• Title/Summary/Keyword: combined therapy

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The Effect of Exercise Combined with Behavior Modification Therapy on the Degree of Obesity, Blood Lipid Level and Self-Esteem in Obese Middle-Aged Women (운동.행동수정요법을 병행한 프로그램이 중년기 비만 여성의 비만도 혈중지질 및 자아존중감에 미치는 영향)

  • Kim In-Hong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.2
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    • pp.234-243
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    • 2001
  • Purpose : To investigate the effects of exercise combined with behavior modification therapy on the degree of obesity. blood lipid level and self-esteem in obese middle aged women. Method : 18 obese middle-aged women volunteers with a BMI over 30% were assigned to exercise combined with behavior modification therapy (n=9) or to a control group(n=9). For the intervention the experiment group used walking outdoors as excercise and behavior modification therapy for 12 weeks. Result Body weight, BMI, TC, TG, LDL-C, and % TC/HDL-C were significantly decreased in experimental group. Changes in HDL-C and self-esteem were significantly increased in the experimental group. Conclusion : This study provides evidence that regular exercise combined with behavior modification is effective in changing the degree of obesity, blood lipid level and self esteem in obese middle-aged women over 12 weeks.

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Effects of Rib Cage Joint Mobilization Combined with Diaphragmatic Breathing Exercise on the Pulmonary Function and Chest Circumference in Patients with Stroke

  • Kim, Ayeon;Song, Youngwha;Hong, Geurin;Kim, Dajeong;Kim, Soonhee
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.3
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    • pp.2113-2118
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    • 2020
  • Background: Patients with stroke have core muscle weakness and limited rib cage movement, resulting in restrictive lung disease. Objectives: To examine the comparison of effects of rib cage joint mobilization combined with diaphragmatic breathing exercise and diaphragmatic breathing exercise on the pulmonary function and chest circumference in patients with stroke. Design: A cluster randomized controlled trial. Methods: Twenty-four patients were randomly assigned to an experimental group (rib cage joint mobilization combined with diaphragmatic breathing exercise group) and control group (diaphragmatic breathing exercise group). Patients in the experimental group underwent rib cage joint mobilization for 15 min and diaphragmatic breathing exercise for 15 min. The control group underwent diaphragmatic breathing exercise for 30 min. Both groups underwent exercise thrice a week for 4 weeks. The pulmonary function and chest circumference were measured using the MicroLab spirometer and a tape measure, respectively. Results: After the intervention, the pulmonary function and chest circumference significantly improved in both groups. These improvements were significantly higher in the experimental group than those in the control group. Conclusion: Rib cage joint mobilization combined with diaphragmatic breathing exercise improves pulmonary function and chest circumference in patients with stroke.

Research Trends of Traditional Chinese Medicine on Combined Treatment of Acupuncture and Relaxation Therapy (침과 이완요법 병행치료에 대한 중의학 연구동향)

  • Lee, Seung-Hwan;Bae, Yeong-Long;Shin, A-Ri;Kim, Sang-Ho;Lim, Jung-Hwa
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.2
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    • pp.109-121
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    • 2017
  • Objectives: The purpose of this study was to investigate clinical trends of Traditional Chinese Medicine (TCM) on combined treatment of acupuncture and relaxation therapy. Methods: Clinical trials based on acupuncture and relaxation therapy searched and were selected from China National Knowledge Infrastructure (CNKI). In this study we selected clinical research articles using acupuncture and relaxation therapy as intervention. Studies were assessed by Risk of Bias (RoB) tool, and Jadad scale. Results: Eleven randomized controlled trials on combined treatment of acupuncture and relaxation therapy were selected, and these studies were published in China. Most studies have targeted psychiatric disorders such as insomnia and anxiety. Manual Acupuncture (MA) was the most used acupuncture treatment, and in five studies two or more relaxation therapies were used in parallel. Although the treatment result using acupuncture and relaxation therapy was superior, heterogeneity of the control group was high and it was difficult to estimate additional effects of relaxation therapy. Conclusions: Qualitative analysis revealed that the combination of acupuncture and relaxation was more effective than control in most studies. However, quality of most studies was low. Therefore, higher quality clinical research on combined treatment of acupuncture and relaxation therapy is required.

