• Title/Summary/Keyword: Movement and functional ability

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Effect of Elastic Aids (Bands) on Functional Reach Test in Patients with Spinal Cord Injury: Pilot Study

  • Jong Ho Kang;Tae Sung Park
    • The Journal of Korean Physical Therapy
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    • v.34 no.6
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    • pp.317-320
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    • 2022
  • Purpose: This study aimed: to confirm the balance ability of patients with spinal cord injury in the sitting state through a functional reach test using an elastic aid; and to propose a balance improvement plan. Methods: The study evaluated seven patients with spinal cord injury who could maintain a sitting posture through minimum assistance. A functional reach test was performed before and after wearing an elastic aid while sitting on a chair, and the effects before and after use of the elastic aid were compared and analyzed through a motion analyzer. Results: In the functional reach test, the forward movement distance of the hand was 97.45 mm before wearing the elastic aid, but significantly increased to 131 mm after wearing the aid (p<0.05). Corresponding forward movement distances for the shoulder were 81.26 mm and 113 mm (p<0.05 for the increase). There was no statistically significant change in lateral functional arm extension. Conclusion: It was confirmed, through a functional reach test, that trunk stability in patients with spinal cord injury increased with use of an elastic aid. In future, more efficient rehabilitation treatment programs will be possible if trunk stability in patients with spinal cord injury is improved by using elastic aids, and if various exercise treatments are also included in the rehabilitation programs.

The relationship between the patient's health beliefs and the implementation of functional movement rehabilitation and ability to perform ADL in stroke patients (뇌졸중 환자의 건강신념과 운동기능 재활 이행 및 일상생활동작 행능력과의 상관성)

  • Mun, Byeong-Mu;Lee, Yeon-Seop;Lee, Byung-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.7
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    • pp.3057-3064
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    • 2012
  • In this study, we have tried to identify the relationship between the patient's health belief and the implementation of functional movement rehabilitation and ability to perform ADL in stroke patient, and have done this study to use this as evidence in treating stroke patients in clinical trials by providing a basis data of stroke patients' successful rehabilitation program. We targeted stroke patients who were diagnosed with stroke and are hospitalized in D hospital in J City, Jeollabuk-do, South Korea. More over, we distributed a total of 150 questionnaires to patients who understand the purpose of the research and agreed to participate. We were able to collect 132questionnaires at the end. However, 11 had insufficient data so we only analyzed and evaluated 121 of the said questionnaires. We did frequency analysis to understand the general characteristics by using SPSS for Windows(ver.12.0) program and we used Pearson's Correlation Coefficient and regression analysis to know the relationship between the patient's health beliefs and the implementation of rehabilitation and ability to perform ADL in stroke patients. The results of this study shows that patients with higher perceived sensitivity, perceived benefit and perceived severity equates to an implementation of the rehabilitation better, however patients with a lower perceived disability equates an implementation of functional movement rehabilitation better than those with a higher perceived disability.

Effects of Elastic Resistance Training on Biomechanical Ability in College Taekwondo Athletes

  • Hyun Suk Yang;Jonggeun Woo;Jiheon Hong
    • The Journal of Korean Physical Therapy
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    • v.35 no.5
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    • pp.132-138
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    • 2023
  • Purpose: This study compared the effects of the elastic resistance and general training for college Taekwondo athletes, and investigated the biomechanical ability and lower extremity function according to the movement speed of the knee joint. Methods: Twenty university student Taekwondo athletes participated voluntarily in this study. The subjects performed general resistance training for four weeks, followed by elastic resistance training for another four weeks. The biomechanical parameters during the fast and slow isokinetic conditions, Y-balance ability, and vertical jump ability were measured three times: before training, after general resistance training, and after elastic resistance training. Statistical analysis was performed under isokinetic conditions and the intervention effect. Results: The biomechanical ability differed significantly between fast and slow isokinetic conditions (p<0.05). An analysis of the training method revealed a significant difference in the maximum knee extension speed and the posterior-lateral direction of the Y-balance test (p<0.05). Conclusion: Elastic resistance training had a more positive effect on the functional task performance than biomechanical factors related to muscular strength compared to general resistance training. In addition, speed-related knee biomechanical information of subjects with strong physical abilities could be utilized in sports physiotherapy.

