• Title/Summary/Keyword: medical training

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A Study on Park-Golf for Rehabilitation training of the Patients with Hemiplegia (편마비 환자의 재활치료 효과를 위한 파크골프 도입에 대한 고찰)

  • Ahn, Myung-Hwan;You, Young-Youl
    • Journal of Korean Physical Therapy Science
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    • v.15 no.1
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    • pp.75-86
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    • 2008
  • The purpose of this study suggest that Park Golf for rehabilitation training of the patients with hemiplegia. The increase of the aged caused various problems. Among the problems, chronic illnesses the old people suffer from charge their family with mental, physical, social and economic burden as well as the person. Especially, the more old people are the more risks and attacks of cerebral vascular accident(CVA) exist. Therefore, the increase of the aged means the increase of cerebral vascular accident(CVA) patients. The cerebral vascular accident(CVA) patient get into difficulties to secure their livelihood due to troubles and disoders, so medical care facilities and rehabilitation training are really necessary to help them return to their normal life with mental, physical and social capability. The rehabilitation of patient with hemiplegia is ongoing process. It may possibly accomplish throughout the whole life because it takes a lot of time and effort. In addition, an ultimate aim of the rehabilitation is returning and adaptation to society. In this way, it is hardly to expect a satisfied results of the rehabilitation without motive. Therefore, patient with hemiplegia rehabilitation motive will is the most important. If interesting of park golf the patient with hemiplegia can be absorbed in easily are applied to the rehabilitation training, the patient are will to participate in the training without troubling.

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Effects of Electrical Stimulation Biofeedback on Motor Learning of Quadriceps Isometric Exercise of Total Knee Replacement (전기 자극을 이용한 피드백의 형태가 무릎성형 수술 환자의 넙다리 네갈래근 등척성 운동 학습에 미치는 영향)

  • Park, Eun-Young;Kwak, Chang-Hwa;Joung, Gyeong-Soo
    • Physical Therapy Korea
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    • v.7 no.3
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    • pp.81-89
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    • 2000
  • The purpose of this study was to determine the effect of electrical stimulation biofeedback on motor learning of quadriceps muscle isometric exercise in 3 patients who have undergone total knee replacement surgery. A multiple baseline design across subjects was used. The electrical stimulation biofeedback was provided with each patient during quadriceps isometric exercise, which last 10 to 14 sessions with 10 repetitions each sessions. After training patients received 4 retention tests. Maximum muscle activity was measured pre- and post- electrical stimulation biofeedback training and retention test to evaluate the effect of biofeedback training. Maximum isometric muscle activity of quadriceps was increased after electrical stimulation biofeedback training in all subjects. The results indicate that a electrical stimulation biofeedback training is a useful method to improve motor learning of quadriceps isometric exercise in total knee replacement.

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The Effects of Scapular Stabilization Exercising on Dynamic Standing Balance in Stroke Patients (견갑골 안정화 운동이 뇌졸중 환자의 동적 서기 균형에 미치는 영향)

  • Kim, Goon-Ha;Choe, Han-Seong;Lee, Hyeong-Il;Shin, Hwa-kyung
    • The Journal of Korean Physical Therapy
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    • v.26 no.1
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    • pp.15-20
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    • 2014
  • Purpose: We investigate to evaluate the effects of scapular stabilization exercise on dynamic standing balance in stroke patients. Methods: Thirty hemiplegic patients participated was divided into control group and training group randomly. Control group(n=15) had only general rehabilitation training and training group (n=15) had both the general rehabilitation training and intensive scapular stabilization exercise. They were treated for 15minute/5 times/4 week. We measured PALM (palpation meter) to measure affected side's distances from spine to scapular. We measured FRT (functional reach test), FSST (four squared step test), and BPM (balance performance monitering) to evaluate dynamic standing balance. Results: Training group showed a significant difference in the distances from spine to scapular, FRT, FSST, and variables of BPM comparing control group (p<0.05). But control group was not significant difference. Conclusion: These results suggest that scapular stabilization exercises have positive effects on dynamic standing position.

