• 제목/요약/키워드: combined therapy

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매선요법과 한방치료를 병행한 퇴행성 슬관절염 치험 5례 (The Effect of Needle-embedding Therapy on Osteoarthritis of the Knee Combined with Korean Medical Treatment: Report of Five Cases)

  • 이정훈;양태준;이동근;이욱재;위통순
    • Journal of Acupuncture Research
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    • 제31권4호
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    • pp.195-204
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    • 2014
  • Objectives : The purpose of this study is to report the improvement in patients with knee pain by the instrumentality of needle-embedding therapy. Methods : We treated 5 patients who have a disease related with osteoarthitis of the knee by needle-embedding therapy combined with Korean medical treatment. We checked numeric rating scale(NRS) and Western Ontario and McMaster Universities index(WOMAC index). Results : NRS and WOMAC index were decreased at all cases. Conclusions : This study shows needle-embedding therapy has a medical effect when applied on osteoarthritis of the knee.

기능적 전기 자극을 적용한 전동식 보행 훈련이 편마비 환자의 보행에 미치는 영향 (Effectiveness of Gait Training Using an Electromechanical Gait Trainer Combined With Simultaneous Functional Electrical Stimulation in Chronic Stroke Patients)

  • 안승헌;이윤미;양경희
    • The Journal of Korean Physical Therapy
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    • 제20권1호
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    • pp.41-47
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    • 2008
  • Purpose: This study aimed to assess the effectiveness of gait training with the use of an electromechanical gait trainer with functional electrical stimulation (FES) for patients that had undergone subacute stroke. Methods: The study subjects included nine subacute stroke patients of the Korea National Rehabilitation Center in Seoul, Korea. Outcome was measured using the timed Up and Go test, Fugl-Meyer-L/E assesment, with determination of the comfortable maximal gait speed, composite spasticity score, functional ambulatory category and Berg balance scale. All measured scores were recorded before, during, and after rehabilitation and at an eight-week follow-up. Results: Patients who received electromechanical-assisted gait training in combination with FES after subacute stroke were more likely to achieve independent walking, functional activities, balance and gait speed. Conclusion: The outcome of our gait-training program demonstrates that it may be practical to integrate FES into electromechanical gait training without any adverse effects. However, further randomized controlled studies are needed to evaluate if patient outcome after combined training is superior to outcome after the use of electromechanical gait trainer treatment alone or conventional gait training alone.

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The Biologic Effect of Millimeter Wave Irradiation Followed to Photodynamic Therapy on the Tumor

  • Ahn, Jin-Chul;Lee, Chang-Sook;Chang, So-Young;Yoon, Sung-Chul
    • 대한의생명과학회지
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    • 제17권1호
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    • pp.79-84
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    • 2011
  • Photodynamic therapy consists of a photosensitizer, suitable light source and oxygen. The excitation of the photosensitizer at a cancer mass results in oxidation which would ultimately reduce the mass via apoptosis. Millimeter wave (MMW) therapy has also been known to be effective on cancer cell mass reduction, human cell regeneration and immunity enhancement among the Russian clinicians and scientists. In the present study, the two modalities were combined to achieve synergistic effects while reducing the administration dosage of the photosensitizer, photogem, thus minimizing the side effects. The CT-26 adenocarcinoma cell mass was implanted on mice and the tumors were exposed to a simple MMW irradiation or a combined treatment of MMW and PDT. The treatments continued for 4 weeks and the size of the tumor was measured continuously. The significant therapeutic result of MMW was not found during 4 weeks, preferably more cancer recurrence possibility after MMW irradiation was observed. The results of this study suggest that the combination of MMW irradiation and photodynamic treatment should not be recommended. The result of the MMW treatment alone, however, displayed suppressive effect on cancer cell proliferation for both in vitro and in vivo. The results of the present study suggest that the millimeter wave therapy deserves a further study.

