중기 노인 여성의 점진성 저항운동이 악력과 균형에 미치는 영향

이한숙,이춘희,Lee, Han Suk,Lee, Chun Hee 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.2

Purpose: This study was conducted in order to determine the physical effect on grip strength and balance ability of progressive resistance training using an elastic band for middle elderly women. Methods: We randomly recruited 13 middle elderly female subjects (from 75 years old to 84 years old). They practiced the elastic band exercise for 50 minutes once every week and were instructed to perform the same exercise as a home exercise for 16 weeks. Subjects who participated voluntarily had not participated in any other exercise program. Grip strength, one leg stance, and TIme Up & Go Test (TUG) were measured before and after elastic band exercise using the one group pre-posttest design. Wilcoxon's signed ranks test and simple regression analysis were performed using SPSS 18.0. Results: Significant differences in TUG and grip strength test scores were observed pre and post exercise (p<0.05), except one leg stance test. Significant correlation was observed only between age and change of right one leg stance. Conclusion: Progressive resistance training using an elastic band for middle elderly women was effective for dynamic balance and grip strength, but was not effective for static balance. Therefore, investigation of factors that affect improvement of static balance using an elastic band and the lasting duration of the effect and its association with age will be necessary in the future.

뇌졸중 환자에서 BBS, STI, MBI, TUG, FRT, 낙상과의 상관관계

이한숙,최진호,Lee, Han-Suk,Choi, Jin-Ho 대한물리치료학회 2008 대한물리치료학회지 Vol.20 No.4

Purpose: We studied the correlation between BBS (Berg Balance Scale), Functional Reach Test (FRT), Timed-Up & Go test (TUG), Stability Index (STI), MBI (Modified Barthel Index), and Fall History. Methods: We recruited 20 stroke patients from the Gang Dong Gu Health Care Center in Seoul, Korea. All subjects could walk with or without an assisting device. Subjects first completed a questionnaire pertaining to their fall history and Activity of Daily Living (MBI), and then were evaluated with BBS, TUG, FRT, and STI. We used the Tetrax posturography system that calculates a STI based on fluctuations in vertical ground reaction forces. The data were analyzed using a Pearson Correlation Coefficient. Results: The BBS and FRT (p<0.05) and MBI (p<0.01) showed a significant positive correlation. BBS negatively correlated with STI and TUG (p<0.01). Fall history and BBS, TUG, MBI, FR, STI did not correlate. Conclusion: The BBS helps predict weight shifting, walking, and ADL, but is not good for predicting fall risk. So, we need to study about factors that affect falling.

The Effect of Balance Task-Related Circuit Training on Chronic Stroke Patients

이한숙,김명철,Lee, Han-Suk,Kim, Myung-Chul The Korean Society of Physical Therapy 2009 대한물리치료학회지 Vol.21 No.4

Purpose: This study investigated the efficacy of task-related circuit training aimed at improving balance in individuals discharged from rehabilitation facilities following a stroke. Methods: We recruited 12 stroke patients (34-66 years of age) to participate in a task-related circuit training program. Baseline assessment included a history of stroke and an assessment using the Mini-Mental State Examination Korea (MMSE-K). After a baseline assessment, follow-up assessments were administered pre- and post-training. These included Berg Balance Scale (BBS), Functional Reach Test (FRT), and the Time Up & Go Test (TUG). Physiotherapists trained study subjects under the one-to-one supervision of students from the department of physical therapy. Circuit class study participants attended 90-minute treatment sessions, one day a week for 12 weeks (from September to December 2008). The program consisted of a light warm-up period (10 min), physical exercises for improving balance (20 min), tasks focused on improving balance (50 min) and a cool-down period (10 min). Results: Scores for the BBS assessment increased significantly (from 43.2 to 49.7) after the training (p<0.05). Reach distance on the FRT increased substantially (from 27.7 cm to 47.0 cm), although the improvement was not significant (p>0.05). The average time on the TUG test decreased significantly (from 23.7 sec to 19.5 sec) after the training (p<0.05). Conclusion: The task-related circuit training program improved the balance and mobility of subjects, indicating that such a group program is useful for stroke patients who are discharged from the hospital. More such task-related programs set in a community environment should be developed.

