운동생리학 : C-reactive protein(CRP) 농도가 고령자들의 안정시 및 운동부하 검사시 심혈관계 질환 위험 요소에 미치는 영향

김남익(NamIkKim),윤상호(SangHoYoun) 한국체육학회 2003 한국체육학회지 Vol.42 No.3

The purpose of this study was to influence of the cardiovascular disease risk factors at resting and exercise stress test on the C-reactive protein(CRP) in the elderly men.The subjects consisted 42 elderly men who was aged 65-75years were checked by a survey of lifestyle and exercise habit, blood test(including CRP), measurement of body fat and blood pressure, and exercise stress testing. Subjects were divided into 3 groups such as Ⅰ(normal), Ⅱ(moderate; CRP 0.22㎎/㎗ - 0.50㎎/㎗), Ⅲ(severe; CRP>0.50㎎/㎗). Statistical analysis was performed using analysis of oneway ANOVA.Results of this study were as follows;It showed that CRP concentrations of 0.22㎎/㎗ or more is increased on the cardiovascular disease risk, and it showed that CRP concentration of 0.50㎎/㎗ or more is higher increased on the cardiovascular disease risk.The exert high influence upon of the cardiovascular disease risk factors on the CRP concentrations was showed such as percent body fat, BMI, resting oxygen uptake and exercise time(min/day). And peak heart rate, peak myocardial oxygen uptake, and resting ST level was showed exert low influence upon.Therefore, higher levels of physical activity were associated with lower concentrations of inflammation makers in the elderly men. These data suggest that increased exercise is associated with reduced inflammation, decrease percent body fat, optimal weight and increased cardiopulmonary function.

스포츠생리학 : 경증 빈혈 집단에서 식습관이 혈청지질 및 유산소성 운동능력에 미치는 영향

김남익(NamIkKim),유명수(MyungSooYoo) 한국체육학회 1999 한국체육학회지 Vol.38 No.3

본 연구는 혈액 100㎖에 포함된 hemoglobin(Hb)량이 10-12g/㎗이거나, hematocreat(Hct.)가 30-37%인 경증 빈혈 여성 52명을 대상으로 채식형, 육식형, 혼합형에 따라 혈액 성분의 항목과 유산소성 운동 능력 관련 요인에 미치는 효과를 분석하였다. 연구 결과에 따르면, 헤모글로빈은 육식형 집단이 11.95g/㎗로 가장 높게 나타났으며, 혼합형 집단이 11.88g/㎗, 채식형 집단이 11.60g/㎗로 나타났다. Hct.도 육식형 집단이 36.24%로 채식형 집단의 35.22%, 혼합형 집단의 34.68% 보다 높았다. 체지방의 결과에서 채식형 집단은 25.18%로서 육식형 집단의 28.53%와 혼합 집단의 27.67%에 비해 통계적으로 유의하게 낮았고, 체액의 검사 결과에서는 채식형 집단이 56.70%/wt로서 육식형 집단의 49.58%/wt와 혼합형 집단의 51.31%/wt에 비해 유의하게 높았다. 그러나 폐기능에서는 혼합형 집단이 채식형 집단이나 육식형 집단에 비해 높았으나, 유의한 차이는 나타나지 않았다. 그리고 대상자들의 혈청 지질 분석에서 총 콜레스테롤은 육식형 집단이 223.57㎎/㎗로서 채식형 집단의 173.37㎎/㎗, 혼합형 집단의 176.71㎎/㎗에 비해 유의하게 높았고, 고밀도 지질 단백질(HDL-C)은 육식형 집단이 58.57㎎/㎗로서 혼합형 집단의 50.71㎎/㎗에 비해 유의하게 높았다. 또한 중성지방에서는 육식형 집단이 150.71㎎/㎗로서 채식형 집단의 80.75㎎/㎗, 혼합형 집단의 98.14㎎/㎗에 비해 유의하게 높았다. 그리고 최대하 운동중 나타난 결과에서 최대 심박수는 육식형 집단이 139.71beat/min로서 채식형 집단의 149.75beat/min, 혼합형 집단의 148.28beat/min에 비해 유의하게 낮았으며, 최대 수축기 혈압은 육식형 집단이 191.42mmHg로서 채식형 집단의 158.12mmHg에 비해 유의하게 높았다. 그러나 최대 산소 섭취량, 최대 환기량, V˙E/MVV, 운동 지속 시간에서는 각 집단간에 유의한 차이는 나타나지 않았다.따라서 빈혈의 예방과 치료 및 관리방안을 위해 필요한 1일 영양소량에 따라 육식 형태의 철, 단백질, 비타민 C와 기타 영양소가 일반인 권장량의 약 2배가 되므로 철 및 단백질이 풍부한 영양섭취를 한다면 골수의 조혈항진과 동시에 견고한 적혈구가 조성되고, 충분한 헤모글로빈이 만들어진다고 할 수 있다. 그리고 빈혈에 기인한 심혈관계의 변화가 심박수, 혈류 속도, 심박출량, 심근 수축력 등에 영향을 미치므로 적정강도의 운동과 육식 형태의 영양 개선이 필요하다 하겠다. To study the effects of serum lipids and aerobic exercise capacity on diet habits in mild anemia groups, 52 women who aged 30-40 years were checked by medical process and exercise stress testing. Subjects were divided into the 3 groups that were vegetable diet, meat diet, mixture diet. Statistical analysis was performed using analysis of variance oneway ANOVA test.Results of this study are following.Hemoglobin and hematocrit was showed higher in meat diet group compared with other groups. Percent body fat was significantly lower in vegetable diet group compared with other groups(p<0.05). Pulmonary function test was no significant difference. Serum lipids was significantly higher in meat diet group compared with other groups(p<0.05). In aerobic exercise capacity, peak heart rate and peak systolic blood pressure were significantly higher meat diet group compared with other groups(p<0.05), but V˙O₂peak, VEpeak, VE/MVV, exercise duration was no significant difference.Conclusionally, speculate that the impact of moderate exercise on blood volume status is likely to depend on a number of factors such as the initial status, the nature and intensity of the exercise, and the level and availability of iron, meat, vitamin C in the diet. It is therefore prudent to increase the awareness of the public about the importance of maintaining normal hemoglobin, serum lipids levels when beginning aerobic exercise types of exercise activities.

