2011, Vol.6, No.3

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45

pISSN : 1975-311X / eISSN : 2287-7215
https://journal.kci.go.kr/kspm

Purpose：The purpose of this study were to determine whether changes of position might effect the chest expansion and pulmonary function of the 20s men obesity. Methods：Thirty subjects with obesity(M:30, % fat>25.0) and thirty normal subjects(M:30, % fat<24.9) were participated in experiment. Subjects were assessed according to position changes(supine position, 45° lean sitting position, 90° sitting position) using chest length(chest length for resting, chest expansion) and pulmonary function (Tidal volume, Inspiratory capacity, Vital capacity, Inspiratory reserve volume, Expiratory reserve volume) by the CardioTouch 3000S(BIONET, USA). Repeated measure ANOVA was used to compare each region data of chest length and pulmonary function according to changes of position with obesity and normal subjects. Results：These findings suggest that the obesity can be appear to low chest expansion and pulmonary function than normal subjects on position method. In comparison of three experimental position, supine position was more low. Conclusion：This study showed position of the obesity appear low chest expansion and function of pulmonary volume than normal subjects, and thus it indicates that the pulmonary function of the obesity will be suggest objective respiratory data through the exercise program.

Purpose：To assess the relationship between post-stroke shoulder pain, motor function, and pain-related quality of life(QOL)Methods：Volunteer sample of 62 chronic stroke survivors with post-stroke shoulder pain and glenohumeral subluxation. The patients answered the question in shoulder pain with the Brief Pain Inventory question 12(BP1-12), Pain-related Quality of life(BPI-23). Therapists measured the performance of combined upper-limb movement including the hand-behind-neck(HBN), hand-behind-beck(HBB) maneuver, added passive pain-free shoulder external rotation range of motion, and Modified Ashworth Scale(MAS) score of the elbow flexors. Physical performance assessments were used to measure basic activity daily living(Modified Barthel Index-self care, MBI-S/C), motor function of upper limb(Fugl-Meyer Upper/Lower Extremity, FM-U/E). Results：Stepwise regression analyses indicated that post-stroke shoulder pain is associated with the BPI 23, but not with the FM-U/E, MBI-S/C. Thus, the presence of shoulder pain is more important predicting pain-related QOL than its degree in predicting motor function of upper limb and basic activity daily living. Conclusion：Post-stroke shoulder pain was associated with reduced quality of life related to pain. The pain was not associated with the motor function of upper limb and basic activity daily living. The result imply that management of shoulder pain & anatomical position of shoulder joint after stroke should be emphasized. This provides a further incentive to develop effective rehabilitation prevention and treatment strategies for post-stroke shoulder pain.

Objective：This study aims to examine how lumbar stabilization exercise and resistive exercise affect lumbar and lower extremity muscular strength of the aged. Method：Randomly selected 15 female senior citizens aged 65 or older at S, Y, and J senior citizens’ center located in D city who meet the requirements for the study were divided into a resistive exercise group of 7and a stabilization exercise group of 8 for which 60-minute-exercise sessions were administered three times a week for 12 weeks. Measuring lumbar and lower extremity muscular strength was measured six weeks and 12weeks after exercise, respectively. Results：First, both resistive exercises and stabilization exercises are effective to improve lumbar muscular strength. Second, resistive exercise is effective to improve flexural muscle strength as well as lower extremity muscular strength, and stabilization exercise is effective for both flexion and extensor muscle strength. Conclusion：The 12 week lumbar stabilization exercise program appeared to be effective to improve lumbar and lower extremity muscular strength of the aged. This indicates that applying this program to identify and prevent frequent risk factors of falling can lead to the prevention of secondary problem factors of falling accidents.