• Title/Summary/Keyword: Manual ability

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The Pilot Study on the Immediate Effects of Graston Technique for Lower Extremity Range of Motion, Muscle Strength, Walking Ability in Hemiplegic Patients (그라스톤을 이용한 연부조직가동술이 편마비 환자의 하지 관절 가동범위, 근력, 보행 능력에 미치는 즉각적인 영향에 관한 예비 연구)

  • Choi, Yul-jung;Sim, Hyun-po;Lee, Jun-yong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.1
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    • pp.21-27
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    • 2019
  • Background: The purpose of this study was to investigate the effects of Graston technique for lower extremity range of motion (ROM), muscle strength, walking ability in hemiplegia patients. Methods: Twelve subjects participated in this study. The ROM of the knee extension was measured by 90-90 straight leg raise test, the hamstring and quadriceps muscle strength was collected by utilizing a handheld dynamometer. In addition walking speed was evaluated by 10 meter walking test. The group was applied intervention using a Graston instrument for one minute. After intervention, immediate effect was assessed. The significant level was set at ${\alpha}=.05$. Results: The ROM of the knee extension, quadriceps muscle strength and walking speed were significantly increased. Hamstring muscle strength was significantly reduced. Conclusion: The results of this study suggest that Graston instrument technique has the effect of instantaneously flexibility the muscles, and the muscle applied with the technique has weakened, while the muscle of the opposite side has increased the muscle strength. In addition, the muscle flexibility and the walking speed have increased.

Comparison of the Balancing Capacity and Strength of Taping for the Knee Joint and Repeated Measurements (무릎관절 멀리건 테이핑이 균형능력과 각근력에 미치는 효과와 측정의 반복에 의한 효과 비교)

  • Park, Bo-hyun;Choi, Su-hong;Kim, Sung-joong;Park, Su-hyung;Oh, Kang-o
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.2
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    • pp.9-15
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    • 2018
  • Background: The purpose of this study was to compare the effects of mulligan taping on knee joints on balance ability and strength with repeated measurements. Methods: Seventeen patients were randomly assigned to the 8 taping group and the 9 repeat measurement group. To measure the balance ability, fall risk assessment equipment was used, and the measurement of the muscle strength was performed by using the equipment of the same company. Results: Balanced abilities and muscle strength were increased in groups with taping only after Mulligan taping. Conclusions: The application of mulligan taping did not have the effect of stimulating the inherent receptive sensation. However, active grouping of the knee joint taping only, and muscle strength and muscle strength were increased. It increases the stability and activity of the muscles that operate on the balance of the active knee joint and muscle strength, thereby enhancing exercise prevention and prevention performance and exercise performance.

The Effects of Spencer Technique on the ROM, Pain, Function in Patients with Shoulder Adhesive Capsulitis (스펜서 테크닉이 유착성 관절낭염 환자의 어깨관절 가동범위와 통증, 기능에 미치는 영향)

  • park, Ki-suk;Jeong, Ki-yong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.2
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    • pp.37-42
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    • 2018
  • Background: The Purpose of this study was to evaluate the value of Spencer technique on the range of motion (ROM), Pain, function in patients with shoulder adhesive capsulitis. Methods: subjects consisted of 30patients who were diagnosed shoulder adhesive capsulitis. All subjects are randomly assigned to 2groups: Spencer technique (ST) group (n=15), self assistive ROM exercise(S-A ROM E) group (n=15). The subjects performed an intervention program 30 minuets per day and was repeated 3 times a week for 4 weeks a total of 12 times. ROM of flexion, abduction, external rotation, internal rotation were measured using a goniometer. The visual analog scale (VAS), Shoulder pain and disability index (SPADI) were used to measure pain, functional ability. Results: In the intergroup comparisons after the intervention, ROM of flexion, abduction, internal rotation, VAS, SPADI were significantly different(p<.05). Spencer technique was more effective for improving ROM, pain, functional ability than self assistive ROM exercise. Conclusions: Our study suggest that considering Spencer technique for the patient with shoulder adhesive capsulitis. Further studies on Spencer technique are needed in the future.

