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Effect of Coordinative Locomotor Training on Spine Appearance and Quality of Life in Patients with Idiopathic Scoliosis: Single Subject Study (협응이동훈련이 특발성 측만증 환자의 척추 외형과 삶의 질에 미치는 효과 : 단일사례연구)

  • Kim, Jin-Cheol;Oh, Eun-Ju
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.3
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    • pp.89-97
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    • 2021
  • PURPOSE: This study examined the effects of coordinative locomotor training on the spine appearance and quality of life of patients with idiopathic scoliosis. METHODS: This study included two patients with idiopathic scoliosis: one with a thoracic and lumbar type scoliosis and the other with thoracic type scoliosis. The study design was a single case study (A-B-A'), with a baseline-intervention/phase-post-intervention. The baseline (A) was designed and measured five times, intervention phase (B) ten times, and post-intervention (A') five times. The coordinative locomotor training program was divided into 10 minutes of warm-up exercise, 30 minutes of the main exercise, and 10 minutes of the finishing exercise, for 50 minutes each time. The primary outcome measurements were measured using the Cobb's angle, Adam's test, and Gait view pro 2.0 to determine the changes in the spine appearance. The secondary outcome measurements were compared before and after using the SRS-22 questionnaire to determine the quality of life of the scoliosis patients. A statistical test analyzed the mean and standard deviation, and the rate of change was presented by a visual analysis method using descriptive statistics and graphs. RESULTS: The findings showed that the spine appearance and quality of life of the two subjects were improved compared to the baseline measurements during the intervention phase, and the improved state was maintained during the post-intervention period. CONCLUSION: These findings indicate that coordinative locomotor training may help improve the spine appearance and quality of life of patients with idiopathic scoliosis.

Effects of Application of Myofascial Release of Neck and Upper Trunk on the Pain, Insomnia and Sleep Disturbances in Patients with Chronic Neck Pain (경부 및 체간 상부 근막이완기법 적용이 만성 경부통 환자의 통증, 불면증 및 수면에 미치는 영향)

  • Bae, Kyeong;Park, Se-Jin;Chon, Seung-Chul
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.2
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    • pp.43-52
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    • 2021
  • Purpose : Chronic neck pain negatively impacts the quality of life and causes various problems in daily life due to pain, insomnia, and sleep disturbances in patients with this condition. Therapeutic interventions to solve these problems in rehabilitation and physical therapy are being introduced; however, the evidence of the efficacy of myofascial release (MFR) is still insufficient. This study aimed to investigate the effects of applying MFR on pain, insomnia, and sleep disturbances in patients with chronic neck pain. Methods : Ten patients with chronic neck pain were randomly selected and grouped into the experimental group (n1 = 10) and control group (n2 = 10) by cross-over design. Pain was measured before and after MFR intervention. Moreover, insomnia was measured only after MFR intervention. Polysomnography was performed after MFR intervention. Wilcoxon signed rank test and Mann-Whitney U test were used for the visual analog scale (VAS). Independent sample t-test was separately performed to measure insomnia and sleep. Results : After MFR intervention, the VAS score of the experimental group (p = 0.005) significantly decreased than that of the control group (p = 0.002). The insomnia score of the experimental group significantly decreased than that of the control group (p = 0.001). The total sleep time (p = 0.001), sleep efficiency (p = 0.001), and sleep latency (p = 0.001) of the experimental group significantly increased than those of the control group in the polysomnographic measurement. Conclusion : The application of MFR of the neck and upper trunk may have a positive effect on pain, insomnia, and sleep disturbances in patients with chronic neck pain. It was also suggested that an objective and quantitative polysomnography can be used more often in the field of rehabilitation and physical therapy.