A Case Study of Prosthetic Ambulation Training for Patient With Hemipelvectomy (악성 골육종으로 인한 골반반절제술 환자의 의지 보행훈련 증례연구)

  • Park, Chang-Ju;Hong, Do-Sun;Lee, Jeong-Weon
    • Physical Therapy Korea
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    • v.5 no.2
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    • pp.91-97
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    • 1998
  • The purpose of this study is to introduce prosthetic discipline and ambulation training after hemipelvectomy due to osteosarcoma. Over the past years, when the malignant bone tumors occurs in the extremities amputation is not enough to prevent a part recurrence and distal transformation resulting in fatal prognosis. On the other hand, these procedures could bring about a difficulty in rehabilitation in curing patient who have had hemipelvectomy. However the recent development of chemotherapy and diagnostic facility have permitted the orthopedic surgeons to many try amputations for the treatment of the malignant bone tumors. Unfortunately, there has not been many researches on hemipelvectomy. Since there is no studies found on hemipelvectomy either. Therefore, we introduce successful procedures for rehabilitation through the ambulation training for patients who have had amputation. One of our patients, who is an eighteen years old male, has had hemipelvectomy on the eighteenth of June in 1997 after his anticancer treatment over 12 times. He has had physical therapy of prosthetic ambulation training at the department of rehabilitation medicine Yonsei University Medical Center from the fifteenth of October to December '2nd in 1997.

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Effects of Ground Obstacle Walking Combined with Treadmill Training on Gait Ability in Chronic Stroke Patients -A Preliminary Study-

  • Jung, Young-Il;Woo, Young-Keun;Won, Jong-Im;Kim, Yong-Wook
    • PNF and Movement
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    • v.19 no.2
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    • pp.287-301
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    • 2021
  • Purpose: Gait training for stroke patients focuses on adjusting to new environments to facilitate outdoor walking. Therefore, the purpose of this study was to identify the effects of various ground obstacle walking combined with treadmill walking on the gait parameters and functional gait ability of chronic stroke patients. Methods: Twenty-four chronic stroke patients were divided into two groups: an experimental group (n = 12) and a control group (n = 12). The experimental group received a combined gait training using various ground obstacle walking and treadmill walking (VGOW) five times/week for four weeks. The control group received traditional treadmill training (TW) five times/week for four weeks. Patients were evaluated using the figure-8 walk test (F8WT) and the Functional Gait Assessment (FGA) before and after each intervention. Results: The ANCOVA results showed that both treatments significantly influenced F8WT steps, F8WT time, and FGA score. The paired t-test results showed a significant improvement in F8WT steps, F8WT time, and FGA score in the experimental group compared to those in the control group. Conclusion: Combined gait training using various ground obstacle walking and treadmill walking can improve gait ability in chronic stroke patients.

The Influence of Feedback in the Simulated Patient Case-History Training among Audiology Students at the International Islamic University Malaysia

  • Dzulkarnain, Ahmad Aidil Arafat;Sani, Maryam Kamilah Ahmad;Rahmat, Sarah;Jusoh, Masnira
    • Journal of Audiology & Otology
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    • v.23 no.3
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    • pp.121-128
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    • 2019
  • Background and Objectives: There is a scant evidence on the use of simulations in audiology (especially in Malaysia) for case-history taking, although this technique is widely used for training medical and nursing students. Feedback is one of the important components in simulations training; however, it is unknown if feedback by instructors could influence the simulated patient (SP) training outcome for case-history taking among audiology students. Aim of the present study is to determine whether the SP training with feedback in addition to the standard role-play and seminar training is an effective learning tool for audiology case-history taking. Subjects and Methods: Twenty-six second-year undergraduate audiology students participated. A cross-over study design was used. All students initially attended two hours of seminar and role-play sessions. They were then divided into three types of training, 1) SP training (Group A), 2) SP with feedback (Group B), and 3) a non-additional training group (Group C). After two training sessions, the students changed their types of training to, 1) Group A and C: SP training with feedback, and 2) Group B: non-additional training. All the groups were assessed at three points: 1) pre-test, 2) intermediate, and 3) post-test. The normalized median score differences between and within the respective groups were analysed using non-parametric tests at 95% confidence intervals. Results: Groups with additional SP trainings (with and without feedback) showed a significantly higher normalized gain score than no training group (p<0.05). Conclusions: The SP training (with/without feedback) is a beneficial learning tool for history taking to students in audiology major.

