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JER [Journal of Exercise Rehabilitation]

간행물 정보
  • 자료유형
    학술지
  • 발행기관
    한국운동재활학회 [Korean Society of Exercise Rehabilitation]
  • ISSN
    2288-176X
  • EISSN
    2288-1778
  • 간기
    격월간
  • 수록기간
    2013~2019
  • 등재여부
    KCI 등재,SCOPUS
  • 주제분류
    의약학 > 재활의학
  • 십진분류
    KDC 514.03 DDC 617.03
Vol.14 No.4 (28건)
No

Editorial

1

Blocking barrier and leaning hill

Chang-Ju Kim

한국운동재활학회 JER Vol.14 No.4 2018.08 p.537

※ 원문제공기관과의 협약에 따라 개인회원에게 무료로 제공됩니다.

2

Exercise and osteoarthritis: an update

Jorge Hugo Villafañe

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.538-539

※ 원문제공기관과의 협약에 따라 개인회원에게 무료로 제공됩니다.

Review Article

3

The combined impacts of docosahexaenoic acid, endurance physical exercise, and prolonged fasting on brain function

Yi-Sub Kwak, Sun Young Lim

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.540-544

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Docosahexaenoic acid (DHA), a long chain polyunsaturated fatty acid (PUFA) is highly enriched in the membrane phospholipids of the brain, neuronal tissue and retina. Accumulating evidence suggests that brain DHA is necessary for maintaining for optimal function of the cognition and the visual system, particularly the photoreceptor, the retina. Loss of brain DHA, especially during crucial brain development period, was highly associated with visual and cognitive defects. Here it would be addressed the effect of DHA on brain functions as assessed by spatial task performance using a first generation model which is similar to hu-man nutrition case. And also, it was well known that prolonged fasting and energy restriction with endurance physical exercise stimulate cog-nitive function and brain function, which is caused by upregulated ke-tone body and upregulated brain-derived neurotropic factor (BDNF) re-sponses. In the DHA intake or prolonged physical exercise, upregulated BDNF can activate mitochondrial biogenesis to elevate neuronal bioen-ergetics and enable synaptic formation. And it also can activate DNA repair in neurons. Further study on the mechanisms about the combine effects of supplementation of DHA and energy restriction on brain func-tion is urgently needed in this area.

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4

Brief ideas about evidence-based recovery in team sports

Julio Calleja-González, Juan Mielgo-Ayuso, Jaime Sampaio, Anne Delextrat, Sergej M. Ostojic, Diego Marques-Jiménez, Iñaki Arratibel, Braulio Sánchez-Ureña, Gregory Dupont, Xavi Schelling, Nicolás Terrados

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.545-550

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Performance in team sports is the expression of complex, dynamic, interactive, and multidimensional processes. It is now well-established that optimum recovery after practice or match is a key factor of team sport performance. During season and tournaments, improving recovery could offer an advantage for following performance. As a consequence of the professionalization of different roles in staffs, new particular roles have been developed within the team sports physician core in order to improve recovery protocols. Presently, scientific literature presents a big amount of methods used to enhance recovery based on the type of practice, time between session or competitions and equipment and/or staff accessible. These practices, usually used by teams are related to: ergonutritional, water therapy, massages techniques, stretching compression garments, sleep strategies and psychological implements. Besides, travel fatigue has been recognized by athletes and coaches as a challenging problem that could benefit from practical solutions. Nowadays, players have to play a lot of matches without enough time to recover among them, therefore the use of well-managed recovery can lead to a competitive advantage. Although the main purpose of applied sport sciences investigation is to categorize the protocols as well as providing approaches for individual recovery, the stages to recognize the most appropriate recovery plans in the field of team sports come from the analysis of the individual parameters.

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5

Role of exercise in age-related sarcopenia

Su-Zi Yoo, Mi-Hyun No, Jun-Won Heo, Dong-Ho Park, Ju-Hee Kang, So Hun Kim, Hyo-Bum Kwak

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.551-558

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Sarcopenia is an age-associated decline of skeletal muscle mass and function and is known to lead to frailty, cachexia, osteoporosis, meta-bolic syndromes, and death. Notwithstanding the increasing incidence of sarcopenia, the molecular and cellular mechanisms driving age-re-lated sarcopenia are not completely understood. This article reviews current definitions of sarcopenia, its potential mechanisms, and effects of exercise on sarcopenia. The pathogenesis of age-related sarcopenia is multifactorial and includes myostatin, inflammatory cytokines, and mitochondria-derived problems. Especially, age-induced mitochondrial dysfunction triggers the production of reactive oxygen species (ROS) by mitochondria, impedes mitochondrial dynamics, interrupts mitophagy, and leads to mitochondria-mediated apoptosis. Aerobic exercise pro-vides at least a partial solution to sarcopenia as it ameliorates mito-chondria-derived problems, and resistance exercise strengthens mus-cle mass and function. Furthermore, combinations of these exercise types provide the benefits of both. Collectively, this review summarizes potential mechanisms of age-related sarcopenia and emphasizes the use of exercise as a therapeutic strategy, suggesting that combined ex-ercise provide

