• 국제물리치료학회지
• /
• 제9권2호
• /
• pp.1475-1485
• /
• 2018

This study was conducted to examine the effects of the application of family-centered training over the 12-week period by the pediatric physiotherapist on functional balance and activities of daily living in children with cerebral palsy. Among the 26 children with cerebral palsy as the subjects were allocated to the experimental and control group. Both groups were subjected to neurodevelopmental treatment by the pediatric physiotherapist. The experimental group, participated in family-centered training program 3 times a week over a period of 12 weeks for the total of 36 sessions, functional balance and activities of daily living were verified through intergroup comparison. There was no significant difference between the outcomes prior to training and after 6 weeks of training, (p>.05) Pediatric Berg's Balance Scale(PBS) and Functional Independence Measure for children(Wee-FIM) increased significantly from those measures after 6 weeks to those after 12 weeks of training (p<.05). Therefore, these results suggest that on family-centered training on children with cerebral palsy has beneficial effects on functional movements and physical activities.

• 대한물리의학회지
• /
• 제14권2호
• /
• pp.29-40
• /
• 2019

PURPOSE: Despite the widespread occurrence in the general population, few studies have directly evaluated the effects of shingles on non-specific neck pain (NSNP). This study investigated whether sensory training or therapeutic stretching exercises are more effective in increasing neck mobility and reducing neck pain in chronic NSNP patients. METHODS: Eighty-one subjects aged between 20 and 32 years with chronic neck pain (> six months), were allocated randomly to three groups: sensorimotor training group (STG), therapeutic stretching group (TSG), and home exercise group (HEG). All participants received a half-hour training session, three times weekly for six weeks. The outcomes were evaluated using the neck disability index for measuring neck pain, and a universal goniometer to measure the cervical passive range of motion before and after the six-week intervention. RESULTS: The post-test neck disability index scores in the STG (t = 4.86) and TSG (t = 3.24) were decreased significantly (p < .05). The passive range of motion changes in all cervical movements in the STG was increased significantly (p < .05) after intervention compared to those in the other two groups. CONCLUSION: Sensorimotor training using chin tuck exercises may improve neck pain and mobility in subjects with chronic NSNP.

• 한국전문물리치료학회지
• /
• 제21권1호
• /
• pp.1-12
• /
• 2014

The purpose of this study were to determine the intra-rater and inter-rater reliability of shoulder passive range of motion measurement using the "Clinometer + bubble level", a smartphone application and to compare with the intra-rater and inter-rater reliability of measurement using a goniometer. Twenty six patients with stroke were recruited for this study. Two raters measured the passive range of motion of four types of shoulder movements (forward flexion; FF, abduction; ABD, external rotation at $90^{\circ}$ abduction; ER90 and internal rotation at $90^{\circ}$ abduction; IR90) using a goniometer and a smartphone to determine within-day inter-rater reliability. A retest session was performed thirty minutes later to determine within-day intra-rater reliability. The reliability was assessed using intraclass correlation coefficients (ICC) and the standard error of measurement (SEM). The ICC (2,1) for the inter-rater reliabilities of the goniometer and smartphone were good in FF and ABD [ICC (2,1)=.75~.87] and excellent in ER90 [ICC (2,1)=.90~.95]. The intra-rater reliabilities for the goniometer and smartphone were good or more than good, with an ICC (3,1) value >.75, the exception was IR90 measured by rater 2 on the smartphone. These results suggest that smartphone could be used as an alternative method tool for measurement of passive shoulder range of motion in patients with stroke.

• Physical Therapy Rehabilitation Science
• /
• 제5권3호
• /
• pp.113-119
• /
• 2016

Objective: The effect of abdominal expansion maneuver (AEM) and abdominal draw-in maneuver (ADIM) on postural control in an unsupported position in stroke patients. Design: Randomized controlled trial. Methods: A total of 36 persons with hemiplegic stroke participated in this study. The subjects were randomly divided into an AEM experimental group (n=12), an experimental ADIM group (n=12), and a control group (n=12). We collected the general characteristics of all subjects and the pre-test results before the intervention and after 4 weeks of the intervention. The trunk stabilization training of the ADIM and AEM group were performed 15 minutes a day, 3 times a week for 4 weeks, and general physical therapy was performed 2 times a day, 30 minutes per session, 5 times a week for all three groups. The control group received joint mobilizations, muscle strengthening, endurance strengthening, and gait exercises along with treatment of the central nervous system, such as neuro-developmental treatment, mat, and gait training. The AEM is an inspiratory phase of tidal breathing expanding the lateral lower ribcage in a lateral direction with minimal superior movements of the chest. Then the lower abdomen expands and the navel moves in an anterior-caudal direction. The ADIM is a repeated contraction and relaxation of the anal sphincter during inspiration. The navel pulls the lower abdomen to the direction of the spine without the movement of the trunk and pelvis. Results: Before and after the interventions, medial-lateral axis movement distance, anterior-posterior axis movement distance, sway mean velocity, and sway area 95% was a statistically significant change in all three groups (p<0.05). The post-hoc test showed a significant improvement in medial-lateral axis movement distance, anterior-posterior axis movement distance, sway mean velocity, and sway area in the AEM group compared with the control group, and in the ADIM group compared with the control group (p<0.05). Conclusions: In conclusion, both AEM training and ADIM training are necessary interventions to maintain the independent sitting position according to the characteristics of the patient.

