오십견 환자의 관절 가동 범위 회복과 통증 완화에 미치는 정적 신장 기법과 유지-이완 기법의 효과

함석찬,김인복,Hahm, Suk-Chan,Kim, In Bok 대한물리치료과학회 2012 대한물리치료과학회지 Vol.19 No.3

Background : Patients with frozen shoulder have pain and limited range of motion (ROM) at the affected shoulder. Shoulder pain of these patients usually decreases with recovery of range of motion. The aim of this study is to identify effects of static stretching and hold-relax on recovering ROM and reducing pain of patients with frozen shoulder. Methods : In this study, 15 patients with frozen shoulder who were only treated with physical therapy were recruited. Patients who received any surgical procedure or hydrotherapy were excluded. The subjects were divided randomly into 3 groups; control(n=5), static stretching(n=5) and hold-relax(n=5) groups. Patients were treated with stretching and the total number of treatments was 12 times. The ROM was measured at baseline, after fourth, eighth and final treatments. Shoulder pain and disability index(SPADI) scores were assessed before and after doing all treatments. Repeated measures ANOVA was used to analyze ROM change within each group. Changes of ROM between groups was analyzed by one way ANOVA followed by post hot analysis(Tukey's HSD). SPADI score within each group analyzed using Wilcoxon signed ranks test. A p-value<0.05 was considered statistically significant. Study Design : Repeated measures design. Result : There were significant differences of ROM in both treatment groups except internal rotation of static stretching group. ROM was significantly increased in treatment groups compared with control group, but the difference of ROM change between two treatment groups did not differ significantly. SPADI scores for treatment groups significantly decreased compared with pre-SPADI score. Conclusion : The result suggests that hold-relax can be more effective than static stretching to recover range of motion and alleviate shoulder pain on patients with frozen shoulder.

원시반사통합운동이 신경발달장애 아동의 앞쪽머리자세, 균형능력, 주의집중력에 미치는 효과 : 예비연구

정지웅 ( Ji-ung Jeong ),최한 ( Han Choi ),함석찬 ( Suk-chan Hahm ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.4

Purpose : Therapeutic exercise should improve the health outcomes of rehabilitation in children with neurodevelopmental disability. The purpose of this study was to investigate the feasibility of primitive reflex integration exercises on forward head posture, balance ability, and concentration in children with neurodevelopmental disability. Methods : This study included 10 children with neurodevelopmental disability. Primitive reflex integration exercises were performed for 40 minutes, twice a week for 8 weeks (16 sessions). The reflective markers were placed at the center of the shoulders and on the ears. A caliper was used to measure the distance between the attachments of the reflective markers to assess the forward head posture. Pediatric balance scale was used to quantify balance ability. Their abilities in terms of changeless sitting, looking at the teacher, putting children’s hands on their knees, and looking at immovable and movable objects, were assessed to quantify concentration. Results : There were significant improvements in forward head posture after the intervention (p=.005). Primitive reflex integration exercises significantly improved balance ability of children with neurodevelopmental disability (p=.027). There were also significant improvements in changeless sitting (p=.005), looking at the teacher (p=.004), putting children’s hands on their knees (p=.005), and looking at the immovable (p=.004) and movable (p=.004) objects. Conclusion : This study showed that primitive reflex integration exercises were a useful intervention to improve forward head posture, balance, and concentration in children with neurodevelopmental disability. Therefore, primitive reflex integration exercises may also promote and improve their general development. Further studies with appropriate sample size and control group are needed to conclude the effectiveness of primitive reflex integration exercises on improving posture, motor function, and concentration in children with neurodevelopmental disability.

저항성 운동과 그룹 운동을 병합한 프로그램이 뇌성마비 아동의 균형능력, 파악력 및 삶의 질에 미치는 영향

김성현 ( Sung-hyeon Kim ),신호진 ( Ho-jin Shin ),함석찬 ( Suk-chan Hahm ),박선욱 ( Sun-wook Park ),조휘영 ( Hwi-young Cho ),이민구 ( Min-goo Lee ) 대한물리의학회 2020 대한물리의학회지 Vol.15 No.4

PURPOSE: Cerebral palsy is a common cause of disability in children, requiring constant rehabilitation. Improving balance in children with cerebral palsy helps to alleviate daily movement and the quality of life. This study examines a program that combines Resistance Exercise and Group Exercise, and investigates the effect on trunk control ability, balance ability, maximum grip strength, and quality of life of children with cerebral palsy. METHODS: Totally, 9 children with cerebral palsy participated in this study. Resistance exercise was performed for 8 weeks, 40 minutes every day. Group Exercise was conducted for 8 weeks, 40 minutes each Sunday. All participants were evaluated by the Korean version of the trunk control measurement scale, pediatric reach test, grip strength test, and KIDSCREEN-52. RESULTS: The trunk control ability was significantly improved in all subcategories (p < .05). In the pediatric reach test, the left and right directions were significantly improved (p < .05). Maximum grip strength was significantly improved in both hands (p < .05). The quality of life significantly improved in total score, physical well-being, general moods, self-perception, autonomy, relationship with parents, and home life (p < .05). CONCLUSION: Considering the encouraging results, we propose to use Resistance Exercise and Group Exercise as programs other than rehabilitation treatment in hospitals, to improve motor function and quality of life of children with cerebral palsy.

