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대한통합의학회> 대한통합의학회지> 프로 골프선수의 TPI Level 1 Test Score에 따른 경기력 수준 분석

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프로 골프선수의 TPI Level 1 Test Score에 따른 경기력 수준 분석

Relationship Between Titleist Performance Institute Level 1 Test and the Performance of Professional Golf Players

김재은 ( Jae-eun Kim ) , 도광선 ( Kwang-sun Do ) , Cheong Kim
  • : 대한통합의학회
  • : 대한통합의학회지 10권2호
  • : 연속간행물
  • : 2022년 05월
  • : 27-35(9pages)
대한통합의학회지

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목차

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

  • : 의약학분야  > 기타(의약학)
  • : KCI등재
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  • : 계간
  • : 1975-7654
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  • : 학술지
  • : 연속간행물
  • : 2013-2022
  • : 589


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1간호대학생의 간호전문직관에 영향을 미치는 요인

저자 : 박주영 ( Ju-young Park ) , 김선영 ( Sun-young Kim ) , 정영은 ( Young-eun Jung ) , 정은 ( Eun Jeong ) , 최은다 ( Eun-da Choi ) , 하지연 ( Ji-yeon Ha )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 1-11 (11 pages)

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Purpose : In order to respond to the needs of society, it is necessary for nursing students to develop into their professional roles and form a higher degree of positive nursing professionalism. This study investigated clinical practice stress, clinical practice satisfaction, academic major satisfaction, and self-esteem among nursing students, and identified factors influencing their nursing professionalism.
Methods : The participants of this study were 200 nursing students who used the internet and e-mail, and who understood the purpose and methods of this study. Data were collected from June 21 to July 27, 2021. Data analysis, including the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression, was performed using SPSS version 26.0.
Results : The mean score was 3.52±.47 for nursing professionalism, 2.99±.56 for clinical practice stress, 3.35±.44 for clinical practice satisfaction, 3.75±.55 for academic major satisfaction, and 3.49±.78 for self-esteem. There were no significant differences in nursing professionalism according to general characteristics. Nursing professionalism was positively correlated with clinical practice satisfaction (r=.36, p<.001), academic major satisfaction (r=.57, p<.001), and self-esteem (r=.41, p<.001), but negatively correlated with clinical practice stress (r=-.41, p<.001). Factors influencing nursing professionalism included academic major satisfaction (β=.39, p<.001) and clinical practice stress (β=-.16, p=.021). These variables explained 36 % of variance in nursing professionalism (F=29.43, p<.001).
Conclusion : These findings indicate that academic major satisfaction and clinical practice stress could be considered in effective nursing educational interventions to improve nursing professionalism in nursing students. Therefore, multidimensional efforts are needed to establish educational programs for nursing students aiming to enhance their nursing professionalism. In addition, these findings will be helpful for establishing various emotional control programs for the management of clinical practice stress among nursing students.

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Purpose : The purpose of this study was to investigate the effects of combined cervical stabilization exercise (CSE) and stretching exercise (SE) on office workers with forward head posture (FHP).
Methods : A total of 32 office workers with forward head posture were randomly assigned to experimental (n=16) and control (n=16) groups. The experimental group underwent combined CSE and SE, and the control group underwent cervical self-myofascial release and SE. Both groups performed exercises for 40 min per day, thrice per week for a total of 6 weeks. Craniovertebral angle (CVA), respiration, disability, and joint range of motion (ROM) before and 6 weeks after intervention were measured and compared.
Results : There was no significant between-group difference in the general characteristics (p>.05). The intra-group comparison showed significant differences in the visual analog scale (VAS) and neck disability index (NDI) of both groups post-intervention (p<.05). CVA and forced expiratory volume in 1 seconds (FEV1) were significantly improved post-intervention in the experimental group only (p<.05). In the experimental group, all ROM variables were significantly improved post-intervention. In contrast, in the control group, all ROM variables improved significantly post-intervention, except for extension (p<.05). The inter-group comparison showed significant differences in NDI, left lateral flexion, right lateral flexion, and left rotation between the two groups (p<.05).
Conclusion : The combination of CSE and SE, which stabilizes the cervical spine, had positive effects on cranial rotation angle, respiration, disability, and joint ROM in office workers with forward head posture. Therefore, the combination of the two exercises may be an effective option to reduce symptoms and prevent postural problems in office workers with FHP.

