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대한통합의학회> 대한통합의학회지> 겨드랑이막증후군을 가진 유방암 환자들의 도수림프배출법과 고주파 투열치료가 통증, 부피, 기능 및 삶의 질에 미치는 효과 : 사례군 연구

KCI등재

겨드랑이막증후군을 가진 유방암 환자들의 도수림프배출법과 고주파 투열치료가 통증, 부피, 기능 및 삶의 질에 미치는 효과 : 사례군 연구

Effects of Manual Lymphatic Drainage and High Frequency Diathermy on Pain, Volume, Function of Upper Extremity and Quality of Life in Breast Cancer Patients with Axillary Web Syndrome : a Study of Five Case Reports

안수연 ( Soo-yeon Ahn ) , 신원섭 ( Won-seob Shin )
  • : 대한통합의학회
  • : 대한통합의학회지 9권4호
  • : 연속간행물
  • : 2021년 11월
  • : 19-28(10pages)
대한통합의학회지

DOI


목차

Ⅰ. 서 론
Ⅱ. 연구방법
Ⅲ. 결 과
Ⅳ. 고 찰
Ⅴ. 결 론
참고문헌

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Purpose : The purpose of this study was to apply manual lymphatic drainage (MLD) and high-frequency diathermy (HFD) to patients with axillary web syndrome (AWS), one of the side effects of breast cancer surgery, and to treat upper extremity pain, volume, function of the upper extremity, (joint range of motion; ROM, disabilities of the arm, shoulder and hand; DASH) and quality of life before and after treatment. It is to determine the effect of treatment by checking the level change.
Methods : This study is a case series. A total of 5 patients diagnosed with AWS after breast cancer surgery voluntarily participated in this study. The intervention program consisted of stretching, MLD and HFD. It was conducted 3 times a week for 30 minutes for 4 weeks. In order to compare the effects of pain (numeric pain rating scale; NPRS), volume, upper limb function (ROM, DASH) and quality of life (the European organization for research and treatment of cancer quality of life questionnaire-breast, EORTC QLQ-BR23) evaluations were compared before and after 4 weeks of intervention. All measured variables were analyzed and expressed as mean, standard deviation and percentage.
Results : The shoulder NPRS level of the subjects in all case groups decreased, the volume decreased and the shoulder flexion, abduction ROM increased. It showed improvement in DASH and quality of life, QLQ-BR23.
Conclusion : After breast cancer surgery, we confirmed the possibility that MLD and HFD treatments could be effective in improving pain, decreasing volume, increasing upper extremity function, and quality of life for patients who have difficulties with AWS. The possibility has been confirmed, and additional research is needed by increasing the number of participants in the experiment in the future.

UCI(KEPA)

I410-ECN-0102-2022-500-000846218

간행물정보

  • : 의약학분야  > 기타(의약학)
  • : KCI등재
  • :
  • : 계간
  • : 1975-7654
  • :
  • : 학술지
  • : 연속간행물
  • : 2013-2022
  • : 547


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1Correlation between Total Sleep Time and Weekend Catch-up Sleep and Obesity based on Body Mass Index : A nationwide cohort study in Korea

저자 : Yoon-hee Choi

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 1호 발행 연도 : 2022 페이지 : pp. 1-11 (11 pages)

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Purpose : Obesity is a major public health burden in developed countries and a well-known risk factor for cardiovascular disease. Short sleep duration is associated with obesity, as well as diabetes, heart disease and death. In modern society, habitual sleep restrictions seem unavoidable due to social obligations and work schedules along with a tendency toward decreased sleep time. Therefore, the purpose of this study is to examine the effect of differences in sleep time between weekdays and weekends on body mass index (BMI).
Methods : This study involved 4,234 Korean adults aged 20 to 64 years based on data obtained from the 7th national health and nutrition examination survey (2016). All subjects were classified into the weekend catch-up sleep group (weekend CUS group). and the non catch-up sleep group (non-CUS group).
Results : The longer the average sleep time, the lower was the BMI, and the larger the difference in sleep time between weekdays and weekends, the lower was the BMI. Compared with those with an average sleep time of 8 hours or more, obesity was 1.6-fold higher when the average sleep time was less than 6 hours, and 1.2-fold higher in the case of sleep time of 7 hours or more and less than 8 hours. When the difference in sleep time between weekdays and weekends was 0 or less, more than 0 hours but less than 1 hour, and more than 1 hour and less than 2 hours, the risk of obesity was 1.2-fold, 1.1-fold and 1.1-fold higher, respectively, compared with the risk associated with a sleep time difference of 2 hours or greater between weekdays and weekends. However, the difference was not statistically significant.
Conclusion : Short sleep duration is positively associated with obesity. In addition, weekend catch-up sleep affects BMI.