Effects of the kinesio taping with backward gait training on muscle strength of lower extremity and gait ability in post stroke patients (키네시오 테이핑을 병행한 후방보행훈련이 만성 뇌졸중 환자의 하지 근력 및 보행에 미치는 영향)

  • Kim, Kyung Hun
    • Journal of Korean Physical Therapy Science
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    • v.28 no.2
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    • pp.10-18
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    • 2021
  • Purpose: The objective of the present study was to examine the effects of Kinesio taping with backward walking training (KTBW) on muscle strength of lower extremity and gait ability in post-stroke patients. Design: Randomized controlled trial. Method: Participants included 27 post stroke patients and were randomly distributed into two groups: KTBW group received Kinesio taping with backward training (n=13), control group receive general physical therapy (n=14). Intervention was given five times a week, a total of four weeks. The subjects evaluated the muscle strength test and walking ability before and 4 weeks after the experiment. Muslce strength of lower extremity was measured by digital manual muscle test. Gait ability was measured by G-walk. Result: After training, the KTBW group showed significant improvement in muscle strength of the lower extremity compared to the control group (p<0.05). KTBW group showed significant improvement in gait ability compared to the control group (p<0.05). Conclusion: These finding show the benefits of the Kinesio taping with backward walking training on the muscle strength of lower extremity and gait ability in post stroke patients.

Combined Korean Medicine Treatment of Paraplegia Cause by Spinal Cord Infarction: Case Report (척수경색으로 인한 하지마비 환자의 복합한방치료: 증례보고)

  • Jeong, JiHong;Kim, SoonJoong
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.1
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    • pp.175-185
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    • 2021
  • The objective of this study was to purpose korean medicine treatment for paraplegia and hypoesthesia after spinal cord infarction, and report its effectiveness. We treated a 74-year-old male patient diagnosed with spinal cord infarction using various methods, including acupuncture, herbal medication, moxibustion, physical therapy, western medication. We evaluated patient's motor ability using the manual muscle test (MMT), active range of motion (AROM), walking index for spinal cord injury II( WISCI II) and sense ability using International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). After treatment, motor and sense ability of patient was improved after treatment. The MMT, AROM, WISCI II scores and ISNCSCI scores were numerically improved. According to these results, this study suggested effectiveness of combined Korean medical treatment for spinal cord infarction. However, More studies are required in the future.

A Fact-finding Research Exercise into the Handling Abilities of Experimental Apparatus by Elementary School Students (초등학생의 실험 기구 조작 능력에 대한 실태 조사)

  • Park, Jae-Won;Yoon, Sang-Mi;Won, Jeong-Ae;Paik, Seoung-Hey
    • Journal of Korean Elementary Science Education
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    • v.26 no.2
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    • pp.161-170
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    • 2007
  • This study aims at helping us improve the methods used to teach elementary school students how to handle experimental apparatus by examining their manual skills and their understanding of the alcohol lamp, spuit and thermometer. To evaluate their ability to handle each experimental apparatus, a practical skills test and knowledge evaluation sheets were developed. The evaluation was carried out with 270 students from 2 classes each in the 3rd, 4th, 5th and 6th grade of D Elementary School located in Daejeon City. For their handling ability of the alcohol lamp, the results for the practical skills test showed that the students had a very low ability in placing objects in the center of the apparatus for safe use and also in adjusting the height of the trivet to place objects so that they contact the outer flames correctly. For the spuit, the pass rate of the skills test was generally low in regards to how students should grasp a spuit and the timing and method of depressing the rubber part before dipping it into liquid. For the thermometer, on the other hand, the pass rate was relatively high in every respect. The knowledge evaluation results for the use of experimental apparatus showed a very high rate of correct answers for alcohol lamps and thermometers. The test results for spoils also produced a relatively high rate of correct answers, with the exception of the test item regarding the way that students should grasp them.

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A Comparison Study of Walk and Balance Ability of Women Elderly with or Without Falls Experience (낙상 경험 유무에 따른 여성 노인의 보행과 균형 능력에 관한 연구)

  • Hwang, Byeong-Jun;Kim, Jong-Woo;Seo, Hyon-Kyu
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.17 no.2
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    • pp.19-24
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    • 2011
  • Background: The elderly are likely to fall due to physical and mental atrophies, and experiencing falls may result in fear of falls and lack of self-confidence, which also leads to hesitation to physical activities and changes in walk and balance, the major variables in independent daily life. Methods: In three senior citizen centers located in D city, 22 elderly women aged 65 or older were chosen, and they filled in the questionnaire which included their agreement to voluntarily participate in the survey and medical histories. As to whether they had falls experience, the medical history items in the questionnaire asked them if they had falling down or falls once a year, twice for the three years. The objects were divided to NFE (non-falls experience) and FE (falls experience). Results: 1. As to walking abilities, significant difference was found between NFE and FE regarding walk width, stepping with two feet, and stride length while there was no significant different in terms of cadence. 2. As to balancing abilities, was significant difference between NFE and FE in terms of the physical body center area. As to the sit-to-stand, tandom gait test, no significant difference was found, and neither in the timed up and go test. Conclusions: The elderly with falls experience has inferior walking and balancing abilities to those without falls experience, and thus they are more exposed to the risks of falls.

