Effect of Rhythmic Auditory Stimulation with Inclined Treadmill Gait Exercise on Gait in Patients with Parkinson’s Disease

양경희,오용섭 대한치료과학회 2017 대한치료과학회지 Vol.9 No.2

Objective: The purpose of this study was to investigate rhythmic auditory stimulation (RAS) with inclined treadmill gait exercise on gait in patients with Parkinson's disease. Method: The subjects were comprised of 20 Parkinson's disease patients (study group, n=10; control group, n=10). The exercise program consisted of performing RAS with inclined treadmill exercise (30 min) and RAS without inclined treadmill exercise (30 min) once daily for five days per week for four weeks. Changes in gait speed, cadence, step length, stride length, and pelvic sway angle (X, Y, and Z axes), were measured using a three-axes wireless accelerometer and the 6-minute walk test (6MWT) pre- and post-exercise program to verify the effectiveness of the exercise. The Wilcoxon signed-rank test was used to compare each group before and after the intervention, and the Mann-Whitney U test was used to compare the groups after the intervention. The statistical significance was set at α=0.05. Results: In the study group, significant differences in all of the dependent variables before and after the experiment (p<.05) were observed. In the control group, significant differences were observed in gait speed, cadence, all axes of the pelvic sway angle, and the 6MWT, but not in step length or stride length. Between the two groups, the study group showed more significant improvements in all dependent variables. Conclusion: Our results suggest that applying RAS with inclined treadmill exercise provides beneficial effects on gait in patients with Parkinson's disease.

고분자 전해질 다층막을 이용한 무전해 도금방법

양경희,김홍두 한국고분자학회 2008 한국고분자학회 학술대회 연구논문 초록집 Vol.33 No.1

중학생의 흡연행위에 영향을 주는 요인

양경희,김영희,이정란 지역사회간호학회 2005 지역사회간호학회지 Vol.16 No.1

Factors Affecting Middle School Students' Smoking Behavior Yang, kyung-Hee · Kim, young-Hee Lee, Jeong-Ran Purpose: This study was performed toidentify the relationship between stress perceived by middle school students and socialsupport level and to investigate the factorsaffecting middle school students' smokingbehavior. Method The data was collected from four hundred and thirteen students of one boys' middle school and one girls' middle school . Datawere analyzed by using SPSS 11.5 WinProgram Result: Smoking rate was higher ingirls than boys. The factors affecting smokingbehavior were drinking (OR=67.62, P<0.01), having one parent or no parents(OR=9.98, P<0.05), and higher material support(OR=4.67, P<0.05), Conclusion: This results showed that smoking prevention program is needed for girls' middle school students. To prevent smoking, teachers should help students to cope with stress form school and their environments withcareful guidance, and organized support for the student with one parent or no parents should also be established Furthermore, guidance in student's relationships with peers is needed regarding appropriate allowance, drinking, or substance use.

