• Title/Summary/Keyword: Rehabilitation Therapy

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Awareness of Physical Therapy Rehabilitation Program after Breast Cancer Surgery in Healthy Korean Women (건강한 한국여성들을 대상으로 한 유방암 수술 후 물리치료 적용에 대한 인식도 조사)

  • Kim, Yu-Mi;Rho, Hyo-Lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.1
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    • pp.39-47
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    • 2018
  • PURPOSE: The purpose this study was to investigate the awareness of physical therapy as one of rehabilitation interventions for post-operative women with breast cancer in healthy Korean women. METHODS: This study recruited 223 adult women aged 20 and older who never had breast cancer but received physical therapy. This study used a structured questionnaire consisting of 13 items in 3 fields designed to focus on socio-demographic characteristics, breast cancer experience of friends or family, and awareness of physical therapy as one of methods to improve rehabilitation of patients following breast cancer surgery. RESULTS: Among respondents who completed the survey, 62.8% were interested in breast cancer. However, 78.1% had never heard of physical therapy as a rehabilitation intervention for post-operative women with breast cancer. 44.4% believed that physical therapy is necessary after breast cancer surgery. 69.5% of the respondents were willing to participate in a physical therapy rehabilitation program if there were diagnosed with breast cancer, and 59.2% believed that the participation in this program would be beneficial. 42.9% acquired some information that physical therapy is one type of rehabilitation to improve physical condition for women with breast cancer from the Internet or television. In addition, education level affected interest and awareness of physical therapy for breast cancer. Awareness about breast cancer and physical therapy were higher among well-educated respondents. CONCLUSION: This study suggests that a physical therapy rehabilitation program is specifically developed, and correct information on it is provided to improve health condition in women following breast cancer surgery.

Physical Therapy Approach and Management for Lymphedema : Expert Opinion (림프부종의 물리치료적 접근과 관리 : 전문가 견해)

  • Lee, Hwa-Gyeong;Kim, Seong-Yeol;Choi, Kyoung-Wook
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.3
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    • pp.73-84
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    • 2022
  • Background : Lymphedema is a progressive disorder characterized by the impairment of lymph flow from tissues to the blood circulation system. This occurs as a result of damage to the lymphatic system. Complex decongestive therapy (CDT) is a multimodal, conservative therapeutic approach that is used for the management of lymphedema. CDT consists of a combination of compression therapy, manual lymphatic drainage, exercise, and skin care. Purpose : This study aimed to provide a review of available physical therapy interventions as well as general care guidelines for patients with lymphedema. Methods : The recommendations and guidelines for physical therapy management, medical management, and general information were reviewed from the following sources: 1) The American Physical Therapy Association, 2) The Norton School of Lymphatic Therapy, and 3) The International Society of Lymphology. This review contains general information, including the medical management and the importance of physical therapy in lymphedema. Physical therapy management should be based on an assessment of the patients' presenting impairments, including based on inclusion or exclusion of physical therapy interventions. This review also outlines a step-by-step approach that starts with disease diagnosis and progression all the way through to rehabilitation as an outpatient. Conclusion : Depending on the patients' journey to recovery and the requirement for rehabilitation, physical therapy interventions should focus on the patients' needs including pain, appearance, physical function and general rehabilitation. We hope that this review will provide information on evidence-based physical therapy and general care to patients with lymphedema.

The Role of Survival Motor Neuron Protein associated with Function of Spinal Motor Neuron (척수 운동신경원의 기능과 관련된 생존운동신경원 단백질의 역할)

  • Song, Ju-Young;Kown, Young-Shil;Nam, Ki-Won;Song, Ju-Min;Kim, Dong-Hyun;Kim, Suk-Bum;Moon, Dong-Chul;Choi, Ji-Ho;Kim, Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.433-444
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    • 2001
  • This review highlights the ontogenesis and the differentiation of motor neuron in spinal cord, and introduce the survival motor neuron(SMN) which is associated with growth and survival of motor neurons. The differentiation of floor plate cells and motor neurons in the vertebrate neural tube appears to be induced by signals from the notochord. This signal is Sonic hedgehog(Shh). The early development of motor neurons involves the inductive action of Shh. The SMN gene is essential for embryonic viability. SMN mRNA is also expressed in virtually all cell types in spinal cord, including large motor neurons. The SMN protein is involved in RNA processing and during early embryonic development is necessary fer cell survival. Two SMN genes are present in 5q 13 in humans: the telomeric gene(SMNt), which is the SMA-determining gene, and the centromeric analog gene(SMNc). The majority of transcripts from the SMNt gene are full length but, major transcripts of the SMNc gene have a high degrees of alternative splicing and tend to have little or no exon 7. The SMN is involved in the RNA processing(the biogenesis of snRNPs and pre-mRNA splicing), the anti-apoptotic effects, and regulating gene expression.

