Earticle

본 연구의 목적은 다양한 운동 중재가 신경가소성 발현에 미치는 영향을 조사하였다. 우리는 scholar, DBpia, KISS를 사용하여 신경가소성, 운동 및 다양한, 신경가소성 및 운동'이라는 용어로 검색하였고, 무작위 대조군 실험(RCT)만을 고려 대상으로 하였다. 선별된 322개의 논문 중 7개가 포함 기준을 충족하였고, 샘플 크 기는 20명 미만에서 40명까지 다양했으며, 연령대는 40세에서 65세 이상이었다. 일곱 개의 연구 모두 다양한 운동 중재로 인해 대상자의 신경가소성이 개선되었다고 보고되었다. 다만, 일곱 개의 RCT가 제공한 증거의 질적 인 의미는 높았지만, 샘플 크기가 작았음을 인정하고자 한다. 차후 연구에서 적절한 샘플 사이즈를 증가시키고 특정한 대상자의 신경가소성에 대한 추가 연구의 필요성을 제기할 수 있다.

The purpose of this study examined the Effects of various exercise interventions on neuroplasticity expression. We searched scholar, DBpia, kiss, using the terms: neuroplastic, exercise AND various, neuroplasticity and exercise. Only Randomized Controlled Trials (RCT) were considered. Out of 322 articles screened, 7 fulfiled the inclusion criteria. Sample sizes varied from under 20 to 40 participants ranging in age from 40 to over 65 years. ALL of the seven studies reported improvement in neuroplasticity due to various exercise intervention. The quality of the evidence provided by the seven RCTs was high, but most of them were small sample sizes. These results emphasize the need for further research on single and neuroplasticity.

The purpose of this study is to identify what kind of effects complex ex-ercise rehabilitation program has on body composition of female, blood pressure, blood sugar, blood vessel elasticity and find more effective complex exercise program for elderly females. The subjects are select-ed 30 females applicants in exercise program in City of G and not re-stricted in mobility to perform the exercise without any particular disor-ders. Exercise program is a combination of aerobic and strength train-ing with different ratio, for the first 6 months focused on strength train-ing complex exercise, and for next 6 months focused on aerobic exer-cise. Except for strength training and aerobic exercise, durations for strength, rest, and wrapping-up are equal. The frequency of experi-ments is 90 min each, 2 times per a week. Body composition, blood pressure, and blood vessel elasticity are tested pre and post experiment to compare the effectiveness of both complex exercises. As results, in the complex exercise program focused on strength training, weight, per-cent body fat, fat mass, waist hip ratio, systolic blood pressure, and dia-stolic pressure increased. Blood vessel elasticity maintained its level or slightly decreased. In the complex exercise focused on aerobic exer-cise, weight, percent body fat, fat mass, waist hip ratio, systolic pres-sure, and diastolic pressure decreased. Blood vessel elasticity on left foot and right foot are slightly different. Therefore, aerobic exercise is more effective than strength training for old obese females.

본 연구는 50-60대 중년 비만여성을 대상으로 8주간 복합운동을 실시하여 신체구성 및 안정시 대사량 변화를 관찰하여 복합운동과 단백질 보충제 섭취의 비만 개선 효과와 근육량 증진 효과에 대한 타당성을 검토하는데 그 목적이 있었으며, 이에 다음과 같은 결론을 얻었다. 복합운동을 실시한 그룹과 복합운동 및 단백질 섭취를 병행한 그룹에서 체중, 허리둘레, 체지방률, 체 지방량에서 유의한 감소가 나타났다. 근육량에서는 통계적으로 유의한 차이가 나타나지 않았다. 안정시 대사량에서 통계적으로 유의한 차이는 나타나지 않았지만 복합운동 및 단백질 섭취를 병행한 그룹에서 증가하는 경향이 나타났다. 본 연구를 통해 복합운동과 단백질 섭취가 체중, 체지방, 체지방률, 허리둘레 가 유의하게 감소되는 것을 확인할 수 있었다. 이는 복합운동 및 단백질 섭취를 병행한 복합운동은 신체 조성 개선에 효과적인 것으로 나타났다.

Objectives The purpose of this study is to sequentially investigate the effects of regular complex exercise and appropriate protein supplement intake on resting metabolic rate during body composition and stabilization for middle-aged obese women in their 50’s & 60’s. Methods In this study, tested subjects were middle-aged obese women with a waist of 80㎝ or higher or more after menopause. It consisted of a combined exercise group (n=8), a combined exercise and protein ingestion group (n=8), and a control group. A total of 80 minutes, including warm-up (10 minutes), aerobic exercise (30 minutes), band exercise (30 minutes), and cleanup exercise (10 minutes), were conducted four times a week for eight weeks. Results There were significant differences in weight, body fat, body fat percentage, and waist circumference before & after training combined excise group and combined excise protein intake group. Conclusions Complex exercise combined with protein intake was found to be effective in improving body composition.

