• 대한물리의학회지
• /
• 제2권2호
• /
• pp.125-134
• /
• 2007

Purpose : This study is to determine effects of cane-shape which influenced on the change of muscle activation, gait component in hemiplegic patients caused by cerebrovascular accident. Methods : Twenty one stroke patients using T-shape cane(TCG) and twenty one stroke patients using I-shape cane(ICG) participated in this study. Surface electromyography(SEMG) of erector spinae, transvers abdominis, tibialis anterior, soleus of both side were measured during walking without cane and walking with cane. Results : The activation of tibialis anterior was significantly increased in affected side of ICG. The activation of tibialis anterior was significantly decreased in affected side of TCG. The activation of soleus was significantly increased in affected side of ICG. The activation of soleus was significantly decreased in affected side of TCG. The activation of erector spinae was significantly increased in nonaffected side of ICG and TCG. The activation of transvers abdominis was significantly increased in nonaffected side of ICG and TCG. Conclusion : From the finding of this study, it was suggested that I-shape cane increase weight bearing of affected side in hemiplegic patient. Therefore, I-shape cane can be applied to improve gait asymmetry of hemiplegic patients.

• 한방재활의학과학회지
• /
• 제29권4호
• /
• pp.117-126
• /
• 2019

To evaluate the effects of Korean medicine and Chuna treatment on patient with pain and limited range of motion (ROM) after scapular fracture. Patient was treated with Chuna manual therapy, acupuncture, herbal medicine, pharmacoacpuncture, cupping therapy and measured by ROM, visual analog scale (VAS), shoulder pain and disability index (SPADI), American shoulder elbow surgery scale (ASES), Korean shoulder score for instability (KSS). After the 3 weeks treatment, the patient's ROM, VAS, SPADI, ASES, KSS scores were improved. Rehabilitation program including Chuna manual therapy can be effectively used to improve scapular fracture patient's pain and symptom during rehabilitation period. Therefore it is recommended to use Chuna manual therapy for the improvement of movement and pain from fracture.

• Clinical Pain
• /
• 제20권1호
• /
• pp.25-29
• /
• 2021

Upper limb morbidity including shoulder pain, lymphedema, adhesive capsulitis, myofascial pain syndrome, and limited range of motions (LROMs) occurs frequently in breast cancer patients. Especially restricted upper limb motion aggravated by chronic lymphedema results in functional limitation and impaired activities of daily living (ADL). However, conventional rehabilitation therapy including complex decongestive therapy and stretching exercise is insufficient for managing advanced breast cancer patients with complex upper limb morbidity. Here, we report a case of breast cancer-related chronic lymphedema in a 62-years old female with severe LROM in all joints of the affected upper extremity that caused severe disability in ADL. Significant improvements in range of motion and upper extremity function were observed after serial extracorporeal shock wave therapy (ESWT), combined with conventional rehabilitation therapy. Therefore, ESWT might be recommended for managing the extensive limited joint motion which causes functional decline in a patient of chronic lymphedema with trophic skin change.

• 대한물리치료과학회지
• /
• 제4권2호
• /
• pp.461-466
• /
• 1997

The physical therapist's participation in community based rehabilitation(CBR) is necessary, in a variety of ways, to ensure the disabled quality service. Although CBR needs the Physical Therapist's help, participation is limited due to unstable CBR policy, and because there is a lack of financial support, skilled Physical Therapist's are usually not hired. Physical Therapist's themselves do not seem to completely understand this. The experts active participation is needed for effective rehabilitation service. Therefore, the trained Physical Therspist's participation is absoutely necessary is CBR policy if it is even to provide completely effective service.

• The Journal of Korean Physical Therapy
• /
• 제11권1호
• /
• pp.157-165
• /
• 1999

The Internet is an important tool in contemporary society. This study was carried out to investigate current use of internet and to suggest effective development of it in the field of physical therapy. A sample of physical therapy members in the internet responded to the questionare by means of e-mail from 26, April to 14. May. 1999. Of the 98 subjects, 26 completed the questionnaire, a response rate of $26.53\%$. The results were as follows. The most important problem to use internet in the field of physical therapy was poor information and abscence of database. The exchange of information among members, search database, virtual lecture system and distance treatment counseling in the future were expected. All members, professors of university and college, physical therapists in clinic and students must cooperate to construct database and useful information.

• 척추신경추나의학회지
• /
• 제1권1호
• /
• pp.73-81
• /
• 2006

Objectives : This report was performed to evaluated the treatment of Bee venom acupuncture Therapy, acupuncture Therapy, Herbal medicaion and Moxibustion in herniation of inter-vertebral disc. Methods : We treated 1 case of herniation of inter-vertebral disc with Bee venom acupuncture Therapy, acupuncture Therapy, Herbal medicaion and Moxibustion. Results : After 12 days of Bee venom acupuncture Therapy, acupuncture Therapy, Herbal medicaion and Moxibustion, a remarkable improvement was made for herniation of inter-vertebral disc. The patient couldn't feel pain on walking. Conclusion : Bee venom acupuncture Therapy, acupuncture Therapy, Herbal medicaion and Moxibustion were effective in reducing the symptoms.

