• The Journal of Korean Physical Therapy
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• 제34권4호
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• pp.129-134
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• 2022

It is necessary to produce properly educated Manual Lymph Drainage (MLD) specialists conducted by certified instructors. This study was conducted to introduce a comprehensive understanding, application, historical background, and effect of the MLD and to present a basis for using the frequency MLD as a basic resource for training professional. MLD, a field of manual therapy, is used to treat a variety of diseases such as joint disease, circulatory system disease, lymphedema, and pain et al. However, since there is no proper education for MLD in Korea, there is a need to provide education that meets internationally accepted standards. The Physical Therapists Association and related academic societies will need to prepare a system to train specialists on MLD and to recognize medical insurance through it.

• 대한정형도수물리치료학회지
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• 제7권2호
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• pp.23-39
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• 2001

Dysfunction of the anterior and dorsal muscles of the trunk have been studied in relation to low back pain of many years. Many muscles of the trunk are capable of contributing to the stabilization and protection of the lumbar spine, recent evidence has suggested that transversus abdominis may be critically involved and has been the focus of rehabilitation. The delay in onset of contraction of trunk muscles associated with movement of the upper or lower limb in patients with low back pain indicates a significant deficit in the automatic motor command for control of disturbance to the spine. The function of transversus abdominis has been largely ignored in the evaluation of spinal stabilization and protection. The most essential stabilizing muscles for the lumbar column are the transversus abdominis and the multifidus. Sling exercise therapy(SET) concept consists of a system of diagnosis and treatment. The system of diagnosis involves testing the muscle's tolerance through progressive loading in open and close kinetic chains. The SET system contains elements such as relaxation, increasing the range of movement, traction, training the stabilizing musculature, sensorimotor exercises, training in open and close kinetic chains, dynamic training of the mobilizing musculature, cardiovasc+ular exercises, group exercise, personal exercise at home. Sensorimotor training is an essential element of the SET concept. The emphasis is on closed kinetic chain exercises on an unstable surface, thereby achieving optimum stimulation of the sensorimotor apparatus.

• 대한정형도수물리치료학회지
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• 제20권1호
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• pp.39-45
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• 2014

Background: The purpose of this study is to identify effects of neuro-muscular control training on vastus medialis oblique (VMO) after menisectomy of the knee. Methods: The subjects of this study are women aged 42 and 39 each who did menisectomy. Case 1 was applied quadriceps setting exercise and neuro-muscular contrlol training and case 2 was applied quadriecps setting. Intervention was done 5 times a week for 2 weeks. Measurement of muscle activity on VMO and vastus lateralis (VL) was standardized signals of each muscle to %RVC using surface EMG. Results: On comparison of exercise before and after on VMO and VL, VL activation of case 2 was increased more than case 1. Conclusion: Quadriecps-setting exercise and selective neuro-muscular control training of VMO is effective intervention on VMO activity and muscle activity ratio of VMO to VL.

• 대한정형도수물리치료학회지
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• 제27권1호
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• pp.63-73
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• 2021

Background: This study was conducted to investigate the effects of pressure belt during proprioceptive neuromuscular facilitation sprinter pattern training using a Thera-band on leg muscle strength and gait in stroke patients with stroke. Methods: Nine patients with stroke underwent training five times a week for four weeks, and changes in the muscle strength and walking ability of the paralyzed leg before and after training were measured. Muscle strength was measured using a Digital muscle tester, and walking ability was measured using a G-WAKER and the timed up and go (TUG) test. Results: Results showed that the quadriceps, hamstring, tibialis anterior, gastrocnemius, cadence, stride length, and stance phase significantly increased (p<.05). The swing phase, gait cycle duration, and TUG test results significantly decreased (p<.05). Conclusion: This study demonstrated that a pressure belt is a very useful tool for improving muscle strength and walking ability in patients with stroke.

• 대한정형도수물리치료학회지
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• 제7권2호
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• pp.5-22
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• 2001

The purpose of this study was to investigate the balancing training effect on weight bearing ratio and postural sway on the unstable surface for the CVA patients with balance disability. The inclusion criteria were walking independently 20m distances. Eighteen subjects, 4 with right and 14 with left hemiplegic patients were participated in this study. The range of age was from 35 to 75 and the duration from onset time was from 1 to 38 months. The intervention program including balancing training that they were introduced for 10 minutes every other day during 12 weeks to experimental group, and general therapeutic exercise to control group. The result of this study were as following; 1. The balancing training on the unstable surface showed that the postural sway of left/right distribution would appear more effective on sitting with eyes opened. 2. The balancing training on the unstable surface showed that the postural sway of forward/rear distribution, left/right distribution and distance would appear more effective on standing with eyes opened. 3. The balancing training on unstable surface would increase more effective on the weight-bearing ratio of left/right difference and frequency. 4. The balancing training on unstable surface was statistical significant on the postural sway of left/right distribution and area in experimental group. and it was statistical significant on the postural sway of forward/rear distribution, left/right distribution and distance in control group, too.

