• 제목/요약/키워드: Rehabilitation Therapy

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Effects of Manual Therapy on Upper Extremity Pain after Breast Cancer Surgery: A Systematic Review and Meta-analysis

  • Kim, Sangyeop;Kim, Hyun-Joong
    • Physical Therapy Rehabilitation Science
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    • 제10권3호
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    • pp.343-350
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    • 2021
  • Objective: The most common type of cancer in women is breast cancer, and pain in the upper extremity and trunk is a discomfort experienced by more than half. Based on the evidence that manual therapy is effective for pain control in postoperative rehabilitation, this study aims to analyze the effects of manual therapy on upper extremity pain and function in patients after breast cancer surgery. Design: A systematic review and meta-analysis. Methods: We searched MEDLINE, Embase, PEDro, and CINAHL databases until August 2021. We included randomized controlled trial evaluating pain and function in patients after breast cancer surgery. Qualitative analysis was performed using Cochrane's risk of bias tool, and quantitative analysis was performed using RevMan 5.4 to analyze post-intervention outcomes. Results: Four randomized controlled trials were selected to evaluate the effects of upper extremity pain and function in 133 patients who underwent manual therapy after breast cancer surgery. In the results of qualitative and quantitative analysis, the experimental group treated with manual therapy showed a significant improvement in pain compared to the control group (-0.62; 95% confidence interval (CI) -0.97 to -0.27). However, there was no significant improvement in upper extremity function (-0.09; 95% CI -0.43 to 0.25). Conclusions: Current evidence shows that manual therapy is effective for pain control in patients who complain of upper extremity pain after breast cancer surgery.

물리치료 기술 개발 방향 정립을 위한 세부 연구 분야 우선순위 도출 (Derived of agenda priority for research and development with physical therapy technology)

  • 김형근;하현근;배영현
    • 대한물리치료과학회지
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    • 제29권1호
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    • pp.15-29
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    • 2022
  • Background: The purpose of this study was to suggest agenda priorities for research and development with physical therapy technology. Design: Cross-sectional study. Methods: A survey was consecutively done to 62 experts working in physical therapy research areas to investigate the priority of the categories. Paired T-tests and Importance-Performance Analysis using SPSS 21.0 package were conducted to find the differences between importance and satisfaction of the categories and the order of priority. Results: In results, it was developed that the research and development with physical therapy technology were divided with 18 categories. And the importance were significantly higher than satisfaction in 18 categories. Specifically, categories about assistive technology and robot rehabilitation were found to be on the high importance and lower performance quadrant. Conclusion: In sum, this study was meaningful in finding usage categories of research and development with physical therapy technology and investigating Importance-Performance differences for deriving research and development with physical therapy technology.

Comparison of Extracorporeal Shock Wave Therapy Versus Injection Therapy for Shoulder Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

  • Dajeong Kim;Hyunjoong Kim
    • Physical Therapy Rehabilitation Science
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    • 제12권1호
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    • pp.48-55
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    • 2023
  • Objective: The purpose of this study is to compare the effects of extracorporeal shock wave therapy (ESWT) and injection therapy through qualitative and quantitative analysis by synthesizing randomized controlled trials (RCTs) conducted on patients with various shoulder diseases. Design: A systematic review and meta-analysis of randomized controlled trials Methods: This review conducted a literature search through international electronic databases in January 2023 to compare the effects of ESWT and injection therapy. Qualitative analysis was performed as a risk of bias tool, and quantitative analysis was synthesized with a random effect model to show the effect size as a standardized mean difference (SMD). Results: Five RCTs involving 298 individuals with shoulder disorders were included in this systematic review and meta-analysis. ESWT showed a moderate effect on pain (SMD=-0.44; 95% CI, -0.95 to 0.06) and a large effect on shoulder function (SMD =-0.81; 95% CI, -1.70 to 0.07) than injection therapy. A significant difference was found in the shoulder range of motion, showing a large effect size (SMD=1.50; 95% CI, 0.58 to 2.43). Conclusions: When considering treatment options for the management of patients complaining of shoulder disorders, it is appropriate to recommend ESWT first rather than injection therapy to increase the range of motion of the joint. In addition, ESWT is safe for pain control and shoulder function improvement, and a positive prognosis could be expected.