일부 대학생의 물리치료와 재활치료의 차이점에 대한 인지도

이한숙,Lee, Han Suk 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.5

Purpose: This study was conducted in order to investigate the awareness of physical therapy and difference between physical therapy and rehabilitation therapy. Methods: A total of 183 subjects who gave consent to participate in the survey at five universities in Gyenggi-do were randomly selected and the survey was conducted from February 2012 to July 2013 by a questionnaire consisting of 13 questions. Frequency analysis for the awareness of the general characteristics of physical therapy, anticipated cost, awareness of difference, and cross tab analysis for correlation with each item were used. Results: Participants recognized the academic ability, and the department for management of physical therapist licensing very well. The kindness and workmanship of physical therapists were average. According to their experience of physical therapy, most participants received a hot pack and electrical therapy at a local clinic and satisfaction with treatment was high. The percentage of students who recognized a difference between physical therapy and rehabilitation therapy was high, however, they misunderstood only electrical therapy for physical therapy and they recognized the exercise method of physical therapy for rehabilitation therapy. No correlation of the awareness of difference was observed between physical therapy and rehabilitation therapy and the awareness of physical therapy, experience, and anticipated cost, except the major of students. Conclusion: We found that people can misunderstand exercise therapy for rehabilitation therapy even though they have good awareness of physical therapy. Therefore, a physical therapist has to find the ways to express their identity while working.

노령화와 관련된 퇴행성 질환의 관리

이한숙,이진희,구봉오,Lee Han-Suk,Lee Jin-Hee,Goo Bong-Oh 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.3

Number of elderly, above 65 years old are 3,384,576 in korea on AD2000. Half of them will be have an experiencing in fall and decreasing of balance performance from musculoskeletal problems. Muscle strengthening exercise, empty hand gymnastics, gait training, rhythmic gymnastics are improved increasing of balance performance and prevent fall. Regular exercise program will make improve the balance performance and prevent fall. The exercise program have to perform continually that intensity and frequency will be once in day or 3-4 times in a week. Intensity and frequency of the exercise program start with low intensity and low frequency and gradually increasing of the intensity and frequency.

세계 물리치료학과 교과과정 비교 분석

이한숙 ( Han Suk Lee ),이진희 ( Jin Hee Lee ),김재헌 ( Jae Hyun Kim ) 대한물리의학회 2010 대한물리의학회지 Vol.5 No.2

Purpose:The purpose of this study was to investigate curriculums of physical therapy department in order to provide the basic data for developing educational standard. Methods:We identified the curriculums of physical therapy department in the world from January to may 2010 by internet, e-mail, fax and telephone. We compared the credits, education semesters, the names of departments, the numbers of departments for physical therapy education in all countries of the world and suggested some alternative for improvement. Results:The mean credits of 25 senior colleges were 140 and the mean credits of 22 Junior colleges were 136.6 in south Korea. The mean educational semesters and the mean credits were 9 semesters, 175.8credits of 1,363 universities in 73countries in the world. Of the 1,289 universities in the world, South Korea was ranked the fifth in the number of existing physical therapy education institutions with the number of 72. The name of department were comprised of physical therapy(1,289, 94.6%) and compound name(75, 5.4%) Conclusion:We suggest that the KAPT gradually rearranges senior college(4years), 170 creditS and consider time of community services and forms commission on accreditation in physical therapy education for developing educational standard. Also, we suggest to change the name of department into compound name because the student can have a chance to studies various subjects and get a chance to more occupations. We hope that the results of study can be helpful in order to rearrange the curriculum and the KAPT encourages the universities about following the educational standard.

대학생들의 예,복습 시간이 Gross Motor Function Measure의 일부 항목평가 능력에 미치는 영향

이한숙 ( Han Suk Lee ),김은주 ( Eun Joo Kim ) 대한물리의학회 2015 대한물리의학회지 Vol.10 No.1

PURPOSE: The purpose of this study was to investigate the differenceof GMFM evaluationcapacity according to the preparation and review times on the college students. METHODS: 58 subjects among physical therapymajor studentswere recruited. The group was constructed the fourgroupsbypreparation and review times. The firstgroup was less than 1hour, the second group wasmore than 1 hour ~ less than 2 hours, the third group was more than 2 hours ~ less than 3 hours, the fourth group was more than 3 hours that was preparation and reviewtimes. The students were performed GMFM evaluation capacity after they learned the normal motor development for 5 weeks and evaluation method. They continued the preparation and review learning about the lesson during 5 weeks. RESULTS: The group of more than 3 hours was the highest and next order was the group of more than 1 hour ~ less than 2 hours, group of less than 1hour on GMFM evaluation capacity. CONCLUSION: Preparation and review times improved the GMFM evaluation capacity of students. Therefore, Emphasizing the preparation and review of learning is proper way to increase the evaluation capacity. In addition, the professor should create the appropriate teaching strategies using preparation and review times to upgrade a learner``s ability.

