치매노인을 위한 운동프로그램이 보행능력에 미치는 영향

이인실,이근희,김승준,김병조,배성수,Lee, In-Sil,Lee, Keun-Heui,Kim, Seung-Joon,Kim, Byung-Jo,Bae, Sung-Soo 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.3

The purpose of this study is to investigate the effects of the practice exercising and cycling on the gait abilities of dementia elderly patients. Forty forty elderly patients with dementia were participants. Participants were divided into three groups as A, B, and C, Group A was a standard group which had been treated with electric treatment, hot pack, and exercise. The second group B had been treated with cycling added to the treatments of group A. Finally, treatments of group C were arranged by subtraction of exercise from those of group A. The test was a 'timed up and go test' used for measuring the rates of the gait ability through four months. The gait ability of each group was measured after each month. The results of this study are as following: 1. After first month, the averages of changes in gait ability of group C, A and B were -1.69, -1.67, and -1.13 seconds respectively. That means that dementia control was achieved significantly in group A and B (p<0.05)whereas it was not in group C. 2. The averages after two months were -4.00 seconds for group C, -2.60 seconds for group A, and -1.56 seconds for B, respectively. All groups acquired significant effects in treating dementia (p<0.05). 3. After three months, -6.38, -3.00 and -2.31 seconds were average values of group C, A and B respectively. Same as results after two months, there were significant effects in all groups (p<0.05). 4. After four months, the averages of changes in gait ability of three groups were -8.00. -3.93 and -3.00 seconds for group C, A and B respectively. In the all patients treated analysis, treatments showed significant results (p<0.05). 5. Compared with each other through four months. three groups testing the timed up and go test showed more efficient in maintaining gait ability, in order of group B. A, and C

승마 운동이 만성요통환자의 통증 및 체간 유연성에 미치는 영향

이채우 ( Chae Woo Lee ),이인실 ( In Sil Lee ),김현수 ( Hyeon Su Kim ) 대한통합의학회 2013 대한통합의학회지 Vol.1 No.3

Purpose : The purpose of this study was to investigate the effect of horse riding exercise for pain and body flexibility in the patient with chronic low back pain. Method : 26 subjects in H-equestrian were randomly divided two group, ball exercise(BE) group and horse-riding exercise(HE) group. Each group carried out 40 minutes exercise three times a week for 8 weeks. VAS were measured for pain, and evaluation of body flexibility in position with forward and backward. Result : The results were as follows, the pain scales of VAS(visual analog scale) between ball exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). The flexibility scales of body between ball exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). Conclusion : These finding revealed that horse-riding exercise was effective on pain and body flexibility of patient with chronic low back pain so that these exercise can be new altematives exercise for pain and body flexibility in the patient with chronic low back pain.

승마 운동이 여성 노인의 균형능력에 미치는 영향

이채우 ( Chae Woo Lee ),이인실 ( In Sil Lee ),김현수 ( Hyeon Su Kim ) 대한통합의학회 2013 대한통합의학회지 Vol.1 No.2

Purpose : The purpose of this study was to investigate the effect of horse riding exercise for the prevention of falls in the frail woman elderly people. Method : 30 subjects in H-equestrian and N-equestrian were randomly divided two group, aero-step exercise group and horse-riding exercise group. Each group carried out 40 minutes exercise three times a week for 8 weeks. TUG were measured for dynamic balance ability, and sway path of COP movement during standing were measured for evaluation of static balance ability in balance performance monitor(BPM). Result : The results were as follows, the dynamic balance scales of TUG between aero-step exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). The static balance scales of sway path between aero-step exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). Conclusion : These finding revealed that horse-riding exercise was effective on dynamic and static balance abiility of elderly people so that these exercise can be new altematives for the prevention of falls in the frail woman elderly people.

승마 운동이 만성 요통환자의 균형능력에 미치는 영향

이채우 ( Chae Woo Lee ),김현수 ( Hyeon Su Kim ),이인실 ( In Sil Lee ) 대한통합의학회 2014 대한통합의학회지 Vol.2 No.1

Purpose : The purpose of this study was to investigate the effect of horse riding exercise for chronic low back pain patients. Method : 30 subjects in H-equestrian and N-equestrian, K & B hospital were randomly divided two group, instability support surface exercise group and horse-riding exercise group. Each group carried out 40 minutes exercise three times a week for 8 weeks. VAS were measured for sway path of COP movement during standing were measured for evaluation of static balance ability in balance performance monitor(BPM). Result : The results were as follows, scales of VAS between instability support surface exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). The static balance scales of sway path between instability support surface exercise and horse-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). Conclusion : These finding revealed that horse-riding exercise was effective on VAS and static balance abiility of chronic low back pain patient so that these exercise can be new altematives for increase of stability ability in chronic low back pain patients.

