목적 : 이 논문의 목적은 운동 실행능력과 읽기, 쓰기에 바탕을 둔 시지각과의 관계를 알아보기 위함이다.연구방법 : 경남 김해에 위치한 초등학교에 재학 중인 1학년 아동 20명, 2학년 아동 20명을 대상으로 실시하였다. 시지각 능력 평가를 위하여 K-DTVP-2를, 운동실행능력을 평가하기 위하여 COMPS와 SIPT의 하위항목인 PrVC를 사용하였다. 결과 : 시지각과 운동 실행 사이에는 유의한 차이가 있었지만, COMPS, PrVC, K-DTVP-2 평가결과는 나이와 성별에서 차이가 없었다. K-DTVP-2는 PrVC와 COMPS와 관련이 있었다. VMI 점수는 2학년이 1학년보다 더 높았으며, 여기서 시각과 운동의 통합은 연령이 높아질수록 발달된다는 것을 알 수 있었다.결론 : 초등학교 1학년과 2학년의 시지각 능력은 운동 실행과 관련이 있었다. 그러나 이 연구에서는 몇 가지 제한점이 있었다. 첫째, 대상자가 김해에 국한되어 있으며, 둘째, 1학년과 2학년 사이의 연령차이가 없다는 것이다. 마지막으로 그 수가 적어서 특별히 다른 차이점을 발견할 수 없다는 것이다. 그러므로 향후에는 평균 데이터를 보여주기 위한 일정한 평가 기준이 마련되어야 할 것이며, 장애가 있는 아동의 운동 실행과 시지각과 관련된 연구가 지속적으로 이루어져야 할 것이다.

The purpose of this study was to investigate the characteristics and the current condition of musculoskeletal pain sufferers among fitness center users. The investigation used self-reporting questionnaire with the 797 subjects. On average, the subjects were 30.6 years old, 168.8 cm in height and 65.2 kg in weight. Among them, 423 were male (53.1%) and 374 were female (46.9%). Out of them, 276 suffered from pain, (35.2%). More men felt muscle aches than women (p<.05). In terms of pain, lower back area topped the list with 44.9%, followed by the lower extremities (30.1%), the neck (17.8%) and the upper part of the body (17.8%). Dieters suffered the most from pain (86.2%) while those exercising to build strength suffered the least with 26.8%. There was a significant relationship between the purpose for exercising and the amount of pain suffered (p<.05). By kind of exercise, pain stroke aerobic exercisers disproportionately with 42.4% while it almost steered clear of exercisers for strengthening with 26.9%. There was significant relationship between the kind of exercise and pain suffered (p<.05). The type of suffering differed by body shape. A significantly higher number of overweight people experienced pain than underweight people (p<.05). 32.8% of pain sufferers commented that the pain affects their workout, and on this issue there was no gender difference (p>.05). The pain caused more difficulties in doing activities of daily living for overweight or obese peoples than underweight peoples (p<.05). More than a third of health club and fitness center users are experiencing musculoskeletal pains. Measures such as professional training or information provision is required to prevent injury or disorder caused by improper exercise.

The purpose of this study was to investigate the effect of submerged relaxation therapy for the spasticity on the affected side in three subjects with post-stroke hemiparesis. A single-subject alternating design with multiple baselines across individuals was employed in this study. Each subject alternately participated in a range of motion exercises on the mat and in the pool, and relaxation exercises in the pool. The muscle tone of the affected side was measured using the tone assessment scale (TAS). Measurements were made immediately and one hour following the intervention. The findings showed a therapeutic effect of submerged relaxation exercise on reducing spasticity for all subjects. The effect of submerged relaxation exercise on decreasing muscle tone was maintained for one hour measurements after the submerged relaxation exercise, although the mean TAS score assessed one hour after intervention was higher than that assessed immediately. The results of this study suggest that submerged relaxation exercise has a positive effect on decreasing spasticity on the affected side in persons suffering from post-stroke hemiparesis. Future research on submerged relaxation exercise should focus on objective evaluation and functional the aspects relevant to activities of daily living.

