• Title/Summary/Keyword: rehabilitation sports

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Transitioning from the Posterior Approach to the Direct Anterior Approach for Total Hip Arthroplasty

  • Cameron M. Metzger;Hassan Farooq;Jacqueline O. Hur;John Hur
    • Hip & pelvis
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    • v.34 no.4
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    • pp.203-210
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    • 2022
  • Purpose: Total hip arthroplasty (THA) using the direct anterior approach (DAA) is known to have a learning curve. The purpose of this study was to review cases where surgery was performed by an arthroplasty surgeon transitioning from the posterior approach (PA) to the DAA. We hypothesized similar complication rates and improvements in surgical duration over time. Materials and Methods: A review of 2,452 consecutive primary THAs was conducted. Surgical duration, length of stay (LOS), surgical complications, decrease in postoperative day (POD) 1 hemoglobin, transfusion rates, POD 0 and POD 1 pain scores, incision length, leg length discrepancy (LLD), and radiographic cup position were recorded. Results: No differences in surgical duration were observed after the first 50 DAA cases. A shorter LOS was observed for the DAA, and statistical difference was appreciated after the first 100 DAA cases. There were no differences in periprosthetic fractures. A higher rate of infections and hip dislocations were observed with the PA. The PA showed an association with higher transfusion rates without significant difference in POD 1 decrease in hemoglobin over the first 100 DAA cases. Similar POD 0 and POD 1 pain scores with a smaller incision were observed for the first 100 DAA cases. The DAA cohort showed less variation in cup inclination, version, and LLD. Conclusion: DAA is safe and non-inferior in terms of reduced LOS, smaller incision, and less variation in cup position. Fifty DAA cases was noted to be the learning curve required before no differences in duration between approaches were observed.

Re-reading "Ti-Yu zhi Yan-Jiu", by Mao Ze Dong (모택동(毛澤東)의 「체육지연구(體育之硏究)」 다시 읽기)

  • Shin eui-yun
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.5
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    • pp.373-379
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    • 2024
  • Mao Ze Dong's argument, which was examined through "Ti-Yuzhi Yan-Jiu," was not bound by Chinese traditions in the past, and it is a very bold and novel writing that points out exactly why physical education is necessary and why intellectuals of the time do not exercise. In addition, so that the first half's description does not stay only in empty theories, the second half introduces "Six-stage Gymnastics," which he created himself, and suggests specific action methods. Mao Ze Dong's idea of sports in "Ti-Yuzhi Yan-Jiu" is not just about promoting health, but is in line with the 5.4 New Culture Movement and is linked to the idea of saving the country for the nation and its people based on a strong body. I believe that 'Tiyuzh Yanjiu" initially stemmed from a simple sports enthusiast's ideology emphasizing Mao Zedong's physical training methods and their necessity. However, over time, the expression and practice of this argument became the foundation for the socialist political ideology of Mao Zedong, who united the people of China under socialism, founded the People's Republic of China, and led the entire country for nearly thirty years with his practical approach to physical training.

Effect of Lumbar Stabilizing Exercise SEBT Training on Isometric Lumbar Strength, Dynamic Balance Ability and Range of Motion in Open Laser Lumbar Microdisectomy Patients (미세 현미경 레이저 요추 디스크 절제술 환자의 요부안정화운동과 SEBT 트레이닝이 등척성 요부근력과 동적균형능력, 관절가동범위에 미치는 영향)

  • Jeon, Ho-Min;Kim, Jung-Hoon;Lee, Jang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.212-220
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    • 2020
  • This study examines the effects on isometric lumbar extension strength, dynamic balance ability, and range of motion, after administering 8 weeks SEBT exercise (dynamic balance exercise) and Lumbar Stabilizing exercise, to open laser lumbar microdiscectomy patients. Totally, 14 patients who underwent preservation treatment for 6 weeks after undergoing open laser lumbar microdiscectomy, were enrolled for the study. Patients were randomly assigned to the Lumbar Stabilizing Exercise Group (LSG, n=7) and SEBT Exercise + Lumbar Stabilizing Exercise Group (SGLS, n=7). Results indicate that isometric lumbar extension strength ratio significantly decreases after 8 weeks rehabilitation exercise in both the LSG (p=0.007) as well as SLSG (p=0.024) groups. Normalized reach distance of the three directions in the Y-balance test to examine the dynamic balance capability showed a significant increase in both groups. The dynamic balance capability showed significant increase to the left (LSG, p=0.010; SLSG, p=0.002) and right (LSG, p=0.002; SLSG, p=0.002). Moreover, significant increase was also obtained in the range of joint operation, in both LSG (p=0.006) and SLSG (p=0.017) groups. These results indicate that both groups of rehabilitation exercise achieve positive outcomes on the isometric lumbar extension strength, range of motion, and dynamic balance ability. However, some results suggest that the SEBT program is likely to have a better efficacy.

