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

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

Hyun-seong Yang , Hyun-jun Kim , Hwa-gyeong Lee
  • : 대한통합의학회
  • : 대한통합의학회지 9권4호
  • : 연속간행물
  • : 2021년 11월
  • : 91-103(13pages)
대한통합의학회지

DOI


목차

Ⅰ. Introduction
Ⅱ. Methods
Ⅲ. Results
Ⅳ. Discussion
Ⅴ. Conclusion
References

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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.

UCI(KEPA)

I410-ECN-0102-2022-500-000846283

간행물정보

  • : 의약학분야  > 기타(의약학)
  • : KCI등재
  • :
  • : 계간
  • : 1975-7654
  • :
  • : 학술지
  • : 연속간행물
  • : 2013-2022
  • : 566


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1국내 노인의 근감소증과 운동기능저하증후군에 대한 분석 연구

저자 : 김명철 ( Myung-chul Kim ) , 천지연 ( Ji-yeon Cheon ) , 김해인 ( Hae-In Kim ) , 정동근 ( Dong-kun Chung ) , 배원식 ( Won-sik Bae )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 2호 발행 연도 : 2022 페이지 : pp. 1-11 (11 pages)

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Purpose : This study was conducted to assess the status of sarcopenia and locomotive syndrome in the Korean elderly population over 65 years of age by applying the recently updated screening tool for diagnostic evaluation of sarcopenia and locomotive syndrome.
Methods : Sarcopenia and locomotive syndrome (LS) were diagnosed and evaluated in 210 Korean elderly people over 65 years of age. There were 36 patients in the “sarcopenia group”, 164 in the “locomotive syndrome group”, and 10 in the “normal group”. The collected data were analyzed using the chi-square and Kruskal-Wallis tests.
Results : The diagnostic evaluation of sarcopenia and LS showed the presence of sarcopenia in 9.05 % of males and 8.10% females among the Korean elderly population over 65 years of age. Prevalence of stage 1 locomotive syndrome (LS 1) was 95.24 %; stage 2, (LS 2) 36.19 %; and stage 3 (LS 3), 16.19 % among the study population. Both the sarcopenia diagnostic indicator and the LS evaluation indicators showed significant differences between the three groups. All the subjects in the sarcopenia group had LS; further, on comparison of the detailed composition ratio of each patient with LS, the prevalence of LS in the sarcopenia group was found to be: LS 1 41.67 %, LS 2 41.67 %, and LS 3 16.67 %, whereas in the LS group, it was found to be: LS 1 66.46 %, LS 2 16.46 %, and LS 3 17.07 %. The difference between the two groups was statistically significant.
Conclusion : It was confirmed that sarcopenia is correlated with LS incidence. This suggests that the evaluation of motor LS can be used as a tool for the early diagnosis and prevention of sarcopenia in cases of functional decline due to aging in the elderly population.

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2재가 뇌졸중 환자의 일상생활동작 향상을 위한 방문물리치료의 비용-효용 분석

저자 : 허재원 ( Jae-won Heo )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 2호 발행 연도 : 2022 페이지 : pp. 13-25 (13 pages)

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Purpose : This study compared the cost-effectiveness ratio of physical therapy in health centers and home physical therapy, two physical therapy methods for home-bound stroke patients, and clarified the economic validity regarding the effect of home physical therapy.
Methods : To measure and compare the cost and effectiveness of the two physical therapy methods for stroke patients, subjects were recruited based on in-hospital and home physical therapy. Among the entire data collected, 82 and 90 participants were selected for in-hospital and home physical therapy, respectively. To measure costs, regarding both in-hospital and home physical therapy, direct cost and indirect cost for patients, family, medical institutes, and the government were measured. In addition, activities of daily living were measured in both methods to measure their effectiveness. Through collected data, the cost-effectiveness and incremental cost-effectiveness ratios were analyzed.
Results : Based on the analysis of cost-effectiveness, home physical therapy showed lower cost-effectiveness than in-hospital physical therapy. Furthermore, the incremental cost-effectiveness ratio also showed a difference, which implied home physical therapy could have high effectiveness compared to cost.
Conclusion : Based on these results, home physical therapy could be considered as an alternativeto other methods of physical therapy, for home-bound stroke patients. In addition, the result of thisstudy contribute by providing evidence that home physical therapy offers economic benefits and canbe more effective in treating home-bound patients when policy decisions are made to establish a home physical therapy system.