본 연구의 목적은 노화성 근감소증 노인 여성 24명을 대상으로 복합운동 프로그램 참여가 신체 수행력 및 노인 운동기능저하 점수에 미치는 영향을 규명하고자 하였다. 복합운동 프로그램은 24주간 유산소, 저항성, 유연성, 균형성 운동을 실시하였다. 이에 따른 분석 항목은 신체 수행력과 노인 운동기능저하증후군이었는데, 신체 수행능력 지표는 SPPB 총점, 균형, 보행속도, 의자 일어서기 점수를 분석하였고 노인 운동기능저하증후군 지표는 GLFS-25 총점, 통증, 움직임, 일상생활, 사회생활, 인지 점수를 분석한 결과, 다음과 같은 결론을 도출하였다. 신체 수행능력 지표에 있어서 통제 집단은 24주간 복합운동 프로그램 참여 후에 유의한 차이가 없었으나, 운동 집단은 SPPB 총점, 균형, 보행속도, 의자 일어서기 점수에서 유의하게 증가하였고 상호작용 효과가 나타났다. 노인 운동기능저하증후군 지표에 있어서 통제 집단은 24주간 복합운동 프로그램 참여 후에 유의한 차이가 없었으나, 운동 집단은 GLFS-25 총점, 움직임, 일상생활, 사회생활 점수에서 유의하게 감소하였고 상호작용 효과도 나타났다. 통증과 인지 점수에서는 상호작용 효과가 나타나지 않았다. 결론적으로 노화성 근감소증 노인 여성들은 복합운동 프로그램 참여에 따른 신체 수행력과 노인 운동기능저하증 후군 점수에 효과적임을 알 수 있었다. 특히 근감소증 노인 여성들은 체력이 약하고 독립적인 일상생활에 움직임이 원활하 지 못함을 감안했을 때, 근기능이 정상범위에 있는 노인들보다 안전하고 자기 페이스로의 장기적인 트레이닝 프로그램 참여가 요구된다고 할 수 있다.

The purpose of this study was to investigate the effects of participation in a complex exercise program on the scores of physical performance and locomotive syndrome of 24 elderly women with aging sarcopenia. The complex exercise program consisted of aerobic, resistance, flexibility, and balance exercises for 24 weeks. The analysis items according to this were physical performance and the locomotive syndrome. The following conclusions were drawn. In the body performance index, the control group showed no significant difference after participating in the complex exercise program for 24 weeks, but the exercise group showed a significant increase in the SPPB total score, balance, walking speed, and chair standing score, and the interaction effect was shown. There was no significant difference in the index of the elderly locomotive syndrome after the control group participated in the complex exercise program for 24 weeks, but the exercise group showed a significant decrease in the GLFS-25 total score, movement, daily life, and social life score, and the interaction effect was also shown. There was no interaction effect in pain and cognitive scores. In conclusion, it was found that elderly women with aging sarcopenia were effective in the physical performance and the locomotive syndrome score according to the participation in the complex exercise program.

This study aimed to identify the effects of music-based complex exercise program on the lymphedema, hand grip strength, pain, and gait endurance in patients with breast cancer. Thirteen patients with mastectomy volunteered to participate in this study. All subjects underwent the music-based complex exercise program for averaging 60 minutes daily for 8 weeks (total of 40 sessions). Assessment tools were made with lymphedema, hand grip strength, visual analogue scale and 6 minutes walk test before and after the 8-week intervention period. All parameters showed significant improvement after intervention (p<0.05). This study demonstrates that the music-based complex exercise program may be favorably used to manage post-mastgectomy symptems such as lymphedema, pain, muscle weakness, reduced walking endurance. This study provides valuable information for future studies in this field. Further studies with wider range of subjects and longer experimental period are required to support the results of this study.

