• Title/Summary/Keyword: Integrative Therapy

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Effects on Balance and Gait for Chronic Stroke Patients with Side Walking Training (만성 뇌졸중 환자에게 측방 보행 훈련이 균형과 보행에 미치는 영향)

  • Kim, Inseop;Jeon, Seungjae;Lee, Geoncheol;An, Byungwook
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.1
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    • pp.1-9
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    • 2013
  • Purpose : The purpose of this study is to investigate the impact on the ability to walk, balance after side walking training of hemiplegic patients caused by stroke. Method : The subjects were training before stroke onset whether more than one year elapsed 15 patients with chronic stroke patients, and Berg balance scale(BBS) and Timed up and go test(TUG), Functional reaching test(FRT), 20m walking time 200m walking time were measured and recorded. Training period, a total of three weeks, and training frequency circuit training times 10 minutes per training, 5-minute break, the 10-minute training total 25-minute training was conducted. Gait line of 3m to be based on the patient's side walking, and the risk of falling compared to the presence of the experimenter trained under was carried out. Result : 1. TUG, 2. 20m walking time, 3. 200m walking time 4. FRT, 5. All showed significant improvement in BBS. Judging from the results, the side walking training conducted three weeks due to chronic stroke hemiplegic patient's ability to balance and showed a positive effect on the improvement of walking ability. Conclusion : Accordingly, it was more effective to train hemiplegic patients with chronic stroke on side walking.

Effects of Learning Motivation on the Stress Coping Style and Stress of Test (학습동기가 시험 스트레스와 스트레스 대처 양식에 미치는 영향)

  • Jang, Chel;Lee, Eunhye;Cheon, Jisu
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.2
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    • pp.89-96
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    • 2014
  • Purpose : In this study, we selected three research subjects to attempt to clear learning motivation of college students is what impact the stress coping style and stress test. First, age, gender, the future career after graduation, the presence or absence of part-time job is, its impact on learning motivation. Second, learning motivation is what effect the stress of the test. Third, based on the motivation of learning, how deal pursuing efforts form the social support, the center of the problem-solving approach, seeking to avoid the reaction to stress how different form. Methods : K University occupational therapy and one, two, three grade 100 students (male 22 people, female 78) to target age, sex, and after graduation, part-time status, motivation, stress, stress coping style questionnaire for distribution and was written. Results : First of all, women's social support form graduation course, more robust than pursue blank after the synchronization uncertainty and stress, and graduated from the trading center and avoid the use of career, more form. Second, motivation and stress test, a difference between the notice could not see. Third, the higher the motivation of learning, problem-solving, Action form to the center to use as many as you, but avoid using too much in the center form is addressed. Conclusion : As a result of the study that came out of the course after graduating from ensure that learning motivation is high, the more the uncertainty, the more to cope with stress in the center of the form to avoid form address was used. Because of this, the student careers after graduation, to make sure that can help you to compare efforts over is believed to be necessary.

The Effect of Snoezelen and Computerized Cognitive Rehabilitation(Rehacom) on Improvement of Cognitive Function (스노젤렌과 전산화 인지재활 프로그램(Rehacom)이 인지기능 향상에 미치는 영향)

  • Song, Minok;Kim, Moungjin;You, Youngmin;Lee, Hyangjin;Yang, Giung
    • Journal of The Korean Society of Integrative Medicine
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    • v.1 no.3
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    • pp.79-95
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    • 2013
  • Purpose : This study aims to investigate the effect of the Snoezelen and Rehacom programs on improvement of attention and memory, and the effect of the Snoezelen program on stress reduction. Method : This study was targeted at 11 subjects in the Snoezelen experimental group, 11 subjects in the Rehacom group and 11 subjects in the non-experimental group. As the initial evaluation, all the subjects took electroencephalography. Then, the Snoezelen group and Rehacom group did Snoezelen training and Rehacom training, respectively total 12 times(for 20 minutes twice per week for six weeks), but no training was applied to the control group. Three weeks after the training, the interim was carried out, and four weeks after the training, the final evaluation was carried out. Results : Subjects' attention increased to $58.15{\pm}4.96$ from $43.75{\pm}4.69$ during the Snoezelen training, and increased to $49.85{\pm}1.91$ from $43.28{\pm}2.71$ during the Rehacom training, which means the Snoezelen training was more effective in improving attention(P<0.05). Subjects' memory increased to $56.14{\pm}1.26$ from $43.19{\pm}3.46$ during the Snoezelen training, and increased to $50.94{\pm}4.0$ from $43.07{\pm}2.58$ during the Rehacom training. This also implies that the Snoezelen training was more effective in improving memory(P<0.05). Conclusion : Though both of the Snoezelen training and Rehacom training improved attention and memory, the Snoezelen program was more effective, and it also influenced stress resistance and physical arousal.