The Influence of Feedback in the Simulated Patient Case-History Training among Audiology Students at the International Islamic University Malaysia

  • Dzulkarnain, Ahmad Aidil Arafat;Sani, Maryam Kamilah Ahmad;Rahmat, Sarah;Jusoh, Masnira
    • Korean Journal of Audiology
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    • v.23 no.3
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    • pp.121-128
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    • 2019
  • Background and Objectives: There is a scant evidence on the use of simulations in audiology (especially in Malaysia) for case-history taking, although this technique is widely used for training medical and nursing students. Feedback is one of the important components in simulations training; however, it is unknown if feedback by instructors could influence the simulated patient (SP) training outcome for case-history taking among audiology students. Aim of the present study is to determine whether the SP training with feedback in addition to the standard role-play and seminar training is an effective learning tool for audiology case-history taking. Subjects and Methods: Twenty-six second-year undergraduate audiology students participated. A cross-over study design was used. All students initially attended two hours of seminar and role-play sessions. They were then divided into three types of training, 1) SP training (Group A), 2) SP with feedback (Group B), and 3) a non-additional training group (Group C). After two training sessions, the students changed their types of training to, 1) Group A and C: SP training with feedback, and 2) Group B: non-additional training. All the groups were assessed at three points: 1) pre-test, 2) intermediate, and 3) post-test. The normalized median score differences between and within the respective groups were analysed using non-parametric tests at 95% confidence intervals. Results: Groups with additional SP trainings (with and without feedback) showed a significantly higher normalized gain score than no training group (p<0.05). Conclusions: The SP training (with/without feedback) is a beneficial learning tool for history taking to students in audiology major.

The Change of Functional Performance Abilities by Resistance Training in Older Adults (저항훈련을 통한 노인들의 기능적 수행능력의 변화에 대한 문헌적 고찰)

  • Hur, Young-Gu
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.2 no.1
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    • pp.101-109
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    • 2004
  • We developed research strategies for measuring functional performance and proprioception. We determined whether resistance training improves functional performance in the older adult, whether resistance training improves proprioceptive sense, and whether improvement in functional performance and/or proprioception are a direct result of the resistance training or a result of movement independent of strength gains. The answer to these questions will enable those in the sport fitness industry and medical practioners to better advise the growing number of older adults about the benefits of specific types of exercise. The will also enable the medical practitioner to prescribe appropriate exercise to those with limitations in functional ability in attempts to restore independent living.

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Survival Effect of Supportive Care Services for Turkish Patients with Metastatic Gastric Cancer

  • Namal, Esat;Ercetin, Candas;Tokocin, Merve;Akcali, Zafer;Yigitbas, Hakan;Yavuz, Erkan;Celebi, Fatih;Totoz, Tolga;Pamukcu, Ozgul;Saglam, Emel
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.3
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    • pp.1213-1217
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    • 2015
  • Background: Gastric cancer is the second most common cause of cancer- related deaths worldwide and ranks $11^{th}$ or $14^{th}$ among all deaths. Patients with advanced disease require supportive care along with the medical and/or surgical treatment. Aim: To assess the need for palliative care for patients with advanced tumours along with standard clinical therapy. Materials and Methods: Eighty-four patients with metastatic (stage 4) gastric cancer, including both patients who had received surgical treatment or not, were followed up in Bagcilar Training and Research Hospital, Division of Medical Oncology between 2011 and 2014. They were categorised as supportive care (-) (Group 1, n=37) and (+) groups (Group 2, n=47) and evaluated retrospectively. Results: Demographic characteristics of the patients were as follows: mean age, Group 1, $65.2{\pm}10.5$ years, Group $2,63.7{\pm}11.3$ years; male/female ratio, Group 1, 21/16, Group 2, 28/19; distribution of Eastern Cooperative Oncology Group (ECOG) performance scores of 0 and 1, Group 1, ECOG 0 (n=9) and 1 (n=14), Group 2, ECOG 0 (34) and 1 (n=13) (p<0.0001); patients receiving second-line, Group 1 (n=7) and Group 2 (n=22) (p<0.008) or third - line chemotherapy,Group 2 (n=6) (p<0.02); mortality rates, Group 1, (n=28; 75.6%) and Group 2 (n=30; 63.8%); progression-free survival (PFS) rates, Group 1, $17.4{\pm}6$ weeks, Group 2, $28.3{\pm}16.2$ weeks; statistically significant overall survival rates, Group 1, $20.8{\pm}8.2$ weeks and Group 2, $28.3{\pm}162$ weeks (p<0.01). Conclusions: The supportive care team (medical oncologist, general surgeon, internal medicine specialist, algologist, psychiatrist and radiologist) can play a role in the treatment of metastatic gastric tumours, with improvements shown in terms of the performance status of cases, eligibility of patients to be on chemotherapy programmes for longer duration and overall survival rates in Turkey.