• 제목/요약/키워드: time therapy

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기사혈(氣舍穴, ST11)에 적용한 혈위 초음파요법이 교감신경계에 미치는 영향: 전향적 무작위 대조군 연구 (Effect of Ultrasound Therapy at the ST11 on Sympathetic Nervous System Change: A Prospective Randomized Controlled Study)

  • 강신우;금동호
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.167-184
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    • 2023
  • Objectives This study was designed to assess the effectiveness of ultrasound therapy at the ST11 for regulation of sympathetic hyperactivity. Methods Forty healthy adult subjects were assigned to experimental group and control group. After taking mental stress, ultrasound therapy was applied at the ST11 in experimental group and sham-ultrasound therapy was applied in control group. The evaluation of sympathetic activity was measured by blood pressure, pulse rate, and heart rate variability at 3 times (Time 1: before the stress stimulation, Time 2: after the stress stimulation, Time 3: after the intervention). The primary end point was consisted of normalized (norm) low frequency (LF)/high frequency (HF) ratio, LF (norm), HF (norm). The secondary end point was consisted of systolic blood pressure, diastolic blood pressure, pulse rate, mean heart rate, standard deviation of NN intervals, root mean square of the successive differences, total power (log). Results After the stress stimulation, all subjects showed sympathetic hyperactivity. After the intervention, the experimental group showed lower sympathetic activity than the control group. Comparing the Time 3 and Time 1, the experimental group showed no significantly differences in sympathetic activity while the control group showed higher sympathetic activity in Time 3 than Time 1. Comparing the Time 3 and Time 2, the experimental group showed lower sympathetic activity in Time 3 than Time 2 while the control group showed higher sympathetic activity in Time 3 than Time 2. Conclusions We suggest that the ultrasound therapy at ST11 can decrease sympathetic activity in sympathetic hyperactivity condition.

도수치료와 치료적 운동이 만성 요통의 여성 노인의 만성 통증과 신체 기능에 미치는 영향 (Effects of Manual Therapy and Theraputic Exercise on Chronic Pain and Body Function in Elder Women with Chronic Low Back Pain)

  • 심용현;박재명;유성훈
    • 대한정형도수물리치료학회지
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    • 제23권2호
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    • pp.51-57
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    • 2017
  • Background: The purpose of this study is to examine the effects of manual therapy and therapeutic exercise on pain and body function in elder women with chronic low back pain. Methods: The patients with chronic low back pain were randomly divided 2 group. The experiment group (n=11) was taken manual therapy and therapeutic exercise program. The control group (n=10) was taken physical therapy program(hot pack with 30 minutes and ICT with 15 minutes and ultra sound with 15 minutes). Both groups intervention performed 3 session during 6 weeks. We measured the quadruple visual analogue scale, flexibility, static balance, leg strength subject of symptom before and after experiment. The significant test pared t-test according to applying the manual therapy and therapeutic exercise group and control group between group used independent t-test. Results: Pain assessment in the experimental group was significantly different between time and group. Flexibility test groups were not significantly different between time and group. The static balance was not significantly different for the time. Strength tests were also not significantly different for the time. Conclusions: According to the results, manual therapy and therapeutic exercise group it was found to be helpful in pain, flexibility, static balance, not strength in elderly patients with chronic low back pain.

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발가락 벌림 교정기가 청소년기 경직형 양하지 뇌성마비의 보행에 미치는 영향 (The Effects of Toe Wedges on the Spatiotemporal Gait Parameters of Adolescents with Spastic Diplegic Cerebral Palsy)

  • 장정재;정선혜;김명종;송선해;이동건;이승후;장나영;최지원;하선영;하신호;홍성균;이규창
    • PNF and Movement
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    • 제17권2호
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    • pp.237-243
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    • 2019
  • Purpose: The purpose of the present study was to investigate the effects of toe wedges on the gait ability of adolescents with spastic diplegic cerebral palsy. Methods: Six adolescents with spastic diplegic cerebral palsy participated in this study. During the participants walked with- and without toe wedges, the gait ability was analyzed using the electronic walkway system. Gait parameters, including velocity, cadence, step length, stride length, single support time, and double support time, were collected and analyzed. Results: When the participants walked with toe wedges, there were significant improvements in gait velocity, cadence, and double support time compared to those without toe wedges (p<0.05). However, there were no significant differences in step length, stride length, and single support time. Conclusion: Toe wedges may have a positive effect on the gait ability of adolescents with spastic diplegic cerebral palsy. However, it is necessary to conduct high-quality studies to identify the effects of toe wedges.

