초등학생의 신체능력 증진을 위한 운동지침 컴퓨터 프로그램 개발

안양옥,박동일,이병근 한국운동과학회 2002 운동과학 Vol.11 No.1

안양옥, 박동일, 이병근. 초등학생의 신체능력 증진을 위한 운동지침 컴퓨터 프로그램 개발. 운동과학, 제11권 제1호, 233-245, 2000. 본 연구에서는 초등학교 제5, 6학년 아동을 대상으로 체질검사, 체격검사, 체력검사 자료를 이용하여 신체능력 증진을 위한 운동지침 프로그램을 Visual Basic 5.0과 Crystal Report 7.0을 이용하여 개발하였다. 프로그램 개발과정은 프로그램 계획, 프로그램 설계 및 프로그램 개발의 3단계로 진행하였다. 체질검사, 체격검사 및 체력검사 등의 신체검사자료를 이용하여 운동지침을 제공하는 프로그램을 개발하였다. 운동지침 프로그램은 근력·근지구력, 심폐지구력, 유연성, 민첩성, 순발력 등의 체력 등급에 따라 다양한 운동종목을 제시해주고 운동강도, 운동시간, 운동빈도 등을 제시해 주는 프로그램이다. 그리고 학부모와 어린이에게 운동지침을 제시해 주기 위한 결과물을 출력하도록 하였다. 신체능력 증진 컴퓨터 프로그램은 Project File, Form File, Module, 기타 그림파일, D/B 파일, 사용자 암호파일, Report File의 7분야의 약 20여 개의 파일로 구성된다. 이들 파일을 실행하기 위해 컴파일 하면 기능에 따라 4가지 파일로 변형되어 실행된다. 본 프로그램이 건강기록부 프로그램과 호환을 이루고, 초·중·고등학생 자료를 연계하도록 하고, 운동지칭 프로그램을 다양하게 구성하도록 기능을 향상시켜 나가면 학교 현장에서 유용한 프로그램으로 활용될 것이다. Ahn, Y.O., Park, D.I., Lee, B.K. Exercise Guideline Computer Program Development for the Physical Capacity Improvement of Elementary School Children. Exercise Science, 11(1): 233-245, 2002. The purpose of this study is to propose the exercise guideline program used the data of physical constitution, physique and physical fitness test for elementary school students, and to use the programs for effective managing of the physical capacity. The subject were elementary school 5 and 6 grade. This study was carried out from 1999 September to 2000 March. The program was made by Visual basic 6.0 and Crystal report 7.0 for Window 95/98/ME. The development process were divided 3 stage; planning, design and development. The exercise guideline program were developed used by physical test data, The physical test data were included the physical constitution test(5 items), physique(5 items) and physical fitness test(5 items). The exercise guideline program is provide exercise item according to the fitness level of muscle power, cardiovascular endurance, flexibility, speed and the guide about the intensity, frequency, duration of exercise. The Physical Capacity Improvement Program were included 7 arear project file, form file, module, graphic file, D/B file, user password file, Report File. These files were operated after the compile. This program can print the output about the exercise guideline program. The exercise guide report are printed out from the guideline program. The reports was proposed the item, intensity, duration and the frequency of exercise. This program would be useful thing on elementary school students by the elevation of functions about the exercise guideline program, and the effective exchange with the health reports program, and the connection among the data of elementary, middle and high school students.