KCI등재

2당당통합교정치료의 효과에 대한 연구

저자 : 성진욱 ( Jin-Wook Sung ) , 장홍규 ( Hong-Gyu Jang ) , 조원녕 ( Won-Nyeong Cho ) , 서종길 ( Jong-Gil Seo ) , 김병진 ( Byeong-jin Kim ) , 고민주 ( Min-Joo Ko )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 1호 발행 연도 : 2022 페이지 : pp. 13-26 (14 pages)

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Purpose : The purpose of this study was to investigate the effect of Dang Dang integrated corrective therapy including myofascial release, chuna therapy, and exercise therapy on height, muscle mass, body fat, and body water in patients with body imbalance. The secondary aim was to investigate whether the percent of change in height, muscle mass, body fat, and body water varied by age group.
Methods : In total, 279 patients with body imbalance between the ages of 10 and 79 were recruited at hospitals. All participants had Dang Dang integrated corrective therapy including myofascial release, chuna therapy, and exercise therapy. The patients' height, muscle mass, body fat, and body water were measured before and after Dang Dang integrated corrective therapy using InBody.
Results : The height, muscle mass, and body water significantly increased after Dang Dang integrated corrective therapy in all age groups except for the 70∼79 age group and body fat significantly decreased (p < .05). The age group comparison of the percent change in height, muscle mass, and body water showed significant differences (p < .05). In the post hoc test, the percent change of height in the 10∼19 age group was significantly greater than in the other age groups except for the 70∼79 age group. The percent change of muscle mass and body water in the 10∼19 age group was significantly greater than in the 30∼39 age group.
Conclusion : These findings suggest that applying Dang Dang integrated corrective therapy to patients with body imbalance, excluding patients aged 70∼79, may be a useful method to increase height, muscle mass, and body water and decrease body fat through spinal and joint realignment. The best results were observed in teenagers.

KCI등재

3작업치료 대학생의 임상실습 교육 프로그램 개발

저자 : 이민재 ( Min-jae Lee ) , 이선민 ( Sun-min Lee )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 1호 발행 연도 : 2022 페이지 : pp. 27-38 (12 pages)

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Purpose : This study is aimed to develop and validate the clinical practice education program and clinical competence scale of occupational therapy student.
Methods : The development of the clinical practice education program used the delphi technique method, which had a total of five steps. Based on the occupational therapist's job analysis, the first stage assessed the importance of 21 experts, and the second stage examined the importance of 19 new specialists to derive constitutive factors. In the third stage, in-depth interviews were conducted with three experts based on the derived factors, and in the fourth stage, the final clinical practice education program was derived. In the final stage, the details of the clinical training program were drawn up based on the themes and were reviewed by two experts. Structured and unstructured interviews were conducted with 43 job experts.
Results : The expert survey through the delphi technique was conducted three times, and content analysis and descriptive statistics were conducted to examine the distribution of responses. The final 11 educational program topics and contents were derived. Topics are confirmation of client information, evaluation and intervention, cognitive therapy, spinal cord injury, brain injury, musculoskeletal disorders, pediatric occupational therapy, interventions in activities of daily living, driving rehabilitation, vocational rehabilitation, occupational therapy assessment tool, safety training and management.
Conclusion : The clinical practice education program reduce the difference between school education and clinical education of occupational therapy student. Occupational therapy helps college student understand occupational therapy practices and improve the quality of clinical education. Through more research and supplementation of clinical practice education programs in the future, it is suggested that clinical practice education be successfully operated in various practice institutions and used as basic data for designing and evaluating useful educational models.

KCI등재

4Experience of Disaster Response Team in Jecheon Sports Center Fire

저자 : Jeongmin Ha , Hyun-jung Kim , Jin-hwa Kim , Dahye Park

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 1호 발행 연도 : 2022 페이지 : pp. 39-48 (10 pages)

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Purpose : This study aimed to determine the experiences of the disaster response team 9 participants who participated in the disaster after the fire incident occurred in Jecheon Sports Center and their meaning and essence.
Methods : Nine disaster response teams were the subjects of the study, and Individual in-depth interviews were conducted. Data were collected online between January 6 and April 30, 2021, from the software ZoomTM. This study was conducted as a qualitative study by applying Giorgi's phenomenological experiential research method, which has an advantage in revealing the essential structure and meaning of experience.
Results : Three major themes were derived from the study results: the stimulus through unfamiliar experiences, the grievances due to work environment and regional characteristics, and dullness resulting from hiding and enduring. The following 17 sub-themes were identified: learning through unfamiliar experiences, frustration due to unexpected circumstances, shock from unfamiliar experiences, doing my best in the present, confidence due to increased experience, disunified system, intervention of various interests, the atmosphere that puts responsibility on others, inactive help, unforgettable regional characteristics, working without time to settle, tolerating it in my own way, memories left in the unconsciousness, sudden suffering from memories that come to mind, movement in anxiety and tension, dullness, work with colleagues in the same situation.
Conclusion : This study is meaningful in that it attempted to provide basic data in preparing a long-term strategy for effective policy direction and institutional protection based on the systematic mental health management of the disaster response team. Additionally, this study's results can be used as primary data for future research among Disaster Response Team.