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3며느리배꼽추출물을 함유하는 페이스 크림의 보습 및 건조함 감소 효과

저자 : 김성윤 ( Seong-Yun Kim ) , 윤현서 ( Hyun-seo Yoon ) , 현숙경 ( Sook-kyung Hyun ) , 박충무 ( Chung-mu Park )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 27-36 (10 pages)

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Purpose : This study was aimed to analyze the effects of cosmetics containing Persicaria perfoliata water extract (PPWE) on the skin moisturizing and improvement of skin condition in clinical trials.
Methods : Clinical trial was conducted for five weeks after IRB approval at Dong-Eui University. Out of a total of 64 people, 15 people each were assigned to four groups as follows; control group A, B, C and the experimental group A that using cosmetic containing PPWE. Skin condition was measured two times, before and after clinical trial, by a professional skin analyzer, SDM (skin diagnosis system). Moisture and oil value of participants was analyzed twice, each morning and evening, using a portable device on their cheeks. In addition, the survey was investigated subjective satisfaction on change in skin condition and the satisfaction on the use of cosmetics.
Result : The experimental group exhibited subjectively significant changes before and after clinical trials on skin its dryness (p=.039), blush (p=.017), and redness (p<.001). In addition, subjective evaluation was also the highest satisfaction in aspects of number of application (p=.003), amount of application (p=.002), moisture maintenance, and skin scratching frequency. The satisfaction on the use of cosmetics was the highest in the intention to repurchase (p=.045), recommendation willingness to others (p=.020), and intention to use various products (p=.001). Skin moisture of the clinical trial participants using the SDM, moisture level and elasticity of the experimental group increased by 12.94 and 10.28. Moisture level, which was measured by a portable device, was the most potently increased in the experimental group.
Conclusion : Consequently, PPWE containg cosmetics exhibited the effects of moisturization and attenuated skin dryness in clinical trials, which might be utilized as a fundamental data to develop numerous lines of cosmetics.

KCI등재

4비특이적 만성 허리통증 환자에 대한 전기자극의 효과 : 국내 데이터베이스의 메타분석

저자 : 이정우 ( Jeong-woo Lee ) , 조성현 ( Sung-hyoun Cho )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 37-52 (16 pages)

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Purpose : The purpose of this meta-analysis was to evaluate the effects of electrical stimulation on patients with non-specific low back pain.
Methods : Domestic databases were gathered from studies that conducted clinical trials associated with electrical stimulation and its impact on pain of non-specific low back patients. A total of 681 studies were identified, with 12 studies satisfying the inclusion data. The studies consisted of patient, intervention, comparison, outcome, and study design (PICO-SD). The search outcomes were items associated with low back pain. Cochrane risk of bias 2 (RoB 2) was used to evaluate the quality of 12 randomized controlled trials. Effect sizes (Hedges's g) in this study were computed as the corrected standard mean difference (SMD). A random-effect model was used to analyze the effect size because of the high heterogeneity among the studies. Egger's regression and 'trim-and-fill' tests were carried out to analyze the publication bias. Cumulative meta-analysis and sensitivity analysis were conducted to analyze the effect according to the sample size and the consistency of the effect size.
Results : The following factors had a large overall effect size (Hedges's g=1.28, 95 % CI=.20~2.36) involving electrical stimulation on non-specific low back pain. The subgroup analysis all showed a statistical difference in the types of study design, electrical stimulation, and assessment tool. No statistically significant difference was found in the meta-regression analysis. Publican bias was found in the data.
Conclusion : The findings in this study indicate that electrical stimulation interventions have a positive effect on patients with non-specific low back pain. However, due to the low quality of studies and publication bias, the results of our study should be interpreted cautiously.

