20대 흡연자와 비흡연자의 호흡근 강화 운동에 따른 호흡능력의 변화

이삼철,정철현,이은숙,이해호,정영환,채혜진,최정아,이현철,오상부,손경현,Lee, Sam-Cheol,Jung, Chul-Hyun,Lee, Eun-Suk,Lee, Hae-Ho,Joung, Young-Hwan,Chae, Hye-Jin,Choi, Jung-A,Lee, Hyun-Chul,Oh, Sang-Boo,Son, Kyung-Hyun 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.3

Background : Smoking reduces the ability of the lungs to function. In particular, smoking reduces the vital capacity of the lungs, which is the amount of air the lungs can take in. This reduction in vital capacity has several important health effects. Purpose : The purpose of this study, therefore was to examine the effects of the respiratory muscle exercise on peak expiratory flow and respiratory muscle strength. Methods : For an experimental research design, it was employed 20 young healthy subjects and these subjects were assigned into two groups; a smoking group(n=10) and an non-smoking group(n=10). All groups were participated in respiratory muscle exercises twice a week for 5 weeks in same condition. For comparison between before and after for post treatment, it was analysed as paired t-test and ANCOVA. Results : The result of this study were as follows; In the case of smoking group, there were significant differences, from $427.77{\pm}76.61$ l/min to $526.66{\pm}58.52$ l/min of peak respiratory flow, from $94.33{\pm}22.07$ kg to $102.16{\pm}21.60$ kg of abdominal muscle strength between the before and the after of respiratory muscle strength exercises. In the case of nonsmoking group, there were significant differences, from $449.54{\pm}77.47$ l/min to $553.18{\pm}61.32$ l/min of peak respiratory flow, from $93.41{\pm}19.21$ kg to $101.58{\pm}18.92$ kg of abdominal muscle strength between the before and the after of respiratory muscle strength exercises. Conclusion : These results were suggested that the peak respiratory flow and muscle strength were improved after respiratory muscle strength exercises.

자세에 따른 어깨관절 굽힘 각도가 악력에 미치는 영향

이삼철,김봉환,정재우,Lee, Sam Cheol,Kim, Bong Whan,Woo, Jung Jae 대한물리치료과학회 2013 대한물리치료과학회지 Vol.20 No.1

Background and purpose : The shoulder joints permit the greatest mobility of any joint area carries out the important function of stabilization for hand use. Research has now shown that grip strength has proven to be a reliable indicator for quality of life at an older age. The purpose of this study was to investigate the effects of testing posture and shoulder position on grip strength for repetitive gripping task. Methods : Forty(20male, 20female) college adult volunteers with no known shoulder dysfunction participated subject in two testing posture(sitting and standing) and three positions with shoulder flexion: (1) shoulder $0^{\circ}$ flexion (2) shoulder $90^{\circ}$ flexion (3) shoulder $180^{\circ}$ flexion. The paired t-test was used to determine any significant difference in grip strength between the testing posture and shoulder position. Results : The higher grip strength gained in the sitting with the shoulder $180^{\circ}$ flexion and the higher grip strength gained in the standing with the shoulder $180^{\circ}$ flexion. The second experiment showed that the grip strength was significant for sitting, standing position of shoulder $0^{\circ}$ flexion( p<0.05). Grip strength goes up as increase height and weight. Conclusion : These findings demonstrate that the theory does not fit with, because of the influence of gravity, a measure from the shoulder joint is the most high, $0^{\circ}$. And sitting posture and stance in the grip of a difference when compared SIT $0^{\circ}$ and standing position $0^{\circ}$ significant difference in indicated but, $90^{\circ}$ and $180^{\circ}$ in the sitting position and stance in the grip of the difference was not significant difference. To demonstrate the universality of this study's results, future studies should have a larger and more subject as well as a more even distribution of male and female subject. Therefore future research is needed to refine the definition and identify optimal methods of measuring this grip strength.

