• Title/Summary/Keyword: physical functional

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Assessments of Isometric Trunk Extension Strength in Post Stroke Hemiplegic Patients (편마비 환자의 등척성 체간 신전 근력 평가)

  • Kim, Jae-Sook;Lee, Dae-Hee;Kim, Sang-Beom;Kwak, Hyun;Kim, Jin-Sang
    • Physical Therapy Korea
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    • v.14 no.1
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    • pp.21-27
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    • 2007
  • The purpose of this study was to evaluate isometric trunk extension strength in hemiplegic patients, and to compare that with normal subjects to find a correlation between trunk extension strength and the functional independent degree in hemiplegic patients. Fifteen hemiplegic male patients (mean age $55.2{\pm}10.2$ years) and twenty-five healthy male subjects (mean age $54.6{\pm}10.3$ years) completed isometric trunk extension. Strength was measured at 0, 12, 24, 36, 48, 60, and 72 degrees of trunk flexion. The functional independent degree was assessed by Functional Independence Measure (FIM). Mean isometric trunk extension strength was 91.2 ft-lbs, 120.7 ft-lbs, 142.3 ft-lbs, 156.4 ft-lbs, 173.5 ft-lbs, 184.1 ft-lbs, and 195.3 ft-lbs in the hemiplegic patients group, and 135.6 ft-lbs, 175.6 ft-lbs, 204.4 ft-lbs, 221.9 ft-lbs, 231.2 ft-lbs, 246.8 ft-lbs, and 259.7 ft-lbs in the normal subjects group. The values of isometric trunk extension strength had a descending linear correlation pattern from trunk flexion angle to extension angle. Trunk extension strength in hemiplegic patients was significantly lower than that of normal subjects (p<.05) but did not correlate with the FIM total score (p>.05). Therefore, the isometric trunk extension strength in hemiplegic patients was lower than that of normal subjects and did not correlate with the functional independent degree.

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The Effect of Strengthening Exercise Program on the Physical Activity, Activities of Daily Living, Social Behavior and Functional Performance of the Elderly in a Home for the Aged (양로원 노인의 신체활동, 일상생활동작, 사회행동 및 기능수행에 대한 근력강화 운동프로그램의 효과)

  • Kim, Hyun-Sook;Chung, Chee-Kyung;Lee, Kang-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.2
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    • pp.107-115
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    • 2002
  • Objectives : To evaluate the effects of a strengthening exercise program on the physical activity, activities of daily living(ADL), social behavior and functional performance of the elderly in a home for the aged. Methods : We administered a survey questionnaire that consisted of questions to establish general characteristics, health habits and status, physical activity, ADL, and social behavior. Additionally, a physical fitness and functional performance examination was peformed on subjects who were 65 years old or older. Study subjects numbered 33 in the experimental group and 35 in the control group. For intervention, we used a strengthening exercise program of the upper and lower limbs for 12 weeks(5 times/week) using dumbbells and lead-packed weights. Results : After the strengthening exercise program, the scores of physical activity and social behavior were significantly higher than the control group and the before exercise measurements. Moreover, the variables of functional performance were significantly higher than in the control group or the before exercise records. Conclusion : These results Indicate that a strengthening exercise program can improve the score of physical activity, ADL and social behavior, as well as decrease the time(sec) of functional performance of the elderly in a home for the aged.

Consumers' needs and purchase intention of high functional sportswear according to sport participation motivations (스포츠 참여 동기에 따른 고기능성 스포츠웨어의 요구 및 구매의도)

  • Kim, Yongsook
    • Korean Journal of Human Ecology
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    • v.22 no.1
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    • pp.141-155
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    • 2013
  • The purpose of this study is to identify consumers' needs and purchase intention of high-functional sportswear according to sports participation motivations. Internet survey was done for data collection and the subjects were 300 consumers in their 20-39's who participated in sport activities at least once a week. Factors of sport participation motivations were ostentation, social interaction, self development, mental health, and physical health. Consumers were segmented into the motivation retard group, the multi-purpose pursuit group, the health pursuit group, and the extrinsic motivation pursuit group. And factors of consumers' needs for high-functional sportswear were practicality and comfort function, body protection and physical function, and skin protection and health function. The multi-purpose pursuit group showed strong needs for active and comfort, body protection and physical function, and skin protection and health function but the motivation retard group showed the lowest needs for high functional sportswear. Purchase experiences of high-functional sportswear, accomplishment, and duration period of sport activity affected positively on the purchase intention of high-functional sportswear.

