• 제목/요약/키워드: mental and physical function

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치매노인에서 골밀도 및 혈중 지질농도와 인지기능과의 상관관계 분석 (Analysis of Correlations among Bone Mineral Density, Serum Lipid Levels, and Cognitive Function in the Elderly with Dementia)

  • 김수한;김지성
    • 대한물리의학회지
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    • 제7권2호
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    • pp.149-155
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    • 2012
  • Purpose : The purpose of this study was to analyze the correlations among bone mineral density(BMD), serum lipid levels, and cognitive function in the elderly with dementia. Methods : We recruited seventy elderly with dementia(men=35, women=35) to participate in the Korean mini mental state examination(K-MMSE). Their T-scores and serum lipid levels were analyzed for correlation analysis. Results : The results of this study showed that there are significant correlations between cognitive function and three factors BMD, low-density lipoprotein cholesterol(LDL-C) level, and total cholesterol(TC) level. The cognitive function scores increased proportionally with BMD but were inversely proportional to LDL-C and TC levels. There were no significant relations among cognitive function, high-density lipoprotein cholesterol(HDL-C) level, and triglyceride(TG) level. Conclusion : These results indicate that there is a direct proportionality between cognitive function and BMD and inverse proportionalities between cognitive function and LDL-C level and between cognitive function and TC level. Therefore, these levels can be indices for preventing and predicting dementia.

일상생활활동 수행능력에 따른 뇌졸중 환자의 신체 및 인지기능의 변화 (Changes in physical and cognitive functions according to the activities of daily living performance in stroke patients)

  • 김혜은;조기훈
    • 대한물리치료과학회지
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    • 제31권1호
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    • pp.98-109
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    • 2024
  • Background: The purpose of this study is to investigate changes in physical and cognitive function according to the level of independence in performing activities of daily living in stroke patients. Design: Retrospective study. Method: This study is a retrospective study analyzing medical records. This study utilized data collected from 123 stroke patients at admission in a local rehabilitation hospital between 2019 and 2022. Stroke patients were classified into 5 groups based on the scores of the Korean Modified Barthel index (K-MBI) evaluated at the time of hospitalization at a rehabilitation hospital, and investigated the change in physical (spasticity (modified Ashworth scale), muscle strength (manual muscle test), gait ability (functional ambulation category), upper extremity function (manual function test), and balance function (berg balance scale)) and cognitive function (Korean mini mental status examination) according to the level of independence in performing activities of daily living. Result:: As a results, significant differences were observed in the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive functions of stroke patients according to the level of independence in performing activities of daily living (p<0.05). However, there was no significant difference in upper and lower extremities spasticity. Conclusions: Through the results of this study, we found that the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive function were influenced by the level of independence in performing activities of daily living in stroke patients.

산업재해 발생에 영향을 미치는 건강요인에 관한 연구 (A Study on the Physical and Mental Health Factors affecting Industrial Accidents)

  • 이명선;노재훈;문영한
    • Journal of Preventive Medicine and Public Health
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    • 제22권3호
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    • pp.355-367
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    • 1989
  • This study examined the physical and mental health factors affecting the industrial accidents of 142 injured and 1,212 uninjured workers in the shipbuilding industry from 1986 to 1988. The results acquired from the Todai Health Index (THI) and from analysis of the health examination were as follows: 1. Among the personal characteristics of the workers, the educational level of injured workers was significantly lower than that of the uninjured workers. 2. Among the physical characteristics, vision and $R\ddot{o}hrer$ Index of the injured workers were lower than those of the uninjured workers, and the difference was statistically significant. On the other hand, the differences in height, weight, hearing function, hematocrit, blood pressure, urine test, and X-ray findings were not statistically significant between the injured and uninjured workers. 3. The score of the THI questionnaire on the physical and mental health of the injured workers was higher than that of the uninjured workers, and the difference was statistically significant. 4. Form the THI score, the industrial workers had complained more about mental health than physical health and there was a statistically singinficant relation with the industrial accidents. 5. The relative risk expressed in terms of the odds ratio was 2.9 for poorer vision, 2.7 for a lower educational level, 2.2 for a higher THI score and 1.6 for overdrinking. 6 Educational level, vision, and the THI score were selected as significant factors influencing industrial accidents based on a log-linear model. According to the results of this model by logistic analysis, the odds ratio of industrial accidents was 1.8 for a lower educational level, 1.7 for poorer vision, and 1.6 for a higher THI score. 7 By event history analysis with the dependent variable as the duration of work at the time of the industrial accident, educational level, age, $R\ddot{o}hrer$ Index and THI score were the statistically significant variables selected, and the hazard rate of industrial accident occurrence was 0.24 for a lower educational level, 0.92 for age, 0.99 for a lower $R\ddot{o}hrer$ Index and 2.72 for a higher THI score. As we have seen, educational level and THI score were the most significant factors affecting the hazard rate of industrial accidents. Vision, $R\ddot{o}hrer$ Index, age, and drinking behavior were also statistically significant variables influencing industrial accidents. Therefore, in order to prevent industrial accidents, it is necessary to establish a health management plan for industry which can objectively evaluate not only the physical but also the mental health of the workers. If we use this type of study as a prospective study design, we can determine the relative risk of physical and mental health factors on industrial accidents. Furthermore, it is expected that this type of study will provide workers at high risk with more precise basic data for a health managment plan for industrial accident prevention.

