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2012, Vol.7, No.1

  • 1.

    The Effects of Combination Patterns of Proprioceptive Neuromuscular Facilitation and Ball Exercise on Pain and Balance in Chronic Low Back Pain Patients

    이채우 , Kim Jin Seop , 이인실 | 2012, 7(1) | pp.1~9 | number of Cited : 7
    Abstract
    Purpose:This study aimed to compare the effect of two modes (proprioceptive neuromuscular facilitation combination patterns and ball exercise) of low back stability for chronic low back patients. Methods:The subjects were recruited fourty patients who had low back pain. All subjects were randomly assigned to PNF combination patterns group, ball exercise group. Measurements were performed fourtimes: pre test, 2weeks, 4weeks, and 6weeks. Main outcome measures comprised the visual analogue scale(VAS), balance performance monitor(BPM). Results:The results were as follows. In the comparison of VAS score, sway area, sway path, and sway velocity according treatment period, score was significantly reduced in both PNF combination pattern group and ball exercise group. In the comparison of the both VAS and sway area between groups, there were significant. PNF combination pattern group significantly more decrease than ball exercise group at 6 weeks. However, both sway path and sway max velocity between group, there were not significantly. Conclusion:These results of this study indicated that PNF combination pattern which performed for six weeks had a significant influence than ball exercise group on low back pain.
  • 2.

    Effects of Repetitive Transcranial Magnetic Stimulation on Enhancement of Cognitive Function in Focal Ischemic Stroke Rat Model

    이정인 , Kim Gye Yeop , Nam Ki Won and 3 other persons | 2012, 7(1) | pp.11~20 | number of Cited : 0
    Abstract
    Purpose:This study is intended to examine the repetitive transcranial magnetic stimulation on cognitive function in the focal ischemic stroke rat model. Methods:This study selected 30 Sprague-Dawley rats of 8 weeks. The groups were divided into two groups and assigned 15 rats to each group. Control group: Non-treatment after injured by focal ischemic stroke;Experimental group: application of repetitive transcranial magnetic stimulation(0.1 Tesla, 25 ㎐, 20 min/time, 2times/day, 5 days/2 week) after injured by focal ischemic stroke. To assess the effect of rTMS, the passive avoidance test, spatial learning and memory ability test were analyzed at the pre, 1 day, 7th day, 14th day and immunohistochemistric response of BDNF were analyzed in the hippocampal dentate gyrus at 7th day, 14th day. Results:In passive avoidance test, the outcome of experimental group was different significantly than the control group at the 7th day, 14th day. In spatial learning and memory ability test, the outcome of experimental group was different significantly than the control group at the 7th day, 14th day. In immunohistochemistric response of BDNF in the hippocampal dentate gyrus, experimental groups was more increased than control group. Conclusion:These result suggest that improved cognitive function by repetitive transcranial magnetic stimulation after focal ischemic stroke is associated with dynamically altered expression of BDNF in hippocampal dentate gyrus and that is related with synaptic plasticity.
  • 3.

    The Study of Gait Parameter and Plantar Foot Pressure during Walking in Adults with Down Syndrome

    Koo Hyun-mo | 2012, 7(1) | pp.21~28 | number of Cited : 1
    Abstract
    Purpose:The purpose of this study was to examine the gait parameter and plantar foot pressure of adults with Down syndrome(DS) during walking in order to provide data for developing evidence-based deficit or common rehabilitation strategies. Method:15 participants with DS(12 men, 3 women; age 26.06±4.47) and 15 healthy subjects(12 men, 3women; age 25.33±3.43) were matched age. They walked at self selected speeds on a GAITRite system and RS-scan system, and had the following measurements done: cadence, stride length, step width, foot angle,percent stance, percent double support, and plantar foot pressure in 10 areas of the foot. Results:In comparison of gait parameter(cadence, stride length, step width, foot angle, percent stance, and percent double support) between adults with DS and healthy subjects, there was significant differences(p<.05). Regarding plantar foot pressure during gait with or without DS, there were statisically significant differences in the area of Toes 1-5, Metatasal 1-4, Midfoot, and Heel(Medial and lateral)(p<.05). Conclusion:Our data show that DS walk with a less physiolosical gait pattern and plantar foot pressure than healthy subjects. Based on our results, DS patients need targeted rehabilitation and exercise strategies.
  • 4.

