• Title/Summary/Keyword: Integrative Therapy

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Effects of Closed and Open Kinetic Chain Exercises on Lower Limb Muscle Activity in Chronic Stroke Patients (만성 뇌졸중 환자의 열린사슬운동과 닫힌사슬운동이 하지의 근활성도에 미치는 영향)

  • Kim, Jihwan;Jeong, Seonghwa;Lee, Geoncheol
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.4
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    • pp.49-58
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    • 2014
  • Purpose : The purpose of this study was to research the effects on resistance CKC & OCK exercise method on lower limb muscle activity, in chronic stroke patients. Method : In this study, 18 patients with stroke caused by hemorrhage or infarction were participated. resistance exercise method was conducted in tow different group : one is a close kinetic chain exercise(CKC) group and the other is an open kinetic chain exercise(OKC) group. CKC with physical therapy was applied to 9 patients, and OKC with physical therapy was applied to 9 patients. Under the researcher's guidance, exercise for CKC and OKC group carried out 3 times a week for 30 minutes during 4weeks. Result : There was significantly different for the vastus lateralis, tibialis anterior and gastrocnemius muscle activity within the intervention period both group. The vastus lateralis, tibialis anterior and gastrocnemius muscle activity was significantly increased within the CKC group. The vastus leteralis and tibialis anterior muscle activity was significantly increased within the OKC group. Conclusion : It was confirmed in this study that the CKC exercise was more effective than OKC exercise in improving lower limb muscle activity of chronic stroke patients. This study seggested that CKC may be suitable for individuals with a chronic stroke. furthermore study should be made a lot of researches regarding in other method and varying conditions for many hemiplegic patients.

The Changes of Balance Ability after Therapeutic Intervention for Muscle Strengthening of Cervical (경추부의 근력강화 운동이 건강한 성인의 균형 능력에 미치는 영향)

  • Park, Jonghang;Kim, Yoonhwan;Choi, Wonjye;Seo, Taehwa;Song, Hyunseung
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.2
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    • pp.31-40
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    • 2014
  • Purpose : To evaluate the effect of cervical strengthening exercise on balance ability in healthy adults. Method : The subjects consisted of forty healthy people. The subjects were divided into two group. The control group(n=14) received no exercise and/or stimulation. The cervical strengthening exercise group(n=14) performed therapeutic intervention using cervical exercise for strengthening of cervical spine muscle. The exercise group were accomplished during 6 weeks(2~3set, 5times/week). All tests were completed before and after experiment. The static balance ability was measured by normal standing when subjects open and close their eyes on GOOD BALANCE SYSTEM, respectively. For each case, the experimental data were obtained in 3 items: mean X speed, mean Y speed and velocity moment. Result : The results of this study were as follows; 1. In the exercise group, the statistically significant difference were shown on X speed and Y speed in the case of normal standing when subjects open and close their eyes and X speed, Y speed and velocity moment in the case of normal standing when subjects close their eyes(p<0.05). 2. In control group, the statistically significant difference were not shown on all posture(p>0.05). 3. There were a statistically significant difference in the X speed and Y speed in the case of normal standing when subjects open their eyes between control group and the exercise group(p<0.05). There were a statistically significant difference in the X speed, Y speed and velocity moment in the case of normal standing when subjects close their eyes between control group and exercise group(p<0.05). Conclusion : The above results revealed that therapeutic intervention for muscle strengthening of cervical there were positive changes to balance ability.

The Analysis on Continuing Education in Physical Therapy : In 2014~2015 (물리치료사의 보수교육 실태분석 : 2014~2015년도)

