• 제목/요약/키워드: physical damage

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Evidence-Based Physical Therapy for Anterior Cruciate Ligament Injury: Literature Review

  • Lim, Hyoung won
    • The Journal of Korean Physical Therapy
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    • v.31 no.4
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    • pp.161-168
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    • 2019
  • Most athletes with anterior cruciate ligament (ACL) ruptures undergo a surgical ACL reconstruction (ACLR) and rehabilitation. On the other hand, controversy still exists because neither a reconstruction nor rehabilitation have been proven to be superior in the management of ACL injury. This study reviewed the success rates of interventions to provide recommendations for the optimal management after an ACL injury. One of the most important considerations after an ACL injury is the timing and type of intervention. At the early stages, which involve the loss of volume and strength of quadriceps femoral muscle, weight bearing (closed kinetic chain) exercises with pain management followed by high velocity resistance exercises in an open kinetic chain environment are recommended to improve the quadriceps function. After that, it is important to apply intensive isokinetic exercise with a lower extension rate. In this case, it is important to apply overload to the muscles and to simultaneously lead the co-contraction of the hamstrings. Standards are essential because the timing and type of interventions are crucial to prevent re-injury and complications, such as osteoarthritis, as well as to confirm the successful outcome of the treatment. Different interventions recommended for ACL damage have yet to reach consensus. Further studies will be needed to observe the effects of the intervention through multidisciplinary approaches.

The Immediate Effect of Interferential Current Therapy on Muscle Tone and Stiffness in Chronic Stroke Patients

  • Park, Shin-Jun;Cho, Kyun-Hee;Kim, Soon-Hee
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.1-5
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    • 2019
  • Purpose: In chronic stroke patients, muscle tone and stiffness increase due to ankle spasticity. Electrotherapy may control the spasticity of patients with central nerve system damage via neurophysiological mechanisms. Therefore, this study was conducted to determine the immediate effects of interferential current therapy on gastrocnemius (GCM) muscle. Methods: This study was a one-group pretest-posttest design and 20 stroke patients participated. The experimental group underwent interferential current therapy for GCM for 30 minutes. Muscle tone (MT) and stiffness were assessed using MYOTONE(R) PRO. After 30 minutes of interferential current therapy, MT and stiffness of the affected side and unaffected side by GCM were measured. Results: After interferential current therapy, the medial GCM MT (Hz) was significantly reduced in stroke patients. There was a significant difference in MT between affected GCM muscles and unaffected side medial GCM muscles before intervention, but there was no significant difference after interferential current therapy. Conclusion: This study demonstrated that interferential current therapy had a positive effect, producing an immediate decrease in the medial GCM muscles tone of stroke patients. However, this study employed a one-group pretest-posttest design. Future studies will show differences in muscle tone compared to a control group or other electrical stimulation treatments.

Effects of Action Observation Training Combied with Auditory Cueing on Gait Ability in Patients with Stroke: a Preliminary Pilot Study

  • Kim, Hyeong-Min;Son, Sung-Min;Ko, Yu-Min
    • The Journal of Korean Physical Therapy
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    • v.34 no.3
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    • pp.98-103
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    • 2022
  • Purpose: New therapeutic approaches have emerged to improve gait ability in patients with brain damage, such as action observation learning (AOT), auditory cueing, motor imagery etc. We attempted to investigate the effects of AOT with auditory cueing (AOTAC) on gait function in patients with stroke. Methods: The eighteen stroke patients with a unilateral hemiparesis were randomly divided into three groups; the AOTAC, AOT, and control groups. The AOTAC group (n=8) received training via observing a video that showed normal gait with sound of footsteps as an auditory cue; the AOT group (n=6) receive action observation without auditory stimulation; the control group (n=5) observed the landscape video image. Intervention time of three groups was 30 minutes per day, five times a week, for four weeks. Gait parameters, such as cadence, velocity, stride length, stance phase, and swing phase were collected in all patients before and after each training session. Results: Significant differences were observed among the three groups with respect to the parameters, such as cadence, velocity, stride length, and stance/swing phase. Post-hoc analysis indicated that the AOTAC group had a greater significant change in all of parameters, compared with the AOT and control groups. Conclusion: Our findings suggest that AOTAC may be an effective therapeutic approach to improve gait symmetry and function in patients with stroke. We believe that this effect is attributable to the change of cortical excitability on motor related to cortical areas.

