• Title/Summary/Keyword: Movement Therapy

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Modified Sustained Natural Apophyseal Glides of Back Pain due to Combined Movement Dysfunction (복합운동 기능장애로 인한 요통의 수정된 SNAGs)

  • Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.8 no.1
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    • pp.25-30
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    • 2002
  • The main purpose of this article is to suggest a modified SNAGs manual method in based of Mulligan techniques. And this study aimed to resolve the back pain which has combined movement dysfunction in lumbar spine, in addition to upgrade of manual therapy technique in clinical field. The results of this study were as following; 1. The first introduction of SNAGs in Korea is the 'International Mulligan Concepts and Techniques Seminar' by Prof. Russell M. Woodman(Quinnipiac college, USA), 1998. SNAGs is defined a mobilization with movement manual therapy that facet joints of the lesion mobilized to anterior-superior direction according to the treatment plane in apophyseal joint of hypomobility. 2. A treatment mechanism of the SNAGs is, Mulligan say, HIVD which is the result of posterior disk bulging from a increased between intervertebral pressure due to hypo-mobile of facet joints in abnormal spine, so therapist should be necessary mobilization of zygophyseal joints especially in disk lesion. 3. Because Mulligan does not yet mentioned SNAGs techniques about a back pain with combined movements dysfunction, so we suggest a modified SNAGs method for manual therapy of back pain patients due to combined movement dysfunction at lumbar.

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Change of activation of the supplementary motor area in motor learning: an fMRI case study (운동학습에 따른 대뇌 보조운동영역의 활성화 변화: fMRI 사례연구)

  • Park, Min-Chull;Bae, Sung-Soo;Lee, Mi-Young
    • The Journal of Korean Physical Therapy
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    • v.23 no.2
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    • pp.85-90
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    • 2011
  • Purpose: The contribution of the supplementary motor area (SMA) to the control of voluntary movement has been revealed. We investigated the changesin the SMA for motor learning of the reaching movement in stroke patient using functional MRI. Methods: The subject was a right-handed 55 year-old woman with left hemiparesis due to an intracerebral hemorrhage. She performed reaching movement during fMRI scanning before and after reaching training in four weeks. The motor assessment scale and surface EMG were used to evaluate the paretic upper limb function and muscle activation. Results: In the fMRI result, contralateral primary sensorimotor cortex (SM1) was activated before and after training. SMA was only activated after training. In addition, muscle activation of the paretic upper limb was similar to that of the unaffected upper limb after training. Conclusion: These findings suggest SMA is related to the execution of a novel movement pattern resulting in motor learning in stroke patients.

Movement Patterns from Supine to Standing Position of Hemiplegic patients (편마비 환자의 누운자세에서 일어서기 운동형태)

  • Kwon Mi-Ji;Chung Hyung-Kuk;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.15-21
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    • 2000
  • Rising from a supine position to erect stance is an important milestone in treatment of patients with neurologic dysfunction. The purposes of this study wed to describe the movement patterns that hemiplegic patients use when rising to a standing. position and to investigate whether movement patterns that an proposed to treat of functional activity, Seventeen patients were videotaped performing three trials of rising. Movement patterns were described with three body components : upper extremities, head-trunk, lower extremities. Subjects rose most commonly using a push and reach pattern of the upper extremities-symmetrical interrupted by rotation pattern in the head-trunk-an asymmetrical squat pattern in the lower extremities and a push and reach pattern of the upper extremities-symmetrical interrupted by rotation pattern in the head-trunk-an symmetrical squat with balance step pattern in the lower extremities.

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The Effects of Constraint-induced Movement Therapy on the Involved Hand Function and ADL in Stroke Patients (건측억제유도운동이 뇌졸중 환자의 손 기능과 일상생활능력에 미치는 영향)

  • Kim, Young-Mi;Hwang, Yoon-Tae;Park, Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.17 no.4
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    • pp.493-504
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    • 2005
  • The purpose of this study is to determine the effect of constraint-induced movement therapy on the involved hand function and ADL in stroke patients. Five subjects with fixing unaffected arms by CIMT were assigned to the experimental patient group and the other five patients to control group without fixing unaffected arms. The function of hand for both groups were evaluated by using Jebsen-Taylor hand function test and ADL for both groups were evaluated by FIM(Functional Independence Measure) before and after task practice. In conclusion, results of this study showed that improved hand function and ADL by CIMT in stroke patients. We concluded that CIMT can improved the involved hand function and ADL in stroke patients.

