• 제목/요약/키워드: mobilization

검색결과 877건 처리시간 0.026초

Short-term effects of joint mobilization with versus without voluntary movement in patients with chronic ankle instability: A single-blind randomized controlled trial

  • Kim, Hyunjoong;Song, Seonghyeok;Lee, Sangbong;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • 제10권1호
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    • pp.1-9
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    • 2021
  • Objective: Joint mobilization for arthrokinematics altered by the positional fault of chronic ankle instability (CAI) is an effective intervention for stabilization. In this study, we compared the effects of ankle dorsi flexion range of motion (DFROM) and dynamic balance ability (DBA) in CAI patients via passive joint mobilization (PJM), a method traditionally performed in previous studies, and active joint mobilization (AJM), a method that can have a greater effect on cortical excitability with spontaneous movements. Design: Single-blind two-arm randomized controlled trial Methods: A total of 30 participants were registered: 15 each to the PJM and AJM groups. Each participant received a total of 10 intervention sessions, 10 minutes per session, 5 times a week for 2 weeks. PJM used Maitland's mobilization method to apply joint mobilization with talus in the posterior direction and AJM used an angular joint motion to induce patient's voluntary motion of medial malleolus anterior gliding and lateral malleolus posterior gliding, respectively. DFROM of the ankle was measured by using tape and DBA was evaluated by using the balance system. Results: Significant improvement was observed after intervention in both the PJM and AJM groups except for the DBA-anterior and DBA-right variables of the PJM group. There were statistically significant differences between the AJM and PJM groups in the DFROM, DBA-anterior, DBA-posterior, and DBA-right variables. Conclusions: The overall improvement of DFROM and DBA was found to be more effective in joint mobilization including voluntary movement. When it is accompanied by voluntary movement, it further affects the neuromuscular system of the ankle.

Short-term Benefits of Mobilization for Patients with Non-Specific Neck Pains: Executive Function and Neck Pain Intensity

  • Choi, Wansuk;Heo, Seoyoon
    • 국제물리치료학회지
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    • 제10권2호
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    • pp.1803-1809
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    • 2019
  • Background: Cervical mobilization has been applied mainly for the improvement of arm and neck movements and pain reduction, and little research has been done to improve the executive function. Since this kind of so-called mechanical neck pain is one of most common symptoms, there are controversial issues about this with spine alignment. Posteroanterior (PA) mobilization from the Maitland concept is a process of examination, assessment, and treatment of neuromusculoskeletal disorder by manipulative physical therapy. Objective: To examine the short-term benefits of mobilization for patients with non-specific neck pain. Design: Dual-group Pretest-Posttest Design from the Quasi-Experimental research Methods: Fourteen participants (male 8, female 6; 20's of their age) with non-specific neck pains which are distributed all the unilateral or bilateral body side were recruited. Participants were categorized to Neck Pain with Movement Coordination Impairments (NPMCI) and Neck Pain with Mobility Deficits (NPMD) groups according to the results of physical examination. Professional physical therapist who has over 15-years-of clinical experience applicated manipulative therapy for the neck pain, an occupational therapist only conducted evaluations; K-NDI (Korean version of the Neck Disability Index), VAS (Visual Analog Scale), BDS-K (Korean version of Behavioral Dyscontrol Scale) for decreasing possible adverse effects; there were no person who reported other symptoms followed 4 weeks from the trial. Results: In the NPMCI group, data analysis indicated statistical differences between the PA mobilization interventions in NDI and BDS-K; even though, pain was reduced in VAS, this is not a significantly differ. In the NPMD group, data analysis represented statistical differences between the PA mobilization interventions in NDI, VAS and BDS-K; the scores were represented to be increased or the pain got relief. Conclusions: PA mobilization techniques according to Maitland concept have beneficial effects in patients with neck pain and other clinical positive effects which included neck disability, pain itself and motor function of upper extremity.

신경가동술과 관절가동술이 경추 신경근병증 환자의 기능장애, 통증, 관절가동범위에 미치는 영향 (The Effects of Neural Mobilization with Joint Mobilization on Dysfunction, Pain, and Range of Motion in Cervical Radiculopathy Patients)