Effects of Pectoralis Minor Stretching and Lower Trapezius Strengthening Exercise using PNF on Posture Change, Shoulder Range of Motion, and Pain in Rotator Cuff Repair Patients with Rounded Shoulder Posture (PNF를 이용한 작은가슴근 신장과 아래등세모근 강화 운동이 둥근 어깨 자세를 가진 돌림근띠 복원술 환자의 자세변화와 어깨 관절가동범위 및 통증에 미치는 영향)

  • Beom-Ryong Kim;Tae-Woo Kang
    • PNF and Movement
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    • v.21 no.1
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    • pp.75-86
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    • 2023
  • Purpose: This study aims to determine the effect of proprioceptive neuromuscular facilitation (PNF) pectoralis minor stretching and lower trapezius strengthening exercise on posture change, shoulder range of motion (ROM), and pain in rotator cuff repair patients with a rounded shoulder posture (RSP). Methods: Following baseline measurements, the subjects (n = 25) with rotator cuff repair were randomized into two groups: the PNF group (n = 13), which engaged in PNF pectoralis minor stretching and lower trapezius strengthening exercise, and the control group (n = 12), which received traditional physical therapy. Each group participated in the intervention five times per week for two weeks. The RSP values for the postural changes, flexion and abduction ROM, and visual analogue scales (VASs) of both groups were recorded at both pre- and post-intervention. In addition, before and after the intervention, a paired t-test was conducted to compare the within-group changes and an independent t-test to compare the between-group differences. Results: After the two-week intervention, both groups experienced significantly decreased RSP and VAS values (p < 0.05) and a significantly increased ROM (p < 0.05). Meanwhile, the PNF group showed greater improvements in RSP, ROM, and VAS than the control group (p < 0.05). Conclusion: These results suggest that PNF pectoralis minor stretching and lower trapezius strengthening exercise reduce posture and shoulder pain and enhance ROM in rotator cuff repair patients with RSP.

Effects of High-Frequency Treatment using Radiofrequency on Autonomic Nervous System and Pain in Women with Dysmenorrhea

  • Sungeon Park;Seungwon Lee;Inok Kim
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.493-501
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    • 2022
  • Objective: The purpose of this study is to present basic data for appropriate therapeutic intervention by confirming changes in the autonomic nervous system and pain by applying high-frequency deep diathermy to the lower abdomen in patients with primary dysmenorrhea. Design: A randomized controlled clinical trial. Methods: Thirty-eight women aged 18-50 years who complained of regular menstrual cycles (24-32 days) and primary dysmenorrhea symptoms were randomly assigned to a high-frequency therapy group (5, 7, or 9 mins) and a superficial heat therapy group (20 min). High frequency treatment group: The subject was in a supine position, and radio frequency was applied to the lower abdomen below the umbilicus. The radio frequency therapy device used in this study uses a 300 kHz capacitive electrode and a 500 kHz resistive electric transfer to deliver deep heat. Superficial heat treatment Group: Subjects applied a hot pack to the lower abdomen for 20 minutes while lying on their back. Evaluations were made of Heart rate variability and Visual Analogue Scale. Results: In subjects with menstrual pain, there was a significant difference in pain between the high-frequency therapy group and the superficial heat therapy group (p=0.026). However, there was no significant difference between the autonomic nervous system and the stress resistance (p>0.05). Conclusions: As a result of this study, high-frequencytreatment using radiofrequency was effective in relieving pain because it can penetrate deeper tissues than conventional hot packs using superficial heat. In particular, it was found that the optimum effect was obtained when high frequency was applied forfive-seven minutes.

A Study on Plan Structure Types and Characteristics of Wall Formation in Art Museum Exhibition Spaces

  • Lee, Jong-Sook
    • Architectural research
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    • v.13 no.3
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    • pp.3-10
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    • 2011
  • The Characteristics of space are determined by several factors; however, the element that determines the physical characteristic of floors, walls, and ceiling is the structure. This study constructs a wall to analyze the direct effect that the layout of an exhibition wall has on the element of the wall followed by the structural process and visibility of descriptive analysis and examples of art museums that the shift from a perceptional wall to an experiential wall affected circulation. For elements and formation methods of the wall, first, it is made up of open and closed type exhibition spaces, and it can give abundance in qualitative space rather than a quantitative aspect. Secondly, the directivity of space changes according to the development of the visible axis, thus, directly affects the change in visibility. Thirdly, the difference between spatial structure and visual structure is the difference between the visual axis and spatial structure. The wall formation type followed by the combination method, the simple visible structure, which is the type that possesses the simple combination (Room, Zone, Cluster), repeatedly uses the same size of units of space that is orderly and has few spatial axes and the classification of simple type and simple cluster type, which has few visible axes, also exists. Also, with the complex structure of the maze type it displays the reiterated form of the cluster, which is the space with disorderly combination and has much visible axes and spatial axes. Also, these can be divided into three types: 1) Maze Cluster Type, 2) Cross Road Type, and 3) Open Flexible Type. These wall types lead the various changes in circulation, and even each of the arrangement qualities of the exhibitions should be researched according to its exhibition place type.