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The effect of neuromuscular electrical stimulation combined with mirror therapy on static balance, weight support and ankle movement in chronic stroke patients (신경근 전기자극과 거울치료를 함께 적용한 중재가 만성기 뇌졸중 환자의 정적 균형, 체중 분포 및 발목 움직임에 미치는 영향)

  • Lee, Dong Geon
    • Journal of Korean Physical Therapy Science
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    • v.28 no.2
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    • pp.65-74
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    • 2021
  • Background: The purpose of this study was investigated of effect of neuromuscular electrical stimulation combined with mirror therapy on static balance, weight support and ankle movement incline with chronic stroke patients. Design: Two-group pretest-posttest design. Methods: Thirty chronic stroke patients participated in this study. The study design is a two-group pretest-posttest design. A total of 30 people participated in the study, and 15 people were each assigned to the experimental group and control group. Experimental group received neuromuscular electrical stimulation combined with mirror therapy 30 minutes, and conventional physical therapy 30 minutes. Control group received conventional physical therapy 30 minutes. Both groups were conducted 5 times a week for 4 weeks. static balance and weight support was measured by force plate and ankle movement incline was measured by goniometer. Results: As a result of comparing the static balance, weight support and ankle movement incline change between experimental group and control group, statistically significant differences were found in all variables (p<.05). In the evaluation before and after the intervention, there was a statistically significant difference in all variables in the experimental group (p<.05), but there was no statistically significant difference in the control group (p>.05). Conclusion: Neuromuscular electrical stimulation combined with mirror therapy intervention improves static balance, increase paretic side weight support and ankle movement incline in chronic stroke patients. It could be an effective intervention for improve static balance, weight support and ankle movement for chronic stroke patients.

The Effect of Temporomandibular Joint Movement Restriction on Treatment of Sternocleidomastoid Muscle Pain (흉쇄유돌근의 통증치료가 측두하악관절의 운동제한에 미치는 효과)

  • Um, Ki-Mae;Bae, Young-Sook
    • The Journal of Korean Physical Therapy
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    • v.19 no.5
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    • pp.43-49
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    • 2007
  • Purpose: The purpose of this study was to the effects of temporomandibular joint movement restriction on treatment of SCM muscle pain. Methods: The Subjects(n=20) were males(n=7) and females(n=13) that had SCM muscle pain and movement restriction at one side oftemporomandibular joint. The massage and Taping performed on the SCM muscle during 4 weeks. The measured items of SCM pain were pressure-pain scale, DITI. The measured items of temporomandibular joint movement restriction were VAS, ROM, deviation. Results: SCM muscle of pressure-pain scale is lower in ipsilateral than counterlateral, But temperature is higher in ipsilateral than counterlateral. Pressure-pain scale was statistical significance (p<0.05). After studying, the pain and temperature of SCM muscle was decreased and statistical significance(p<0.05). After studying, VAS of Temporomandibular joint was decreased, ROM was increased, deviation was decreased. All of measured items of Before and after studying found a statistical significance(p<0.05). Conclusion: This study showed that SCM muscle pain related TM joint pain and movement restriction. The patient with TM joint movement restriction that may take effect on reducing SCM muscle pain.

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Eye Movement Program Consisting of Saccadic Eye Movement and Pursuit Eye Movement Improved Visual Memory in Institutionalized Elderly Person: Randomized controlled pilot study

  • Park, Yongnam;Bae, Youngsook
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.2
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    • pp.1768-1773
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    • 2019
  • Background: Aging reduces cognitive abilities, including visual memory (VM) and visual discrimination (VD). Since common cortical networks subserve eye movement and attention, voluntary eye movement may improve visual attention. Visual selective attention was major role for memory, and visual memory and visual attention are intimately related. Objective: To identify the improvement in VD and VM, after implementing the eye movement program consisting of saccadic eye movement (SEM) and pursuit eye movement (PEM) in the institutionalized healthy elderly. Design: Randomized controlled trial. Methods: The study involved a sample of 36 participants, and the mean age was 79.03 years (range 76~84 years). They were randomly allocated to the experimental group (n=16) and control group (n=20). Participants in the experimental group performed SEM 5 times per week for 4 weeks: twice daily at the same time in the morning and afternoon. The program was carried out for 3 minutes, and it consisted of SEM and PEM. The target's moving frequency was set at 0.5 Hz. VM and VD at the baseline and post-intervention were measured using Motor-Free Visual Perception test-4 (MFVPT-4). Results: VM significantly improved in the experimental group (p < .01), and significant differences were observed compared to the control group (p < .01). There was no significant change in VD. Conclusion: The eye movement program consisting of SEM and PEM increased VM more than VD. Therefore, eye movement program was feasible interventions for improving VM in institutionalized elderly persons.