Effect of Mulligan SNAGs on Pain, Neck Dysfunction, and Depression in patients with Cervicogenic headache (멀리건 SNAGs 기법이 경추성 두통 환자의 통증, 경부 기능 장애 및 우울증에 미치는 영향)

  • Park, Jae-myoung;Shin, Eui-joo;Hong, Hyun-pyo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.2
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    • pp.25-34
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    • 2022
  • Background: Cervical headache (CGH) is a common condition that causes serious damage. Mulligan described a sustained natural apophyseal glides (SNAGs) as a manual therapy approach to treat this dysfunction. Although there have been several case studies to evaluate the effectiveness of SNAG, the efficacy of SNAG for cervical headaches is still controversial. Therefore, this study examined the effects of Mulligan's SNAG technique on cervical headache and pain intensity to present basic clinical data. Methods: Thirty-two subjects participated in this study, 16 each in the experimental and control groups. The experimental group applied Mulligan's SNAGs technique and the control group applied the placebo SNAGs technique. Results: Significant differences (p<.05) in the changes in pain, neck disability index (NDI) and Hamilton rating scale for depression (HRSD) were observed between the two groups. Conclusion: The application of Mulligan's SNAG technique to patients with cervical headaches effectively reduced headache, depression, and neck dysfunction. Based on this study, Mulligan's SNAGs technique can be used as an objective research method for additional studies targeting cervical headache patients in the future.

The Legal Interest of Doctor's Duty to Inform and the Compensation to Damages for Non-pecuniary Loss (의료행위에서 설명의무의 보호법익과 설명의무 위반에 따른 위자료 배상)

  • Yi, Jaekyeong
    • The Korean Society of Law and Medicine
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    • v.21 no.2
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    • pp.37-73
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    • 2020
  • Medical practice with medical adaptability is not illegal. Consent to medical practice is also not intended to exclude causes of Illegality. The patient's consent to medical practice is the exercise of the right to self-determination, and the patient's right to self-determination is take shape through the doctor's information. If a doctor violates his duty to inform, failure to inform or lack of inform constitutes an act of illegality of omission in itself. As a result, the legal interest of self-determination is violated. The patient has the right to know and make decisions on his or her own, even when it is not connected to the benefit of life and body as the subject of the body. If that infringed and lost, the non-property damage shall be recognized and the immaterial damage must be compensated. On the other hand, the violation of the duty of information does not belong to deny the compensation for physical damage. Which the legal interest violated by violation of the obligation to inform is the self-determination, and loss of opportunity of choice is recognized as ordinary damage. However, if the opportunity of choice was lost because of the infringement of the right to self-determination and the patient could not choice the better way, that dose not occur plainly bad results, under the prove of these causal relationship, that bad results could be compensated. But the unexpectable damage could not be compensated, because the physical damage is considered as the special damage due to the violation of the right of the self-determination.

Anatomical and Physical Characteristics of Pinus densiflora Wood Damaged by Forest Fire - Difference by Damage Level - (산불 피해 소나무 목재의 해부 및 물리적 특성 - 피해 정도에 따른 차이-)

  • Kwon, Sung-Min;Chun, Kun-Woo;Kim, Nam-Hun
    • Journal of the Korean Wood Science and Technology
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    • v.36 no.4
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    • pp.84-92
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    • 2008
  • Anatomical and physical characteristics of Pinus densiflora woods damaged by forest fire at Yangyang-gun, Kangwon-do were investigated in present study. Even though the bark was severly carbonized, no trace of carbonization in the xylem was found. The amount of resin exudation was different by the degree of fire damage. Green moisture content of sapwood in the damaged wood was lower than that in the sound wood, but vice versa in the heartwood. Green density of heartwood in the damaged wood was higher than that in the sound wood, but there was no significant difference in sapwood. Cambial activities were found stopped in the severely damaged wood but were identified in the lightly damaged wood. In safranine staining process, epithelial and ray parenchyma cell walls in the damaged woods showed darker hue than those in the sound wood. Granular substances were observed in the lumina of ray parenchyma and epithelial cells of the severely damaged wood. Relative crystallinity of the outermost growth ring in the severely damaged wood was slightly higher than that in the sound wood.

Design and Implementation of Real-Time Indirect Health Monitoring System for the Availability of Physical Systems and Minimizing Cyber Attack Damage (사이버 공격 대비 가동 물리장치에 대한 실시간 간접 상태감시시스템 설계 및 구현)

  • Kim, Hongjun
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.29 no.6
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    • pp.1403-1412
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    • 2019
  • Effect of damage and loss cost for downtime is huge, if physical devices such as turbines, pipe, and storage tanks are in the abnormal state originated from not only aging, but also cyber attacks on the control and monitoring system like PLC (Programmable Logic Controller). To improve availability and dependability of the physical devices, we design and implement an indirect health monitoring system which sense temperature, acceleration, current, etc. indirectly, and put sensor data into Influx DB in real-time. Then, the actual performance of detecting abnormal state is shown using the indirect health monitoring system. Analyzing data are acquired using the real-time indirect health monitoring system, abnormal state and security threats can be double-monitored and lower maintenance cost utilizing prognostics and health management.