The effectiveness of group combined intervention using animal-assisted therapy and integrated elderly play therapy

  • Kil, Taeyoung;Kim, Hak-man;Kim, Minkyu
    • Journal of Animal Science and Technology
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    • v.61 no.6
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    • pp.371-378
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    • 2019
  • The purpose of this study was to investigate the effects of group combined intervention that combined animal-assisted therapy and integrated elderly play therapy on the depression, self-esteem, and emotional expression of geriatric patients residing in nursing homes. This was achieved by providing cognitive, physical, and emotional activities and social interaction at the same time. The group combined intervention method was applied to twelve elderly patients (six in the control group, six in the experimental group) aged 65 or older who live in a nursing home for the elderly in C province, from May 3, 2019 to June 21, 2019, for a total of 8 times (once a week, 50 minutes at a time). The quantitative evaluation was analyzed through SPSS 21.0 for comparison before and after the program was implemented, using the Korean version of the depression and the self-esteem scale. The qualitative evaluation compared emotional expression pre-test and post-test. The major results of the study were as follows: First, the group combined intervention was effective in reducing depression levels of the experimental group among the elderly patients. Second, it was effective in improving the self-esteem of the experimental group among the elderly patients. Third, it showed a significant difference in the emotional expression of the experimental group among the elderly patients. Therefore, it was found that group combined intervention reduces depression and improves self-esteem and emotional expression of the elderly. Based on these results, it is hoped that this study will be a cornerstone in the development of concrete programs for the benefit of elderly patients living in facilities.

A Review of Recent Clinical Research about Banhasasim-tang Combined with Conventional Therapy on Atrophic Gastritis (위축성 위염에 대한 반하사심탕과 표준치료 병용요법의 최신 연구 동향)

  • Lee, Ga-young;Ahn, Su-bin;Jeong, Min-jeong;Jang, In-soo
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1169-1178
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    • 2019
  • Objective: The purpose of this study was to investigate the effect of combined therapy with Banhasasim-tang and conventional treatment for atrophic Gastritis. Methods: The study collected data of clinical studies of combined therapy with Banhasasim-tang and conventional treatment for atrophic gastritis. Electronic databases were used, including PubMed, Cochrane, CNKI, Wanfang, CINII, J-stage, NDSL, and OASIS. The main search terms included such as "Atrophic Gastritis", "Banhasasim-tang", "BanXia Xiexin Tang". This study only included randomized controlled trials (RCTs) that adopted combined therapy with Banhasasim-tang and conventional treatment for atrophic gastritis. Results: A total of 18 RCTs were selected. They all adopted combined therapy with Banhasasim-tang and conventional treatment for atrophic gastritis. In all the studies, the intervention group significantly improved the score of effective rate, and in the 8 studies, Hp negative conversion rate was significantly improved when Banhasasim-tang was taken. Conclusion: Through the analysis of 18 RCTs, we found Banhasasim-tang combined with conventional therapy were more effective in the positive performance of atrophic gastritis than conventional therapy single contribution. However, due to the low quality of the selected studies and the lack of endoscopy, biopsy, follow-up observation, so there is a slight insufficient to prove its conclusion. Therefore, we hope that more systematic and diverse clinical studies will be conducted.

The Study of Combined Voice Therapy with Intralaryngeal Injection (성대주입술을 결합한 음성치료의 효과 연구)

  • Ahn, Cheol Min;Jung, Hwa Won;Shin, Jung Eun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.28 no.1
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    • pp.25-31
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    • 2017
  • Background and Objectives : Though voice therapy is proven to be effective in academia, treatment results and satisfaction level are inconsistent in clinics. The inconsistency may rise from diverse vocal cords misuse patterns in patient population as they suffer from different diseases or have bad phonation habits. In order to overcome the limitation, we uniformized patients' vocal cords with injection laryngoplasty prior to voice therapy. The efficacy of voice therapy and consistency in treatment results after injection laryngoplasty were assessed. Materials and Methods : Patients diagnosed with vocal nodules were either treated with injection laryngoplasty followed by voice therapy (combined treatment group) or voice therapy only (voice therapy group). Each group consisted of 15 patients. Acoustic measures (jitter, shimmer, NHR), aerodynamic measures (MPT, Psub, MAFR), and subjective auditory conscious measures (K-VHI, K-VRQOL) between two groups were analyzed. Results : After treatments, both groups improved in terms of acoustic, aerodynamic, and subjective auditory conscious measures compared to pre-treatment. Combined treatment group had statistically significantly greater improvement in shimmer, P in K-VHI, and PF in K-VRQOL compared to voice therapy group. Conclusion : Injection laryngoplasty treatment prior to voice therapy synergizes in treating patients compared to voice therapy only.