Age-related Deficits in Response Characteristics on Safety Warning of Intelligent Vehicle (지능형 자동차의 안전 경고음에 대한 고령운전자의 반응 특성)

  • Kim, Man-Ho;Lee, Yong-Tae;Son, Joon-Woo;Jang, Chee-Hwan
    • Journal of the Korean Society for Precision Engineering
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    • v.26 no.12
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    • pp.131-137
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    • 2009
  • Recent technological advances made a vehicle more intelligent to increase safety and comfort. An intelligent vehicle provides drivers with safety warning information through audible sounds, visual displays, and tactile devices. However, elderly drivers have been known to decrease the physical and cognitive abilities such as muscular strength, hearing, eyesight, short term memory, and spatial perception. Therefore, possible age-related deficits should be considered to design an effective warning system. This paper aims to evaluate the impact of advancing age on response performance on audible safety warnings which are widely used for alerting driving hazards. In order to understand the effect of age-related hearing loss and movement slowing, three sound characteristics (frequency, intensity, and period) and three age groups (younger, middle, and older) are considered. Data was drawn from 38 drivers who drove a simulated rural road in a driving simulator. Experimental results show that age influences driver's response performance. In conclusion, the appropriate range of a warning sound is suggested.

Synthesis and Properties of Nickel Complexes for the Thermal Shielding Film (열선 차단 필름용 니켈 착화합물의 합성과 특성)

  • Kwak, Seon-Yeep;Le, Tae-Hoon;Son, Se-Mo
    • Journal of the Korean Graphic Arts Communication Society
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    • v.24 no.2
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    • pp.49-59
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    • 2006
  • In this paper, a transparent film exposed the effect of heat cut-off, reveal as means of the prevention to wrong operation of parts of display and forgery of the credit card, also it will intercept rising of the temperature in interior of a room and car by diminish the influx of near-infrared ray wavelength of solar energy come from the window. As in the past a film which absorb a wavelength of $800{\sim}2500nm$ in near-infrared ray, manufactured in physical vapor deposition(PVD), chemical vapor deposition(CVD) to using ATO, ITO of inorganic materials or sputtering method. but it has lots of problem in manufacture. On the other hand, recently a paper said it easily form a transparent film to using organic dye. This paper show synthesis of many derivatives used in Ni-complex and then it investigate to optical property and durability of flim by make the transparent film.

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The Effect of Proprioceptive Neuromuscular Facilitation Wrist Taping and Rhythmic Stabilization Technique on Pain and Grip Strength in Badminton Players with Wrist Pain

  • Song, Myung-Soo;Kang, Jeong-Il;Kim, Beom-Ryong
    • PNF and Movement
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    • v.16 no.1
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    • pp.85-92
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    • 2018
  • Purpose: We sought to examine whether using the rhythmic stabilization (RS) technique before proprioceptive neuromuscular facilitation (PNF) wrist taping affected pain and grip strength in patients with wrist pain to provide a basis for the application of PNF taping. Methods: The study consisted of 41 badminton enthusiasts (aged 20-40 years) who reported discomfort and pain due to overuse of their wrists. The subjects were randomly assigned to an experimental group (n=20) or a control group (n=21). In the experimental group, PNF wrist taping was applied after application of the PNF RS technique, and PNF wrist taping was applied after stretching in the control group. The tape was applied five times a week for 3 weeks. Pain was measured using the visual analog scale (VAS). Grip strength was measured using a dynamometer. The paired t-test was performed to compare grip strength and pain within the groups before and after the intervention. Covariance analysis was conducted to compare differences between the experimental group and control group. The level of significance was set as ${\alpha}=0.05$. Results: Within-group changes in grip strength and VAS were significantly different in the control group and experimental group (p<0.01). Grip strength and VAS showed more improvement in the experimental group than in the control group (p<0.01). Conclusion: PNF wrist taping after stretching and the PNF RS technique both significantly reduced pain and improved grip strength in club badminton players with wrist pain. These improvements were significantly greater in the experimental group in which the PNF RS technique was applied. The results suggest that PNF may be considered useful to improve grip strength and reduce wrist pain.