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6

The effect of aerobic exercises on lipid profile of patients with human immunodeficiency virus infection undergoing highly active antiretroviral therapy : a protocol for a systematic review

Ebuka Miracle Anieto, Chidimma Amarachukwu Nwankwo, Samuel Ugochukwu Jumbo, Michael Ebe Kalu

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.559-565

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Patients living with human immunodeficiency virus (HIV) infection who are treated with highly active antiretroviral therapy (HAART) often ex-perience metabolic changes that have an adverse effect on their over-all health status. This review will assess the effect of aerobic exercises on the lipid profile of individuals with HIV infection undergoing HAART. Cochrane Library, MEDLINE, CINAHL (Cumulative index to Nursing and Allied Health Literature), OVID, ProQuest, AMED (Allied and Comple-mentary Medicine Database), PsycINFO, Web of Science Core Collec-tion and Pedro databases will be searched until June 2018. Studies that investigated the effects of aerobic exercises on the lipid profile of HAART treated patients with HIV will be included. Two reviewers will screen all articles for eligibility and independently evaluate the risk of bias, complete quality assessment and extract data for all included arti-cles. Homogenous quantitative outcome data will be analyzed using a random effect model of meta-analysis with results presented as relative risk for dichotomous variable and standardized mean for continuous variable. Heterogeneous qualitative data will be analyzed using narra-tive synthesis. This systematic review will provide evidence about the effectiveness of aerobic exercises in managing HAART related dyslip-idemia in patients with HIV infection and thus provide the impetus for more structured exercise interventions.

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Original Article

7

Diosgenin improves functional recovery from sciatic crushed nerve injury in rats

Byung-Ki Lee, Chang-Ju Kim, Mal-Soon Shin, Young Sam Cho

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.566-572

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Peripheral nerve injuries are commonly encountered clinical problem and often result in chronic pain and severe functional deficit. Diosgenin is a plant steroidal saponin and has anti-inflammatory and anticancer effects. In the present study, we investigated the effect of diosgenin on functional recovery following sciatic crushed nerve injury in rats. Walk-ing track analysis for the functional recovery which can be quantified with the sciatic function index (SFI) was conducted. Immunohistochem-istry for c-Fos in the ventrolateral periaqueductal gray (vlPAG) and paraventricular nucleus (PVN) and western blot for brain-derived neu-rotrophic factor (BDNF), tyrosine kinase B (TrkB), cyclooxygenase-2 (COX-2), and inducible nitric oxide synthesis (iNOS) in the sciatic nerve were performed. The right sciatic nerve was crushed for 30 sec using a surgical clip. The animals in the diosgenin-treated groups received oral-ly once a day at the respective doses for 7 consecutive days, starting one day after surgery. Sciatic crushed nerve injury showed character-istic gait changes showing decrease of SFI value. Diosgenin treatment increased the SFI value and suppressed nerve injury-induced c-Fos ex-pression in the vlPAG and PVN. Diosgenin treatment inhibited nerve in-jury-induced increase of BDNF, TrkB, COX-2, and iNOS expressions. It is possible that diosgenin can be used as the new therapeutic agent for pain control and functional recovery following peripheral nerve injury.

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8

High prevalence of cognitive impairment among students near mount Merapi : a case study

Huong Thanh Nguyen, Lucia Wiwid Wijayanti, Kihoon Kim, Won Koo Lee, Choong-Hun Lee, Kwanwoo Shin

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.573-580

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This descriptive, cross-sectional study illustrates the high prevalence of intellectual impairment among students at the Kanisius Prontakan pri-mary school near Mt. Merapi, one of the most active volcanic moun-tains in Indonesia. To determine the possible cause of these abnormal cognitive impairments, we considered and investigated the threats to society and the environment of the frequent volcanic eruptions, as well as the effects of malnutrition due to extreme poverty, in that area. The results showed that intellectual impairment and stunting were remark-ably common among the students, with 10.7% of the students showing sigma of intellectual impairment and 96.4% showing signs of stunting. No noticeable chemical problems due to the volcanic activity were found in the drinking water, and no causes of such disorders other than poor nutrition due to poverty were found. Nevertheless, our results pro-vide information on the high prevalence of health problems being expe-rienced by children living in one of the most isolated and underdevel-oped volcano mountain areas in Indonesia and draws attention to the severe effects of malnutrition on the development of those children.

