• Title/Summary/Keyword: 물리치료실

Search Result 217, Processing Time 0.022 seconds

The Effect of Trunk Stability Exercises on Trunk Control Ability and Daily Living Activities on the Osmotic Demyelination Syndrome of a Patient with Hyponatremia -A Case Study- (체간안정화운동이 저나트륨혈증 환자에게 발생한 삼투성 탈수초 증후군에서 체간조절능력과 일상생활동작에 미치는 영향(단일사례연구))

  • Jung, Du-Kyo
    • PNF and Movement
    • /
    • v.12 no.4
    • /
    • pp.249-258
    • /
    • 2014
  • Purpose: This study examines deficits in upper-extremity function and trunk control ability on the osmotic demyelination syndrome of a patient with Hyponatremia and Hypokalemia. Using a proprioceptive neuromuscular facilitation program, this case report aims to describe the effects of trunk stability exercises on trunk control ability, hand function, and daily living activities as well as its effects on the osmotic demyelination syndrome of a patient with Hyponatremia and Hypokalemia. Methods: The patient is a 47-year-old woman with osmotic demyelination syndrome as well as trunk and upper extremity impairment. She participated in this training intervention for four weeks. Results: The patient demonstrated improvements in trunk control ability, hand function, and performance of ADL. The following outcomes were measured before and after the training program: trunk impairment scale, hand power, Jebsen-Taylor hand function test, the Chedoke arm and hand inventory, and the modified Barthel index. Conclusion: The results suggest that trunk stability exercises in the form of a proprioceptive neuromuscular facilitation program in Hyponatremia and Hypokalemia patients may increase trunk control ability, increase hand function, and improve ADL.

The effect of augmented feedback type on motor learning for hemiplegic adults (보강적 피드백의 형태가 편마비 성인의 운동학습에 미치는 영향)

  • Cho, Hyuk-Shin;Jeong, Wang-Mo
    • PNF and Movement
    • /
    • v.9 no.1
    • /
    • pp.11-19
    • /
    • 2011
  • The purpose of this study was to investigate whether it makes difference to use of the Augmented Feedback Type(Verbal Feedback, VTR Feedback and Verbal & VTR Feedback) to hemiplegic adults on learning of motor skill. For the purpose 15 hemiplegic adults who are received rehabilitation program at H hospital in Hong-Sung, Choong-Nam Province. Subjects were classified into three groups by random assignment; the Verbal Feedback group, the VTR Feedback group and Verbal & VTR Feedback group. Each groups received 5 subjects from hemiplegic adults. Subjects were tested by Timed Up and Go test for 9 weeks. And to find out the improvement measured by Pre-Test, Acquisition Test and Retention Test. To find out the improvement of each group's measures took average and standard deviation. To probate the significance of difference between the improvement conducted the one-way ANOVA and to probate the significance of difference of Acquisition Test and Retention test conducted paired t-test. The results of this study were as follows; First, All of Augmented Feedback Types had a positive effect on hemiplegic adults to learning of motor skill. Second, The Verbal Feedback group and the VTR Feedback group had no significantly difference at Acquisition Test, But They had the most improvement at Retention Test. Third, In hemiplegic adults, the Verbal & VTR Feedback group had the highest Retention Effect.

An Analysis of Intervention Contents in PNF Therapists for the Patient with Stroke (뇌졸중환자를 대상으로 한 PNF 적용 치료사들의 중재 내용 분석)

  • Cho, Hyuk-Shin;Jeong, Wang-Mo;Kang, Tae-Woo
    • PNF and Movement
    • /
    • v.10 no.3
    • /
    • pp.33-38
    • /
    • 2012
  • Purpose : The purpose of this study was to record, analyze and describe in detail, content of PNF intervention for recovery of function after stroke using SPIRIT intervention recording tools. Methods : A convenience sample of 21 physical therapist from a rehabilitation hospital recorded the intervention for 69 patients with stroke who treated during 30 minutes. The content of the treatment sessions was recorded using the Stroke Physiotherapy Intervention Recording Tool(SPIRIT). Descriptive statistics assessed for describe the intervention. Results : A convenience sample of 21 physical therapist from a rehabilitation recorded the interventions for 64 patients with stroke who treated during 30 minutes. The content of the treatment sessions was recorded using the Stroke Physiotherapy Intervention Recording Tool(SPIRIT). Descriptive statistics assessed for describe the interventions accurately and investigate the difference according to time since stroke. Conclusion : Facilitation techniques were the most frequently used intervention(n=1226,35.6%), practice(n=967, 28.0%) and exercise(n-670, 19.4%) in clinical practice of physical therapist. In contrast, Teaching careers and health care professionals to do or assist category is not frequently used intervention(n=5, 0.1%). Therefore, We need to be careful again with category of teaching careers and health care professionals.