고관절 신전속도가 슬괵근에 대한 대둔근의 상대적 근수축 개시시간에 미치는 영향 (The Effects of Hip Extension Velocity on the Relative Onset Time of the Gluteus Maximus in Relation to the Hamstring)

  • 장영진;고은혜;노정석;신헌석;김택훈
    • 한국전문물리치료학회지
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    • 제13권2호
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    • pp.70-76
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    • 2006
  • The purpose of this study was to investigate the effects of hip extension velocity (7.5 degree/second, 30 degree/second) on the relative onset time of the gluteus maximus in relation to the hamstring during hip extension in prone position. Thirteen healthy male subjects (mean age=22.6 years [SD=1.8], mean weight=73.4 kg [SD=10.3], mean height=176.1 cm [SD=6.3]) voluntarily participated in this study. Electromyographic data was collected on the gluteus maximus and hamstring to determine onset time. Statistical analyses were performed with the paired t-test. The results showed that the onset time of the hamstring was significantly faster than that of the gluteus maximus in both fast and slow hip extension velocity. The gluteus maximus began contraction .079 seconds later following the contraction of the hamstring. The onset time of the hamstring was significantly faster in fast hip extension velocity compared with slow hip extension velocity. In conclusion, it was determined that the onset time of the gluteus maximus was faster with fast hip extension velocity compared with slow hip extension velocity. There was a statistically significant difference between the onset times of the gluteus maximus and hamstring in relation to the two velocities (p<.05). Further study is needed to examine whether the velocity of hip extension can influence the onset time in a similar fashion in patients with low back pain.

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Video Based Behavioral Analysis to Observe Attention during Mirror Therapy in Hemiplegic Patients : Preliminary Study

  • Kim, Jinmin;Song, Changho
    • Physical Therapy Rehabilitation Science
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    • 제10권2호
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    • pp.212-216
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    • 2021
  • Objective: Mirror therapy is one of the promising methods suggested for the upper limb rehabilitation of stroke patients. While mirror therapy was presented to be effective in improving motor function of stroke patients, problems were raised as preceding studies had various methods in applying mirror therapy. Some studies even reported no effect in mirror therapy. Our supposition for the reason of such problems was a decrease of attention on the illusive image during mirror therapy of stroke patients, and we aimed to observe this. Design: A cross-sectional preliminary study. Methods: Three hemiplegic acute patients were recruited for the traditional mirror therapy. It lasted for 30 minutes, and 12 different tasks were asked to perform. All procedures were video-recorded, and Observer XT was used to analyse mirror-gazing time, gaze-distracted time, preparation time, frequency of mirror gazing, frequency of distraction, frequency of preparation for treatment. Results: Subjects spent an average of 4-5 minutes having instructions about the mirror therapy intervention (preparation duration), an average of 11 minutes watching the mirror during therapy (mirror-gazing duration), and the rest of 14-15 minutes looking around the environment (gaze-distracted duration). During the mirror therapy, the number of distracted moments (frequency of distraction) was eight times more than focusing on the mirror (frequency of mirror gazing). Conclusions: Once the patient looks at the mirror, it only lasts about 5 seconds on average. Thus, we confirmed that patients could not concentrate on the illusion during the session and therefore it may have affected the effectiveness of the therapy.

불면환자에 대한 수기치료 효과의 임상 사례 보고 (The Clinical study of Su-Gi therapy's Effects on Insomnia by observing of ISI and PSQI)

  • 김민석;안훈모;김준철
    • 대한의료기공학회지
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    • 제15권1호
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    • pp.61-70
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    • 2015
  • Objectives : The purpose of this study is to investigate the effects of Su-Gi therapy for Insomnia by using ISI scores and PSQI test. Methods : We investigated 4 patients on condition of Insomnia who was hospitalized in the M Korean medicine hospital in Gyeonggi Province from 8th June, 2015 to 21st October, 2015. The Su-Gi therapy was treated on patients once a day for 10 minutes. We figured out the outcome by using ISI scores and PSQI test. Results : There were no differences on average sleeping time and the time to falling a sleep. Meaningful outcomes in values of ISI scores and PSQI test was not deduced after Su-Gi therapy. There were some progress on disturbance of daytime due to insomnia, ISI scores and PSQI test. In the Correlation analysis of outcomes of before and after the Su-Gi therapy, there were some improvements on ISI scores and PSQI tests and some questionnaire but were not enough to reach meaningful outcomes. We concluded that the more treatment time is needed to improve the condition of patients on insomnia as we see in PSQI test, one month is minimum period time to draw the conclusion. Conclusions : Theses outcomes suggest a possibilities that improvements who are suffering from insomnia can be get well when the Su-Gi therapy is performed for sufficient moments.