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9

Effect of yoga practices on psycho-motor abilities among intellectually disabled children

Vishvanath Pise, Balaram Pradhan, Manmath Gharote

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.581-585

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The children with intellectual disabilities show disorders at motor de-velopment and coordination. Hence, the objective of this study was to see the effect of yoga practices on psycho-motor abilities of intellectu-ally disabled children. Seventy intellectually disabled children were di-vided into experimental group and control group. Both experimental and control group were assessed on the first day and after 12 weeks of the yoga intervention for static balance, eye hand coordination, agility and reaction time. The subjects of experimental group then underwent a training of yoga practices, for 1 hr for a total period of 12 weeks. The re-sult of within group comparison revealed significant improvement in static balance, eye hand coordination, agility, and reaction time (P< 0.001) in subjects of yoga group however no change was observed in control group. The present study demonstrated that 12 weeks of yoga is effective in improving psycho-motor abilities of intellectually disabled children.

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10

The effects of whole body vibration exercise intervention on electroencephalogram activation and cognitive function in women with senile dementia

Ki-Hong Kim, Hyang-Beum Lee

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.586-591

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This study conducted the Korean version of Mini-Mental State Exam-ination (MMSE-K) to women aged 65 or older residing in Gangwon-do Province and screened those who were suspicious to have mild de-mentia for receiving 23 points or lower in it. For eight weeks, this author tried to verify the effects of whole body vibration exercise intervention on electroencephalogram (EEG) activation and cognitive function in women with senile dementia. According to the results, both EEG activa-tion and cognitive function indicated statistically significant difference in terms of the interactive effect between the measuring times and groups, and there was statistically significant improvement found after the whole body vibration exercise intervention. The results of this study are meaningful because they present the possibility of whole body vi-bration exercise intervention to be integrated into the plan to improve life quality in patients with senile dementia by stimulating their muscle spindles and sensory organs only with the amplitude and the number of vibrations with no burden of physical activity and enhancing their EEG activation and cognitive function through the responses of the neuro-muscular system.

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11

Analysis of the relationship between physical activity and metabolic syndrome risk factors in adults with intellectual disabilities

Ji-Youn Kim, Eun-Surk Yi

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.592-597

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The purpose of this study was to investigate the relationship between physical activities and metabolic syndrome risk factors in adults with intellectual disabilities. Seventeen adults with intellectual disabilities at a sheltered workshop wore Actical for 5 days on workdays to measure their physical activity, and blood samples were taken to measure their physical fitness factors and examine their risk factors for metabolic syndrome. The average daily physical activity was found to be 655.41± 129.36 kcal, and the average total physical activity over 5 days was 3,224.94±149.68 kcal. A positive correlation was confirmed between physical activity and muscular strength, muscular endurance, total cho-lesterol, low-density lipoprotein cholesterol and disability rating. Factors that predicted physical activity of adults with disabilities were disability rating (t=6.280, P<0.001) and glycated hemoglobin (t=-2.315, P<0.036), which had a 73.9% correlation (R 2=0.739) with the physical activities of adults with intellectual disabilities. In conclusion, the physical activity level of adults with intellectual disabilities was significantly lower than that of adults in similar age groups, and such low physical activity may affect their muscular strength, muscular endurance, and metabolic syndrome risk factors. Therefore, additional studies on programs to im-prove and enhance physical activities at sheltered workshops, where adults with intellectual disabilities are mainly supervised and active, and guidelines for continuous health management are needed.

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12

The relationship between children’s flourishing and being overweight

Tae Eung Kim, Chang-Yong Jang

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.598-605

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This study examined the effect of children’s flourishing on the pandemic of obesity from various aspects such as age, gender, race, family, school, and community. By using a subsample of the 2011–2012 Nation-al Survey of Children’s Health, the Flourishing scale analyses were per-formed with a total of 45,309 children. Childhood obesity was diagnosed by calculating the percentile of the body mass index. Hispanic Ameri-cans were more likely to be overweight (P<0.01). Nonoverweight chil-dren were more likely to participate in after-school activities, less likely to have sedentary behavior, more likely to miss school, to be more ac-tive, and had more of flourishing than their counterpart (P<0.01). Par-ent’s marital and health status also positively affect children’s obesity status (P<0.01). Social capital and neighbor amenities significantly af-fect children’s weight status (P<0.01). A multifaceted understanding of the role of family, school, and community (with proving children’s flour-ishing environment) in terms of how and what could contribute to chil-dren’s obesity status is important in order to bring about positive impact.

