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2013, Vol.8, No.2

  • 1.

    The Influence of 4 wks Complex Therapeutic Exercises on Visual Analog Scale of Pain and Range of Motion for Middle-Aged Women with Breast Cancer-Related Lymphedema

    Lee Byung-ki | Lee jaesub | TeaSoo Kim | 2013, 8(2) | pp.153~161 | number of Cited : 13
    Purpose:This study aimed to investigate the effect of complex theraputic exercise on visual analog scale of pain, shoulder’ range of motion for middle-aged women with breast cancer related lymphedema. Methods:The 14 middle-aged women involved voluntary in this study and then they were divided into two groups(n =7 per group). The complex exercise program was implemented over 4 weeks, 60 minutes per day, with 3 types of exercise for stimulation whereas the control group was performed a classical decongestive physiotherapy in a same day. For data analysis, the mean and standard deviation were estimated; 2 way repeated measures ANOVA was carried out. Results:First, The level of VAS was significantly reduced on time, interaction effect in the group. Second, most factors of ROM were significantly increased on time, interaction effect whereas extension was not significantly increased. Conclusion:In conclusion, Our results showed that complex therapeutic exercise could improve or maintain VAS and ROM of shoulder joint for middle-aged women with breast cancer related lymphedema.
  • 2.

    The Effect of Balance Control Therapy on Brain Activation

    Oh, Yeong Taek | Han, Dong-wook | 2013, 8(2) | pp.163~173 | number of Cited : 0
    Purpose: This study determined the effect of balance control therapy in the brain activation. Methods: Twenty-two college students who showed decrease of muscle strength in O-ring test were as participants in this study. And the subjects were randomly divided into experimental group (n=13) and control group (n=9). Measurement device is portable EEG (Nihonkhoden, Japan). Examinations used twenty electrodes attached to the head to capture electrical brain signals during 5 minutes with brain activated states such as the awaked state and the data were compared between the two groups. Results: After treatment by balance control therapy, P3 (p<.025) and P4 areas (p<.025) showed a significantly lower ST index in the experimental group than the control group, The variation of ST index in P4 area (p<.025) was decreased in the experimental group but was increased in the control group. Conclusion: These results showed that the balance control therapy was helpful to change the brain activation such as the stress (ST) index at the sensory area in the college students.
  • 3.

    The Effects of Task Oriented ADL Exercise in Different Environments on ADL in The Persons with Chronic Stroke

    강승수 | Bongoh Goo | 2013, 8(2) | pp.175~182 | number of Cited : 3
    Purpose: The purpose of this study was to investigate the effects of task oriented ADL exercise in different environments in patients with chronic stroke. Methods: A total of 28 patients with hemiplegia resulting from stroke were included in this study. The patients were randomized into two groups. The control group(n=14) was received neurodevelopment therapy + task oriented ADL exercise and experimental group(n=14) was received neurodevelopment therapy + home based task oriented ADL exercise for 30 minutes twice per week during 6weeks. A task oriented ADL exercise pretest and postest design was used examine the change of FIM(Functional Independent Measure) and K-MBI(Korea-Modified Bathel Index) at the completion of 6 weeks task oriented ADL exercise. Results: After 6 weeks, the experimental group compared with control group showed a significant improvement(p<.05) in FIM and K-MBI scores. Conclusion: The results indicate that the home based task oriented ADL exercise improves functions in the persons with chronic stroke.
  • 4.

    Effect of a Self-Stretching Exercise on Musculoskeletal Symptom and Job Stress for Care Helpers

    Wang Joong San | Kim neon jun | KIM. YONG-YOUN and 2other persons | 2013, 8(2) | pp.183~192 | number of Cited : 4
    Purpose:The purpose of this study was to research the effect of self-Stretching Exercise on musculoskeletal Symptom and job Stress for care helpers who work at geriatric hospital and come up to NIOSH standard. Methods:The effect of self-Stretching Exercise was measured using ‘musculoskeletal symptom survey table' and 'Job stress measurement scale for korean' from the Korea Occupational Safety and Health Agency(KOSHA) for 40 care helpers. The paired t-test and independent t-test was used for statistical analysis. Results:The pracitce of Self-Stretching Exercise was showed significant effect reducing the stress for care helper's total job Stress and inappropriate compensation, job instability, job requirement, relationship conflict, physical environment(p<.05), and significant difference for their total score, relationship conflict, structure and organization, physical environment, inappropriate compensation improvement on variations on job stress in groups(p<.05). However, self-Stretching Exercis was showed no significant effect on physcial burden. Conclusion:The self-Stretching Exercise was the most effect way to reduce Musculoskeletal Symptom and job Stress for a care helpers through the guidance of physical therapist.
  • 5.

