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대한통합의학회> 대한통합의학회지> 초등학생의 스마트폰 사용과 체성분, 자세 및 근 속성에 대한 관계 분석

KCI등재

초등학생의 스마트폰 사용과 체성분, 자세 및 근 속성에 대한 관계 분석

Correlation between Smartphone Use, Body Composition, Posture, and Muscle Properties of Elementary School Students

박시은 ( Park Sieun ) , 박수경 ( Park Sookyoung )
  • : 대한통합의학회
  • : 대한통합의학회지 8권3호
  • : 연속간행물
  • : 2020년 09월
  • : 11-20(10pages)
대한통합의학회지

DOI


목차

Ⅰ. 서론
Ⅱ. 연구방법
Ⅲ. 결과
Ⅳ. 고찰
Ⅴ. 결론
참고문헌

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초록 보기

Purpose : The purpose of this study was to determine the correlation between smartphone use, body composition, posture and muscle properties of elementary school students.
Methods : A total of 22 healthy elementary school students in Daejeon, South Korea, participated in this study with informed consent. Smartphone use was evaluated with Smartphone addiction self-report scale (S-scale) for youth. Body composition (BMI, percent body fat, body fat mass, and skeletal muscle mass) was measured using Inbody. To assess posture, forward head posture and round shoulder posture were measured using Dartfish motion analysis. Muscle properties (muscle tone, stiffness, and elasticity) were measured on the upper trapezius, splenius capitis and sternocleidomastoid muscles using Myoton. To investigate the correlation between the main variables, Pearson correlation analysis was performed.
Results : Disturbance of adaptive function, which is one of sub-component of S-scale, had a weak positive correlations with BMI (r=.538, p<.01), and body fat mass (r=.453, p<.05). However, scores of S-scale showed no correlation with posture and muscle properties. The correlation between posture and muscle properties was analyzed, and round shoulder posture revealed a weak positive correlation with respect to stiffness (r=.418, p<.05) and elasticity (r=.502, p<.05) of the sternocleidomastoid muscle.
Conclusion : Scores of S-scale demonstrated a weak correlation with body composition (BMI) among elementary school students, whereas S-scale scores were not correlated with the posture and muscle properties. Further research is needed to identify and focus on potential high-risk user groups of elementary students who are more dependent upon smartphones.

UCI(KEPA)

I410-ECN-0102-2021-500-001396411

간행물정보

  • : 의약학분야  > 기타(의약학)
  • : KCI등재
  • :
  • : 계간
  • : 1975-7654
  • :
  • : 학술지
  • : 연속간행물
  • : 2013-2021
  • : 502


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1Effects of Sensory Integration Therapy with Sibling on Play Level and Time for Children with Disabilities

저자 : Ki-Yeon Chang , Ki-jong Kim

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 3호 발행 연도 : 2021 페이지 : pp. 1-8 (8 pages)

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Purpose : There is a lack of research on this field in the Republic of Korea, especially those that have seen the effect of interaction between siblings through sensory integration therapy (SIT). Therefore, this study sought to find out the effectiveness of SIT with siblings through the Revised Knox Preschool Play Scale (RKPPS) and playtime.
Methods : The experimental group consisted of 10 disabled children, and 10 normal siblings of the disabilities joined the program as a helper. In addition, 10 children with disabilities conducted the intervention as a control group. The difference between the experimental group and the control group is whether they participate with their sibling or not during the intervention period. The present study was conducted a SIT for 40 minutes per week for the experimental and the control group and then had 10 minutes of an interview with the parents of children with disabilities. A total of 10 programs were implemented for 10 weeks.
Results : The experimental group showed statistically significant differences in space management, material management, pretense/symbolic, participation, and total scores. The control group showed significant differences between pre and post results in the participation and the total scores. The experimental group and the control group showed significant differences in the pre-post comparison results. The comparison of post-intervention between both groups of the RKPPS and playtime results showed a statistically significant increase in the experimental group.
Conclusion : The sibling SIT showed better play level and time than the individual therapy. However, comparisons before and after the intervention in the level of play showed significant results only in participation and total scores in the control group. Clinically, it is recommended to make good use of sibling relationships when applying SIT, and if that is not possible, continuous observation is needed that children who received treatment become familiar with the environment in which they can be treated.