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13

Factors that influence hospital inpatients’ exercise constraints

Sang-Wan Jeon, Eun-Surk Yi

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.606-611

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The purpose of this study is to present ways to provide more precise patient-oriented services by presenting implications and promoting a better understanding of exercise constraints. This study used question-naire survey as measurement tool for 196 hospital inpatients in 5 gener-al hospitals in the metropolitan area (Seoul, Gyeonggi, and Incheon). The collected data were analyzed using frequency analysis, exploratory factor analysis, reliability analysis, correlation analysis, and hierarchical regression analysis using IBM SPSS Statistics ver. 23.0. The following results were obtained. First, physical activity level and health condition on their physical constraints showed that their health condition factors such as pain/discomfort and anxiety/depression had greater effects on physical constraints than other factors. Second, physical activity level, and health condition on their psychological constraints showed that health condition factors had major effects on patients’ psychological constraints. Thirdly, physical activity level, and health condition on their sociocultural constraints found that anxiety/depression appeared as the key influence factor in physical and psychological constraints.

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14

Training methods and analysis of races of a top level Paralympic swimming athlete

Luca Puce, Lucio Marinelli, Emanuela Pierantozzi, Laura Mori, Ilaria Pallecchi, Marco Bonifazi, Marco Bove, Emerson Franchini, Carlo Trompetto

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.612-620

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Training methods for Paralympic swimmers must take into account dif-ferent pathologies, competitions classes, athlete’s individual circum-stances and peculiar physical adaptation mechanisms, hence general guidelines cannot be found in literature. In this study we present a training program, implemented for the physical preparation of a top lev-el Paralympic swimmer. The athlete under study, affected by infantile cerebral palsy within a clinical picture of a spastic tetraparesis, by the end of 2016 was holder of Italian, European, world and Paralympic titles in the 400-m freestyle competition, S6 class. The training macrocycle was structured in a 3-fold periodization (three mesocycles), in view of the preparation to three international competitions. The 4-month train-ing mesocycles prior to each competition differed substantially in terms of mileage load, intensity and recovery times. The first mesocycle was characterized by a sizeable low-intensity mileage load, the second one was shifted to lower mileage load, carried out at middle-to-high intensi-ty levels, the third one entailed increased effort intensity, counterbal-anced by lower mileage load. In all cases, recovery times were bal-anced to obtain optimized performance through physical adaptation to training stimuli, keeping into account the physiopatological response. Tapering phases were adjusted to maximize performance at competi-tion. As an assessment of the effectiveness of the training method, cor-respondence between chronometric and technical parameters in the three competitions and the respective mesocycle training programs was found. The results of the present study may support the develop-ment of training guidelines for athletes affected by upper motor neuron lesions.

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15

The reproducibility and validity verification for body composition measuring devices using bioelectrical impedance analysis in Korean adults

Seung-Won Yang, Tai-Hyung Kim, Hyun-Min Choi

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.621-627

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The purpose of this study is to examine the validity and reproducibility of impedance body fat measurement devices measuring the body com-position of Korean male and female adults using three bioelectrical im-pedance analyzers. We compared two methods for evaluating body composition: dual energy X-ray absorptiometry (DEXA), and bioelectri-cal impedance analysis (BIA). Subjects were 200 healthy adult Korean males and females whose mean±standard deviation (range) age, standing height, body weight, and body mass index (BMI) were 44.1±14.5 years, 172.8±7.4 cm, 76.0±12.8 kg, and 25.4±3.3 kg/m2, and 44.5±14.7 years, 158.7±5.8 cm, 58.3±8.3 kg, and 23.2±3.0 kg/m2, re-spectively. As a result, first of all, the reproducibility of the bioelectrical impedance analyzer had very high coefficients at r=0.998, r=0.997 be-tween men and women, respectively. The correlation coefficients among three comparisons for lean body mass (LBM) were provided the following coefficients: r=0.951 for DEXA vs. ACCUNIQ BC720, r=0.950 for DEXA vs. ACCUNIQ BC360, and r=0.946 for DEXA vs. ACCUNIQ BC380 in men. In the results for women, they also had the very high fol-lowing coefficients: r=0.956 for DEXA vs. ACCUNIQ BC720, r=0.946 for DEXA vs. ACCUNIQ BC360, and r=0.957 for DEXA vs. ACCUNIQ BC380 in LBM. In conclusion, this research showed a higher correlation in terms of accuracy compared to existing BIA-based body composition measurement techniques, and the accuracy of LBM was improved with high correlation coefficients through the algorithm that was improved using the multifrequency BIA method in the ACCUNIQ BC products.

