• Title/Summary/Keyword: Foot health

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The Effect of Visual Feedback Training Using a Mirror on the Balance in Hemiplegic Patients (거울을 이용한 시각적 되먹임 훈련이 편마비 환자의 균형능력에 미치는 효과)

  • Ji, Sang-Goo;Nam, Gi-Won;Kim, Myoung-Kyun;Cha, Hyun-Kyu
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.2
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    • pp.153-163
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    • 2011
  • Purpose: This study was conducted to compare the effect of visual feedback training using mirror and the training without mirror on the balance in people with hemiplegic paralysis. Methods: A total of 26 stroke patients were enrolled in this study. The participants were allocated randomly to 2 groups : visual feedback training group(n=13) and control group(n=13). Both groups received PNF(proprioceptive neuromuscular facilitation) for 5 times(each 30 minutes) per week over 6 weeks period. The group, which is enrolled in visual feed back training, performed additional exercise in front of mirror for 30 minutes. The control group performed same exercise without mirror. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. Results: The visual feedback training group showed significantly increased foot pressure and total pressure compared to the control group(p<.05) and significantly decreased body sway compared to the control group (p<.05). Also, visual feedback training group showed significant increase on the Berg Balance Scale(BBS), Timed Up and Go test(TUG) compared to the control group(p<.05). Conclusion: These results support the perceived benefits of visual feedback training using mirror to augment the balance of stroke patients. Therefore, visual feedback training using mirror is feasible and suitable for stroke patients.

The Effects of Community based Self-help Management Program on the Activity of Daily Life, Muscle Strength, Depression and Life Satisfaction of Post-stroke Patients (재가 뇌졸중 환자를 위한 자조관리프로그램이 일상활동, 근육 강도, 우울 및 삶의 만족도에 미치는 효과)

  • Kim, Keum-Sun;Seo, Hyun-Mi;Kang, Ji-Yean
    • The Korean Journal of Rehabilitation Nursing
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    • v.3 no.1
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    • pp.108-117
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    • 2000
  • Stroke is one of the leading causes of death in Korea. Because of their sequelae, strokes are categorized as a sudden-onset, constant course chronic illness which needs continuous efforts for rehabilitation. Unfortunately, there are few community based rehabilitation program for post-stroke patients who stay at home. The authors developed a community based selp-help management program for post-stroke patients to enhance their rehabilitation process. The program consists of five sessions and each session contains health education. ROM exercise, ADL training, and stress management like foot reflexology. A professor and two graduate students of nursing college coordinated the program. To test the effects of the program we conducted a 5 week program to the 10 conveniently selected post-stroke patients who were living in Kang-buk district of Seoul. The Questionnaires about ADLs, IADLs, depression and life satisfaction were asked to the all subjects before and after program. The hand grisp power and muscle strength of four limbs were measured at the end of each sessions. The analysis of data revealed that the program was effective to increase the ADLs, IADLs, and muscle strength and to decrease the depression levels of subjects. However, there was no significant difference between pre and post hand grisp power and life satisfaction. Because the program was effective to Improve the physical and psycholocial function of subjects, we suggest continual development and Implementation of community based self-help management programs.

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Work-Related Musculoskeletal Pain and Workload Evaluation of Physical Therapists: Focused on Neurological Injury Treatment of Adults (물리치료사의 작업관련 근골격계 통증과 부담작업 유해요인 평가: 성인 신경계 손상 치료를 중심으로)

  • Lee, Jung-Ho;Choi, Young-Chul;Kim, Jin-Sang
    • Physical Therapy Korea
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    • v.19 no.2
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    • pp.69-79
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    • 2012
  • Importance of the work-related musculoskeletal disorders (WMSDs) has been increasing in the hospital industry such as health care industry and financial industry. This study investigated in order to identify the factors like general, occupational and ergonomically characteristics of the subjects related to musculoskeletal disorders (MSDs) of physical therapists (PTs). Ergonomic tools of rapid upper limb assessment (RULA) were used for evaluation workload of the tasks. Prevalence of MSDs were 13 PTs (26.0%) for neck, 31 PTs (62.0%) for shoulder, 9 PTs (18.0%) for arm/elbow, 27 PTs (54.0%) for hand/wrist, 28 PTs (56.0%) for back, 14 PTs (28.0%) for leg/foot. The analysis of the rate of the pain intensity showed that 53.5% subjects experience moderate pain and 14.0% subjects experience severe pain. Factors which were general characteristics, for example, height, ergonomically characteristics such as 'Posture Score A' were related musculoskeletal subjective symptoms in logistic analysis (p<.05). Among physical therapists, action level of RULA were action level 2 (6.0%), action level 3 (52.0%), action level 4 (42.0%). Physical therapists were estimated one of the highest risk factor in this study. This study suggested that the need of preventive education and program for PTs (physical therapists). Comprehensive and systematic management plans should be established to include both ergonomic and sociopsychological aspects.

