Background: Problem-based learning (PBL) is presented as a superior teaching method compared to existing lecture-based learning. Objectives: To analyzed the effectiveness of creative problem-solving competency, class participation, and self-efficacy in physical therapy students after PBL. Design: Questionnaire design. Methods: This study involved 29 physical therapy students and analyzed changes in their creative problem-solving competency, class participation, and self-efficacy and the correlations between these measurement variables before and after PBL on the “Therapeutic Exercise & Practice” subject. Results: PBL in the musculoskeletal exercise therapy-related subject significantly improved class participation and self-efficacy (P<.05) compared to conventional lecture-based learning, but there was no significant difference in creative problem-solving competency. There was also a positive correlation between a higher level of class participation and higher self-efficacy (P<.05). Conclusions: PBL in the “Therapeutic Exercise & Practice” subject in the Department of Physical Therapy can be an effective educational strategy to increase students’ class participation and self-efficacy. Accordingly, instructors in this department should systematically construct the design of PBL curricula to improve the quality of educational content.

본 연구에서는 남자 실업팀 핸드볼 선수들을 대상으로 플라이휠 운동을 적용한 웨이트 트레이 닝 프로그램을 개발하여 상해예방과 경기력 향상을 위한 기초자료를 제공하는데 그 목적이 있다. 12주간 복합 플라이휠 운동 프로그램을 적용하여 신체조성, 체력요인, 무산소성파워, 등속성근기능에 미치는 영향 을 분석한 결과는 다음과 같다. 팔굽혀펴기는 그룹 간 유의한 차이가 나타났다. 체지방률, 무산소성 파워는 시기별 상호작용에서 유의한 차이가 나타났다. 제자리멀리뛰기, 제자리높이뛰기, 악력, 배근력, 무산소성평 균파워 그리고 등속성근기능검사는 좌굴근과 우굴근에서 시기별로 유의한 차이가 나타났다. 따라서 12주 간 플라이휠 운동을 활용한 웨이트 트레이닝 결과는 상해예방과 경기력 향상을 위한 기초자료로 제공할 수 있을 것으로 판단된다.

Background: More women than men experience genu recurvatum, which can lead to knee pain and arthritis if left unattended. Pilates combined with taping is a suitable rehabilitation method for women with genu recurvatum. Objectives: To aimed the effect of taping and Pilates stabilization exercise on physical alignment and improvement of genu recurvatum in women with genu recurvatum. Design: A Randomized controlled trial. Methods: Twenty-one women were divided into three groups: taping group (back of knee taping and quadriceps femoris taping, n=7), Pilates exercise group (hip, knee and abdominal muscles exercise, n=7), and combined group (taping with pilates exercise, n=7). The measured variables were sagittal plane alignment and back and abdominal muscle, knee flexor and extensor strength. Results: After the intervention, all sagittal plane alignments were significantly improved in both the Pilates and combined groups. Sagittal plane alignment was significantly improved in the combined group compared with the taping group. Back and abdominal muscle strength were significantly improved in the Pilates and combined groups compared with the taping group. Knee flexor and extensor were significantly improved in the combined group compared with the Pilates group and in the Pilates group compared with the taping group. Conclusion: Pilates exercise with taping or Pilates exercise alone was effective intervention methods to improve physical alignment and strength in women with genu recurvatum.

본 연구는 장기간의 태권도 수련프로그램과 태권도수련과 복합운동프로그램이 초등학생의 신체구 성과 기초체력에 미치는 영향을 알아보고자 실시하였으며, 연구대상자는 주5회 태권도수련프로그램에 참여한 30명, 태권도수련과 복합운동프로그램에 참여한 30명, 규칙적인 신체활동에 참여하지 않는 30 명을 선정하였다. 자료처리는 IBM SPSS 24.0 통계패키지를 사용하였으며, 기술통계를 산출하였으며, 집단 간 비교를 위해 일원변량분석(one-way ANOVA)를 실시하였다. 통계학적 유의수준은 p<.05로 설정하였다. 본 연구결과는 태권도 수련프로그램에 참여한 초등학생은 신체구성의 키(p<.001), 기초체 력의 근력(p<.001), 근지구력(p<.01)이 유의하게 증가하였으며, 태권도수련과 복합운동프로그램에 참여 한 초등학생은 신체구성의 키(p<.001), 체중(p<.05), 기초체력의 근력(p<.001), 민첩성(p<.05), 평형성 (p<.05)이 유의하게 증가하였다. 결론적으로 규칙적인 신체활동은 초등학생의 신체발달에 효과가 있었 으며, 태권도수련과 복합운동프로그램은 신체의 성장과 기초체력 요인에 효과가 있는 것으로 나타났 다.