Analysis on Topic in Need and Perception of Continuing Education According to Gender in Physical Therapists: in Gwangju Metropolitan City (물리치료사 성별에 따른 보수교육 요구도와 인식에 대한 분석: 광주광역시 근무자를 중심으로)

  • Kim, Kijong;Park, Sieun
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.1
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    • pp.193-202
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    • 2020
  • Purpose : The objective of this study was to provide information about the need and perception of continuing education(CE) according to gender in physical therapists. This study also aimed to provide basic data for the improvement of quality of the CE program with physical therapists. Methods : The study analyzed basic data from Korea Physical Therapy Association regarding the 350 physical therapists in Gwangju metropolitan city (Male; 102, female; 248). The questionnaire consisted of 3 categories: general characteristics, need of CE, and perception. For need of CE and perception, it assessed using a 5-point Likert scale. Data were analyzed using frequency analysis, and simple regression analysis using dummy variable. Results : The need of CE showed a weak positive correlation in the only the pediatric physical therapy according to gender in physical therapists (R2=.012) (p<.05). Both male and female physical therapists had the highest need in the musculoskeletal system, followed by nervous system. The perception of CE were not significantly correlated according to gender in physical therapists (p>.05). Both male and female physical therapists were high on the cyber-CE (Q4) and on the need for CE (Q1, Q2, Q3). Whereas, a lower score was found in category that CE helped in the performance of the work (Q6, Q7, Q8). Conclusion : In this study, there was little or no significant correlation between need and perception of CE according to gender in physical therapists. Both male and female physical therapists recognize the need for CE, whereas they are less satisfied the efforts of CE in the performance of the work. Therefore, improvement of CE through various programs should be made to enhance the perception of CE.

A Comparison of the Shoulder Stability Muscle Activity according to the Shoulder Flexion Angles in Open and Closed Kinetic Chain Exercise (열린사슬운동과 닫힌사슬운동에서 어깨 굽힘 각도에 따른 어깨안정화 근육의 근활성도 비교)

  • Lee, Seungjun;Kim, Taegyun;Lee, Geoncheol;Bae, Wonsik
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.1
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    • pp.81-90
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    • 2015
  • Purpose: The purpose of this study was to investigate any visible difference in shoulder stability muscle activity along the bending angle($70^{\circ}$, $90^{\circ}$, $110^{\circ}$) to perform the open kinetic chain(OKC) and closed kinetic chain(CKC) exercise. Method: This study was performed on normal 20 males subjects. Exercise was carried out in two ways OKC and CKC. Shoulder stability muscles are examined activity in the bending angles. In the OKC and CKC exercise to subjects with stretched out waist straightened, and than push forward the shoulder. Muscular activation was examined using the WEMG-8. Result: The results of this study were as follows. 1. Only in the trapezius muscle, it showed specific interaction between exercise methods and angles. When it comes to muscle activity, there was no significant difference in all muscles except for the anterior fibers of the deltoid muscle during both CKC and OKC exercise. 2. The average value of maximum muscle activity was significantly increased with increasing order of angles. But in CKC exercise, the muscle activity of infraspinatus tended to decrease with increasing angles. Conclusion: To summarize the research results, the muscle activity in upper fibers of the trapezius, anterior fibers of the deltoid, and serratus anterior was significantly different depending on the angle of the shoulder in both CKC and OKC exercise.