Ischemic stroke results from a transient or permanent reduction in cerebral blood flow that is restricted to the territory of a major brain artery. Thus, this study was performed to examine (1) the effects of swimming exercise on the improvement of muscle atrophy, and (2) exercise and HSP 70 expression in an ischemic stroke model induced by middle cerebral artery occlusion. The results of this study were as follows: One week after ischemic stroke was induced, changes appeared in the muscle weight of the gastrocnemius muscle due to muscle atrophy in the affected side. Group II showed statistically significant difference from group III eight weeks after ischemic stroke was induced. (p<.05). One week and eight weeks after ischemic stroke was induced there was significant decrease in the relative muscle weight of the gastrocnemius muscle in each group except Group IV, while there was statistically significant increase in group II eight weeks after ischemic stroke was induced, compared to group III (p<.05). For neurologic exercise behavior tests, Group II generally had the highest score, compared to other groups. In immunohistochemical observations, Group II showed a decrease in HSP 70. The above results suggest that swimming exercise improved muscle atrophy, changed the HSP 70 expression of ischemic stroke in rats, and contributed to the improvement of exercise function.

This study investigated therapeutic effects of pelvic tilt exercise (PTE) on weight bearing and body sway during sit-to-stand (STS) on 18 hemiplegic patients who had visited the Hanyang University Seoul Hospital and Injae University Sanggyebek Hospital physiotherapy rooms. The study compared the patients with 18 normal adults. The subjects were sampled out from those who could get up independently, maintain a standing posture more than 10 seconds, understand the movements of this study and have no difficulty in performing the tasks. By executing STS in a natural way with habitual movements before and after PTE, the weight bearing was measured by using Mediance II. In order to compare the difference of weight distribution, weight bearing and body sway on affected and nonaffected sides during STS before and after PTE, the Wilcoxon Signed Ranks Test was used. The statistical significance level was based on p<.05. The results revealed that the difference of weight distribution in the hemiplegic group was significantly decreased (p<.05), whereas there was no significant difference in the healthy group (p>.05). Weight bearing loaded on the affected side was 42.53±7.65% and 44.20±6.32%, respectively, in the hemiplegic group during STS before and after PTE. Weight bearing during STS after PTE is increased significantly, as compared with weight bearing before PTE (p<.05). Body sway in the hemiplegic group was significantly decreased (p<.05). As mentioned, PTE proved to be effective for improvement in weight bearing on the affected side during STS of hemiplegic patients.

Theoretical framework of motor learning is used to enhance perceptual motor skill in physical therapy intervention, which can be subdivided into two main types-explicit and implicit. The purpose of this study was to examine whether stroke patients with unilateral brain damage learn implicitly a motor skill using the arm ipsilateral to the damaged hemisphere. Speculation then followed as to the formation of therapeutic plans and instructions provided to patients with stroke. 20 patients with stroke and 20 normal participants were recruited. All the subjects practiced serial reaction time tasks for 30 minutes a day and retention tests on the following day. The tasks and tests involved pressing the corresponding buttons to 4 colored circles presented on a computer screen as quickly and accurately as possible. Patients with stroke responded more slowly than controls. However, both groups showed decreased reaction time in the experimental and retention periods. Also, there was no significant difference between both groups regarding explicit knowledge of consecutive order. Therefore, patients with stoke had the ability to learn implicitly a perceptual motor skill. Prescriptive instruction using implicit and explicit feedback may be beneficial for motor skill learning in physical therapy intervention for patients with brain damage.

