• Title/Summary/Keyword: Rehabilitation Therapy

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Cupping Therapy Combined with Rehabilitation for the Treatment of Radial Palsy: a Case Report

  • Benli, Ali Ramazan;Senay, Demir Yazici;Koroglu, Mustafa;Mutlu, Tansel;Erturhan, Selman;Ogun, Muhammet Nur;Sunay, Didem
    • Journal of Acupuncture Research
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    • v.35 no.1
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    • pp.1-3
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    • 2018
  • This case report demonstrates the beneficial effects of cupping therapy (CT) in a 35-year-old man who is diagnosed with a fracture of the radial shaft due to a motorcycle accident. One year after the treatment started, pseudoarthrosis developed in the radius and an autogenous iliac bone graft was performed. However, extension dysfunction in the wrist became evident. After another 6 months of physical therapy and rehabilitation, no improvements were observed. Therefore, CT and adjunctive electrostimulation were performed, after 30 days of treatment, marked recovery of muscle function and full wrist extension were observed, as determined by electromyography and a grade 5/5 on the Medical Research Council power of wrist extension scale. The results in this case study suggest that CT in conjunction with adjunctive electrostimulation, may accelerate functional recovery from postoperative radial palsy, and provide a useful alternative treatment in this situation.

Clinical Features of Children with Cerebral Palsy (뇌성마비아의 임상적 양상)

  • Kim, Sun-Young;Kim, Jae-Hyun;Kim, Chan-Mun
    • Journal of Korean Physical Therapy Science
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    • v.5 no.3
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    • pp.651-658
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    • 1998
  • Cerebral palsy is a neurodevelopmental impairment caused by a nonprogressive defect or lesion in single or multiple locations in the immature brain. The defect or lesion can occur in utero or during or shortly after birth and produces sensory-motor impairment that are usually evident in early infancy. The causes of cerebral palsy are not completely understood, certain prenatal, perinatal, and postnatal factors have been associated with cerebral palsy. This study was analysed the clinical features of 50 children with cerebral palsy (29 males and 21 females) in National Rehabilitation Hospital from March 17 to June 27, 1998. The time of initial visit was over than 12 months in 74%, and their cheif complains were delayed developments (78%). The preterm infants were 40% and the infants with low birth weight were 36%. The maternal age at childbirth was over than 30 years old in 52%. The most common type of cerebral palsy was spastic (54%), mixed (22%), athetosis and hypotonia (10% each), ataxia (4%). The cerebral palsy with preterm infants and low birth weight were more likely to have spastic type (P=0.002, P=0.023 each). The most preterm infants were born between 30 and 35 years old of maternal age, and there were statistical significance in difference (P=0.031).

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Effectiveness of Gait Training Using an Electromechanical Gait Trainer Combined With Simultaneous Functional Electrical Stimulation in Chronic Stroke Patients (기능적 전기 자극을 적용한 전동식 보행 훈련이 편마비 환자의 보행에 미치는 영향)

  • An, Seung-Hun;Lee, Yun-Mi;Yang, Kyung-Hee
    • The Journal of Korean Physical Therapy
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    • v.20 no.1
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    • pp.41-47
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    • 2008
  • Purpose: This study aimed to assess the effectiveness of gait training with the use of an electromechanical gait trainer with functional electrical stimulation (FES) for patients that had undergone subacute stroke. Methods: The study subjects included nine subacute stroke patients of the Korea National Rehabilitation Center in Seoul, Korea. Outcome was measured using the timed Up and Go test, Fugl-Meyer-L/E assesment, with determination of the comfortable maximal gait speed, composite spasticity score, functional ambulatory category and Berg balance scale. All measured scores were recorded before, during, and after rehabilitation and at an eight-week follow-up. Results: Patients who received electromechanical-assisted gait training in combination with FES after subacute stroke were more likely to achieve independent walking, functional activities, balance and gait speed. Conclusion: The outcome of our gait-training program demonstrates that it may be practical to integrate FES into electromechanical gait training without any adverse effects. However, further randomized controlled studies are needed to evaluate if patient outcome after combined training is superior to outcome after the use of electromechanical gait trainer treatment alone or conventional gait training alone.