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손동작 운동프로그램이 치매 노인의 인지기능 향상에 미치는 효과 (The Effects of Hand Movement Exercise Program on the Improvement of Cognitive Function in the Dementia Old Adults)

  • 왕중산;김지성;김수한
    • 대한물리치료과학회지
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    • 제16권1호
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    • pp.21-29
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    • 2009
  • Background: The purpose of this study was to find out the effects of the hand movement exercise program on the cognitive function of the older with dementia. Methods: A total of twenty-four subjects were divided into two research groups and one control group, respectively. Each exercise was conducted in twelve weeks: three times a week, twice a day for fifteen minutes. Enhancement of cognitive function in each exercise program was evaluated four times using MMSE-KC, the Korean version of the Mini-Mental State. Results: As for enhancement of cognitive function, the hand movement exercise program represented an increase of $1.63{\pm}.92$ over those before study, showing significant differences (p<.05); the large muscle exercise program, $.75{\pm}.89$; and the activities of daily living program, $.00{\pm}2.14$, showing no significant differences. Conclusion: Hand Movement Exercise Program can be inferred from the results that consistent exercise program is more effective than any other ways for enhancement of cognitive function of the older with dementia.

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장기요양서비스 이용 노인들의 신체적 및 정신적 기능과 관련 요인 (Status of Physical and Mental Function and, Its Related Factors Among the Elderly People Using from Long-Term Care Insurance Service)

  • 배남규;송영수;신은숙;조영채
    • 한국산학기술학회논문지
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    • 제13권12호
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    • pp.5976-5985
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    • 2012
  • 본 연구는 장기요양서비스의 질 제고를 위해 장기요양서비스 이용 노인들의 신체적 및 정신적 기능 상태를 평가해 보고, 그에 영향을 미치는 관련 요인을 규명하고자 시도하였다. 조사대상은 대전지역에 거주하는 65세 이상 노인 중 장기요양서비스 이용자 350명(재가급여 178명, 시설급여 172명)으로 하였으며, 자료 수집은 2011년 2월 16일부터 3월 31일까지의 기간 동안에 표준화된 무기명식 면접조사용 설문지를 사용하여 면접조사를 통해 이루어졌다. 연구결과, 재가급여 노인의 IADL과 MMSE-K는 시설급여 노인보다 유의하게 높았으나 ADL과 CES-D는 유의한 차이를 보이지 않았다. ADL, IADL, CES-D 및 MMSE-K 상호 간의 상관관계를 보면, 재가 및 시설급여 이용노인 모두 ADL은 IADL 및 MMSE-K와 양의 상관관계를 보인 반면, CES-D와는 음의 상관관계를 나타내었다. IADL은 MMSE-K와 양의 상관관계를 보인 반면, CES-D와는 음의 상관관계를 나타내었다. 다중회귀분석 결과 재가 및 시설 급여 이용 노인 모두 ADL과 IADL에 유의하게 영향을 미치는 변수로는 건망증 증상 유무, 규칙적 운동 및 MMSE-K가 선정되었다. 또한 CES-D와 MMSE-K는 주관적 건강상태, 건망증 증상 유무 및 IADL이 유의하게 영향을 주는 것으로 나타났다. 이상과 같은 결과는 장기요양서비스 이용 노인들의 신체적 및 정신적 기능은 개인의 건강상태나 건강관련행위 특성과 밀접한 관련성이 있음을 시사하고 있다.

