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Journal of the Korean Society of Physical Medicine

  • : 대한물리의학회
  • : 의약학분야  >  기타(의약학)
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  • : 연속간행물
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  • : 1975-311X
  • : 2287-7215
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수록범위 : 1권1호(2006)~15권4호(2020) |수록논문 수 : 804
대한물리의학회지
15권4호(2020년 11월) 수록논문
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KCI등재

1Hamstring Foam Roller release and Sole Self Myofascial Release for Improving Hamstring Muscles Flexibility in Participants with Hamstring Shortness

저자 : Geun-woo Kim , Ji-hyun Lee

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 4호 발행 연도 : 2020 페이지 : pp. 1-9 (9 pages)

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PURPOSE: The current generation has shortened hamstrings due to a sedentary lifestyle, resulting in reduced flexibility of the hamstring and dysfunction. This study was undertaken to compare effects of three different release exercises on hamstring flexibility, in participants with short hamstrings. METHODS: Totally, 20 subjects having short hamstrings were involved in this study. The inclusion criterion for study participation was active knee extension test (AKET) less than 60°. All participants were subjected to 3 methods: hamstring foam roller release (HFRR), sitting self myofascial release (sitting SMR), and standing self myofascial release (Standing SMR). All participants randomly performed all three methods to avoid bias caused by learning or fatigue. Passive knee extension test (PKET), AKET, finger to floor distance test (FTFT), and pelvic tilting angle test (PTAT) were measured pre- and post-exercises.
RESULTS: The PKET, AKET and FTFT were significantly increased after HFRR, sitting SMR, and standing SMR exercise (p < .05). However, PTAT was not significantly increased after the three exercises (p > .05). Furthermore, no significant differences were observed between PKET, AKET, FTFT and PTAT subsequent to HFRR, sitting SMR, and standing SMR (p > .05).
CONCLUSION: Our results indicate that HFRR, sitting SMR and standing SMR were immediately effective in improving hamstring flexibility in participants with short hamstrings.

KCI등재

2Effect of Nordic Walking on Depression and Physical Function in the Elderly with High-Risk of Depression

저자 : Tae-geun An , Han-suk Lee , Sun-wook Park , Hee-chang Seon

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 4호 발행 연도 : 2020 페이지 : pp. 11-20 (10 pages)

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PURPOSE: This study examined the effects of Nordic walking on depression and the physical function of elderly patients with a high risk of depression.
METHODS: This study was a blinded randomized allocation study; 32 elderly were assigned to a Nordic walking group (n = 17), consisting of 60 min Nordic walking (including warming up 5 min, warming down 5 min, and Nordic walking 50 min) two days per week for 12 weeks and general leisure group (n = 15), consisting of 60 min leisure program community center. The pre and post 12-week program, depression test, muscle strength (including grip test, and 30sec sit to stand), and balance (including Functional Reach test, and One Leg Standing test) were measured. A Mann-Whitney U test was used to compare within the group, and a Wilcoxon signed-rank test was used to compare between the groups.
RESULTS: After 12 weeks, only the Nordic walking group showed significant improvement in depression, muscle strength, and balance (p < .05). In the general leisure group, however, the left grip strength and Functional Reach Test (FRT) showed a significant decrease. The Nordic walking program was better than the general leisure group, and a significant difference was observed in depression, muscle strength, and balance between the two groups (p < .05).
CONCLUSION: Nordic walking was effective for the elderly with a high risk of depression. Therefore, Nordic walking may be an option for preventing elderly mental disorders and functional improvement.