소아의 급성 설사에서 Lactobacillus Acidophilus의 치료 효과

한혜정,한혜정,이혜선,이인실,양혜정,Han, Hye Jung,Han, Hye Jung,Lee, Hye Sun,Lee, In Sil,Yang, Hae Joung 대한소아소화기영양학회 2004 Pediatric gastroenterology, hepatology & nutrition Vol.7 No.1

목 적: 급성 설사는 소아가 병원을 찾는 가장 흔하고 중요한 원인 중 하나이며 아직도 소아과 입원 원인 중 흔한 질환이다. 급성 설사를 효과적으로 치료하기 위하여 생균제가 거론되고 있는데 본 연구에서는 영유아를 포함한 소아의 급성 설사에서 생균제의 일종인 L. acidophilus를 투여하여 그 치료 효과에 대하여 알아보고자 하였다. 방 법: 2002년 9월부터 2003년 7월까지 국립 경찰병원 소아과에 설사를 주소로 내원한 3개월에서 5세 미만의 환아 중 하루 3회 이상의 묽은 변이나 물설사가 있었던 41명의 환아를 대상으로 하였다. 이 중 21명을 무작위로 추출하여 치료군으로 설정하고 L. acidophilus를 $0.5{\times}10^8$ colony forming unit (CFU)씩 하루 세 번 경구로 복용하게 하였으며 나머지 20명의 대조군은 위약을 동일한 방법으로 복용하게 하였다. 입원 후 의료진이 매일 설사 횟수를 조사하였고 설사 기간은 의료진에 의해 입원 당시부터 마지막 설사를 한 시점까지로 하였다. 결 과: 총 41명의 환아들이 참여하였고 입원 전의 치료군과 대조군 사이에는 임상소견의 통계적으로 유의한 차이는 없었으며 치료 시작 후 L. acidophilus를 투여한 군에서 설사 횟수의 감소(p=0.01)와 설사 기간이 유의하게 감소(p=0.001)하였다. 본 연구에서는 로타바이러스 양성인 환아에서 설사 기간의 감소에서는 유의한 차이를 보였으나(p=0.027) 설사 횟수는 통계학적으로 유의하게 감소하지 않았다(p=0.169). 로타바이러스 음성인 환아에서 L. acidophilus가 치료군에서 통계적으로 더 의미 있게 설사 기간을 감소시켰고(p=0.002) 설사 횟수 역시 감소함을 보였으나 통계적인 의의는 없었다(p=0.089). 결 론: 급성 설사가 있는 소아에서 L. acidophilus를 투여한 군에서 대조군보다 설사 횟수와 설사 기간이 의미 있게 줄어들어 치료에 도움이 되었고 향후 더 많은 연구가 필요할 것으로 사료된다. Purpose: Acute diarrhea in young children is a major problem in pediatric hospitals worldwide. We evaluated the clinical efficacy of orally administered Lactobacillus acidophilus in the treatment of acute diarrhea in children. Methods: From September 2002 to July 2003 at National Police Hospital 41 children aged 3 months to 5 years with acute diarrhea were enrolled in this study. The patients were randomized to one of two groups to receive either $0.5{\times}10^8$ colony forming unit (CFU) of L. acidophilus or matching placebo on admission and every 8 hours during hospitalization. Results: The mean duration of diarrhea in all 41 children was decreased (p=0.001) in the L. acidophilus (40.5 hours) group compared to the placebo (56.6 hours) group. Stool frequency was also reduced (p=0.01) on the 3rd day in the L. acidophilus group. Rotavirus was identified in 58% of the patients. The decrease of duration of diarrhea was more significant in rotavirus-negative patients (p=0.002) compared to the rotavirus-positive patients (p=0.027). Conclusion: L. acidophilus shows to be an effective therapeutic agent in acute diarrhea in children. Further studies are needed to confirm the present findings.

작업치료과 학생들의 임상 실습 만족도 조사

이인실 ( In Sil Lee ),이윤미 ( Yoon Mi Lee ),장철 ( Chel Jang ) 대한통합의학회 2013 대한통합의학회지 Vol.1 No.1

Purpose : This study was designed to investigate the satisfaction of clinical practice for in the occupational therapy department and to provide the basic materials for improvement the curriculum of clinical practice. Method : This research period was from May 10. 2012 to May 31. 2012. And the subject of was were belonging to occupational therapy department who finished clinical practice. Results :: The research result is as following. As for the satisfaction of the clinical practice, the average point was 3.16 for 5, which was regular satisfaction. The satisfaction of clinical practice content point was 3.47 for 5. In detail, the item of ``clinical practice made us a new experience in relation to curriculum at college`` scored 4.01, the highest. By contrast, the internal conflict during the clinical practice scored 2.63. In detail, the answer "I didn`t feel sorry for failing this training" scored 2.4, which scored lowest. Conclusions :: As the result of this research, students have feel the clinical training is the significant process for being a occupational therapist, and they also have satisfy what they experienced. And we can also tell that some of them have trouble because of the gap between the theory and clinical practice. To improve these problems, students should have confidences by preparing their clinical practice and external voluntary. Furthermore, for better clinical practice, we hope that the study on preparations for clinical practice will continue.