Effect of Elastic Aids (Bands) on Functional Reach Test in Patients with Spinal Cord Injury: Pilot Study

  • Jong Ho Kang;Tae Sung Park
    • The Journal of Korean Physical Therapy
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    • v.34 no.6
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    • pp.317-320
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    • 2022
  • Purpose: This study aimed: to confirm the balance ability of patients with spinal cord injury in the sitting state through a functional reach test using an elastic aid; and to propose a balance improvement plan. Methods: The study evaluated seven patients with spinal cord injury who could maintain a sitting posture through minimum assistance. A functional reach test was performed before and after wearing an elastic aid while sitting on a chair, and the effects before and after use of the elastic aid were compared and analyzed through a motion analyzer. Results: In the functional reach test, the forward movement distance of the hand was 97.45 mm before wearing the elastic aid, but significantly increased to 131 mm after wearing the aid (p<0.05). Corresponding forward movement distances for the shoulder were 81.26 mm and 113 mm (p<0.05 for the increase). There was no statistically significant change in lateral functional arm extension. Conclusion: It was confirmed, through a functional reach test, that trunk stability in patients with spinal cord injury increased with use of an elastic aid. In future, more efficient rehabilitation treatment programs will be possible if trunk stability in patients with spinal cord injury is improved by using elastic aids, and if various exercise treatments are also included in the rehabilitation programs.

The Effect of Motor Ability in Children with Cerebral Palsy on Mastery Motivation (뇌성마비 아동의 신체기능이 완수동기에 미치는 영향)

  • Lee, Na-Jung;Oh, Tae-Young
    • The Journal of Korean Physical Therapy
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    • v.26 no.5
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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.

The Effect of Protective Socks with Functional Insoles on Plantar Foot Pressure in Diabetes Patients

  • Kim, Hyun Soo;Jung, Do Young
    • The Journal of Korean Physical Therapy
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    • v.30 no.6
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    • pp.224-228
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    • 2018
  • Purpose: The most common cause of plantar ulceration is an excessive plantar pressure in patients with peripheral neuropathy. Foot orthosis and therapeutic footwear have been used to decrease the plantar pressure and prevent the plantar ulceration in in diabetes patients. We investigated whether protective sock with functional insoles reduce plantar pressure while walking in 17 diabetes patients. Methods: An in-shoe measurement device was used to measure the peak plantar pressure while walking. Peak plantar pressure data were collected while walking under two conditions: 1) wearing diabetic sock and 2) wearing the protective sock with functional insoles. Each subject walked 3 times in 10-m corridor under three conditions, and data were collected in 3 steps in the middle of corridor with in right and left feet, respectively. Pared t-test was used to compare the peak plantar pressures in three plantar areas under these two conditions. Results: The protective sock with functional insoles significantly reduced the peak plantar pressure on the lateral rearfoot, but significantly increased the peak plantar pressure on the middle forefoot, and medial midfoot (p<0.05). However, there were not significant in medial and lateral forefoot, lateral midfoot, and medial rearfoot between diabetic sock and the protective sock conditions (p>0.05). Conclusion: The protective sock with functional insoles reduced plantar pressures in the rearfoot and supported the medial longitudinal arch. However, it is necessary to change the position of metatarsal pad in the insole design of forefoot area to prevent diabetic foot ulceration.

A Systematic Review of Cortical Excitability during Dual-Task in Post-Stroke Patients

  • Soyi Jung;Chang-Sik An
    • Physical Therapy Rehabilitation Science
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    • v.13 no.2
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    • pp.213-222
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    • 2024
  • Objective: Stroke is a leading cause of disability worldwide, often leaving survivors with significant cognitive and motor impairments. Dual-task (DT), which involves performing cognitive and motor tasks simultaneously, can influence brain activation patterns and functional recovery in stroke patients. Design: A systematic review Methods: Following PRISMA guidelines, databases including MEDLINE, CINAHL, Embase, and Web of Science were searched for studies assessing cortical activation via functional near-infrared spectroscopy (fNIRS) during DT performance in stroke patients. Studies were selected based on predefined eligibility criteria, focusing on changes in hemodynamic responses and their correlation with task performance. Results: Eight studies met the inclusion criteria. Findings indicate that DT leads to increased activation in the prefrontal cortex (PFC), premotor cortex (PMC), and posterior parietal cortex (PPC), suggesting an integrated cortical response to managing concurrent cognitive and motor demands. However, increased activation did not consistently translate to improved functional outcomes, highlighting the complex relationship between brain activation and rehabilitation success. Conclusions: DT interventions may enhance cortical activation and neuroplasticity in post-stroke patients, but the relationship between increased brain activity and functional recovery remains complex and requires further investigation. Tailored DT programs that consider individual neurophysiological and functional capacities are recommended to optimize rehabilitation outcomes.

