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Effect of Physiotherapeutic Intervention Using TECAR Therapy on Pain Self-Awareness and Hip Joint Function in Hip Impingement Syndrome: A Case Study

  • Oh, Dong-Gun;Kim, Seon-Ki;Yoo, Kyung-Tae
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.3
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    • pp.45-53
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    • 2021
  • PURPOSE: The current case study focuses on identifying the effects of the independent application of TECAR therapy and physiotherapeutic intervention using TECAR therapy on pain self-awareness and hip joint function in patients with hip impingement syndrome caused by nonstructural changes. Subjects: The research subject was a 34-year-old woman struggling with acute pain in her left hip, difficulty in actively moving the hip, and a problem in its overall function. METHODS: The subject's pain awareness and hip joint function were measured using a Visual Analog Scale (VAS) and passive range of motion (PROM), respectively. The experimental intervention was carried out in 24 sessions of 16 minutes each, three times a week, for eight weeks. RESULTS: The VAS score decreased to 0 cm on the post-test from 4.3 cm, 6.5 cm, and 7.2 cm in the pre-test at the rest, standing, and gait positions, respectively. The index of PROM measured hip joint flexion, extension, abduction, adduction, internal rotation, external rotation, and passive straight leg raise. The values increased to 122.5°, 24.5°, 78°, 33°, 65°, 42°, and 96.5° in the post-test compared to 88.5°, 15°, 39°, 21.5°, 23°, 22°, and 46.5° in the pre-test, respectively. CONCLUSION: TECAR therapy and physiotherapeutic intervention using TECAR can help reduce pain and enhance the hip joint function in patients with hip impingement syndrome.

Stepping Trail Making Test: Preliminary Study for the Effectiveness of the Novel Dual Task Assessment Tool for Physical and Cognitive Functions in Elderly (보행기호잇기검사: 새로운 신체 및 인지 기능에 대한 이중 과제 평가도구로서의 효용성에 대한 예비연구)

  • Ju-Ri Eom;Byeong-Ju Lee
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.2
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    • pp.41-48
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    • 2023
  • PURPOSE: Falls are caused by a decline in physical and cognitive function. A quantitative evaluation tool that can comprehensively evaluate motor and cognitive functions for elderly people with an impaired physical function. This study assessed the clinical application potential by confirming the correlation between the physical function tests, cognitive and the stepping trail-making test (S-TMT). METHODS: Fourteen community-dwelling older patients (65-75 years) were recruited. The study conducted cognitive function tests with the trail-making test (TMT-A, B), and physical function tests (6-minute walking test (6MWT), short physical performance battery (SPPB), and timed up and go (TUG)). The results of were analyzed using SPSS version 21.0. Descriptive statistics were used for the general characteristics of the study subjects, and the correlations between S-TMT, other functional tests were examined through Pearson's correlation analysis. The statistical significance was set to .05. RESULTS: S-TMT had a significant positive correlation with the TUG (r = .588*) and trail-making test-B (TMT-B) (r = .689*, p < .05). Furthermore, S-TMT showed a negative correlation between SPPB (r = -.397) and 6MWT (r = -.422), but it was not statistically significant. CONCLUSION: S-TMT is a cognitive-gait dual-task performance evaluation tool that can be performed safely. A significant correlation was confirmed between the TUG test and the TMT-B. S-TMT is a dual-task screening tool that can evaluate both physical and cognitive functions simultaneously.

The Effects of Modified Constraint-Induced Movement Therapy on Hand Functions of Children With Hemiplegic Cerebral Palsy (수정된 강제유도 운동치료가 편마비를 가진 뇌성마비 아동의 상지 기능에 미치는 영향)

  • Bang, Hyun-Soo;Jang, Sang-Hun
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.1
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    • pp.25-35
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    • 2017
  • Objective : The aims of this study was to investigate the effects of modified constraint induced movement therapy(CIMT) on upper extremities function of children with hemiplegic cerebral palsy. Methods : The participants of this study are 4 children with hemiplegic cerebral palsy aged between 8 to 11 years old. During the modified CIMT period, the unaffected hand of the subjects was restrained by a hand splint for 8 weeks, five days per week, five hours a day. And the affected upper extremity was strongly trained by performing functional tasks, which were individually structured use of the affected arm. Measurements used to assess hand function are Jebsen Hand Function Test, and 3D Motion Analysis. The Jebsen Hand Function Test was performed repeatedly every two weeks. The 3D Motion Analysis was performed before and after the 8 weeks of modified constraint induced movement therapy. Results : After the modified CIMT, there was a significant improvement in completed time for the 6 tasks of Jebsen Hand Function Test(p<.05). 3D Motion Analysis was that the finger tapping and the hand tapping has been significantly decreased (p<.05), and the pronation-supination movement has been significantly increased as well(p<.05). Conclusion : In the results of this study, it is evidenced that modified CIMT is effective treatment for upper extremities function of children with hemiplegic cerebral palsy. For future research, it is recommended to examine various periods and protocol of modified CIMT including impact of long periods application.