재활 운동프로그램을 통한 요통환자들의 근력과 통증 변화에 미치는 영향

박종성,이영섭,유영규 명지대학교 예체능연구소 2003 藝體能論集 Vol.14 No.-

This study set out to Investigate what kind of changes there were in the muscular strength, pain and distress of life in patients with low back pain(operated patients, non-operated patients) after applying an exercise program for eight weeks, as well as to test the effects of the rehabilitation exercise program in each group of operated and non-operated patients. The subjects were 23 for the operated group(male· 10, female 13) and 22 for the non-operated group(male· 10, female: 12). They were administered with a lumbar extension exercise two times a week. The intensity of the exercise was set at 50% of 1RM, the aerobic exercise at 40-70% and the resistance exercise at 40-80% in two or three sets. The intensity was gradually Increased Before and after applying the exercise program, the subjects were measured in terms of muscular strength for lumbar extension, the degree of pain, and distress of life. The collected data was treated using SPSS/PC V.100. The paired t-test was applied to the changes of each group by the period of the exercise program and to the differences according to the period of treatment for each item measured. The previous examination went through the analysis of covariance, and the acceptance criterion(α) was set at P <05 for the hypothesis. The changes in the muscular strength, pain and distress of life by the exercise program were as follows: The group of operated patients had statistically significant differences (p<01) in the changes of the muscular strength for lumbar extension and the muscular strength for each isometric torque after applying the exercise program. The case was true for both men and women. In the muscular strength ratio for lumbar extension and isometric torque, the men(p<5) and the Women patients (p<1) all showed statistically significant differences, which was also true in the changes of distress of life and pain with the men of p<1 and the women of p<01. The group of non-operated patients had statistically significant differences (p<01) for both men and women in the changes of the muscular strength for lumbar extension and the muscular strength for each isometric torque after applying the exercise program. While the men patients didn't show any statistically significant difference (p<5) in the muscular strength ratio for lumbar extension and isometric torque, the women did (p<1). Both men and women patients in the group had statistically significant differences (p<01) in the changes of distress of life and pain. The changes that happened after applying the exercise program were compared between the two groups of operated patients and non-operated ones. There were no statistically significant differences(p<5) found in the changes of the muscular strength for lumbar extension between the men of the two groups, but the women showed statistically significant differences(p<5) at 0˚and 72˚between the two groups. And there were no statistically significant differences(p<5) in the changes of the muscular strength ratio for lumbar extension and isometric torque, distress of life, and pain between the two groups. Based on the results, after applying the exercise program, both the operated group and the non-operated group significantly increased in the muscular strength for lumbar extension and statistically decreased in pain and distress of life. It is necessary that an exercise program should be provided in diverse ways to treat patients with low back pain in addition to stability, rest, medical therapy, psychotherapy, physical therapy, and operations. In particular, operated patients should be able to have an access to an exercise program that reflects their conditions such as the psychological burden for an operation, remaining pain, and the risk of recurrence due to muscular atrophy. And for non-operated patients, an active and positive exercise program should be provided to improve their muscular strength and to relieve them of pain. It was concluded that the exercise program was effective and made a contribution to improving the muscular strength and reducing distress of life and pain for both the operated patients and the non-operated ones. In the future, a focus needs to be made on developing and applying an appropriate exercise program that can set the intensity, frequency and period of exercise taking into account many elements like the cause and symptoms of low back pain and the patient's characteristics.

성인남성의 저항성 운동프로그램에 따른 슬관절 근기능 비교연구

문성훈 ( Moon Seong-hun ),권봉안 ( Kwon Bong-an ) 한국체육대학교 체육과학연구소 2017 스포츠사이언스 Vol.34 No.2

