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2011, Vol.6, No.4

  • 1.

    Comparison the Initial Effects of Nerve Mobilization Techniques, Static Stretching and Contract-Relax on Hamstring Flexibility and Walking Ability in Post-Stroke Hemiplegia Patients

    김용정 | Kim Taek Yeon | 김선엽 and 1other persons | 2011, 6(4) | pp.369~379 | number of Cited : 5
    Abstract
    Purpose:The purpose of this study is to compare the initial effect of nerve mobilization (NM), static stretching (SS), and contract-relax (CR) techniques to find the best method in improving hamstring flexibility and gait function in patients with hemiplegia. Methods:Eleven patients with hemiplegia were included in this study. Passive knee extension (PKE) range of motion and the sit and reach (SR) test were used to measure hamstring flexibility, while timed up and go (TUG) and the 10m walking (10MW) test were used to measure the subject’s gait. Measurements on each test were assessed prior to the experiment, immediately following the experiment, and 30 minutes after the experiment. Analysis of the results utilized a repeated measures analysis of variance to examine hamstring flexibility and the difference in walking ability. Results:The results suggest significant increases in NM, SS, and CR techniques as they relate to hamstring flexibility (p<.05) following (both immediate and 30 minutes post experiment) PKE range of motion and the SR test, but post-hoc showed no significant difference between the three techniques (p>.05). Additionally,the results suggest significant increases in NM, SS, and CR techniques as they relate to gait function (p<.05) following the TUG test, but found no significant difference in the 10MW test (p>.05). Post-hoc analysis between the three techniques suggests that only the NM technique significantly changed gait function. The time of TUG and 10MW test showed no significant difference between the three techniques before an experiment,just after an experiment, and 30 minutes following the experiment according to the measurement points in time (p>.05). Conclusion:This study suggests NM, SS, and CR techniques immediately improve hamstring length and flexibility while improving gait function in patients with hemiplegia.
  • 2.

    Comparison of Posture on Respiratory Function in the Stroke Patients according to Changes of Position

    서교철 | 이성은 | Lee Jeon Hyeong and 1other persons | 2011, 6(4) | pp.381~389 | number of Cited : 4
    Abstract
    Purpose:The purpose of this study was to compare the respiratory function in the different body position of the stroke patients. Methods:Twenty patients with stroke patients group(M:12, F:8) and twenty control group(M:12, F:8) were participated in experiment. Strokes patients group and control group were assessed according to position changes(supine position, 45˚ sitting position, 90˚ sitting position) using pulmonary function(vital capacity,inspiratory capacity, tidal volume, expiratory reserve volume, inspiratory reserve volume). Results:These findings suggest that supine position in stroke group and control group were significant difference in IC, VC, IRV, ERV(p<.05). 45˚ lean sitting position in stroke group and control group were significant difference in IC, VC, ERV(p<.05). 90 sitting position in stroke group and control group were significant difference in VC, IRV, ERV(p<.05). In comparison of two groups, strokes group was more low pulmonary function than normal group. Conclusion:This study showed pulmonary function was more high normal groups than stroke groups. And 90˚sitting position was high pulmonary function than supine position, 45˚ lean sitting position. Thus it indicates that the functions will be suggest the objective data of patients with strokes for respiratory function.
  • 3.

    Effects of Adaptation and Sudden Remove of Various Color Information on Plantar Foot Pressure during Gait in Normal Adults

    Lee Sang-yeol | Su-Hong, Choi | LEE SU KYOUNG | 2011, 6(4) | pp.391~396 | number of Cited : 0
    Abstract
    Purpose:The Purpose of this study is to investigate the values of foot pressure during gait cycle according to adaptation and sudden remove of various color information. Methods:Participants who met the criteria for this study (n=13). RS-Scan was used to measure plantar foot pressur according to Five kinds of color information in this study. Results:The adaptation of various color information is no statistically significant on all area. But sudden remove of various color information is statistically significant on T2-5, M5 and MF area. Conclusion:The results of this study suggest that sudden remove of various color information reduces the ability of balance during gait in normal adults. And these results means that increase risk of falling down according to sudden remove of various color information.
  • 4.

