• 제목/요약/키워드: physical treatment

검색결과 6,009건 처리시간 0.031초

동적 요부 안정화 운동 치료법이 요통 환자에 미치는 영향 (The Effect of Dynamic Lumbar Stabilization Exercise on Low Back Pain Patients)

  • 김종순;주무열;배성수
    • The Journal of Korean Physical Therapy
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    • 제13권3호
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    • pp.495-507
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    • 2001
  • The purpose of this study was to find the effects of the dynamic lumbar stabilization exercise on functional recovery of low back pain patients. The subjects were consisted of sixty patients who had nonspecific subacute low back pain. All subjects randomly assigned to dynamic lumbar stabilization exercise group. Williams exercise group and modalities treatment group. The dynamic lumbar stabilization exercise group received modalities treatment with dynamic lumbar stabilization exercise. Williams exercise group received modalities treatment with Williams flexion exercise and modalities treatment group received modalities treatment without exercise. The Oswestry low back pain disability questionnaire was used to measure disability of low back pain. Assessment was carried out before treatment fur obtain baseline measurement of low back pain and reassessment were carried out at after 20 and 40 treatment sessions. The results of this study were as following: 1. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in dynamic lumber stabilization exercise group(p<.05). 2. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in Williams exercise group(p<.05). 3. The Oswestry low back pain disability questionnaire scores were significantly decreased after 20th and 40th treatment in modalities treatment group(<.05). 4. There were no statistical difference between the 3 groups at pre-treatment with Oswestry low back pain disability questionnaire scores(p>.05). 5. There were no statistical difference between the 3 groups after 20th treatment with Oswestry low back pain disability questionnaire scores(p>.05). 6. There were statistical difference between the 3 groups after 40th treatment with Oswestry low back pain disability questionnaire scores(p<.05). 7. The Oswestry low back pain disability questionnaire scores were significantly decreased after 40th treatment in all 3 groups and the decrement were greater in order of dynamic lumbar stabilization exercise group. Williams exercise group and modalities treatment group.

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체외충격파 치료가 동결견 환자의 통증과 견관절 기능에 미치는 영향 (Effect of Pain and Shoulder Joint Function on Extracorporeal Shock Wave Therapy of Patients with Frozen Shoulder)

  • 조남정;박지환
    • 대한정형도수물리치료학회지
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    • 제13권2호
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    • pp.69-78
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    • 2007
  • Purpose: The purpose of this study was to assess the effectiveness of Extracorporea Shock - Wave Therapy (ESWT) on the pain and improvement of shoulder joint function which is one of the available medical treatment in patients with frozen shoulder. Object and Methods: 26 patients with frozen shoulder, with 26 patients assigned to two groups; a control treatment group (n=12) and a ESWT application group (n=14). In the ESWT application group, the patients received general physical therapy, and then they received ESWT. In the control treatment group, the patients received only general physical therapy. These medical treatments was conducted total 6 time for 3 weeks. To investigate the effectiveness of the treatment after the each group's treatment. Pain was measured by Visual Analogue Scale (VAS) which is divided into 10 ranks and shoulder joint function was measured by CSA(Constant Shoulder Assessment scale). Results: 1. There was a statistical significance of measured by shoulder pain degree in both group but, the result of a ESWT application group shows more significance than that of a control treatment group. 2. There was a statistical significance of measured by CSA in both group but, the result of a ESWT application group shows more significance than that of a control treatment group. Conclusion: We think that treatment with General physical therapy and ESWT together for the patients with frozen shoulder is more effective and more safe method to shoulder joint function improvement and decrease of pain.

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Factors related to the treatment duration of infants with congenital muscular torticollis

  • Song, Seonghyeok;Hwang, Wonjeong;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • 제9권3호
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    • pp.191-196
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    • 2020
  • Objective: Congenital muscular torticollis (CMT) is a disease with abnormal head and neck posture in infants. It affects the child's movement and development and can lead to complications. Therefore, this study aims to find out what factors influence the rehabilitation treatment duration of infants with CMT. Design: Cross-sectional study. Methods: The subjects were 63 infants under 90 days of age who were diagnosed with CMT. Age, thickness of the sternocleidomastoid muscle (SCM) on the affected and non-affected side, head tilt angle, and head rotation angle of the affected head in infants were collected. The ratio of muscle thickness was calculated from the thickness of the affected SCM and the thickness of the non-affected SCM (A/N ratio). All subjects underwent conservative physical therapy twice a week for 30 minutes, and the end of the treatment was when the angle of head tilt was normal or less than 5 degrees, and the treatment duration was calculated. Results: Age, thickness of affected SCM, and head tilt were significantly correlated with treatment duration (p<0.05). The thickness of the non-affected SCM, A/N ratio, and head rotation angle did not show any correlation with treatment duration. The factors affecting the treatment duration were head tilt and age, showing 21% explanatory power of adjusted R2. Conclusions: The main factors affecting the treatment duration of infants with CMT are head tilt and age. Therefore, more attention should be directed to the infant's head tilt and age for effective physical therapy of infants with CMT.