Effects of Contralateral Seventh Cervical Nerve Transfer on Upper Extremity Motor Function in the Patients with Spastic Hemiplegia after Stroke: a Retrospective Cohort Study

  • Wonjae Choi
    • Physical Therapy Rehabilitation Science
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    • 제11권4호
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    • pp.502-508
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    • 2022
  • Objective: Contralateral seventh cervical nerve transfer (contralateral C7 transfer) is a newly attempted method to restore upper extremity motor function in the patients with spastic arm paralysis. The aim of this study was to investigate the effects of contralateral C7 transfer on upper extremity motor function in the patients with spastic hemiplegia after stroke. Design: A retrospective cohort study. Methods: Thirty-four patients with spastic hemiplegia after stroke was investigated. All patients registered between January 2020 and February 2021. The subjects were assessed on upper extremity motor function, cognition, and spasticity before and after contralateral C7 transfer. The upper extremity motor function was measured using the Fugl-Meyer upper extremity scale and box & block test. The cognition and spasticity were assessed by Korean version mini mental state examination (K-MMSE) and modified Ashworth scale from baseline to 8 weeks after the surgery. Results: The Fugl-Meyer upper extremity scale and modified Ashworth scale were significantly improved after contralateral C7 transfer (p<0.05). However, box & block test and K-MMSE were no significant changes after the surgery (p>0.05). Conclusions: This study suggested that the contralateral C7 transfer was a feasible and practical approach to improve upper extremity motor function in the patients with spastic hemiplegia after stroke, but further study is required to identify the long-term effects after the contralateral C7 transfer.

구조방정식모형을 이용한 장기요양시설 노인의 신체적·정신적 기능 및 구강건강영향지수가 삶의 질에 미치는 영향 분석 (Analysis of the Influence of Physical and Mental Function, and Oral Health Impact Profiles on Quality of Life in the Elderly People in Long-term Care Centers using the Structural Equation Model)

  • 신민우;이영옥;조영채
    • 한국산학기술학회논문지
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    • 제17권4호
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    • pp.500-511
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    • 2016
  • 본 연구는 장기요양시설 노인의 신체적 기능(ADL, IADL), 정신적 기능(CES-D, MMSE-K) 및 구강건강영향지수(OHIP-14)가 삶의 질(WHOQOL-BREF)에 미치는 영향을 알아보고자 시도하였다. 조사대상은 장기요양시설에 입소하여 있는 노인 602명으로 하였으며, 조사는 2014년 5월 1일부터 6월 30일까지의 기간 동안에 구조화된 설문지를 이용한 면접조사를 실시하였다. 연구결과, 조사대상자의 정신적 기능(CES-D, MMSE-K)은 신체적 기능(ADL, IADL)이나 구강건강영향지수(OHIP-14)보다 삶의 질에 더 큰 영향을 미쳤으며, 신체적 기능과 구강건강영향지수가 높을수록, 정신적 기능이 높을수록 삶의 질을 증가시키는 효과가 있는 것으로 나타났다. 위와 같은 연구결과를 볼 때, 장기요양시설 노인들의 삶의 질은 신체적 기능, 정신적 기능 및 구강건강영향지수와 유의한 관련성이 있음을 시사하고 있다.

건강한 성인의 양측상지기능의 상상훈련과 신체적 수행의 대뇌 연결성 비교: 사례 연구 (Comparison of Brain Connectivity in Mental Practice and Physical Performance of Bilateral Upper Extremity Function in a Healthy Adult: A Case Study)

