Earticle

본 연구의 목적은 뇌졸중 발생 후 독립적인 일상생활을 유지하기 위하여 근력강화 및 동작 수행능력을 증진시키기 위한 다양한 방법의 재활운동을 제시하는데 있다. 본 연구에서는 뇌졸중의 의미, 재활운동의 중요성 및 재활운동의 방법에 대하여 알아보았다. 뇌졸중이란 뇌혈관의 이상에 의한 신경계통의 질환으로 국소 뇌 조직의 대사에 장애를 일으켜 국소 뇌조직 기능 이상이 임상증상으로 나타나는 질환이다. 재활운동은 뇌졸중 후 신체기능을 향상시키는데 필수적이다. 재활운동의 목표는 근력 회복, 걷는 모양 및 걷는 기술 향상, 뇌졸중 후 사지의 손실된 근육과 관절의 기능 향상 등이 있다. 재활운동은 경직 예방, 어개와 팔의 통증 예방, 낙상 및 골절 예방 등에 중요한 역할을 한다. 트레드밀 보행운동, 유산소성 운동, 근력 훈련, 수중운동 및 관절가동성(ROM)을 고려한 스트레칭 운동 등과 같은 재활운동은 기능적인 움직임 향상에 도움을 준다. 또한 뇌졸중의 회복은 중강도 운동에서 조기 재활훈련으로 가능하다. 결론적으로 뇌졸중은 뇌조직에 장애를 일으키는 질환이 지만, 장애 발생 후 지속적인 재활운동은 기능을 향상시키며 정상생활로 복귀할 기회를 제공한다.

The purpose of the present study is to present the various therapeutic exercise for the improvement of movement, the enhancement of muscular strength, and the maintenance of independence life. after cerebrovascular accident(CVA). This article study the meaning of stroke, the importance of therapeutic exercise, and the methods of therapeutic exercise. Stroke is the nerve system disease by the brain blood vessel disorder, and the clinical disease by the disorder of local brain function. Therapeutic exercise is necessary to improve the functions of the body after a stroke. The goal of therapeutic exercise is to strengthen muscles and improve gait, which is walking skills. Also, it helps loosen muscles and joints that may have become stiff in the arm or leg that was involved with the stroke, which improves the functional movement with walk on treadmill, aerobic exercise, muscle training, aqua exercise and ROM stretching exercise. Also, stroke recovery can be modulated by the intensity of exercise in early rehabilitation training. In conculsion, therapeutic exercise should be continued even after initial deficits have improved. This gives patients the best chance to get back to a normal life.

본 연구는 발목 염좌로 인한 발목관절 불안정성이 있는 자들을 대상으로 뱁스보오드와 트렘폴린 운동이발목의 기능적 안정성에 미치는 영향을 규명하고자 하였다. 피검자 24명을 운동군 2집단(뱁스보오드 운동군: 8명, 트렘폴린 운동군: 8명)과 대조군(8명)으로 나누어 재활운동을 실시하였으며, 밸런스 운동 사전과 사후검사는 Romberg 검사와 Star Excursion Balance Test(SEBT) 검사를 실시하였다. 발목관절 정적 운동검사에서 건측의 경우 측정시기와 상호작용에서 각각 유의한 차이이가 나타났다(P<.01, P<.05). 환측의 경우 측정시기에서 유의한 차이이가 나타났다(P<.01). 발목관절 동적 운동검사에서 건측의 경우 가측, 뒤가측, 뒤측은 측정시기에서 유의한 차이이가 나타났고(P<.05, P<.01, P<.001), 뒤내측과 내측은 측정시기와 상호작용에서 각각 유의한 차이이가 나타났다(P<.01, P<.001). 환측의 경우 앞가측, 내측은 측정시기에서 유의한 차이이가 나타났고(P<.05, P<.001), 뒤측, 뒤내측은 측정시기와 상호작용(P<.05, P<.01), 앞내측은 상호작용에서 유의한 차이이가 나타났다(P<.05). 결론적으로 발목관절 염좌가 있는 환자의 재활 프로그램(운동)을 시행함에 있어서 고유수용기 훈련 및 통합적인 균형훈련을 포함한 기능적 운동이 발목의 기능적 안정성에 긍정적인 효과를 줄 수 있을 것으로 사료된다.