KCI등재

2뇌병변 장애 아동의 아동용 전산화 인지재활 프로그램(CoTras-C) 사용 전ㆍ후 비교

저자 : 박소원 ( So-Won Park )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 3호 발행 연도 : 2021 페이지 : pp. 9-18 (10 pages)

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Purpose : In this study, we applied a computerized cognitive rehabilitation program (CoTras-C) for children with cerebral palsy. Research was conducted to investigate the impact of upper limb function, sensory function, and activities of daily living.
Methods : The study period lasted 10 weeks from October 2019 to December 2019. The study subjects were 12 subjects according to the selection criteria, and a computerized cognitive rehabilitation program (CoTras-C) was conducted twice a week for 30 minutes before and after the application of basic occupational therapy.
Results : As a result of the computerized cognitive rehabilitation program, scores of upper limb function (QUEST), sensory function (SSP-2), and daily life activity (WeeFIM) were significantly improved (p>.05). From the result of examining the motor area, improvement in fine-motor function and protective extension through touch pad or controller operation was found. It also showed improvement in activities of daily living including motor and activities of daily living including social cognition. In the sensory function evaluation, it was not significant in movement sensitivity. Significant differences were shown in the items excluding olfactory/taste sensitivity.
Conclusion : The application of the computerized cognitive rehabilitation program (CoTras-C) showed significant results in upper limb function, sensory function, and daily life activities of children with brain lesions. Based on these results, future studies need to generalize the study by expanding the age or population of children with brain lesions, or by expanding the diversity of diseases and environments.

KCI등재

3경상남도 웰니스관광의 염증면역지표, 자율신경균형, 정서, 피로, 스트레스, 삶의 질 및 수면의 질 개선에 미치는 단기효과

저자 : 이새롬 ( Sae-rom Lee ) , 이예리 ( Ye-Li Lee ) , 이상엽 ( Sang-Yeoup Lee )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 3호 발행 연도 : 2021 페이지 : pp. 19-35 (17 pages)

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Purpose : Recently, there has been a growing social interest in aging well. Consequently, wellness tourism has begun to attract attention. However, no studies on whether wellness tourism has any objective health benefits have been carried out yet. In this study, we assess the health benefits as well as the degree of improvement in health of a wellness tourism program.
Methods : The study involved 30 adults over the age of 19 who live in the Gyeongsangnam-do region. Participants were evaluated on health indicator before and after participating in wellness tourism program. Participants took heart rate variability (HRV) test, and LFT, RFT, CBC, FBS HbA1C, and CRP test were conducted before and after the tour. Additionally, a survey was conducted before and after the program, and participant satisfaction was evaluated. Statistical differences in the tests conducted before and after the program were analyzed using a design t-test, a Wilcoxon signed-rank test, and McNemar's test.
Results : The study showed that participants were very satisfied with and had significant health improvements after the wellness tourism program. The program was also found to be beneficial in improving participants' emotions as follows: BDI (p<.001), fatigue recovery (p=.006), stress relief (p=.003), improved quality of life (p<.05), and improved sleep quality (p<.001).
Conclusion : Wellness tourism programs are specifically beneficial for improving participants' emotions (depression, anxiety), fatigue, stress levels, quality of life, and sleep. Therefore, they are beneficial to the overall health. Further research in the future by way of a follow-up study on the long-term effects on health after short-term interventions will provide more validation data.

KCI등재

4경도인지장애 선별검사로서 Montreal Cognitive Assessment-Korea (MoCA-K)의 규준 연구

저자 : 곽호성 ( Ho-Soung Kwak ) , 김선호 ( Sun-ho Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 3호 발행 연도 : 2021 페이지 : pp. 37-45 (9 pages)

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Purpose : This study aimed to present normative data and cut-off points for older Korean adults completing the Montreal Cognitive Assessment - Korean (MoCA-K), which is used as a screening test for mild cognitive impairment in Korea.
Methods : A total of 195 healthy adults ≥60 years were recruited. All participants completed the MoCA-K and the Korean - Mini-Mental State Examination (MMSE-K) to assess their cognitive function. Participants were divided into six groups based on their age: 60-64 years, 65~69 years, 70~74 years, 75~79 years, 80~84 years, and 85~89 years.
Results : The results revealed that MoCA-K score decreased significantly with age (mean score ± standard deviation [SD]; 27.63±2.80 in subjects aged 60~64 years; 27.00±2.39 in subjects aged 65~69 years; 24.94±2.96 in subjects aged 70~74 years; 24.74±3.37 in subjects aged 75~79 years; 22.59±4.72 in subjects aged 80~84 years; and 18.83±5.38 in subjects aged 85~89 years; p<.001). Additionally, MoCA-K score also increased significantly with educational level (mean score±standard deviation [SD]; 19.95±4.78 in no formal education group; 24.95±2.22 in elementary school graduated group; 26.35±2.72 in middle school graduated group; 28.32±1.36 in high school graduated group; and 28.50±1.51 in more than college graduated group; p<.001). The optimal cut-off points were 24/25 for 60~69 years old group, 21/22 for 70~79 years old group, 17/18 for 80~84 years old group, and 13/14 for 85~89 years old group. The optimal cut-off points were 15/16 for individuals who were illiterate, 22/23 for individuals with 6 years of education, 22/24 for individuals with 9 years of education, and 26/27 for individuals with 12 or more years of education.
Conclusions : This study presents normative data and cut-off points for the MoCA-K in older Korean adults. This data will facilitate more accurate detection and follow-up of the risk of mild cognitive impairment in this population, taking into consideration age and education. Future studies are required that should focus on the cut-off score on the level of education according to age.

