목적 : 본 연구는 대학생의 스마트폰 사용시간에 따라 삶의 균형의 차이가 있는지 알아보고자 하였다. 연구방법 : 대학생 15명을 대상으로 스마트폰 어플 ‘넌 얼마나 쓰니’를 사용하여 2주 동안 스마트폰 사용시간 데이터를 수집하였다. 이후 삶의 균형 척도를 사용하여 전반적 삶의 균형과 하위 균형(건강, 관계, 도전, 정체성)을 측정하였다. 스마트폰 하루 평균 사용시간에 따라 참여자를 두 집단(저사용 집단, 고사용 집단)으로 나누어 집단 간 삶의 균형 척도를 비교하였다. 결과 : 스마트폰 고사용 집단은 저사용 집단에 비하여 낮은 삶의 균형을 나타내었다. 도전 균형 하위척도에서 집단 간 유의미한 차이가 나타났고, 관계 균형과 정체성 균형 하위척도에서는 차이의 경향성이 나타났다. 결론 : 본 연구는 스마트폰 사용시간에 대한 객관적 자료와 삶의 균형에 대한 주관적 인식을 함께 조사하였고, 두 측정치 간의 관계를 제시함으로써 스마트폰 사용에 대한 작업적 함의를 제공한다.

목적 : 본 연구는 가정방문 작업치료 프로그램이 치매 환자의 인지기능과 일상생활수행에 미치는 영향을 알아보고자 하였다. 연구방법 : 대상 문헌은 RISS, KISS, DBpia, Google scholar, Pubmed 데이터베이스를 사용하여 수집하였다. 검색 키워드는 치매. 작업, 방문, (visiting home OR home care program OR home based rehabilitation) AND (occupation therapy OR occupational therapist) AND (dementia)을 사용하였다. 포함기준과 배제기준을 바탕으로 논문을 검토한 결과 총 8편의 논문이 선정되었다. 결과 : 치매 환자에 대한 가정방문 작업치료 중재의 효과는 무작위 대조군 연구 2편에서 유의한 차이를 보이지 못했으며 나머지 6편의 연구에서는 인지기능과 일상생활수행에 유의한 효과를 보였다. 결론 : 본 연구는 가정방문 작업치료 중재가 치매 환자의 일상생활수행과 인지기능에 미치는 효과를 알아보기 위해 체계적 고찰을 진행하였다. 연구결과 클라이언트 중심적인 가정방문 작업치료는 치매 환자의 인지기능과 일상생활 수행에 긍정적인 영향을 줄 수 있다는 결론을 얻었다. 본 연구는 치매 환자에 대한 가정방문 작업치료 중재의 방향성을 제시하고 향후 클라이언트 중심적인 가정방문 작업치료 중재연구를 계획하는 데 있어 기초자료로 활용되기를 기대한다.

목적 : 본 연구는 지역사회에 있는 정신장애인을 대상으로 역할 수행 중재 프로그램 정신작업치료를 제공한 사례를 통해 역할 수행 중재 프로그램의 효과성을 탐색하여 기초 자료를 제시하고자 한다. 연구방법 : 정신질환 진단을 받은 44세 여성을 Role Performance Measure(RPM)로 역할 수행을 평가하였으며, 삶의 만족도는 Satisfaction With Life Scale(SWLS)로 평가하고, 우울증상은 Patient Health Questionnaire-9(PHQ-9)로 평가하였다. 중재기간은 2021년 8월 28일부터 2021년 11월 18일까지이며, 총 6회 동안 진행되었고, 중재는 자기관리자 역할을 위한 요리 활동과 학습자의 역할 수행을 위한 컴퓨터 사용하기 활동을 진행하였다. 결과 : 역할 수행평가와 역할 수행 중재 후 삶의 만족도 평가 점수는 11점에서 32점으로 증가하였으며, 우울수준에 대한 평가 점수는 24점에서 12점으로 감소하였다. 질적 평가결과 활동에 있어 수동적인 태도에서 적극적인 태도로 변화하는 것으로 보였다. 결론 : 본 연구 결과 역할 수행 중재 프로그램이 정신장애인에게 긍정적인 영향을 미치는 것으로 나타났다.