The purpose of this study was to investigate the effects of balance exercises on functional ankle stability in patients with ankle sprains. Twenty four subjects were divided into 3 groups: two exercise groups (BAPS board exercise group; trampoline exercise group) and one control group, each group consisted of 8 subjects. All subjects performed the Romberg test and Star excursion balance test (SEBT) before and after the balance training. The results of the Romberg test showed the time of measurement and interaction-effect were significant on the uninvolved side (P<.01, P<.05). The time of measurement was significant for the involved side (P<.01). The results of the SEBT test showed that lateral, posterolateral, and posterior directions were significant in the time of measurement on the uninvolved side (P<.05, P<.01, P<.001), and also posteromedial and medial directions were significant in the time of measurement and interaction-effect on the uninvolved side (P<.01, P<.001). Anterior and medial directions were significant in the time of measurement (P<.05, P<.001), posterolateral and posteromedial directions were significant in the time of measurement and interaction-effect (P<.05, P<.01), and anteromedial was significant in the interaction-effect on the involved side (P<.05). The results suggest that a rehabilitation program for patients with lateral ankle sprains should include proprioceptive and comprehensive functional balance exercises in order to improve functional stability of the ankle after lateral ankle sprains.

[서론] 임심기간 중 규칙적인 운동이 산욕기에 나타나는 신체적·정신적 변화에 미치는 영향에 대해서는 아직 알려진 바 없다. 본 연구에서는 임신기간 중 운동을 한 산모와 하지 않은 산모의 산욕기 건강관련체력, 산후우울, 체중변화를 비교하고 산전운동의 효과를 구명하여 임산부 운동처방의 자료를 제시함과 동시에 임산부의 건강과 출산 후 신체적·정신적 회복에 기여하는 데 있다. [방법] 본 연구의 피험자는 B광역시 D구에 위치한 A병원 조리원에 입실한 산욕부 중 대상자의 일반적 및 분만관련 특성을 설문지를 통해 검사하여 임신 5개월 이후부터 출산 전까지 규칙적인 걷기와 산전 요가프로그램에 참가했던 산모들을 운동군(Exe, n=9)으로 구성하였으며, 그렇지 않은 산모들을 비운동군(Nonexe, n=13)으로 구성하였다. 산전 요가프로그램은 RPE 11-13의 강도로 주 2회, 1시간씩 실시하였으며, 건강관련체력(최대하산소섭취량, 악력, 윗몸일으키기, 백 스크래치, 신체조성), 산후우울, 체중변화를 측정하였다. 연구의 측정결과는 SPSS ver. 12.0을 이용하여 측정항목의 평균값(M)과 표준편차(SD)를 산출하였다. 집단 간 항목별 평균값 차이비교를 위해 t-test를 실시하였으며 체중의 측정시기와 그룹 간 변화를 알아보기 위해 Two-way repeated ANOVA를 실시하였다. 통계적 유의수준은 α=.05로 설정하였다. [결과] 운동군이 비운동군에 비해서 최대산소섭취량, 오른쪽 및 왼쪽 back scratch, 제지방량이 유의하게(p<.05) 높게 나타났다. 근력 및 근지구력은 운동군이 높은 경향을 보였고, 체지방량과 산후우울은 운동군이 낮은 경향을 보였으나 통계적으로 유의한 차이는 없었다. [결론] 연구결과를 종합해 볼 때 신체적․정신적으로 건강한 임신과 출산을 위해 임산부 운동이 활성화되어야 한다고 생각된다.