본 연구는 노인 여성을 대상으로 신체적, 인지적, 정서적 건강에 대해 알아보고자 체중, 체지방률, 허리둘레의 비 만도에 따른 기능체력, 인지기능, 낙상 효능감, 우울에 미치는 영향을 10주간의 복합운동프로그램 참여 후 효과검증을 실시하였다. 본 연구는 경상북도 A시 K장수대학에 수강중인 분들을 대상으로 평소 규칙적인 운동을 실시하고 있지 않는 노인 여성 30명을 대상으로 실시하였다. 10주간의 복합운동프로그램을 참여한 여성 노인의 비만도에 따른 신체기능, 기능체력, 인지기능, 낙상효능감에서의 집단 및 시기간의 상호작용효과는 나타나지 않았다. 노인 여성들의 운동 전․후의 변화를 살펴본 결과 인지적 정서적 장애를 가지고 있는 대상자를 선정하여 인지기능을 증가 시키기 위한 장기간의 운동프로그램과 우울, 낙상 효능감의 관계를 다각적인 방법으로 인지기능 도구, 뇌 혈류 등의 혈 액 지표를 추가하여 후속 연구를 제언한다.

The purpose of this study was to investigate the effect of obesity on physical fitness, cognitive function, fall efficacy, and depression after participating in a 10-week complex exercise program to examine physical, cognitive, and emotional health in the elderly women. 30 elderly women who were not exercising regularly at K senior University in A city of Gyeongsangbuk. There was no interaction between groups and periods in body function, function strength, cognitive function, and fall effectiveness with the obesity level of the elderly in the composite exercise program. It is hoped that a long-term exercise program for increasing cognitive and emotional disability and the relationship between depression and fall effectiveness were selected in various ways.

본 연구는 12주간 대사증후군 중년 여성들의 코코넛 오일 섭취와 복합운동이 신체조성, 산화스트레스 및 혈 압에 미치는 영향을 규명하고자 하였다. 측정항목은 체지방(체중, 체지방, BMI, WHR), 산화스트레스(MDA, SOD), 혈압(SBP, DBP)을 측정하였다. 그 결과, 체중과 체지방에 있어서 코코넛 오일, 복합운동 프로그램 참여 전에 비해 후에 유의하게 감소하였다. BMI, WHR에 있어서 코코넛 오일, 복합운동 프로그램 참여 전에 비해 후에 유의하게 감 소하였다. MDA에 있어서 코코넛 오일, 복합운동 프로그램 참여 전에 비해 후에 유의하게 감소하였다. SOD에 있어 서 코코넛 오일, 복합운동 프로그램 참여 전에 비해 후에 유의하게 증가하였다. 수축기 혈압에 있어서 코코넛 오일, 복합운동 프로그램 참여 전에 비해 후에 유의하게 감소하였다. 이완기 혈압에 있어서 코코넛 오일, 복합운동 프로그 램 참여 전에 비해 후에 유의하게 감소하였다. 결론적으로 대사증후군 중년 여성들에 있어서 코코넛 오일 섭취와 복 합운동은 체지방, 산화스트레스, 혈압 관리에 효과적인 것으로 나타났다.

The purpose of this study was to investigate the effects of virgin coconut oil supplementation and complex exercise on body composition, oxidative stress and blood pressure in the middle-aged women with metabolic syndrome. As a result, weight and body fat in coconut oil+complex exercise and coconut oil group are significantly decreased after the program. BMI and WHR in coconut oil+complex exercise group are significantly decreased after than before the program. MDA in coconut oil+complex exercise and coconut oil group is significantly decreased after the program. SOD in coconut oil+complex exercise and coconut oil group is significantly increased after the program. Systolic blood pressure in coconut oil+complex exercise and coconut oil group is significantly decreased after than before the program. Diastolic blood pressure in coconut oil+complex exercise group is significantly decreased after than before the program.

만성요통환자를 대상으로 근력강화운동과 안정화운동을 적용한 복합운동이 정적균형, 요부 재위치감각인 지, 요부통증에 미치는 영향을 알아보았다. 연구방법은 만성요통환자 30명을 복합운동그룹과 안정화운동그룹 등 두 그룹으로 나누워 8주간 주 3회씩 운동을 실시하였다. t-test를 이용하여 그룹전, 후와 그룹간을 비교한 결과 정적균형, 요부 재위치감각인지, 요부통증 모두 두 그룹 운동전, 후에 유의한 결과가 나타났지만(p<.05), 그릅간에 있어서는 근력강화운동과 안정화운동을 적용한 복합운동그릅이 더 효과적인 것으로 나타났다(p<.05). 결론적으로 근력강화운동과 안정화운동을 실시한 복합운동이 요통 뿐만 아니라 다양한 요부의 기능을 향상시키는 것으로 생각 된다.