• 대한물리의학회지
• /
• 제8권2호
• /
• pp.271-280
• /
• 2013

PURPOSE: This study was conducted in chronic hemiplegic patients to examine the effect of the training of the ipsilateral arm that is identical to the model performing movements and the training of the contralateral arm on the function of the arm. METHODS: The subjects were participated total 2 patients(the subject 1 with left hemiplegia and the subject 2 with right hemiplegia). The study was conducted for 4 weeks. The action observation training were repeated 10 times in 10 days during intervention period. The evaluation of the arm function such as BBT, MFT and MAL in the each subject were examined 5 times in the baseline period, 10 times during the intervention period and 5 times during the baseline regression period. RESULTS: The results of the evaluation in each subject were presented as mean values and video graphs. The arm function of the 2 subjects were improved during the intervention period in comparison with the baseline period, and the improvement was maintained even during the regression baseline period. In addition, there were large variation ratio of BBT and MAL (AOU, QOM) in comparison with subject 1. CONCLUSION: According to the results, the action observation training was more effective in improving upper limb function of stroke patients who imitate the performed behavior of paralyed parts on the same side.

• PNF and Movement
• /
• 제12권4호
• /
• pp.233-241
• /
• 2014

Purpose: The purpose of this study is to investigate the effects of exercising on a stable and unstable surface for a period of six weeks on the arms of female university students in their twenties. Methods: The subjects consisted of 20 female university students. The experimental group consisted of ten individuals who exercised on an unstable surface, and the control group consisted of ten individuals who exercised on a stable surface. The exercise program was composed of aerobic exercises (i.e. Back and forth movements for clapping and raising cross with both arms) and muscle-strengthening exercises (i.e. Push-ups and raising arms). We measured the subjects before the experiment and after the exercise program using the following measurements tool: a ruler and T-scan plus. The same person measured changes in arm size with a ruler three times and calculated the average to minimize any errors in measurement. We controlled the subjects to measure the amount of arm muscle with a T-scan plus. Twelve hours before the measurements were taken subjects were not permitted to exercise, and four hours before the measurements were taken subjects were not permitted to eat anything. Results: The two groups had no significant difference, but each group felt the effect of the exercise program. Conclusion: There was no difference between the experimental group and the control group. However, it was determined that the exercise had a greater effect on an unstable surface than a stable surface.

• 한국전문물리치료학회지
• /
• 제30권1호
• /
• pp.23-31
• /
• 2023

Background: Several factors contribute to shoulder pain, including abnormal neck posture, repeated use of the upper limbs, work involving raising the upper limbs above the head, and the effects of vibration. However, previous study has reported that constant vibration exposure could impact improvement of the stability on joints related with muscle recruitment and activation. For this difference reason, we need to verify for the complex study of relationship with repetitive upper limb movements, poor head posture, and constant vibration exposure. Objects: Our study was made to investigate the influence of vibration exposure on the shoulder muscle activity during forward-head and over-head tasks with isometric shoulder flexion. Methods: In a total of 22 healthy subjects, surface electromyography (EMG) data were collected from shoulder muscles (upper/lower trapezius, serratus anterior, and lumbar erector spinae) on tasks (neutral-head task [NHT], forward-head task [FHT], and over-head task [OHT]) with and without vibration exposure. Results: In all tasks, the EMG data of the upper trapezius and serratus anterior significantly increased with vibration exposure (p < 0.05). Furthermore, the EMG data of the lumbar erector spinae significantly increased with vibration exposure in the NHT and FHT (p < 0.05). Conclusion: We suggest that continuous vibration exposure during the use of hand-held tools in the tasks could be associated with harmful effects in the workplace. Lastly, we clinically need to examine the guidelines regarding the optimal posture and vibration exposure.

• 생물정신의학
• /
• 제11권2호
• /
• pp.117-126
• /
• 2004

Objects:It has been reported that the incidence of tardive dyskinesia(TD), the remarkable abnormal involuntary movement, was higher in the schizophrenics with high blood sugar levels and that TD had been improved by small amount of insulin-injection for 90 days. And also it was generally known that the blood lipids were higher in the schizophrenics with tardive dyskinesia. Thus, we tried to replicate the correlations of abnormal involuntary movements with blood sugar levels and blood lipids in chronic schizophrenics treated with antipsychotics. Methods:Thirty-eight male schizophrenic inpatients who were stable in clinical state with medications, were included. The patients who had been already diagnosed as diabetes mellitus(DM), organic brain disorder, substance- related disorder, physical illness were excluded and also we excluded female patients to remove the hormonal effect on TD. Eleven patients who ranked higher(above five) in the Abnormal Involuntary Movement Scale(AIMS) were assigned into 2 groups, a dibenese group and a placebo group. Diabinese or placebos were administrated for 3 weeks with antipsychotics and AIMS was rechecked. Results:There were no correlations between the total AIMS scores and blood sugar and lipids levels in all subjects. The means of total and subscale scores(objective, face, and extremity) of AIMS did not reveal statistical significances between diabinese and placebo groups. However(total, jaw, face, upper arm, and objective feeling), were statistically higher in the diabinese group than those in the placebo group. And correlations of total cholesterol(TC) with fast blood sugar(FBS), weight with body mass index(BMI) and waist, total glycerol (TG) with BMI were statistically significant. Conclusion:In this study, there were statistical significances in the changes in ratings of AIMS scores between the diabinese group and the placebo group. Application of oral hypoglycemic agent might be a way of improving abnormal involuntary movements in schizophrenics with abnormal involuntary movements or TD. Althogugh it was not certain that there were correlations of abnormal involuntary movement with blood sugar and lipids, correlations of TC/TG with AIMS, of FBS with AIMS cautiously suggest that the regular check of $HbA_1C$, waist, and weight are recommended for schizophrenics.

