• Title/Summary/Keyword: Rehabilitation Therapy

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Biomechanical Analysis on the Shift of Gravity Line in Hemiplegic Patients (편마비환자의 중력선 이동에 따른 역학적 분석)

  • Lee Hea-Young;Jeong Dong-Hoon;Park Rae-Joon;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.11 no.1
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    • pp.63-70
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    • 1999
  • This study was for mathematical method of calculating the joint reaction force during on single - leg stance on a normal and hemiplegic patients. It is important to compare the distance of the line of gravity from the hip joint on hemiplegic patients with this on normal in this study. In earlier studies, there is no include the concept about biomechanical analysis on the shin of line of gravity of hemiplegic patients. Though this concept, we found the compensation make the line of gravity closer to the supporting hip joint and the trunk was toward the side of paralysis. The result of the Joint reaction force on hemiplegic patients is found to be approximately $31.33\%$ in the unaffected side by biomechanical analysis.

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An Investigation on the Consciousness for the Community Based Rehabilitation by Public Health Center's Physical Therapy in Korea (지역사회중심재활에 대한 전국 보건소 물리치료사들의 인식 조사)

  • Ju, Mu-Yeol;Kim, Jong-Soon;Bae, Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.711-718
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    • 2001
  • The community based rehabilitation(CBR ) of public health center(PHC) has been considered as the one of the alternative medical services which is adequate to our realities. The purpose of this study is to serve basic data in order to strengthen the CBR of PHC. This study was investigated on 191 samples of 95 physical therapists, 35 physicians. and 61 nurses who work at PHC. Data were collected for 40 days from January 10 to February 20,2001. The results are as follows: First, the recognition level of CBR of sample specialists was very high as about 85% of the total number studied. Also the number of physical therapists at PHC, who had intention of participation to CBR, was very high as almost 92%. Second, specialists more than a half of sample group thought that two therapists and one assistance per one PHC were needed for serving with sufficient CBR services. finally, various additional strategies were proposed by sample specialists. in order to activate the CBR of PHC. it is necessary to enact the related laws. to stimulate teamworks between rehabilitation specialists, and to establish so called 'public health therapists'. Also we must reinforce the CBR instruction for PHC therapists and the education for health center officer.

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A Comparison of Threshold Anxieties According to the Existence of Information Prior to Electrical Stimulation (통전 전 설명 유무에 따른 불안감 역치비교)

  • Ahn, Duck-Hyun;Song, Young-Hee;Na, Jung-Su;Lee, Su-Young;Kim, Ji-Sun
    • Physical Therapy Korea
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    • v.6 no.3
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    • pp.38-50
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    • 1999
  • The purpose of this study was to investigate whether or not the physical therapist's explanation of the treatment prior to electrical stimulation affects the subjects level of anxiety. Eighty healthy subjects participated in this study and were assigned either to the experimental group receiving information on the treatment ($n_1$=40) or to the control group not receiving information on the treatment ($n_2$=40). Transcutaneus Electrical Nerve Stimulation (TENS), a sphygomamometer and the Spielberger State Anxiety Scale Questionnaire were used to investigate the threshold of anxiety. Analysis of data revealed significant differences in pulse and diastolic blood pressure compared to the control group when the subjects were stimulated electrically after receiving information on the treatment. We found significant differences between the two groups. The results of the study indicate that the patient's anxiety can be reduced by the physical therapist's explanation on the treatment.

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The Two Cases Report of Iliolumbar Ligament Syndrome Showed a Physical Examination Positive Result by Acupuncture and Chuna Therapy (이학적 검사상 장요인대 증후군으로 진단된 환자에 대한 침과 추나치료 치험 2례)

  • Kwon, Jeong-Gook;Park, Jae-Won;Park, Seo-Hyun;Keum, Dong-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.75-84
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    • 2016
  • Objectives : The objective of this study is to report the improvement of two patients with Iliolumbar ligament syndrome showed a physical examination positive. Methods : Two patients were treated by acupuncture therapy with chuna therapy at pelvic. We evaluated the effectiveness by numerical rating scale (NRS) and Oswestry Disability Index(ODI). Results : Both patients improved significantly NRS score and ODI score. And both patients' symptoms were alleviated. Iliolumbar ligament stress test was changed from positive to negative. Conclusions : We conclude that acupuncture therapy with chuna therapy at pelvic is an effective treatment to reduce the iliolumbar ligament originated pain. But there is a limit on this study due to sufficient number of cases. Further studies will be needed.