목적 : 본 연구는 조현병과 정신 사회치료에 대한 국내 연구들의 동향을 고찰하여 학술적 시사점을 제공하는데 있다. 연구방법 : 학술논문 50편을 수집하여 R프로그램을 이용한 텍스트 마이닝 (textmining)과 소셜 네트워크 분석(social network analysis)기법으로 분석하였다. 결과 : 연구의 결과는 다음과 같다. 첫째, 수집한 자료를 핵심어 분석하여 위드 클라우드 방식으로 시각화 하였다. 둘째, 키워드 빈도분석 결과 중재. 조현, 연구, 환자, 프로그램. 효과. 사회. 정신, 능력, 기능 등의 키워드가 높은 빈도를 보였다. 셋째, LDA(latent Dirichlet allocation) 토픽 모델링 결과 환자, 대상자, 정신사회 중재, 중재효과 3개 주제어로 분류되었다. 넷째, 소셜 네트워크 분석 결과, 연결 정도, 근접중심성, 매개 중심성 키워드를 도출하였다. 결론 : 조현병, 정신 사회치료 관련 연구들의 동향을 텍스트 마이닝과 소셜 네트워크 분석 방법으로 살펴보고, 그 결과를 시각화를 통해 제시하였고 빅데이터분석으로 조현병, 정신사회 요인을 분석함으로써 새로운 연구방법을 통한 조현병, 정신사회 재활 기초자료를 제공했다는 점에서 의의가 있다.

Objective: This study is a systematic review conducted to analyze the environmental factors that cause falls in the older adult. Design: Systematic review Methods: The study was conducted by searching the Research Information Sharing Service (RISS), Korean studies Information Service System (KISS), and Data Base Periodical Information Academic (DBpia) databases for literature published in South Korea up to July 2020. A total of 12 studies were selected for analysis based on the inclusion and exclusion criteria. Results: The results of the analysis revealed that all the selected literature were surveys and the study subjects were 65 years of age and above. The sample size ranged from a minimum of 95 subjects to a maximum of 3,278. A total of eight tools were used to measure the environmental factors associated with falls. The prevalence and recurrence of falls increase with age and deterioration of health. Older adult individuals who experience falls encounter difficulties in recovering from impaired physical function and disability; moreover, in severe cases, falls may lead to death. Falls are largely associated with a combination of intrinsic and extrinsic (i.e., environmental) factors. The purpose of this study was to assess potential extrinsic risk factors for falls. Falls occur in indoor environments, such as washrooms, bathrooms and living rooms, and outdoor environments, including roads and stairways, depending on the season, time of day, and use of ambulatory aids. In such environments, falls are mainly caused by slipping and stuttering. Conclusions: Therefore, as the rate of fall is influenced by several factors, extrinsic factors should be improved by developing comprehensive accident prevention programs that address the improvement of environmental risk factors around places of residence to reduce risk factors among the older adult, who, especially, are at a high risk for falls.

Objective: Flexed posture commonly increases with age in older adults and is characterized by kyphosis and forward head posture. Changes in the posture with age affect both balance and mobility. This study was conducted to examine the effects of a cervical stabilization exercise for community-dwelling older adults to improve balance. Design: Two groups pretest-posttest design. Methods: Fifty older adults were randomly assigned into the cervical stabilization exercise group (n＝24) and control group (n＝25). The cervical stabilization exercise group (n＝24) participated in group exercise for 60 minutes twice a week over 4 weeks. Timed up and go test (TUG), four square step test (FSST), functional reach test (FRT), postural sway, cervical range of motion (CROM), proprioception, craniovertebral angle (CVA) were evaluated before and after the intervention. Results: TUG, FSST, FRT, CROM, Proprioception, CVA showed significantly greater improvement, compared with a control group (p＜0.05). Conclusions: Findings of this study demonstrate that cervical stabilization exercise can help improve not only neck functional capacities but also balance. Therefore, it may be used as an effective balance exercise program for community-dwelling older adults.