• 한국운동역학회지
• /
• 제12권2호
• /
• pp.179-195
• /
• 2002

본 연구의 목적은 현대 스포츠가 점점 스피디하고 격렬한 상황의 연출을 요구하고 있는 상황에서 순간적으로 신속 정확한 판단력과 그에 따른 재빠르고 민첩한 행동이 필요할 때가 많으므로 준비동작에 대한 운동역학적 메카니즘의 이해가 필요하다고 판단되어 연구를 실시하였다. 따라서 본 연구에서는 준비동작의 형태 변화(open stance & cross stance)에 따른 신체움직임을 운동역학적인 분석을 통하여 바람직한 준비동작의 모델을 제시하는데 있으며, 이러한 연구 목적을 달성하기 위하여 연구대상자는 부산 B대학교 핸드볼 선수인 남학생 5명과 부산 S대학교 사격 선수인 여학생 5명을 선정하여 실험하였다. 준비자세에서의 좌 우 전방향으로 이동시의 동작을 2대의 고속 비디오 카메라와 2대의 지면반력기 그리고 전신반응측정 장비를 이용하여 자료를 수집하였고, 준비자세에서의 좌 우 전방향 이동시의 메카니즘을 분석한 결과 다음과 같은 결론을 얻었다. 첫째, 준비자세에서 좌 우 전방향 이동시 cross stance 자세가 open stance 자세 보다 신체중심이동 속도가 빠른 것으로 분석되었으며, Take-off시 슬관절의 굴곡각은 약 $175^{\circ}$의 각도를 유지하고, 고관절의 굴곡각은 약 $172^{\circ}$의 각도를 유지하여 준비자세를 취하는 것이 바람직한 것으로 분석되었다. 둘째, 준비자세에서의 좌 우 전방향으로 이동시 지지시간과 지면반력분석 결과를 종합해 보면 준비동작에서 왼쪽방향으로 이동시 가장 빠른 신체중심이동 속도를 나타냈다. 셋째, 준비자세에서 좌 우 전방향 이동시 지면반력 분석 결과에서도 cross stance 자세가 open stance 자세보다는 왼발과 오른발에 체중을 적절히 분산시켜 준비동작을 수행할 수 있도록 하여 상해를 예방할 수 있으므로 cross stance 준비자세가 바람직한 것으로 분석되었다. 따라서 준비자세의 역학적인 메가니즘은 cross stance 자세가 open stance 자세보다 보다 바람직한 준비자세라고 할 수 있으나 반드시 개인차도 고려되어져야 할 것이다.

• 한국보육지원학회지
• /
• 제8권2호
• /
• pp.139-155
• /
• 2012

이 연구는 유아교육실제에서 몸의 교육적 의미를 재인식하기 위한 기초자료 제공을 목적으로 인간공학적 방법을 활용하여 바람직한 몸 교육의 방향에 대한 교훈을 얻고자 하였다. 인간공학 활동분석방법으로 가장 많이 활용되는 OWAS기법을 적용하여 D시에 거주하는 유아를 대상으로 비디오 촬영을 한 후 Snap reading하여 일과 활동내 몸 움직임을 분석하였다. 연구결과에 따르면 유아의 몸 움직임은 활동유형에 따라 다른 양상을 나타내었다. 허리와 팔을 중심으로 한 활동별 움직임은 통계적 유의성을 보이지 않았으며, 다리 활동성을 중심으로 활동 군별로 분석한 결과는 대집단, 소집단, 야외활동 순으로 나타나 전체집단 간 평균분석에서 통계적으로 유의하게 야외활동이 다른 활동보다 월등하게 높게 나타났다. 또 최고 및 최저 움직임을 보인 활동들을 independent t-test를 실시한 결과, 허리의 움직임에서 소집단이 야외활동보다, 다리의 움직임에서 야외활동이 대집단보다 유의하게 활발한 것으로 나타났다. 이 연구의 의의는 인체공학적 활동 분석법을 유아의 몸 움직임 측정에 처음으로 도입한 점과 더불어 이런 적용 결과를 바탕으로 최근 급격히 줄어드는 유아실외활동의 잠재적 위험성에 대해 경각심을 일깨웠다는 데서 찾을 수 있다.