본 연구는 성인남성에게 8주간 근 수축 유형별 운동프로그램을 실시하여 슬관절 등속성 근력, 근파워, 근지구력을 전·후 비교하여 알아봄으로써 등장성 운동과 등척성 운동의 특이점을 확인하고 운동프로그램에 있어서 성인남성에게 보다 효과적인 운동방법을 검증하는데 목적이 있다. 연구 대상자는 서울시 N구에 거주하며 휘트니스 센터에 등록되어 있는 회원 중 1개월 미만으로 운동을 하고 있는 20~25세의 성인남성 14명을 대상으로 하였으며, 등장성 운동프로그램에 참여하는 집단 7명과 등척성 운동프로그램에 참여하는 집단 7명을 나누어 실시하였다. 등속성 측정기기를 사용하여 슬관절을 중심으로 대퇴사두근과 햄스트링근의 Peak Torque(%BW)의 근력, 근파워, 근지구력을 사전·사후로 측정하였다. 본 연구를 위하여 저항성 트레이닝 운동프로그램을 구성하였으며 현재 ○○○트레이닝 센터에서 사용되는 GX(Group Exercise)프로그램 중 하체 강화 프로그램의 일부를 사용하였다. 준비운동과 본 운동, 정리운동으로 구성하여 주 3회, 회당 30분씩 총 8주를 실시하였다. 운동 강도는 1RM의 60%의 중강도로 실시하였으며 Isotonic집단은 set당 30초간 등장성반복운동을 실시하였으며, Isometric집단에게는 set당 30초간 등척성 반복운동 및 동작 당 근 수축 시 6초간 유지하는 운동으로 분류하여 종목 당 3set 반복훈련을 실시하였다. 자료처리는 SPSS V22.0Window 통계프로그램을 이용하여 각 변인들의 기초통계량인 평균(mean) 및 표준편차(SD)를 산출하였다. 슬관절 근기능에 따른 두 집단 간의 체중 당 Peak torque 평균 차이의 유성을 비교하기 위해서 반복측정 분산분석(Repeated measure ANOVA)을 이용하여 검증하였다. 운동 시기와 집단 간의 상호작용에서 유의한 차이(p<.05)가 있을 경우 Paired t-test를 사용하여 변화에 대한 차이를 검증하였으며 연구 결과는 다음과 같다. 첫째, 성인남성의 집단 간 근수축 유형별 운동프로그램으로 성인남성의 슬관절 등속성 근기능(%BW)을 반복측정 분산분석 한 결과 양측 굴곡·신전 근력, 양측 굴곡·신전근파워, 양측 굴곡·신전근지구력에서 유의한 차이가 나타나지 않았다. 둘째, 성인남성의 운동시기 간 근 수축 유형별 운동프로그램으로 성인남성의 슬관절 등속성 근기능(%BW)을 반복측정 분산분석 한 결과 좌측 신전 근력, 양측 굴곡 근력, 좌측 신전 근력의 파워에서 유의한 차이를 나타냈다(p<.05). 셋째, 성인남성의 집단* 운동 시기 간 근 수축 유형별 운동프로그램으로 성인남성의 슬관절 등속성 근기능(%BW)을 반복측정 분산분석 한결과 우측 굴곡 근력, 우측 굴곡 근력의 파워, 양측 굴곡 근력의 지구력에서 유의한 차이를 나타냈다(p<.01). 또한 상호작용에 따른 추가적인 Paired T-test 차이분석에서는 Isotonic(A)집단의 굴곡 근력의 지구력에 대한 유의한 차이(p<.05)가 나타났으며, Isometric(B)집단의 굴곡 근력과 굴곡 근력의 지구력에 대한 유의한 차이(p<.05)가 나타났다. 굴곡 근력 운동과 굴근 지구력 운동에서의 등척성 운동이 등장성 운동보다 우수한 효과를 나타내었다. The purpose of this study is to check special points of isotonic exercise and isometric exercise and verify more effective exercise method for adult male in exercise program by comparatively examining isokinetic muscle strength, muscular power and muscular endurance in knee joint before·after the program following the implementation of exercise program according to muscle contraction type for 8 weeks in adult male. Study participants were 14 adult men aged 20 years ~ 25 years, who had exercised for less than 1 month among members who resided in N district, Seoul city, and who registered for fitness center. It was implemented after they were classified into one group of 7 persons participating in isotonic exercise program and the other group of 7 persons participating in isometric exercise program. The pre-·post-measurement of muscular strength of Peak Torque(%BW), muscular power and muscular endurance in quadriceps femoris muscle and hamstring muscle around knee joint was taken by using an isokinetic dynamometer. For this study, a resistance training exercise program was made. And among GX(Group Exercise) programs currently used in ○○○ training center, a part of lower body workout program was used. It was composed of warm-up, main activity and cool-down, and was carried out for a total of 8 weeks (3 sessions per week, 30 minutes per session). With regard to exercise intensity, exercises were done at moderate intensity, i.e., 60% of 1RM. And isotonic group repeated isotonic exercises for 30 seconds per set. And isometric group did 3 sets of repeated exercises per exercise type after being classified into repeated isometric exercise for 30 seconds per set and exercise where a stance was maintained for 6 seconds per stance when muscle contracted. With regard to data processing, this study calculated mean and standard deviation (SD), basic statistics of respective variables by using statistical program SPSS V22.0 Window. In order to compare significance of difference in the mean of Peak torque per body weight between two groups according to knee joint muscle function, a test was carried out by using the repeated measure ANOVA. In case there was significant difference in interaction between exercise time and group (p<.05), a difference of change was tested by using the paired t-test. And the results of study are as follows. First, in the results of repeated measure ANOVA of knee joint isokinetic muscle function (%BW) for adult men with exercise program according to muscle contraction type between adult male groups, an insignificant difference was shown in bilateral flexor·extensor muscle strength, bilateral flexor·extensor muscle power and bilateral flexor· extensor muscle endurance. Second, in the results of repeated measure ANOVA of knee joint isokinetic muscle function (%BW) for adult men with exercise program according to muscle contraction type between exercise times in adult men, a significant difference was shown in left extensor muscle strength, bilateral flexor muscle strength and left extensor muscle power (p<.05). However, an insignificant difference was shown in right extensor muscle strength, right extensor muscle power, bilateral flexor muscle power and bilateral flexor·extensor muscle endurance. Third, in the results of repeated measure ANOVA of knee joint isokinetic muscle function (%BW) for adult men with exercise program according to muscle contraction type between adult male group * exercise time, a significant difference was shown in right flexor muscle strength, right flexor muscle power and bilateral flexor muscle endurance (p<.01). However, an insignificant difference was shown in left flexor muscle strength, bilateral extensor muscle strength, left flexor muscle power and bilateral flexor·extensor muscle power and bilateral extensor muscle endurance. Besides, in an additional analysis of difference using the paired T-test according to interaction, a significant difference (p<.05) was shown in significance probability regarding flexor muscle endurance in isotonic (A) group. A significant difference (p<.05) was shown in significance probability regarding flexor muscle strength and flexor muscle endurance in isometric (B) group. In flexor muscle strength exercises and flexor muscle endurance exercises, isometric exercises produced better effect than isotonic exercises.