Objective: This study aimed to investigate the effect of adding hip abductor strengthening to conventional rehabilitation on muscle strength and physical function following total knee replacement (TKR) for knee osteoarthritis. Design: Randomized controlled trial Methods: Thirty-five participants were randomly allocated to exercise groups I (n=18) and II (n=17). Group I underwent hip abductor training and conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. Group II underwent conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. The participants in both groups also received continuous passive motion therapy for 15 min per day, 5 days per week for 4 weeks. To investigate the effect of the intervention, the Biodex dynamometer was used to measure the peak torque of both knee extensors and hip abductors. This study used the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS) to assess physical function, as well as the figure-of-8 walk test (F8W) and the stair climb test (SCT). Results: According to the interventions, exercise groups I and II showed significantly improved muscle strength and KOS-ADLS, F8W, and SCT scores (p＜0.001). Compared with that of exercise group II, exercise group I showed significantly improved hip abductor strength (p＜0.001) and KOS-ADLS, F8W, and SCT scores (p＜0.05). Conclusions: The results of this study indicate that the combination of hip abductor strengthening and conventional rehabilitation is an effective exercise method to increase hip abductor muscle strength and physical function after TKR.

Objective: This study was conducted to verify the effectiveness of a cognitive rehabilitation program consisting of physical exercises and mental activities for patients with chronic stroke with mild cognitive impairment (MCI). We aimed to investigate how this cognitive rehabilitation program affects patients’ cognitive ability, depression, and sleep quality. Design: One group pretest-posttest design Methods: The study was conductedon 12 patients who participated in thecognitive rehabilitation complex exercise program for 16 weeks. The Korean version of the Montreal Cognitive Assessment (MoCA-K), Hamilton Depression Rating Scale (K-HDRS), and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the measured variables before and after study participation. The cognitive rehabilitation complex exercise program included 30 minutes of cognitive exercise and 30 minutes of Brill Exercise. The Wilcoxon signed-rank test was used to compare the variables before and after program participation. Cronbach s ɑ was used to assess the reliability of the test variables. Results: The post-program assessment showed a statistically significant increase in the MoCA-K score, which measures cognitive function (Z=－2.628, P=0.009). For depression ratings, there was a statistically significant decrease in the K-HDRS score (Z=－2.041, P=0.041). For sleep quality, although there was a numerical increase in the PSQI score, the difference was not statistically significant (Z=－0.702, P=0.483). The reliability test confirmed that all the individual test variables exhibited high reliability (cognitive function, 0.859; depression, 0.872; sleep, 0.822). Conclusions: We found that cognitive rehabilitation program used in this study had a positive effect on the cognitive function and depression in patients with chronic stroke with MCI.

Objective: The purpose of this study was to investigate the effect of visual feedback bicycle training on running performance, maximal oxygen uptake and quadriceps muscle strength. Design: A randomized controlled trial. Methods: Fifteen healthy adult men with no musculoskeletal or nervous system disease and capable of bicycle training were included. After the pretest, subjects were randomly assigned to visual feedback bicycle training group and general fixed bicycle training group. Both groups were trained two times a week for three weeks, each week for a fixed time and number of repetitions, followed by a six week washout period and then crossing the training method. visual feedback bicycle training provides visual feedback of heart rate in real time using a monitor and a heart rate meter during bicycle training, and general fixed bicycle training performed general bicycle training without visual feedback. After training, each item was measured using a wearable technology, gas analyzer, isokinetic equipment. Results: The results of this study was significant differences in running performance, maximal oxygen uptake and quadriceps muscle strength in visual feedback bicycle training group (p＜0.05). The differential effect was found between visual feedback bicycle training group and general fixed bicycle training group in running performance, maximal oxygen uptake, and quadriceps muscle strength (p＜0.05). Conclusions: This study suggested that that visual feedback bicycle training can be applied as a useful training method to improve running performance, maximal oxygen uptake and quadriceps muscle strength.

Objective: Purpose of this study was to compare muscle activity ratio of multifidus to erector spinalis according to various cueing including tactile stimulation to provide an effective strategy to provide verbal and tactile feedback during exercise to provoke multifidus muscle activation. Design: Cross-sectional study. Methods: Participants of this study included 28 healthy adults. Muscle activities of the multifidus and erector spinalis were measured while the participants performed tasks according to the three different methods of verbal cueing and three different tactile stimulation. Surface EMG was used to measure the muscular activity of the muscles during all the tasks. Results: Tactile stimulation to abdomen and lumbar vertebrae showed no significant difference in the muscle activity ratio (p＞0.05). However, muscle activity ratio of the multifidus in relation to the erector spinalis was increased when subjects were given verbal instructions to make lumbar curvature with little force and to make lumbar curvature while pulling navel (p＜0.05). However, it was decreased when they were provided with verbal instruction to make lumbar curvature with strong force (p＜0.05). Conclusions: According to the results, proper verbal instruction was an effective tool to increase the muscular activity of multifidus. This study aimed to find and provide the most appropriate verbal cueing while doing exercises to activate multifidus.

