• Title/Summary/Keyword: Rehabilitation training

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The Effect of Side-Step Tasks Based Circular Training Program on Balance and Gait in Stroke Patients

  • Sang Jun Son;Joong-Hwi Kim
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.384-390
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    • 2022
  • Objective: The purpose of this study was to investigate the effect of the side-step tasks based circular training program (STCT) on balance and gait characteristics in stroke patients. Design: A randomized controlled trial Methods: Twenty-four stroke patients were randomly divided into two groups of twelve patients each. One group was applied with the STCT whereas the other group was treated with conservative physiotherapy (CP). The ability of gait was measured in 10m walking test and stride length on both side using BTS G-WALK (BTS Bioengineering S.p.A, Italy) and the ability of balance was measured in Berg Balance Scale (BBS) and Timed Up and Go Test (TUG). Results: The STCT group was significant differences in the balance parameters of BBS and TUG (p<0.05) and showed significant differences in gait variables in 10m walking speed, stride length of affected and non-affected side after the experiment before and after the experiment (p<0.05). In addition, the STCT group showed a significant difference in BBS compared to the control group (p<0.05). Conclusions: The results of this study confirmed that the side-step tasks based circular training program (STCT) improves balance and walking ability in stroke patients. STCT is expected to be used as a useful intervention method for stroke rehabilitation.

Development of an Integrative Cognitive Rehabilitation Program for Brain Injured Patients in the Post-acute Stage (후급성기 뇌손상 환자를 위한 인지재활 프로그램의 개발)

  • Oh Hyun Soo;Kim Young Ran;Seo Wha Sook;Seo Yeon Ok
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.270-282
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    • 2005
  • Purpose: This study was conducted to develop a comprehensive cognitive rehabilitation program that can be easily applied to brain injured patients by family members or nurses in community or hospital settings. Methods: A Systemic literature review design was used. Thirty-three related studies were reviewed. Result: Based on the results of the literature review, the training tasks for attention were designated to enhancing 4 hierarchical areas, i.e., focused, selective, alternating, and divided attention. On the other hand, the memory rehabilitation tasks mainly consisted of mnemonic skills, such as the association method which helps patients memorize given information by linking together common attributes, the visual imagery method, and self-instruction method. The problem solving rehabilitation program included a task of games or plays which stimulated the patients' curiosity and interest. The training tasks for problem solving were to encourage the process of deriving reasonable solutions for a problematic situation resembling real problems that the patients were faced with in their everyday life. Conclusion: It is expected that the cognitive rehabilitation program developed from this study could help patients having difficulty in their every day life, due to a reduced cognitive ability resulting from brain injury, to effectively adapt to every day life.

The Systematic Discussion of a Study on the Application of Computerized Cognitive Rehabilitation on Patient with Dementia in Korea (국내 치매 환자를 대상으로 한 전산화 인지 재활 적용 연구에 대한 체계적 고찰)

  • Lee, Hyunjin;Kim, Kyoungdon;Kim, Bora
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.4
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    • pp.83-89
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    • 2017
  • Purpose : This study aimed to investigate a study on the intervention of computerized cognitive rehabilitation applied to patients with dementia in Korea. Thus, a systematic discussion was conducted. Methods : Studies from January 2000 to December 2016 were searched in the Korea Education and Research Information Service. The main key words used were: "dementia," "computerized cognitive rehabilitation," "computerized cognitive training," "computer assisted cognitive therapy," and "computerized cognitive therapy." Result : A total of five studies were selected. The effects of the computerized cognitive rehabilitation therapy applied to patients with dementia resulted in improved cognitive functions, as well as daily living and activities instrumental to daily living. There was also an increase in brain activity. The qualitative aspects of this study showed a low level of internal and external validities due to the small number of subjects, short period of intervention, and limited study environment. Conclusion : In the future, it is necessary to continue a study in which the level of evidence is high to determine whether various cognitive rehabilitation programs are effectively applied to patients with dementia.

The Effect in the Muscle Function Following 8-Week Dead-lift training with Whole-body Vibration in Rehabilitation for Sports Players (8주간 데드리프트 운동 시 전신진동운동이 재활스포츠 선수의 근 기능 특성에 미치는 영향)