  • Moon, Sora;Kim, Myungchul;Lee, Juncheol
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.3
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    • pp.101-108
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    • 2016
  • Purpose : The primary objective of this study was to examine the status of continuing education, and to identify the current state and employment status of these physical therapists. Moreover, the study also aimed to provide basic data for establishing improvement measures in various continuing education programs to enhance the quality of physical therapists, thereby providing high quality service to patients and contributing to the increasing productivity of hospitals. Method : The present study analyzed the basic data obtained from KPTA regarding the 671 physical therapists throughout Korea. Questionnaires were sent by mail to from direct visits were used in the final data analysis. The questionnaire consisted of 45 questions in 3 categories: general characteristics, continuing education. Collected data were analyzed using frequencies, percentages, means, and standard deviations. Result : Subjects 88 (87.1%) indicated that they continuing education, showing that most had taken continuing education courses. The importance and necessity of continuing education was much higher for those with doctoral degrees than for those who graduated from college, or who possessed bachelors or master's degrees. Conclusion : A necessary follow-up study using these findings would contribute to providing a high quality medical service and to enhancing the quality of physical therapists. Moreover, systematic management of continuing education is necessary to devise comprehensive and effective measures for the development and acquisition of updated skills by health care professionals.

The Effect of the Squat Exercise by Different Baseform on Balance Ability Enhancement in Normal Adult (선택적 지지면에 따른 스쿼트 운동이 정상 성인의 균형조절능력에 미치는 영향)

  • Kim, Minsoo;Seo, Inyoul;Jung, Gowoon;Lee, Geoncheol;Jung, Hanshin
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.3
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    • pp.63-78
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    • 2013
  • PURPOSE : This study aims to investigate the positive correlation in pre-post test design between squat exercise on different baseform and the static/dynamic balance ability enhancement in adults. METHOD : This clinical study was designed into three different random-sampling adult groups (flat, balanced, vibration exercise device) and performed squat exercise. The static/dynamic balance ability was measured prior to the intervention and vice-versa. Balance was examined using the balance master 7.0 version systems. RESULT : 1) After the intervention, the controlled mat group in mCTSIB has showned the minimal mean value and the variation regards as acceptable by statistic value. 2) After the intervention, The mean value of LOS shows the minimal average variation in Randomised Trials, but the other two trials shows the maximal fluctuation. The difference variation regards as acceptable statistic value. 3)After the intervention, the mean value of mat group measrued as the maximal results, the difference variation regards as acceptable statistic value. 4)The striking correlation difference at mCTSIB has found in the vibration device exercise group, but LOS and Rhythmic W-S showed the correaltion in Mat group. CONCLUSION : The study found the positive correlation that enhanced balance ability on the different dynamic baseform squat exercise than static baseform environment. The significant difference found the balance pad squat effects on developing balance ability and the correlationship regards as statistically significant value.

Comparison of Effects of Manual Therapy Interventions Combined with Exercise on Range of Motion, Muscle Strength, and Functional Performance in Adolescent Baseball Players with Internal Impingement of Shoulder Joint (어깨관절 내적 충돌증후군을 가진 청소년기 야구선수들의 ROM, 근력, 기능수행정도에 미치는 운동과 도수치료를 혼합한 중재들의 효과 비교)

  • Choo, Yeonki
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.1
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    • pp.101-111
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    • 2020
  • Purpose : The purpose of this study was to identify the comparison of the effects of manual therapy combined with exercise on range of motion (ROM), muscle strength, and functional performance in adolescent baseball players with internal impingement syndrome of the shoulder. Methods : The subjects were 30 patients diagnosed with impingement syndrome of the shoulder. Thirty subjects are randomly assigned to each 3 different groups; Group 1. (exercise group), Group 2. (exercise+mobilization; EMOB group), Group 3. (exercise+mobilization with movement; EMWM group). The interventions were performed three times a week for 4 weeks. The main outcome measures were goniometer, Biodex dynamometer, and Korean Kerlan Jobe shoulder-elbow (K-KJOC) scores. The ROM (external and internal rotation), muscle strength (external and internal rotation: 60 °/sec., 180 °/sec.), and functional performance were compared among the groups. Results : No significant difference was observed among the groups in the range of external rotation of the shoulder before and after the intervention, but the range of internal and total rotation was significantly increased in Group 2, 3 compared to Groups 1. Muscle strength of external and internal rotation (60 °/sec., 180 °/sec.) was not significantly different among Group 1, 2, 3, and functional performance was significantly increased in Group 2, 3 compared to Group 1. However, there was no significant difference between Group 2 and Group 3 in all measurements. Conclusion : An intervention with manual therapy such as EMOB and EMWM was more effective than exercise alone for rapid recovery from shoulder injury and improvement in functional performance. However, further efforts are needed to identify effects of specific interventions with manual therapy.