풍선불기와 상복부운동이 호흡재활에 미치는 영향

이삼철,신승호,정재연,오상부,김상호,김봉환,손경현,Lee, Sam-Cheol,Sin, Seung-Ho,Jung, Jae-Youn,Oh, Sang-Boo,Kim, Sang-Ho,Kim, Bong-Hwan,Son, Kyung-Hyun 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.3

Background : Pulmonary rehabilitation, called pulmonary rehab or PR, is a broad program that helps improve the well-being of people who have chronic (ongoing) breathing problems. Purpose : The purpose of this study was to demonstrate the effects of the upper abdominal exercise and balloon blow-up on the abdominal muscle strength and Respiratory ability for 20's adults. Method : Recruited Subjects were healthy students attending H university. Twenty-one subjects who agreed to participate in this study were randomly assigned to 3 groups; I group applied upper abdominal exercise, IIgroup applied balloon blow-up, III group applied both upper abdominal exercises and balloon blow-ups. Upper abdominal muscle exercises was applied supine position and $30^{\circ}{\sim}40^{\circ}$ in the upper body lift braced for about 3 seconds, and balloon blow-ups was performed 10 times a day. The exercise programs were performed three times a week for 5 weeks. Results: After 5 weeks of exercises, all three groups were comparable with abdominal muscle strength and respiratory ability. Subjects in upper abdominal exercise group, balloon blow-ups group, and upper abdominal exercises and balloon blow-ups group had significantly increased the average of abdominal muscle strength(p<.05) The statistical comparison among the groups indicated that there was a signigicant increase in respiratory ability. In comparison of abdominal muscle strength and respiratory ability, there were no significant differences among 3 groups. Conclusions: These findings suggest that upper abdominal exercises and balloon blow-ups may have a significant impact in abdominal muscle strength and respiratory ability.

20대 성인 흡연자의 조깅운동이 심장호흡기능에 미치는 영향

이삼철,Lee, Sam-Cheol 대한물리치료과학회 2016 대한물리치료과학회지 Vol.23 No.1

Background and Purpose : Effects of smokers's jogging exercises on oxygen uptake, ventilation, heart rate, and vital-capacity of normal adults have not been studied in details on. In this study, people that had completed the established jogging exercises was selected for the study. We could examine the effects of imposed jogging in smokers who might be considered by an experienced physical therapist to be well practiced and proficient in this exercises. Subjects and Methods : A total number of 24 young healthy subjects participated in a randomized crossover controlled study and completed the study. The subjects of this study were divided into jogging and controlled groups which were composed 14 people respectively. The members of exercise group had jogging exercises 50 minutes a day, five times a week, for 5 weeks in same conditions, otherwise controlled group did not. Results : The results of this study were as follows. The jogging group demonstrated significant increases in cardiopulmonary function, vital-capacity and exercise capacity, compared with control group, which demonstrated no change in baseline measurements of 5 weeks. Conclusion : Jogging exercises can increase cardiopulmonary function in people after they have undergone successful PA. These results suggested that it was improved on cardiopulmonary function and lung capacity, since jogging exercise had. The results of this study could be applied for valuable criterion cardiopulmonary function. It is necessary to selects in various groups of the purpose of enhancing confidence in of this research.

풍선불기와 키네시오 테이핑이 폐활량에 미치는 영향

이삼철,이석진,오상부,Lee, Sam-Cheol,Lee, Suk-Jin,Oh, Sang-Boo 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.3

Background : Respiratory muscle weakness has serious clinical consequences. Vital Capacity is the volume of air that is normally exchanged in a single breath. It varies widely with pulmonary health and overall fitness. Purpose : The purpose of this study was to investigate the variation of vital capacity(VC) according to the effects of Kinesio taping and balloons blowing. Methods : Twenty-one non-smokers were participated in this research and these subjects were randomly assigned into three groups; a balloons blowing group(n=7), a Kinesio taping group(n=7), and a balloons blowing and Kinesio taping group(n=7). This experiment was done from June 22, 2009 to July 5, 2009. In order to measure the VC variation effects of Kinesio taping, balloons blowing, and both intervention, an windmill type spiropet was used. The collected data were analyzed statistically by using a paired t-test and ANCOVA. Results : The results of this study were as follows; 1) In the case of balloons blowing, there was a significant difference, 3.35% increase of VC, between before and after 2 weeks experiments(p<.01). 2) In the case of Kinesio taping, there was a significant difference, 11.66% increase of VC, between before and after 2 weeks taping intervention(p<01). 3) In the case of both balloon blowing and Kinesio taping, there was a significant difference, 15.84% increase of VC, between before and after 2 weeks both interventions(p<.01). 4) After 2 weeks experiment, the improvement of VC was shown a significant difference with intergroup(p<.05). Conclusion : From these results, it was revealed that balloons blowing or Kinesio taping, or both interventions were effective to improve VC of healthy adults.