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16

Comparison of lumbar multifidus thickness and perceived exertion during graded superman exercises with or without an abdominal drawing-in maneuver in young adults

Young-In Hwang, Du-Jin Park

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.628-632

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The present study aimed to investigate lumbar multifidus (LM) thickness and perceived exertion during graded superman exercises (GSE) or GSE with an abdominal drawing-in maneuver (GSE-AD) in young adults. Twelve young adult males and females, who were informed of the pur-pose and procedures of this study and then gave their voluntary con-sent to participate, were included in this study. All subjects randomly performed three GSE and GSE-AD over 3 days. Ultrasonography was used to measure the LM thickness to the left and right of the L5 region. Additionally, the issue of whole-body fatigue felt by the subject while performing the GSE or GSE-AD was measured using the Borg scale. The intrarater reliability of the LM measurement was found to be intra-class correlation coefficient (ICC[3,1])=0.97 (0.87–0.99) at resting and ICC(3,1)=0.94 (0.78–0.99) at contraction. Both the left and right LM showed significantly higher contraction during the grade 3 GSE (P< 0.05). The whole-body fatigue was significantly greater following GSE 2 and 3 than following GSE-AD 2 and 3 (P<0.05). In particular, GSE-AD had a significantly lower Borg score compared to GSE (P<0.05) and did not show any significant difference in muscle thickness (P>0.05). It is recommended that the abdominal drawing-in maneuver be applied with grade 3 GSE to enhance stability and reduce spinal fatigue.

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17

Evaluation of nocturnal heart rate variability for strenuous exercise day using wearable photoelectric pulse wave sensor

Yutaka Yoshida, Emi Yuda, Kiyoko Yokoyama, Junichiro Hayano

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.633-637

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In this study, we examined whether or not the strenuous exercise in the evening change nocturnal heart rate variability (HRV) and recovers. Subjects were 8 healthy men belonging to the mature futsal team (age: 35±3 years) and Futsal was held from 5:00 p.m. to 6:30 p.m. on Sunday. Pulse waves during sleeping were measured at home on exercise day and on control day. The mean pulse interval (MPI), standard deviation pulse interval (SDPI), low frequency component (LF, 0.04–0.15 Hz) , high frequency component (HF, 0.15–0.45 Hz) and the ratio of LF to HF (LF/HF) were calculated from pulse interval time series every 30 min. As a re-sult, MPI, SDPI, LF, HF of exercise day were significantly lower than control day (P<0.0001). LF/HF of exercise day was significantly higher than control day (P<0.05). Regarding change of HRV for every 30 min, MPI (P<0.05), SDPI (P=0.0003), LF (P=0.0038), HF (P<0.05) were ob-served significant changes. MPI and HF before wake-up did not reach the level of control day. It is thought that strenuous exercise in the eve-ning promotes sympathetic nervous activity during night sleep and sug-gesting that pulse rate and HRV have not recovered by the wake-up time.

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18

The influence of ovulation on postural stability (Biodex Balance System) in young female

Eun-Sook Sung, Jung-Hyun Kim

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.638-642

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The purpose of this study was to examine the influence of ovulation (OV) on dynamic balance in young female. Thirty-two eumenorrheic healthy women participated in Biodex Balance System (BBS) test for postural stability and a limit of stability menstrual cycle. BBS was tested in the menses (MS), OV, and luteal phase (LP). The limits of stabilities (total, forward-left, forward-right, backward-left, and backward-right) were significantly higher in the OV (total, 61.44±14.77; forward-left, 67.50± 15.17; forward-right, 69.50±14.43; backward-left, 64.00±20.32; and back-ward-right, 69.06±13.59) than in the MS (total, 55.44±14.63; forward-left, 60.00±15.98; forward-right, 62.17±9.78; backward-left, 57.83±19.09; and backward-right, 57.28±13.73). Furthermore, the LP (65.11±13.79) was a significantly higher limit of stability than MS (57.28±13.73) during back-ward-right. The present study showed that estrogen negatively influ-ences postural stability. The postural sway in limits of stabilities (total, forward-left, forward-right, backward-left, and backward-right) were significantly the greatest in the OV. Since there is a different postural stability between MS, OV, and LP, this should be taken into account when devising training programs to avoid risk factor of fall and joint injury.

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19

Incidence analysis of axial and lower extremity deviations based on the physical characteristics between domestic and foreign college students

Jangwon Lee

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.643-647

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This research was performed to identify the incidence and to determine the effects of risk factors of axial and lower extremity deformities. One hundred forty-seven domestic college students (102 males and 45 fe-males) and 72 foreign students (33 males and 39 females) were subjects in this study. Data collecting was performed by questionnaire and visual postural evaluation. For backpack shoulder dominance, higher inci-dences of genu varus (P=0.043) and lower incidence of leg length dis-crepancy (LLD) (P=0.001) were found in both shoulder carrier, while the incidence of lordosis was higher in left (P=0.001) and both (P=0.012) carrier in domestic students. The incidence of genu varus (P=0.022) and scoliosis (P=0.002) were significantly lower in both shoulder carri-er in foreign students. For dominant arm, the incidence of forward head (P=0.001) and of lordosis (P=0.029) were significantly higher in left handedness both in domestic students and in foreign students. As the body mass index increases, the incidence of protruding abdomen (P=0.001) and lordosis (P=0.009) showed significant increase, but, the incidence of kyphosis (P=0.022) and scoliosis (P=0.001) decreased in domestic students, and same tendency for lordosis (P=0.001) and for scoliosis (P=0.001) in foreign students. As a whole, in domestic stu-dents, female students revealed significantly high (P=0.004) incidence of genu recurvatum compared to significantly low (P=0.022) incidence of LLD. However, no significant incidence difference found in foreign students. Male students showed significantly low incidence (P=0.001) of LLD and high incidence (P=0.014) of lordosis. In foreign students, fe-male students also showed significantly low incidence (P=0.032) of LLD in foreign students compared to their counterparts.