노인운동프로그램에 관한 국내연구동향 : 2012년-2022년까지

김소미 한국체육과학회 2023 한국체육과학회지 Vol.32 No.2

The study analyzed in detail the research trends on the elderly execise program for the last ten years(years 2012-2022). It a ims to design and develop an exercise program for the e lderly and present guidance for future directions. A keyword analysis was conducted on the collected data according to each academic journal, research method, and characteristics of the research subjects. Moreover, the time, frequency, and intensity according to the type of exercise program and keywords related to the elderly exercise program were analyzed. The result is as follows. First, for the last ten years, research on the elderly exercise program has been consistently published. However, most of the research is skewed toward natural science. Second, from 238 research articles on the elderly exercise program, the research on the elderly male has shown a remarkably low publication rate compared to elderly females. (199 articles) Also, the participating elderly had a high proportion of research participants with the traits of obesity. (31 articles) Third, since the research methods on the elderly exercise program are mostly composed of quantitative research methodology, there were some limitations to having an in-depth understanding of their physical and psychological elements. Fourth, the elderly exercise program was composed of 2 or more compound exercises. Accordingly, the exercise frequency was 1-5 times weekly, and the exercise time was 25-90 minutes. As for intensity, although there was a difference depending on its form, it showed 1-18 intensity based on exercise awareness. Lastly, among the main keywords for the elderly exercise program, cognitive function (26 articles) and blood lipid (26 articles) showed the highest frequency, and the most active research was being conducted in the field of physiology among major areas in athletics. Therefore, balanced research reports and concerns for athletics are necessary for the future of the elderly exercise program.

운동재활프로그램 적용이 남자 성인의 자세교정에 미치는 영향 : 단일사례연구

이봉현(Bong-Hyeon Lee),김성택(Seong-Taek Kim) 한국운동재활복지협회 2020 운동재활·복지 Vol.1 No.1

이 연구는 불균형적인 신체밸런스를 가진 남자 성인에게 운동재활프로그램을 적용하고, 운동재활프로그램 적용으로 자세 교정되는 것을 확인함으써, 자세교정을 위한 운동재활프로그램 개발 및 스포츠 재활 교육에 데이터를 제공하는 것에 목적을 둔다. 이 연구의 목적을 달성하기 위해 D시에 있는 30대 남자 직장인으로 신체불균형과 통증이 있으며, 연구목적에 동의한 성인 1명을 연구대상자로 선정하였다. 이 연구를 수행하기 위해 자세분석 장비인 Body Style을 사용하여 연구대상자의 앞면, 옆면, 뒷면 그리고 다리 분석하였다. 운동재활프로그램은 3단계로 구분하여 진행하였고, 주 1∼2회씩, 1회 60분씩 10회로 대상자의 컨디션에 따라 강도와 빈도를 조정하였다. 운동재활 프로그램을 적용 후 첫째, 앞면분석결과 어깨 높이, 골반 높이, 다리길이차이, 좌우밸런스가 개선되는 변화를 확인할 수 있었다. 둘째, 옆면분석결과 전방 머리 기울기와 상체 기울기가 개선되었음을 보여주었고, 골반 전·후 기울기 방향은 전향으로 증가하였으나 정상 등급에 포함되었다. 셋째, 뒷면분석결과 견갑골좌·우 높이와 척추휨이 개선되었다. 넷째, 운동재활 프로그램을 통하여 구부러진 다리와 종골 각도가 개선에 효과적인 것으로 나타났다. 결론적으로, 운동재활 프로그램이 자세 교정에 긍정적인 효과가 있음을 보여주었다. This study aims to apply an exercise rehabilitation program to salaried employees who have improper body postures and investigate the program’s effect on posture correction and to provide base data that can help the development of an exercise program and educational guidance related to sports and rehabilitation. To achieve the aim of this study, an individual with body imbalance and pain was selected from salaried employees in their thirties of B company in Gyeongsan, Gyeongbuk Province, and 1 adult who agreed to self-selection was taken as the subject of study. To conduct this study, Body Style, a posture measurement device, was used to perform front analysis (shoulder height, pelvis height, leg length discrepancy, bowed legs, center of pressure), side analysis (forward head posture, upper body tilt, pelvic inclination angle) and back analysis (angulus inferior scapulae, spinal curve, calcaneal angle). The exercise rehabilitation program, divided into three phases (posture recognition, correction exercise, Foam Roller SMR), was implemented 10 times over 8 weeks, 60 minutes each time. Every week, the intensity and frequency were adjusted gradually. As a result, changes in posture correction are as follows. First, after the exercise rehabilitation program was implemented, it was shown that shoulder height, pelvis height, leg length discrepancy, and center of pressure improved on the front of the body. Second, after the exercise rehabilitation program was implemented, it was shown that forward head posture and upper body tilt improved on the sides of the body. The pelvic inclination angle increased, but it falls under A-3, which is a normal grade. Third, after the exercise rehabilitation program was implemented, it was shown that angulus inferior scapulae and spinal curve improved on the back of the body. Fourth, after the exercise rehabilitation program was implemented, it was shown that bowed legs and calcaneal angle improved. In conclusion, the results collectively showed that the exercise rehabilitation program had a positive impact on salaried workers’ posture correction.