Analysis of Movement Time and Trunk Motions According to Target Distances and Use of Sound and Affected Side During Upper Limb Reaching Task in Patients With Hemiplegia (편마비 환자의 팔 뻗기 과제 수행 시 목표거리와 건·환측 사용에 따른 운동시간과 체간의 움직임 분석)

  • Kim, Ki-Song;Yoo, Hwan-Suk;Jung, Doh-Heon;Jeon, Hye-Seon
    • Physical Therapy Korea
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    • v.17 no.1
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    • pp.36-42
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    • 2010
  • The aim of this study was to investigate effects of reaching distance on movement time and trunk kinematics in hemiplegic patients. Eight hemiplegic patients participated in this study. The independent variables were side (sound side vs. affected side) and target distance (70%, 90%, 110%, and 130% of upper limb). The dependent variables were movement time measured by pressure switch and trunk kinematics measured by motion analysis device. Two-way analysis of variance with repeated measures was used with Bonferroni post-hoc test. (1) There were significant main effects in side and reaching distance for movement time (p=.01, p=.02). Post-hoc test revealed that there was a significant difference between 110% and 130% of reaching distance (p=.01). (2) There was a significant main effect in side and reaching distance for trunk flexion (p=.01, p=.00). Post-hoc test revealed that there were significant differences in all pair-wise reaching distance comparison. (3) There was a significant side by target distance interaction for trunk rotation (p=.04). There was a significant main effect in target distance (p=.00). Post-hoc test revealed that there were significant differences between 70% and 110%, 70% and 130%, 90% and 110%, 90% and 130% of target distance. It was known that trunk flexion is used more than trunk rotation during reaching task in hemiplegic patients from the findings of this study. It is also recommended that reaching training is performed with limiting trunk movement within 90% of target distance whereas reaching training is performed incorporating with trunk movement beyond 90% of target distance in patients with hemiplegia.

Changes in Electroencephalogram for Action Observation of Ski Simulation (스키 시뮬레이션을 통한 행동관찰에서 뇌파의 변화)

  • Song, Jong-Chul;Hwang, Tae-Yeon;Kang, Jong-Ho;Yoon, Se-Won;Kim, Moon-Jung;Kim, Young-Nam
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.9 no.1
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    • pp.15-21
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    • 2011
  • Purpose : This study aims to examine the effects of action observation of ski simulation on electroencephalogram (EEG). Methods : Thirty healthy subjects were randomly divided into three groups: 10 participants in an AM (actual movement) group; 10 participants in an OM (observation) group; and 10 participants in a CM (control movement) group. The EEG was measured to examine changes in EEG between action observation and actually movement at 8 areas of the scalp for one minute before, during and after action observation. Results : Relative alpha power showed statistically significant differences among groups in Cz and C4 and there were interactions among groups in the Oz area. Relative beta power showed no statistical significance among groups and in particular, there were interactions among groups in the Oz area. Conclusion : These findings show that action observation affected brain activation as in actual movement. Thus it can be expected that when movement through the brain activation is applied to patients in bed rest or those who cannot perform actually movement, it can be utilized as physiotherapy.

The Effect of the Active Release Technique on Balance and Functional Movement in Youth Basketball Players

  • Kwang-Nam Kim;Byoung-Hee Lee
    • Journal of Korean Physical Therapy Science
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    • v.31 no.1
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    • pp.1-15
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    • 2024
  • Background: This study was conducted to apply active release techniques to male youth basketball players to help improve physical development and damage prevention and improve performance through improved balance and functional movement. Design: Randomized control trial. Methods: The subjects included 33 youth basketball players who were randomly assigned to the experimental group (n=17) and the control group (n=16). For the experimental group, the active release technique was applied to the hip muscles, calf muscles, posterior thigh muscles based on the distribution of injuries surveyed in youth basketball players in the Korean Basksetball League. The Y-balance test and the functional reach test (FRT) were used to assess balance and the Functional Movement Screen (FMS) was used to assess functional movement. Interventions were conducted twice a week for 4 weeks at 40 minutes per session. The experimental group was the active release technique group, and static stretching, a common exercise therapy technique, and self-myofascial release using a foam roller were applied for 20 minutes. The control group received general exercise therapy and placebo active release technique. The placebo active release technique applies pressure only. results:The experimental group showed a greater improvement in balance, as evidenced by the FRT, compared to the control group, which received general exercise treatment. However, there was no statistically significant difference in improvement between the 2 groups. In the case of the experimental group, the difference in the Y balance test before and after the intervention was larger than that of the control group, but there was no statistically significant difference. Significant improvement was found in functional movement, as evidence by the FMS, for the trunk stability test (p < 0.05), in-line lunge test (p < 0.05), rotational stability test (p < 0.05), total score (p < 0.05). Conclusion: In this study, the active release technique improved the balance and functional movement of young basketball players more than general exercise therapy. The application of the active release technique is therefore expected to assist in physical development, prevent damage, and improve the performance of youth basketball players.