재활승마가 지적 장애 아동의 사회성 향상에 미치는 영향

이인실 ( Lee In Sil ),강옥득 ( Kang Ok Deuk ) 대구대학교 특수교육재활과학연구소 2014 특수교육재활과학연구 Vol.53 No.1

본 연구는 지적 장애 아동들에게 승마운동 프로그램이 사회성 향상에 미치는 영향을 알아보기 위한 목적으로 수행 되었다. 연구 대상자는 지적 장애 진단을 받은 장애아동 45명을 대상으로 재활승마그룹, 승마기기 그룹, 대조군 그룹으로 15명씩 무작위 분류되었으며, 주 2회(회당 30분), 8주 동안 실시하였다. 사회성숙도의 평가척도는 자조(Self-help), 이동(Locomotion), 작업(Occupation), 의사소통(Communication), 자기관리(Self direction), 사회화(Socialization)등 6개 영역으로 프로그램 실시 전과 후에 측정하여 분석되었다. 통계처리는 SPSS win 17.0 프로그램을 이용하여 이원배치 분산분석(Two-way ANOVA)을 실시하였다. 프로그램 실시 후의 결과는 프로그램 실시 전에 비해 대부분의 영역에서 사회적응력 향상에 효과가 있는 것으로 나타났다. 특히, 재활승마 그룹은 자조, 이동의 2개 영역에서 유의한 차이가 있었고(p < 0.01), 작업, 의사소통, 자기관리, 사회화의 4개 영역 모두에서 유의한 결과를 나타냈다(p < 0.001). 이러한 결과는 승마운동프로그램이 지적장애아동의 사회성 향상에 효과적인 것을 의미하는 것이며, 지적장애아동들을 위한 승마프로그램 운영에 도움이 될 것으로 사료된다. The purpose of this study was to examine the effects of Social Maturity Scale for children with intellectual disabilities. The participants of 45 children with intellectual disabilities were assigned randomly into hippotherapy (n =15), horseback-riding machine (n =15) and control (n =15) groups. Three groups were performed with program for 30 minutes, twice a week for 8 weeks. Social Maturity Scale were analyzed for Self-help, Locomotion, Occupation, Communication, Self-direction, and Socialization in three groups before and after treatments. The data collected were analyzed by the SPSS 17.0 Win through the Two-way ANOVA. After 8 weeks, the results was effective on Social Maturity Scale in all groups compared with before. Specially, Self-help and Locomotion of hippotherapy group showed significant differences compared to other groups after intervention (p <0.01). Moreover, Occupation, Communication, Self-direction and Socialization showed significant differences (p < 0.001). These finding suggests that hippotherapy program should be beneficial effectiveness in improving the Social Maturity Scale for children with intellectual disabilities. In addition, the data will help hippotherapy program for the children.

급성 신우신염의 진단을 위한 영상 검사의 유용성

한혜정,김지희,이인실,이혜선,Han, Hye-Jung,Kim, Ji-Hee,Lee, In-Sil,Lee, Hye-Sun 대한소아신장학회 2007 Childhood kidney diseases Vol.11 No.2