KCI등재

5선 자세에서 짐볼 운동이 뇌졸중 환자의 근력, 균형, 보행 및 낙상 효능감에 미치는 효과

저자 : 임윤정 ( Yun-Jeong Lim ) , 강순희 ( Soon-hee Kang )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 1호 발행 연도 : 2022 페이지 : pp. 49-60 (12 pages)

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Purpose : The purpose of this study was to identify whether gym-ball exercise in standing position was an effective intervention for improving muscle strength, balance, gait, and fall efficacy in stroke patients.
Methods : Twenty-four stroke patients were randomized into three groups: experimental group 1 (n=8), experimental group 2 (n=8), and control group (n=8). Experimental groups 1, 2 and the control group performed the gym-ball exercise in standing position, same exercise without a gym-ball, and general physical therapy for 4 weeks, five times a week in 30-minute sessions. Muscle strength, balance, gait, and fall efficacy were assessed using a handheld dynamometer, the Berg Balance Scale (BBS), the wearable BTS G-WALK® sensor, and the Korean version of the Falls Efficacy Scale (K-FES), before and after training, respectively. Comparisons within and between groups were analyzed using the Wilcoxon signed rank test, Kruskal Wallis H test, and Mann-Whitney U test. Bonferroni correction was performed when significant differences between groups were identified (p<.017, .05/3).
Results : Regarding muscle strength, BBS score, cadence and FES-K were significantly improved after intervention in all three groups. The weight bearing rate, gait speed and step length in experimental group 1 and 2 were significantly improved after the intervention. The stride length in experimental group 1 were significantly improved after the intervention. Experimental group 1 had significantly improved BBS score and stride length after intervention than experimental group 2 and control group. Experimental group 1 and 2 improved muscle strength, weight bearing rate, and FES-K score more than the control group. Experimental group 1 showed significant improvement in cadence, gait speed, and step length after the intervention than control group.
Conclusion : This study showed that exercise with gym-ball in standing position can be an effective intervention to improve balance and gait in stroke patients than the same exercise without gym-ball.

KCI등재

6만성 봉우리 밑 충돌증후군을 위한 물리치료적 접근법 : 편심성 훈련과 일반적 운동의 효과 비교

저자 : 추연기 ( Yeon-Ki Choo ) , 배원식 ( Won-sik Bae ) , 김인섭 ( In-Seob Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 1호 발행 연도 : 2022 페이지 : pp. 61-72 (12 pages)

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Purpose : This study was to verify the effect of eccentric training and suggest a specific application method by comparing the effects of acromohumeral distance (AHD), supraspinatus tendon thicknees (STT), pain intensity and functional performance after MWM and eccentric training (MWM-ET) or general exercise (MWM-GE) in chronic subacromial impingement syndrome (SAIS) patients.
Methods : A total of 55 participants were randomly assigned to each group, and according to the intervention method, “MWM-ET group (n=28)” vs. “MWM-GE group (n=27)” was divided into two groups. AHD, STT, pain intensity, and functional performance were measured before intervention, and both groups were re-measured 3 times a week after 6 weeks of intervention in the same way.
Results : The AHD was significantly increased in MWM-ET group compared to MWM-GE group. No significant difference was observed between the groups in the STT, but Pain intensity was significantly lower in MWM-ET group than in MWM-GE group, and functional performance was significantly increased in MWM-ET group compared to MWM-GE group.
Conclusion : As a result of MWM-ET intervention that further increases AHD compared to MGE, it can be clinically presented as a more effective intervention method for faster recovery from injury due to pain reduction and smooth return to daily life due to improved functional performance.

KCI등재

7Comparison of the Immediate Effects of Kinesio Taping on the Dynamic Balance of Stable Ankle and Functional Ankle Instability among Young Adults in Their Twenties: a preliminary study

저자 : Ki-jong Kim , Ju-Hong Kim

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 1호 발행 연도 : 2022 페이지 : pp. 73-79 (7 pages)

