• 제목/요약/키워드: Rehabilitation training

검색결과 1,256건 처리시간 0.029초

Change of Pain, Lumbar Sagittal Alignment and Multifidus after Sling Exercise Therapy for Patients with Chronic Low Back Pain

  • Park, Seung Jin;Moon, Ji Hyun;Shin, Yun A
    • The Journal of Korean Physical Therapy
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    • 제30권5호
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    • pp.173-180
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    • 2018
  • Purpose: This study examined the effects of sling exercise therapy on vertebral alignment, VAS, muscle activity, and multifidus of patients with chronic low back pain. Methods: Simple random sampling was used to divide the patients (n=116) into the sling exercise therapy group (SETG) and conservative physical therapy group (CPTG), with each group provided a intervention program in 3 sessions a week for 12 weeks. The lumbar lordosis angle (LLA), lumbar intervertebral disc angle (LIVDA) for vertebral alignment, lumbar muscle activity, and multifidus atrophy were measured before and after the intervention. Results: SETG showed significant changes in LLA, LIVDA of rate of change (delta score), and in relieving pain. The right-left balance gap for the lumbar dynamic muscle activity decreased after the intervention. The SETG showed significant changes in the grade of lumbar multifidus atrophy. Conclusion: The sling exercise therapy program is an effective exercise therapy method on vertebral alignment, muscle activity, recovery from multifidus atrophy, and pain relief for patients with chronic low back pain.

보건소 방문간호사의 서비스 수행빈도 및 교육요구 (The Health service performance frequency and educational needs among the visiting nurses of public health centers)

  • 김진학;송민선
    • 가정∙방문간호학회지
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    • 제22권1호
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    • pp.22-37
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    • 2015
  • Purpose: This study aimed to compare the health service delivery level and educational needs by work experiences and types of public health center among the nurses who work as visiting health services workers at public health centers. Methods: Data collected from 484 nursing staff for 2 weeks, was analyzed using the SPSS program t-test, ANOVA, and Spearman Rank-Order Correlation. Nurses with more than 2 years experience were 79.1%; and 43.6% of the subjects worked within Gun type public health centers. Results: The health service performance frequency of metropolitan city type public health centers was significantly high in the areas of education, behavior pattern, chronic disease, pregnant women & infants, and multi-cultural family. The health service performance frequency of Gun type public health centers was significantly high in the areas of type of test, fundamental nursing, and basic rehabilitation. In addition, the correlation between the performance frequency and educational needs was positively correlated, and the subjects with greater educational needs performed more. Conclusion: Educational programs should be designed according to the types of public health centers rather than work experiences, especially in systematic training for frequently performed items after reviewing the practice precisely.

가변부하 및 탄성부하를 이용한 저항성 기구 운동 시 발현되는 상지근육의 근 활동치 비교분석 (Comparative Analysis of Muscle Activities for Upper Extremity During Resistance Exercises Using Variable and Elastic Loads)

  • 임영태
    • 한국운동역학회지
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    • 제16권2호
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    • pp.37-44
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    • 2006
  • The purposes of this study were to analyze and compare EMG activities of the pectoralis major, biceps brachii, triceps brachii, and brachioradialis muscles during biceps curls using a VRT device and an elastic tubing. Fifteen male college students were recruited as subjects and they performed 10-RM and 20-RM biceps curls. For each load and device condition, the mean and peak normalized EMG levels during different phases of a biceps curl were computed. For each load and phase, paired t-test (p.05) was used to find the significant difference between two devices. ANOVA with repeated measures was also used to find the significant difference among phases in terms of EMG values for each muscle. For each load and device condition, the peak and mean EMG levels during different phases of a biceps curl were computed The significant differences between devices were found in biceps brachii for EA, MD, LD phases, and triceps brachii muscles for all phases, respectively. However, no differences were found among phases for any muscle. This indicated that elastic band could have a similar characteristics of VRT. High antagonistic muscle activity as a function of injury prevention which found particularly in VRT device may suggest that elastic tubing can be a safer training device than VRT. This also imply that elastic tubing could be very effective as a home exercise tool for rehabilitation patients and elderly people.