    Comparison of Distance of Subacromial Space Using Ultrasonographic Measurement on Arm Positions of Shoulder Injured Patients

    지은미 | 김선엽 | 박지환 | 2011, 6(4) | pp.397~406 | number of Cited : 1
    Abstract
    Purpose:Recently ultrasound images has been used to measure the subacromial space with a linear measurement of the acromiohumeral distance. The purpose of this study was to comparison of distance of subacromial space using ultrasonographic measurement on arm positions of shoulder injured patients. Methods:The subjects were 30 shoulder injured patients (19 males and 11 females). Ultrasonography was performed to measure subacromial space during each shoulder resting position, 45° abduction, internal rotation with 45° abduction and external rotation with 45° abduction. Results:Subacromial space was a significantly difference between injured arm and normal arm at shoulder resting position. At 45° abduction, subacromial space was narrowing significantly between injured arm and normal arm. At external rotation with 45° abduction, subacromial space were wider in normal arm than in injured arm but it was not significantly. Intra-observer reliability for ultrasonography measurement of subacromial distance was excellent (.96~.99). Conclusion:These results identified that positions of injured shoulder was related to subacromion space.
  • 5.

    Clinical Implication of Mechanical Insufflation-Exsufflation Method in Patients with Duchenne muscular dystrophy

    Kim Meung Kwon | 지상구 | 2011, 6(4) | pp.407~414 | number of Cited : 1
    Abstract
    Purpose:The aim of this study was to clarify the lung capacity, maximal insufflation capacity, and peak cough flow when a mechanical insufflation-exsufflation(MIE) method was used to increase Duchenne muscular dystrophy patients' lung function. Methods:The subjects of the study were 21 patients with Duchenne muscular dystrophy. They were randomly selected from patients within the boundaries of the selection criteria, and divided into two groups; The subject group(n=11) used the mechanical insufflation-exsufflation method with traditional therapeutic exercise. The control group(n=10) used only traditional therapeutic exercise. Results:The results indicated that maximal insufflation capacity, unassisted peak cough flow and assisted peak cough flow significantly increased in the subject group(p<.05). By contrast, in the control group, the results didn't indicate the significant differences from the variable. There were significant differences in maximal insufflation capacity and assisted peak cough flow between the subject group and the control group before and after the application of the mechanical insufflation-exsufflation method. Conclusion:A mechanical insufflation-exsufflation method has positive effects on the improvements of cough functions and that of pulmonary functions such as lung volume, lung elasticity in patients with Duchenne muscular dystrophy.
  • 6.

    Correlation between Neurodynamic Tests for Patients with Sciatic Radiculopathy

    김승준 | 2011, 6(4) | pp.415~424 | number of Cited : 0
    Abstract
    연구목적:본 연구는 볼기신경 뿌리병증 환자에 대하여 역학적 스트레스인 압박과 긴장을 가하여 환자의 증상을 나타내 신경동역학적 검사간의 상관관계를 수행하였다. 연구방법:신경동역학검사인 하지직거상검사, 수정된 활시위검사, 슬럼프검사에 앞서 방사선과 전문의에 의해자기공명영상 판독을 실시하여 허리원반 이탈로 진단받은 다리쪽으로 방사통을 호소하는 21명의 환자가 참여하였다. 수집된 자료는 질적변수에 따른 빈도와 비율은 교차분석표로 작성하였고, 신경동역학적 검사간의 상관관계를 검정하기 위해 피어슨의 카이스퀘어(Pearson's chi-square)을 시행하였다. 연구결과:허리 자기공명영상 결과, 증상에 대한 두 검사 간 교차표를 작성하여 하지직거상검사와 수정된 활시위검사, 하지직거상검사와 슬럼프검사는 유의한 상관관계는 없었지만(p>.05) 수정된 활시위검사와 슬럼프검사는 통계적으로 유의한 상관관계(p<.05)가 제시되었다. 결론:볼기신경 뿌리병증 환자에 대한 신경동역학검사인 수정된 활시위검사와 슬럼프검사가 통계적으로 유의한 상관관계를 나타내는 증거를 제공하였다. 신경동역학 검사는 신경계에 역학적 스트레스 즉, 긴장, 활주, 또는 압박 자극을 주어 신경기능이상 환자에 대해 적절한 검사를 제시하였다.
  • 7.

