• Title/Summary/Keyword: Wave Therapy

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Application of Acceptance and Commitment Therapy (ACT) in Hospice and Palliative Care Settings

  • So-Young Park
    • Journal of Hospice and Palliative Care
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    • v.26 no.3
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    • pp.140-144
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    • 2023
  • Many terminally ill cancer patients grapple with a range of physical, psychological, and social challenges. Therefore, it is critical to offer effective psychological interventions to assist them in managing these issues and enhancing their quality of life. This brief communication provides a concise overview of acceptance and commitment therapy (ACT), along with empirical evidence of its application for patients, caregivers, and healthcare professionals in hospice and palliative care settings and an overview of future directions of ACT interventions in South Korea. ACT, a third-wave type of cognitive behavioral therapy, is a model of psychological flexibility that promotes personal growth and empowerment across all life areas. Currently, there is substantial evidence from overseas supporting the effectiveness of ACT on health-related outcomes among patients with various diseases, caregivers, and healthcare professionals. The necessity and significance of conducting ACT-based empirical research in hospice and palliative care settings in South Korea are discussed.

The Effect of Central Neural Adaptation by Neuromuscular Electrical Stimulation (신경근전기자극에 의한 중추신경원의 순응효과)

  • Lee, Jeong-Woo;Seo, Sam-Ki;Yoon, Se-Won;Kim, Yong-Eok;Kim, Tae-Youl
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.5 no.1
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    • pp.59-71
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    • 2007
  • The purpose of this study was to study for the change of neural adaptation by muscle contraction force when neuromuscular electrical stimulation(NMES) was applied. Sixteen subjects(8 male, 8 female) without neuromuscular disease volunteered to participate in the study. All subjects were divided into two subgroups: control(no electrical stimulation) group, NMES(50% maximal voluntary isometric contraction) group. NMES training program was performed in the calf muscle over three times a week for 12 weeks. Before and after experiment MVIC of ankle plantar flexor was measured by use of dynamometer. H-reflex and V-wave in tibial nerve were measured. The following results were obtained; MVIC and V/Mmax ratio were significantly increased in the electrical stimulation groups. However, H/Mmax ratio was not changed. It was closely relationship between MVIC and V/Mmax ratio. In this study, the effect of neural adaptation of central neural adaptation was found in this study. Accordingly, NMES means not only a change of muscle fiber and skeletal muscle volume but also a effect of neural adaptation of central neural drive. Also, it was found that there was closely relationship between MVIC and neural adaptation of central neural drive by NMES.

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Change of Brain Activation due to Change of Viewpoint in Action during Action Observation: an EEG Analysis Study (동작관찰 중 동작 수행 시 시점의 변화에 따른 뇌 활성의 변화)

  • Kim, Oi-Jin;Sim, Ji-Young;Lee, Se-Young;Jin, Hyun-Jin
    • PNF and Movement
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    • v.14 no.3
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    • pp.209-217
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    • 2016
  • Purpose: Treatments using a mirror neuron system, such as 3D virtual reality therapy, are used in stroke rehabilitation, but they need to be constructed according to a detailed procedure. The aims of this study were to analyze electroencephalograms (EEG) during relaxation and action while observing first person perspective (1AE) and third person perspective (3AE) videos of the right hand for 20's. Methods: Thirty participants (Male=4, Female=26) were recruited for this study. Participants were selected by a vividness of movement imagery questionnaire (VMIQ). EEG was measured during relaxxation and during action with 1AE and 3AE videos, focusing on the supination and pronation actions of participants' right hands. An absolute mu rhythm, a relatively high alpha power, and a relative beta power were identified. In each group, one-way repeated measures ANOVA was used for statistical analysis. Results: Measurement of absolute mu rhythms was significantly suppressed for both 1AE and 3AE compared with relaxation in C3 and C4 regions. High alpha wave measurements were significantly suppressed for both 1AE and 3AE in all regions, while beta wave measurements were significantly increased only for 3AE in F3 and F4 regions. Conclusion: Based on this study, we suggest that the mirror neuron system is activated during actions accompanied by action observation, especially actions with 3AE video observation, which can be a great therapeutic mathod in stroke rehabilitation.

