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Effects of Rehabilitation Exercise Combined with Electrical Muscle Stimulation on Pain, Muscle Strength, and Function in Soldiers Undergoing Knee Meniscectomy

  • Yong-Jun Yu;Won-Seob Shin
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.140-148
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    • 2023
  • Objective: Meniscal injuries are a common and high-risk condition among military personnel, leading to difficulties in performing missions.The objective of this study is to investigate the effects of combining electrical muscle stimulation therapy with exercise therapy during rehabilitation on pain, muscle strength, and function in patients after meniscectomy. Design: A two-group pretest-posttest design Methods: A total of 30 subjects were included in this study. They were randomly assigned to either the experimental group (n=15), which received knee extensor strengthening exercise along with electrical muscle stimulation, or the control group (n=15), which received only knee extensor strengthening exercise. Pre-test was conducted prior to the intervention, which consisted of 30 minutes of treatment five times a week for a total of 20 sessions. Post-test was performed after a 4-week period. Pain, strength, and function were assessed before and after the intervention. Results: The results of the study showed that there was a significant difference in pain reduction and muscle strength improvement in the experimental group, and a significant difference was also found between the experimental group and the control group in terms of functional evaluation. Conclusions: The combination of exercise therapy and electrical muscle stimulation therapy resulted in greater improvements in pain, strength, and function assessment, contributing to improved overall function.

Effects of Task-Oriented programme on Balance and Upper Extremity in stroke (과제 지향적 프로그램이 뇌졸중환자의 균형과 상지기능에 미치는 효과: 단일사례연구)

  • Kim, Eun-Joo;Hong, So-Young;Kim, Kyeong-Mi
    • Therapeutic Science for Rehabilitation
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    • v.1 no.1
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    • pp.17-28
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    • 2012
  • Objective : The purpose of this study is to assess effects of task oriented programme on balance and upper extremity function in stroke patient. Methods : The subject is right hemiplegia with stroke and participated for 6 weeks. The design of study ABA designed of single subject research. The baseline phase consisted of 5 sessions. The intervention phase consisted of 15 sessions and performed task oriented training. The Maintenance phase consisted of 5 sessions. An assessment of upper extremity function was made using a Manual Function Test(MFT) and balance were assessed by the Time Up and Go test(TUG), Nintendo Wii Balance Board Test. Results : Dynamic balance improved from 51.53 to 42.62. At baseline, difference between left and right of the static balance was an average of 13.8, After treatment, the static balance difference was 6.29 and It was closer to zero than baseline, so static balance has been stable feature. Also, MFT point increased from 6 to 7.6. Conclusion : Task oriented programme can useful in balance and upper extremity function in stroke patient. Further studies need to generalize these findings.

Evaluation of the Hypothalamic-pituitary Function by Premarin Test for the Patients of Amenorrhea (Premarin검사를 이용한 무월경환자에서의 시상하부-뇌하수체의 기능평가)

  • Lee, J.W.;Rha, J.G.
    • Clinical and Experimental Reproductive Medicine
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    • v.11 no.2
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    • pp.17-25
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    • 1984
  • Hypothalamic-pituitary function in patients of 6 selected groups of amenorrhea was evaluated by performing premarin test. Selected amenorrheic patients were divided into 6 groups of Turner's syndrome(5), adrenogenital syndrome(3), Sheehan's syndrome(4), moderate hyperprolactinemia(3), severe hyperprolactinemia(9) and functional oligoamenorrhea(9) the diagnoses of which were performed according to modified our own protocol for management of amenorrheic patients. As control 20 normally cycling women in mid follicular phase determined by their symptothermal charts during last 6 months designed by WHO were compared. The premarin test which is one of the tests evaluating the hypothalamic-pituitary function by the principle of negative and positive feed back effect's of estrogen was performed by injecting 20 mg of premarin in volus intravenously. The levels of serum LH before, 24, 48, 72, 96 and 120 hours after injection of premarin were measured by double antibody technique radioimmunoassay the reagents of which were supplied by WHO. The results were as follows: 1. Both negative and positive feed back effects by exogenous estrogen were well preserved even in the patients of gonadal dysgenesis although the baseline levels were much higher than normal. 2. In the patients of Sheehan's syndrome one could observe the minimal response of feed back effect in the case with minimal pituitary function. 3, Androgens in adrenogenital syndrome and prolactin in hyperprolactinemia may suppress mainly the positive feed back effect rather than the negative one. The suppressive effect can be abolished by proper treatments which can eliminate those suppressive hormones. 4. This premarin test may be beneficial for predicting the result of clomiphene in ovulation induction.