Reliability Test for Winged Scapula and Correlation between Winged Scapula and Scapular Stability in Patients with Subacromial Impingement Syndrome (봉우리밑충돌증후군 환자의 날개 어깨뼈 평가에 대한 신뢰도 검사 및 날개 어깨뼈와 어깨뼈 안정성에 대한 상관성 연구)

  • Kim, Young-Hoon;Kim, Tae-Gyu;Kim, Soo-Yong
    • PNF and Movement
    • /
    • v.20 no.3
    • /
    • pp.399-408
    • /
    • 2022
  • Purpose: This study investigated the differences in winged scapula between the symptomatic side and asymptomatic side, the reliability of the winged scapula test, and the correlation between winged scapula and the stability of the scapula in patients with subacromial impingement syndrome. Methods: Twenty-four patients with unilateral subacromial impingement syndrome participated in this study. Winged scapula was compared between the symptomatic and asymptomatic sides using a scapulometer. The reliability of the scapulometer was assessed by calculating the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimal clinically important difference (MCID). The correlation between winged scapula and the results of the upper quarter Y-balance test were also obtained. Conclusion: Winged scapula was significantly greater on the symptomatic side compared with the asymptomatic side (p < 0.05). High to excellent ICCs were obtained for the winged scapula test, and SEM and MCID values were obtained for winged scapula (SEM: 0.2-0.3 cm, MCID: 0.6-0.8 cm); however, winged scapula and the results of the upper quarter Y-balance test were not correlated. Conclusion: The scapulometer is useful for measuring winged scapula in patients with subacromial impingement syndrome.

Immediate Effect of the Proprioceptive Spiral Taping Method on Changes in Muscle Stiffness (고유수용성감각 촉진을 위한 나선형 테이핑 방법이 근육 경도 변화에 미치는 즉각적인 효과)

  • Yang, Jae-Man
    • PNF and Movement
    • /
    • v.20 no.3
    • /
    • pp.321-329
    • /
    • 2022
  • Purpose: The purpose of this study was to compare the immediate effect on the change in muscle stiffness in the common extensor muscle (CEM) when using the spiral taping method to promote proprioception. Methods: There were 18 participants in this study. CEM stiffness was measured using a MyotonePRO device with the subject in a sitting position and according to the proprioceptive neuromuscular facilitation (PNF) arm pattern. Elastic tape was used as the material for the three taping methods employed in the study: kinesiotaping (KT), right spiral taping (RST), and left spiral taping (LST). The taping methods were applied to the wrist extensor muscle with elongation position. Additionally, when performing PNF arm patterns, spiral taping in diagonal and spiral directions was used to promote CEM proprioceptors. The change in CEM stiffness was compared with the initial data values. Results: The results of this study were obtained by comparing and measuring changes in CEM stiffness using three different tapings. It was found that the stiffness change of the CEM was significant compared to the initial value, and the increase in stiffness of the CEM after RST application was also significant. Conclusion: The results of this study show that by affecting the strength and activation of the extensor muscle, taping performed through the RST method had the most positive effect on the change in CEM stiffness.

Effect of Obstacle Walking Training Combined with Cognitive Tasks on Balance, Gait, and Activities of Daily Living in Patients with Stroke: A Single Case Study (인지과제를 결합한 장애물 보행훈련이 뇌졸중 환자의 균형과 보행능력 및 일상생활동작에 미치는 효과 -단일사례연구-)

  • Min-Jeong Song;Beom-Ryong Kim
    • PNF and Movement
    • /
    • v.21 no.1
    • /
    • pp.11-18
    • /
    • 2023
  • Purpose: This study aims to compare the effects of obstacle walking training combined with cognitive tasks on balance, gait, and activities of daily living in patients with stroke. Methods: A single-subject design was used, where one stroke patient participated. Obstacle walking training combined with cognitive tasks was performed for 1 hour per day for a total of 10 times during the intervention phase. The subjects were measured five times in the baseline phase, 10 times in the intervention phase, and five times in the follow-up phase. The outcome measurements included the Berg balance scale (BBS), the 10-meter walk test (10 MWT), and the Korean modified Barthel index (K-MBI). Results: In this study, the results showed that the 10 MWT scores during the intervention period improved and that this improvement remained, even during the post-period. In addition, BBS and K-MBI values for stroke patients increased significantly after training. Conclusion: The results of this study revealed that obstacle walking training combined with cognitive task training may be helpful to improve balance, gait, and activities of daily living in stroke patients. Therefore, obstacle walking training combined with cognitive tasks is recommended for stroke patients.