KCI등재

5천식과 구강건강 및 정신건강과의 관련성

저자 : 윤수연 ( Soo-Yeon Yoon ) , 이경희 ( Kyung-Hee Lee )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 3호 발행 연도 : 2021 페이지 : pp. 47-58 (12 pages)

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Purpose : This study aimed to investigate the association between asthma and oral health and factors influencing asthma in adults. We also investigated whether asthma is related to mental health and physiological factors of blood.
Methods : Data from 12,639 adults was taken from the 7th period (2016~2018) Korea National Health and Nutrition Examination Survey and analyzed using with SPSS 22.0 statistical program. Statistical analysis of data included frequency analysis, cross-analysis, and logistic regression analysis. For continuous data, an independent sample t-test was performed. The statistical significance level was defined as 0.05.
Results : The probability of asthma occurrence was statistically different within general characteristics (gender, age, school grade, income, and drinking). By independent variables in a logistic regression analysis, the asthma diagnosis group had more people with speech discomfort (OR=1.37), chewing discomfort (OR=1.29), and oral pain (OR=.73). We found that people with asthma had a more unfavorable perception of their health (OR=1.73), suffered more depression (OR=.45), stress (OR=.66), and limited activity (OR=2.38). Moreover, the white blood cell count (OR=1.10) and high sensitivity C-reactive protein test (OR=1.06) also showed higher values than the control group.
Conclusion : Our study showed that oral health and mental health were associated with the asthma, and influencing factors were oral health and behavior and mental health-related characteristics. Therefore, it is necessary to understand asthma-related risk factors for oral health and recognize the importance of systematic oral care education and regular dental visits for patients receiving asthma treatment. Thus, this study provides valuable insights on appropriate oral health management and prevention of asthma in patients.

KCI등재

6COVID-19 팬데믹이 대학생의 신체적 활동과 정신적 건강에 미치는 영향

저자 : 김보혜 ( Bo-Hye Kim ) , 이보영 ( Bo-young Lee ) , 이예영 ( Ye-Young Lee ) , 황수진 ( Su-jin Hwang )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 3호 발행 연도 : 2021 페이지 : pp. 59-68 (10 pages)

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Purpose : The purpose of this study was to investigate the lecture method and physical activity level of Korean university students during the COVID-19 pandemic to determine their effect on the students' mental health, self-efficacy, and learning motivation.
Methods : A total of 203 participants (53 male, 150 female) completed the study. An online survey was distributed through a social media platform between March 24 and April 7, 2021. Participants completed the international physical activity questionnaire-short form (IPAQ-SF), COVID-19 stress scale for Korean people (CSSK), the Korean version of the general health questionnaire (KGHQ-30), and self-efficacy and learning motivation scales.
Results : Among the general characteristics of the study subjects, there were statistically significant differences in the IPAQ-SF, CSSK, KGHQ, self-efficacy, and learning motivation measures by sex. There were no significant differences in the degree of IPAQ-SF, CSSK, KGHQ, self-efficacy, and learning motivation among any of the lecture method and university area groups. The level of physical activity corresponded with significant differences in KGHQ, self-efficacy, and learning motivation, excluding CSSK. There was a statistically significant positive correlation between IPAQ and self-efficacy (r=.273, p<.001), IPAQ-SF and learning motivation (r=.201, p<.01), CSSK and KGHQ (r=.271, p<.001), self-efficacy and learning motivation measures (r=.506, p<.001). There was a statistically significant negative correlation between IPAQ-SF and KGHQ (r=-.203, p<.01) and between KGHQ and self-efficacy (r=-.558, p<.001).
Conclusion : CSSK and KGHQ measures were significantly higher in female students than in male students. Therefore, it is important to consider sex as a protective factor in the mental health management of university students in the context of an infectious disease pandemic. The results of this study suggest that university students should continue to engage in physical activities, even during a pandemic, and that it is necessary to prepare health management to improve mental health in such situations.

