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국소 허혈성 뇌손상 흰쥐 모델에서 환경강화 조건 하 수정된 건측억제유도 운동치료가 앞다리 운동기능 증진에 미치는 영향
이삼규 ( Sam Gyu Lee ),김계엽 ( Gye Yeop Kim ),남기원 ( Ki Won Nam ),오명화 ( Myung Hwa Oh ),김용억 ( Young Eok Kim ),김은정 ( Eun Jung Kim ),장미경 ( Mi Kyoung Jang ),김경윤 ( Kyung Yoon Kim ),정현우 ( Hyun Woo Jeong ),김종만 ( J 한국전문물리치료학회 2007 한국전문물리치료학회지 Vol.14 No.3
수중운동이 당뇨병 여성 노인의 HbA1c, CRF, HGH에 미치는 영향
오봉석(Bong Seok Oh),이삼규(Sam Gyu Lee) 한국사회체육학회 2011 한국사회체육학회지 Vol.0 No.45
The purpose of this study was to investigate the effects of aqua aerobic exercises on hemoglobin A1c (HbA1c), cardiovascular risk factor (CRF), human growth hormone (HGH) among elderly women with and without type II diabetes mellitus, and to investigate the relations between these three items. Subjects were 36 elderly women. They were divided into 2 groups: (1) type II diabetes mellitus group (DG, n=16), (2) non-diabetes mellitus group (NDG, n=20). All subjects performed 12 weeks aqua aerobic exercises (60 minutes per day, 2 days per week, 50~80%HRR). After practicing aquarobics for 12 weeks, we analyzed the differences between pre- and post-test results. The results were as followings. First, HbA1c level in DG wasn`t changed significantly after 12 weeks aqua aerobic exercise, whereas NDG showed a significant increase in HbA1c. Second, CRF level in DG was significantly decreased after 12 weeks aquarobics, however, the decrease of CRF in NDG wasn`t significant. Third, there was no significant change in HGH level between groups and measurement times. Fourth, the decrease in CRF of NDG after 12 weeks aqua exercise was significantly related to the reduction of HbA1c and to the elevation of HGH. In summary, 12 weeks aqua aerobic exercises in elderly women with type II diabetes didn`t triggered a significant reduction in HbA1c level, whereas it was related to maintenance the HbA1c levels below 7%. This type of exercise also related to reduction of CRF in DG, which may result in the decrease of the possibility of micro-blood vessel-related complications and cardiovascular diseases. 12 weeks aquarobics also revealed the possibility of maintenance in HGH level, which might be related to maintaining the insulin sensitivity in elderly women. This study also suggests that if NDG concentrated on decrease in CRF by practicing aqua aerobic exercise it could be beneficial for the protection from diabetes mellitus in non-diabetic elderly women.
유착성 견관절낭염 환자에서 견갑상신경과 견갑배신경의 병합 차단술의 효과
이삼규,노성만,선광진 대한스포츠의학회 2000 대한스포츠의학회지 Vol.18 No.2
Objective : To investigate the effect of combined nerve block of suprascpular and dorsal scapular nerve as a means of pain management in adhesive capsulitis of shoulder. Method : Of the 55 patients with adhesive capsulitis of shoulder, 30 patients〔age: 62.55(47.2-72-7) years, symptom duration: 60(3-365) days, 12 males and 28 females〕were treated with combined nerve blocks of suprascpular and dorsal scapular nerve as a means of pain management, But, 25 patients〔age : 54.0(25.0-75.0) years, symptom duration: 90(3-730)days, 11 males and 14 females〕were not treated with nerve block. We measured the ROM of flexion and external rotation(˙) as degree via AMA method and VAS(mm). as a degree of shoulder pain weekly. We defined therapeutic duration as above 80% recovery of normal active ROM in flexion and external rotation and below 40mm in VAS. Results : 1) There were significantly decreased VAS from 90mm to 30mm in postnerve block group during serial follow-up exam(p<0.001). 2) There were significantly increased ROM of shoulder flexion from 150˚ to 170˚ in post-nerve block group duing serial follow-up exam (p<0001). 3) There were significantly increased ROM of shoulder external rotation form 40˚ to 60˚ in post-nerve block group during serial follow-up exam(p<0.001). 4) There was significantly increased in exercise compliance(sself-exercise time duration per day) from 60.0 minute to 92.0 minute and decreased in therapeutic duration from 6 weeks to 3 weeks(p<0.001). Conclusion : We concluded that the combined nerve blocks of suprascapular and dorsal scapular nerve were simple, safe, and effective procedure and beneficial to pain relief and shortening of the theraprtic duration of rehabilitative management in patients with adhesive capsulitis of shoulder.
