• Title/Summary/Keyword: Digital Therapy

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Long-term stability of maxillary and mandibular arch dimensions when using rapid palatal expansion and edgewise mechanotherapy in growing patients

  • Kim, Ki Beom;Doyle, Renee E.;Araujo, Eustaquio A.;Behrents, Rolf G.;Oliver, Donald R.;Thiesen, Guilherme
    • The korean journal of orthodontics
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    • v.49 no.2
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    • pp.89-96
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    • 2019
  • Objective: The purpose of this study was to assess the long-term stability of rapid palatal expansion (RPE) followed by full fixed edgewise appliances. Methods: This study included 67 patients treated using Haas-type RPE and non-extraction edgewise appliance therapy at a single orthodontic practice. Serial dental casts were obtained at three different time points: pretreatment ($T_1$), after expansion and fixed appliance therapy ($T_2$), and at long-term recall ($T_3$). The mean duration of the $T_1-T_2$ and $T_2-T_3$ periods was $4.8{\pm}3.5years$ and $11.0{\pm}5.4years$, respectively. The dental casts were digitized, and the computed measurements were compared with untreated reference data. Results: The majority of treatment-related increases in the maxillary and mandibular arch measurements were statistically significant (p < 0.05) and greater than expected for the untreated controls. Although many measurements decreased postretention ($T_2-T_3$), the net gains persisted for all of the measurements evaluated. Conclusions: The use of RPE therapy followed by full fixed edgewise appliances is an effective method for increasing maxillary and mandibular arch width dimensions in growing patients.

Effects of Grip Adjustable Ergonomic Pruning Shears on Grip Strength and Fatigue of Fingers (파지조절 가능한 인간공학 전지가위가 악력과 손가락들의 피로도에 미치는 영향)

  • Her, Jin-Gang
    • Journal of Korean Academy of Medicine & Therapy Science
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    • v.10 no.2
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    • pp.73-80
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    • 2018
  • Objective: We developed an ergonomic pruning shears that allows the user to freely adjust the width of the grip and conducted this study to examine the effects of the pruning shears on grip strength and the fatigue of the fingers. Method: The maximum grip strength was first measured with an digital dynamometer, and the maximum grip strength was measured again after the subjects repeated scissoring 100 times using general pruning shears or ergonomic pruning shears. Borg's CR-10 scale was used to measure subjective fatigue after using the two pruning shears. Results: When the grip strength values after using the two pruning shears were compared with each other the mean grip strength after using ergonomic pruning shears was 27.69 kg, which was higher than that after using general pruning shears, 25.73 kg (p<.05). The subjective fatigue when the two pruning shears were used was shown to be 3.6 points for general pruning shears and 1.73 points for ergonomic pruning shears (p<.05). Conclusion: After repeating scissoring 100 times, the fatigue of the fingers was lower when ergonomic pruning shears were used than when general pruning shears were used and grip strength was higher when ergonomic pruning shears were used than when general pruning shears were used.

Effects of a Complex Exercise Program on the Distance between Knees and Balance in Individuals in their 20s with Genu Varum

  • Jeong, Beomcheol;Yoo, Kyungtae
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.4
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    • pp.2244-2252
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    • 2020
  • Background: Thera-Band, Narrow squats, Kinesiology taping helps in the reduction of loading on the knee joints. Despite the fact that the varus knee negatively affects the alignment of the lower extremities, most of the studies have analyzed each independently. Objectives: To investigate the effects of a complex exercise program consisting of elastic band exercises and squat exercises on the distance between the inner knees and balance in young adults with genu varum. Design: A cluster randomized controlled trial. Methods: The complex exercise group performed resistance exercises using an elastic band. The taping group used kinesiology tape on the vastus lateralis and biceps femoris. To select those to be included in the study, we measured the distance between the knees using digital Vernier calipers and to measure the balance ability, we used a balance training system. The data were analyzed with the independent t-test and paired t-test. Results: The study indicated a significant difference in the distance between the knees between the two groups, but no significant differences in the dynamic balance between the groups. Also, the static balance comparison between the groups according to the intervention method included the trace length, C90 area, C90 angle and velocity. There were no significant differences in the static balance between the groups. In addition, the complex exercise program was more effective than taping. Conclusion: The results of this study demonstrate that the complex exercise program and taping decrease the between both the knee and increase the balance.