  • 한지훈;송창호
    • PNF and Movement
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    • 제19권3호
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    • pp.361-374
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    • 2021
  • Purpose: The study aimed to investigate the effects of neural mobilization with joint mobilization on dysfunction, pain, and range of motion in cervical radiculopathy patients. Methods: Forty-seven cervical radiculopathy patients were recruited for the study. The subjects were randomly allocated to three groups. Group A (n=16) received a neural mobilization with joint mobilization, Group B (n=15) received a neural mobilization (NM), Group C (n=16) received a joint mobilization (JM). All groups had five sets for a day, three days a week, for four weeks. All subjects were evaluated before and after intervention by their neck disability index (NDI), numeric pain rating scale (NPRS), and range of motion (ROM). Results: The results were as follows: First, the NDI was significantly decreased in all groups (p<0.05). Group A had more significantly decreased NDI than Group B and C (p<0.05). Secondly, the NPRS was significantly decreased in all groups (p<0.05). Group A had more significantly decreased cervical NPRS than Group B (p<0.05). Groups A and B were more effective at decreasing upper extremity NPRS than Group C (p<0.05). Thirdly, the ROM was significantly increased in all the groups (p<0.05). Group A had more significantly improved cervical rotation ROM than Group B (p<0.05). Significant short-term effects of the NM with JM on dysfunction, pain, and range of motion in cervical radiculopathy patients were recorded in this study. Conclusion: These findings gave some indications that it may be feasible to include NM with JM in interventions with cervical radiculopathy patients.

태평양전쟁 말기의 수인(囚人) 동원 연구(1943~1945) -형무소 보국대를 중심으로- (A Study on the Mobilization of Prisoners in the Late Wartime Period (1943~1945) -with a focus on the National Protection Corps of Prisoners-)

  • 이종민
    • 한일민족문제연구
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    • 제33호
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    • pp.67-111
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    • 2017
  • This article aims to shed light on the wartime labor mobilization of prisoners on a large scale in/across colonial Korea and beyond during the late wartime period. More specifically, this article reveals the logic and mode of mobilization, and sorts out nationwide mobilization cases in colonial Korea. To this end, this article draws on documents and magazines published by the criminal administration of the Japanese Government-General of Korea, as well as the memoirs of prisoners and prison staff including prison administrators and prison chaplains. With the onset of the wartime system, the labor work in prisons centered on the production of military supplies. In 1943, the labor mobilization began to organize the National Protection Corps and dispatch them to remote workplaces. For example, at the requests of the military, prisoners were selected and sent to Hainan Island, while others were sent to military factories and mining fields in the northern part of the country. The authorities specified and adjusted the criteria for imprisonment based on education, physical strength, and other physical and mental conditions. Unconverted ideological offenders were excluded from the mobilization, and instead put under separate control. In preparation for mobilization, the prisoners trained in military drills, received Japanese language education, and underwent assimilation as imperial subjects through the preaching in prison. In order to induce prisoners to volunteer, a legislation system based on the shortening of the prison terms, including the parole system, was also promoted under the wartime system. As a result, prisoners were forced to work harder and faster even under the lowest of wages, poor food and poor housing conditions, and they also filled vacancies in managerial positions by serving as supervisory assistants. The reward system for them, however, did not function properly towards the end of the war, and the number of escapes and infectious outbreaks, as well as mortality rates rapidly increased under the harsh conditions.

The Effect of Posteroanterior Joint Mobilization Applied to The 3rd Lumbar Vertebra Movement of Adjacent Segmental in Healthy Individuals

  • Kang-O Oh;Sang-Yeol Lee
    • Physical Therapy Rehabilitation Science
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    • 제12권3호
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    • pp.240-250
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    • 2023
  • Objective: The purpose of this study was to characterize the movement of adjacent segments that occurred when posteroanterior joint mobilization was applied to the 3rd lumbar and thereby to provide basic clinical data. Design: Randomized controlled trial design. Methods: While the subjects were receiving posteroanterior joint mobilization of the 3rd lumbar vertebra, LD (lumbar displacement), LID (lumbar intervertebral distance), LIA (lumbar intervertebral angle), and LLA (lumbar lordosis angle) were measured using X-ray, and the data were then analyzed. Changes before and after posteroanterior joint mobilization were analyzed using a paired-sample t-test, and a one-way ANOVA of variance was performed to determine the difference between segmental movements. In addition, Pearson's correlation analysis was performed to determine the correlation between segmental movements. Results: The results revealed that there was a significant change in LD before and after the application of joint mobilization of the 3rd lumbar in all lumbar vertebrae (p<0.000), among which the 2nd lumbar vertebra, an adjacent segment, showed the most significant change. A significant change in LIA angle was observed in all segments (p<0.000), with the most significant change observed between the 2nd and 3rd lumbar vertebrae. There was a significant change in LLA before and after the application of posteroanterior joint mobilization (p<0.000). The correlation analysis showed a high correlation between displacement of the 3rd lumbar vertebra and displacement of all the other lumbar vertebrae. Conclusions: The presence of kinematic movements of the lumbar vertebrae when segmental movements were generated through the application of posteroanterior joint mobilization of the 3rd lumbar vertebra.