운동프로그램 형태에 따른 비만여고생의 인슐린저항성, 염증유발지표 및 Leptin의 변화

천금석 ( Geum Seok Cheon ),성봉주 ( Bong Ju Sung ),김윤미 ( Yun Mi Kim ),고성경 ( Seong Kyeong Ko ),정소봉 ( So Bong Jeong ) 한국스포츠정책과학원(구 한국스포츠개발원) 2011 체육과학연구 Vol.22 No.2

운동 프로그램 형태가 비만여고생의 인슐린저항성, 염증유발지표 및 렙틴에 미치는 영향을 조사하기 위하여 체지방률 30% 이상의 여고생 42명을 대상으로 유산소운동군(n=11), 저항운동군(n=10), 복합운동군(n=10), 비교군(n=11)과 같이 4개 집단으로 나누어 12주 운동 프로그램을 시행하였다. 측정 변인(체중, 체지방률, 혈당, 인슐린, HOMA-IR, hs-CRP, IL-6, TNF-α, 렙틴)의 변화는 운동 시기와 운동 형태에 따라 반복측정 이원분산분석으로 검증하였다. 연구결과 신체구성 변인으로서 체중과 체지방률은 운동 시기에 따라 유의한 주효과가 있었다. 운동 프로그램 전과 비교하여 체중은 저항운동군에서 그리고 체지방률과 BMI는 3개의 운동군에서 6주째부터 유의하게 감소하였다. 인슐린저항성 변인으로서 혈당, 인슐린, 인슐린저항성은 운동 시기에 따라 유의한 주효과가 있었다. 혈당의 경우 유산소운동군에서, 그리고 인슐린과 인슐린저항성은 유산소운동군과 복합운동군에서 운동 프로그램 후 그 값이 유의하게 감소하였다. 염증유발지표의 변인으로서 hs-CRP, IL-6, TNF-α 는 운동 시기에 따라 유의한 주효과가 있었다. 운동 프로그램 전과 비교하여 TNF-α 는 유산소운동군에서, hs-CRP와 IL-6은 복합운동군에서 그 값이 유의하게 감소하였다. 비만관련호르몬으로서 렙틴은 운동 시기에 따라 유의한 주효과가 있었는데, 3개의 운동군에서 운동 프로그램 후 그 값이 유의하게 감소하였다. 연구 결과를 종합하면 12주간의 운동 프로그램은 비만여고생의 체지방률을 감소시키고 비만 관련 호르몬의 분비를 감소시키는 것으로 나타났다. 또한 비만 여고생의 유산소 및 복합운동은 체중과 염증유발지표의 현저한 감소 없이 인슐린저항성을 개선시킬 수 있는 것으로 조사되었다. 비록 변인에 따라 차이는 있었지만 종합적으로 볼 때 비만 여고생에게 유산소운동과 복합운동을 처방하는 것이 저항운동만을 처방하는 것 보다 비만 치료와 심혈관질환의 예방 측면에서 더 긍정적인 효과를 갖는 것으로 볼 수 있었다. The purpose of this study was to examine the effects of 12 weeks exercise program on insulin resistance, inflammatory adipokine and leptin in obese high school girls. Subjects with over 30% body fat were classified into four groups; Aerobic Exercise (AE, n=11), Resistance Exercise (RE, n=10), Combined Exercise (CE, n=10), Control (n=11). The aerobic program was composed of treadmill jogging, rope skipping, and stationary cycling, and the resistance program was composed of barbell squat, leg extension, lying leg curl, leg press, leg raise, front press, sit-up, pull down exercise, bench press and dead lift. The combined exercise program was organized with 30 min aerobic exercise and 20 min resistance exercise with 10% lower intensity. As the body composition factors, body weight of RE was significantly decreased from baseline, and %body fat and BMI of AE, RE, CE were significantly decreased from baseline. As the insulin resistance index, glucose of AE, the insulin and insulin-resistance of AE and CE were significantly decreased throughout the exercise period. As the inflammatory markers, the hs-CRP and IL-6 of CE and TNF-α of AE were significantly decreased throughout the exercise period. As the obesity hormone, the leptin of AE, RE and CE were significantly decreased after 12 weeks exercise programs. In conclusion, the different types of exercise such as aerobic, resistant and combined exercise for obese high school girls were affected to improve body composition, insulin resistance, inflammatory markers and obesity hormone. Especially, it seemed that aerobic and combined exercise programs were more effective than the simple resistance exercise program in health improvements of obese girls.