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The Clinical Study of the Properties of Patients Treated by Fasting Therapy (절식요법(節食療法)을 시행한 환자들의 특성에 대한 임상적 고찰)

  • Kim, Jeong-Hwan;Yun, Kyoung-Hwan;Kim, Mi-Young;Lim, Yang-Eui;Song, Yung-Sun;Moon, Seong-Won
    • Journal of Korean Medicine for Obesity Research
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    • v.3 no.1
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    • pp.37-47
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    • 2003
  • Objectives : The aim of His study is to investigate the properties of the patients treated by fasting therapy. Methods : We measured PIBW, BMI, BFR and WHR of the patients and investigated the purpose of fasting therapy, the cause of weight increase, the times of weight increase, the duration of fasting therapy and the number of times of fasting therapy. Result : 1 . The major age group was females in twenties. 2. The PIBW, BMI, BFR and WHR were highest in fifties. 3. In the purpose of fasting therapy, 'for beauty' was the most. 4. In the cause of weight increase, diet disorder was the most. 5. The number of times of fasting therapy was the most in thirties. Conclusions : Above study shows that evaluation of obesity is important and more researches into fasting therapy were required.

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Influence of Cane Length on the Weight Distribution (지팡이의 높이가 체중 지지분포에 미치는 영향)

  • Ok, Jun-Young;Kim, Jin-Woo;Han, Woo-Suk;Han, Jae-Deok;Ahn, Duck-Hyun
    • Physical Therapy Korea
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    • v.7 no.1
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    • pp.91-100
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    • 2000
  • This study investigates the influence of cane length on the weight distribution of the elderly in a standing position. Thirty participants were evaluated using two different cane lengths based on measurements of distal wrist crease to ground (WC cane), and distance of greater trochanter to ground (GT cane). A limloader was used to determine the weight distribution on the subject. It was found that 6.5% of body weight was supported on a GT cane and 7.7% of body weight supported on a WC cane in a standing position. Results suggests that more weight is distributed on a WC cane than a GT cane in the elderly.

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Comparison of Rehabilitation Programs in Traumatic Low Back Injuries with Industrial Accident (산업재해로 발생한 외상성 허리손상에 대한 새로운 재활치료프로그램의 효과 비교)

  • Kim, Young-Bum;Kim, Seung Won
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.29 no.2
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    • pp.236-250
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    • 2019
  • Objectives: The purpose of this study was to investigate the effect of intensive rehabilitation programs on pain, range of motion (ROM), lumbar muscle strength, core muscle endurance, disability, and depression in patients with traumatic low back injuries and to compare the efficacy of this therapy with that of conventional rehabilitation therapy. Methods: The study was performed with a retrospective medical chart review of patients with traumatic low back injury referred to the rehabilitation center at the Daegu Hospital of the Korean Workers Compensation and Welfare Service. Forty-four patients were allocated to either the conventional rehabilitation group (CRG; n = 22) or the intensive rehabilitation group (IRG; n = 22). The CRG group patients, who received 30-min therapist-supervised physical therapy and modality therapy five times per week for four weeks, were compared with the IRG group patients, who received 60-min therapist-supervised physical therapy, 30-min therapist-patient 1:1 matching rehabilitation therapy, and modality therapy five times per week for four weeks. Outcome measures were a numerical rating scale, ROM, lumbar muscle strength, lumbar core muscle endurance, thickness of lumbar deep focal core muscle (transverse abdominis and lumbar multifidus), Oswestry disability index (ODI), and depression (Korean version patient health questionnaire-9). Results: There were statistically significant improvements after treatment in all outcome measures in both groups (p < 0.05). In the intergroup comparison, NRS scores on the activity and thickness of lumbar deep focal core muscles increased significantly more in the IRG than in the CRG (p < 0.05). There were no statistically significant intergroup differences in NRS scores on resting, ROM except left lateral bending, lumbar muscle strength, core muscle endurance, ODI, and depression. Conclusions: We could confirm the superior effectiveness of an intensive rehabilitation program compared to conventional rehabilitation therapy in patients with traumatic low back injuries.