The purpose of this study is to identify the effects of the apply of lumbar stabilization exercises and lumbar strengthening exercises using Medx machine on back functions such as static balance, lumbar reposition sense, and back pain(VAS) in chronic low back pain. This study divided 30 chronic low back pain patients who experienced only lumbar back pain(male: 5, female: 10) into a lumbar stabilization exercise group and a complex exercise group, and then performed their respective exercise programs for three times a week over a 8-week period. The lumbar static balance, lumbar reposition sense, and lumbar back pain were measured using a pair t-test within each group, and were also compared between two groups using an independent t-test. The results of the present study were as follows: Both groups exhibited statisti�cally significant increases after performing their own exercise program in the static balance, lumbar reposition sense, and lumbar back pain(p<.05). However, the comparison of two groups confirmed that the complex exercise group resulted in greater effects than the lumbar stabilization exercise group(p<.05). In conclusion, muscle strengthening and stabilization exercises in chronic low back pain patients are considered to not only relieve back pain, but also improve various back functions.

Purpose: The present study was to examine the effect of a meditation-based exercise program on the motor and non-motor symptoms of Parkinson﹑s disease (PD). Methods: Sixty three PD patients who were recruited from a university hospital were randomly assigned to the experimental group (n 食 33) and to the control group (n 食 30). Participants completed an 8-week Mindfulness Meditation-based Complex Exercise Program (MMBCEP) that included 6 sessions. Before and after the intervention, the Six-Minute Walk Test (6MWT), elastic band pull, chair stand test, and 2.45-meter walk test were administered for the motor symptoms and the Korean Version of Geriatric Depression Scale, The State-Trait Anxiety Inventory (STAI), the Korean-Montreal Cognitive Assessment, Parkinson﹑s Disease Sleep Scale (PDSS), Activities of Daily Living (ADL), and the Quality of Life of Patients with Parkinson's Disease (PDQL) were administered for non-motor symptoms. Results: Significant improvements in the motor symptoms (i.e., muscle strength (lower and upper extremity), balance, and muscle endurance) and in the non-motor symptoms (i.e., anxiety, depression, cognitive functions, sleep disturbance, quality of life, and activities of daily living) were observed. Conclusions: MMBCEP, a complex exercise program-based on mindfulness meditation, is associated with increased motor symptoms, decreased emotional disturbances (anxiety and depression) and sleep disturbance, and improved cognitive functions, quality of life, and activities of daily living. Future research should test the effects of MMBCEP with more representative PD patients.

The integration of metabolomics and transcriptomics may elucidate the correlation between the genotypic and phenotypic patterns in organisms. In equine physiology, various metabolite levels vary during exercise, which may be correlated with a modified gene expression pattern of related genes. Integrated metabolomic and transcriptomic studies in horses have not been conducted to date. The objective of this study was to detect the effect of moderate exercise on the metabolomic and transcriptomic levels in horses. In this study, using nuclear magnetic resonance (NMR) spectroscopy, we analyzed the concentrations of metabolites in muscle and plasma; we also determined the gene expression patterns of branched chain (alpha) keto acid dehydrogenase kinase complex (BCKDK), which encodes the key regulatory enzymes in branched-chain amino acid (BCAA) catabolism, in two breeds of horses, Thoroughbred and Jeju, at different time intervals. The concentrations of metabolites in muscle and plasma were measured by 1H NMR (nuclear magnetic resonance) spectroscopy, and the relative metabolite levels before and after exercise in the two samples were compared. Subsequently, multivariate data analysis based on the metabolic profiles was performed using orthogonal partial least square discriminant analysis (OPLS-DA), and variable important plots and t-test were used for basic statistical analysis. The stress-induced expression patterns of BCKDK genes in horse muscle-derived cells were examined using quantitative reverse transcription polymerase chain reaction (qPCR) to gain insight into the role of transcript in response to exercise stress. In this study, we found higher concentrations of aspartate, leucine, isoleucine, and lysine in the skeletal muscle of Jeju horses than in Thoroughbred horses. In plasma, compared with Jeju horses, Thoroughbred horses had higher levels of alanine and methionine before exercise; whereas post-exercise, lysine levels were increased. Gene expression analysis revealed a decreased expression level of BCKDK in the post-exercise period in Thoroughbred horses.

The purpose of this study was to develop a complex exercise program integrating Eastern and Western complex exercise rehabilitation programs in order to examine the effects of it on the human body with the subjects for women of the II period of mature age with metabolic syndrome. The subjects of this study are 60 II period of mature aged women with metabolic syndrome living in G City, and the experimental group conducted Taekwon-aerobic exercise, European rehabilitation gymnastics, gym ball exercise, and elastic band exercise while the control group performed European rehabilitation gymnastics, gym ball exercise, and elastic band exercise which is the rehabilitation program being presently conducted in Russia, for 90 min per day for three weeks. Two-way ANOVA with repeated measures was utilized to verify preand post-intergroup difference, and the significant level was set as P< 0.05. Whereas body weight, % fat, WHR, SBP, DBP and blood glucose were significant decreased, muscle weight and pulse wave velocity were significant increased after complex exercise rehabilitation programs Both Eastern and Western complex exercise rehabilitation programs showed positive effects on the body of the II period of mature aged women with metabolic syndrome, and if various exercise programs are conducted, it will be more effective in improving II period of mature aged women’s metabolic syndrome afterwards.

