• Title/Summary/Keyword: Orthopedic manual physical therapy

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Kaltenborn's Joint Mobilization Techniques (Kaltenborn의 관절가동 기법)

  • Kim, Ho-Bong;Bae, Sung-Soo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.4 no.1
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    • pp.35-43
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    • 1998
  • This study was introduce to Manual Mobilization of the Extremity Joints of Freddy M. Kaltenborn(1989). Much of Orthopedic Manipulative Therapy is devoted to the evaluation and treatment of joint and related soft tissue disorders and one of the primary treatment methods is mobilization. When examination reveals joint dysfunction, especially decreased range of motion, joint mobilization techniques are often utilized. Kaltenborn's joint mobilization techniques are performed as passive examination or treatment movements by the therapist. There are three basic joint play movements: (1) traction, (2) compression, and (3) translatoric gliding. The purpose of joint mobilization is to restore normal, painless joint function. Mechanically, the goal is to restore joint play and thus normalize roll-gliding which occurs during active movements.

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A Study of Manual Therapy of Korea and Foreign (한국의 맨손치료와 외국의 맨손치료에 관한 연구)

  • Kim, Chang-Sook;Kim, Yeon-Ju;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.1 no.1
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    • pp.147-153
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    • 2006
  • Purpose : This article has to compare and clarify the Korea traditional manual therapy and foreign. Methods : This is a literature study with books and books for Korea traditional manual therapy. Results : Korea traditional manual therapy is a species Koryo medicine that is prevention and treatment a disease stimulated in body one part by hand. It has included yacson, doin, sooki, massage, digital compression and chuna. And trend of manual therapy cover the whole medical in Europe, but America has two categories which is the neurologic manual therapy and the orthopedic manual therapy. Conclusion : Korea had been accepted manual therapy which was operated in foreign. This foreign manual therapy was very similar to korea. So it is necessity for a systematic and comparative study for korea traditional manual therapy.

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The Effects of Manual Drainage Lymph (MLD) on the Volume of the Upper Extremities of Women with Breast Cancer (림프마사지(MLD)가 유방암 절제술을 한 여성의 상지 부피에 미치는 영향)

  • Lee, Min-ji;Kwon, O-kook;Yang, Young-sik;Kim, Youn-jin;Lee, Ho-jun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.1
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    • pp.53-61
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    • 2019
  • Background: This study aimed to investigate the effects of manual lymph drainage (MLD) on women with breast cancer and lymph edema. Methods: This study was carried out with a total of 23 women with breast cancer and lymph edema. By drawing lots, women were assigned to either the manual drainage group (MLD, n=12), a control group (n=11). Outcomes such as the arm size, visual analogue scale, shoulder pain and disability index, and functional assessment cancer therapy-breast (FACT-B) were measured to 0 week, 2 weeks, 4 weeks, and 8 weeks intervention for both groups. Results: A significant difference was found in the arm size, pain, functional disability level, and quality of life between the two groups and time(p<.01). Significant difference in functional disability level between 2 and 8 weeks at 4 weeks and 8 weeks for pain(p<.01), and the quality for life was significantly different at all time points (p<.01). Conclusions: Applying MLD treatment to women with breast cancer proved to have a positive effect.

Physical Therapy Effects of Thoracic Outlet Syndrome (흉곽출구 증후군의 물리치료 효과)

  • Kwon, Hyeok-Su;Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.3 no.1
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    • pp.17-27
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    • 1997
  • The PT program provides relief to most patients with symptom of TOS. So the purpose of our study is to evaluate a effects of PT program in patients with TOS. PT program included orthopaedic manual therapy with the aim of restoring the function of the upper thoracic aperture is to be recommended, and long-term following is advisable. 1. Mean treatment duration was over an 11.4 day(range 4~24). 2. At the follow-up evaluation, 88.1% of the patients were satisfied with the effects of their therapy. 3. 73% of the patients returened to work after PT and 88% of the patients carried through the recommendations given at discharge during follow up. 4. Normalized grip strength and Tinel' sign predicted patient satisfaction(p< .001) and return to work(p< .001). 5. Return to work was more often successful if the work was sedentary rather than heavy (p< .05).