KCI등재

7계단 운동과 케겔 복합 운동이 최대 자발적 환기량과 안정성의 한계에 미치는 비교 연구

저자 : 박강희 ( Kang-Hui Park ) , 박한규 ( Han-kyu Park )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 3호 발행 연도 : 2021 페이지 : pp. 69-78 (10 pages)

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Purpose : The purpose of this study was to investigate the effect of stair exercise and Kegel combined exercise on the maximum voluntary ventilation (MVV) and limits of stability (LOS).
Methods : 23 female students participated in this experiment. MVV was measured with a spirometer. The LOS was measured with a Biorescue. Subjects were randomly assigned to two groups. 12 subjects were assigned to the experimental group and 11 subjects were assigned to the control group. The experimental group performed 5 minutes of stair exercise and 5 minutes of Kegel exercise. The control group performed 10 minutes of stair exercise. After 5 minutes of exercise, 1 minute of rest was provided. Both groups exercised for 5 minutes according to the metronome beat 130 during the stair exercise. After 5 minutes of rest after exercise, MVV and LOS were measured again in the same way. The measurement sequence was also randomly alternated.
Results : Significant differences were found within and between groups in the experimental group in MVV (p<.05). In LOS, significant differences were confirmed in left, right, forward, backward, and total LOS in the experimental group (p<.05). In the control group, there were significant differences in left, forward, and total LOS (p< .05). However, there was no significant difference between groups (p >.05).
Conclusion : Based on the results of this study, it was confirmed that the stairs and Kegel combined exercise had a positive effect on MVV and LOS. However, in the short term, it was found that the stair and Kegel combined exercise was insufficient in time and the threshold of exercise to show the difference between groups in LOS. Therefore, additional research should be conducted by modifying the limitations of this study.

KCI등재

8구강보건의료기관 종사자들의 유해화학물질 인식, 실천 및 물질안전보건자료 (MSDS) 관리에 영향을 미치는 요인

저자 : 정혜영 ( Hye-young Jung ) , 문원숙 ( Won-Suk Mun ) , 김지영 ( Ji-young Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 3호 발행 연도 : 2021 페이지 : pp. 79-86 (8 pages)

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Purpose : This study was conducted to provide fundamental data to prepare for countermeasure to protect health of workers in the dental clinics from hazardous chemical substance, and to assess effecting factors on management of Material Safety Date Sheet(MSDS) and handling of hazardous chemical substance among workers in dental clinics.
Methods : This study was carried out a survey with structured self-administered questionnaire which was consisted of 7 questions about the management of MSDS, 9 questions about recognition and practice of hazardous chemical substances in dental clinics, and 7 questions about general characteristics. Total subjects of this study were 204 adult who workers in dental clinics located in Busan and Gyeng-nam province area. The collected data were analysed using the SPSS statistical package program (ver. 23.0).
Results : The factor that positively affected factor on recognition and practice of hazardous chemical substances in dental clinics has experience that has been institutional health-care accreditation. The factor that positively affected the management of MSDS has experience that has been institutional health-care accreditation.
Conclusion : It is necessary to prepare countermeasures such as campaign and education on cognition of general chemical substances, and also the author concern that it should be perform the education on handling of hazardous chemical substances in dental clinics for more effecting management of MSDS. In order to improve the management of MSDS and improve the awareness and safety of chemicals, it is necessary to encourage the implementation of the institutional health-care accreditation system or prepare guidelines for the management of MSDS.

KCI등재

9뇌졸중 환자의 다리 기능에 대한 경두개직류자극의 효과: 국내 연구의 메타분석

저자 : 이정우 ( Jeong-woo Lee ) , 임지선 ( Ji-Sun Lim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 3호 발행 연도 : 2021 페이지 : pp. 87-97 (11 pages)

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Purpose : The purpose of this meta-analysis was to evaluate the effects of transcranial direct current stimulation on the lower extremity function of stroke patients.
Methods : Domestic data were gathered from studies that conducted clinical trials associated with transcranial direct current stimulation and its impact on lower extremity function of stroke patients. A total of 592 studies published between 2012 and 2020 were identified, with 7 studies satisfying the inclusion data. The studies consisted of patient, intervention, comparison, and outcome (PICO) data. The search outcomes were items associated with muscle activity, balance, muscle strength and walking ability. Cochrane risk of bias (ROB) was used to evaluate the quality of 3 randomized control trials. The quality of 4 non-randomized control trials was evaluated using risk of bias assessment tool for non-randomized studies (RoBANS). Effect sizes in this study were computed as the corrected standard mean difference (SMD). A random-effect model was used to analyze the effect size because of the high heterogeneity among the studies. Egger's regression and 'trim-and-fill' tests were carried out to analyze the publishing bias.
Results : The following factors had a large total effect size (Hedges's g=2.10, 95 %CI=1.54~2.66) involving transcranial direct current stimulation on stroke patients: muscle activity (Hedges's g=2.38, 95 %CI=1.08~3.68), balance (Hedges's g4=2.41, 95 %CI=1.33~3.60), walking ability (Hedges's g=1.54, 95 %CI=0.49~2.59), and muscle strength (Hedges's g=2.45, 95 % CI: 0.85~4.05). Egger's regression test showed that the publishing bias had statistically significant differences but 'trim-and-fill' test showed that there was still statistical difference.
Conclusion : This study provides evidence for the effectiveness of transcranial direct current stimulation on the lower extremity in terms of muscle activity, balance, walking ability, and muscle strength in stroke patients. However, due to the low quality of studies and high heterogeneity factors, the results of our study should be interpreted cautiously.