Dysphagia is associated with an increased risk of aspiration pneumonia which often results in death in stroke patients. Therefore, effective and efficient management is important. Behavioral therapy for swallowing rehabilitation based on the principles of neuroplasticity such as oropha-ryngeal strengthening and range of motion exercises are the alternative ones that often be used. This study aimed to assess the changes in swal-lowing function in ischemic stroke patients with neurogenic dysphagia after pharyngeal strengthening exercise, hyolaryngeal complex range of motion exercise and swallowing practice. Swallowing function was assessed using Penetration Aspiration Scale (PAS) and Functional Oral Intake Scale (FOIS) based on Flexible Endoscopic Evaluation of Swallow-ing before and after interventions. The interventions were given every day with a duration of 30–45 minutes for 4 weeks. There were six sub-jects who completed the study. The PAS before the interventions were 6.00±1.79 and after the interventions was 1.67±0.82 (P=0.003). Mean-while, the FOIS score before the interventions was 3 (1–5) and after the interventions were 5.00±2.10 (P=0.041). There was an improvement of PAS and FOIS after the interventions. Therefore, the interventions can be suggested to be used as one of the treatments to improve swallow-ing function in ischemic stroke patients with neurogenic dysphagia.

비만 여대생을 대상으로 12주간 복합운동 순서에 따른 복부지방 면적 및 운동지속의도에 미치는 영향을 분석 하여 비만 감소와 예방을 목적으로 실효적 운동프로그램을 제시하여 지속적인 운동참여를 할 수 있는 유용한 자료를 제공하는 데 목적을 두었다. 저항운동 후 유산소운동 집단(A group) 15명, 유산소운동 후 저항운동 집단(B group) 15명으로 분류하여 복부지방 면적 및 운동지속의도의 변화와 관계를 분석하였다. A group이 복부피하지방 면적과 운 동지속의도의 경향성 요인에서 통계적인 유의한 감소가 나타났으며, A group의 12주 후 측정에서 복부피하지방 면적 과 내장지방·피하지방 면적 비율이 운동지속의도의 경향성 요인에 통계적인 유의한 부적 영향을 미치는 것으로 나타났 다. 따라서 비만 여대생들은 12주간 무산소운동 후 유산소 운동프로그램이 복부지방 면적과 운동지속의도에 부분적인 영향을 미쳤으며, 비만 감소와 예방을 목적으로 운동지속을 위한 실효적인 운동순서를 검증하는 것에는 일정부분 지지 가 된 결과라 생각한다. 후속 연구로 다양한 실효적 운동프로그램과 장기적인 분석을 통하여 비만 관련 혈액학적 변화 에 따른 운동지속을 관찰함으로써 운동 참가가 긍정적인 비만 예방의 조성방안으로 제시될 것으로 기대해 본다.

The effects of the 12-week complex exercise sequence on the abdominal fat area and intention of exercise adherence were analyzed for obese female college students.The purpose of this study was to provide useful data for continuous exercise participation by suggesting an effective exercise program for the purpose of reducing and preventing obesity.After resistance exercise, 15 people in the aerobic exercise group(A group) and 15 people in the resistance exercise group(B group) after aerobic exercise were classified, and the change and relationship between abdominal fat area and intention of exercise adherence were analyzed. In group A, there was a statistically significant decrease in abdominal visceral fat area and tendency factors of exercise adherence intention. After 12 weeks in group A, it was found that the area of abdominal visceral fat and the ratio of visceral fat/subcutaneous fat had a statistically significant negative effect on the tendency factors of exercise adherence intention. Therefore, in obese female college students, aerobic exercise program after anaerobic exercise had a partial effect on abdominal fat area and intention of exercise adherence.