The Effects of Active Movement Myofascial Decompression Therapy and Static Myofascial Decompression Therapy on Range of Motion, Muscle Strength, Functional Movement in Young Adults. (젊은 성인에서 능동 움직임을 결합한 근막감압치료 적용과 정적 적용이 관절가동범위, 근력, 기능적 움직임에 미치는 영향)

  • Lee, Jee-Hyun;Kim, Tae-Hyeon;Kang, Si-Yun;Kum, Do-Gun;Lee, Sung-Yeon;Do, Kwang-Sun;Kim, Chang-Sook;Bae, Ju-Han;Park, Jun-Hyuck;Kim, Jae-Eun
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.3
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    • pp.165-173
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    • 2021
  • Purpose : Myofascial decompression is frequently mentioned as a method applied to cupping. The purpose of this study is to evaluate and compare active range of motion (AROM), muscle strength, and functional movement by applying myofascial decompression to the hamstrings. Methods : This study evaluated AROM, muscle strength, and functional movement by applying active movement myofascial decompression and static myofascial decompression to the dominant leg, respectively, in a crossover design conducted with normal adults (n=21) in their average 20s enrolled at G University in G city, Gyeongsangbuk-do. Active movement myofascial decompression was implemented for five minutes at a rate of 100 bpm to make the beats in flexion and extension respectively. Static myofascial decompression was only performed for five minutes while at rest. All of these interventions were performed at a cupping depth of two mm. After a one-week washout period, static was applied again to compare the same dependent variables. Results : Regarding AROM and muscle strength, both groups showed significant differences in the before and after results (p<.05). However, in the Functional Reach Aspect and Single Leg Hop test, the active movement myofascial decompression group showed better results. There was no statistical difference between the Active movement myofascial decompression group and Static myofascial decompression group in any dependent variable (p<.05). Conclusion : As a result of this experiment, both active movement myofascial decompression and static myofascial decompression had a positive effect on dependent variable. Therefore this study is meaningful in that it is easier and simpler to see the effect on flexibility, muscle strength, and functional movement just by implementing movement myofascial decompression.

Recognition of Clinical Practice and Suggestion of Practical Framework (임상실기의 재인식과 실기모델 제안)

  • Kim, Tae-Yoon;Kim, Sang-Su
    • Journal of Korean Physical Therapy Science
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    • v.17 no.3_4
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    • pp.11-21
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    • 2010
  • Purpose: To Provide 3 main principles that needs to be changed for clinical practice and suggest the frame of clinical practice in accordance with the change of generation. Methods: We reviewed literatures related with Clinical Practice. Results: The purpose of physical therapy is to maintain the client's motor and functional ability and enhance the quality of lifestyle. To carry out the principles of clinical practice effectively all the physical therapist must be able to comprehend as follows. First, physical therapy can be different generation by generation. Second, technical terminology must be used when communicate. Third, There are certain ways of process in physical therapy. Conclusion: Physical therapist that is heath care professional occupation in health related, is in need of constant endeavor. Also physical therapist must train oneself self-directed learning.

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The Effects of Falls Prevention Exercise on Functional Fitness in Elderly (낙상예방체조가 노인의 체력 변화에 미치는 영향)

  • Park, Sung-Kyu;Kim, Ji-Sung;Sin, Hyung-Su
    • Journal of Korean Physical Therapy Science
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    • v.15 no.4
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    • pp.1-9
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    • 2008
  • Background: This study was to investigate effects of falls prevention exercise on functional fitness in elderly. Methods: A total of 45 healthy over 65years old adults (men=15, women=30) who were participated in this study. Exercise were involved in the period of 12 week complex physical training for around 50 minutes a day, three times per week. We measured subjects' physical activity levels by short physical performance battery(SPPB) test, timed up & go(TUG) test, one leg standing test(OLST) with closed eyes and maximal step length (MSL) test. Results: After falls prevention exercise, there were statically significant differences in SPPB, TUG, OLST and MSL test (P<.01) between pre and post test. There were statically significant differences in SPPB, TUG, OLST, MSL between pre and post test in men and women. There were statically significant differences between men and women in SPPB, TUG, OLST and MSL test. Conclusion: Falls prevention exercise had significant effects on physical fitness level in elderly, with a result increase muscle strength, balance ability and it might prevent falls.

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