Background: Despite the fact that aquatic exercise is one of the most popular alternative treatment methods for children with cerebral palsy (CP), there are few research regarding its effectiveness. Objects: The purpose of this study was to examine the effects of aquatic exercise on upper extremity function and postural control during reaching in children with CP. Methods: Ten participants (eight males and two females; 4-10 years; Gross Motor Function Classification System levels II-IV) with spastic diplegia were recruited to this study. The aquatic exercise program consisted of four modified movements that were selected from the Halliwick 10-point program to enhance upper extremity and trunk movements. The participants attended treatment two times a week for 6 weeks, averaging 35 minutes each session. The Box and Block Test (BBT), transferring pennies in the Bruininks-Oseretsky Test (BOT), and pediatric reaching test (PRT) scores were used as clinical measures. Three-dimensional motion analysis system was used to collect and analyze kinematic data. Differences in BBT and BOT values among pre-treatment, post-treatment, and retention (after 3 weeks) were analyzed using a Friedman test. In addition, the PRT scores and variables (movement time, hand velocity, straightness ratio, and number of movement units) from the three-dimensional motion analysis were tested using a Wilcoxon signed-rank test. The significance level was established at p < 0.05. When the results appeared to be statistically significant, a post-hoc test for multiple comparisons was performed with the Wilcoxon signed-rank test. Results: All clinical measures, which included BBT, transferring pennies of BOT, and PRT, were significantly increased between pre-intervention and post-intervention scores and between pre-intervention and retention scores after treatment (p = 0.001). Three-dimensional motion analysis mostly were significantly improved after treatment (p = 0.001). Conclusion: Aquatic exercise may help to improve body function, activity, and participation in children with varying types of physical disabilities.
The physical therapy that is in use nowadays, especially thermotherapy, aquatherapy and manual therapy, has been around since humans started to live on the earth. In primitive times, when men were injured while hunting, they washed the wound in clean water and dried it out in the sunshine. They also soaked their bodies in hot springs to decrease physical fatigue. This primitive Korean traditional physical therapy was in common use among people throughout the Koguryo, Koryo and Chosun dynasties. Historical records show that some kings in those days recommended to their men these methods to treat any chronic disease or illness. This was often thought of as a positive means of treatment. Korean traditional physical therapy has been developed, and the scientific effects of therapy have been proven. Korean traditional physical therapy is used extensively in hospitals and clinics to treat many kinds of diseases and illnesses. Unfortunately some methods that have not been medically substantiated as an effective treatment are being used by practitioners. In this situation there is an urgent need for scientifical research and data regarding any unproven physical therapy techniques.
Purpose: This study was conducted in order to present basic policy data for introduction of a home-based physical therapy (HBPT) policy. Methods: The study surveyed physical therapists and patients for six weeks, in order to identify satisfaction with physical therapy. The statistical significance of the management plan with regard to costs and cost estimation and payment methods was determined and managed according to the operating principals of HBPT, eligibility criteria, number of visits, treatment time, and team approach. Results: Through the survey all groups of patients and physical therapists recognized the need for HBPT. They felt that the most desirable methods for activation of physical therapy visits involve precise diagnosis and evaluation through a team approach. While making regular visits to the patient three times a week, an expert visiting physical therapist with 3 to 5 years of experience in the clinical field could provide central nerve developmental treatment in less than 60 minutes; this service could be provided at a reasonable cost, minimizing unnecessary hospital visits, reducing time, medical expenses and facilitating a quick recovery due to psychological satisfaction resulting from a decrease in the psychological anxiety patients often experience in medical institutions. Conclusion: Based on the study results provided above, if HBPT is to be introduced, appropriate pricing and programs should be based on the results of pilot projects.
