• Title/Summary/Keyword: Burns rehabilitation

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Effects of Low Power Laser for the Expression of Substance P in the Burned Skin of the Rats (흰쥐의 피부화상 후 저강도 레이저 조사가 Substance P의 발현에 미치는 영향)

  • Koo Hyun-Mo;Lee Sun-Min;Nam Ki-Won;Kim Souk-Boum;Cheon Song-Hee;Kang Jong-Ho;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.15 no.3
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    • pp.239-250
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    • 2003
  • This study was performed to investigate the effect of low power laser irradiation on Substance P(SP) expression in the burned skin of the rats. Burns of about 3cm in diameter were created with $75^{\cric}C$ water on the back of the rats, and the lesion of experimental group were irradiated on days 1, 2, 3 and 4 postwounding. Control leasions were not irradiated. After burns, low power laser irradiation was applied by using 1000Hz, 830nm GaAlAs(Gallium-aluminum-arsenide) semiconductor diode laser. The expression of evaluated Substance P(SP) immunohistochemistry on rabbit anti-SP The results of this study wereas follows 1. The Substance P was expressed in the lamina I and II of dorsal horn of spinal cord. In expression of SP, the lesion of control group made SP to more induce significantly than experimental leasions. 2. SP immunoreactivity in burned leasion of spinal cord were decreased markedly 4 days after burns, and decreased gradually from 1 day to 2 days in burns which is laser irradiation These data suggest that low power laser have a pain release effect in the burned skin of the rats.

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A Case Report about the Sprain Treated with Direct Moxibustion on Painful Point of Injured Ligament (손상(損傷) 인대(靭帶) 부위 아시혈(阿是穴)의 직접구(直接灸)를 이용한 부위별 염좌치험(捻挫治驗) 3례)

  • Cho, Yoon-Chul;Ra, Kyung-Won;Chung, Won-Suk
    • Journal of Korean Medicine Rehabilitation
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    • v.15 no.1
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    • pp.163-169
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    • 2005
  • Objective : Direct moxibustion applied on painful point of injured ligament, not acu-point, is effective method to treat acute pain and chronic weakness of injured ligaments. We recently experienced 3 case of sprain treated with direct moxibustion on painful point of ligaments. Methods : Patients who injured in lateral collated ligament, anterior talo-fibular ligament, and collateral ligament of finger were treated by direct moxibustion on tender points of injured ligaments. Results and conclusion : There was successful results that pain and ROM was improved. It seems that burns due to moxibustion facilitate repair of ligament and control inflammation.

Preliminary Study on Developing Test Items of Swallowing & Communication Screening Protocols for Patients with Head and Neck Burns (안면부 및 경부 화상 환자의 삼킴 및 의사소통능력 선별 프로토콜 개발을 위한 예비 연구)

  • Kim, JungWan;Lee, HyoJin;Lee, Hyun-Joung
    • 재활복지
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    • v.21 no.2
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    • pp.217-231
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    • 2017
  • We have to consider two parts of the evaluation and treatment for the patients with head and neck burns. The primary consideration is swallowing function for nutrition supply for them and the next is speech function for efficient communication and aesthetic impression of them. The purpose of this study is to summarize the preliminary questions of Communication Screening Protocols which can help understand comprehensively on swallowing disorder, motor speech disorder and voice disorder of patients with head and neck burns. We divided the evaluation into 4 evaluation areas including 'oral mechanism', 'respiration/voice', 'articulation', and 'swallowing' by referring to overseas studies dealing with various communication disorders caused by burns, and prepared the final questionnaires by conducting the content validity verification by five expert (speech & language pathologist). The range of Content Validity Index was shown relatively appropriate with .50~.84. There was a conflict of opinions in experts whether the items in the areas of respiration/voice and swallowing may be appropriate, whereas there was no different view of the oral mechanism and articulation area. Through the different characteristics of communication difficulties of patients with head and neck burns, we expect it will be modified appropriately according to the patients through evaluation of burn patients by type and severity.