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Purpose : Kinesio taping applied to the ankle varies, and if the overall ankle is taped as much as possible, several effects, including balance, can be expected, but clinically the cost reduction for intervention is very important. Therefore, this study attempted to find out the optimal way to the effect and cost of kinesio taping on ankle dynamic balance.
Methods : The subject of this study was 24 university students in their 20s (male: 13, female: 11), who received sufficient explanation of the purpose and method of the study. The Cumberland ankle instability tool (CAIT) questionnaire was used for the degree of ankle instability of the study subjects. If the subject's CAIT score was 28 points or more, it was classified as a stable ankle, and if the score was 24 points or less, it was classified as functional ankle instability (FAI). In this study, Biodex Balance System® measurement equipment was used to calculate the dynamic balance of study participants. The application of kinesio taping was performed by one physical therapist to attach in the same way, and a method of wrapping the ankle joint was applied in the eight-shaped bandage.
Results : The results are as follows in before and after taping of the stable ankle and FAI group. There was no significant difference in the overall, anterior-posterior, and medial-lateral stability index. The comparison is as follows between groups for the differences (post-pre value) in before and after the application of kinesio taping. There were no significant differences between groups in all the overall, anterior-posterior, and medial-lateral stability index.
Conclusion : In this study, no significant difference in kinesio taping was found in the dynamic balance of stable ankle and FAI (overall, anterior-posterior, and medial-lateral). It is necessary to continue to study ways to find the maximum effect while minimally attaching them to the application method of ankle kinesio taping.

KCI등재

8압력 생체되먹임 기구를 이용한 케겔 운동이 최대 수의적 환기량과 배 근육 두께에 미치는 사전 연구

저자 : 이경순 ( Kyung-soon Lee ) , 박강희 ( Kang-Hui Park ) , 박한규 ( Han-kyu Park )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 1호 발행 연도 : 2022 페이지 : pp. 81-89 (9 pages)

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Purpose : Kegel exercises reported that it is effective in managing stress-related or complex urinary incontinence through contraction and relaxation of the pelvic floor muscles. In many previous studies, it was confirmed that Kegel exercise is involved in respiration as well as urinary system diseases. However, there is a lack of research on the effect of pelvic setting when performing Kegel exercises. Therefore, this study was conducted to investigate the effect on maximum voluntary ventilation (MVV) and abdominal muscle thickness through Kegel exercise after lumbar-pelvic motor control using pressure biofeedback unit (PBU).
Methods : The subjects of this study were 10 healthy female students in their 20s. Subjects measured MVV with a spirometer. In hooklying, external oblique, internal oblique, and transverse abdominis of the dominant hand were measured using ultrasound. The measured value was an average of three times. After one week of intervention, measurements were made in the same manner. Before Kegel exercise, pelvic setting training was performed using PBU. In hooklying, PBU was placed in the waist and set to 40 ㎜Hg, and it was adjusted to 60 ㎜Hg through pelvic muscle contraction. For Kegel exercise, the pelvis was first set using PBU, and then the pelvic floor muscles were contracted for 8 seconds and relaxed for 8 seconds, 10 times, 1 set, and 3 sets.
Results : In MVV, a significant difference was confirmed after exercise than before exercise (p<.05). There was also a significant difference in abdominal muscle thickness before and after exercise (p<.05).
Conclusion : Based on the results of this study, Kegel exercise using PBU had an effect on MVV and abdominal muscle thickness. However, since this study was conducted without a control group as a preliminary study, additional research should be conducted to supplement this.

KCI등재

9로봇보조 보행훈련이 뇌졸중 환자의 운동학적 요인에 미치는 효과

저자 : 김성철 ( Sung-chul Kim ) , 김미경 ( Mi-kyong Kim ) , 양대중 ( Dae-jung Yang )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 1호 발행 연도 : 2022 페이지 : pp. 91-99 (9 pages)

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Purpose : The goal of this study is to examine the effect of robot assisted gait training (RAGT) on the kinematic factors (temporospatial gait parameters, gait cycle ratio, and gait line length) of gait in stroke patients.
Methods : The subjects of this study were 24 stroke patients selected by inclusion criteria. Participants were randomly allocated to two groups: robot assisted gait training (n=11) and general neurological physical therapy group (n=11). In the robot-assisted gait training group, robot-assisted gait training was mediated for 30 minutes a day in addition to general neurological physical therapy. The general neurological physical therapy group was mediated by general neurological physical therapy for 30 minutes a day in addition to general neurological physical therapy. The number of interventions was 5 times a week for 5 weeks. In order to compare the kinematic factors of walking between the two groups, gait analysis was performed before and after 5 weeks of training using the Zebris gait analysis system.
Results : As a result of the gait analysis of the two groups, there were significant differences in temporospatial gait variables (step length, stride length, step width, step time, stride time), gait cycle ratio (swing phase, stance phase) and gait line length. However, there was no significant difference in the cadence (temporospatial gait parameters) in the robot assisted gait training group compared to general neurological physical therapy group.
Conclusion : It is considered to be a useful treatment for stroke patients to promote the recovery of gait function in stroke patients. Based on the results of this study, continuous robot assisted gait training treatment is considered to have a positive effect on gait ability, the goal of stroke rehabilitation. In the future, additional studies should be conducted on many subjects of stroke patients, the kinematic factors of the legs according to the severity of stroke and treatment period, and the effect of gait training.

