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대한통합의학회> 대한통합의학회지> 탄성밴드를 이용한 노인 운동프로그램이 노인의 우울과 신체적 자기효능감에 미치는 영향

KCI등재

탄성밴드를 이용한 노인 운동프로그램이 노인의 우울과 신체적 자기효능감에 미치는 영향

The Effect of the Elderly Exercise Program Using Elastic-band on the Depression and Physical Self-Efficacy of the Elderly

김성렬 ( Kim Seongyeol ) , 박우권 ( Park Wookwun )
  • : 대한통합의학회
  • : 대한통합의학회지 7권4호
  • : 연속간행물
  • : 2019년 12월
  • : 53-59(7pages)

DOI


목차

Ⅰ. 서 론
Ⅱ. 연구 방법
Ⅲ. 연구결과
Ⅳ. 고 찰
Ⅴ. 결 론
참고문헌

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초록 보기


						
Purpose : The purpose of this study was to determine the influence of the elastic-band exercise program for elderly who over 65 years old in terms of depression and physical self efficacy. We aim to suggest interventions with an elastic-band exercise program for elderly.
Methods : The study subjects selected were females or males 65 years old or more who could walk without assistance and could talk about daily living without mental or physical disorders. A total of eight subjects understood the purpose of this study and agreed to participate. Before and after the exercise program, the subjects were monitored for changes in their physical self-efficacy and depression. To measure the physical self-efficacy, we used a perceived physical ability scale and physical self-presentation confidence scale (Cronbach α=0.942). To measure depression, we used the geriatric depression scale short form (Korea version, Cronbach α=0.969). The data obtained from each measure were analyzed using the Wilcoxon signed rank test to determine changes from before and after the exercise program. The program consisted of three parts (warm-up, main exercise and cool-down) and included the upper extremities, the lower extremities and trunk exercises with an elastic band (yellow and red). The program lasted for 15 weeks, once a week, with each session lasting for 60 minutes.
Results : After 15 weeks of the elastic-band exercise program, there was a significant decrease on the depression scale (p<0.05) and significant improvements on the physical self-efficacy scale (p<0.05).
Conclusion : Based upon our results, we demonstrated that the exercise program using the elastic band was effective in improving the depression and physical self-efficacy of the elderly.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 기타(의약학)
  • : KCI등재
  • :
  • : 계간
  • : 1975-7654
  • :
  • : 학술지
  • : 연속간행물
  • : 2013-2020
  • : 372


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1맥켄지운동이 턱관절 장애 및 신체균형에 미치는 효과

저자 : 이동진 ( Lee Dongjin ) , 지성하 ( Ji Sungha )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 4호 발행 연도 : 2019 페이지 : pp. 1-11 (11 pages)

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Purpose : This study was aimed at investgating the effect of McKenzie exercise on temporomandibular joint disorder (TMJD) and body balance.
Methods : Thirty subjects with TMJD were selected. They were randomly assigned to one of two groups (15 in each group) : namely the conservative treatment group and McKenzie exercise group. The conservative treatment group were treated physical therapy for 6 weeks (3 times a week). The McKenzie exercise group performed McKenzie exercise for 6 weeks (3 times a week). We measured mouth opening, pain, muscle activation and body balance before and after exercise by using the maximum mouth opening MMO), visual analog scale (VAS), electromyography and Biodex Balance System, respectively.
Results : We found statistically significant differences in pain and mouth opening in the conservative treatment group and McKenzie exercise group before and after (p<.05).
Conclusion : We confirmed the effect of McKenzie exercise on TMJD. Thus we thought these results could be used as basic data and reference for TMJD. But we need more study effect of McKenzie exercise on TMJD and body balance.

