노인의 신체활동 증가가 건강관련 삶의 질에 미치는 영향

임인혁,엄기매,김현숙,Lim, In-Hyuk,Um, Ki-Mai,Kim, Hyun-Sook 대한물리치료과학회 2006 대한물리치료과학회지 Vol.13 No.3

Despite well-known benefits of physical activity for older adults, most older adults remain significantly underactive. The purpose of this study was to examine the effects of an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors on physical activity & health-related quality of life outcomes in older adults. The physical activity promotion program guided participants to choose activities that took into account their health, preferences, and abilities. It offered information on ways for them to exercise safely, motivate themselves, overcome barriers, and develop a balanced exercise regimen. A six-month comparison-group trial was conducted with older adults in community senior center. Changes in self-reported physical activity & health-related quality of life(SF-36) by group & within group were evaluated using t-test. Of 30 subjects, 22(73%) completed the trial. Subjects were aged 63 to 75 years(mean=$68.36{\pm}4.02$); 86% were female. The intervention group increased estimated caloric expenditure by 1975 calories/week in moderate intensity activities(MET${\geq}3.0$; p=.008), and by 2312 calories/week in physical activities of any intensity(p=.005). Between-group analyses showed that the changes were significantly different in both measures(p=0.17; p=032). The intervention group also significantly better scores on general health perception(p=.031) & vitality(p=.002). Individually tailored programs to encourage lifestyle changes in seniors may be effective and applicable to health care and community settings.

흉곽출구 증후군의 평가 및 물리치료에 대한 고찰

임인혁,Lim, In-Hyuk 대한물리치료과학회 1999 대한물리치료과학회지 Vol.6 No.2

Thoracic outlet syndrome's chief symptom has numbness and tingling sensation of tharm, hand and fingers. In the morning, patient complain of pins and needles of the hands and weakness. TOS classified three categories : Anterior scalene syndrome, Claviculocostal syndrome, Pectoralis minor syndrome Physical therapy of the TOS is heat, massage for soft tissue, stretching exercise for scalene muscles and pectoralis minor muscles, and strengthening exercise for upper trapezius and levator scapular and neck muscles. A main problem of soft tissue is mechanical causes, so physical therapists have to solve that problem by mechanical manual methods.

일어서기 동작 시 시상면 골반 기울임이 엉덩관절과 무릎관절의 운동형상학에 미치는 영향

임인혁 ( In Hyuk Lim ),최보람 ( Bo Ram Choi ),김현숙 ( Hyun Sook Kim ) 한국전문물리치료학회 2011 한국전문물리치료학회지 Vol.18 No.3

Although there have been various studies related to the body`s movement from a sitting to a standing position (sit-to-stand task), there is limited information on the kinematic changes on the frontal and transverse planes. The purpose of this study was to ascertain how pelvic tilt affects kinematic changes in the frontal and transverse planes in the hip and knee joints during a sit-to-stand task. For this study, 33 healthy participants (13 female) were recruited. Each participant rose from a sitting to a standing posture at his or her preferred speed for each of three different pelvic tilt trials (anterior, posterior, and neutral), and the measured angles were analyzed using a 3-D motion analysis system. A one-way repeated measure analysis of variance was performed with Bonferroni`s post hoc test. In addition, an independent t-test was carried out to determine the sex differences in hip and knee joint kinematic changes during the sit-to-stand tasks. The results were as follows: 1) The hip and knee joint angle in the frontal and transverse planes showed a significant difference between the different pelvic tilt postures during sitting in the pre-buttock lift-off phase (pre-LO) (p<.05). Compared to the posterior pelvic tilt posture, the anterior pelvic tilt posture involved significantly greater hip joint adduction and internal rotation, knee joint adduction, and reduced internal rotation of the knee joint. 2) Sex differences were found with significant differences for males in the initial and maximal angles in the frontal plane of the hip and knee joint (p<.05). Females had a significantly smaller initial abduction angle of the hip joint and a significantly greater maximal angle of the hip adduction joint. These results suggest that selecting a sit-to-stand exercise for pelvic tilt posture should be considered to control abnormal movement in the lower extremities.

노인의 신체활동이 혈중지질에 미치는 영향

김현숙,엄기매,임인혁,Kim, Hyun-Sook,Um, Ki-Mai,Lim, In-Hyuk 대한물리치료과학회 2006 대한물리치료과학회지 Vol.13 No.3

Despite well-known benefits of physical activity for older adults, most older adults remain significantly underactive. The purpose of this study was to examine the effects of a physical activity on blood cholesterol in older adults with an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors. A six-month comparison-group trial was conducted with 14 older adults(experimental group = 8, control group = 6) in community senior center. Changes in self-reported physical activity and blood cholesterol were evaluated using paired t-test. The intervention group increased estimated caloric expenditure by 858 calories/week in physical activities of any intensity (p=.050), total cholesterol(p=0.049), high density lipoprotein cholesterol(p=0.045). Control group changes were also negligible. The program led to meaningful physical activity increase. Individually tailored programs to encourage lifestyle changes in seniors may be effective and applicable to health care and community settings.

흰 쥐의 선상 절개 창상모델에서 저출력 레이저 자극이 조직 염증반응에 미치는 영향

임인혁,이정원,김현숙 한국전문물리치료학회 2003 한국전문물리치료학회지 Vol.10 No.2

The purposes of this study was to evaluate the effect of low power GaAsAl laser on tissue contraction in a linear incision wound on rat skin. The linear incision wound was made on the midline of the backside in the experimental animals. Low power laser applications with different intensities such as 3, 6, or 10 mW were applied to the experimental animals twice a day for 10 days. On either the seventh or tenth postoperative day, the quantitative analysis of the inflammatory reaction surrounding the linear incision wounds on the rats were performed using enzymatical analysis of myeloperoxidase (MPO) activity. The number of neutrophil was .07-1.0 × 106/㎖ from a normal blood sample that was obtained from the normal experimental animals. Each concentration of neutrophil showed .04-.62 unit activity of MPO. Therefore the unit activity of MPO per neutrophil was .57±.014 × 10-6 unit. On the 7th and 10th post operative day, non treated tissues demonstrated increased MPO activity as compared to that of normal tissue. These data indicated that the inflammatory reaction of tissue was induced after wound induction and the MPO activity were increased in the inflammed tissues. While both 3 mW or 6 mW intensity of laser treatments did not affect the tissue MPO activity, 10 mW intensity of laser treatment significantly decreased the tissue MPO activity on the 7th and 10th post operative day. These data demonstrated that only 10 mW intensity of laser treatment successfully suppressed tissue inflammatory reaction after wound induction. In conclusion, these findings suggested that 10 mW of GaAlAs laser treatments effectively suppressed the inflammatory reaction of tissue that was induced during the wound healing process.

뇌성마비 아동의 호흡운동후 폐활량에 대한 조사

임인혁 최신의학사 1995 最新醫學 Vol.38 No.10