경항통 환자의 치료시 자세이완치료 효과에 대한 임상적 연구 (The Clinical Study on the Effect of Positional Release Therapy on Patients of Neck Pain)

  • 여경찬;윤인애;김지나;문성일
    • 척추신경추나의학회지
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    • 제5권1호
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    • pp.1-9
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    • 2010
  • Objectives: The purpose of this study is to evaluate the therapeutic effect of Positional Release Therapy on patients of neck pain, Methods: 12 patients was treated by Positional Release Therapy(PRT) combined with acupuncture, We measured the Visual Analog Scale(VAS) and Neck Disability Index(NDI) before and after treatment The statistical analysis was performed by using the Wilcoxon signed rank test. Results: 1. Patients showed significant improvement in VAS after treatrnent(p<0.05). 2. Patients showed significant improvement in NDI after treatment(p<0.05). Conclusion: These results imply that Positional Release Therapy combined with acupuncture would be effective on relieving pain and increasing functional ability in daily-life of patients of neck pain.

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Effect of Home Exercise with Taping on the Pain and Functional Disability in Patients with Carpal Tunnel Syndrome

  • In, Tae-sung;Kim, Kyung-hun;Jung, Kyoung-sim
    • Physical Therapy Rehabilitation Science
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    • 제10권3호
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    • pp.351-355
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    • 2021
  • Objective: Carpal tunnel syndrome is one of the most common upper extremity compressive nerve disorders in modern people. Various conservative treatments such as taping, exercise, and electrotherapy have been applied to carpal tunnel syndrome and their effectiveness has been proven. This study aims to determine whether home exercise combined with taping is effective for pain and functional disability in patients with carpal tunnel syndrome. Design: Randomized controlled study Methods: 21 patients were recruited and were randomly divided into HEx+T (Home exercise+taping) group (n=10) and HEx (Home exercise) group (n=11). All participants performed Home exercise(tendon and neural gliding exercise) 5 times a week for 6 weeks. Additionally, subject in the HEx group, taping was applied over the wrist and forearm during the training period. Wrist pain was measured by VAS (Visual Analogue Scale). Functional disability was measured using a BCTSQ(The Boston Carpal Tunnel Syndrome Questionnaire). Results: Both the HEx+T group and the HEx group showed a significant improvement in wrist pain(p<0.05), and the HEx+T group showed a more significant decrease in pain than the HEx group(p<0.05). There was a significant improvement in both groups in functional disability (p<0.05), and the HEX+T group showed more improvement than the HEX group(p<0.05). Conclusions: This study suggests that home exercise combined with taping is effective for pain and functional disability in patients with carpal tunnel syndrome.

Effect of the Combined Application of Mulligan Taping and Flossing Band on Muscle Activity and Balance Ability in Chronic Ankle Instability Patients

  • Jeong, Hyochang;Park, SeJin;Yu, Seunghun
    • Physical Therapy Rehabilitation Science
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    • 제11권2호
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    • pp.127-135
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    • 2022
  • Objective: The purpose of this study was to investigate the effects of combining Mulligan taping and flossing bands on lower limb muscle activity and static and dynamic balance. Design: A randomized controlled trial. Methods: Sixty-eight patients with chronic ankle instability were randomized into three groups that were treated with Mulligan taping (MT, n=22), flossing band (FB, n=23) and Mulligan taping combined with flossing band (MT+FB, n=23), and various parameters were compared before and after the intervention. The muscle activity of the lower extremities, including the tibialis anterior, peroneus longus and medial of gastrocnemius muscles was measured using BTS FREE EMG 1000, while the static and dynamic balance were measured using the Biorscuue balance measuring equipment. Results: There was a significant difference in muscle activity of the tibialis anterior muscle, before and after the intervention, in the MT group (p<0.01), FB (p<0.001) and MT+FB (p<0.001). There was also a significant difference in the muscle activity of the tibialis anterior muscle in the MT+FB group when compared with that in MT and FB groups (p<0.05). We also observed a significant difference in the dynamic balance all the groups (p<0.001). Conclusions: Therefore, combining Mulligan taping and flossing bands for patients with chronic ankle instability may improve dynamic balance and tibialis anterior muscle activity.

상부경추 교정기법을 사용하여 치료한 턱관절 장애 치험 2례 (Two Clinical Case Studies on Temporomandibular Disorder with Upper Cervical Manipulation)

  • 장동호;배우열;이인선;조성우
    • 척추신경추나의학회지
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    • 제6권2호
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    • pp.45-52
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    • 2011
  • Objective : We had good effects on two patients who had problem with temporomandibular joint by using upper cervical manipulation combined with acupuncture therapy. Methods : Two temporomandibular disorder cases were managed by using upper cervical manipulation, combined with acupuncture therapy. We used Toggle-recoil technique for the purpose of upper cervical manipulation. Results :Even though symptoms of two patients were not same, each cases showed clinical changes by using upper cervical manipulation. Two cases had effects on decreasing pain of temporomandibular joint, and at the first case, the range of motion of temporomandibular joint was increased. Conclusion : We could treat temporomandibular disorder patients by using upper cervical manipulation combined with acupuncture therapy.