운동생리학 : 유산소 운동과 저항성 운동 프로그램이 고령 여성의 심혈관계 및 견관절 등속성 근력에 미치는 영향

김남익(NamIkKim),김영일(YoungIlKim),최건식(KunSikChoi),김창규(ChangKewKim) 한국체육학회 2001 한국체육학회지 Vol.40 No.2

본 연구는 고령 여성들의 규칙적인 유산소 및 저항성 트레이닝 프로그램 참여에 따른 심혈관계 요인과 견관절 등속성 근력에는 어떠한 변인들이 영향을 미치는지를 구명(究明)하고, 노인들의 효과적인 트레이닝 방법을 제시하고자 고령 여성 총 10명을 대상으로 운동 프로그램 참여 전과 후의 신체조성, 운동부하 검사시 심혈관계 요인, 등속성 근력 검사시 견관절의 peak torque와 average power를 분석한 결과는 다음과 같다.신체조성 분석은 유의한 차이가 나타나지 않았다.안정시 심박수는 운동 프로그램 참여 후에 유의하게 감소하였고(p<0.05), 최고 심박수는 운동 프로그램 참여 후에 유의하게 증가하였다(p<0.05) 혈압에 있어서, 최고 수축기 혈압은 운동 프로그램 참여 후에 유의하게 감소하였고(p<0.01), 그 외 다른 요인은 유의한 차이가 없었다. 안정시(p<0.01), 최고 심근 산소소비량 (P<0.05)은 운동 프로그램 참여 후에 유의하게 감소하였다. 안정시, 최고 산소소비량은 운동 프로그램 참여 후에 유의하게 증가하였다(p<0.01). 안정시, 최고 ECG ST level은 운동 프로그램 참여 후에 유의한 차이는 없었으나. 안정시, 최고 ECG ST slope는 운동 프로그램 참여 후에 유의하게 감소하였다(p<0.05). 운동부하 검사시 운동 지속시간은 운동 프로그램 참여 후에 유의하게 증가하였다(p<0.01).견관절 등속성 근기능에 있어서, 60o/sec 최대 근파워 검사 결과, 왼쪽 신전근 peak torque에서만 프로그램 참여 후에 유의하게 증가하였다(P<0.01). 180o/sec 최대 순발력 검사 결과, 신전근 왼쪽의 peak torque(p<0.05)와 average power(p<0.01)에서 프로그램 참여 후에 유의하게 증가하였다. 굴곡근에서는 왼쪽 average power에서만 프로그램 참여 후에 유의하게 증가하였다(p<0.05).결과를 종합하면, 12주간 유산소 및 저항성 복합 트레이닝은 고령 여성들의 신체조성에는 유의하게 영향을 주지 못했지만, 심장 혈관계와 견관절 등속 근력에 영향을 미친 것으로 나타났다. 따라서 유산소 운동뿐만 아니라, 근력 운동을 병행하는 것이 호흡 순환계, 심장, 근 신경기능에 영향을 미치므로 인해 고령자들의 상해를 예방하고 고령 여성들의 트레이닝 능력과 건강유지에 기여하여 보다 활력적인 일상생활을 영위할 수 있을 것이다.한편 Cr 투여 후의 뇨량의 변화로 근육 내로의 Cr loading을 추정할 수 있어, Cr 투여 그룹을 다시 세분하여 분석한 결과, 근섬유 조성비 및 하지신근력의 결과는 서로 다르게 나타났다. This study is to catch the effects of shoulder isokinetic muscle strength, cardiovascular system on aerobic exercise and resistance strength exercise program in elderly women(65-72 years), we enrolled 10 elderly women into 12week aerobic exercise and resistance strength exercise training program. In measurements index, percent body fat and body fluid were determined by bioelectrical impedance measures. Cardiovascular system assessment included measurements of heart rate, blood pressure, myocardial oxygen uptake, oxygen uptake, ECG V5 ST levels, V5 ST slope. Shoulder isokinetic muscle strength assessment included measurements of peak torque, average power in 60o/sec and 180o/sec.After exercise program, HRrest were decreased significantly(p<0.05), and HRpeak were increased significantly(p<0.05). SBPpeak were decreased significantly(p<0.01). Also MVO₂rest(p<0.01) and MV0₂peak(p<0.05) were decreased significantly. And VO₂rest and VO₂peak were increased significantly (p<0.01). Exercise time also increased significantly(p<0.01). In shoulder isokinetic muscle strength, after program, peak torque, average power in 60o/sec and 180o/sec were increased.These data suggest that aerobic exercise and resistance strength exercise program in elderly women is an effective to improve cardiovascular system factors and shoulder isokinetic muscle strength

