• Title/Summary/Keyword: Sports Rehabilitation

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Change and Development of the Orthopaedic Manual Therapy (정형물리치료의 변화와 발전)

  • Ju Mu-Yeol;Kim Seung-Joon;Park Seung-Kyu;Jung Yeon-Woo;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.475-486
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    • 2002
  • Orthopaedic manual therapy(OMT) includes knowledge in arthokinematic, biological, behavioral, biomechanical, patholology, anatomy, and clinical science. it allows proper approach to patient evaluation and program development and relieves joint and soft tissue lesions. The OMT has sports injurys, traumatic, developmental, and neuromusculoskeletal disorders of acute and chronic states, and prevention of dysfunction as well as the development, improvement, restoration, or maintenance of joint and muscular mobility, stability, relaxation, strenth, endurance, balance, and functional skills. The purpose of this article has to define and clarify the change and development of basic concepts of orthopaedic manual therapy. OMT is ancient in origin. The book of ' Manipulation Past and Present ' contains pictures recording various types of joint mobilization by Hippocrates. Recently, there are many kinds of manual therapeutic maneuvers to assess and relieve joint and soft tissue lesions developed by James Cyriax, John McM Mennell, Brian R Mullign, Robin McKenzie, Freddy Kaltenborn, Geoffrey Maitland, and Ola Grimsby.

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The Effects of leg length difference on Low Back Pain and joint stiffness (하지길이 차이가 요통과 관절경직에 미치는 영향)

  • Kim Dong-Hyun;Kim Suk-Bum;Baek Su-Jeong;Nam Tae-Ho;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.55-63
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    • 2002
  • Human body balances right and left leg centering around pelvis and spine. Therefore, imbalance of lower extremity means disequilibrium of the body. The difference of lower extremity length can cause a number of clinic symptoms including scoliosis, low back pain, sacroiliac pain, and sports injury. In this study, we tried to analyze low back pain and joint stiffness resulting from the difference of lower extremity length. The subjects were 80 male students who are 20-25 years old. The results of this study were as following: 1. Low back pain depending on the difference of lower extremity length One group which the difference of lower extremity length is above 12mm showed average different length as 18.0mm, the other group which one is below 12mm showed as 6.3mm. A group of above 12mm had more severe low back pain than a group of below 12mm. 2. Joint stiffness depending on the difference of lower extremity length A group of above 12mm had more severe joint stiffness than a group of below 12mm.

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The Immediate Effects of Graston Instrument-Assisted Soft-Tissue Mobilization and Self-Stretching on the Muscular Properties of the Gastrocnemius in Athletes

  • Kang, Ho-Seong;Lee, Jung-Hoon
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.4
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    • pp.29-35
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    • 2020
  • PURPOSE: This study examined the immediate effects of Graston instrument-assisted soft-tissue mobilization (GIASTM) and self-stretching on the muscular properties of the gastrocnemius in athletes. METHODS: Thirty subjects (All in their 20 s) were distributed randomly and evenly into two groups of 15 each: GIASTM and stretching. The subjects had no history of gastrocnemius damage in the previous three months. The muscle tone, stiffness, elasticity, and mechanical stress relaxation time (MSRT) of the gastrocnemius were blind-tested. RESULTS: The GIASTM group showed significant changes in all categories, while only MSRT changed significantly in the self-stretching group after intervention. A comparison of the two groups revealed significant differences in stiffness, elasticity, and MSRT (Time required for the muscle to recover after distortion after intervention in the GIASTM group. CONCLUSION: In this study, significant decreases in muscle tone and stiffness, as well as significant increases in elasticity, were observed in the gastrocnemius of the GIASTM group. On the other hand, sSelf-stretching showed significant differences in MSRT. Therefore, GIASTM is more effective in the recovery of the gastrocnemius muscle from fatigue than self-stretching. This study suggests that GIASTM can help prevent damage to the gastrocnemius in athletes and contribute to their training and rehabilitation programs.

Development of a Voice Compass Device to Guide the Person who are Blind (시각장애인을 위한 음성안내 나침반 개발)

  • Kim, C.G.;Choi, M.N.;Song, B.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.1 no.1
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    • pp.7-11
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    • 2007
  • A compass device which indicates the right direction using the recorded voice was developed to assist the people who are blind when they are walking and moving to somewhere. The developed voice compass consists of a sensing module which recognizes the terrestrial magnetism with magnetic sensor, voice recorder IC, speaker and microprocessor which controlled all the components. It has 32 directions resolution and can continuously indicates the progressing direction with established time interval for the user convenience. It can help walking of the blind people and designed to be used in various sports and leisure. The performance of the developed device was verified by experiment with person who are blind.

