• Title/Summary/Keyword: Mobility Disability

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Effects of hamstring self-stretches on pelvic mobility in persons with low back pain

  • Park, Dae-sung;Jung, Seung-hwa
    • Physical Therapy Rehabilitation Science
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    • v.9 no.3
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    • pp.140-148
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    • 2020
  • Objective: The purpose of this study was to examine the effectiveness of pelvic displacement when self-hamstring muscle stretches were applied to persons with low back pain. Design: Three-group pretest-posttest design. Methods: Forty persons with low back pain participated in this study. Pelvic tilt angle, hamstring flexibility, Quadruple Visual Analogue Scale (QVAS), Fear Avoidance Beliefs Questionnaire (FABQ), Korea version of the Oswestry Disability Index (KODI) and pelvic mobility were measured at pre-post. All participants were divided into either the pevic anterior tilt group (PAT group, n=12), pelvic midrange group (PMR group, n=18), or the pelvic posterior tilt group (PPT group, n=10). Self-stretching was performed using the pilates ring three times a week for a total of four weeks and the post-test was conducted and compared with the pre-test. Results: Hamstring flexibility, QVAS, KODI scores were significantly different compared to before the intervention (p<0.05). The changes in hamstring flexibility of the three groups were significantly different (p<0.05). Changes in KODI and FABQ results of the three groups were not significant. The pelvic posterior tilt range were significantly different in the PMR and PPT groups (p<0.05). The pelvic anterior tilt ranges showed significant differences after stretching in the PPT group (p<0.05). Conclusions: A large amount of change of hamstring flexibility, pelvic mobility of anterior and posterior tilt test in the PPT group was observed. Furthermore, therapists should consider pelvic displacement of the participant when applying intervention, which may, accordingly, have different effectiveness.

The Effect of Upper Thoracic Mobility on the Forward Head Posture, Disability, and Quality of Life in Patients with Chronic Neck Disability by Forward Head Posture (상부등 가동성이 만성 목 통증 환자들의 목 기능장애와 삶의 질에 미치는 효과)

  • Lee, Eun-Sang
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.6
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    • pp.257-264
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    • 2019
  • The purpose of this study was to investigate effective intervention(upper thoracic mobilization and upper cervical mobilization) methods for forward head posture. 32 subjects were divided into two groups: upper thoracic mobilization(UTM) and upper cervical mobilization(UCM) on three times a week for a total of four weeks. In both groups significant difference in forward head posture pre and post test(p <.01), significant difference between the two groups (p <.05, 95% CI: .157-.341). In both groups significant difference in neck disability index pre and post test(p <.01), significant difference between the two groups (p <.01, 95% CI: 1.273-8.728). In both groups significant difference in quality of life pre and post test(p<.05), significant difference between the two groups (p <.01, 95% CI: 4.234-18.391). The results of this study showed that the UTM was more effective than that of the forward head posture. It would be possible to provide more effective interventions for patients with forward head posture and also to prevent secondary musculoskeletal disorders due to forward head posture.

Prevention of Falls in the Elderly: A review of exercise interventions (노인 낙상예방을 위한 운동중재에 관한 고찰)

  • Cho Mi-sook;Park Rae-joon
    • The Journal of Korean Physical Therapy
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    • v.15 no.2
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    • pp.157-167
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    • 2003
  • Falls are a leading cause of injury, disability and death among people older than 65. Even without injury, falls cause a loss of confidence that results in reduced physical activity, increased dependency and social withdrawal. Fall prevention in the eldery people is a multifaced task that includes both the identification of risk factors and their modification strategies. Fall risk factors have been identified as both intrinsic and extrinsic. Intrinsic factors are those related to the physical and cognitive function of the person. Extrinsic factors are those which are included in the environmental hazards of everyday life. Combinations of interventions aimed at modifying both intrinsic and extrinsic risk factors can result in significant fall prevention in the geriatric population. This article selectively reviews the literature reporting exercise intervention to improve strength, balance and mobility.

