무릎 골관절염 노인을 위한 재활운동프로그램의 근력 및 통증에 미치는 효과

임재길,전미경,Lim, Chae-Gil,Jun, Mi-Kyoung 대한물리치료학회 2006 대한물리치료학회지 Vol.18 No.6

Purpose: This study was to investigate the effects of rehabilitation exercise program on the muscle strength and pain in elderly with knee osetoarthritis. The progressive rehabilitation program included flexibility, strength, endurance, and active range of motion exercise and functional activities. Methods: Nineteen subjects with osteoarthritis of the knees randomized to exercise group(n=10) or control group(n=9), but fourteen subjects completed the trial with an adherence of 70% to the intervention and 77% to the control. The knee pain with VAS and quadriceps strength were evaluated at pre- and post-intervention. Results: The data were analysed with the two-way repeated ANOVA and paired t-test. The pain and quadriceps muscle strength had no difference among the groups and times. Within experimental group, pain was significantly decrease and quadriceps muscle strength significantly increased between pre and post intervention, while the control group showed no changes. Conclusion: Rehabilitation exercise program for knee osteoarthirits appear to be effective in knee pain and quadriceps muscle strength.

스프린터와 스케이터를 이용한 고유수용성촉진법 패턴 운동이 뇌졸중 환자의 균형 및 보행 기능에 미치는 효과

임재길,Lim, Chae-Gil 대한물리치료학회 2014 대한물리치료학회지 Vol.26 No.4

Purpose: The aim of this study was to assess the effects of proprioceptive neuromuscular facilitation (PNF) pattern exercise using sprinter and skater on balance and gait in the stroke patients. Methods: Twenty-two subjects were randomly assigned to the experimental group (n=11) and the control group (n=11). The experimental group performed PNF pattern exercise using sprinter and skater for 15 minutes with conventional physical therapy for 35 minutes (matt and gait training for 15 minutes + FES stimulation for 20 minutes), while the control group performed only conventional physical therapy for 50 minutes (matt and gait training for 30 minutes + FES stimulation for 20 minutes). Both groups performed therapeutic interventions for five days per week, for a period of four weeks. Functional Reach Test (FRT) and Berg Balance Scale (BBS) were used for assessment of balance, and Timed-Up and Go test (TUG) was used for testing of gait. Results: The experimental group showed significant improvements in the FRT and the BBS, while the control group did not show significant changes in two measurements. The experimental group also showed significant improvements, however, the control group did not show significant changes in the TUG. In post-values of three measurements, significant differences were observed between the two groups (p<0.05). Conclusion: This study demonstrated that PNF pattern exercise using sprinter and skater may be used to improve balance and gait function in stroke patients. Thus, we suggested that PNF pattern exercise using sprinter and skater would be a therapeutic intervention in stroke rehabilitation.

치매환자의 균형반응과 신체활동에 관한 연구

임재길(Lim, Chae-Gil),이강성(Lee, Gang-Seong) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.11

본 연구는 30명의 치매환자를 대상으로 균형반응 특성을 알아보고자 다음과 같이 실시하였다. 인지기능이 중등도와 중도인 환자로 나누어 인지 기능에 따른 균형과 감각상호작용(CTSIB), 균형수행력(BBS), 일상생활동작(BI) 의 상관관계를 각각 측정하였다. 그 결과 치매환자의 균형과 감각상호작용(CTSIB)은 두 그룹 간에 유의한 차이가 없 었다. 중등도와 중도의 치매환자에서 균형수행력(BBS)은 중등도 47.32±4.80점, 중도 43.09±4.18점으로 통계학적으로 유의한 차이가 있었으며(p<0.05), 일상생활동작에서도 중등도 92.89±9.33점, 중도 76.82±6.81점으로 통계학적으로 유의 한 차이가 있었다(p<0.05). 치매환자의 인지기능, 균형수행력, 일상생활동작도 통계학적으로 유의한 상관관계가 있었다 (p<0.05, p<0.01). 따라서 향후 치매환자를 위한 재활프로그램 개발이나 치매환자의 보호관리 시 기초자료로 이용 될 수 있을 것으로 생각된다. The purpose of this study was to investigate the balance reaction characteristics of dementia patients. Under the object of 30 dementia patients, they were divided into moderate group and severe group and examined the correlation among Clinical test of sensory interaction and balance(CTSIB), Berg balance scale(BBS) and Bathel index(BI) according to perceptional function. As a result, CTSIB was no significant difference between severe group and very severe group and BBS was significant difference between severe group (47.32±4.80) and very severe group (43.09±4.18)(p<0.05) and BI was significant difference between severe group (92.89±9.33) and very severe group (76.82±6.81)(p<0.05) and significant correlation among perceptional function, BBS and BI(p<0.05, p<0.01). Therefore, these results should be used the base data of developing rehabilitation program or protection management for dementia patients.