중년여성의 건강증진 프로그램 개발을 위한 기초연구

양경희,김영희 지역사회간호학회 2001 지역사회간호학회지 Vol.12 No.3

The purpose of this study was to provide basic data for developing nursing intervention for middle-aged women. This study identified health status, family functionality and spousal relationship and analyzed relationship between individual characteristics and family functionality/spousal relationship. The subjects of this study were 1,723 women from 45 to 55 years of age, who lived in J city.Data were analyzed using percentages, means,t-tests, ANOVA and Pearson's correlation coefficients with the SPSS statistical program. The results of the study were as follow: 1. The rate of women who perceived themselves to be healthy was 36.6%, those who did not was 30.8%. The most frequent health problem was a disease of the skeletal system (13.2%). 2. The mean score of family functionality was 3.25±.60, with cohesion score of 3.58±.66 and adaptability score of 2.99±.63. 3. The mean score of total spousal relationship was 3.22±.42; the relationship with in-laws was 3.78; sexual relationship, 3.74; life style, 3.44; and recreational activity, 3.39. 4. The women who experienced menopause perceived themselves to be unhealthier than those who did not. 5. Healthy women had a high score at total spousal relationship, personality of spouse, life style, recreational activity, and children's influence. 6. The women from 40 to 50 years of age, and women who graduated from middle or high school and had medium economic status showed a high score in family functionality. There was no correlation between family functionality and experience of the menopause. 7. Lower aged women were not good in personality of spouse (p<.05), sexual relationship (p<.05), and relationship with relatives (p<.05). Inexperienced women's menopause was influenced by their children (p<.05). Women who graduated from middle or high school and had medium economic status (p<.05) showed a high score in spousal relationship. 8. The higher the family functionality score, the higher spousal relationship score (p<.001); love and communication (p<.001), personality of husband (p<.05), and religion (p<.001), relationship with relatives (p<.05), but the lower the score of recreational activity (p<.05), and share of role (p<.001) in the spousal relationship . 9. In the family functionality, the higher the cohesion score, the higher was the adaptability score. 1) The higher the cohesion score, the higher were love and communication, personality of husband, life style, sexual relationship, and children's influence, but the lower were share of role in spousal relationship(p<.001). 2) The higher the adaptability score, the higher were love and communication, religion, but the lower were the personality of husband, life style, sexual relationship, recreational activity, relationship with relatives, share of role(p<.001), and children's influence in spousal relationship (p<.05). 10. Variables within the spousal relationship have relationships with other variables. 1) The higher the love and communication score, the higher personality of husband religion, life style, communication, relationship with relatives, and children's influence (p<.001). 2) The higher personality of husband life style sexual relationship, recreational activity, relationship with relatives, share of role, and children's influence (p<.001). 3) The higher the religion score, the lower the recreational activity score. 4) The higher the life style, the higher were the sexual relationship, recreational activity, relationship with relatives, share of role, and children's influence (p<.001). 5) The higher the sexual relationship score, the higher were recreational activity, relationship with relatives, share of role, and children's influence (p<.001). 6) The higher the recreational activity, the relationship with relatives, share of role, and children's influence (p<.001). 7) The higher the relationship with relatives, the higher were the share of role, the higher children's influence (p<.001)). In conclusion, the spousal relationship was not good in unhealthy women, and the family functionality was related with the age of women and educational level. Also the spousal relationship was related with the age of women, personality of husband, sexual relationship, relationship with relatives by marriage and influence of sons and daughters. Menopause was related with spousal relationship, not related with family functionality. And the family functionality not related with perceived health status, but was correlated with spousal relationship. Therefore, the health management program for middle-aged woman should take place before menopause and must be based on promoting the family functionality and spousal relationship as well as physical health.

노인들의 건강수준에 대한 조사 연구

양경희 원광보건전문대 1995 원광보건전문대학논문집 Vol.18 No.-

視覺장애아동을 위한 미술교육 프로그램 연구

양경희 한국조형교육학회 1992 造形敎育 Vol.0 No.8

최근 과학기술의 발달과 사회·문화의 변화에 따라 우리 주변의 환경도 많이 달라지고 있으며, 조형활동에 있어서도 여러 가지 장르와 다양한 기법들이 소개 되고 있다. 그러나 이들 미술교육 프로그램은 과거 십수년 전에 비하여 크게 달라진 바가 없으며, 특히 시각에 장애가 있는 아동들에 대한 미술교육 프로그램은 그 인식 부재와 함께 연구 자체도 거의 이루어지지 않고 있는 십정이다. 이에 본 연구에서는 우리 실정에 맞게 주변 환경에서 쉽사리 전할 수 있는 다양한 재료 및 도구는 이용하여 정안아동뿐만 아니라 시각장애아동들이 쉽사리 접근, 제작, 표현할 수 있는 여러 가지 미술교육 프로그램을 연구·발표하고자 한다.

