https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/817 2026-04-04T14:56:44Z https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/89480 Title: The Correlation between Transperineal Shear-Wave Elastography and Transabdominal Ultrasound When Assessing Pelvic Floor Function in Nulliparous Women Authors: Do, Yerim; Lim, Youngeun; Lee, Soohyun; Lee, Haneul Abstract: Pelvic floor muscles (PFMs) play a crucial role in maintaining pelvic organ support and continence. However, pelvic floor dysfunction (PFD), often resulting from insufficient PFM control, poses a substantial global health challenge for women. This study aims to explore the relationship between levator ani muscle elasticity when assessed through transperineal shear-wave elastography (SWE) and bladder base displacement, quantified using transabdominal ultrasonography (TAUS), as a means to comprehensively evaluate PFM function. A total of 42 nulliparous women participated in this study. Participants received instructions on proper PFM contractions using Kegel exercises. Levator ani muscle elasticity was assessed both at rest and during contractions using transperineal SWE, while bladder base displacement was simultaneously measured through TAUS. Repeated measures demonstrated strong intraclass correlation coefficients of 0.906 at rest and 0.687 during contractions for levator ani muscle elasticity. The mean elasticity values were 24.7 +/- 4.5 kPa at rest and 62.1 +/- 10.4 kPa during contractions. Additionally, the mean bladder base displacement was 7.2 +/- 2.5 mm, and the normalized bladder base displacement via body mass index was 0.3 +/- 0.1 mm. Significantly, a moderate correlation was identified between the PFM function, represented by the difference in levator ani elasticity during contractions and resting, and bladder base displacement (r = 0.486, p = 0.001). These findings underscore the potential utility of transperineal SWE as a reliable and noninvasive method to assess levator ani muscle elasticity and, consequently, PFM function. In conclusion, this study sheds light on the interplay between PFM elasticity and bladder base displacement, offering insights into PFM function assessments. The observed correlation suggests the clinical relevance of SWE in providing valuable information for treatment planning in PFD. These findings contribute to a deeper understanding of PFM dynamics, ultimately aiding in the effective management of PFD among women. 2023-09-01T00:00:00Z https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/89361 Title: Can Talocural Mobilization and Muscle Energy Technique Improve Balance and Joint Position Sense in Healthy Adults? Authors: 정민현; 배영숙 Abstract: Background: Proprioception in the ankle joint is important for maintaining balance. There is a correlation between joint position sense (JPS), balance and ankle dorsiflexion range of motion (DF-ROM). Objectives: The purpose of this study was to compare the effects of talocrural joint mobilization (TJM) and muscle energy technique (MET) of plantar flexor muscle (PF) on improving joint position sense (JPS) and static balance. Design: Cross-over randomized trial research. Methods: Sixteen participants (male 10, female 6; 20’s of their age) without ankle instability were recruited. In a randomized, three conditions, no intervention, talocalcaneal mobilization, and PF-MET were all applied to 16 participants. For TJM, the Kaltenborn grade 3 joint gliding method, in which the talus moves posteriorly perpendicular to the tacrocrural joint plane, were used. In the PF-MET, MET method were applied gastrocnemius muscle and soleus muscle with 25% of 1 Repeat Maximum of each muscle. The all participants performed PF-MET and TJM for 18 minutes. DF-ROM measured the weightbearing lunge test. JPS measured using the active joint angle reproduction test. Static balance was measured displacement of center of pressure parameter. Results: PF-MET and TJM had significant differences in DF-ROM and AP displacements. PF-MET significantly increased at 5° and 15° of plantar flexion and 5° of dorsiflexion, and COP velocity significantly decreased in JPS compared to TJM. Conclusion: PF-MET and TJM are effective in increasing DF-ROM. However, PF-MET has a more positive effect on improving JPS and static balance than on talocrural joint mobilization. 