Objective: Post stroke motor recovery is facilitated by the brain reorganization or the neuroplastic changes. The therapeutic approach mentioned in the current case is one of the approaches for enhancing motor recovery by stimulating the damaged neural networks directing the motor behaviour of a person. The aim of the present study was to establish the changes in the balance and gait pattern of an individual through multi target stimulation of areas of cerebral cortex by utilising multichannel trans cranial direct current stimulation (M-tDCS) in a sub-acute stroke survivor. Design: A Case Report Methods: The present patient was the participant of the trial (CTRI/2021/02/031044).The patient was intervened with M-tDCS (anodes over left primary motor cortex that is C3 point and left dorsolateral prefrontal cortex i.e., F3 point and cathodes over supraorbital areas, Intensity －1.2mA) for the duration of 20 minutes along with turbo med extern －an AFO to facilitate ankle dorsi flexion and conventional physiotherapy rehabilitation. The Fugl-Meyer assessment lower extremity (FMA-LE), Berg Balance Scale (BBS), Wisconsin Gait Scale (WGS) and the Stroke Specific Quality of Life (SSQOL) measures were used for outcome assessment. Baseline assessment was done on day 0 followed by assessment on 10 and 20 post intervention. Results: Improvement was seen in all the tools i.e. (FMA -LE), BBS, SSQOL and WGS over the time period of 20 days. Conclusions: M-tDCS resulted in improvement in gait parameters, balance and motor functions of lower extremity of the patient.

Objective: This study attempted to find out if it changes the child s ability to perform daily life activities when visiting the familiar environment and daily living space of children with cerebral palsy and conducting a home activity support program for children and parents. Design: Randomized Controlled Trial Methods: Among 22 children aged 3 to 12 years old, they were assigned to the intervention group and control group. Of these, 12 boys and 10 girls participated in the study. Gross motor function measure and upper extremity function evaluation were used to measure the physical function of children with cerebral palsy, and self-care skills, mobility and social functions were evaluated in the pediatric evaluation of disability inventory. In addition, a parenting sense of competence was used to find out the efficacy of parents in raising children. After the pre-evaluation, basic rehabilitation treatment and intervention programs were applied to the intervention group, and only basic rehabilitation treatment was performed to the control group, and post-evaluation was performed 8 weeks later. Results: As a result of the study, among the items that measured the gross motor function, upper limb function, and daily life performance ability of the intervention group in the difference between the intervention group and the control group, statistically improved in personal processing and movement (p＜0.05). In addition, the parenting sense of competence children in the intervention group was statistically significant (p＜0.05). Conclusions: The home activity support program will help strengthen the ability of cerebral palsy children to perform daily life as a way to set mutually agreed goals with their families or children and achieve them in a familiar environment.

Objective: This study aims to conduct a comprehensive review of monitoring systems to monitor and manage physical function of community-dwelling elderly living alone and suggest future directions of unobtrusive monitoring. Design: Literature review Methods: The importance of health-related monitoring has been emphasized due to the aging population and novel corona virus (COVID-19) outbreak.As the population gets old and because of changes in culture, the number of single-person households among the elderly is expected to continue to increase. Elders are staying home longer and their physical function may decline rapidly,which can be a disturbing factorto successful aging.Therefore, systematic elderly management must be considered. Results: Frequently used technologies to monitor elders at home included red, green, blue (RGB) camera, accelerometer, passive infrared (PIR) sensor, wearable devices, and depth camera. Of them all, considering privacy concerns and easy-to-use features for elders, depth camera possibly can be a technology to be adapted at homes to unobtrusively monitor physical function of elderly living alone.The depth camera has been used to evaluate physical functions during rehabilitation and proven its efficiency. Conclusions: Therefore, physical monitoring system that is unobtrusive should be studied and developed in the future to monitor physical function of community-dwelling elderly living alone for the aging population.

