regardless of peak, showed higher resistance to mental stress and lower physical stress than did subjects with low-amplitutde intrinsic alpha rhythm. Second, HRV, SDNN, and RMSSD indexes showed strong positive correlations between the two groups of subjects regardless of the division of groups. Third, the alpha asymmetry of the left and right sides of the brain in subjects with low-amplitude intrinsic alpha rhythm was larger, and the delta/alpha ratio (reflecting physical stress) and theta/sensorimotor rhythm (SMR) ratio (showing the decline in attention) were bigger. Fourth, the subjects in whom intrinsic alpha rhythm peak occurred during slow rhythm had a higher theta/SMR ratio than did subjects whose peak occurred during fast rhythm, which was related to a steeper decline in attention. Therefore, the presence or absence of intrinsic alpha rhythm peak and amplitude on quantitative EEG may be an index reflecting the cognitive function and physiological health of elderly people.

Effect of Muscle Strength Training on Urinary Incontinence and Physical Function: A Randomized Controlled Trial in Long-term Care Facilities (시설거주 노인여성을 위한 근력강화 훈련이 요실금과 신체기능에 미치는 효과)

  • Kang, Hyekyung;HongSon, Gwi-Ryung
    • Journal of Korean Academy of Nursing
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    • v.45 no.1
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    • pp.35-45
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    • 2015
  • Purpose: This study was done to determine whether muscle strength training programs have an impact on improving symptoms of urinary incontinence (UI) and physical function among elderly women with UI who reside in long-term care facilities. Methods: A randomized controlled trial was conducted. Participants had to be over 65 years, score over 15 score on the mini-mental state examination, and be able to walk alone or with an assistant. Seventy residents were randomly allocated to either the training group (n=35) or control group (n=35). The program consisted of 50 minutes, twice a week for 8 weeks, and included Kegel's exercise, Thera-band training and indoor walking. Main outcomes were UI symptoms, peak vaginal pressure and physical functions measured with timed up and go test (TUG), one leg standing test (OLST), activities of daily living (ADL) and grip strength. Changes in outcome measurements were calculated from baseline to 4 weeks and to 8 weeks using repeated measures ANOVA. Results: There were significant differences in peak vaginal pressure (p<.001), TUG (p<.001), OLST (p=.012) and grip strength (p<.001) in the interaction between groups and time. Conclusion: Future studies are suggested to confirm the effect of muscle strength training in long-term care facilities where elderly women with UI reside.

The Effect of the Tai Chi Exercise Program on the Physical Function, Self-Esteem and Social Behavior of Patients with Chronic Schizophrenia (타이치운동프로그램이 만성 정신분열병환자의 신체적 기능, 자아존중감과 사회적 행동에 미치는 효과)

  • Oh, Kyong-Ok;Park, Young-Hee;So, Hee-Young;Kim, Dal-Sook;Park, In-Sook;Kim, Jong-Im;Kim, Tae-Sook;Kim, Hyun-Li;Song, Rha-Yun;An, Suk-Hee
    • Journal of muscle and joint health
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    • v.17 no.1
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    • pp.58-67
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    • 2010
  • Purpose: The purpose of this study was to examine the effect of the Tai chi exercise program on the physical function, self-esteem and social behavior in patients with chronic schizophrenia. Methods: This study utilized a nonequivalent control group with pretest-posttest design. The 45 subjects were recruited from a mental health care facility in D city and randomly assigned either to the experimental group (n=23) or to the control group (n=22). The experimental group participated in the Tai chi exercise program, twice a week for 12 weeks. Data were analyzed with SPSSWIN V. 11.5 program, using $X^2$-test and t-test. Results: After 12 weeks, there were significant differences in flexibility (p=.027), balance (p=.011), self-esteem (p=.005) and social behavior (p=.003) between the experimental and the control groups. Conclusion: The findings of this study revealed the positive effects of Tai-Chi exercise program in patients with schizophrenia. Further studies are required to determine the effects on physical and social variables.

Participation and Activities of Daily Living, Cognition, And Motor Function According to Residential Area in Stroke Survivors

