Journal of Exercise Rehabilitation最新文献

Children with unilateral cerebral palsy (CP) exhibit abnormal movements due to atypical pelvic movements and weakness of trunk muscles. We investigated the effects of abdominal muscle strengthening and pelvic control exercises on trunk control, abdominal muscle thickness change rate, and pelvic movement in children with unilateral CP. Fourteen children with unilateral CP were randomly divided into two groups, and abdominal muscle strengthening and pelvic control exercises were applied to the experimental group, and general physical therapy was applied to the control group, 30 min per session, twice a week, for a total of 8 weeks, respectively. The trunk control measurement scale (TCMS) was used to measure trunk control, ultrasonography was used to measure abdominal muscle thickness change rate, and a wearable gait analysis system was used to measure pelvic movement. As a result, in the experimental group, TCMS showed a significant increase within the group, and the rotation range of the pelvis significantly decreased within the group on the affected and nonaffected sides. There was a significant difference between the groups in the abdominal muscle thickness change rate of the internal oblique on the affected side. Improving trunk control through abdominal strengthening and pelvic control exercises affected the deep muscles on the affected side and contributed to a reduction in excessive pelvic rotation range. Therefore, abdominal muscle strengthening and pelvic control exercises may be suggested as intervention methods to improve function in unilateral CP.

The purpose of this study was to investigate the effects of weight- and non-weight-bearing exercises on the Basso-Beattie-Bresnahan (BBB) locomotor rating scale, corticospinal axon regrowth and regeneration-related proteins following spinal cord injury (SCI). Twenty-four male Sprague-Dawley rats were randomly divided into four groups: control group (n=6), SCI+sedentary group (SED, n=6), SCI+treadmill exercise group (TREAD, n=6), and SCI+swimming exercise group (SWIM, n=6). All rats in the SCI group were given the rest for 2 weeks after SCI, and then they were allowed to engage in low-intensity exercise for 6 weeks on treadmill device. Motor function (BBB score) was improved more in the SWIM group compared to the SED group at 3 and 6 weeks after SCI. The SWIM group also showed higher levels of axonal outgrowth in corticospinal tract and increased expression of phosphorylated extracellular signal-regulated kinase, a marker of axonal regeneration in the dorsal horn of the caudal region, compared to the TREAD group. Additionally, the SWIM group significantly upregulated the expression of regeneration-related proteins. Our findings suggest that non-weight-bearing exercise may be one of several rehabilitation methods for improving locomotor function and corticospinal axon regeneration after SCI.

User-friendly rehabilitation exercise devices can enhance health and quality of life through the convergence of information communication and medical technology. The development of rehabilitation exercise devices accessible to individuals with disabilities is important. We aimed to investigate the convenience, safety, and effectiveness of the developed rehabilitation exercise device for individuals with disabilities. A usability evaluation of the developed rehabilitation exercise device was conducted with five rehabilitation exercise experts and six athletes with disabilities using a questionnaire, the reliability of the revised questionnaire was r=0.87. Qualitative analysis was conducted using semistructured interviews following the testing of the upper limb rehabilitation exercise device by the two user groups. In the usability evaluation survey of the developed rehabilitation exercise device, the results were very positive, with an overall score of 4.25 out of 5. The highest score was assigned to the convenience of the device, followed by the effectiveness of the exercise and the safety of the device. The developed rehabilitation exercise device allows for three types of strength improvement exercises, including isometric, isokinetic, and isotonic exercises, all within a single device. Given that it is constructed with a wire system, it can be adapted to various exercise methods, depending on the type of disability. The device can be used by both nondisabled and disabled individuals, allowing for various exercise methods. The evaluation results indicate that the proposed device is highly versatile and practical.

We aimed to investigate the effects of 8-week circuit weight training by intensity on blood stress hormones and antioxidant capacity in high-school wrestlers. This study involved 27 male wrestlers with >2 years of wrestling experience who were randomly assigned to either a low intensity (n=13) or a high-intensity circuit weight training group (n=14). The participants performed circuit weight training for 60 min per session, 3 times per week for 8 weeks. The low- and high-intensity circuit weight training exercises were performed at 50%-60% and 70%-80% of one-repetition maximum for 10 stations, respectively, and 8-15 repeated sessions per station were performed in order. No changes were observed in adrenocorticotropic hormone (ACTH), cortisol, epinephrine, and norepinephrine levels between the two training groups. When compared to levels before the training, ACTH and epinephrine levels decreased, whereas cortisol levels increased. However, no difference was observed in norepinephrine levels. Further, no differences were observed in malondialdehyde (MDA) and glutathione peroxidase (GPX) levels between the two groups. However, MDA and GPX levels were increased from those before training. Changes in superoxide dismutase levels were observed between the two groups, but the change was significant only in the high-intensity circuit weight training group. Long-term training did not increase lipid peroxidation, but increased the activity of antioxidant enzymes that defend against oxidative stress. The antioxidant defense system in tissues can be regulated by exercise intensity as well as physical training status.