이강진,최인성,이소영,한재영,이삼규,채홍재,이성과,문재동 대한산업의학회 2001 대한직업환경의학회지 Vol.13 No.3
목적 : 요통환자에서 요통의 유무와 강도를 평가하고자 표면근전도를 이용하여 근육 활동성의 차이를 검증하였고 적외선체열촬영을 이용하여 제표면 온도의 변화를 측정하였다. 방법 : 요통환자군 16명과 대조군 16명에 대하여 요부에 부착한 표면전극에서 얻은 근전도 신호와 적외선체열촬영 결과를 비교하였다. 교란요인의 영향을 배제하기 위하여 연령과 성별 그리고 비만도에 따라 정상 대조군과 요통환자군을 짝짓기하여 각각 16명씩 선정하였다. 결과 : 정적표면근전도 실시 결과 우측의 경우 중앙값이 요통환자군에서 198.1 ㎶, 정상대조군에서는 161.3 ㎶로 통계적으로 유의한 차이가 있었고(p<0.01), 좌측은 요통환자군에서 194.2 ㎶, 정상대조군에서 180.5 ㎶로 유의한 차이는 없었다. 동적표면근전도 실시 결과 재신전시와 굴곡시 근전위의 비가 우측의 경우 요통환자군에서 중앙값이 1.12였고 정상 대조군은 1.39로서 두 군간에 유의한 차이가 있었고(p=0.027), 좌측의 경우도 요통환자군에서는 1.08이었고 정상 대조군에서는 1.21로 유의한 차이가 있었다(p=0.036). 적외선체열촬영결과 ΔT가 0.5 ℃ 이상의 차이가 있을 때 이상이 있는 것으로 정하면, 요통환자군에서는 16명 모두 이상자로 판정되었고, 정상 대조군에서는 16명중 3명이 이상자로 판정되어 민감도는 100 %, 특이도는 81.3 % 였다. 표면근전도를 이용한 요통의 진단은 민감도가 78.6 %이고 특이도가 72.2 %였으며, 적외선체열촬영은 민감도가 100 %였고 특이도가 87.5 %였다. 결론 : 이러한 결과로 볼 때 표면근전도 검사법과 적외선체열촬영은 요통을 간접적으로 평가하는데 도움이 되는 검사법이며, 적외선체열촬영이 표면근전도검사법에 비하여 보다 정확한 검사법으로 판단된다. Objectives : We studied the efficacy of surface electromyography(SEMG) and digital infrared theimographic imaging (DITI) in the assessment of low back pain both(LBP) Methods : We compared electromygraphic signals from electrodes placed in the lumbar area and the digital theimographic images in 16 LBPpatients and 16 control subjects. The LBP patients and the control subjects were matched for age, gender, and body mass index(BMI) to adjust for any confounding effects Results : In the static analyses of SEMG, median value was 198.1 ㎶ for the controls on the right side, and they were 194.2 ㎶ and 180.5㎶ on left side respectively. There was a statistically significant difference between the two groups on the right side(p<0.01), but not on the left side. In the dynamic analyses of the SEMG, the median values of the extension per flexion ratio of right side were 1.12 for LBP patients and 1.39 for controls. and those on the left side were 1.08 and 1.21 respectively. There were statistically significant differences in both sodes(p<0.05). The sensitivity and specificity were 100% and 81.3% in DITI, 78.6% and 72.2% in SEMG. Conclusions : These results indicate that SEMG and DITI are useful methods for indirect assessments of LBP, and that DITI is more sensitive and specific than SEMG.