Effects of Active Release Technique and Lumbar Stabilization Exercise on Pelvic Asymmetry, Muscle Activation and Pain in Chronic Low Back Pain Patients (능동이완기법과 허리안정화 운동이 만성허리통증 환자의 골반비대칭, 근활성도 및 통증에 미치는 영향)

  • Nam, Seungmin
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.1
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    • pp.147-157
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    • 2020
  • Purpose : The purpose of this study was to investigate the effects of active release technique and lumbar stabilization exercise on pelvic asymmetry, muscle activation and pain in chronic low back pain patients. Methods : The subjects were 37 outpatients diagnosed with chronic low back pain. The patients were randomly divided into an active release technique therapy group (ART; n=18), and lumbar stabilization exercise group (LSE; n=19). These groups performed their respective therapy for a 30-minute session occurring two times a week over six-weeks period. To assess the patients' pelvic asymmetry, their pelvic tilt, and pelvic rotation was measured using X-ray imaging. EMG was used to evaluate the muscle activity of the lumbar muscle. The visual analogue scale (VAS) were used to measure the subjects' pain. Results : Both ART group, and LSE group exhibited statistically significant differences in their subjects' VAS and muscle activation of lumbar muscle after the therapy (p<.05). In ART group exhibited statistically significant decreases in their subjects' pelvic tilt and pelvic rotation after therapy (p<.05). There was a significant difference between the ART group, and LSE group (p<.05). Conclusion : The results of this study suggest that active release technique and lumbar stabilization exercise are effective in decrease pain and increase muscle activation in chronic low back pain patient. In addition active release technique is considered to be more effective in improving pelvic tilt and pelvic rotation than lumbar stabilization exercise.

The Effects of Visual Perception Training Program on Writing Intelligibility and Visual Perception Ability of Children with Spastic Cerebral Palsy (시지각 프로그램이 경직성 뇌성마비 아동의 글씨 쓰기 명료도와 시지각 능력에 미치는 영향)

  • Kim, Eunhye;Bae, Minjung;Jun, Hyunyong;Jang, Chel;Song, Minok
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.1
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    • pp.11-21
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    • 2015
  • Purpose: This study intends to investigate if visual perception training program has influence on writing intelligibility and visual perception ability of the children who have spastic cerebral palsy. Methods: The subjects were 12 children of 4-8 years old. Classifying them into 2 groups - cerebral palsy children group(6) and normal children group(6), visual perception training program was conducted to the cerebral palsy children group twice a week for 4 weeks. Korean alphabet writing test and Korean-version development test on visual perception(DTVP-2) were used for the test. Result: First, the cerebral palsy children group had significantly lower scores on visual perception than the normal children group. Second, Two groups didn't show significantly difference between before and after the visual perception training program. Third, The normal children group significantly increased at three parts without the visual perception training program. Forth, The cerebral palsy children group significantly increased at the only a part after the visual perception training program Conclusion: For the visual perception ability improvement of cerebral palsy children, it is necessary to systematic and continued intervention. And the study about the effect of the visual perception training program application according to by type characteristic of the cerebral palsy child wishes to proceed.

Effects of the Integrated Obesity Management Program, which Includes Exercise Therapy, Psychotherapy and Dietary Treatment, on the Body Composition and Blood Composition of Obese Patients Worked in the Industry (운동치료, 심리치료 및 식이요법이 포함된 통합비만관리프로그램이 산업체에 근무하는 비만 환자의 체성분 및 혈액성분에 미치는 영향)

