호흡운동이 뇌졸중 환자의 흉곽 확장과 폐 기능에 미치는 영향

이전형,권유정,김경,Lee, Jeon-Hyeong,Kwon, Yoo-Jung,Kim, Kyung 대한물리치료학회 2009 대한물리치료학회지 Vol.21 No.3

Purpose: This study examined whether breathing exercises might increase the chest expansion and pulmonary function of stroke patients. Methods: Twenty four patients with stroke were assigned randomly into two groups: a combination of diaphragmatic resistive breathing and pursed-lip breathing exercise (CB) group (n=10) and control group (n=14). The CB group completed a 4-week program of diaphragmatic resistive breathing and pursed-lip breathing exercise. The subjects were assessed using the pre-test and post-test measurements of the chest expansion (length for resting, deep inspiration, deep expiration, deep expiration-inspiration) and pulmonary function (forced vital capacity (FVC), forced expiratory volume at one second (FEV1), FEV1/FVC, peak expiratory flow (PEF), vital capacity (VC), tidal volume (TV), expiratory reserve volume (ERV), inspiratory reserve volume (IRV)). Results: A comparison of the chest expansion between the pre and post tests revealed similar rest, deep inspiration, deep expiration, and deep expiration-inspiration lengths in the CB and control groups (p>0.05). A comparison of the pulmonary function between pre and post tests, revealed significant improvements in the FVC, FEV, PEF, VC, IRV, and ERV in the CB group (p<0.05). There was a significant difference in the FVC, FEV1, PEF, VC and IRV between the 2 groups (p<0.05). Conclusion: These findings suggest that breathing exercise should help improve the pulmonary function, such as the volume and capacity. This suggests that the pulmonary functions of stroke patients might be improved further by a continued respiratory exercise program.

공간직물형 에어 인솔의 공기압 차이가 젊은 성인의 균형 능력에 미치는 영향

김기철,이전형,김상수,남휴형,Kim, Gi-Chul,Lee, Jeon-Hyeong,Kim, Sang-Su,Nam, Hue-Hyeong 대한고유수용성신경근촉진법학회 2015 PNF and Movement Vol.13 No.1

Purpose: This study examined the effects of space fabric type air insole pressure differences on young adults' dynamic balance ability. Method: The subjects of this study were 17 young female adults without musculoskeletal system disease. Balance ability was measured by dividing the subjects into three groups: an experimental group which did not wear an air insole (insole-off group), an experimental group which wore an air insole to which air pressure of $0.55kg/cm^2$ was applied (insole-0.55 group), and an experimental group which wore an air insole to which air pressure of $0.75kg/cm^2$ was applied (insole-0.75 group). For dynamic balance, the subjects stood on a balance pad, and perimeter length and medium speed were measured three times. The averaged values were recorded and statistically processed. Result: There were significant differences in average speed, and the insole-0.75 group's average speed decreased compared to the insole-off group and the insole-0.55 group. Although the total movement distance did not statistically differ, the insole-75 group's movement distance decreased compared to the insole-off group and the insole-0.55 group. Conclusion: Application of a space fabric type air insole, in particular insole-0.75, was helpful in improving balance ability. This is considered to occur because the space fabric structure was conducive to decreasing sway and producing balance.

스트레칭과 마사지 기법이 넙다리뒤근의 유연성 및 아래 허리뼈의 동적 안정성에 미치는 영향

김기철 ( Gi Chul Kim ),이전형 ( Jeon Hyeong Lee ),권상민 ( Sang Min Kwon ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.4

PURPOSE: This study aims to provide effects of therapeutic techniques as well as basic materials of safety by comparing and analyzing the effects of hamstring flexibility and dynamic stability of lower lumbar according to Stretching and Massage Techniques to adults with reduced the flexibility of hamstring. METHODS: This study conducted differential diagnosis through sit and reach test(SRT) and Schober test to select subjects who have shortened hamstring without any spinal problem. Selected subjects were divided into two groups randomly; HSG(Hamstring Stretching Group, n=8) and HMG(Hamstring Massage Group, n=8) and they received treatment for 2 weeks. To take statistics, SRT and dynamic view using x-ray were used. RESULTS: On SRT, HSG and HMG showed significant difference between pre and post test. A comparison of the difference value between HSG and HMG, HSG(9.73±1.78) has more remarkable outcome than HMG(2.78±0.56). Lower lumbar intervertebral disc length test for Intervertebral disc length(IDL)L45 and IDLL5S1 did not show significant differences between two groups and difference value. CONCLUSION: This study showed that stretching is more effective to improve hamstring flexibility than massage technique. Especially, flexibility increase of the hamstring in vertebral stabilization cannot affect improvement possibility will make a flexibility in order and the intervention and stabilization exercise of the spine.