만성요통환자의 호흡패턴이상과 통증과의 상관관계

임재길(Chae-Gil Lim) 한국엔터테인먼트산업학회 2020 한국엔터테인먼트산업학회논문지 Vol.14 No.4

이 연구는 만성요통환자의 호흡패턴이상과 통증관의 상관관계를 알아보기 위해 실시하였다. 104명의 만성요통환자의 날숨끝 이산화탄소농도(EtCO₂)와 호흡률을 카프노그래프를 통해 측정하였고, 호흡유지시간과 Nijmegen Questionnaire, 가슴우리 움직임거리, 시각적사상척도를 추가로 평가하였다. Pearson’s 검사로 상관관계를 분석하였으며, 결과는 EtCO₂와 BHT, 가슴우리 움직임거리에서 통계적으로 유의한 상관관계를 보였으며(r=.302, r=.281)(p<.01), RR과 VAS에서 낮은 음의 상관관계(r=-.253,-.200)(p <.05)를 보였다. RR과 NQ에서도 유의한 상관관계를 보였으며 (r=.237)(p<.05). 가슴우리 움직임거리와 VAS사이에서는 낮은 음의 상관관계를 보였다(r=-.370)(p<.01). 가슴 호흡과 가로막호흡 사이의 EtCO₂, RR, BHT, 가슴우리 움직임거리, 그리고 VAS에서 통계적으로 유의한차이가 있었으며(p<.05), NQ에서는 유의한 차이가 없었다(p>.05). 만성요통환자의 EtCO₂, BHT, 가슴우리움직임거리, RR, 그리고 VAS 사이에는 상관관계가 있었다. 또한, RR과 NQ, 흉부 소풍과 VAS 사이에는 상관관계를 보였다. 결과적으로 호흡패턴이상과 통증 사이에는 밀접한 관계가 있었으며, 가슴호흡과 가로막호흡의 비교에서 EtCO₂, RR, BHT, 가슴우리 움직임거리 및 VAS에서 유의한 차이가 있었다. 이것은 만성요통환자의 재활 및 통증 관리에서 호흡패턴중재가 기초자료로 사용될 수 있을 것으로 사료된다. To investigate the relationship between breathing pattern disorder and pain in patients with chronic low back pain(CLBP). One hundred four patients were measured the End-tidal CO₂(EtCO₂) and respiration rate(RR) using capnography. Also, The Breathing-hold time(BHT), Nijmegen Questionnaire(NQ), and Thoracic excursion examinated. There was a significant correlation between EtCO₂ and BHT, thoracic excursion(r=.302, r=.281)(p<.01), and a low negative correlation with RR, VAS(r=-.253, -200)(p<.05). There was a significant correlation between NQ and RR(r=.237)(p<.05). There was a low correlation between thoracic excursion and VAS(r=-.370)(p<.01). There was a significant difference in the EtCO₂, RR, BHT, thoracic excursion, and VAS between the thoracic and diaphragm breathing pattern(p<.05). There were no significant differences in the NQ(p>.05). There was a correlation between EtCO₂ and BHT, thoracic excursion, RR, VAS in patients with CLBP. In addition, There was a correlation between RR and NQ, thoracic excursion, and VAS. As a result, it was found that there is a close relationship between breathing pattern disorder and pain. There was a significant difference in the EtCO₂ level, RR, BHT, thoracic excursion and VAS value in the comparison of thoracic breathing pattern and diaphragm breathing pattern. This is a meaningful result of suggesting a breathing pattern treatment approach in the rehabilitation and pain management of chronic low back pain patients in clinical practice.

