• 대한물리치료과학회지
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• 제28권3호
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• pp.88-97
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• 2021

Purpose: Patients with total knee arthroplasty (TKA) have impaired balance and movement control. Exercise interventions have not targeted these impairments in this population. This study aimed to investigate the effect of complex balance exercises on unstable ground, on the gait, balance, and daily living ability of patients with total knee arthroplasty. Design: Randomized controlled trial. Methods: The participants consisted of 30 patients placed into two groups of 15 each: a experimental group (complex balance exercise) and a control group (physical therapy exercise). Both group exercise was applied for 3 times a week for 30 minutes for four weeks. Force plate for balance ability and Timed up and go (TUG) test were the primary outcome measures. The secondary outcome measures included 10-m walk test (10MWT) and the daily living ability using the Knee Outcome Survey Activities of Daily Living scale (KOS-ADL). Results: The result of this study showed that the experimental group had a significant difference in TUG and 10MWT than the control group, and balance was significantly different in CEA, CPL, and CAV. There was a significant difference in daily living ability between the experimental and control groups. This study confirms that the physical therapy with complex balance exercise on unstable surfaces has positive effects on balance, gait and daily living ability in patients with total knee arthroplasty. Conclusion: As a result of this study, complex balance exercise on unstable surface was more effective in improvement gait, balance and daily living ability in total knee arthroplasty. From this study, physical therapy with complex balance exercises on unstable ground may be proposed as and effective intervention method for improving gait, balance, and daily living ability in patients with early total knee arthroplasty.

• The Journal of Korean Physical Therapy
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• 제30권6호
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• pp.211-217
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• 2018

Purpose: This study is to investigate influence of tDCS on lower limb muscle activity and balance ability in soccer player. Methods: Sessions were conducted with 15 subjects in tDCS group and 15 in action observation training group for 20 minutes, 5 sessions a week, for 8 weeks. All soccer players underwent 30 minutes of plyometric training before main exercise. To evaluate lower limb muscle activation, rectus femoris and biceps femoris were taken measure using surface electromyogram system and to evaluate balance ability, surface area, whole path length, limited of stability were measured using biorescue. Results: Regarding balance shown in surface area, whole path length, limited of stability and muscle activation in rectus femoris and biceps femoris, tDCS group showed more significant change than action bservation training group. Conclusion: Therefore, intervention using tDCS is more effective in improving lower limb muscle activation and balance ability than action observation training.

• Physical Therapy Rehabilitation Science
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• 제3권1호
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• pp.55-62
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• 2014

Objective: To study the effects of gait training with additional weight and gait training with non-additional weight on balance ability and gait ability in patients with chronic stroke through comparative analysis. Design: Randomized controlled trials. Methods: The subjects were divided randomly into two groups: additional weight group (AWG, n=12), and non-additional weight group (NAWG, n=10). Both groups received general physical therapy for 30 min in 1 session, 5 sessions per week during 6 months. The AWG practiced gait training with additional weight of 0.1 and 0.5 kg for 20 min a day, 3 days per week for 6 months and the NAWG practiced gait training with non-additional weight for 20 min a day, 3 days per week for 6 months. Patients in both groups were instructed to walk as fast as they could along a 35 m long track (straight for 20 m and curved for 15 m). Patients walked with their hemiplegic side on the inside of the track while a physical therapist followed along to instruct patients to maintain a straight posture. Balance ability was tested with the Functional Reach Test, the Timed Up and Go test, and the Berg Balance Scale, and gait ability was tested with GAITRite. The results of balance and gait ability were analyzed before and after interventions. Results: A significant increase in FRT, TUG, BBS was seen in both groups after intervention (p<0.05). A significant increase in gait ability was seen in the AWG after intervention (p<0.05). For balance and gait ability, the results from the AWG was significantly improved compared with the NAWG (p<0.05). Conclusions: Gait training with additional weight improves balance ability and gait ability in stroke patients, this gait training method is effective and suitable for stroke patients to increase the ability of functional performance.

• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.535-545
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• 2022

Objective: This study was conducted to identify predictive factors of physical activity in total hip arthroplasty patients, and to provide basic data for the developing physical activity promotion program for total hip arthroplasty patients. Design: Descriptive correlational research. Methods: Data were collected from August 2017 to May 2018. Surveys were distributed to 60 patients in a G university hospital located at J city, Gyeongsangnam-do. Data were analyzed by frequency, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficient, multiple regression analysis using SPSS 24 Win program. Results: The variables affecting the 4-week physical activity after discharge were age (β=.07), residence after discharge (β=-.22), cerebrovascular disease (β=-.13), mental and behavioural disease (β=-.11), taking antibiotic (β=-.26), walking ability (β=.41), nutritional status (β=.25), depression (β=.05). The eight variables accounted for 39.4% in the 4-week physical activity (F=4.49 p=.001). The variables affecting the 8-week physical activity after discharge were age (β=.06), waking ability (β=.34), nutritional status (β=.20), exercise self-efficacy (β=.05), depression (β=-.05). The six variables accounted for 28.0% in the 8-week physical activity (F=4.58, p<.001). Conclusions: The walking ability in discharge important to improve the physical activity, there is a need to develop an program to improve walking ability before discharge, in total hip arthroplasty. There is a need to develop a physical activity program to consistently participate in a community.

• 한국보육지원학회지
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• 제15권5호
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• pp.23-45
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• 2019

Objective: The purpose of this study is to identify the longitudinal reciprocal relationship between young children's vocabulary ability and physical aggression in young children. Methods: Two waves of panel data(2013/2015) from the Panel Study of Korean Children were analyzed in this study by using an adapted version of Autoregressive cross-lagged modeling. A total of 306 five-year-old and seven-year-old preschoolers, and their mothers participated in the study. Autoregressive cross-lagged modeling for multiple groups was conducted by using AMOS 24.0. Results: First, vocabulary ability and physical aggression showed stability over time. Second, young children's vocabulary ability(t) had a statistically significant effect on physical aggression(t+1). Conclusion/Implications: This study confirmed the interrelationships of young children's vocabulary ability and physical aggression by examining longitudinal data using the longitudinal analysis method. This study highlights the importance of developing interventions to support language development with aggressive children. The results of the present study can be used as a source in developing policies for aggressive children and their parents.

• The Journal of Korean Physical Therapy
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• 제32권3호
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• pp.137-145
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• 2020

Purpose: The purpose of this study is to examine the effect of various bridge exercises on walking ability. Method: The subjects were 30 stroke patients. They were divided into a bridge exercise group on a stable support surface (Group I), a bridge exercise group on an unstable support surface (Group II), and a bridge exercise group combined with whole body vibrations (Group III). 10 subjects were randomly assigned into each group. The subjects of this study had 30 minutes of nervous system physical therapy including gait training and strength training. In addition, each group underwent a 30 minutes session five times a week for eight weeks. Before intervention, LUKOtronic was used to measure step width and step length, time was measured with a 10 m walking test, and time and number of steps were measured with the figure 8 walking test. After the intervention, remeasured and analysis was performed for each group. Results: As a result of comparing and analyzing the change of walking ability between groups, there was a statistically significant difference. As a result of the post hoc analysis according to the change of walking ability among groups, the change of walking ability was larger in Group III than in Group I and Group II. Conclusion: Based on these results, it is confirmed that the bridge exercise combined with whole body vibration was more effective for walking ability. Based on these findings, this study proposes an effective program for elite athletes as well as stroke patients.

• The Journal of Korean Physical Therapy
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• 제23권3호
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• pp.13-19
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• 2011

Purpose: In real life there are both straight-paths and curved-paths. To evaluate walking ability of both kinds, a figure-8 walking test (F8WT) was developed. The aim of this study was to validate the measure in hemiplegic patients with walking difficulties and to identify correlations of curved walking ability with straight walking ability, motor function, and walking performance ability. Methods: Twenty subjects participated in this study. Curved walking was measured by a F8WT. Straight walking ability was measured by a 10-meter walking test (10MWT). Dynamic balancea bility was measured by timed up and go (TUG) tests. Walking performance ability was measured using a modified motor assessment scale (MMAS). Motor function was measured by the Fugl-Meyer assessment (FMA) scale. Data were analyzed using Pearson correlation analysis. Linear regression analyses were performed to explore other functional tests in mobility ability by F8WT time, 10MWT (dependent variable). Results: There was a significant positive correlation of F8WT time with 10MWT and TUG. There was a significant negative correlation of F8WT time with MMAS and FMA-coordination. There was a significant positive correlation of 10MWT with TUG. There was a significant negative correlation of 10MWT with MMAS and FMA-coordination. The F8WT time for curved walking ability was attributed to 10MWT for straight walking ability as 94% level of contribution. Conclusion: The results suggest that the F8WT is a good instrument for measuring walking ability because there is a robust correlation of F8WT time with 10MWT, TUG, MMAS, and FMA-coordination in hemiplegic patients who, after stroke, have a mobility deficiency.