2배근 강화운동이 뇌졸중 환자의 배근력 및 호흡기능에 미치는 영향

저자 : 강태욱 ( Kang Taewook ) , 정주현 ( Jung Juhyeon )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 4호 발행 연도 : 2019 페이지 : pp. 13-21 (9 pages)

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Purpose : The purpose of this study was to investigate the effect of abdominal muscle strengthening exercise on abdominal muscle strength and respiratory function in stroke patients.
Methods : The subjects were 14 stroke patients (10 males, 4 females) hospitalized at W rehabilitation hospital in Busan City and randomly assigned to 7 exercise groups and 7 control groups. Exercise was performed in combination with an upper and lower extremity pattern of proprioceptive neuromuscular facilitation. Measurements of abdominal muscle strength and respiratory function were made before intervention and 4 weeks after intervention. Abdominal muscle strength was assessed using a digital manual dynamometer, and respiratory function was assessed by spirometry. The collected data were analyzed with a paired t-test and independent t-test and the significance level was set as α=.05. 
Results : The results showed that applying abdominal muscle strengthening exercise to stroke patients showed a significant increase in abdominal muscle strength and a significant difference between groups (p<.05). Maximal-effort expiratory spirogram (MES) readings were significantly increased in forced vital capacity (FVC), and forced expiratory volume in one second (FEV1), in the exercise group, and there were a significant differences between the groups in terms of FEV1 (p<.05). Slow vital capacity (SVC) was significantly increased in vital capacity (VC), tidal volume (TV), inspiratory reserve volume (IRV), and expiratory capacity (EC), and there were significant differences between the groups in VC, TV, expiratory reserve volume (ERV), EC, and inspiratory capacity (IC) (p<.05).
Conclusion : Abdominal muscle strengthening exercise was effective in the abdominal muscle strength of stroke patients, and it was confirmed to have a positive effect on the enhancement of respiratory function. Therefore, it seems that exercise programs for stroke patients with respiratory weakness should include abdominal muscle strengthening exercises.

3다감각놀이치료 프로그램이 ADHD 아동의 주의집중력과 학습에 미치는 영향

저자 : 오혜원 ( Oh Hyewon ) , 김고운 ( Kim Koun )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 4호 발행 연도 : 2019 페이지 : pp. 23-32 (10 pages)

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Purpose : The purpose of this study was to evaluate the effects of multi-sensory treatment programs on attention and learning in ADHD children.
Methods : The program was provided for 50 minutes twice a week for a total of 12 times over 6 weeks. The FAIR concentration test was used to identify the children's concentration of attention before and after the intervention. The children's learning ability was evaluated using K-ABC.
Results : When attention was evaluated using FAIR, there was a significant increase in all dependencies of performance value (P), quality value (Q), and continuity value (C) (p>.05). In addition, when learning ability was evaluated using K-ABC, learning ability in general increased significantly (p>.05). The multi-sensory play therapy program had a positive effect on the children's attention and learning ability and thus it is a positive intervention method for children with ADHD. 
Conclusion : In addition to providing challenging activities, the program showed that it was possible to elicit the children's interest by engaging a variety of senses at the same time. This is believed to have motivated them internally to engage actively in the program.

4바로 누운 자세와 앉은 자세에서 무릎관절 굽힘 각도에 따른 엉덩허리근의 근력과 넙다리곧은근의 근활성도 비교

저자 : 박희용 ( Park Heeyong ) , 원종혁 ( Weon Jonghyuck ) , 정도영 ( Jung Doyoung ) , 차현규 ( Cha Hyungyu )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 4호 발행 연도 : 2019 페이지 : pp. 33-41 (9 pages)

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Purpose : The muscle strength of iliopsoas (IL) was measured commonly in sitting position with hip and knee flexed 90°. However, there is no study to determine the muscle strength of IL in various test positions. Therefore, the purpose of this study was to compare the muscle strength of IL and muscle activity of rectus femoris (RF) according to test position and knee flexion angle.
Methods : Twenty healthy subjects were participated for this study. The muscle strength of IL and muscle activity of RF were measured by hand-held dynamometer and surface electromyography during maximum voluntary isometric contraction (MVIC) of IL, respectively. The muscle strength of IL and muscle activity of RF was measured in 4 conditions as follows; 1) knee flexion angles 90 ° in supine, 2) 130 ° in supine position, 3) 90 ° in sitting, 4) 130 ° in sitting. Each condition were performed randomly by three repetitions.
Results : The muscle strength of the IL was the main effect on the test position and knee flexion angle (p<.05), and the muscle activity of RF was the main effect only on the knee flexion angle (p< .05). There was also no interaction between the factors (p >.05). In supine position, the muscle strength of IL in knee flexion 130 ° was significantly less than that in knee flexion 90 ° (p<.0125). In knee flexion 90 °, the muscle strength of IL in supine position was significantly greater than that in sitting position (p<.0125). The muscle activity of RF in knee flexion 130 ° was significantly less than that in knee flexion 90 ° in supine and sitting positions (p<.0125).
Conclusion : When the muscle strength of IL was measured in clinic and sports fields, the supine position with knee flexion 130 ° was recommended to prevent the muscle activation of RF and to maintain the trunk stability.