The study about the cause of the Korean professional pitchers' injury and its classification (한국 프로야구투수들의 부상 발생원인 및 분류에 관한 연구)

  • Nam Joung-Chul;Kim Sang-Su;Lee Dong-Ho
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.172-182
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    • 2002
  • Objectives: We did research in the cause of the Pitchers' injury and their recovery process to make a detailed injury list for the purpose of finding the cause of the Korean professional pitchers' injury and its classification. We drew the conclusion through the results as following. Methods: We posed a question to the 80 pitchers playing in the first team of the eight Korean professional baseball team and analyzed the 62 pieces of question paper except the paper having a mistake. We used SAS/PC statistical package in analyzing the data. Results: In the frequency of the pitchers' shoulder injury in the last three years, the injured of all the players were 61.3$\%$ and the injury free players were 28.7$\%$. The cause of the injury was 45.2$\%$ wrong pitching motion, which was the highest value. For the shape of a pain when injured, the reverberation ache feeling when he is hit in the weight commanded an absolute majority as 19.4$\%$. Those who had muscular pain were 17.7$\%$, which was felt mostly at the pitching motion. The most trouble name of the injured shoulder was bicepstendinitis as 16.1$\%$ while the injury of shoulder joint was the lowest as 1.6$\%$. As the most widely used treatment, 25.8 percent of all the players had taken an electronical thraphy after injury. 14.5 percent of the players who had an injury to the shoulder told that they have an operation and 85 percent of them didn't. As a sort of the operation, a repairing of labrum was 44.4 percent, which is the highest value and the 77.8 percent pitchers are performing a normal pitching through rehabilitation after the operation and 22.2 percent of them are undergoing rehabilitation training. Conclusion: The research have shown that the main cause of the injury, concerning the Korean professional pitchers throwing lots of ball in both matches and practices, is overuse syndrome, bad mechanism, muscle weakness and instability of balance. I think that the role of trainer, physical therapy, and team physician taking charge of the players' injury must learn physical test method by heart exactly to check up the state of the injury definitely at the initial phase. Moreover, when the cause of the injury part after a close examination is discovered, the scientific and good surgery is essential to the rehabilitation success and making a classification of shoulder instability is useful to make a operation plan as well as the players' rehabilitation, treatment.

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Review of the effect of PNF application on low back pain patient (요통환자에 대한 PNF 적용 효과에 관한 고찰)

  • Kim, Tae-Ho;Kim, Eun-Jung;Jung, Jae-Min;Yoon, Young-Jo;Han, Jin-Tae
    • PNF and Movement
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    • v.6 no.1
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    • pp.33-40
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    • 2008
  • Purpose : When the pliability of the Lumbar is degraded, the kinesiology function undergoes an influence and it receives an overload. Finally, it is connected with a Lumbar muscular injury. When it does the regular exercise treatment the lumbago patient the balance and function of changeover are improved. The purpose of this study is to review of effect of the PNF application for lumbago patient Methods : By using internet, we research the PubMed, Science Direct, KISS, DBpia and the article on the effect of PNF. We selected the article between 1970 and 2007. Key words were low back pain, lumbago, PNF. Results : PNF is a therapeutic exercise for central nervous system(CNS) patient and the peripheral nervous system(PNS) patient and it is widely applied from sports medicine in the last. According to research of the Jung Young Jo(2007) and Han Kou Soo(2002), PNF technique improves the pain and a condition of the lumbago patient. And the affection balanced change and dynamic balance change and spontaneous movable scope are improved. And it improved to daily life activity. According to research of Moore and Hutton(1980), Lee Kyoung Hye(1999), PNF stretching where it is one of muscular relaxation is good in lumbar muscle fascia ache solutions, and PNF stretching that muscle is relaxed and increases ROM by Reflective system of the vertebra. These researches is relation all each other. it have appeared many report of research about Pliability, muscular power, balance, mobility improve ADL movement of attendance ability and functional action improved excise therapy put effect about lumbago patient recently, it have appeared research about therapy of lumbago patient through PNF. But PNF technique is not application about lumbago patient in clinic, therefore also it is not enough for case study about this therapy. Conclusion : PNF improve combination operation of muscle, inconvenience decrease from daily life activity, ROM(range of movement) of lumbar is increase and Lumbago reduce. So we suggest that PNF will be applies on the lumbago patient and must do a many research.