오염된 신발의 효율적인 살균과 탈취를 위한 신발장의 설계

이삼철(Sam-Cheol Lee),장용석(Yong-Seok Jang) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.6

본 연구는 다양한 세균에 오염된 신발을 효과적으로 살균하고 탈취할 수 있는 신발장을 설계하기 위한 최적의 조건을 확립하고자하는 목적으로 실시하였다. 신발장의 제작과 평가는 2014년 10월부터 2015년 9월까지 1년에 걸쳐 진행하였다. 항균성능의 평가는 JIS Z 2801:2010 규격에 따라 대장균과 황색포도상구균 균주에 대하여 실시하였고, 탈취효율은 한국공기 청정협회 실내공기청정기 규격인 SPS-KACA002- 132:2006 규격에 따라 실시하였다. 대장균과 황색포도상구균 균주에 대한 UV 조사시간에 대한 항균성능을 시험한 결과에서 30초 후에 99.9% 이상의 세균감소 율을 보였고, 시험가스에 대한 평균 탈취효율은 42.5%를 보였다. UV램프로 5분의 점등과 25분의 소등을 반복하여 작동을 할 경우에 신발 내부와 신발장 내부 온도는 약 40℃ 와 25℃ 이하로 유지되었다. 신발장의 작동시간에 따른 온도 변화를 측정한 결과는 UV램프를 점등과 소등을 반복적으로 작동시켜 신발 내부의 온도를 적절하게 유지할 수 있었다. 결과적으로 실제 신발장 내부의 용적은 시험연구원의 챔버 용적보다 매우 작은 용적을 가지고 있기 때문에 시험결과의 값을 상대적으로 보정하게 되면 실제 탈취효율은 측정값보다 매우 클 것으로 판단이 된다. 또한 신발의 내부에서 악취를 유발하는 원인균인 박테리아를 반복적으로 살균하기 때문에 신발 내의 실제 탈취의 효과는 더욱 증가될 것이다. 추가 연구로 일정한 신발장 내부의 온도편차를 찾아야 할 것이다. The aim of this study was to establish the optimal conditions to design a shoe rack that could effectively sterilize and deodorize shoes contaminated by various bacteria. The manufacture and evaluation of a shoe rock was conducted for one year from October 2014 to September 2015. The antibacterial efficacies were evaluated using Escherichia coli and Staphylococcus aureus by JIS Z 2801:2010. The deodorization efficiency was identified by the standard method for deodorization efficiency evaluation of an indoor air cleaner established by Korea Air Cleaning Association, SPS-KACA002- 132:2006. The results showed that antibacterial evaluation showed more than 99.9% of the sterilization effects on Escherichia coli and Staphylococcus aureus after exposure to ultraviolet (UV) light for 30 seconds. The average deodorization efficiency for the test gases was 42.5%. The temperature in the shoes and in the shoe rack was lower than 40℃ and 25℃, respectively, when the UV lamp was turned on for 5 minutes and off for 25 minutes repeatedly. This was controlled by turning the UV lamp on and off to maintain the appropriate temperature in the shoes. In conclusion, the real deodorization efficiency is expected to be higher than the measured value because the internal volume of the shoe rack was smaller than the test chamber used to measure the deodorization efficiency. The deodorization effect could be increased further by the sterilization of bacteria causing bad odors in shoes. Further studies will be needed to determine the temperature deviations within the shoe rack to provide constant conditions.