Background: In some clinical guidelines followed in clinical practice, nonsurgical treatments are recommended as the primary intervention for patients with lumbar disc herniation (LDH). However, the effect of a therapeutic exercise program based on stabilization of the lumbar spine for treatment of multilevel LDH has not been evaluated thoroughly. Objective: To investigate the effects of therapeutic exercise on pain, physical function, and magnetic resonance imaging (MRI) findings in a patient with multilevel LDH. Design: Case Report Methods: A 43-year-old female presented with low back pain, radicular pain and multilevel LDH (L3–L4, L4–L5, L5–S1). The therapeutic exercise program was conducted. in 40-min sessions, three times a week, for 12 weeks. Low back and radicular pain, lumbar disability, and physical function were measured before and after 6 and 12 weeks of the exercise program. MRI was performed before and after 12 weeks of the program. Results: After 6 and 12 weeks of the therapeutic exercise, low back and radicular pain and lumbar disability had decreased, and lumbar range of motion (ROM) was improvedbilaterally, compared with the initial values. Also improved at 6 and 12 weeks were isometric lumbar strength and endurance, and the functional movement screen score. The size of disc herniations was decreased on MRI obtained after 12 weeks of therapeutic exercise than on the pre-exercise images. Conclusions: We observed that therapeutic exercise program improved spinal ROM, muscle strength, functional capacity, and size of disc herniation in LDH patient.

Childhood obesity causes a higher risk of obesity, premature death and disability in adulthood. In addition, obese children experience an increased risk of respiratory problems, hypertension, cardiovascular disease, insulin resistance and psychological effects. This study aimed to investigate how an exercise intervention affects health-related physical fitness and inflammatory-related blood factors in obese children after. We hypothesized that there would be positive effects on serum levels of insulin-like growth factor-1 (IGF-1), connecting peptide(C-peptide) and resistin, as well as in muscle and cardiovascular-related physical capacities, after an exercise intervention in obese children. Thirty-seven obese children haveperformed health-related fitness tests and provided blood samples for the analysis of changes in circulating biomarkers, both before and after an 8-week exercise intervention, which includes stretching, aerobic exercise, resistance exercise and sports games. The results indicate that exercise training beneficially affects body compositions, especially percentage body fat and muscle mass, without influencing to body weight and height. The results of the physical fitness tests show that muscle and cardiovascular capacity were increased in obese children in response to exercise training. Simultaneously, the exercise training decreased circulating levels of C-peptide, which equated to a “large” effect size. Although there were no significant effects on the levels of IGF-1 and resistin, they show a “small” effect size. Therefore, our findings suggest that the exercise intervention have beneficial effects on body composition and physical fitness levels in obese children, whichmight be associated with the decline in circulating C-peptide.

Various studies related to therapeutic horseback riding have been reported to be positive for the therapeutic effect of patients with cerebral palsy; however, most of the previous studies focused on to muscle development with training period related to the physical effects of therapeutic horseback riding. To identify the causes and phenomena of muscular activation of the body through actual therapeutic horseback riding exercise and to promote the excellence of physical effects of therapeutic horseback riding. This study was a nonrandomized prospective positive-controlled trial design. Twelve teenaged males with cerebral palsy were selected who had experienced riding exercise for 8-12 months. This study measured 8 muscle activities of the pectoralis major muscle (PM), biceps brachii (BB), rectus abdominis muscle (RA), latissimus dorsi muscle (LD), spinal erector muscle (SE), rectus femoris muscle (RF), anterior tibial muscle (AT), and external gastrocnemius muscle (EG) by using electromyography (EMG). Muscle activity was significantly higher in horse riding position than sitting on the common chair in all muscles (PM, BB, RA, LD, SE, RF, AT, and EG). The activity of the body muscles according to the difference of horse walking method (walk: WA; sitting trot: ST; and riding trot: RT) of therapeutic horse riding showed the highest muscle activity in the PM muscle at ST, and the highest activity at BB, RA, LD, SE, and AT muscles at ST and RT, and showed the highest muscle activity in RF and EG muscle at RT. The results of this study suggest that intervention for the treatment of cerebral palsy patients can use therapeutic riding exercise as a rehabilitation method.