복합부위통증증후군의 작업치료적 접근에 관한 고찰 (A Review of Occupational Therapy Approach for Complex Regional Pain Syndrome)

  • 최유임;박수현
    • 한국콘텐츠학회논문지
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    • 제10권1호
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    • pp.286-294
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    • 2010
  • 복합부위통증증후군은 외상, 신경 손상, 골절, 뇌졸중, 척수 손상과 수술 등에 의해 부적합하게 발생하는 만성 신경병성 통증증후군으로, 질환의 경과, 치료법 등 모든 면에서 생물심리사회적 요인의 영향을 받는다. 작업치료에서는 생물학적, 심리적, 사회적 요소를 고려한 다학제적인 치료적 접근이 유용할 것이다. 생물학적 치료는 모든 영역에서의 독립성을 향상시키기 위해 사지의 기능적 사용을 증가시키는 것이다. 심리적 치료는 이완/바이오피드백 훈련과 인지행동치료를 제공하고, 사회적 치료는 레크리에이션 치료와 직업 재활을 실시할 수 있다. 복합부위통증증후군에 대한 작업치료는 다양한 전문 분야의 협조적인 치료과정을 통해 기능 회복과 통증 관리, 심리적 요인들의 회복을 이끌어 내야 할 것이다.

원통형 4손가락 힘측정시스템 개발 (Development of four-finger force measuring system of a cylindrical type)

  • 김갑순
    • 센서학회지
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    • 제19권5호
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    • pp.349-355
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    • 2010
  • Stroke patients, etc. can't use their hands because of the paralysis of their fingers, and their fingers could be recovered by rehabilitating training. In order to judge the rehabilitating extent of their fingers, the patients should grasp a cylindrical object in hospital. At present, the used object in hospital is only a cylindrical object, and can't measure the force of fingers. Therefore, doctors judge the rehabilitating extent by touching and watching at their fingers. So, the four-finger force measuring system which can measure the force of their fingers should be developed. In this paper, four-finger force measuring system with four force sensors which can measure the grasping force is developed. The force sensors are designed and fabricated, and the force measuring device is designed and manufactured by using DSP(digital signal processing). Also, the grasping force test of men is performed by using the developed four-finger force measuring system. It was confirmed that the finger average force of right hand is about 214.6 N and that of left hand is about 212.8 N.

3축 힘센서를 이용한 구물체 잡기 손가락 힘측정시스템 개발 (Development of finger-force measuring system with three-axis force sensor for measuring a spherical-object grasping force)

  • 김현민;김갑순
    • 센서학회지
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    • 제19권3호
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    • pp.238-245
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    • 2010
  • Stroke patients can't use their hands because of the paralysis of their fingers. Their fingers are recovered by rehabilitating training, and the rehabilitating extent can be judged by grasping a spherical object. At present, the object used in hospital is only a spherical object, and can't measure the force of fingers. Therefore, doctors judge the rehabilitating extent by touching and watching at their fingers. So, the spherical object measuring system which can measure the force of their fingers should be developed. In this paper, the finger-force measuring system with a three-axis force sensor which can measure the spherical-object grasping force is developed. The three-axis force sensor is designed and fabricated, and the force measuring device is designed and manufactured using DSP(digital signal processing). Also, the grasping force test of men is performed using the developed finger-force measuring system, it was confirmed that the average force of men was about 120 N.

정신보건시설 종사자의 인권의식에 관한 탐색연구 (Study on Human Rights Awareness of People with Mental Disorders among Mental Health Workers)

  • 하유정;채은희;양어진
    • 보건의료산업학회지
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    • 제7권1호
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    • pp.83-94
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    • 2013
  • This study with emphasis on protecting human rights of people with mental disorder investigated human rights awareness among mental health workers and identify factors affecting their awareness. Questionnaires were sent out to employees working in mental health facilities in all parts of the country and of those 1094 were used to analyze. According to the analysis, employees' human rights awareness was ranked highest in the areas of occupational therapy and lowest in the areas of admission and discharge. Those who are women, aged between 30 and 40, highly educated, with long tenure, employed as social workers and working at rehabilitation programs presented high awareness of human rights so did employees with license in mental health and training experience in human rights. The result also presented negative correlation between employees' human rights awareness and their prejudice against people with mental disorder. Through this study, guidelines will be set up to help employees acknowledge the importance of human rights awareness and raise their awareness to promote and practice human rights of people with mental disorder.

