• Title/Summary/Keyword: Rehabilitation Therapy

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Balance Performance of Normal Children and Adults using Tiltboard (경사판을 이용한 정상 성인과 아동의 균형 수행력)

  • Lee Jin-Hee;Kwon Young-Shil;Kim Jin-Sang;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.11 no.1
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    • pp.45-53
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    • 1999
  • The purpose of this study Was to describe balance performance of 10 normal children and 10 adults using tilt board under three tasks 1) eyes open with gazing stationary target, 2)eyes dosed, and 3) eyes open with gazing dynamic target. The results were as follows. 1. As increasing the number of trials, balance performance was inclosed, specially, in children group. 2. In children group, there was significant difference between right side and left side in task 2 and task 3.3. In both group. there was significant difference between task2 and task3. 4. There was no difference between adults group and children group.

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The Box and Block Test : Test-Retest Reliability for 4, 5 Years Old Children (정상아동 4, 5세를 대상으로 한 상자와 나무토막검사의 검사-재검사의 신뢰도검사)

  • Jung, Min-Ye;Lee, Jae-Shin;Doo, Jung-Hee
    • Physical Therapy Korea
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    • v.3 no.3
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    • pp.24-31
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    • 1996
  • Manual dextrity is frequently evaluated in rehabilitation to estimate hand function. The Box and Block Test(BBT) mearsures gross manual dextrity. The first goal of this study was to verify the test-retest reliability of the BBT for 4, 5 years old children. The second goal of this reserch was to develop normative data from 35 convenient sample of normal children. The results showed the test-retest reliability was high (Pearson product moment correlation coefficients of 0.71 to 0.82).

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Chuna Craniosacral Therapy for Headache: A Systematic Review and Meta analysis (두개천골추나요법이 두통에 미치는 영향: 체계적 문헌 고찰과 메타분석)

  • Lee, Sang-Jin;Lee, Sang-Hyun;Heo, In;Hwang, Eui-Hyoung;Lim, Hyoung-Ho;Song, Yun-Kyung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.15 no.1
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    • pp.35-48
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    • 2020
  • Objectives : This study was conducted to evaluate the therapeutic effects of Chuna Craniosacral therapy on headaches. Methods : 1. A combination of keywords, such as headache and Chuna Craniosacral therapy, were searched based on studies published in 11 databases (Pubmed, CAJ, EMBASE, Cochrane Library, Web of Science, KMBASE, KISS, KISTI, NDSL, RISS and DBPIA) up to October 31st, 2019. 2. The subjects were randomized controlled clinical studies using Chuna Craniosacral therapy. 3. We used the Cochrane perverse assessment tools for quality assessment. Results : 1. Six randomized controlled clinical studies were selected, and all 404 patients were evaluated. 2. As a result of the meta-analysis, Chuna Craniosacral therapy and scalp acupuncture showed no difference in treatment effect. 3. Chuna Craniosacral therapy showed a significant difference in treatment effect compared to Maitlands mobilization. 4. Chuna Craniosacral therapy showed a partial difference in treatment effect compared to low intensity magnetotherapy. 5. Chuna Craniosacral therapy group showed a significant effect on pain reduction compared to the untreated group. 6. All six papers showed a high degree of bias risk, with no mention of side effects or adverse events. Conclusion : This study provided only a limited assessment of the curative effects of Chuna Craniosacral therapy's headache treatment. However, there was no mention of side effects, and given the therapeutic effects analyzed in individual papers, it is believed that Craniosacral therapy can be used safely to treat headaches.

An Unconventional Approach Considering Flexor Spasticity and Flexion Synergies of the Upper Extremity Following a Stroke: A Randomized Double-blind Pilot Study

  • Rha, Young Hyoun;Lee, Keun Hee;Shin, Jun Bum;Park, Kang Hui;Kim, Byung Sun;Ha, Jae Chan
    • Physical Therapy Korea
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    • v.29 no.2
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    • pp.147-155
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    • 2022
  • Background: Although various conventional approaches have been employed to reduce spasticity in neurological rehabilitation, only a few studies have shown scientific evidence for its effectiveness. Thus, we introduced a different concept (Ueda method) of rehabilitation therapy that can complement the limitations of conventional therapy. Objects: This study aimed to investigate the immediate effects of the application of the Ueda method on patients with spasticity after stroke via an electrophysiological study. Methods: We conducted a randomized double-blind pilot study in two rehabilitation hospitals involving 30 stroke patients who were randomly allocated to the Ueda (n = 15) and convention (n = 15) groups. Electromyographic data of six examined muscles in both upper extremities of all patients were recorded. The A-ApA index and activation ratios of upper extremity muscles were evaluated and compared between the groups to confirm post-intervention changes in upper-extremity flexor spasticity and flexion synergies. Repeated-measures analysis of variance was conducted to confirm the therapeutic effect (2 × 2) as a function of group (Ueda vs. convention) and time (pre-/post-intervention) on all outcome measures (p < 0.05). Results: In the Ueda group, the mean A-ApA index values differed significantly before and after the intervention (p = 0.041), indicating a weak evidence level; however, the effect size was medium (d = -0.503). The interaction effects of the A-ApA index between the Ueda and convention groups and between pre-intervention and post-intervention stages were significant (p = 0.012). The effect size was large (np2 = 0.220). In the Ueda group, the activation ratios of the anterior deltoid fiber significantly decreased after the intervention in all reaching tasks. Conclusion: The Ueda method reduces upper-extremity flexor spasticity and changes its synergy in stroke patients and should be considered a rehabilitation therapy for spastic stroke patients.