KCI등재

10재가노인 방문요양보호사의 낙상관련 대처 경험에 관한 연구

저자 : 임선영 ( Sun-young Lim ) , 박혜선 ( Hye-sun Park ) , 마예원 ( Ryewon Ma )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 9권 3호 발행 연도 : 2021 페이지 : pp. 99-110 (12 pages)

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Purpose: The purpose of this study was to understand the experience and meaning of falls among care workers caring for the elderly.
Methods: The participants comprised 10 care workers in Seoul and Gyeonggi Province, South Korea. The data collection period was from September to November 2020, and the data were obtained through individual in-depth interviews. The collected data were analyzed using the content analysis method of qualitative research. The main interview questions were as follows: First, in the event of a fall, “can you tell us about your experience and how you dealt with the fall?; second, “can you tell us about your role and the role of family members or the center that manages falls that occur outside of nursing visits.”, third, “can you tell us about the difficulties in managing falls based on your experience?”, and fourth, “how are falls that occur during nursing visits managed?”
Results: As a result of analyzing the experiences of nursing care workers of falls while caring for elders in their homes, five main themes were derived. These were understanding the characteristics of the elderly at home, understanding possible emergency situations, providing caring services, minimizing physical harm, and delivering clear information.
Conclusion: A significant finding of this study was that care workers who visit and provide care to elders at home confirmed the need for standard guidelines on appropriate responses in the event of a fall at home and the importance of managing emergencies arising from falls among elders at home. These results highlight the need for the development of emergency response education programs, such as programs on fall care among nurses and care workers who provide care to the elderly, and for enhanced understanding of the fall risk of elders who live at home.

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1다리관절, 다리-팔 이음뼈, 허리뼈의 불균형을 가진 휜다리에 대한 전신조정술 관절중재모형의 교정효과

저자 : 문상은 ( Moon Sangeun )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 3호 발행 연도 : 2020 페이지 : pp. 1-10 (10 pages)

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Purpose : The purpose of this study is to analyze the corrective effect of the general coordinative manipulation (GCM) joint intervention model on distort leg with imbalance of the lower extremity joints, pelvic and shoulder girdles, and lumbar spine.
Methods : The study used a comparative analysis of the size of the distort leg and the imbalance of the lower extremity joints, pelvic and shoulder girdles, and lumbar spine before and after the application of the GCM joint intervention model. A total of 31 subjects from movement center G and the department of physical therapy at university M were selected as research subjects, and they were divided into two groups. The GCM joint intervention model was applied to 18 subjects in the bow knee group and 13 subjects in the knock knee group. The two groups received daily intervention three times a week for four weeks. The corrective effect of the GCM joint intervention model for each type of distort leg was compared and analyzed.
Results : The effects of the GCM joint intervention model in correcting bow knee and knock knee with knee deformation and imbalance of the lower extremity joints, pelvic and shoulder girdles, and lumbar spine were significant in most domains (p<.05). The correlation between the bow knee and knock knee groups showed significance in most domains (p<.05).
Conclusion : The GCM joint intervention model showed significant corrective effect in the bow knee and knock knee groups in terms of knee deformation, lower extremity joints, pelvic and shoulder girdles, and lumbar spine (p<.05).

KCI등재

2초등학생의 스마트폰 사용과 체성분, 자세 및 근 속성에 대한 관계 분석

저자 : 박시은 ( Park Sieun ) , 박수경 ( Park Sookyoung )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 3호 발행 연도 : 2020 페이지 : pp. 11-20 (10 pages)

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Purpose : The purpose of this study was to determine the correlation between smartphone use, body composition, posture and muscle properties of elementary school students.
Methods : A total of 22 healthy elementary school students in Daejeon, South Korea, participated in this study with informed consent. Smartphone use was evaluated with Smartphone addiction self-report scale (S-scale) for youth. Body composition (BMI, percent body fat, body fat mass, and skeletal muscle mass) was measured using Inbody. To assess posture, forward head posture and round shoulder posture were measured using Dartfish motion analysis. Muscle properties (muscle tone, stiffness, and elasticity) were measured on the upper trapezius, splenius capitis and sternocleidomastoid muscles using Myoton. To investigate the correlation between the main variables, Pearson correlation analysis was performed.
Results : Disturbance of adaptive function, which is one of sub-component of S-scale, had a weak positive correlations with BMI (r=.538, p<.01), and body fat mass (r=.453, p<.05). However, scores of S-scale showed no correlation with posture and muscle properties. The correlation between posture and muscle properties was analyzed, and round shoulder posture revealed a weak positive correlation with respect to stiffness (r=.418, p<.05) and elasticity (r=.502, p<.05) of the sternocleidomastoid muscle.
Conclusion : Scores of S-scale demonstrated a weak correlation with body composition (BMI) among elementary school students, whereas S-scale scores were not correlated with the posture and muscle properties. Further research is needed to identify and focus on potential high-risk user groups of elementary students who are more dependent upon smartphones.

