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대한통합의학회지 update

Journal of Korean Society of Integrative Medicine

  • : 대한통합의학회
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수록정보
수록범위 : 1권1호(2013)~8권2호(2020) |수록논문 수 : 392
대한통합의학회지
8권2호(2020년 06월) 수록논문
최근 권호 논문
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KCI등재

1복부근력이 약한 여성에게 데드버그 운동과 복부 드로우-인 운동이 엉덩관절 폄 시 허리폄근의 근활성도와 골반각도에 미치는 영향 비교

저자 : 김동우 ( Kim Dongwoo ) , 조남정 ( Cho Namjeong ) , 김태호 ( Kim Taeho )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 2호 발행 연도 : 2020 페이지 : pp. 1-9 (9 pages)

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Purpose : The aim of this study was to compare the effects of the abdominal draw-in exercise (ADIE) and the dead bug exercise (DBE) on the pelvic anterior tilt angle and the activities of the gluteus maximus (GM), erector spinae (ES), and semi tendinosus (ST) during prone hip extension.
Methods : A total of 22 female adults with weak abdominal muscles were divided into two groups: ADIE group (n=11) and DBE group (n=11). The muscle activities of the GM, ES, and ST along with the pelvic anterior tilt angle during prone hip extension were measured using a wireless surface electromyograph and gyro sensor before performing the prescribed exercise. Two groups conducted the assigned exercise for 10 minutes. After the exercise, their muscle activities and the pelvic anterior tilt angle were equally re measured.
Results : In the DBE group, the muscle activity of GM was significantly increased after the intervention (p< 0.05). However, there was no significant difference between the two groups in the amount of increase in the activity of GM (p >0.05). Moreover, in both groups, the activity of ES and the pelvic anterior tilt angle decreased significantly after the intervention (p< 0.05) The decreased quantity in the pelvic anterior tilt angle and in the activity of ES showed no difference between the two groups (p >0.05). In the activity of ST, there was no significant difference within and between the two groups (p>0.05).
Conclusion : Therefore, we suggest that ADIE and DBE are effective for women with weak abdominal muscles since the ES activity and pelvic anterior tilt angle are reduced during prone hip extension.

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Purpose : The purpose of this study was to research the effects of dual-hemisphere transcranial direct current stimulation (dual tDCS) and modified constraint-induced movement therapy (mCIMT) to improve upper extremity motor function after stroke.
Methods : The study period was from August 2019 to November 2019, and included 24 patients who met the selection criteria. Participants were divided into 2 groups: dual tDCS and mCIMT, and sham dual tDCS and mCIMT group. Dual tDCS and mCIMT group performed mCIMT immediately after applying dual tDCS for 20 minutes, and sham dual tDCS and mCIMT group performed mCIMT immediately after applying sham tDCS for 20 minutes without turning on the power source. Total interventions were conducted 5 times per week for 4 weeks, and mCIMT was conducted for 30 minutes per session for both experimental and control groups. Fugl-Meyer assessment (FMA) and Motor Activity Log scale (MAL) were analyzed before and after 4 weeks of intervention.
Results : Both experimental and control groups showed significant changes in FMA, Amount of Use (AOU), and Quality of Movement (QOM) of MAL. When the differences between groups was compared using ANCOVA, the experimental group showed a greater improvement in FMA and AOU of MAL than the control group.
Conclusion : In order to enhance the effect of improving upper limb function of stroke patients, dual tDCS could be applied to provide more effective treatment in the clinical setting. Further studies will be needed in larger groups of stroke patients, including long-term follow-up, and multi-group comparisons through the establishment of anodal tDCS and mCIMT, cathodal tDCS, and mCIMT groups to clarify the effects of dual tDCS. In addition, research is needed to establish a protocol for tDCS, and this evidence-based intervention protocol is expected to be used in the clinical setting as an interventional method for various purposes.