Analgesia of Electroacupuncture and Radio-Frequency Warm Needling in Acupoint Combination on Ankle Sprain in Rats (발목염좌에 배혈에 따른 전침과 고주파온침의 진통효과)

  • Yang, Seung-Bum;Kim, Min-Su;Kim, Jae-Hyo
    • Korean Journal of Acupuncture
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    • v.35 no.1
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    • pp.27-35
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    • 2018
  • Objectives : The purpose of this study was to investigate the analgesic effect of electroacupuncture(EA) and radio-frequency warm needling(RFWN) stimulation in acupoint combination on ankle sprained pain in rats. Methods : The lateral ligaments of the Sprague-Dawley rats ankle were injured surgically resulting in sprain, of which was divided into EA, RFWN treatment groups and control group without treatment. The level of pain was measured through foot weight bearing force ratio followed by calculating pain relief. To stimulate proximal or distal area in ankle sprain, combination of proximal acupoints(GB34-GB39) and distal acupoints(GB39-GB42) from sprain area were applied, respectively, to either EA or RFWN stimulation. In addition, naltrexone or phentolamine was injected intraperitoneally before the stimulation to observe the pathway of analgesic effects. Results : In the proximal combination of GB34-GB39, EA and RFWN significantly increased pain relief compared to the control group (p<0.05). However, in distal combination with GB39-GB42, both EA and RFWN stimulation did not relieve pain due to ankle sprains. In the combination of GB34-GB39, the analgesia of EA was inhibited by blockade of the ${\alpha}$-adrenoceptor receptor. The analgesia of RFWN was inhibited by blockade of the ${\alpha}$-adrenoceptor receptor as well as ${\mu}$-opioid receptor. Conclusions : We observed that the proximal combination was effective in relieving pain when the treatment by acupoint combination was applied to the ankle sprain pain. Also, it was confirmed that this analgesia was also related to the pathways of ${\mu}$-opioid receptors and/or ${\alpha}$-adrenoceptors.

Complexity Pattern of Center of Pressure between Genders via Increasing Running Speed (달리기 속도 증가에 따른 성별 CoP (Center of Pressure)의 복잡성 패턴)

  • Ryu, Jiseon
    • Korean Journal of Applied Biomechanics
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    • v.29 no.4
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    • pp.247-254
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    • 2019
  • Objective: The goal of this study was to determine the center of pressure (CoP) complexity pattern in approximate entropy technique between genders at different conditions of running speed. Background: It is conducted to evaluate the complexity pattern of CoP in the increment of running speed to have insights to injury prediction, stability, and auxiliary aids for the foot. Method: Twenty men (age=22.3±1.5 yrs.; height=176.4±5.4 cm; body weight=73.9±8.2 kg) and Twenty women (age=20.8±1.2 yrs.; height=162.8±5.2 cm; body weight=55.0±6.3 kg) with heel strike pattern were recruited for the study. While they were running at 2.22, 3.33, 4.44 m/s speed on a treadmill (instrumented dual belt treadmills, USA) with a force plate, CoP data were collected for the 10 strides. The complexity pattern of the CoP was analyzed using the ApEn technique. Results: The ApEn of the medial-lateral and antero-posterior CoP in the increment of running speed showed significantly difference within genders (p<.05), but there were not statistically significant between genders at all conditions of running speed. Conclusion: Based on the results of this study, CoP complexity pattern in the increment of running speed was limited to be characterized between genders as an indicator to judge the potential injury and stability. Application: In future studies, it is needed to investigate the cause of change for complexity of CoP at various running speed related to this study.

