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이중 과제유형에 따른 순환 과제훈련이 만성뇌졸중 환자의 보행수행 능력에 미치는 영향
김현애 ( Hyeun Ae Kim ),서교철 ( Kyo Chul Seo ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.3
PURPOSE: This study is to examine the effects of different types of tasks on gait functions of chronic stroke patients when different types of dual tasks were applied while the patients were implementing practical and continuous circuit tasks using their upper and lower extremities circulating many workbenches. METHODS: Forty-four chronic stroke patients were divided into a dual motor circuit task training group, a dual cognitive circuit task training group and a simple task training group. Before training, all the patients were identically encouraged to receive conservative physical therapy for 30 minutes by a physical therapist were thereafter made to train for 30 minutes, five times a week for a total of eight weeks with individual additional tasks. The dual motor circuit task training consisted of continuous circuit training motor tasks and additional motor tasks and the dual cognitive circuit task training consisted of tasks combining the same circuit training motor tasks and additional cognitive tasks. The simple task training consisted of natural walks on a flat terrain to the front, rear and lateral sides of the terrain. Changes in functional gait abilities made through the training were evaluated using GAITRite. SPSS Win 12.0 was used for the data analysis. RESULTS: As for the gait variables that showed significant differences in comparison between the groups over the training period, the dual motor circuit task training group showed more significant differences than the dual cognitive circuit task training group and the simple task training group at 4 weeks and 8 weeks of training(p<.05). CONCLUSION: Therefore, it could be seen that the practical and continuous dual circuit task training was more effective than simple task training on gait. In comparison between the types of dual tasks, the dual motor circuit task training group showed more effects than the dual cognitive circuit task training group.
20대 남성 비만인의 자세에 따른 가슴우리 확장과 폐기능 특성분석
김현애 ( Hyeun Ae Kim ),서교철 ( Kyo Chul Seo ),임상완 ( Sang Yoan Yim ),김희탁 ( Hee Tak Kim ),김경 ( Kyoung Kim ) 대한물리의학회 2011 대한물리의학회지 Vol.6 No.3
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(M30, % fat>25.0) and thirty normal subjects(M30, % 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.
계단보행훈련과 경사로보행훈련이 뇌졸중 환자의 보행능력에 미치는 영향
서교철 ( Kyo Chul Seo ),김현애 ( Hyeun Ae Kim ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.3
PURPOSE: The Purpose of this study was on determine whether stair gait exercise and lamp gait exercise might increase the gait ability of the patients with stroke METHODS: Fourty five patients with stroke were randomly assigned to plane gait exercise group(n=15) and ramp gait exercise group(n=15) and stair gait exercise group(n=15). During four weeks, each group participated thirty minutes for five times per week. Subjects were assessed using pre-value and post-value measurement gait ability (Step length, Heel to heel base of support, Step time, Double support ratio, Gait velocity). RESULTS: These finding suggest that stair gait exercise group was significant in Step length, Heel to heel base of support, Step time, Double support ratio, Gait velocity(p<.05). And lamp gait exercise group was only significant increase in Step time, Gait velocity (p<.05). In comparison of three group, stair gait exercise group was high gait ability than other two groups (p>.05). CONCLUSION: This study showed stair gait exercise group can be used to improve gait ability than other two groups. Thus it indicates that the stair gait exercise group will be more improved through the continued gait program.
서교철 ( Kyo Chul Seo ),김현애 ( Hyeun Ae Kim ),임상완 ( Sang Yoan Yim ) 대한물리의학회 2012 대한물리의학회지 Vol.7 No.2
Purpose The Purpose of this study was on determine whether thoracic expension exercise might increase the pulmonary function of the patients with stroke, Methods Fourty paients with stroke were randomly assigned to experimental(n=20) and control group(n=20). During four weeks, each group participated thirty minutes for five times per week. Subjects were assessed using pre-value and post-value measurement pulmonary function(Forced vital capacity, Forced expiratory volume at one second, FEV1/FVC, Peak expiratory flow, Tidal volume, vital capacity, Inspiratory capacity, Expiratory reserve volume, Inspiratory reserve volume), Results These finding suggest that experimental group was significant increase in FVC, FEV1, PEF, TV, IC, IRV, ERV (p<.05), In comparison of two group, experimental group was high pulmonary function than control group, Conclusion This study showed experimental group can be used to improve pulmonary function than control group. Thus it indicates that the thoracic expension exercise will be more improved through the continued respiratory exercise program.