• Title/Summary/Keyword: Digital Therapy

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The Effect of Electro Acupuncture for Sciatica: A Systematic Review and Meta-analysis (좌골신경통에 대한 전침 치료: 체계적 문헌고찰 및 메타분석)

  • Kim, Ye-Eun;Ahn, Jeong-Hoon;Cha, Yun-Yeop;Han, In-Sik;Heo, In;Park, In-Hwa
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.2
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    • pp.105-121
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    • 2022
  • Objectives This study was conducted to evaluate the effect of electro-acupuncture for sciatica. Methods We searched 13 online databases (Kmbase, Research Information Sharing Service [RISS], National Digital Science Library [NDSL], Oriental Medicine Advanced Searching Integrated System [OASIS], Koreanstudies, Koreantk, DBpia, PubMed, Cochrane, EMBASE, Medline, China National Knowledge Infrastructure [CNKI], J-stage) to find randomized-controlled clinical trials (RCTs) that used electro-acupuncture for sciatica. Efficacy rate and visual analogue scale (VAS) were mainly analyzed as a main evaluation criteria. Results Among 583 articles that were searched, 24 RCTs were finally selected and 18 RCTs were statistically analyzed. Electro-acupuncture was more effective than acupuncture in terms of efficacy rate (p<0.00001) and VAS (p<0.00001). Also, Electro-acupuncture was more effective than western medication in terms of efficacy rate (p=0.0005). However, the effectiveness of electro-acupuncture was not identified compared to physical therapy (p=0.42). Electro-acupuncture significantly improved efficacy rate when combined with physical therapy than physical therapy alone (p<0.0001). In addition, electro-acupuncture plus Chuna manual therapy compared to Chuna manual therapy alone showed positive results for efficacy rate (p=0.05) and VAS (p<0.0001). Conclusions Based on results, the effectiveness of electro-acupuncture for sciatica was identified. However, this study has limitations because the RCTs included in this study were small in number and published in a particular region. Although this study could be a groundwork for well designed research for sciatica.

Comparison of Effects of Taping Methods on Menstrual Pain, Menstrual Symptoms, and Body Temperature in Women of Reproductive Age (테이핑 기법에 따른 가임기 여성의 월경통, 월경 증상 및 체온에 미치는 영향 비교)

  • Eun-jin Lee;Jae-myoung Park;Tae-sung In;Kyoung-sim Jung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.2
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    • pp.31-38
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    • 2023
  • Background: The aim of this study was to compare the effects of taping techniques on menstrual pain, body temperature, and menstrual symptoms in women of reproductive age. Methods: This study targeted 40 female students enrolled at G university with menstrual pain rated above 5 on the visual analog scale (VAS). The participants were randomly assigned to four groups: the Kinesio taping, spiral taping, non-steroidal anti-inflammatory drug, and control groups. The intervention was applied one day after the onset of menstruation, and menstrual pain, menstrual symptoms, and body temperature were measured before the intervention and 24 hours after the intervention application. We measured menstrual pain using the VAS. Additionally, we evaluated menstrual symptoms using the menstruation symptom scale and measured body temperature of the abdomen and feet using digital infrared thermal imaging. Results: After the intervention, all three experimental groups showed significant improvement in menstrual pain and menstrual symptoms compared to the control group, and there was no significant difference among the three groups. After applying Kinesio taping, there was a slight decrease in the temperature difference between the abdomen and feet, but no statistically significant difference was observed. Conclusion: The results of this study demonstrated that kisesio and spiral taping have similar effects as with anti-inflammatory medication in relieving menstrual pain and menstrual symptoms. Taping can be considered as an effective method to replace medications in order to alleviate menstrual pain.

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Shoulder Range of Motion According to Sagittal, Coronal and Scapular Plane and Humeral Rotation (견관절 운동면과 상완골 회전에 따른 견관절 가동범위의 차이)

  • Kim, Yong-Wook;Cha, Deuk-Young;Lee, Ji-Yong
    • Physical Therapy Korea
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    • v.3 no.1
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    • pp.32-39
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    • 1996
  • For effective rehabilitation of the shoulder, physical therapists must have correct knowledge of shoulder movements. The purpose of this study was to determine the relationship between shoulder movements and the rotation of the humerus in the sagittal, coronal and scapular planes. Fifty normal subjects(25 male, 25 female) were tested using a Dualar-plus digital goniometer and an air-splint. The subjects performed active shoulder elevation in each plane with the humerus rotated in both medial and lateral directions. The range of motion(ROM) of the glenohumeral joint was measured three times. The paired t-test was used to determine the difference in ROM between medial and lateral rotation of the humerus. Results showed that, in the sagittal and the coronal planes, there was a significant difference(p < 0.01) in ROM of the shoulder between medial rotation and lateral rotation which was greater. But in the scapular plane, there was no difference between medial and lateral rotation. Physical therapists should consider these results when the goal of treatment is to increase ROM of the shoulder.