지역사회중심재활사업을 위한 기초 조사 (A Pilot Survey for the Community Based Rehabilitation In Uiwang)

  • 황병용
    • The Journal of Korean Physical Therapy
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    • 제11권2호
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    • pp.75-80
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    • 1999
  • The purpose of this study nun to obtain basic information about the state of the physically disabled due to neurological impairments in order to provide precise data for planning and evaluating the Community Based Rehabilitation in Uiwang. The results were 1) the total number of registered disabled adults with cerebral vascular accident in this city consulted was 80 and the Prevalence rate was 1.0575 of total disabled Persons, 2) under 100 of the score of activity of daily living(ADL) with the subjects was 41.245 as Functional Independence Measure(FIM) and 3) ender 20 of the score of motor ability with the subjects was $45.1\%$ as Motor Assessment Scale(MAS). This results show that rehabilitation program for community based rehabilitation(CBR) should set up for each level of motor ability and ADL.

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추나요법 급여화 대비 연구 (A Study to Provide of Health Insurance for Chuna Manual Therapy)

  • 고연석;이정한;황의형;허광호;윤종민;박태용;공재철;설재욱;정택근;김기병;양회천;신병철
    • 척추신경추나의학회지
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    • 제7권2호
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    • pp.1-14
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    • 2012
  • Objectives : The aim of this study was to prepare the validity and relevance for National Health Insurance of Chuna manual therapy through measurement of resource-based relative value scale(RBRVS) scores. Methods : To prepare for National Health Insurance, we studied it about standardized classification of the practice and definition, and speciality by difficulty and safety of Chuna manual therapy. Results : Classification of the practice could be classified to 7 of Chuna manual therapy and 24 traditional manual therapy, it also categorized as one of 3 kinds(basic, simple, special). The RBRVS scores of Chuna manual therapy were measured to 283.28, 566.57 and 1133.14. Conclusions : This study could be used to basis data for National Health Insurance of Chuna manual therapy, but further studies must be needed more objective investigation and data to calculate RBRVS scores.

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지팡이 손잡이 형태가 편마비 환자의 균형 회복에 미치는 영향 (The Effects The Type of Canes-Handle Affects in Recovering-Balance of Hemiplegic patients)

  • 이상열;이명희;박민철;한진태;권오현;배성수
    • The Journal of Korean Physical Therapy
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    • 제20권4호
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    • pp.7-13
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    • 2008
  • Purpose: We compared T-type and I-type canes on postural balance in 28 hemiplegic patients. Methods: Subjects were allocated randomly into two groups: a T-shape cane group (n=14) and an I-shape cane group (n=14). Before the test, subjects were trained by a physical therapist to walk with a cane for 6 weeks. The Main Outcome Measures were measured as maximal sway velocity, sway path, sway area, and partial weight bearing using a Balance Performance Monitor (BPM) and ambulation velocity using a 'Timed up and go test'. We also measured the maximal ambulation velocity. Results: The distribution of weight bearing on the affected side without the cane was 35% in the I-shape cane group and 36% in the T-shape cane group. After training, weight bearing on the affected side increased by 45% in the I-shape cane group and 40% in the T-shape cane group. With the cane held in the hand, weight bearing on the affected side in the T-shape cane group decreased by 3%. Conclusion: The I-shaped cane increased static standing balance, including hemiplegic side weight bearing. Therefore, I-shape canes can improve the balance of hemiplegic patients.

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상완골 회전에 따른 견관절 가동 범위의 변화 (The Change with Range of Motion in Grenohumeral Joint by Humeral Rotation)

  • 정현애;김태윤;김호봉;최재원;김상수;배성수
    • The Journal of Korean Physical Therapy
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    • 제13권1호
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    • pp.115-125
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    • 2001
  • The purpose of this study was to determine the relationship between rotation of the humerus and the shoulder movement in the sagital, coronal, and diagonal planes. Thirty normal subjects(15 male. 15 female)were tested using Cybex NORMTM Testing & Rehabilitation System (CYBEX Division of LUMEX, Inc., Ronkinkoma, New York). The subjects performed active shoulder flexion, abduction and PNF patterns. The range of motion(ROM) of the glenohumeral joint was measured three times. In order to assure the statistical significance of the results. the independent t-test. and a pearson's correlation were applied of the .05 and .01 level of significant. The results of this study were as follow ;1. There were statistically significant differences between shoulder flexion with humerus medial rotation and shoulder flexion with humerus lateral rotation(p <.01). 2. There were statistically significant differences between shoulder abduction with humerus medial rotation and shoulder abduction with humerus lateral rotation(p <.01). 3. There were statistically significant differences between PNF pattern(flex-abd-ext rot) with humerus medial rotation and PNF pattern with humerus lateral rotation(p < .01).For effective rehabilitation of the shoulder, physical therapists must have correct knowledge of shoulder movements. Physical therapists should consider these results when the goal of treatment is to increase ROM of the shoulder.

