• 국제물리치료학회지
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• 제11권3호
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• pp.2126-2134
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• 2020

Background: Therapeutic climbing training, which originated in Germany, is a wall-hanging rock climbing-based therapy to increase the body's coordination through movement of the upper and lower limbs against gravity. However, there are no studies examining the effectiveness of therapeutic climbing training to treat balance and gait ability in patients with chronic stroke. Objectives: To investigate therapeutic climbing training program on balance and gait in patients with chronic stroke. Design: Pretest-posttest control group design. Methods: Fourteen patients with chronic hemiplegic stroke participated. Participants were randomized into the therapeutic climbing training group (TCTG, n=7) and the standard rehabilitation program group (SRPG, n=7) group. All subjects participated in the same standard rehabilitation program consisting of 60 minutes 5 times a week for 6 weeks. TCTG participated additionally in the therapeutic climbing program consisting of 30 minutes sessions 3 times a week for the same 6 weeks. Berg balance scale (BBS), Gaitview Measure, Timed up and go test (TUG) were measured. Results: In the TCTG, revealed a statistical difference in BBS between the groups; in the difference of plantar pressure ratio in the static standing position revealed a statistical difference between the groups after training; the balance ability in the one-leg standing tests increased significantly; the time in TUG decreased significantly after training in both groups; The changes in the difference of dynamic plantar pressure ratio were reduced significantly in the TCTG. Conclusion: Therapeutic climbing training contribute to improve balance and walking function in patients with chronic stroke.

• The Journal of Korean Physical Therapy
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• 제26권1호
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• pp.27-32
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• 2014

Purpose: The purpose of the study was to comparison of trunk muscle activity during static standing position and standing position on therapeutic climbing wall of adult. Methods: Study subject is arbitrarily classified into 10 of experimental group and 10 control group among 20 of adult. Trunk activity measured as rectus abdominalis, external oblique, internal oblique, erector spinae. Control group maintains that center of gravity of trunk pass the front of shoulder, pelvis, knee and ankle on stable surface with putting legs apart more than shoulder width. Experimental group had static exercise on 4 by 3 meter, 90 degree of Therapeutic climbing wall. Starting position is that putting arms and legs apart more than shoulder width. In order to compare the effect of it between the groups, independent t-test was used. Results: According to the test result, significant difference between among rectus abdominalis, erector spinae the experimental groups. And external oblique, internal oblique muscle atvity is no significant difference experimental groups between among the control groups was observed. Conclusion: Trunk muscle activation is activated to standing position on the Therapeutic Climbing Wall more than static standing position.

• The Journal of Korean Physical Therapy
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• 제30권3호
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• pp.84-89
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• 2018

Purpose: Therapeutic climbing has become very popular today, with it being reported as a new method for preventing and treating orthopedic trauma to the shoulder joint. However, objective studies on its effects on the musculoskeletal system are still lacking. The objective of the present study was to investigate the effects of wall inclination during therapeutic climbing on the muscle activity around the shoulder joint. Methods: In this study, the participants performed movements at three different inclination angles of $0^{\circ}$, $+15^{\circ}$, and $-15^{\circ}$. sEMG was performed to measure the activities of five different muscles around the shoulder joint (biceps brachii, serratus anterior, upper trapezius, middle trapezius, and lower trapezius muscles). Results: Biceps brachii muscle showed a significant increase at $-15^{\circ}$, as compared to $0^{\circ}$ (p<0.01), and the serratus anterior also showed a significant increase at $-15^{\circ}$, as compared to $0^{\circ}$ (p<0.05). Moreover, the middle and lower trapezius muscles also showed a significant increase at $-15^{\circ}$, as compared to $0^{\circ}$ (p<0.001). Compared to $0^{\circ}$, all muscles showed decreased values at $15^{\circ}$, but the differences were not statistically significant (p>0.05). Conclusion: Therapeutic climbing may be a new therapeutic approach that can increase muscle strength and coordination in the sensory nervous system, since it can be used as a tool that promotes active movement by altering wall inclination and causing the user to generate movements according to the existing situation.