    The Effect of Lumbo-Pelvic Stabilization Exercise on Menstrual Pain and Premenstrual Syndrome

    김진희 , Kim, Nan-Soo | 2012, 7(1) | pp.29~35 | number of Cited : 8
    Abstract
    Purpose:The purpose of this study was to investigate effect of the lumbo-pelvic stabilization exercise on relief of menstrual pain and premenstrual syndrome of the female university students. Methods:Thirty female students with dysmenorrhea were participated in this study. Subjects divided into experimental group(n=15) and control group(n=15). Experimental group were given lumbo-pelvic stabilization exercise and control group didn't have any application to exercise. Menstrual pain measured by VAS(Visual Analogue Scale) and premenstrual syndrome measured by MDQ(Moos Menstrual Distress Questionnaire) scale. Results:The experimental group were significantly improved menstrual pain and symptoms of premenstrual syndrome, but negligible changes were found in the control group. Conclusion:This study show that lumbo-pelvic stabilization exercise is beneficial intervention for decrease menstrual pain and premenstrual syndrome.
  • 5.

    The Effects of Training in Exercise Rehabilitation on Depressive mood, BPSD in Elderly with Alzheimer's Disease

    조성현 , Kim, Chul-yong | 2012, 7(1) | pp.37~47 | number of Cited : 6
    Abstract
    Purpose:The purpose of this study is to examine the effects of training in exercise rehabilitation on depressive emotion, behavioral and psychological symptoms(BPSD) caused by Alzheimer's disease elders. Methods:The subjects of this study were 34 patients with Alzheimer's disease over 65 and assigned randomly into one of two groups, each with 17 people. The experimental group was treated by training in exercise rehabilitation executed 60 minutes, 3 times a week for 8 weeks. The results of the experiment were analyzed using samples t-test along with averages and standard deviations as the statistical methods for data analyses. Results:The results of this study were as follows. First, the experimental group showed statistically significant improvements in the areas of depressive emotion(SGDS) compared to control group. Second, the experimental group showed statistically significant improvements in the severity of behavioral and psychological symptoms and subjective degrees of pain of care givers(NPI-Q) compared to control group. Conclusion:Based on the results of this study, training in exercise rehabilitation have an effect on depressive mood and BPSD in elderly with Alzheimer's disease.
  • 6.

    The Effects of Trunk Stabilization Exercise Using Swiss Ball and Core Stabilization Exercise on Balance and Gait in Elderly Women

    최수희 , Lim Jae Heon , 김일복 and 3 other persons | 2012, 7(1) | pp.49~58 | number of Cited : 41
    Abstract
    Purpose:The purpose of this study was to investigate the effects of trunk stabilization exercise using swiss ball and core stabilization exercise on balance and gait in elderly women. Methods:Subjects 19 elderly women were randomly divided by the swiss ball exercise group (n=10) and the core stabilization exercise group (n=9). In a period of 4 weeks, they took trunk stabilization exercise using swiss ball and core stabilization exercise for 60 minutes 3 times a week. Balance and gait were measured by Functional Reach Test (FRT), One Leg Stand Test with Open Eye (OLSTOE), One Leg Stand Test with Closed Eye (OLSTCE), Timed Up and Go Test (TUG) and 6 m Walking Test (6MWT). These tests were measured at before exercise, 4 weeks after exercise and after the follow-up period of 2 weeks. Results:As a result, in all measurement values there was no significant difference in two groups (p>.05). In FRT, TUG, OLSTOE and 6MWT before exercise and 4 weeks after exercise, there was significant difference in both of two groups (p<.05). Moreover, according to results from 4 weeks after exercise and after the follow-up period of 2 weeks, without any particular exercise, in FRT and 6MWT there was no significant difference (p>.05). Conclusion:These finding indicate that trunk stabilization exercise using swiss ball could improve balance and gait in elderly women. Accordingly, In this study trunk stabilization exercise using swiss ball and core stabilization exercise is judged to be used for elderly people with gait and balance problems to prevent hurts from fall.
  • 7.

    Effect of Unstale Surface Lumbar Stabilization Exercise on Trunk Posture and Balance Ability in Patients With Scoliosis