Effect of Electric Stimulation Training on Walking Ability of Patients with Foot Drop after Stroke

  • Choi, Jongbae;Ma, Sungryoung;Yang, Jongeun
    • 국제물리치료학회지
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    • 제10권4호
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    • pp.1903-1906
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    • 2019
  • Background: Foot drop is a common symptom after stroke and causes walking disorders. Therefore, its proper treatment is important for improving the walking ability of patients with foot drop. Objective: This study aimed to investigate the effects of electrostimulation during walking on the walking ability of patients with foot drop after stroke. Design: Quasi-experial study. Methods: The study enrolled 18 patients with foot drop after stroke. All subjects were assigned to the experimental or control group. The experimental group underwent electric stimulation during walking, while the control group used ankle foot orthoses. Both groups received treatment 20 minutes a day 5 times a week for 4 weeks. Outcome measures were assessed for walking and balance ability using the 10-m walking test (10MWT), 6-min walking test (6MWT), and Timed Up and Go test (TUG) Results: After the intervention, both groups showed significant improvements in 6MWT and TUG results. However, the experimental group showed significantly better improvement on all tests than the control group. Conclusion: The foot drop stimulator effectively improved the walking and balance ability of patients with foot drop after stroke.

Motor Skill Learning on the Ipsi-Lateral Upper Extremity to the Damaged Hemisphere in Stroke Patients

  • Son, Sung Min;Hwang, Yoon Tae;Nam, Seok Hyun;Kwon, Yonghyun
    • The Journal of Korean Physical Therapy
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    • 제31권4호
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    • pp.212-215
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    • 2019
  • Purpose: This study examined whether there is a difference in motor learning through short-term repetitive movement practice in stroke survivors with a unilateral brain injury compared to normal elderly participants. Methods: Twenty-six subjects who were divided into a stroke group (n=13) or sex-aged matched normal elder group (n=13) participated in this study. To evaluate the effects of motor learning, the participants conducted a tracking task for visuomotor coordination. The accuracy index was calculated for each trial. Both groups received repetitive tracking task training of metacarpophalangeal joint for 50 trials. The stroke group performed a tracking task in the upper extremity insi-lesional to the damaged hemisphere, and the normal elder group performed the upper extremity matched for the same side. Results: Two-way repetitive ANOVA revealed a significant difference in the interactions ($time{\times}group$) and time effects. These results indicated that the motor skill improved in both the stroke and normal elder group with a tracking task. On the other hand, the stroke group showed lesser motor learning skill than the normal elder group, in comparison with the amount of motor learning improvement. Conclusion: These results provide novel evidence that stroke survivors with unilateral brain damage might have difficulty in performing ipsilateral movement as well as in motor learning with the ipsilateral upper limb, compared to normal elderly participants.

노인 혈액투석 환자를 위한 근력강화 운동 프로그램의 효과 (Effects of a Muscle Strength Reinforcement Exercise Program for Older Adult Patients on Hemodialysis)

  • 이제나
    • 노인간호학회지
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    • 제20권3호
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    • pp.204-216
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    • 2018
  • Purpose: The purpose of this study was to examine effects of a muscle strength reinforcement exercise program (MSREP) for older adult patients with hemodialysis (OAPHD) which was designed to improve health status and quality of life of these older adult patients. Methods: Participants were 40 patients with OAPHD: 20 in the experimental group and 20 in the control group. MSREP was conducted with the experimental group for 12 weeks at H geriatric hospital. An assessment was done to determine effects on physical performance, inflammation index, fatigue, muscle strength and quality of life. Short physical performance battery, C-Reactive Protein (CRP), visual analog scale for fatigue, object lifting' proposed by the Life Options Rehabilitation Advisory Council, sit-to-stand test, and quality of life index were used to gather data. Results: Between the 2 groups there was no significant difference in scores for physical performance, fatigue or quality of life. However, the 2 groups showed significant difference in CRP values and muscle power scores on post-test. Conclusion: Findings provide evidence for the potential utility of education for older adult patients with hemodialysis. Also, this program could allow these patients to increase muscle strength, and contribute to achieving better health conditions in OAPHD care.