유산소운동이 관상동맥 우회술 환자의 심폐 운동능력에 미치는 영향

윤정호(Jung-ho Youn),정영준(Young-june Jeong) 대한심장호흡물리치료학회 2013 대한심장호흡물리치료학회지 Vol.1 No.1

Purpose : The purpose of this study is to identify effects of aerobic exercise on cardiovascular exercise capacity in patients underwent coronary artery bypass graft. The subjects of this study were patients who underwent coronary artery bypass graft and were referred of exercise-based cardiac rehabilitation program immediately after discharge, divided into the experiment group who participated in exercise-based cardiac rehabilitation program(n=21) and the control group who did not(n=21). The experiment period was between the day of the first exercise loading test since the patients were referred to the cardiac rehabilitation program after discharge and the time after eight-week exercise. During the experiment period, subjects were educated consistent management of risk fact and counseling of the exercise, pulmonary ventilation gas test, graded exercise test, and echocardiography before and after the experiment period, in order to analyze changed heart rate, changes in Rate Pressure Product and Respiratory Exchang Ratio, and cardiopulmonary exercise ability after the experiment. In conclusion, the eight-week, exercise-based cardiac rehabilitation program on cardiovascular exercise capacity in patients underwent coronary artery bypass graft after discharge was significantly effective on reduction in rest heart rate, sub- Rate Pressure Product and sub-Respiratory Exchang Ratio, and enhancement in cardiopulmonary exercise ability

치료면의 질이 편마비환자의 균형에 미치는 효과

정영준,윤정호,김규용,Jeong, Young-June,Youn, Jung-Ho,Kim, Gyu-Yong 대한물리치료과학회 2008 대한물리치료과학회지 Vol.15 No.1

A decrease in the ability to maintain static and dynamic balance after stroke could be related to the inability to select reliable sensory information in producing relative motor action needed to maintain postural stability. The purpose of this study was to compare the effects of two different types of surface conditions on the balancing ability of subjects with stroke. Eighteen hemiparetic subjects were assigned to an experimental and control group participating in a six-week rehabilitative therapeutic exercise program focusing on balance and mobility. Exercises were performed 3 to 5 times per week in a stable surface condition by the control group, and in an unstable surface condition by the experimental group. Pre- and post test assessments involved the measurement of the static balance and dynamic balance, respectively by 7-item Berg Balance Scale-3P and by Pro-3 Balance System. Results showed that under the unstable surface condition, static balance in the experimental group showed more improvement than that of the control group.(Statistically, not very significant.) All the aspects of dynamic balance and mediolateral sway(balance) improved significantly than those of the control group. However, there were no significant differences between two groups. Overall, it can be concluded that under the unstable surface condition, the rehabilitative therapeutic exercise programs are effective in improving the dynamic balance of stroke subjects. The results suggest that the adaptation of the unstable surface in the rehabilitative therapeutic exercises could be effective for the patients with hemiplegia in balance. Further studies are needed to confirm the effectiveness of the unstable surface on improving balance and postural stability of hemiplegics.

심장재활 1단계 프로그램 참여가 관상동맥 우회수술 후 신체적 능력에 미치는 영향

김세윤 ( Se Youn Kim ),오재근 ( Jae Keun Oh ),윤정호 ( Jung Ho Youn ),김영주 ( Young Joo Kim ) 대한스포츠의학회 2012 대한스포츠의학회지 Vol.30 No.2

심혈관질환자에서 심폐운동능력검사의 호흡곤란 종료 사유에 대한 예후적 유용성

김세윤(Se Youn Kim),윤정호(Jung Ho Yoon),홍수인(Su In Hong),고은희(Eun Hee Ko) 대한심장호흡물리치료학회 2021 대한심장호흡물리치료학회지 Vol.9 No.1

