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송라윤 ( Rha Yun Song ) 연세대학교 간호정책연구소 2006 간호학탐구 Vol.15 No.1
This literature review offers an update on the current research evidence regarding comprehensive therapeutic benefits of Tai Chi, an ancient Chinese martial art. Tai Chi is a form of low intense aerobic exercise characterized by continuous slow(flowing), gentle body movements combined with deep diaphragmatic breathing and relaxation. During this movement, Tai chi principle emphasizes to stand upright, to control center of gravity to remain stable, and to loosen their joints to allow the flow of Qi. Currently the effects of tai chi exercise on physical fitness such as symptom management, balance, muscle strengths are supported by various scientific studies, but some are still preliminary that fail to provide a distinct causal relationship. Especially, Qi-components of Tai Chi exercise have yet to be empirically proven. Since Tai Chi exercise showed great potential to be an effective nursing intervention applicable to those with chronic disease and limited physical conditions, further controlled clinical study is justified for a wide variety of clinical contexts.
수중운동과 타이치운동 후 여성 골관절염 환자의 근력변화
이혜영,이은옥,송라윤,Lee, Hea-Young,Lee, Eun-Ok,Song, Rha-Yun 대한근관절건강학회 2005 근관절건강학회지 Vol.12 No.2
Arthritis is one of the most common chronic degenerative joint disease in elderly. Osteoarthritis is a widespread, slowly developing disease, with a high prevalence increasing with age in women. The large joints mostly involved by the disease are the knees. But there are no treatments available that cure the underlying process of osteoarthritis diseases. Physical exercise helps in increasing cartilage nutrition and remodeling, increases the synovial blood flow, decrease swelling, and improves muscle strength. Thus, exercise has been suggested as an important nursing strategy in osteoarthritis. Purpose: The purpose of this study were to compare muscle strength between Tai-Chi exercise and aquatic exercise for women with knee osteoarthritis. Methods: A quasi-experimental study with pretest and posttest measures was used. The study subjects were those who had been enrolled in a community health center, and agreed to participate in the study for eight weeks, signed the consent form, and obtained the physicians approval. The study dropout rates were 13.2% with the final study subjects of 17 on Tai-Chi exercise, 16 on aquatic exercise program. The collected data were analyzed using SPSS for Window (version 12.0). Independent sample t-test and paired t-test was performed to compare of muscle strength for women with osteoarthritis after 8-week Tai-Chi exercise and aquatic Exercise. Results: The homogeneity tests of demographic characteristics and study variables at the pretest data revealed no significant differences between two groups. After 8-week Tai-Chi and aquatic exercise, there was significant result in pre-post test comparison on muscle strength on Tai-Chi group, but no significant in aquatic group. There were no significant differences of knee extensor (p=.078), and hand grip(p=.118) in group comparisons on muscle strengths. But there were significant differences of knee flexor(p=.024). Conclusion: Tai-chi exercise was effective in improving knee flexor. So, it seems that Tai-chi exercise may be more suitable for aquatic exercise in osteoarthritis exercise programs. Further studies with other comparisons in physical and psycho social outcomes are necessary to confirm the more effects of exercise.