Effects of lumbar stabilization exercise according to correct verbal instructions in pain and muscle strengthening of low back pain patient

  • Ji, Sungha;Lee, Dongjin
    • Physical Therapy Rehabilitation Science
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    • v.10 no.1
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    • pp.69-75
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    • 2021
  • Objective: This study was aimed at investigating the effects of lumbar stabilization exercise according to correct verbal instructions in pain and muscle strengthening of the low back pain patients. Design: A randomized controlled trial. Methods: Twenty subjects with low back pain were selected. They were randomly assigned to one of two groups (10 in each group): namely the lumbar stabilization exercise and lumbar stabilization exercise according to the correct verbal instructions group. The lumbar stabilization exercise group performed lumbar stabilization exercises for 6 weeks (5 times a week). The lumbar stabilization exercise according to correct verbal instructions group performed lumbar stabilization exercise according to correct verbal instructions for 6 weeks (5 times a week). We measured pain, muscle power, proprioception, and body balance before and after exercise by using visual analog scale (VAS), digital handheld dynanometer, Joint repositioning error, time up and go test respectively. Results: We found statistically significant differences in pain, muscle power, proprioception, and body balance in lumbar stabilization exercise and lumbar stabilization exercise according to correct verbal instructions group, before and after (p<0.05). Conclusions: We confirmed the effect of lumbar stabilization exercise according to correct verbal instructions. Thus we thought these results could be used as basic data and reference for low back pain. But we need more study effect of correct verbal instructions on other exercises.

Methods of Evaluating Efficacy of Hair Growth Following Treatment for Alopecia in Oriental Medicine (한의학적 탈모 치료효과의 객관적 평가 방법)

  • Moon Jung-Bae;Kim Young-Jin;Yi Tae-Hoo
    • The Journal of Korean Medicine
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    • v.27 no.2 s.66
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    • pp.57-69
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    • 2006
  • For decades, scientists and clinicians have examined methods of measuring scalp hair growth. There has been a greater need for reliable, economical and minimally invasive means of measuring hair growth and, specifically, response to Oriental medicine therapy. We review the various methods of measurement described to date, their limitations and value to the clinician. In our opinion, the potential of computer-assisted technology in this field is yet to be maximized and the currently available tools are less than ideal. The most valuable means of measurement at the present time are global photography and phototrichogram-based techniques (with digital image analysis). Subjective scoring systems are also of value in the overall assessment of response to therapy and these are under-utilized and merit further refinement.

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A Case Report on Simple Pelvic Fracture with Ostomy (단순 골반 골절된 장루술 환자 치험 1례)

  • An, Hunmo;Kim, Jun-Cheol;Na, Sam-Sik
    • Journal of Korean Medical Ki-Gong Academy
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    • v.13 no.1
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    • pp.1-18
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    • 2013
  • Objective : The objective of this study is to report the effectiveness of conservative treatment on simple pelvic fracture with ostomy. Methods : A female patient 65 years old with ostomy, who were diagnosed as simple pelvic fracture by X-ray, were treated with conservative treatment by herbal medication with acupuncture and physical therapy. We evaluated the effectiveness by checking X-ray, Digital Infrared Thermal Imaging(D.I.T.I.). Results : The symptoms of the patient got improved and X-ray showed the fracture were healing. Conclusions : Conservative korean medical treatment can be effectively used for a patient with simple pelvic fracture and ostomy.

A Study on the Impact of the Difference between Analog/Digital Music in Music Therapy (아날로그/디지털 음원의 차이가 음악치료에 미치는 영향에 대한 연구)

  • Han, Eui-Hwan;An, Jin-Woo;Seo, Bo-Kug;Cha, Hyung-Tai
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2012.11a
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    • pp.252-253
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    • 2012
  • 최근 들어 정신적/신체적 질병을 치료하기 위해 음악을 많이 사용한다. 음악 치료의 수요가 늘어남에 따라 HCI, BCI, Music Therapy 등과 같은 음악의 성질과 생체신호간의 관계, 심리상태 변화 등에 관한 연구들이 많이 이뤄지고 있다. 또한 압축기술의 발달로 인하여 디지털 음원을 손쉽게 듣고 다닐 수 있으며, 생체 신호처리 이론, 생체 신호처리 장비 등이 발달함에 따라 디지털 음원을 이용하여 음악 치료 연구를 할 수 있게 되었다. 하지만 이러한 디지털 음원이 음악치료 측면에서는 효과가 크지 않을 뿐만 아니라 오히려 악영향을 미친다는 내용이 방송/신문을 통해 기사화 되고 있다. 따라서 본 논문에서는 동일한 음원의 아날로그/디지털 음악으로 청감테스트를 진행하고, 생체신호(혈압, 심박수, 뇌파)를 측정하여 차이점을 비교/분석한다.

