• 구강회복응용과학지
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• 제22권1호
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• pp.89-100
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• 2006

Traditionally, goals of orthodontic treatment fall into four categories: good tooth alignment, improvement of skeletal profile and good soft tissue, and rehabilitation of the normal function. Electromyography (EMG) has proven as useful tool in evaluating masticatory function among the maxillomandibular relationship and could be useful in accompanying orthodontic treatment objectives. But in pursuit of clinical application, it is necceassry to systemize clinical guideline for diagnosis by EMG records in evaluating the effects of orthodontic, orthopedic, or surgical treatment. This study present 3 orthodontic cases, which treatment results, ie neuromuscular balances of masticatory muscle, could be moitered by EMG procedure.

• 대한물리의학회지
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• 제12권4호
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• pp.19-28
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• 2017

PURPOSE: The purpose of this study was to describe the Proprioceptive Neuromuscular Facilitation (PNF) Intervention strategy applied International Classification of Functioning, Disability and Health (ICF) Tool about strength, range of motion, scapular stability, pain and function of shoulder for patients with adhesive capsulitis. METHODS: The data was collected by patient with adhesive capsulitis. The patient was a 50-year-old male diagnosed with right shoulder with adhesive capsulitis. We applied the PNF Intervention strategy applied ICF Tool to patient with adhesive capsulitis. PNF interventions were consisting of such as combination of isotonic and stabilizing reversal technique and various positions. PNF interventions were applied, such as those aiming at decreasing pain and disability and increasing range of motion and function for the four weeks. Parameters of result were collected for strength, range of motion, scapular stability, pain and function of shoulder using the hand held dynamometer, goniometer, lateral scapula slide test, and shoulder pain and disability index, respectively. RESULTS: Clinical benefits were observed the patient with adhesive capsulitis for strength, range of motion, scapular stability, pain, and function of shoulder. The patient with adhesive capsulitis improved strength, range of motion, scapular stability, pain, and function of shoulder. CONCLUSION: Patient reported improved strength, range of motion, scapular stability, pain, and function of shoulder after intervention.

• PNF and Movement
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• 제15권3호
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• pp.237-246
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• 2017

Purpose: The purpose of this study was to investigate the effects of forward-and-backward shift trunk exercise using a proprioceptive neuromuscular facilitation (PNF) diagonal pattern in a closed kinematic chain exercise on the upper limb function and activity of daily living (ADL) in a stroke patient. Methods: One subject participated in this study. The study used a reversal A-B-A' design, where A and A' were the baseline period (no intervention), and B was the intervention period. The intervention was a forward-and-backward trunk shift exercise, using a PNF diagonal pattern on both a stand-on-hand position and a quadruped position of closed kinematic chain exercises, for 20 min per day for 2 weeks. The range of motion (ROM) of the shoulder joint was measured and a Fugl-Meyer assessment of upper extremity (FMA-UE) and a functional independence measure (FIM) were performed to measure upper limb function and activity of daily living (ADL). Results: ROMs of shoulder joint (flexion, extension, abduction, and external rotation) increased in the intervention phase. The FMA-UE score increased (from 28 to 36) in the intervention phase. The FIM score increased (from 20 to 25) in the intervention phase. These increases were maintained after intervention (Baseline II). Conclusion: These results suggest that forward-and-backward shift trunk exercises using a PNF diagonal pattern in a closed kinematic chain exercise have a positive effect on stroke patients' upper limb function and ADL ability.

• PNF and Movement
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• 제18권2호
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• pp.205-214
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• 2020

Purpose: The purpose of the study was to assess the effects of proprioceptive neuromuscular facilitation (PNF) training and respiratory muscle endurance training on pulmonary function and activity in chronic stroke patients. Methods: The participants were 25 chronic stroke patients. They were assigned to two groups: a PNF and respiratory muscle training group (experimental group; n = 12) and a conservative training group (control group; n = 13). The experimental group completed 50 minutes (30 minutes of conventional physical therapy, 10 minutes of PNF training, and 10 minutes of respiratory muscle endurance training). The control group also completed 50 minutes (30 minutes of conventional physical therapy and 20 minutes on a full-body workout machine). Pulmonary function and activity were measured before and after the intervention, using Cosmed to analyze pulmonary function and 6MWT as clinical evaluation indicators. Results: Both groups showed significant within-group differences on all tests before and after the intervention; the experimental group showed greater improvement on all tests. Conclusion: The findings confirm that PNF training and respiratory muscle endurance training have a positive effect on pulmonary function and activity index in chronic stroke patients.

• 한국전문물리치료학회지
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• 제22권1호
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• pp.79-92
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• 2015

The effects of Proprioceptive Neuromuscular Facilitation (PNF) and elastic band exercise on the physical functions and blood lipids of obese elderly women were investigated. The experimental group ($n_1=16$) patients underwent PNF for 12 weeks, and the control group ($n_2=15$) patients performed elastic band exercises. SPSS 21.0 was used to compute the means and standard deviations. After the 12-week PNF, both the experimental and control groups showed statistically significant differences in the physical functions (cardiovascular endurance, strength of the lower extremity, muscular endurance, flexibility, balance, and agility) (p<.05), but the difference in the experimental group was more significant than that in the control group (p<.05). In terms of the changes in the blood lipid levels (total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein), the experimental group showed significant changes (p<.05). In conclusion, PNF was confirmed as more effective than elastic band exercise in improving the physical functions and blood lipid levels of obese elderly women.