KCI등재

10Effect of Muscle Taping and Joint Taping on Static and Dynamic Balance in Normal Adults with Chronic Ankle Instability

저자 : Hyun-Sung Kim , Jae-young Park

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 1호 발행 연도 : 2022 페이지 : pp. 101-108 (8 pages)

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Purpose : This study was conducted to investigate the effect of muscle taping and joint taping on static and dynamic balance in normal adults with chronic ankle instability.
Methods : The subjects of this study were 32 people who met the inclusion criteria. This cross-sectional study was conducted using the Kinesio tape, an elastic tape, was used. Subjects were randomized to exclude the effect of sequence, and no taping, joint taping, and muscle taping were applied as taping interventions. One-leg standing test and a Functional reach test were conducted to measure static balance, and Y-balance test was conducted to measure dynamic balance. One way repeated ANOVA was performed to investigate the difference in balance ability according to the taping intervention. If there was a significant difference, a post-hoc was performed using the Bonferroni method.
Results : In the case of static balance, joint taping showed more significant results than did no taping and muscle taping (p<.05), and muscle taping showed more significant results than did no taping (p<.05). In the case of dynamic balance, muscle taping showed significantly larger results than did no taping and joint taping (p<.05) and joint taping showed significantly larger results than did no taping (p<.05).
Conclusion : This study found that mechanical stimulation of muscles and joint compression by elastic taping increased ankle stability and improved static and dynamic balance. In particular, for static balance, joint taping was more effective than muscle taping, and for dynamic balance, muscle taping was more effective than joint taping. Applying the appropriate taping method to individual subjects has the advantage of maximizing the therapeutic effect for the recovery of balance ability. Similarly, the application of various tapings to subjects with ankle instability will have a positive effect on functional improvement.

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1농촌 지역사회 거주 노인의 기능장애에 관한 연구

저자 : 박솔비 ( Sol-bi Park ) , 박경영 ( Kyoung-young Park ) , 김현준 ( Hyeon-june Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 4호 발행 연도 : 2021 페이지 : pp. 1-9 (9 pages)

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Purpose : The purpose of this study was to investigate functional disability for the elderly in rural Korea and to identify influencing factors of functional disability.
Methods : The data were collected for 76 community-dwelling elderly in rural area and above 65 years. We assessed cognitive function, functional disability, depression using LACLS, WHODAS 2.0, SGDS-K. Data were analyzed using descriptive statistics for general characteristics of subjects, Spearman's correlation among LACLS, SGDS-K, WHODAS 2.0, age, educational levels. And multiple regression was used to find influencing factors of functional disability.
Results : As a result of this study, we identified that WHODAS 2.0 total score was 50.59, summary score was 9.94 and functional disability of the elderly in rural area is in the 70th percentile. The highest level of disability occurred in areas related to 'life activities (household)', 'participation in society' and the lowest level of disability occured in areas of 'self-care', 'getting along with people'. Functional disability was significantly correlated with age (r=.398), cognitive function (r=-.547), depression (r=-.563) but not educational levels (r=-.215). Finally, we confirmed that depression (β=.371), cognitive function (β=-.263), widowed status (β=.303), age (β=.272), non-participation of community program (β=.165) was significantly influencing factors of functional disability and the explanatory power of these factors was 52.80 %.
Conclusion : This study revealed important factors of functional disability. Therefore, we need to consider these factors when we developed program related to health for the elderly (aged > 65 years) in rural Korea. Further, we need to standardize WHODAS 2.0 in order to enhance its applicability in clinical practices.

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2가슴우리 확장운동과 교각운동이 노력성 폐활량과 1초간 노력성 날숨량에 미치는 영향

저자 : 김충유 ( Chung-yoo Kim ) , 배원식 ( Won-sik Bae )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 4호 발행 연도 : 2021 페이지 : pp. 11-18 (8 pages)

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Purpose : The purpose of this study was to investigate the effect on lung capacity of healthy men and women in their twenties by performing an intervention using the chest extension exercise and the bridge exercise, which are respiratory muscle strengthening exercises.
Methods : Thirty adult men and women in their 20s participated in this study. All subjects participated in the study after hearing the explanation of the purpose and method of the study, filling out a consent form. All subjects were randomly assigned to the chest extension exercise (CEE) group and the bridge exercise (BE) group of fifteen each. Each exercise was performed twice a week for 4 weeks. Lung capacity was measured by forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) using spirometry. Lung capacity was measured before and after exercise. The measured data were compared through the dependent t-test and the independent t-test. The statistical significance level was set at .05.
Results : After the intervention, the CEE group showed a significant increase in FVC and FEV1 compared to before the intervention (p<.05). After the intervention, the BE group also had a significant increase in FVC and FEV1 compared to before the intervention (p< .05). However, there was no difference in FVC and FEV1 between groups before and after the intervention (p >.05).
Conclusion : There was no difference between groups in lung capacity after exercise. However, both the chest extension exercise and the bridge exercise increased FVC and FEV1, which was thought to be because both exercise methods were effective in increasing lung capacity. Therefore, both chest extension exercises and bridge exercises can be effectively applied as a way to increase lung capacity.