KCI등재

5간호대학생의 건강증진행위가 피로 및 우울에 미치는 영향

저자 : 이경임 ( Keyoung-im Lee ) , 노지영 ( Ji-yeong No )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 53-62 (10 pages)

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Purpose : This research is a descriptive study that aimed to identify the levels of health promotion behaviors, fatigue, and depression of nursing students and confirm the effect of health promotion behaviors on fatigue and depression.
Methods : Data were collected from September 27 to October 15, 2021 through survey questionnaires on 178 nursing students of 2 universities in G-do who voluntarily agreed to participate. The collected data were analyzed using SPSS 23.0, the general characteristics of nursing students were analyzed by frequency and percentage, and the levels of their health promotion behaviors, fatigue, and depression of nursing students was analyzed by mean and standard deviation. The relationship among the health promotion behaviors, fatigue, and depression was analyzed by Pearson's Correlation Coefficient. Multiple regression analysis was performed for the effects of health promotion behaviors on fatigue and depression of nursing students.
Results : The nursing students' health promotion behaviors averaged 2.25±.43 points out of 5, and for each sub-factor, interpersonal relationship was the highest at 2.66±.49 points and physical activity was the lowest at 2.01±.60 points. Fatigue was 4.89±1.02 points out of 7 and depression was 10.52±9.10 points out of 63. A statistically significant correlation was found among health promotion behaviors, fatigue, and depression. Health promotion behaviors that significantly affected fatigue were stress management (β=-.263, p=.004) and physical activity (β=-.208, p=.026), which showed 35 % explanatory power on fatigue. Health promotion behaviors that significantly affected depression were spiritual growth (β=-.342, p=.002), and physical activity (β=-.231, p=.016), which showed 31 % explanatory power for depression.
Conclusion : This study is meaningful in that it provided basic data to develop an effective health promotion behavior program to prevent and manage nursing students' fatigue and depression, by identifying and analyzing the sub-factors of health promotion behaviors affecting their fatigue and depression.

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6Acute Effects of Dynamic Stretching and Self-Mobilization of the Ankle Joint on Dorsiflexion Range of Motion, Muscle Strength, and Balance in Healthy Adults

저자 : Kyoung-han Kim , Yun-seo Choi , Jeongwoo Jeon , Jihoen Hong , Jaeho Yu , Jinseop Kim , Seong-gil Kim , Dongyeop Lee

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 63-72 (10 pages)

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Purpose : Several studies have investigated the effects of dynamic stretching (DS) and self-mobilization (SM), however, studies comparing the two interventions are rare. Therefore, the purpose of this study was to compare the effects of DS and SM on ankle strength, dorsiflexion range of motion (DFROM), and balance to determine which is superior.
Methods : Thirty-two healthy young adults participated in this study. Participants were randomly assigned to two groups (SM and DS). DS was performed for the purpose of stretching the medial gastrocnemius muscle. For the SM group, ankle joint SM was performed in three ways. For all participants, the following measurements were performed as pre- and post-tests: isometric strength of dorsiflexor and plantar flexor, weight-bearing lunge test (WBLT) to evaluate DFROM, Tetrax system to evaluate static balance, and y balance test (YBT) to evaluate dynamic balance. Differences before and after the intervention within each group were compared using paired t-test. Also, the variable's variation was compared between groups using an independent t-test.
Results : Significant differences were found in ankle dorsiflexor strength, WBLT, YBT, weight distribution index (WDI) (pillow and opened eyes; PO), and stability index (ST) (normal and closed eyes; NC) before and after intervention in the SM group (p<.05). In the DS group, significant differences were found in ankle dorsiflexor and plantar flexor strength, WBLT, YBT anterior, WDI (normal and opened eyes; NO, PO), and ST (NO, NC, PO, pillow and closed eyes) before and after the intervention (p<.05). Ankle plantar flexor strength and WDI (PO) were significantly different between groups.
Conclusion : Based on the results of this study, DS or SM can be considered as a possibility for selective use according to variables for improving ankle joint function (DFROM, muscle strength, balance).