본 연구는 여성노인을 대상으로 라인댄스와 저항성운동을 적용한 복합운동프로그램이 신체수행능력, 골밀도 및 부갑상선호르몬에 미치는 영향을 구명하기 위하여, 만65세~75세 여성노인을 대상으로 운동군 11명, 대조군 11명으로 분류하여 회당 60분씩 주 2회 라인댄스, 1회 저항성운동을 12주간 실시하였다. 운동 수행강도는 운동자각도(RPE)를 이용하여 ‘가볍다’에서 ‘약간 힘들다’ 정도인 11~14 사이를 유지 하였다. 라인댄스와 저항성운동 전·후에 측정한 자료의 그룹 내 차이 비교를 위해 대응표본 T검정, 그룹 간차이는 운동 전·후의 변화량을 산출하여 독립표본 T검정을 실시하였고, 측정변인들에 대한 그룹 및 시기간 상호작용을 검증하기 위해 이원배치 반복측정 분산분석으로 하였으며, 각 항목별 통계적 유의수준은 .05로 설정하였다. 그 결과, 운동군이 신체수행능력 중 균형(p<.05), 보행속도(p<.01), 의자에서 일어서기(p<.001), SPPB 종합점수(p<.001)가 증가하였으며, 골밀도는 요추(L2~L4)골밀도에서 운동군이 유의하게 증가하였고(p<.05), T-score점수는 운동군이 유의한 증가를 보였으나(p<.01), 대조군은 유의한 차이가 나타나지 않았다. PTH수준은 운동군이 유의하게 감소하였고(p<.05), 대조군은 유의한 차이가 나타나지 않았 다. 이상의 결과 규칙적이고 지속적인 신체활동은 여성노인의 신체수행능력, 골밀도 및 부갑상선 호르몬의 변화에 긍정적인 영향을 미친 것으로 사료된다.

체육전공 대학생이 인식한 지도자의 매력성이 운동열정 및 운동지속의도에 미치는 영향을 알아보기 위해 총 320부의 설문지를 배포 후 회수하였고 회수된 설문지의 응답내용이 부실하거나 신뢰성이 없다고 판단되는 자료 13부를 제외하고 최종 307부를 SPSS 18.0 Ver. 통계프로그램을 이용하여 탐색적 요인 분석, 상관관계분석, 중다회귀분석을 실시하였다. 이와 같은 방법 및 절차를 통해 얻어진 결론은 다음과 같다. 첫째, 지도자 매력성은 운동열정에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 둘째, 지도자 매력성 운동지속의도에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 셋째, 운동열정은 운동지속의 도에 통계적으로 유의한 영향을 미치는 것으로 나타났다.

본 연구는 50대 비만중년여성을 대상으로 순환운동이 건강체력, 혈압 및 혈관탄성도에 미치는 영향을 규명하는데 있었으며, 이를 위해 비만중년여성 24명을 대상으로 운동그룹 12명, 대조군 12명으로 분류하여 8주간 순환운동 프로그램을 실시하였다. 순환운동 프로그램은 유산소 운동과 저항운동으로 구성 되었으며, 회당 40분간, 주3회 실시하였고, 유산소 운동 수행강도는 50-70% HRmax, 저항운동은 1-RM 의 40-60%로 수행되었으며, 순환운동 전·후에 측정한 자료의 그룹 내 차이 비교를 위해 대응표본 T검정, 그룹 간 차이는 운동 전·후의 변화율을 산출하여 독립표본 T검정을 실시하였다. 그 결과 운동그룹은 건강 체력 중 BMI(p<.05)가 유의하게 감소하였고, 심폐지구력(p<.001), 근지구력(p<.001), 유연성(p<.01)이 증가하였으며, 그룹 간 대조군 보다 심폐지구력, 유연성이 유의하게 증가되었다(p<.01). 수축기 혈압과 이완기 혈압은 운동그룹이 유의하게 감소하였으며(p<.01), 이완기 혈압은 그룹 간 대조군 보다 운동그룹이 유 의하게 감소하였다(p<.05). PWV는 운동그룹이 유의하게 감소하였고(p<.05), 대조군이 유의하게 증가하였으며(p<.01), 그룹 간 대조군 보다 운동군이 유의하게 감소하였다(p<.05). 이상의 결과 비만중년여성의 건강증진 및 비만치료를 위한 순환운동은 건강체력, 혈압 및 혈관탄성도에 긍정적인 영향을 미친 것으로 사료된다.