골반저근육 운동 프로그램이 긴장성 요실금 여성의 요실금정도, 요실금량 및 최대 질수축압에 미치는 영향

김소영,박정숙 성인간호학회 2000 성인간호학회지 Vol.12 No.2

The purpose of this study was to help the women with stress urinary incontinence lead more comfortable life, by letting them to do pelvic muscle exercise and to learn by direct experience the effect that urinary incontinence is controlled. The research design was a one-group pretest-posttest design. The subjects were 16 middle-aged women(over 38) with stress urinary incontinence. The study was conducted from August 1, to October 11. 1999. Women trained themselves for muscular strength and endurance, every the other day for each exercise for six weeks at home(that means each exercise for more than three days a week) in the pelvic muscle exercise program which was developed by Dougherty et at., and filled out exercise participation card every week. They visited laboratory once a week to gets visual feedback, by means of Perineometer, of how the pelvic muscle exercise was going on. Stress Urinary Incontinence Scale that Lee, Young-Sook revised and supplemented Hendrickson's original scale was used for measuring the frequency and situation scores of urinary incontinence, "30 minute pad test" was carried out for measuring the amount of urinary incontinence, and Perineometer was use used for measuring maximum vaginal contraction pressure. Percentage, mean, standard deviation and Wilcoxon signed ranks test were used for data analysis by means of SPSS/PC+ WIN 9.0 program. The results were summarized as follows: The hypothesis 1 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the weekly degree of urinary incontinence would reduce compared to before the exercise was supported. The hypothesis 1-1 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the weekly frequency of urinary incontinence would reduce compared to before the exercise was supported(p=.003). The hypothesis 1-2 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the situation scores of urinary incontinence would reduce compared to before the exercise was supported(p=.004). The hypothesis 2 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the amount of urinary incontinence would reduce compared to before the exercise was supported(p=.001). The hypothesis 3 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the maximum vaginal contraction pressure would increase compared to before the exercise was supported(p=.012). These results suggest that pelvic muscle exercise program has an effect on women with stress urinary incontinence in the degree and amount of urinary incontinence and maximum vaginal contraction pressure. So it is judged that training women with stress urinary incontinence for pelvic muscle exercise is an effective nursing intervention strategy in order to care urinary incontinence.

노인 운동프로그램의 심리적 효과에 대한 체계적 문헌고찰

이소윤 한국융합과학회 2024 한국융합과학회지 Vol.13 No.4

연구목적 본 연구에서는 노인을 대상으로 적용된 운동프로그램의 심리적 효과를 체계적으로 검토하여 그동안의 연구 현황을 종합적으로 제시하여, 노인 운동 프로그램을 효율적으로 운영할 수 있는 통합적인 근거를 마련하고자 하였다. 연구방법 노인 운동프로그램의 심리적 효과에 대한 체계적 문헌고찰을 위하여 2000년부터 2024년까지 노인 대상 운동 프로그램과 관련된 학위논문, 학술지 등을 검색하여 총 1,789편에 대해 PRISMA의 흐름도의 절차에 따라 PICO-SD 분류를 실시하여 최종적으로 12편의 문헌을 선정하였다. 결과 우선 문헌의 일반적 특성을 살펴보면, 우선 출판연도는 2005년부터 2010년까지 2편, 2011년부터 2015년까지 3편, 2016년부터 2020년까지 5편, 2021년부터 2023년까지 2편으로 나타났다. 다음으로 출판유형은 학위논문 2편, 출판유형은 10편이며, 연구대상은 만 60세 이상 노인 대상 4편, 만 65세 이상 노인 대상 7편, 만 70세 이상 노인을 대상 1편으로 나타났으며, 평균연령은 연령을 확인할 수 있는 6편의 논문을 기준으로 72.45세로 나타났다. 성별은 남성과 여성으로 구성된 혼성 대상 6편, 여성 대상 5편이며, 인원수는 10명 초과 20명 이하 2편, 20명 초과 30명 이하 6편, 30명 초과 40명 이하 2편, 41명 이상 2편으로 나타났으며, 자료처리 방법은 공분산분석 1편, 종속 t-검정 1편, 독립 t-검정 5편, 대응표본 t-검정 1편, 반복측정변량분석 3편, 일원배치분산분석 1편, 심층면담 1편(7번 문헌)으로 나타났다. 다음으로 노인 운동프로그램의 특성 및 심리적 효과를 살펴보면, 노인 프로그램은 놀이 명상, 스윙댄스, 요가 2편, 구조화된 운동, 태권도, 아쿠아로빅, 수중 운동, 국선도, 심리운동, 복합운동, 수중 밴드 운동 등의 프로그램을 실시하였다. 프로그램의 기간은 4주 초과 12주 이하 10편, 13주 이상 2편이며, 빈도는 주 2회 7편, 주 3회 5편, 회기당 시간은 60분 이하 9편, 70분 이상 2편, 미기입 1편이며, 총 회기 수는 16회 이상 24회 이하 4편, 25회 이상 36회 이하 6편, 37회 이상 1편으로 나타났다. 마지막으로 노인 운동프로그램을 통한 심리적 효과는 우울 감소 9편, 삶의 질과 생활만족도 향상 4편, 자아효능감 향상 2편, 자아존중감 향상 2편, 심리적 행복감 향상, 긍정적 운동정서, 신체적 유능감, 자신감 향상을 보고한 논문 1편으로 나타났다. 결론 본 연구에서 노인을 대상으로 적용된 운동프로그램의 심리적 효과를 체계적으로 검토하여 그동안의 연구 현황을 종합적으로 제시하여, 노인 운동프로그램을 효율적으로 운영할 수 있는 통합적인 근거를 마련하고자 하였다. 이를 통해 다양한 노인 운동프로그램의 심리적 효과에 대한 학문적 근거를 제시할 수 있을 것이며, 나아가 노인의 운동프로그램 활성화 및 건강과 삶의 질을 향상 시킬 수 있을 것이다. Purpose In this study, we systematically reviewed the psychological effects of exercise programs applied to the elderly, comprehensively presented the current research status, and attempted to provide an integrated basis for efficiently operating exercise programs for the elderly. Method we searched for related to exercise programs for the elderly to the PRISMA flowchart procedure and PICO-SD classification. This study was conducted and ultimately 12 documents were selected. Results first of all, the publication years were 2 from 2005 to 2010, 3 from 2011 to 2015, 5 from 2016 to 2020, and 2 from 2021 to 2023. Next, the publication type is 2 theses, the publication type is 10, and the research subjects are 4 for seniors over 60 years old, 7 for seniors over 65, and 1 for seniors over 70. , the average age was found to be 72.45 years based on 6 papers where age could be confirmed. Regarding gender, there are 6 for mixed genders and 5 for women, and the participants is 2 for more than 10 but less than 20, 6 for more than 20 but less than 30e, 2 for more than 30 but less than 40, and 2 for more than 41.and the data processing methods were 1 covariance analysis, 1 dependent t-test, 5 independent t-tests, 1 paired samples t-test, 3 repeated measures analysis of variance, and 1 one-way ANOVA. It appeared as part of an in-depth interview. Next, looking at the characteristics and psychological effects of exercise programs, the programs for the elderly include play meditation, swing dance, yoga part 2, structured exercise, Taekwondo, aquarobics, water exercise, Kuksundo, psychological exercise, complex exercise, and underwater band exercise. The duration of the program is 10 over 4 weeks and up to 12 weeks, 2 over 13 weeks, the frequency is 7 twice a week, 5 three times a week, and the time per session is 9 under 60 minutes, 2 over 70 minutes, There is 1 undocumented, and the total number of sessions was 4 with 16 to 24, 6 with 25 to 36, and 1 with 37 or more. Lastly, the psychological effects of elderly exercise programs include 9 reductions in depression, 4 improvements in quality of life and life satisfaction, 2 improvements in self-efficacy, 2 improvements in self-esteem, improvement in psychological well-being, positive exercise emotions, physical competence, and improvement in confidence. It appeared as one paper reporting. Conclusion With the research results, comprehensively presenting the current research status, we sought to provide an integrated basis for efficiently operating exercise programs for the elderly.