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The Treatment Effects of Back Flexion and Extension Exercises in Patients with Low Back Pain (요통환자에 있어서 요부굴곡운동과 요부신전 운동의 치료효과 비교연구)

  • Kwon, Hyeok-Su;Park, Ji-Whan
    • Journal of Korean Physical Therapy Science
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    • v.3 no.3
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    • pp.1-13
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    • 1996
  • To compare the treatment effects of back exercise on functional status, spinal mobility, SLR, pain severity, and treatment results satisfaction, and to determine whether spinal exercises during the low back pain reduces recurrent episodes of back pain. 1. Flexion and extension exercise groups did not differ in any outcome over 4weeks. After 1 week. both exercise groups had reduced disability score, a higher proportion returning to work, and fewer subjects with a positive SLR compared with the control group. 2. There was no difference among groups regarding recurrence of low back pain after $6{\sim}12$ months. 3. There was no difference for any outcomes between the flexion or extension groups. However, either exercise was slightly more effective than no exercise when patients with low back pain were treated.

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Angular Displacement Measurement Using Optical Sensor (광학센서를 이용한 관절운동각도 측정)

  • Jung, Gu-In;Kim, Ji-Sun;Hur, Dong-Hun;Yu, Hwan-Dong;Lim, Sung-Hwan;Choi, Ju-Hyeon;Lee, Jeong-Hwan;Eom, Gwang-Moon;Jun, Jae-Hoon
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.60 no.10
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    • pp.1959-1965
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    • 2011
  • Measuring the movement of joint angle of human body is very important clinically. Human joint angle displacement can be used to evaluate the degree of disease and disability. Also, we can determine the rehabilitation process with angular information. Conventional methods for measuring angular displacement are many weakness. The purpose of this study is to overcome the limitations of existing equipments by using optical method. For this reason, optical sensor system was used to correlate detected light signal with joint angle. Experimental results of the applied joint model in this study showed that joint angular displacement can be measured by optical signals. The suggested method is simple, durable, small, lightweight, convenient, and cost effective.

The Treatment Effects of Back Flexion and Extension Exercises in Patients with Low Back Pain (요통환자에 있어서 요부굴곡운동과 요부신전 운동의 치료효과 비교연구)

  • Kwon, Hyeok-Su;Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.2 no.1
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    • pp.21-32
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    • 1996
  • To compare the treatment effects of back exercise on functional status, spinal mobility, SLR, pain severity, and treatment results satisfaction, and to determine whether spinal exercises during the low back pain reduces recurrent episodes of back pain. 1. Flexion and extension exercise groups did not differ in any outcome over 4weeks. After 1week, both exercise groups had reduced disability score, a higher proportion returning to work, and fewer subjects with a positive SLR compared with the control group. 2. There was no difference among groups regarding recurrence of low back pain after 6~12 months. 3. There was no difference for any outcomes between the flexion or extension groups. However, either exercise was slightly more effective than no exercise when patients with low back pain were treated.

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A Development of Exercise Program on Obese patients with Osteoarthritis (퇴행성 관절질환을 동반한 비만환자의 운동프로그램 개발에 대한 연구)

  • Lim, Hyung-Ho;Song, Yun-Kyung
    • Journal of Korean Medicine for Obesity Research
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    • v.3 no.1
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    • pp.17-24
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    • 2003
  • Obesity increases the risk of knee and to a lesser extent hip OA, which combined affect a large percentage of middle-aged and elderly adults and which are major source of disability, and factor of drop a lowering in the physical exercise ability. Energy expenditure from physical activity accounts for up to 30% of total energy expenditure, it can have a significant impact on energy balance. We studied a exercise therapy that improved long-term weight management and produced additional benefits - loss of joint pain, improved joint mobility, and this exercise program will enhance the weight loss and health benefits from physical activity in the treatment of obese patients with osteoarthritis.