자연과학편 : 중년 남성들의 체지방률에 따른 복합 트레이닝이 심장기능에 미치는 영향

김남익(NamIkKim) 한국체육학회 2007 한국체육학회지 Vol.46 No.3

본 연구는 12주간 복합 운동 프로그램 적용시 나타나는 심장기능인 ST 분절 하강 및 심혈관계 질환 발생과 사망 가능성에 미치는 영향을 알아보고자, 40-50대 남성 총 60명을 대상으로 개인별 12주간 유산소 운동과 15분 순환 운동 프로그램에 참여하게 한 결과, 다음과 같은 결과를 얻었다. 복합 트레이닝 참여 전에는 심박수로 보정한 ST/HR 경사가 허혈성 증세를 조기에 진단되었으나, 트레이닝 참여 후에 과체중이나 단순 비만군, 고도 비만군에서 2.40㎶/bpm이하였던 단계에서 정상범위 이상으로 허혈 증세가 호전되었다. UIS는 유도 V₂와 V₅에서 고도 비만군이 복합 트레이닝 참여 전에 비해 후에 증가되었으며, 향후 5년 후, 사망 가능성은 과체중군, 단순 비만군, 그리고 고도 비만 군에서 감소되는 결과를 보였다. 결론적으로, 체지방이 높을 경우, ST/HR 경사의 하강, 그리고 심혈관계 질환 발생 가능성이 높게 나타났으나, 규칙적인 유산소 운동과 15분 순환 운동 프로그램에 참여하게 되면, 허혈 증상의 해소, 심혈관계 질환 발생 가능성의 감소, 연중 사망 가능성을 낮추어 줄 수 있다. The purpose of this study was to investigate the effects of combined training on cardiac function in the %body fat with middle aged men Subjects were 60 middle aged men who were 40~50 years old Each of the subjects was provided with a 12week aerobic exercise and 15min circulation exercise program suited to his capacity. The results are as follows; The ST/HR slope adjusted by heart rate diagnosed symptoms of ischemia earlier than the ST segment before the subjects participated in the combined training. But the symptoms of ischemia in따roved above the normal level at less than 2.4㎶/bpm in the overweight, obesity, and severe obesity groups after their participation in the training. The UTS increased at inductions V2 and V5 in the severe obesity group before their participation in the combined training, and the CVM after five years decreased in the overweight, obesity and severe obesity groups. In conclusion, the increase of body fat accounted for the ST/HR slope going down, and a cardiovascular disease occurring^ but regular participation in the exercise program helps the resolve symptoms of ischemia, decrease the likelihood of a cardiovascular disease occurring, and reduce the predictive value of the annual cardiovascular mortality.