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Manual Therapy for Patient with Spasmodic Torticollis - Case Study (연축성 사경환자에 대한 도수 치료적 접근 - 사례연구)

  • Kim, Dong-Ya;Shin, Eui-Ju;Jeon, Jae-Guk
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.19 no.1
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    • pp.79-83
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    • 2013
  • Background: Spasmodic torticollis is a disorder that is described by sustained muscle contractions causing repetitive and twisting movements, and abnormal postures in a single body region. The purpose of this case is to describe the manual therapy for a patient with spasmodic torticollis. Methods: The patient was a 64 years old man with an 3 month history of left side laterocollis spasmodic torticollis. No known genetic history or trauma. Prior to intervention, his score on the Western Spasmodic Torticollis Rating Scale (TWSTRS) severity score was 24, disability score was 20, pain score was 11. There is a noticeable distinction between left and right side cervical range of motion. The intervention consisted of manual therapy (MET, PNF) 3 times per week for the treatment during 4 weeks. Results: After intervention for 4weeks, his TWSTRS score and range of motion was improved quite a bit before therapeutic exercise. But symptoms are not improving sufficiently fast. Conclusions: Manual therapy is that MET and PNF is effective in improving for patient had spasmodic torticollis with laterocollis of neck.

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The Present State of Physiotherapy and the Development Direction of a Curriculum for Physiotherapy Educational Program in Swaziland (Swaziland의 물리치료 현황과 물리치료 교육프로그램 개발방향)

  • Park, Ji-whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.2
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    • pp.1-5
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    • 2015
  • Background: The purpose of this study was to search the present state of physiotherapy and the development direction of a curriculum for physiotherapy educational program, especially in field of orthopedic manual therapy, in Swaziland. Methods: The developed curriculum is as follows: 1. Disease and Health State in Swaziland. 2. Medical Human Resources State of Swaziland. 3. Physiotherapy Services State in Swaziland. 4. Higher Education State in Swaziland. 5. Development Direction of a Curriculum for Physiotherapy Educational Program in Swaziland. Conclusions: There is no a physiotherapist in Swaziland and Swaziland government which has not a physiotherapy education programme in any university of whole country. So we need to the development direction of a curriculum for physiotherapy educational program for the future of Swaziland, especially in field of orthopedic manual therapy. The reason is firstly, most of people are obesity in this country, so many people complained a lot of joint and muscle pain. And secondly, also there are many musculoskeletal disease patients now a day in Swaziland because of HIV/AIDS. Lastly, Swaziland country is in a poor and developing state, so physiotherapist it is hard to make a purchase and setting physiotherapy modalities apparatus at Swaziland country.

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Case study of application on manual therapy of knee pain cause of Sacroiliac joint dysfunction (천장관절기능부전으로 인해 발생된 무릎 통증환자의 도수치료 적용사례)

  • Choi, Sung-Hwan;Park, Huyn-Sik;Shin, Young-Il
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.1
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    • pp.61-65
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    • 2008
  • Purpose : The purpose of the study was to determine Effects of application on manual therapy of knee pain cause of Sacroiliac joint dysfunction. Methods : The patient with knee pain was 59years female. Muscle Energy Techniques, high-velocity, low-amplitude and modality(Hot pack, ultrasound, TENS) using during one month. Results : The patient has improve pain, muscle strength and function.