Photodynamic Therapy Using Topically Applied 5-ALA, MAL and CLC for Canine Otitis Externa

  • Lee, Min-Ho;Song, Hee-Sung;Son, Wongeun;Yun, Young-Min
    • Journal of Veterinary Clinics
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    • v.37 no.1
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    • pp.1-8
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    • 2020
  • Canine otitis externa is a common disorder in small animal practice with prevalence up to 20%. In a large percentage of cases, canine otitis externa is a chronic and recurrent disease also associated with drug-resistant bacteria that is difficult to treat with traditional antibiotics. Photodynamic therapy (PDT) is a new strategy to exterminate pathogenic microorganisms such as bacteria and fungi. The purpose of this study was to investigate the effectiveness of photodynamic therapy against canine otitis externa using three photosensitizer (PS); 5-Aminolevulinic acid (5-ALA) and Methyl aminolevulinic acid (MAL) with semiconductor laser diode (SLD, 635nm of wave length), Chlorophyll-lipoid complex (CLC) with light-emitting diode (LED, 660nm of wave length). After PDT, dogs showed improved Otitis Index Score (OTIS) in swelling, exudate, odor, and pain. A result of the cytology test revealed decrease of bacteria and malassezia count in the oil immersion field and colony forming units count. PDT was effective as a bacteriocide of methicillin-resistant Staphylococcus pseudintermedius (MRSP) and a fungicide of Malassezia pachydermatis. MAL and 5-ALA were more effective PS against canine otitis externa than CLC. These results suggest that PDT is a new strategy to exterminate pathogenic microorganisms such as bacteria and fungi. PDT can be considered as a new therapeutic approach for canine recurrent otitis externa and a countermeasure to drug resistance that is a disadvantage of traditional antibiotic and antifungal therapy.

Efficacy of extracorporeal shock wave therapy for pillar pain after open carpal tunnel release: a double-blind, randomized, sham-controlled study

  • Turgut, Mehmet Cenk;Saglam, Gonca;Toy, Serdar
    • The Korean Journal of Pain
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    • v.34 no.3
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    • pp.315-321
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    • 2021
  • Background: Pillar pain may develop after carpal tunnel release surgery (CTRS). This prospective double-blinded randomized trial investigated the effectiveness of extracorporeal shock wave therapy (ESWT) in pillar pain relief and hand function improvement. Methods: The sample consisted of 60 patients with post-CTRS pillar pain, randomized into two groups. The ESWT group (experimental) received three sessions of ESWT, while the control group received three sessions of sham ESWT, one session per week. Participants were evaluated before treatment, and three weeks, three months, and six months after treatment. The pain was assessed using the visual analogue scale (VAS). Hand functions were assessed using the Michigan hand outcomes questionnaire (MHQ). Results: The ESWT group showed significant improvement in VAS and MHQ scores after treatment at all time points compared to the control group (P < 0.001). Before treatment, the ESWT and control groups had a VAS score of 6.8 ± 1.3 and 6.7 ± 1.0, respectively. Three weeks after treatment, they had a VAS score of 2.8 ± 1.1 and 6.1 ± 1.0, respectively. Six months after treatment, the VAS score was reduced to 1.9 ± 0.9 and 5.1 ± 1.0, respectively. The ESWT group had a MHQ score of 54.4 ± 7.7 before treatment and 73.3 ± 6.8 six months after. The control group had a MHQ score of 54.2 ± 7.1 before treatment and 57.8 ± 4.4 six months after. Conclusions: ESWT is an effective and a safe non-invasive treatment option for pain management and hand functionality in pillar pain.