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The Effect of Transcranial Direct Current Stimulation on Pain and Balance of Total Knee Arthroplasty Patients (경두개직류전류자극이 무릎관절 전치환술 환자의 통증 및 균형 능력에 미치는 영향)

  • Jae-hong, Lee;Dong-ki, Min;Sang-jae, Lee
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.3
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    • pp.79-87
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    • 2022
  • Background: The purpose of this study was to examine the effect of transcranial direct current stimulation (tDCS) on the pain and balance of patients who receive total knee arthroplasty (TKA). Methods: This study subjects were 24 patients in Hospital T, located in Daegu, South Korea who received TKA after being diagnosed with degenerative arthritis. The subjects were randomly divided into and experimental group and a control group, with each group including 12 patients. Both group received superfical thermal therapy, interferential current therapy (ICT), and continue passive motion (CPM), which are conventional knee therapy on the knee joint. The experimental group received the tDCS treatment three times a week for three weeks, from October 1st to October 20th. The visual analogue scale and Wii Balance Board system were used to measure the pain and balancing ability, respectively, of both groups. In the statistical result analysis, to compare about pre and post test difference in each groups was accomplished. Statistical analysis of independent t-test and paired t-test were conducted using SPSS version 23.0. Results: After three weeks of intervation, there were significantly difference in balance ability in pre and post test in the tDCS group. VAS decreased significantly in both groups(p<.05), There was a significantly difference in pain, balance ability in the tDCS group compared to the sham group. Conclusion: These results indicate that applying tDCS together with conventional knee joint therapy for TKA patients is effective in promoting the patients' recovery.

Changes in physical and cognitive functions according to the activities of daily living performance in stroke patients (일상생활활동 수행능력에 따른 뇌졸중 환자의 신체 및 인지기능의 변화)

  • Hye Eun Kim;Ki Hun Cho
    • Journal of Korean Physical Therapy Science
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    • v.31 no.1
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    • pp.98-109
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    • 2024
  • Background: The purpose of this study is to investigate changes in physical and cognitive function according to the level of independence in performing activities of daily living in stroke patients. Design: Retrospective study. Method: This study is a retrospective study analyzing medical records. This study utilized data collected from 123 stroke patients at admission in a local rehabilitation hospital between 2019 and 2022. Stroke patients were classified into 5 groups based on the scores of the Korean Modified Barthel index (K-MBI) evaluated at the time of hospitalization at a rehabilitation hospital, and investigated the change in physical (spasticity (modified Ashworth scale), muscle strength (manual muscle test), gait ability (functional ambulation category), upper extremity function (manual function test), and balance function (berg balance scale)) and cognitive function (Korean mini mental status examination) according to the level of independence in performing activities of daily living. Result:: As a results, significant differences were observed in the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive functions of stroke patients according to the level of independence in performing activities of daily living (p<0.05). However, there was no significant difference in upper and lower extremities spasticity. Conclusions: Through the results of this study, we found that the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive function were influenced by the level of independence in performing activities of daily living in stroke patients.

The Effect of Trampoline Training on Balance and Position Sense of Knee Joint in Elderly Women (트렘폴린훈련이 여성노인의 균형과 무릎관절 위치감각에 미치는 영향)

  • Song, Hyun-Seung;Kim, Jin-Young
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.1
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    • pp.11-17
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    • 2012
  • Background: This study was conducted to examine the effect of application of trampolin training elderly women by position sense of knee joint and balance. Methods: Ten subjects with elderly women were randomly assigned to trampolin training group (n=5) or control group (n=5). Experimental group received for 15 minutes three times during 4 weeks. Outcomes was made using One-Leg Stance Test, Time Up and Go Test and position sense of knee joint. Assessment was before training and one week, two week, three week after training. Results: Applied to the trampolin training group showed significant differences in all tests and for the interaction between time and group (p<.05). Conclusions: Those results indicate that trampolin training is effective in elderly women to promoting a position sense of knee joint and balance ability.

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