KCI등재

7림프부종의 물리치료적 접근과 관리 : 전문가 견해

저자 : 이화경 ( Hwa-gyeong Lee ) , 김성열 ( Seong-yeol Kim ) , 최경욱 ( Kyoung-wook Choi )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 73-84 (12 pages)

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Background : Lymphedema is a progressive disorder characterized by the impairment of lymph flow from tissues to the blood circulation system. This occurs as a result of damage to the lymphatic system. Complex decongestive therapy (CDT) is a multimodal, conservative therapeutic approach that is used for the management of lymphedema. CDT consists of a combination of compression therapy, manual lymphatic drainage, exercise, and skin care.
Purpose : This study aimed to provide a review of available physical therapy interventions as well as general care guidelines for patients with lymphedema.
Methods : The recommendations and guidelines for physical therapy management, medical management, and general information were reviewed from the following sources: 1) The American Physical Therapy Association, 2) The Norton School of Lymphatic Therapy, and 3) The International Society of Lymphology. This review contains general information, including the medical management and the importance of physical therapy in lymphedema. Physical therapy management should be based on an assessment of the patients' presenting impairments, including based on inclusion or exclusion of physical therapy interventions. This review also outlines a step-by-step approach that starts with disease diagnosis and progression all the way through to rehabilitation as an outpatient.
Conclusion : Depending on the patients' journey to recovery and the requirement for rehabilitation, physical therapy interventions should focus on the patients' needs including pain, appearance, physical function and general rehabilitation. We hope that this review will provide information on evidence-based physical therapy and general care to patients with lymphedema.

KCI등재

8저항성 운동이 여성 노인의 신체조성, 체력, 혈중지질 및 인슐린에 미치는 영향

저자 : 김원경 ( Won-gyeong Kim ) , 김현준 ( Hyun-jun Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 85-94 (10 pages)

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Purpose : This study aimed to investigate the effects of 12 weeks of resistance exercise on body composition, physical strength, blood lipids, and insulin.
Methods : The study was conducted on 24 elderly women divided into two groups: 12 subjects in an exercise group and 12 subjects in a control group. Resistance exercise was performed for 50 minutes a day, three times a week, for the duration of 12 weeks, and body composition, physical strength, blood lipids, and insulin were measured before and after the subjects completed the program. For the statistical analysis, the mean and standard deviation (M±SD) of each variable were calculated using SPSS version 20, and a paired t-test and two-way repeated ANOVA were conducted to test for the differences before and after the resistance exercise. All significant levels were set to α=.05 as a result of the experiment.
Results : Changes in body composition after the 12-week resistance exercise program did not show any significant difference based on the comparison between the groups, but when noting the values for body fat percentage and body in the control group before and after, a significant difference was shown in fat mass (p<.05). As for changes in physical fitness, significant differences appeared in flexibility, muscle strength, and stenotic force (p<.01) when the groups were compared. Regarding pre- and post-values within each group concerning flexibility within the exercise group, significant differences were shown in gender (p<.001), muscle strength (p<.05), (p<.01), muscle earth strength, equilibrium (p<.01), stenosis force, and cardiopulmonary earth force (p<.001). Also, comparisons between populations in changes in blood lipids the values before and after in each group, significant differences in glucose (p<.05) and insulin (p<.05) were shown in the exercise group. When comparing the values before and after in each population, a significant difference was shown in the control group (p<.05).
Conclusion : When all the results were integrated, the 12-week resistance exercise program was found to enhance physical strength (flexibility, muscle strength, and coordination) and improve the blood sugar levels of elderly women. In particular, resistance exercise is believed to lower the prevalence of obesity, type 2 diabetes mellitus, and metabolic diseases by having a positive effect on insulin. Further studies are suggested to verify the effect on body composition and blood lipids by setting up a variety of exercise treatment methods (including subjects, exercise periods, exercise plans, and exercise intensity focuses).

