• Title/Summary/Keyword: Rehabilitation Therapy

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Effects of Trunk Control Rehabilitation Robot Training on Dynamic Balance, Lower Extremity Strength, Gait Ability and Pain in Bipolar Hemiarthroplasty

  • Yang, HyunKwan;Lim, Hyoungwon
    • The Journal of Korean Physical Therapy
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    • v.31 no.2
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    • pp.94-102
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    • 2019
  • Purpose: This study examined the effects of trunk control rehabilitation robot training (TCRRT) on the dynamic balance, lower extremity strength, gait ability and pain for bipolar hemiarthroplasty. Methods: Hemiarthroplasty (n=28) patients participated in this study. The subjects were randomized into two groups: trunk control rehabilitation robot training group and control group. Results: The TCRRT group showed significantly more improvement in the MFRT, MMT, 10MWT, TUG, and VAS compared to that before intervention (p<0.05). In addition, all tests were significantly greater in the experimental group than in the control group. Conclusion: These results suggest that TCRRT is feasible and effective for improving the dynamic balance, lower extremity strength, gait ability, and pain efficacy after bipolar hemiarthroplasty.

Cross-sectional Study of Therapy Type and Pattern Identification in Lumbago Patients (요통 환자의 치료행태 및 변증에 관한 단면조사 연구)

  • Go, Ho-Yeon;Ko, Youn-Seok;Lee, Jung-Han;Chung, Won-Suk;Shin, Byung-Cheul;Cha, Yun-Yeop;Ahn, Min-Youn;Sun, Seong-Ho;Jeon, Chan-Yong;Jang, Bo-Hyoung;Song, Yun-Kyung;Ko, Seong-Gyu
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.4
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    • pp.177-184
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    • 2013
  • Objectives Lumbago is very common symptoms and many lumbago patients visited Korean Medicine clinic to cure lumbago. But It is not studied therapy type and pattern identification in lumbago patients. This study aim to survey therapy type and pattern identification in lumbago patients. Methods We collected data of 755 patients treated to cure lumbago in Korean Medicine Hospital from 1, Jan. to 31, Dec., 2012. The therapy variable are acupuncture, herbal acupuncture, physical therapy, Chuna Tx, herbal medicine, cupping and moxibustion. Demographic variable are age, gender, district, medical insurance code, and etc. Results 1) We collected data of 755 lumbago patients in 5 Korean medical Hospitals. 2) Age, district, insurance code, diseases were statistically significant by pattern identification. 3) Therapy types of lumbago patients were different by pattern identification. Conclusions In lumbago patients, therapy type and herbal medicine were different by Pattern identification. In the future, it is needed prospective and large scale database for pattern identification in lumbago patients.

The moderator effect of rehabilitation motivation on physical function, balance, and cognition of stroke patients (뇌졸중 환자의 신체기능, 균형, 인지 관계에서 재활동기의 조절효과에 관한 연구)

  • Park, Ji won;Kim, Sangwoo;Lee, Byounghee
    • Journal of Korean Physical Therapy Science
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    • v.27 no.2
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    • pp.13-24
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    • 2020
  • Background: This study evaluates physical function, balance, and cognition rehabilitation motivation. Design: Cross-sectional study. Methods: The subjects include 67 stroke patients to measure physical function, balance, and cognition rehabilitation motivation. For evaluation of physical function, Manual Muscle Test, Range of Motion, Modified Ashworth Scale for spasticity, grasping power, and balance was measured using Functional reach test (FRT), Berg Balance Scale (BBS). For evaluating Cognition, Korean-Mini Mental State Examination, motivation for rehabilitation scale was used to measure for motivation. Results: The results of this study that the moderating effect of rehabilitation motivation was significant in the effect of physical function on BBS (p<0.01), The moderating effect of rehabilitation motivation was significant in the effect of FRT on physical function (p<0.01), The moderating effect of external motivation was also significant in the effect of FRT on physical function (p<0.01). However, the results of the rehabilitation motivations generally divided into three groups (Lower, Average, Upper) and all three results were statistically significant only in groups of average and lower. Conclusion: This study confirms that the rehabilitation motive has demonstrated significant adjustment effects between the body function and balance. In this study, physical function, balance and cognition were significantly correlated with each other, and rehabilitation motivation proved a significant moderating effect between physical function and balance.

Overflow Urinary Incontinence with Herniated Lumbar Disc Managed by Korean Medicine Therapy: A Case Report (요추 추간판 탈출증 환자의 일류성 요실금에 대한 한의 진료의 경과: 증례 보고)

  • Koo, Ji-Eun;Lee, Hee-Won;Kwon, Yong-Su;Yu, Jae-Eun;Bae, Jun-Hyo;Park, Ji-Won;Yoon, Joo-Young;Choi, Sung-Won;Kim, Ka-Hyun
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.3
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    • pp.125-131
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    • 2021
  • This study reports the effectiveness of Korean medicine therapy by improving symptoms in patients with herniated lumbar disc (HLD) diagnosed with chronic overflow urinary incontinence (OUI). The patient was treated with two types of herbal medicine and electroacupuncture for 10 days. We used diary of voiding and incontinence, Overactive Bladder Symptom Score (OABSS), Bristol Female Lower Urinary Tract Symptoms questionnaire (BFLUTS) and numeral rating scale (NRS) to assess the symptoms. After treatment, the number of nocturia decreased from 5 to 2.5. OABSS decreased from 9 to 2 and BFLUTS decreased from 95 to 87. The NRS of back pain decreased from 7 to 3. This study may suggest that Korean medicine therapy can be effective therapy for OUI with HLD.