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Comparison of difference in muscle activity ratio, ground reaction force and knee valgus angle during single leg squat and landing according to dynamic taping

  • Ha, Tae-Won;Park, Sam-Ho;Lee, Myung-Mo
    • Physical Therapy Rehabilitation Science
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    • v.9 no.4
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    • pp.281-286
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    • 2020
  • Objective: This study examined the effects of dynamic tape applied to the patellofemoral joint on the knee valgus angle, muscle activity, and ground reaction force during a single leg squat (SLS) and single leg landing (SLL). Design: Cross-sectional study. Methods: Twenty-four subjects (11 male, 13 female) who met the inclusion criteria were screened by the knee palpation and patella compression tests. First, the knee valgus angle and muscle activity during SLS were measured. Second, the knee valgus angle and ground reaction force during SLL were measured. For the intervention, a patella joint loop using dynamic tape was used. The knee valgus angle, muscle activities in SLS and SLL after the intervention, and the ground reaction force were measured in the same way. A paired t-test was used to examine the difference between before and after the intervention. Results: The knee valgus angle showed a statistically significant improvement after dynamic taping application in SLS and SLL (p<0.05). The differences in muscle activity of the VL/VMO and ground reaction forces were not statistically significant after dynamic taping application in SLS and SLL. Conclusions: This study showed that dynamic taping applied around the patellofemoral joint was effective in improving the knee valgus angle in SLS and SLL and had a reduced risk of secondary injury during sports activity.

Gait Pattern of Hemiplegic Patients with Swimming Aqua-noodles

  • Kim, Suk-Bum;O'Sullivan, David
    • Korean Journal of Applied Biomechanics
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    • v.29 no.1
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    • pp.15-21
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    • 2019
  • Objective: The purpose of this study was to investigate the effects of aqua-noodles on the practice of underwater walking in patients with hemiplegia. Method: After an oral explanation and signing an IRB approved consent form 10 participants ($66.8{\pm}10.75yr$, $165.3{\pm}8.79cm$, $73.6{\pm}46kg$) agreed to participate in this study. Each of the participants was required to walk with the aqua noodles and without the aqua-noodles in a swimming pool. Each participant was asked to walk a distance of 5 m a total of 10 times, 5 with and 5 without the aqua-noodles. The depth of the swimming pool was at 1.3 m, approximately chest height. The following variables were calculated for analysis; height of the knee (m), knee joint ROM ($^{\circ}$), ankle joint ROM ($^{\circ}$), knee joint maximum angular velocity ($^{\circ}/sec$), and ankle joint maximum angular velocity ($^{\circ}/sec$). Results: First, there was a significant increase in time (s) for the maximum knee height to reach as well as the maximum knee height (m) increased when the participant used the aqua-noodles. Second, there was a statistically significant decrease in stride length when the aqua-noodles were used. Conclusion: This study helps to verify that the effect of underwater walking exercise can provide a suitable walking exercise environment. The results of this study provide systematic scientific information about how walking in water can be used for the rehabilitation of patients and the elderly.

Accelerated Rehabilitation After Arthroscopic Bankart Repair - A Prospective Randomized Clinical Study - (관절경적 Bankart 봉합술후 적극적 재활치료 - 전향적 임상연구 -)

  • Kim Seung-Ho;Ha Kwon-Ick;Jung Min-Wook;Lim Moon-Sup;Kim Young-Min;Park Jong-Hyuk;Cho Yang-Bum
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.1
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    • pp.79-88
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    • 2002
  • Purpose: In this prospective, randomized study, we compared the results of early motion versus conventional immobilization after the arthroscopic Bankart repair. Materilal and Methods : We performed an arthroscopic Bankart repair using suture anchors in 62 patients with traumatic anterior shoulder instability and randomized them into two groups; Group 1 (n=28; mean age, 28 years) underwent three-week of immobilization and conventional rehabilitation program, while Group 2 (n=34; mean age, 29 years) underwent an accelerated rehabilitation program with staged range of motion and strengthening exercises starting from the immediate postoperative day. Selected patients were non-athletes with a classic Bankart lesion and a robust labrum. Analysis of outcome included pain scores (6-week and follow-up: 31(9 months), range of motion, return to activity, recurrence, patients’ satisfaction with each program, and shoulder scores (ASES, UCLA, and Rowe). Results : The recurrent rate was not different between the two groups (2 anterior apprehension from each group) (p=0.842). Patients with accelerated rehabilitation resumed functional range-of-motion faster and returned earlier to the functional level of activity (p<0.05). Accelerated rehabilitation decreased postoperative pain and more patients were satisfied with this program (p<0.05). No differences were found between the two groups at the follow-up with regards to the shoulder scores, return to activity, pain score, and the range-of-motion. Conclusions : Early mobilization after arthroscopic Bankart repair does not increase the recurrence rate in selected patients. Although the final outcomes are similar in both groups, the accelerated rehabilitation program promotes functional recovery and reduces postoperative pain, which enables patients an early institution of desired activities.