KCI등재

9자폐스펙트럼장애 아동의 수면 장애에 대한 국외 작업치료 중재의 체계적 고찰 : 2011년부터 2021년까지

저자 : 최지은 ( Ji-eun Choi ) , 안선정 ( Sun-joung An )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 95-105 (11 pages)

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Purpose : This study aims to systematically review the methods of occupational therapy intervention in children with autism spectrum disorders having sleep disorders and evaluate the improvements with intervention effects, based on experimental studies of children with sleep disorders.
Methods : Studies published overseas from January 2011 to June 2021 were searched from a total of two databases. Science Direct and OTseeker. The five selected studies were analyzed by dividing them into age, number, intervention period, intervention type, intervention effect, evaluation tool, research design type, and evidence level.
Results : The total number of subjects was 182, 95 subjects in ther experimental group, and 87 in the control group. The interventions included weighted blankets, swimming, and sleep education for parents. Ther interventions were found to increase total sleep time, improve mood when waking up, reduce sleep anxiety, reduce sleep time, reduce the number of waking up of during sleep, and reduce sleep resistance behavior.
Conclusion : Many people have sleep disorders, with or without disabilities, and the number is gradually increasing. Consequently, research on occupational therapy intervention in children with autism spectrum disorder are actively conducted in foreign countries, and these interventions have a positive effect. Based on the results of this study, it can be concluded that such occupational therapy intervention studies are necessary for children with autism spectrum disorder with sleep disorders in Korea. In addition, further research on the quality of life of parents of children with autism spectrum disorders due to sleep disorders and their methods are required.

KCI등재

10한국 물리치료사 국가 면허시험 합격 여부의 예측요인 탐색

저자 : 김소현 ( So-hyun Kim ) , 조성현 ( Sung-hyoun Cho )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 107-117 (11 pages)

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Purpose : The purpose of this study was to establish a model of the predictive factors for success or failure of examinees undertaking the Korean physical therapist licensing examination (KPTLE). Additionally, we assessed the pass/fail cut-off point.
Methods : We analyzed the results of 10,881 examinees who undertook the KPTLE, using data provided by the Korea Health Personnel Licensing Examination Institute. The target variable was the test result (pass or fail), and the input variables were: sex, age, test subject, and total score. Frequency analysis, chi-square test, descriptive statistics, independent t-test, correlation analysis, binary logistic regression, and receiver operating characteristic (ROC) curve analyses were performed on the data.
Results : Sex and age were not significant predictors of attaining a pass (p>.05). The test subjects with the highest probability of passing were, in order, medical regulation (MR) (Odds ratio (OR)=2.91, p<.001), foundations of physical therapy (FPT) (OR=2.86, p<.001), diagnosis and evaluation for physical therapy (DEPT) (OR=2.74, p<.001), physical therapy intervention (PTI) (OR=2.66, p<.001), and practical examination (PE) (OR=1.24, p<.001). The cut-off points for each subject were: FPT, 32.50; DEPT, 29.50; PTI, 44.50; MR, 14.50; and PE, 50.50. The total score (TS) was 164.50. The sensitivity, specificity, and the classification accuracy of the prediction model was 99 %, 98 %, and 99 %, respectively, indicating high accuracy. Area under the curve (AUC) values for each subject were: FPT, .958; DEPT, .968; PTI, .984; MR, .885; PE, .962; and TS, .998, indicating a high degree of fit.
Conclusion : In our study, the predictive factors for passing KPTLE were identified, and the optimal cut-off point was calculated for each subject. Logistic regression was adequate to explain the predictive model. These results will provide universities and examinees with useful information for predicting their success or failure in the KPTLE.

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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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