운동생리학 : 고도 비만 여성들의 저항성 운동을 병행한 유산소 운동 프로그램이 신체조성 및 심전도 반응에 미치는 영향

김남익(NamIkKim) 한국체육학회 2004 한국체육학회지 Vol.43 No.3

The purpose of this study was to investigate the effects of the resistance exercise with aerobic exercise program on body composition and ECG response in the severe obesity women. The subjects consisted 12 severe obesity women, who was aged 20-30years were checked by a body composition and exercise stress testing. In measurement index, body composition analysis were measured of percent body fat, body fluid, BMI and WHR. And exercise stress tasting were measured ST segment, ST/HR slope, ECG interval, and QRS vector. We enrolled 12 severe obesity women into the participated 12 week exercise training program Statistical analysis was performed using analysis of paired t-test. Results of this study were as follows; In the body composition, weight, percent body fat, body fluid, BMI, and WHR were showed significantly effects of exercise program participation in the all index. In the ST segment, ST level were increased at peak exercise in read V2 and V5, and ST slope were decreased at peak exercise in the read V2 and V5. ST/HR slope of read V2 and V5 were increased significantly exercise program participation after then before in exercise peak recovery three min. In the ECG interval, P-R and QRS interval were showed no significant, but ST, QT, and QTc interval were prolonged significantly exercise program participation after than before. In the QRS vector, frontal axis of resting and recovery was tend to right axis deviation significantly exercise program participation after than before. And, in the amplitude of QRS vector, resting and recovery was tend to longer significantly exercise program participation after than before. These data suggest that 12 week exercise training program in severe obesity women is an effective to improve body composition and cardiac function. Conclusionally, severe obesity women will no longer be a rare event, and providers have to prepare to treat such patients on a regular basis.

운동생리학 : 고도 비만자들의 신체조성, 심근산소소비량 및 심전도 반응

김남익(NamIkKim),김영일(YoungIlKim),최건식(KunSickChoi),최춘길(ChunGillChoi),윤성(SungYoon) 한국체육학회 2002 한국체육학회지 Vol.41 No.1

The purpose of this study was to investigate the body composition myocardial oxygen uptake and electrocardiogram response in severe obesity with men.Subjects were compared on the control group(n=10, %Body Fat < 20%), obesity group (n=10, 20% <%Body Fat < 30%) and severe obesity group(n=10, %Body Fat > 30%) in meddle-aged men. The body composition including body weight, percent body fat, body fluid, BMI and WHR was measured. The resting and exercise rate-pressure product could be measured with heart rate and systolic blood pressure for myocardial oxygen uptake(MVO₂) measurement. The electrocardiogram QTc interval was calculated with Bazzett`s formula using manual.The result of this study are as follows;1. In body composition, percent body fat, body fluid, BMI and WHR was showed significantly difference in third groups(p<0.05).2 Resting and exercise myocardial oxygen uptake(MVO₂) was showed significantly difference in third groups(p<0.05).3. In electrocardiogram response, resting, during exercise and recovery lead V₅ ST segment was showed significantly difference in third groups(p<0.05). Resting and recovery lead V₅ P-R, QRS, ST, QTc interval was showed significantly difference in third groups(p<0.05).

