• Journal of the Korean Society of Physical Medicine
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• v.5 no.4
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• pp.569-576
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• 2010

Purpose : This study was aimed at determining the effects of community-based exercise program to improve leg muscle strength and balance for elderly women. Methods : This study was nonequivalent control group pre-post test design. Subjects were assigned to two different groups(exercise group=11, control group=7). Exercise group performed community-based exercise program for 8 weeks. Outcome measures included leg muscle strength, balance, walking velocity, activities of daily living(ADL), exercise self-efficacy and health-related quality of life(QoL). The collected data analyzed by independent t-test and paired t-test. Results : Leg muscle strength, walking velocity and mental component summary(QoL) were significantly improved in the exercise group. But balance and exercise self-efficacy were significantly worsened in the control group. There were no significant difference between groups after 8 weeks of community-based exercise. Conclusion : These results suggested that the community-based exercise program is effective for elderly women in improving leg muscle strength, walking velocity and mental component summary(QoL).

• Physical Therapy Korea
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• v.12 no.4
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• pp.1-6
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• 2005

Community-based group exercise programs for people with chronic stroke are relatively uncommon in Korea. In addition, it is currently not known whether a community-based group exercise program is effective or not. The purpose of this study was to evaluate an 8 week community-based functional exercise program for its effects on balance performance and occupational performance in persons with chronic stroke. Twenty-five community-dwelling individuals with stroke participated in this program. Outcome of the program was assessed by the Berg Balance Scale and the Canadian Occupational Performance Measure (COPM). The functional exercise program lasted for eight weeks, with a 1-hour program twice per week and it consisted of mobility, stability, balance, functional strength, and gait training. The subjects were trained by one physical therapist but were under one-to-one supervision from students. The data of sixteen individuals who scored more than 24 on the Mini-Mental State Examination (MMSE) were analyzed. There was a significant effect both in terms of the COPM Performance Score & the Satisfaction Score (p=.002) and with the Berg Balance Score (p=.001). It was found that a short-term community-based exercise program could improve both performance of activities and balance. Further, all subjects reported that they were satisfied with this program.

• PNF and Movement
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• v.3 no.1
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• pp.1-15
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• 2005

Objective : The purpose of this study was to evaluate the influence of a community based group exercise intervention on motor functional capacity. To evaluate the immediate(post-treatment) effects after 6-weeks exercise program on the group exercise intervention(PNF and Circuit exercise). Methods : Subjects-Included persons with stroke who were living in the community. Thirty-seven subjects were randomly assigned to the PNF, Circuit exercise and control group participated in a repeated measures design that evaluated the subjects with pre-treatment, post-treatment(6 weeks). Functional ability outcome measures assessed the motor assessment scale(MAS) and EMG. Both treatment groups participated in exercise cJass three times a week for 6 weeks. Group programs focused on balance, functional motor capacity and walking ability. The PNF program was modified PNF pattem and techniques with emphasis on functional tasks when possible, as well as stretching of the more affected limb particularly in the more affected shoulder. The Circuit program with subjects completing practice at a selies of work station as well as participating in walking races and relay with other members of the group. Results : Compared with the control group, the treatment group had larger improvements in the motor function ability after 6 weeks treatment and Post-treatment test scores were more significant than the pre-treatment score. 1. Motor function were assessed by using MAS, sit to stand, walking and upper function were assessed pre-treatment versus post-treatment measures revealed a statically significant(p<.05). There were significant differences between the groups. Compared with the control group, the treatment group had larger improvements. 2. In the treatment groups, demonstrated difference in the electromyographic activation of biceps, triceps, quadriceps and tibialis anterior muscles on the paretic side in the response to the reaching arm movement and stepping motion in stance. The difference in muscle activation improvement were not statically significant. Conclusion : The results of this study showed that the PNF and Circuit group exercise intervention can improve motor functional ability. This study suggests that the PNF and Circuit exercise programs is appropriate for community-based group exercise principles. It leads to gain and maintain potential function for disabled persons after stroke in the community.