위 질환에서의 혈장, 위액 및 소변내 Vitamin C 농도

이삼철 ( Lee Sam Cheol ),정판준 ( Jeong Pan Jun ),이옥재 ( Lee Og Jae ),김영채 ( Kim Yeong Chae ),최진학 ( Choe Jin Hag ),하우송 ( Ha U Song ) 대한내과학회 1993 대한내과학회지 Vol.44 No.1

저자는 1991년 4월부터 1991년 8월까지 경상대학교병원을 내원한 위 질환자 87명과 위장관 증상을 호소하지 않은 만성 표재성 위염 환자 20명을 대상으로 혈장과 위액 그리고 소변에서 vitamin C 농도를 측정하여 다음과 같은 결론을 얻었다. 1) 위액의 vitamin C 농도는 급성 위염군(1.29±1.86mg/dl)과, 증상이 있는 만성 표재성 위염군 (1.34±0.96mg/dl), 만성 위축성 위염 및 화생성 위염군(1.21±1.07mg/dl), 위궤양군(1.41±1.12mg/dl), 위암군(0.62±0.51mg/dl)에서 무증상인 만성 표재성 위염군(2.54±1.86mg/dl)에 비해 통계적으로 유의하게(p<0.05) 감소되어 있었다. 특히 위암 환자군에서 가장 낮게 측정되었다. 2) 혈장에서의 vitamin C 농도는 질환군간에 유의한 차이를 보이지 않았다. 3) 위액의 산도가 4.0이상인 저산증 환자군 (0.96±0.79mg/dl)에서 위액의 vitamin C 농도는 산도가 4.0이하인 군(1.97±1.49mg/dl)에 비해 통계적으로 유의하게(p<0.05)감소되어 있었다. 4) 위액의 산도가 4.0 이상인 저산증 환자군과 4.0 이하인 군에서 혈장(1.09±0.47 vs 1.23±0.51mg/dl)과 소변(3.46±3.24 vs 3.74±2.92mg/dl)에서의 vitamin C 농도는 유의한 차이를 보이지 않았다. 5) 혈장에 대한 위액의 vitamin C 농도비는 무증상인 만성 표재성 위염군에 비해 증상이 있는 만성 표재성 위염군, 만성 위축성 위염 및 화생성 위염군 그리고 위암군에서 통계적으로 유의하게(p<0.05)감소되어 있었으나 급성 위염군과 위궤양군에서는 유의한 차이를 보이지 않았다. 6) 혈장에 대한 소변의 vitamin C 농도비는 질환군간에서 통계적으로 유의한 차이를 보이지 않았다. The level of vitamin C was measured from the specimens of plasma, gastric juice, and urine of the symptom-free subjects of chronic superficial gastritis and other gastric diseases by 2.4-dinitropheny-lhydrazine method. The object of this study is to know the relationship between vitamin C concentration of tissue fluids and gastric diseases. Follwing results have been obtained : 1) The levels of vitamin C in the gastric juice of the patients of symptomatic chronic superficial gastritis, chronic atrophic gastritis and metaplastic gastritis, gastric ulcer, and gastric cancer were lower than those of the symptom-free subjects of chronic superficial gastritis and in the case of the patients with gastric cancer, the level was the lowest. 2) The plasma level of vitamin C concentration was not different among the specimens from the groups of the patients. 3) In the case of hypochlorhydria (pH>4.0), the level of vitamin C concentration in the of gastric juice was low. However the plasma and urine vitamin C concentrations were not different, compaired to that of the patients with gastric pH below 4.0. 4) The ratios of the gastric juice to plasma vitamin c concentrations was low in the groups of symptomatic chronic superficial gastritis, chronic atrophic gastritis and metaplastic gastritis, and gastric cancer, but the ratios were not low in patients of acute gastritis and gastric ulcer, compared to the symptom-free subjects of chronic superficial gastritis (p<0.05). 5) The ratios of the urine to plasma vitamin c concentrations in the groups of various gastric diseases were not different to those of the symptom-free subjects of chronic superficial gastritis.