The Effects of Trunk Stability Exercise on Functional Movement, Dynamic Balance Ability and Trunk Stability in Patients with Chronic Back Pain (체간 안정성 운동이 만성 요통 환자의 기능적 움직임과 동적 균형능력 및 체간 안정성에 미치는 영향)

  • Jung, Jooyeon;Kim, Taegyu;Kim, Sooyong
    • Journal of the Korea Convergence Society
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    • v.11 no.3
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    • pp.245-252
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    • 2020
  • The present study aimed to identify the effects of the trunk stability exercise on functional movement, dynamic balance, and trunk stability in patients with chronic low back pain, and to compare the difference among yoga exercise, pilates exercise and core exercise. Forty-three patients with chronic low back pain were divided into three groups; 15 yoga groups, 15 pilates groups, and 13 core exercise groups. All subjects were tested the Functional movement, dynamic balance, and trunk stability using Functional Movement Screen (FMS), Lower Quater Y-Balance Test (YBT-LQ) and Trunk Stability Test (TST), respectively, and after each 8-week exercise program was applied, all variables were retested. After exercising during 8 weeks, FMS, YBT-LQ and TST scores of all three groups were significantly improved, compared to before, but there were no interaction effect among three groups depending on application of exercise program. These results showed that yoga, pilates and core exercise help to improve functional movement, dynamic balance and trunk stability in adults with chronic low back pain.

Disability Measurement Tool for Upper Extremity Disorders: The DASH (Disabilities of the Arm, Shoulder, and Hand) (상지 근골격계 기능장애 평가 도구 DASH의 고찰)

  • Kim, Kyoo Sang
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.19 no.2
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    • pp.156-169
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    • 2009
  • In this study, the authors introduced DASH (Disabilities of the arm, shoulder, and hand), which had been developed for evaluating the functional impairment in the movement of upper extremities in regular daily activities, work ability and sports/performing arts ability. It is an ergonomic risk assessment tool used for industrial workers and also a disability measurement tool for upper extremity disorders arising from musculoskeletal disorders and symptom. This study intended to examine the applicability of DASH in occupational health field. Firstly, DASH development process and composition were reviewed through The DASH outcome measure user's manual and early articles. Secondly, reliability, validity, and responsiveness of the DASH in various languages at the application stage as well as its reliability and validity at the early stage of development were investigated. Thirdly, focusing on the application of DASH to clinical cases, workers with musculoskeletal symptoms, healthy workers, workers with other diseases, and general population were discussed besides workers with major musculoskeletal disorders. Lastly, DASH questionnaire was examined for its potential as a reference for assessing the functional impairment in the movement of upper extremities of workers with musculoskeletal symptoms in industrial workers in Korea.

The Change of Gait Characteristics and FAP in Patients with Chronic Unilateral Stroke (편마비 환자의 보행 특성과 기능적 보행지수 변화)

  • Kim, Soo-Min
    • PNF and Movement
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    • v.4 no.1
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    • pp.37-44
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    • 2006
  • Purpose : Improved walking is a common goal after stroke. Although the neurodevelopmental intervention(PNF) is the most widely used approach in the walking training of hemiparetic subjects. There is little neurophysiological evidence for its presumed effects on gait symmetry and facilitation of paretic muscles during the therapeutic intervention. The study, therefore, investigated the immediate effects of gait entrainment by a PNF techniques. Methods : Included persons with stroke who were living in the community. Sixteen subjects were assigned to the experimental group participated in a measures design that evaluated the subjects with pre-treatment, post-treatment(8 weeks). Temporal-spatial parameter of gait were analysed for using the computerized GAITRite system. Intervention : Training for the experimental group was carried out 3 times a week for 8 weeks. The training sessions were comprised of 50 minutes of walking with pattern and techniques in PNF. Results : The experimental group had improvements in the functional walking ability after 8 weeks treatment and Post-treatment test scores were more significant than the pre-treatment score. The treatment group demonstrated significantly post-treatment test improvement in gait velocity, cadence and FAP. Post-treatment test scores were more significant than the pre-treatment score(p<0.05). Conclusion : The results of this study showed that the PNF exercise intervention can improve functional gait ability. This study provides evidence for the efficacy of PNF treatment at improving locomotor function in chronic stroke.

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The Effect of PNF and FES Treatment of Combined on Gait Ability in Stroke Patients with Hemiparetic (PNF 통합패턴과 FES 병행이 뇌졸중 환자의 보행에 미치는 영향)

  • Song, Myung-Soo;Noh, Hyun-Jeong;Kim, Sang-Soo;Kang, Tae-Woo
    • PNF and Movement
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    • v.9 no.2
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    • pp.1-7
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    • 2011
  • Purpose : The purpose of this research was to determine the effects of Proprioceptive Neuromuscular Facilitation(PNF) and Functional Electrical Stimulation(FES) of combined on gait ability in hemiplegic gait. Methods : The subjects of this study were 13 hemiplegic patients. Each subjects was taken PNF pattern and FES of combined with 5 times per week for 4weeks. Pre- and Post-intervention change in gait ability were measured using an Timed up and Go test, stride length of the affected side, step length of the affected side. The data were analyzed using the paired t-test. Results : The results of this study were showed significantly improvement in TUG, stride length of the affected side, step length of the affected side after intervention. Conclusion : These results suggest that the Proprioceptive Neuromuscular Facilitation(PNF) and Functional Electrical Stimulation(FES) of combined exercise is an effective way of improving gait ability for hemiplegic patients.

