• 제목/요약/키워드: Active Treatment

검색결과 2,762건 처리시간 0.03초

만성 경통 환자의 치료에 있어서 능동적 경부 근육 훈련의 효과 (The Effect of Active Neck Muscle Training in the Treatment of Chronic Neck Pain)

  • 오덕원;심재훈;이규완;안창식;허진강;양영애
    • The Journal of Korean Physical Therapy
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    • 제16권4호
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    • pp.168-178
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    • 2004
  • The purposes of this paper were to investigate the effect of active treatment compared with a conservative treatment and to provide the information for physical therapy in patients suffering from chronic neck pain. Forty female subjects who were diagnosed with cervical radiculopathy participated in this study and were divided into the conservative and active treatment groups. The active treatment group consisted of 20 patients who were treated with therapeutic modalities and active neck exercise program during the admission (15 days) and one month after discharge. The conservative treatment group consisted of 20 patients who were not received with active neck exercise program. The assessment tools were made using visual analogue scale(VAS), neck disability index(NDI) and modified Zung depression scale(MZDS). All subjects were measured three times: before the admission, at discharge, and at one month after discharge. Data were compared by groups using independent t-test. VAS, NDI and MZDS scores measured at admission and discharge were not significantly different between the groups. On the assessment performed one month after discharge, VAS and NDI scores were significantly lower for the active treatment group compared with those of the conservative treatment group(p<0.05), but MZDS score was not significantly different between the groups. In the comparison of two treatment methods for chronic neck pain, active treatment was more effective than conservative treatment. The findings of the study indicate that active treatment in chronic neck pain has a positive effect in relieving pain and restoring neck function.

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Immediate Effects of Side Lying Manual Lumbar Traction in Patients with Painful Active Lumbar Motion

  • Creighton, Doug;Schweiger, Alexa;Cubr, Sarah
    • 국제물리치료학회지
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    • 제8권1호
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    • pp.1071-1076
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    • 2017
  • The purpose of this study was to determine if a gentle form of manual lumbar traction could reduce painful lumbar motions associated with lumbar disc degeneration (LDD). This clinical trial incorporated 134 participants with painful active lumbar motion. Participants were randomly assigned to an experimental treatment or sham group. 67 participants received sidelying manual lumbar traction while the other 67 participants received a sham treatment. Pre and post treatment NPRS values for the painful active lumbar motion were recorded for each group. There was a statistically significant improvement (P=0.00) for decreased pain intensity during active lumbar motion in the experimental group as compared to the sham treatment group. The average percent decrease in numeric pain rating scale (NPRS) values was 52.1% for the experimental treatment group and 8.1% for the sham group. The results of the study suggest that side-lying manual lumbar traction can improve painful lumbar motion in patients with LDD.

견부통 환자에 대한 물리치료방법의 적용 시간을 중심으로 한 기술적 연구 (Physical Therapy Session Duration in patients with Shoulder pain: Descriptive Research)

  • 김선엽;채정병;권재확
    • 대한물리치료과학회지
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    • 제9권4호
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    • pp.119-130
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    • 2002
  • Objective: The purpose of this research was to use data for furnish quality physical therapy service. The research subjects were admitted shoulder pain patients treated with physical therapy that was to grasp physical therapy method as distinguishing application time. Subject: Total number of distributed questionnaire was 563 persons that was to utilized physical therapy room of 56th medical institution and distributed it to each physical therapist in charge. Method: The research used questionnaire in order to research itemized treatment application time that is according to physical therapy method to applicated with shoulder pain patient. The research contents is to received shoulder pain diagnosis period, total duration of utilizing physical therapy room, the number of times per week to used physical therapy room, etc. And we had physical therapist recording the time of application physical therapy method come under the items. Result: The average treatment time was 59.2 minutes at all patients. During this time, 39.7 min was modality treatment. Active movement treatment was only 7.1 min. Total treatment time was longest in general hospital at 64.9 min, it was shortest in clinical hospital at 53.3 min. Treatment time was difference as hospital scale(p<0.001). Active movement treatment time was longest in general hospital at 11.5 min. The average treatment time was 4.5 min in clinical hospital. Therefore, it was related to hospital scale(p<0.05). The average of manual therapy time by physical therapist was 7.5 min. General hospital was linger at 8.6 min than clinical hospital at 6.7 min(p<0.05). Patient of 90.2 % were treated to hot pack, ultra-sound treatment was next as 50.1%. Active strengthening exercise was most carrying out of the active treatment as 25.4 %. Active sensorimotor exercise was practiced only 28 persons of 5.0 %. Most joint mobilization (38.4 %) was used of the passive manual therapy items, next to soft tissue mobilization (33.0 %), and next to manual distraction therapy(14.0 %).