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3스텝을 활용한 인지-운동프로그램이 경도인지장애 노인의 인지기능, 보행, 우울에 미치는 효과

저자 : 주은솔 ( Ju Eunsol ) , 방요순 ( Bang Yosoon ) , 오은주 ( Oh Eunju )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 3호 발행 연도 : 2020 페이지 : pp. 21-31 (11 pages)

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Purpose : The purpose of this study was to determine the effects of a cognitive-exercise program using step on the cognitive function, gait, and depression of elderly with mild cognitive impairment.
Methods : The subjects comprised 30 elderly people with mild cognitive impairment who used elderly welfare centers in the provinces A, B, and C between March 21 and June 7, 2019. They were divided into an experimental group (n=15) and a control group (n=15) before undergoing an experiment based on a pretest-posttest control group design. The lowenstein occupational therapy cognitive assessment-geriatric population was used to assess the subjects' cognitive function, while the 4-stage balance test, 30-second chair-stand test, timed up & go test, and functional reach test were employed to evaluate their gait. In addition, the beck depression inventory was used to measure their levels of depression.
Results : The cognitive-exercise program using step enhanced the subjects' cognitive function and gait and reduced their levels of depression. Furthermore, statistically significant differences were found between the experimental group and the control group.
Conclusion : The cognitive-exercise program using step promoted the process of sensorimotor and cognition through the learning process of various steps taking left and right steps and cognitive activities. It improves gait by activating the coordination of the musculoskeletal and nervous systems of the body and positively affecting posture control, balance, flexibility, and lower extremity muscles. It also relieved depression by performing successful step learning and cognitive activities with forward-looking (doing) that leads to pleasure and achievement. The present study confirmed the value of a cognitive-exercise program using step to treat multiple domains of functional decline in elderly patients with mild cognitive impairment. This is therefore proposed as an intervention program for this patient group.

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4VR을 이용한 균형능력 측정장비의 성능평가

저자 : 윤상철 ( Yoon Sangcheol ) , 안호원 ( An Howon ) , 안택원 ( Ahn Taekwon ) , 최해성 ( Choi Haesung ) , 이병권 ( Lee Byoungkwon ) , 서동권 ( Seo Dongkwon ) , 이규환 ( Lee Kyuhwan ) , 정상우 ( Jung Sangwoo ) , 이재훈 ( Yi Jaehoon )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 3호 발행 연도 : 2020 페이지 : pp. 33-41 (9 pages)

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Purpose : Conventional Balance Measurement can only measure the center of gravity and the shaking movement of the body. As a result, it has the disadvantages of not responding to visual changes and blocking functions of variables. This study was carried out to evaluate the performance of new equipment that measures the balance of the body using changes in body segment and pressure using the acceleration sensor to compensate for the disadvantages of the existing equipment.
Methods : To this end, balance ability was measured in 43 healthy male/female adults without orthopedic injuries and nervous system damage in the last 6 months. in a situation where the visual information was restricted by Virtual Reality (VR) gear, all subjects measured and evaluated the balance ability utilizing the new equipment. Balance measurement (Prime Medilab, Korea) and Wii fit (Nintendo, Japan) were used to measure the balance ability of the subjects, and the balance ability test was performed in 4 postures using each device for data acquisition. The test duration for each posture was 30 seconds. For data acquisition, the average value of three experiments measured using each equipment was analyzed, and the statistical test was performed using the independent sample and the corresponding sample t-test, and the significance level was set to α=.05.
Results : As a result of measuring the balance ability using individual equipment, blocking visual information using VR gear, the average speed, maximum speed, and moving area of the COP increased equally. It was found that the obtained absolute size of the result in Wii was somewhat larger than that of BM.
Conclusion : It is considered that in the future research, it is necessary to measure changes in the body's center of gravity through image analysis, etc., to make clear comparison and evaluation of the usability.

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5척추 안정화 운동과 등뼈 가동성 운동이 만성 허리 통증 환자의 호흡 기능에 미치는 영향

저자 : 박선자 ( Park Sunja ) , 김영미 ( Kim Youngmi ) , 한지원 ( Han Jiwon )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 3호 발행 연도 : 2020 페이지 : pp. 43-52 (10 pages)

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Purpose : The aim of this study was to investigate the change of the respiratory function of chronic low back pain patients after the thoracic manipulation and the trunk stability exercise on chronic low back pain patients.
Methods : For this study, the group of the experiment was consisted of 44 patients suffering from the low back pain chronically. The participants were divided into two groups: the control group, which was assigned for core stabilization exercise (CSE), and the experimental group, which was randomly assigned for core stabilization exercise after thoracic manipulation (CSE+TM). Both groups carried out each assigned treatment on three times a week for 8 weeks. To study the change related to measurement variable from each test groups before and after intervention, paired t-test was performed. Further, the statistics for an intergroup comparison was analyzed by covariance analysis, ANCOVA.
The measurement was conducted by the respiratory function, the respiratory function was measured by forced vital capacity (FVC) and forced expiratory volume in one second (FEV1).
Results : As a result, forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) showed significant differences not only by each groups but also between those groups before and after the test.
Conclusion : In conclusion, both experiments, the core stabilization exercise and the core stabilization exercise conducted after thoracic manipulation, on chronic low back pain patients resulted in the significant level of difference in the respiratory function. This result indicates that the thoracic manipulation is an efficient treatment for improving the respiratory function for chronic low back pain patients.