Review of Pain Potential Substance and Action Mechanism (통증유발물질과 작용기전에 대한 고찰)

  • Bae, Sung-Soo;Kim, Ho-Bong;Lee, Sang-Yong;Kim, Eun-Young
    • The Journal of Korean Physical Therapy
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    • v.13 no.1
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    • pp.205-218
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    • 2001
  • Interpretation of pain by the patients and the observers as well as the methods of treatment remain as varied as are the concepts of pain. The physiologic mechanism of pain is undergoing a serious revision. It is nociceptive receptive mechanism and Melzak concept of gate theory of pain transmission and etc. Therefore pain depend on the evaluator's learning, experience, or specialty.

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A Review of Patellofemoral Angle (슬개대퇴골각에 관한 고찰)

  • Bae, Sung-Soo;Kim, Ho-Bong;Lee, Sang-Yong;Kim, Eun-Young
    • The Journal of Korean Physical Therapy
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    • v.13 no.1
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    • pp.197-204
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    • 2001
  • Knee is a middle joint in lower extremity and has relationship with hip joint and ankle joint alignment. Therefore the knee joint alignment is very important in aspect of biomechanically. Knee joint alignment depend upon patellar stability. Instability of the patellofemoral articulation, in the form of patellar subluxation or dislocation may be associated with a number of factors. Normal range of patellofemoral angle is very different by the reporter and by the gender also.

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Therapeutic Approach of Motor Imagery in Stroke Rehabilitation (뇌졸중 재활에 있어서 운동심상의 치료적 접근)

  • Kim, Sik-Hyun
    • PNF and Movement
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    • v.13 no.2
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    • pp.55-72
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    • 2015
  • Purpose: The purpose of this study was to propose a new therapy algorithm that combines motor imagery and physiotherapy as a physiotherapeutic clinical intervention technique that can stimulate the recovery of damaged physical function for patients with stroke. Methods: A variety of scientific research results related to motor imagery were reviewed and analyzed to investigate their applicability to physiotherapy in clinics. Results: As a new therapy algorithm for the therapeutic approach of motor imagery in stroke rehabilitation, a therapy algorithm that combines motor imagery with physiotherapy is proposed, which consists of three stages or steps: STEP 1 motor imagery familiarization, STEP 2 explicit learning stage, and STEP 3 implicit learning. Conclusion: The new therapy algorithm proposed in this study is expected to be a very useful clinical therapeutic approach for stimulating the recovery of damaged physical function in patients with stroke. It is believed that it will be necessary to confirm and standardize the effects of the therapeutic algorithm proposed in this study in the future by conducting diverse clinical studies.

One Case Treated Semi-coma by Scalp Acupuncture with Electric Stimulation (두침전기자극을 시술한 반혼수 환자 1례에 관한 보고)

  • Kim, Min-Kyun;Kim, Hyun-Soo;Hwang, Jae-Pil;Hong, Seo-Young;Heo, Dong-Seok;Yoon, Il-Ji
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.157-171
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    • 2008
  • Objectives : To report one case of semi-coma patient was treated by scalp acupuncture with electric stimulation. Methods : Patient (state of semi-coma) was treated by scalp acupuncture with electric stimulation, herbal medication and physical therapy. The improvement of patient was measured every other week by Glasgow Coma Scale(GCS), Modified Bathel Index(MBI), National Institutes of Health Stroke Scale(NIHSS). Results : We observed the patient decrease in NIHSS score and increase in GCS and MBI. Symptoms of patient such as semi-coma were improved following the treatment. Conclusions : It is suggested that oriental medical treatment; scalp acupuncture with electric stimulation, herbal medication and physical therapy were effective in semi-coma caused by traumatic brain injury.

Factors Influencing Discharge Destination and Length of Stay in Stroke Patients in Restorative Rehabilitation Institution

  • Gyu-Bum Lee;Jee-Sun Lee;Jeong Soo Kim
    • Physical Therapy Korea
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    • v.31 no.1
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    • pp.48-54
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    • 2024
  • Background: Promoting patients' safe return home at discharge and reducing length of stay in hospital is key for Restorative Rehabilitation Institution (RMI). Objects: This study was designed to identify the factors influencing the return to home and length of stay among various factors. Methods: A total of 120 stroke patients (76 males and 44 females) who were hospitalized in an adult inpatient unit of a RMI for more than 2 months were retrospectively analyzed for this study (multivariate logistic regression analyses, p < 0.001). As predictor variables for assessing the return to home and length of stay, demographic data (sex, age, duration between onset and admission, length of stay, caregiver after discharge, occupation after discharge, reason for discharge, and household type after discharge) were collected. Additionally, following measurements were selectively collected from patient's medical records: scores of Mini-Mental State Examination Korean version (K-MMSE), modified Barthel Index Korean version (K-MBI), Berg Balance Scale and Functional Ambulation Category were obtained at admission and discharge. Results: The K-MMSE at admission and K-MBI at discharge were found to be the predictors of return to home. Additionally, K-MBI at admission influenced the length of stay. Conclusion: This study suggests cognitive functioning at admission and the level of activities of daily living at discharge predicted the return to home and length of stay.