Objective: The purpose of this study was to assess the validity of the global rating of knee function as a measure of participation restrictions experienced during activities of daily living and sports by patients with a history of anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional study. Methods: Forty-three subjects (33 males, 10 females, age＝20.3 ± 1.3 years), at a mean of 31.2 ± 14.4 months following ACLR, participated in this study. During testing, subjects were first asked to provide a global rating of function by assessing their level of knee function on a 0 to 100 scale, with 0 points representing complete loss of function due to their knee injury and 100 points representing their level of function prior to their knee injury. After providing a global rating of function, subjects completed the Knee Outcome Survey (KOS) Activities of Daily Living Scale (ADLS) and Sports Activity Scale (SAS), which served as the measure of participation restrictions in this study. Results: Pearson product correlations revealed moderate relationships between the global rating of function and the ADLS (r＝ 0.66, p＜0.0001) and SAS (r＝0.69, p＜0.0001). Conclusions: The global rating of knee function provides a valid measure of participation restrictions experienced during activities of daily living and sports by patients with a history of ACLR.

Objective: The purpose of this study was to investigate the effect of high-intensity complex exercise program using whole-body vibration (WBV) and respiratory resistance on pain and dysfunction, psychosocial level, balance ability, and pulmonary function in low back pain (LBP) patients with high obesity. Design: A randomized controlled trial Methods: A total of 44 LBP patients withhigh obesity (body mass index, BMI≥30kg/m2) were randomly assigned to an experimental group (n＝22) and a control group (n＝22). Both groups underwent a lumbar stabilization exercise program. In addition, the experimental group implemented the high-intensity complex exercise program combined with WBV and respiratory resistance. In order to compare the effects depending on the intervention methods, numeric pain rating scale (NRPS), Roland-Morris disability questionnaire (RMDQ), fear-avoidance beliefs questionnaire (FABQ), balance ability, and pulmonary function were used for measurement. Results: Both groups showed significant differences in NRPS, RMDQ, FABQ, balance ability before and after intervention (p ＜0.05). In addition, the experimental groupshowed significant difference in the amount of change in RMDQ, balance ability and pulmonary function values than the control group (p＜0.05). Conclusions: High-intensity complex exercise program using WBV and respiratory resistance has been proven to be an effective and clinically useful method to decrease dysfunction, increase balance ablilty, and pulmonary function for LBP patients with high obesity.

Objective: Nonspecific low back pain (NS-LBP) causes pain and disability, affecting the neuromuscular system and altering gait patterns. The purpose of this study is to investigate the effect of improvement of low back pain symptoms through physical therapy on foot pressure and spatiotemporal gait parameters. Design: A pilot study. Methods: Participants received manual therapy and supervised therapeutic exercise, which consisted of 12 sessions for 6 weeks. Participants were assessed for pain intensity (a numeric pain rating scale), disability index (oswestry disability index), and spatiotemporal gait parameters before and after intervention. Wilcoxon signed rank test was used to analyze the before-and-after differences in a single group. Results: All seven NS-LBP patients completed the study without dropout. After six weeks of physical therapy, the numeric pain rating scale and oswestry disability index showed significant improvement (Z＝－2.388, P＝0.017). There was no significant improvement in both static and dynamic conditions in foot pressure (P＞0.05). However, in the spatiotemporal gait parameters, there were significant differences in all variables except the right stance phase and left mid stance (P＜0.05). Conclusions: In our pilot study, 12 sessions of physical therapy in NS-LBP patients improved gait quilty in spatiotemporal gait parameters. Similarly, it has resulted in clinically positive improvements in pain and disability.

Objective: In the present study, to determine the extent of academic stress and pain from sitting for a long time, we will use a questionnaire to examine the effects of non-face-to-face stress and back pain on college students who have conducted non-face-to-face lectures. Design: Survey research Methods: A questionnaire was conducted using Naver foam to identify academic stress, attitude and time to listen to lectures, and the extent of back pain for college students who are experiencing non-face-to-face lectures. Outcome measures include the scale of academic stress (SAS), the Numeric rating scale (NRS), the Oswestry Disability Index (ODI Korea version) was implemented. The difference in academic stress was analyzed by t-test and one-way ANOVA, and the correlation between academic stress and back pain was analyzed using the Spearman correlation coefficient. In order to examine the academic stress, consistency, and stability, the reliability of the academic stress items was measured by examining the reliability with the Cron-Bach alpha coefficient. Allstatistical significance levels were α=0.05. Results: According to the general characteristics of the subject, there were no statistically significant results compared to gender (P＜0.05), but the higher the grade, the higher the stress index, the higher the level of pain. Conclusions: This study confirmed that non-face-to-face lectures caused by COVID-19 have increased academic stress and the resulting increase in back pain in college students.