• The Journal of Korean Physical Therapy
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• 제28권2호
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• pp.88-94
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• 2016

Purpose: The purpose of this study was to compare therapeutic climbing exercise and general isometric exercise in patients with shoulder impingement syndrome. Methods: Among 20 adults, study subjects were arbitrarily classified into an experimental group of 10 and a control group of 10. The control group performed general isometric exercise (ISE) and the experimental group performed therapeutic climbing exercise (TC) (3 sets, 3 times per week for 8 weeks). To evaluate the effects of exercise, subjects were evaluated using a Disabilities of the arm, shoulder and hand score (DASH), a goniometer for range of motion, and shoulder activity measured serratus anterior, upper trapezius, and lower trapezius. Independent and paired t-test were used for comparison of the effect between groups. Results: DASH scores showed a significant decrease in both groups after 8 weeks of treatment (p<0.001) and significant difference was observed between the TC groups (p<0.01). Flexion and abduction were significantly increased after 8 weeks of treatment in the ISE group (p<0.001) and flexion, abduction, external and internal rotation were significantly increased after 8 weeks of treatment in the TC group (p<0.001). Serratus anterior and lower trapezius activity were significantly increased after 8 weeks of treatment (p<0.001) and upper trapezius activity was not significantly increased after 8 weeks of treatment in the ISE group (p>0.05). Serratus anterior, lower trapezius, and upper trapezius activity were significantly increased after 8 weeks of treatment in the TC group (p<0.001). Conclusion: Scapular stabilizing exercise using a therapeutic climbing exercise increases range of motion and decreases DASH, and increases activity of shoulder muscles in patients with impingement syndrome.

• 한국산학기술학회논문지
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• 제20권5호
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• pp.292-299
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• 2019

본 연구는 치료적 클라이밍 훈련이 뇌졸중 환자의 상지기능과 삶의 질에 미치는 효과를 알아보고, 임상적으로 중재될 수 있는지에 대한 가능성을 제시하는데 그 목적이 있다. 본 연구는 14 명의 뇌졸중 환자를 대상으로 하였으며, 7명의 치료적 클라이밍 훈련군과 7명의 대조군으로 지정하였다. 실험군은 일반적 물리치료와 작업치료를 시행하였고, 추가적으로 포츠담모델을 이용한 치료적 클라이밍 훈련을 6주 동안 주 3회, 총 30분 씩 훈련을 진행하였다. 대조군은 일반적 물리치료와 작업치료를 적용하였다. 상지기능은 Manual Function Test로 측정하였고, 삶의 질은 Short Form 36-item으로 측정하였다. 측정 결과, 그룹 내 시기에 따라 실험군의 상지기능은 유의한 차이가 있는 것으로 나타났다(p<.05). 삶의 질은 그룹 내 시기에 따라 실험군의 유의한 차이가 있었고, 각 그룹 간의 비교에서는 실험군이 대조군에 비하여 유의한 차이가 있었다(p<.05). 본 연구를 통해 뇌졸중 환자에게 포츠담 모델을 적용한 치료적 클라이밍 훈련이 상지기능과 SF-36점수를 증가시켜 삶의 질에 긍정적인 효과를 가져왔다. 따라서 향후 치료적 클라이밍을 이용한 훈련을 통해 뇌졸중 환자의 재활이나 임상 적용 중재에 있어서 가치가 있음을 확인할 수 있었다.

• 한국산림과학회지
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• 제100권3호
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• pp.327-333
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• 2011

본 연구는 등산객의 건강과 관련된 동기요인과 산림환경이 갖는 유인요인을 도출하고 이들 요인 간의 분석을 통하여 산림휴양공간에 대한 효율적인 관리방안을 제시하는 데 그 목적이 있다. 도봉산, 북한산, 관악산, 청계산을 찾은 등산객 440명에 대해 건강과 관련된 15개의 동기항목 및 11개의 유인항목을 설문조사한 결과, 등산동기요인으로 '질병치료 치유', '정신 사회적 건강', '신체적 건강' 등 3개 요인을, 등산유인요인으로는 '인문환경', '사회경제적 환경', '자연환경' 등 3개 요인을 도출하였다. 요인 간 영향관계 분석결과, 질병치료 치유요인과 신체적 건강요인에 가장 큰 영향을 미치는 유인요인은 자연환경요인으로 나타났으며, 정신 사회적 건강요인에 가장 큰 영향을 미치는 유인요인은 사회경제적 환경요인으로 나타났다.