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A Clinical Case Report of Renal Atrophy Patient with Dysuria (위축신(萎縮腎)환자 한방치료 후 배뇨장애 호전 1례)

  • Goo, Ja-Hwan;Choi, Hae-Yun;Kim, Jong-Dae;Park, Mee-Yeon
    • Korean Journal of Oriental Medicine
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    • v.15 no.3
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    • pp.107-113
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    • 2009
  • Object : This study was designed to evaluate the effects of oriental medicine therapy on a renal atrophy Patient. Methods : The patient was hospitalized from July 31. 2009 to Aug 27. 2009. Patient was treated with herbal medicine, acupuncture and moxa therapy. Result & Conclusion : After the treatment, the symptoms and IPSS, DITI results improved. From These results suggest that oriental medicine is an effective treatment for renal atrophy Patient. But more clinical case reports are needed.

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Evaluation on the Accuracy of the PPS in the Proton Therapy System, Which Uses the Self Made QA Phantom (자체 제작한 QA Phantom을 이용한 양성자 PPS (Patient Positioning System)의 정확성 평가)

  • Lee, Ji-Eun;Kim, Jae-Won;Kang, Dong-Yoon;Choi, Jae-Hyeok;Yeom, Du-Seok
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.2
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    • pp.115-121
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    • 2012
  • Purpose: The process of the proton treatment is done by comparing the DRR and DIPS anatomic structure to find the correction factor and use the PPS to use this factor in the treatment. For the accuracy of the patient set up, the PPS uses a 6 axis system to move. Therefore, there needs to be an evaluation for the accuracy between the PPS moving materialization and DIPS correction factor. In order to do this, we will use a self made PPS QA Phantom to measure the accuracy of the PPS. Materials and Methods: We set up a PPS QA Phantom at the center to which a lead marker is attached, which will act instead of the patient anatomic structure. We will use random values to create the 6 axis motions and move the PPS QA Phantom. Then we attain a DIPS image and compare with the DRR image in order to evaluate the accuracy of the correction factor. Results: The average correction factor, after moving the PPS QA Phantom's X, Y, Z axis coordinates together from 1~5 cm, 1 cm at a time, and coming back to the center, are 0.04 cm, 0.026 cm, 0.022 cm, $0.22^{\circ}$, $0.24^{\circ}$, $0^{\circ}$ on the PPS 6 axis. The average correction rate when moving the 6way movement coordinates all from 1 to 2 were 0.06 cm, 0.01 cm, 0.02 cm, $0.1^{\circ}$, $0.3^{\circ}$, $0^{\circ}$ when moved 1 and 0.02 cm, 0.04 cm, 0.01 cm, $0.3^{\circ}$, $0.5^{\circ}$, $0^{\circ}$ when moved 2. Conclusion: After evaluating the correction rates when they come back to the center, we could tell that the Lateral, Longitudinal, Vertical were all in the acceptable scope of 0.5 cm and Rotation, Pitch, Roll were all in the acceptable scope of $1^{\circ}$. Still, for a more accurate proton therapy treatment, we must try to further enhance the image of the DIPS matching system, and exercise regular QA on the equipment to reduce the current rate of mechanical errors.

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Quality Evaluation of the Occupational Therapy Guidelines for Stroke (뇌졸중 작업치료 지침의 질 평가)

  • Lee, Eun-Young;Han, Dae-Sung;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.10 no.3
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    • pp.57-69
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    • 2021
  • Objective : The purpose of this study was to identify occupational therapy guidelines for patients with stroke according to the clinical guidelines, and to investigate the quality and characteristics of the identified guidelines. Methods : This involved a review of domestic and foreign rehabilitation treatment guidelines from 2008 to 2019. These guidelines were searched using, the search terms: 'stroke', 'guideline', 'practice guideline', 'recommendation', 'protocol compliance', 'practice guideline', and 'stroke guidelines'. Results : A total of 708 papers were identified from the search. Eight guidelines met the selection criteria and were included in this review. The selected guidelines were developed in Canada, Australia, the United States, the United Kingdom, and Korea. One of the eight guidelines was occupational therapy guidelines, and the other seven were rehabilitation guidelines. The guidelines were categorized into a total of 36 topics, including 28 guidelines for stroke rehabilitation in Australia, 24 guidelines for the British and American Heart Association, and 23 guidelines for stroke rehabilitation developed in Korea. Conclusion : In this study, the guidelines for occupational therapy for existing stroke patients were identified, and the quality and characteristics of the guidelines were compared. The results of this study will provide important basic data for the development of occupational therapy guidelines for stroke in the future.