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The Effectiveness of the Use of Custom-Made Foot Orthotics on Temporal-Spatial Gait Parameters in Children With Spastic Cerebral Palsy

  • Kim, Sung-Gyung;Ryu, Young-Uk
    • Physical Therapy Korea
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    • v.19 no.4
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    • pp.16-23
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    • 2012
  • This study examined the effects of custom-made foot orthotics on the temporal-spatial gait parameters in children with cerebral palsy. Twenty spastic bilateral cerebral palsy (spastic CP) children (11 boys and 9 girls) participated in this study. GAITRite was used to examine the velocity, cadence, step length differential, step length, stride length, stance time, single support time, double support time, base of support, and toe angle while walking with and without foot orthotics. The differences in temporal-spatial parameters were analyzed using paired t-test. The significance level was set at .05. The velocity, cadence, both step lengths, both stride lengths, both bases of support and right toe angle significantly increased when the children with spastic CP with foot orthotics compared to without foot orthotics (p<.05). The step length differential between the two extremities, left stance time and left single support time, significantly decreased with foot orthotics (p<.05). Right stance time, right single support time, both double support times and left toe angle showed little change (p>.05). This study demonstrated that foot orthotics were beneficial for children with spastic CP as a gait assistance tool.

Effects of Fast Treadmill Training on Spinal Alignment and Muscles Thickness

  • Kim, Won-Gi;Kim, Yong-Seong;Kim, Yong-Beom;Jeong, Ho-Jin;Kim, Jae-Woon;Cho, Woon-Su
    • The Journal of Korean Physical Therapy
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    • v.29 no.4
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    • pp.175-180
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    • 2017
  • Purpose: This study examined the effects of fast walking training on a treadmill on the spinal alignment and muscle thickness of normal adults. Methods: A total of 36 college students in their twenties participated in the study for eight weeks, and they were divided into the normal walking, fast walking, and speed change groups. All the groups were measured in a pre-test before training. The subjects performed exercise three times per week for six weeks. A post-test was conducted six weeks after training began, and a follow-up test was done two weeks after the training ended.Trunk and pelvic tilts were measured in Formetric 4D for the spinal alignment of the subjects. The muscle thickness was examined in the trunk with an ultrasound test. Repeated-measures ANOVA was conducted to test the main effects and interactions among the measurement variables according to time and group. Results: Significant differences were observed in the pelvic tilt according to time. There were significant differences in the external oblique, internal oblique, transverse abdominal muscle according to time. The post-test results showed significant differences in the left external oblique, internal oblique muscles between before training, six weeks into training, and two weeks after the completion of training. There were significant interactions in the left oblique muscles according to the time and group. Conclusion: These findings have some value for patient rehabilitation and clinical applications and interventions through walking training.

The Effect of Lunge Exercise on the Balance of Unstable Supporting surface of adult in their twenties (20대 성인을 대상으로 불안정한 지지면에서의 런지 운동이 신체 균형에 미치는 영향)

  • Song, Su-Jeong;Kim, Se-Mi;Kim, Ji-Hye;Park, Ji-Eun;Park, Hyung-Sang;Lee, Kyung-Ho;Lee, Da-Young;Lee, Jong-Bae;Lee, Jin-Kyung;Jeon, Hye-Min;Ji, Mi-Sun;Cha, Yoon-Hee;Ha, Hye-Lim;Hong, Ji-Woong;Bang, Hyun-Soo
    • Journal of Korean Physical Therapy Science
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    • v.25 no.3
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    • pp.53-60
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    • 2018
  • Purpose : The purpose of this study is to examine the Effect of Lunge Exercise on the Balance of Stable and Unstable Supporting surface. Method : The experimenter was a healthy twenties male and female. The period was two weeks, divided into a stable group and a unstable group. Setting the holding time 4 sec 3 sets of 10 times using the Stable and Unstable Supporting Surfaces. The break time was set at one minute for each set. Balance cushions were used for unstable supporting surfaces. Results : After Lunge Exercise, Both groups had an impact on improving their ability to balance. Conclusion : There has not been much change in the ability to balance the stable and Unstable Supporting Surfaces. However, considering surface conditions, the pre and post exercise comparisons had an effect on improving the ability to balance.

Can Abdominal Drawing-In Maneuver Using a Pressure Biofeedback Unit Change Muscle Recruitment Pattern During Prone Hip Extension?