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20

Effects of diaphragm and deep abdominal muscle exercise on walking and balance ability in patients with hemiplegia due to stroke

Hye-Jin Lee, Tae-Woo Kang, Beom-Ryong Kim

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.648-653

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The aim of this study was to investigate the effects of diaphragm and deep abdominal muscle exercise (DDAME) on walking ability (WA) and balance ability (BA) in subjects with hemiplegia due to stroke. Study subjects consisted of twenty patients diagnosed with hemiplegia due to stroke. They were randomized into a control group (CG) (n=10) that performed traditional exercise and an experimental group (EG) (n=10) that performed DDAME. The WA was measured using the 10-m walking test (10MWT) and 6-min walk test (6MWT). The BA was measured us-ing the Timed Up and Go test (TUG) and Berg’s balance scale (BBS). Paired t-test was performed to compare differences within the groups before and after intervention. The analysis of covariance was per-formed to compare the differences between the EG and CG. The level of significance was set at α=0.05. Within-group changes in 10MWT and 6MWT were significantly different in both the EG (P<0.05) and CG (P<0.05). There was significantly more improvement in the 10MWT and 6MWT in the EG than in the CG (P<0.05). Within-group changes in TUG and BBS were significantly different in both the EG (P<0.05) and the CG (P<0.05). There was significantly more improvement in TUG and BBS in the EG than in the CG (P<0.05). DDAME program, with diaphragm and inspiratory muscle strengthening exercises, is needed for patients ex-periencing difficulty in WA, BA, trunk asymmetry, abnormal alignment, mobility of trunk muscles, power, or endurance decline.

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Functional resistance training can increase strength, knee torque ratio, and functional performance in elderly women

Ahlan Benezar Lima, Ewertton de Souza Bezerra, Lucas Bet da Rosa Orssatto, Ericles de Paiva Vieira, Luhan Ammy Andrade Picanço, João Otacilio Libardoni dos Santos

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.654-659

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Functional resistance training can increase strength, knee torque ratio, and functional performance in elderly women. The aim of the present study was to understand the effects of closed kinetic chain exercises with constant load on muscular strength, the knee torque conventional ratio (hamstring:quadriceps – H:Q), and functional capacity in the elderly. Nine untrained healthy elderly women participated in experimental resistance training. Ten-repetition maximum (10RM) for the deadlift, isokinetic maximum voluntary concentric contraction, and functional capacity were assessed before and after the 7-week resistance-training program. Magnitude based inference analysis was used to examine the differences in muscle strength and functional performance. Therefore, the smallest worthwhile change was calculated and 90% confidence intervals were also determined to characterize muscle strength and functional performance. The analysis demonstrated an increase in the deadlift and knee flexor torque (60o/sec) after the experimental intervention. Furthermore, stair ascent, knee extensor torque (120o/sec), knee flexor torque (120o/sec), and knee ratio (60o/sec) also presented a positive effect in the same training period. Conversely, knee extensor torque (60o/sec), and knee ratio (120o/sec) did not show conclusive responses. In conclusion, resistance training with functional closed kinetic chain exercises and constant volume load (i.e., 65% of 1-repetition maximum) can increase deadlift 10RM, isokinetic concentric torque, the conventional H:Q ratio, and stair ascent performance in elderly women.

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The effects of combined aerobic and resistance training on inflammatory markers in obese men

Chan-Ho Jin, Hyun-Seung Rhyu, Joo Young Kim

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.660-665

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It is important to treat obesity and the related noncommunicable dis-eases. The main objective of this study is the effect of different training types on inflammatory and immune markers in obesity. Seventeen obese men with body mass index (BMI)≥26 kg/m2 were randomly divid-ed into two groups: aerobic training group (AT; n=9) and combined aer-obic and resistance training group (CT; n=8). Body composition (weight, BMI, %body fat), factors of physical performance (one-repetition maxi-mum [1RM], maximal oxygen uptake [VO2max]), inflammatory markers (interleukin-6, tumor necrosis factor-alpha [TNF-α]), immune markers (leukocyte, natural killer cell) were analyzed before and after 8-week training. Body composition (weight, BMI, and %body fat) was signifi-cantly reduced after training in both the AT and CT groups (P<0.05). As a result of training, VO2max of all training groups was increased and 1RM of CT group was partially improved. In particular, the inflammatory marker, TNF-α was significantly reduced (P<0.05) and the change was correlated with %body fat in the posttraining CT group. In this study, we found that combined training for 8 weeks improved physical fitness, body composition, and inflammation. It is suggested that restoring obe-sity through combined training of aerobic and resistance exercise is re-lated to changes in serum TNF-α levels.