Objective: The purpose of this study was to determine the effect of the difference in mask filters on the respiration rate of healthy people. Design: A randomized cross-over design. Methods: A total of 15 subjects were selected for this study (n=15). After filling out the Physical Activity Readiness Questionnaire, the selected participants abstained from caffeinated beverages and meals 30 minutes before and sat in a chair 10 minutes before stabilizing their breathing. Afterwards, the lung function test was performed 3 times for each mask, and the maximum value was used. The provided masks were Mask Free, Dental Mask, KF80, and KF94. Exhalation was measured for 6 seconds for each mask, and breathing was stabilized by repeating inhalation and exhalation until the next time. Results: In this study, the difference in respiratory function according to the mask type was statistically significant except for FEV1 and FVC (p<0.05). As a result of post-hoc analysis, FVC, FEV1, PEF, and FEF values were significantly lower than those of the control group not wearing a mask (p<0.05). When wearing KF94, FVC, FEV1, PEF25-25%, and FEF were significantly lower than when wearing a dental mask (p<0.05). When wearing a KF80 mask, it was significantly lower in FVC and FEV1 than when wearing a dental mask (p<0.05). In FEV1/FVC, the difference by mask type was not statistically significant (p<0.05), but it was lower than the spirometry standard of COPD patients (FEV1/FVC<0.7). Conclusions: As Now that wearing a mask is essential, it has been confirmed that the mask affects the respiratory rate.Therefore, in the case of healthy adults, it is recommended to rest after wearing a mask if attention deficit or headache occurs. People with low breathing capacity are recommended to have low-intensity activities and frequent rest periods after wearing a mask.

Objective: This study compared pain, muscle power (MP), muscle thickness (MT), and normalized position of the scapula (POS) between general physical therapy and general physical therapy with strengthening exercises of the lower trapezius in patients with rounded shoulder and chronic neck pain. Design: Randomized controlled trial. Methods: The participants were 30 patients of W hospital in Gangnamgu, Seoul, with rounded shoulders who were diagnosed with chronic neck pain. Rounded shoulder was defined as a distance between the surface and acromion of ＞1 inch in the supine position. The participants were assigned to an experimental group (n＝15) and a control group (n＝15). The experimental group completed four types of strengthening exercises program for 15 minutes, twice weekly, for a total of 5 weeks. Soft tissue mobilization (STM), cervical extension flexion rotation (CEFR), and physical modality were also performed in both groups. Results: The degree of pain was assessed using the numerical rating scale (NRS), MP was measured a handheld dynamometer, MT was measured by ultrasound, and POS was measured using a tapeline. Significant between-group differences were observed in VAS, MP, MP, and POS. Significant changes were observed in the experimental group for VAS, MP, MT, and POS. Conclusions: Based on the results of this study, it was indicated that lower trapezius strengthening exercises performed together with general physical therapy was significantly improved in pain, MP, MT, and POS in patients with rounded shoulder and chronic neck pain compared to when general physical therapy was performed alone.

Objective: For 30 patients with muscular pain around the cervical spine, 15 subjects in the control group who received conservative physical therapy and basic stretching exercises and 15 subjects in the experimental group who received intensive exercise for stretching, strength training, and posture recognition exercise in conservative physical therapy The experiment was conducted under control. Methods: The control group performed large muscle group stretching for 20 minutes after conservative physical therapy, and the experimental group focused on learning to change the movement patterns that make up the imbalance of cervical joints and muscles. Results: sEMG, distance from ground to acromion, and Neck Disability Index were found to have statistically significant differences in both the experimental group and the control group. The amount of change in the experimental group was greater than that of the control group. Conclusion: As a result of this study, learning about exercise therapy and various fused exercise therapy for myalgia patients have all the advantages of muscle activity, posture change, and pain pattern.