  • Park, Eun-Young;Kim, Won-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.2
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    • pp.53-62
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    • 2021
  • PURPOSE: Social participation is essential for stroke survivors. Although participation restrictions are affected by several factors, a few studies have focused on the effects of living in a particular residential area (urban versus rural) on the participation restrictions after a stroke. This study examined the factors affecting participation restrictions in stroke survivors according to the residential area. METHODS: One hundred sixty-six stroke patients (including 130 living in urban areas and 36 living in rural areas) were recruited for this study. The Korean Modified Barthel Index (K-MBI) was used to assess the activities of daily living (ADL). The Korean Mini-Mental Examination Status (MMSE-K) was used to assess cognition. The motor function was evaluated using the Fugl-Meyer function assessment (FMA). Path analysis was used to test the hypothesized model of participation restriction. RESULTS: The proposed path model showed good fit indices. In rural and urban areas, the direct effects were significant between the ADL and participation restrictions (β = -.673 and -.457, respectively). For urban areas, the direct effects were significant between cognition and participation restrictions (β = -.252). In both area types, motor function and cognition had a significant direct effect on the ADL. CONCLUSION: For urban community-dwelling stroke survivors, the ADL and cognition had direct effects on participation restrictions. For rural area stroke survivors, the ADL had direct effects on participation restrictions. Activity level exercise programs help reduce the participation restrictions. Moreover, it is essential to address cognition training to improve participation in urban community-dwelling stroke survivors.

Effect of Nordic Walking on Depression and Physical Function in the Elderly with High-Risk of Depression

  • An, Tae-Geun;Lee, Han-Suk;Park, Sun-Wook;Seon, Hee-Chang
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.4
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    • pp.11-20
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    • 2020
  • PURPOSE: This study examined the effects of Nordic walking on depression and the physical function of elderly patients with a high risk of depression. METHODS: This study was a blinded randomized allocation study; 32 elderly were assigned to a Nordic walking group (n = 17), consisting of 60 min Nordic walking (including warming up 5 min, warming down 5 min, and Nordic walking 50 min) two days per week for 12 weeks and general leisure group (n = 15), consisting of 60 min leisure program community center. The pre and post 12-week program, depression test, muscle strength (including grip test, and 30sec sit to stand), and balance (including Functional Reach test, and One Leg Standing test) were measured. A Mann-Whitney U test was used to compare within the group, and a Wilcoxon signed-rank test was used to compare between the groups. RESULTS: After 12 weeks, only the Nordic walking group showed significant improvement in depression, muscle strength, and balance (p < .05). In the general leisure group, however, the left grip strength and Functional Reach Test (FRT) showed a significant decrease. The Nordic walking program was better than the general leisure group, and a significant difference was observed in depression, muscle strength, and balance between the two groups (p < .05). CONCLUSION: Nordic walking was effective for the elderly with a high risk of depression. Therefore, Nordic walking may be an option for preventing elderly mental disorders and functional improvement.

The Effects of Exercise Program on Cognitive Function, Depression, and Life Satisfaction in Elderly (12주간 운동 프로그램이 노인의 인지기능, 불안 및 생활 만족도에 미치는 영향)

  • An, Sang-Hyun
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.401-408
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    • 2019
  • The purpose of this research was to examine conduction of 12 week exercise program for the aged of sanatorium on their cognitive function, depression, uneasiness, and living satisfaction. The subject of this research was 60 aged persons of H sanatorium in H-si and mental status examination and survey on depression criterion, uneasiness measurement, and living satisfaction of the aged were conducted. To examine the effects of the program, paired t-test was conducted. As a result, there were significant differences after 12-week exercise program in all factors such as cognitive function, depression, uneasiness and living satisfaction of the subjects. In conclusion, regular exercise program may positive effects on mental status cognitive status, depression, uneasiness, and living satisfaction of the aged. Therefore proper exercise form and program are necessary to the aged in long term care facilities.

Effect of Physical Therapy on the Motor Function and Mental State Recovery in Stroke Patients (뇌졸중 환자에 있어서 물리치료가 운동기능과 인지기능의 회복에 미치는 영향)

  • Kim, Hee-Han;Kim, Yoo-Sup;Lee, Hye-Jin;Song, Myung-Soo
    • Journal of Korean Physical Therapy Science
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    • v.9 no.4
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    • pp.15-23
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    • 2002
  • In order to find the effects of physical therapy on the recovery of motor functions and mental state, a survey was conducted to 63 patients who, diagnosed as stroke by brain CT, had been hospitalized in a university medical center located in Jeonbuk provincial area from December 2000 to August 2001. The outcomes of the survey are as follows: 1. The subjects of the study were composed of 35 males(55.6%) and 28 females(44.4%), with 34(54.0%) below 60 in age and 29(46.0%) older than 60 years. 2. As to type of lesion, the surveyed patients were divided into 28(44.4%) with cerebral infarction, 24(38.1%) with cerebral hemorrhage, and 11(17.5%) with subarachnoid hemorrhage. In terms of size of lesion, they were divided into 29(46.0% with less than tan 1cm, 15 (23.8%) with $1{\sim}2cm$ and 19(30.2%) with longer than 2cm. Thirty-five patients(55.7%) reported paralysis in their right side, while 28(44.8%) complained paralysis in their left side. No recidivation was reported by 51(81.1%) while recidivation was asserted by 12(19%). Among them, 27(42.9%) had no past history but 36(57.1%) had such. 3. Regarding the time hour onset to admission to physical therapy, 46patients(73.0%) experienced it for less than one month, while 17(27.0%) for longer than one month. In terms of period of physical therapy, 30(47.6%) underwent the therapy for less than one month, 18(28.6%) for 1-2 months and 15(23.8%) for longer than 2 months. As is shown in the above study, the longer the period of physical therapy is, the more changes might occur in points of MMSE-K and MMAS. It may, therefore, be concluded that sufficiently longer period of physical therapy ensures the increased recovery of physical functions from stroke.