    lee woo jn , 임창훈 | 2012, 7(1) | pp.59~67 | number of Cited : 10
    Abstract
    Purpose:This study was somatosensory less in patients with idiopathic scoliosis somatosensory input to the lumbar stabilization exercises carried out to determine the most effective treatment method to be stable and unstable in terms of supporting the lumbar stabilization exercises the patient's torso length and postural sway by comparing the distance from a standing position and looked for differences in effect on the balance. Methods:The subjects of the study were 18 patients who showed the symptom of scoliosis. The study classified the patients into two experimental groups, one using an unstable surface and one a fixed surface, and the patients were required to do a lumbar stabilization exercise a total of 12 times for 60 minutes per session,three times a week for four weeks. The study carried out a paired comparison t-test so as to compare differences between measurement values in each experimental group before and after the exercise. Results:Superior iliac spine on the left, there was a significant reduction in the group doing the lumbar stabilization exercise on an unstable surface (p<0.05). Regarding change in sway distance to the left and right directions in the group doing the lumbar stabilization exercise on the unstable surface, there was a significant decrease in both the condition of closed eyes or open eyes (p<0.05). As for change in sway distance in forward-and-backward direction, there was a significant reduction in the condition of either closed eyes or open eyes (p<0.05). Conclusion:The lumbar stabilization exercise on an unstable surface improved the trunk posture of patients with scoliosis symmetrically, and the static balance ability in a standing posture was discovered to be improved.In the future, the lumbar stabilization exercise on an unstable surface may be used as a posture correction and balance increase exercise for patients with scoliosis.
  • 8.

    Gait analysis of Healthy Adults with External Loads on Trunk

    CHANG JONG SUNG , choi jin ho , Mi-Young Lee and 1 other persons | 2012, 7(1) | pp.69~75 | number of Cited : 2
    Abstract
    Purpose:The study was designed to investigate analysis of kinematics of lower extremity in healthy adults during walking with external loads on trunk. Methods:Fifteen healthy adults were recruited and The subjects provided written and informed consent prior to participation. They walked on a ten-meter walkway at a self-selected pace with loads of 0, 5, 10, and 15kg. They completed three trials in each condition and kinematic changes were measured. A three-dimensional motion analysis system was used to analyze lower extremity kinematic data. The data collected by each way of walking task and analyzed by One-way ANOVA. Results:There were significant differences in hip and knee joint on saggittal plane at initial contact and preswing, and significant differences in ankle joint on transverse plane at preswing. Conclusion:These findings revealed that increased external loads were changed joint angles and influenced postural strategies because of kinematic mechanism and future studies is recommended to find out prevention from damage of activities of daily living.
  • 9.

    The Effects of Trunk Exercises on the Balancing Ability of Elderly Hansen's Disease Patients with Lower Extremity Dysfunction

    정순미 | 2012, 7(1) | pp.77~85 | number of Cited : 3
    Abstract
    Purpose:The purpose of this study was to investigate the effects of trunk exercises on the balancing ability of elderly Hansen's disease patients with lower extremity dysfunction. Method:A total of 24 elderly Hansen's disease patients were divided into two groups: 10 without lower extremity dysfunction and 14 with lower extremity dysfunction. The groups exercised for 60 minutes, two days a week, for a total 12 weeks; balancing ability was measured with the one leg standing test, tandem walking test, and timed up-and-go test. The patients were tested and their results were compared both before and after the completion of their exercise programs. Lower extremity dysfunction was assessed according to the following criteria: unilateral foot-drop, toe-loss, and below-knee amputation. Results:After the exercises, participants in both groups showed a positive, statistically significant difference in balance, compared with before the exercises (the one leg standing test, tandem walking test, and timed up-and-go test; p<.05). For comparison purposes, the group with dysfunction and the group without dysfunction were tested before and after the completion of their exercises. Before the exercises, there was a statistically significant difference in the one leg standing test, tandem walking test, and timed up-and-go test (p<.05). However, after the exercises, there was no significant difference in the one leg standing test, tandem walking test, and timed up-and-go test (p>.05). Conclusion:Ultimately, balancing ability was improved in both of the groups after trunk exercises were performed. Although balancing ability was improved, elements of lower extremity dysfunction remained, such as unilateral foot-drop, toe-loss, and below-knee amputation.
  • 10.

    Effects of an Interactive Computer Exercise Programs on Balance Performance in People with Chronic Stroke