스포츠 생리학 : 운동유발성 천식 ( EIA ) 환자에서 운동부하 시험 후 폐기능의 변화

황수관(SooKwanHwang),김남익(NamIkKim) 한국체육학회 1996 한국체육학회지 Vol.35 No.3

To investigate the change rate of pulmonary functions related to Exercise-Induced Asthma after exercise stress test, a total of 70 subjects(normal 30, EIA patient 40) were selected. Of the 70 subject, several related test(medical check, pulmonary function test, treadmill exercise stress test) were conducted during rest.The pulmonary function test, some parameters such as vital capacity(VC), forced vital capacity (FVC), peak expiratory flow(PEF) and maximal voluntary ventilation(MVV) were measured one time during rest prior to treadmill running exercise and further, one time three minutes after exercise stress test. Major findings and conclusion are as follows:1. After exercise stress test, more than 15 percent decrease of pulmonary function related to FEV_1.0sec PEF and FEF_25%75% were found in 8 males and 8 females.2. After exercise stress test, change rate of pulmonary functions was decreased in the order of PEF, FEF_25%, MVV, FEV_0.5sec, FEF_75%, FEF_50%, FVC, VC and FEV_1.0sec.According to the incidence of EIA patients, therefore, it was shown that 18 from 70 subject(22.8%) proved to have EIA patient, thus reflecting a larger portion of EIA. Since it is conceivable that a great number of athletes, except for the general public, may have a potential of EIA factor, further studies should be conducted so as to eliminate exercise disorders related to EIA. Futher, PEF, FEF_25% and MVV gave more influences to the change rate of pulmonary functions instead of VC and FVC.

스포츠생리학 : 인슐리 비외존형 집단에서 운동중 최대산소섭취량과 최대산소섭취량 감소요인과의 상관관계

김영일(YoungIlKIm),김남익(NamIKKim),김상훈(SangHoonKim),유재현(JaeHyunYoo) 한국체육학회 2000 한국체육학회지 Vol.39 No.4

본 연구는 40-57세 사이의 중년의 인슐린비의존형 환자 기명을 대상으로 남성집단(n=46)과 여성집단(n=25)으로 구분하고 트레드밀 운동부하검사를 실시하여 심폐기능(ResHR, RestBP, Peak VO2, Peak M VO2)및 혈청지질 (TCH, HDL, LDL, TG, Glucose)을 측정하였다. 현재까지 인슐린비의존형에 대한 연구를 보면 운동능력 즉, 운동중 최대산소섭취량을 독립적으로 저하시킬 수 있는 위험인자를 통계적으로 분석하여 다룬 연구는 거의 없다.따라서, 본 연구는 인슐린비의존형 집단에서 운동능력 즉, 최대산소섭취량(Peak VO2)과 최대산소섭취량 감소 요인과의 관련성을 조사하여 통계적 수치로 나타내, 운동처방시 기초자료로 제시하려는데 목적이 있다. 결과는 다음과 같다.1. 두 집단 간의 %BF는 유의한(p<0.01) 차이를 나타냈으나, BMI는 서로 유의한 차이가 없었다.2. 인슐린비의존형집단(N=71)의 혈청지질 중 TCH와 TG가 임상적 위험수치(TCH: 100-220mg/㎗, TG: 44-166mg/㎗)보다 높음을 나타냈고, 두 집단 비교시 TCH는 남자보다 여자에서 유의하게(p<0.01) 높음을 나타냈다.3. 두 집단 간의 심폐기능에서는 여자집단에 비하여 남자집단에서 Peak M VO2와 Peak VO2, Exercise time 유의하게(p0.05, p<0.01) 높음을 나타냈다.4. 두 집단의 당뇨기간, 고혈압 기간 흡연기간은 유의한 차를 나타내지 못했다.5. 인슐린비의존형집단(N=71) 에서 최대산소섭취량과 최대산소섭취량 감소요인의 상관관계에서는 운동시간 (r=0.828), 흡연습관(r=-0.652), 체지방률, -0.535), 나이(r=-0.375), 당뇨기간(r=-0.333), 이완기혈압(r=-0.317)이 유의하게(p0.01) 나타났으며, TCH(r=―0.280) 와 LDL (r= -0.239)도 유의한(p<0.05) 값을 나타냈다.이상의 결과를 종합해 보면, 인슐린비의존형에서 최대산소소비량의 감소에 영향을 주는 위험인자는 상관관계를 통해 알 수 있으며, 특히 흡연기간과 당뇨기간은 인슐린비의존형 집단에서 운동처방시 최대산소섭취량 감소에 직접적인 영향을 미치는 중요한 요인으로 사료된다. The purpose of this study was to investigate the correlation of peakVO2 and peakVO2 decrease factors during exercise in NIDDM groupThe subjects consisted 71 non-insulin dependent subjects who was aged 40-57 years were cheaked by medical process and exercise stress testing. Subjects were divided into 2 groups: male group(fasting glucose level>110[mg /㎗, n=46) and female group(fasting glucose level>110[mg/㎗], n=25). Statistical analysis was performed using analysis of independent t-test.Pervious studies have demonstrated that NIDDM group have a reduced exercise capacity compared with age-matched normal subject, the factors for this decrease in exercise capacity are still unclear, thus, this study examined potential correlates of exercise capacity such as age, diabetes duration, metabolic control and duration of hypertension, smoking habits.Results of this study were as follows.1. Between the male and female groups %BF and BMI were showed significantly(p<0.05, p<0.01) difference, but weight was not.2. TCH and peakRPP, peak VO2, Exercise Time were showed significantly(p0.05, p<0.01) difference, but Glucose and TG, HDL, LDL, RestSBP, RestDBP were not significantly difference between the two groups.3. Duration of NIDDM was significantly(p<0.05/ p0.01) higher in male than female group, but duration of hypertension, duration of smoking were not significantly difference between the two groups.4. Correlation coefficient with peakVO2 have significant(p<0.01), (p<0.05): Exercise time(r=0.828), Age(r= - 0.375), %Body Fat(r= - 0.535), Duration of NIDDM(r= - 0.333), Duration of smoking(r=- 0.652), TCH(r= - 0.280), LDL(r=-0.239).Conclusionally, It appears that Age, %Body Fat, duration of smoking, duration of NIDDM, particularly in NIDDM group, may be important in improving exercise capacity (peak VO2) and potentially improving the increased cardiovascular mortality associated with an impaired exercise capacity.