Purpose : It is difficult to diagnose acute pyelonephritis(APN) in young children, because of their nonspecific symptoms. The younger the age, the higher the risk of renal scars after APN, which can be prevented by early diagnosis and treatment. We compare the significance of renal imaging studies by age for diagnosis of APN in febrile urinary tract infection(UTI) in children. Methods : Fifty-three hospitalized children(34 patients under age 2 and 19 patients over age 2) with febrile UTI and who had undergone dimercaptosuccinic acid(DMSA) scan, renal ultra sonography(RUS) and voiding cystourethrography(VCUG) during the acute stage were re-viewed. We compared the renal imaging studies between the different age groups. Results : The DMSA scan showed cortical defects in 23.5% of patients under age 2, which was significantly lower than 63.2% of patents over age 2(P<0.05). The renal cortical defects on DMSA scan were associated only with a high peripheral leukocyte count, but not with fever duration, erythrocyte sedimentation rate(ESR), and C-reactive protein(CRP). And there was no correlation between the DMSA scan, VCUG or RUS findings. Conclusions : The DMSA scan is not sensitive for diagnosis of APN in children less than 2 years of age and the findings cannot predict the presence of vesicoureteral reflux(VUR). VCUG may be necessary for proper management in this age group. 목 적 : 소아의 급성 신우신염은 어릴수록 증상이 비특이적이어서 진단이 어렵고 신반흔이 발생할 위험이 높으나, 조기 진단 및 적절한 치료로써 신반흔의 유병률을 줄일 수 있다. 소아의 발열성요로 감염 환아에서 급성 신우신염의 조기 진단을 위한 요로계 영상 검사를 비교함으로써, 연령별 유용성에 대해 살펴보고자 하였다. 방 법 : 발열성 요로 감염으로 진단받고, 급성기에 DMSA 스캔과 신초음파 및 배뇨중 방광 요도조영술을 시행했던 총 53명(2세 미만 34명, 2세 이상 19명)을 대상으로 하여, 두 연령군 사이에 영상검사의 민감도 및 그 연관성을 관찰하였다. 결 과 : DMSA 스캔의 신피질 결손율은 2세 미만에서 23.5%로서, 2세 이상의 63.2%에 비해 유의하게 낮았다(P<0.05). DMSA 스캔의 신피질결손은 말초 혈액 백혈구 증가와 연관이 있을 뿐, 발열 기간, ESR, CRP와는 연관이 없었고, 신초음파 이상소견 및 방광 요관 역류 유무와도 유의한 연관성 이 없었다. 결 론 : 2세 미만에서는 DMSA 스캔의 민감도가 낮아서 급성 신우신염의 진단에 어려움이 있고, DMSA 스캔만으로 방광 요관 역류의 유무를 예측할 수 없으므로 배뇨성 방광 요도 조영술을 함께 시행하는 것이 필요할 것으로 사료된다.

슬관절 전치환술 환자의 슬관절 신전근 및 굴곡근에 대한 등속성운동검사

이근희,이현옥,이인실,서현규,김승준,배성수,Lee, Keun-Heui,Lee, Hyun-Ok,Lee, In-Sil,Seo, Hyun-Kyu,Kim, Seung-Joon,Bae, Sung-Soo 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.3

The twenty one individuals with total knee replacement who were admitted to Kang-Dong Hospital for comprehensive physical therapy were studied in order to demonstrate the effectiveness of an isokinetic test program using the Cybex 6000 machine. The subjects were divided into three groups with the isometric exercise group receiving isometric exercise, the isokinetic eccentric exercise group, and isokinetic concentric exercise group receivind isokinetic exercise(eccentric, concentric) to knee flexors and extensors muscles for a six weeks' period using the Cybex 6000. The results are follow: 1. The extensors were increased significantly at all groups after 6 weeks training(p<.05). The flexors were increased significantly at isokinetic eccentric and isokinetic concentric group but no significantly differences at isometric group(p>.05) 2. At the effect of extensors and flexors after 6 weeks training. higher to 30$^{\circ}$ /sec of isokinetic concentric exercise, lower to 120$^{\circ}$ /sec of isometric exercise. 3. The peak torque was more increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups. 4. The total work was more increased significantly in the flexors and extensors of the isokinetic conccentric exercise among three groups. 5. The ratio of peak torque to body weight were more increased significantly in the flexors and extensors of the isikinetic conccentric exercise among three groups. 6. The average power was more increased significantly in the flexors and extensors of the isikinetic conccentric exercise among three groups. 7. The average R.O.M in the pre-exercise and post-exercise was not different significantly in all three groups. According to the above results, In the muscle strength recovery for total knee replacement patients, isokinetic concentric exercise group was significantly greater than the isokinetic eccentric and isometric exercise groups after a six weeks training.

승마 운동이 직장여성의 비만도에 미치는 영향

이채우 ( Chae Woo Lee ),이인실 ( In Sil Lee ),김현수 ( Hyeon Su Kim ) 대한통합의학회 2013 대한통합의학회지 Vol.1 No.4

Purpose : The purpose of this study was to investigate the effect of horseback riding exercise for BMI(body mass index) and waist circumference in the obese women. Method : 20 subjects in Y-equestrian were randomly divided two group, horseback machine exercise(HME) group and horseback-riding exercise(HRE) group. Each group carried out 30 minutes exercise two times a week for 8 weeks. BMI were measured for body composition, and evaluation of waist circumference. Result : The results were as follows, the BMI(body mass index) between horseback machine exercise and horseback-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). The waist circumference between horseback machine exercise and horseback-riding exercise groups in post-test, were significantly different in measures(p<.05). And there were significant in two group after exercise(p<.05). Conclusion : These finding revealed that horseback-riding exercise was effective on BMI and waist circumrerence of obese women so that these exercise can be new altematives exercise for obesity management in the obese women.