• 한국전문물리치료학회지
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• 제23권3호
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• pp.29-39
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• 2016

Background: In the treatment of temporomandibular joint (TMJ) disorder, the goals of traditional physical therapy are not only to reduce the inflammatory process leading to pain, but also to decrease joint overload and muscle hyperactivity. To achieve those goals, physical therapists generally use a photo-therapy, joint mobilization, and massage. Objects: To examine the impact of an unloading technique using non-elastic taping on the pain, opening mouth, functional level, and quality of life in patients with TMJ disorder. Method: Twenty patients with TMJ disorder were included in this study and randomly divided into the experimental ($n_1$=10), and control ($n_2$=10) groups. Traditional physical therapy including massage and stretching for 30 min was performed in both groups. Non-elastic taping was performed in the experimental group after traditional physical therapy, and they were recommended to keep the tape attached for 12 hours. Outcomes for pain, functional level, and quality of life were measured using a survey. The opening mouth was measured using a general ruler. Result: Significant differences were observed in the pain level, opening mouth, functional level, and quality of life after the intervention and on follow-up in both groups. However, we found that while the levels of all parameters were maintained throughout the follow-up period in the experimental group, the functional status level was not maintained throughout the follow-up period in the control group. Conclusion: Our unloading technique using non-elastic tape results comparable to those achieved by traditional physical therapy in the treatment of TMJ. However, the unloading taping method using non-elastic tape is more effective than traditional physical therapy in maintaining the impact of intervention.

• 한국전문물리치료학회지
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• 제27권1호
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• pp.53-62
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• 2020

Background: Pregnancy-related low back pain (PLBP) has fewer systematic guidelines than pregnancy-related pelvic girdle pain, previous studies have not evaluated physical therapy for this ailment in Korea. Objects: We aimed to provide a detailed account of clinical decision making by Korean physiotherapists while treating PLBP. Methods: In total, 955 questionnaires were distributed mainly in places of continuing education held by the Korean Physical Therapy Association from April to July 2019. The same questionnaire was posted on a website used by physiotherapists. We collected subject information, a specific Vignette typically represent symptoms of PLBP, and responses to multiple questions about decision making, subjective recognition and interest level in the field of women's health physiotherapy (WHPT). Results: The overall response rate was 56% (n = 537); of these, responses to 520 questionnaires were analyzed. Most respondents chose various combinations of physical therapy methods. There were significant differences in subjective recognition levels of WHPT according to gender (p < 0.05), age (p < 0.01), education level (p < 0.01), and clinical experience (p < 0.05). There were significant differences in interest according to gender (p < 0.01) and education level (p < 0.01). With respect to the types of treatment, significant differences were noted in selective rates for "manual therapy", "pain control", and "supportive devices" based on gender. Manual therapy tended to be chosen more with increasing age and clinical experience. With increased education level, there were fewer choices for the use of pain control. Conclusion: This is the first data on how Korean physiotherapists manage PLBP patients using the vignette method. We were able to recognize the Korean physical therapist's decision on PLBP patients, and observed statistically significant correlations. This may aid in developing future research and education plans in the WHPT field.

• Journal of Trauma and Injury
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• 제35권3호
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• pp.202-208
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• 2022

Purpose: There is limited research on the effects of neuropathic pain (NP) on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries. This study evaluated whether patients with combat-related extremity injuries with and without NP had differences in quality of life, sleep quality, and depression levels. Methods: A total of 98 patients with combat-related extremity injuries, 52 with NP and 46 without, were included in this cross-sectional study. The presence of NP was determined using the Leeds Assessment of Neuropathic Symptoms and Signs questionnaire. The outcome measures were a visual analogue scale (VAS), the 36-Item Short Form Survey, the Beck Depression Inventory, and the Pittsburgh Sleep Quality Index (PSQI). Results: The VAS subparameter scores for pain (all P<0.05), PSQI sleep dur ation subscale scores (P=0.025), PSQI sleep disturbance subscale scores (P=0.016), and PSQI total scores (P=0.020) were significantly higher in patients with NP than those without. Logistic regression analysis showed that VAS scores of 5 and above for average pain during the previous 4 weeks contributed independently to the prediction of NP. Conclusions: Patients with combat-related extremity injuries with NP had more pain and poorer sleep quality than those without NP. Sleep quality should be evaluated as part of the diagnostic work-up in patients with combat-related extremity injury with NP, and interventions to improve sleep quality may help manage NP in this patient group.

• The Korean Journal of Pain
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• 제35권2호
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• pp.233-235
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• 2022

• 한국전문물리치료학회지
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• 제18권2호
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• pp.35-42
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• 2011

Three hundred and fourteen low back pain patients completed the Korean version of the Oswestry Disability Questionnaire (KODQ) and the Rasch analysis was then applied to identify the inappropriate items and to determine ODQ item difficulties according to a subject's characteristics. For women and youths, the 'sex life' item showed misfit statistics, whereas for older subjects it was the 'pain intensity' and 'standing' items. Also, in the acute low back group the 'pain intensity', 'standing' and 'sex life' items showed misfit statistics. For all subjects, the most difficult item was 'pain intensity', whereas the easiest item was 'walking'. But for the older and acute groups 'lifting' was the most difficult item and for those who have a visual analogue scale score of 3 or less 'sitting' was the most difficult item. These results show that differential item functioning is present in several items according to sex, age, acute and chronic pain, and VAS score. This study may be useful for adjusting the KODQ item difficulties for low back pain patients with different characteristics.