정상성인의 인솔 높이가 균형에 미치는 영향

오명화 ( Myoung Hwa Oh ),이전형 ( Jeon Hyeong Lee ),권유정 ( Yoo Jung Kwon ),이종대 ( Jong Dae Lee ),이명희 ( Myoung Hee Lee ),김경 ( Kyung Kim ) 대한물리의학회 2009 대한물리의학회지 Vol.4 No.2

Purpose:The purpose of this study was to investigated the effect of stability on heel-heights of insole in healthy adults. Methods:Subjects of 39 males measured stability index of the Biodex Stability System(BSS) by wearing shoes of 2cm, 5cm insoles including bare feet. The BSS was consisted of a movable balance platform and the platform was interfaced with computer software that enables the device to serve as an assessment of balance performance. Stability index of the BSS included overall stability index(OSI), anteroposterior stability index (APSI), mediolateral stability index(MLSI). In the BSS, subjects were asked to step on to the platform of the BSS and assume a comfortable position while maintaining slight flexion in the knees, looking straight ahead. Subjects were trained for 10min for adaptation to the heel-height of insole and then they maintained double limb stance for 2min. Biodex platform set to convert Lv.8 into Lv.1 gradually. Results:There were statistically significant differences between heel-heights of insole and stability index of OSI, APSI, and MLSI(p<.05). The result of post-hoc test were as follows; 1)OSI had significant differences between bare feet and 2cm, 5cm. 2)APSI had significant differences between bare feet and 2cm, 5cm. 3)MLSI had significant differences between bare feet and 2cm, 5cm(p<.05). Conclusions:We found that the more heels of insole high, the more stability index increases. In particular, balance index of insole above 5cm more increased and we could acknowledge that the insole above 5cm more effected balance of healthy adults.

뇌졸중 환자의 자세변화에 따른 폐기능비교

서교철 ( Kyo Chul Seo ),이성은 ( Sung Eun Lee ),이전형 ( Jeon Hyeong Lee ),김경 ( Kyoung Kim ) 대한물리의학회 2011 대한물리의학회지 Vol.6 No.4

Purpose:The purpose of this study was to compare the respiratory function in the different body position of the stroke patients. Methods:Twenty patients with stroke patients group(M:12, F:8) and twenty control group(M:12, F:8) were participated in experiment. Strokes patients group and control group were assessed according to position changes(supine position, 45˚ sitting position, 90˚ sitting position) using pulmonary function(vital capacity, inspiratory capacity, tidal volume, expiratory reserve volume, inspiratory reserve volume). Results:These findings suggest that supine position in stroke group and control group were significant difference in IC, VC, IRV, ERV(p<05). 45˚ lean sitting position in stroke group and control group were significant difference in IC, VC, ERV(p<05). 90 sitting position in stroke group and control group were significant difference in VC, IRV, ERV (p<.05). In comparison of two groups, strokes group was more low pulmonary function than normal group. Conclusion:This study showed pulmonary function was more high normal groups than stroke groups. And 90˚ sitting position was high pulmonary function than supine position, 45˚ lean sitting position, Thus it indicates that the functions will be suggest the objective data of patients with strokes for respiratory function.

노인 여성의 신발 선호도와 착용 실태에 대한 연구

송창호 ( Chang Ho Song ),이종대 ( Jong Dae Lee ),권유정 ( Yoo Jung Kwon ),이전형 ( Jeon Hyeong Lee ),박진현 ( Jin Hyun Park ),송현남 ( Hyun Nam Song ),김경 ( Kyung Kim ) 대한물리의학회 2009 대한물리의학회지 Vol.4 No.2

Purpose:The purpose of this study was to investigate how much the type of footwear affects these preference and wearing conditions in older women. Methods:Two hundred eight women aged 60∼87 years were recruited from the elder`s College and welfare center in Daegu. Each subject performed questionnaire surveys. Chi-square(χ²) test was used to compare the outcome for differences of age, weight, height, heel height and footwear size. SPSS 12.0 program was used in this study. Results:The type of their possessive shoes were casual shoes (24.8%), running shoes (20.1%) and dress shoes (16%) etc, The type of their short-distance outdoor shoes were casual shoes (32.1%), running shoes (31.4%) etc. The type of their long-distance outdoor shoes were platform shoes (40.3%), dress shoes (31%) etc. Conclusion:The heel height of platform shoes had no relation with demographic factors (age, weight, height), but the size of platform shoes had relation with demographic factors such as age and height except for weight(p<0.05).

아기띠와 슬링 착용이 체간과 하지의 근활성 및 족저압에 미치는 영향

육군창 ( Goon Chang Yuk ),박래준 ( Rae Joon Park ),이현영 ( Hyun Young Lee ),이명희 ( Myoung Hee Lee ),이전형 ( Jeon Hyeong Lee ),국중석 ( Jung Seok Kuk ),장종성 ( Jong Sung Jang ) 대한물리의학회 2010 대한물리의학회지 Vol.5 No.2

Purpose:The Purpose of this study was to compare muscle activation and foot pressure on baby carrier and sling for baby care. Methods:Thirty one women subjects (mean age 23.2 years) participated in four static conditions: unloaded quite standing, carrying an anterior baby carrier, carrying a posterior baby carrier, and sling. The baby carrier and sling were loaded with baby model that filled 7.6kg loads. Surface electromyography was used to measure activity in the internal oblique, T4, L3, L5 paraspinal muscle, vastus medialis, biceps femoris, tibialis anterior, and gastrocnemius for four conditions. And foot pressure was measured by using MatScan system(Tekscan, USA). Results:The activation of Biceps femoris, T4, L3, and L5 paraspinal muscle were significant differences(p<.05), but other muscles were no significant differences in four conditions(p>.05). Right foot contact area and peak pressure of right mid foot area were significant differences in four conditions(p<.05). Conclusion:The results of this study indicate that the use of baby carrier of sling for baby care were influenced postural responses of young women. Further work is recommended to find out the influences of various assistive devices for baby care.