  • Oh, Ju-Hwan;Kang, Seung-Rok;Min, Jin-Young;Kwon, Tae-Kyu
    • Korean Journal of Applied Biomechanics
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    • v.25 no.3
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    • pp.343-351
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    • 2015
  • Objective : The purpose of this study was to investigate the effects in the muscle function following 8-week dead-lift training with Whole-body Vibration(WBV) in rehabilitation for sports players. Method : Twenty young sports players. Each subjects were randomly assigned to a resistance training with Whole-body vibration group(TG, n=10), a resistance training without Whole-body vibration group(CG, N=10). The measurements which physical fitness test and joint torque test were performed before the randomization and after the 4-week and 8-week. The WBV group performed the dynamic Dead-lift exercise on a vibration platform during one minute. The CG group performed the equal training without vibration. The WBV and CON group repeated 5 set and trained two times weekly for 8-weeks. Paired t-test was used to test for differences between the groups at baseline and after 4-weeks and 8-Weeks. And independent t-test was used to test for differences between the groups at TG and CG. All analyses were executed using SPSS software 18.0. The level of significance was set at p<.050. Results : Following the 8-Weeks training sessions, an increase in the back-muscle strength was found to be greater for the TG compared with the CG group(p<.05). Muscle endurance was significantly decreased after training than before training only for the CG(p<.05). Isometric Hip/Lumber Extension/Flextion measurement was found to be significantly greater for the TG compared with the CG group(p<.05). The finding indicates that WBV effects as an efficient training stimulus to enhance muscle function by facilitating neural control trail. Following muscle activation in motor unit synchronization of the co-contraction of the muscles. Conclusion : The results imply that the WBV training may have enhanced muscle function in rehabilitation for sports players.

Evaluation of the Home-based Rehabilitation Program Based on CBR Model Through In-depth Interviews With Visiting Physical Therapists

  • Lee, Minyoung;Chung, Jinjoo;Hong, Hye Jung;Yoon, Bum Chul
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.68-77
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    • 2015
  • Purpose: This study was conducted in order to explore home visiting therapists' self-perceived role, problems, and supplement points of the home-based rehabilitation (HR) program based on the community-based rehabilitation (CBR) model. Methods: Four home visiting physical therapists, who conducted the HR program, participated in this study. After completion of the HR program, in-depth interviews were conducted using a semi-structured questionnaire for participants to explore their self-perceived role, problems, and supplement points of the HR program. Results: Participants regarded the role of the HR program as for "the linkage between recipient & society", "maintenance & improvement of recipients' physical function", and "education of recipient about the way of self rehabilitation". The problems and supplement points were derived from all phases of the HR program, including "human & material resources", "training program for human resources for HR service", "selection of recipient of HR service", "contents of the intervention for HR service", and "duration of HR service". Conclusion: These findings indicate that participants well recognized the intention of the HR program based on the CBR model, and suggest that high-quality human resources with rich expertise and experiences, a training program for HR service led by experts, and selection of recipients led by experts are necessary for an effective HR program. In addition, strategies and capacities specified to HR service should be identified, and applied to the training program for human resources for HR service. The results of this study could provide useful information when the government decides on the next guideline for home visiting health service.

Actual Situation of the Intern Physical Therapist at Hospitals in the Seoul Metropolitan Region (수도권 소재 일부 의료기관의 인턴물리치료사 관련 실태)

  • Lee, Byung-Joon;Yun, Mi-Jung;Lee, Kyoung-Suk;Lee, Hwang-Jae;Lee, Wan-Hee
    • The Journal of Korean Physical Therapy
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    • v.25 no.2
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    • pp.64-70
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    • 2013
  • Purpose: The purpose of this study was to provide information and suggestions for improvement of the intern physical therapist. Methods: I used 'intern physical therapist' as a keyword, and searched using the Google Search Appliance. Hospitals in the Seoul metropolitan region were selected. Twenty six hospitals that operate the intern physical therapist system were selected. A survey was conducted using questionnaires from August 20, 2012 to August 30, 2012. Among the 26 submitted questionnaires, 24 responded, and the results were analyzed using IBM SPSS Statistics 19.0. Results: 1. Education: (1) Sexual harassment prevention training, infection control training was lower at the rehabilitation hospital and semi hospital than at the university hospital and general hospital. (2) The rehabilitation hospital provided more education for intern physical therapists than the university hospital. (3) University hospital practice location was more diverse than that of the rehabilitation hospital. (4) In the rehabilitation hospital, education of practical skill was somewhat higher. 2. The employment rate of people who have completed an internship was higher in the rehabilitation hospital than the university hospital. Conclusion: Trial employment is more reasonable than intern physical therapist at the semi general hospital and rehabilitation hospital. Council is needed for decisions regarding internship training curriculum.