자연과학편 : 3년간 대기업 임원들의 동맥경화 지수 및 운동부하 심전도를 이용한 심혈관계 예후 점수 시스템의 변화 양상

윤성(SungYoon),김남익(NamIkKim) 한국체육학회 2006 한국체육학회지 Vol.45 No.1

The purpose of this study was to investigate the changes an aspects of long term regular physical activity on atherogenic index and CVD prognostic score system using exercise stress ECG in the company an officers with men. Subjects were 60 middle aged men with company an officers who were 40~55 years old. We enrolled 30 exercise group subjects into the participated 3 years exercise program. In measurement index, body composition analysis were measured of percent body fat and BMI. Blood analysis were measured of T-C, HDL-C, LDL-C, TG, T-C/HDL-C, TG/HDL-C, and LDL-C/HDL-C. And exercise stress testing were measured CVD prognostic score system(DTS, VAMCS, GISSI-2, Athens QRS score) using exercise stress ECG. Statistical analysis was performed using analysis of repeated ANOVA. Results of this study were as follows; In the atherogenic index, control group were showed increase an aspects at the second test, third test than first test, exercise group were showed decrease an aspects at the second test, third test than first test. In the risk condition of cardiovascular disease using CVD prognostic score system, control group were showed high risk an aspects at the after 3 years than before 3 years, exercise group were showed normal and low risk an aspects at the after 3 years than before 3 years. These data suggest that 3 years regular physical activity participation in middle-aged men with company an officers is an effective to improve body composition, decrease of atherogenic index and prevent cardiovascular diseases. The use of ergometric-derived DTS, VAMCS, GISSI-2, Athens QRS score in predicting after 3-years in risk condition of cardiovascular disease and to develop a simple predictive scoring system from the same database. Conclusionally, middle-aged men with company an officers will no longer be a rare event, and providers have to prepare to treat such patients on a regular basis.

특수체육 : 뇌성마비 장애인의 척추운동 재활용법이 운동기능 및 근전도에 미치는 영향

오이표(YiPyoOh),김남익(NamIkKim) 한국체육학회 2004 한국체육학회지 Vol.43 No.3

The purpose of this study was to investigate the effects of vertebra rehabilitation exercise therapy on the improvement of nation function and EMG in the individuals with central palsy. The subjects were totally sixteen patients in their age ranged within twenties or thirties who were diagnosed as the first-grade spastic type cerebral palsy in the Korean Society for the Cerebral Palsied, but participated in no regular exercise program The subjects of this study were classified into control group, vertebra position therapy group, exercise rehabilitation group, and group with both vertebral position therapy and exercise rehabilitation The results of notion function and EMG were as follows: The muscular endurance in the group with vertebra position therapy plus exercise rehabilitation was significantly elevated than other groups, flexibility of reach group except control was attentively elevated Agility in vertebra position group and group with vertebra position plus exercise rehabilitation was noticeably elevated than control and exercise rehabilitation group. Balance of each group was indicated in no great different. Without gravity, both left and right sides EMG were meaningfully reduced only in the group with vertebra position therapy plus exercise rehabilitation However, there made no meaningful difference in two kilogram loading state. Putting all the results together, the vertebral exercise rehabilitation therapy is wry effective in the improvement of motion function. Additionally, vertebral, pelvic correction with manual reduction will be able to improve balancing and flexibility.