The limited walking ability after a stroke restricts a patient's independent mobility at home and in the community. It also brings about significant social handicaps. Therefore, it is necessary to improve walking ability in community-dwelling persons with stroke. The purpose of this study was to evaluate the effectiveness of gait training and muscle strengthening exercise of lower extremities in persons with chronic stroke. Nineteen community-dwelling individuals with stroke participated in this program. The exercise program lasted for seven weeks, with a 1-hour program twice per week, and it consisted of balance training, gait training, and strengthening of lower extremities. The outcome of the program was assessed by the gait speed, Wisconsin Gait Scale (WGS), Berg Balance Scale (BBS), and Stroke Impact Scale (SIS). Significant effects were found for the WGS, BBS, and mobility and hand function domain of the SIS (p<.05). It was found that short-term gait training exercise could improve quality of gait, balance, and mobility. Therefore, a more effective exercise program is required for community-based persons with stroke.

The purpose of this study was to determine the consequence of resistance strengthening exercise on the hip flexor and extensor performed to improve functional mobility in stroke patients more than six months post stroke. Seventeen patients were randomized into two groups. Both groups received conventional physical therapy for six weeks. In addition, the experimental group performed eccentric resistance strengthening exercise in the hip flexor and extensor using an isokinetic dynamometer. The hip flexor and extensor strength, stair up and down mobility, timed get up and go (TUG), 10 m gait velocity, and functional reach were repeatedly measured at baseline, three weeks, and six weeks after treatment. The results were as follows: 1. The experimental group improved more remarkably in the hip flexor and extensor strength, stair up and down mobility, and the 10 m gait velocity after three weeks and six weeks of treatment (p<.05), 2. The control group improved significantly in the hip flexor and extensor strength, and 10 m gait velocity after three weeks of treatment (p<.05), 3. At each three and six week point, the experimental group made greater gains in hip flexor and extensor strength, stair up and down mobility, and 10 m gait velocity than the control group (p<.05). In conclusion, it is desirable to perform resistance strengthening exercises combined with conventional physical therapy to improve functional mobility in chronic stroke patients.

The purpose of this study was to assess the influence of spine orthosis and sit-to-stand motor strategies on ground reaction force (GRF) and lower extremity muscle activity. Twenty healthy adult men participated, and subjects randomly performed sit-to-stand motions in three different conditions: Momentum-transfer strategy (MTS); MTS with spine orthosis; and zero-momentum strategy (ZMS) with spine orthosis. GRF data, onset time, and muscle activity were determined and compared using force plate and electromyography. Data were statistically analyzed by the SPSS version 13.0. One-way repeated analysis of variance (ANOVA) was used to determine the statistical significance, and least significant difference was used as a post hoc test. The level of significance was .05. The results of this study were as follows: 1. Peak GRF and relative time to peak GRF were not significantly different in the three different conditions (p>.05). 2. Onset time of four muscles, tibialis anterior, gastrocnemius, biceps femoris and rectus femoris, in the three different conditions were significantly different (p<.05). 3. The tibialis anterior and rectus femoris muscle activity before hip-off and tibialis anterior, gastrocnemius, and rectus fermoris muscle activity after hip-off were significantly different in the three different conditions (p<.05).

본 연구에서는 의복 착용 시 직물이 스치면서 발생하는 왕복마찰음에 대한 물리적 소리특성과 주관적 감각을 고찰하기 위해, 왕복운동을 이용한 직물마찰음발생장치를 개발하고 이 장치를 이용하여 5가지 직물의 왕복마찰음을 녹음한 후, 총음압(LPT), 음압차(δL), 주파수차(δf)를 계산하였다. 왕복마찰음에 대한 주관적 감각은 7개의 소리감각(부드러움, 시끄러움, 날카로움, 맑음, 거침, 높음, 유쾌함)에 대하여 의미미분척도로 평가되었다. 나일론 태피터와 폴리에스테르 레노 직물의 왕복마찰음은 높은 LPT를 나타내어 시끄럽고 날카롭고 거칠며 불쾌한 소리로 인지되었다. 반면 LPT와 δf의 값이 작은 폴리에스테르 울트라스웨이드와 실크 크레이프드신 직물의 왕복 마찰음은 부드럽고 조용한 소리로 평가되었다. 마찰방향(왕복 방향, 한 방향)에 따른 직물의 마찰음 비교시, 왕복 방향 마찰음은 한 방향 마찰음보다 더 날카롭고 시끄럽고 거칠게 인지되었으며 마찰방향에 상관없이 LPT가 소리감각을 예측하는 중요한 요인으로 나타났다.