기능적 전기 자극이 뇌성마비아의 앉은 자세 균형에 미치는 효과 (The Effect of Functional Electrical Stimulation on Sitting Balance in Cerebral Palsy)

  • 박래준;오정림
    • The Journal of Korean Physical Therapy
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    • 제14권4호
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    • pp.204-213
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    • 2002
  • The purpose of this study was to investigate the effect of functional electrical stimulation(FES) on sitting balance in child with cerebral palsy. Four cerebral palsy children were selected for this study. Functional electrical stimulation(FES) was applied to subject's abdominal muscle and electrospine muscle. Assessment was carried out before treatment for obtain baseline measurement of sitting balance and reassessment were carried out after treatment. The obtain results are as follows. 1. The result of this study were following that maximum perturbation area was significantly reduced after treatment compared with pre-treatment. 2.The result of this study were following that maximum perturbation velocity was significantly reduced after treatment compared with pre-treatment.

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촉매물질을 이용한 수처리 기법의 결정화 화울링의 저감에 관한 연구 (An Investigation on Mitigation of Crystalization Fouling by Physical Water Treatment using Catalytic Material)

  • 김선도;박복춘;백병준;김철생
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2004년도 춘계학술대회
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    • pp.1582-1588
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    • 2004
  • The present experimental study aimed to investigate the feasibility of physical water treatment (PWT) devices using catalytic materials to mitigation of crystalization fouling. Two PWT devices having different shape and material were used. The results from microscopic observation and SEM photographs demonstrate that the crystal structure of $CaCO_3$ is Argonite type without water treatment while Calcite type with water treatment, which clearly shows the feasibility of PWT techinque using catalytic materials to mitigate crystalization fouling. For 500 ppm solution, the fouling resistance decreased up to about 23% due to physical water treatment using catalytic materials. The results also reveal that if two more techniques are used simultaneously the additional effects could be expected.

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Comparing the effectiveness of ultrasound guided versus blind genicular nerve block on pain, muscle strength with isokinetic device, physical function and quality of life in chronic knee osteoarthritis: a prospective randomized controlled study

  • Cankurtaran, Damla;Karaahmet, Ozgur Zeliha;Yildiz, Sadik Yigit;Eksioglu, Emel;Dulgeroglu, Deniz;Unlu, Ece
    • The Korean Journal of Pain
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    • 제33권3호
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    • pp.258-266
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    • 2020
  • Background: The genicular nerve block (GNB) is demonstrated from several reports to alleviate pain and improve knee functionality in patients with chronic knee osteoarthritis (OA). Ultrasound (US)-guided GNB has been the most used imaging method. This study aimed to compare the effectiveness of US-guided versus blind GNB in the treatment of knee OA. Methods: This prospective, randomized clinical trial included patients with knee OA based on American College of Rheumatology diagnostic criteria. The patients were evaluated for clinical and dynamometer parameters at the baseline, 4 weeks after treatment, and 12 weeks after treatment. The patients underwent blind injection or US-guided injection. Results: When compared with the baseline, both groups showed significant improvement in pain, physical function, and quality of life parameters. Significant differences were observed between the groups for clinical parameters (30-second chair stand test, 6-minute walk test) in favor of the US-guided group. On the other hand, blind injection was more significantly effective on some parameters of the Nottingham Health Profile. There wasn't any significant improvement in isokinetic muscle strength for either group. Conclusions: This study demonstrated that both US-guided and blind GNB, in the treatment of knee OA, were effective in reducing symptoms and improving physical function. GNB wasn't an effective treatment for isokinetic muscle function. US-guided injections may yield more effective clinical results than blind injections.

관절가동기법이 급성요통환자의 통증과 기능회복에 미치는 영향 (The Effects of Mobilization on the Pain and Recovery of Function of Acute Low Back Pain Patients)

  • 이인학;구창회;박경리;배성수
    • The Journal of Korean Physical Therapy
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    • 제18권1호
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    • pp.41-51
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    • 2006
  • Purpose: The purpose of this study was to investigate effects of mobilization combined active movement(SNAGS) on the pain and recovery of function of acute low back pain patients. Methods: The subjects were consisted of 135 patients with acute low back pain. All subjects randomly assigned to mobilization group, stretching exercise group and modality treatment group. The mobilization group received mobilization combined active movement(SNAGS) with modality treatment, exercise group received stretching exercise with modality treatment and modality treatment group received modality treatment. Visual Analogue Scale(VAS) was used to measure patient's pain level and Patient Specific Functional Scale(PSFS) was used to measure patient's functional disability level. Results: The results of this study were summarized as follows : 1. Visual Analogue Scale(VAS) was mobilization group showed significantly decreased more than comparison group(p<.01) and active treatment group showed significantly decreased more than passive treatment group(p<.01). 2. Patient Specific Functional Scale(PSFS) was mobilization group showed significantly increased more than comparison group(p<.01) and active treatment group showed significantly increased more than passive treatment group(p<.01). Conclusion: It maybe suggested that mobilization combined active movement(SNAGS) is beneficial treatment for acute low back pain patient.