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3프로 골프선수의 TPI Level 1 Test Score에 따른 경기력 수준 분석

저자 : 김재은 ( Jae-eun Kim ) , 도광선 ( Kwang-sun Do ) , Cheong Kim

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 2호 발행 연도 : 2022 페이지 : pp. 27-35 (9 pages)

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Purpose : The purpose of this study is to analyze the correlation between the TPI Level 1 test and the performance of KPGA professional golf players.
Methods : In 2019, 30 KPGA golf players attempted in the TPI Level 1 test. Their performance was then compared with the test based on the players' aggregated official records on the KPGA website, The most meaningful prize money ranking, average driving distance, fairway landing rate, and average number of putts were considered to evaluate their performance. Additionally, to obtain the average value of the players' accumulated records, the period from the first game in March 2019 to the end of October was considered.
Results : The criterion for the difference between the upper group and the lower group was set based on the 9 points of the TPI Level 1 test, which showed the most significant difference. The prize money ranking stood at 63.00±51.77 in the upper group and 113.92±68.79 in the lower group in the TPI Level 1 test, the difference was significantly higher (p<.05) for the upper group (p<.05). The average driving distance was 286.15±10.06 yds for the upper group and 277.39±8.49 yds for the lower group, group, with the driving distance significantly higher in the upper group (p<.05). Further, the average number of putts for the upper group was 1.81±.02 and 1.85±.04 for the lower group, indicating a significant difference.
Conclusion : A higher TPI Level 1 test score is likely to have a positive effect on performance.. As a result of the statistical values of this study, it was found that players must possess at least 9 out of 17 types of physical abilities Therefore, it can be considered that training and intervention to acquire these physical abilities are essential.

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4COVID-19시대 한국 농촌 지역 노인의 단백질 섭취가 근감소증 예방 및 신체기능에 미치는 영향

저자 : 이신성 ( Xinxing Li ) , 김희재 ( Hee-Jae Kim ) , 김대영 ( Dae-Young Kim ) , 장얀지 ( Yanjie Zhang ) , 서지원 ( Ji-won Seo ) , 안서현 ( Seo-hyun Ahn ) , 송욱 ( Wook Song )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 2호 발행 연도 : 2022 페이지 : pp. 37-47 (11 pages)

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Purpose : We aimed to investigate the effects of nutritional foods on sarcopenia prevention and physical function among the elderly living in rural communities during the COVID-19 pandemic by providing customized nutrition.
Methods : This study was conducted in the rural community of SCC. Participants (n=24, over age 65) were randomly assigned into a Protein group (n=12) and a Vitamin group (n=12). The protein group was given 23 g/d of protein (whey, soybean, BCAA) for 8 weeks and the Vitamin group 23 g/d of vitamin (B, C, D, E and mixed minerals such as calcium, magnesium, zinc) for 8 weeks. All participants had their body composition such as height, weight, skeletal muscle mass, body mass index, and body fat percentage, measured using bioelectrical impedance analysis (BIA) and physical function assessed using grip strength and the short physical performance battery (SPPB).
Results : At the end of the intervention, there was a significant increase in skeletal muscle mass (p<.01) in the Protein group (p=.002, 4.92 %) compared to the baseline: it increased by 2.33 %. The Vitamin group had a significant increase in body fat percentage after the intervention (p=.001, 15.35 %) compared to the baseline: body fat percentage decreased by 4.49 %. There were no significant differences in left and right Grip strength/Weight, SPPB, 4-m gait speed, chair stand test, and sense of balance in both groups.
Conclusion : The findings from this study suggest that 8 weeks of protein intake have a significant effect on skeletal muscle mass and body fat percentage. Protein intake helped promoting the health of the elderly in rural community during the COVID-19 pandemic. It will assist creating a foundation for providing customized nutrition for the elderly in rural community in the future.

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5정신요양시설 거주인의 건강 실태 및 정책 대안

저자 : 조한진 ( Han-jin Jo ) , 이승홍 ( Seung-hong Lee )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 2호 발행 연도 : 2022 페이지 : pp. 49-59 (11 pages)

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Purpose : The purpose of this study is to directly understand the health condition of residents of mental health sanatoriums nationwide, which has been difficult to ascertain in surveys conducted to date. The study presents specific measures for improving the health of these residents.
Methods : A "physical examination questionnaire for residents of mental health sanatoriums" was developed to check the basic physical condition of residents, and 20 out of 59 mental health sanatoriums nationwide were randomly selected. Medical personnel visited the sanatoriums, interviewing and examining the residents in person. A total of 396 health surveys were completed.
Results : Many of the residents were underweight but had abdominal obesity. It was confirmed that chronic diseases among the residents were not diagnosed early or were not properly managed. Among the subjective symptoms complained of by the residents, musculoskeletal symptoms were the most common. Oral examinations revealed a serious level of oral health problems among the residents, including dental caries and missing teeth. Basic physical examinations found health problems that required additional examination or medical treatment. Blood pressure abnormalities made up the highest percentage of the health problems.
Conclusion : Regular health surveys are needed to determine the health condition of residents of mental health sanatoriums. Access to and quality of primary medical services within the sanatoriums need to be dramatically improved. A delivery system for severe diseases and emergency medical care in the sanatoriums should also be specifically presented. The residents should be notified upon admission and during their stay that they have the right to the enjoyment of the highest attainable standard of mental and physical health. The issue of health rights should be addressed within a larger framework of reorganizing management plans for people in the community ― not only residents ― with chronic mental illness.