청소년들의 복합 운동프로그램과 멀티비타민, 미네랄 섭취가 신체구성 및 중금속 배출에 미치는 영향

김남익 한국스포츠학회 2021 한국스포츠학회지 Vol.19 No.1

본 연구는 복합 운동프로그램과 멀티비타민, 미네랄 섭취가 청소년들의 신체구성 및 독성 중금속 배출에 미치는 효과를 검증함으로써 체내 독성 중금속 배출을 통한 청소년들의 건강관리 방안을 제시하고자 하였다. 본 연구의 대상자는 여자 청소년, 총 30명으로 1주일에 3일 규칙적으로 복합 운동프로그램과 영양제 섭취에 참여한 운동+영양 집단 10명과 복합 운동프로그램만 참여한 운동 집단 10명, 그리고 통제 집단 10명을 무작위 선정하였다. 복합 운동프로그램의 특성은 준비운동, 본 운동, 정리운동으로 구성하였다. 멀티비타민, 미네랄 영양제 섭취는 KineCore Chewable(KINESS Co, Korea)을 1일 2회 씹어서 섭취하게 하였다. 측정변인은 신체구성 및 모발 중금속 변인으로 구성하였는데, 측정항목에 있어 서 신장과 신체구성은 신장, 체중, 체지방, BMI, 그리고 허리둘레를 측정하였고, 독성 중금속은 모발조직 검사를 통해 10종 의 중금속을 측정, 평가하였다. 연구 결과에 있어서 24주간 복합 운동프로그램과 멀티비타민, 미네랄 섭취 후, 신장, 체중, 체지방 및 허리둘레에서 주효과와 상호작용 효과가 나타났다. 사후분석 결과, 신장에 있어서 운동+영양 집단과 운동 집단은 통제 집단에 비해 유의하게 증가하였고 체중, 체지방 및 허리둘레에 있어서 운동+영양 집단과 운동 집단은 통제 집단에 비해 유의하게 감소하였다. 독성 중금속에 있어서 수은, 납, 알루미늄, 비소, 바륨, 비스무스, 안티몬에서 주효과와 상호작용 효과가 나타났다. 그러나 카드뮴, 우라늄, 탈륨(Tl)은 주효과와 상호작용 효과가 나타나지 않았다. 사후분석 결과, 수은, 납, 알루미늄, 비소, 바륨, 비스무스, 안티몬 변인에 있어서 운동+영양 집단과 운동 집단은 통제 집단에 비해 유의하게 감소 하였고 수은, 납, 알루미늄, 비소 변인에 있어서 운동 집단은 통제 집단에 비해 유의하게 감소하였다. This study aims to suggest the effects of combined exercise program and multi-vitamin, mineral intakes on the health care of adolescents through the release of toxic heavy metals in the body by verifying the effects of the combined exercise program and nutrient intakes on the body composition and toxic heavy metals of adolescents. The subjects of this study were 30 female students, and they were randomly selected from 10 exercise and nutrition groups who participated in the complex exercise program and nutrient intake regularly for 3 days a week, 10 exercise groups who participated in the complex exercise program, and 10 control groups. The 24-week combined exercise program consisted of warm-up, main exercise, and cool-down. The multi-vitamin, mineral intake was taken by chewing KineCore Chewable(KINESS Co, Korea) twice a day. The measurement variables were body composition and hair heavy metal variables. The height and body composition were measured by height, weight, body fat, BMI, and waist circumference. The toxic heavy metals were measured and evaluated by hair tissue test. The results of the study showed that the main effect and interaction effect were shown in height, weight, body fat and waist circumference after 24 weeks of combined exercise program and multi-vitamin, mineral. As a result of post-hoc analysis, the exercise+nutrition group and the exercise group in the height significantly increased compared to the control group, and the exercise+nutrition group and the exercise group in the weight, body fat and waist circumference significantly decreased compared to the control group. The main effects and interaction effects of mercury, lead, aluminum, arsenic, barium, bismuth, and antimony were observed in toxic heavy metals. However, cadmium, uranium, and thallium did not have the main effect and interaction effect.