• 한국산학기술학회논문지
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• 제19권8호
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• pp.254-259
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• 2018

본 연구는 클라이밍 훈련이 정상 성인의 자세정렬과 균형에 미치는 효과를 알아보고, 임상적으로 중재될 수 있는지에 대한 가능성을 제시하는데 그 목적이 있다. 본 연구는 정상 성인 30명을 대상으로 하였으며, 훈련군 15명, 대조군 15명을 무작위 배치하였다. 훈련군은 클라이밍 벽에서 클라이밍 훈련을 6주 동안 주 3회, 총 40분씩 훈련을 진행하였고, 대조군은 아무런 훈련도 하지 않았다. 자세정렬은 포메트릭으로 측정하였고, 균형은 바이오레스큐로 측정하였다. 측정결과, 자세정렬에서 몸통 기울기는 그룹 간 유의한 차이가 있는 것으로 나타났다(p<.05). 균형은 그룹 간 유의한 차이가 있는 것으로 나타났고(p<.05), 시기와 그룹 간 상호작용에서도 유의한 차이가 있는 것으로 나타났다(p<.05). 본 연구를 통해 클라이밍 훈련이 정상성인의 자세정렬에 영향을 미쳐 몸통기울기와 균형에 긍정적인 효과를 가져왔다. 따라서 향후 클라이밍을 이용한 훈련을 통해 일반인과 환자의 재활이나 임상 적용 중재에 있어서 가치가 있음을 확인할 수 있었다.

• Clinical and Experimental Pediatrics
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• 제60권7호
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• pp.232-236
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• 2017

Pulmonary alveolar proteinosis (PAP) is a rare disease in children characterized by intra-alveolar accumulation of surfactant proteins, which severely reduces gaseous exchange. Whole lung lavage (WLL) is the preferred technique for the treatment of severe PAP. Herein, we present a pediatric case of PAP treated with WLL. An 11-year-old boy was admitted with the chief complaint of a dry cough lasting 6 months. He developed symptoms of dyspnea on exertion and had difficulty in climbing stairs. He was ultimately diagnosed with PAP through video-assisted thoracoscopic lung biopsy. As first-line of treatment for PAP, he underwent therapeutic WLL for each of his lungs on separate days. After a brief recovery, his symptoms gradually worsened; therefore, he underwent a second WLL. This is the first pediatric case of PAP relapse despite successful WLL in Korea.

• 셀메드
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• 제5권1호
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• pp.6.1-6.10
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• 2015

Fumaria indica Linn. (Syn: Fumaria parviflora, Fumariaceae) is a wildly grown weed, mentioned and recommended in classical Ayurvedic texts for treatments of variety of ailments including dermatological diseases, topical diseases, cardiovascular complaints, circulatory disease, fever and headache etc. The present pilot study was designed to experimentally verify the possibility that fumarates are the major bioactive principles of Fumaria indica extracts involved in their stress response modulating activities, and to estimate pharmacologicallyactive dose ranges of fumarates and standardized methanolic extract of Fumaria indica (MFI). Effect of single, 5 and 10 daily oral doses of pure fumaric acid (FA), monomethyl fumarate (MMF), dimethyl fumarate (DMF) and MFI was quantified in well validated rodent models viz. apomorphine induced cage climbing, stress induced hyperthermia, and elevated plus-maze tests. Obtained results reveal high efficacy of MFI and pure fumarates possess qualitatively analogous activity profiles in all the three tests. There were no significant difference in the potencies of pure FA, MMF and DMF in the three tests, whereas efficacy of MFI in the elevated plus maze test for anxiolytics was higher than in the other two tests. Efficacies of all the four test agents in all the three tests increased with increasing number of days of oral treatments. Results of these pilot experiments should be helpful for more rational selections of pharmacologically interesting dose ranges and treatment regimens of fumarates and Fumaria indica extracts for further more holistic explorations of their diverse therapeutic potentials.

• 동의신경정신과학회지
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• 제19권2호
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• pp.151-163
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• 2008

Objective : Recent studies indicate that the deposition of beta-amyloid ($A{\beta}$) is related in the pathogenesis of Alzheimer's disease (AD), but the underlying mechanism is still not clear. Method : To investigate the potential cellular functions of APP and LMK02, we use transgenic drosophila as a model was treated with either LMK02, and the effect in APP expression was determined by climbing assay. LMK02 have been shown to be neuroprotective in fly model systems. We asked whether dietary supplementation with LMK02 would influence behavior and AD-like pathology in a transgenic fly model. Result LMK02 water extract have attenuated fly death in vivo. LMK02-treated fly increased percentage of flight ability more longly and survival ratio more than controls. APP-GRIM drosophila treated with LMK02 had significantly less accumulation of APP deposition in the eye and brain as compared to control drosophila. Conclusion : These results suggest that LMK02 prevent APP-induced neurotoxicity through attenuating flies death induced by APP, and may be useful as potential therapeutic agents for AD.