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관절가동기법이 급성요통환자의 통증과 기능회복에 미치는 영향 (The Effects of Mobilization on the Pain and Recovery of Function of Acute Low Back Pain Patients)

  • 이인학;구창회;박경리;배성수
    • The Journal of Korean Physical Therapy
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    • 제18권1호
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    • pp.41-51
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    • 2006
  • Purpose: The purpose of this study was to investigate effects of mobilization combined active movement(SNAGS) on the pain and recovery of function of acute low back pain patients. Methods: The subjects were consisted of 135 patients with acute low back pain. All subjects randomly assigned to mobilization group, stretching exercise group and modality treatment group. The mobilization group received mobilization combined active movement(SNAGS) with modality treatment, exercise group received stretching exercise with modality treatment and modality treatment group received modality treatment. Visual Analogue Scale(VAS) was used to measure patient's pain level and Patient Specific Functional Scale(PSFS) was used to measure patient's functional disability level. Results: The results of this study were summarized as follows : 1. Visual Analogue Scale(VAS) was mobilization group showed significantly decreased more than comparison group(p<.01) and active treatment group showed significantly decreased more than passive treatment group(p<.01). 2. Patient Specific Functional Scale(PSFS) was mobilization group showed significantly increased more than comparison group(p<.01) and active treatment group showed significantly increased more than passive treatment group(p<.01). Conclusion: It maybe suggested that mobilization combined active movement(SNAGS) is beneficial treatment for acute low back pain patient.

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Using response surface methodology and Box-Behnken design in the study of affecting factors on the dairy wastewater treatment by MEUF

  • Khosroyar, Susan;Arastehnodeh, Ali
    • Membrane and Water Treatment
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    • 제9권5호
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    • pp.335-342
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    • 2018
  • Micelle-Enhanced Ultrafiltration (MEUF) is a membrane separation processes that improving ultrafiltration process with the formation of micelles of the surface active agents. Surface active agents are widely used to improve membrane processes due to the ability to trap organic compounds and metals in the treatment of industrial waste water. In this study, surface active agents are used to improve micelle-enhanced ultrafiltration (MEUF) to reduce chemical oxygen demand (COD), total dissolved solid (TDS), turbidity and clogging the membrane in dairy wastewater treatment. Three important operational factors (anionic surface active agent concentration, pressure and pH) and these interactions were investigated by using response surface methodology (RSM) and Box-Behnken design. Results show that due to the concentration polarization layer and increase the number of Micelles; the anionic surface active agent concentration has a negative effect on the flux and has a positive effect on the elimination of contamination indices. pH, and the pressure have the greatest effect on flux. On the other hand, it could be stated that these percentages of separation are in the percentages range of Nano-filtration (NF). While MEUF process has higher flux than NF process. The results have been achieved at lower pressure while NF process needs high pressure, thus making MEUF is the replacement for the NF process.

Statistical Methods in Non-Inferiority Trials - A Focus on US FDA Guidelines -

  • Kang, Seung-Ho;Wang, So-Young
    • 응용통계연구
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    • 제25권4호
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    • pp.575-587
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    • 2012
  • The effect of a new treatment is proven through the comparison of a new treatment with placebo; however, the number of parent non-inferiority trials tends to grow proportionally to the number of active controls. In a non-inferiority trial a new treatment is approved by proof that the new treatment is not inferior to an active control; however, both additional assumptions and historical trials are needed to show (through the comparison of the new treatment with the active control in a non-inferiority trial) that the new treatment is more efficacious than a putative placebo. The two different methods of using the historical data: frequentist principle method and meta-analytic method. This paper discusses the statistical methods and different Type I error rates obtained through the different methods employed.

Active MAP가 파프리카 신선편이 저장성에 미치는 영향 (Effects of Active Modified Atmosphere Packaging on the Storability of Fresh-cut Paprika)

  • 최인이;유태종;정현진;김일섭;강호민;이용범
    • 생물환경조절학회지
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    • 제20권3호
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    • pp.227-232
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    • 2011
  • 파프리카 신서편이 제품화 및 품질과 저장성 향상을 위해 Active MA 조건을 비교 규명 하였다. Active MA 처리구와 진공처리, 일반 MA 포장 처리를 하였으며 생체중, 산소, 이산화탄소, 에틸렌 농도와 경도, 이취 전해질 누출량을 측정하였다. 생체중은 진공처리가 가장 큰 감소를 보였고 5 : 5 : 90($CO_2:O_2:N_2$), 가장 낮은 감소 보였으며 다른 처리에서는 처리간의 큰 차이를 보이지 않았다. 산소, 이산화 탄소, 에틸렌농도 변화는 30 : 10 : 60($CO_2:O_2:N_2$) 처리가 산소 감소율과 이산화 탄소 증가율이 가장 크게 측정되었으며 그 외 처리는 감소율과 증가율에서 특별한 특징을 나타내지는 않았다. 에틸렌 농도는 30 : 10 : 60 처리 조건이 가장 크게 측정 되었으며 MA 조건이 가장적은 농도로 측정 되었다. 경도는 진공처리 조건이 가장 낮게 측정되었으며 이취의 경우 30 : 10 : 60 처리조건과 진공 포장 처리구의 이취 발생량이 가장 많은것으로 평가 되었다. 전해질 용출량은 진공조건 처리가 70%로 가장 많았고 30 : 10 : 60 처리가 35%로 Active MA 조건에서 가장 많은 누출을 보였다. 이상의 결과로 볼 때, 진공처리와 고농도 이산화탄소 처리는 파프리카 신선편이 포장 처리에 적합하지 않으며 Active MA 처리시 10 : 70 : 20($CO_2:O_2:N_2$)와 0 : 20 : 80이 가장 적합하다고 사료된다.