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A study on the Relationship among Physical Function, Quality of Sleep and Quality of Life for the Elderly in a Community (일개 지역사회 노인의 신체적 기능, 수면의 질, 삶의 질에 관한 연구)

  • Yang, Seung Ae
    • Journal of Digital Convergence
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    • v.11 no.5
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    • pp.335-345
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    • 2013
  • The purpose of this study was to identify the relationship among physical function, quality of sleep and quality of life for the Elderly in a Community. Method :The survey was carried out for 253 elderly over 65 years old who live in K Metropolitan City. Descriptive statistics, t-test, ANOVA, Pearson's correlation, Scheffe test were applied using SPSS WIN 14.0 program. Results :The major findings of this study were as follows. 1) The level of physical function had a significant difference depending on gender, age, residence type and, monthly income. The quality of life had a significant difference depending on family member and monthly income. 2) Activity of daily living(r=.303, p=.000) and quality of sleep(r=-.294, p=.002) were significantly related to quality of life. Conclusion : Based on these results, this study suggests that in order to improve the quality of life of the Elderly in a Community, a nursing program in consideration of the characteristic of physical function and quality of sleep, is required.

Determination of Double-K Fracture Parameters of Concrete Using Split-Tension Cube: A Revised Procedure

  • Pandey, Shashi Ranjan;Kumar, Shailendra;Srivastava, A.K.L.
    • International Journal of Concrete Structures and Materials
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    • v.10 no.2
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    • pp.163-175
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    • 2016
  • This paper presents a revised procedure for computation of double-K fracture parameters of concrete split-tension cube specimen using weight function of the centrally cracked plate of finite strip with a finite width. This is an improvement over the previous work of the authors in which the determination of double-K fracture parameters of concrete for split-tension cube test using weight function of the centrally cracked plate of infinite strip with a finite width was presented. In a recent research, it was pointed out that there are great differences between a finite strip and an infinite strip regarding their weight function and the solution of infinite strip can be utilized in the split-tension specimens when the notch size is very small. In the present work, improved version of LEFM formulas for stress intensity factor, crack mouth opening displacement and crack opening displacement profile presented in the recent research work are incorporated. The results of the double-K fracture parameters obtained using revised procedure and the previous work of the authors is compared. The double-K fracture parameters of split-tension cube specimen are also compared with those obtained for standard three point bend test specimen. The input data required for determining double-K fracture parameters for both the specimen geometries for laboratory size specimens are obtained using well known version of the Fictitious Crack Model.

Effects of Repetitive Transcranial Magnetic Stimulation on Enhancement of Cognitive Function in Focal Ischemic Stroke Rat Model (국소 허혈성 뇌졸중 모델 흰쥐의 인지기능에 반복경두개자기자극이 미치는 효과)

  • Lee, Jung-In;Kim, Gye-Yeop;Nam, Ki-Won;Lee, Dong-Woo;Kim, Ki-Do;Kim, Kyung-Yoon
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.11-20
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    • 2012
  • Purpose : This study is intended to examine the repetitive transcranial magnetic stimulation on cognitive function in the focal ischemic stroke rat model. Methods : This study selected 30 Sprague-Dawley rats of 8 weeks. The groups were divided into two groups and assigned 15 rats to each group. Control group: Non-treatment after injured by focal ischemic stroke; Experimental group: application of repetitive transcranial magnetic stimulation(0.1 Tesla, 25 Hz, 20 min/time, 2 times/day, 5 days/2 week) after injured by focal ischemic stroke. To assess the effect of rTMS, the passive avoidance test, spatial learning and memory ability test were analyzed at the pre, 1 day, $7^{th}$ day, $14^{th}$ day and immunohistochemistric response of BDNF were analyzed in the hippocampal dentate gyrus at $7^{th}$ day, $14^{th}$ day. Results : In passive avoidance test, the outcome of experimental group was different significantly than the control group at the $7^{th}$ day, $14^{th}$ day. In spatial learning and memory ability test, the outcome of experimental group was different significantly than the control group at the $7^{th}$ day, $14^{th}$ day. In immunohistochemistric response of BDNF in the hippocampal dentate gyrus, experimental groups was more increased than control group. Conclusion : These result suggest that improved cognitive function by repetitive transcranial magnetic stimulation after focal ischemic stroke is associated with dynamically altered expression of BDNF in hippocampal dentate gyrus and that is related with synaptic plasticity.

Effects of Cognition Promoting Program on Cognitive Function, Depression and Quality of Life in Elderly (인지건강증진 프로그램이 노인의 인지기능, 우울 및 삶의 질에 미치는 효과)

  • Kim, Hye-Soon;Yi, Yeo-Jin;Park, Kwang-Hi;Kang, Un-Ku;Lee, Byung-Mun
    • The Journal of the Korea Contents Association
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    • v.10 no.8
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    • pp.227-239
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    • 2010
  • The purpose of this study was to identify the effects of cognition promoting program on cognitive function, depression, and quality of life in elders. The participants were 1,251 who were above 60 years olds(averaging 76.9 years of age) without dementia. During 12 weeks they participated the cognitive health promoting program twice a week. The program consisted of ReBrain cognitive education and game program. Then the effects of treatment were compared using a paired t-test between pre-test and post-test. Cognitive function(t=-13.903, p<.001), depression(t=9.544, p<.001), and quality of life(t=-4.613, p<.001) in elderly were significantly different after 12-week. These findings indicate that an 12-week cognitive health promoting program could be an effective nursing intervention program to improve cognitive function, to decrease depression, and to promote quality of life in elders.