골관절염 환자를 위한 타이치, 타이치-자조관리 및 자조관리과정의 효과 비교
조경숙,강현숙,김종임,박원숙,송라윤,안양희,임난영,이인옥,최선하,한상숙,Cho, Kyung-Sook,Kang, Hyun-Sook,Kim, Jong-Im,Bak, Won-Sook,Song, Rha-Yun,Ahn, Yang-Heui,Lim, Nan-Young,Lee, In-Ok,Choi, Sun-Ha,Han, Sang-Sook 대한근관절건강학회 2007 근관절건강학회지 Vol.14 No.1
Purpose: The purpose of the study was to compare the effects of Tai Chi exercise, Tai Chi self help program, and self help management program on arthritic pain, stiffness, fatigue and difficulties in performing daily activities in patients with osteoarthritis. Method: The pre-post experimental design was utilized with convenient sampling at Public Health Centers. Total of 38 subjects agreed to participate in the study with the inclusion criteria of being diagnosed as osteoarthritis and no previous regular exercise. The 12 subjects were assigned to Tai Chi exercise group, 13 subjects to Tai Chi exercise combined with self help management program, and the other 13 to self help management program. Tai Chi exercise group performed exercise twice a week for one hour per each session. Tai Chi self help management group came to the class twice a week, one hour for Tai Chi exercise, and another hour for self help management program. The third group came to the class once a week for one hour to participate self help management program. At the completion of 6 week programs, 10 subjects from Tai Chi exercise, 9 from Tai Chi self help, another 10 from self help management groups completed the post-test measures. The data were analyzed by SPSSWIN 11.0. The homogeneity tests for three experimental groups were conducted by $X^2-test$, Fisher's exact test, Kruskal-Wallis test. The final analysis of the post-test measures was conducted by ANCOVA with fatigue, pain, stiffness, and difficulties in daily activities of the pretest measures as covariates. Results: The results were as follows. There were no significant differences in fatigue, pain, and difficulties of daily activities among three groups for the pretest measures. The score of arthritic stiffness was significantly different among groups after controlled for covariates, but the post-hoc tests showed no group differences. Conclusion: The nursing interventions applied for osteoarthritis patients have been previously tested to show the cost effectiveness of symptoms management of this population.
타이치 운동이 골관절염과 류마티스관절염 여성의 통증, 일상활동 및 낙상공포감에 미치는 효과 비교
오현경(Oh, Hyun Kyoung),안숙희(Ahn, Suk Hee),송라윤(Song, Rha Yun) 대한근관절건강학회 2011 근관절건강학회지 Vol.18 No.2
Purpose: The purpose of the study was to compare the effects of Tai Chi exercise program on arthritic pain, difficulties in performing activities of daily living, and fear of falling in women with osteoarthritis (OA) and rheumatoid arthritis (RA). Method: A quasi-experimental design with two intervention groups was used. According to the inclusion criteria, 35 women with OA and 22 with RA were recruited and participated in the Tai Chi for arthritis program for 12 weeks. In 12 weeks, 21 in the OA group and 15 in the RA group completed both pretest and posttest measures. Outcome variables consisted of pain, difficulties in performing activities of daily living, and fear of falling for both groups. Results: The women with OA (64 years) were significantly older and perceived better health than those with RA (49 years) with more than 6 years of diagnosis. The pain scores and the performance of activities of daily living were significantly improved in the OA group at the completion of 12 week Tai Chi exercise, but RA group decreased pain only. The improvements in pain and activities of daily living were significantly more in women with OA than those with RA. No significant changes were found in fear of falling for both groups. Conclusion: The 12 week Tai Chi exercise was more effective on pain and activities of daily living for women with OA than those with RA. Considering that the women with RA perceived more pain and had limited activities of daily living, Tai Chi exercise should be applied slowly and gradually for longer period of time than those with OA.
강현숙(Kang Hyun-Sook),김종임(Kim Jong-Im),박원숙(Bak Won-Sook),송라윤(Song Rha-yun),안양희(Ahn Yang-Heui),이인옥(Lee In-Ok),임난영(Lim Nan-Young),조경숙(Cho Kyung-Sook),최선하(Choi Sun-Ha),한상숙(Han Sang-Sook) 대한근관절건강학회 2007 근관절건강학회지 Vol.14 No.2
Purpose: The purpose of the study was to identify the relationship between obesity and bone mineral density in middle aged women. Methods: A cross-sectional survey design was utilized with a check list and physiological measurements. A total of 827 convenient samples were recruited from women who lived in the community. Bone mineral density was measured by T-score using the pixi method of Lumar on the left heel. Descriptive statistics and pearson correlation coefficient were utilized for data analysis. Results: Most were assessed as having normal weight(37.9%) or obese (57.4%) by BMI. Only 32% was assessed as having normal bone mineral density, while 40.3% had osteopenia, and 27.7% as osteoporosis. The BMI scores were significantly related to age, and episodes of fractures. Those with lower bone mineral density reported significantly more episodes of fractures and chronic disease. The T scores of Bone mineral density were significantly correlated with the scores of BMI (r= .126, p< .001). Conclusion: There is a strong need to develop intervention programs for this age group to manage bone mineral density loss to prevent occurrences of osteoporosis, and episodes of fracture.