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3겨드랑이막증후군을 가진 유방암 환자들의 도수림프배출법과 고주파 투열치료가 통증, 부피, 기능 및 삶의 질에 미치는 효과 : 사례군 연구

저자 : 안수연 ( Soo-yeon Ahn ) , 신원섭 ( Won-seob Shin )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 4호 발행 연도 : 2021 페이지 : pp. 19-28 (10 pages)

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Purpose : The purpose of this study was to apply manual lymphatic drainage (MLD) and high-frequency diathermy (HFD) to patients with axillary web syndrome (AWS), one of the side effects of breast cancer surgery, and to treat upper extremity pain, volume, function of the upper extremity, (joint range of motion; ROM, disabilities of the arm, shoulder and hand; DASH) and quality of life before and after treatment. It is to determine the effect of treatment by checking the level change.
Methods : This study is a case series. A total of 5 patients diagnosed with AWS after breast cancer surgery voluntarily participated in this study. The intervention program consisted of stretching, MLD and HFD. It was conducted 3 times a week for 30 minutes for 4 weeks. In order to compare the effects of pain (numeric pain rating scale; NPRS), volume, upper limb function (ROM, DASH) and quality of life (the European organization for research and treatment of cancer quality of life questionnaire-breast, EORTC QLQ-BR23) evaluations were compared before and after 4 weeks of intervention. All measured variables were analyzed and expressed as mean, standard deviation and percentage.
Results : The shoulder NPRS level of the subjects in all case groups decreased, the volume decreased and the shoulder flexion, abduction ROM increased. It showed improvement in DASH and quality of life, QLQ-BR23.
Conclusion : After breast cancer surgery, we confirmed the possibility that MLD and HFD treatments could be effective in improving pain, decreasing volume, increasing upper extremity function, and quality of life for patients who have difficulties with AWS. The possibility has been confirmed, and additional research is needed by increasing the number of participants in the experiment in the future.

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4원시반사통합운동이 신경발달장애 아동의 앞쪽머리자세, 균형능력, 주의집중력에 미치는 효과 : 예비연구

저자 : 정지웅 ( Ji-ung Jeong ) , 최한 ( Han Choi ) , 함석찬 ( Suk-chan Hahm )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 4호 발행 연도 : 2021 페이지 : pp. 29-38 (10 pages)

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Purpose : Therapeutic exercise should improve the health outcomes of rehabilitation in children with neurodevelopmental disability. The purpose of this study was to investigate the feasibility of primitive reflex integration exercises on forward head posture, balance ability, and concentration in children with neurodevelopmental disability.
Methods : This study included 10 children with neurodevelopmental disability. Primitive reflex integration exercises were performed for 40 minutes, twice a week for 8 weeks (16 sessions). The reflective markers were placed at the center of the shoulders and on the ears. A caliper was used to measure the distance between the attachments of the reflective markers to assess the forward head posture. Pediatric balance scale was used to quantify balance ability. Their abilities in terms of changeless sitting, looking at the teacher, putting children's hands on their knees, and looking at immovable and movable objects, were assessed to quantify concentration.
Results : There were significant improvements in forward head posture after the intervention (p=.005). Primitive reflex integration exercises significantly improved balance ability of children with neurodevelopmental disability (p=.027). There were also significant improvements in changeless sitting (p=.005), looking at the teacher (p=.004), putting children's hands on their knees (p=.005), and looking at the immovable (p=.004) and movable (p=.004) objects.
Conclusion : This study showed that primitive reflex integration exercises were a useful intervention to improve forward head posture, balance, and concentration in children with neurodevelopmental disability. Therefore, primitive reflex integration exercises may also promote and improve their general development. Further studies with appropriate sample size and control group are needed to conclude the effectiveness of primitive reflex integration exercises on improving posture, motor function, and concentration in children with neurodevelopmental disability.