The influence of sleep and sleep apnea on memory function (수면 무호흡과 수면이 기억기능에 미치는 영향)

  • Lee, Sung-Hoon;Lee, Na-Young;Park, Yun-Jo;Jon, Duk-In
    • Sleep Medicine and Psychophysiology
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    • v.5 no.2
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    • pp.177-184
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    • 1998
  • Objectives : Disturbance of sleep with or without sleep apnea may impair the memory function. Sleep deficiency, sleepiness, sleep apnea and emotional problem in sleep disorders can induce an impairment of memory function. Methods : In this study, the polysomnographies were administered to 58 sleep apnea patients and 38 sleep disorder patients without sleep apnea. Their clinical symptoms were quantitatively evaluated. Short term and long term memory were evaluated before and after polysom no graphy with Digit symbol test and Rey-Osterrieth complex figure test. And correlations among various sleep, repiratory and clinical variables were statistically studied in order to explore which variables may influence on memory function. Results and Conclusions : Results are as follows. Depth of sleep cis positively correlated with memory function. As sleep apnea increases and average saturation of blood oxygen decreases, memory function is more impaired. Emotional depression, high blood pressure, obesity or alcohol impaired memory function. However, daytime sleepiness was not significantly correlated with memory function. The possible mechanisms how above factors influence on the memory function were discussed.

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Effects of Virtual Reality Training Combined with Thermal Stimulation on Upper Extremity AROM and Function in Chronic Stroke Patients (열자극을 병행한 가상현실훈련이 만성 뇌졸중 환자의 위팔 능동가동범위와 기능에 미치는 영향)

  • Dong Hoon Kim
    • Journal of Korean Physical Therapy Science
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    • v.30 no.1
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    • pp.62-71
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    • 2023
  • Background: This study was performed to evaluate the effects of Thermal stimulation combined virtual reality training (TV) on improvement of upper extremity AROM and function in patient with chronic stroke. Design: Two groups pre-post randomized controlled design. Methods: A single-blind, randomized controlled trial was conducted with 30 chronic stroke patients. They were randomly allocated two groups; the TV group (n=15) and Virtual Reality training group (VT) (n=15). The TV group received treatment for 30 min - 15 min of Thermal stimulation, and 15 min of VR training. The VT group received 15 min of VR training. Each group performed 30 minutes a day 3 times a week for 8 weeks. The primary outcome upper extremity AROM and function were measured by a active range of motion test, Manual Function Test (MFT) and Jebsen-Taylor hand function Test (JTT). The upper extremity active range of motion was evaluated using a digital dual inclinometer. MFT and JTT were used to evaluate the hand function. The measurement were performed before and after the 8 weeks intervention period. Results: Both groups demonstrated significant improvement of outcome in muscle strength and upper extremity function during intervention period. TV group revealed significant differences in AROM and upper extremity function as compared to the VT groups (p<.05). Our results showed that TV was more effective on upper extremity AROM and function in patients with chronic stroke. Conclusion: Both groups demonstrated significant improvement of outcome in muscle strength and upper extremity function during intervention period. TV group revealed significant differences in AROM and upper extremity function as compared to the VT groups (p<.05). Our results showed that TV was more effective on upper extremity AROM and function in patients with chronic stroke.

A Literature Review on the Evaluation of and Interventions for Children's Motor Function (아동의 운동기능 평가 및 중재방법에 관한 문헌 고찰)

  • Sa, Jae-Deok;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.10 no.2
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    • pp.53-74
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    • 2021
  • Objective : The purpose of this study was to examine foreign literature on the evaluation and interventions for motor functions in children. Methods : Studies in this review were identified by searching the PubMed, Cochrane Library (Embase) databases from those published form January 2010 to March 2020 using the following keywords: "motor function test" or "motor function measure" or "movement assessment" or "motor proficiency test" or "motor scale" or "motor skill" and children. Results : Of the total 37 identified studies, 14 analyzed evaluations, 23 analyzed interventions, all of which were randomized control trials. Studies on evaluations were increasingly more common, in contrast to studies on interventions for motor functions. The most frequent field of research was rehabilitation. The studies on evaluations included the AIMS and MABC-II, and GMFM was the most frequently used intervention. Interventions were most commonly used in task-oriented training (six studies). Conclusion : This study aimed to provide a basis for therapists to choose effective motor function evaluation and interventions for clinical trials by analyzing studies related to interventions for and evaluation of motor function in children.