  • 정은화;김희
    • 재활치료과학
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    • 제8권1호
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    • pp.41-50
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    • 2019
  • 목적: 본 연구의 목적은 건강한 성인을 대상으로 양측상지기능 훈련을 통해서 활성화 되는 대뇌 연결성에서 상상 훈련과 신체적 수행 간에 차이가 있는지를 알아보고자 한다. 연구방법: 연구 대상자는 건강한 성인 1명으로 상상훈련과 신체적 수행 시 EEG 측정이 이루어졌다. 양측상지기능 훈련은 대칭 과제와 비대칭 과제로 구성되었다. 대칭 과제는 양손으로 박스를 잡고 동시에 위의 선반으로 올렸다가 다시 내려놓는 과제이고, 비대칭 과제는 한 손으로 병을 잡고 다른 한 손으로 뚜껑을 여는 과제였다. EEG 전극은 Fp1, Fp2, F3, F4, T3, T4, P3 및 P4에 부착되었다. 데이터 분석은 EEG 전극 쌍 간의 상관 분석을 위해 Cross-Line Mapping을 사용하였다. 결론: 본 연구 결과 대칭 및 비대칭의 양측 상지 과제에서 대뇌 연결성 패턴은 운동과 감각 영역에서 유사한 패턴을 가지는 것으로 나타났다. 또한 본 연구를 통해 양측상지기능 훈련 시 상상훈련보다 신체적 수행에서 대뇌 연결성이 더 높은 상호상관을 갖는다는 것을 확인하였다.

농촌지역 노인들의 우울 및 인지기능장애에 관한 연구 (A Study on the Depression and Cognitive Impairment in the Rural Elderly)

  • 이정애;정향균
    • Journal of Preventive Medicine and Public Health
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    • 제26권3호
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    • pp.412-429
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    • 1993
  • For the purpose of promotion of mental health in the rural elderly, the author surveyed 558 elderlies aged 60 years or more, and assessed the prevalence rates of depression and cognitive impairment by using self-rating depression scale of Zung (SDS) and the Korean version of mini-mental state examination (MMSEK). Also the association between depression or cognitive function and socio-environmental factors were investigated. The major findings were as follows ; 1. The prevalence rates of severe depression and cognitive impairment were 20.9% and 14.9% in all the elderly of both sexes, respectively. 2. The rates of depression and cognitive impairment increased with increasing age in both sex groups. The mean scores of SDS increased and the mean scores of MMSEK decreased significantly among them (p<0.01). 3. Those being female, widows or widowers, and those having low levels of physical activity, showed significantly high the mean scores of depression and had significantly low the mean scores of cognitive impairment (p<0.01). 4. The depression scores relating to decreased libido, confusion, psychomotor retardation, hopelessness and indecisiveness were relatively high in both sexes. 5. All the items of mini-mental state examination were significantly correlated with depression. 6. In stepwise multiple regression analysis on depression, MMSEK, level of physical activity, chronic disease, marital status and family income were selected as highly correlated variables, and the $R^2$-value for these variables was 33.7%. 7. In stepwise multiple regression analysis on cognitive function, level of physical activity, age, depression, sex and marital status were selected as highly correlated variables, and the $R^2$-value for these variables was 62.6%. The depression and cognitive impairment of the elderly were positively correlated with nearly all sociodemographic variables.

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보행운동프로그램이 청소년 경직형뇌성마비아동의 자아효능감 및 부모의 양육태도에 미치는 영향 - 사례연구 (Effect of Gait Exercise Program on the Self-Efficacy and Parenting Attitude of Adolescent Spastic Cerebral Palsy - Case Study)

  • 이연섭;서동권;김경훈;이양진
    • 대한통합의학회지
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    • 제8권4호
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    • pp.183-190
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    • 2020
  • Purpose : The purpose of this study was to investigate the effect of increased gait function enhancement exercise in three adolescent convulsive cerebral palsy sinuses on children's large movement function, balance and gait function, self-efficacy, and guardian attitude. Methods : The purpose of this study was to conduct a program to strengthen trunk muscles and strengthen walking ability 5 times a week for 8 weeks in 3 children with convulsive cerebral palsy in adolescence. The main reinforcement of the program was 20 minutes of muscle strength and 20 minutes of walking on a treadmill five times a week. Exercises were focused on the reinforcement of the flexor muscles of the proprioceptive neuromuscular promotion (PNF) and the extension of the legs in the bridge posture exercise and squat movements. Results : The results of GMFM-88 to determine the effects of this functional enhancement program on the body of children with convulsive cerebral palsy, and PBS & TUG to determine the effects of balance and gait ability were improved. In addition, parenting attitudes of guardians, self-efficacy of children, and self-efficacy of parents increased positively due to mental consequences. Conclusion : The results of GMFM-88 to determine the effects of this functional enhancement program on the body of children with convulsive cerebral palsy, and PBS & TUG to determine the effects of balance and gait ability were improved. In addition, parenting attitudes of guardians, self-efficacy of children, and self-efficacy of parents increased positively due to mental consequences.