    The effects of body posture by using Baby Carrier in different ways

    Kim Kyoung | 윤기현 | 2013, 8(2) | pp.193~200 | number of Cited : 7
    Purpose : The purpose of this study was to find out variations in body posture by using the baby carrier at the front side and back side. Methods : Thirty two healthy and young female who will bring up infants and had no musculoskeletal disorders of neck, lumbar and low limb were recruited for this study. They were each marked about ears of tragus, cervical 7th, acromion anterior end, anterior superior iliac spine, posterior superior iliac spine, greater trochanter and lateral malleolus as landmarks to measure variations of body posture when they carry infants at the front side and back side. Landmarks were regarded as the creteria in order to measure NeckFlexion angle(NF), Foreward shoulder angle(FSA), Pelvic tilt(PT), Sway angle(SA), Head displacement(HD) and Scapular displacement(SD). Variations in body posture were measured from the neutral position to the front and back side by using Image J. Results : There were significance level (p<.05) in NF, PT, SA, HD and SD except for FSA in two different side. Conclusion : The results of this study indicate that each of the using ways of baby carrier for baby care was influenced postural responses of young women. therefore, it could be considered to apply to women who have abnormal body posture in order to minimize musculoskeletal disorders.
  • 6.

  • 7.

    Availability of the Pendulum Test Using NK Table for Spasticity Measurement of Low Extremity

    Kim Yong-wook | Jonghyuck Weon | Tae-ho Kim | 2013, 8(2) | pp.209~217 | number of Cited : 1
    Purpose : The purpose of this study was to investigate the clinical availability of the pendulum test (through reliability and validity) using a NK table attached electrogoniometer for spasticity measurement in patients with brain lesions. Methods : Thirty-one stroke and traumatic brain injury subjects participated in the study. Intraclass correlation coefficient (ICC) was used to verify the test-retest reliability of spasticity measures of the pendulum test. Pearson's product correlation coefficient was used to examine the validity of the pendulum test through the amplitude of the deep tendon reflex (DTR) test known for objective and quantitative measure of spasticity. Results : In these results, the test-retest reliability was showed significantly high correlation between pendulum tests (ICCs=.95~.97, p<.01). There were significant negative correlations between the amplitude of the DTR test and all measures of spasticity of the pendulum test(r=-.77~-.85, p<.01). Conclusion : Thus, it is possible to use the pendulum test using a NK table as an objective measure of spasticity, rather than other expensive equipment, which is more complicated to use. Further studies are needed to explore the therapeutic effects of spasticity using a newly designed pendulum test equipment in this study.
  • 8.

    The Influence of Treatment in Patients with Shoulder Adhesive Capsulitis for the Proprioceptive Neuromuscular Facilitation and Self-Assistive ROM Exercise

    윤장순 | 정해익 | 2013, 8(2) | pp.219~229 | number of Cited : 6
    Purpose : The purpose of the study was to investigate a influence in Proprioceptive Neuromuscular Facilitation, and self-assisted ROM exercise of shoulder adhesive capsulitis. Methods : The methods of the study was to investigate a change in range of motion (ROM), an increase in ROM, visual analogue scale (VAS) and disability questionnaire by Proprioceptive Neuromuscular Facilitation, and self-assisted ROM exercise on 32 patients who were diagnosed with shoulder adhesive capsulitis. Results : There was no significant difference between the two groups who were treated in the Proprioceptive Neuromuscular Facilitation and self-assistive ROM exercise group for flexion, extension, internal rotation, external rotation, VAS and disability questionnaire. Both group's flexion, extension, internal ratation, and external rotation levels were significantly different before and after the treatment. And significant statistical decrease in VAS and disability was seen. The extension of the shoulder joint was closely related to external rotation (r=0.84). There was a close relationship between internal rotation and external rotation at the shoulder joint. There was no  increased range of extension through the exercise method. However, flexion, extension, internal rotation, external rotation, VAS, and disability questionnaire of Proprioceptive Neuromuscular Facilitation groups were obviously higher than in the self-assisted ROM exercise group. Conclusion : Our study suggest that considering Proprioceptive Neuromuscular Facilitation for the patient who has shoulder adhesive capsulitis in clinic.
  • 9.