황토를 부착한 이불 면 원단의 원적외선 방출량 및 생균의 분리 동정 연구

이구연 ( Ku Yeon Lee ),이형환 ( Hyung H. Lee ),함석찬 ( Suk Chan Hahm ) 한국자연치유학회 2019 Journal of Naturopathy Vol.8 No.2

목적: 특허 받은 황토 면 원단의 원적외선 방사율 및 면 원단을 20회까지 세탁을 하였을 때에 어떠한 미생물이 존재하는지를 조사하여 분리 동정하는 것이 목적이었다. 방법: 원적외선 방사능 측정기와 미생물을 영양배지에 배양하여 증식하는 단일 콜로니를 이용하여 16S rRNA법으로 동정하였다. 결과: 황토이불 면의 원적외선의 방사율은 40℃에서 5~20 μm에서 0.902(90.2%)이었고, 방사에너지는 3.63 × 10² w/㎡로 높게 나타났다. 황토 이불 면 원단에서 2.0 × 10² cells/ml의 생균수가 존재하였고, 그리고 일반 면 원단에서는 생균이 발견되지 않았다. 단일 콜로니로 분리된 B-2 균주의 16S rRNA의 염기서열은 1,419 bases이었고, A-4균주의 염기서열은 1,284 bases이었다. 이 두 균주의 16S rRNA의 염기서열은 Bacillus 속 세균들과 높은 상동성을 보이었다. B-2 균주는 B. aryabhattai EF114313의 16S rRNA 염기서열과 99.0% 그리고 A-4균주는 B. bingmayongensis AKCS01000011의 16S rRNA 염기서열과 99.0%의 높은 상동성이 나타났다. 상기의 결과들을 활용하여 16S rRNA을 이용하여 유연관계를 조사하여 콜로니 균주 B-2를 B. aryabhattai BJ-2 균주로, A-4를 B. bingmayongensis BJ-4 균주로 최종 동정하였다. 결론: 황토 이불 면 원단에서 두 종류의 간균을 발견하였고, 이불 면 원단이 높은 량의 원적외선 및 원적외선 방사에너지가 발산하므로 유용하게 이용될 수 있다고 본다. Purpose: The purpose of this study was to investigate the far-infrared emissivity of patented ocher quilt cot¬ton fabrics and to investigate the microorganisms that survived the washing of cotton fabrics up to 20 times. Methods: A 16S rRNA assay was performed using a far-infrared radiometer and a single colony in which microorganisms grew in nutri¬ent media. Results: The far-infrared emissivity of ocher quilt was 0.902 (90.2%) at 5~20 μm at 40℃, and the radiation energy was 3.63 × 10² w/㎡. The number of viable cells was 2.0 × 10² cells/ml in ocher duvet cotton fabric, and no viable bacteria found in regular cotton fabric. The base sequence of 16S rRNA of B-2 strain isolated into single colonies was 1,419 bases, and the base sequence of strain A-4 was 1,284 bases. The base sequence of 16S rRNA of these two strains showed high homology with Bacillus spp. The B-2 bacteria showed high homology with 99.0% of the 16S rRNA sequence of B. aryabhattai EF114313 and 99.0% of the A-4 bacteria of B. bingmayongensis AKCS01000011. Conse¬quently the colony strain B-2 finally identified as B. aryabhattai BJ-2 and A-4 as B. bingmayongensis BJ-4 strain. Con¬cusions: Soil Bacillus strains survived in ocher quilt cotton fabric after 20 washing. The material can be useful because quilt cotton fabric emits a large amount of far-infrared and far-infrared radiation energy.

Effects of Dual-task Exercise on Cognition, Mood, Depression, Functional Fitness, and Activities of Daily Living in the Elderly with Cognitive Impairment: A Single-blinded, Randomized Controlled Trial

Ji-Eun Baek(백지은),Sang-Jun Hyeon(현상준),May Kim(김매이),Hwi-young Cho(조휘영),Suk-Chan Hahm(함석찬) 대한인간공학회 2022 대한인간공학회 학술대회논문집 Vol.2022 No.10

산림치유 항노화 프로그램이 노인의 신체적 건강에 미치는 효과: 예비연구

백지은 ( Ji-eun Baek ),신호진 ( Ho-jin Shin ),김성현 ( Sung-hyeon Kim ),김재연 ( Jae Yeon Kim ),박수진 ( Sujin Park ),성시윤 ( Si-yoon Sung ),조휘영 ( Hwi-young Cho ),함석찬 ( Suk-chan Hahm ),이민구 ( Min-goo Lee ) 대한물리의학회 2021 대한물리의학회지 Vol.16 No.2

PURPOSE: Aging causes a decrease in muscle mass and a change in posture, which reduces motor function and makes it difficult to perform daily activities independently. As these factors are closely related to the deterioration of the quality of life, it is very important to prevent and manage negative changes in the musculoskeletal system. Forest healing is a nature therapy course that maintains and promotes health using various environmental factors in a forest. The purpose of this study was to identify the effects of the forest healing anti-aging programs on the physical health of the elderly. METHODS: Ten elderly people participated in this study, as part of a forest healing anti-aging program for two days. Functional fitness, muscle strength, gait function, and balance were evaluated before and after the program. RESULTS: The number of arm curls, chair stands, and steps in a 2-min walk significantly increased (p < .05). 8-feet up & go time was significantly decreased (p < .05). Biceps brachii, quadriceps femoris, and calf muscle strength were significantly increased (p < .05). Gait velocity and cadence were significantly increased (p < .05). Step length, stride length, step time, swing time, stance time, and cycle time were significantly decreased (p < .05). Reaching distance in the lateral directions was significantly increased (p < .05). CONCLUSION: The forest healing anti-aging program improves the physical health of the elderly.