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6NACA 처리에 따른 치주줄기세포 사멸 억제 효과

저자 : 이경희 ( Lee Kyunghee )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 3호 발행 연도 : 2020 페이지 : pp. 53-62 (10 pages)

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Purpose :Periodontal ligament stem cells maintain tissue homeostasis in periodontal ligament. The purpose of this study was to determine the characteristics of periodontal ligament stem cells isolated from premolar teeth and observe protective effects against oxidative damage caused by Triethylene glycol dimethacrylate (TEGDMA) following treatment with N-acetylsysteine amide (NACA) drug known as enzymatic antioxidants.
Methods : Primary periodontal ligament stem cell (PDSC) culture was performed from simply extracted human premolar of orthodontic patients. The characteristics of the primary cultured PDSCs was analyzed using the FACS system. PDSCs was incubated with TEGDMA and NACA. The cell proliferation and survival was determined using WST-1 assay. Collected data were analyzed using SPSS Window 20.
Results : Primary cultured PDSCs grow on the floor and develop rapidly in a cluster form from up to 14 days. The morphology of PDSCs showed the spindle-shaped cells and grew directionally. FACS analysis, In addition, positive expression of visible cells were observed in mesenchymal stem cell biomarkers. PDLSCs cell viability was significantly decreased at high concentration in both 3 and 6 hours after TEGDMA treatment. We observed a decrease in the number of cells as well as a morphological change of PDLSCs. Antioxidative effect was notable since the death of PDLSC death was significantly inhibited compared to the control group at 24 and 48 hours after NACA treatment.
Conclusion : Therefore, based on the results of this study, further research should be encouraged considering the development of clinical treatment methods using various antioxidants as well as regenerative engineering techniques utilizing periodontal ligament stem cells.

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7Differences in Perception of Continuing Education by Academic Background with Physical Therapists

저자 : Kim Kijong , Kim Juhong

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 3호 발행 연도 : 2020 페이지 : pp. 63-69 (7 pages)

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Purpose : Various research studies are needed to raise the perception of the CE of Korean physical therapists. However, there are little studies have been conducted, and relatively few studies are available to read on online. The purpose of the study is to find out the differences in the perception of CE according to the physical therapist's academic background. In this way, this article intends to strengthen the perception of the CE of health-care workers, such as physical therapists and occupational therapists in the Republic of Korea so that contributing to the development of national health.
Methods : Present study showed that 431 out of 563 people who participated in the two meetings of CE conducted by the Gwangju Metropolitan City of the Korea Physical Therapy Association responded in the survey in 2015. Among them, only 238 people were surveyed on the awareness of CE in 2014, excluding 181 questionnaires due to poor responses and 112 questionnaires that did not participate in CE in the previous year. Descriptive analyses were conducted to identify the perception among those who experienced CE, and simple linear regression analysis was performed using dummy variables to identify awareness of the education based on their academic background.
Results : Question 3 (p=.000, R2=.067) was significant in the significance test of the regression equation for perception of the CE (p< .05). Question 1 (p=.687), 2 (p=.066), 4 (p=.430), 5 (p=.085), and 6 (p=.054), 7 (p=.111), 8 (p=.088), 9 (p=.213), 10 (p=.191) and 11 (p=. 169), the regression formula was not significant (p >.05).
Conclusion : Physical therapists had a moderate perception of the need for a CE and had the idea that improvements were required in what was provided in that education. In addition, there was no statistically significant difference, although there was a greater awareness of CE in the Master of Science Course or higher than college or university graduates.