Iswanto, Apri Heri;Febrianto, Fauzi;Hadi, Yusuf Sudo;Ruhendi, Surdiding;Hermawan, Dede;Fatriasari, Widya
Journal of the Korean Wood Science and Technology
/
제46권2호
/
pp.155-165
/
2018
The objective of the research was to evaluate the effect of particle pre-treatment on physical, mechanical, and durability of jatropha fruit hulls (JFH) particleboard. The pre-treatments included were immersing in cold water, hot water, and acetic acid solution. After each treatment, the particles were dried up to 3% moisture content. Urea-formaldehyde (UF) resin was used to fabricate particleboards with board size, thickness and density target of 25 cm by 25 cm, 0.80 cm, and $0.70g/cm^3$, respectively. Board pressed at $130^{\circ}C$ for 10 minutes, and $25kg/cm^2$ pressure. The evaluation of particleboard followed the JIS A 5908-2003. Whilist their resistance to subterranean termite test (mass loss, mortality, antifeedant value and feeding rate) refers to the Indonesian standard (SNI 01.7207-2006). The physical and mechanical properties of particleboards showed that all pre-treatments decreased the pH of particles. Overall, all particle immersing treatments resulted of better physical and mechanical properties of particleboard than those of untreated ones. The acetic acid treatment resulted the best physical and mechanical properties of particleboard. Based on the mass loss of JFH particleboard, hot water and acetic acid treated particleboards were classified into weak resistance to subterranean attack. The other two treatments were classified into very weak resistance. Hot water treated particleboard provided the highest mortality and antifeedant as much as 87.40% and 34.20%, respectively. Based on antifeedant classification, hot water treated particleboards were classified into moderately strong resistance, while other treatments were categorized into weak resistance. The lowest feeding rate value ($45.30{\mu}g/termite/day$) was attained by hot water treatment.
The purpose of this study was to examine the effects of the pelvic tilting exercise, pelvic tilting exercises with floor walking training, pelvic tilting exercises with treadmill walking training on quantitative gait function in patients with hemiplegia. Thirty patients with hemiplegia due to cerebrovascular disease participated in this study. Subjects were randomly assigned to one of pelvic tilting exercise group, pelvic tilting exercise with floor walking training group and pelvic tilting exercises with treadmill walking training group. The effects of each therapeutic method were evaluated by measurements of gait velocity, cadence, stride length, step length, base of support and foot angle using ink-foot prints. Data were analyzed statistically using paired t-test and one-way ANOVA. The results of this research are as followings : 1. After treatment, it turned out that pelvic tilting exercises with treadmill walking training has the most effect on gait velocity, cadence, stride length, step length and foot angle, which has significant difference in statistics (p<0.05). 2. Quantification of the gait velocity, cadence, both stride length and step length demonstrated a significant increase (p<0.05) after treatment in all groups when compared with values measured before treatment. The base of support and foot angle in affected side decreased significantly (p<0.05) after treatment in all groups when compared with values measured before treatment. 3. The lumbosacral angle noted a significant increase (p<0.05) after treatment in all groups, however, an ANOVA analysis did not reveal any differences between groups.
The present study attempted to investigate the angle of cervical vertebrae motions of thirty subjects who are seated in front of computers for a long time. The subjects were divided into Group A, B and C, which were for ultrasound treatment and relaxing exercise, for ultrasound treatment and massage, and relaxing exercise and massage respectively. This study made comparisons between groups of different ages and genders before treatment, between groups of different genders by segment before treatment, and between before and after treatment for each group. It also made multiple comparison based on the variance analysis among groups and comparison between Group A and B. From the results of this study, following conclusions were drawn. 1. When comparing the total means of different age groups, female subjects' angle of motions was wider than male subjects' in all age groups except the group at the age of 30-34. 2. When comparing the total means of different segments of cervical vertebrae, female subjects' angle of motions was wider than male subjects' in segment C3-4, C4-5 and C5-6. 3. Group A showed a significant difference from Group B and C in segment C4-5, and only Group C showed a significant difference in the other segments(p<0.05). 4. When comparing the total angle of cervical vertebrae motions between Group A and Group B, there was a slight but not significant difference in the angle(p<0.05).