관절가동술과 깔창적용이 엉치엉덩관절통증환자의 통증과 골반경사각, 족저압에 미치는 효과: 무작위배정예비임상시험

임재길(Chae-Gil Lim) 한국엔터테인먼트산업학회 2020 한국엔터테인먼트산업학회논문지 Vol.14 No.3

이 연구는 엉치엉덩관절 통증환자에게 관절가동술, 깔창착용 보행훈련, 그리고 관절가동술과 깔창착용 보행훈련 중재를 실시하고 환자의 통증, 골반 각 및 족저압에 대한 효과를 비교하였다. 무작위로 24명의 대상자를 관절가동술군(n=8), 깔창착용보행훈련군(n=8) 또는 관절가동술과 깔창착용보행훈련군(n=8)으로 배정하여, 하루에 30분씩, 일주일에 2번씩 4주 동안 중재하였다. VAS를 사용하여 통증을 평가하고 골반 각도를 Palpation Meter 사용하여 측정하였고, 족저압 (전 / 후비)을 Gateview AFA-50을 사용하여 측정하였다. 모든 측정은 중전·중재 4주 후에 실시하였다. 모든 그룹은 그룹 내 전·후 비교에서 유의한 통증감소를 보였다(p<.01). 골반 각도에서 관절가동술군은 전방 기울기에서만 통계적으로 개선되었고, 관절가동술과 깔창착용 보해훈련군은 앞쪽 및 뒷쪽기울임 모두에서 통계적으로 유의미한 개선을 보였으며(p<.01), 깔창착용 보행훈련군은 통계적으로 유의한 변화가 없었다(p>.05). 또한 관절가동술과 깔창착용 보행훈련군은 족저압에서 유의한 차이를 나타냈다(p<.01). 모든 중재는 엉치엉덩관절 통증환자의 통증개선에 효과가 있었으며, 관절가동술과함께 깔창착용 보행훈련을 한 군이 골반각도와 족저압에 가장 효과적이었다. 이 연구는 엉치엉덩관절통증이 있는 환자뿐만 아니라 만성 허리통증 및 족저압 입력 문제가 있는 환자의 부상 예방, 자세교정, 그리고 보행훈련을 위한 기초자료가 될 것으로 사료된다. This study was to compare the effects of joint mobilization, treadmill with insole, and joint mobilization and treadmill with insole on pain, pelvic angle, and foot pressure in patients with sacroiliac joint pain. 24 patients randomly assigned to joint mobilization group(n=8), treadmill with insole group(n=8), or joint mobilization and treadmill with insole group(n=8). Each groups were conducted 30 minutes a day, two days a week for four weeks. Pain was evaluated using visual analogue scale and pelvic angle was measured using palpation meter and foot pressure(fore/rear ratio) was measured using Gateview AFA-50 before intervention and after 4 weeks. All groups were significant differences pain in intragroup(p<.01). In pelvic angle, the joint mobilization group was statistically significant in the anterior tilt only, the joint mobilization and treadmill with insole group showed statistically significant improvement in both anterior and posterior tilt(p<.01), and the treadmill with insole group did not show any statistically significant change(p>.05). Also the joint mobilization and treadmill with insole group were significant differences in foot pressure(p<.01). All the interventions reduce sacroiliac joint pain and joint mobilization and treadmill with insole training are most effective changes in pelvic angle and foot pressure. This study can be used as a basic data for prevention of injury, posture correction and gait training in patients with sacroiliac joint pain, as well as chronic low back pain and plantar pressure problem.

체간 안정화 운동 후 경직형 양하지 뇌성마비 아동의 정적, 동적 족저압의 변화

염주노,임재길,Yeom, Ju-No,Lim, Chae-Gil 대한물리치료학회 2014 대한물리치료학회지 Vol.26 No.4

Purpose: The aim of this study was to determine the change of static and dynamic foot pressure on trunk stabilization exercise in children with spastic diplegic cerebral palsy. Methods: This study examined five male children participants ages 10~14 years old with spastic diplegic cerebral palsy. All subjects participated in a 6-week sling exercise program for trunk stabilization; the exercise was performed three times per week and each session lasted 50 minutes. The subjects were measured for static and dynamic foot pressure and bilateral symmetry of both feet before and after the trunk stabilization exercise. Results: The static foot pressure increased significantly before and after the trunk stabilization exercise (left foot: before $0.41{\pm}0.02%BW/cm^2$ after $0.79{\pm}0.02%BW/cm^2$, right foot: before $0.14{\pm}0.03%BW/cm^2$, after $0.43{\pm}0.44%BW/cm^2$) (p<0.05) and bilateral symmetry of both feet increased (before $0.27{\pm}0.18%BW/cm^2$, after $0.37{\pm}0.05%BW/cm^2$) with more weight shift on left foot than right foot, but was not statistically significant (p>0.05). The dynamic foot pressure increased (left foot: before $2.58{\pm}0.44%BW/cm^2$, after $3.40{\pm}0.31%BW/cm^2$, right foot: before $2.75{\pm}0.19%BW/cm^2$, after $3.26{\pm}0.18%BW/cm^2$) with more weight shift on right foot than left foot, but was not statistically significant (p>0.05), and bilateral symmetry of both feet decreased (before $0.31{\pm}0.36%BW/cm^2$, after $0.13{\pm}0.20%BW/cm^2$) (p<0.05). Conclusion: The findings of this study indicated that the trunk stabilization exercise has a positive impact on static and dynamic foot pressure in children with spastic diplegic cerebral palsy.