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The Use of Virtual Reality in Psychiatry: A Review

  • Kim, Suji;Kim, Eunjoo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.31 no.1
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    • pp.26-32
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    • 2020
  • With the advancement in modern information technology, virtual reality (VR) is being increasingly used for the diagnosis, assessment, and treatment of mental disorders. Recently, a VR-based cognitive behavioral therapy for social phobia has been recognized as a new medical technology in South Korea. This might lead to an increase in the use of VR in the field of psychiatry. The present review provides an overview of the status of VR therapies in various psychiatric conditions such as anxiety disorder, post-traumatic stress disorder, psychosis, addiction, and eating disorder. Besides, it summarizes the role of VR therapy in the management of disorders associated with child and adolescence psychiatry as well as various other clinical applications. Additionally, we discuss the merits and limitations of VR therapy, which might serve as a useful reference for researchers. In the current environment wherein novel medical models consisting of a combination of digital devices and medicine are being developed; understanding new technologies such as VR could open new doors to mental health treatments.

Effects of Music Therapy on Agitation in Dementia: Systematic Review and Meta-analysis (음악요법이 치매의 초조행동에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Kong, Eun-Hi;Park, Myonghwa
    • Korean Journal of Adult Nursing
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    • v.27 no.1
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    • pp.106-116
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    • 2015
  • Purpose: The purpose of this review was to assess the quality and to evaluate the effectiveness of music interventions in reducing agitation in older adults with dementia. Methods: Randomized controlled studies and randomized crossover studies were identified by searching MEDLINE, EMBASE, CINAHL, PsycINFO, AGELINE, Cochrane Central Register of Controlled Trials, Korea Med, Kmbase, RISS, National Assembly Digital Library, KISS, and RICH. Two reviewers independently retrieved articles, extracted data, and assessed the quality of studies. Results: In total, 10 studies were selected from 1095 unique citations. All included studies were conducted in long term care settings. Overall, risk of bias for included studies was low to moderate. The weighted average effect size across studies was -0.39 (95%CI [-0.69, -0.10], p=.009, $I^2=63%$). Music therapy was effective to reduce agitation of the older adults with dementia. Conclusion: Music intervention can be an effective non-pharmacological intervention for the reduction of agitation in dementia. Future studies need to use rigorous research method and to provide description of research methods in greater detail. In addition, future studies are required to explore the effects of music therapy according to severity of agitation and dementia.

Investigation of mechanism and treatment of Bi disease in Huang Di Nei Jing(黃帝內經) (≪황제내경(黄帝内经)≫비병궤리여치료고찰(痹病机理与治疗考察))

  • Ju, Bao-Zhao;Kim, Hyo-Chul
    • Journal of Korean Medical classics
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    • v.27 no.4
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    • pp.15-20
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    • 2014
  • Objectives : We search the contents about Bi disease in Huang Di Nei Jing(黃帝內經), to analyze the significance of Bi disease, etiopathogenisis and pathogenesis of Bi disease, treatment of Bi disease. Methods : We find that the key feature of Bi disease is joint pain induced by impatency of Qi and blood. Exterior and interior etiological factors are involved in, such as exogenous evil of cold and dampness, emotional disorders, intemperance of taking food, dysfunction of yingqi and weiqi, strong or weak constitution, etc. Results : The important pathogenesis are invaded by exogenous evil because of deficiency, disharmony of yingqi and weiqi and disharmony of five viscera. The key points of treatments are the individual concerned therapy and climate concerned therapy, selecting the acupoint according to the differentiation of symptoms and signs. Conclusions : The combined therapy should be used such as acupuncture and moxibustion, hot application of medicine, massage, Daoyin, outside apply, etc. These supply the theory foundation for etiological factor, pathogenesis, syndrome and treatment, and to direct the diagnosis and treatment of Bi disease later generations.

Effect of Hominis Placenta Herbal Acupuncture on Dysmenorrhea (자하거 약침의 월경통에 대한 효과)

