Effects of Dual Task Training on Balance and Functional Performance in High School Soccer Players with Functional Ankle Instability

곽광일,최범진 대한물리치료학회 2016 대한물리치료학회지 Vol.28 No.4

Purpose: This study was conducted to identify the effects of dual task training on balance and functional performance in high school soccer players with functional ankle instability. Methods: Twenty high school soccer players with functional ankle instability were randomly assigned to a single task training group and a dual task training group. One participant who did not participate regularly in the training was excluded. The single task training group (n=9) received balance training on an unstable surface. The dual task training group (n=10) received balance training on an unstable surface and had to catch thrown balls during the balance training. Both groups were trained for 4 weeks, 3 days a week. The balance and functional performance of both groups was measured before and after training. Balance was measured using an anterior-posterior and medio-lateral balance. Functional performance was measured based on a figure-of-8 hop test, up-down hop test, and a single hop test. All data were analyzed by repeated two-way ANOVA tests. Results: A time by group interaction effect was not observed in the medio-lateral balance test, figure-of-8 hop test, or single hop test (p>0.05). A time by group interaction effect was observed in the anterior-posterior balance and up-down hop test (p<0.05). Conclusion: These results suggest that dual task training improved balance and functional performance better than single task training for some items.

안정화운동과 신장운동이 요통환자의 근력과 통증에 미치는 영향

곽광일,임재헌 대한임상전기생리학회 2011 대한임상전기생리학회지 Vol.9 No.2

Effects of Home Exercise Program and Manual Therapy on Shoulder Function and Quality of Life in Patients with Adhesive Capsulitis

곽광일,최범진,윤영제 대한물리치료학회 2016 대한물리치료학회지 Vol.28 No.5

Purpose: This study was conducted to identify the effects of home exercise programs and manual therapy on shoulder function and quality of life in patients with adhesive capsulitis. Methods: A total of 31 patients were enrolled in the study. All subjects were randomly assigned to a home exercise group (n=15) or a manual therapy group (n=16). Both groups performed each intervention program three times a week for four weeks. After four weeks, both groups performed a home exercise program continuously until week 12. Shoulder function was evaluated using the Korean Shoulder Scoring (KSS) system, while quality of life was evaluated using the WHO Quality of Life-BREF (WHOQOL-BREF) before and 4, 8, and 12 weeks after the intervention. Data were analyzed using two-way repeated measures analysis of variance (ANOVA). Results: There were significant differences in KSS before intervention and 4, 8, and 12 weeks after intervention for both the home exercise group and manual therapy group (p<0.001). There was also a significant difference in KSS at 4, 8, and 12 weeks when compared to the home exercise group and manual therapy group (p<0.001). Moreover, there was a significant difference in WHOQOL-BREF before and 4, 8, and 12 weeks after intervention in the home exercise group and manual therapy group (p<0.001). Conclusion: Home exercise and manual therapy improved shoulder function, but manual therapy led to a greater improvement in shoulder function better than home exercise. Home exercise and manual therapy improved quality of life, but there was no significant difference between groups.

The Effects of Group Exercise, Manual Therapy and Home Exercise on Pain, Range of Motion and Function in Patient with Adhesive Capsulitis

곽광일,서은경,김태윤 대한물리치료학회 2016 대한물리치료학회지 Vol.28 No.2

Purpose: The purpose of this study was to determine the effects of group exercise, manual therapy, and a home exercise program on VAS (visual analogue scale), ROM (range of motion) of shoulder, and functional outcome in adhesive capsulitis. Methods: The study was conducted with 45 patients. All subjects were randomly assigned to 3 groups: group exercise (n=15), manual therapy (n=15), home exercise (n=15). The subjects performed an intervention program 3 times a week for 4 weeks a total of 12 times. Outcome measurements were VAS, ROM, and Constant-Murley score outcome measures. Measurements were taken four times, at baseline, 4 weeks later, 8 weeks later, and 12 weeks later. Results: VAS, ROM of the shoulder, and functional outcomes showed improvement in all groups at the final follow-up (p<0.05). VAS and ROM showed greater improvement with group exercise and manual therapy than home exercise, however, there were no significant differences between the two groups (p>0.05). Functional outcomes showed the greatest improvement in group exercise at the final follow-up. This improvement was greater than with manual therapy or home exercise (p<0.05). Conclusion: Group exercise and manual therapy were more effective for improving pain, ROM, and function than home exercise in adhesive capsulitis. In particular, group exercise is more effective in functional recovery than other physiotherapy interventions.