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노인요양병원 입원환자의 TUG, FRT와 SPPB와의 상관관계 연구 (Correlations between SPPB, FRT, and TUG in Hospitalized Frail People - The Timed Up and Go test, the Functional Reaching Test, and the Short physical performance battery -)

  • 박래준;손호희;조정선;오현주;이현희;이문환;김성길
    • The Journal of Korean Physical Therapy
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    • 제23권2호
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    • pp.17-21
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    • 2011
  • Purpose: The purpose of this study was to determine the correlations, if any, between SPPB (Short physical performance battery), FRT (Functional reach test), and TUG (Timed up and go test) in hospitalized frail people. Methods: Seventy frail elderly patients (male/female: 16/54) participated in this study. All subjects could walk with or without an assisting device and they had no mental problems. Subjects were scored on physical functioning using the SPPB, FRT, and TUG. The data were analyzed using Pearson Correlation Coefficients. Results: There was a statistically significant difference between (a) SPPB and (b) FRT (p<0.01) and TUG (p<0.01). SPPB and FRT scores showed a positive correlation (r = 0.38) and SPPB and TUG scores showed a negative correlation (r = -0.56). Conclusion: SPPB, FRT, TUG scores are correlated with each other. From these results, we conclude that the SPPB is a useful method for predicting walking, balance, and physical function in frail elderly people.

가정방문 물리치료서비스의 이용의사에 관한 연구 (House Visits by Physical Therapist and Patient Needs)

  • 이충휘;원종혁;옥준영
    • 한국전문물리치료학회지
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    • 제7권1호
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    • pp.64-78
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    • 2000
  • As in house care is develops and becomes part of the health care delivery system in Korea, it is necessary to quantify the viewpoints of in-patients and outpatients. The purposes of this study are to analyze the utilization of house visits by physical therapist and to investigate the viewpoint of in- and out-patients who had rehabilitation treatment at 3 general hospitals in Wonju, Korea. Two hundred and fifty-eight questionnaires were analyzed and the major findings are as follows: 1. Sixty-five point seven percentage of respondents showed their willingness to utilize house visits by physical therapist if an in house physical therapy program were established. 2. The questionnaire used a Likert-type scale to ask the respondents their viewpoints on in house physical therapy services. Most respondents showed a positive attitude, answering 'I agree'. The findings show that house visits by physical therapists should be introduced as an integral system for the delivery of health care in Korea.

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편마비 보행 :속도에 따른 관절 운동학적 변수 비교 (Hemiplegic gait : comparison of kinematic variables related to Bait speed)

  • 권영실;최진호;정병옥;채윤원;김진상
    • The Journal of Korean Physical Therapy
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    • 제11권1호
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    • pp.95-102
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    • 1999
  • In hemiplegic gait, walking speed is an important factor to evaluate treatment effect. The purpose of this study was to describe and compare kinematic variables during differant speed hemiplegic gaits. Six hemiplegic patients(47-69 years old) after stroke and age - matched six volunteers in good health(51-61 years old) were studied. The patients were sorted into two groups, depending on their self - speed of walking : fast speed group(3 patients, $0.74\pm0.14m/s$) and slow speed group(3 patients, $0.29\pm0.09m/s)$. The results were following. 1. In the hip joint, the fast group had lower mean value than normal but had similar pattern to normal. The slow group had continuous flexed pattern. 2. In the knee joint, the fast group had similar mean value and pattern to normal. The slow group had continuous flexed pattern. 3. In the ankle joint, the two group had dorsiflexed pattern. The fast group had similar pattern to normal. Thus, the fast group was similar gait pattern to normal.

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