KCI등재

3Immediate Effect of TFL Stretching in Weight Bearing Versus Non-Weight Bearing

저자 : Park Sieun , Kim Kijong , Kim Sunghee , Lee Gyeonglin

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 2호 발행 연도 : 2020 페이지 : pp. 21-27 (7 pages)

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Purpose : The purpose of this paper is to compare the immediate effects of tensor fascia latae (TFL) stretching with weight bearing (standing position) or non-weight bearing (side-lying position).
Methods : The study was conducted on 30 adults (12 men, 18 women) in their 20s. Modified Thomas's test was conducted to find out if the TFL muscle has a tightness for current study. This study randomly divided the subjects into two groups and set the standing stretching group (n=15) or the side-lying stretching group (n=15). Both groups applied self-stretching under the therapist's supervision. TFL stretching in each positions was performed 30 seconds per set, 3 times, and 30 seconds per set could rest. The Ober test were conducted to investigate the effect of TFL stretching in each positions.
Results : For the Ober test measurements within each group, both groups significantly increased after intervention compared to before (p< .05). There was no significant difference between the groups (p >.05).
Conclusion : TFL stretching in standing position and side-lying position increased the range of motion of the TFL muscle. Therefore, if it is difficult to apply TFL stretching in standing position (weight bearing) due to pain or other reasons, it will be able to TFL stretching in side-lying position (non-weight bearing).

KCI등재

4요양병원 여성 암 환자의 정신건강, 가족문제해결 의사소통이 암 적응에 미치는 영향

저자 : 임선영 ( Lim Sunyoung ) , 마예원 ( Ma Ryewon ) , 박혜선 ( Park Hyesun )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 2호 발행 연도 : 2020 페이지 : pp. 29-39 (11 pages)

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Purpose : This study investigated the relationship among adjustment of cancer, mental health, and family problem solving communication of women with cancer. The purpose of this study was to determine how to improve the adjustment of cancer of women and improve women's mental health to form family problem solving communication.
Methods : This correlational study was conducted among 101 women with cancer living in the Seoul region. Data collection occurred from August 1, 2018, to August 23. The data are reported as means and standard deviations and were analyzed with t tests, ANOVA, and Pearson's correlation regression using SPSS version 21.0.
Results : The results of this study showed that adjustment to cancer significantly correlated with the education level of the participants (F=3.27, p<.05) and self-help group participation (F=3.156, p<.05). In this study, the mental health of female cancer patients significantly affected their adjustment to cancer (F=13.13, p<.001). These results explained 19.7% of the variance (F=13.13, p<.001) in mental health and adjustment to cancer in female cancer patients.
Conclusion : In this study, mental health was significantly affected adjustment to cancer. The results suggest that adjustment to cancer can be promoted through the development and application of a nursing intervention program considering the mental health of female cancer patients. In addition, further research is required to identify the factors in consideration of various variables in addition to the sociodemographic and disease-related variables that may affect the adjustment to cancer of female cancer patients in nursing hospitals.

KCI등재

5어깨가슴운동과 등뼈가동운동이 어깨돌림근띠 파열을 가진 환자들의 통증과 기능장애에 미치는 영향

저자 : 김동현 ( Kim Donghyeon ) , 김명철 ( Kim Myungchul )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 2호 발행 연도 : 2020 페이지 : pp. 41-51 (11 pages)

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Purpose : The purpose of this study was to determine the effect of scapulothoracic exercise and thoracic mobilization on shoulder pain and function in individulas with shoulder partial- thickness rotator cuff tear.
Methods : Forty-five subjects were recruited and randomly divided into 3 groups of 15 subjects each : Scapulothoracic exercise with Thoracic mobilization (STwTM), Scapulothoracic exercise (ST), and Thoracic mobilization (TM) groups. All subjects were assessed for pain and disability of shoulder, thoracic angle base on the Shoulder Pain and Disability Index (SPADI) and Thoracic kyphosis assessment (TKA) using Baseline Bubble Inclinometer. All groups performed 50 minutes of the intervention twice a week for a total of six weeks. These tests were evaluated Three times : prior to the start of the intervention, after three weeks and, after six weeks had passed.
Results : The SPADI score showed that pain and dysfunction in the STwTM group decreased compared to those in the other two groups. The TKA score showed a decrease over time in the ST, TM, and STwTM groups, in increasing order. However, the TKA score decreased significantly in the STwTM group compared to that in the oher two groups.
Conclusion : ST and TM are effective in improving pain and dysfunction in patients. However, STwTM may be more effective for patients.