  • Seo, Dongkwon;Lee, Byoungkwon
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.283-290
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    • 2019
  • Purpose : The purpose of this study was to find out how changes in body shape of obese patients could be affected by the combined management of diet and psychotherapy along with exercise therapy to control energy imbalance, the cause of obesity. Methods : In this study, the aerobic exercise program was conducted on 12 industrial workers of "D" company for a total of eight weeks for obese patients with a high body mass index (25 kg/㎡ or higher). The experimental group did not apply the program three times a week. The body type analysis was carried out using the body analyzer (Inbody 770, Inbody, Korea) and blood test and psychological test were performed after 8 weeks of exercise before and after exercise. Results : The results of the group showed a change in weight loss of 6.03 kg (p=.000) on average, which is nearly 10 % of the change in weight. It was also shown that the BMI (body mass index) decreased by 1.76 kg/㎡ (p=.000). Abdominal fat (AO) is also 0.14 % (p=.000), waist circumference (WC, 12.72 cm, p=.000), internal fat (VF, 25.12 %, p=.000), liver function levels AST (5.47 U/L, p=.04), ALT (13.64 U/L, p=.000), total cholesterol, pTC -14.22. Conclusion : Based on the results of this study, the obesity management program will be able to maximize the effects of obesity control if exercise programs and psychotherapy are combined.

The Effects of Supporting Surfaces and Visual Existence on the Balance Ability when Exercising Squat (스쿼트 운동 시 지지면의 차이와 시각 여부가 균형능력에 미치는 영향)

  • Kim, Myoungchul;Lee, Hyunjae;Lee, Sumin;Kim, Haein;Park, Mihye
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.2
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    • pp.77-87
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    • 2018
  • Purpose : The purpose of this study was to figure out the changes of normal people's balance ability when squat exercise in the condition of visual blocked or non-visual blocked on the stable or the unstable surfaces. Also, this study intended to assess balance ability more objectively and in a more diversified ways by using Biorescue. Methods : This study randomly assigned all the subjects to 4 groups; visual blocked or non-visual blocked on the stable surface or the unstable surface. Subjects were given 3 sets of squat exercises per day, 3 times a week for 3 weeks. At the beginning and the end of the exercise for 3 weeks, subjects measured balance ability using Biorescue and Lower Quarter Y-balance Test to evaluate the improvements of before and after. Results : All the groups showed the differences in the balance ability on the Biorescue and The Lower Quarter Y-balance test before and after the exercise. Among these groups, a group with condition of visual blocked on the stable surface showed the highest improvements. And also, it showed significant differences compared to other groups (P>0.05). Conclusion: Using squat combined with variables according to this study, it can be utilized for rehabilitation of the aged and preparation of healthier life.

The Effects of Fumanet Exercise Program on Fall Down-Related Physical Fitness Factor and Cognitive Function in Elderly People (후마네트 운동프로그램이 노인의 낙상 관련 체력요인과 인지기능에 미치는 영향)

  • Kim, Hyejoung;Bang, Yosoon;Son, Boyoung;Oh, Eunju;Hwang, Minji
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.2
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    • pp.33-42
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    • 2017
  • Purpose: This study examined the effects of the fumanet exercise program on the cognitive function and fall down-related physical fitness factor in elderly people. Method: The study period was May 2-June 24, 2016. The participants included 20 elderly persons (control group 10, experimental group 10) who registered at the day-care Center in G. City. Descriptive statistics were used for the analysis of the control and experimental groups' general characteristics. The chi-square and Mann-Whitney U tests were conducted to identify the two groups' general characteristics' and dependent variables' homogeneity. The Wilcoxon signed-rank test was used to compare the pre-and post-intervention cognitive function and fall down-related physical fitness factor, and a Mann-Whitney U test was used to analyze the rate of cognitive function and fall down-related physical fitness factor changes between the groups after the intervention. Result: The participants' fall down-related physical fitness factors (balance, gait, leg strength) increased and memory in the cognitive function sub-area improved in the participants who participated in the fumanet exercise program. The amount of change in gait was significantly different between the control and experimental groups. Conclusion: The fumanet exercise program included gait training using the learn, remember and repeat phased steps. Therefore, this study proposes using the fumanet exercise program to improve the elderly's cognitive function and physical fitness factor.