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The Effect of a Kinesio Taping on Muscle power and Muscular fatigue in Quadriceps Femoris (대퇴네갈래근에 테이핑요법 적용이 근력과 근피로에 미치는 영향)

  • Choi, Jung-Hyun;Lee, Jae-Kap;Ahn, Ho-Jung
    • Journal of Korean Physical Therapy Science
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    • v.15 no.4
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    • pp.19-26
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    • 2008
  • Background: This study examines the changes in muscular strength and muscle fatigue substances when taping treatment is applied in squat exercise and treadmill exercise, in which quadriceps femoris muscles are used frequently so as to clarify the effects of taping as an aid of exercise ability improvement. Methods: 20 healthy male adults in their 20's participated in the study, in which tapes were put on their quadriceps femoris muscles, and various variables as the indicator of muscular strength and muscle fatigue substances were measured by means of the measuring tool before and after exercises. Results: the following conclusion was drawn up: 1. In exercise using muscular strength of the right knee extension, the reduction of muscular strength after exercise of the taping group showed significant statistical difference from that of the non-taping group. 2. In exercise using muscular strength of the lower limbs, the reduction of blood Glaucos after exercise of the taping group showed significant statistical difference from that of the non-taping group. 3. In exercise using muscular strength of the lower limbs, the value of lactic acid after exercise of the taping group showed significant statistical difference from that of the non-taping group. Conclusion: Therefore, the results of this study demonstrate that the application of taping treatment in sports activity or daily life where quadriceps femoris muscles are used a lot can have positive effects on the improvement of muscular strength and relief of muscle fatigue.

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Development and Evaluation of a Putting Training System with Changeable Guideline of Width and Distance (가이드 폭과 위치조절이 가능한 퍼팅훈련시스템 개발 및 유용성 평가)

  • Kil, S.K.;Kim, J.H.;Moon, J.H.;Park, J.C.;Kim, T.W.;Kim, K.J.;Lee, S.C.;Hwang, J.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.4
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    • pp.275-281
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    • 2014
  • The purpose of this study was development and evaluation of putting training system with specialized guides which were adjustable its width and changeable its distance from the ball. The system hardwares that used in this study were made by LEGO NXT and Tetrix set. The system software was made by LabVIEW ver. 2010. The subjects were organized in non-experts(10persons) and KPGA(5persons) players. The putting training schedule was composed of 10 sets and each sets were identically same, which were organized in 4 different width of its guide at 3 different distance from the ball hitting spot, 3 repetition each. The speed/acceleration in wrist area and movement in head area were both reduced by the putting training. Most of testees submitted positive comments in aspect of concentration and motivation. This training method which had changeable width and distance will be able to adapt easily to another sports for the handicapped and the elderly such as ParkGolf or Gateball.

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Trends of Government Funded Research for Kampo Medicine in Japan and It's Implication (일본에서의 한방의학(漢方醫學)에 대한 국비 지원 연구 동향과 그 함의)