능동이완기법(active release technique)을 병행한 한방치료로 호전된 극상근건 부분 파열 호전 2례 (Two Clinical Cases of Active Release Technique with Koeran Medicine Treatment for Supraspinatus Tendon Partial Tear)

  • 이성준;박재현;남수현;강준혁
    • 척추신경추나의학회지
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    • 제9권1호
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    • pp.89-101
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    • 2014
  • 상기 증례에서 저자는 극상근건 부분 파열 환자에게 한방치료 및 ART 치료를 적용하여 견관절 ROM, VAS 평가를 통해 다음과 같은 결론을 얻었다. 1. 극상근건 부분 파열로 견통 및 견관절 ROM 제한 발생한 환자에게 한방치료 및 ART 치료를 적용하여 견관절 ROM, VAS에서 현저한 개선 보인 것을 확인할 수 있었다. 2. 비교적 증례가 많지 않고 한방적 치료 과정이 정립되어 있지 않은 극상근건 부분 파열에 한방 치료와 ART 치료를 병행하는 것이 효과가 있음 을 알 수 있었다.

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기능성 소화불량증에 대한 침치료의 효과;무작위배정 대조군 연구 (Effect of Acupuncture Treatment for Functional Dyspepsia;A Randomized Controlled Trial)

  • 박양춘;조정효;손창규;홍권의;정인철;강위창;최선미
    • Journal of Acupuncture Research
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    • 제24권1호
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    • pp.1-12
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    • 2007
  • Objectives : Functional dyspepsia is a prevalent disease. It impedes subjective quality of life. The purpose of this research is to examine the effect of acupuncture treatment for functional dyspepsia. Methods : In this randomized, single blind, placebo-controlled study, we compared active acupuncture with sham acupuncture for the treatment of functional dyspepsia. Volunteers who satisfied the requirements were enrolled in study. Severity of dyspepsia was measured by Nepean Dyspepsia Index(NDI) and Functional Dyspepsia Quality fo Life(FD-QOL) before and after treatments. Results : 68 subjects finished study. There were not difference between two groups on age, sex, weight, height, severity of dyspepsia, subtype, Byeonjeung, surmise of treatment. After treatment total key symptoms score, improve rate of key symptoms were decreased than before treatment in active acupuncture group, but there were no statistical significance compared with sham acupuncture group. After treatment "pressure in upper abdomen" and " cramps in upper abdomen" were more decreased in active acupuncture group compared with sham acupuncture group(p=0.001, p=0.014). After treatment total symptom score and QOL of NDI were decreased than before treatment in active acupuncture group, but there were no statistical significance compared with sham acupuncture group. After treatment eating status of FD-QOL in active acupuncture group was significantly increased than sham acupuncture group(p=0.008). After treatment liveliness status of FD-QOL and total score of FDQOL in active acupuncture group was increased than sham acupuncture group though statistically insignificant(p=0.095, p=0.077). Conclusion : Acupuncture treatment is effective to improve the symptoms and quality of life in patients with functional dyspepsia.

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Successful treatment with vedolizumab in an adolescent with Crohn disease who had developed active pulmonary tuberculosis while receiving infliximab

  • Choi, Sujin;Choi, Bong Seok;Choe, Byung-Ho;Kang, Ben
    • Journal of Yeungnam Medical Science
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    • 제38권3호
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    • pp.251-257
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    • 2021
  • Vedolizumab (VDZ) has been approved for the treatment of inflammatory bowel diseases (IBDs) in patients aged ≥18 years. We report a case of a pediatric patient with Crohn disease (CD) who was successfully treated with VDZ. A 16-year-old female developed severe active pulmonary tuberculosis (TB) during treatment with infliximab (IFX). IFX was stopped, and TB treatment was started. After a 6-month regimen of standard TB medication, her pulmonary TB was cured; however, gastrointestinal symptoms developed. Due to the concern of the patient and parents regarding TB reactivation on restarting treatment with IFX, VDZ was started off-label. After the second dose of VDZ, the patient was in clinical remission and her remission was continuously sustained. Ileocolonoscopy at 1-year after VDZ initiation revealed endoscopic healing. Therapeutic drug monitoring conducted during VDZ treatment showed negative antibodies to VDZ. No serious adverse events occurred during the VDZ treatment. This is the first case report in Korea demonstrating the safe and effective use of VDZ treatment in a pediatric CD patient. In cases that require recommencement of treatment with biologics after recovery of active pulmonary TB caused by anti-tumor necrosis factor agents, VDZ may be a good option even in pediatric IBD.