    Song, Min-Young , 이태식 , 백일훈 | 2012, 7(1) | pp.87~94 | number of Cited : 2
    Abstract
    Purpose:The purpose of this study was to examine the feasibility and efficiency of balance training program through an interactive video game regimen in people with chronic stroke. Methods:Thirty patients with chronic hemiparetic stroke were recruited. Participants were randomly assigned to either a control group (n=15) or an experimental group (n=15). The control group received the general physical therapy including of strengthening and balance exercise five times a week whereas the experimental group received a program of balance exercise with video game play based on virtual reality as well as the same typical physical therapy. The experimental group received 6 sessions for four weeks. Each session was given 5minutes. An interactive computer game exercise regimen lasted 30 minutes without rest periods. Outcome measures for weight transfer to paretic side, non-paretic side and sit-squat-speed, sit-squat-length, sit-to-standspeed and sit-to-stand-area for the control group (n=15) and experimental group (n=15) before and after treatment were obtained by using the biorescure. Results:Outcomes demonstrated significant improvement in the experimental group compared with the control group in weight transfer to paretic side, non-paretic side and sit-squat-speed, sit-squat-length, sit-to-stand-speed. No significant training effect was showed in sit-to-stand-area between pretraining and post-training. Conclusion:An interactive computer game exercise based on task oriented approach for balance in chronic stroke were feasible. In other words, This regimen resulted in a greater improvement in dynamic balance for people with chronic stroke.
  • 11.

    The Effect of Arm Swing on Gait in Post-Stroke Hemiparesis

    Kim Jin Seop , 권오현 | 2012, 7(1) | pp.95~101 | number of Cited : 9
    Abstract
    Purpose:The purpose of this study was to investigate the variations in gait parameters according to arm swing use in post stroke hemiparesis. Methods:Sixteen patients participated in this study and walked at self-selected speeds on a Rs-scan systems. The were randomly assigned conditions: self-selected arm swing, constraint arm swing, emphasis arm swing. Results:In the comparison of parameters in each trial, both affected step length, non affected step length,affected stride length, non affected stride length, affected single support time, and non affected single support time were significantly increased and double support time was significantly decrease in emphasis arm swing when compared with both self-selected arm swing and constraint arm swing(p<.05). However, Asymmetrical ratio was significantly increased in both emphasis arm swing and self-selected arm swing when compared constraint arm swing(p<.05). Conclusion:Therefore, In this study, gait rehabilitation of patients with hemiplegia depending on what you need to apply the arm swing is considered.
  • 12.

    The Difference of Weight Distribution Index in Elderly People According to Gender

    윤세원 , 권혜민 , Kang yang Hoon | 2012, 7(1) | pp.103~110 | number of Cited : 0
    Abstract
    연구목적:본 연구는 노인의 성별이 낙상에 영향을 줄 수 있는 체중분포지수에 미치는 차이를 알아보고자 한다. 연구방법:광주광역시 소재 빛고을 노인건강타운 물리치료실을 이용하는 65세 이상 66명(남성 33명, 여성 33명) 노인을 대상으로 남성노인 평균연령은 70.97세, 여성노인 평균연령은 71.39세로 모든 대상자는 TETRAX의체중분포지수(weight distribution index; WDI)를 이용하여 성별에 따라 그 차이를 비교 분석하였다. 측정 방법은 안정된 발판에서 눈을 뜨고 정면을 향한 자세, 안정된 발판에서 눈을 감고 정면을 향한 자세, 불안정한 발판에서 눈을 뜨고 정면을 향한 자세, 불안정한 발판에서 눈을 감고 정면을 향한 자세, 안정된 발판에서 눈을감고 고개를 오른쪽으로 돌린 자세, 안정된 발판에서 눈을 감고 고개를 왼쪽으로 돌린 자세, 안정된 발판에서눈을 감고 고개를 뒤로 젖힌 자세, 안정된 발판에서 눈을 감고 고개를 숙인 자세로 측정하였고, 분석방법은SPSS version 12.0을 이용하여 통계처리 하였고, 남녀 간의 안정성지수와 체중분포지수의 평균차이 검정은 독립표본 t-검정을 실시하였다. 통계학적 유의성을 검증하기 위해 α는 유의수준 0.05로 하였다. 연구결과:성별에 따른 WDI비교에서 불안정한 발판과 안정된 발판에서 눈을 뜬 상태와 감은 상태에 정면을향한 자세, 안정된 발판에서 눈을 감고 고개를 왼쪽과 오른쪽으로 돌린 자세에서 유의한 차이가 있었으나 안정된 발판에서 고개를 뒤로 젖힌 자세와 고개를 숙인자세에서는 유의한 차이는 없었다. 결론:본 연구의 결과를 바탕으로 성별에 따른 노인의 WDI에 영향을 미칠 수 있는 요인을 파악하여 낙상예방프로그램 기초자료로 활용 될 것으로 생각된다.
  • 13.