Physical characteristics and evaluation of deteriorations class of a trail in Deogyusan National Park

  • Ju-Ung Yun;Myeong-Jun Kim;Hong-Seok Bang;Jin-Won Kim;Won-Ok Jeong
    • Korean Journal of Agricultural Science
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    • v.49 no.2
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    • pp.367-377
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    • 2022
  • The purpose of this study was to analyze the deterioration of trail conditions and to obtain information for desirable maintenance and restoration of a trail in Deogyusan National Park. The physical characteristics of a trail were surveyed at a total of 412 sites over 79.8 km length. The average trail degree and width were found to be 14.31° and 1.60 m, respectively, while the average bare trail width was 1.40 m and the average maxim trail depth was 5.66 cm. Major deterioration types of trail were trail deepening (36.6%), rock exposure (33.9%), and root exposure (12.5%) in order of frequency. Deterioration classes of the trail were 0.626 km (0.8%), 3.110 km (3.9%) and 8.935 km (11.2%) for heavily, moderately, and lightly deteriorated, respectively, with a deterioration rate of 12.671 km (15.9%). Compared to other national parks, the ratio damaged trail to the total trail was 15.9%, which is slightly higher than other, including Jirisan National Park 9.6% (2019), Bukhansan National Park 13.6% (2019), Sokrisan National Park 11.7% (2019), Chiaksan National Park 12.3% (2015), and Woraksan National Park 10.5% (2015). The section of trail in Deokyusan National Park where the damage grade is analyzed as "Heavy" should therefore be restored in consideration of the field conditions. In particular, the damage status of the trail is expected to be greatly improved when the trail surface maintenance level is restored.

The Effect of Electromagnetic Fields Shielding on Electromagnetic Fields Decrease in P. T Room (차폐천이 물리치료실 환경내 전자기장 감소에 미치는 효과)

  • Lim Chang-Hun;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.69-82
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    • 2000
  • Physical therapists are exposured to radio-and microwave-frequency electromagnetic radiation by operating electrotherapy units. So there is few protection system in physical therapy room. Clinical pathology room and so on where various kins of electromagnetic instruments is used in hospital while protection failities like protection wall or protection glass is being used only in radiological room to reduce the damage of radiation. Acoording to Larsen's survey on female physical therapist in denmark. it was said that the percentage of congenital malfornation was $3.6\%$ and cadiac malformation made up $0.7\%$. It is likely that effect of electromagnetic fields on the result cannot be ruled out. Rita ouellet-Hellstron and Walter F. Steward insisted that the danger of abortion increase in the case of pregnant femeal physical therapist exposured to microwave diathermy. The intention of our study is arousing the necessity of microwave protection in P.T room and finding the proper method for physical therapist safe. The results of this study were as follows: 1. Each electrotherapy units are occurrenced the electromagnetic fields, and specially amply occurrenced in H.P,I.C.T 2 unit operating, M.W.D unit head on parallel, S.W.D unit head on parallel. all electrotherapy units are operating. 2. There were electric fields mount are consideration to species of electrotherapy units(p<.05). 3. There were magnetic fields mount are consideration to species of electrotherapy units(p<.05). 4. There were electric fields mount are consideration to distance of electrotherapy units(p<.05). 7. There were magnetic fields mount are consideration nut to distance of electrotherapy units(p>.05). 8. Before and after protection on magnetic fields mount are consideration to all distance(0m, 0.3m, 1m, 3m, 5m)(p<.05) 9. Before and after protection on electric fields mount are consideration to 0m, 1m, 3m distance(p<.05), and consideration not to 0.3m, 5m distance(p>.05) 10. After protection fellow the each electrotherapy units. distance, intencity to electromagnetic fields are reduced(p<.05).

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Effects of dynamic taping on shoulder joint proprioception

  • Park, So-Young;Kim, Min-Ji;Seol, So-Eun;Hwang, Chan;Hong, Ji-Su;Kim, Ho;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.9 no.4
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    • pp.269-274
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    • 2020
  • Objective: There are many cases of applying various taping methods to prevent muscle damage and to assist with movement. The purpose of this study was to investigate and to compare the effects of dynamic taping on joint position sense and to find out the difference in error values during various degrees of shoulder flexion. Design: Cross-sectional study. Methods: A total of 20 subjects participated in this study with a randomized cross-over design. The order of taping was adjusted by randomly proceeding with dynamic taping, sham taping, and no taping. After the taping, the proprioception of the shoulder joint was evaluated. The evaluation of proprioceptive sensation was performed by evaluating joint position sensation. The sequence was adjusted by randomly performing joint position tests at each shoulder flexion of 50, 90, and 110 degrees. All angles were repeated 3 times. Results: There was a significant difference between dynamic taping and no taping in 50 degrees of shoulder flexion. There was a significant difference between sham taping and no taping in 90 degrees of shoulder flexion (p<0.05). No significant difference was found in 110 degrees of shoulder flexion. Conclusions: In this study, it was confirmed that dynamic taping is effective in improving the joint position sense in 50 degrees of shoulder flexion. In the future, it is expected that further studies will be conducted on patients with shoulder dysfunction with decreased proprioception.