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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Physical Therapy Approaches for Respiratory Diseases (호흡계 질환의 물리치료적 접근방법)

  • Kim, Ki-Song
    • Journal of Korean Physical Therapy Science
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    • v.16 no.3
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    • pp.67-74
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    • 2009
  • Background: Various functional factors should be incorporated during assessment and intervention for patient rehabilitation. Stable respiratory function is one of required factors for functional restoration. To maximize respiratory physical therapy intervention outcome, it is required to understand clinical features of respiratory diseases and physical therapy approaches. Methods: Previous studies were systematically reviewed through computerized search. Methodological qualities of selected studies were evaluated and the levels of recommendations were determined. Results: Assessment for respiratory pattern and thoracic mobility is of importance to improve cardiopulmonary fitness during physical reconditioning. Application of optimal therapeutic protocol can increase thoracic mobility and respiratory function. Interdisciplinary communication is critical during rehabilitation for respiratory patients. Health care provider should have professional knowledge and experience for cardiopulmonary fitness and obligation to endeavor for patients' respiratory rehabilitation. It is necessary to standardize therapeutic intervention, and rehabilitative respiratory exercise should be applied to confirm the effects of intervention. Conclusion: Respiratory diseases that may reduce patients' quality of life and cardiopulmonary fitness should be resolved through physical therapy approaches. Through conducting research, effect of evidence-based and patients' function-oriented intervention can be determined.

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Review of neuromuscular junction to understand myasthenia gravis (중증근무력증의 이해를 위한 신경근 연접부에 대한 고찰)

  • Song, Ju-Min;Nam, Ki-Won;Kim, Souk-Boum;Chae, Yun-Won;Kwon, Young-Shil;Kim, Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.761-767
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    • 2001
  • Myasthenia gravis is an autoimmune disorder mainly caused by antibodies to the muscle acetylcholine receptors at the neuromuscular junction Loss of these receptors leads to a defect in neuromuscular transmission with muscle weakness and fatigue. In this study, to understand of myasthenia gravis, were viewed about anatomical and physiological view of neuromuscular junction.

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Traditional Hydrotherapy and Physical Therapeutic Hydrotherapy (전통적 수치료와 물리치료적 수치료)

  • Oh, Hyen-Ju;Kim, Chang-Sook;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.1 no.1
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    • pp.155-159
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    • 2006
  • Purpose : The purpose of this study investigate method and effect of traditional hydrotherapy and therapeutic hydrotherapy. Methods : This is a literature study with books, seminar note and study for traditional hydrotherapy and therapeutic hydrotherapy. Results : Traditional hydrotherapy in Korea include balneotherapy, medicine herbs bathing therapy, hand and foot hot bath therapy, contrast bath. Therapeutic hydrotherapy include whilpool bath, Hubbard bath, contrast bath, pool bath using mechanical stimulation. Conclusion : Traditional hydrotherapy was static approach method with using water in motion, thermodynamics and water at rest. Therefore in modem hydrotherapy need more dynamic activities in the water. We need scientific research to prove effectiveness of physical therapy and traditional therapy which are known to everybody recently.

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Physical Therapy for Post-Myocardial Infarction (심근경색후 물리치료)

  • Lee, Jeong-Weon
    • Physical Therapy Korea
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    • v.1 no.1
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    • pp.83-87
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    • 1994
  • The purpose of this paper is to provide an overview of the clinical physical therapy program used at the University of Yonsei Rehabilitation Hospital, for the practicing university trained physical therapists who may be unfamiliar with patients who have suffered a myocardial infarction. The four primary phases of the cardiac physical therapy graded exercise program are: 1) coronary care unit program (phase I), 2) general ward program (phase II), 3) convalescence program (phase III), 4) maintenance program (phase IV). The exercise prescription defines the exercise intensity, duration, frequency, and mode of exercise a after pre- discharge low level graded exercise test(LL-GXT) or symptom limited maximum graded exercise test. A typical exercise routine consists of preparation warm-up exercise, therapeutic exercise, cool-down exercise. Physical therapy is involved in the acute care and rehabilitation of the patient after a myocardial infarction. Therefore, the physical therapist must throughly comprehened the cardiac anatomy, cycle, performance, conduction system, pathogenesis, risk factors, and exercise benefits.

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Three Clinical Cases Study on Idiopathic Lumbar Scoliosis with Muscle Energy Techniques and Acupuncture Therapy (근에너지기법(Muscle Energy Techniques)과 침치료를 이용한 특발성 요추부 척추측만증 치험 3례)

  • Eom, Tae-Woong;Moon, Tae-Woong;Kang, Myung-Jin;Kong, Duck-Hyun;Cho, Tae-Young;Lee, Ki-Ha;Yoo, Da-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.173-185
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    • 2008
  • Objectives : This study is designed to evaluate the effectiveness of muscle energy techniques and acupuncture therapy on patients with idiopathic lumbar scoliosis. Methods : We have investigated 3 patients with idiopathic lumbar scoliosis, used muscle energy techniques and acupuncture therapy, measured Cobb's angle before and after treatment. Results : After treatment, One case, the L-spine Cobb's angle correctability was 62.74%, another case was 34.66%, the other case was 45.50%. Conclusions : These results suggest that muscle energy techniques and acupuncture therapy was effective treatment on patients with idiopathic lumbar scoliosis.