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Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue Loss

  • Vathulya, Madhubari;Manohar, Nishank;Jagtap, Manish Pradip;Mago, Vishal;Jayaprakash, Praveen A.
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.319-323
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    • 2022
  • Total eyelid defect comprises full-thickness loss of both upper and lower eyelids in a patient. It is a rare and devastating condition with serious implications related to vision, which mandates early and functional reconstruction when associated with intact globe. The primary goal is to give a stable coverage for orbital protection but at the same time provide a functional reconstruction of the defect, to allow for adequate mobility of the eyelids so that the patient's vision is restored to normal with minimal disability. When the defect is massive, and in the absence of loco-regional flaps, microvascular tissue transfer is needed. In this report we describe a radial-artery-based microvascular tissue transfer with a unique innovation utilizing the contralateral frontalis muscle to reconstruct a case of unilateral total upper and lower eyelid loss.

The Effects of Maitland Thoracic Mobilization Method on Cervical Alignment and Muscle Activity in Adult with Forward Head Posture

  • Kim, Dajeong;An, Hojung;Kim, Nyeonjun;Kim, Ayeon;Hong, Geurin;Kim, Soonhee
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.3
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    • pp.2119-2125
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    • 2020
  • Background: Adults with forward head posture (FHP) often suffer from thoracic hyperkyphosis and thoracic dysfunction, and including reduction of the craniovertebral angle (CV angle) and tightening of the superficial neck muscles. In order to treat thoracic dysfunction, interventions aimed at improving thoracic mobility are necessary. Objectives: To examine the effects of maitland manual mobilization therapy on the thoracic spine in adults with FHP. Design: Single-blind randomized controlled trial. Methods: Thirty adults with FHP who met the selection criteria were randomized to the thoracic multiple joint mobilization (TMJM; n=15) group and the thoracic general joint mobilization (TGJM; n=15) group. Joint mobilizations were performed for 23 minutes a day for 4 weeks continuously, two times per week. Outcome measures were ImageJ, BTS FREE EMG 1000, neck disability Index (NDI). Results: Although changes in the left sternocleidomastoid muscle activity and NDI scores over time between the two groups differed, other variables were noted only changes observed over time. Muscle activity in the right sternocleidomastoid increased again in the TGJM group post-intervention and 2 weeks after the end of the experiment, but changes in other variables were retained or improved, confirming the lasting effects of thoracic joint mobilization. Conclusion: Thoracic multiple joint mobilization may be recommended as a more effective intervention for adults with FHP.

A Study on the Relationship between Activity of Daily Living and Job Status of the Disabled from the Functional Limitation Perspectives (기능제한(Functional Limitation) 관점에서 본 뇌성마비인의 일상생활수행능력과 취업여부의 관계에 대한 연구)

  • Kim, Jung-Woo;Kim, Bong-Sun
    • Korean Journal of Social Welfare
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    • v.59 no.1
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    • pp.223-249
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    • 2007
  • This study is intended to investigate if the standard of vocational rehabilitation service could be solely determined by medical standard for disability definement and to find out what alternatives are available to resolve practical problems for those who are not identified as the severely disabled by the disability definement but do experience severe handicaps at work. Through the literature review, the researcher argued that the concept of 'functional limitation' would be a criteria, and thereby applied Modified Barthel Index to measure the degree of functional limitation. In view of researching the relationship among physical impairment, functional limitation, and job status based on 381 cerebral palsied, variables such as the type of cerebral palsy and the part of paralysis, have neither direct nor indirect influence to the job status; however, the pain and the mobility have indirect effects, and the ability of self-management has direct effect on the job status. The researcher concluded that future research about disabilities needs to provide a serious thought on what it is to be defined as 'disabilities', as well as to focus on further research conceptualizing the degree of physical 'functional limitation'.

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