Effects of Skin Rehabilitation Massage Therapy on Pruritus, Skin Status, and Depression in Burn Survivors

  • Roh, Young-Sook;Cho, Hee;Oh, Jung-Ok;Yoon, Cheon-Jae
    • Journal of Korean Academy of Nursing
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    • v.37 no.2
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    • pp.221-226
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    • 2007
  • Purpose. Hypertrophic scarring and depression are the principal problems of bum rehabilitation. This study was done to verify the effects of skin rehabilitation massage therapy (SRMT) on pruritus, skin status, and depression for Korean bum survivors. Methods. A pretest - posttest design using a nonequivalent control group was applied to examine the effects of SRMT for 3 months in a group of 18 bum survivors. The major dependent variables - including pruritus, objective and subjective scar status, and depression - were measured at the beginning and at the end of the therapy to examine the effects of SRMT. Results. Bum survivors receiving SRMT showed reduced pruritus, improved skin status, and depression. The remaining scar also showed improvement in skin pigmentation, pliability, vascularity, and height (compared to the surrounding skin) as measured on the Vancouver Scar Scale (VSS). Conclusions. The findings demonstrate that SRMT for bum survivors may improve their scars both objectively and subjectively, and also reduce pruritus and depression.

The Effects of Low Power Laser for the Expression of Epithelial Growth Factor in the Burned Skin of the Rats (흰쥐의 피부화상 후 저강도 레이저 조사가 표피성장인자의 발현에 미치는 영향)

  • Lee Sun-Min;Koo Hyun-Mo;Nam Ki-Won;Kim Souk-Boum;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.14 no.3
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    • pp.226-237
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    • 2002
  • This study was performed to investigate the effect of low power laser irradiation on epidermal growth factor(EGF) expression in the burned skin of the rats. Burns of about 3cm in diameter were created with 75'c water on the back of the rats, and the lesion of experimental group were irradiated on days 1, 2, and 3 postwounding. Control tensions were not irradiated. After burns, low power laser irradiation was applied by using 1000Hz, 830nm GaAlAs (Gallium-aluminum- arsenide) semiconductor diode laser. The expression of epidermal growth factor evaluated immunohistochemistry on mouse anti-EGF. The results of this study were as follows 1. In expression of EGF, the lesion of experimental group made EGF to more induce significantly than control tensions. 2. EGF immunoreactivity in burned skin were increased markedly 3 days after burns, and increased gradually from 1 day to 2 days in burns which is laser irradiation These data suggest that low power laser have wound healing effect in the burned skin of the rats.

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Itching among Burn Patients in the Rehabilitation Phase (재활단계 화상 환자의 가려움증)

  • Kim, Kyung Ja;Seo, Cheong Hoon;Kim, Eun Jung
    • Journal of muscle and joint health
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    • v.23 no.1
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    • pp.28-38
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    • 2016
  • Purpose: The purpose of this study was to investigate post-burn itching relevant characteristics in the rehabilitation phase. Methods: Ninety four burn patients who were hospitalized in the rehabilitation phase participated in the study. Self-reported Leuven itch scale-Korean was used to evaluate itching related characteristics. Data were analyzed with descriptive analysis, $x^2$ test, and Kruskal-Wallis test. Results: All subjects except two had the itching. Itching frequency revealed that 68.1% of subjects experienced itching one or more episodes a day or always, and 18.7% had episode durations lasting more than 2 hours per incidence. Mean severity and distress of itching was $5.3{\pm}2.4$ and $5.2{\pm}2.5$, respectively. Itching sensation dimension of tickling was 56.4%. More than 25% of subjects "often" or "always" affected reduced quality of life, loss of concentration, bad mood, and difficulty in falling asleep. Satisfaction with itching treatment was intermediate level. Conclusion: Post-burn itching in the rehabilitation phase was a significant problem despite pruritus treatment. Based on the finding of this study, development of comprehensive and tailored nursing intervention programs for itching could be suggested.

Effects of a Recreation Therapy Program on Mental Health and Heart Rate Variability in Burn Rehabilitation Patients (치료레크리에이션 프로그램이 화상재활환자의 정신건강 상태와 심박동 변이에 미치는 효과)

  • Kil, Myung-Sook;Lee, Mi-Hwa;Lee, Yong-Mi
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.179-187
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    • 2015
  • Purpose: This study was done to evaluate the effects of a recreation therapy program on burn rehabilitation patients to determine if the program is an effective nursing intervention which can affect mental health problems and heart rate variability. Methods: Subjects were 54 hospitalized burn rehabilitation patients (25 in the control group, 29 in the experimental group). The experimental group participated 6 times in a recreation therapy program led by a qualified instructor. Brief symptoms inventory-18 (somatization, anxiety, depression) questionnaire, and heart rate variability were checked before and after the recreation therapy program. Results: The mental health scale showed significant differences in somatization (p<.001), anxiety (p<.001) and depression (p<.001). There was no significant difference in heart rate variability (autonomic activity, autonomic balance, stress resistance, stress parameter and fatigue, mean heart rate, electro-cardiac stability). Conclusion: The findings from this study suggest that a recreation therapy program is an effective nursing intervention to decrease the level of mental health problems of burn rehabilitation patients. However, a subsequent study is needed to develop an intervention program that will induce the effect of physiological parameters like heart rate variability (HRV).