• The Journal of Korean Physical Therapy
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• 제26권5호
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• pp.315-323
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• 2014

Purpose: This study was conducted in order to investigate the effect of motor ability on mastery motivation in children with cerebral palsy. Methods: Sixty children with cerebral palsy (5~12 years) and their parents participated in the study. Data on general characteristics and disability condition, Gross Motor Functional Classification System, Manual Ability Classification System, and The Dimensions of Mastery questionnaire were collected for this study. Independent t-test, and ANOVA were used for analysis of the effect of The Dimensions of Mastery questionnaire according to general and disability condition, Gross Motor Functional Classification System, and Manual Ability Classification System. Linear regression analysis was performed to determine the effects of Gross Motor Functional Classification System and Manual Ability Classification System on The Dimensions of Mastery questionnaire. SPSS win. 22.0 was used and Tukey was used for post hoc analysis, level of statistical significance was less than 0.05. Results: The Dimensions of Mastery questionnaire score showed statistically significant difference according to gender, region, type, disability rating, Gross Motor Functional Classification System, and Manual Ability Classification System (p<0.05). Gross Motor Functional Classification System and Manual Ability Classification System were the effect factor on The Dimensions of Mastery questionnaire significantly (p<0.05). Conclusion: These results suggest that motor ability of children with cerebral palsy was an important factor having an effect on The Dimensions of Mastery questionnaire.

• 대한물리치료과학회지
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• 제18권3호
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• pp.79-86
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• 2011

Background : The purpose of this study was to investigate on the ankle pain, Range of Motion(ROM) and balance ability with old man have fall down experience used to ankle strengthening exercise for 6 weeks. We introduced ankle strengthening exercise in this study in order to recover the pain, ankle ROM and balance ability. Methods : Twenty-four old mans have fall down experience were included for the study. Among them, twelve old mans(experimental group) were ankle strengthening exercise and physical science methods(H/P, TENS, U/S), another twelve old mans(control group) were treated by physical science methods(H/P, TENS, U/S). Each group made use of Visual Analogue Scale(VAS) to pain and goniometer to ankle ROM and Berg Balance Test(BBS) to balance ability to compare the possible changes of pain, ROM and balance ability in two groups after treatment. Results : In experimental group, pain reduced, ankle ROM has increased in dorsi-flexion, plantar-flexion and balance ability has increased for 6 weeks. In control group, pain reduced, ankle ROM has not changed in dorsi-flextion, plantar-flextion and balance ability has not changed for 6 weeks. Conclusion : According to the results, we concluded that ankle strengthening exercise for 6 weeks is effective for reducing pain and increasing ankle ROM and balance ability. Therefore, we thought the old man have fall dawn experience need ankle strengthening exercise for prevention repeatedly fall down.

• 대한정형도수물리치료학회지
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• 제23권1호
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• pp.23-30
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• 2017

Purpose: The purpose of this study was to investigate the effect of transverse abdominis ratio and balance ability during bridge exercises on different support surface. Methods: The subjects were 20 students at G University. Ultrasound equipment was used to measure the transverse abdominisratio and the computerized balance measurement equipment was used to measure the balance ability before and after bridge exercises on different support surface. Results: Transverse abdominis ratio change between the groups was a significant difference only in the unstable support surface training group (p<.05). Normal standing eye close balance ability change between the groups was significantly different only in the unstable support surface training group (p<.05). The changes in the transverse abdominis ratio after 7 days of exercise and 14 days after exercise were significantly different between the groups (p<.05). Normal standing eye close balance ability showed a significant difference at 7 days after exercise and 14 days after exercise (p<.05). Conclusions: It is more effective to balance ability and ratio of the transverse abdominis when bridge exercises on an unstable support surface than to perform bridge exercises on a stable support surface. Therefore, we propose an effective program for patients with instability of the lumbar in clinical practice. bridge exercises on different support surface.