    Effects of the Selective Eye Movement Program on the Foot Pressure and Balance in Normal Adults

    KeonCheol Lee | 김지혁 | 김명진 and 6other persons | 2011, 6(4) | pp.425~436 | number of Cited : 5
    Abstract
    Purpose:The purpose of this study is to identify static, dynamic balance performances and foot pressure after eye movement exercise in normal adults. Method:This study was performed on normal 18 males and 18 females subjects. They were divided into 3groups using random sampling and executed saccadic eye movement, vestibuloocular eye movement, pursuit vergence eye movement exercise respectively. In order to compare the difference of balance and foot pressure,the subjects were measured before, middle and after eye movement. Balance was examined using the balance master 7.0 version systems. Foot pressure was examined using the gaitview AFA-50. Result:The result are as follows. 1. After first intervention, the difference of the FORM-EC item on MCTSIB variable in the vestibuloocular group was significantly decreased(p<.05) and after second intervention, the difference of the FIRM-EO(p<.05),FORM-EO(p<.01), FORM-EC(p<.01) items on MCTSIB variable in the saccadic group and FORM-EC(p<.05)item in the vestibuloocular group were significantly decreased respectively. 2. After first intervention, the difference of the EPE, MXE items in the saccadic group(p<.05) and RT(p<.05),EPE(p<.01) items in the pursuit vergence group were significantly decreased respectively after second intervention. 3. After first intervention, the difference of the Static A-P(p<.05), L-R(p<.01) and Dynamic A-P(p<.01), L-R (p<.01) items on foot pressure variable in the saccadic group, Dynamic A-P(p<.01) item in the vestibuloocular group and Static A-P(p<.01), Dynamic A-P(p<.05), L-R(p<.01) items in the pursuit vergence group were significantly decreased respectively. 4. After first intervention, the difference of the FORM-EO(p<.05), FORM-EC(p<.01) items and after second intervention, the difference of the FIRM-EO(p<.01) item on MCTSIB variable among three groups was significantly decreased respectively. Conclusion:Selective eye movement exercise program influences balance control ability and foot pressure of normal adults in positive ways.
  • 8.

    The Analysis on Diaphragm Thickness and Lung Function of Stroke Patients by Walking Ability

    Jung JuHyeon | Kim, Nan-Soo | 2011, 6(4) | pp.437~445 | number of Cited : 0
    Abstract
    Purpose:The purpose of this study was to analysis on diaphragm thickness and lung function of stroke patients by walking ability. Methods:We recruited thirty-five adults after stroke(20 male, 15 female) for our study. The subjects were divided into two groups; independent walking group(11 male, 9 female) and non-independent walking group(9male, 6 female). Assessment of diaphragm thickness was performed using ultrasound in B-mode with a 7.5 ㎒linea probe. During the experiment, the subject was seated in the chair. All subjects performed maximal expiratory flow maneuvers using a spirometer in order to determine the forced expiratory volume in 1 second (FEV1), forced vital capacity(FVC), peak expiratory flow(PEF) and FEV1/FVC. Chest expansion was measured with a tape-measure placed circumferentially around the chest wall at the xiphoid process. The collected data analyzed by independent t-test. Results:The diaphragm thickness were significant differences between the independent walking and nonindependent walking group. Values of forced vital capacity, forced expiratory volume at one second, peak expiratory flow in pulmonary function tests were significant differences between the independent walking and non-independent walking group. However, chest expansion were not significant differences in both of the group. Conclusion:This study showed that walking ability of stroke patients have influenced on diaphragm thickness and pulmonary function.
  • 9.