노인의 발목 근력과 관절가동범위가 정적 균형능력에 미치는 영향

임종민(Lim, Jong-Min),최원호(Choi, Won-Ho),임재길(Lim, Chae-gil) 한국체육과학회 2012 한국체육과학회지 Vol.21 No.4

The purpose of this study is to provide the basic data when clinician assess the patient who have balance disability by knowing effects of ankle strength and range of motion on static balance capacity of the elderly. The thirty subjects who voluntarily participated in this study were over 65 years old elderly, and this study was progressed by cross-sectional study design. Physical therapist who have many experiences conducted dominant ankle muscle strength, dominant ankle range of motion, and static balance capacity by assessing displacement of center of pressure (COP) on medic-lateral (X-axis), and anterio-posterior direction (Y-axis) in the elderly. After final screening test, the study results of twenty-two subjects are below. First, there was no significant correlation between ankle dorsiflexor, plantar flexor, evertor, invertor and COPX, COPY displacement on eyes opened condition(p>.05). Also, there was no significant correlation between range of motion of ankle dorsiflexor, plantar flexor, evertor, invertor and COPX, COPY displacement on eyes opened condition (p>.05). Second, there was significant negative correlation between ankle dorsiflexor (r=-.438, p<0.05), invertor (r=-.434, p<.05) and COPY displacement on eyes closed condition, it means that increased strength of ankle dorsiflexor and invertor leads to decreased COPY displacement. However, there was no significant correlation between range of motion of ankle dorsiflexor, plantar flexor, evertor, invertor and COPX, COPY displacement on eyes closed condition (p>.05). Through the results of this study, we found that there is significant negative correlation between ankle dorsiflexor, invertor strength and COPY displacement on eyes closed condition, it means that increased strength of ankle dorsiflexor and invertor leads to decreased COPY displacement. Therefore, the ankle strength especially dorsiflexor, invertor are important part for static balance capacity on eyes closed condition. In conclusion, strengthening exercise on ankle muscles strength would be an effective intervention for the over 65 years elderly who have balance disability.

아급성 편마비환자의 어깨관절 Scapular Taping적용이 근 활성도와 통증, 관절가동범위 및 고유수용성감각에 미치는 영향

이재남(Lee, Jae-Nam),임재길(Lim, Chae-Gil) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.11

본 연구는 뇌졸중으로 인한 아급성 편마비 환자의 견관절 거상 시 scapular taping 적용이 견갑골 상방 회전 근과 전 삼각근의 근 활성도와 통증, 관절가동범위, 그리고 고유수용성감각에 미치는 영향을 알아보기 위하여 실시하 였다. 28명을 대상으로 실험군과 대조군으로 나눠 테이핑 전과 후의 상승모근, 하승모근, 전거근 그리고 전 삼각근의 근 활 성도를 측정하였다. 그리고 견관절 관절가동범위와 통증, 고유수용성 감각을 측정하였다. 실험결과 근 활성도는 하승 모근과 전거근에서 scapular taping 적용 시 유의하게 증가하였으며(p<0.05), 관절가동범위는 유의한 차이가 있었다 (p<0.05). 그러나 통증과 고유수용성 감각은 유의한 차이가 없었다(p>0.05). 본 연구 결과 견관절을 거상하는 동안 아 급성편마비 환자들에게 적용한 scapular taping은 견갑골 상방회전근의 근 활성도를 증가시키고 관절가동범위를 증가 시키는데 부가적인 치료 방법으로 활용될 수 있을 것이다. The purpose of this study was to determine the effects of scapular taping on muscle activities of the scapular rotators and anterior deltoid, ROM, shoulder pain, proprioception in subacute stroke patients. Twenty-eight patients were randomly assigned to an experimental and control groups of fourteen patients respectively. Muscle activity of upper and lower trapezius, serratus anterior, anterior deltoid was measured using surface electromyography. Visual analog scale was used for shoulder pain. Electro-Goniometry was used for shoulder elevation ROM. Assessment board was used for shoulder elevation proprioception. The muscle activity of the lower trapezius and serratus anterior increased significantly after scapular tape application (p<0.05). The AROM and PROM in the shoulder elevation significantly increased after scapular tape application (p<0.05). The VAS in the shoulder no significantly decreased after scapular tape application (p>0.05). The proprioception in the shoulder no significantly increased after scapular tape application (p>0.05). The results of this study suggest that scapular taping can be used an additional therapy for increasing muscle activity of lower trapezius and serratus anterior and ROM during shoulder elevation in subacute stroke patients.