Retrospective Observation of Liver Function Test in 147 Patients Admitted to Korean Medicine Hospital (한방병원에 입원한 환자 147명의 간기능 검사에 대한 후향적 관찰)

  • Lee, Yu Ri;Cho, Na Kyung;Kim, Kyung Soon;Choi, Hong Sik;Kim, Seung Mo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.6
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    • pp.418-421
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    • 2018
  • The purpose of this study was to evaluate the changes of liver function test before and after treatment in patients admitted to Korean medicine hospital. We checked liver function test level (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, total bilirubin, direct bilirubin) of 147 patient who admitted in Korean medicine hospital from July 1, 2015 to June 30, 2018. The subjects were selected those who took herbal medicine continuously during the admission period and who performed liver function test on admission and before discharge. And the subjects were excluded those who had a history of liver and biliary disease at the time of admission or who took hepatoprotectants. Aspartate aminotransferase, alanine aminotransferase and alkaline phosphatase significantly decreased compared with the values of admission(p<0.05), but total bilirubin and direct bilirubin were not significantly changed(p>0.05). On admission 31 patients(21.1%) had abnormal liver function and 6 patients(4.1%) had liver injury while 19 patients(12.9%) had abnormal liver function and 6 patients(4.1%) showed liver injury before discharge. This study suggests that herbal medicine may not injure liver function.

A Study on Relationship between the Learning Skills and the Cognitive Functions (학습기술과 인지기능과의 관계 연구)

  • KIM, Jeoung-Eun;KANG, Young-Sim
    • Journal of Fisheries and Marine Sciences Education
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    • v.21 no.2
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    • pp.278-290
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    • 2009
  • The purpose of this study is to investigate the relationship between learning skills and cognitive functions on elementary school students. In this study CAS and Learning Skills Test(LST) were administered with 3 to 6 grade, 60 students from 5 elementary schools. The data were analyzed according to Pearson's correlation and Stepwise Multiple Regression Analysis. The results are as follows. Firstly, girls and older students showed significantly higher ability than boys and younger students on the learning skills. And girls significantly outperformed boys on the planning function and attention function and on the simultaneous cognitive function was the other way round. Secondly, learning skills were explained 41% by two variables that the planning function and the successive function which are sub factors of the cognitive function. And then, planning and successive processing effected to self-management, attention and planning to test-taking skills, successive processing and attention to class-participation skills, and successive processing to information processing.

Correlation of single leg vertical jump, single leg hop, and single leg squat distances in healthy persons

  • Shin, Seung-Ho;Woo, Hyunjae
    • Physical Therapy Rehabilitation Science
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    • v.2 no.1
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    • pp.57-61
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    • 2013
  • Objective: To determine the correlation among three functional tests: single leg vertical jump (SLVJ), single leg hop for distance (SLHD), and single leg squat (SLSQ). Design: Cross sectional study. Methods: Twenty healthy men (n=10) and women (n=10) with no history of lower extremity dysfucntion participated in this study and performed in university research laboratory. The procedures consisted of a general warm-up, a task-specific warm-up, actual testing, and a cool down. All participants performed the three tests in random order. Each test was performed three times for the dominant and non-dominant lower extremity (LE). SLVJ, SLHD, SLSQ were measured using a standard tape measure. Results: Statistically significant difference was presented between dominant LE and non-dominant LE in each function test (p<0.05). The strongest correlation was between SLVJ and SLSQ, 0.939 and 0.883 for dominant and non-dominant LE, respectively (p<0.05). The weakest correlation was between SLVJ and SLHD, 0.713 for dominant (p<0.05) and between SLSQ and SLHD, 0.739 for non-dominant (p<0.05). Conclusions: There is a strong correlation between SLVJ and SLSQ, suggesting that each test measures similar constructs of function and can be substitutive, while weak correlation between SLSQ and SLHD suggest these two tests do not measure the same functional components and could be paired as outcome measures for the clinical assessment of LE function. It will provide physical therapist with scientific evidence for effective test combination of LE function assessment in clinical practice.

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Study on Effect of Crafts and Hand-writing on Bilateral Coordination (수공예활동과 글씨쓰기활동이 양손협응(Bilateral coordination)에 미치는 영향)

  • Choi, Hyae-Sook
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.2
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    • pp.63-73
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    • 2014
  • Objective : The purpose of this study was to identify the effect of crafts and handwriting on bilateral coordination during task performance. Methods : Randomly selected 30 college students without hand disability were invited for the study, and grouped 3(test group 1 for crafts, test group 2 for handwriting, and control group) with 10 students per group respectively. Then Jebsen-taylor hand function test, Purdue pegboard test, and Minnesota manual dexterity test were employed for evaluating changes before and after the intervention. Results : After training intervention of crafts and handwriting for two test groups, test groups showed better bilateral coordination significantly than the control group. Especially test group 1(crafts) showed a bigger difference at Jebsen-taylor hand function test, and likely test group 2(handwriting) did at Purdue pegboard test. Conclusion : It was found that crafts increase bilateral coordination, while handwriting increase hand dexterity during task performance. That is, crafts and handwriting affect tasks differently. Further studies applying various crafts and handwriting for many age groups will be helpful for identifying the better way of occupational intervention for individuals in lack of bilateral coordination.

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