KCI등재

6정상 성인의 신체조성과 폐 기능의 연관성

저자 : 김현승 ( Kim Hyunseung ) , 조성현 ( Cho Sunghyoun )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 2호 발행 연도 : 2020 페이지 : pp. 53-61 (9 pages)

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Purpose : We investigated the correlation between body composition and lung function in healthy adults.
Methods : This study included 204 healthy adults in whom all measurements were obtained once, and all data were analyzed using the SPSS software for Windows, version 22.0. Pearson's correlation analysis was performed to determine the correlation between body composition (represented by the total body water, protein mass, soft lean mass, mineral mass, basal metabolic rate, fat-free mass, skeletal muscle mass, and body fat percentage) and lung function (represented by the forced vital capacity [FVC], forced expiratory volume in 1 second [FEV1], the FEV1/FVC ratio, maximum voluntary ventilation [MVV], maximum expiratory pressure [MEP], and the maximum inspiratory pressure [MIP]). All measurements were obtained by two investigators to improve reliability. A significance level of α=.05 was used to verify statistical significance.
Results : Among the lung function measurements obtained in both men and women, the FVC, FEV1, MVV, and MIP were positively correlated with the total body water, protein mass, soft lean mass, mineral mass, basal metabolic rate, fat-free mass, and skeletal muscle mass in men (p<.05). The FEV1/FVC ratio was negatively correlated with the total body water, soft lean mass, mineral mass, basal metabolic rate, fat-free mass and the body fat percentage (p<.05). Notably, the FVC, FEV1, and MVV were positively correlated with the total body water, protein mass, soft lean mass, mineral mass, basal metabolic rate, fat-free mass, and skeletal muscle mass in women (p<.05).
Conclusion : This study showed a significant correlation between body composition and lung function in healthy adults. In combination with future studies on lung function, our results can provide objective evidence regarding the importance of prevention of lung disease, and our data can be utilized in rehabilitation programs for patients with respiratory diseases.

KCI등재

7호흡 유형에 따른 건강한 성인의 정적균형능력 비교

저자 : 유다슬 ( Yu Daseul ) , 임재길 ( Lim Chaegil )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 2호 발행 연도 : 2020 페이지 : pp. 63-73 (11 pages)

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Purpose: To investigate breathing-related changes in the balance ability of healthy adults.
Methods: The participants were 36 healthy adults in their 20s and 30s. All participants were trained in three breathing (neutral, thoracic, and abdominal) methods one week before measurements. We used AccuSway to measure each participant's balance ability, using each breathing technique, in two postures (bipedal and unipedal).
Results: During the bipedal balance task, abdominal breathing produced significant increases in path length and sway velocity. Abdominal breathing resulted in significant changes in sample entropy at the anteroposterior location compared with neutral breathing (p<.05). In the normalized anteroposterior location, there were significant changes in backward movement during thoracic and abdominal breathing compared with those during neutral breathing (p<.05). During the unipedal balance task, path length and sway velocity increased significantly during voluntary breathing compared with those during neutral breathing (p<.05). There was a significant change in backward movement when abdominal breathing―compared with neutral breathing―was used in the normalized anteroposterior location (p<.05). In the normalized left-right location, there was a significant shift to the right during thoracic breathing compared with that during neutral breathing (p<.05).
Conclusion: Compared with neutral breathing, altered voluntary breathing patterns affect balance in healthy adults. Our results indicated that that static balance was more affected by abdominal breathing than by neutral breathing. Future studies should examine variables such as the breathing volume, rhythm, and method.

KCI등재

8필라테스 안정화 운동이 배근 수축과 허리골반정렬, 생리통에 미치는 영향

저자 : 김문정 ( Kim Moonjeoung ) , 문현주 ( Moon Hyunju )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 2호 발행 연도 : 2020 페이지 : pp. 75-88 (14 pages)