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The Effects of Treatment With a TETRAX on Balance and Mobility in Acute Stroke Patients (균형능력 운동치료 시스템을 이용한 치료가 급성기 뇌졸중 환자의 균형과 이동능력에 미치는 영향)

  • Lee, Nam-Hyun;Lee, Jin;Lee, Kang-Noh
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.11-19
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    • 2010
  • The purpose of the study was to determine the effects of balance training with 'TETRAX' system, a balance training and assessment tool, on balance and mobility in acute hemiplegic patients. Nineteen matched subjects were assigned randomly into either an experimental group or a control group. An experimental group with 10 subjects received balance training with 'TETRAX' exercise program and conventional physical therapy interventions 5 times per week during 4 weeks. A control group with 9 subjects received conventional physical therapy interventions 5 times per week during 4 weeks. Outcome measures were taken before and after 4 weeks of interventions using the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), gait speed, and the fall down index. Results indicated that both exercise groups improved significantly in STREAM, BBS, and gait speed (p<.05). The experimental group had a little improvement than the control group. Both exercise groups did not show statistical significance in fall down index (p<.05). Following 4 weeks of intervention, except gait speed there was no statistically significant difference between two groups. However, these findings suggest that conventional physical therapy interventions with visual feedback training could be effective on improving balance and mobility than conventional physical therapy alone in acute hemiplegic patients.

Effectiveness of Abdominal Manipulation Therapy in Functional Dyspepsia Patients (기능성 소화불량증 환자에 대한 복부(腹部) 수기치료의 효과)

  • Maeng, Tae-Ho;Lee, Jong-Soo
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.4
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    • pp.113-121
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    • 2015
  • Objectives Functional dyspepsia is a type of disease characterized by bothersome postprandial fullness, early satiation, epigastric pain and burning without structural gastrointestinal disorders. The aim of this study was to evaluate changes in symptoms, quality of life, HRV (Heart Rate Variability) before and after abdominal manipulation therapy in functional dyspepsia patients. Methods We recruited twenty functional dyspepsia patients from the volunteers who applied for this clinical trial. State of Patients were assessed by NDI-K (Nepean Dyspepsia Index Korean Version), HRV (Heart Rate Variability) before treatment. After 4 times of abdominal manipulation therapy for 2 weeks, state of patients were assessed by the same methods. Results Total symptom score and total quality of life score of NDI-K were significantly improved by the abdominal manipulation therapy. After the treatment, the number of subjects within normal range of LF/HF ratio was significantly increased. Although the median of LF/HF ratio did not significantly changed, interquartile range was reduced. Conclusions Abdominal manipulation therapy possibly can be an effective treatment for functional dyspepsia patients, but further studies are needed to demonstrate the effectiveness of abdominal manipulation therapy for functional dyspepsia patients.

Chuna Manual Therapy for Tourette's Syndrome: A Systematic Review and Meta-Analysis (뚜렛 장애에 대한 추나요법의 효과: 체계적 문헌 고찰 및 메타분석)

  • Kim, Hyeon-Ji;Lee, Eun-Byeol;Kim, Chae-Young;Ahn, Hee-Duk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.1
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    • pp.21-33
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    • 2022
  • Objectives To assess the effectiveness of Chuna manual therapy in patients with Tourette's syndrome. Methods We queried nine electronic databases using the keywords "Tourette's Syndrome" and "tuina OR chuna" to identify RCTs that investigated the effectiveness of Chuna manual therapy in patients with Tourette's syndrome. Results Thirteen RCTs were selected according to the inclusion criteria. A systematic review showed that Chuna manual therapy can have a curative effect on patients with Tourette's syndrome. Conclusions In this study, 13 RCTs reported that Chuna manual therapy was effective for Tourette's syndrome. These findings provide a basis for its clinical use. However, all studies involved populations belonging to the same country. Many studies lacked details of the research methodology. Therefore, further studies are required to produce high-quality evidence.