    Effects of Task-Oriented Circuit Class Training on Improves Performance of Locomotor in Disabled Persons after Stroke

    Kim, Soo-min | 2011, 6(4) | pp.447~454 | number of Cited : 2
    Abstract
    Purpose:The purpose of this study was to identify the effects of circuit class training on the performance of locomotor tasks in chronic stroke. Methods:The study included 45 patients with chronic stroke randomly divided into experimetal group and control group. Both groups participated in exercise classes three times a week for 8weeks. The experimental group had 10 workstation of circuit class designed to improve walking. The control group practiced fitness exercises by equipment in health center. Walking performance was assessed by measuring walking speed(timed 10-meter walk and TUG), GAITRite analysis and peak vertical ground reaction force through the affected foot during walking. Results:The experimental group demonstrated significant improvement(p<.05) compared with the control group in 10-meter walking and vertical ground reaction force after training. The experimental group showed significant improvements in the walking velocity and cadence by GAITRite system(p<.05). Conclusion:Task- oriented circuit class training leads to improvements in locomotor function in chronic stroke. Further studies are necessary to occur in usual environments to improve walking performance.
  • 10.

    Comparison of the Isometric Myofunction on Anterior Cruciate Ligament Reconstruction Patients according to the Time of Participation in Exercise Program

    Bae chang hwan | 조성현 | 황보각 | 2011, 6(4) | pp.455~464 | number of Cited : 0
    Abstract
    Purpose:This study is to investigate difference in the isometric muscular function of knee joints according to the time of participation in rehabilitation exercise in patients who had anterior cruciate ligament reconstruction. Methods:The subjects of this study were patients by sports injury or accident in the sports rehabilitation center of G hospital. The early exercise program group (n=7) started functional ability exercise from 2 weeks after the surgery and the late exercise program group (n=7) from 6 weeks after the surgery. Statistical analysis was used repeated measure ANOVA to test mean difference by using SPSS 18.0 for windows. Results:First, as to quadriceps femoris muscle according to the time of participation in exercise program,significant difference was observed according to interaction and time. Second, as to hamstring muscle according to the time of participation in exercise program, significant difference was observed in muscle strength according to time. Conclusion:This results suggest that if the effect of exercise program is similar between the early starting group and the late starting group, it is not necessary to have a long period of fixation as in the late exercise program group but is desirable to start functional ability exercise early in order to relieve pains in the knee joints.
  • 11.

    Analysis of Gait Velocity, Lower Muscles Activity on Obstacle and Dual Task Gait in Elderly Women

    조용호 | 2011, 6(4) | pp.465~473 | number of Cited : 2
    Abstract
    Purpose:This study was to evaluate gait velocity and muscle activity on 3 different gait conditions in elderly women. Methods:There were one group was 20's generation(n=12), and the other group was over 60's generation (n=12). The velocity of gait was analysed for using the Footscan system, EMG(MP150) for muscle activity. Subjects were measured 3 gait condition(normal, obstacle-10cm, dual obstacle-10cm. Measured values were used by the independent t-test for analysing between groups, and repeated measurement of ANOVA for analysing within group. Results:The results were as follow: velocity and acticities of lower 4 muscles were significantly differences in experimental group. In control group, there were not significantly differences. Contrast-groups were significantly differences of velocity(obstacle, dual obstacle), muscle activities(soleus-dual obstacle, hamstring-all). Conclusion:These results indicate that elderly people are reduced gait ability in dual task, and obstacle gait. So Elderly women need to training obstacle/dual gait for preventing falling.
  • 12.