  • Chang, So-Young;Kim, Hyun-Joong;Lee, Dong-Yeul;Lee, Eun-Yong
    • Journal of Acupuncture Research
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    • v.22 no.6
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    • pp.85-92
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    • 2005
  • Objectives : This study is to evaluate the efficacy of Hominis Placenta Herbal Acupuncture(HPA) on dysmenorrhea. Methods : Volunteers of fourteen subjects who used to feel pains in menstrual period were employed to answer the questionnaire. Subjects were divided into two groups Hominis Placenta Herbal Acupuncture(HPA) treatment group(Sample Group) and Normal Saline(N/S) treatment group(Control Group). HPA and N/S were injected on the Cheonchu(ST25), Gwanwon(CV4), Joksamni(ST36) and Hyeolhae(SP10) acupuncture points. Subjects were treated depending on menstrual period, two times a weeks, in total four times after ovulation cycle. Digital Infrared Thermal Imaging(D.I.T.I.) was taken and Visual Analog Scale(VAS) was examined before and after each treatment. Results : The VAS score of Sample Group were decreased significantly compared to that of Control Group.(p<0.05) The changes of difference of abdominal mean temperature of Control Group and Sample Group were significancy. HPA therapy reduced difference of right and left abdomial thermal temperature more than N/S therapy in dysmenorrheic patients. Conclusion : The Hominis Placenta Herbal Acupuncture therapy may be good effects on the Dysmenorrhea.

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Bilateral Skin Temperature Change of the Anterior Thigh Following Unilateral Isokinetic Exercise (등속성 운동 후 양측 대퇴부의 피부 온도 변화)

  • Kim, Seon-Mi;Oh, Young-Soo;Lee, Ji-Eun;Kwon, Hyuk-Cheol
    • Physical Therapy Korea
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    • v.2 no.1
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    • pp.14-20
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    • 1995
  • The purpose of this study was to measure and compare the skin temperature over the exercised muscle and corresponding non-exercised muscle after unilateral isokinetic exercise using digital thermography. Thirty-two young healthy volunteers with no history of knee injury were tested. After isokinetic exercise at 60 degree per second angular velocity using the right leg in a climatic chamber at ambient temperature of $23-26^{\circ}C$, skin temperature of the anterior thigh was tested. After exercise, the skin temperature of both the right and left leg had fallen significantly. The skin temperature of the exercised leg fell less than that of the non-exercised leg. The fall in skin temperature after work was not due to increased evaporative cooling, but was the result of segmental vasoconstriction probably caused reflexly in the spinal cord by non-thermal afferents from exercising muscle or moving tissues. The effect of thermoregulatory vasodilation was reduced by reflex vasoconstriction caused by non-thermal factors such as catecholamine.

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Effect of Weight-bearing Pattern and Calcaneal Taping on Heel Width and Plantar Pressure in Standing

  • Jung, DoYoung
    • The Journal of Korean Physical Therapy
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    • v.32 no.1
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    • pp.29-33
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    • 2020
  • Purpose: This study examined the effects of the weight-bearing pattern and calcaneal taping on the heel width and plantar pressure in standing. Methods: Fifteen healthy subjects with normal feet participated in this study. The heel width was measured using a digital caliper, and a pedoscan was used to measure the plantar pressure of the rear foot while standing. The participants were instructed to stand in three weight-bearing patterns (anterior, middle, and posterior weight bearing) before and after calcaneal taping. The heel width and plantar pressure were measured three times before and three times after calcaneal taping, with the three weight-bearing patterns applied in random order. A 2 (non-taping vs. taping) × 3 (anterior, middle, posterior weight bearing) two-way repeated ANOVA with a Bonferroni post hoc correction was used to assess the differences in heel width and plantar pressure. Results: The results revealed a significant main effect of the weight-bearing pattern (p<.01), but not of calcaneal taping (p>.05). Greater weight bearing applied to the heel resulted in a significantly increased heel width and planter pressure of the rear foot (p<.01). Conclusion: In standing, a posterior weight-bearing pattern increases the heel width due to side-to-side shifting of the plantar heel pad, which increases the heel plantar pressure. Therefore, to prevent high stress on the heel pad and plantar heel pain, it is important to refrain from posterior weight bearing while standing during the activities of daily living.

Influence of Joint Mobilization on Formalin Induced Pain Prevention of Rats (관절가동술이 흰쥐의 포르말린 유도 통증 예방에 미치는 영향)

  • Kang, Jong-Ho;Kim, Eun-Kyung;Ro, Hyo-Lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.2
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    • pp.207-213
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    • 2011
  • Purpose: The purpose of this study was to determine the preventive effect of joint mobilization on biphasic pain response induced formalin test. Methods: Sprague-dawley rats(n=30) were ramdomly divided into the control group without intervention, sham control group with application of hand contact without mobilization, joint mobilization group with application of hand contact with mobilization. Joint mobilization of knee procedure involved an grade III extension mobilization basically with anterior-posterior gliding of the tibia on the femur. Formalin injection caused biphasic pain response which is lated for 60 minute. The first phase result from primary afferent sensory fiber, wheareas the second phase has been proposed to central sensitization in the central nervous system. Behavioral analysis was performed by digital camera after 5% formalin subcutaneous injection into the dorsal foot. Results: Pain response of joint mobilization group show significant lower than control gorup and sham control group. Conclusion: This result suggest that pre-application of joint mobilization may be effective intervention to prevent the formalin induced pain.