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The Effect of Exercise Program on Health and Depression in the Elderly (노인 운동프로그램이 노인의 건강상태와 우울에 미치는 효과)

  • 박정모;한신희
    • Journal of Korean Academy of Nursing
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    • v.33 no.2
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    • pp.220-227
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    • 2003
  • Purpose: The purpose of this research was to determine the effect of an exercise program on the health status and depression in the elderly. Method: The research design was a nonequivalent control group pre-post test design. The exercise program (experimental group) consisted of 22 elderly over a period exercising for 12weeks, 3 days/week. The phone counselling about exercise and health(control group) was applied for 12 weeks for 10-15minutes/day/week. To identify the health status SF-36 was utilized and the GDS was used for depressionanalysis. The data was collected from May 2001 to July 2001. Result: The effect of the exercise appeared significant in the subarea of health status (physical function, physical role, mental health, general health) and depression. The effect of the phone counselling was appeared significant in subarea of health status - bodily pain. The effect of the exercise and the phone counselling did not appear significant. Conclusion: The exercise designed for the elderly promotes health in the elderly and further evaluation about the effect on exercise and phone counselling is needed.

A Study on the Design Standard of Green Amenity Space in Interior Space (실내공간에서의 그린 어메니티 스페이스 디자인 기준에 관한 연구)

  • 한영호;김준연
    • Korean Institute of Interior Design Journal
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    • no.28
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    • pp.51-59
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    • 2001
  • This Study tried to approach with a new Point of view about Green Design that had been studied on just Aesthetics and Function and it focused on creating a pleasant environment In the Interiors combing with Horticultural therapy as advanced study in Green Design. This study is barred on understanding that nature, human and space should continue to coexist through realizing relationship between nature and human and overcoming denaturalization and dehumanization and have an opportunity to know what a pleasant space for human is. Although pleasant space can be made by many different methods, this study start from the thought that a space with plants is the best to satisfy human's basic emotion. The method of study is through research and analysis with many kinds of references and examples, and then the results were used to make design guide which introduces Green Amenity Space in residential space. The pleasant space that human pursuits should be the human-centered space as well as the space giving them mental and physical satisfaction beyond space with just function and beauty. Therefore Green Amenity Space is the best space with which human is familiar.

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Clinical Significant of Breathing in the oriental, western Medicine (조식(調息)의 동서의학적(東西醫學的) 임상(臨床) 의의(意義))

  • Park, Jin-Sung;Park, Young-Jae;Park, Young-Bae;Huh, Young
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.12 no.1
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    • pp.63-79
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    • 2008
  • Background: The consequences of disordered breathing patterns are not only distressing to the patient but also expensive to our health care systems if they are not diagnosed and treated. So we performed this study to investigate clinical significants trough gigong, yoga and hyperventilation in oriental medicine and westen medicine Method: Voluntary control of respiration is one of the main methods of physical and mental training such as meditation, qigong meditation or Yoga. So, this study focuses on breathing in qigong and yoga. This study appreciates a role that a control of respiration has in physical, mental aspects and searches side-effects in qigong and yoga Conclusions: A control of respiration has a function that manages Jung(精), Qi(氣), Shin(神) in Oriental Medicine. It manages Autonomic Nerve system, Endocrine system and induces natural awareness. So Briging the body and mind work through a control of breathing. Breathing pattern disorder has Damum and Qiher pattern in Oriental Medicine pattern. This disease pattern concearnes ATP metabolism. Qiher is concearned with a mitochondria disorder and Damum is concearned with a products of lactate. we guess that Lactate analysis may be utilized as a diagonostic criteria of Breathing pattern disorder. After this, It needs a study that Lactate analysis is concearned with Breathing pattern disorder as Damum pattern. Result: A control of respiration is related not only breathing but also spiritual and physical state. Joo-hwa-ip-ma as Breathing pattern disorder is smiliar to hyperventilation. HVS is patternated Damum and Qi-Weakness pattern in oriental medicine. Lactate is an important complement that diagonates HVS and will be concearned with Damum.

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