[INTRODUCTION] The purpose of this study was to compare health-related fitness, postpartum depression, and body weight changes between two groups of women who had regularly exercised during pregnancy and who had not exercised. This study may also provide useful information for exercise prescription in pregnancy women and contribute their health during pregnancy and physical and mental recovery after delivery. [METHOD] Puerperium women who were being served at the postpartum care center located in B Metropolitan City completed a questionnaire to identify their demographic and delivery-related characteristics. Total 22 puerperium women participated in this study and divided into exercise and non-exercise group. Exercise group (n=9) was those who had regularly exercised for more than 5 months during their pregnancy, while non-exercise group (n=13) was those who had not participated in any exercise program during their pregnancy. Exercise group performed pregnancy yoga program 2 days/week, which was composed of 5-10 min warm-up, 30-40 min main exercise, and 5-10 min cool-down. Submaiximal oxygen consumption, handgrip test, partial curl-ups, back scratch, and body composition were measured for health-related fitness. Postpartum depression was tested using by self-rating depression scale. Difference between the exercise and non-exercise groups was examined by t-test. Difference between the two groups in weight change in accordance with the time point of weight measurement was analyzed by two-way repeated ANOVA. All statistical analyses was peformed by using a statistical software SPSS Ver. 12.0 at the statistical significance level of α=.05. [RESULT] Main Findings of the study were that the exercise group had significantly higher health-related fitness than the non-exercise group, especially in cardiovascular fitness, upper-limb flexibility, and lean body mass. Also, exercise group tended to show lower postpartum depression than non-exercise group, which was not statistically significant. [CONCLUSION] In conclusion, regular exercise during pregnancy was needed to promote the improvement of physical and mental fitness during pregnancy and after delivery. Therefore, it is needed to develop a well-organized and appropriate exercise program during pregnancy for provide pregnant women.

[PURPOSE] The purpose of this study was to examine physique and fitness in elite national fencing players. [METHODS] A total of 559 athletes who played as national players over 10 years participated in the study. There were 285 male and 274 female players (saber: 85 males, 93 females; epee: 105 males, 90 females; fleuret: 95 males, 91 females). Separate one-way ANOVA was performed to determine between sex and weapon categories. [RESULTS] There was a large difference between weapon categories in the male players more than in female players. Epee athletes were of largest physique (height, weight, and fat free mass), and the following were the order saber, and fleuret in both sex. Male epee athletes were significantly stronger in muscular strength and isokinetic muscular strength while female fleuret athletes were in power endurance, muscle endurance, and anaerobic power. Sabre athletes were significantly strong in muscular strength. Epee athletes were significantly strong in flexibility. [CONCLUSIONS] These results suggest that different physique and fitness factors in weapon categories require individualized training protocols.

[PURPOSE] The purpose of this study was to investigate the preference for exercise information in the elderly. We also analyzed physical literacy related factors. [METHODS] Face-to-face survey and exercise performance evaluation were conducted by trained investigator. The subjects in this study were 289 people aged 65 to 79 years, living in Seoul. Statistical analysis has been operated by SPSS [RESULTS] The subjects preferred the form in which text, numeric data, and diagrams were presented together as a type of exercise information. For examples of action, photographs, Asian, and young women were the most preferred information to conduct exercise. We examined physical literacy related factors using multiple regression model. The final regression model was shown that age(β=-0.269, p<0.000), educational level(high: β=0.220, p<0.001; college or higher: β=0.159, p=0.009), understanding of terms(β=0.118, p<0.042), interest of excercise information(β=0.191, p<0.013) was significantly associated with physical literacy in the elderly. [CONCLUSIONS] The present study suggests that excercise information for elderly has to consider the elderly. preference and degree of difficulty for better understanding