KCI등재

3The Effect of Manual Physical Therapy on Neck Disability Index in Myofascial Pain Syndromes: A Systematic Review

저자 : Chan-myeong Kim

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 4호 발행 연도 : 2020 페이지 : pp. 21-28 (8 pages)

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PURPOSE: The main purpose of this meta-analysis study was to identify the degree-of-effect size and the variables for the effects of manual physical therapy on myofascial pain syndrome.
METHODS: This study collected six studies published between 2015.01.01 and 2019.12.31. The analysis result verified nine effect size data. The random-effect model was chosen because of the heterogeneity of the data.
RESULTS: First, the full case showed the largest mean effect size of 2.297 (p < .001). Second, the size of the effect based on the fascial distortion model (FDM) intervention showed an effect size of 4.654 (p < .001). Third, the number of participants showed a 15 or less effect size of 2.612 (p > .058). The number of treatments showed a 10 less effect size of 2.844 (p > .129). The publication type showed a thesis effect size of 3.095 (p < .002).
CONCLUSION: Manual physical therapy has a great effect on myofascial pain syndrome in the neck and shoulders, and that the effects differ according to the methods of intervention.

KCI등재

4The Immediate Effects of Graston Instrument-Assisted Soft-Tissue Mobilization and Self-Stretching on the Muscular Properties of the Gastrocnemius in Athletes

저자 : Ho-seong Kang , Jung-hoon Lee

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 4호 발행 연도 : 2020 페이지 : pp. 29-35 (7 pages)

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PURPOSE: This study examined the immediate effects of Graston instrument-assisted soft-tissue mobilization (GIASTM) and self-stretching on the muscular properties of the gastrocnemius in athletes.
METHODS: Thirty subjects (All in their 20 s) were distributed randomly and evenly into two groups of 15 each: GIASTM and stretching. The subjects had no history of gastrocnemius damage in the previous three months. The muscle tone, stiffness, elasticity, and mechanical stress relaxation time (MSRT) of the gastrocnemius were blind-tested. RESULTS: The GIASTM group showed significant changes in all categories, while only MSRT changed significantly in the self-stretching group after intervention. A comparison of the two groups revealed significant differences in stiffness, elasticity, and MSRT (Time required for the muscle to recover after distortion after intervention in the GIASTM group.
CONCLUSION: In this study, significant decreases in muscle tone and stiffness, as well as significant increases in elasticity, were observed in the gastrocnemius of the GIASTM group. On the other hand, sSelf-stretching showed significant differences in MSRT. Therefore, GIASTM is more effective in the recovery of the gastrocnemius muscle from fatigue than self-stretching. This study suggests that GIASTM can help prevent damage to the gastrocnemius in athletes and contribute to their training and rehabilitation programs.

KCI등재

5The Immediate Effects of Neck and Trunk Stabilization Exercises on Balance and Gait in Chronic Stroke Patients

저자 : Yu-won Choe , Myoung-kwon Kim

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 4호 발행 연도 : 2020 페이지 : pp. 37-45 (9 pages)

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PURPOSE: The purpose of this study was to identify the effects of neck stabilization exercise combined with trunk stabilization exercise on balance and gait function in patients with chronic stroke.
METHODS: Twenty-two chronic stroke patients were included in this study. The experimental group subjects (n = 11) performed neck stabilization (15 min) and trunk stabilization (15 min) exercises, while the control group subjects (n = 11) performed trunk stabilization exercise only for 30 min. Before and after the intervention, the subjects underwent static balance and gait testing.
RESULTS: The 95% confidence ellipse area, center of pressure (COP) path length, and COP average velocity were significantly lower in both groups after the intervention compared to before intervention (p < .05). The average stance force on the affected side increased significantly in both groups after the intervention (p < .05). The changes in the static balance variables were larger in the experimental group than in the control group. The cadence, gait velocity, and single leg support increased significantly in both groups after intervention (p < .05). The changes in the gait variables were larger in the experimental group than in the control group.
CONCLUSION: Trunk stabilization is a beneficial intervention, but the combination of neck stabilization with trunk stabilization is a more effective method to increase the gait and static balance in chronic stroke patients.