The Effect of Coordinative Locomotor Training on Walking in a Chronic Stroke Patient -A Single Subject Design- (협응이동훈련이 만성 뇌졸중 환자의 걷기에 미치는 효과 -단일사례설계-)

  • Kim, Jin-Cheol;Lee, Moon-Kyu;Lee, Jeong-A;Ko, Hyo-Eun
    • PNF and Movement
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    • v.16 no.1
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    • pp.7-17
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    • 2018
  • Purpose: The aim of this study was to investigate the effects of coordinative locomotor training in a chronic stroke patient. Methods: A left hemiplegic patient diagnosed with a right middle cerebral artery stroke participated in this research. The patient's functional conditions were assessed, and a coordinative locomotor training program was initiated to resolve the problems identified. A set of movements deemed difficult based on the brief International Classification of Functioning, Disability and Health core set for stroke and d4501 (long-distance walking) were agreed as improvement targets. The program comprised warm up, main, cool-down, and home exercises. Repeated measurements were obtained, as follows: five times at baseline (A), 10 times during the intervention (B), and five times after the intervention (A). The study period was 7 weeks, and the intervention period was 1 h per day, twice a week for 5 weeks. Various tools, including the community walking test (CWT), 10-m walking test (10 MWT), 6-min walking test (6 MWT), and timed up and go (TUG) test, were conducted to assess the patient's walking ability. Changes in functional domains before and after the ICF Qualifier were compared. The mean values of the descriptive statistics were calculated, and a visual analysis using graphs was used to compare the rates of change. Results: The results showed that the CWT, 10 MWT, 6 MWT, and TUG test scores during the intervention period improved and that this improvement remained, even during the baseline period. In addition, the ICF Qualifier before and after the comparison decreased from moderate to mild. Conclusion: Based on the results, we propose that coordinative locomotor training can have positive effects on community ambulation of chronic stroke patients.

The Effect of Proprioceptive Neuromuscular Facilitation Respiratory Muscle Strengthening Exercise on Pulmonary Function and Disability Level in Chronic Low Back Pain Patients (고유수용성신경근촉진법 호흡근 강화 운동이 만성 허리통증 환자의 폐 기능과 장애 수준에 미치는 영향)

  • Kim, Hye-Mi;Kang, Tae-Woo;Kim, Beom-Ryong
    • PNF and Movement
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    • v.19 no.1
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    • pp.57-65
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    • 2021
  • Purpose: This study investigated the effects of proprioceptive neuromuscular facilitation (PNF) respiratory muscle strengthening exercise on the pulmonary function, back pain, and disability level of patients with chronic low back pain (CLBP). Methods: There were 24 CLBP patients randomly divided into the experimental group (n = 12) who took part in PNF respiratory muscle strengthening exercise and the control group (n = 12) who performed a mock treatment. Both groups performed their respective interventions for 15 min five times per week for four weeks. The pulmonary function was measured using a portable spirometer. The back pain of the participants was assessed using a visual analogue scale. The Oswestry disability index was conducted to measure disability level. A paired t-test was performed to compare within-group changes before and after the PNF respiratory muscle strengthening exercise. Differences between the experimental and the control groups were analyzed using an independent t-test. For all tests, the level of statistical significance was α = 0.05. Results: The within-group change in pulmonary function was significantly different in the experimental group (p < 0.05), and the levels of back pain and disability were significantly different between the groups (p < 0.05). There was also a significant between-group difference in pulmonary function, back pain, and disability level after intervention (p < 0.05). Conclusion: These results suggest that PNF respiratory muscle strengthening exercise enhances pulmonary function and reduces levels of back pain and disability in patients with CLBP.