이 논문에서는 안정대륙권역(Stable Continental Regions, SCRs)에서의 중규모 지진에 의한 근단층지반운동(Near Fault Ground Motion, NFGM) 모델을 처음으로 제시한다. 근단층지반운동은 큰 진폭의 장주기 속도 펄스를 갖는 특징을 가지고 있다. 이 속도 펄스를 모델링하기 위해서는 그 주기와 진폭을 지진의 규모와 단층거리의 함수로 표현할 수 있어야 한다. 그런데 안정대륙권역에서는 관측 자료가 빈약하여 지진데이터로부터 이 관계식을 직접 유도하는 것은 어렵기 때문에 이 연구에서는 간접적인 접근법을 채택하였다. 속도 펄스의 주기와 진폭은 단층파열의 상승시간과 파열속도의 함수임이 알려져 있고 활성구조권역(Active Tectonic Regions, ATRs)에 속하는 미국 서부지역에서는 실험적 공식이 확립되어 있다. 안정대륙권역에서의 상승시간과 단층파열속도의 지진규모에 대한 함수관계는 WUS와 CEUS에서의 자료를 비교하여 도출하였다. 이 관계식들로부터 안정대륙권역에서의 NFGM의 속도 펄스의 주기와 진폭을 지진규모 및 단층 거리에 대한 관계식으로 유도하였다. 안정대륙권역에서의 NFGM의 가속도 시간이력은 추계학적으로 생성된 원역지진지반가속도에 새로운 관계식에 의한 속도 펄스를 중첩하여 얻어진다. 적용 예제로서 탄소성 단자유도 시스템의 근단층지반운동에 대한 응답을 분석하였다.

목적 : 전통적으로 잘 알려진 호두를 이용한 손 운동이 대뇌 피질에서 활성화되는 정도와 부위를 분석하여, 손의 운동 기능과 관련된 뇌 부위를 자극할 수 있는지를 알아보고자 하였다. 연구방법 : 정상 성인 12명을 대상으로 호두 돌리기, 나무구슬 돌리기, 맨손 운동과 같은 손의 숙련된 조작이 요구되는 세 가지 운동을 하는 동안 기능적 자기공명영상촬영을 통해 대뇌피질의 활성화되는 부위와 정도를 비교하였다. 결과 : 개별적으로 활성화된 영상을 집단으로 합산한 결과, 손 운동에 주로 관련된 일차운동감각영역, 전운동영역, 보조운동영역에서 활성화를 보였으며, 관심 영역 내 총 활성화된 정도가 호두 돌리기에서 가장 높았고, 나무구슬 돌리기, 맨손 운동 순으로 나타났다. 결론 : 호두 돌리기는 뇌에 많은 감각적 자극을 제공하고, 손안에서 이루어지는 복잡하고 숙련된 동작의 수행으로 대뇌 피질의 다양한 운동 관련 부위를 활성화하고, 그 활성화되는 정도도 높은 것으로 나타났다. 따라서 호두 돌리기는 손의 감각운동기능과 관련된 뇌기능을 활성화시키는 효과가 있을 것으로 추정된다.

Although conservative management of congenital muscular torticollis (CMT) has been well documented, relatively little is known about the response to the treatment. The purposes of this case report were to describe the use of a therapeutic approach based on motor development in physical therapy intervention for an infant with CMT and to report the result of the treatment. The patient was a 20-day-old baby boy with left CMT presenting muscular mass in the left sternocleidomastoid muscle. The angle of the lateral head tilt was 20 degrees. The size of muscular mass was 5.3 mm in ultrasonography. Intervention included ultrasonic therapy, soft tissue massage, passive and active range of motion exercises, motor developmental therapy, and parent instruction. The procedures of motor developmental therapy and changes in the amount of lateral head tilt were documented using photography. The size of the mass was decreased to .3 mm before the 5-month follow-up. The patient also maintained a midline head position in the supine position and a midline head alignment during all functional activities. A therapeutic approach based on motor development is a beneficial method for reducing an asymmetrical head and neck position, and facilitating normal development as a component of physical therapy intervention.