A Clinical Study on Low Back Pain Patients with Warming Acupuncture Therapy (온침(溫鍼)을 시행(施行)한 요각통(腰脚通) 환자(患者)의 임상(臨床) 고찰(考察))

  • Park, Sang-Gil;Choi, Woo-Sung;Park, Jong-Min;Yun, Mun-Sik;Lee, Jung-Hoon;Shin, Jun-Sik
    • Journal of Korean Medicine Rehabilitation
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    • v.15 no.1
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    • pp.9-24
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    • 2005
  • Objective : The aim of this was to investigate the effect of warming acupuncture therapy on patients who had suffered from low back pain. Methods : The 42 person who had hospitalized in Jaseng hospital were rendomized into two groups. We treated 22 persons by warming acupuncture on every other day. The others were treated by only traditional acupuncture therapy alone. VAS(Visual Analogue Scale), ODI(Oswestry Disability Index) and the angle of SLR(Straight Leg Raising test) were measured on each week from admission for four weeks. Results : 1. Sample group showed significantly more improvement than control group at 3 weeks in ODI score. 2. Sample group showed significantly more improvement than control group at 2 weeks in VAS score. 3. The angle of SLR test was not significantly different between two groups, but there was a tendency of increasing on sample group. Conclusions : According to above results, warming acupuncture therapy was more effective on the treatment of low back pain than general oriental medical therapy without it.

A Study on the Development of Standard Curriculum for Physical Therapy in Korea (한국 물리치료 과정의 표준교과 개발에 대한 연구)

  • Kim, Kyung;Cho, Yong-Ho;Cho, Jung-Sun;Yu, Jae-Eung;Park, Rae-Joon;Kwon, Young-Hyun;Park, Eun-Se
    • The Journal of Korean Physical Therapy
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    • v.18 no.6
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    • pp.23-32
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    • 2006
  • Purpose: The purpose of this study is to suggest new strategies available for the physical therapy curriculum development. Method: The curriculum of 4 Universities in 4 countries; America, Australia, Canada and Korea was compared to suggest new curriculum. Results: Overall, curriculum in Korea emphasized skill and technique areas and didn't showed many subjects to take foundation of subject for understanding principles. The experience in clinic is not enough to satisfy international recommendation. Conclusion: We suggest that a new curriculum should be based on the three part which are foundation, essential and selection subject, and extended clinical experience to essentially need to be physical therapy in the world-standard.

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The effect of independent treadmill training on gait, balance and trunk control in a patient with chronic stroke (트레드밀 훈련이 뇌졸중 환자의 보행, 균형 및 체간조절에 미치는 영향)

  • Yoon, Seoung-Ic;Chun, Seung-Chul;Lee, Ju-Sang;Geoung, Shin-Ho;Lee, Duck-Sung;Oh, Duck-Won;Shim, Jae-Hun;Lee, Gyu-Wan
    • Journal of Korean Physical Therapy Science
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    • v.13 no.2
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    • pp.37-45
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    • 2006
  • The purpose of this study was to determine the effect of treadmill training on gait, balance, and trunk control in a patient with hemiparesis. A female subject who had suffered a left hemiparesis 12 months previously was selected for this study. A single subject ABA design was used. Eight data-collection sessions were conducted during each of three phases (baseline-intervention-withdrawal). During baseline and withdrawal phases, the treatment based on Bobath approach was performed for the subject, and during the intervention phase, treadmill walking training was added. Assessment tools were made using the 10 m walk test, Rivermead Visual Gait Assessment(RVGA), Berg Balance Scale(BBS), and a seated Lateral Reach Test(LRT). During the intervention phase, the time measured in 10 m walk test and the scores of RVGA and BBS were significantly improved, and the number of steps in 10 m walk test and LRT showed a small improvement. During withdrawal phase, the time measured in 10 m walk test and the scores of RVGA and BBS were shown the carry-over effect. This findings indicate that treadmill training has significant effect to gait function and balance in a patient with chronic hemiparesis.

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A Model of Activation in Physical Therapy of Public Health Center (보건소 중심의 물리치료 활성화 모델)

  • Bae Sung-Soo;Kim Chung-Sun;Lee Han-Suk
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.123-131
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    • 1999
  • The purpose of is study deals with the physical therapy and the delivery system of public health center, as a center, in community based rehabilitation and delivery system. We hope that the system of physical therapy of public health center in community based rehabilitation spreads all over the country and contributes to the promotion of national health and social welfare. There are many public health center in the country because it can serve inhabitants with the medical benefits in the Erst line. public health center continuously provides poor inhabitants who cant pay medical expenses care of health. It has the public health center branches that take care of inhabitants who live a remote village and hiterland. Additionally, many people want to receive physical therapy. Therefore, the physical therapy of public health center becomes the central paint in community based rehabilitation so that we supply the inhabitants with superior rehabilitation service. We can approach them as a team that be constituted with physical therapist speech therapist, psychologist, nurse, social work. Also the role of physical therapist is divided into two parts, which are home visiting part that individually takes can of patients nod public health part that takes care of patient, family, home, community. We connect with both self-governing body and the government so that we may receive government subsidies. Also, we must prepare regular school education for community based rehabilitation

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