Relationship of the Frontal Knee Alignment Measured by the HKA-Angle with the Relative Activation of the Quadriceps Muscles

  • Kim, Jaehee;Bae, Jinsol;Lee, Yesol;Lee, Nakyung
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.4
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    • pp.67-75
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    • 2016
  • Purpose: The purpose of this study was to compare Hip-Knee-Ankle(HKA) angle and muscle activation ratio between vastus medialis(VM), rectus femoris(RF), and vastus lateralis (VL), and by this, to examine their relationship. It is aimed to explore how the activation ratio among the muscles involved in patellofemoral kinetics would vary in relation with the frontal alignment of the lower extremity. Subjects and Methods: 26 healthy subjects were recruited for the study. The HKA angles were measured with radiograph. The VM, RF, VL muscle activation level were measured by surface electromyography while each participant performed 4 different types of movement (isometric knee extension, squat, ambulation, step-up) and VM/RF, VM/VL, RF/VL ratios were calculated. Pearson correlation was used to estimate the relationship between the HKA angle and the muscle ratio. Results: There was significant moderate correlation between HKA angle and VM: RF on the left side during ambulation (p<0.05). Moderate correlations were also observed during step-up and squat with less significance (p<0.1). Conclusion: The frontal alignment of the knee measured by the HKA angle was conditionally associated with muscle activation ratio between VM and RF (VM:RF); On the left, during ambulation, step-up, and squat, the more valgus knee tended to correlate with the more VM muscle activation ratio, which is expected to induce more stabilizing effect to the patella and its tracking. It suggests that the frontal alignement measured by the HKA-angle can affect PF kinetics. It also indicates a possibility that increase in valgus alignment of the knee, by the HKA measurement, may not act unfavorably to generate PFP.

Differences in Perception and Needs for Continuing Education according to the Career of Physiotherapists

  • Kim, Kijong;Kim, Jinyoung
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.81-88
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    • 2019
  • Purpose : The purpose of this paper is to review the continuing education (CE) for physiotherapists and especially to draw attention to the perception and need of the education so that the present study aimed to provide information for improving the education program. Methods : The study obtained information from CE of the Korea Physical Therapy Association held in Gwangju on April 12 and July 19, 2015 to understand the perception and needs of CE. Present study showed that 431 out of 563 people who answered to the survey, with a 76.5 % response rate. Among them, 350 people were selected for the final analysis, except for questionnaires whose responses were insufficient. Among them, the level of perception of CE was 238, excluding 112 people who did not receive an education in 2014. Results : The perception of CE according to experience showed a weak positive correlation in questions 1 (r=.244), 5 (r=.244) and 10 (r=1.129) (p<.05). There was no significant correlation in questions 2, 3, 4, 6, 7, 8, and 11 (p>.05). The needs of CE according to experience showed weak negative correlations in musculoskeletal system (r=-.141), nervous system (r=-.136), geriatric (r=-.117), oriental physical therapy (r=-.130), and other new technologies (r=-.232) (p<.05). Basic education, pediatric, cardiopulmonary system, sports, physical agents, and women's fields were not significantly correlated (p>.05). Conclusion : There was little or no significant correlation between perception and needs for the CE based on physical therapists' experiences. Current research suggests that for a CE for physical therapists, the perception of education should first be renovated, and then the quality of education should also be improved based on the need of them.

Correlation Between Self-Esteem of Health Science College Students and Their Empathy for Others (일부 보건계열 대학생의 자아존중감과 타인에 대한 공감능력 간의 상관관계)

  • Park, Sungho;Jang, Cheul
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.203-212
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    • 2019
  • Purpose : The purpose of this study was to determine the correlation between the self-esteem of health science college students and their empathy for others. Methods : A survey was administered to 448 students from the five departments of health science (Occupational Therapy, Physical Therapy, Dental Hygienics, Nursing, and Medical Administration) at a college located in Busan, South Korea, between September 28 and November 2, 2017. To measure their self-esteem and empathy for others, the Self-esteem Scale and the Korean Empathy Quotient (K-EQ) Scale were used. Results : There were statistically significant differences in social skills as a sub-item of empathy skills based on age and department, as well as in emotion as a sub-item of empathy skills based on sex. Self-esteem and all the items of empathy showed meaningful differences based on monthly expenses, while self-esteem and cognition as a sub-item of empathy skills displayed significant differences based on source of monthly income. Noteworthy differences were also found in self-esteem and emotion as a sub-item of empathy skills based on satisfaction with current school life. Self-esteem and empathy skills were shown to have a positive correlation. Conclusion : According to the results of this study, self-esteem and empathy skills had a statistically significant correlation. Further research is needed to investigate how health science college students can improve their understanding of themselves and their empathy for others.