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6'국제개발협력과 헬스케어' 수강생의 국제개발협력 인지도 변화

저자 : 김락기 ( Laki Kim ) , 김민경 ( Minkyung Kim ) , 이효영 ( Hyo Young Lee ) , 신은규 ( Eun Kyu Shin ) , 김수정 ( Soojeong Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 2호 발행 연도 : 2022 페이지 : pp. 61-72 (12 pages)

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Purpose : This study aimed to identify the educational effects of the International Development Cooperation and Healthcare course from 2018 to 2020.
Methods : Changes in awareness of international development cooperation (understanding international development cooperation as well as government Official Development Assistance [ODA], thoughts on aid, and thoughts on government's aid scale) were analyzed using web-based surveys. The pre-course survey was conducted 1-2 weeks before the semester started, and the post-course survey was conducted 1-2 weeks after the semester ended. All data were analyzed using the SPSS 26.0 program, and statistical significance was set at p< .05.
Results : A total of 314 people participated in the survey before taking the course, and 286 people participated in the survey after taking the course. Analysis of the changes in students' awareness of international development cooperation showed that all items (understanding international development cooperation and government ODA, as well as having thoughts on aid and government's aid scale) were improved. Regarding changes in awareness according to general characteristics, thoughts on aid were statistically significant according to all characteristics except for 2018. Regarding government's aid scale, awareness scores increased after taking the course in students who majored in healthcare, fine arts and athletics, broadcasting and media studies, and digital contents.
Conclusion : This study showed that changes in awareness of international development cooperation were largest in second-year students. Compared to changes regarding international development cooperation, government ODA, and thoughts on aid, changes regarding thoughts on government's aid scale were minor. In the future, it is necessary to develop class content suitable for the first-year level and to supplement and operate content that can change the way of thinking on government's aid scale.

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7허리 불안정성이 있는 허리통증 환자에게 실시한 자가-복합 운동프로그램이 통증과 기능, 심리사회적, 균형 능력 그리고 배가로근에 미치는 효과

저자 : 윤종혁 ( Jong-hyuk Yoon ) , 정대근 ( Dae-keun Jeong ) , 박삼호 ( Sam-ho Park )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 2호 발행 연도 : 2022 페이지 : pp. 73-83 (11 pages)

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Purpose : Low back pain (LBP) is reported as a risk of experiencing musculoskeletal disorders due to muscle stiffness and hypokinetics. The lumbar spine in an unstable state causes imbalance and lumbar instability. Therefore, This study examined the effects of lumbar stabilization exercise and self-complex exercise program on pain, function, psychosocial level, static balance ability, and transverse abdominal muscle (TrA) thickness and contraction ratio in patients with lumbar instability.
Methods : The design of this is a randomized controlled trial (RCT). Twenty-six LBP patients participated in this study. Screening tests were performed and assigned to the experimental group (n=13) and control group (n=13) using a random allocation program. Both groups underwent a lumbar stabilization exercise program. In addition, the experimental group implemented the self-complex exercise program. All interventions were applied three times per week for four weeks. The quadruple visual analog (QVAS), the Korean version of the Oswestry disability index (K-ODI), Korean version of fear-avoidance belief questionnaire (FABQ), static balance ability, TrA thickness, and contraction ratio were compared to evaluate the effect on intervention. Statistical significance was set at α=.05.
Results : Both groups showed significant differences before and after the intervention in QVAS, K-ODI, FABQ, static balance ability, and TrA thickness in contraction (p<.05). In addition, significant differences in K-ODI and FABQ were observed between the experimental group and control group (p<.05).
Conclusion : A lumbar stabilization exercise and self-complex exercise program resulted in reduced dysfunctions, psychosocial stability in patients with lumbar instability. Therefore, Lumbar stabilization exercise and self-complex exercise program for patients with lumbar instability are effective method with clinical significance in improving the function and psychosocial stability.