[PURPOSE] The purpose of this case report was to determine the effects of short-term corrective exercise on pain, hip Joint range of motion and trunk muscle strength of a patient with anterior pelvic tilt (APT). [METHODS] The single-subject was a 21-year-old female with APT and low back pain (LBP). Corrective exercise program was performed for 40 min/day twice a week for 4-week. LBP (VAS), lumbar disability (ODI), range of motion (hip flexion, extension, abduction, adduction, internal rotation, and external rotation) and trunk flexor and extensor strength were measured before and after 4 weeks of corrective exercise. [RESULTS] VAS and ODI decreased after corrective exercise. Hip joint range of motion increased at flexion, extension, abduction, adduction, internal rotation, and external rotation after corrective exercise. Trunk flexor and extensor strength improved after corrective exercise. [CONCLUSIONS] We demonstrated that short-term corrective exercise decreases pain and disability, increases range of motion, trunk flexor, and extensor strength of a patient with anterior pelvic tilt.

운동학 학술지, 2011, 13(1): 91-102. 기공체조를 활용한 복합운동프로그램이 농촌노인의 신체조성 및 체력변화에 미치는 영향. [서론] 본 연구의 목적은 기공체조를 활용한 복합운동프로그램 이 농촌노인의 신체조성, 체력변화에 미치는 영향을 알아보고자 한다. [방법] 연구대상은 충북 Y지역 65세 이상의 만성질환(관절염, 디스크, 낙상경험)을 앓고 있는 질환자 10명을 선정하여 신체활동 및 기공체조를 활용한 복합운동프로그램 참여에 지장이 없는 자들로 선정하였다. 기공체조와 노인건강체조로 구성된 복합운동프로그램은 24주간 주3회 실시하였으며, 1일 60분간 진행하였다. [결과] 첫째, 체성분에서 체중의 감소(p<.05), 체지방량의 감소(p<.05), 제지방량의 증가(p<.05), BMI의 감소(p<.05), 복부지방율의 감소(p<.05)로 모두 유의한 차이를 나타내었다. 둘째, 체력에서 악력의 증가(p<.05), 유연성의 증가<.05), 민첩성의 향상(p<.05), 평형성의 증가(p<.01)로 모두 유의미한 차이를 나타내었다. 셋째, 연구대상자는 심층면담을 통해 질환상태의 호전, 체력증진, 생활의 활력, 운동참여 인식의 변화에 대해 긍정적인 대답을 하였다. [결론] 농촌노인의 만성질환자들에게 기공체조를 활용한 복합운동프로그램 참여는 신체조성과 체력 증진, 운동의 심리적 효과가 있음을 시사하였다.

KINESIOLOGY, 2011, 13(1): 91-102. The Effects of Combined Exercise Program Based on Qigong on the Body Composition and Physical Fitness of Rural Elderly People. [INTRODUCTION] The purpose of this study was to examine the effects of a combined exercise program utilizing Qigong exercise on the body composition and physical fitness of rural elderly people. [METHOD] The subjects in this study were 10 sick senior citizens in the region of Y, North Chungcheong Province. The selected people were suffered from chronic diseases including arthritis, hernia of an disks, or an injury from falling, and were able to participate in physical activities and a Qigong- based combined exercise program. A combined exercise program that consisted of Qigong exercise and senior gymnastics was conducted during a 24-week period of time, three times a week, 60 minutes a day. [RESULT] First, regarding body composition, there was a significant decrease in their weight(p<.05), body fat (p<.05), BMI(p<.05) and abdominal fat(p<.05), and they showed an increase in fat-free rate(p<.05). Second, as to physical fitness, they showed a significant improvement in grip(p<.05), flexibility(p<.05), agility(p<.05) and balance(p<.01). Third, as a result of asking whether their illness took a turn for the better, whether their physical fitness improved and whether there was a change in their way of looking at exercise, they all gave positive answers. [CONCLUSION] The study suggested that the regular participation of the rural senior citizens with chronic diseases in the Qigong-based combined exercise program had an effect on their body composition, physical fitness, and psychology.