한국 노인의 신체활동 정도와 의료이용과의 관련성

곽광일(Kwak, Kwang-Il),백창희(Baek, Chang-Hee),류소연(Ryu, So Yeon) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.1

본 연구는 제 5기 전체(2010~2012)국민건강영양조사 자료를 이용하여 우리나라 노인의 신체활동 정도와 의료이용과의 관련성을 파악하기 위하여 실시하였다. 연구결과에서 비활동적인 신체활동군과 비교하여 활동적 신체활동군의 경우에 입원이용 가능성이 0.54배(OR;95% CI, p<0.001), 외래이용은 0.73배(OR;95% CI, p=0.040), 약국이용은 0.75배(OR;95% CI, p<0.007) 더 낮으것으로 나타났으며, 의료이용 횟수도 감소하는 것으로 나타났다. 또한, 최소 신체활동군의 경우에 비활동적 신체활동군과 비교하여 입원 의료이용 가능성이 0.64배(OR;95% CI, p<0.001) 낮고, 이용횟수도 감소하는 것을 확인하였다. 결론적으로 노인의 신체활동 정도에 따라서 의료이용과의 관련성을 확인하였다는 데 의의가 있으며, 신체활동을 활발하게 실천하는 것이 노인의 건강증진과 삶의 질을 향상시킬 뿐만 아니라 의료비 지출의 감소에도 도움이 될 것으로 사료된다. This study examined the relationship between the physical activity levels and health care utilization in Korean elderly based on the data from The fifth Korean National Health and Nutrition Examination Survey (K-NHANES Ⅴ). As a result, physically active participants were 0.54 times (OR;95% CI, p<0.001) less likely to use inpatient health care and 0.73 times (OR;95% CI, p=0.040) less likely to use outpatient health care and 0.75 times (OR;95% CI, p<0.007) less likely to use drugstores than physically inactive participants, and the frequency of health care use was lower. In addition, physically minimal active participants were 0.64 times (OR;95% CI, p<0.001) less likely to use inpatient health care than physically inactive participants; the frequency of other health care facilities was lower. In conclusion, the relationship between being physically active and lower health care utilization among Korean elderly identified in this study. This suggests that being physically active is helpful to the elderly, not only in health promotion and improving quality of life, but also in reduced medical expenditure.

요부안정화 운동이 만성 요통을 가진 여성 노인의 우울과 기능에 미치는 영향

곽광일(Kwang-Il Kwag),최희영(Hee-Young Choi),김진영(Jin-Young Kim) 한국엔터테인먼트산업학회 2013 한국엔터테인먼트산업학회논문지 Vol.7 No.2

본 연구의 목적은 만성요통을 가진 여성 노인들을 대상으로 요부안정화운동을 실시하여 우울과 기능의 변화를 알아보고자 하였다. 대상자는 18명의 여성노인들을 무작위로 선택하여, 일반물리치료와 요부안정화를 받은 실험군과 일반물리치료를 받은 대조군으로 나누어 주당 3회 50분씩 6주간 시행하였다. 운동 전·후의 우울과 장애지수, 균형능력을 측정하여 운동 전과 운동 후, 군간을 비교하였다. 실험 결과 요부안정화군에서 우울척도에서 유의한 감소를 가져왔고, 오스웨스트리 요통장애지수, 일어서기검사에서 유의한 향상을 가져왔다. 한발서기 검사에서는 요부안정화 운동군의 왼쪽에서만 유의한 증가를 보였다. 이러한 결과는 요부안정화 운동이 만성요통을 가진 여성노인에게 기능의 향상 뿐만 아니라 우울의 감소에도 효과적이란 것을 알 수 있다. The purpose of this study was to investigate the effects of lumbar stabilization exercise on depression and functional improvement in elderly women with low back pain. So, 18 elderly women were randomly selected, including lumbar stabilization exercise group(n=9) and control group(n=9). In a period of 6 weeks in total, they took lumbar stabilization exercise for 50 minutes 3 time a week. Before exercise and 6 weeks later. Beck Depression Index(BDI), Oswestry disability index (ODI), Timed Up & GO test(TUG), One Leg Stand Test(OLST) were conducted. We had measured ODI, BDI, OLST, TUG values before exercise and 6weeks later in the two groups. As a result, in all measurement values, for ODI, BDI, TUG, OLST increased significantly compared to before measurement value(p<.05) in lumbar stabilization exercise group and increased significantly compared to control group in ODI, BDI, TUG, OLST measurement values. As shown from the results, it is understood that lumbar stabilization exercise could improved depression as well as function in elderly women with low back pain.