The Effects of Plantar Foot Pressure and Muscular Activity on Treadmill Gait Training in Stroke Patients (트레드밀 보행훈련이 편마비 환자의 족저압과 하지 근활성도에 미치는 영향)

  • Kim, Eun-Jung;Jung, Jae-Min;Kim, Tae-Ho;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.3
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    • pp.165-174
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    • 2009
  • Purpose:This study was performed for effects of gait training on treadmill and stable surface which influenced on the lower limbs muscular activity needed in gait, plantar foot pressure with hemiplegic patients caused by cerebrovascular accident. Methods:Two groups of adult hemiplegia(n=20) were allocated randomly in this study: treadmill gait training group and control group. The gait training program was provided to experimental groups for 8 weeks (5 times a week). Measurements of pre and post experiment were plantar foot pressure. For measuring muscular activation rectus femoris, biceps femoris, tibialis anterior, gastrocnemius were detected. Results:The results of this study showed that in comparison of pre and post changes of gait training, the treadmill gait training group has noticeable changes than other groups in activity of rectus femoris and tibialis anterior, the control group revealed statistically significant differences in plantar foot pressure Toe2-5, M1, M3, M5, MF area, activity of gastrocnemius. Conclusion:These results mean gait training resulted by treadmill, stable surface provides effective muscle activation and plantar foot pressure with stroke.

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The Effects of Pressure Biofeedback Units in Lower-Limb PNF Pattern Training on the Strength and Walking Ability of Stroke Patients (압력 바이오피드백 제공에 따른 고유수용성신경근촉진법 하지패턴 적용이 뇌졸중 환자의 근력과 보행능력에 미치는 영향)

  • Park, Jin;Song, Myung-Soo
    • PNF and Movement
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    • v.18 no.1
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    • pp.55-64
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    • 2020
  • Purpose: The purpose of this study was to compare the strength and walking ability of chronic stroke patients following either proprioceptive neuromuscular facilitation (PNF) pattern training with pressure biofeedback units (feedback group) or PNF pattern training without pressure biofeedback units (control group). Methods: Eighteen participants with chronic stroke were recruited from a rehabilitation hospital. They were divided into two groups: a feedback group (n = 8) and a control group (n = 10). They all received 30 minutes of neurodevelopmental therapy and PNF training for 15 minutes five times a week for three weeks. Muscle strength and spatiotemporal gait parameters were measured. Muscle strength was measured by hand-held dynamometer; gait parameters were measured by the Biodex Gait trainer treadmill system. Results: After the training periods, the feedback group showed a significant improvement in hip abductor muscle strength, hip extensor muscle strength, step length of the unaffected limb, and step time of the affected limb (p<0.05). Conclusion: The results of this study showed that proprioceptive neuromuscular facilitation pattern training with pressure biofeedback units was more effective in improving hip muscle strength and walking ability than the proprioceptive neuromuscular facilitation pattern training without pressure biofeedback units. Therefore, to strengthen hip muscles and improve the walking ability of stroke patients, using pressure biofeedback units to improve trunk stability should be considered.

On the Characteristics of Physical Training Content in Seo Sang-cheon's Writings by Period

  • Shin eui-yun;Kim dae-sung
    • International Journal of Advanced Culture Technology
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    • v.12 no.3
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    • pp.380-387
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    • 2024
  • Seo Sang-cheon (1903-1950) was a sports leader and administrator who contributed greatly to the development of Korean sports after Japanese colonial era and liberation. And to us, he is known as the first person to introduce weightlifting to Korea. In this paper, through the main contents of the books of the 1930s related to this research topic, including the Modern Physical Fitness Promotion Act (1931) and the Modern Iron Stick Movement Act (1934), the main contents of Seo Sang-cheon's books related to physical training during this period, I would like to illuminate the characteristics such as infinite affirmation of the 'body training' and the exposure of disciplined upper body photographs in Seo Sang-cheon's writings related to physical training during this period. On the one hand, contrary to this, I tried to mention the regrets of his writings and political moves emphasizing the 'spirit' after the 1940s. We found that Seo Sang-cheon's early writings were focused on individual physical training, beyond the boundaries of nation and ethnicity. In contrast, his later writings reflect a shift towards thinking of personal physical training in alignment with the development of the state. We believe that this change in his writings demonstrates that Seo Sang-cheon's interests extended beyond physical education into political and social spheres, while also symbolizing a transformation in his perception of the body.

The Effect of Exercise Adaptive Training on Motor Function after Experimental brain ischemia in Rats (실험적 뇌허혈로 인한 편마비 흰쥐에서 운동 적응 훈련이 기능 회복에 미치는 영향)

  • Kwon, Young-Shil;Kim, Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.529-535
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    • 2001
  • The purpose of this study was to test that the exercise adaptive training enhance behavioral outcome significantly after focal brain ischemia in rats. After occlusion of middle cerebral artery in rats, they were housed in individual standard cages fur 24 hours. The control group was sacrificed 24 hours after ischemic event. The experimental group I was housed in standard cages for 7days. The experimental group ll was housed in enriched environment and had got exercise adaptive training fur 7days. The rats were examined five motor behavioral tests. In motor behavioral tests :postural reflex test, limb placement test, beam-walking test, rotarod test, horizontal wire test. The outcomes of control group and group I were significantly lower than the group II. The conclusion was that exercise adaptive training induced functional repair.

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