The specimens were heat treated at 180℃, 190℃, 200℃, 210℃ and 220℃ to observe the change of the physical properties of the double raschel pile fabric. The density, tensile strength, weight, elongation, dyeing characteristics, fabric surface morphology and cross sectional shape were observed by heat treatment temperature. Compared with untreated samples, weight, density and tensile strength were increased with increasing heat treatment temperature. No increase was observed at 220℃. In the case of elongation, it increased to 190℃ but thereafter it could not be observed. In the case of uprightness of brushed hair, it was observed that the gap between the yarns was narrowed and the density was increased and the straightness of the yarn and pile yarn was improved by widening the heat treatment temperature. As a result, it was observed that the uprightness was remarkably improved and the bulky properties was increased. It was also observed that the increase of the dyeability was observed with increasing the heat treatment temperature.
This study was performed to investigate the effects on the general features of low back pain. The study subjects were low back pain patients treated with physical therapy at general hospitals located in Gyeonggi-do from August 2, 2000 to September 10. Total number of distributed questionnaires were 300, and 281 questionnaires were collected and analysed finally. The results were follows: 1. 76.3$\%$ of male answers that participate in sports, 60.6$\%$ of female answers that participate in sports and there are significant differences of two group(p < 0.01). 2. In case of male, preferential sports were running, tennis, golf, the others, but in case of female, preferential sports were walking, ascent of a mountain, swimming(p < 0.01). 3. In case of male, the most frequency preferred to participate in sports by patients was 30minutes daily, but in case of female, 3 times a week(p < 0.05). 4. The onset time of low back pain was 28.3$\%$ in the morning, 23.7$\%$ in the afternoon, 23.2$\%$ in motion according. 5. The onset conditions of low back pain was 48.5% during exercise, 44.4$\%$ after exercise. 6. Regardless of gender, low back pain patients want to go to a hospital for treatment. Otherwise, male preferred conventional treatment than a hospital, but female preferred a hospital than conventional treatment(p < 0.05). 7. Regardless of gender, 97.5$\%$ of patients is answered that the most preferential treatment method was physical therapy, 8. 92.2$\%$ of patients is answered that physical therapy was effective.
Purpose : This study aimed to examine the effects of sling exercise therapy on the relief of low back pain and the cross-sectional area change of lumbar muscles by CT analysis for chronic low back pain patients. Methods : Forty-one patients with diagnosis of chronic low back pain was divided sling exercise therapy group(SEG) 19 subjects and conservative physical therapy group(CPG) 22 subjects. we randomized and treated them(subjects) for 12 weeks. As using visual analogue scale(VAS), we evaluated recovery accuracy of pain, and for investigating cross-section area change of lumbar muscles for before and after treatment we used computed tomography(CT). Results : This study were summarized as follows : 1) As treatment period, in each compared testing on VAS of SEG and CPG, the both group was significantly different(p<.05). 2) Compared testing on VAS of between-subject groups(SEG and CPG) were not significantly different(p>.05). 3) At SEG of before and after treatment, in compared testing on cross-section area size of lumbar muscles, All muscles of psoas major, quadratus lumborum, erector spinae and multifidus were significantly different(p<.05). At CPG, psoas major was significantly different(p<.05). But other muscles were not significantly different(p>.05). Conclusion : From this result, both sling exercise therapy and the conservative physical therapy are effect on decrease of pain for chronic low back pain patients. but Increasing of the cross-section area being proportioned with muscular strengthening of low back muscle is noticeable difference in SEG. Therefore, sling exercise therapy have affect both decreasing of pain for chronic low back pain patients and lumbar muscles strengthening.
Purpose : The purpose of this study was to examine the effects of PNF of irradiation using an indirect treatment of the stroke patient's static weight support and walking speed. Methods : Was carried out a total of nine different the PNF method of treatment for patients with left hemiplegia stroke. PNF of treatment is not in the non-paralyzed side of the trunk and upper and lower extremities by applying resistance and increased strength of the affected side. Assessment of treatment weight support both feet measured and modified using the timed up and go test were compared before and after treatment. Results : Treatment of the paralyzed side of the quadriceps and hamstring, gluteus medius muscle strength increased, and both sides of the foot body weight support improved walking speed was increased. Conclusion : Irradiation using PNF indirect treatment improves the function of the gait of stroke patients.
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