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A Case Study of the Effect of the Manual Therapy on Patient with Posttraumatic Stress Disorder, Sleep Disturbance and CLBP (외상후 스트레스 장애를 가진 만성요통 환자에게 도수치료가 외상후 스트레스와 수면 장애 및 통증에 미치는 영향-사례 연구)

  • Yu, Seong-Hun;Kang, Yong-Ju;Kim, Tae-Won
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.1
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    • pp.47-52
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    • 2014
  • Background: This case study is to describe the manual therapy for the patient with posttraumatic stress (PTSD), sleep disturbance, and pain such as chronic low back pain (CLBP). Methods: The patient who participated in this study was a 60 year-old male PTSD patient with CLBP. His CLBP is not from any genetic or family history but a sequelae of torture that he had gone through about 30 years ago. Prior to the intervention, it was assessed that the PDS-K score was 16, PQSI-K was 12, SLR-90-R was low, VAS score was 10, and KODI socre was 25. The intervention was conducted through manual therapy (myofascial release, muscle energy technique, lumbar stabilization) twice a week for eight weeks in total. Results: After eight week-intervention, the PDS-K, SLR-90-R, VAS, and KODI score were improved whereas PQSI-K was not sufficiently fast improved. Conclusions: The manual therapy is substantially effective in dealing with PTSD and CLBP.

The Effects of Manual Therapy on Pain, ROM and Disability of Cervical Radiculopathy (경추 신경근병증의 통증, 관절가동범위, 경부장애에 대한 도수치료의 효과)

  • Jeon, Jae-Guk;Kim, Hyun;Park, Hyun-Sik;Joo, Tae-Sung;An, Ik-Geun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.1
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    • pp.9-14
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    • 2014
  • Background: Cervical radiculopathy is the result of cervical nerve root pathology that may lead to chronic pain and disability. Although manual therapy interventions including cervical traction and neural mobilization have been advocated to decrease pain and disability caused by cervical radiculopathy, their analgesic effect has been questioned due to the low quality of research evidence. The purpose of this paper is to present the effect of manual therapy on pain, ROM, disability in a patient experiencing cervical radiculopathy. Methods: In this study, 30 participants who met the diagnostic criteria for cervical radiculopathy were randomized into two groups: group I (nerve mobilization group) & group II (Mckenzie exercise group). The experimental group was performed manual cervical traction and neural mobilization technique. The control group was performed manual cervical traction and cervical retraction, extension exercise. Assessments were performed to 30 participants before and after 4 weeks therapy. The components of assessments were pain intensity (PI), cervical rotation ROM (CR) and neck disability index (NDI). Results: After 4 weeks therapy, PI, CR and NDI were significantly reduced in both groups (p<.01). The PI, CR and NDI were no significantly reduced between group I and group II (p>.01). Conclusions: Manual therapy could reduce the symptoms of cervical radiculotpathy.

A Study on the Health Status and Burnout Syndrome of Orthopedic Physiotherapists According to the Working Institution: Focusing on the Seoul Metropolitan Area (근무기관에 따른 정형도수물리치료사의 건강상태, 번아웃증후군에 관한 연구: 서울시 지역을 중심으로)

  • Young-il Shin;Jae-myoung Park;Jin-young Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.30 no.1
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    • pp.43-50
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    • 2024
  • Background: This study compared orthopedic physiotherapists from different working institutions regarding their health status and burnout syndrome to understand the work-related factors that affect health status and burnout syndrome Methods: This study was conducted from October 28 to November 13, 2022, focusing on physiotherapists working in medical institutions located in metropolitan areas, such as Seoul, Gyeonggi, and Incheon. A total of 591 questionnaires were analyzed. The questionnaire consisted of questions related to the basics of physical therapy, general matters, types of working institutions, health conditions, and burnout syndrome. Results: No significant difference was detected in health self-awareness status whether the working institution was a clinic, nursing hospital, hospital, oriental hospital, general hospital, or university hospital. Among the burnout factors, nursing hospitals showed the highest scores for retirement demands, work unfavorability, physical fatigue, mental fatigue, and reasons for work because of salary. By contrast, university hospitals showed the highest enthusiasm and other institutions showed the lowest enthusiasm for work. In particular, in terms of enthusiasm, scores were significantly more positive in university hospitals than in other institutions. Conclusion: A management plan for burnout for orthopedic manual physiotherapists working in nursing hospitals is needed, and future research will examine the health status of orthopedic manual physiotherapists and work that may affect burnout syndrome. An exploration of management measures, such as health promotion and burnout syndrome prevention, is needed that adds other items, such as differences in environment and differences in the number and disease severity of patients

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