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8키네시오 테이핑이 허리뼈 불안정성을 가진 대상자의 통증감소 및 기능장애 개선에 미치는 효과

저자 : 조효신 ( Cho Hyoshin ) , 원종혁 ( Weon Jonghyuck ) , 이권호 ( Lee Kwonho ) , 차현규 ( Cha Hyungyu )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 3호 발행 연도 : 2020 페이지 : pp. 71-81 (11 pages)

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Purpose : The purpose of this study is to investigate the instant effect of Kinesio taping on pain decrease and improvement of functional disorder of the subjects who have lumbar instability.
Methods : A total of 20 patients (13 men and 7 women) who have lumbar instability were chosen as the subjects. The experiment was conducted by assigning the subjects into Kinesio taping group and placebo taping group. A visual analog scale (VAS) was used to measure back pain and Biering-Sorensen test was applied to measure the muscle endurance of back extensor muscles. A digital dynamometer was used to test the isomeric contraction strength of lumbar extensor muscle. The subject performed single-leg stance and double-leg stance task and their static balancing ability was measured by a testing device that captures the static balancing ability.
Results : In a within-group comparison, Kinesio taping group showed a significant decrease of VAS (p<.05) and a significant increase of endurance and strength of lumbar extensor muscle (p<.05). In Kinesio taping group, the shift distance in anterior-posterior sway and medial-lateral sway during the double-leg stance significantly decrease (p<.05). The shift distance in anterior-posterior sway and medial-lateral sway also significantly decreased during the single-leg stance (p<.05). Placebo taping group showed a significant decrease of visual analog scale (p<.05). In a between-group comparison, Kinesio taping group showed a significantly larger decrease of VAS (p<.05), significant larger increase of muscle endurance and muscle strength (p<.05), and significant larger decrease of anterior-posterior sway in the double-leg stance (p<.05), compared to placebo taping group.
Conclusion : Application of Kinesio taping to the subjects with lumbar instability produced positive effect of reducing pain, increasing muscle strength and endurance, and improving static balancing ability.

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9청소년의 FTO유전자 다형에 따른 3년간 신체구성과 체력의 변화

저자 : 박기준 ( Park Kijun ) , 김준철 ( Kim Junechul )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 3호 발행 연도 : 2020 페이지 : pp. 83-91 (9 pages)

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Purpose : To identify changes and relationships in the fat mass and obesity associated (FTO) gene polymorphism, body composition, and physical fitness from childhood to adolescence over a three-year period spanning elementary school to middle school (2015-2018)
Methods : A total of 84 male student participants were divided into two groups based on FTO genotype: aa+at (group A) and tt (group T) and tracked down. Body composition, cardiovascular endurance, flexibility, muscle strength, power, and other characteristics were measured in the two groups in both 2015 and 2018, respectively, and the changes over the three-year period were analyzed and compared.
Results : Increases in height and weight did not differ significantly between the two groups, but body mass index (BMI) was significantly higher in group A (p=.035). With regard to physical fitness, there was no significant difference in flexibility, but cardiovascular endurance, strength, and power were significantly higher in group T (p<.001, p=.063, and p=.040, respectively).
Conclusion : Group A is more likely to become obese than group T because of their lower level of physical fitness and increased BMI relative to group T. This result supports previous studies showing that group A has a relatively low level of physical activity and a greater tendency to eat fatty foods as compared with group T. Therefore, we suggest that the FTO gene polymorphism should be identified early and that students educated on diet and physical activity to help prevent adult obesity.

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10턱관절장애 유무에 따른 깨물근, 목빗근의 두께 및 근긴장도, 최대 입벌림 범위의 비교 및 상관성 연구

저자 : 이근효 ( Lee Keunhyo ) , 천승철 ( Chon Seungchul )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 8권 3호 발행 연도 : 2020 페이지 : pp. 93-101 (9 pages)

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Purpose : Temporomandibular joint disorder (TMJD) is often accompanied by pain and limited range of motion of the jaw joint, which affect patients' quality of life and result in hypertrophy or hyperactivity of the muscles around the jaw joint. In this study, we compared the muscle thickness and tone of the masseter and sternocleidomastoid (SCM) muscles and the jaw range of motion in individuals with and without TMJD. Correlation comparison was performed on the results of the TMJD group.
Methods : This study included 40 patients; 20 patients were assigned to an experimental group (TMJD group) and 20 to a control group (non-TMJD group). Ultrasonography, myotonometry, and measurements performed with digital Vernier calipers were used to determine the changes in muscle thickness, muscle tone, and maximum jaw opening, respectively. The independent t-test was used for intergroup comparison of data, and Pearson correlation coefficients were used to compare correlations in the TMJD group results.
Results : We observed a significant intergroup difference in the masseter and SCM thickness during the relaxed and clenched phases (p<.05). A significant intergroup difference was also observed in maximum jaw opening (p<.05). With regard to muscle tone, we observed a significant intergroup difference in frequency (p=.011) and stiffness (p=.011) of the masseter, as well as in the frequency (p=.009) and stiffness (p=.026) of the SCM. We observed a moderate negative correlation (r=-.524) between maximum jaw opening and the frequency of the masseter. Additionally, we observed a moderately negative correlation between jaw opening and muscle stiffness (r=-.321).
Conclusion : Planning exercise programs to treat patients with TMJD who present with pain should focus on efforts to reduce muscle thickness and achieve muscle relaxation (to reduce muscle tension) for improved jaw range of motion.

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