• 제목/요약/키워드: rehabilitation sports

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Reliable Prognostic Cardiopulmonary Function Variables in 110 Patients With Acute Ischemic Heart Disease

  • Lee, Jeong Jae;Park, Chan-hee;You, Joshua (Sung) Hyun
    • 한국전문물리치료학회지
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    • 제29권3호
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    • pp.200-207
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    • 2022
  • Background: The oxygen uptake efficiency slope (OUES) is the most important index for accurately measuring cardiopulmonary function in patients with acute ischemic heart disease. However, the relationship between the OUES variables and important cardiopulmonary function parameters remain unelucidated for patients with acute ischemic heart disease, which accounts for the largest proportion of heart disease. Objects: The present cross sectional clinical study aimed to determine the multiple relationships among the cardiopulmonary function variables mentioned above in adults with acute ischemic heart disease. Methods: A convenience sample of 110 adult inpatients with ischemic heart disease (age: 57.4 ± 11.3 y; 95 males, 15 females) was enrolled at the hospital cardiac rehabilitation center. The correlation between the important cardiopulmonary function indicators including peak oxygen uptake (VO2 peak), minute ventilation (VE)/carbon dioxide production (VCO2) slope, heart rate recovery (HRR), and ejection fraction (EF) and OUES was confirmed. Results: This study showed that OUES was highly correlated with VO2 peak, VE/VCO2 slope, and HRR parameters. Conclusion: The OUES can be used as an accurate indicator for cardiopulmonary function. There are other factors that influence aerobic capacity besides EF, so there is no correlation with EF. Effective cardiopulmonary rehabilitation programs can be designed based on OUES during submaximal exercise in patients with acute ischemic heart disease.

관절경적 전방 십자인대 재건술 후의 재활 치료 원칙 (Principle of Rehabilitation after the Arthroscopic Anterior Cruciate Ligament Reconstruction)

  • 경희수;김희수
    • 대한정형외과스포츠의학회지
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    • 제2권1호
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    • pp.6-14
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    • 2003
  • 전방십자인대재건술의목표는안정된관절과 pivot shift 현상을 제거하고, 반월상 연골을 보호하고, 관절운동범위를 유지하고, 술후슬개-대퇴관절의문제를최소화하도록재활하여수상전의운동수준으로복귀시키는것이다. 그래서전방십자인대 재건술은급성기에수술은피하고, 수술 전에재활치료를통하여관절운동범위와 대퇴사두고근의근력을얻은다음, 환자가육체적으로나정신적으로준비가될때까지수술을연기한다. 수술후재활치료는슬관절의완전신전과closed kinetic chain 운동을강조하며, 수술후정기적인방문으로재활치료를지도해주고장기추시해야하는것이중요하다.

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A home-based exercise program for temporomandibular joint osteoarthritis: pain, functionality, and joint structure

  • Macias-Hernandez, Salvador Israel;Morones-Alba, Juan Daniel;Tapia-Ferrusco, Irene;Velez-Gutierrez, Oscar Benjamin;Hernandez-Diaz, Cristina;Nava-Bringas, Tania Ines;Cruz-Medina, Eva;Toro, Lya Contreras-del;Soria-Bastida, Ma. de los Angeles
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제48권1호
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    • pp.50-58
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    • 2022
  • Objectives: Osteoarthritis (OA) is the most prevalent and disabling joint disease in the world. Temporomandibular joint (TMJ) exercise is a widely used treatment and could be a beneficial and long-term tool for treating TMJ OA. The present study aims to evaluate the effects of therapeutic exercise in the conservative treatment of TMJ OA. Materials and Methods: A single-group experimental pre-post test was performed. We included patients who met the diagnostic criteria for TMJ OA. Outcome variables were pain intensity (visual analogue scale), functionality (Helkimo index), and structural changes (ultrasound). Follow-up periods were at months 1, 3, and 6. The intervention included a home-based program with thermotherapy, manual therapy, and therapeutic exercise during the entire follow-up period. Results: We included 15 patients and 26 joints, all women with a median age of 57 years (range, 49-62 years). Median change in pain intensity on joint palpation, mouth opening, and at rest at the first month was 47.5 mm, 51 mm, and 60 mm, respectively, and 48 mm, 49.5 mm, and 42.5 mm, at six months (P=0.001). The Helkimo index showed significant improvement in medians from baseline severe dysfunction (17 points) to minimal dysfunction at three and six months (2 points) (P=0.001). Ultrasound showed improved disc position. Conclusion: This study demonstrated significant improvements in pain, function, and joint disc position and represents a valuable tool for the long-term treatment of patients with TMJ OA.