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Purpose : Dysmenorrhea can be caused by misalignment of the pelvis. Since pilates stabilization exercise is a methods that affects pelvic alignment by inducing contraction of abdominal muscles, the purpose of this study is to determine whether dysmenorrhea is reduced when pilates stabilization exercise is applied.
Methods : 47 dysmenorrhea patients were randomly divided into experimental (n=23) and control (n=24) groups. The experimental group performed pilates stabilization exercise three times a week for 12 weeks, and the control group did not perform any intervention. Abdominal muscle thickness, lumbar pelvic alignment, and dysmenorrhea were measured before intervention, 6 weeks, and 12 weeks after intervention to determine the mean change over time and the effect of group and factor interactions (repeated measured ANOVA and contrast test for each period).
Results : In the experimental group, the thickness of the transverse abdominis, internal oblique, and external oblique muscles were increased significantly by group and period (p<.05). The pelvic torsion, lordosis and dysmenorrhea were also significantly decreased by group and period. But the control group did not change significantly in any of the variables.
Conclusion : Applying pilates stabilization exercise to women with dysmenorrhea may be an effective intervention that contributes to relieving dysmenorrhea by correcting the stability and alignment of the lumbar pelvis.

KCI등재

9Correlation of Cognitive Function, Activities of Daily Living and Driving Performance in Stroke Hemiplegic Patients

저자 : Kwak Hosoung , Yoo Chanuk

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 2호 발행 연도 : 2020 페이지 : pp. 89-95 (7 pages)

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Purpose : This study aims to evaluate the correlation of cognitive function, activities of daily living (ADL), and driving performance in stroke hemiplegic patients residing in Korea.
Methods : Subjects of the study were 18 stroke hemiplegic patients admitted to hospitals situated in Seoul. A clock drawing test (CDT), a modified Barthel index (MBI), and a virtual reality driving simulator (Eca faros-driving simulator) were used to examine their cognitive function, their ADL ability, and their driving skills, respectively.
Results : Driving skills of stroke hemiplegic patients were shown to be associated with the CDT evaluation tool (r=-.777) (p< .001), but they were found to have any correlation with MBI (r=-.022) (p >.05). Additionally, an individual's CDT showed that the driving simulator evaluation result (pass/fail) could be discriminated with a sensitivity of 100.0 %, a specificity of 40.0 %, and an accuracy of 66.7 %. The result confirmed that the CDT is a useful evaluation tool for screening driving ability in people with stroke. But the MBI did not show any significant results (sensitivity of 62.5 %, specificity of 40.0 %, and predicted the results of the simulator with 50.0 % of accuracy) (p>.05).
Conclusion : This study shows that cognitive function influences the driving performance in people with stroke. Driving skills of stroke hemiplegic patients are seen to be highly related to CDT. In the field of driving rehabilitation, these findings could be useful for evaluating driving skills relating to CDT. Furthermore, the study results will set a guideline for domestic occupational therapists to use the evaluation tool for assessing driving abilities in people with stroke.

KCI등재

10안굽이무릎을 가진 여성에게 볼을 이용한 스쿼트 운동이 무릎사이 간격과 Q각, 근 활성도에 미치는 효과

저자 : 이건철 ( Lee Keoncheol ) , 한지원 ( Han Jiwon ) , 배원식 ( Bae Wonsik )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 2호 발행 연도 : 2020 페이지 : pp. 97-107 (11 pages)

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Purpose : The purpose of this study is to investigate the effect of squat exercise using a ball on the gap between knees and Q angle of a subject with a genu-varum, and to prove the effect, to provide a clinical basis for developing into a knee correction exercise program.
Methods : As a result of posture measurement through GPS, 26 female with genu-varum with a knee length of 5 cm or more were studied. The group was randomly assigned to 13 squat exercise group using ball (experimental group) and 13 general squat exercise groups (control group). The experimental group placed the ball between both knees in a position where the distance between both feet was slightly wider than the shoulder width on a flat support surface, and fixed the ball, and then squat with the start signal. The control group squats without a ball. Each group performed three sets of exercise three times a week for six weeks. Before their exercise, after three and six weeks, EMG, GPS, digital goniometer measurement, the vastus medialis (VM), the vastus lateralis (VL), and the Q-angle were measured in the squat exercise posture. EMG was measured in squat exercise posture.
Results : The distance between the knees was reduced. EMG is activated in group A, the group B experimental results showed the high activity of the VL. Q-angle had increased. But the experimental group increased more than the control group.
Conclusion : We have confirmed through our experiments that the distance interval between the knees during squat exercises using a ball can be reduced. Furthermore, it would also be helpful to ensure the treatment of genu-varum.

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