The purpose of this study is to compare and analyze the relationship between high school students' willingness to participate in a school rope jumping club, their satisfaction with participation, and their satisfaction with school life. To this end, data were collected from 411 male and female high school students participating in a school rope jumping club in Incheon, and the following results were derived through factor analysis, frequency analysis, t-test, one-way analysis of variance, and multiple regression analysis. First, male students showed higher scores than female students in all participation willingness factors. Second, the participation willingness factor partially significantly affected the program, leader, and health satisfaction of participation satisfaction. Third, enjoyment, skill development, and condition significantly affected academic activities and rule compliance, and in the case of peer relationships, sociability and skill development significantly affected. Fourth, in the case of academic activities, program satisfaction, leader satisfaction, and health satisfaction can be explained as having a significant effect, and in the case of rule compliance, program satisfaction and leader satisfaction significantly affected, and in the case of peer relationships, program satisfaction and leader satisfaction significantly affected. In this way, it was revealed that there was an overall significant effect between high school students' desire to participate in the school rope jumping club, participation satisfaction, and school life satisfaction.

The isokinetic interactive line protocol (ILP) appears to enhance neuromuscular function and may reduce posttraumatic stress and anxiety. However, the reliability of the protocol has not been investigated, nor has it been analyzed in relation to psychological states. A total of 165 participants took part in this study, with ages ranging from 21 to 24 years. The gender distribution was 68.4% male and 31.6% female. There was no significant difference in injury duration between males and females (z=-0.922, P=0.357). The intrarater reliability of the ILP, as indicated by the intraclass correlation coefficient, was high for both concentric and eccentric contractions of the quadriceps (ranging from 0.891 to 0.980). Likewise, the interrater reliability for these contractions was also high (range, 0.873-0.943). Additionally, during the ILP, there was a significant reduction in posttraumatic stress (t=9.795, P<0.001) and anxiety (t=5.965, P<0.001) related to knee reinjury after 2 weeks. Ultimately, the isokinetic game ILP demonstrates high intra- and interrater reliabilities and can be concluded to effectively reduce posttraumatic stress and anxiety when incorporated into retesting.

This study systematically reviews the effects of muscle strength exercises on muscle mass and strength in stroke patients by analyzing randomized controlled trials. Ten studies, involving a total of 378 stroke patients, were included in the meta-analysis. The standardized mean difference (SMD) and confidence intervals (CIs) were calculated using a random effects model. The results indicated that strength exercises had a medium effect on increasing muscle strength in stroke patients (SMD, 0.6; 95% CI, 0.47-0.72; I ² =51%; P<0.05). Specifically, strength exercises were found to be particularly effective in chronic stroke patients, showing a medium effect on muscle strength (SMD, 0.68; 95% CI, 0.55-0.81; I ² =45%; P<0.05). The study also compared the effects based on repetition maximum (RM) settings, revealing that strength increased significantly regardless of whether RM was used, with studies showing medium effects (with RM: SMD, 0.52; 95% CI, 0.4-0.64; I ² =0%; P<0.05; without RM: SMD, 0.65; 95% CI, 0.4-0.91; I ² =72%; P<0.05). The study concludes that strength exercises are beneficial for improving muscle strength in chronic stroke patients, but the use of RM to set exercise intensity is not strictly necessary.

In nursing, complementary and alternative therapies (CATs) can be provided alongside, or as alternatives, to conventional medical treatments to maximize therapeutic effects, accelerate rehabilitation, and enhance patient satisfaction. Fostering the correct knowledge and attitudes toward CATs is crucial not only for theoretical development but also for practical application. To gain a comprehensive understanding of recent domestic research trends, this study conducted an integrative review to analyze different types of CAT-related intervention studies in rehabilitation nursing in South Korea. A literature search of relevant databases suggested 14 papers. The review revealed that most studies focused on older adult patients, with manipulative and body-based therapies being the most common CAT interventions, followed by energy therapies, mind-body therapies, and others. The efficacy analysis of the CATs used in the selected studies indicated that their effects varied depending on participant characteristics and outcome measures, even when the same CAT was employed. To advance the field of rehabilitation nursing, effective CATs that are proven to be safe for older adult patients need to be developed and actively utilized. Additionally, specialized nurse training programs and clinical and community-based applications for rehabilitation patients requiring interventions need to be developed.