  • Jeung, Chang-Woon;Choi, Chang-Hyuk;Jo, Hee-Geun;Song, Min-Yeong;Baek, Eun-Hye
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.1
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    • pp.121-131
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    • 2018
  • Objectives We analyzed the trends of government-funded research on Kampo medicine in Japan to provide advanced evidence to R&D support policy for Korean medicine, and to introduce new research fields and trends to the researchers. Methods We reviewed the researches on Kampo medicine through 'research-er.jp' and 'KAKEN' database which contain R&D status in Japan and scientific research funding project issued by the Japan Ministry of Education, Culture, Sports, Science and Technology. Results Since 1976, government-funded research on Kampo medicine has been continuously announced, and now 533 tasks have been completed or are in progress. The average duration of the study is 2.54 years, but it has been prolonged to 3.52 years in recent years. 4~5 million yen was supported per project for laboratory research, and an average of 44,342 thousand yen was supported per project for specialized laboratory research and clinical research. Conclusions Despite the absence of systematically supporting departments, the researches on Kampo medicine in Japan were qualitatively superior since they focused on providing the scientific basis for clinical application. As competition in the world's traditional medicine market becomes more intense, it is necessary to improve the competitiveness of Korean medicine. Therefore, a keen interest in Korean medicine and active support from the government is needed.

Comparison of the Muscle Activities in the Lower Extremities during Weight-bearing Exercises

  • Kim, Eun Ja;Hwang, Byong Yong;Kim, Mi Sun;Kim, Ik Hwan
    • The Journal of Korean Physical Therapy
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    • v.24 no.3
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    • pp.216-222
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    • 2012
  • Purpose: Weight-bearing exercise is a type of physical exercise that is widely performed for rehabilitation after acquiring nervous-system diseases or sports-related injuries. It is one of the most commonly prescribed rehabilitation programs for strengthing of the lower extremities. Weight-bearing exercise is important for the conduct of such activity of daily living (ADLs) as walking, and up and down the stairs. The purpose of this study was to investigate the muscle activities during one-leg standing and one-leg squatting, the two most representative weight-bearing exercises. Methods: A total of 43 elderly (60~70 years old) males who could perform weight-bearing exercises were included in the study. During the one-leg standing and one-leg squatting, the electromyographic (EMG) signals were quantified as maximum voluntary isometric contraction (%MVIC) using surface EMG, and then the muscle activities of the lower extremities during the two exercises were compared. For statistical analysis, an independent sample t-test and one-way ANOVA were performed. Results: The results of the study are as follows: (1) in the one-leg standing, the activity of the gluteus medius was the greatest among the vastus medialis, vastus lateralis, bicep femoris, (2) in the one-leg squatting, the activity of the vastus medialis was the greatest; and (3) the activity was greater in the one-leg squatting than in the single-leg standing exercise. Conclusion: The one-leg standing and squatting exercises are suitable for strengthening the muscles for the prevention of and recovery from lower-extremity injury, and for functional ADL in elderly people. In addition, dynamic exercise was shown to be more effective than static exercise for strengthening the muscles.

Effects of Hoehn-Yahr Scale on the Activation of Lower-Extremity Muscles during Walking with Parkinson's Patients (파킨슨 환자들의 질병등급척도가 보행 시 하지의 근육활동에 미치는 영향)

  • Kim, Chang-Hwan;Kim, Mi-Young;Moon, Je-Heon;Lim, Bee-Oh
    • Korean Journal of Applied Biomechanics
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    • v.24 no.3
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    • pp.287-293
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    • 2014
  • The purpose of this study was to investigate the effects of Hoehn-Yahr scale on the activation of lower-extremity muscles during walking. Electromyography (EMG) analysis was carried out on 36 patients with Parkinson's disease in the off phase of the medication cycle. We recorded EMG signals of the tibialis anterior (TA), medial gastrocnemius (MG), lateral gastrocnemius (LG), soleus (SOL), rectus femoris (RF), vastus lateralis (VL), semitendinosus (ST) and biceps femoris (BF) using Noraxon 16 channels EMG system during walking at preferred speed. Rectified EMG signals were normalized to reference voluntary contractions (RVC) over a gait cycle at the preferred speed, allowing for an assessment of how the activity was distributed over the gait cycle. Compared to the H & Y Scale 1, H & Y Scale 3 exhibited greater activation of the vastus lateralis during mid-stance and greater activation of the medial gastrocnemius during terminal swing. Compared to the H & Y Scale 1, H & Y Scale 2 and 3 exhibited less activation of the tibialis anterior during initial swing. We conclude that the more Hoen & Yahr Scale increase, the more abnormal lower-extremity muscles activation.