Purpose : Exercise capacity has clinical significance in patients with cardiovascular disease (CVD). Cardiopulmonary exercise testing (CPET) can determine maximum oxygen consumption, end-tidal carbon dioxide partial pressure, and minute ventilation/carbon dioxide production slope. In addition, CPET can confirm the cause of dyspnea. Therefore, in this study, we investigated the prognostic significance of the reasons for CPET termination due to dyspnea in patients with CVD. Methods: We conducted a retrospective study by analyzing the results of 243 patients (161 men and 82 women) diagnosed with CVD. We performed one-way analysis of variance to determine the mean difference between groups. For categorical data, chi-square test was performed to examine the differences between the groups. In addition, Kaplan- Meier analysis was used to investigate factors influencing the length of readmission. We considered the results to be significant at p < .05, and SPSSWIN 25.0 program was used for statistical analysis of data. Results : Differences existed between patient characteristics and reasons for CPET termination. However, significant differences were not found in all variables, including age, body mass index, skeletal muscle mass, and body fat percentage (p < 0.5). The reason for termination according to patients’ exercise level was significantly different (p < 0.5). The trend of readmission due to CP ET termination was not s tatistically s ignificant (=.014, df = 1 , p > .05). Conclusion : Dyspnea did not show a significant difference in patient characteristics, but reasons for CPET termination and level of exercise capacity were significant. We did not determine whether a high correlation with dyspnea exists, and the difference between reasons for CPET termination and trend of readmission was not significant.

심부전 환자의 신체적 수행 능력에 따른 도구적 일상생활 수준과 인지 수준의 연관성

김세윤(Se-Youn Kim),정영준(Young-June Jeong),박민영(Min-Young Park),윤정호(Jung-Ho Youn) 대한심장호흡물리치료학회 2022 대한심장호흡물리치료학회지 Vol.10 No.1

Purpose: This study aimed to investigate the level of physical functional ability in patients with heart failure and to suggest the correlation between cognitive level and instrumental daily activity level with physical function ability. Methods: The study included individuals who were diagnosed with heart failure and those who were not diagnosed with stroke. Among 66 patients who were tested for weakness at S Hospital located in Gyeonggi-do from June 2021 to April 2022, data from 56 patients were selected and analyzed. Results: In the correlation between MMSE-K and SPPB, balance (r = .381, p < .01), gait speed (r = .368, p < .01), chair stand (r = .245, p >.05), and total score (r = .387, p < .01) showed a positive correlation except for the chair stand. In the correlation between K-IADL and SPPB, balance (r = −.532, p < .01), gait speed (r = −.644, p < .01), chair stand (r = −.391, p < .01), and total score (r = −.600, p < .01) showed a negative correlation. The higher the simple physical function, the higher the cognitive level and the lower the level of need for help in the level of instrumental daily activities. Conclusion: A correlation was found between the level of physical function and the level of cognitive and instrumental daily activities in patients with heart failure; thus, its evaluation is essential.

보호자에 대한 폐재활 교육프로그램이 폐암 환자의 폐절제술 후 폐기능과 호흡근 근력, 호흡곤란, 통증에 미치는 효과

정종화(Jong-Hwa Jeong),윤정호(Jung-Ho Youn),김호봉(Ho-Bong Kim) 대한심장호흡물리치료학회 2014 대한심장호흡물리치료학회지 Vol.2 No.1

Purpose : The purpose of this study was to evaluate effects of Pulmonary Rehabilitation Education Program for caregivers of patients undergoing lung resection surgery. Methods:Subjects with lung resection using Visual Assisted Thoracotomy(VATs) were consist of control group 19 and experimental group 22. The subjects averaged 60.22±10.89 years in age, 163.01±8.77 cm in height, 61.39±11.35 kg in weight and 23.01±3.34 in BMI. Experimental group received pulmonary rehabilitation education program for caregivers during the control group received usual care for 4 weeks. We assessed subjects at 2 weeks after surgery(baseline) and 6 weeks after surgery(4 weeks). We measured Forced vital capacity (FVC) and Foced expiratory volume in 1 second(FEV1) for the evaluation of pulmonary function, Maximal inspiratory pressure(MIP) and Maximal expiratory pressure(MEP) for the evaluation of respiratory muscular strength, Modified Dyspnea Borg Scale for evaluation of dyspnea, Visual Analogue Scale for evaluation of pain. Results:The pulmonary function(FVC, FEV1) of Experimental group were statistically significantly increased as compared to control group( p <.01). the pulmonary muscular strength(MIP and MEP) of experimental group were shown statistically significantly increased as compared to control group, But not shown statistically significant differences according in relation to the flow of time and group. Both VAS and Modified Borg Scale were shown significant differences at 4 weeks, as compared to baseline, but not shown statistically significant differences according in relation to the flow of time and group. Conclusion:Pulmonary Rehabilitation Education Program for caregiver has positive effects on improving pulmonary function with lung cancer patients after lung resection.