본 연구는 12주간의 경사면 기구 복합운동이 초등학생의 근골격 정렬과 키 성장에 미치는 영향을 확인하고자 하 였다. 연구 대상자는 인천 소재 H 운동과학센터에 내원한 초등학생 20명으로, 실험군 10명과 대조군 10명으로 두 집단은 동일한 복합운동프로그램을 주 3회, 회당 50분씩 총 12주간 수행하였으며, 실험군은 경사면 기구 환 경에서, 대조군은 평지에서 동일한 운동을 실시하였다. 체형은 Exbody670을 이용하여 근골격부정렬편차와 근 골격불균형편차를 측정하였고, 키 성장은 자동 신장계(InBody BSM370)를 이용하여 사전 측정을 포함해 총 4 회 측정하였다. 자료 분석은 이원반복측정분산분석(Two-way repeated measures ANOVA)과 사후검정 (Bonferroni)을 실시하였다. 분석 결과, 근골격부정렬편차와 근골격불균형편차에서는 집단 간 주효과, 측정 시 기 주효과와 집단과 측정 시기 간 상호작용 효과는 모두 통계적으로 유의하지 않았다(p ＜ .05). 반면, 키 성장 에서는 집단 간 주효과와 측정 시기 주효과가 유의하게 나타났으며(p ＜ .05), 실험군이 대조군에 비해 더 큰 증 가를 보였다. 이러한 결과는 경사면 기구를 활용한 복합 운동이 초등학생의 키 성장 변화와 관련하여 긍정적인 영향을 미칠 가능성을 시사한다.

The purpose of this study was to confirm the effect of 12 weeks of oblique instrument complex exercise on musculoskeletal alignment and height growth of elementary school students. The subjects of the study were 20 elementary school students who visited the H Exercise Science Center in Incheon, and the two groups performed the same complex exercise program three times a week, 50 minutes per session for a total of 12 weeks. The experimental group performed the same exercise in the inclined instrument environment and the control group performed the same exercise on flat ground. For the body type, the musculoskeletal alignment deviation and musculoskeletal imbalance deviation were measured using Exbody 670, and the height growth was measured 4 times including the pre-measurement using an InBody BSM370. Data analysis was performed by two-way repeated means ANOVA and Bonferroni. As a result of the analysis, in the musculoskeletal alignment deviation and musculoskeletal imbalance deviation, the main effect between the groups, the main effect of the measurement period, and the interaction effect between the group and the measurement period were not all statistically significant (p＜.05). On the other hand, in the height growth, the main effect between the groups and the main effect of the measurement period were significant (p<.05), and the experimental group showed a greater increase than the control group. These results suggest the possibility that complex exercise using slope instruments will have a positive effect on the change in height growth of elementary school students.

[목적] 본 연구는 양방향 내시경을 진행한 환자들에게 동작운동을 포함한 적극적인 걷기운동의 적용이 걸음수의 변 화에 따른 요부근력, 장애지수, 통증 및 정적균형능력에 미치는 효과를 알아보는데 목적이 있다. [방법] 협착증 및 추 간판 탈출증으로 진단받고 양방향 내시경 시술을 받은 40대 남성 26명을 대상으로 8주간 운동프로그램 구성 차이에 따른 걸음수, 등척성 요부근력, ODI, NRS, 정적 균형능력 변화를 측정·분석하였다. [결과] 요부 안정화운동이 포함 된 걷기운동프로그램 중재 후 걸음수 증가에 따른 등척성 요부근력과 정적 균형능력이 유의하게 개선 및 향상되었 다. [결론] 적극적인 걷기운동이 포함된 운동프로그램은 요부의 근기능, 자세 균형성에 긍정적인 개선 효과를 미치는 운동프로그램 구성이라는 것을 확인하였으며 추후에 다양한 정형외과적 허리질환 환자들에게도 신체활동 개선을 통 한 삶의 질을 높이는데 도움이 되는 효과적인 재활운동프로그램이 될 수 있을 것으로 생각된다.

[Purpose] The purpose of this study is to investigate the effects of incorporating active walking exercises, including dynamic movements, on the quadriceps muscle strength, disability index, pain, and static balance ability in patients who have undergone bilateral endoscopic surgery, based on changes in step count. [Method] We conducted measurements and analyses over an 8-week exercise program targeting 24 men in their 40s who were underwent bidirectional endoscopic surgery. We assessed changes in step count, isometric lumbar muscle strength, ODI, NRS pain scores, and static balance ability based on differences in the composition of the exercise program. [Result] After the intervention of an active walking exercise program that included lumbar stabilization exercises, there was a significant improvement and enhancement in lumbar muscle strength and static balance ability with the increase in step coun. [Conclusion] It has been confirmed that an exercise program incorporating active walking exercises is a structured exercise program with a positive impact on lumbar muscle function and postural balance. In the future, it is believed that this effective rehabilitation exercise program could potentially enhance the quality of life through improved physical activity for patients with various orthopedic lumbar conditions.