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Effects of Rehabilitation Duration on Lower Limb Joints Biomechanics dur ing Drop Landing in Athletes with Functional Ankle Instability (기능적 발목 불안정성 선수들의 드롭랜딩 시 재활 기간이 하지 관절의 운동역학적 특성에 미치는 영향)

  • Cho, Joon-Haeng;Kim, Kyoung-Hun;Lee, Hae-Dong;Lee, Sung-Cheol
    • Korean Journal of Applied Biomechanics
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    • v.20 no.4
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    • pp.395-406
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    • 2010
  • The purpose of this study was to analyze the changes in kinematic and kinetic parameters of lower extremity joint according to rehabilitation period. Fourteen collegiate male athletes(age: $22.1{\pm}1.35$ years, height: $182.46{\pm}9.45cm$, weight: $88.63{\pm}9.25kg$) and fourteen collegiate athletes on functional ankle instability(age: $21.5{\pm}1.35$ years, height: $184.45{\pm}9.42cm$, weight: $92.85{\pm}10.85kg$) with the right leg as dominant were chosen. The subjects performed drop landing. The date were collected by using VICON with 8 camera to analyze kinematic variables and force platform to analyze kinetic variables. There are two approaches of this study, one is to compare between groups, the other is to find changes of lower extremity joint after rehabilitation. In comparison to the control group, FAI group showed more increased PF & Inversion at IC and decreased full ROM when drop landing. Regarding the peak force and loading rate, it resulted in higher PVGRF and loading. FAI group used more increased knee and hip ROM because of decreased ankle ROM to absorb the shock. And it used sagittal movement to stabilize. In terms of rehabilitation period, FAI group showed that landing patterns were changed and it increased total ankle excursion and used all lower extremity joint close to normal ankle. Regarding the peak force and loading rate, FAI group decreased PVGRF and loading rate. and also showed shock absorption using increased ankle movement. And COP variable showed that proprioception training increased stability during 8 weeks. The results of this study suggest that 8 weeks rehabilitation period is worthwhile to be considered as a way to improve neuromuscular control and to prevent sports injuries.

Convergence Study on Effects of Underwater Rehabilitation Exercise on Physical Fitness and Blood Lipids in Middle Aged Women (중년여성의 수중재활운동이 신체적성과 혈중지질에 미치는 융합연구)

  • Beak, Soon-Gi;Kim, Do-Jin
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.260-267
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    • 2019
  • The purpose of this study is to find out how underwater rehabilitation exercises affect physical fitness and blood lipids for 10 weeks and provide basic data to help prevent middle-aged women from cardiovascular diseases. The subjects of this study were middle-aged women living in Seoul, Korea. The underwater rehabilitation exercise was performed for 1 week and 3 times for 10 weeks, and the exercise time was 60 minutes for 1 time including the warm up, the main exercise and the cool down. The exercise intensity was set at 60-70% of the heart rate reserve calculated from the pre-exercise test. The measurement variables were physical fitness and blood lipid. In the data processing, descriptive statistics were presented for each measurement item and a 2-way RGRM ANOVA was conducted to examine the interaction effects between groups. The results have shown significant interaction effects in physical fitness(Flexibility, Cardiorespiratory Endurance, Muscular Endurance) and the blood lipids(TG, TC, HLD-C, LDL-C). This study found that the 10-week underwater rehabilitation exercise program of middle-aged women increased physical fitness level and decreased and increased blood lipid, which could be an effective and convergent program to prevent and reduce cardiovascular disease.

The Analysis of Old Person's Total Antioxidant Capacity and Free Oxygen Radical According to Exercise Frequency of Combination Exercise (빈도에 따른 복합운동프로그램이 노인들의 체내 총항산능 및 활성산소 유리기에 미치는 영향)

  • Jung, Jae-Min;Kim, Eun-Jung;Yoon, Young-Cho;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.3
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    • pp.141-148
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    • 2009
  • Purpose:The purpose of this study was analyze the effect combination exercise program on plasma total antioxidant capacity and free oxygen radical according to exercise frequency of elderly. Age range of subject is 65~70 years. Methods:Subjects divided into three groups: control group(0-time), week-3 times group(3-times), week-5 times group(5-times). Each group were performed combination exercise during 8 weeks. Results:The results of each group by ANOVA free oxygen radical have a change(p<.05). We performed comparison of total antioxidant capacity and free oxygen radical pre-test and post-test on each groups. Total antioxidant capacity was increased in the 3-times and 5-times groups but there have not significant. Total antioxidant capacity is improve better than to 5-times. Free oxygen radical is significant increased in the 0-time (p<.05). But 5-times but 3-times is no significant decrease. Free oxygen radical is improve better than to 3-times. Conclusion:In the old people, exercise frequency week 3 times doing appeared effectively in improvement of the free oxygen radical and 5 times doing appeared effectively in improvement of the total antioxidant capacity. So rightly must apply a exercise frequency well in characteristic of old person each person.

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