The effects of Proprioceptive Neuromuscular Facilitation (PNF) and elastic band exercise on the physical functions and blood lipids of obese elderly women were investigated. The experimental group (n1=16) patients underwent PNF for 12 weeks, and the control group (n2=15) patients performed elastic band exercises. SPSS 21.0 was used to compute the means and standard deviations. After the 12-week PNF, both the experimental and control groups showed statistically significant differences in the physical functions (cardiovascular endurance, strength of the lower extremity, muscular endurance, flexibility, balance, and agility) (p<.05), but the difference in the experimental group was more significant than that in the control group (p<.05). In terms of the changes in the blood lipid levels (total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein), the experimental group showed significant changes (p<.05). In conclusion, PNF was confirmed as more effective than elastic band exercise in improving the physical functions and blood lipid levels of obese elderly women.

The purpose of this study was to investigate the effect of combined exercise training during 12weeks on physical fitness, body composition and bone mineral density in university students. Nineteen male university students who were enrolled of 1st grade at department of physical education in Korea National University of Education were participated in this experiment. Subjects were performed combined exercise training - running, physical training using plyometrics and resistance training - of 5days per week, 70min per 1 time, during 12weeks. The measurement items were health related fitness(muscle strength, muscular endurance, cardiovascular endurance, flexibility), motor skill fitness(power, balance), body composition(% body fat, muscle mass) and bone mineral density(T-score). On the basis of the results analyzed in this study and consideration of many pre studies related it, the result were as follows. First, data analysis of 12 week combined exercise training on health related fitness, post level was revealed more significant increase than pre level at muscle strength(p<.05), muscular endurance(p<.05), cardiovascular endurance(p<.001) and flexibility(p<.05). Second, data analysis of 12 week combined exercise training on motor skill fitness, It was not revealed significant differences between the pre and the post level of the power and balance). Third, data analysis of 12 week combined exercise training on body composition, post level revealed more significant improvement than pre level at muscle mass(p<.05), but It was not revealed significant differences between the pre and the post level of the % body fat. Fourth, data analysis of 12 week combined exercise training on bone mineral density, post level revealed more significant improvement than pre level at T-score(p<.05). In conclusion, It was revealed that 12 week combined exercise training increased physical fitness, and improved body composition and bone mineral density. I hope that more studies will be followed on physical fitness, body composition and bone mineral density on various exercise types, exercise intensity, time and frequency in university students in the future.

The purpose of this study is to investigate and reveal the effects that the complex exercise training consisting of aerobic exercise and strength training(sit up, push up) that everyone can easily practice regardless of a time and a place in order to manage practically the physical strength of the aged affects the difference on their body composition and the change of physical fitness level. Looking into the change of body composition of an experimental group, the weight of 2.5kg was reduced after applying complex training for 12 weeks and the body fat mass of 2.65kg was reduced. Also, the abdominal fat of 0.13% was decreased and the muscle mass of 1.56kg was increased. For the change factors of physical fitness, cardiovascular endurance, muscular strength, muscular endurance, balance and flexibility excluding agility showed significant improvement after applying complex exercise training. The improvement of health fitness of the aged under this study was significantly effective to improve specified body functions which had been lowered by aging and insufficient physical activities. So, it is regarded that their health fitness is the important factor to improve the activity competence required for daily life and to lead healthy living by the improved activity competence. Henceforth, it needs to study more the complex composition of several sports, exercise intensity and the frequency based on the previous researches and studies. In addition, it needs to develop the complex exercise training in accordance with various characteristics such as a sex of the aged, an age, a physical fitness level, environment, a disease and the program in consideration of the efficacy and safety during training.

The aim of the study was to evaluate the effectiveness of exercise therapy on physical function of patients with anklyosing spondylitis (AS) through the systemic review and meta-analysis. The 54 studies were identified from computerized search of published researches on PubMed, Embase, CINAHL, PEDro, KISS, KERIS database until February, 2008 and review of reference lists. The main search terms were the combination "ankylosing spondylitis", "exercise", "spondyloarthropathy and exercise", "ankylosing spondylitis and physical therapy". The subgroup analysis was performed by the publication year, quality score, type of disease, content of intervention, intervention provider, type of intervention, method of intervention, intervention period and the point of outcome measured. Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. The result was as follows: The 10 trials were eligible for inclusion criteria, then the systematic review and meta-analysis was assessed on effectiveness of exercise therapy. The meta-analysis of 10 studies based on the random effect model showed that the exercise therapy was beneficial in treating the diseases (effect size .55; 95% confidence interval -.3.75~.61). The findings suggest that the exercise therapy would be appropriate to manage the physical function of AS with evidence based on Meta-analysis. Therefore, the exercise therapy supervised by physical therapist should be recognized as the essential approach to manage the AS and necessarily recommended to improve physical function.