Effects of Stress, Resilience, and Focusing Manner on Quality of Life in Burn Rehabilitation Patients (재활치료 중인 화상 환자의 스트레스, 극복력, 포커싱적 태도가 삶의 질에 미치는 영향)

  • Shin, Jae Eun;Chae, Young Ran
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.208-217
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    • 2023
  • Purpose: The aim of this study was to investigate the degree of stress, resilience, focusing manner, and quality of life among burn rehabilitation patients. Furthermore, it seeks to identify factors affecting the quality of life in this patient group. Methods: The participants of this study were 129 burn patients, aged 19 or older, who received treatment at the rehabilitation of a university hospital in Seoul. Data were collected from June 22 to August 31, 2022 through self-report questionnaires covering stress, resilience, focusing manner and quality of life.The data were analyzed using the SPSS 29.0 program. Results: Multiple regression analysis showed that education level, cause of burn, area of burn, pain, stress, and focusing manner significantly affected the quality of life, explaining 74.5% of the variance. Conclusion: In particular, focusing manner was a major factor affecting the quality of life in burn rehabilitation patients. Therefore, there is a need to develop intervention programs aimed at increasing focusing manner in this patient group.

The Pilot Study of Robot-Assisted Training for the Lower Extremity Rehabilitation of Burn Patients (하지 화상 환자의 재활치료를 위한 보행보조 로봇훈련의 선행연구)

  • Cho, Yoon Soo;Noh, Min Hye;Joo, So Young;Seo, Cheong Hoon
    • Journal of the Korean Burn Society
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    • v.23 no.2
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    • pp.31-36
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    • 2020
  • Purpose: Scar contracture influence the outcome of burn patients significantly. This study aims to investigate the feasibility of robot-assisted training for the lower extremity rehabilitation of burn patients. Methods: This pilot study was conducted on 7 burn patients for 8 weeks between January 2019 and November 2019. Two of 7 patients withdrew from this study because one had skin abrasion on the legs which thigh fastening devices were applied on and the other was not participate in the assessment at 4 weeks after training. Final 5 patients received gait training with SUBAR® and numeric rating scale (NRS), 6-minutes walking test, and range of motion in flexion and extension of knee and ankle joint were evaluated before training, 4 weeks and 12 weeks after training. Results: The subjects had a mean age of 51.8±98 years, mean total burn surface area of 30.8±13.7%, mean duration from injury to 1st assessment of 102.8±39.3 days. Anyone of 5 patients did not have musculoskeletal or cardiovascular side effects such as increased or decreased blood pressure or dizziness. The significant improvement in NRS, gait speed, and range of motion in knee extension and ankle plantarflexion after robotic training (all P<0.05). Conclusion: Robot-assisted training could be feasible for the rehabilitation of burn patients and it could improve muscle strength and range of motion in lower extremities, and gait function.

Acute Rotator Cuff Tears due to Low Voltage Electrical Injury: A Case Report

  • Yoo, Jae Hyun;Rhee, Sung-Min;Shim, Ho Yong;Lee, Jae Sung
    • Clinics in Shoulder and Elbow
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    • v.21 no.2
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    • pp.101-104
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    • 2018
  • Since shoulder have a higher proportion of muscle which would have low electrical resistance, there could be more electrical damage to the rotator cuff muscles. We present a patient with acute rotator cuff tear by sudden uncontrolled jerking contractions caused by an electrical shock. A case of 42-year-old man with acute rotator cuff tear due to electrical injury to the shoulder was presented. Magnetic resonance imaging showed a full thickness tear and an undulating appearance of the peripheral end of the torn supraspinatus and infraspinatus muscle, suggesting an acute complete rupture. By arthroscopic surgery, the torn rotator cuff tendons were repaired with a suture bridge technique. At the final follow-up, the patient had a full, pain-free range of motion and had fully recovered shoulder muscle power.