  • Oh, Jae-Seop;Weon, Jong-Hyuck;Cynn, Heon-Seock;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.13 no.4
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    • pp.56-63
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    • 2006
  • This study examined the effects of the abdominal drawing-in (ADI) maneuver using a pressure biofeedback on muscle recruitment pattern of erector spinae and hip extensors and anterior pelvic tilt during hip extension in the prone position. Fourteen able-bodied volunteers, who had no medical history of lower extremity or lumbar spine disease, were recruited for this study. The muscle onset time of erector spinae, gluteus maximus, and medial hamstring and angle of anterior pelvic tilt during hip extension in prone position were measured in two conditions: ADI maneuver condition and non-ADI maneuver condition. Muscle onset time was measured using a surface electromyography (EMG). Kinematic data for angle of anterior pelvic tilt were measured using a motion analysis system. The muscle onset time and angle of anterior pelvic tilt were compared using a paired t-test. The study showed that in ADI maneuver during hip extension in prone position, the muscle onset time for the erector spinae was delayed significantly by a mean of 43.20 ms (SD 43.12), and the onset time for the gluteus maximus preceded significantly by a mean of -4.83 ms (SD 14.10) compared to non-ADI maneuver condition (p<.05). The angle of anterior pelvic tilt was significantly lower in the ADI maneuver condition by a mean of 7.03 degrees (SD 2.59) compared to non-ADI maneuver condition (15.01 degrees) (p<.05). The findings of this study indicated that prone hip extension with the ADI maneuver was an effective method to recruit the gluteus maximus earlier than erector spinae and to decrease anterior pelvic tilting.

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The Effects of Time Management Behavioral Therapy Program on Self-Esteem, Stress Coping of School Maladjusted Adolescents (시간관리 행동치료 프로그램이 학교부적응 청소년들의 자아존중감, 스트레스 대처에 미치는 효과)

  • Yi, Yeon-Duk;Hwang, Gi-Chul
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.517-526
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    • 2013
  • This study was conducted to investigate the effects of time management behavioral therapy program on self-esteem, stress coping of school maladjusted adolescents. Experiment was conducted with 8 school maladjusted adolescents who were helped in living facilities. Time management behavioral therapy was applied to adolescents 16 weeks. To achieve the purpose of this study, self-esteem scale and stress coping scale were analyzed and compared before and after intervention. The results of this study were as follows: School maladjusted adolescents showed the significant increase in self-esteem. and School maladjusted adolescents showed the significant increase in active and passive coping of stress by intervention. It was proven to have positive effects on stress coping by intervention in a short time. Through the results of this study, time management behavioral therapy program was proven to have positive effects on self-esteem, stress coping of school maladjusted adolescents.

Muscle Contraction Onset Time Characteristics of Gluteus Maximus and Hamstring According to Knee Flexion Angles During Prone Hip Extension (엉덩관절 폄 시 무릎 굴곡 각도에 따른 큰볼기근과 뒤넙다리근의 근수축 개시시간 특성)

  • Kim, Yong-Wook;Song, Je-Hyun;Jeong, Yeon-Woo;Lee, Kyeoung-Seok;Guk, Ga-Yeong;Yun, Sung-Joon
    • PNF and Movement
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    • v.18 no.3
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    • pp.375-382
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    • 2020
  • Purpose: The purpose of this study was to investigate the muscle contraction onset time characteristics of the gluteus maximus, semitendinosus, and biceps femoris muscles at different knee flexion angles in individuals with shortened or over-lengthened hamstrings performing prone hip extension. Methods: Twenty-six participants were divided into a hamstring shortened group (n = 12) and hamstring lengthened group (n = 14). Wireless surface electromyography was used to verify the muscle onset time of the gluteus maximus, semitendinosus, and biceps femoris when performing prone hip extension at different knee flexion angles. Results: There were significant differences in the muscle onset times of the semitendinosus and biceps femoris between the hamstring shortened group and hamstring lengthened group (p < 0.05). In addition, there was a significant difference in the muscle contraction onset times among of the gluteus maximus, semitendinosus, and biceps femoris muscles when performing prone hip extension at a knee flexion of 90° in the hamstring shortened group (p < 0.05) and a knee flexion angle of 0° in the hamstring lengthened group (p < 0.05). Conclusion: In all groups, there was no effect on the onset time of the gluteus maximus muscle according based on the knee angle. In addition, the knee flexion angles affected the onset time of the muscle contraction of the gluteus maximus muscle in the hamstring shortened group and hamstring lengthened group with an abnormal length of the hamstring muscle.