The Study on Tajiquan with Three Yin & Yang and Gehapchu Theory (삼음삼양(三陰三陽)과 개합추(開闔樞) 이론(理論)을 활용한 태극권(太極拳) 수련(修練)에 관한 고찰(考察))

  • Kim, Tae-Young;Yoon, Il-Ji;Oh, Min-Suck
    • Journal of Haehwa Medicine
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    • v.14 no.1
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    • pp.141-147
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    • 2005
  • The most fundamental and important medical treatment is science of acupuncture and moxibution, which is based on twelve channels theory. Meridian is a pathway that conveys material and energy in a human body. Twelve channels are divided into channels of hand & foot, channels of yin & yang. Yang channels are divided into taiyang, yangming, shaoyang, yin channels are divided into taiyin, shaoyin, jueyin. These are referred to twelve channels, and this theory is being used for diagnosis and test in oriental medicine. Meridian-doin-tajiquan is born, combining taijiquan which is recently handed down from China and Korean traditional method for health protection and treatment in ancient times and twelve channels, three yin & yang theory. I report this because meridian-doin-tajiquan which is non-medical and non-invasive way can be used in the treatment of disease, just like three yin & yang theory, the heart of the meridian theory, and Gehapchu theory are adjusted in the clinical science of acupuncture and moxibution. And I report this because I could mater the appropriateness of the traditional theory and I believed this corresponded with it, training myself by meridian-din-tajiquan. It is considered that this will be used in the treatment of pain disease of muscles and joints system and the diabetes, hypertension, obesity caused by stress in the near future.

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Research Trend of Oriental Nursing in Korea (한방간호 연구동향 분석)

  • Lee, Hyang-Yeon;Cho, Kyoul-Ja;Kang, Hyun-Sook;Shin, Hye-Sook
    • Journal of East-West Nursing Research
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    • v.8 no.1
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    • pp.27-40
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    • 2003
  • Purpose: The Purpose of this study was to analyze the trends of research related with oriental nursing. Method: 124 articles about oriental nursing from 1990 to July 2003 were analyzed according to the articles' characteristics, sources by publication period, research design, nursing intervention effect of experimental study and concept, and content of literature review. Result: 1. The number of studies related with oriental nursing has progressively increased by year from 1990, and that of articles was the highest during the period between 1995 to 1999. 2. The majority of research design were survey and correlational studies, and most of them were published in the before 2000. But experimental design were used in the after 2000. 3. Nursing intervention used in the experimental design were Dan Jeon Breathing, Qigong, Yoga, Guided Imagery, Aroma therapy, San-Yin-Jiao(SP-6) Pressure, Percutaneous Electrical Nerve Stimulation, Massage(Meridian Point, hand, foot, etc.) Chuna- Bed Exercise Program. Diet for Sasang Constitution etc. 4. The key concept of literature review articles is ki(energy), oriental nursing, health promotion, oriental medicine management of illness etc. Conclusion: The summary of the above results shows a tendency that the study has increased by year. Especially, experimental study proved affirmative effect. Besides in the literature review, inquiry of theories and practical perspective, which is necessary for the establishment of oriental nursing was introduced. However, for the establishment of oriental nursing, more experimental and qualitative studies are to be required.

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Physiological Effects of Different Underwear Materials Thermoregulatory Response during Exercise with Sweating at Cold Environments (한랭환경하에서 운동발한시 인체의 체온조절반응에 대한 내의소재의 생리학적 의의)

  • Kwon, Oh-Kyung;Kim, Tae-Kyu;Son, Du-Hun;Park, Sung-Han
    • Fashion & Textile Research Journal
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    • v.1 no.1
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    • pp.43-49
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    • 1999
  • This study conducted 4 different kinds of underwear materials, which were A (Cotton 100%), B (Wool 100%), C (Cotton/Wool, 50/50%) and D (Acrylic/Cotton, 50/50%) and were done in a climate chamber under cold ambient $10{\pm}1^{\circ}C$, $40{\pm}5%RH$ by 6 male subjects who were in good health. Physiological parameters such as rectal and local skin temperature(forehead, forearm, hand, trunk, thigh, leg, foot, back and chest), heart rate, body weight loss, clothing microclimate, blood lactic acid concentration, and wearing sensation were measured. Started with a 15-min rest period, 15-min of exercise 1 (the condition of 4.5 mile/hr walking speed equivalent to with 8.5 Kcal energy consumption on the treadmill) period, 15-min rest period, exercise 2 (after 3minutes warming-up at 3.0. 3.7, 4.5. 5.2. 6.0, 6.7 mile/hr) until exhaustion period, and final 15-min of recovery period were performed. The results were as follows: The lowest mean skin temperature was acrylic/cotton in order of wool > cotton/wool > cotton > acrylic/cotton (F=13. 79. p<0.00l). Most of all skin temperature by parts of body had turned out in sequence of temperature wool > cotton/wool > acrylic/cotton > cotton. Fore arm part showed highest temperature about $32.43^{\circ}C$ on wool and had a tendency approximately $1.8^{\circ}C$ higher than cotton which had the lowest temperature, and had the biggest difference among garments in terms of skin temperature. The back temperature within clothing showed about $2^{\circ}C$ higher than the chest temperature within clothing. but the back humidity within clothing showed about 4~12% higher than the chest humidity within clothing. Body weight loss by each garment was this sequence; cotton > acrylic/cotton > wool > cotton/wool.