The Survey of Recognition about Rehabilitative Robots for Treatmentin Physical Therapists

  • Kim, Hyosuk;Kang, Dong Jin;Kim, Deok Hyen;Park, Seo Jeong;Lee, Seong Yong;Lee, Jeong Min;Jo, Seung Yeon;Choi, Bo Ram;Kim, Minhee
    • The Journal of Korean Physical Therapy
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    • v.33 no.2
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    • pp.69-75
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    • 2021
  • Purpose: This study examined the recognition of rehabilitative robots for treatment in physical therapists. Methods: This study surveyed 100 physical therapists in Seoul and Gyeonggi-do using Google Form, an online survey tool. The questionnaire consisted of 21 questions, including eight questions on the general characteristics, 13 questions on the recognition of rehabilitative robots. Results: The general characteristics of the physical therapists showed differences and influences on recognition of rehabilitative robots, and there were statistically significant differences. There were significant differences in the recognition of rehabilitation robots according to general characteristics in gender, age, education degree, type of hospital, average weekly working time, and treatment field. Multiple regression analysis found that gender and the type of hospital influenced the recognition of rehabilitation robots. Conclusion: Physical therapists showed differences in recognition of rehabilitative robots according to their general characteristics, and gender and the type of hospital influence the recognition of rehabilitation robots. Sufficient systematic education programs should be provided, and physical therapists require policy adjustments to increase their accessibility to rehabilitation robots through continuing education.

Chuna Manual Therapy for Primary Dysmenorrhea: A Systematic Review (원발성 월경통의 추나 치료에 대한 체계적 문헌 고찰)

  • Seo, Ha-Ra;Li, Yu-Chen;Lee, Jae-Eun;Kim, Myoung-Kyu
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.3
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    • pp.81-93
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    • 2017
  • Objectives The purpose of this study is to evaluate the effectiveness of Chuna therapy for primary dysmenorrhea. Methods Researchers searched on 7 electronic databases (Pubmed, National Digital Science Library, China National Knowledge Infrastructure, Wangfang med online, Korean Studies Information Service System, Research Information Sharing Service and Oriental medicine Advanced Searching Integrated System). The search included Korean, English, Chinese reports and there was no limit on the search period. All of randomized controlled clinical trials (RCTs) that used Chuna manual therapy for primary dysmenorrhea were selected. Results 27 RCTs met required condition. Meta-analysis showed positive results for Chuna manual therapy for primary dysmenorrhea in terms of therapeutic effects and reduction of symptom scores compared to west medicine, herbal medicine, acupucture and other treatments. Conclusions Above results showed that performing chuna is effective in treating dysmenorrhea. However, in some studies, there was no statistic significance between the experimental group and the control group. Also, according to Cochrane Risk of Bias (RoB) evaluation method, quality of the studies were not high enough. Since most of the materials were in Chinese, more high-quality clinical trials about Chuna therapy for primary dysmenorrhea are needed in Korea.

Characteristics of the Fatigue Index in EMG Power Spectrum Analysis During Isokinetic Exercise (등속성 운동 시 근전도 주파수 분석에서 얻은 피로지수의 특성)

  • Won, Jong-Im;Cho, Sang-Hyun;Yi, Chung-Hwi;Kwon, Oh-Youn;Lee, Young-Hee;Park, Jung-Mi
    • Physical Therapy Korea
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    • v.8 no.3
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    • pp.11-26
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    • 2001
  • In rehabilitation programs involving muscle re-education and endurance exercise, it is necessary to confirm when fatigue occurs. It is also necessary to quantify fatigue, to confirm whether the muscle has been exercised sufficiently. In general, as fatigue occurs, the force-generating ability of the muscle is reduced. If the median frequency (MDF) obtained from electromyogram (EMG) power spectrum is correlated highly with work, then the timing and degree of fatigue may be confirmed. This study examined the relationship between work and MDF obtained from the EMG power spectrum during repetitive isokinetic exercise. Surface EMG signals were collected from biceps brachii and vastus lateralis of 52 normal subjects (26 males, 26 females) at $120^{\circ}/sec$ and $60^{\circ}/sec$ while performing an isokinetic exercise. The exercise was finished at 25% of peak work. MDF data was obtained using a moving fast Fourier transformation (FFT), and random noise was removed using the inverse FFT, then a new MDF data was obtained from the main signal. There was a high correlation between work and MDF during repetitiv isokinetic exercise in the biceps brachii and vastus lateralis of males and the biceps brachii of females (r=.50~.77). However, there was a low correlation between work and MDF in the vastus lateralis of females (r=.06~.19).

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