For the purpose of disclosing the effects of exercise program on physical fitness for health promotion, living activities, and performance abilities of the elderly in the institution, questionnaire survey and physical examination were performed on the subject, aged 65 years or older. The subjects consisted of experimental (33 persons) and control (35 persons) groups, matched with gender and age. The experimental group was put on the exercise program; working their upper and lower limbs for 12 weeks using dumbbell and lead-packed weight. The results were as follows: 1)The mean values of experimental group were significantly higher than those of control group in all variables of physical fitness, in all variables except for living activities, and in all variables of performance abilities after exercise program. 2)The mean values were significantly improved in all variables of experimental group after exercise program, but the mean values were decreased or maintained in most of variables of control group after exercise.

목적: 본 연구에서는 통증전문 운동치료인 SNPE(Self Natural Posture Exercise) 참여 후, 통증과 우울감소에 미치 는 직접영향력과 신체상 자기차이와 신체적 자기개념의 상호작용이 우울정서 경험에 미치는 간접영향력을 함께 검증하였다. 방법: 반복측정실험설계를 통해 만성통증을 겪고 있는 참여자 104명(여자=93명)을 대상으로 12주간 SNPE 프로그램 참여 전/후 통증, 우울, 신체상과 신체적 자기개념을 측정하였다. 결과: SNPE 참여 전과 비교했 을 때, 통증과 우울은 감소하였고, 더 마른 체형을 원하는 갈망 또한 줄어들었으며, 신체적 자기개념은 좋아졌다. SNPE 참여 전 통증과 우울의 부적관련성이 SNPE 참여 후 낮아졌으므로 SNPE 참여 후 감소된 통증이 우울감소에 긍정적 영향을 미쳤을 것으로 예상할 수 있다. 그리고 참여자의 체지방이 감소할 때, 신체상 자기차이가 우울 정서 감소로 이어지는 간접효과도 함께 존재하는 것으로 나타났다. 논의: SNPE와 같은 운동치료법은 통증감소는 물론, 신체상 자기차이로 인하여 유발되는 우울감 개선에도 도움이 되므로 운동치료법이 지닌 여러 장점을 재확인 할 수 있었다. 본 연구결과로 실용적으로 현장에 적용할 수 있는 방안과 함께 연구의 한계점과 향후 연구방향에 대해서도 논하였다.

본 연구는 8주간의 버피테스트 운동이 초등학교 아동의 신체구성과 체력에 미치는 영향을 분석 함으로써 아동의 건강과 체력 향상을 위한 운동 프로그램의 다양화에 기여하기 위한 기초자료를 제공하고자 수행되었다. 이를 위해 G시에 거주하는 초등학생 40명을 대상으로 운동집단과 통제집단 각각 20명씩 구분하였으며, 운동집단에는 8주간, 주당 3회의 버피테스트 운동을 실시하였다. 8주간의 처치 전후에 신체구성과 체력 측정 결과를 비교하였다. 연구의 주요 결과는 다음과 같다. 신장(p<.001)과 체중(p<.001), 체지방률(p<.01)에서 운동군과 통제군 모두 8주 후에 유의한 증가를 나타내었다. BMI는 유의한 증가를 보인 대조군(p<.001)에 비해 운동군에서는 유의한 변화가 나타나지 않았다. 체력 측정에서는 20M왕복오래달리기(p<.001), 앉아윗몸앞으로굽히기(p<.05), 팔굽혀펴기(p<.01)에서 운동군의 유의한 증가가 나타났다. 이상과 같이 8주간의 버피테스트 운동은 아동의 신체질량지수와 심폐지구력, 유연성, 근지구력에 긍정적인 효과를 나타내었다. 최근 아동의 건강과 체력 저하 문제가 심각하게 대두되고 있는 때에, 버피테스트 운동과 같은 짧은 시간의 운동을 접목시킨 운동 프로그램을 학교 교육에서 제공 한다면 아동의 건강과 체력 증진을 위한 프로그램의 다양화에 기여할 수 있을 것이라고 생각된다.