    Cultural Adaptation and Reliability Testing of Korean Version of the World Health Organization Disability Assessment Schedule 2.0: 12-item versions

    Haejung Lee | 김다정 | 2011, 6(4) | pp.475~481 | number of Cited : 9
    Abstract
    Purpose:The aim of the study was to develop and establish reliability of Korean versions of World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0): 12 item-self(12-self) and 12 item-interviewer (12-interviewer) versions. WHODAS 2.0 is unique that it may link directly to the ICF and cover ICF domains fully to apply all diseases. It also assesses disability in a culturally sensitive way across a standard rating scale. No published Korean language WHODAS 2.0: 12 item-self version available. Methods:KWHODAS 2.0∼12 item version was developed in idiomatic modern Korean with a process involving independent translation, synthesis of the translations, independent back translation, and review by an expert committee to achieve equivalence with the original English. 88 participants were included in the study. 55 of participants were assessed simultaneously by 4 interviewers using 12-interviewer version and 33 of participants filled the 12-self version twice to examine test-retest reliability. Intra-rater reliability was evaluated using the intra-class correlation coefficient(ICC) and inter-rater reliability was evaluated using both the ICC and k statistic. Results:Test-reliability for 12-interviewer version was excellent with ICC(2,1) value ranged from 0.94 (CI 0.88-98) to 0.96 (CI 0.90-0.98). Inter-rater reliability showed excellent agreement with ICC(2,1) from 0.94 (CI 0.91-0.96) to 1(CI 1.0-1.0). Conclusion:KWHODAS 2.0: 12-self version and 12-interviewer version were successfully translated and both scales showed excellent reliability. It is now suitable for use in clinical and research application.
  • 13.

    The effect of Arch Support Taping on Plantar Pressure and Navicular Drop Height in subjects with Excessive pronated foot during 6 Weeks

    Kim Taeho | 고은경 | Do-young Jung | 2011, 6(4) | pp.483~490 | number of Cited : 8
    Abstract
    Purpose:The purpose of this study was to identify the effect of an arch support taping on navicular drop height and plantar pressure in the subjects with excessive pronated foot for 6 weeks. Methods:The fifteen subjects with the pronated foot group and the fifteen subjects with the normal foot group volunteered for this study. Both groups were applied arch support taping at 3 times a week during 6 weeks. Subjects were assessed navicular drop test to evaluate pronation of subtalar joint and plantar pressure on treadmill for pressure measuring system during walking with a bare foot state at pre- taping, after 3 weeks,and after 6 weeks. A two-way repeated analysis of variance design was used to examine the difference of navicular drop height and plantar pressure in the pronation foot group and the normal foot group. Results:The pronated foot group had significantly decreased both the navicular drop height and the plantar pressure under the medial midfoot than the normal foot group after 6 weeks(p<.01). Conclusions:This study proposed that an arch support taping can be support to lift navicular bone as well as to transfer the foot pressure from medial midfoot to lateral midfoot in individuals with excessive pronated foot.
  • 14.

    The suggestion of Proper Pressure level in Cranio-Cervical Flexion Exercise for Deep Cervical Flexor by Ultrasonographic Measurement

    Jun, Deokhoon | Dennis wayne Fell | Kyoung Kim | 2011, 6(4) | pp.491~498 | number of Cited : 3
    Abstract
    Purpose:Chronic cervical pain is a common source of disability in society. There has been no research regarding the amount of pressure for the deep cervical flexors during cranio-cervical flexion exercise (CCFE). The purpose of this study is to determine optimal pressure levels to facilitate deep cervical muscles (longus colli & longus capitis) during cranio-cervical flexion exercise, using ultrasound measurement of the muscles. Methods:Using a cross-sectional design, the study was performed in an experimental group of 19 subjects (7men, 12 women) with no cervical pain. Participants were instructed to perform the CCFE, and during the five incremental stages of the test, changes in thickness, as compared to resting baseline values, were measured using ultrasonography for sternocleidomastoid muscle (SCM) and deep cervical muscles (DCF). Results:Both DCF and SCM muscles demonstrated an increase in recruitment with each progressive phase of the test. In comparing the different pressure increments, the most significant changes found in DCF thickness were between phase 2 and phase 3 (p<.05). However no differences were found between pressure increments for SCM thickness (p>.05). Conclusion:The results suggest 26 mm Hg as the optimal pressure level during cranio-cervical flexion exercise for facilitation of deep cervical flexor.