• 한국항행학회논문지
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• 제27권3호
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• pp.293-299
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• 2023

UPRT(Upset Prevention And Recovery Training)은 2001년과 2011년 사이에 상업항공에서 발생한 항공기 사고 중 주요 원인이 LOC-I(비행 중 조종능력상실; Loss Of Control In flight)으로 분석된 이후 3년의 시간에 걸쳐 개발된 사고 예방 훈련 프로그램이다. 2014년 ICAO는 Doc.10011(Manual On Aeroplane Upset Prevention And Recovery Training)을 통해 고정익항공기에 대한 UPRT를 제시하였고 2019년 3월부터 체약국에 의무시행을 권고하였다. 해군 P-3C는 해상초계와 대잠전이 주요 임무이기 때문에 저고도(70~600 m)에서 비행하는 시간이 많고 P-3C 대다수의 조종사들이 비행착각을 경험한바 비정상 자세 예방 및 회복훈련은 해군 P-3C 조종사에게는 반드시 필요한 훈련이다. 이를 위해 본 연구에서는 해군이 보유하고 있는 P-3C 시뮬레이터를 이용하여 제한적인 상태에서의 비정상 자세 예방 및 회복훈련 방안을 제시하고자 한다.

• PNF and Movement
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• 제21권2호
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• pp.193-202
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• 2023

Purpose: We investigated the effects of transcranial stimulation and task-oriented training on upper extremity and cognitive function in chronic stroke patients. Methods: A total of 30 patients were randomly divided into transcranial stimulation and task-oriented training groups (TT) and task-oriented training groups (TO). The TT group performed 30 min 5 times a week for 4 weeks in task-oriented training combined with transcranial direct current stimulation. The TO group performed 30 min 5 times a week for 4 weeks in task-oriented training. To measure upper extremity function, the Jebsen-Taylor Hand Function Test, Manual Function Test, and Cognitive Function Test were performed using the Stroop Test and the Trail Making Test. Results: There was a significant difference (P < 0.05) before and after training in both groups, and the TT group showed significant improvement in both groups. Conclusion: In this study, we confirmed transcranial stimulation and task-oriented training in upper extremity function and cognitive function in patients with chronic strokes.

• The Journal of Korean Physical Therapy
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• 제28권2호
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• pp.101-105
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• 2016

Purpose: The purpose of this study was to determine the effects of group exercise, manual therapy, and a home exercise program on VAS (visual analogue scale), ROM (range of motion) of shoulder, and functional outcome in adhesive capsulitis. Methods: The study was conducted with 45 patients. All subjects were randomly assigned to 3 groups: group exercise (n=15), manual therapy (n=15), home exercise (n=15). The subjects performed an intervention program 3 times a week for 4 weeks a total of 12 times. Outcome measurements were VAS, ROM, and Constant-Murley score outcome measures. Measurements were taken four times, at baseline, 4 weeks later, 8 weeks later, and 12 weeks later. Results: VAS, ROM of the shoulder, and functional outcomes showed improvement in all groups at the final follow-up (p<0.05). VAS and ROM showed greater improvement with group exercise and manual therapy than home exercise, however, there were no significant differences between the two groups (p>0.05). Functional outcomes showed the greatest improvement in group exercise at the final follow-up. This improvement was greater than with manual therapy or home exercise (p<0.05). Conclusion: Group exercise and manual therapy were more effective for improving pain, ROM, and function than home exercise in adhesive capsulitis. In particular, group exercise is more effective in functional recovery than other physiotherapy interventions.

• 대한정형도수물리치료학회지
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• 제20권1호
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• pp.47-52
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• 2014

Background: This case study is to describe the manual therapy for the patient with posttraumatic stress (PTSD), sleep disturbance, and pain such as chronic low back pain (CLBP). Methods: The patient who participated in this study was a 60 year-old male PTSD patient with CLBP. His CLBP is not from any genetic or family history but a sequelae of torture that he had gone through about 30 years ago. Prior to the intervention, it was assessed that the PDS-K score was 16, PQSI-K was 12, SLR-90-R was low, VAS score was 10, and KODI socre was 25. The intervention was conducted through manual therapy (myofascial release, muscle energy technique, lumbar stabilization) twice a week for eight weeks in total. Results: After eight week-intervention, the PDS-K, SLR-90-R, VAS, and KODI score were improved whereas PQSI-K was not sufficiently fast improved. Conclusions: The manual therapy is substantially effective in dealing with PTSD and CLBP.

• 한국재난정보학회:학술대회논문집
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• 한국재난정보학회 2015년 정기학술대회
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• pp.321-323
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• 2015

This study will build a prompt response system based on accurate information about the internal structure of cultural heritages, including the roof structure, to improve the ability to contain and respond to the fire of wooden structure for safe preservation of cultural heritages with historical and academic values that are very vulnerable to fire, and develop a training simulation program based on virtual reality by applying the concept of Edutainment for systemized and interesting training of trainees with a response manual.