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편마비 환자의 발목관절 전략 운동이균형 조절 능력에 미치는 영향
박기현 ( Ki Hyeon Park ),김원복 ( Won Bok Kim ) 대한물리의학회 2014 대한물리의학회지 Vol.9 No.1
PURPOSE: The PURPOSE of this study was to analyze the effect and examine the feasibility of an intervention of ankle strategy exercise on balance of patients with hemiplegia. METHODS: The subject were randomly allocated to three groups: ankle strategy exercise (group A), balance exercise (group B) and control (group C). Group A was received the conventional physical therapy plus ankle strategy exercises for 20 minutes in one session . Group B was received the same conventional physical therapy plus balance exercises for 20 minutes in one session. Two active groups were performed in the session 3 times a week, for a total of 6 weeks. and Group C was only received the same conventional physical therapy. Balance test was assessed using center of pressure (COP) in the anteroposterior (AP), mediolateral (ML) direction, Berg balance scale (BBS) and Timed Up and Go Test (TUG). RESULT: All groups showed improvements in balance parameters. In especial, the Group A was statistically significant differences in almost part evaluation items and showed more improvements in BBS and TUG parameters than Group B and Group C. and moving distance of M-L COP is more improvements than Group B. CONCLUSION: Ankle strategy exercises had more influence on balance than balance exercises and neurodevelopmental treatment.
순환식 과제 지향 운동이경증치매환자의 균형능력과 인지기능에미치는 영향
정은지 ( Eun Ji Jung ),김원복 ( Won Bok Kim ) 대한물리의학회 2014 대한물리의학회지 Vol.9 No.1
PURPOSE:The PURPOSE of this study was to investigate the effects of task oriented circuit exercise(TOCE) on the balance and cognition in mild dementia patients. METHODS:The subjects of the study were 3o patients with mild dementia and assigned to the TOCE(task oriented circuit exercise) group(n=15) and aerobic exercise(AE) group(n=15). TOCE group performed six task three times weekly for 12 weeks. AE group underwent the cycle ergometer and treadmill exercise three times a week during the experimental period respectively. Timed up and go test(TUG), Berg balance scale(BBS) and AP1153 Biorescue were used to assess the parameters for the balance. Korean-mimi mental state examination and Global deterioration scale(GDS) were used to assess the parameters for the cognition. For the statistical analysis, paired t-test and independent t-test were used to compare the differences among two groups. RESULTS:Each group showed improvement in balance and possibility improve on cognition. TOCE group especially, there were significant improvements in limit of stability. CONCLUSION:The RESULTS of the study suggest that TOCE is a more diverse exercise programs introduced in the study. Furthermore, TOCE can be a helpful to improve the balance and cognition in mild dementia patients.
김태호(Tae-Ho Kim),김원복(Won-Bok Kim) 대한심장호흡물리치료학회 2013 대한심장호흡물리치료학회지 Vol.1 No.1
Purpose : The purpose of this study was to identify the change of forced vital capacity on the ground and in the water in the normal adults. Method: Twenty healthy university students(men 10, women 10) participated in this study and they were measured forced vital capacity(FVC), forced expiratory volume at one second (FEV 1 ), a ratio for forced expiratory volume at one second on forced vital capacity(FEV 1 /FEV), forced expiratory flow of 25%~75% range(FEF25~75%), FEF25%, FEF50%, and peak expiratory flow(PEF) using the vital capacity device on the ground and in the water pool. The statistics was used paired t-test between the values on the ground and in the water. Results :The values of FVC and FEV 1 on the ground were significantly higher than in the water(p<.05). There were no difference in the parameters of FEV 1 /FEV, FEF25~75%, FEF25%, FEF50%, and PEF. Conclusion : The FVC and FEV 1 in the water can be affect for increasing pressure on the chest wall and abdomen as the hydrostatic pressure of the part in the water physical features. This study recommend that the physical therapist should be considered a depth of water in water pool depending on the function of lung and expiratory muscles when they treat patients for aquatic therapeutic exercise.
다른 앉은 자세가 뇌성마비 환자의 복횡근 두께와 앉기 균형에 미치는 영향
윤창교 ( Chang Kyo Yun ),김원복 ( Won Bok Kim ) 한국전문물리치료학회 2014 한국전문물리치료학회지 Vol.21 No.3
The purpose of this study was to investigate the activity of the transverse abdominal muscle resulting from changed posture by measuring the thickness of the transverse abdominal muscle in a supine posture, a slouched sitting posture, and an erect sitting posture. The subjects of the study were 28patients with cerebral palsy. All their transverse abdominal muscles at the end of inhalation were measured at supine, slouched sitting (S sitting) and erect sitting (E sitting) postures by using ultrasonography, and then their dynamic sitting balance was measured at S sitting and E sitting postures by using BioRescue. For the statistical analysis, the Kruskal-Wallis test and the Wilcoxon signed-rank test were used to compare the differences among each the postures. The results were asfollows. The thickness of the transverse abdominal muscle when comparing the supine posture and the S sitting posture showed no statistically significant difference. But the E sitting posture showed a statistically significant difference as compared with the others. In addition, the dynamic sitting balance in comparing the S sitting and E sitting postures showed a significant difference. In conclusion, the E sitting posture has a more positive effect on postural control and balance than generally taking the S sitting posture, for the sitting posture of a patient with cerebral palsy. It is suggested that patients with cerebral palsy mainly experiencing a sedentary life or being in a wheelchair should be seated in the E sitting posture during their daily life, and it may be necessary to continue to monitor and manage the proper E sitting posture.