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Analysis of Studies on Combined Medication of the Oriental and the Western Medicines (한약-양약 병용 투여에 관한 논문 동향 분석)

  • Kim, Jin-Hyun;Kim, Chul;Kim, Sang-Kyun;Jang, Hyun-Chul;Han, Jeong-Min;Yea, Sang-Jun;Song, Mi-Young
    • Journal of Society of Preventive Korean Medicine
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    • v.13 no.3
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    • pp.1-18
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    • 2009
  • Objectives : In this study, we survey papers about the combined therapy of oriental medicine and western medicine in oriental medicine viewpoint. Methods : First, we collected research papers on combined treatment, and we found 70 papers in the two internet sites, 'OASIS' and 'KISTI', using the keywords 'combined treatment', 'collaborated diagnosis', 'oriental-western medicine', and 'western-oriental medicine'. Then we analyzed them according to year, oriental-western medicine, diseases, research methods and subjects. Results & Conclusions : Researches for combined therapy had some problems as follows : First, studies have been made only for limited diseases like cancer, infection, stroke, etc. Second, methods of research are also limited. Some methods such as in vivo, in vitro and case-report are used repeatedly. Third, only the positive aspects of the combined therapy are proposed. We don't find the side effects of the combined therapy at all. To solve these problems, more objective and balanced studies such as RCT for various diseases should be performed.

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Case Report Combined Therapy of Acupuncture and Fire Needling is Effective to Treat Frozen Shoulder (일반침과 화침의 병용 요법의 동결견 환자에 대한 응용 증례 보고)

  • Hong, Seung Won
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.1
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    • pp.122-127
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    • 2014
  • Fire needling is an acupuncture procedure involving the swift pricking of diseased part with a red hot needle. The purpose of the present study is to report the therapeutic effect of acupuncture and fire needling combined therapy on the frozen shoulder patients. Each of patient received combined therapy of acupuncture and fire needling. Fire needling was carried out 2 or 3 times a week. Shoulder pain was evaluated by measuring visual analoge scale (VAS), range of movement (ROM), and global assessment and grade. All of the patinets treated with combined therapy exhibited decreasing of VAS and grade, increasing of ROM and global assessment.

A Pilot Study of the Difference between Gyejibongnyeong-hwan and Gyejibongnyeong-hwan combined Acupuncture Therapy on the Primary Dysmenorrhea (원발성 생리통에 대한 계지복령환(桂枝茯笭丸) 단독치료와 침(鍼) 치료 병행 차이 연구)

  • Cho, Jung-Hoon
    • The Journal of Korean Obstetrics and Gynecology
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    • v.20 no.1
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    • pp.161-168
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    • 2007
  • Purpose : The purpose of this study is to identify the difference of clinical effects of gyejibongnyeong-hwan and acupuncture therapy on primary dysmenorrhea. Methods : We studied with ten patients recruited from April, 2003 to Feburary, 2004. Women with organic disease as uterine myoma, ovarian cysts and pelvic inflammatory disease were excluded from this study. We treated them with gyejibongnyeong-hwan or gyejibongnyeong-hwan combined acupuncture therapy for 8weeks. The severity of dysmenorrhea was measured by VAS(Visual Analog Scale). Results : gyejibongnyeong-hwan significantly decreased the severity of dysmenorrhea. And Gyejibongnyeong-hwan combined Acupuncture therapy significantly decreased the severity of dysmenorrhea. The change of VAS of gyejibongnyeong-hwan group is significantly higher than gyejibongnyeong-hwan combined acupuncture. Both of Gyejibongnyeong-hwan and acupuncture did not show hepatic and renal virulence. Conclusion : This study shows that gyejibongnyeong-hwan has remarkable effects on dysmenorrhea patients. Obviously further researches concerning all these area still necessary.

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The Effect of Lower Extremity Muscle Activity on Bridging Exercise and Combined Lifting pattern Bridging Exercise (교각운동과 들어올리기 패턴결합 교각운동이 하지 근 활성도에 미치는 영향)

  • Youn, Hye-Jin;Kim, Kyung-Hwan;Park, Sung-Hun;Yi, Min-Young
    • PNF and Movement
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    • v.10 no.4
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    • pp.49-55
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    • 2012
  • Purpose : The purpose of this study was to assess the effects of bridging exercise and combined lifting pattern bridging exercise on the lower extremity muscle activity. Methods : Twenty-five healthy adults volunteered to participate in this study. Subjects were required to complete following bridging exercises. Muscle activity was measured by QEMG-4 system(LXM 3204, Laxtha Korea). A paired t test was used to determine the influence of muscle activity for each exercise and descriptive statistics was used to characteristics of the subjects. Results : The biceps femoris, tibialis anterior, gastrocnemius of combined lifting pattern bridging exercise showed significance excepted vastus medialis(p<.05). In the case of men, biceps femoris showed significance in the combined lifting pattern bridging exercise(p<.05). In the case of women, biceps femoris and tibialis anterior showed significance in the combined lifting pattern bridging exercise(p<.05). Conclusion : The combined lifting pattern bridging exercise was more increased than bridging in lower extremity muscle activation. This result will be used for knee joint stabilizing exercises and biceps femoris strength training.