급성기 뇌졸중 환자의 상지기능 향상에 자가 운동프로그램이 미치는 효과

유창민 ( Chang Min Yoo ),우미옥 ( Mi Ock Woo ),양영애 ( Yeong Ae Yang ) 한국고령친화건강정책학회 2013 대한고령친화산업학회지 Vol.5 No.2

연구목적: 본 연구는 급성기 환자의 자가 운동프로그램이 환자의 상지기능에 미치는 효과를 알아보고자 하였다. 연구방법: 발병이 1달 이내인 급성기 뇌손상 환자 22명을 대상으로 11명은 자가 운동프로그램을 실시하였고 11명은 실시하지 않았다. 실험군 11명의 환자에게는 4주간의 자가 운동프로그램을 시행하고, 나머지 11명의 환자에게는 재활치료만을 시행하여 환자의 상지기능 회복정도(MFT)를 평가 하였다. 우측편마비 환자와 좌측편마비 환자의 MFT점수 차이를 독립표본 T검정을 이용하여 분석하였다. 연구결과: 좌측편마비 환자의 자가 운동프로그램 전후의 MFT점수 차이는 대조군에서 평균 3.2점 실험군 7.8점으로 자가 운동프로그램을 시행한 실험군의 평균점수 차이가 더 높았다. 두 점수간의 차이는 통계적으로 유의한 차이를 나타내었다. 우측편마비 환자의 자가 운동프로그램 전과 후의 MFT점수 차이는 대조군 평균 6.83점, 실험군 8.67점으로 1.84점으로 자가 운동프로그램을 시행한 실험군의 평균점수 차이가 더 높았다. 하지만 통계적으로 두 점수 간에 유의한 차이를 나타내지는 않았다. 결론: 급성기 뇌졸중 환자의 자가 운동프로그램을 실시한 좌측편마비 환자의 MFT점수의 전과 후의 차이가 유의미한 차이가 있었다. 즉, 급성기 좌측편마비 환자의 경우 자가 운동프로그램이 상지의 기능향상에 도움이 되었다. 하지만 우측편바미 환자의 경우 평균 차이는 있었지만 유의미한 차이가 없었으므로 환자의 자가 운동프로그램의 정확한 수행방법에 관한 교육과 수행여부를 확인할 필요성이 있다. Objective : This research was to identify the effect that is given to the functions of a patient after an acute patient has gone through self exercise program training to continue exercising on own. Methods : From the 22 acute brain damage patients who have been diagnosed for less than a month, 11 patients were trained for self exercise program and the other 11 were not trained. The first 11 patients as targets executed self exercise program and the rest of the 11 patients have executed rehabilitation treatment; moreover, each patient`s Manual Function Test (MFT) was re-evaluated. the MFT score rising difference of Rt. Hemiplegia patient and Lt. Hemiplegia patient was analyzed after using the independent sample T black. Results : The difference in the score of Lt. Hemiplegia patients before and after the self exercise program scored an average of 3.2 to 7.8, increasing by 4.6. The group of targets who have executed the self exercise program had a bigger rise in the average score. This showed significant difference statistically. The difference in the score of Rt. Hemiplegia patients before and after the self exercise program scored an average of 6.83 to 8.67, increasing by 1.84. The group of targets who have executed the self exercise program had a bigger rise in the average score. However, it did not show a significant difference statistically. Conclusion : The Lt. Hemiplegia patients who have executed self exercise program for acute stroke patients had significant difference in MFT score before and after the program. Thus, when acute Lt. Hemiplegia patients execute the program, it is identified that the program helps in improving the function. However, In the case of Rt. Hemiplegia patients, there was a difference in the average score but it was not a significant difference. It is important to check the whether or not the self exercise program was properly executed.