The Immediate Effect of Hip Flexor Stretching with Pelvic Fixation on Hip Extension Flexibility and Gait Parameters in Subjects with Unilateral Hip flexor Shortness (골반 고정을 동반한 엉덩관절 굽힘근 스트레칭이 일측성 엉덩관절 굽힘근 단축이 있는 일반 성인의 엉덩관절 폄 유연성과 보행 매개변수에 미치는 즉각적인 효과)

  • Kim, Tae-Gyu;Kim, Young-Hoon;Kim, Soo-Yong
    • PNF and Movement
    • /
    • v.20 no.1
    • /
    • pp.83-90
    • /
    • 2022
  • Purpose: The purpose of this study was to investigate the immediate effects of hip flexor stretching with pelvic fixation on the flexibility of hip extension and gait capacity in subjects with limited hip extension flexibility. Methods: Twenty-six subjects with limited hip extension flexibility were divided into two groups: a hip flexor stretching with pelvic fixation group (n = 13) and a hip flexor stretching without pelvic fixation group (n = 13). The subjects were assessed based on flexibility of hip extension, stride, and gait velocity after applying hip flexor stretching. Results: The hip flexor stretching with pelvic fixation group showed significantly improved flexibility of hip extension, stride, and gait velocity compared with hip flexor stretching without pelvic fixation group (p <0.05). The flexibility of hip extension was significantly improved after application of hip flexor stretching in both groups; however, stride and gait velocity were significantly improved only in the hip flexor stretching with pelvic fixation group. Conclusion: Hip flexor stretching with pelvic fixation is an effective intervention for improving the flexibility of hip extension and gait capacity.

How Promoting Proprioceptive Exercises Affects Pediatric Cobb's Angle (고유수용성감각기관들을 자극하는 운동법들이 소아 측만 각도 변화에 미치는 효과)

  • Jae-Man Yang;Han-Wook Kang
    • PNF and Movement
    • /
    • v.21 no.3
    • /
    • pp.367-376
    • /
    • 2023
  • Purpose: The purpose of this study was to compare changes in pediatric Cobb's angle resulting from using the modified scoliosis exercise method to promote proprioception. Methods: There were 32 participants in this study. Cobb's angle was measured automatically using a ZeTTA PACS Viewer through a digital computer program with whole-body x-ray anterior to posterior. Scoliosis was diagnosed by a Cobb's angle of 10° or higher. Modified scoliosis exercises were used as the program for the three-stage method used in the study: the preparation phase (warm-up), actual exercise phase (main exercise), and final clean-up phase (cool-down). In this study, exercises that can promote proprioception, including muscle strengthening, stretching, equilibrium, myofascial release, balance taping, and traction, were applied, and their effects before and after treatment were compared. After implementing the exercise methods once a week-15 times total for about 4 months-the changes in Cobb's angle were measured. Results: After having the pediatric scoliosis patients practice the modified scoliosis exercises for four months, it was found that the Cobb's angle of the spine significantly decreased. Conclusion: The results of this study show that the modified pediatric scoliosis exercise, which is capable of promoting proprioception, is also effective in improving Cobb's angle.

Changes in Ankle Muscle Strength and Ankle Flexibility After Gastrocnemius Stretching with Talus Stability Taping in Subjects with Limited Ankle Dorsiflexion (발목 발등굽힘 제한이 있는 대상자들에게 목말뼈 안정성 테이핑을 동반한 장딴지근 스트레칭 후 발목 근력과 발목 유연성의 변화)

  • Tae-Gyu Kim;Kyoung-Yeol Jeong;Soo-Yong Kim
    • PNF and Movement
    • /
    • v.22 no.2
    • /
    • pp.223-231
    • /
    • 2024
  • Purpose: The aim of this study was to investigate changes in ankle muscle strength, range of motion (ROM) dorsiflexion, and gastrocnemius flexibility following gastrocnemius stretching with talus stability taping in subjects with limited ankle dorsiflexion. Methods: Fifteen subjects (all males) with limited ankle dorsiflexion participated in this study for six weeks. Ankle muscle strength, ankle passive dorsiflexion ROM, and gastrocnemius flexibility were assessed pre- and post-intervention. Results: Ankle dorsiflexion and plantarflexion strength and passive ankle dorsiflexion ROM were significantly increased post-intervention compared to pre-intervention (p < 0.05). Gastrocnemius flexibility was significantly improved post-intervention compared to pre-intervention (p < 0.05). Conclusion: Gastrocnemius stretching with talus stability taping can be recommended for subjects with limited ankle dorsiflexion to increase passive ankle dorsiflexion, flexibility, and ankle muscle strength.

Hospital Selection Factors of Patients with Mild Cognitive Impairment (경도 인지장애 환자의 병원선택 요인)

  • Park, Jin-Ju;Oh, Myung-Hwa;Kim, Seung-Il;Kim, Hye-Mi
    • Journal of Korea Entertainment Industry Association
    • /
    • v.13 no.7
    • /
    • pp.441-448
    • /
    • 2019
  • The purpose of this is to investigate the factors of hospital selection in patients with mild cognitive impairment and to provide information to clinicians and medical institutions in preparation for the ongoing admission of patients with mild cognitive impairment. This study was carried out on 36 participants who agreed to participate in the study from May 1st, 2018 to September 30th, 2018. Data collection was performed using K-MMSE and hospital selection factor tool was modified and supplemented according to the study. The results of this study suggest that the distance from the residence or work place shall be closer to that of the hospital, with the easy of transportation, easy administrative procedure, hospital reputation, new services, service or physical therapy and occupation therapy(p <.05). The conclusion of this study is to inform the clinician about the selection factors of patients with mild cognitive impairment and change the marketing strategy of medical institutions prepare to mild cognitive impairment