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강직성 양하지마비 아동의 자세조절과 운동성을 위한 물리치료의 중재 내용 분석: 단면연구 (A Content Analysis of Physical Therapy for Postural Control and Mobility in Children with Spastic Diplegia: A Cross-sectional Study)

  • 유성호;오덕원
    • 대한물리의학회지
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    • 제13권2호
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    • pp.75-87
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    • 2018
  • PURPOSE: The purpose of this study was to describe and analyze the components of physical therapy interventions to enhance postural control and mobility in children with spastic diplegia. METHODS: Thirsty-eight physical therapists working in rehabilitation settings volunteered to record the components of physical therapy interventions used during 894 treatment sessions for 179 children with spastic diplegia presenting with difficulties in postural control and mobility. Descriptive statistics were used to analyze the general characteristics of the therapists, the patients, and the frequency of the interventions. A one-way analysis of variance (ANOVA) and chi-square test were used to describe the components of the interventions and the goals of treatment. RESULTS: In clinical practice, physical therapists primarily used methods including "Hands-on: facilitation" (n=1990, 36.47%) and "Hands-off: practice" (n=1355, 24.83 %). Only 13.96% (n=762) of the interventions allowed patients to be independent or active outside of the treatment sessions. Interventions reflecting the therapeutic aims were performed for sitting (17.53%), standing (18.25%), and walking (27.39%). CONCLUSION: Physical therapists mostly used "therapistled" interventions to treat impaired postural control and mobility in children with spastic diplegia. Interventions to facilitate independent activity or practice outside the treatment sessions are infrequently used. These types of interventions were used regardless of the aims of treatment.

발달장애아동의 가정치료에 대한 어머니의 스트레스와 대처 특성에 관한 연구 (Stress and Coping on Home Treatment in Mothers of Children with Delayed Development)

  • 박상희;황병용;윤범철
    • The Journal of Korean Physical Therapy
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    • 제13권3호
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    • pp.727-734
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    • 2001
  • The purpose of this study was to obtain the information of the home treatment state for children with delayed development and to identify stress and coping pattern in mothers of the children. Data were collected from 211 mothers of delayed developmental children(DDC) by means of structured questionnaires. The results of this study were that in the home treatment mothers had technical insufficiencies to treat their children. so they had a difficulties in treating their children at home. But the home treatment were effective and mothers were assisted by their family and others in their treatment. The mothers had stress by anxiety of prognosis. hurts, responsibility, technical insufficiencies and negligent in housework. And acquisition of home treatment technique, the existence of assistant, and emotion in treatment also influenced on stress in the mother. The coping pattern in the stress were regular medical examination. communication with medical team and other mothers with DDC, faith of recovery and treatment. confidence in home treatment, family coorperation. and leisure time without concern for treatment. The younger mother received the more help from other mothers with DDC. And the mothers with severe, complex DDC had the more help from faith of recovery. Regular medical examination and faith of recovery were helpful coping pattern in mothers who had no treatment skill. Confidence in family coorperation and leisure time without concern for treatment were particularly helpful in mothers whose treatment duration is longer, and home treatment was not effective.

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서울, 경기지역 종합병원의 흉부물리치료 실태조사 (An Investigation on chest physical therapy of hospital in seoul and Kyungido)

  • 이윤섭;임승건
    • The Journal of Korean Physical Therapy
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    • 제14권2호
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    • pp.153-161
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    • 2002
  • The purpose of this study was to investigate the chest physical therapy in the hospital of seoul, kyungido and to activate the chest physical therapy. Dept. of physical therapy in 15 hospitals, 65 physical therapists disabled and analysis of interview. The results are as follows: 1) $86.7\%$ of respondents were not chest physical therapist in the hospital. $79.4\%$ of respondents were a lack of 5 patients per month. 2) The chief diagnosis of chest physical therapy was respiretory muscles weakness by reason of spinal cord injury and muscle diseases. Many physical therapists was obtain the chest physical therapy information from university or collage. 3) Management of chest Physical therapy Patient was to be alike physical therapist and doctor A problem of chest physical therapy was a lack of chest physical therapy information, cognition of a physician. The results of this study suggested that chest physical therapy need to organization of the treatment and magnification of the treatment area.

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