KCI등재

6Comparison of Two Treadmill Gait Training Techniques on the Gait and Respiratory Function in Stroke Patients

저자 : Sung-hun Park , Nan-hyang Kim , Yong-jun Cha

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 4호 발행 연도 : 2020 페이지 : pp. 47-54 (8 pages)

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PURPOSE: This study compared two different techniques of treadmill gait training, and evaluated the outcomes on gait and respiratory function in patients with hemiplegic stroke.
METHODS: This was a single-blinded, randomized, controlled, comparative study, enrolling a total of 21 stroke patients in a rehabilitation hospital. Subjects were randomly assigned to either the treadmill walking training group with gradual speed increase (GSI group, n = 10), or treadmill walking training group with random speed changing (RSC group, n = 11). All participants performed 60 min of comprehensive rehabilitation therapy (5 × / week for 6 weeks). In additional, each group received either GSI or RSC treadmill walking training for 20 min (5 × / week for 6 weeks, total 30 sessions). Gait and respiratory function were measured before and after the 6-week training.
RESULTS: Both groups showed significant improvements in the 10-m walking test, 6-minute walking test, timed up and go test, forced vital capacity (FVC), forced expiratory volume in 1 second, and maximal voluntary ventilation after training (p < .05). The GSI group showed a significantly greater increase in the FVC than the RSC group (+14.8 L vs. +12.5 L, p < .05).
CONCLUSION: Both training methods can be effective for improving the walking and respiratory functions of stroke patients. However, our results indicate that treadmill walking training with gradual speed increase might be a more effective method for improving the respiratory function (FVC) than treadmill walking training with random speed changing.

KCI등재

7Effect of Breathing Exercises via Joint mobilization on the Lung Function and Spinal Alignment of Straight-necked Women

저자 : Byung-sun Kong , Beom-cheol Jeong , Kyung-tae Yoo

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 4호 발행 연도 : 2020 페이지 : pp. 55-65 (11 pages)

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PURPOSE: This study examined the effects of breathing exercises via joint mobilization on the lung function and spinal alignment of 30 straight-necked women in their 20 s and 30 s.
METHODS: The participants were divided into two groups: an experimental group who performed breathing exercises via joint mobilization, and a control group who performed general stretching exercises. The differences between the two groups were measured and compared at three points in time: during the pre-examination, after four weeks of intervention, and after a four-week maintenance period. The changes in each group were measured before and after the intervention and after a one-month maintenance period and compared. For data analysis, the SPSS 22 was used to obtain the mean and standard deviation with a significance level of ⍺ = .05.
RESULTS: Eight weeks of breathing exercises via joint mobilization and general stretching exercises positively impacted the lung function and spinal alignment in straightnecked patients. In particular, the experimental group showed more significant differences in spinal alignment after four weeks period of intervention and four weeks of maintenance.
CONCLUSION: Breathing exercises via joint mobilization can be considered an effective intervention that can improve the respiratory volume and spinal alignment for patients with straight necks.

KCI등재

8Correlation between Gait Speed and Velocity of Center of Pressure Progression during Stance Phase in the Older Adults with Cognitive Decline: A Pilot Study

저자 : Hee-chang Seon , Han-suk Lee , Man-soo Ko , Sun-wook Park

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 4호 발행 연도 : 2020 페이지 : pp. 67-74 (8 pages)

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PURPOSE: The progression of the center of pressure (COP) velocity of the stance phase may have important roles for predicting gait speed in older adults with cognitive decline. This study was conducted to identify the correlation between gait speed and the velocity of COP progression during the stance phase in older adults with cognitive decline.
METHODS: Forty adults aged 65 years or older (twenty participants without cognitive decline, 20 participants with cognitive decline) were recruited. The COP progression velocity was measured using an F-scan pressure-sensitive insole system. The stance phase was divided into four sub-stages. (loading response, mid-stance, terminal stance, and pre-swing). Gait speed, double support phase, and cadence were also measured. Correlations and multiple regression analyses were performed.
RESULTS: Gait speed was associated with the COP progression velocity in midstance (r = .719, p < .05), cadence (r = .719, p < .05) and the COP progression velocity in loading response velocity (r = .515, p < .05) in older adults with cognitive decline. However, no correlation was found in older adults without cognitive decline. In multiple regression analysis using gait speed as a dependent variable, the COP progression velocity in midstance and cadence were significant predictors of gait speed, with the COP progression velocity being the most significant predictor.
CONCLUSION: The COP progression velocity is an important factor for predicting gait speed in older adults with cognitive decline, suggesting that the cognitive function influences gait speed and the velocity of COP progression.