[학생기자단 기사] 알쓸건잡: 우리들의 꿈

심재서(Sim, Jae Seo),윤정호(Youn, Jeong Ho),이언호(Lee, Eonho),정민교(Jung, Min Gyo),차영원(Cha, Young Won),홍성민(Hong, Seong Min) 대한건축학회 2023 建築 Vol.67 No.12

[학생기자단 기사] 비정상회담 : 한국형 메가시티의 양상에 대하여

심재서(Sim, Jae Seo),윤정호(Youn, Jeong Ho),이언호(Lee, Eonho),정민교(Jung, Min Gyo),차영원(Cha, Young Won),홍성민(Hong, Seong Min) 대한건축학회 2024 建築 Vol.68 No.6

입원단계 심장재활 프로그램 참여가 관상동맥 우회 술환자의 재입원과 의료비용에 미치는 영향

홍수인 ( Hong Su In ),최원호 ( Choi Won Ho ),윤정호 ( Youn Jung Ho ) 대구대학교 특수교육재활과학연구소 2014 특수교육재활과학연구 Vol.53 No.4

본 연구는 관상동맥 우회 술을 받은 환자의 입원 단계 심장재활 참여가 재입원 횟수, 기간, 의료비용에 미치는 영향을 규명하기 위해 설계되었다. 대상자들은 심장재활에 참여한 실험군 (n=60명)과 참여하지 않은 대조군(n=51명)으로 나뉘었으며 실험군은 입원단계 심장재활에 참여하여 수술 전, 후에 호흡 운동, 조기 보행, 계단 걷기 활동, 위험요인 관리 교육을 받았다. 그리고 두 군 모두 퇴원 후 2년 동안 실험군과 대조군의 재입원 횟수, 재입원 기간, 의료비용을 추적 조사하였다. 연구 결과 실험군에서 재입원 횟수, 재입원 기간, 의료비용이 유의하게 감소된 것으로 나타났다. 이를 바탕으로 임상에서 관상동맥 우회 술 환자에게 입원단계 심장재활이 재입원 횟수, 재입원 기간, 의료비용 감소를 위한 효과적인 중재 방법들 중 하나로 고려되어질 것으로 사료된다. The purpose of this study was to investigate the effect of inpatient cardiac rehabilitation(CR) program on the number of readmission, length of hospital stay and total medical costs. Subjects randomly assigned to Experimental group(CR, n=60) and control group(Non-CR, n=51). The inpatient CR program was included with breathing exercise, early gait, stair exercise and education about risk factor to preventing recurrent. And we follow up after discharged for 2 years. Our result demonstrated that the Experimental group effectively decreased number of readmission, length of hospital stay and medical cost(<0.05). These mean that Inpatient CR program considered as one of effective interventions to decrease the number of readmission, length of hospital stay and medical costs in patient with coronary artery bypass graft.

Mckenzie 운동 요법이 만성 경부통 환자의 머리ㆍ어깨 자세에 미치는 영향

윤정호,성동진 韓國體育大學校附屬 體育科學硏究所 1998 韓國體育大學校附屬 體育科學硏究所論文集 Vol.17 No.1

The purpose of this study was to examine the influence on head and shoulder posture though their participation of neck exercise by making a significant improvement among the chronic neck pain patients. For this purpose, this study selected womon outpatients who are 25 to 50 years old, visited to orthopeadic surgery of S hospital. The instrument for posture measurement used the Goniometer(AG-4, Germany) and Incliometer(Plurimeter-V, swissland) that was general device ant clinic, recently. Angular measures was taken with goniometer of ?? Spinous Process-Tragus the horizontal and ?? Spinous Process-Ant. acromion process with horizontal at standing. The analysis of this study utilied SPSS+/PC for Mean and SD between sample group. The result of the study were as follows : 1. Head and Shoulder posture of the patient sample showed significant difference having more forward head shoulder posture than non-patient asmple at pre-Tx. 2. Ecercise aming chronic neck pain patients showed separately significant head shoulder posture during intra-means period(p<.01). 3. The width of increase each measurement times in participation exercise group was high than non-participation group.