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5청년과 노인 남성 척주세움근의 노화에 따른 물리적 성질 변화

저자 : 이나경 ( Na-kyung Lee )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 4호 발행 연도 : 2021 페이지 : pp. 39-47 (9 pages)

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Purpose : This study aimed to investigate age-related mechanical changes in the erector spinae muscles, specifically in terms of tone, elasticity, and stiffness, in the elderly population compared to the younger population
Methods : The mechanical properties, including tone, elasticity, and stiffness, of the erector spinae muscles were measured using myotonometry in 47 male adult subjects, divided into the younger group (23 subjects aged 19 to 28 years) and the elderly group (22 subjects aged 69 to 83 years). The measurements were performed in both the prone and sitting positions. The tone, elasticity, and stiffness of the erector spinae muscles were statistically compared between the two groups using a t-test.
Results : The study showed increased stiffness and decreased elasticity in the erector spinae muscles in the elderly group compared to the younger group (p<0.01~0.001). The results were similar in both the prone and sitting positions.
Conclusion : There are age-related degenerative changes that affect the mechanical properties of the erector spinae muscles. In addition, myotonometry can be suggested to be a useful examination tool in evaluating these changes provided that further studies are conducted and standard methods of application have been established in the future.

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6전산화 인지프로그램 적용이 뇌졸중 환자의 인지기능과 일상생활활동에 미치는 영향

저자 : 장철 ( Cheul Jang ) , 배원식 ( Won-sik Bae )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 4호 발행 연도 : 2021 페이지 : pp. 49-58 (10 pages)

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Purpose : This study investigates the effects of the application of traditional occupational therapy and the korean computerized cognition training system on the cognitive function and performance of daily activities of stroke patients with cognitive impairment.
Methods : From inpatients referred for rehabilitation treatment at L Rehabilitation Hospital located in Busan, 20 patients diagnosed with stroke from April 05. 2021 to May 02. 2021 (study period) were selected, They were divided into two, an experimental group consisting of 10 subjects who underwent a computerized cognitive rehabilitation program and traditional occupational therapy in combination and a control group of 10 subjects who underwent traditional occupational therapy alone. In order to measure the cognitive function of the subjects before the intervention, two assessment tests were conducted: a Neurobehavioral Cognitive Status Examination (NCSE), which evaluates stroke-related cognitive ability, and a Functional Independence Measure (FIM) test, which evaluates life activities. Then, both groups received a total of 20 training sessions at 30 minutes per session, five times a week for four weeks.
Results : A statistically significant difference was found in cognitive function between before and after the cognitive training for both the experimental group and the control group. For the FIM scores, statistically significant differences were observed after intervention in the categories of handling personal matters and social cognition, and in the total score. The average scores of the remaining items also improved.
Conclusion : The results of this study showed that both the computerized cognition rehabilitation program and the traditional occupational therapy had a positive effect on the improvement of cognitive function in stroke patients.

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7클라이언트 중심 수공예 활동이 뇌졸중 환자의 우울과 삶의 질에 미치는 효과

저자 : 김지훈 ( Ji-hoon Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 4호 발행 연도 : 2021 페이지 : pp. 59-69 (11 pages)

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Purpose: The purpose of this study was to evaluate the effects of client-centered art and craft activities on depression and quality of life in stroke clients. Through this, we aim to find a way to reduce depression and improve the quality of life in stroke clients.
Methods: Clients diagnosed with stroke were selected as participants for the study. Participants in the experimental group (n=13) and control group (n=14) received general occupational therapy. Clients in the experimental group participated in client-centered art and craft activities, whereas clients in the control group participated in general art and craft activities for 8 weeks. Beck Depression Inventory(BDI) and Stroke Specific Quality of Life(SS-QOL) were used to evaluate the depression and quality of life of the clients before and after the intervention.
Results: The experimental group and control group presented significant statistical difference in depression before and after intervention (p<.01; p<.05). The experimental group showed a greater decrease in depression (p<.05) than the control group. Additionally, the experimental and control group displayed significant statistical difference in quality of life (p<.01) before and after intervention. The experimental group showed a more statistically significant improvement in quality of life (p<.01) than the control group.
Conclusion: These results demonstrate the significance of client-centered art and craft activities in reducing depression and improving quality of life in clients with stroke. Therefore, it is expected to be useful in clinical settings. Occupational therapy should be provided based on the decision of the clients.