The purpose of this study was to compare the electromyography (EMG) activities of the lumbar extensor muscles during motion of trunk flexion-extension and compare range of motion (ROM) with a 3-dimensional motion analysis system of the lumbar region between subjects with chronic low back pain (CLBP) and healthy subjects during the trunk flexion-extension, trunk rotation and trunk lateral flexion cycle. Thirty CLBP subjects and thirty healthy subjects were included. We measured the root mean square (RMS) value of the lumbar extensor muscles from resting, standing, lumbar flexion and return position. The RMS ratio was normalized from maximal EMG activity of the lumbar extensor muscles during trunk motion. The results of this study showed that the RMS ratio of the lumbar extensor was significantly higher in CLBP subjects than healthy subjects during all of trunk motion (p<.05). The ratio of the highest RMS value during flexion and extension was higher in CLBP subjects than in healthy subjects (p<.05). The ROM of the lumbar region was significantly lower in CLBP subjects than healthy subjects during trunk flexion-extension, trunk rotation and lateral flexion cycle. The relationship between the RMS ratio for full lumbar flexion and the ROM of lumbar flexion was not correlated significantly. CLBP subjects have both decreased ROM of the lumbar region and higher muscle activities of the lumbar extensor muscle than healthy subjects.

Muscle weakness in the hemiplegia following stroke is an important factor which determines the quality of life in the future. Therefore, muscle strengthening exercise is essential for functional recovery in hemiplegic patients. Even though the popular conception is that muscle strengthening exercise causes spasticity and associated reaction that hemiplegia patients don't want, and that it disturbs functional recovery, recently there have been many new reports against that opinion. Therefore, the effects of strengthening exercise programs on functional recovery in hemiplegic patients are still controversial. The purpose of this study was to determine the effects of strengthening exercise programs for the knee joint using isokinetic exercise on the associated reaction of the upper extremities. Comparing the muscle activities of biceps brachii and triceps brachii during, before, and immediately after 2 and 5 minute intervals of isokinetic exercise, we examined the increase and decrease of associated reaction. Twenty stroke inpatients participated in this study. Surface electromyography was used to get muscle activity data from biceps brachii and triceps brachii. The major findings of this study were as follows: 1. The flexor and extensor peak torque were significantly higher on the sound side than the affected side (p<.05). 2. Before and after strengthening exercise, there was no significant difference in muscle activities (surface electromyographic root mean square values) between the sound and affected side. 3. Muscle activities were examined during, before, and immediately after 2 and 5 minute intervals of isokinetic exercise. There were significant differences in muscle activities between, before and during the exercises, during exercise and 5 minutes after exercise in the biceps brachii (p<.05), and during exercise and 5 minutes after exercise in the triceps brachii (p<.05). In conclusion, there was no relation between strengthening exercise and associated reaction in the upper extremities. Rather, muscle activities after exercise had a tendency to decrease relative to before the exercise. Thus, it is considered that intensive strengthening exercise contributes to improvement of functional recovery without increase in associated reaction in hemiparetic patients.