전기치료, 테이핑과 관절가동기법이 급성기 편타증 손상환자에게 미치는 영향-사례연구 (The Effects of Modality, Taping and Joint Mobilization for Patients with Acute Whiplash-Associated Disorder : Case Study)

  • 안승원
    • 대한정형도수물리치료학회지
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    • 제18권1호
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    • pp.73-82
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    • 2012
  • Background: The purpose of this study was to investigate the effects of modality, taping and joint mobilization for patients with acute whiplash-associated disorders. Methods: Joint mobilization technique and kinesio taping was done to the patients who diagnosed with acute whiplash-associated disorders due to traffic accidents. Results: We got the results that it is quite effective to increase cervical range of motion and decrease the pain, according to the results, present study was performed to assess the impact on the neck disability index and fatigability. Conclusion: Joint mobilization technique applied to a person and taping applied to the other person then both people increasing cervical range of motion and reducing pain for the treatment of patients with acute whiplash-associated disorders was effective.

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관절 모빌리제이숀에 있어서 관절운동의 기본개념 (Basic Concepts of Joint Motion in Peripheral Joint Mobilization)

  • 박지환
    • The Journal of Korean Physical Therapy
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    • 제6권1호
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    • pp.155-161
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    • 1994
  • Joint mobilization refers to techniques that are used to treat joint dysfunction such as when there is stiffness reversible joint hypomobility, or pain. Currently there are several schools of thought and treatment techniques that are popular in the United States. and leading practitioners and educators are attempting to blend common points to yield more uniform treatment from the various approaches. In order to effectively use joint mobilization for treatment, the practitioner must know and be able to evaluate the anatomy, arthrokinematics, and pathology of the neuromusculoskeletal system and to recognize when the techniques are indicated or when other stretching techniques would be more effective for regaining lost motion. Indiscriminate use of joint mobilization techniques when tot indicted could lead to potential harm to the patient's joints.

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관절 모빌라이제이숀 적용기법에 대한 물리치료적 소고 (Physical Therapeutic Procedures for Applying Joint Mobilization)

  • 박지환
    • 대한물리치료과학회지
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    • 제1권1호
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    • pp.195-202
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    • 1994
  • The following are suggested joint distraction and gliding techniques for use by entry level therapists and those attempting to gain a foundation in joint mobilization. A variety of adaptations can be made from these techniques. The distraction and glide techniques should be applied with respect to the dosage, frequency, progression, precautions, and procedures as described in this section. Basic concepts of joint mobilization were presented, including definitions of terminology and the two grading systems. Joint mobilization techniques are one part of a total treatment for decreased function. Therapy should also include appropriate range of motion, strengthening, and functional techniques.

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Pe$\tilde{n}$a 씨 'Total Urogenital Mobilization" 법을 이용한 총 배설강 기형 교정 경험 (Repair of Cloacal Anomaly Using "Total Urogenital Mobilization Method of Pe$\tilde{n}$a")

  • 정재희;송영택
    • Advances in pediatric surgery
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    • 제6권2호
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    • pp.128-133
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    • 2000
  • Persistent cloaca in a female newborn is one of the most complex and challenging anorectal malformation. The incidence is about 10% of all anorectal anomalies. Treatment of cloacal malformations has evolved during the past 40 years. However, it still remains one of the most difficult operations. In 1997, Pena reported a new procedure called "Total urogenital mobilization". We have repaired 3 cases of cloacal anomaly using "Total urogenital mobilization". The operations were performed between age 15 and 28 months. The length of the common channels was 2.5 - 3.0 cm. Two cases had double vaginas and one of them also had double uterus. The operation time was 4-5 hours and no major complications occurred. Functional and cosmetic results were satisfactory.

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비상시 정부의 효율적인 군사작전 지원방안 연구 (Study of the Enhancement of Military Operation Supporting System)

  • 최재경
    • 안보군사학연구
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    • 통권5호
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    • pp.87-130
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    • 2007
  • ROK and the United States finally reached accord on the controversial transition of Wartime Operational Control on February, 2007, and ROK Government needs to strengthen the role of supporting for the comprehensive threats of futuristic warfare. The crucial point of the supporting for Military Operation depends on the nation's mobilization capabilities. For the effective mobilization the following facets can be improved further. First of all, the organizational integrity of the mobilization network within the government can be bolstered along the vertical command chain. The process of mobilization must be improved and it is import to utilize the information system. On the other side the government plan to distribute timely the mobilized resources must be made up for the weak points and developed continuously. We can expect these points to be improved steadily with the execution of the National Defence Reform 2020.

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