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The effects of circuit training on the indexes of sarcopenia and the risk factors of metabolic syndrome in aged obese women

Hyang-Beum Lee, Han-Kyung Lee

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.666-670

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The purpose of this study is to examine the effects of circuit training on the indexes of sarcopenia and the risk factors of metabolic syndrome in aged obese women. To address the goal, this author selected aged wom-en whose body mass index was higher than 25.0 kg/m2 visiting the wel-fare center for the aged located in Gangwon-do Province and measured the indexes of sarcopenia and the risk factors of metabolic syndrome after circuit training. Through that, this study has gained following results. First, after circuit training, aged obese women’s indexes of sarcopenia indicated statistically significant difference in terms of interaction be-tween the measuring times and groups. Second, after circuit training, aged obese women’s risk factors of metabolic syndrome (systolic blood pressure, diastolic blood pressure, fasting blood sugar, triglycerides, high- density lipoprotein-cholesterol, and waist circumference) showed sta-tistically significant difference in terms of interaction between the mea-suring times and groups. To sum up the above results, circuit training improves aged obese women’s indexes of sarcopenia and risk factors of metabolic syndrome positively, which means circuit training is found to be effective. Therefore, the circuit training intervention enhances aged obese women’s muscular and metabolic functions positively. As it helps prevent and manage the risk factors of sarcopenia and metabolic syn-drome resulted from aging, it will elevate life quality in senescence.

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Oral adenosine 5′-triphosphate supplementation improved hemodynamic and autonomic parameters after exercise in hypertensive women

Marcelo Conrado de Freitas, Ana Laura Ricci-Vitor, Renan Valero Freire, Erico Chagas Caperuto, Luiz Carlos Marques Vanderlei, Fábio Santos Lira, Fabrício Eduardo Rossi

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.671-679

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The aim of this study was to verify the autonomic modulation and blood pressure after adenosine-5’-triphosphate (ATP) supplementation asso-ciated to acute aerobic exercise in hypertensive women. Eleven hyper-tensive women (age, 61.8±5.0 years) completed a randomized, double blind trial: ATP supplement condition (ATP=400 mg) or placebo. After 30 min of supplementation or placebo intake, the subjects performed 30 min of aerobic exercise (70%–75% of maximum heart rate). The auto-nomic modulation was assessed by heart rate variability during rest and recovery (postexercise until 30 min of recovery), the square root of the mean squared difference between adjacent RR intervals (RMSSD), standard deviation of successive values (SDNN), low frequency (LF) and high frequency (HF) were measured. The blood pressure (systolic blood pressure [SBP] and diastolic blood pressure, mmHg) were re-corded at rest, immediately postexercise, post-10, post-20, and post-30 min after exercise. For RMSSD, there was statistically significant differ-ence during recovery, with higher RMSSD for ATP compared to placebo (rest=16.4±8.5 vs. placebo=11.6±4.0; ATP=18.5±9.7 msec; P=0.020). When analyzing the delta (recovery minus rest), the RMSSD (ATP=2.1± 7.2 msec vs. placebo=-4.7±7.5 msec; P=0.009), LF (ATP=-19.8±122.7 vs. placebo=-94.1±200.2 msec2; P=0.02), and SDNN (ATP=-2.8±12.2 msec vs. placebo=-10.6±10.5 msec; P=0.010) were higher for ATP than placebo. Furthermore, there was a greater postexercise hypotension at 20 min for ATP (SBP: ATP=-13.2±8.4 mmHg vs. placebo=-6.1±9.9 mmHg; P=0.006). Acute ATP supplementation promoted greater postexercise hypotension for systolic blood pressure and induced faster recovery of heart rate variability in hypertensive women.

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Functional capacity and ventilatory efficiency are preserved in well-controlled people living with human immunodeficiency virus/acquired immunodeficiency syndrome

Luís Fernando Deresz, Marlus Karsten, Isadora Faraco Corrêa, Anelise Sonza, Maria Letícia Rodrigues Ikeda, Candissa Silva da Silva, Pedro Dal Lago