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8작업치료학과 대학생들의 자아 탄력성과 사회적 지지가 시험불안에 미치는 영향

저자 : 주은솔 ( Eun-sol Ju ) , 방요순 ( Yo-soon Bang )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 2호 발행 연도 : 2022 페이지 : pp. 85-93 (9 pages)

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Purpose : This study aims to examine the effect of ego resilience and social support on test anxiety for university students majoring in occupational therapy and use the results as foundational data for program development that can reduce test anxiety.
Methods : The study's subjects were 173 university students who understood the study's purpose and consented to participate in the study from March 7 to 25 in 2022. These students were in their second, third, and fourth years, majoring in occupational therapy at a four-year B university in A Metropolitan City and a three-year E College in D-gun C Province. Among them, those with missing data or indicated extreme values were excluded, and data from the final 168 students were studied.
Results : The averages of test anxiety, ego resilience, and social support of university students majoring in occupational therapy were 3.06, 3.41, and 3.81, respectively. The factor that affected test anxiety was investigated. It was the school year in which the test anxiety of fourth-year students was significantly higher than that of second-year students. In addition, a positive attitude, which was one of the sub-factors of ego resilience, and support from friends and family, which were the sub-factors of social support, had a negative impact on test anxiety.
Conclusion : The results of this study are as follows: First, it is necessary to conduct a study to verify the level of test anxiety of university students majoring in occupational therapy and the factors influencing them. Second, the operation and consultation of non-curricular programs that improve the ego resilience of university students should be conducted in universities and departments. Third, a measure to recognize support from surrounding environment and to ask for help from people around them should be required for university students majoring in occupational therapy.

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9보건계열 대학생의 의사소통 능력이 대학 생활 적응에 미치는 영향

저자 : 장철 ( Cheul Jnag ) , 김민호 ( Min-ho Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 2호 발행 연도 : 2022 페이지 : pp. 95-104 (10 pages)

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Purpose : This study aimed to investigate the effects of health science majors' communication skills on their adjustment to college life.
Methods : The subjects were 336 college students majoring in health science at colleges located in Busan. The survey's questionnaire comprised 38 items, including 15 items for communication skills and 19 items for adjustment to college life.
Results : In the gender-based comparison of communication skills and adjustment to college life, female students had better communication skills, with overall higher scores than male students for the understanding others and communication. In the age-based comparison of communication skills and adjustment to college life, students aged 21 to 22 showed the best communication skills, while students aged 18 to 20 exhibited the least communication skills. In terms of adjustment to college life, those aged 25 or older scored the highest, and those aged 21 to 22 scored the lowest. In the school-year-based comparison of communication skills and adjustment to college life, third- and first-year students showed the best and least communication skills, respectively. Overall, third- and fourth-year students were more adjusted at adjusting to college life than first- and second-year students. Third-year students also scored the highest in academic adjustment, whereas second-year students scored the lowest. In terms of relationships between the students' communication skills and their adjustment to college life, communication skills were positively correlated with the following subdomains: understanding of others, self-expression, and communication. Communication skills also showed a positive correlation with adjustment to the college environment, including personal-emotional adjustment.
Conclusions : The present study found that communication skills did not significantly affect health science majors' adjustment to college life. However, given that communication skills are an essential factor for effective work performance and greater job satisfaction, it is recommended that colleges provide students with relevant education and experiences to help them enhance communication skills while in school.

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10편마비 환자에게 적용된 경두개직류자극이 하지 근 활성도 및 보행능력에 미치는 영향

저자 : 이연섭 ( Yeon-seop Lee )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 2호 발행 연도 : 2022 페이지 : pp. 105-113 (9 pages)

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Purpose: The purpose of this study is to investigate the effect of non-invasive transcranial direct current stimulation (tDCS) on muscle activity, including 10 m WT, TUG, and BBS, in hemiplegic stroke patients.
Methods: This study was conducted on 42 inpatients diagnosed with hemiplegia due to stroke at hospital B in Daejeon for more than 6 months. Walking training was conducted for six weeks, five times a week for 30 minutes, with a general walking group (14 people), tDCS walking group (14 people), and tDCS (sham) walking group (14 people).
Results: As a result of the study, the change in the muscle activity before and after tDCS intervention was significantly increased in the tibialis anterior muscle in the CG group. In the EG group, the erector spine (lumbar), rectus femoris, and tibialis anterior muscles significantly increased. In the SEG group, significant increases were observed in the rectus femoris and tibialis anterior muscles. Significant differences were found in the rectus femoris and tibialis anterior muscles in the comparison between groups after intervention according to tDCS application. Also, 10 m WT, TUG, and BBS were significantly increased in the CG, EG, and SEG groups after intervention, and there were significant differences in 10 m WT, TUG, and BBS in comparison between groups after intervention according to tDCS application.
Conclusion: As a result, tDCS is an effective in improving the walking ability of stroke patients, and in particular, it effectively increases the muscle activity of the rectus femoris and tibialis anterior muscles, which act directly on walking, and also improves the speed and stability of walking. It is considered being an effective method to increase the gait of stroke patients by combining it with the existing gait training.

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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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