• The Journal of Korean Physical Therapy
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• 제26권5호
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• pp.302-307
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• 2014

Purpose: This study was conducted in order to determine the changes in pain and breathing function when kinesio taping is applied to patients with myofacial trigger points on sternocleidomastoid (SCM) muscle. Methods: The subjects were 25 males and females aged 20 to 30 years (male 10, female 15). They were randomly divided into the control group and the experimental group to be applied with kinesio taping. Kinesio taping was applied to SCM muscle three times per week for two weeks. Pain triggered when the taut band or nodule was palpated was measured. Pain intensity was measured using the visual analog scale (VAS). The breathing function was measured using forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and FEV1/FVC ratio. In all subjects, VAS, breathing function was measured before and after intervention. Results: In the experimental group, pain in the SCM was relieved as VAS showed a significant decrease and FVC, FEV1, and FEV1/FVC ratio showed a significant increase. Comparison between the groups, showed significant differences in VAS and the FVC, FEV1, and FEV1/FVC ratio. Conclusion: These results suggest that myofascial pain on SCM muscle is thought a factor that affects the breathing function.

• 대한물리의학회지
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• 제1권1호
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• pp.49-57
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• 2006

Purpose : The Purpose of this study was to pain release and power grip in wrist affect of needle TENS(utilized of TENS in electrotherapy with oriental needle) and ultrasound therapy and taping with carpal tunnel syndrome patients. Methods : To study divided of each groups. each groups were apply to ultrasound therapy for 5 mintus, Taping was attached from wrist joint to elbow joint medial epicondly after maximum extension. needle TENS application was following of median nerve in wrist. Result : 1. The pain was released on needle TENS, ultrasound and taping groups of all(p<.05). 2. Power grip was enhanced in needle TENS and taping groups(p<.05) but ultrasound was no difference compared with before therapy. 3. Compared with needle TENS and taping therapy about pain release was needle TENS groups better than ultrasound groups(p<.05) Conclusion : Needle TENS, taping therapy are more effectable than ultrasound therapy for grip power and pain release. Needle TENS therapy is more effectable than taping therapy for pain release. Therefor, neddle TENS therapy is most effectable for pain release with carpal tunnel syndrome patients.

• The Journal of Korean Physical Therapy
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• 제11권3호
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• pp.97-106
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• 1999

The purpose of this study was to examine the effect of transcutaneous electrical nerve stimulation(TENS) in the patients of dysmenorrhea. A total of thirty subjects were assigned randomly to one of the two experimental groups or to a control group : 1) an Experimental group I received high-frequency TENS(100pps with a 100-microsecond pluse width), 2) an Experimental group II received low-frequency TENS(2pps with a 100-microsecond pulse width), 3) a Control group received medication(Acetaminophen 600mg). All subjects completed visual analogue scale(VAS) pre-treatment; after post-treatment; 1, 2, 3, 4, and 6 hours post-treatment; and the next morning. The results of study were as follows; 1. The mean pain scores decreased in thru groups. 2. The experimental group II and the control group exhibited a significant decrease in pain post - treatment. 3. The experimental group I had the pain relief obtained after three hours post - treatment. The experimental group II had the pain relief obtained immediately after the post - treatment Control group had the pain relief obtained immediately after the post - treatment, but increased pain after four hours of post-treatment. Finally. this result suggests that TENS can reduce significantly the pain of dysmenorrhea. Besides. low-frequency TENS provided a good result to the excellent subjective pain relief in the subject, compared with high-frequency TENS and medication.

• 대한물리치료과학회지
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• 제18권3호
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• pp.79-86
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• 2011

Background : The purpose of this study was to investigate on the ankle pain, Range of Motion(ROM) and balance ability with old man have fall down experience used to ankle strengthening exercise for 6 weeks. We introduced ankle strengthening exercise in this study in order to recover the pain, ankle ROM and balance ability. Methods : Twenty-four old mans have fall down experience were included for the study. Among them, twelve old mans(experimental group) were ankle strengthening exercise and physical science methods(H/P, TENS, U/S), another twelve old mans(control group) were treated by physical science methods(H/P, TENS, U/S). Each group made use of Visual Analogue Scale(VAS) to pain and goniometer to ankle ROM and Berg Balance Test(BBS) to balance ability to compare the possible changes of pain, ROM and balance ability in two groups after treatment. Results : In experimental group, pain reduced, ankle ROM has increased in dorsi-flexion, plantar-flexion and balance ability has increased for 6 weeks. In control group, pain reduced, ankle ROM has not changed in dorsi-flextion, plantar-flextion and balance ability has not changed for 6 weeks. Conclusion : According to the results, we concluded that ankle strengthening exercise for 6 weeks is effective for reducing pain and increasing ankle ROM and balance ability. Therefore, we thought the old man have fall dawn experience need ankle strengthening exercise for prevention repeatedly fall down.

• 대한정형도수물리치료학회지
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• 제13권1호
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• pp.18-25
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• 2007

Objective: The Purpose of this study is the factive and descriptive research to identify the factors affecting the functional disability of the chronic low back pain patients. We investigated the effect of ODI by the Questionnaire and questioned an 70 patients who were back pain unit at G university hospital in D city from March to May, 2007. The functional disorder in this study were based on the Oswestry Disability Index(ODI) lower back pain disability questionnaire by fairbank(1980), and these data were proceeded by using SPSS/WIN version 10.0. Result: 1. The functional disorder in accordance with age, gender, academic background, occupation, diagnosis, pain cause, pain experience, treatment duration had no significantly similar difference statistically(p>0.05). 2. The functional disorder in accordance with duration of painful generation had statistically significance(P<0.05). Conclusion: we could verify that duration of painful generation affect on the factors affecting the functional disability of the low back pain patients.