정상인의 비우성 상지를 이용한 교차훈련의 효과 (The Effect of Cross-Education in Nondominant Arm with Normal Adult)

  • 최진호;이미영
    • The Journal of Korean Physical Therapy
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    • 제23권2호
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    • pp.31-36
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    • 2011
  • Purpose: We investigated the effects of physical practice, mental practice, and cross education using serial reaction time (SRT) in the non-dominant left arm of right-handed individuals. Methods: Subjects were divided into three groups; physical practice (n=8), mental practice (n=8) and controls (n=8). They did, respectively, physical training or mental training, or had no intervention for three weeks. Super lab 4.0 displayed four symbols on the monitor and subjects were asked to push the matching button. Reaction time was assessed pre- and post-intervention. Results: Reaction time was significantly lower after physical practice (p<0.05), but mental practice did not significantly lower reaction time? in the left hand. Also, reaction time was not significantly lower after physical practice or mental practice in the right hand. Conclusion: Physical practice can improve motor learning, but mental practice is not sufficient. Also, neither physical practice nor mental practice is sufficient for cross education from the nondominant to the dominant arm.

Comparison of Subjective and Objective Sleep Quality in Subjects with and without Hyper-kyphosis

  • Kim, Jun-hee;Hwang, Ui-jae;Choi, Sil-ah;Jung, Sung-hoon
    • The Journal of Korean Physical Therapy
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    • 제34권5호
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    • pp.272-277
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    • 2022
  • Purpose: This study compared the subjective and objective sleep quality between subjects with and without thoracic hyper-kyphosis. Methods: Forty participants were divided into a hyper-kyphosis (n=17) and normal group (n=17) by thoracic spinal angle measurement. The subjective sleep quality was measured using PSQI, a self-report, and objective sleep quality was measured using an actigraphy that measures time according to sleep patterns. Results: The PSQI scores of subjects with thoracic hyper-kyphosis were significantly higher than those with normal thoracic curvature (p=0.013). The total sleep time and real sleep time were less in subjects with hyper-kyphosis than in normal subjects (p=0.006; p=0.029). The light sleep time was less in subjects with excessive spondylolisthesis than in normal subjects (p=0.010). Light sleep time was less in those with hyper-kyphosis, but deep sleep time was similar to the subjects with a normal thoracic curvature (p=0.003; p=0.140). Conclusion: Subjects with thoracic hyper-kyphosis had a decrease in subjective sleep quality, such as sleep discomfort, and objective sleep quality, such as a decrease in sleep time compared to normal subjects.

The Relationship between Dynamic Balance Measures and Center of Pressure Displacement Time in Older Adults during an Obstacle Crossing

  • Park, Seol;Park, Ji-Won
    • The Journal of Korean Physical Therapy
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    • 제23권3호
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    • pp.1-5
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    • 2011
  • Purpose: This study examined the relationship between the center of pressure (COP) displacement time during the stance phase and dynamic balance ability when older adults cross a 10 cm obstacle. Methods: Fifteen older adults were enrolled in this study (all ${\geq}65$ years of age). The F-scan was used to measure the COP displacement time when subjects cross a 10 cm obstacle, and the Dynamic gait index. Berg's balance scale and the Four square step test were used to measure dynamic balance ability. Results: The Dynamic gait index, Berg's balance scale and the Four square step test were correlated with each other. Dynamic balance ability was correlated with COP displacement time during the stance phase at an obstacle crossing in older adults. Conclusion: People with higher dynamic balance ability show a smaller COP displacement time during the stance phase at an obstacle crossing. Therefore, dynamic balance ability can be predicted by measuring the center of pressure displacement time.

물리치료실의 질 향상(QI)을 위한 내원 환자의 만족도에 관한 연구 (A Study on Patients' satisfaction for quality improvement of Physical Therapy service)

  • 권춘숙;한동욱
    • 대한물리치료과학회지
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    • 제7권2호
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    • pp.483-494
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    • 2000
  • The purpose of this study was to contribute to quality improvement with physical therapy service and determining the factors affecting patients' satisfaction. The study subjects were ambulatory and admitted patients treated with physical therapy at B general hospital located in Taejon from July 15, 2000 to July 21. Authors developed structured questionnaire, and distributed it to each physical therapist of B general hospital. Total number of distributed questionnaire was 164, and 157 questionnaire were collected and analysed finally. Demand of physical therapy for quality improvement(QI) related to treatment time(r =0.746, P<01), treatment method(r =.664, P<.01). treatment effect(r=0.648, P<.01), equipments(r=0.620, P<.01), cleaning status(r =0.619, P<.01). Willingness to revisit and recommendation of this physical therapy room related to treatment method(r=0.489, P<.01), treatment time(r=0.469, P<.01), cleaning status(r=0.432, P<.01).

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