• Physical Therapy Rehabilitation Science
• /
• 제11권1호
• /
• pp.105-112
• /
• 2022

Objective: Nonspecific low back pain (NS-LBP) causes pain and disability, affecting the neuromuscular system and altering gait patterns. The purpose of this study is to investigate the effect of improvement of low back pain symptoms through physical therapy on foot pressure and spatiotemporal gait parameters. Design: A pilot study. Methods: Participants received manual therapy and supervised therapeutic exercise, which consisted of 12 sessions for 6 weeks. Participants were assessed for pain intensity (a numeric pain rating scale), disability index (oswestry disability index), and spatiotemporal gait parameters before and after intervention. Wilcoxon signed rank test was used to analyze the before-and-after differences in a single group. Results: All seven NS-LBP patients completed the study without dropout. After six weeks of physical therapy, the numeric pain rating scale and oswestry disability index showed significant improvement (Z= -2.388, P=0.017). There was no significant improvement in both static and dynamic conditions in foot pressure (P>0.05). However, in the spatiotemporal gait parameters, there were significant differences in all variables except the right stance phase and left mid stance (P<0.05). Conclusions: In our pilot study, 12 sessions of physical therapy in NS-LBP patients improved gait quilty in spatiotemporal gait parameters. Similarly, it has resulted in clinically positive improvements in pain and disability.

• 척추신경추나의학회지
• /
• 제17권2호
• /
• pp.1-15
• /
• 2022

Objectives This study aimed to assess the efficacy and safety of manual therapy in patients with failed back surgery syndrome (FBSS). Methods We searched eight electronic databases from October 2022 and only selected randomized controlled trials (RCTs) reporting outcomes for manual therapy in FBSS patients. Included studies were analyzed qualitatively. Results A total of twelve RCTs were included and three studies were meta-analyzed. Manual therapy combined with exercise demonstrated more favorable outcomes in terms of pain reduction compared to exercise therapy only (P<0.01). Some studies reported that manual therapy resulted in low efficacy, while some studies reported that specific manual techniques have a significant effect in pain relief. We, therefore, conclude that several studies have a high risk of bias. Conclusions Findings suggest that manual therapy is a safe and non-invasive, promising option for managing FBSS. However, manual therapy is not the best option in all circumstances; thus, this should be selectively applied by a well-trained practitioner. Further studies such as well-designed, risk-controlled RCTs are required to gain stronger evidence.

• 대한물리치료과학회지
• /
• 제29권4호
• /
• pp.75-85
• /
• 2022

Background: The purpose of this study was to investigate the effect of intensively complex physical therapy program on pain, range of motion (ROM) and muscle function in traumatic low back injury by industrial accident. Design: Prospective study Methods: Eight patients with traumatic low back injury by industrial accident participated in this study. They were treated the intensively complex physical therapy program including daily 60 minutes therapist supervised physical therapy at 5 times a week and 30 minutes manual therapy at 5 times a week in 12 weeks. Evaluation was performed before the commencement of the training and again 4, 8 and 12 weeks. There were measured Numerical Rating Scale (NRS) for evaluating pain, ROM of trunk, and isometric muscle strength of trunk, core muscle endurance, neuromuscular control ability for evaluating muscle function. Results: NRS was significantly improved according to time (p<0.05). ROM of extension and rotation, isometric muscle strength of trunk and hip, core muscle endurance and neuromuscular control ability were significantly improved according to time (p<0.05). Conclusion: We could confirm the superiority effect of intensively complex physical therapy program on pain, ROM of trunk and muscle function in traumatic low back pain with industrial accident.

• The Journal of Korean Physical Therapy
• /
• 제13권2호
• /
• pp.335-346
• /
• 2001

This study was performed, using c-fos, to investigate the effect of TENS on pain model induced by capsaicin in spinal level. Twelve rats with 200-250g body weight were randomly divided into three groups: One group which induced by capsaicin, another group which applicated TENS with low frequency(4Hz. 200${\mu}$s, 20min) and the other group which applicated TENS with high frequency(100Hz, 50${\mu}$s, 20 min). The results of this study were as follows: 1. The number of c-fos immunoreactive neurons in superficial dorsal horn was increased markedly 2 hours after capsaicin injection, and decreased gradually from 4 hours to 16 hours after injection. 2. At 2hours after capsaicin injection, both low frequency and high frequency TENS decrease the number of c-fos immunoreactive neurons in superficial dorsal horn .3. In acute pain model, low frequency TENS greatly decrease c-fos expression than high frequency TENS. Therefore. decreasing the number of c-fos immunoreactive neurons which increased after capsaicin injection with application of TENS indicate that both of the TENS have inhibitory effect. In addition. low frequency TENS greatly decreased the number of neurons explains low frequency TENS is more effective than high frequency TENS in acute pain. This study also can become a part of scientific evidence on electrotherapy through measuring quantitively effects of TENS in pain model.