Extracorporeal Shock Wave Therapy (ESWT) in Patients with Chronic Proximal Plantar Fasciitis (체외 충격파를 이용한 만성 근위부 족저 근막염의 치료)

  • Kim, Byung-Soo;Lee, Keun-Bae;Choi, Jin;Park, Yu-Bok;Baik, Long-Bin
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.163-167
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    • 2006
  • Purpose: To evaluate the results of extracorporeal shock wave therapy (ESWT) for patients with chronic proximal plantar fascitis. Materials and Methods: Between April 2005 and April 2006, 35 cases (24 patients) who were followed more than 6 months were evaluated. By $EvoTron^{(R)}$, 2 sessions of ESWT (Group 1: 1200 and Group 2: 1500 shock waves / session of $0.12\;mJ/mm^2$) were performed at 2 weeks interval. The mean age was 40.0 (range, 15-59) years. 13 patients were male and 11 patients were female. Visual analogue scale (VAS) on daily activity and a 100-point scoring system including 70 points for pain and 30 points for function were used. The clinical outcomes were rated as follows: excellent, no pain on daily activity; good, less than 50% of previous VAS; fair, 50-75% of previous VAS; or poor, more than 75% of previous VAS. Excellent and good were graded as satisfactory results. We compare clinical results between groups and evaluate the relationships between clinical results and duration of symptom, fascial thickening and previous steroid injection were evaluated. Results: Overall satisfactory rate were 71.4%. There was no significant difference of clinical results between groups. And there were no significant difference between clinical results and duration of symtom, preoperative fascial thickening and previous steroid injection. Conclusions: ESWT for recalcitrant chronic proximal plantar fascitis is useful treatment method with high patient satisfaction and pain relief, but more long-term study must be needed.

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Extracorporeal Shock Wave Therapy with Meridian and Acupoint Theory for Knee Osteoarthritis: Systematic Review (경혈경락이론에 근거한 체외충격파 치료가 무릎 관절염에 미치는 영향: 체계적 문헌 고찰)

  • Kim, Byung-Jun;Lee, Sang-Hyun;Kim, Hyun-Tae;Park, Hye-Jin;Park, Sun-Young;Heo, In;Hwang, Man-Suk;Shin, Byung-Cheul;Hwang, Eui-Hyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.2
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    • pp.41-48
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    • 2021
  • Objectives To determine the evidence of effectiveness and safety of extracorporeal shock wave therapy (ESWT) with meridian and acupoint theory for knee osteoarthritis. Methods By March 3, 2021, five foreign electronic databases and six Korean medical electronic databases were reviewed with the key words 'extracorporeal shock wave' and '(acupoint OR acupuncture point)'. This key words was set up to increase the sensitivity of the search. After the search, knee osteoarthritis study was selected based on the title and abstract and then included after full-texts were read. Results Five randomized controlled trials were eligible in our inclusion criteria. The meta-analysis of three studies showed positive results for the using ESWT with meridian and acupoint theory for knee osteoarthritis compared with the control group on efficancy rate, visual analog scale and lysholm knee score. but there remains a conundrum regarding the safety of ESWT in the treatment of knee osteoarthritis. Conclusions Most of studies showed ESWT with meridian and acupoint theory were statistically effective to knee osteoarthritis. However there are limitations that the number of selected studies was small, risk of bias was unclear. So use of ESWT with meridian and acupoint theory for knee arthritis has limited evidence compared to usual care.