    The Effect of Abdominal Muscle Drawing-In Exercise During Bridge Exercise on Abdominal Muscle Thickness, using for Real-time Ultrasound Imaging

    하유 | Keon-Cheol Lee | Won-Sik Bae and 1other persons | 2013, 8(2) | pp.231~238 | number of Cited : 10
    Purpose : The purpose of this study is to find out the thickness variation of the superficial and deep abdominal muscles by measuring the thickness of the abdominal muscles. Method : 35 young, healthy adults(24 mens and 11 womens) participated in this study. The first, when only bridge exercise we had measured the thickness of their abdominal muscles by the ultrasound. The second, when the abdominal drawing-in during maintaining the bridge exercise we had measured the thickness of their abdominal muscles by the ultrasound. A pared t-test was used to determine a statistical significance for the thickness variation of the superficial and deep abdominal muscles. Result : Results of before and after comparative analysis. The surperficial muscles(rectus abdominis, external obilique) statistically significantly reduced in the thickness and the deep muscle(transeverse abdominis) statistically significantly increased in the thickness. Conclusion : We have shown that the abdominal drawing-in exercise during maintaining the bridge exercise was effective to increase in strengthening abdominal deep muscle selectively.
  • 10.

    The Effect of Obesity, Blood Pressure and Lifestyle on Lipid indices and Blood pressure in Men of Age 40s

    KIM, WAN-SOO | 2013, 8(2) | pp.239~243 | number of Cited : 3
    Purpose: The purpose of present study was to investigate effects of obesity, blood pressure and life style on lipid indices and blood pressure in men of age 40s. Methods: One hundred forty five subjects in men of age 40s were participated in this study. All participants were taken physical examination, lifestyle survey and laboratory test. According to examination, participants were divided into two group in four categories ; obesity and normal group, hypertension and normal group, smokers and non-smokers, and drinkers and non-drinkers. The low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL), total cholesterol (TC), triglyceride (TG), systolic blood pressure (SBP), diastolic blood pressure (DBP) were analyzed by independent t-test for comparison between two groups. Results: The values of LDL, TC, SBP, DBP were higher and HDL was lower in obesity than in normal group (p<.05). The values of LDL, TC, SBP, DBP were higher in hypertension group than in normal group (p<.05). The values of TG was higher and HDL was lower in smokers than in non-smokers (p<.05). There's no significant differences between drinkers and non-drinkers (p>.05). Conclusion: It can be seen that obesity and blood pressure were more relative risk factors than smoking and alcohol indices in cardiovascular diseases.
  • 11.

    The Effects of the modified Constraint-Induced Movement Therapy on Upper Function and Activities of Daily Living in Subacute Stroke Patients

    방대혁 | 최성진 | Shin Won Seob | 2013, 8(2) | pp.245~252 | number of Cited : 2
    Purpose: The aim of this study is to verify the effectiveness of modified constraint-induced movement therapy(mCIMT) on upper function and activities of daily living in people with subacute stroke patients. Methods: Eighteen participants, with subacute stroke that were randomly assigned to either the experimental group(n=9) or the control group(n=9). For subjects from the experimental group modified Constraint-Induced Movement Therapy was performed. exercise program, the patient trained in affected side upper extremity with restricted non-affected side for 1 hour and using in activity daily living for 4 hours for five times per week, during 4 weeks. For subjects from the control group, conventional upper extremity training was performed. Outcomes such as the box and block test(BBT), Fugl-Meyer motor function assessment(FMA), and modified Barthel index(MBI) were measured before and after training. Between-group and within-group comparisons were analyzed by using Independent t-test and Paired t-test respectively. Results: These finding suggest that experimental group was significant increase in BBT, FMA, MBI(p<.05). In comparison of two group, experimental group was high upper function and activity daily living than control group. Conclusion: This study showed experimental group can be used to improve upper function and activity daily living than control group. Thus it indicates that mCIMT will be more improved through the continued upper extremity exercise program.
  • 12.