• Physical Therapy Korea
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• v.15 no.3
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• pp.17-25
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• 2008

This study aimed to evaluate the effect of a weekly circuit-group exercise program on functional performance, flexibility of the trunk and lower extremities, and balance in individuals with chronic stroke who are living in a community. Thirteen community-living individuals (eleven males and two females) with chronic stroke participated in this study. The group exercise program was set up as a weekly circuit application with four stations aiming to strengthen the muscles, increase endurance, improve flexibility, and enhance functional capacity. The average duration of a session was an hour, and the sessions were conducted once a week for six months for a total of 24 sessions. Assessments for functional performance, flexibility of the trunk and lower extremities and balance were conducted four times: before treatment, after one month of treatment, after four months of treatment, and after six months of treatment. There were significant improvements in functional performance and flexibility of the trunk and lower extremities in the given time frame. No significant improvement was observed in balance ability. The findings suggest that a weekly circuit-group exercise program has some benefits in terms of managing the physical symptoms of individuals with mobility problems after stroke. Therefore, this program can be adapted and employed as a community-based rehabilitation program for such patients. Further studies with various community-based treatments will be conducted to validate these findings.

• The Korean Journal of Rehabilitation Nursing
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• v.18 no.2
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• pp.153-164
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• 2015

Purpose: This study was conducted to develop a community capacity builded exercise maintenance program for frail elderly women. Methods: As a guideline to develop the exercise maintenance program, the intervention mapping framework, including needs assessment, setting program goals, selecting theory-informed intervention methods, producing program components, planning program implementation and evaluation, was used. Focus group interviews with public health nurses and frail elderly women were conducted for needs assessment. Intervention strategies and components were formulated based on community capacity theory. Results: The developed exercise maintenance program consisted of strategies focusing on leadership development, partnership construction, organization development, community systematization of dimension of community capacity. A exercise maintenance program using health leader, health contract, exercise pocketbook, rhythmic activity suiting song and self-help group was included. Conclusion: The intervention mapping method was found to be useful to develop theory-based valid and community capacity builded exercise maintenance strategies for frail elderly women.

• Research in Community and Public Health Nursing
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• v.26 no.1
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• pp.18-30
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• 2015

Purpose: The purpose of this study was to investigate the research methods, types and effects of community health center exercise programs for the elderly. Methods: We established the PICOTS-SD (Participants, Interventions, Comparisons, Outcomes, Timing of outcome measurement, Setting, Study Design), reviewed 583 studies from electronic database of DBpia, KoreaMed, KISS, RISS, NDSL and Pubmed, and finally selected 20 studies based on the inclusion and exclusion criteria. Methodological quality was assessed with the Risk-of-Bias Assessment tool for non-randomized studies. Results: With regard to research methods, the majority of studies on community health center exercise programs for the elderly were performed after 2010 and using non-equivalent control group pretest-posttest research design. As for the types and effects of exercise programs, the exercise period ranged from 6 to 28 weeks, and the most common exercise frequency was three times a week for 60 minutes. In addition, mixed-type and group exercise programs were performed most commonly. Conclusion: The results of this study provide a basis for the development of exercise programs to improve elders' health.

• Journal of muscle and joint health
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• v.24 no.1
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• pp.1-13
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• 2017

Purpose: This study was conducted to explore the experiences of women with osteoarthritis in the community-based aquatic exercise program. Methods: A total of 13 women who lived urban-rural complex areas participated in 8 weeks of aquatic exercise. Data were collected from two focused group interviews of those who signed informed consent. Results: Four categories emerged from the contents analysis: 1) assisting a remedial program (participant-centered education, alleviation of physical symptoms, and relieving stress), 2) Pleasure of being together (group exercise, feeling of pleasure and joy, and strong and confident supporter), 3) burden of participation (economic burden, low accessibility and unaccustomed swimming pool), 4) organizing and activating a self-help group(acquired confidence over exercise, hoping for continue exercise, and Needs of self-help meeting). Conclusion: Aquatic exercise was good for women living urban-rural area as it gave not only reliving arthritic symptoms but also improving social relationships. It is optimal to assist in making of a self-supporting group and continuing activities through it.