2023-09-01T00:00:00Z https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/89327 Title: 거북목환자에 대한 운동형태 변화가 머리자세위치와 어깨자세에 미치는 영향 Authors: 최원호; 신원 Abstract: 본 연구는 거북목 환자에 대해 기능적 운동 형태 2가지운동(신체운동, 밴드운동)를 적용하여 머리자세위치(CVA)와 어깨자세(SSP)에 미치는 영향을 관찰 하였다. 피험자는 사무직 성인 20명을 대상으로 실시하였으며 각 집단별 무작위로 10명씩 배정하여 운동을 실시하였다. 운동은 10분간 주 4회 4주간 실시하였다. 결과 분석은 SPSS 24.0(SPSS Inc, Chicago, Illinois)프로그램을 이용하여 분석하였으며독립표본 T검정과 집단별 전ㆍ후의 차이를 비교하기 위해 대응표본 T검정을 수행하였으며, 모든 결과의 유의 수준은 p<.05로 설정하고 결과처리 하였다. 첫째, CAV에 대한 운동 적용에서 신체운동집단과 밴드운동집단 그룹에서 집단 간 상호작용 효과는 나타나지 않았다. 그러나 집단별 전-후 시기간에서는 통계적으로 유의한 차이를 보였다. 둘째, SSP에 대한 운동 적용에서도 신체운동집단과 밴드운동집단 그룹에서 집단 간 상호작용 효과는 나타나지 않았다. 그러나 집단별 전-후 시기간에서는 통계적으로 유의한 차이를 보였다. 결과적으로 수치변화로 밴드 운동보다는 신체 운동집단에서 유의한 결과를 도출할 가능성을 보였다. 또한 거북목 환자에 대한 운동적용은 신체운동과 밴드운동 모두 활용가능하며 하나의 운동이 효과적이라기보다는 생활환경에서 올바른 자세와 머리 목 굽힘 운동을 통해 자극을 자주 주는 것이 효과적일 수 있다고 판단된다. 또한 다양한 운동도구의 활용도 필요하지만 자신의 신체를 이용한 운동을 통해 경추 부위를 자극하는 것이 우선 되어야 한다고 판단되며 목 관련 통증 환자에 대한 기초자료로 활용 될 수 있을 것으로판단된다. 2023-09-01T00:00:00Z https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/88762 Title: Effectiveness of an Integrated Mobile Application for Lifestyle Modifications in Overweight Women with Polycystic Ovarian Syndrome: A Randomized Controlled Trial Authors: Lee, Haneul; Lee, Seon-Heui Abstract: Polycystic ovary syndrome (PCOS) is a common endocrine disorder in women, characterized by hormonal imbalances and metabolic disturbances. Lifestyle modifications, including weight loss, are crucial for the management of PCOS symptoms. Mobile applications have emerged as promising tools to support lifestyle modifications. This study aimed to evaluate the effectiveness of a 12-week integrated lifestyle modification program, which used a mobile application, among overweight women with PCOS. A randomized controlled trial was conducted with 28 participants, who were assigned to either treatment group, which received a 12-week lifestyle modification program facilitated by a mobile application, or the control group, who were instructed to maintain their usual lifestyle and received an evidence-based leaflet containing information on PCOS. The primary outcome measure was a change in weight over 12 weeks. Insulin resistance, levels of sex hormones, hirsutism, acne, and depressive symptoms were measured as secondary outcomes. The results showed significant weight loss in the treatment group compared to the control group (3.19 vs. 0.79 kg; p < 0.05). Similarly, significant improvements were observed across time in postprandial insulin levels (22.25 vs. 9.29 & mu;IU/mL), hirsutism (2.98 vs. -0.16 points), and depression (7.73 vs. 1.7 points) (p < 0.05) between the two groups. This study highlights the potential benefits of using a mobile application to support lifestyle modifications, including weight loss and improvement in depressive symptoms, in overweight women with PCOS. Further research is needed to explore the long-term effects and incorporation of advanced technologies to enhance PCOS management outcomes. Mobile applications for lifestyle modifications offer a promising avenue for addressing the unique challenges faced by women with PCOS and provide accessible and personalized support for their health needs. 2023-07-01T00:00:00Z