본 연구는 복합운동 프로그램이 비만과 당뇨 경계역 노인여성의 혈중지질과 혈당 및 비만관련 호르몬에 미치는 영향을 알아보고자 J도에 거주하며, J스포츠 센터에 다니는 60세 이상 여성노인 20명을 대상으로(운동군 10명, 통제군 10명) RPE(9-15)의 강도로 12주간 주 5회 60분씩 운동을 실시한 결과 다음과 같은 결론을 얻었다. 첫째, 12주간 복합 운동 프로그램을 실시한 결과 혈액성분 중에서 LDL-C(p<.01), TG와 Glucose에서 운동군에서 유의한 차가 나타났으 나(p<.05). TC, HDL-C에서는 유의한 차가 나타나지 않았다. 둘째, 12주간 복합 운동 프로그램을 실시한 결과 비만관 련 호르몬의 농도에서는 Leptin에서 운동군에서 유의한 감소(p<.05)를 보였으며, Adiponectin에서 운동군이 유의하게 증가하였다(p<.05). 이상과 같이 비만과 당뇨경계역에 있는 여성노인에 이어서 12주간의 복합 운동프로그램은 혈중지 질 및 혈당의 저하에 긍정적으로 작용한다는 것을 확인할 수 있었으며, 비만 관련 호르몬인 렙틴과 아디포넥틴에 긍정적인 변화를 주는 것을 알 수 있었다.

The purpose of this study was to investigate the effects of a complex exercise program on the blood lipids, blood sugar, and obesity related hormones in elderly women who were borderline between obesity and diabetes. 20 women aged 60 years or older living in J do and attending the J Sports Center. The following conclusions were obtained as a result of exercising for 60 minutes 5 times a week for 12weeks at the intensity of RPE(9-15). First, as a result of the 12 weeks complex exercise program, there were significant differences in LDL-C(p<.01), TG and glucose among blood components in the exercise group (p<.05). There was no significant difference in TC and HDL-C. Second, as a result of the 12 weeks complex exercise program, the concentration of obesity related hormones showed a significant decrease(p<.05) in the exercise group in Leptin, and a significant increase in the exercise group in Adiponectin(p<.05). As described above, it was confirmed that the 12weeks complex exercise program, following the elderly women who were on the borderline between obesity and diabetes, had a positive effect on the lowering of blood lipids and blood sugar.

본 연구의 목적은 비만흡연자의 복합운동이 당뇨발생예측률 및 신체조성, 혈관탄성에 미치는 영향을 분석 하여 비만흡연자의 건강한 삶을 위한 효과적인 운동프로그램을 제시하는데 있다. 본 연구의 취지를 충분히 설명하고 자발적 참여의 동의서를 작성한 D광역시에 소재한 H기업체의 협력업체 T기업에 근무하는 40대 비만흡연 사원 20명 이었으며, 과거병력과 현재 특별한 질환이 없고 규칙적인 운동경험이 없는 자들로 구성하였다. 이들은 당뇨발생률예 측률 및 신체조성, 혈관탄성 검사를 실시하였으며, 실험 전과 12주간 복합운동 실시 후 평균과 표준편차를 산출하기 위하여 기술통계를 실시하였고 실험 전·후 차이 검증은 Paired t-test를 이용하여 분석하였다. 통계적 유의수준은 p<.05로 설정하여 다음과 같은 결론을 얻었다. 12주간 복합운동프로그램 참여 후 당뇨발생예측률, 체중, 체지방률, 골 격근량, 복부지방률 및 혈관탄성 상지(오른손, 왼손), 하지(오른발, 왼발)에서 통계적으로 유의한 수준의 변화를 보였 다(p.<05).

This research aimed at analyzing the influence of complex-exercise on diabetes outbreak prediction rate, body composition and vascular compliance in obese smokers and suggesting effective exercise program for obese smokers' healthy life. The research object was composed of the 20 employees, obese smokers in their age of 40s, of T company, which is the subcontractor of H company in D Metropolitan City, who learned the purpose of this research enough and wrote the consent form of voluntary participation, who have no medical history and currently no special disease, as well as no experience in regular exercise. The researcher conducted an inspection on diabetes outbreak prediction rate and body composition, vascular compliance, also, implemented descriptive statistics to calculate the average and standard deviation before the test and after implementing 12 weeks' complex-exercise program, and verification on the difference between before·after the test was analyzed by using Paired t-test. With statistical significance level p<.05, the research results are as follows. after participating in 12 weeks' complex-exercise program, diabetes outbreak prediction rate, weight, body fat percentage, skeletal muscle mass, abdominal fat rate and vascular compliance showed statistically meaningful level of change in upper extremities(right hand, left hand), nether extremities(right foot, left foot) p.<05.