5장애인 암 검진 수검에 영향을 미치는 요인

저자 : 김예순 ( Kim Yesoon ) , 김선용 ( Kim Seonyong ) , 남영희 ( Nam Younghee )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 4호 발행 연도 : 2019 페이지 : pp. 43-52 (10 pages)

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Purpose: This study aimed to analyze the affecting factors related to cancer screening for persons with disabilities. 
Methods: We examined the factors affecting cancer screening in individual aged older than 20 years who participated in the 2017 National Survey of the Disabled. The subjects were 6031 individuals with disabilities who were aged older than 20 years. Data were analyzed using descriptive statistics, the chi-square test, and multiple logistic regression with the SPSS Win 21.0 software.
Results: Cancer screening among persons with disabilities is differentiated based on age, education level, marital status, type of disability, grade of disability, subjective house economic status, health insurance, chronic disease, unmet healthcare needs, suicidal thinking, and health screening. The significant predictors of health screening were age, marital status, chronic disease, and health screening.
Conclusion: Based on the results of this study, it is necessary to develop a program for young, medical care recipients to improve the participations of disabled in cancer screening.

6탄성밴드를 이용한 노인 운동프로그램이 노인의 우울과 신체적 자기효능감에 미치는 영향

저자 : 김성렬 ( Kim Seongyeol ) , 박우권 ( Park Wookwun )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 4호 발행 연도 : 2019 페이지 : pp. 53-59 (7 pages)

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Purpose : The purpose of this study was to determine the influence of the elastic-band exercise program for elderly who over 65 years old in terms of depression and physical self efficacy. We aim to suggest interventions with an elastic-band exercise program for elderly.
Methods : The study subjects selected were females or males 65 years old or more who could walk without assistance and could talk about daily living without mental or physical disorders. A total of eight subjects understood the purpose of this study and agreed to participate. Before and after the exercise program, the subjects were monitored for changes in their physical self-efficacy and depression. To measure the physical self-efficacy, we used a perceived physical ability scale and physical self-presentation confidence scale (Cronbach α=0.942). To measure depression, we used the geriatric depression scale short form (Korea version, Cronbach α=0.969). The data obtained from each measure were analyzed using the Wilcoxon signed rank test to determine changes from before and after the exercise program. The program consisted of three parts (warm-up, main exercise and cool-down) and included the upper extremities, the lower extremities and trunk exercises with an elastic band (yellow and red). The program lasted for 15 weeks, once a week, with each session lasting for 60 minutes.
Results : After 15 weeks of the elastic-band exercise program, there was a significant decrease on the depression scale (p<0.05) and significant improvements on the physical self-efficacy scale (p<0.05).
Conclusion : Based upon our results, we demonstrated that the exercise program using the elastic band was effective in improving the depression and physical self-efficacy of the elderly.