The term thoracic outlet syndrome (TOS) is used to describe patients with compressed subclavian arteries, veins, and brachial plexuses in the region of the thoracic outlet. The objective of this study was to evaluate a scalenus stretching exercise that aims to restore normal function to patients with TOS. This study consisted of 60 patients with symptoms of TOS, and divided the patients into 3 groups: one that received manual therapy, one that practiced self stretching, and a control group. Each group consisted of 20 patients. This study assessed the efficacy of scalenus stretching exercise by examining the resting pain, tenderness, spherical grip power, and pinch grip power of patients. The data were analyzed using one-way ANOVA, Scheffe post hoc test, and independent t-test. The results showed that resting pain was statistically significant within the manual therapy and self stretching groups (p<.05), and that the resting pain of the manual therapy group was more statistically significant than that of the self stretching group (p<.05). Tenderness, spherical grip power, and pinch grip were statistically significant within the manual therapy and self stretching groups (p<.05), but there was no statistically significant difference between the two groups (p>.05). Finally I could see that there were no statistical differences between manual therapy and self stretching to improve the symptoms of the patients with TOS. These results imply that self stretching by patients is as important as manual therapy by a physical therapist.

The aim of this study was to assess the effectiveness of group therapeutic exercise programs on the cognitive function, Activities of Daily Living (ADL), and balance-performing ability in older adults. Fifteen community-dwelling subjects (mean age 73.7 yrs, standard deviation 2.4) participated in this study. An 8-week group therapeutic exercise program, including strengthening and balance training, breathing and gait exercise, and recreation, consisted of activities related to daily living. The Mini-Mental State Examination-Korean (MMSE-K), Modified Barthel Index (MBI), Berg Balance Scale (BBS), Functional Reaching Test (FRT), and Timed Up & Go (TUG) test were measured during pre-exercise and post-exercise points. The results of this study were as follows: 1. After eight weeks, the MMSE-K and MBI total score was more significantly increased for post-exercise tests than pre-exercise tests (respectively, p<.05, p<.01). 2. Of the MBI contents, personal hygiene, dressing, ambulation, and chair/bed transfers scores were significant increased for post-exercise tests. 3. Post exercise BBS, FRT, and TUG scores were higher than the pre-exercise scores. The difference was statistically significant (respectively, p<.05, p<.05, p<.01). These findings suggest that group therapeutic exercise can be used to improve the cognitive function, ADL, and balance-performing ability in elderly persons.

본 연구는 제주도 축산진흥원과 농촌진흥청 난지농업연구소에서 사육되고 있는 제주마 5두를 사용하여 인공질을 이용, 정액을 채취하여 정액의 일반성상 및 CASA를 이용하여 정자의 운동성과 생사 염색으로 기형률을 조사하였다. 제주마 정액의 일반 특성으로 총 정액량은 평균 42.5ml이었으며 평균 pH는 7.3, 평균 정자농도는 평균 이었다. 정자의 운동성은 이며, motility parameters 별로 VAP 로 나타났다. 정자 부위별 기형률은 두부가 평균

본 연구의 목적은 21%농도의 산소와 비교하여 30%의 고농도 산소 흡입이 사이클 등속 운동 중에 심박동률(heart rate)과 혈중 산소 포화도(SPO2)에 미치는 영향을 분석하는 것이다. 21%와 30% 농도의 산소를 각각 8liter/min의 양으로 일정하게 공급할 수 있는 산소 공급 장치를 이용하였다. 신체 건강한 10명의 남자 대학생(25.2±2.2세)이 21%와 30%의 두 종류의 산소 농도를 대상으로 각각 두 번의 실험에 참여하였다. 실험은 안정(2분), 20±1km/h의 사이클 등속 운동(10분), 회복(6분)의 세 구간(총 18분)으로 구성되어 있고, 21%또는 30%의 산소는 등속 운동과 회복 구간에만 공급되었다. 21%에 비해 30%산소를 흡입했을 때 사이클 등속 운동과 회복 기간 중에 심박동률은 감소하였고, 혈중 산소 포화도는 .차이가 없었다. 21%와 30% 두 그룹 사이에 동일한 운동부하가 주어졌기 때문에 혈중 산소 포화도는 차이가 없는 것으로 판단되고, 30%의 고농도 산소 흡입으로 동일운동 부하에 필요한 산소 요구량이 원활히 공급되고 있기 때문에 심박동률은 감소한 것으로 판단된다.