본 연구는 지역 사회 기반 노인을 대상으로 최소한의 복합 운동 프로그램을 제공하고 어떠한 효과가 있 는지 알아보았다. 총 17명이 참여를 하였고 4주, 주 1회 보건소를 방문하여 물리치료사의 지도를 받으며 흡기근 훈련 장비를 활용하여 운동 프로그램을 진행하였다. 운동 프로그램 효과를 알아보기 위하여 프로그램 참여 전, 후 폐기능과 신체기능 평가를 진행하였다. 본 연구 결과, 폐 기능에서 유의한 변화는 없었으나, Timed UP and Go test, Five Times Sit-to-Stand Test는 유의하게 좋아졌다. 추후 최소한의 중재로 신체기능을 효과적으로 개선할 수 있도록 최소 운동량을 증가시키거나 가정 훈련 프로그램을 같이 제공하는 등 다양한 시도를 통해서 비용대비 효과적인 지역 사회 기반 노인의 건강 프로그램을 구축할 필요가 있다.

This study implemented a minimal complex exercise program for community-based older adults and identified the program’s effectiveness. Seventeen subjects visited a health center once a week for four weeks and were guided by a physical therapist through an exercise program using inspiratory muscle training equipment. The participants’ pulmonary and physical functions were evaluated before and after participation in the program to determine the overall effect. The results found no significant change in lung function, but the Timed UP and Go and Five Times Sit-to-Stand tests showed significant improvement. Thus, there is a need to establish a cost-effective community-based health program for the elderly that increases the minimum amount of exercise in a community setting and provides a home training program so that physical function can be effectively improved with minimal intervention.

목적 : 본 연구의 목적은 허혈성 뇌손상시 회복의 지연을 초래하는 당뇨에 복합운동프로그램을 적용하였을 때, 신경학 적 효과와 당뇨의 개선효과를 확인하고자 하였다. 연구방법 : 본 연구는 경상북도 소재의 동물실험 연구실에서 실시하였고 허혈성 뇌손상 모델의 흰쥐에게 STZ (streptozotocin)를 투여하고 당뇨를 유발한 흰쥐 10마리를 사용하였다. 흰쥐에게는 4주간 복합운동프로그램을 실시 하여 뇌기능회복을 확인하기 위해 미로검사(maze test)를 실시하였고, 당뇨의 개선효과를 보기위해서 혈당을 확인 하였다. 결과 : 허혈성 뇌손상 모델 당뇨쥐에게 복합운동프로그램을 적용한 결과, 뇌기능회복을 확인하기 위한 미로검사에서는 실패횟수(error)가 3주 후부터 유의하게 감소하였고(p<.05) 탈출시간은 1주 후부터 유의하게 감소하였다(p<.05). 그 리고 당뇨의 개선효과를 확인하기 위한 혈당 검사에서는 대조군에서는 유의한 변화가 없었고 복합운동프로그램을 적용한 실험군에서는 4주 후부터 유의한 효과가 있음을 알 수 있었다(p<.05). 결론 : 뇌졸중, 당뇨 등의 성인, 노인성 질환이 증가되고 있는 현 시점에서 환자들에게 재활은 여명수명동안 삶의 질 개선에 매우 중요하다. 본 연구는 허혈성 뇌졸중과 당뇨를 모두 가지고 있는 동물모델에게 치료사가 쉽게 시행할 수 있는 복합운동프로그램 적용을 통하여 뇌기능회복과 당뇨 개선효과를 확인할 수 있었다.

Objective : We tried to know the improvement and neurological effect of diabetes when the complex exercise training was applied on diabetes that delayed the recovery of the ischemic brain injury. Methods : We performed this study in a animal lab which located in Gyengsangbukdo. We used 10 diabetes rats with ischemic brain injury, which is induced by STZ. We applied the complex exercise training on the rats for 4 weeks. We executed the maze test to confirm the recovery of the brain function and checked the blood sugar to know the improvement. Results : As a result of applying the complex exercise on diabetes rats with ischemic brain injury, there was a significant reduce of error and escape time in 3 weeks and 1 weeks, respectively. There was no difference of the blood sugar in control but there was a significant improvement in experiment group after applying the exercise training in 4 weeks . Conclusion : The senile disease like stroke and diabetes was increased currently. It is important for rehabilitation to improve the quality of life during the remainder of their life. In the study, we've known the improvement of diabetes and the recovery of the brain function when the complex exercise training was applied the rats with both diabetes and the ischemic brain injury.