공을 이용한 안뜰계 훈련이 정상 성인의 정적 균형에 미치는 영향

최수희,조화영,강양훈,곽광일,권혜민,서삼기,Choi, Su-Hee,Cho, Hwa-Young,Kang, Yang-Hun,Kwank, Kwang-Il,Kwon, Hye-Min,Seo, Sam-Ki 대한임상전기생리학회 2011 대한임상전기생리학회지 Vol.9 No.2

Purpose : The purpose of this study is to investigate the effect on the static balance ability according to vestibular training using ball. Methods : Twenty normal subjects participated and were randomly assigned to either a vestibular training group using ball or a control group. The vestibular training using a ball group exercised 3 times per week over 3 weeks. The static balance was assessed by the center of pressure to the stance position. The participants stood barefoot on a force platform in a normal stance and a one-legged stance with a visual close. Results : In the normal stance, there were no significant differences at CoP surface and CoP speed. However, in a one-legged stance, there were significant differences in the vestibular training group between before and after the program. There was also a significant difference between the vestibular training group and the control group. Conclusion : Vestibular training using ball can be implemented as a therapeutic intervention to improve static balance ability in health adults.

일부 농촌지역 노인돌보미 대상 독거노인의 자살생각 관련요인

최희영(Hee-Young Choi),류소연(So-Yeon Ryu),곽광일(Gwang-Il Kwak),최철원(Cheol-Won Choi) 한국농촌의학 지역보건학회 2014 농촌의학·지역보건 Vol.39 No.2

본 연구는 농촌지역 독거노인을 대상으로 자살생각을 파악하고 자살생각에 영향을 주는 요인을 구명하고자 시행하였다. 연구대상자는 전라남도 G군에 거주하는 노인돌봄서비스를 제공받는 독거노인 206명을 대상으로 사회 인구학적 특성, 건강관련 특성, 가족지지와 자살생각과의 영향을 미치는 요인들을 살펴보기 위해 t-검정과 분산분석 그리고 상관분석을 이용하였고, 자살생각에 영향을 미치는 요인을 파악하기 위해 다중회귀분석을 실시하였다. 그 결과 사회인구학적인 특성에서는 연령이 65-74세가 75-84세(β=-.181, p=.029)보다 자살생각을 많이 하며 유의하였다. 건강관련특성은 신체적 건강관련요인으로 우울(β=.269, p<0.001)과 스트레스의 정도(β=.211, p=.005)가 높을수록 자살생각을 많이 하는 것으로 나타났고 유의하였으며, 신체적 건강관련요인으로 일상생활동작(β=.228, p=.003)이 자살생각과 유의한 관련이 있었다. Objectives: The objective of this study was to identify the factors associated with suicidal ideation among the elderly living alone received the elderly care service in a rural area. Methods: This study was surveyed 206 the elderly living alone who received the elderly care service in G-gun, Jeollanamdo. The collected data were socio-demographic and health-related characteristics, family support and suicidal ideation. The used methods for statistical analysis were used t-test, analysis of variance, Pearson"s correlational analysis and the multiple logistic regression analysis. Results: In univariate analysis, the suicidal ideation of the elderly living alone was statistically significant associated with age, monthly income, sufficiency of sleeping, depression, stress, activities of daily living, instrumental activities of daily living, perceived health status and family support. As a result of multiple regression analysis, the associated factors with suicidal ideation were age, depression, stress and the activities of daily living. Conclusions: The suicidal ideation of the elderly living alone in the rural area was associated with age, mental health and independency of living. It will be needed the multidisciplinary approaches to prevent the suicidal ideation and attempts of the elderly living alone.