Extracorporeal Shock Wave Therapy with Meridian and Acupoint Theory for Adhesive Capsulitis: A Systematic Review and Meta-analysis of Randomized Controlled Trials (경혈경락 이론에 근거한 체외충격파 치료가 유착성 관절낭염에 미치는 영향: 무작위 대조 임상연구에 대한 체계적 문헌고찰과 메타분석)

  • Han, Donghun;Park, In-hwa;Heo, In
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.2
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    • pp.55-63
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    • 2022
  • Objectives This review was conducted to evaluate effectiveness and safety of extracorporeal shock wave therapy (ESWT) with meridian and acupoint theory for adhesive capsulitis. Methods By December 2021, 11 electronic databases were reviewed with the key words 'extracorporeal shock wave' and '(acupuncture OR acupoint OR meridian)'. This key words was set up to increase the sensitivity of the search. After the search, adhesive capsulitis study was selected based on the title and abstract and then included after full-texts were read. Results Five randomized controlled trials were eligible in our inclusion criteria. The meta-analysis of 3 studies showed positive results for the using ESWT with meridian and acupoint theory for adhesive capsulitis compared with the control group on efficancy rate and range of shoulder flexion. Conclusions Some studies showed ESWT with meridian and acupoint theory were statistically effective to adhesive capsulitis. But the evidence is limited due to the defective design of the included randomized controlled trials (RCTs). So use of ESWT with meridian and acupoint theory for adhesive capsulitis has limited evidence. More well-designed RCTs are required to provide clearer evidence for this claim.

The Effects of Emotion and EEG of People with Mental Illness by Vocational Rehabilitation Program Based on Horticultural Therapy (원예치료 기반 직업재활 프로그램이 정신장애인의 정서 및 뇌파에 미치는 영향)

  • Seol, Ga Ae;Yun, Suk Young;Choi, Byung Jin;Jang, Hyun Hee
    • Journal of the Korean Society of Floral Art and Design
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    • no.43
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    • pp.57-79
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    • 2020
  • The purpose of this study was to investigate the effects of emotion and EEG of people with mental illness by vocational rehabilitation program based on horticultural therapy. The subjects of the study were three people with mental illness who were training in a vocational rehabilitation team at a health center located in G city, Gyeongsangbuk-do. The result of this study, positive affect increased and negative affect decreased. The result of EEG inspection was increased 17.27% on pre test to 21.39% on post test for Theta wave and 39.66% on pre test to 49.02% on post test for Alpha wave in case of subject A. Also Beta wave was decreased 27.53% on pre test to 17.54% on post test. Subject B increased Alpha wave 29.70% on pre to 31.82% on post. Subject C increased Alpha wave 26.30% on pre to 49.42% on post. Beta wave decreased 29.85% on pre to 16.13% on post. Theta wave, when creatively idea or thought occurs, alpha wave when safety and focusing was increased and beta wave when stress, tension and anxiety was decreased. As a result of profits analysis, subject A spent cost a total of 101,700 won for material and achieve profits of 203,400 won by setting a sales price. Therefore, gain the 101,700 won of net revenue. Subject B spent cost a total of 81,000 won for material and achieve profits of 162,000 won by setting a sales price. Therefore, gain the 81,000 won of net revenue. Subject C spent cost a total of 56,200 won for material and achieve profits of 112,400 won by setting a sales price. Therefore, gain the 56,200 won of net revenue.

Cavitation Effects on Radiated Sounds and Break Efficiency Induced by Piezoelectric Extracorporeal Shock Wave Lithotripter (ESWL 장치에 의한 방사음 및 파쇄효율에 미치는 캐비테이션의 영향)

  • 장윤석
    • Journal of Biomedical Engineering Research
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    • v.22 no.2
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    • pp.205-210
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    • 2001
  • The effectiveness of extracorporeal shock wave lithotripter for the therapy of calculus has been well known in the field of urology. There are many studies about the performance of that and the influence into human body. Among them, it is an impertant issue that cavitation is always deal with shock wave. A medium of the shock wave is related to the cavitation phenomenon. In this paper, therefore, we analysis the spectra of radiated sounds and the break efficiency on focal region due to the medium of shock wave. The results show that the cavitation bubbles produce a harmful on the break efficiency and the stability of the radiated sounds due to the ESWL.

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