7사람 치은섬유모세포에서 잎꼬시래기 에탄올 추출물의 항염증 및 항산화 효과

저자 : 박충무 ( Park Chungmu ) , 윤현서 ( Yoon Hyunseo )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 4호 발행 연도 : 2019 페이지 : pp. 61-69 (9 pages)

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Purpose : Human gingival fibroblast cell is one of the the main cell types in periodontal tissue, which they can show anti-inflammatory activity through the production of numerous lines of inflammatory mediators such as inducible nitric oxide synthase (iNOS), cyclooxygenase (COX)-2 and interleukins. Porphyromonas gingivalis, one of the oral pathogens, has reported to play a critical role in the development of periodontal diseases. This study aimed to investigate anti-inflammatory and antioxidative activities of Gracilaria textorii ethanol extract (GTEE) in P. gingivalis derived lipopolysaccharide (LPS-PG) stimulated human gingival fibroblast (HGF)-1 cell line.
Methods : In order to analyze anti-inflammatory and antioxidative activities of GTEE in HGF-1 cell line, NOS enzyme activity, expression levels of iNOS, COX-2, NAD(P)H quinone dehydrogenase (NQO)1 and their transcription factors were estimated by Griess reaction and western hybridization.
Results : LPS-PG induced overexpression of iNOS and COX-2, which was significantly attenuated by GTEE treatment in a dose-dependent manner without any cytotoxicity. In addition, intracellular NOS activity was in accordance with the result of iNOS expression. Due to important role in the regulation of inflammatory responses, phosphorylated status of p65 and c-jun, each subunit of nuclear factor (NF)-κB and activator protein (AP)-1, was also dose-dependently ameliorated by GTEE treatment. One of phase II enzymes, NQO1, and its transcription factor, nuclear factor erythroid 2-related factor 2 (Nrf2), were analyzed since elevated phase II enzyme expression inhibited inflammatory response, which was significantly elevated by GTEE treatment in HGF-1 cell line.
Conclusion : In conclusion, GTEE mitigated LPS-PG-stimulated inflammatory responses by attenuating NF-κB and AP-1 activation as well as accelerating NQO1 and Nrf2 expression in HGF-1 cell line. These results indicate that GTEE might be utilized a promising strategy for potential anti-inflammatory agent in periodontal diseases.

8흡연 및 비타민 D 수준과 한국 성인 남녀 대사증후군의 연관성

저자 : 이도연 ( Lee Doyoun ) , 남승민 ( Nam Seungmin )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 4호 발행 연도 : 2019 페이지 : pp. 71-79 (9 pages)

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Purpose : Several studies suggest that smoking and vitamin D level is a risk factor of metabolic syndrome. The objective of this study is to evaluate the association between smoking status, vitamin D levels and the Korean adult male and female metabolic syndrome.
Methods : We assessed 3796 participants aged 19 years and older from the Korean National Health and Nutritional Examination Survey 2013, 2014. Smoking statuses were collected from self-reported questionnaires. Subjects were divided into three categories: non-smokers, former smokers, and current smokers. Vitamin D was tested by Radioimmunoassay method and the value of serum 25-hydroxyvitamin D, which is an index of vitamin D status in the body, was used. The diagnosis of metabolic syndrome was made using criteria modified NCEP-ATP III. Logistic regression analysis was used to calculate odds ratios between smoking status, vitamin D levels, and metabolic syndrome.
Results : The overall prevalence of metabolic syndrome was 23.0 % in men and 15.4 % in women. After adjusting for smoking, the odds ratio for men's metabolic syndrome in current smokers was 1.77 (95 % CI, 1.30~2.41), while for former smokers OR was 1.63 (95 % CI, 1.15~2.31) compared with nonsmokers. After adjustment vitamin D, the odds ratio for women's metabolic syndrome in vitamin D deficiency was 1.44 (95 % CI, 1.11~1.87) compared with normal.
Conclusion : Smoking status was associated with an increased risk of metabolic syndrome in Korean adult males and decreased vitamin D level was associated with an increased risk of metabolic syndrome in Korean adult females.