KCI등재

9저항성 운동과 그룹 운동을 병합한 프로그램이 뇌성마비 아동의 균형능력, 파악력 및 삶의 질에 미치는 영향

저자 : 김성현 ( Sung-hyeon Kim ) , 신호진 ( Ho-jin Shin ) , 함석찬 ( Suk-chan Hahm ) , 박선욱 ( Sun-wook Park ) , 조휘영 ( Hwi-young Cho ) , 이민구 ( Min-goo Lee )

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 4호 발행 연도 : 2020 페이지 : pp. 75-85 (11 pages)

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PURPOSE: Cerebral palsy is a common cause of disability in children, requiring constant rehabilitation. Improving balance in children with cerebral palsy helps to alleviate daily movement and the quality of life. This study examines a program that combines Resistance Exercise and Group Exercise, and investigates the effect on trunk control ability, balance ability, maximum grip strength, and quality of life of children with cerebral palsy.
METHODS: Totally, 9 children with cerebral palsy participated in this study. Resistance exercise was performed for 8 weeks, 40 minutes every day. Group Exercise was conducted for 8 weeks, 40 minutes each Sunday. All participants were evaluated by the Korean version of the trunk control measurement scale, pediatric reach test, grip strength test, and KIDSCREEN-52.
RESULTS: The trunk control ability was significantly improved in all subcategories (p < .05). In the pediatric reach test, the left and right directions were significantly improved (p < .05). Maximum grip strength was significantly improved in both hands (p < .05). The quality of life significantly improved in total score, physical well-being, general moods, self-perception, autonomy, relationship with parents, and home life (p < .05).
CONCLUSION: Considering the encouraging results, we propose to use Resistance Exercise and Group Exercise as programs other than rehabilitation treatment in hospitals, to improve motor function and quality of life of children with cerebral palsy.

KCI등재

10직장인 어깨 통증 환자의 기능교정 치료 후 통증 장애 요인과 자각적 통증 감소 효과 비교분석

저자 : 김희현 ( Hee-hyeon Kim ) , 임동호 ( Dong-ho Lim )

발행기관 : 대한물리의학회 간행물 : 대한물리의학회지 15권 4호 발행 연도 : 2020 페이지 : pp. 87-99 (13 pages)

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PURPOSE: This study examines the therapeutic effect of functional adjustment procedure therapy (FAPT), by comparatively analyzing behavioral disorders due to shoulder pain and subjective pain intensity subsequent to therapy, in patients with shoulder pain.
METHODS: The intervention was performed on 48 employee patients with shoulder pain, Patients were administered 16 sessions of FAPT for 8 weeks, twice a week for 30 minutes per session. This study applied the neck pain and disability scale (NPDS) as a measurement tool, and used the questionnaire to measure subjective pain intensity to investigate the difference before and after administering FAPT to employee patients with shoulder pain.
RESULTS: Statistically significant difference was obtained between the mean difference in shoulder pain disorder, before and after FAPT. Assessing gender and age differences in the reduction effect of shoulder pain, showed significant difference in 8 of the 10 factors examined. Finally, examining the difference in the effect of reducing subjective shoulder pain by gender and age, we observed that gender-based disability reduction was significant for all 12 factors examined.
CONCLUSION: Taken together, the results of this study, validate the therapeutic efficacy of FAPT for patients with shoulder pain. We believe that this data will provide basic information to understand the health conditions and psychological variables of patients with shoulder pain.

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