• Research in Community and Public Health Nursing
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• v.18 no.4
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• pp.535-542
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• 2007

Purpose: The purpose of this study was to identify the effects of an overweight control exercise program on body composition and blood lipids. Method: This comparative study was conducted at an elementary school in Seoul, Korea. Pre and post body weight, BMI, PBF, and obesity degree as body composition and TC, HDL-C, LDL-C, and TG as blood lipids were tested. The aerobic exercise lasted 12 weeks from April to July, 2006. A total of 168 overweight 3rd grade to 5th grade school children attended and were divided into a walking exercise group (n=68) and a rope jumping exercise group (n=38). Data were analysed using SAS 8.12. Result: At the end of the program, the participation rate was higher in the rope jumping exercise group than in the walking exercise group. Body weight, BMI, PBF, obesity degree, TC, and LDL-C were lower than those before the program, and HDL-C was higher than before the program. Conclusion: The school-based overweight control exercise program was effective. Because of the participation rate was higher in the rope jumping exercise group than in the walking exercise group, rope jumping exercise is recommended for low grade children.

• Research in Community and Public Health Nursing
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• v.19 no.1
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• pp.46-56
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• 2008

Purpose: The purpose of this study was to identify the effects of pelvic floor muscle exercise on reducing the symptoms of stress urinary incontinence and improving attitude toward exercise and quality of life. Method: The research adopted was a nonequivalent control group pretest posttest design. The subjects were 55 persons who were surveyed using a structured questionnaire, and 23 persons in the experimental group among the total sample were measured for the peak pressure and the duration of PMC and trained correct pelvic floor muscle contraction using peritron in the first week. Then, pelvic floor muscle exercise was implemented for 6 weeks. The data was analyzed by $\chi^2$-test and t-test with the SPSS 10.0 program. Results: 1) The degree of stress urinary incontinence, frequency of urination, nocturia, urgency, noctural incontinence, the frequency and quantity of incontinence, outer clothing change and incomplete emptying decreased significantly more in the experimental group than in the control group. 2) Attitude toward pelvic floor muscle exercise and the qualify of life were improved significantly more in the experimental group than in the control group. 3) The peak pressure and duration of PMC increased significantly more in the posttest. Conclusion: Based on the results above, it is judged that pelvic floor muscle exercise is an effective nursing intervention in order to care for stress urinary incontinence.

• Journal of Korean Public Health Nursing
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• v.21 no.1
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• pp.5-14
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• 2007

Purpose: The purpose of this study was to examine the effects of a group walking exercise on body composition, blood lipid profiles and psychological factors. Also this study was to examine the satisfaction of walking exercise and characteristics of the exercise behavior among participants. Method: The subjects, aged 30 to 77 years, were 138 participants in a 24-week, group walking exercise. A walking exercise protocol and education was given to the participants, which was to do walking over three times a week and over thirty minutes each time. We compared the participants' body composition (BMI, PBF, BFM, FFM, WHR and VFA), blood lipid profiles (HDL-C, LDL-C, total cholesterol, triglyceride), exercise self-efficacy and quality of life before and after group walking excercise. Collected data were analyzed through paired t-test using the SAS program. Results: Mean walking frequency was 11.4 times per month and mean walking time was 71.5 min. BMI, PBF, BFM, WHR, and VFA were significantly decreased. FFM increased significantly (p=.0002). There were significant decreased in TC, LDL-C and TG.. Exercise self-efficacy did not increase significantly, but quality of life increased significantly(p=.0088). Conclusion: Community-Based 24 weeks group walking exercise program had positive effects on body composition, blood lipids and quality of life.