    Effect of CranioCervical Flexion Exercise Using Sling on Thickness of Sternocleidomastoid Muscle and Deep Cervical Flexor Muscle

    윤기현 | Kim Kyoung | 2013, 8(2) | pp.253~261 | number of Cited : 15
    Purpose : The Purpose of this study was to investigate the changes in the thickness of Sternocleidomastoid muscle(SCM) and deep cervical flexor muscle(DCF) through CranioCervical Flexion Exercise(CCFEx) Using Sling. Methods : Subjects were randomly allocated two group : control group (n=21) without neck pain, experimental group (n=17) with pain. Muscle thickness was measured using CranioCervical Flexion Test(CCFT) and ultrasonography before or after intervention. Results : In experimental group, compared with muscle thickness of exercise before, SCM thickness rate of change was slightly decreased according to pressure increased after exercise(p<.05). Conclusion : The results of this study showed that CCFEx using sling is effective for SCM and DCF of choric neck pain patients.
  • 13.

    The Effects of Breathing Retraining on Asymmetry of Diaphragm Thickness in Stroke Patients

    Kim, Nan-Soo | Jung JuHyeon | 2013, 8(2) | pp.263~269 | number of Cited : 10
    Purpose : The purpose of this study was to examine the effects of breathing retraining on asymmetry of diaphragm thickness in stroke patients. Methods : This study was nonequivalent control group pre-post test design. Subjects were assigned to two different groups(intervention group=10, control group=12). Intervention group conducted breathing retraining program for six-week. Diaphragm thickness was assessed by ultrasound in B-mode with a 7.5 ㎒ linea probe. The collected data analyzed by Wilcoxon signed rank test and Mann-Whitney U test. Results : The intervention group significantly increased diaphragm thickness ratio on paretic side but the control group showed no significant difference in diaphragm thickness ratio. The control group significantly increased asymmetry of diaphragm thickness, but intervention group showed no significant difference in asymmetry of diaphragm thickness. Conclusion : This study showed that breathing retraining increased diaphragm thickness ratio in stroke patients and prevent the increase of asymmetry in diaphragm thickness with stroke patients.
  • 14.

    The Effect of Action Observation on Motor Function of Paretic Upper Extremity in Stroke Patients: Single Subject Study

    장우식 | 윤태원 | 최연정 and 1other persons | 2013, 8(2) | pp.271~280 | number of Cited : 7
    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.
  • 15.

    Analysis of Motor Performance and P300 during Serial Task Performance according to the Type of Cue

    Lee Myoung Hee | Jutae Park | myungchul kim | 2013, 8(2) | pp.281~287 | number of Cited : 2
    Purpose:The study was designed to investigate the effects of visual, auditory, and visuoauditory cues on simple Serial Task Performance in heaithy adults. Methods:Sixty-three right-handed heaithy adults without history of neurological dysfunction were participated. A modified version of the Serial Reaction Time Task (SRTT) using five blocks of perceptual motor sequences was administered. The blocked paradigm consisted of the five blocks with randomly repeated 8 digit sequences with 5 repetition. Three types of sensory cue were employed: visual cue, auditory cue and visuoauditory cue. All subjects were assigned to press the matched botton as quickly and accurately as possible, when one of 8 stimulations was presented(one, two, three, four, five, six, seven, eight). The reaction time, accuracy, and P300 latency were measured during serial task performance. The mean reaction time(㎳), accuracy(%), and P300 latency(㎳) were compared between three types of cue using ANOVA. Results:The reaction time to auditory cue was significantly longer than visual and visuoauditory cues(p<.001). And accuracy to auditory cue was significantly lower than visual and visuoauditory cues(p<.001). All P300 latency(at Fz, Cz, Pz) were significantly longer than to visual and visuoauditory cues(p<.05). Conclusion:It is suggested that type of cues influence in choice reaction. These data may helpful in designing not only effective motor learning training programs for healthy persons but also reeducation programs for patients with neurological dysfunction.