• PNF and Movement
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• 제12권3호
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• pp.189-199
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• 2014

Purpose: The objective of this case report is to examine the impact of physical therapy using the proprioceptive neuromuscular facilitation (PNF) concept for a patient with shoulder impingement syndrome. Methods: The patient is a 35-year-old female who has felt pain in the right shoulder for one month. The physical examination evaluated sensory integration, pain, joint integration and mobility, posture, reflex integration, range of motion, muscular strength, analysis of movement, and shoulder function. Comprehensive physical therapy was given to the patient, including stretching, mobilization, strengthening, posture correction, coordination improvement, daily activities, and sports exercises. The therapy was given 5 times a week for the first 5 weeks, then 3 times a week for the next 5 weeks. In all, the intervention lasted for 10 weeks. Results: The patient's senses, posture, and muscular strength all improved to a normal level. The degree of pain fell from 3/10 to 0/10 for activities taking place below shoulder height, and from 8/10 to 1/10 for activities above the head. Additionally, joint integration, motility, range of motion, and movements also improved. The disabilities of the arm, shoulder and hand (DASH) for functional evaluation improved from 27.5 to 10.3. Conclusion: Physical therapy using the PNF concept is effective in improving the body structure, function, activity, and participation of patients with motor disorders of the shoulder impingement syndrome.

• 한국산학기술학회논문지
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• 제13권10호
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• pp.4582-4587
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• 2012

본 연구는 뇌졸중 환자를 대상으로 고유수용성신경근촉진법이 연하기능에 미치는 효과를 알아보고자 하였다. 이를 위해 뇌졸중 환자 중 실험군 9명, 대조군 9명을 대상으로 주 3회 30분~50분씩 총 12회 동안 고유수용성신경근 촉진법을 이용한 프로그램으로 중재하였다. 연구 결과 첫째, 연하곤란 정도의 변화는 고유수용성신경근촉진법 중재 후에 실험군의 연하곤란 척도 점수가 감소하여 유의한 차이가 있었다. 둘째, 구강 인두기능 점수는 고유수용성신경근 촉진법 중재 후에 실험군에서 유의한 차이를 나타내었다. 셋째, 연하속도의 변화는 실험군에서 중재 후에 1회 연하시간, 총소요시간이 감소하여 유의한 차이를 보였다. 따라서 고유수용성신경근촉진법이 뇌졸중 환자의 연하기능을 향상시키는데 효과가 있는 것으로 나타났으며, 앞으로도 다양한 중재가 결합된 운동프로그램을 개발하여 뇌졸중 환자의 연하기능 향상에 기여할 수 있는 연구들이 진행되어져야 할 것으로 사료된다.

• 한국콘텐츠학회논문지
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• 제9권12호
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• pp.691-698
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• 2009

본 연구의 목적은 현수 기간 중 적용한 신경근 전기자극의 사전 적용이 흰쥐 뒷다리 근육의 무게와 후지 기능에 미치는 효과를 알아보는데 있다. 이를 위해서 25마리의 Sprague-Dawley계 흰쥐를 14일 동안 현수한 HLS군(n=5)과 14일 동안 자유롭게 사육한 WB군(n=5), 현수 기간 중 14일간 사전 전기자극을 실시한 ES14군(n=5), 현수 기간 중 11일간 사전 전기자극한 ES11군(n=5), 현수 기간 중 7일간 사전 전기자극한 ES7군(n=5)에 무작위 배치하여 실험을 진행하였다. 실험결과, HLS군과 ES7군에서 비복근의 근무게, 후지 활보장의 유의한 감소와 외향각의 유의한 증가가 관찰되었고, ES14군과 ES11군에서 비복근의 근무게와 후지 활보장, 외향각이 유의하게 유지되었음을 관찰하였다. 즉, 14일 및 11일의 사전 신경근 전기자극이 근위축 지연과 근기능 보존에 효과적임을 보여주고 있다. 이러한 결과는 근위축 예방 및 기능 유지를 위해서는 신경근 전기자극을 가능한 조기 적용해야함을 알려주고 있다.

• 대한후두음성언어의학회지
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• 제21권1호
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• pp.22-26
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• 2010

Neuromuscular Disorders Affecting the Larynx are steadily important topics at laryngology. Physiology of larynx is controlled by the frame structure and neuromuscular dynamics to acting on the specialized soft tissue, Therefore, for a proper understanding of the larynx, it is needed the voice and swallowing, a series of prayers on the regulation of neurologic function and the correlation between systemic neuromuscular disease and laryngeal symptoms and clinical knowledge, We described that clinical findings and treatments of the 3 neurological diseases causing dysphonia well (Parkinson's disease, laryngeal tremor, spasmodic dysphonia) and vocal impairments for stoke patients.

• PNF and Movement
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• 제2권1호
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• pp.49-57
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• 2004

Objective : The purpose of this study was conducted to find treatment approach, functional test process with proprioceptive neuromuscular facilitation(PNF). Method : This is a literature study with books, seminar note and book for PNF international course. Result : Suggest of the functional test with functional level and structural level treatment approaching with hypotheses and problem list from the functional test and provide how, what, where for the treatment with the level. Conclusion : Treatment plan and approach has changed from disease to structure function, performance, participation the life, relationship with environment factors of human being. For the treatment approach need the functional test and functional goal.