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The clinical efficacy of thoracolumbar fascia release for shoulder pain

  • Choi, Don Mo;Jung, Ji Hye
    • Physical Therapy Rehabilitation Science
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    • v.4 no.1
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    • pp.55-59
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    • 2015
  • Objective: This study aimed to elucidate the effects of thoracolumbar fascia release (TLFR) on the degree of pain and disability in patients with shoulder pain. Design: Randomized control trial. Methods: Thirty subjects with shoulder pain participated in this study. They were allocated to TLFR group (n=15) and manual physical therapy (MPT) group (n=15). Shoulder pain and disability index (SPADI) and the score on the visual analogue scale (VAS) were measured before and after TLFR. Results: In the TLFR group, the degree of shoulder pain as indicated by SPADI measured after the intervention significantly differed from that before the intervention (p<0.05); moreover, in the MPT group, the degree of shoulder pain was significantly lower (p<0.05). The data of the 2 groups before the intervention significantly differed from those after the intervention (p<0.05). SPADI significantly differed within the groups (p<0.05), but not between the groups. The sum of SPADI did not differ significantly between the groups. The VAS scores of shoulder pain measured before the intervention significantly differed from those measured after the intervention (p<0.05) in the both groups. After the intervention, shoulder pain decreased significantly in the TLFR group as compared to that in the MPT group. Conclusions: TLF release was effective in reducing shoulder pain. The results of this study can be applied in clinical practice for TLFR performed to reduce shoulder pain. Further studies will need to be performed to elucidate the effects of TLFR on functional recovery.

The Case Report about Herniation of Inter-Vertebral Disc Treated with Taping Therapy (첩대요법으로 호전된 요추 추간판탈출증 환자 1례 보고)

  • Cho, Young-Chae;Rhee, See-Hyung;Cho, Tae-Young;Lee, Byeong-Yee;Jin, Sung-Soon;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.1
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    • pp.83-89
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    • 2006
  • Objectives : The objective of this study is to evaluate the treatment effect of Taping therapy in Herniation of Inter-Vertebral Disc. Methods : Taping therapy were performed for 31 days ambulatory care in a patient who had Herniation of Inter-Vertebral Disc. Results : Physical examination of Lumbar Spine has improved, VAS were also decreased. Conclusion: Taping therapy were effective in reducing the symptoms. We think that it need the further study and clinical trial for Herniation of Inter- Vertebral Disc.

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The Relationship Between Sensory Organization and Balance in Patients With Hemiplegia (편마비 환자의 균형 기능과 감각조직화)

  • Kim, Jong-Man;Lee, Jeong-Weon;Yi, Chung-Hwi;Roh, Jung-Suk
    • Physical Therapy Korea
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    • v.4 no.3
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    • pp.61-69
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    • 1997
  • The ability to maintain an upright position during quiet standing is a useful motor skill. The Sensory Organization Test (SOT) is a timed balance test that evaluates somatosensory, visual, and vestibular function for maintenance of upright posture. The Fugl-Meyer Sensorimotor Assessment (FMSA) balance subscale is the functional status assessment that indicates amount of assistance needed during various balance tasks. Functional Independence Measure (FIM) is the functional status assessment tool and FIM can be used clinically as an outcome measure. The purpose of this study was to see if the SOT can be used as a evaluation tool to measure hemiplegic patients' balance ability. Thirty-six patients with hemiplegia participated in this study. SOT scores were significantly correlated with FMSA balance scores and FIM scores(p<0.05). However correlation coefficients were not so high (r=0.60, and r=0.51, respectively). Therefore, further study is needed to verify the SOT's usefulness when physical therapists are evaluating for hemiplegic patients' balance ability.