Impact of Dual-Hemisphere Transcranial Direct Current Stimulation Combined with Modified Constraint-Induced Movement Therapy on Upper Limb Function in Chronic Stroke: A Single Blinded Randomized Controlled Trial (수정된 강제 유도 운동치료와 결합된 이중 반구 경두개 직류 자극이 만성 뇌졸중의 팔 기능에 미치는 영향 : 단일 맹검 무작위 통제 시험)

  • Kim, Sunho
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.2
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    • pp.11-20
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    • 2020
  • Purpose : The purpose of this study was to research the effects of dual-hemisphere transcranial direct current stimulation (dual tDCS) and modified constraint-induced movement therapy (mCIMT) to improve upper extremity motor function after stroke. Methods : The study period was from August 2019 to November 2019, and included 24 patients who met the selection criteria. Participants were divided into 2 groups: dual tDCS and mCIMT, and sham dual tDCS and mCIMT group. Dual tDCS and mCIMT group performed mCIMT immediately after applying dual tDCS for 20 minutes, and sham dual tDCS and mCIMT group performed mCIMT immediately after applying sham tDCS for 20 minutes without turning on the power source. Total interventions were conducted 5 times per week for 4 weeks, and mCIMT was conducted for 30 minutes per session for both experimental and control groups. Fugl-Meyer assessment (FMA) and Motor Activity Log scale (MAL) were analyzed before and after 4 weeks of intervention. Results : Both experimental and control groups showed significant changes in FMA, Amount of Use (AOU), and Quality of Movement (QOM) of MAL. When the differences between groups was compared using ANCOVA, the experimental group showed a greater improvement in FMA and AOU of MAL than the control group. Conclusion : In order to enhance the effect of improving upper limb function of stroke patients, dual tDCS could be applied to provide more effective treatment in the clinical setting. Further studies will be needed in larger groups of stroke patients, including long-term follow-up, and multi-group comparisons through the establishment of anodal tDCS and mCIMT, cathodal tDCS, and mCIMT groups to clarify the effects of dual tDCS. In addition, research is needed to establish a protocol for tDCS, and this evidence-based intervention protocol is expected to be used in the clinical setting as an interventional method for various purposes.

Effect of Kinesio Taping on Pain Decrease and Functional Disability Improvement of Subjects with Lumbar Instability (키네시오 테이핑이 허리뼈 불안정성을 가진 대상자의 통증감소 및 기능장애 개선에 미치는 효과)

  • Cho, Hyoshin;Weon, Jonghyuc;Lee, Kwonho;Cha, Hyungyu
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.3
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    • pp.71-81
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    • 2020
  • Purpose : The purpose of this study is to investigate the instant effect of Kinesio taping on pain decrease and improvement of functional disorder of the subjects who have lumbar instability. Methods : A total of 20 patients (13 men and 7 women) who have lumbar instability were chosen as the subjects. The experiment was conducted by assigning the subjects into Kinesio taping group and placebo taping group. A visual analog scale (VAS) was used to measure back pain and Biering-Sorensen test was applied to measure the muscle endurance of back extensor muscles. A digital dynamometer was used to test the isomeric contraction strength of lumbar extensor muscle. The subject performed single-leg stance and double-leg stance task and their static balancing ability was measured by a testing device that captures the static balancing ability. Results : In a within-group comparison, Kinesio taping group showed a significant decrease of VAS (p<.05) and a significant increase of endurance and strength of lumbar extensor muscle (p<.05). In Kinesio taping group, the shift distance in anterior-posterior sway and medial-lateral sway during the double-leg stance significantly decrease (p<.05). The shift distance in anterior-posterior sway and medial-lateral sway also significantly decreased during the single-leg stance (p<.05). Placebo taping group showed a significant decrease of visual analog scale (p<.05). In a between-group comparison, Kinesio taping group showed a significantly larger decrease of VAS (p<.05), significant larger increase of muscle endurance and muscle strength (p<.05), and significant larger decrease of anterior-posterior sway in the double-leg stance (p<.05), compared to placebo taping group. Conclusion : Application of Kinesio taping to the subjects with lumbar instability produced positive effect of reducing pain, increasing muscle strength and endurance, and improving static balancing ability.