9Differences in Perception and Needs for Continuing Education according to the Career of Physiotherapists

저자 : Kim Kijong , Kim Jinyoung

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 4호 발행 연도 : 2019 페이지 : pp. 81-88 (8 pages)

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Purpose : The purpose of this paper is to review the continuing education (CE) for physiotherapists and especially to draw attention to the perception and need of the education so that the present study aimed to provide information for improving the education program.
Methods : The study obtained information from CE of the Korea Physical Therapy Association held in Gwangju on April 12 and July 19, 2015 to understand the perception and needs of CE. Present study showed that 431 out of 563 people who answered to the survey, with a 76.5 % response rate. Among them, 350 people were selected for the final analysis, except for questionnaires whose responses were insufficient. Among them, the level of perception of CE was 238, excluding 112 people who did not receive an education in 2014.
Results : The perception of CE according to experience showed a weak positive correlation in questions 1 (r=.244), 5 (r=.244) and 10 (r=1.129) (p< .05). There was no significant correlation in questions 2, 3, 4, 6, 7, 8, and 11 (p >.05). The needs of CE according to experience showed weak negative correlations in musculoskeletal system (r=-.141), nervous system (r=-.136), geriatric (r=-.117), oriental physical therapy (r=-.130), and other new technologies (r=-.232) (p< .05). Basic education, pediatric, cardiopulmonary system, sports, physical agents, and women's fields were not significantly correlated (p >.05).
Conclusion : There was little or no significant correlation between perception and needs for the CE based on physical therapists' experiences. Current research suggests that for a CE for physical therapists, the perception of education should first be renovated, and then the quality of education should also be improved based on the need of them.

104세, 5세, 6세 정상 아동의 한국어 단모음 발달

저자 : 강은영 ( Kang Eunyeong )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 4호 발행 연도 : 2019 페이지 : pp. 89-104 (16 pages)

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Purpose : The purpose of this study was to investigate the development of korean vowels by acoustically analyzing whether children produce Korean vowels differently according to their age and gender between ages 4 and 6.
Methods : A total of 104 children aged 4~6 years (56 males and 48 females) participated in this study. The participants were classified as either 4, 5, or 6 years old. Vowel speech data was obtained by asking the subjects to pronounce meaningful words in which the vowel in question was located in the first syllable. Speech analysis was performed using the Multi-speech 3700 program.
Results : Age, gender, and vowel being pronounced all had significant effects on intensity. There was significant decrease with increasing age, and the intensity was significantly higher in male children than female children. Neither age, gender, nor the vowel being produced affected the fundamental frequency. The fundamental frequency produced did not differ by age or gender. The first and second formants had considerable effect on age and vowels, significantly decreased with age, and did not have a gender difference.
Conclusion : The results of this study showed that children aged 4~6 have similar anatomical structures, but that maturity of speech motor skills required to pronounce vowels was correlated with age. The results of this study can be used to evaluate children's speech and develop speech therapy programs.

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주제별 간행물
간행물명 수록권호

KCI등재

대한물리의학회지
15권 2호 ~ 15권 2호

KCI등재

Clinical Nutrition Research
9권 2호 ~ 9권 2호

Journal of Naturopathy(한국자연치유학회지)
9권 1호 ~ 9권 1호

KCI등재

한국의료윤리학회지
23권 1호 ~ 23권 1호

KCI등재

대한통합의학회지
8권 1호 ~ 8권 1호

KCI등재

대한스포츠의학회지
38권 1호 ~ 38권 1호

KCI등재

대한물리의학회지
15권 1호 ~ 15권 1호

한국보건복지융합연구(구 노인의료복지연구)
11권 1호 ~ 11권 1호

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영남의대학술지
37권 1호 ~ 37권 1호

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Clinical Nutrition Research
9권 1호 ~ 9권 1호

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의료커뮤니케이션
14권 2호 ~ 14권 2호

뇌교육연구
24권 0호 ~ 24권 0호

KCI등재 SCOUPUS

Electrolytes & Blood Pressure
17권 2호 ~ 17권 2호

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대한임상독성학회지
17권 2호 ~ 17권 2호

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연세의사학
22권 2호 ~ 22권 2호

KCI등재

한국의료윤리학회지
22권 4호 ~ 22권 4호

KCI등재

대한통합의학회지
7권 4호 ~ 7권 4호

KCI등재

대한스포츠의학회지
37권 4호 ~ 37권 4호

KCI등재

대한물리의학회지
14권 4호 ~ 14권 4호

KCI후보

동물실험대체법학회지
13권 1호 ~ 13권 1호
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