The Cognitive performance in relation to motor functio recovery in stroke patients (뇌졸중 환자에 있어서 Mini-Mental State Examination과 Motor Assessment Scale을 통한 인지기능과 기능적 회복의 상관관계 연구)

  • Park, Chang-Ju;Hong, Do-Sun;Choi, Kyoung-Wook
    • Journal of Korean Physical Therapy Science
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    • v.7 no.1
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    • pp.333-352
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    • 2000
  • The objective of this study was to identify the effects of the cognitive performance of stroke patients on their motor function recovery after comprehensive rehabilitation management. The subjects of this study were 41 stroke in-patients of the Rehabilitation Hospital, College of Medicine, Yonsei University, hospitalized during the period from September 1, 1997 to May 5, 1998. The cognitive performance was measured using a Mini-Mental State Examination(MMSE) and the motor function recovery using Motor Assessment Scale(MAS). The data were analyzed by the paired t-test, independent t-test, a one way ANOVA, and Pearson's correlation coefficiency. The findings were as follows: 1. There was a significant difference found in the motor function recovery level after the comprehensive rehabilitation management. 2. There was no significant difference found in relation to sex, age, cause of stroke, laterality of paralysis and the level of spasticity. However, there was a big difference between pre- and post-treatment regarding the treatment period. 3. In line with the cognitive performance level, there was a significant difference found in the motor function recovery level after the comprehensive rehabilitation management. 4. The correlation between the elements of the cognitive performance and the motor recovery was found to be high in orientation, attention, calculation, and language. Those elements were expected to give larger effects on motor recovery after the comprehensive rehabilitation management. Based on this study, the cognitive performance level was found to play an important role in bringing effects on motor recovery after the comprehensive rehabilitation management of stroke patients. And the evaluation on the motor recovery based on quality would be also expected to be examined, as well as the cognitive performance level test accompanied by Intelligence Quality(IQ) test.

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Strength Training-Induced Changes in Muscle Size and Motor Improvement in Bilateral Schizencephaly: An Experimenter-Blind Case Report With 3-Month Follow-Up

  • Lee, Dong-Ryul;You, Sung-Hyun;Lee, Nam-Gi;Yoo, In-Gyu;Jung, Min-Ye;Han, Bong-Soo
    • Physical Therapy Korea
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    • v.17 no.4
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    • pp.77-87
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    • 2010
  • The present case study highlights the effects of a novel Comprehensive Hand Repetitive Intensive Strengthening Training (CHRIST) on morphological changes and associated upper extremity (UE) muscle strength and motor performance in a child with spastic quadriplegic cerebral palsy (CP). The Child, a 10-year-old girl with spastic quadriplegic CP, was treated with CHRIST for 60 minutes a day, five times a week, for 5 weeks. The CHRIST was designed to improve motor function and strength. Clinical tests including the modified Wolf Test, Jebsen-Taylor Hand Function Test, and Pediatric Motor Activity Log questionnaire were used to determine motor function. Ultrasound imaging was performed to determine the changes in the cross-section area (CSA) of the extensor carpi radialis (ECR) and triceps brachii (TRI). Muscle strength was measured with a dynamometer at pretest, and post-test, and 3-month follow-up. Ultrasound imaging data showed that the CSAs of both ECR and TRI muscles were enhanced as a function of the intervention. These changes were associated with muscle strength and motor performance and their effects remained even at a 3-month follow-up test. Our results suggest that the CHRIST was effective at treating muscle atrophy, weakness and motor dysfunction in a child with spastic quadriplegic CP.

An Open-Label Study of OROS-Methylphenidate for Neuropsychological Changes in Children and Adolescents with Attention-Deficit Hyperactivity Disorder (주의력 결핍 과잉 행동 환자에서 OROS-Methylphenidate 투여 후 신경심리학적 변화에 대한 개방 연구)

  • Kook, So-Dahm;Kim, Joo-Young;Cheon, Keun-Ah;Jhung, Kyungun;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.24 no.3
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    • pp.157-163
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    • 2013
  • Objectives : Previous studies reported that attention-deficit hyperactivity disorder (ADHD) resulted from a deficit of selective attention and sustained attention. In this study, we assessed the result of methylphenidate-induced changes of the cerebral frontal executive functions in patients with ADHD. Methods : The subjects in this study consisted of 16 ADHD patients whose age ranged from 7 to 12. We used ADHD Diagnostic System (ADS) for the attention improvement, and the Stroop Test for the executive function response to pharmacotherapy with MPH. Results : After pharmacotherapy with methylphenidate for 12 weeks, the study group showed improvement in the clinical aspects through Clinical Global Impression-Severity, ADHD-rating scale and Inattention/Overactivity With Aggression Conner's Parents Rating Scale. In the ADS test, only in auditory task there was a decrease of both the response time and the standard deviation of the response time significantly. In the Stroop Test, there was a decrease in the word task, color task and color-word task significantly. Conclusion : Our results show that psychostimulant medication improves neuropsychological function, including the cerebral frontal executive function. This study implies that we have to consider the improvement of executive function, as well as attention when evaluating the efficacy of treatment.