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.680-687

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To verify and compare the responses of the cardiopulmonary variables to the incremental test in physically inactive people living with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) (PLWHA) with well-controlled disease and physically inactive healthy subjects (non-HIV/AIDS). Participants performed a cardiopulmonary exercise test (CPX) on a treadmill. Data were analyzed using the Mann–Whitney test and Spearman correlation. Nine PLWHA (5 women) and 9 non-HIV/AIDS gender and activity level-matched controls were included in the data analysis. Data are expressed in median (range). No difference was shown in the PLWHA group when compared to the control group in functional capacity (peak oxygen consumption [VO2peak]: 29.9 (20.9–36.4) mL/kg/min vs. 32.2 (24.5–39.4) mL/kg/ min) and ventilatory efficiency (oxygen uptake efficiency slope [OUES]: 2,058 [1,474–3,204] vs. 2,612 [1,383–4,119]; minute ventilation carbon dioxide production slope: 27.4 [22.5–33.6] vs. 27.5 [20.4–38.1]). The results are also similar to maximal heart rate, oxygen pulse, gas exchange threshold, respiratory compensation point, heart rate recovery, and half-time of VO2peak recovery. OUES had a strong correlation with VO2peak in the PLWHA group (rs= 0.70, P= 0.04) and control group (rs= 0.78, P= 0.02). The results of this study indicate that functional capacity and ventilatory efficiency in PLWHA with well-controlled disease are preserved and are not different from sedentary subjects. In this sense, when CPX is unavailable, the aerobic assessment and prescription could be based on simpler procedures used in healthy subjects.

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Blood pressure responses after resistance exercise session in women living with human immunodeficiency virus/acquired immunodeficiency syndrome

Wagner Jorge Ribeiro Domingues, Vanessa Cristina Nogueira, Dayane Cristina de Souza, Antonio Henrique Germano-Soares, Raphael Ritti-Dias, Ademar Avelar

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.688-693

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The aim of this study was to verify blood pressure (BP) responses after a single resistance exercise session in women with human immunode-ficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). Twelve patients underwent a resisted exercise session. BP, heart rate, and rate pressure product were evaluated before and during 120 min after the session. Mean cardiovascular values before and after the session were similar (P>0.05). Analysis of the individual data revealed that for 120 min after exercise, 5 and 4 patients presented a reduction in systolic and di-astolic BP of ≥4 mmHg, respectively. The clinical characteristics of the patients appear to influence BP responses after exercise. Individual data showed that some of the HIV+ women demonstrated a clinically signifi-cant decrease in BP. Although a single resistance exercise session does not decrease BP in women with HIV/AIDS, individual data present het-erogeneity and individual characteristics seem to influence BP reduc-tion after a single session of resistance exercises.

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Duration of wrist immobilization is associated with shoulder pain in patients with after wrist immobilization: an observational study

Raquel Cantero-Téllez, Santiago García Orza, Mark D. Bishop, Pedro Berjano, Jorge Hugo Villafañe

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.694-698

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The main goal of this study was to determinate the extent of the rela-tionship between shoulder pain and time of wrist and thumb immobili-zation required after injury. One hundred twenty-three consecutive sub-jects presenting to the practice of different Orthopedic Specialist hospi-tals with a diagnosis of distal radius or scaphoid fracture that required wrist and thumb immobilization were screened for eligibility criteria. Upper extremity pain and the need for shoulder rehabilitation were as-sessed using the visual analogue scale (VAS) at baseline after immobi-lization period (T0) 1- and 3-month follow-up (1-FU/2-FU). More than 35% patients had shoulder pain (VAS>40 mm) after immobilization of the wrist. Shoulder pain intensity after immobilization and at follow-up (1 and 3 months) was strongly correlated with the duration of the immobi-lization. Immobilization for 3.5 weeks or longer was the strongest pre-dictor for the need of subsequent shoulder rehabilitation. An increased the time of immobilization of the wrist is associated with an increase in shoulder pain and need for shoulder rehabilitation in patients after wrist fracture.

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Effect of slipper wearing and carrying positions of infant on dynamic stability and kinetic variable during level walking

Che-Cheong Ryew, Seung-Hyun Hyun

한국운동재활학회 JER Vol.14 No.4 2018.08 pp.699-703

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Recently though various hip seats for carrying infant of women was de-signed and developed, then, wearing slipper may restrain the move-ment of bare foot. The study was undertaken to investigate the dynamic stability and kinetic variables according to between position of carrying infant and wearing slipper. Adult female (n=10) and under one year age of infant (n=10) participated in the study. Extrapolated center of mass, center of pressure, ground reaction force (GRF), and leg stiffness of gait characteristics using 3-dimensional cinematography and GRF were an-alyzed. Dynamic stability according to position of carrying infant and wearing slipper was not significant. While when carried an infant against normal gait showed significant difference in breaking force, leg stiffness and loading rate (P<0.001). Of which breaking force and verti-cal impulse were more increased when the back-carried against fore-carried of trunk. Thus it resulted in transformation on types of im-pulse transfer to leg and COG of women’s carrying infant, which may be strategy for securing a dynamic stability. Therefore experts related with exercise rehabilitation should understand sufficiently on gait character-istics of women with diseases on muscular-skeletal system and per-form effective rehabilitation and treatment.

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