플라이오메트릭스의 생역학과 신경생리 (Biomechanics and Neurophysiology of Polyometrics)

  • 배성수;이한숙;김경;김수민;최재원
    • The Journal of Korean Physical Therapy
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    • 제12권2호
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    • pp.219-228
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    • 2000
  • Successful return to work or athletic sports after rehabilitation of an orthopeadic condition and sports injury of the lower extremities requires that the therapist understand the mechanical requirements of high level Physical activity. High level Physical activity need resistance exercise Program in the treatment approaching methods. One of them, the plyometrics training is the best way that will be magnifing the musculotendon unit. So it is important understanding of biomechanics and neurophysiology of plyometrics.

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발등굽힘 관절가동범위 제한이 착지 시 움직임 전략에 미치는 영향 (Effects of Limited Dorsiflexion Range of Motion on Movement Strategies during Landing)

  • Inje Lee;Donggun Kim;Hyeondeukje Kim;Hyunsol Shin;Jiwon Lee;Yujin Jang;Myeongwoo Pi
    • 한국운동역학회지
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    • 제33권4호
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    • pp.147-154
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    • 2023
  • Objective: This study aimed 1) to compare the Landing Error Scoring System (LESS) score and movement patterns during landing of the lesser dorsiflexion range of motion (LDFROM) group to that with the greater dorsiflexion range of motion group, and 2) to identify the correlation between the weight-bearing dorsiflexion range of motion (WBDF ROM), LESS score, and movement patterns during landing. Method: Fifty health adults participated in this study. WBDF ROM was measured using the weight bearing lunge test while movement patterns during landing was assessed using the LESS. The joint angles of the ankle, knee and hip joints during landing were analyzed using the 2D video analysis. After mean value of WBDF ROM was calculated, participants were divided into two groups (GDFROM and LDFROM) based on the mean value. The Mann-Whiteny 𝒰 test was used to identify differences in movement strategies during landing between two groups and the Pearson's correlation analysis was performed to determine relationships between WBDF ROM and movement strategies. Results: The LDFROM group showed the poorer LESS score and stiffer landing kinematics during landing compared to the GDFROM group (p<0.05). In addition, DFROM was significantly related to the LESS score and landing kinematics (p<0.05) except for total hip excursion (p=0.228). Conclusion: Our main findings showed that the LDFROM group had poorer landing quality and stiffer landing movements compared to the GDFROM group. In addition, increase of WBDF ROM significantly improved landing quality and soft-landing movements. To reduce shock during landing such as ground reaction forces, individuals need to better utilize WBDF ROM and lower extremity movements based on our findings. Therefore, intervention programs for safer landings should include exercises that increase WBDF ROM and utilize eccentric contraction.

스포츠한의학의 활용을 위한 종합격투기 상해 분석 (A Survey on the Injuries of Mixed Martial Arts Athletes : for Oriental Sports Medicine)

  • 박지훈;소갑석;박정현;남종경;김호준;이명종
    • 한방재활의학과학회지
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    • 제18권4호
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    • pp.217-230
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    • 2008
  • Objectives : The purpose of this study was to investigate the type, sites and period of injuries in Mixed Martial Arts. Methods : The questionnaire composed of 26 items was used as the research tool for this study. The respondents were 84 athletes of Mixed Martial Arts who participated in Spirit MC Amateur League in September, 2007. Data analysis use chi-square examination by SPSS$^{(R)}$ 12.0 program. Results : 1. Frequently, strikers are damaged at face and waist, grapplers are damaged at knee and waist. 2. Frequently, beginers are damaged at muscle and tendon, experts are damaged at bone and joint. 3. Age, career, specialty and injured type have significant correlations. 4. Age, career, training time and concern response have significant correlations. 5. Oriental medical treatment are friendly but not well-known to the athletes. Conclusions : Injuries of Mixed Martial Arts is multifactorial, so approach of athlete's individuality is important.