여성 노인의 우울척도 수준이 체력과 균형 및 낙상효능 척도에 미치는 영향

이석주(Lee, Suk-Joo),임재길(Lim, Chae-Gil) 한국체육과학회 2014 한국체육과학회지 Vol.23 No.3

The aim of this study was to investigate the effects of Geriatrics Depression Scale (GDS) on Senior Fitness (SF), balance, and the Modified Falls Efficacy Scale (M-FES) for community-dwelling elderly women. This study was performed by using a cross-sectional research design and composed of based on single group research methods. Twenty-nine subjects participated in this study, who are over 65 years elderly women living in the community. In order to evaluate the elderly women`s depression level, GDS assessment was performed first. To assess the physical fitness level, SF assessment was performed secondly. Finally, to evaluate elderly women`s balance and falls efficacy, both Timed Up-and-Go (TUG) test and M-FES were performed. Among depression level, fitness, balance, and falls efficacy scale of correlation analysis results are as follows. First, on result of correlation analysis and regression analysis, each significant negative correlation and significant regression results were founded between GDS and M-FES (p<.0.05). Second, significant results were not founded between GDS and each 30 seconds chair-stand test, Arm curl test, 2 minutes step test, and TUG test (p>.05). In this study, significant negative correlation was founded between GDS and M-FES. Higher levels of depression may be low levels of falls efficacy, thus there is need to apply proper exercise program to improve falls efficacy in elderly women.

복합운동이 퇴행성 슬관절염 노인환자의 통증과 근활성도에 미치는 영향

이선주(Lee, Sun-Ju),최원호(Choi, Won-Ho),임재길(Lim, Chae-Gil) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.4

본 연구는 퇴행성 슬관절염을 가진 노인 환자에게 복합운동 프로그램을 적용하여 통증과 근활성도에 미치는 영향을 알아보고자 하였다. B병원에 입원한 환자 중 퇴행성 슬관절염 진단을 받은 노인 환자 23명을 대상으로 운동 군(n=12)과 통제군(n=11)으로 나누어 두 집단 모두 온열 및 전기치료를 포함한 물리치료를 40분간, 주 3회, 10주간 실시하였고, 운동군에는 추가로 복합운동 프로그램을 주 3회, 40분간, 10주간 적용하였으며, 훈련 전과 후의 VAS와 근활성도를 측정하였다. 실험(10주)후의 결과는 다음과 같이 나타났다. 첫째, 운동군과 통제군 모두에서 실험전보다 실험 후에 통증에 유의한 차이를 보였다(p<0.05). 하지만, 두 군 간의 유의한 차이는 없었다(p>0.05). 둘째, 운동군에서 실험전보다 실험 후에 근활성도에 유의한 차이를 보였고(p<0.05), 운동군과 통제군 사이에서도 유의한 차이가 있었다 (p<0.05). 본 연구 결과를 통하여 퇴행성 슬관절염을 가진 노인 환자에게 복합운동 프로그램이 통증과 근활성도에 효 과가 있는 것으로 나타났다. 향후 퇴행성 슬관절염 환자에게 복합운동뿐만 아니라 유산소운동, 저항성 운동프로그램 등을 접목시켜 노인환자들이 손쉽게 할 수 있는 흥미로운 프로그램을 만들어 노인들의 삶의 질을 높일 수 있는 프로 그램에 대한 연구가 계속 이루어져야 할 것이다. This research is performed for the elderly patients who have knee osteoarthritis joint and who are applied to complex exercise program to know that how the complex exercise affects on pain and muscle activation. This research is tested 23 elderly patients who have knee osteoarthritis in hospital B. It divided into exercise group(n=12) and control group(n=11), by doing general physical therapy for each case three times a week, 40 minutes, among 10 weeks and measured before and after VAS and muscle activation. For the case exercise group, supplementally, applied to complex exercise program three times a week, 40 minutes, among 10 weeks and also measured before and after VAS and muscle activation. After the test is performed in 10 weeks, the results of this test are as follows. First, both exercise group and control group, they have more in pain after experiment rather than before, respectively(p<0.05). but There was no significant statistical difference between two groups(p>0.05). Second, exercise group have in muscle activation after experiment rather than before(p<0.05). and There was significant statistical difference between two groups(p<0.05). The test is implied that if the people who has knee osteoarthritis wants to get more good effects with complex exercise, they should get more opportunities to complex exercise. as well as fitness, resistance exercise and grafted to the easily create an exciting program to improve the quality of life of seniors in the program will be studied in future study.