Effects of Lumbar Stability Exercise on the Muscle Thickness and Contraction Time Using Sound Wave Vibrator and Swiss Ball (음파진동기와 스위스볼을 이용한 허리안정화운동이 근육두께와 수축시간에 미치는 영향)

  • Kim, Yongsu;Lee, Jinmyung;Park, Sohyun;Park, Hyery;Choi, Minju;Kim, Segwang;Yang, Hoesong;Jeong, Chanjoo;Yoo, Youngdae;Jun, Hyunju
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.1
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    • pp.85-97
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    • 2016
  • Purpose : The purpose of this study was to investigate the effects on the muscle thickness and contraction time using sound wave vibrator and swiss ball. Methods : This study was performed on 20 subjects. 20 subjects were divided into two groups; Lumbar stability exercise using sound wave vibrator exercise(n=10)(Group1), Lumbar stability exercise using Swiss ball exercise(n=10)(Group2). Both of the group performed the exercise 3 times a week for 5 weeks. The data was analyzed by the paired t-test to compare before and after difference of factors on each group and the Independent t-test to compare the between groups. Results : Both group were increased muscle contracture time on Straight Leg Rise(SLR) test (p<0.05). It means both group were increased lumbar stability. However, by comparing the between groups, there were no statistically significant difference about muscle thickness of multifidus and transverse abdominal.(p>0.05). Conclusion : As a result of this study, we suggest that the sound wave vibrator may be effective exercise tool for lumbar stability exercise like a swiss ball.

Effect of Therapeutic Feedback on Non-Face to Face Exercise for Forward Head Posture: Posture, Muscle Strength, Pressure pain Threshold

  • Kim, Yeri;Kim, Gayoung;Kim, Daye;Shin, Hyeri;Oh, Seonghoon;Yu, Pyeonghwa;Jung, Kyusang;Shin, Wonseob
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.147-155
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    • 2021
  • Objective: This study is to investigate the effect of real-time feedback from the therapist on posture, muscle strength, pain of subjects with forward head posture based on a non-face-to-face complex exercise program. Design: Two-group pretest-posttest design. Methods: Thirty healthy men and women in their twenties with forward head posture with a Craniovertebral angle of 52° or less were targeted, the final selection was made as 15 experimental groups who performed the non-face-to-face intervention program while receiving real-time feedback and 15 control subjects who performed the non-face-to-face intervention program without providing feedback. Six of them were eliminated, and a total of 24 were conducted as subjects. All exercise groups performed an exercise program three times a week, 30 minutes each, for a total of two weeks. Before and after exercise, Craniovertebral angle (CVA), CranioRotation angle (CRA), muscle strength, and tenderness threshold were evaluated. Results: Significant differences were shown in both groups in CVA, and tenderness threshold before and after exercise (p<0.05), and CRA, the left middle trapezius muscle strength, only in the experimental group (p<0.05). In the comparison of theamount of change between exercise groups, the group that received feedback on CVA, CRA and tenderness threshold showed a significant change than the group without feedback (p<0.05). Conclusions: As a result of this study, it can be seen that the therapist's real-time feedback is more effective in improving the forward head posture. This requires feedback from the therapist on posture correction during non-face-to-face exercise intervention.

Regulatory Problems in Radionuclide Therapy and Suggestions for Systematic Improvement (방사성동위원소 치료의 제도적 문제점과 개선)

  • Jeong, Jae-Min
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.2
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    • pp.53-57
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    • 2006
  • Radionuclide therapy has been used for more than 50 years and proved to be a safe and effective modality. However, the patients' right to have the excellent medical service is seriously disturbed by excessive regulations of government institutions such as Korea Institute of Nuclear Safety (KINS), Health Insurance Review Agency (HIRA) and Korea Food and Drug Administration (KFDA). For example, the patients should wait for more than 6 months to have I-131 treatment in many hospitals it is strongly recommended to mitigate the regulations to resonable levels to solve the problems. If HIRA allow the hospitals to charge reasonable rate for radionuclide therapy room, then more hospitals would invest to build the radionuclide therapy rooms and the patients' waiting time would decrease. The waiting time would also decrease, if KINS allow 2 patients to share a radionuclide therapy room. Finally, it is strongly recommended to lower the threshold for approval of new therapeutic radiopharmaceuticals by KFDA, which would allow new effective therapeutic raoiopharmaceuticals to be introduced to clinical practices more easily.

Effects of Individualized Intensive Physical Therapy for a Child with MECP2 Duplication Syndrome: A Case Study

  • Chang-Ho Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.4
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    • pp.29-35
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    • 2023
  • PURPOSE: High-intensity physical therapy may help improve some gross motor developmental delays through an increased treatment frequency. This study describes an increase in physical therapy frequency and intensity over an eight-week time frame for a child with a rare genetic neurodevelopmental disorder. METHODS: A single-subject research was performed. The subject was a nine-year-old boy with MECP2 Duplication Syndrome. The outcome measure consisted of one time before and after the intervention. An intensive physical therapy program was applied to this subject. The treatments included reciprocal crawling, high kneeling, tailor sitting, weight-bearing and shifting training to facilitate ankle balance strategies and training to walk without assistance. RESULTS: After the eight-week follow-up, the child achieved a gradual improvement in the gross motor function measures, and the mother reported that the child frequently engaged in tailor sitting and independently walking. CONCLUSION: This case study highlights that intensive physical therapy improved the overall motor function of a child with MECP2 duplication syndrome.