    The Effect of Action Observation Training on Affected Side Upper Limb Dexterity in Stroke Patient : Single-subject research design

    양영필 , 김지현 , 한미란 and 1 other persons | 2012, 7(1) | pp.111~118 | number of Cited : 7
    Abstract
    Purpose:The purpose of present study was to determine effects of action observation training on upper limb function after stroke. Training was progressed to imitation and intensive training after observation to required action in ADL. Methods:Among the single case study was used to ABA design. pre base line(A) was only collected participant information without intervention in 5 times. action observation intervention(B) was carried out 10times and 5 times to base lime(A) after intervention. Results:Results indicated that 10-second test, box and block test, manual function test was increased when compared action observation intervention(B) to pre base line(A). Conclusion:To stroke action observation training was evaluated gross manipulation, dexterity and upper limb function in related with ADL. action observation training benefits were maintained after intervention(B) and showed improvement on upper limb function of stroke.
  • 14.

    The Study of Functional Independence and Bone Mineral Density in Athletes With Spinal Cord Injury

    Hwa Kyung Shin , Youn-joung Kim | 2012, 7(1) | pp.119~124 | number of Cited : 2
    Abstract
    목적:본 연구는 척수손상환자들 중 신체활동 정도가 급격하게 차이 나는 운동 선수군과 비선수군의 일상생활동작과 골밀도를 비교 분석하는데 그 목적이 있다. 방법:본 연구를 위해 20명(선수 10명, 비선수 10명)의 SCI 환자가 실험에 참가하였다. 골밀도 측정을 위해 이중에너지 방사선골밀도 측정기(Lunar Prodigy, GE Healthcare. England)를 이용하여 종골부위(calcaneus)의 골밀도를 측정하였다. 척수손상환자의 일상 생활 기능을 측정하기 위해 자조관리(self care), 호흡과 괄약근 조절(respiration and sphincter management task), 이동(transfer)의 세 영역으로 나누어진 SCIMⅡ(Spinal Cord Injury Measurement Ⅱ)을 이용하였다. 척수손상환자들 중 운동 선수군과 비운동 선수군의 일상생활 동작과 골밀도를 비교 하기 위해 SPSS 14.0 통계 프로그램의 independent t-test를 이용하여 통계분석을 실시하였고 일상생활 동작과 골밀도의 상관관계는Pearson correlation을 실시하였다. 유의수준은 α=.05로 통계처리 하였다. 결과:검사 결과 선수군이 비선수군보다 통계적으로 유의하게 큰 SCIM 점수와 T-score를 보여주었다. 결론:일상생활동작을 측정하기 위하여 SCIMⅡ(SpinalCordIndependenceMeasureⅡ) 척도를 사용하였는데 선수군이 비선수군에 비해 유의하게 높은 SCIMⅡ 총점을 나타내어 운동을 통한 훈련이 척수손상환자의 기능적 활동을 향상시킬 수 있다고 사료된다. 그리고 골밀도 측정 결과 선수군이 비선수군에 비해 통계적으로 유의하게높은 골밀도를 나타내었다. 이 역시 강도 높은 훈련이 척수손상환자에게 나타날 수 있는 신체구성을 강화시켜줄 수 있을 것으로 사료된다. 운동을 통한 재활 중에서 그 강도가 높을수록 신체의 구성적, 기능적 측면 뿐아니라 신경의 가소성 측면에서도 증가를 기대해 볼 수 있을 것으로 판단된다.
  • 15.

    The Effects of Circuit Obstacle Group Gait Training on Gait and Emotion in Stroke Patients

    김철민 , Lee ho jeong , 최명수 and 1 other persons | 2012, 7(1) | pp.125~135 | number of Cited : 2
    Abstract
    Purpose:This study is designed to demonstrate the effects of circuit obstacle group gait training on walking ability and emotion in stroke patients. Methods:Twenty one patients with stroke were participated in this study. The subjects were divided into control group(n=10) and experimental group(n=11). Circuit obstacle group gait training consisted of walking around obstacles, walking over obstacles, walking up and down slopes and walking up and down stairs. Circuit obstacle group gait training was conducted five times per week, 1 hour per session, for 6 consecutive weeks. At pre-test and post-test, subjects were tested with 10 m walking test, timed up and go test, up and down 4stairs test, depression and self esteem. Results:After 6 weeks of research, the experimental group showed statistically significant difference in all items when comparing prior to training and after training (p<.05), but the control group showed statistically significant difference in items other than depression and self esteem(p<.05). In the comparison between the two groups, the experimental group showed higher improvement than the control group in the 10 m walking test,timed up and go test, and up and down 4 stairs test, and there was statistically significant difference in decrease of degree in depression between the experimental group and control group(p<.05). Conclusion:This study have shown that circuit obstacle group gait training improves walking ability and emotion in stroke patients.