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Influence of Muscle Fatigue on the Sensing of Force Reproduction in Elbow Flexors (주관절 굴곡근의 근피로가 힘 재현 감각에 미치는 영향)

  • Lee, Won-Hwee;Ha, Sung-Min;Kim, Yong-Wook;Oh, Jae-Seop
    • Physical Therapy Korea
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    • v.14 no.3
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    • pp.16-22
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    • 2007
  • The purpose of this study was to determine the influence of muscle fatigue in elbow flexors on the sense of force reproduction. Fifteen healthy subjects were recruited for this study. Maximum voluntary force (MVF) of elbow flexor muscles was measured by a digital tensiometer. Force errors were measured to test accuracy of the sense of force reproduction in elbow flexors. The subject was required to flex the elbow joint, to maintain and concentrate on about 20% of the MVF target force under visual feedback for 3 seconds. After a 5 second period rest, the subject was asked to duplicate the target force actively. Muscle fatigue was evoked with isometric contraction of the elbow flexors. Isometric contraction was continued until a 50% drop in MVF. The difference, in kilogram between the target force and the reproduced force was calculated for measuring force error. Force errors were compared between the non-fatigued condition and the fatigued condition by the paired t-test. Force errors were significantly increased in the fatigued condition compare to non-fatigued condition. This result suggests that the sense of force reproduction can be disturbed by localized muscle fatigue.

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Complex Korean Medicine Therapy for Somatic Symptom Disorder: Case Report (신체증상장애 환자의 복합 한의진료 경과 및 삶의 질 변화: 증례 보고)

  • Park, Ji-won;Koo, Ji-eun;Bae, Jun-hyo;Bae, Jin-su
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.3
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    • pp.149-157
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    • 2021
  • This study aims to report the effectiveness of complex Korean medicine (KM) therapy on a somatic symptom disorder (SSD) patient. A 58-year-old woman had severe somatic pain for more than six months and showed accompanying anxiety and depression. KM doctors administered complex KM therapy to control her pain and psychological conditions. Her pain was rated using the numerical rating scale and her anxiety and depression symptoms with beck anxiety inventory and beck depression inventory. The somatic symptoms as well as the anxiety and depression significantly improved after KM treatment. This study suggests that complex KM therapy for SSD may be effective to manage both somatic and psychological symptoms.

A Systematic Review and Meta-Analysis of Manual Therapy for Neck Pain Caused by Traffic Accidents (교통사고로 인한 경항통에 적용한 수기요법의 효과: 체계적 고찰 및 메타분석)

  • Kang, Seok-Beom;Shon, Woo-Seok;Kim, Young-Jun;Woo, Chang-Hoon
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.16 no.2
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    • pp.21-28
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    • 2021
  • Objectives To investigate the effectiveness of manual therapy for neck pain caused by traffic accidents. Methods We searched six electronic databases (OASIS, KISS, RISS, NDSL, MEDLINE, and Cochrane Library) to gather randomized controlled trials using the keywords 'manual theray OR chuna OR tuina' and 'whiplash injury OR neck sprain'. Results Eight RCTs were selected based on the inclusion criteria. Four studies were meta-analyses. The systematic review found a positive effect of manual therapy for whiplash injury. All studies showed a high risk of performance bias. Conclusions The systematic review reported favorable results using manual therapy for neck pain caused by traffic accidents. However, this study has several limitations owing to the high risk of bias. Further clinical studies and the development of a study design are required for stronger evidence.

The Effects of Myofascial Trigger Point Release and Mobility Exercise on Pain and Functions in Patient with Rotator Cuff Tendinopathy

  • Shin, Beom-Cheol;Choi, Wonjae;Jung, Jihye;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • v.11 no.2
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    • pp.269-278
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    • 2022
  • Objective: The aim of this study was to evaluate the effects on pain and function of patients with rotator cuff tendinopathy when applying trigger point of infraspinatus and teres minor to myofascial trigger point release (MFR) plus mobility exercise and MFR. Design: A randomized controlled trial. Methods: The total participants were 30patients and were separated to MFR plus mobility exercise group(n=15) and MFR group (n=15) according to the randomized treatment method. The MFR was performed at two infraspinatus tampon points and one teres minor tampon point for twice a week for 4 weeks and the treatment time was 6 minutes 20 seconds in each position. The MFR group also carried out the myofascial trigger point release in the same way as the MFR plus mobility exercise group. Results: The MFR plus mobility exercise group significantly reduced objective and subjective pain (p<0.05). The range of motion of the shoulder joint flexion and external rotation, Quick-Disability of the Arm, shoulder and Hand, and Shoulder Pain and Disability Index were significantly improved in the group to which MFR plus mobility exercise was applied (p<0.05). Conclusions: These results confirmed that MRF plus mobility exercise is more effective in relieving shoulder pain and improving function in rotator cuff tendinopathy.