작업치료과 학생들의 입학동기 및 취업희망과 효과적인 교과학습을 위한 조사연구

양경희 경복대학 1999 京福論叢 Vol.3 No.-

본 조사연구는 작업치료과 학생들의 입학동기와 취업희망 및 교과학습상태를 조사하여 이를 분석해 학생들에게 가장 효과적인 학습이 이루어지도록 하는데 목적이 있다. 경복대학 작업치료과 학생 82명 중 설문지 작성시 잘못 표기한 5명을 제외한 77명을 대상으로 분석하였다. 이 연구의 결과는 다음과 같다. 1. 작업치료과 학생들의 입학동기는 54.5%가 긍정적인 것으로 나타났다. 작업치료과 학생들의 대부분은 입학전 작업치료과에 대한 사전 지식이 부족하였다. 2. 작업치료과 학생들은 학과 선택시 55.8%가 본인이 선택하였으며, 대부분의 학생들이 작업치료과에 잘 적응하는 것으로 나타났다(90.9%). 3. 학생들은 적정한 수업년수는 4년이고, 학급의 적정인원수는 30~40명이라고 응답하였다(51.9%). 4. 작업치료과 학생들은 전공과목에 대한 기초지식이 부족하기 때문에 전공과목이 어렵다고 응답하였다. 교양과목에 대하여는 53.2%가 형식적인 강의 때문에 만족스럽지 못하다고 하였다. 5. 교수와의 관계는 58.4%가 원만하다고 응답하였다. 6. 작업치료과 대다수의 학생들은 작업치료를 평생 직업으로 원하는 것으로 조사되었다(81.8%). 작업치료과 학생들은 61.0%가 졸업 후 종합병원에서 일하기를 선호하였다. The purpose of this study was to analyze the motive of entrance into a school, hope of employment and the learning states of occupational therapy students and to give the data for the most effective learning conditioning. The responses to the questionnaires were obtained from 77 among 82 occupational therapy students at kyungbok college. The results of this study are as follows; 1. The motive of entrance into the department of occupational therapy is affirmative in 54.5% of the students. The occupational therapy students have-very poor information about the Dep. of occupational therapy before entrance into a school. 2. Occupational therapy students chose a subject their own's will 55.8%. Many students adapted department of Occupational therapy(90.9%.) 3. They choose four years for a suitable study.The reasonable class members are about 30~40 person(51.9%). 4. The occupational therapy students attitudes forwards their major study are negative, because they are deficient in a basic knowledge for their major study. The satisfaction rate for the cultural subjects 53.2% students aren't satisfied, because of the formal lecture. 5. The relationship with the professor 58.4% of all is good. 6. Many students hope employment permanently (81.8%). Occupational therapy students wanted to get a job at a General Hospital after graduate school (61.0%).

시각장애아와 정안아의 그림표현에 관한 비교연구

양경희 韓國視覺障碍硏究會 1990 시각장애연구 Vol.6 No.-

일부 남자 중학생의 스트레스 요인과 자아존중감과의 관계

양경희,박복남,이정란 지역사회간호학회 2006 지역사회간호학회지 Vol.17 No.4

A Study on the Relation between Stress Factors and Self-esteem of Male Middle School Students Purpose: This study was to investigate middle school students' stress levels and the relation between their stress factors and self-esteem. Methods: Data were collect from 316 students, and analyzed using SPSS 11.5 for Windows. Results: Students satisfied with their school life were more likely to have less stress from 'study', 'school life' and 'family', and those satisfied with their relationship with the teacher had less stress from 'teacher', 'recreation' and 'school life'. Higher self-esteem was, the lower stress was. Conclusion : It is necessary to provide more supportive environment in school, and to find out ways to reduce students' stress by enhancing self-esteem. In addition, students and their teachers need to be encouraged to build a warm relationship based on trust.