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가벼운 터치 자극을 이용한 균형훈련이 뇌졸중 환자의 자세동요와 보행속도에 미치는 영향 (The effect of balance training combined with light touch on postural sway and walking speed in patients with stroke)

  • 인태성;정경심
    • 대한물리치료과학회지
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    • 제29권2호
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    • pp.20-27
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    • 2022
  • Background: The purpose of the present study was to determine whether balance training combined with light touch improves the postural sway and gait speed in stroke patients. Design: Randomized Controlled Trial Study Methods: The current study included 40 stroke patients, who were randomly divided into two groups: the balance training with light touch (LT) group (n=20) and the balance training with heavy touch (HT) group (n=20). Both groups performed balance training on a stable and unstable ground. Additionally, the LT group provided light touch stimulation, and the HT group provided heavy touch stimulation. All the participants underwent 20 sessions of STS training (thirty minutes, five days per week for four weeks). In this study, postural sway was measured using a force platform, and walking speed was measured using a 10 meter walk test. Results: The improvements in postural sway and gait speed were observed to be significantly greater in the LT group, compared to the HT group (p<0.05). Conclusion: The results of the current study imply that balance training combined with light touch is a beneficial and effective therapeutic modality that can be employed to improve the postural sway and gait speed in stroke patients.

Effect of Facial Chuna Manual Therapy Combined with Korean Medicine Treatmeant for Bell's Palsy

  • Choi, Yeon Ah;Ryu, Soo Min;Lee, Seung Min;Heo, You Jin;Lee, Eun young;Lee, Cham Kyul;Jo, Na Young;Roh, Jeong-Du
    • Journal of Acupuncture Research
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    • 제39권3호
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    • pp.222-228
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    • 2022
  • The effect of combined Korean medicine treatment including facial chuna manual therapy was retrospectively investigated in patients with Bell's palsy. There were 16 patients (14 males) who received 2 months outpatient treatment following > 14 days of hospitalization. The Yanagihara score and House-Brackmann grade were used to measure the severity of symptoms and recovery. The patients (mean age 58.5 ± 24.74 years) were categorized based on their medical history of hypertension (n = 10), diabetes millitus (n = 10), or oral intake of steroids early in the diagnosis of Bell's palsy (n = 10). There was no difference between patients who had or did not have a previous history of diabetes mellitus or oral steroid. Both the Yanagihara-score and House-Brackmann grade improved significantly in the total patient sample after treatment (p < 0.001). Combined Korean medicine including facial chuna manual therapy may have a beneficial effect on patient symptoms and recovery.

Clinical Effects of Moving Cupping Therapy Combined with Integrative Korean Medicine Treatment on Peripheral Facial Palsy: Case Series

  • Jihun Kim;Yeonhak Kim;Taewook Lee;Eunseok Kim;Gi Young Yang
    • Journal of Acupuncture Research
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    • 제40권2호
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    • pp.167-175
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    • 2023
  • This study aimed to report the effect of moving cupping therapy (MCT) on peripheral facial palsy (PFP). Four patients with PFP treated with MCT combined with integrative Korean medicine treatment (KMT). Patients were hospitalized for < 17 days. House-Brackmann Grading System (HBGS), Yanagihara grading score (Y-score), and Sunnybrook Facial Grading System (SBGS) were used to assess the changes during treatment periods, and facial photos were taken at admission, interim, and discharge. Facial paralysis symptoms and HBGS grades improved in all patients (Patient 1: HBGS of IV to II; Patient 2: HBGS of V to III; Patient 3: HBGS of IV to II; Patient 4: HBGS of IV to II) following an average of 14.5 days of treatment. The mean (± standard deviation) Y-scores and SBGS scores also increased (Δ[Y-score]: 13.75 ± 3.50 and Δ[SBGS]: 40.00 ± 13.11) from baseline to end of treatment. These findings suggest the clinical effectiveness of MCT combined with integrative KMT in treating patients with PFP.