세라밴드운동과 노인의 심장 자율신경 활동에 대한 PSA 평가

이삼철(Sam-Cheol Lee) 대한심장호흡물리치료학회 2013 대한심장호흡물리치료학회지 Vol.1 No.1

Purpose: The purpose of this study is to find out the effect of Thera-Band exercise on cardiovascular autonomic nerve system activity with the Heart Rate Variability Power Spectral Analysis(HRV PSA) by using “The Biopac and Program”. Metods: The old men were divided into two groups, Thera-Band exercise group(EG, n=13) and control group(CG, n=8).They participated in pre-test and after 8 weeks’ Thera-Band exercise. The Biopac System Test conducted for 5 minutes. Results: Heart Rate(HR) significantly effected after Thera-Band exercise. But no significant changes in CG. R-wave significantly effected after Thera-Band exercise. But no significant changes in CG. The present observations provide new information(PS form) on the contribution of the cardiovascular autonomic function from Power Spectral Analysis(PSA) to the exercise responses. High frequency(HF, 0.15-0.4Hz), as the marker of parasympathetic nerve activity tone, is the distributed power 10 -15 ~10 -17. Low frequency(LF, 0.04-0.15Hz), as the marker of sympathetic nerve activity tone, is distributed power 10 -12~10 -10. The common frequency doma- in(0.135-0.3Hz) of PSN․SN, as the marker of parasympathetic and sympathetic nerve activity tone. is the distributed power 10 -16~10 -11. Conclusion: From the discussions above results, we can conclude that Thera-Band exercise in old men induce the effect of autonomic nerve activity. These results are associated with increased and decreased HR and R-wave after Thera-Band exercise. Finally, in order to Normalized for the Power Spectrum, the further experimental work is needed to under-stand the possible mechanistic link between the cardiovascular autonomic function and the exercise responses.

테니스 동호인의 상해 원인과 치료 실태에 관한 연구

전재근,이삼철,김봉환,Jeon, Jae Keun,Lee, Sam Cheol,Kim, Bong Hwan 대한물리치료과학회 2013 대한물리치료과학회지 Vol.20 No.1

The purpose of this survey was to investigate the exercise injuries and its care methods of members in amateur tennis clubs. 176 questionnaires were surveyed from tennis players who were exercising at 6 tennis club ranges in J city, Korea. The interesting variables were parts, time slots, causes, treatments of injuries, which were analyzed based on the general and exercise characteristics of surveyees, a gender, an age, an exercise career, an exercise time, an occupation, an average earning. The results of this study were as follows: 1) In the results of analyses for the injury parts, the upper bodies injuries were more than lower body ones, the injury of back and lumbus had the highest rate among upper body injuries. In twenties, the number of injury had highest rate. 2) The main cause of injury was the carelessness of one's own. The most injury by the carelessness of one's own was a reason for a lack of warm-up. 3) The first emergency manager for the injury was mostly oneself.

수중운동 프로그램 참여가 여성노인의 하지근력과 균형 및 보행능력에 미치는 영향

오상부,이현철,이삼철,Oh, Sang Boo,Lee, Hyun Chul,Lee, Sam Cheol 대한물리치료과학회 2013 대한물리치료과학회지 Vol.20 No.1

Purpose : The purpose of this study was to investigate the effect of the aquatic exercise program on lower muscle strength, balance and gait activity on 12 weeks aquatic exercise program in the elderly women. Methods : The Subjects in this study were 20 aged 70s who were long-term residents admitted to elderly nursing home of S, Gyeongsangnam province. They performed aquatic exercise programs 60-minute sessions, 3 times a week for 12 weeks. The physical evaluation was used for measuring lower muscle strength, balance activity was used for measuring balance testing, and gait activity was used for measuring gait velocity and maximal step length evaluation. All data were analyzed by paired t-Test by SPSS(version18.0). P-values of <.05 were considered significant. Results : Lower extremity muscle strength, static dynamic balance and gait activity were significantly increased both in the exercise group and between groups. Conclusion : This study suggests that aquatic exercise program has an effect on lower extremity muscle strength, balance and gait activity of the elderly women. Therefore, it is considered as a safe and helpful self-support activity for the elderly people.