Lumbar burner and stinger syndrome in an elderly athlete

  • Wegener, Veronika;Stabler, Axel;Jansson, Volkmar;Birkenmaier, Christof;Wegener, Bernd
    • The Korean Journal of Pain
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    • 제31권1호
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    • pp.54-57
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    • 2018
  • Burner or stinger syndrome is a rare sports injury caused by direct or indirect trauma during high-speed or contact sports mainly in young athletes. It affects peripheral nerves, plexus trunks or spinal nerve roots, causing paralysis, paresthesia and pain. We report the case of a 57-year-old male athlete suffering from burner syndrome related to a lumbar nerve root. He presented with prolonged pain and partial paralysis of the right leg after a skewed landing during the long jump. He was initially misdiagnosed since the first magnet resonance imaging was normal whereas electromyography showed denervation. The insurance company refused to pay damage claims. Partial recovery was achieved by pain medication and physiotherapy. Burner syndrome is an injury of physically active individuals of any age and may appear in the cervical and lumbar area. MRI may be normal due to the lack of complete nerve transection, but electromyography typically shows pathologic results.

The Effects of Coordinative Locomotor Training using Elastic Band on Dynamic Balance and Grip Strength in Elementary School Baseball Player

  • Lee, Han-Gyeol
    • Physical Therapy Rehabilitation Science
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    • 제10권4호
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    • pp.414-420
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    • 2021
  • Objective: The purpose of this study was to investigate the effects of coordinative locomotor training(CLT) using elastic bands on dynamic balance and grip strength for Elementary school baseball players and to provide correct posture guidance and reference on the prevention and rehabilitation program of sports damage and injury in the future. Design: Two groups pre-post randomized controlled design. Methods: Forty-six subjects were randomly divided in two groups;1) CLT using Elastic Band group(Experimental group, n=23), 2) Routine baseball training group(Control group, n=23). The intervention was conducted total 16 times for sixty minutes a day, 2 times a week, for 8 weeks. Evaluations of dynamic balance ability and grip strength were performed with all subjects before the commencement of training and 8 weeks after training. Results: Compared to the control group after training, the dynamic balance ability and dominant handgrip strength of the experimental group were significantly more improved(p<0.05). Conclusions: We confirmed that the effects of CLT using elastic bands on dynamic balance ability and grip strength in Elementary school baseball player. This study should be used for improving the quality of the Elementary school baseball player's training and would be contributed prevention and rehabilitation program of sports damage and injury.

스포츠 약학: 새로운 영역의 약사 역할과 전문 약료서비스 준비 (Sports Pharmacy: New Specialty of Pharmacists and Pharmaceutical Care Services)

  • 김승화;조소라;최재희;이영희;이정연
    • 한국임상약학회지
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    • 제31권1호
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    • pp.12-20
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    • 2021
  • The World Anti-Doping Agency has made efforts to promote the safe use of medications and prevent doping in sports globally. International standards have been established and experts have advocate anti-doping education to athletes and healthcare professionals. Pharmacists are expected to participate in the pharmaceutical care activity of sports medicine in protecting the athletes while providing the spirits of clean sports. In this review, we described the pharmacists' roles and functions in six areas of sports pharmaceutical care: awareness, treatment, prevention, optimization, abuse, and monitoring. Sports pharmacists should be able to prevent inappropriate drug use and manage athletes' illness and injury using pharmacotherapy. Further pharmacists should actively involve to educate and counsel athletes, trainers, and healthcare teams. In conclusion, pharmacists are expected to play important roles in sports pharmacy, which is the emerging area of specialized pharmaceutical care services.

슬관절과 견관절의 초기재활과정에서 관절운동범위와 스트레칭, 그리고 유산소성 운동 프로그램 (Range of Motion, Stretching, and Aerobic Exercise in Accelerated Rehabilitation of Knee and Shoulder)

  • 김용권;진영수
    • 대한정형외과스포츠의학회지
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    • 제2권1호
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    • pp.56-61
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    • 2003
  • 본연구는슬관절과견관절의초기재활과정에서관절운동범위와스트레칭, 그리고유산소성운동프로그램에대한논문이다. 만약관절이손상후장기간동안고정된다면관절이굳어지고 근육은위축이 될것이다. 그러므로본 프로그램은다양한운동기술을포함하고있다. 즉관절의경직을예방하기위한운동범위확보와근육의이완을위한스트레칭, 심폐기능의감소를예방하기위한심혈관훈련(수영, 상체자전거, 고정식자전거)을포함하고있다. 초기재활과정에서는임상운동전문가와환자사이의상호관계를형성하는것이매우중요하다. 또한임상운동전문가는환자의통증과운동적응도, 체력수준, 프로그램의진행등에관해스포츠의학전문의와상의하는것이권장된다.

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