치매노인을 위한 신체활동 프로그램이 인지기능에 미치는 영향 : 국내연구의 메타 분석

이한숙 ( Han Suk Lee ),박유정 ( Yoo Jung Park ) 대한물리의학회 2016 대한물리의학회지 Vol.11 No.2

PURPOSE: Many studies have reported the improvement of cognition through physical activity among subject with dementia. This study aimed to whether the current studies supports that physical activity intervention is efficacious on cognitive performance in subject with dementia. METHODS: Two independent reviewers searched National assembly library, RISS, KISS (2005-2015) using the concepts of dementia, exercise, and physical activity. We included randomized controlled trials that examined the efficacy of physical activity in subject with dementia. A meta-analysis was performed to estimate the effect sizes cognition with CMA (Comprehensive Meta-Analysis, version 2.2.064) soft-ware program. Nine randomized controlled trials were included, providing data from 133 individuals and excluding those failing to criteria of this study. RESULTS: The meta-analysis showed that physical activity intervention had a rather small effect sizes of 0.36 (95% confidence interval 0.14-0.59) on cognition performance in subject with dementia. Outcome measurement were MMSE-K (Mini-mental state examination Korean version) and LOCTA (Loewenstein Occupational Therapy Cognitive Assessment). We found heterogeneous among studies and there was difference between the studies (Q = 19.63, d(f)=12, I2= 38.88). CONCLUSION: The present analysis suggests that physical activity interventions have the low effect sizes on cognition performance in subject with dementia Further studies will be required to develop the various programs for improving the cognitive performance in subject with dementia.

스트레칭과 등척성 운동이 만성 경부통증환자의 근력과 통증에 미치는 영향

이한숙 ( Han Suk Lee ),유지훈 ( Ji Hun Yoo ) 대한물리의학회 2012 대한물리의학회지 Vol.7 No.3

Purpose The purpose of this study was to assess more effective exercise prescription for the people with chronic neck pain by comparing stretching exercise and isometric exercise about strength and pain. Method The research design of the study was that 20 young adults with mild neck disability (5-14 out of 50 in Neck Disability Index) were randomized into 2 groups and underwent stretching exercise(10 peoples) and isometric exercise(10 peoples) at 3 times a week for 5weeks. Measures of pain scale (Visual Analog Scale) and Muscle strength of deep neck flexor (Pressure Biofeedback) were assessed before and after intervention. The pre and post exercise results were compared using paired t-test and the effectiveness of intervention of two groups were compared using Independent t test. Results The results of this study were that pain reduction was seen after stretching and isometric exercise and significantly difference. There was significantly improvement of cervical flexor strength after stretching and isometric exercise. But, there was no significant difference between stretching and isometric exercise groups. Conclusion The stretching and isometric exercise for chronic neck pain patients may use according to preference of patient because the effects of treatment was same. Further studies are needed to analyzed psycho social factors, cost effects, group approach.

치매 진단도구로서 치매노인의 보행능력 평가에 대한 연구

이한숙 ( Han-suk Lee ),박선욱 ( Sun-wook Park ) 대한물리의학회 2017 대한물리의학회지 Vol.12 No.2

PURPOSE: The purpose of this study was to compare the gait of elderly patients with and without dementia to investigate the possibility of an ambulation assessment test as a diagnostic tool for dementia. METHODS: A total of 96 subjects were included with 60 participants without dementia (control group) and 36 patients with dementia (dementia group). To compare the walking ability of the two groups, a 4-m walking test (4MWT) and Groningen Meander Walking Test (GMWT) were conducted. The GMWT is graded by amount of time in seconds and by number of oversteps outside the track. Mann-Whitney U test was used to compare the gait between the groups and the area under the curve (AUC) with Received Operating Characteristic (ROC) curve was analyzed. Statistical significance was considered at a p<.05, with a 95% confidence interval. RESULTS: There were statistically significant differences (p<.05) between the dementia group and the control group for the 4MWT, GMWTSEC, and GMWTSTEP scores. The AUC was .95 for 4MWT, .92 for GMWTSEC, and .96 for GMWTSTEP with the 95% confidence interval. The cut-off values of the ROC curve were 1.03m/s for 4MWT, 10.8 second for GMWTSEC, and 3.75 steps for GMSTEP. CONCLUSION: In our study, we investigated the utility of ambulatory assessment tools to predict dementia. The results of this study suggest that the 4MWT and the GMWT used in this study are appropriate assessment tools for dementia prediction.