Hemiplegic Motor Behavior Tests의 타당도와 신뢰도에 대한 연구

양경희,안승현,박창식,장용수,조병모,신영일 대한작업치료학회 2007 대한작업치료학회지 Vol.15 No.2

목적 : 본 연구는 뇌졸중 환자의 Hemiplegic Motor Behavior Test(HMBT)에 대한 타당도와 신뢰도를 알아보고자 하였다. 연구방법 : 본 연구를 위하여 국립재활원에 입원한 34명의 뇌졸중 환자를 대상으로 Hemiplegic Motor Behavior Tests(HMBT)가 임상적으로 뇌졸중 환자의 운동기능을 평가하기에 적합한지 알아보고자 하였다. 기준관련 타당도 분석을 이용하여 일상생활동작 수행 정도(Modified Barthel Index: MBI), 기능적 독립 수준(Modified Rankin Scale: MRS)과 상지기능 수행 평가 도구인 Brunnstrom Stage Scale(BSS), Hand Movement Scale(HMS), 자세조절(Postural Assessment Scale for Stroke: PASS-MP/CP), 체간 조절(Trunk Control Test: TCT)과의 피어슨(Pearson correlation)상관관계를 알아보았다. HMBT의 측정자내 신뢰도(Inter-rater reliability)와 측정자간 신뢰도(Intra-rater reliability)를 알아보기 위하여 Kappa계수와 Intraclass Correlation Coefficient(ICC)를 구하였으며, HMBT항목들의 내적 일치도를 알아보기 위하여 Cronbach's alpha coefficient를 구하였다. 결과 : HMBT의 U/E, H/F에 대한 측정자내 신뢰도는 각각 Kappa=.960~.950, ICC=.995~.994이었으며, 측정자간 신뢰도는 Kappa=.959~.918, ICC=.990~.986으로 신뢰도는 높은 것으로 나타났고 내적일치도는 Cronbach's alpha=.931로서 매우 높게 나타났다. HMBT는 MBI(r=.64~.66), MRS(r=-.63~.71), HMS(r=.82), BSS-Arm/Hand(r=.81~.82)와도 높은 상관관계를 보였고 PASS-MP/CP(r=.42~.52), TCT(r=.55~.64)간에 유의한 상관관계가 있는 것으로 나타나 신뢰도와 타당도가 높은 것으로 나타났다. 결론 : 본 연구 결과에서 뇌졸중 환자를 위한 HMBT는 MBI, HMS, BSS, PASS-MP/CP, TCT, MRS에서 유의한 상관관계가 있는 것으로 나타났으며, 높은 타당도와 신뢰도 및 내적 일치도를 보여 뇌졸중 환자의 실제적인 임상 평가도구로 활용이 가능할 것이다. Objective : The purpose of this study was to assess the reliability and validity of a hemiplegic motor behavior test as applied to hemiplegic stroke patients. Methods : The subjects consisted of 34 stroke patients from the Korea National Rehabilitation Center in Seoul. The Hemiplegic Motor Behavior Tests(HMBTs) were divided into three areas(upper extremities, hands and fingers, and lower extremities) on a six-point ordinal scale(stages 1-6). The HMBT/U/E․H/F score was compared with Barthel Index(BI), Hand Movement Scale(HMS), and Brunstrumm Stage Scale (BBS-Arm/hand). and the Postural Assessment Scale for Stroke patients(PASS-MP/CP), Trunk Control Test(TCT), Modified Rankin Scale(MRS) were analyzed using a Pearson product correlation. Intra-rater reliability was measured by comparing the results from the therapists who examined the patients twice. To determine inter-rater reliability, the results of both therapist who observed the patient simultaneously were compared. The intra-rater, inter-rater reliability was measured using the kappa coefficient and intraclass correlation coefficient. The internal consistency of the scale was evaluated using Cronbach's alpha. Results : Intra-rater and Inter-rater reliability were high; kappa values and ICC values for different items ranged from .960 to .950, .995 to .994, and from .918 to .959, .986 to .990, respectively. The internal consistency was excellent (Cronbach's alpha = 0.931). There were significant correlations between the HMBT and MBI (r=.64 to .66), MRS (r=-.63 to -.71), HMS (r=.82), BBS-Arm/hand (r=.81 to .82), PASS-MP/CP (r=.42 to .52), and TCT (r=-.55 to .64). Conclusion : The HMBT is acceptable for the evaluation of motor behavior of stroke patients in clinical practice. These findings provide strong evidence of the predictive value of motor behavior tests on ADL function, independence state, and performance of U/E functionality in stroke patients. A guideline for the treatment and level of quality of motor behavior can be derived from the assessment.