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The Analgesic Effect of Bee Venom Acupuncture and Its Mechanism on the Type II Collagen-Induced Arthritis Rats

  • Seo, Byung-Kwan;Baek, Yong-Hyun;Choi, Do-Young;Park, Dong-Suk
    • Journal of Acupuncture Research
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    • v.22 no.2
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    • pp.19-32
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    • 2005
  • Objectives : to evaluate the analgesic effect of bee venom acupuncture on Choksamni (ST36) in the collagen-induced arthritis rats and investigate the role played by serotonergic receptor subtypes (5-HT1a, 5-HT2a) in the antinociceptive effect of bee venom acupuncture in a thermal hyperalgesia test Methods : Experiments were performed on 5 week-aged 60 male Sprague-Dawley rats according to National Institute of Health guidelines and the ethical guidelines of the International Association for the Study of Pain (IASP). Arthritis was induced with arthrogenic collagen emulsion (Bovine type II collagen ${\mu}g$ with incomplete Freund's adjuvant $100\;{\mu}g$). The onset of arthritis was considered to be present when erythema and swelling were detected in at least one joint. The thermal hyperalgesia was evaluated weekly with tail flick test in the rats of severity grade 3 without any injury at tail and foot (including inflammation, ulceration, snap). In the fourth week after first immunization, the analgesic effect of bee venom acupuncture (Choksamni, ST36) was measured with consecutive tail flick latency after intraperitoneal injection of spiroxatrine (1mg/kg) and spiperone (1mg/kg). Results : Chronic inflammatory pain was induced as time elapsed after the immunization of arthrogenic collagen and the maximum value was reached from third to fifth week. Chronic inflammatory pain induced by CIA was inhibited by bee venom acupuncture on the left ST36. The analgesic effect of bee venom acupuncture was inhibited by intraperitoneal injection of 5-HT1a antagonist spiroxatrine and 5-HT2a antagonist spiperone. Conclusions : Therefore, a conclusion. that the analgesic effect of bee venom acupuncture in the chronic inflammatory pain is partially mediated by 5-HT1a and 5-HT2a receptors can be made.

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Acute effect of self-myofascial release using a foam roller on the plantar fascia on hamstring and lumbar spine superficial back line flexibility

  • Do, Kwangsun;Kim, Jaeeun;Yim, Jongeun
    • Physical Therapy Rehabilitation Science
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    • v.7 no.1
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    • pp.35-40
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    • 2018
  • Objective: The purpose of this study was to investigate the immediate effect of applying self-myofascial release (SMR) to the plantar fascia using a foam roller on hamstring and lumbar spine superficial back line (SBL). Design: Randomized controlled trial. Methods: Thirty-one healthy adults agreed to the method and purpose of the study. Selection and exclusion criteria were screened, and baseline measurements for the Toe Touch test and passive straight leg raise (PSLR) test were obtained. The participants were then randomly assigned to the SMR group or the sham group. After group assignment, the SMR group rolled the surface of the foot from the heel to the metatarsal head using a foam roller for 5 minutes. The sham group received passive mobilization of the ankle joint in the supine position. Afterwards, the Toe Touch test and the passive straight leg-raise test were re-assessed. Results: In the SMR group, the Toe Touch test results showed significant improvement (p<0.05). Left and right PSLR test results showed a significant increase (p<0.05). In the sham group, there was no significant difference between pre and post-test results. The SMR group showed a significant difference in the PSLR test and Toe Touch test compared to the sham group (p<0.05). Conclusions: The results of this study showed that SMR on the plantar fascia was immediately effective for improving the flexibility of the SBL of the lumbar spine and hamstring.