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8초등학교 핸드볼, 축구, 배구 운동선수들의 신체안정화운동 중재 후 시각반응속도검사에 의한 힘과 민첩성 평가 비교

저자 : 김철승 ( Chul-seung Kim ) , 이용선 ( Yong-seon Lee ) , 윤종혁 ( Candidate ) , Jong-hyuk Yun

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 4호 발행 연도 : 2021 페이지 : pp. 71-83 (13 pages)

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Purpose : This study compared the differences in power and agility of athletes in each sports using visual response speed test (VRST) scores after conducting 10 weeks of body stability exercise (BSE) on elementary school athletes in handball, football, volleyball and conducted a post-hoc test on the measured values. The subjects of this study were baseball (n=27), taekwondo (n=22), and football (n=23) athletes with at least two years of athletic experience. A total of 72 elementary school athletes were measured by VRST after 10 weeks of BSE under the same conditions.
Methods : For VRST measurement of the upper extremity, the right and left hands were alternately touched in the order the blazepod equipment lights were turned on. The number of touches for 15 seconds and response touch were measured. In the case of the measurement of lower extremity the left lower extremity was measured first when the Blaze pod equipment light came on. The average value was obtained by measuring 3 times using a measurement sensor with the position indicated in order to measure the upper arms and legs the same.
Results : This study confirmed homogeneity among sports and that VRST improved after implementing BSE for sports. However, no statistically significant difference was identified when comparing VRST improvements between sports, and post-hoc test results showed no significant differences either.
Conclusion : After applying the BSE program under the same conditions for 10 weeks to elementary school students who can improve their power and agility the most, the results of the examination using the Blaze pod showed that the power and agility of baseball, taekwondo, and soccer players were similarly improved. From the fact that there was no significant difference among sports, it could be inferred that the BES training program could improve VRST without being limited to some sports.

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9Management for Gait Disturbance and Foot Pain in a Patient with Klippel-Trenaunay-Weber Syndrome : A case report

저자 : Yoon-hee Choi

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 4호 발행 연도 : 2021 페이지 : pp. 85-89 (5 pages)

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Background : Klippel-Trenaunay-Weber syndrome (KTS) is a rare congenital medical condition characterized by complex vascular malformation. KTS consists of a classic triad of capillary malformation (hemangioma), venous malformations and bone or soft tissue hypertrophy causing limb asymmetry. The aim of this report is to describe management for gait disturbance and foot pain in a Patient with KTS using custom-made total contact insole.
Case presentation : A 32-year-old man with KTS presented with a 3-year history of gait disturbance on hard surface due to right first toe pain and Achilles tendon tightness. The patient had soft tissue hypertrophy, varicose veins and port-wine stains over the right lower limb associated with KTS. True leg length discrepancy was 2 cm. We prescribed custom-made total contact insole to protect his deformed foot and correct leg length discrepancy. The insole of right side included wedge shaped heel lift and the insole of left side included full length lift to add extra support on unaffected side. Also, we provided compression stocking and physiotherapy including manual lymphatic drainage for lymphedema and stretching exercise for tightness in right lower extremity. At 3 years follow-up, postural alignment including pelvic obliquity was improved using a custom-made total contact insole. The degree of scoliosis and foot pain were also reduced.
Conclusion : An individualized and multidisciplinary approach is essential regarding the complexity of comorbidities in patients with KTS. For patients with KTS, orthotic management should be considered to prevent and correct deformities related to KTS. Active orthotic management, compression stocking and physiotherapy can enhance the quality of life and function in patients.

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10Effects of a Single Session of Brain Yoga on Brain-Derived Neurotrophic Factor and Cognitive Short-Term Memory in Men Aged 20-29 Years

저자 : Hyun-seong Yang , Hyun-jun Kim , Hwa-gyeong Lee

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 4호 발행 연도 : 2021 페이지 : pp. 91-103 (13 pages)

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Purpose : This study aimed to evaluate the effects of a cognitive enhancement brain yoga program on short-term memory and serum brain-derived neurotrophic factor (BDNF) levels according to the cognitive state in men aged 20-29 years.
Methods : Thirty healthy volunteers aged 20-29 years were divided into four groups: brain yoga group, yoga group, combined exercise group, and control group. Seven people were assigned randomly per group. A single-session intervention was conducted over 50 min and consisted of three parts: warm-up, main exercise (brain yoga, yoga, combined exercise, or non-exercise), and cool-down. Serum BDNF levels were measured using enzyme-linked immunosorbent assay, and short-term memory was evaluated using the forward number span test before and after the intervention.
Results : BDNF levels significantly increased within the brain yoga group after the intervention (from 28874.37±5185.57 to 34074.80±7321.12, p=.003), whereas there were no significant differences pre-and post-intervention in the other groups. The inter-group comparison showed a significant interaction between the brain yoga group and the combined exercise group (p=.036) but no significant interaction between any of the other groups. Forward number span scores were significantly increased in the brain yoga group (from 9.43±9.83 to 23±7.92, p=.012) and theyoga group after the intervention (from 13.43±9.41 to 24.14±8.45, p=.011), whereas there were no significant changes after the intervention in any other groups.
Conclusion : Our findings showed that a single-session, 50-minute brain yoga exercise improved short-term memory and increased serum BDNF levels in healthy men aged 20-29 years and that yoga improved only short-term memory in healthy men of this age group.

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