The Effect of Neck Strengthening Exercise Using Proprioceptive Neuromuscular Facilitation on Swallow ability of Patient with Dysphagia: A Single Case Study (고유수용성신경근촉진법을 이용한 목근육 강화운동이 삼킴 장애환자에게 미치는 영향: 단일사례연구)

  • Lee, Soon-Hyun;Won, Young-Sick
    • PNF and Movement
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    • v.13 no.3
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    • pp.163-168
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    • 2015
  • Purpose: The current study seeks to identify the effect of neck muscle strengthening exercise using proprioceptive neuromuscular facilitation (PNF) on the swallowing ability of patients diagnosed with dysphagia due to stroke. Methods: As a single case study, the current research conducted neck muscle strengthening exercise using PNF on the patient with dysphagia for 40 minutes, four times per week for a six-week period. At the same time, typical rehabilitation therapy for dysphagia was provided. This type of therapy included food-swallowing and the relation of the muscles surrounding the neck. The functional dysphagia scale and the penetration-aspiration scale were used to assess swallowing ability. Results: After the therapy, the functional dysphagia scale and the penetration-aspiration scale decreased by 18 points and 3 points, respectively, which proves the effectiveness of this type of therapy for dysphagia. Conclusion: The results of the current study indicate that neck muscle strengthening exercise using PNF reduces penetration-aspiration in patients with dysphagia, and that PNF can be clinically utilized to improve the swallowing ability of dysphagic patients.

Recognition of Clinical Practice and Suggestion of Practical Framework (임상실기의 재인식과 실기모델 제안)

  • Kim, Tae-Yoon;Kim, Sang-Su
    • Journal of Korean Physical Therapy Science
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    • v.17 no.3_4
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    • pp.11-21
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    • 2010
  • Purpose: To Provide 3 main principles that needs to be changed for clinical practice and suggest the frame of clinical practice in accordance with the change of generation. Methods: We reviewed literatures related with Clinical Practice. Results: The purpose of physical therapy is to maintain the client's motor and functional ability and enhance the quality of lifestyle. To carry out the principles of clinical practice effectively all the physical therapist must be able to comprehend as follows. First, physical therapy can be different generation by generation. Second, technical terminology must be used when communicate. Third, There are certain ways of process in physical therapy. Conclusion: Physical therapist that is heath care professional occupation in health related, is in need of constant endeavor. Also physical therapist must train oneself self-directed learning.

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Effects of Ankle Self-Mobilization with Movement Intervention on Ankle Dorsiflexion Passive Range of Motion, Timed Up and Go Test, and Dynamic Gait Index in Patients with Chronic Stroke

  • Park, Donghwan
    • Physical Therapy Rehabilitation Science
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    • v.10 no.3
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    • pp.257-262
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    • 2021
  • Objective: Patients with stroke generally diminished ankle range of motion, which decreases balance and walking ability. This study aimed to determine the effect of ankle self-mobilization with movement (s-MWM) on ankle dorsiflexion passive range of motion, timed up and go test, and dynamic gait index in patients with chronic stroke. Design: Randomized controlled trial design Methods: Twenty-four post-stroke patients participated in this study. The participants were randomized into the control (n = 12) and self-MWM groups (n = 12). Both groups attended standard rehabilitation therapy for 30 minutes per session. In addition, self-MWM group was performed 3 times per week for 8 weeks. All participants have measured ankle dorsiflexion passive range of motion, timed up and go test, and dynamic gait index in before and after the intervention. Results: After 8 weeks of training, self-MWM group showed greater improvement in ankle dorsiflexion passive range of motion, timed up and go test, and dynamic gait index than in the control group (p<0.05). Further, self-MWM group had significantly improvement in all dependent variables compared to the pre-test (p<0.05). Conclusions: Our investigation demonstrates that self-MWM is beneficial for improving functional ability. Also, self-MWM was superior to control with respect to improving ankle dorsiflexion passive range of motion, timed up and go test, and dynamic gait index.